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HomeMy WebLinkAbout030-2016-20-000 c N o Imp o t7 m '• m v g 9 a 3t M (D m m 5 3 c ca J, 0 CD N a N N° No c c QD O CD O O O G CJ Q 7 Q 'O A7 0 c 3 a s 7 fn go 3 O O 91 C 7 '.: O A cr Z D co fl. m' O = L\y O ry 0 Z N N N k Q I � m O z o o o l l ri l -i 2 'I G � Z o ci m N N c c D N CD cr T N C) O p <D VI 7 47 W 3 D1 to N O m O co CL N K z 0) z z O D 3 � O_ v o =r U !wl CD �y,,� CD VQ c m a a v fl 3 a Z CD p 2 A ° u, c =� .P z o v a o U) w m -o m o z 0 3 m z CD I a CL II v c z a O I N I I y I Q C I A GI I ti O � O 'r CD ' O O v a N O 05/15/2007 03:12 PM Parcel #: 030- 2016 - 20-000 PAGE 1 OF 1 030 - TOWN OF SAINT JOSEPH Alt. Parcel #: 36.30.19.418B ST. CROIX COUNTY, WISCONSIN Current X Application # Permit # Permit Type Creation Date Historical Date Map # Sales Area 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - PHILLIPS, DEAN A &NANCY A DEAN A & NANCY A PHILLIPS 816 10TH ST HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description 881 WILLOW RIVER DR SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 3.000 Plat: N/A -NOT AVAILABLE SEC 36 T30N R19W PT SW SE BEING LOT 9 Block/Condo Bldg: CSM 11/3134 3 AC Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 36- 30N -19W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1193/225 W D 07/23/1997 1037/500 QC 07/23/1997 765/152 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Last Changed: 07/09/2004 Valuations: Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 75,500 217,900 293,400 NO Totals for 2007: General Property 3.000 75,500 217,900 293,400 Woodland 0.000 0 Totals for 2006: General Property 3.000 75,500 217,900 293,400 Woodland 0.000 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: Category Amount User Special Code Special Assessments Special Cha 0 00 Delinquent Cha 0 00 Total 0.00 Wisconsin r)epartment of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Laboand Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code CO UN 0 Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION "� VIEWED PROPERTY OWNER: PROPERTY LOCATION - , -00 DA GOVT. LOT SW 1/4 St,, +44,S 36 T :. ` ,N,R or) W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAVWR 706 19th. St. S. 9 na csmi , ;d>g bt- CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE FjITOWN N $j 0 Hudson, WI. 54016 (115) 386 -8207 St. Joseph -' :eg �kd. "E" [ :4 New Construction Use [x] Residential ! Number of bedrooms 3 (] Addition to existing building ] Replacement [ ] Public or commercial describe Code derived daily flow 450 g pd Recommended design loading rate • 7 bed, gpd /ft trench, gpd/ft Absorption area required 643 bed, ft 563 trench, ft Maximum design loading rate • 7 bed, gpd /ft2 - 8 trench, gpd/ft Recommended infiltration surface elevation(s) 98.85 ft (as referred to site plan benchmark) Additional design / site considerations alt area system el . = 98.45' Parent material outwash Flood plain elevation, if applicable na It S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL I HOLDING TANK U= Unsuitable fors stem ®S ❑U ®S ❑U ®S ❑U C2FS ❑U 121 ❑U ❑S ®U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BourxJffy Roots GPD /ft in. Munsell Gu. Sz. Cont. Color Gr. Sz. Sh. Bed Trertdt 1 1 -8 10 r3 3 none sicl 2msbk mfr cs if .4 .5 2 8 -18 10yr4 /4 none sicl 2msbk mfr gw if .4 .5 Ground 3 18 -35 7.5 r4/6 none is os mvfr CrW na .7 .8 elev. 102 ft. 4 35 -84 7.5 r4/6 none s OSQ ml na na .7 .8 Depth to limiting factor +84" Remarks: Boring # 1 -12 10 r3 3 none scl 2msbk mfr cs if .4 .5 2 12 -18 10 r4 4 none scl 2m r mfr CrW if .4 .5 Ground 3 18 -36 7.5 r4 6 none is os mvfr w na 1 .7 .8 10 ft 4 36 -84 7.5 r4/6 none s os ml na na .7 .8 Depth to limiting factor +84" Remarks: CST Name: Print Phone: Gary L. Steel 715-246-6200 Address: 155 0th. Ave., New Richmond, WI. 54017 m02298 Signature: Date: CST Number: �� �-4- (�( "ZTof '( 7 -5 -96 PROPERTY OWNER Dave Anderson SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # LOt #9 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Barclay Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Twich 1 0 -8 10 r3 3 none 1 2msbk mfr aw if .5 .6 ~-�����-- 3 2 8 -24 7.5 r4/6 none scl 2mcir mvfr cfw if .4 .5 Ground 3 24 -84 7.5 r4/6 none s osCF ml na na .7 .8 elev. 10 Depth to limiting factor + 84" Remarks: Boring # 1 1 0-12 10 r3/3 none 1 2msbk mfr qw if . S .6 4 <'< 2 12 -26 7.5 r4/4 none sl lcsbk mfr Cfw if .4 .5 Ground 3 26 - 80 7.5yr4 none 0SCI mvfr na na .7i .8 elev. 100 ft. Depth to limiting factor +80" Remarks: Boring # 1 1 0-8 10 r2 2 2 8 - 10yr4 /4 none sicl lcsbk mfr qw if .2 .3 3 17 -80 7.5 r4/6 none s oscf ml na na .7 .8 Ground elev. 10 ft. Depth to limiting factor +80" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Dave Anderson 1554 200th Ave. CSTM2298 SW4SE4 S36- T30N -R19W New Richmond, WI 54017 MPRSW 3254 town of St. Joseph (715) 246 -6200 lot #9 -CSM N 1 =40' BM.= top of mid -lot survey st e @ el. 100' �z 61 g �� � -I 3' A 2►` Gary L. Steel 7 -5 -96 i Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: { 420445 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be usgd for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Phillips, Dean & Nanc I St. Joseph Township 030 - 2016 -20 -000 CST BM Elev Ins Elev: BM Descri do q9, (v3 Insp (03 �3 Yi�l Jac,,J4i•..- 6.J s tarp. etev. [I /z "PVC F, TANK INFORMATION tLEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic I (� ' O Benchmar L` g Dosing Alt. BM jo W 41 k lo• z 1 98 31 Aeration Bldg. Sewer 7 s1" I `llv- Z L Holding St/Ht Inlet -7 ( 7• TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent t it Intake ROAD Dt Inlet / it QJ YJ II Septic ., (� f S C(J� , Dt Bottom Dosing Header /Man. q_r� �I3 36 Aeration Dist. Pipe a 3 ✓5 (,) f l �S b' Holding Bot. System D Z 3 �k PUMP /SIPHON INFORMATION Final Grade L Manufacturer Demand St Cover PIM I 'L Model Number TDH Lift iction Loss System Head TD Ft OuG Tt FoFc6main Length Dist. to W SOIL ABSORPTION SYSTEM � yy , j �,� Width /+ Length INo.OfTrenches PIT DIMENS S No. Of Pits Inside Dia. Liquid Depth DIMENSIONS IONS SETBACK SYSTEM TO P/L s BLDG WELL LAKE /STREAM LEACHING Ma�uf ct rer: / INFORMATION CHAMBER O J Typ Of System: / �1 `� UNIT Model Number: DISTRIBUTION SYSTEM / J d ` / Header /Manifold Distribution / x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) N fir. It r I L Length Dia Spacing I I SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded 1 xx Mulched Bed/Trench Center / / — Bed/Trench Edges Topsoil FEW Yes FE] N 0 Yes O No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:_/ I g j �Z Inspection #2: 1 1 Location: 881 Willow L�er Dr a Hudson, WI 54016 (SE 1/4 SW 1/4 36 T30N R19W) NA Lot 9 Q Parcel No: 36.30.19.418b 1.) Alt BM Description = ift / I 2.) Bldg sewer length - amount of cover =� (��, �� � � Sys' �� s'n- �2� -e (,�� ��/ -�t-a- v+�•' Plan Use other 1 s Req n de for additional information. _ L -� O� (l S 1 '� -- SBD -6710 (R.3/97) Date insepctor's Signatur Cert. No. Safety and Buildings Division Couaw a ve. P.O. Box 7162 ST. CRO *hsconsi 201 W. Washington A Madison, w1 53707 - 7162 Sim Address De artment of Commerce /v -7.-OZ 3 ova 8�f W lLltj eiJC . Sanitary Permit Number .,Sanitary Permit App1i n In a ccord with Comm 83.21. Wis. Adm. Code pers0 inf tma ' ❑Check Revision tna be used for secondary sea Privacy Law, 15. I. Application Information - Please Print All Information .State Plan I.D. Number Property Owner's Name 2002 Parcel Number Sr - 0 DEAN A & NA C < C �oix, Property Owner's Mailing Address G UFFI(;E Property foram°° f 816 10TH STREET SE SW . 36 T 30 N 1 y If City, State Zip Code Phone Number Lot Number Block umber :, , HUDSON WI 54016 715/386 -2618 Subdivision Name CSMNumbw }' N/A J/ 013 4 547245 '} II. a of Building (check all that l at appy) s a axt ❑City �'P / ms ®1 or 2 Family Dwelling - Number of Bedrooms 4 ❑Village ❑ Public/Commercial - Describe Use QTownsh1p ST. JOSEPH ❑ State Owned Nearest Road C2 3' x $~� S A& �$ S WILLOW RIVER DRIVE III. Type :.orflermit: (Check only one box on line A (numbering scheme for internal us ). Complete line B if applicable) A. or County use . 1 12 New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to stem Tank Only Existing system B. if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) A7 f't 44 ❑ Non - Pressurized In- Ground 210 Mound 47 ❑ Sand Filter 50 ❑ Constructed wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pau 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Dis ersaL/Treatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.FL). (Min./hlch) Elevation 97.5 600 857.14sq. ft 870.8 sq. f t .7 N/A 93.5. 97.8 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Paw Plastic Gallons Gallons of Tanks Concrete Constructed Glass New F.xistipg , Tanks Tanks Scpda or Holding Tank 1200 200 1 1 HUFFCUTT CONCRETE INC X Dosing Clamber VII. Responsibility Statement- I, the undersigned, assume respoAdbillty for Installation of the POWTS shown on the attached plans. Plumber's Name (Print) Pl 's Signature MP/MPRS Number I Business Phone Number BENNIE HELGESON 20292 1 715/772-3278 Plumber's Address (Street. City, Sate. ode) W1229 770TH VENUE, SPRING VALLEY, WI 54767 VIII. Coen /De artment Use Onl Approved ❑Disapproved Sanitary; Permit Fee (includes Groundwater Date Issued Issuing Agent Signa0ue (No SUMPS) Surcharge Fee) ❑ Owner Given Initial Adverse Determination '( IX. Conditions of Approval/Reasons for Disap royal n PJ M "Al r Attach complete plans (to the eounir 0d7) rot the sYsku on paper ad less d= SM z u inches to alas 5,, - -r $BP -6398 (R. 05101) ;.: - :I' h 99 63 �b ,DO fra' nn D 4? 3 p, �o anoo St p . 37 i �7 PVC 6 qq. (,3 B , M . - TOP / �I 1 a Play �I�h P � oF�r 4 43 ee J:: leo, off/ 31 ,00 nn I `? l� ���.� � L / L� re 6r- 3Y � f 9� Sag, 7y 4 �� Cro e 4 lar�n ✓: e�h /� Rl l tP 5 q3 � Two � �e /�s A11fti POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 8 of 4 FILE INFORMATION SYSTEM SPECIFICATIONS Owner DEAN A k Septic Tank Capacity 1200 al ❑ NA Permit# `�Zo ��� Septic Tank Manufacturer HUFFCUTT CONCREgNA DESIGN PARAMETERS Effluent Filter Manufacturer ZABEL ❑ NA Number of Bedrooms 4 ❑ NA Effluent Filter Model A -100 12" x 20 "0 NA Number of Commercial Units EX NA Pump Tank Capacity gal 0 NA Estimated flow (average) 400 gal/day Pump Tank Manufacturer ® NA Design flow (peak), (Estimated x 1.5) 600 gal/day . Pump Manufacturer IZI NA Soil Application Rate al/da /ft Pump Model ® NA Influent/Effluent Quality Monthly average" Pretreatment Unit @ NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD x220 mg/L ❑Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 m /L ❑Disinfection ❑Other. Manufacturer Pretreated Effluent Quality 19 NA Monthly average " Dispersal Cell(s) Biochemical Oxygen Demand (BOD 530 mg /L [3 In- ground (gravity) ❑ In- ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ At -grade ❑ Mound Fecal Coliform (geometric mean) 510' cfu /100m1 ❑ Drip-line ❑Other Maximum Effluent Particle Size Y inch diameter Values typical for domestic (non- commerclao wastewater and septic tank effluent. •+ Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every 2 ❑ months 9 year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y,) of tank volume Inspect dispersal cell(s) At least once every 2 ❑ months M year(s) (Maximum 3 yrs.) Clean effluent filter At least once every 1 ❑ months 0 year(s) Inspect pump controls & alarm At least once every ❑ months ❑ year(s) 9 NA Flush laterals and pressure test At least once every ❑ months ❑ year(s) 10 NA Other At least once every ❑ months ❑ year(s) ❑ NA other At least once every ❑ months ❑ year(s) ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector; POWTS Maintainer, Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y,) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatipment components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION. For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. OWNERS: DEAN A & NANCY A PHILLIPS Page 4 of 4 System start up snail not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDOAMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with ch. Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: 5 A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction. and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. • A suitable replacement area is not available due to setback and /or soil limitations. Barring advances In POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. • The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. • Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name HE LGESON EXCAVATION INC Name JOHNSON SANITATION Phone 715/772 -3278 Phone 715/273 -5811 SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name JOHNSON SANITATION Agency ST CROIX COUNTY ZONING Phone 715/273 -5811 Phone 715/386 -4680 This document was drafted by the staffs of the Green Lake, Marquette and Waushara County Zoning and Sanitation agencies. This document meets the minimum requirements of ch. Comm 83.22(2)(b)(1)(d) &(0 and 83.54(1), (2) & (3), Wisconsin Administrative Code. Use of this document does not guarantee the performance of the POWTS. GMW (2/01) r - 1580 Wisconsin Department of Commerce SOIL EVALUATION REPORT p age 1 of 4 Division of Safety and Buildings 9- ��� L A.C.E. Sal & Site Evaluations in accords with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. 030 - 2016 -20 -000 Please print all information. R B Date Personal information you provide may be used for second >py lfiiiposes (Privacy Law, s. isti I) (m)). 7� Property Owner Property L ion Dean A. & Nancy A. Phillips r' ;,�t SE 19 SW 19 S 36 T 30 N R 19 W Property Owner's Mailing Address - ° Lot # lock # Subd. Name or CSM# 816 1 0th Street 9 CSM Vol. 11, Pg. 3134 City State Zip Code Ph Number '* 6+ty �� Vllage JM Town Nit Road Hudson WI 1 54016 1 7 - - 2618 St.Joseph 1 Willow River Dr. J6 New Constriction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD u: Replacement Public or commercial - Describe: Parent material Glacial outwash Flood plain elevation, if applicable na General comments and recommendations: Install two trenches at 93.50' using 28 leaching chambers. Cflcu� S S �� 01 Boring # 2j Boring — Ig Pit Ground Surface elev. 98.22 ft. Depth to limiting factor — > 103" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GIRD& *Eff#1 *Eff#2 1 0 -13 10yr2 /1 none sil 2fc mvfr cw 2f,1m 0.5 0.8 2 13 -31 10yr4/4 none sl 2msbk mvfr cw 1f,vf 0.5 0.9 3 31 10yr4 /6 none Is 0 sg ml cw lf,vf 0.7 1.2 4 40 -86 10yr5/6 none s 0 sg ml gs - 0.7 1.2 5 - 03 10yr6/4 none s 0 sg ml - - 0.7 1.2 r R •S-D qq 3 F2] t vw s &Lai. saw, ds Boring # Boring jo Pit Ground Surface elev. 98.42 ft. Depth to limiting factor >101" in. FSod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe *Eff#1 *Eff#2 1 0 -9 10yr3/2 none sit 2fcr mvfr as 2f,1m 0.5 0.8 2 9 -16 10y r4 /4 none scl 2 msbk mvfr cs 1f,vf 0.4 0.6 3 16 -24 10yr5/4 none sl 1msbk mfr aw 1f,vf 0.4 0.6 4 2 10yr5 /6 none s 0 sg ml gs 2f,lvf 0.7 1.2 5 75 -101 10yr6/4 none s 0 sg ml - - 0.7 1.2 * Effluent #1 = BOD ? 30 < 220 mg/L and TSS 30 < 50 mg/L u #2 = BOD -S mg/L and TSS <30 mg/L CST Name (Please Print) Sig ure: CST Number 3602 James K. Th o mp son �--- Address A.C.E. Sal & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 8/24/02 715- 248 -7767 f r property owner Dean A. & Nancy A. Phillips Parcel ID# 030 - 2016 -20 -000 Page 2 of 4 3] Bonng # Boring Pit Ground Surface elev. 97.80 ft. Depth to limiting factor > 98" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0 -11 10yr3 /2 none sil 2fcr mvfr cw 2f,1m 0.5 0.8 2 11 -28 10yr4/4 none sl 2msbk mvfr cw 1f,vf 0.5 0.9 3 28-42 7.5 r4/4 n62d /8 sil 2msbk mvfr as 1f,vf 0.5 0.8 4 42-88 10yr5/4 e s 0 sg ml gs - 0.7 1.2 5 88 -98 10yr5/6 n one s 0 sg ml - - 0.7 1.2 5'1. fa� S'4 • (o Redox concentrations found in sil at interface with unddyng sand are not indica of groundwater. 24" rule applied to dis recard - reclocx f eatures. 4 Boring # F Boring jo Pit Ground Surface elev. 97.52 ft. Depth to limiting factor >98 in. Soti Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0 -12 10yr3/2 none sil 2fcr mvfr as 2f,1 m 0.5 0.8 2 12 -20 10yr4/4 none sil 2msbk mvfr cs 1f,vf 0.5 0.8 3 20 -29 7.5yr4/4 n gr. sl 2msbk mfr aw 1f,vf 0.5 0.9 4 29 -38 10yr5/4 none sil 2ms mvfr g 2f,lvf 0.5 0.8 5 3846 7.5yr4/6 n one s 0 sg ml cw - 0.7 1.2 6 4 -98 10yr5/6 none s 0 sg ml - - 0.7 1.2 `(S�•z Y. Z. K Boring #"g Pit Ground Surface elev. _ 96.92 ft. Depth to limiting factor >96" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D *Eff#1 *Eff#2 1 0 -29 10 Y r2/1 none sil 2fcr mvf - cw 20m 0.5 0.8 2 29-40 10yr4/4 none sl 2msbk mvfr cw 1f,vf 0.5 0.9 3 40-60 10yr4/4 n Is 0 sg ml cw 1f,vf 0.7 1.2 4 60 -97 10yr5/6 none s 0 sg ml gs - 0.7 1.2 * Effluent #1 = SOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <_30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. propertypwner - Dean A. & Nancy A. Phillips Parcel ID # 030 - 2016 -20 -000 Page 3 of 4 F 6 Ong # JX Boring n Pit Ground Surface elev. __ 96.51 ft. Depth to limiting factor >95 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Y *Eff#1 *Eff#2 1 0 -13 10yr3/2 none sit 2fcr mvfr cs 2f,lm 0.5 0.8 2 13 -26 10yr2/1 none sil 2msbk mvfr gs 1f,vf 0.5 0.8 3 26-40 7.5yr4/4 none gr. sl 2msbk mfr gw 1f,vf 0.5 0.9 4 40-62 10yr4/4 & 5/4 m3d 7.5yr5/ sltsil 2msbk mvfr aw 2f,lvf 0.5 0.8 5 62 -95 10yr5 /6 none s 0 sg ml - - 0.7 1.2 H#4 consists of an unsorted mixture of 10yr4/41 msbk sl & 10yr5141 msbk sil. Redcx concetrations are found in sil. F-I Boring # Boring Pit Ground Surface elev. ___ ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 F Boring # J � — �� Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Colo Redox Description Texture Structure Consistence Boundary Roots : GP *Eff#1 *Eff#2 * Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD i mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TFY 608 - 264 -8777. fled: �` /Sdtt'� ■So;leda /ua v�•,�,0� ♦ C/e, ✓au� on beanff'lancy AA. OS, 469 Cswl l�3/ T, of .S� • 7c+sz�l, S� . '�i x C�,,�1. Cle% 97 �, �ont5o kr By ■ ,aep B3 9 s/ 9f.X ■ BZ bu�ld�hq Srtc ,4 ssw►,�d e l e�: = icy. �o,' I o. �, 1/01C 139121!2092 12:25 7153868473 COPY CAT PAGE 02 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGRBEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer e Dg g ,� A Nan � A. PL 14 Mailing Address 1 (n 1QTH IS 1 R ,_ [y A. 1.P), G 9 W �\ 0 61'er I�L Property Address kct (Verification required from Planning Department for new construction)- ..1;1). �, Parcel Identification Numbar City /State — L EGAL D . ,Sr.F.jPTTQN Property Location ' /., � W 1 4, Sec. 3 � T- _N -i � _W, Town of ". L Ta Subdivision A Lot # y Certified Survey Map # .a L 4 ya 4 , Volume page # 7 �lr b `r Volume Page # el 'Warranty Deed # � �- � Spec house 0 yes © no Lot lines identtflable ryes ❑ no SYSTEM H' &QUENANCE Improper use and maintenanceof your septic system could result in its premature failure to handle wastes. Proper msintuaeaoe consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the aya�atn 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 it certification form, signed by the owner &W by a master plumber. joumayrnan plumber, restricted plumber or a licensed pumper verifying drat (1) the on -site wastowaterdispod syateta is iu proper operating condition and/or (2) after inspection anal pumping (if necessary), the septic tank is less than 1/3 full dshwp- i/wo, the undersigned have read the above requirements and agree to maintain the private sewage disposal systerm with the suadards set forth, herein, as set by the Department of Commerce and the Department of Natural Reaounees, State of Wisconsin. Cettiti Adm stating that your septic system has been maintained must be completed and retumed to the St. Croix County Zoning Ofeo within 30 days of the thre e . expiration date. op . 2,0 1 S ATUF APPLI ANT DATE OWNER CEB11FICATION 1 (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(:) of t property de ribe ve,by virtue of a warranty deed recorded in Register of Deeds Office. 1 as o I NA OF APPI:ICA DATE * * * * ** Any information that is mis ropresented may result in the sanitary permit being revoked by the Zoning Department- Include with this application: a stamped warranty deed f vier the Register of Deeda office a copy of the certified survey map if reference is [Wade in the warranty deed 091`21/2002 12:25 7153668473 COPY CAT PAGE @5 St,x Bar of Wisconsin Form 2 —1482 III 547ra;S4 11 WARRANTY DEED DOCUMENT NO I YaL 1193FIR�E _ i $Y CIRDEXGr L,Y David AUG 2 1996 I F. Anderson I of 11:00 A.M ` _ K an.► -* a conveys and warrants to A hm A Phi I1+ plS n rr1 Nsmay A to w al o•edg trnrn}Yi,,,� —' -^ THYa aPAD[ RRaeRYED 1`011 ACCO RMNO OATa ( I NAME AND naTUAN ADOR / 180 i the following dencsihed real estate in County, State of Wiscomin: �I D30 -20 (Parcal Identification Number) Fart of SW;SE�t, Sec. 35 -T30N R19W described as follows: <0oE Certified Survey Map recorded in Vol. 11 of Certifieed Survey Maps, pag 3134 as Doc. No. 547245. I i TRANSFER This i a rtrtt homestead property. ON (is not) Exception to warranties: Existing highways, easements aid rights of way of reourd. l DRted this 31st day of —_ .111 19 , (SEAL (SEAL) I i • Davi F Aiiderrstyn (SEAL) (SEAL) s • AUTHENTICATION ACKNOWLEDGMENT signature(&) STATE OF WISCONSIN st. qt-, (Yni x County. I authenticated this day of — 19 Permmily tame before me this 3t RL, . _ _ day or hily —_ , 199.1E the above named — -- David F A dereap TITLE: MEMBER STATE BAR OF WISCONSIN -- (If not, -- &uthorieed by 1 706,06, Wis. Stan.) e known to be the person Who exwutod the a instrument and Ickscl*11 10 THIS INSTAtlk1ENT WAS DRAFTED BY MARLENEIL . Attornev D avid J. Estreen SCHMM one 4 304 Locust S yry public St. Croix Cppnty, Wis. (Signature: may be authenticated or acknowledged y commission is permanent. (it not, state expire sion dote: necessary.) 10/25 — - - Pe*io A l• y -ta y d p ld In typo -p ted r+ row tsernamoreg.._ -- .�..--- - - - --- -- •Name:a ns d ein clt i ra. WARRANTY DrED FrATE RA or W15MMSIN WV --aln Legal BlAnk CO., Inc. . &... run Milwaukee. 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