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HomeMy WebLinkAbout032-2134-10-000 { 4 t ` Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM ount y: 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 (1)(m)1. 363937 Permit Holder's Name: ❑ City ❑ Village ❑ Vivvn of: State Plan ID No.: Smith, Gerald Somerset Township CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: r TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic k Z Q Ben Wn te -- 13,0 Aeration- ' Bldg. Sewer Uaa pd,Sz Holding �;I/ Ht Inlet A y 1 90" TANK SETBACK INFORMATION 6�1 Ht outlet TANK TO P / L WELL BLDG. Air I to ntake ROAD Air Septic > y ��% ' Z�' NA Do in _ — NA Header / Man. Z! 3 � z Aeratio N Dist. Pipe 0 17 1 ? - I Z.bz Holding Bot. System lel T /`) 1 /y L 6 i S `� . s' PUMP / SIPHON INFORMATION Fin Grade a turer __ Demand Model Number M TDH Lift Friction em TDH L oss Forcemain Length Dia. Dist.Towell SOIL ABSORPTION SYSTEM 2 v BED/TRENCH Width Len r No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS � r� DIMENSION SETBACK SYSTEM TO P/L I BLDG WELL LAKE /STREAM LEACHING Man acturer:� INFORMATION TypeO CH BE Model umb r. System: > 3 7 DISTRIBUTION SYSTEM Header / Man l ifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length _ 315� Dia. � Spacing /l� 750 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 I ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: ? / l aloe Inspection #2: Location: , Somerset, WI 54025 (SE 1/4 NE 1/4 23 T3 IN R19W) - Whitetail Trails -Lot 8 1.) Alt BM Description = Pa-�o dv6r- S, 2.) Bldg sewer length =2P' - amount of cover = 7 /P 3 )-5 y5( d! sy ar'r, 0 rient�ia� / G / �.Q.wy�cd [[ Plan revision required? [ ❑ No Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Signature Cert. No ► A, ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: Eli - .......... N 4:P d it( ll lt j ,. e 3 a t6 E i j , / 3 „,.. f ` Safety and Buildings Division V i sconsin SANITARY PERMIT APPLICATION 201 W. Washington Avenue P O Box 7162 Department of Commerce In accord with Comm 83.05, Wis. A . 04e Z, Madison, WI 53707 -7162 • Attach complete plans (to the county copy only) for the syste per It less e dn than 8 1/2 x 11 inches in size. • See reverse side for instructions for completing this applicat' !� Stat itary Permit Num er 2 343 ?3� Personal information you provide may be used for secondary purposes JUN 2 � ❑ C k i revision to previous application [Privacy Law, s. 15.04 (1) (m)]. 1P gT Cam S tat eview Transaction Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL I t Pr p y Owner Name ,/ n Pr rty Locatio F S a �?I . afar �'� T , N, R E (or& Property Owner's Mailing Address /1/&0 / qqd Aj' jW Lot Nurr era Block Number City, te Zip Code Phone Number Sum ivision e o CSM N tuber ( ) ' IL TYPE OF BUILDING: (check one) ❑ State Owned It� Nearest Road ❑ Vil age Public N 1 or 2 Family Dwelling - No. of bedrooms I LE wn OF 111 BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) iTa a 7 f a d _ 00 0 1 ❑ Apartment/ Condo L ' r J' A 3 1 L7 1 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. r% New 2_ ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System stem ____ - ________- __TankOnly______________ Existing System Existing 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 2 3 r S 43 ❑ Vault Privy 14 ❑ System -In -Fill 22 r „ 1 VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System E1ev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/ ft.) (Min. /' ch) Elevation q, -o ..feet Feet Cap acit y VII TANK in allons Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturer's Name Concrete Con- steel glass Plastic App New Existing structed Tanks Tanks eptic ank rte— -- ® El ❑ ❑ ❑ 1:1 Li tuber = + 11 El ❑ ❑ 11 El VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the oDVaite sewage system shown on the attached plans. Plgmbert a e: (print) Plumb 's n r o St ps) I=MP/MPRSWNo.: Business Phone Number: I ddress ( S IF et, Ci , State, Zi de): C IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issuin Agent Signature (No Stamps) ['Approved []Owner Given Initial /� surcharge Pee) Adverse Determination Z2 QU 3d UC X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: J� 5 h-i-S4r o 5 Ck5 -- v- b4r oY 5? tea. 5e G�.�, /ef�� SBD -6398 (11.12199) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber t INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. < .i a►. 2. Your sanitary permit may be- tenewed b f ; 114 . expir -ation 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 appgoSed�bytite permit issuing authority. 4. Changes in ownership or plumber requites aS�nitary P$rrryit Transfer/ Renewal Form (':BBD -6399) to be submitted to the county prior to installation «.t 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 ac'ministratoror the State of Wisconsin, Safety and Buildings Division, 608- 266 - 3151. To be complete and accurate this-sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parce! tax number(s) of where the system is to oe installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. 111. 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 thnaugh 7_ VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallc:ns, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complet e for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received exp , rimental 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 submitte(I to the county. The plans must include the following: A) plot plan,,drawn to scale or with complete dimensions, iota tion 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': -cation of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for p amps 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 1 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. i �,��'.Psk� (� s ��_ L4 �� � �� 3�? � /�,.�16s' ,J � /�1x°�' /��om� /�jre.J��Oe- �/QO.D ' �J 4 �,� ,�o ; a� s ������ l .�/ 0 3 G/ � t ' �)��' � �j�'�J �� �� 3 I G . � _ _{ ,� ` a ` /8 /��mF�o ��ws'.e � �ecz �er9�QS.E p �,� /� ,pr J�.�v�{ �t8 Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page —L of Bureau of Integrated Services in accordance with s. ILHRB3.W, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in siz �Ipr).rrtti "st p include, but not limited to: vertical and horizontal reference point (BM), otibn ands, r J C �D �� percent slope, scale or dimensions, north arrow, and location and disc ncaio neare ' r y, =, Pa I .# APPLICANT INFORMATION - Please rint all inform fish. E " ~ Date p „i ? ev;� y _ Personal information you provide may be used for secondary purposes (Privacy k". s� 15.04 Property Owne ti4n Derr Sm�' f h Gpvt. Lot 4`NC1 /4,S °2 3 T 3 ,N,R 9 *(or� Property Owner's Mailing Address lot I ubd. Name or CSM# 1 11160 - 6 *-6 .rave ;/ City State Zip Code Phone Number ❑ City ❑Village ?[� Town Nearest Road E/ �'vc�i / N I 5S . ( - z ) 9'5// rte I a D 7 -, A cz ve ® New Construction Use: [9 Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 6 6 o gpd Recommended design loading rate • 7 bed, gpd /tt o X trench, gpd/ft Absorption area required bed, ft2 7YO trench, ft2 Maximum design loading rate • -7 bed, gpd /ft • trench, gpd/ft Recommended infiltration surface elevation(s) ZAz ft (as referred to site plan benchmark) Additional design /site considerations �/ Parent material d of (Na S {y �� %�f ��, /d G o � Flood plain elevation, if applicable /, /� ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system X S ❑ U N S ❑ U ® S ❑ U ®S ❑ U ❑ S ®U El S Q 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 ...:...................... I o- 6 OYR z /1/,¢ L S ms6k 1�� � c w I m. 7 .8 2 J • / 7 r� 5- YR% / G,, / P 0 7; . 8 Ground 3 Zy %2f , ! O IM 6 /Y m .S ®S lev ; � ft. Depth to limiting factor 71? f1 in. Remarks: Boring # } OS Alk L S JmSbt mnM ,. C w 7A -2 - 7 YR% Aj , + cu- > -F .7:,Y. 7 : . 8 Ground • 8ft. Depth to limiting factor Z Remarks: CST Name (Please Print) Signatt Telephone No. R rl�ao `T PaPne �/� Z Y7 — �ZO� Address Z q / ? e (6 f yf P PS- ����ZS Date / _ /� CST Number sf?13 / SOIL DESCRIPTION REPORT PROPERTY OWNER TC y Sri `�� Page 21 of PARCEL, f.D.# U Uv h i i e tu: Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench /0 f? -/Z /nsbr Mw/ C 4. Ground 6 ? MS DSO M L ft. Depth to limiting factor 719 in. P7 6-`� Remarks: Boring # o s' �d ✓ R *4 cam. 7, 5 7X 16 3 22 143. loyR � �k ni s d � — _ j 7! S' Ground �elev. Depth to limiting J factor 113 in. . 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 # , U° /Or / 414 -S l m Ssbk /nu� C cv l�? e7 r5' 5 2, X Z� • �DI j� �,s /1f{ L .S r r►'1 G�" /rJ L C �- I t 0 7 0 Ground �plev �ft. Depth to QA limiting factor j 23 in. Remarks: Boring # Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) OWNER Page 3 of 3 Name J. -, K Brian Parnell Address ///66 l yD th aue CST 23 3 14 6 n. ; S33o Date AL Benchmar 1 G- l�D. D /�� l / �ro•^ /� fie Cof G,'� �G A Benchmar 2 �L I���6y /D� /�o /,Jes f`GotCGv ❑_ _ Soil Boring _i Suitable Area 1" = 40' Scale gm j Cr'fii coo / — ! ! i 1 A Jun 15 00 09:38a Scott Thell (715) 247 -5703 p.2 S'r CROIX COUIVT'Y _. SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer S s Mailing Address 1116a & 941 20"7 M v-P Proporty Address Aviva .(' �•� sue Jeerss�.s�T (Verification required from Plaaoiag Department for new Construction) City/State ✓®JWtP^SeT Ge ld Parcel Identification Number V 3Z /0 60 DO ( Y,EpF RiPTfON QIE�y Pmperty Location 5_4) %<, AC Y,, Sec, z - 3/ T N - R W, Town of �e.re,tfiS � ✓e L,014; he -: 'rOA ., Alew De; „y PIa.TTrk Subdivision Lot # Certified Survey Map # . Volume , Page # Warranty Deed # Volume , Page # Spoe house N yes 0 no Lot lines identifiable W yes ❑ no 5�' _LT_EM 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 throo 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 systrrs>_ The property owner agraes to submit to Sc Croix Zoning Department a certification form, signed by the owner and by a naasttrplumber, journeyman plumber, mtriciedplumber or a liccasedpumper verifying that (1) the on -site wastewsterdisposai 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. Vwc, the undersigned have read the above requirements and agree to maintain the private sewage disposal sysbcm with the standards set forth, herein, a.s set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic st been maintained must be completed and retwmed to the St_ Croix County Zoning Offfice'x'ithi.'t 34' days of the thre exp' 'on tc. I ATURE APPLICANT DATE OWNER CERTIFICATTON I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (w4 am (1 the owner( of the pro describe rtue of a warranty deed recorded in Register of Deeds Office. j T / / / a,eeo SIGNA OF 1CAN'Y' DATE s "*I,*f fluff Any Wottiralioa that is rues pepresented -rsray result im 1he4arritary pertttit being revoked by the Zoning Department. f' Includo with this application: a stumped warranty deed &am the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed y VeL 14671 614 QA1s 1tAR Os �Y0001Yitlt it><isY 3 • >!!t K�ATM �M N iiAL" WARD S f8 CO_ : iii, - This DP4 made between Deems � �d Dave J. �EhIE1 FOR 00 .U-W,90 into C#nmtor, and �'orat Oaks Caedoa. iisc.. 9 Mkt wwny UM owl 11 CEU CM FEEs Ma 1 MER FEEL . Grantee. K IN6 Fat 16.01 Grantor, for a valuable consideration, conveys and warrants to Grantee the following dacribed teal estate in, M Craix County, State of Wisconsin CThe *Property"): Rftardby At" Naee ad lean Adkess /A* r 0-3, aw- - P p • ►mac �- v�t,J !�••4 � w.G s5la is �0 6� 03 - CO b� -Go - ovc, o�- tatsa6o i?arad tdneitfadw NW" MIM DAB is sot bows tad papacy. 3 0( The SWUM of the NEIM and the SEIM of the NLUt of Section 23 -31 -19 EXCEFT the following parcels: 1) Part to DuWayoe A. and Evelyn L. VanSomeren in Vol. `332, page 284; 2) Certified Survey Map in Vol. `8', pop 2148; 3) C tiftd Survey Map is Vol. "10", page 2909; 4) Certified Surrey Map in Vol. 0 10", page 2933. TOGETHER WrM AND SUWBCT TO access easement as shown in VoL - 1119•, page 216. This deed is given is fulfillment of dua certain, Laud Contract dated July 2.. 1998, recorded July 8, 1998, to Vol. 1338, page 516, as Doc. No. 582632. Exceptions st tow ` anwaies: Easements, restrictions and rights -of -way of record, if any Dated this �.�_ day of , 1999. • • Dennis M. Neumaas s • Dawn L Nounum AUTRKNTICATION ACKNOWLEMOM r� S 1e(a) STATE OF WISCONSIN ) �� )OL autheadcated this _ dry of .1999. fig •vim %X _ Coanty ) �nally came before me this 7_ dry s — of trig, 1 husband sed wilt, SITLE: MEMBER 3Tw1F BAR OF WISCONSIN to me ;sows w be the persom(s) who exewoed tht wthorixed by 706.06, Wis. Stns.) imacmrcat sa d'eahe tams: THIS INSI1tUMM WAS DRAFTED BY R Attormy Krii dna O&W • Hadass4 WI 54016 wry 3 (Sipratres may be amtimakx ed or wicnowiedpd. Rom are tnc M 11 1 L dean necnnaryJ . 'Names of pawm sipnaa in any ayrcity should be typed or printed below weir sip>kwwa wAtaAM nam srATS asr an WISCOMMS rear rrs s - tyre wsara ATC4 c s cOWAW wwo rw twc. wt son MdAtc ' fl 4 Z � v�/ `1 \ or w 00 3/� �OO "O s OQ, fl \ r FI � Op n Ch N \ n> v O `v S I N I N OD Lh �� o Ir- �I IAJO X3 ! , m \ i o > to y `) 1 w°° �33 1 ' 66' j c7 r 01 C _I -IJ o O O IDI� y b C l� Ic'IM i I(.0Iz r cn 11 (A T o'er _,_Zb'8Z9 35f � I , 0 V M x N N N Z A u 0 TE-. The porce(s shown on this map are subject to State, County and 0 I n N �o vnship laws, rules and regulations (i.e, wetlands, minimum lot size, access M -J o 0 Parcel #: 032 - 2134 -10 -000 05/18/2005 12:21 PM PAGE 1 OF 1 Alt. Parcel #: 23.31.19.1187 032 - TOWN OF SOMERSET Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * SCOTT C & ANNE A THELL THELL, SCOTT C & ANNE A 684 207TH AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 684 207TH AVE SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 3.050 Plat: 2615 - WHITETAIL TRAILS 2000 SEC 23 T31 RI 9W PT SE NE LOT 8 Block/Condo Bldg: LOT 08 WHITETAIL TRAILS EZ -UT- 1535/209 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 23-31N-19W SE NE Notes: Parcel History: Date Doc # Vol /Page Type 09/18/2000 629988 1543/166 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.050 45,200 245,400 290,600 NO Totals for 2005: General Property 3.050 45,200 245,400 290,600 Woodland 0.000 0 0 Totals for 2004: General Property 3.050 45,200 245,400 290,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 , 0 So ? ■ - V n o d ° c cn }q�f m k 7 � ® 2 sZ m E§ S / E :03 ` [ § i� a e 1 - / c E Cl) R ® q Er § § o D a :3 { § . & 9 § Q. _ § 0 o n S 2 ° 6 � K § gU o & E § © 2 / v > E a EF \ � \ e .. 2 I . § / % $ § CD 10 � \ ƒ C, 2 ( . z k 2§ E� o r c ° k E 8 2 & § - _ § CD fT o } 0 0 0 �k Q3 . § � n c ca CO) CO) I � OD Q \ 8 / 0 9 0l - E / ® m ' $ .« \- g I ■ • \ a § -1 i / / Q . e - . _ . z C) > \ 0 \ . ee (§ .. \ 2 } § g — � k ° 0 ) 0 e z , , a z 0 \ a ® § / z / i p � / � I M Cl) § $ o .. a 2 � } / z \ � I \ ƒ . � z E . { z o ; � I � . q \ _ \ < ¢ _o � /i �� Wiscorr. jp Department of Industry, S OIL AND SITE EVALUATION REPORT Page 1 of 3 Labor4k I Human Relations r',ivision of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code ` COUNTY 1 St. Croix Attach complete site plan on paper not less t 910 2 x fl i ipc� n size. Plan must include, but not limited to vertical and horizontal refere , lrtt'�B diPec>iba�a % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location rl dfa�;=T st road pending APPLICANT INFORMATION - PL St' PRI0RMATt N REV IEWED BY DATE PROPERTY OWNER: _ PROPERTY LOCATION Forest Oaks Condos, In �' .)tom y _ c11"� �'` ' GOVT. LOT SE 1/4 NE 1i4,S 23 T 31 N,R 19 60or) W PROPERTY OWNERS MAILING ADDRE �' , C c I LOT # BLOCK # I SUBD. NAME OR CSM # 11160 190th. Ave. 8 na Whitetail Trails CITY, STATE ZIP CO � ,'P ONE NUMBS ❑CITY ❑VILLAGE]fOWN NEAREST ROAD Elk River, MN. 55330 1 ) �]L� 8 Somerset 207th. Ave. [ New Construction Use [x] Residential / Number of bedrooms 4 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate • 7 bed, gpd /ft2 •8 trench, gpd /ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate • 7 bed, gpd /ft2 •8 trench, gpd/ft Recommended infiltration surface elevation(s) 95.50 ft (as referred to site plan benchmark) Additional design / site considerations alt area system el. = 94.60' Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem 1 CA ❑ U [3 ❑ U I [3 ❑ U I EI ❑ U [3 S ❑ U I EIS T] U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmr& 1 0 -24 10yr4 /3 none is 2mgr mvfr caw 2f .7 .8 2 24 -96 10yr4 /4 none ms Osg mvfr na na .7 .8 Ground elev. 9 9.2 ft. Depth to limiting factor + Remarks: Boring # 1 1 0-18 10yr4 /3 none sl 2mgr mvfr gw 2f .5 .6 2 2 1 18-50 10yr4 /4 mone fs Osg mvfr gw if .5 .6 3 50-100 10yr4 /6 none ms Osg ml na na .7 .8 Ground elev. 99.9 ft. Depth to limiting factor +100" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Ave. New Richmqfid, WI 54017 Signature: Date: 6_14 -2000 CST Number: mO2298 -9 PROPERTYOWNER Forest Oaks Condos, InGOIL DESCRIPTION REPORT Page of 3 PARCEL I.D. # pending A Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trend's 1 0 -24 10yr4 /3 none is Osg mvfr 9w 2f .7 .8 2 24 -10 10yr4/6 none ms Osg ml na na .7 .8 Ground elev. 9 9.1 ft. Depth to limiting factor ' +100" Remarks: Boring # 1 0 -15 10yr4 /3 none is 2mgr mvfr gw 2f .5 ' .6 4 2 15 -33 1Ory4 /4 none lfs Osg mvfr gw if .5 .6 3 33 -60 10y44/4 none f® Osg mvfr gw na .� Ground elev. 4 60-11C 10yr4 /6 none ms Osg mvfr na na .7 .8 98.9 ft. Depth to limiting factor +11 n Remarks: Boring # 1 0 -25 10yr4 /3 none sl 2mgr mvfr gw 2f .5 .6 5 2 25 -86 10yr4 /6 none ms Osg mvfr na na .7 .8 Ground elev. 9 8 - 0 ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to k Remarks: (R.05/92) 1 y STEEL'S SOIL SERVICE Gary L. Steel Forest oaks Consoe, Inc. 1554 200th Ave. CSTM2298 SK4NE4 S23- T31N -R19W New Richmond, WI 54017 MPRSW -3254 town of Somerset (715) 246 -6200 lot #8- Whitetail Trails N 1 =40' BM.= top of 1 pvc pipe C el. 100.00' Alt. BM.= top of 1 pvc pipe @ el. 101.85 6 q0 8cf' !b • 2 Yb �n r ary L. Steel 6 -14 -2000 ILS N W i l AIL TRA � � �of .rye , o rr r �� • N07E: THE PARCELS 7 w ON 7 MAP ARE WNW T40 STATE, COUIITY AND TOMNIHIP BK Idi'1 am N IE�AT�YI,,)$� Rtxas AND RECUL feNNM MO LL WETLANDe. fONMIm LOT V= AC" TO PAR= $ W S E ZWe1G N 1E AR BOAND FCR AVYI E r THE $E. QIOIx COUNTY OnnRod by Alm C IddpP 11 104 uNauT� LANOs i� ��,�I'•""' E. A'ARN IM f r V E SE 1p or 7ME AE 1p - -- �c�fl'E �nr>fc nrar fo saVE � bo�pfiE y n�ie�Ml d 1M tOld I 1 0 I I LOT 10 LOT 9 LOT 8 T 1 � LO •- 1J1.050 =1 ��'" 131,050 S4 132.775 132.775 SQ FT ��b� * 301 ACRES: � .301 ACRES 305 ACRES ......... . .... , OAfnao. E4.n.nc i - � at MOM Ar.MEI I i - - - - ?0 77H A VE To eE — owjj hO To THE PUKX -- sysa>n tt9eM' -- I 4y 1 I .. .................� ................ ..... i.. .. ....... .................... 1 o�R11�23$5 11 I • •/ K 1� 1 LOT 2 0 !L 1 �• � ; • i a A�t7P£S FT Lo lo� -Y]M -f 104 ACRES / • ti ' LEQFNQ " 1 j �eF I Rwwerac4m.r Mom.n.m ]D• Iran Rod edghti9 i = I a ► �I 1 e m p of 4.17 PWfWl r Ig VL > f 1 _ • I.t r ■ L Not fan P•o W4leh "0 • a mfnlman d 1.13 pmid� P 1 anew rm in ' 1 0 Found t' iron Pipe 1 •......• • Sulft SottwW Lfm (107 FROM ILQKI ••' I 7e' Ran NaN k Watt I i s ..a • tla ! y I - -- Proposed OrNMY — LoodUm kPfeArnato si t ' •� ! C R• Recorded a s11 I d 1 a Dmetr WalaM I a i O■ ckoo 17 UUNy Eoa.noM LOT 18 41 LOT 19 I I 134241 S4 FT w 1.i1i5i21 = FT V Fr€o �uR_ Y 1t .108 ACRES I .309 ACRES (_U`ME a PAG a � I EASE WM EN COWAN OOr lNW�eEO EIWIMA 1 SFC7RYH ! CVWTY N&VAM0 .... ............... ............................... i. ................ i ALfA1NMM/ 1 IMRO►MY __ ------ NORTH ___________ _-- -___ -- p057HAVENI/__ I I UNPLt1T]ED��ND�S I 'h f�l��pp_ RV�_� 1MIe4eo �/ 39411 1~IO p tr 6"C" IO2Y74' Sl]YO'4PE 904'tI'41'E e4eroele•w S7r474e SCALE IN W 1 kwh 100 foot ae7zefD•w s4aroefew See'4CO]•w aeo'xe'fe•W LOT 21 IS REQUIRED TO HAVE AN EROSION CONTROL PLAN � f � � ff ; � OF 'ME SW46'03'W SUBMITTED TO THE ST. CROIX COUNTY ZONING DEPT. �ANS4Mm TO IlCIR ffelx'aa'W `°E PRIOR TO THE ISSUANCE OF A SANITATION PERMIT. SHEET 1 OF 2 SHEETS NS777'41'W Sdt"9e'OYW I W isconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page of Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1J � ti a must include, but not limited to vertical and horizontal reference poi ,Nl,�rection an dp sl , e, scale or PARCEL I.D. # dimensioned, north arrow, and location and distata p'nearest�Rae, f " '\ REVIEWED BY DATE APPLICANT INFORMATION- PLEASE PRJNTALL INFOgii. 1ON - PROPERTY OWNER: PR ,, TY LOCATION G T 1/4 1/4, T NR /9 0 / ( or PROPERTY OWNER': M AILING ADDRESS MT- BLOC # SUBD NqM R C M # - C ITY STATE ZIP CODE PHONE NUMBER . EIVILLAGE OTOWN NEAREST OAD S New Construction Use A Residential /Number of bedrooms [ ] Addition to existing building ] Replacement [ ] Public or commercial describe Code derived daily flow % -&o gpd Recommended design loading rate __,Z_ bed, gpd /ft trench, gpd/ft Absorption area required s bed, ft SZ_? trench, ft Maximum design loading rate — , - Z — bed, gpd /ft gpd/11 Recommended infiltration surface elevation(s) r ft (as referred to site plan benchmark) Additional design / site considerations Parent material , it,� //7.4' 2, �Y,� /, � � 'd.,'o Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND tN GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem RI S ❑ U 0S ❑ U ZS ❑ U ®S ❑ U EIS ®U EIS ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Qu. Sz. C nt. Color Texture Gr. Sz. Sh. Consistence Baxtdary Roots Bed Trench 1.. 0 Z4 Ground 9K _ 7 elev. 6 ft. Depth to limiting factor Remarks: Boring # G round ' / e elev. _ ft. Depth to limiting factor Remarks: CST Name: — Please Pri Phone: A ddress: 1� Signature: Date: CST Number: P 7A RTYOWNER ✓�,.�N���A�,v SOIL DESCRIPTION REPORT Page�of L I.D . # 7 ,. Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trerch s Ground , elev. e!2 tj ft. Depth to limiting factor > 9� Remarks: Boring # s... Ground elev. L7 ft. s Depth to t limiting factor Remarks: Boring # :< Ground 3 f elev. ft. Depth to _ — limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) P7 6—;- o �iaJ o7 Sil,� JS Cs' y'syio 0�35�'� 78 , 7 � Ih a,�sr,3s j s4ot'�Ciclr5 8 �r ° 1 l u a y I? UNPLA TED LA N O BEARINGS ARE REFERENCED TO THE r N S 0 0 4 3' 2 3 "W 392. 3 5' EAST LINE OF THE NE 1/4 OF SECTION 0 ;1 X Op 23 ASSuMEDTO BEAR NOO °26'30" E. pl C 00 N <t m 0 0 fD � `� ICc a O - rn i ~ m N UI I� Co - o o m O ! 1 I D n m w I —� a rrl cf = N n 17 _ m rr m 0 0� 0 1L g ro v N 3 O rn cn ° V ro 0 () Ln I A N rt • co 0 o w 0 i z a ® S00 ° 00'39 "W DO m Lh 331.76' (n �, Ln m C!1 N <n !D DO m 0 C rr rn T', O —1 'T•1 tD = N N m W C A OD Cr1 O N m° W o r N` rn 0 Ez D 0o 0 N N n t'7 ' O z m r n O m 0 m = N cn v_ m yr m r g z !� m m M C4 0 IU' w T v M z N r 0 m rF rt N00 00'39 "E 397.32' (� O O W o � I TO THE PUBLIC N00028'30 "E 0 -.— — — N00 ° 28' 30 "E 934.37' -- — �� 1314.24' EAST LINE OF THE NE 1/4 In Z rt mm K n N!� H WAY 1 1 35 11 z z W H m f11 om O N. 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