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032-2103-80-000
p CD M y O tl i" O N O z z II �i c I I Zy I N N ; O O F m d H C C9 N O Z i! a V jx w I � 7 ai Z c M F- O a_ O N C H N O O O • _ ` d I n ` I l0 Q N 0 11J 2 Z Z O Z O Z Z N .. 7 O (� 0 Z3 Lo Q _ a . .. N 0 o a a �I o .r+J �0) '0333 am • a a a z O N II I a�i m O O r _ N N O N O O ` C (O m _ O ' E N N a o 0 9 0 =1 z rn a (D o I _ w v n i n m v _ Q n Q c7 *r O O C C y C O) E O O O I: O N N F c o L C O O O (n y N N N N N C � . G0 O N H C O O d 7 N (O O A N O E N !I N y • 0 ' o In ! U M o z '� Y -5 to c m € a 'i a I � r `1 w 1 a v c II c :: r A cia " �I,ovU) Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Coun Safety and Buildings Division �Yi. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary6Rr,VtNo.: w Person information you provice may be used for secondary purposes [Privacy La s.15.04 (1)(m)]. 33 77 LG 4��� Permit Holder's Name: El City El illage ❑ wn of: State Plan ID No.: Carlson, Shawn gomerset ownship CST BM Elev.: Insp. BM Elev.: BM Description: Parcel.Zalc A10. -80 -000 9 ?. j e l . 1414 4HA -CS 11SG L1 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION 85 HI FS ELEV. Septic (nl /� ba Benchmark 2,$ lode q q,? Dosin ��� D�dv Alt. BM (O�,/ ' � �" 9 S• Q Aeration Bldg. Sewer Holding St/ Inlet TANK SETBACK INFORMATION (SRyOf Outlet toO L3 X12 TANK TO P/L WELL BLDG. Ventto ROAD Dt Inlet Gi �/ Air Intake 3 / Z • (J 7 Septic �Cj - NA Dt Bottom DU ID- - e2— 9, 3� osi DO 4 5`el SS 1 -7 -rf NA Header /Man. 3 -30 .S Aeration NA Dist. Pipe 3. 10 1� s9 Holding Bot. System 3. f ? f 3 PUMP/ SIPHON INFORMATION t l'e pole S ' Final Grade d Manufacturer �„� �� r Demand St cover Model Number , TA PM (` Jr o TDH Lift f'.2, LrictiorL, System�� DH Ft Ft �, ,,.� 2 + � j j /W / 0 [ 7. Forcemain Length } / r Dia. F '' Dist. To Well �� a Q SOIL ABSORPTION SYSTEM 0 }ot,�_ 3. 05 - Q7_ BED/TRENCH Width f , Len h No. Of Trenches PI No. Of Pits Inside Dia. Liquid Depth DIM N I N Z. DIMENSION SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufact INFORMATION Type o CHAMBER ,Wd Number* System. �- `� �0 r �/ &0 OR UNIT DISTRIBUTION SYSTEM Header/Man i old f` Distribution Pipe(s) ( /r x Hole Size x Hole Spacing Vent To Air Intake Length Dia- Z Length 0 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 ❑ Yes ❑ No ❑ Yes ❑ No �J COMMENTS: (Include code discrepancies, person present, ) Inspection : &A 2L at ns ection : 0 Location: 1504 Hidden Valley Circle, Hourtton, W 54082 �9� 1/4 SE 1/4 14 T30N R20W) - 14.30.20.981 Green Acre Ctry Estates -Lot 19 1.) Alt BM Description = a v f 16 d a t5 r 2.) Bldg sewer length= `7 .4. . - amount of cover= [,� #AL( 3.) contour = �' `'Z S- w . Ql b •� � I A (O(� Pfa� .Vi(( required? M ❑ Yes & No f . r� Use other side for additional informgtion. SBD -6710 (R.3/97) Date Inspector's Si ature Cert No. y I ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: s f 3 { x 1, a € d € f e w,# f 3 I [ E # � F t r E # i a.v. e 3 # { k , n e { ^, � E , 3 .., . ` f 4t t e a f � # d � j 3 r E r d a & # P , f # t # t 3 t f # E ^ ° 3 i a # E S 1 { # # f _ f a , /fit Safety and Buildings Division N A - sconsin SANITARY PERMIT APPLICATI — P O Box 7302 2 01 W. Washington Avenue In accord with Comm 83.05 Department of Commerce Wis. Ad , ! ; ! ., , Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, er r�,ot I*s county than 8 1/2 x 11 inches in size. C'. ' • See reverse side for instructions for completing this applicatio [j State Sianit ry Permit Number Personal information you provide may be used for secondary purposes s heds if r to previous application [Privacy Law, s. 15.04 (1) (m)]. 7 CX State�lan .D. NumbeS (� b 1. APPLICATION INFORMATION -PLEASE PRINT ALL INF ' MAf0Nc1F7, Props Owner Name ; Property Locatiory ' r� °Ira. t/ , ¢�! T _3 . N, R E (orW� Property Owner's Ma ling Address /1, Lot Nurrbe: �' "" Block Number C'ty, State , Zip Code Phone Number Subdivision Name or CSM Number 1 /S 1' t. il G'/ r.� TLS 11. TYPE OF BUILDING: (check one) ❑ State Owned LL N arest Road Public 1 or 2 Family Dwelling - No. of bedrooms Ill. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 03 :; I� — �� _C 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. JR New 2 ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an ...... System -------- System ___________ ^_ Tank Only______________ Existing System ________ Exlstinq 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 RMound 3 ❑ Specify Type 41 []Holding Tank 12 []Seepage Trench 22 [] In-Ground Pressure / r /f 42 E] Pit Privy 13 [] Seepage Pit / (O �e � 43 [] Vault Privy 14 ❑ System -in -Fill �` VI. ABSORPTION STEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade I r� r, Required (sq. ft.) Proposed (sq. ft.) (Gal d /sq. ft.) (Min. inch) I 9 1$ evation lD V O o� � O U ��� - ,0 Feet $3 Feet VII. TANK Capacit in gallo Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existin structed Tanks Tanks Septic Tank or Holding Tank WO tr � ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber Bo D { ❑ I ❑ I ❑ 1 ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's NaIIw:(itcint) Plumber's Sign ture: (No Stam s) MP /MPRSW No.: Business Phone Number: Plumber's Address (Str et, City, State, Z ip Code): 4� IX. COUNTY/ DEPARTMENT USE ONLY [ Sa itary Permit Fee (Includes Groundwater ate Issued Issuing Agent Signature (No Stamps) JDApproved E] O Given Initial Surcharge Fee) , ��� Adverse Determination Y X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: 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. it r Permit Transfer/ Renewal F rm BD- submitted h 4. Changes in ownershrp.or plumber requires a Sanitary e t a s e / o (S 6399) to be sub tted tot e 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 BuildFngs Division, -609 -266 -3151. - To be complete and accurate this sanitary permit application must include: L 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. Ill. 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 8 112 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) fora 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. Safety and Buildings PO BOX 7162 �� MADISON WI 53707 -7162 I iscons n T #: 26 www. Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary May 09, 2000 CUST ID No.222904 ATTN: POWTS INSPECTOR ZONING OFFICE JAMES W BOUMEESTER ST CROIX COUNTY SPIA 1070 HWY 35 N 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/09/2002 Identifieatio ers Transaction ID No:. 30938 Site ID No. 190146 SITE: Please refer to both identification numbers, Site ID: 190146, SHAWN CARLSON above, in all correspondence with the agency. ST CROIX County, Town of SOMERSET; 1504 HIDDEN VALLEY CIRCLE, SOMERSET 54025 SETA, SE1 /4, S14, T30N, R20W FOR: Object Type: POWT System Regulated Object ID No.: 658023 MOUND / DWELLING 600 GPD The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: R N Condit and open to PP A copy of the approved plans, specifications and this letter shall be on -site during construction p . A ermits inspection by authorized representatives of the Department, which may include local inspectors. All p DEP TMENT required by the state or the local municipality shall be obtained prior to commencement of t)iy� of SAFE construction/installation /operation. Inquiries concerning this correspondence may b made to me at the telephone number listed below, or at the address SEE RRE on this letterhead. Sincerely, DATE RECEIVED 04/12/2000 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 ROBERT KANTER , POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (608)261-7735, 8:OOAM - 4:30PM, MON -FRI RKANTER @COMMERCE.STATE.WI.US i _ 4 0�'703 cc: SHAWN CARLSON MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET Project Shawn Carlson 4 bedroom residential mound Owner Shawn Carlson Address 2780 Overlook North West Lakeland, MN 55082 Site Address: 1504 Hidden Valley Circle Legal Description SE1 /4SE1/4, Sec.14, T.30N., R.20W. Township Somerset County St. Croix Subdivision Name Green Acres Country Estates Lot No. 19 Parcel ID Number 032 - 2103 -80 -000 Plan Transaction Number I.T.S. Index and title sheet Page 1 Tonally Mound calculations Page 2 M Mound drawings Page 3 Pres. dist. calcs. and laterals Page 4 OF Co FM CE TDH and pump tank drawing Page 5 TY ILDING Pump performance curve Page 6 Site plan Page 7 SPONDENCE Attached soil evaluation report Page 8 Designer Jim Boumeester License Number 222904 Signature Phone No. 715 -386 -9020 Date 3/21/00 Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result In disciplinary action under s. 145.10, Wis. Stats. Personal information you provide may be used for secondary purposes Ift acy Law, s.15.04 (1)(m)J. SBD- 10462 -E (R.05/98) Page 1 of 8 hrzL,tIVtL) MAY - 2 2000 SAFETY & BLDGS. DIV. MOUND SYSTEM DESIGN Complete red boxes as necessary. 1000 gpd maximum design flow. Inch- pounds Metric Residential or commercial? r (ror c) (y or n) Replacement system? Creviced bedrock site? n (y or n) Slope 3 % Wastewater flow rate 600 gpd 2271 Lpd Depth to limiting factor 32 in 81.3 cm In situ soil infiltration rate.S gpd /f` 24.4 Lpd/m` Contour line elevation 95.8 ft 29.20 m Use standard fill depths? x OR Design depth? ��in �cm Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth. Center or end manifold a (c or e) Hole diameter 0.25 in 0.125, 0.156, c.1aa. 0.219, 0. 0.281, or 0.313 inch only. Lateral spacing 4.00 ft Use 0 lateral spacing for trenches. Estimated hole space 4.00 ft Not a final calculation. Number of laterals 2 Pump tank elevation 83 ft Outside bottom of tank. Forcemain length 95.0 ft Forcemain diameter 2.0 in 1.5, 2 ,3 or 4 inch only. 2.067 in Actual I.D. HOLE DIAMETER CONVERSIONS 1/8 = 0.125 1/4 = 0.250 SYSTEM SOLUTIONS Inch-pounds Metric 5/32=0.156 9/32=0.281 Estimated daily flow 600 gpd F 2271 Lpd 3/16 =0.188 5116=0.313 7/32 = 0.219 Absorption cell Design load rate & area 1.2 gpd/fe 500.0 ft` .45 m` Linear loading rate (LLR) 9.52 gpd/ft 118.0 Lpd/m Design width (A) 8.00 ft 2.44 m Cell length (B) 63.0 ft 19.20 m Depth of cell (F) r in 1 24.1 cm Sand filter Upslope fill depth (D) 12.0 in 30.5 cm Downsiope fill depth (E) 14.9 in 37.8 cm Basal area required (gpdfinfiltration rate)t4 92.90 m Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.5 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (K) 10.24 ft 3.12 m Up slope toe length (J) 7.70 ft 2.35 m Down slope toe length (1) A 3.05 m Total mound length (L) 83.48 ft 25.44 m Total mound width (W) 25.70 ft 7.83 m Project: Shawn Carlson 4 bedroom residential mound Transaction Number: Page 2 of 8 R E CEIVED ' - � MOUND PLAN VIEW MA r 2000 obsen!ation pipes (typical) SAFE Y & BLDGS. DIV. J 25.7 ft ;:::: ::::•::•:: q A= Ift 2.44 m 7.83 m B = 19.20 m 2.35 m W J- a�i . K � '. m ............. ............... . 3.05 J! K = 3.12 m _ 83.48 ft 25.44 m typ. obs. pipe (anchored securely) I = down slope dimension = absorption cell (AxB) J = up slope dimension O = plowed area (LxW) K = end slope dimension 6" (152 mm) T MOUND CROSS SECTION D = 12.0 in 30.5 cm lateral topsoil H subsoil cap E = 14.9 in 37.8 cm invert 97.30 ft F = 9.5 in 24.1 cm elev. r 29.66 Im F G = 12.0 in 30.5 cm T ASTM C33 H = 18.0 in L45.7 cfn y Sand Fill E Sys. 96.80 ft Y elev. 1 29.50 m 95.80 ft contour 29.20 m elev. 3 'o --� slope D = upslope fill depth plowed layer E = downslope fi ll depth Note: Absorption cell media will consist �� F = absorption cell depth of aggregate and pipe with laterals G = subsoil + topsoil depth at cell wall centered across AxB media. The cell H = subsoil + topsoil depth at cell center media Is covered with geotextile fabric. t 3`� Designer notes: There is not a consistent contour elevation available on this site. The most consistant contour elevation k Approximately 20 yards of additional ASTM -C33 sand fill will be needed to compensate for irregularities in Project: Shawn Carlson 4 bedroom residential mound Transaction Number. Page 3 of 8 PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch - pounds Metric Width (A) 8 ft 2.44 m Length (13) 63.0 ft 19.2 m Lateral specifications Number laterals 2 Holestlateral 16 holes Lateral length (P) 60.00 ft 18.29 m Hole diameter 0.250 in 6.35 mm Lat. dis. rate 18.64 Igpm 1.18 Us Sys. dis. rate 37.28 gpm 2.35 Us Hole spacing (X) 48 in 121.9 cm Lateral diameter Pipe diameter Design options Design choice Designer must 1 in (25 mm) Place X in red X' one choice 1 1/4 in (32 mm) box of chosen from the options 11/2 in (40 mm) x it diameter. provided. 2 in (50 mm) x 3 in (75 mm) x Manifold diameter Pipe diameter Design options Design choice Designer must 1 in (25 mm) X' one choice 1 1/4 in (32 mm) Place X in red from the options 1 1/2 in (40 mm) x box of chosen provided. 2 in (50 mm) x x diameter 3 in (75 mm) x 4 in (100 mm) x Distribution system contains: 2 Lateral(s) LATERAL DIAGRAM - END CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. Laterals centered over the A & 8 dimension Last hole drilled next to end cap en c ap P rForc-e !are dentical IF X _4 1 Hol es drilled on the bottom of the lateral S equally spaced ain oonneotion Via We or Bross to manifold at any point. Laterals & force main of PVC sch 40 . - permanent end marker (per COMM Table 84.30 -5) Inch - pounds Metric Lateral length (P) 60.00 ft 18.29 m Lateral spacing (S) 4.00 ft 1.22 m Hole spacing (X) 48 in 121.9 cm Manifold length 4.00 ft 1.22 m Hole diameter 0.250 in 6.4 mm Lateral diameter 1.50 in 40 mm Forcemain diameter 2.00 in 50 mm Project: Shawn Carlson 4 bedroom residential mound Transaction Number: Page 4 of 8 TDH and Pump Tank Drawing Total Dynamic Head Operational head 2.50 ft tX 0.76 m Vertical lift 13.30 ft S 4.05 m Are laterals the highest point in the Friction loss 2.20 f 'L" L� 0.67 m system? Yes °x° here. Total dynamic head 18.00 ft 1 - 7- 'C 5.49 m If no, what is the highest elevation Dose Volume downstream of pump? Dose is > 10 times lateral volume Forcemain drain Lateral void volume 12.7 gal 48.1 L back to tank? (' ' one) Minimum dose 150.0 gal 567.8 L x Yes Drain back 16.6 gal 62.8 L No Dose volume 166.6 gal 630.6 L Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover with weather proof warning label and locking device grade levels junction box disconnect grade levels aftemate J 4" vent pipe electric as per NEC 300 and F -- outlet Comm 16.28 WAC \ location 19'(46 cm) min. wall of pump approved chamber or outlet joint combination tank A Provide 1/4" weep hole or anti - alarm on siphon device as necessary pump on B Grade levels pump 84.0 ft C - pump tank manhole = 4" (10 cm) off elev. 25.6 m minimum above finished grade p - vent = 17'(30.5 cm) minimum above finished grade IV 83.0 I ft Pump tank elevation 3" (75 mm) of bedding under tank 25.3 1 m bottom of tank Tank manufacturer Weeks concrete Pump tank capacity 20.73 gal /in Pump tank volume I 799.5 gal Pump manufacturer JZoeller Inches Gallons Pump model number 137 o A 19.5 404.8 w B 2 41.5 c Alarm manufacturer LevelArm E C 8.0 166.6 Alarm model number JDLV p D 9 186.6 Project: Shawn Carlson 4 bedroom residential mound Transaction Number: Page 5 of 8 op of /or- Ot.-iri4r'" t : _LD��'o''' � a lfc ltt/` _ /OO.Gb ,tia� S am Cot i9 /Plc- o{Gr Are S, 97o'eveto"r .Z 7 P4 OU��atrn• SEYyS Eyy Sec . iS;T,�ol., .P. 2ouJ., / 4b.o , lt�e5� la -K m n . 7,1 o{.�msr5� S50 8•z. R5�• ■ . 5 '' ,' ■ 61 ' 3 9z� ol ' / qo Fo rc e maioq �.� p roposkd maand PTpastc., 600 7eP. `- -- - - - - - b tc 4 a-L 8'XG3. S e45on a.E' Pondi - , Il rea / � i o /y ' P ✓. C. �. pt Sc� ;n a.P propOs' 1, wo 5 'Asrnt 303V 30; I ¢11c, of Eled, S — � p.v.C. eF�'l�. O� Q /ine bud d." 7 // 9�Go proposcd 9e.91' JkV res, - dcgce 'u' LA z sCA : pl. 7 oF Lem TOTAL DYNAMIC HEADICAPACITY PER MINUTE ■■ ■\ \■\ ■0 2\ ■■■■■■■■■■ \f \I 1kl 040 0 0 ■■0 ■■0 1■ \\ 111f I►�■■ a \■■■■■■ ■sqhbq- \:111 I\\■\N\■■■■■ ON 19 " I'V INNOMWk ■■■■ ■ ■ ■ ■1 `►\1 i1 ■\ No ■■ mollwilSkM■■\\\■■■ .. WN Zkk'l \■■■0■■■ ���■�': ii; . ■►`\\■■■\■■■ ■�i��l la 1 ►' \\ \ ■ ■ ■ ■ \ \ ■■ ■1 \ ► \��11■ ► \►■ \ ■ ■ ■ ■► \■ U0_50 60170 801901001110120 J Wisconsin Depaftment of Commerce SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings in accord with Comm 83.05, W is. Adm. Code . A.C.E. Soil &Site Evaluations Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must Coun ty include, but not limited to: vertical and horizontal reference pant (BM), direction and _ _ St. Croix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel 032- 210 8 0_ -000 APPLICANT INFORMATION - Please print all information Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, a. 15.04 (1) (m)). Property Owner Property Location Shawn Carlson Gov Lot SE 1/4 SE 1 /4 S 14 T 30 N,R 20 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2_ 780 Overlook Lane North _ I9 - - L Green Acres Co untry Est ates, I Add. City State Zip Code PhoneNumber City F] Village ]Town Nearest Road Stillwater MN 55082 651-351-2940(H) Somerset Hidden Valley Circle New Construction F7 Residential I Number of bedrooms 4 UAddition to existing building Use: ❑ Replacement ❑ Public or commercial describe Code Derived daily flow 600 gpd Recommended design loading rate .5 bed, gpd /ft .6 trench, gpd/ft Basal area required 1200 bed, ft 1000 trench, ft Maximum design loading rate .5 bed, gpolftZ .6 trench, gpd /ft Recommended infiltration surface elevation(s) 96.80' at 12 above 95.8 contour. ft (as referred to site plan benchmark) Additional design / site considerations Additional sand lift needed to compensate for irregularities in system contour. Parent material 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 for system ❑ S E i H S❑ U ❑ S ©u ❑ S® u ❑ S M U ❑ S F1 U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots _ GP Boring# Horizon in Munsell Qu. Sz. Cont. Color. Gr. Sz. Sh. Bed Trench 1 1 0 -4 10yr3 /3 ` None — sil — 2fcr mvfr cs 2f &m 0.5 0.6 2 4 -22 10 /4 None sit 2fsb mfr cw 2fm,lc 0.5 0.6 Ground 3 22_42 7.5yr4/4 None sl lcsb mf r cw 1 &m 0.4 0.5 elev 96.14' ft _ 4 f2d7.5 r5 /8 sel Om mfi - - NP 0.2 m 4 42 70 7.5yr4/4 y - -- _ Depth to — -- -- limiting factor 42' Remarks: - - -- -- — - -- Z 1 0 -4 10y r3/3 No ne sil 2fcr mvfr cs 2f &m 0.5 0.6 2 4 -15 10yr4/4 None sil 2fsb mfr cw 2fm,lc 0.5 0.6 - - - - - -- — - -- — Ground 3 15 -32 7.5yr4/4 None sl lcsbk mfr cw if 0.4 0.5 elev NP 0.2 P� 96 .99' ft 4 32 -65 7.5yr4/ c2d7.5yr5 /8 sci Om mfi _ , Depth to — - -- - - - - -- — -- - - -- -- — -- — — — limiting factor 32' Remarks: — - - - - -- CST Name (Please Print) Signatu Telephone No. _ James K. Thompson _ C ,,.��. 715- 248 -7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, WI 54020 3/8/00 3602 1179 ,PROPERTY OWNER: Shawn Carlso SOIL DESCRIPTION REPORT »>9 Page_ _ of___3 PARCEL I.D.# 032 - 2103 -80 -000 A.G.E. Soil & Site Evaluations Depth Dominant Color Mottles Structure M Horizon Texture sistence Boundary Roots -- - - -- - in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0 -5 10yr3 /3 None sit 2fcr mvfr cs 2f &m 0.5 j 0.6 2 5 -20 1 /4 None sil 2fsbk mfr cw 2fm,lc 0.5 0.6 Ground elev 3 20 -38 10yr5/4 None sit Icsbk mfr cw if 0.2 0.3 95.23'ft 4 38 -50 10yr5 /4 U7. 5yr5 /8 SI lcs bk mfr aw - 0 .4 0.5 Depth to 0.2 5 50 -75 7.5yr4/4 c2d7.5yr5/8 sci m - - NP limiting _ - - -- -- -- - - Om fi factor 38" - -- - -- - Remarks: - - - - _- - 4 1 0 -5 10yr3 /2 None sil 2fcr mvfr cs 2f &m 0.5 0.6 2 5 -22 10yr4 /4 None Sil 2fsbk mfr cw 2fm,1c 0.5 0.6 Ground elev 3 22 -35 10yr5 /4 None Sill 2msbk mfr cw if &m 0.5 0.6 -94-.82'- ft 4 35 -52 10yr5 / 4 U7.5yr5/8 sl lcsbk in fir aw - 0.4 0.5 Depth to 5 52 -58 7.5yr4 c2d7.5yr5/8 scl Om mfi - - NP 0 2Pre limiting - -- ___ ----- factor 32" - - -- -- - - - - - -- - -- - -- - -- - -- - - Remarks: - - -- - - - - Ground elev Depth to limiting - - - factor Remarks: - -- -- Ground — - -- - -- -- -- - - - - - -- - -- - - - -- - elev Depth to limiting _ - -- -- - -; -- - - factor Remarks: -- ---- - - - - -- Ro_nC.4.ly�orK oP C� /oL 3 0 � . Owrl4r • ,Lo��rm -� 5 `}.sswi e.d (t v- _ /00.40 5 kaL*') n CO ls oyl Cot 19 1- o - 'Cr•eeri Xrcr{ y ?. ° 95.© "? F0 0 va /rle/1. 7n. Co., ssa s'z ' gs1.o1 �� •'n �ie.Ld drive ��/ / 2 /F� I - � i �/ ■ S e45oh n.F' l�ond;,r� >9rea �rvPOStid I, G00 by G. Stems a , s IB. ,M, 4 2 , , - or Se rOf rc fs�r � 50;1 I/c "O.141 ors. ElePA = 7; ` 45!Go' Propos 98•y1' v 1, drw,. res, - dence A y O j C N �. 4f/ wisdonsin Department ofCommerce SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code A.C.E. Soil &Site Evaluations Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal ref Wdnt (Bra) direction and St. Croix percent slope, scale or dimensions, north arr i istance to nearest road. °�� Parcel LD.# 032-2103-80-000 APPLICANT APPLICANT INFORMATION - l Pnn>i a!! tnfor r "on. Personal information you provide may be u fi)rSeco ry se (Privacy , s. 15.04 (1) (m)). R,evtevred By 0 r Property Owner , I "" Property Location Shawn Carlson Govt. Lot SE 1/4 SE 1/4 S 14 T 30 N,R 20 W Property Owners Mailing Address ` f = Lot # Block # Subd. Name or CSM# 2780 Overlook Lane North ST CROIX 19 Green Acres Country Estates, l Add. City Sc ` ' C rq(er [] City Village ZTown Nearest Road Stillwater S , 2 651 -351- ) Somerset I Hidden Valley Circle New Construction Use: Z ' RNQtf2l y u f bedrooms 4 []Addition to existing building ❑ Replacement E Public or commercial describe Code Derived daily flow 600 gpd Recommended design loading rate •5 bed, gpd/ft .6 trench, gpd/ft Basal area required 1200 bed, ff 1000 trench, ft2 Maximum design loading rate .5 bed, gpd/ft .6 trench, gpdfft Recommended infiltration surface elevation(s) 96.80' at 12" above 95.8' contour. ft (as referred to site plan benchmark) Additional design / site considerations Additional sand lift needed to compensate for irregularities in system contour. Parent material 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 for system ❑ S ® U ❑ S ❑ U ❑ S ® U ❑ S ®U ❑ S ®u ❑ S ® U SOIL DESCR R EPORT Depth Dominant Color Mottles S Consisten tructure GPD/ft2 Boring# Honzon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz Boundary Roots Bed Trench 1 1 0 -4 10yr3/3 None sil 2fcr mvfr cs 2f &m 0.5 0.6 2 4 -22 1Oyr5 /4 None sil 2fsbk mfr cw 2fmjc 0.5 0.6 Ground 3 22 -42 7.5yr4/4 None sl lcsbk mfr cw if &m 0.4 0.5 elev 96.1 ft 4 42 -70 7.5yr4/4 f2d7.5yr5/8 SO Om mfi - - NP 0.2 pre Depth to limiting factor Remarks: 2 1 0 -4 1Oyr3 /3 None sil 2fcr mvfr cs 2f &m 0.5 0.6 2 4 -15 10yr414 None sil 2fsbk mfr cw 2fm,lc 0.5 0.6 Ground 3 15 -32 7.5yr4/4 None A lesbk mfr cw if 0.4 0.5 eiev 96.99 ft 4 32 -65 7.5yr4/4 c2d7.5yr5/8 scl Om mfi - - NP 0.2p Depth to limiting factor Remarks: - CST Name (Please Print) Signatu Telephone No. James K. Thom pson _ 715- 248 -7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, Wl 54020 3/8/00 3602 1179 PROPERTY OWNER- Shawn Carlson SOIL DESCRIPTION REPORT page 2 of 3 PARCEL LD .# 032 - 2103 -80 -000 A.C.E. Soil & Site Evaluations Depth Dominant Color Mottles Structure 0411 � Haizal in. Munsell Qu. St. Cont. Cola Texture Gr. $z. Sh. sistence Boundary Roots Bed i Trench 3 1 0 -5 10yr3/3 None sit 2fcr mvfr cs 2f &m 0.5 0.6 2 5 -20 10yr4/4 None sit 2fsbk mfr cw 2fm,lc 0.5 0.6 Ground elev 3 20 -38 10yr5 /4 None sit Icsbk mfr cw if 0.2 0.3 95.23'ft 4 3 50 10yr5 /4 M7.5yr5/8 sl Icsbk mfr aw - 0.4 0.5 Depth to 5 50 -75 7.5yr4/4 c2d7.5yr5/8 scl Om mfi - - NP 0.2 limiting factor 38" Remarks: 4 1 0 -5 10yr3/2 None sit 2fcr mvfr cs 2f &m 0.5 0.6 2 5 -22 10yr4/4 None sit 2fsbk mfr cw 2fm,1c 0.5 i 0.6 Ground elev 3 22 -35 10yr5 /4 None sit 2msbk mfr cw if &m 0.5 0.6 94.82'ft 4 35 -52 10yr5/4 f2d7.5yr5/8 sl Icsbk mfr aw - 0.4 0.5 Depth to 5 52 -58 7.5yr4/4 c2d7.5yr5/8 scl Om mfi - - NP 0.2 limiting fa 2' Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: - q '�c.Jn.�/" • �oca -��y» • � c�med e(eU' = ioO.uD 7 �o ova. - /�/1. 5r YysFry Sic . iy 7. .3o,Z, AV. zocv, e Ve �1 r i 5 Cason a� Pcodr y >9rea - ALLAj2L — rl - O o of AP Pt GOO 6.rit, �'v*- orig�na.P Se,�Oftc. 5 0 ;1 Q ✓Cc.�ttD�iOlj.E'ie% ^9� ,C O P roP05¢ , d 9B 9Z' V bdrw�. rVS5 d2ACe O P $ j C U f i ll z i ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer �il k.(;j ll r � Mailing Address L ale-A a - rdl Property Address e (Verification required from Planning Department 16 new construction) City/State Parcel Identification Number � � - , � /t 3 - ;96 - LEGAL DESCRIPTION Property Location _ /,, _ '/., Sec. 14 T N - RAG , W, Town of —),o/y Subdivision L o - u � E { , Lot # � . Certifled Survey Map # . Volume . Page # Warranty Deed # 6077 16) Volume 141-T , Page # C Spec house O yes Q no Lot lines identifiable l4 yes O no SYSTE MA2MANCE Impmper 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 Amction 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 matter, P JourneYman Plumber; restricted plumber or a Iicen:ed pumper verifying that (1) the on site wa6tewaterdispgsai system is in proper operating condition and/or (Z) j lion and Pumping (if necessary), the septic tank is lea. sludge ,,t µy Uwe, the undmigned have read the abov #nd agree to maintain the private sewage disposal" : standards C` set fba* herein, as set by the Department `and the Department of Natural Resources, State of Wbcomin. Cmtificafin stating that your septic system has been maintninod must be completed and returned to the St. Croix County Zoning. Ofte within 30 . o the expiration date. A SIGNATURE OF APPLICANT DATE . OWNER CERTIFICATION I (we) tall statements On ;1 M ate hue to the best of my (our) knowledge. I (we) am (are) the owner( of t ve, by virtue of diwnty deed recorded in Register of Deeds Office. h' SIGNATURE dr APPLICANT DATE Any information that is mis- vault is the rani t being revoked b the Y• �Y P� mg Y Zoning ** Include with this application: a stsmped,� vat qr deed from the Register of Deeds office a copy Of do cerdfled survey map if reference is made in the warranty deed 1445PAGE 486 LAND CONTRACT CS. 0777C.° Document Number Form 11 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI CONTRACT, by and between GREEN ACRE ENTERPRISE, INC. RECEIVED FOR RECORD C'Vendor ", whether one or more) and Shawn M. Carlson and Brenda S. 07- 30-1999 10:00 AM Carlson, husband and wife, as survivorship marital property C'Purchaser ", whether one or more). Vendor sells and agrees to convey LAND CONTRACT to Purchaser, upon the prompt and full performance of this contract by EXEMPT I , Purchaser, the following property, together with the rents, profits, fixtures CERT COPY FEE: appurtenant interests all called the "Property"), In St. Croix COY and other a PP � P rfY�7� ' TRANSFER FEE'r.133�.,40 , County, State of Wisconsin: R y E y C . O � RBINGFEE: 112.00 PAGE r I v Recording Area Name and Return Address Robert F Wall / 522 Second Street Hudson, WI 54016 032- 2103 -80 (Parcel Identification Number) l ' LOT 19, REEN ACRE COUNTRY ESTATES FIRST ADDITION, TOWNSHIP OF SOMERSET, ST. CROIX ( -C WISCONSIN. This is not homestead property. Purchaser agrees to purchase the Property and to pay to Vendor at 1501 Scout Camp Trail, Houlton, WI 54082, the sum of $45,000.00 in the following manner: (a) $10,000.00 at the execution of this Contract; and (b) the balance of $35,000.00, together with interest from date hereof on the balance outstanding from time to time at the date of 7.0% percent per annum until paid in full, as follows: $5,000.00 annual principal payments, plus accrued interest, beginning one year from the date of this contract and on the same day of each year thereafter. Provided, however, the entire outstanding balance shall be paid in full on or before the day of , 19 (the maturity date). Following any default in payment, interest shall accrue at the rate of 12.0% per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably anticipated annual taxes, special assessments, fire and required insurance premiums when due_ To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time. In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: None. Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on date of this land contract. 1445PAGE487 Purchaser promises to pay when due all taxes and assessments levied on the property or upon Vendor's interest in it and to deliver to Vendor on demand receipts showing such payment. purchaser shall keep the improvements on the Property insured against loss or damage occasione e of full fire exte b nded a valuee but s and such t other hazards as Vendor may require, without co lnsu through insurers d by n require coverage in an amount more than the balance owed under this Contract. t. Pure Purchaser shall pay the insurance premiums when due. The policies shall contain the standard clause in favor of the Vendors interest and u nless ns imp ^ writ fes and Vendor. Unleess f l Purchaser and Vendors P roperty shall be deposited with Vendor. Purchaser shall promptly g' provided the Vendor deems the restoration or repair agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, p to be economically feasible. Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the .Property. Vendor agrees that In case the purchase price with Interest and other moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute an d d e to the the act ore default ar Pu D eed, I n fee excep of the P free and Gear of all liens and encumbrances, except any liens or encu and restrictions of record. Purchaser agrees that time Is of the essence and (a) in the event of a default in the payment of any principal or interest which continues for a period of 30 days following the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which continues for a this period of 30 dl ys following wr due and payable in full, at endor opt on I nd without notice (which m ail ), chaser t he e waives and Vendor shall also contract shat his have the following his righ and r end (sub t any limi tations and rate ester he l Property and recovee the provided by Property back through strict foreclosure with t any optio term equity of redemption to be conditioned upon Purchasers full payment of the entire outstanding balance, with interest thereon from the date of default at the n such date rate In effect fa lure to fulfill this Contract and as fa the Property if purchaser f a s to redeem); or (u) Vendor may sue for specific performance of fail damages for t of the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other Contract to compel immediate and full paymn amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; t (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at Pur end and remove this Contract f he cloud on tale in a quiet -title action 11 ten �Oect any ents, issues o ofds during the pendency of any ac on under CI), (ii) or (•� fr bove. Notwithstanding Property and have a receiver apps enchant endow lie t attome n ys fees of Vendor incurred to enforce I any l y remedy hereunder (whether abated or no to any oral or written statements or li tigation and all costs and expenses n9 end aid b Purchaser, as incurred, and shall be included in any the extent not prohibited by law and expenses of title evidence shall be added to principal a p Y judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Punc Cher c onsents onsent of such appo ant of a receiver of the rents, issues, and profits n wh whe so collected shall be held and applied as thececourt p rofits of the Property g pendency Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purchasers rights under this e prior written Contract or by option, long -term lease or in any other way) 'without hof Purchaser' s interest under this s so ba lance y as security for an this Contract first paid in full or the interest conveyed pledg or assignment indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendors written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full, at Vendors option without notice. - - -- d _ - against the f Vendor shall make all payments when due under any mory, pro Purchaser makes timel of the f am ' ounts then due under this mortgage granted by Purchaser) or under any note secured thereby, Contract. Purchaser may make any such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. inure t the benefits of the heirs, legal All terms of this Contract shall be binding upon o Vendor represen ass for a valuable consideration joins herein rights t release homestead rights in the subject and Purchaser. (If not an owner of the Property the spo Property and agrees to join in the execution of the deed to be made in fulfillment hereof.) Dated this 19th day of July, 1999. GR N ACRE ENTERPRISE, INC. roy rhammer, President *Shawn M. Carlson A. U Vendor Purchaser 'By: Ad `Brenda S. Carlson Adele M. rhammer, Secretary Vend Purchaser AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN Signatures) ST. CROIX COUNTY * �-�' 0 f Personally came before me this Otto'd f' 1w,, e above . ;h named Leroy A. Urhammer, of - del �6(ia ,,� awn M. his day renda S. Carts o d Igaoft ;tl� persons authenticated t y Carlson and B who exec t foregoin and_4c46 dge the co signature same.`:, type or print name signature . • ' Robe F (> type or print name rt :,, TITLE: MEMBER STATE BAR OF WISCONSIN Notary Public St. Croix County, (If not, autho commission is permanent. red by 706.06, Wis. Stets• MY THIS INSTRUMENT WAS DRAFTED BY `Names of persons signing in any capacity should be typed or printed Robert F Wall below their signatures. (GAEICARLSONLC1j i r P,om�n�Y , loran du lac, Wikorwn O 6 LOT 20 ' 1 4 . . 3.00 ACRES /® 130,724 SQ. FT. /! N76 °1 ' 50. o N89 40 "E 00 ACRES �_ 341.4C' In / ' 3.00 ACRE / i 130,723 SO 30,723 SQ. FT. m / 2.62 ACRE '.65 ACRES EXC. ESMT. ' 113,944 SO. 15,403 SO. FT. /\ N4 3 1 ' 3 LOT,,-23 33 5 0 . o0 LOT 19 , 13 3. G0 ACRES 8 \ w 130,723 SQ. FT. - \ N 2.60 ACRES ExC. ESMT. �pj 12 �\ \ O 113,395 SO. FT V 21 9 \ 5 O EL =944.0 O — EL = 940.7 50.00"-. ® �� \� N89° 4 E .. .. ..... \S00° 11' 12aE i 66. \ I 50.00' 712 10 310.24' - ,401.86' G8 ® ® UGC AL I S89 48' 48 W 1407.01' Z — SOUTH LINE OF THE SEI /4 OF SECTION I UNPLATTED LANDS BLE5KAl- PROJ. NO. 96 -35 SHEET I OF 2 SHEET Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Later and Haman Relations Division of Safety & Buildings in accord with I LH R 83.05 W' . COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. ust idjap ©but St. Croix not limited to vertical and horizontal reference point (BM), direction and ° op P CEL I.D. # dimensioned, north arrow, and location and distance to nearest road. pending I APPLICANT INFORMATION PLEASE PRINT ALL INFORMAT �� . �j �9g EWED BY DATE PROPERTY OWNER: ROPERT`�L N �►V Leroy Urhammer VT. LOT OFF 4 , S 14 T 30 N,R 20 for) W PROPERTY OWNERS MAILING ADDRESS LOCK # AME OR CSM # 1501 Scout Camp Rd. Acre Ct . Es. First Addn. CITY, STATE ZIP CODE PHONE NUMBER ❑CI OWN NEAREST ROAD Houlton, WI. 54082 (719 549 -6497 Somerset Hidden Valley Circ [x] New Construction Use k ] Residential / Number of bedrooms 3 ( ] Addition to existing building I ] Replacement I ] Public or commercial describe Code derived daily flow 450 g pd Recommended design loading rate • 5 bed, gpd /ft •6 trench, gpd/ft Absorption area required 375 bed, ft 375 trench, ft Maximum design loading rate .5 bed, gpd /ft .6 trench, gpd /ft Recommended infiltration surface elevation(s) 104.50 ft (as referred to site plan benchmark) Additional design /site considerations system based on contour line of el. 103.50' Parent material glacial drift 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 El S © U :E S ❑ U ❑ S ®U ❑ S ®U ❑ S ®U El ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trer>ch 1> 1 0 -7 10 r3 3 none sil 2msbk mfr cs 2 .5 .6 2 7 -36 10yr4 /4 none sil 2msbk mfr gw im .5 .6 Ground 3 36 -51 7.5y r4/4 none sl lcsbk mfr gw if .4 .5 gglev. 1 04. O ft . 4 1 51-70 5yr4/4 none scl m na na na np .2 Depth to limiting factor +70 Remarks: Boring # 1 1 0-8 10 r3/3 none sil 2msbk mfr cs 2m .5 .6 2 1 8-18 10yr4 /4 none sil 2msbk mfr gw lm . 5 .6 ' 3 18 - 10yr5 none sici lcsbk mfr gw if .2 .3 Ground 10 1 e�' ft. 4 36 - 55 7.5yr4/4 c20.5yr5/8 scl m na na na np .2 Depth to limiting factor 36" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th ve. New chnjbnd, WI 54017 Signature: Date: 10 -25 -96 CST Number: m02299 PROPERTY OWNER Leroy Urhammer SOIL DESCRIPTION REPORT Page _2_of -_ PARCEL I.D. #_ pending Lot #19 Depth Dominant Color Mottles Texture Structure Consistence GPD /ft Boring # Horizon Bax>ciary Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench `` 3... 1 0 -7 10 r4 3 none sit 2msbk mf r cs 2f .5 .6 2 7 -27 10 r4 4 none sil 2msbk mfr if .5 .6 Y / gw Ground 3 27 -41 10 r4/4 c2d7.5 r5/8 sicl lcsbk mfr qw if .2 .3 -elev 102.0 ft. 4 41 -55 7.5yr4/4 c2d7.5 r5/8 scl lcsbk mfi na na .2 .3 Depth to limiting factor 27" 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) r r STEEL'S SOIL SERVICE Gary L. Steel Leroy Urhammer 1554 200th Ave. CSTM2298 SE4SE4 S14- T30N -R20W New Richmond, WI 54017 MPRSW -3254 town of Somerset (715) 246 -6200 lot #19 -Green acre Cty. Es. First Addn. f � N 1 " =40' BM.= top of 12" pvc pipe @ el. 100' Alt. Bm= nail in tree G el. 105.00' � %7 i Gary L. Steel 10 -25 -96 I