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HomeMy WebLinkAbout030-2094-10-000 NOTICE Please provide the following: within 100 feet of the s A plan view sketch showing everything with stem. p g � g Y • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. n Tl{ o sPT � PLAN VIEW 95 G�- vojr3 �� Fib TP.ts�rt iT1�x c Atr--S �iJ6S i a �2v�rQry , \ cog o� YRoQoS � y ScH 1l0 SGLJ6n �in1.5 � ��Sip� l�l©�,�L� INDICATE NORTH ARROW 1 ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner &A) G Property Address '3S O i / / 114 - 5r , City /State d 5c� 6j 0 i� Legal Description: / Lot / Block Subdivision/CSM # d G 4 t.Mv H 4 t c c s . t /a 5" ' /a, Sec. 2, T N -RAW, Town of 5'r PIN # e; , 30 • a m g - �� - SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer Ilo,ESEr? Size ST/PC / o22 _ /— Setback from: House /? Well _(,ot P/L /35 Pump manufacturer — Model Alarm location — (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: ? - ;P eAj c H Width Length �'!5: Number of Trenches Setback from: House is ee' Well P/L G G , Vent to fresh air intake isD ELEVATIONS Description of benchmark / 4el-r o� '�0_1 1 F �Oa^' P - Elevation Description of alternate benchmark ,� vtfff 42p2aN Elevation Building Sewer '�:C- <C I ST/HT Inlet l y`/ ST Outlet 19 PC Inlet PC Bottom ' Header/Manifold Top of ST/PC Manhole Cover Distribution Lines (4) Bottom of System Final Grade (A-) f� 8'K � (6) 5' 11 �> ( ) Date of installation Sl3 lO'v Permit number E 9 State plan number Plumber's signature License number ?,7 42S 2 Date -'5 7- /V / 0 O Inspector Complete plot plan or w, 'I a � Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes (Privacy Law, s.15.04 ( 353309 Permit Holder's Name: ❑ City ❑ Village ❑ Txwn of: State Plan ID No.: Rang, ,Anton & Mary St. Joseph Tow nship CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 60i 0 Aed 030 - 2094 -10 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 0 'CFO Benchmark :66 . � /04 - J Dosing Alt. BM 2 $ 1 493, Aeration Bldg. Sewer , 5--r, Holding St /Ht Inlet ,c t 5� 7( TANK SE BACK INFORMATION St/ Ht Outlet �f. / `7 / b Z TANK TO P/ L WELL BLDG. Air l to ntake ROAD Dt Inlet Air I Septic (00 3 NA Dt Bottom Dosing NA Header / Man. l 9y O �l �D.,S78 Aeration NA Dist. Pipe a• s$ y'S( a$ Holding Bot. System � 4PO. `Ta --7L z k/10 PUMP/ SIPHON INFORMATION Final Grade Manufact Demand St cover 2, S S�11( f� 'L Z Model Number GPM TDH Lift F ' Ion ea m TDH Ft Force n Length Dia. Dist. To we SOIL ABSORPTION SYSTEM BEB Width r Length , No. Of nches PIT No. Of Pits Inside Dia. Liquid Depth DIME TRENCH 3 DIMEN 1 N SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Man factur r: INFORMATION Type Of I P CHAMBER Mo el Number: System: � vtv , (o OR UNIT _C `• DISTRIBUTION SYSTEM Header / Manifold �� Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air In take Length Dia - Leng Dia. Spacing (� SOIL COVER / x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil E] Yes E] No E] Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection#1:5 ZY 10 Inspection #2: Location: 465 Highland View u o WI 54916 (SE 1/4 SW 1/4 29 T30N R19W) - 29 3 .19.784 Highl d Hi11s I -Lot 10 1.) Alt BM Description= S" ��� CT��GC 2.) Bldg sewer length = 20 ` r - amount of cover = ► d" Cpl �S 3) Fka Plan revision required? ❑ Yes o / Use other side for additional information. (( SBD -6710 (R.3/97) Date V 1 Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: �. m �_, e� m - w n .. L—ttt _ _. a_... ;. Volt- 1 11, 1 L i m < r E V- _� E s P o ..._. w �. 7 71 11 1 1: 1 �® gy m_. �a , , ®m �s� � __ e 1 t ht . _ a . ..m.... �. —T - 64 ._ ., a i 3 t 3 j Ina 1-4 VIA 1 t a + n. ..�� . _. �� :til in e � a nn P IL L J y m j .., I. P 77 ddd t — 4 - 4 — 41 — .. _ i P W Safety and Buildings Division SANITARY PERMIT APPLICATION 201 W. Washington Avenue 18s P O Box 7302 Department of Commerce In accord with Comm 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on of less count than 8 1/2 x 11 inches in size. `1 See reverse side for Instructions for completing this appllc .� ` 1 / Cro i x • ' . State Sanitary Permit Number to , � 3S3307 Personal information you provide may be used for secondary purposes ` ' I ,`a [jGheck it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. C, /-�,.� `• $ta a Plan I.D. Number M I. APPLICATION INFORMATION - PLEASE PRINT NF `R Property Owner Name _ Sj e do ti "'11tq� w 1/4 T ,�U , N, R /,9 E (o W Property Owner's Mailing Addre i''., r Block Number City, State I Zip Code Phone Number Qkri CSM Number U 4C 1 (,&4-) t ni II. TYPE OF BUILDING: (check one) ❑ State Owned - ❑ C it � Nearest Road ❑ VII age /� Public 1 or 2 Family Dwelling - No. of bedrooms - Town OF /' III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) q 1 ❑ Apartment/ Condo - -/U v 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable) A) 1. Ig New 2_ ❑ Replacement 3, ❑ Replacement of 4 ❑ Reconnection of 5 ❑ Repair of an ______System __ ------ System ----- -- - - - - -- Tank Only__________ - ___ Existing System -- - - - - -- Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill oZ VI. ABSORPTION SYSTEM INFORMA N: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation yt o I ;&o .6 Feet - Feet Capacity VII. TANK in Ca g g Total # of Prefab. Site Fiber- Plastic Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con Steel glass App. New Existing structed Tanks Tanks Septic Tank or Holding Tank Ap p p - ® ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ 1 ❑ 1 ❑ I ❑ 1 ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Si nature: (No Stamps) MP /MPRSW No.: Business Phone Number: i0 /✓i9 - Plumbe Address (Street, City, State, Zip Code): Jor /6 I D IX. COUNTY / DEPARTMENT USE ONL ❑Disapproved Sanitary Permit Fee (Includes Groundwater D ate lssue Agent Signature (No Stamps) J Approved I []Owner Given Initial Surcharge Fee) Adverse Determination 6a5 tS[� X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: a +o _ �P SBD -6398 (R. 4199) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608 -266 -3151. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing'address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must, be submitted to the county. The plans must include the following: - A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences, friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. of / "ram P,p, Ar j4 or z- fpN4+P Mimic o.J ^ro/t of Qow�B Adams ?A c. 67. PLOT CROSS SECTION PLANS ZAPPA 8808. EXCAVAT94 INC KUMINNA UNIT .. " PROJECT Aj 46 If4 144" t T-0-4 4� ljrj 1 P� p o ELL /000 4o L. L�,ESfQ St Pt�C `i��fNt� s N ov Aj spa V� E . ,OEc.i,,.I pfpS o2 %� �QENCHES �TN /2 ��E+'r►�PS L.v = _ 7�i• C4 sCAE V�E� d>' �I ��• I �1Q r vF�V T f O&SE�P AT /c>~I Pi�� 6IQNHD: ,APO/?.,t /FU Vk"T LAo \ i LICENSE' — — I DATE • 3 �' Ma\u T,, 6RA SOIL TEOTINO av° Alt S"4 yo J 4.IT PI PE M �, �,Yjd�1/%L� a9s�st1 Scr✓ '(o f,n)t 5F1 Side View 1 f,-k 01 J6olt" PLC So,, TtST End View S ,Ae ca104n4�(' j�t("FI 4'-APACJr-e /lorQE1. Wisconsin Department of Commerce SOIL AND SITE EVALUATION 3 ',Division of Safety and Buildings Page ` of Bureau of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and ' Qa L percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. If 0 3 0_ 2,o I 10 APPLICANT INFORMATION - Please print all information. R viewed by �V Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). �, oZ Property Owner Property Location Govt. Lot j E 1/4 1/4,S 7_9 T 30 ,N,R /9 E (or) W Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# 5T /0 4 / 6NIAN& LLS l AAaN City State Zip Code Phone Number ❑ City ❑Village Town Nearest Road New Construction Use: MResidential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: r Code derived daily flow gpd Recommended design loading rate Q . 1 � bed, gpd /flF •b trench, gpd/ft Absorption area required , 9,0e bed, ft %5 trench, ft 2 Maximum design loading rate (3.:5 bed, gpd/111 .6 trench, gpd/ft Recommended infiltration surface elevation(s) & Twti1ryv 9 ?.0 A 0A ��.0 ft (as referred to site plan benchmark) Additional design /site considerations V1"A t, F—L ��J il'TI6 i.1 7'G3 19C �t `d £ �P-M & (3Y Ru 8&* Parent material a ,2'_ Wiz= Flood plain elevation, if applicable /y mil_ ft S = Suitable for system Conventional ,�Mvtound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system S U 0 S [__1 U aC� S❑ U 1Z S ❑ U I ❑ S D U ❑ S W U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 0 16A Ccj Zyh 0.4 Ground lZ S 5 v. Depth to limiting 9 D 1 13, qv factor ' i Remarks: Boring # ;m A In 2— -X"- M . -11( iOM 4A SC, n Ground elev. 3 /.'/O Depth to limiting factor > /kaLin Remarks: CST Name (Please Print) Telephone No. 14A k\t Y A Si re ytns� 46S6 Addr Date CST Number Co (� 22Z -7S7 SOIL DESCRIPTION REPORT ? PROPERTY OWNER Page of J PARCEL I.D.# - Boren # Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 0 YP,4 1 Ground 14 , 12 4 Al MA ft. Depth to limiting o ¢ io 2 0.16 factor Remarks: Boring # A r1icr 7-s Yoe 4 Ground Depth to limiting factor, > IL Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # _ fZ / 3 3 5 L n, C M - r w q '(',� S . 17. lb"Ip, 4 r Lj S Ground lj -14 Z-SY Q 4 4 vs S61 1 ®.� lev. 7.Z ft. Depth to limiting factor !22 �'b• Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R.9/98) PAL L3o� INo 964y~h -To P OC 1 i Qo 9 1PE F-- 384 �} nloiLTu L&T ��n► — 3 aCOCU maQ k- M44 k p,4 TO alil- � Z DEL- 9�r Z� V Lar. fl- r ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer j Lk�-W MQ t-� g�`��f - 6& Mailing Address GuP -�'Pet4T " 0 F (mil — FR-+ o ( Property Address (Verification required from Planning Department for new construction) City/State / ✓v .,, Parcel Identification Number o_ ?o- -9o991 40-000 LEGAL DESCRIPTION Property Location SE 1 /,, 1 /e, Sec. ;Z9 TAN -R_19 W, Town of Pr, rise, y Subdivision 1 6 : H - j -Lta j > 44 t Lot # � Certified Survey Map # , Volume , Page # Warranty Deed # , Volume s , Page # Spec house ❑ yes El no Lot lines identifiable J9 yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. KL —",— I / ZS/ 00 SI ATURE OF APPL DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. ( 1�u --11 1 / 28/ 00 SIGNATURE OF APPLI T DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed VOL 133 PACEO9 "1%4 0 WARRANTY DEED _ --- T�EC - 77E - 9 - _SFr ;r` CROIX CO., VV! ! Document Number ST. . SEP 18 1998 ,1 Return Address A « KRISTINA OGLAND t 1 "Liiz, Istreen & Ogland -'' P.O. Box 359 , Hudson, WI 54016 w Parcel I.D. Number: 030 - 2094 -10 a Highland Hills, a Partnership, conveys and warrants to Anton Rang and Mary E. Rang, husband and IV wife, the following described real estate in St. Croix County, State of Wisconsin: Lot 10, Highland Hills First Addition to the Town of St. Joseph, St. Croix County, Wisconsin. This is not homestead property. Exception to warranties: Easements, restrictions and rights -of -way of record, if any. �.° Dated this day of September, 1998 RAN eb $FER Q Highland Hills, a Partnership FEE (SEAL) x� Ann Persico, individually and as Power of Attorney for Bntce Peterson and Roger Ruelin AUTHENTICATION ' Signature(s) JoAnn Persico, individually and as Power of Attorney for Bruce Peterson and Roger Ruelin authenticated this —� day of , 1998. Kristina Og at t TITLE: ME ER STATE BAR OF WISCONSIN a ' TH[S INSTRUMENT WAS DRAFTED BY: Attorney Kristina Ogland -" Hudson, WI 54016 is .F `s �3 c 0 d m (D m A T T m z 0 C v c w C O• = < G C O W 7 L W C) �• A d 7 N Wo w O DN `Al rn CO D a O D O O CO O C 1 N N O N 0 0 0 N N CD 7 S A O R O OD W C LD C C C) 0 6 y err o m ° A CD W p 0) C` N 0) C)1 O 3 ff w: ? C o CD -""w O N "NAM L A O Cn Z 0 0 0 0 < 0 r N O EMI O O 3 , I 2 � v m o °: • O o cc C0C C o C o A N G G G O O N N N C 0 ca O N N u O G < S (� CD Q7 O ^' N 'O A O_ Cu - CD 0 2 3 m N N m CL N z D O D O a ° v o O CD to y 0 X y 0 O F n 0 C S CD w CD m (� o Q 3 w 3 Z X 7 CD Cp CD 2 tD O CD n m d A z 0 N 00 C) 3 O 3 0 W T m w n ' co 0. zt Z $ 3 c 5 cD Z w f A I Q O o a Q O = CD co C N N 0 Z d CD Q O o m N o < O y. 0 O 'O O �D O CD � a a S a O Cb O C `J N � O� b CD pp O 69 0 r b ° a � o ° o CL Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and H- man Relations Division oftafe#/ 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St . Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 030 - 2094 -10 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION RE EW BY DATE 1 jo•7 PROPERTY OWNER: PROPERTY LOCATION Christopher Mick GOVT. LOT SE 1/4 SW 1/4,S 29 T 30 N,R 19 :R (or) W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # I SUBD. NAME OR CSM # 125 S. Owen 10 Ina )Highland Hills phase II CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®TOWN NEAREST ROAD STillwater, M. 55082 (6121 439 -9203 St. Joseph Highland trl. [x] New Construction Use ( 14 Residential / Number of bedrooms 4 [ ] Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow 60n gpd Recommended design loading rate • 4 bed, gpd /ft . 5 trench, gpd /ft Absorption area required 500 bed, ft2 500 trench, ft Maximum design loading rate • 4 bed, gpd /ft2 - 5 trench, gpd /ft Recommended infiltration surface elevation(s) 103.00 ft (as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of el. 102.00' Parent material pitted glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem El ®U EI S ❑ U EIS ®U ❑ S IN U El ® U [IS ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -12 10yr3/3 none 1 2msbk mfr 2f .5 .6 2 12 -29 10yr4 /4 none sl 2msbk mfr gw if .5 .6 Ground 3 29 -35 7.5yr4/4 c2d 7.5yr5/6 sl lcsbk mfr gw na .4 .5 elev. 4 35 -55 10 r5/4 c2d 7.5 r5/6 sil M na na na n .2 1 00.6 ft. Y Y p Depth to limiting factor 29" Remarks: Boring # 1 -16 10yr3 /3 none sl lcsbk mfr gw 2f 64 .5 2 6 -41 10yr4 /4 none sl 2mgr mvfr gw if .5 .6 3 1 -60 7.5yr4/4 cld 7.5yr5/6 sl lcsbk mfr na na .4 .5 Ground elev.i 1 00. Ett. Depth to - limiting factor 41 � Remarks: C IC CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 \ Address: 1554 200th. New Ric d I 54 17 I i Signature: Date2 - - CST Number: m02298 � 1 - PROPERTY OWNER Christopher Mick SOIL DESCRIPTION REPORT Page 2 'of 3 PARCEL I.D. # Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 0 -12 1 r3 none sl lcsbk mfr qw 2f .4 .5 2 12 -36 10yr4 /4 none sl 2mgr mvfr gw if .5 .6 Ground 3 36 -60 7.5yr4/4 none sl lcsbk mfr na na .4 .5 elev. 10 ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 2 h Ave. CSTM2298 Christopher Mick New Richmond 154017 MPRSW 3254 SE4SW S29- T3ON -R19W {715) 46-6200 town of St. Joseph lot #10- Highland Hills Phase II N 1 " =40' BM.= nail in Oak tree C el. 100' Alt. BM.= top of NE lot stake @ el. 103.50' A, 1` A 13� o v GN h 4-` uo" Gary L. Steel 12 -15 -97 N a/' 1 ��Oss s� � 1 Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Y St. Croix Attach complete site plan on paper not less than 8 1 i c e e. Plan must include, but not limited to vertical and horizontal reference n f slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and di a o nearq�t roa . , • x / - �.� APPLICANT INFORMATION- PLEASE ^ T ALRRW �IATI REVIEWED BY DATE PROPERTY OWNER: a PERTY LOCATION I LOT SE 1/4 SW 1/4,S29 T 30 N,R 19 x� or W Jo Ann Persico /Bruce Peter O PROPERTY OWNERS MAILING ADDRESS " `' ' ` _- # BLOCK # I SUED. NAME OR CSM # #328 Co. Rd. #F na Highland Hills phase II �_" CITY, STATE ZIP CODE E NUM CITY ❑VILLAGE EYOWN NEAREST ROAD Hudson, WI. 54016 TEY - St. Joseph Co. Rd. #E [jNew Construction Use Residential / Number of bedrooms 3 [ J Addition W existing building j Replacement [ J Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 5 bed, gpd/ft •6 trench, gpd/ft Absorption area required 375 bed ft 2 375 trench, ft Maximum design loading rate ' S bed, gpolft2 . 6 trench, gpd/ft Recommended infiltration surface elevation(s) 98.00 It (as referred to site plan benchmark) Additional design / site considerations na Parent material glacial till Flood plain elevation, if applicable na It S = Suitable for System I CONVENTIONAL MOUND 7IN- ROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S � M ❑ U S C3g 1 ❑ S IOU [IS 13 U ❑ S [NU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /�ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed lc ft 1 1 0 -13 10 r3/3 none 1 2msbk mfr cs 2f .5 .6 2 13 -25 10yr4/4 none sil 2msbk mfr gw if .5 .6 3 25 -40 10yr4 /4 c p yr Ground 7.5 r5/8 sicl lfsbk mfr 9W if .2 .3 97.2 ft 4 40 -55 7.5yr4/4 c p 7,5yr5/8 sl 2msbk mfr na na .5 .6 Depth to limiting factor 25" Remarks: Boring # ., 1 0 -14 10yr3 /3 none 1 2m r mfr cs 2f .5 .6 2 2 14 -29 10yr4 /4 none sl 2msbk mfr gw if .5 .6 'iW� 3 29 -48 7.5yr4/4 c p yr Ground 7.5 r5 8 sl 2msbk mfr na na .5 .6 elev. 97. ft. Depth to limiting factor 2 Remarks: CST Name: Please Print Phone: Gary L. Steel 715- 246 -6200 Address: 1554 200th. Ave. New Richmond, WI. 54017 Signature: Date: CST Number: � 6- 22 - -94 cstm 2298 PROPERTYOWNER Persico /Peterson SOIL DESCRIPTION REPORT Page? of 3 t PARCEL I.D. # - Y Boring # Horizon Depth I Dominant Color Mottles Texture Structure Consistence Borrrlary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITrench 3 1 0 -12 10yr3 /3 none 1 2msbk mfr cs 2f 1.5 1.6 N....... 2 12 -24 10yr4 /4 none sl lmsbk mfr gw if .4 .5 Ground 3 24 -30 7.5yr4/4 none sl 2msbk mfr 9w na .5 .6 95 ft. 4 30 -50 7.5yr4/4 c P y r5/8 sl 2msbk mfr na a .5 l 7.5 .6 Depth to limiting factor 30" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor F Remarks: Boring # Ground elev. Depth to limiting factor i Remarks: SBD- 8330(8.05/92) r • STEEL'S SOIL SERVICE Gary L. Steel Highland Hills phase II 1554 200th Ave. CSTM2298 lot 10 New Richmond, WI 54017 MPRSW 3254 SE4 SW4 S29- T30N -R19W (715) 246 -6200 town of St. Joseph N 1 =40' BM.= top of SW lot stake at el. 100 1 2 Gary L. Steel 6 -22 -94 n@ o c 2 0 c CD CD ! 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