Loading...
HomeMy WebLinkAbout042-1016-10-400 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division & , INSPECTION REPORT Sanitary Permit No: 430578 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Village X Township Parcel Tax No: Dix, Mike Warren Townshi 042 - 1016- 10-400 CST BM Elev: f Insp. BM Elev: BM Description: Section/Town /Range /Map No: . C 1 9s'•clo` I c "'r • gtAA = l 07.29.18.97E TANK INFORMATION (kLEVATICA DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmar G►�.Z`T csaD C5r 6144 0.2D •r° 9 d Dosing J `t Alt. BM Aeration Bldg. Sewer �7 r bOt Holding SUHt Inlet TANK SETBACK INFORMATION St/Ht outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ;l,, r --%. IS t _. Dt Bottom �21 (123 \ ���W ''1 60 Dosing kk k kk , 1 � 1 Header /Man. f U wo a' Aeration Dist. Pi II ' Nto 2 Holding Bot. S m 5. PUMP /SIPHON INFORMATION Final Grade Manufacturer Demand At Cover t�rl. GPM S r Pwr. S - -41 Model Number 0 . H Lift �� Friction Lost System Head TDH q Ft 6 t .O Forcemain Len th Dia. 2 !t Dist. to well SOIL ABSORPTION SYSTEM( JWW REN - C _ H ) Width Length No. Of ranches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIM 3 SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manuf rer. INFORMATION Type Of S stem: ( CHAMBER OR Q J tZ — N �' UNIT Model Number: `O f DISTRIBU SYSTEM 1421 Q/L Header /Y9 Distribution x Hole Size x Hole Spacing Vent to Air Intake %,% Pipes) � rn J Len Dia Le th pacing 50 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 0 Yes D No yes Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1 / 't 7 Inspection #2: Location: 984 107th Avenue Roberts, WI 54023 (NE 1/4 NE 1/4 7 T29N R1 8W) NA Lot 4 Parcel No: 07.29.18.97E 1.) Alt BM Description= D .T, 2.) Bldg sewer length = w 9 5 - amount of cover = �� A) O � C Yan n Required? []Yes No tl t I Use other side for additional information. enD_ ? 1n io �,�� Date / Cert. No. RECEIVED fety d Buildings Division r NOV 2 6zc�(3waah gton Ave., P.O. Box 7082�i 1f5? �� Madiso WI 53707 - 7082 Sanitary Permit Number to be filled in by Co.) ST. CR IX COUNTY ( 8) 261 -6546 (7 S DepaComma ce state Plan 1 D. Number Sanita tion In accord with Comm 83.2 1. Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, sI5.04(I)(m) roject Address (if different than mailing address) tr I. Application Information - Please Print All Information ry �® �r bL? Property Owner's Name Parcel I o[ Block # Property Owner's Mai Address I Property Location - kQ I �� 62!� r� AAF City, State L) /� ,, 11 Zip C a Phone N ber F ,7 . , !` / I IN S� T�N, /J ircV (r W II. ype o Bu Iding (check all that apply) ( `!'" '"" �� Subdivision Name CSM Number or 2 Family Dwelling - Number of Bedrooms " / ❑ PublidCommexcial - Describe Use � t`o ,tiro " A - / ❑ State Owned- Describe Use � ❑City []Villa wnsb of �t r III. Type of Permit: (Check only one box on line A. Complete line B If applicable) A' ew System ❑ Replacement System ❑ TreatmenUHolding Tank Replacement Only ❑ Other Modification to Existing System List Previous Permit Number and Date Issued B. ❑ Permit Renewal El Permit Revision C1 Change of ❑ Permit Transfer to New Before Expiration Plumber Owner IV. Type of POWTS S stem: Check all that appl - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound <24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground Cl Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recir u ring Sand Filter ❑ r Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) .� V. Dis ersalrl'reatment Area Information: Design Flow (gpd) I Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dis rsal Area Proposed (sf) System E106 VL Tank Info Capacity in TOW Number Manufacturer Prefab Site 49teel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Talc Aerobie Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the andersigne me responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's re MP(MPRS Number Business Phone Number Plumber's �ddreess�(Street, City, StatS.Zip �U f VIII. Cora /D epartn ent Use Onl Approved ❑Disapproved Sanitary Permit Fee (includes Groundwater Date issued Is ui Agent Signature (N tamps) Surcharge Fee) 1 .29D 3 ❑ Owner Given Reason for Decrial � IX. Conditions of ApprovaUReasons for Disapproval 3 ) SYSTEM OWNER: / ;x �x�` 1 Septic tank, effluent filter and (� dispersal cell must all be serviced / maintained as per management plan provided by plumber. S O r 1 2. All setback requirements must be maintained as per applicable code /ordinances. V%o S:4e is Sty►'( t� mar P� 1� Attack template plans (to the County only) for the system on paper not less than 81 f2 s 1 I Inches i S in , SBD -6398 (R. 08102) ;? LOT PLAN PROJECT kike D'a ADDRESS 1179 N. Shore Drive Aot. 205 Forest Lake Mn 55025 NE 1/4 NE 1 /4S 7 /T J2 N/R W TOWN Warren COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 1 1 /27/03 BEDROOM 3 CONVENTIONAL IN -GROU PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE 630 gallons DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30 BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL «H.R.P. Same as Benchmark SYSTEM ELEVATION 81.8/80.8 4.5' Below Grade Alt. BM Top of Survey Iron @ 95.9' Plans Designed Using * Conventional Powts B.M. 220' Property Line Manual Version 2.0 .M. Scale is 1" = 40' unless otherwise noted e 45' B 2 -3' X 94' Cells with >3' Spacing 90 20 -2 B -1 95 ' 12% S lope 15 ' �7 . 50' ' 100 �. Pro 3 Bedroom c Huffcutt Combo House Vent ALong Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area 1 429 po Grade at System Elevation O 107th Ave *2N/R OT PLAN Aft Mike Dix ADDRESS 1179 N. Shore Drive A 205 Forest Lake Mn 55025 NE 1/4 NE 1/4s 7 / W TOWN Warren COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 11/27/03 BEDROOM 3 CONVENTIONAL IN -GROU PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE 630 gallons DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30 k BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 81.8/80.8 4.5 Below Grade Alt. BM Top of Survey Iron @ 95.9' Plans Designed Using * Conventional Powts B.M. 220' Property Line Manual Version 2.0 .M. Scale is 1" = 40' unless otherwise noted e Z45' B. 3 2-3'X 94' Cells with >3' Spacing 90 20 -2 B -1 95' 12% .� Slope 15' - 50' � 10' _1 100' Pro 3 a Huffcutt Combo Bedroom �o House g j nt Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area " Grade at System Elevation 34 107th Ave Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code - G (� ) Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County J include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information, a we by Date Personal information ou y secondary purpose ( t) )) 2 3 y provide ma be used for seconds u es Privac Law, s. 15.04 1 m . Property Owner Property Location /x Govt. Lot � 1/ 1/4 S T2 N R E( ) Property Owner's Mailing Address ` Lot# Block # Subd. Name or CSM# t# City State Zip Code Phone Number ❑ City ❑ Village / To Nearest Road _ /�/ /0 New Construction Use* esidential / Number of bedroom Code derived design flow rate L� GPD ❑ Replacement ❑ Public or commercial - Describe: __— Parent material Flood Plain elev 'on if applicable and recommendations: �-- e �� t✓ o / �p g , S , //� l M Boring # Boring {�. //% t- " 3� hr` am Pit Ground surface elev. ft. Depth to limiting factor ' / z 9 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'i 1 10 " Z/1 Ax Boring # Boring Pit Ground surface eleve�ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff #2 Effluent #1 = BOD > 30 220 mg/L and TSS >30 1 150 mgA- ' Effluent #2 = BOD 130 mg/L and TSS < 30 mg/L CST Name (Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Da Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 � ��� 715 - 246 -4516 r i Y A Property Owner _ Parcel ID # Page of Ong # ❑ Boring 7 it Ground surface ele �� a ft. Depth to limiting factor IoZ Z2 in. I Application Rate IJZ" Horizon Depth Dominant Color Redox Description Texture Structure Consistence BoundaryRoots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 l O, 3 IL f - �- 0 F-1 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 GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Ong # ❑ 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 GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Effluent #1 = BOD_ > 30 < 220 mg/L and TSS >30 1150 mg/L ' Effluent #2 = BOD 130 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. SOD4330 (R.6(00) I f ' Soil Test Plot Plan Project Name Mike Dix Sha ird Address 1179 N. Shore Drive Apt. 205 / Forest Lake Mn 55025 L M #226900 Lot 4 Subdivision --- ---- Date 11/26/03 NE 1/4 NE 1/4S 7 T 29 N /R18 W Township Warren Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 81.8/80.8 *HRpSame as Benchmark Alt. BM Top of Survey Iron @ 95.9 B.M. 220' Property Line .M. Scale is 1" = 40' unless otherwise L""Z noted B -3 45' 90' 86' 20' -2 84' B -1 95 12% Slope 15' Pro 3 a Bedroom o House g 107th Ave } SEPTIC TANK E PUMP CHAMBER CROSS SECTION AND Sp£CIT ICATIONS KEATHERPROOF a" CI VENT PIPE i2" MIN. AB GRADE JUNCTTON BOX APPROVED 2 FROM DOOR, WINDOW OR WITH CONDUIT MANHOLE COVER FRESH AIR INTAKE V WARNING LABEL rINISHED GRADE: 4" MIN. is " n (r M +n1. ZYn � b. II+T. f C.Z. E1�6ERWi+°a `. s ;$uMwM- T INLET -• GAS- WATER TIGHT SEALS _T_ TIGHT � !. \/KPPWVED A SEAL JOINTS WITH f LT fcR - A_ ALM APPROVED PIPE APPROVED t I v 4-ON 3' OHM — ;-- a SOLID SOIL PIPE 3' C = ' Omm SOLID FT. OFF SOIL FU"414P OFF ELEV - o D 3 APPROVED BEDDING UNDER TANK CO CRETE PAD SPECIFICATIONS / = / �kffl� SEPTIC ! DOSE NUMBER DOSES PER DAY: TANK MANUFACT GAL. D OSE VOLUM ZPiCi.UDING F LOHBAC K : GAL- TANK SIZES- ' DOSE . ��, / • -3 GAL. CAPACITIES: A A L ARM MANUFACIURER : g = 2 INCHES = 3 GAL. MODEL NUldSER z , .� Cs1sI.. SWITCH TYPE: C = P = P,mP MANUFACTURED _ INCITES = J CAL - MODEL NUKBER : - �,ri�_ 15.23 WAC SNITCH TYPE: / _ �T M WHIR NG AS PER I Lt�R G Pt�f pit i'3P � A i.AR REQUIRED DISCHARGE RATE �_ FEET PUMP OFF #bNB Al •$- - FEET VERTICAL DIFFERENCE BETWEENUR£ ._DIS'TRIBUTION FEET INIMUt�i NETWORK SUPPLY PR £T/1t3O'FT. FRTCTTON FA CTOR _ FEET M IN X+ + � FEET FORCEMA, TOTAL DYNAMIC HEAD _ j DI AMETER INTERNAL DIMENSI"S of PUMP TANK: LENGTH W I _H �,..,_ ; DT LIQUID a2 LICENSE NUMB';' SIGNER- 1188 I ■� ■ TOTAL DYNAMIC HEADICAPACITY PER MINUTE cm cm mm cm mm . ■�,�1' ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ . M ■■ ■ ■ ■ ■ ■ ■ ■ ■■ ��� 1 ■■ ■■ ■ ■■ ® ■MEN ` \►.111 ►� ■ ■ ■ ■ ■ ■ ■ ■■■ �� ► W 0 ■ ■ ■ ■ ■ ■ ■ ■■ ►�►,1111�� \ ■■ ■ ■ ■� ■■■ 1��►a�■■■ ■■■■■ �■ �■� �■■ ■■■■ No No WO 1111 �■■ M MEN rh :`111 5 11 ■ ■■ ■■ 193,1mm'sm a OEM iolmw toWhOME W MW vlrqmRlklkbk ■■■■N E■ t Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715 - 246 -5148 Shaun Bird #226900 ST CROIX COUNTY SEPTIC 'TANK MAINTENANCE AGREEMENT` AND OWNERSHIP CERTIFICATION FORM c � � OwnerBuyer Mailing Address Property Address 9 S /6 7 (Verification required from Planning Department for new construction) City /State Parcel Identification Number LEGAL DESCRIPTION � � N- W, Town of Property Locatior>� /4, / Sec , Ti�L �-- Lit # y Subdivision Certified Survey Map # J a / , Volume Page # Warranty Deed # j 5L 7 Volume 2 `f` 3 , Page # 1 5.9 Spec house ❑ yes;; no Lot lines identifiablAes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeyman plumber, restrictedplumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 fun of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 dayathe year e xpiration date. APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the p e scribed above, by virtue of a warranty deed recorded in Register of Deeds Office. /-2 IGNATURE OF APPLICANT DATE Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.*** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed w 202 w 20 � � x a- m �� m < m= _ e V 8 -1.�- 0 o x _ \ w >� 8_ 2 S V e ' sq O 0 0 J O0ID J a N O Z O O , ^ YH c f zt N -- 1710.P I WtD N 0 0 � N� p u C7b \) W x b i < •�' i, o + o o E o _ C3) SI- � .y C > ' M p 00 O cc N 8 O O L � _d D U > N O d N a 6 N LIE Q x 0) C O i 6 —0-2 a) c O s .E d Y O d N - t s � d N E d d -.-- O u c s d o c o `o c 1 U N c d . $ 3 8 - m a A T EO N d 2463P 159 << 74 -756 STATE BAR OF WISCONSIN FORM 2 - 1998 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., WI This Deed, made between Francis Land, LLC, a Minnesota Limited RECEIVED FOR RECORD Liability C 11/26/2003 09:20AN WARRANTY DEED EXEMPT # Grantor, and Michael M. Dix and Ranae A. Peterson REC FEE: 11.00 TRANS FEE: 180.00 COPY FEE: CC FEE: Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: Recording Area Name and Return Address Dm Lot4 m f Certified Survey Map filed May 27, 1999 in Volume 13, Page 3653 as gyp- 9 - \WAy. ent Number 603909, St. Croix County, Wisconsin 042 -1016- 10400 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Subject to easements, restrictions ,reservations,covenants and rights of way of record, if any. The warranties of this deed, either expressed or implied are limited by the grantor to the grantee, or anyone taking from them in the chain of title, to an amount not to exceed the the consideration expresseed herein, that being the sum of $60,000.00. Dated this 24th day of November 2003 Francis Land, LLC * * by c � � President * * Austin J. Baillon AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature ) SS. Ramsey County. ) Personally came before me this 24th day of authenticated this day of November 1 2003 the above named Austin J. Baillon * TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instrument and acknowledge the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY ■ Paul A. Baillon, Attorney at Law * Paul A. Baillon Notary Public, State of Wi NOTARY PUBLIC - MINNESOTA (Signatures may be authenticated or acknowledged. Both are not My Commission is perm n no; necessary.) January 31 ' ■ *Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 1998 INFORMATION PROFESSIONALS COMPANY FOND DU LAC, WI 800 -655 -2021 } • ES9E abed EL SOW 03! NCiaPJ? 0o _ 1336.1 S H1 001 u y Z H — b/I 3N 3Hl d0 3111 ISV3 At v 'W 199*0£ M t9S*L6£l WN Mui►SISbo00S \ Mu+J515t n 1l8'9lZ Mu9h18ho00S 0 \ O °f V C 4J rn g0 m •r•I � - � - O 10 0 4.) 0 M C u- X L ? - 4•1 W L 4J O r- U NN G N Ln 1 —I O.Z L.0 L. o f p U 1n U om \ O c° to H in N J m� nN 3 ® w JI L. 0 v oz r 40 In M M 1n _ 01 C W O to N N M lD � p C C > 4 0o CO W 1 al - o , E a ao H �vl M 4-) N� j I E J t O N 4 N 1 = WMtn a 0 44 100 o c 4a 0 160•£Lh MuSZ10Zo00N p c 160'£l 0 001 v m c 3 >1 L° rn w 0 3c 3c Ei 1 Z' c '- v N d O1 C E c t 3 U U _ G1 O +/ —` L LLI L . �--�j ao °—> cnl O Of Y 00 C'4 U) ail 3 '° 1--I I--- ` N ` N I d O ; O � U U w z r Q O Q N N N Ll.l Q1 C� ^ _ N d 4J >- L11 < 1 N O N O CO '-.1 d 4.1 a 0 V) y E-4 JI I –I ,.a c a w >, C/) r I [� p , I 19+x' h Lt MuSZ 1 OZ p J1 c°° L ; . - 9 � Ld M l 7 c o N W 0 CA I 100' 0017 191x h L E E N '- o LL -r{ i G ( 3 O O X L O at ►—' 4J �{ ch N v Q d � a L1J V) Z I Z cn w M z � I I ' I 0 O M — L W 4 a1 6 '� Q I (n L h V) {n N a1 l r10 I— _ O1 O z N Q N Q N I N 0 .__I w D (n N I ,1y N a1 N CO .I-1 1 —I 44 ° o O 1fi8•Slh M115z.Iozoo0N N • „ r 100' 001, , W S L— I pq Z til I- I M Z: N I 4J oI 41 0 o J I � ILA d o �l o�+ ~ c` a vii Li I r. o m O 1n QM QN N QL C-4 Ch 0 N OW NM cd w 0 w r'y • N al N CD rn N 0 T}. 100.00h 1OZ'Ll I (d U I OZ- L L % MIIS410Z000 0 - 'A 'IM „6S,Sbo00S W38 01 a3WnSSd b/I 3N 341 d0 9 4 3 3411 1S 3H4 03:)N3M33� 1 31tl S9NISV38 SCINV C73! ! t'1dNf1 _z 85 -96,� *ON qor uosIolr3 lee43LW Xq pe4le.lp 4umn,l4su4 s641 •�^ IM' Xlw7 iS speoa b SD� .n� irlom H P13310M 6661 L a3�r� Pf nj Quinn From: Jansky, Leroy [Ijansky @commerce.state.wi.us] Sent: Thursday, November 20, 2003 9:35 AM To: 'Pam Quinn' Subject: RE: "Buried A horizons" and old soil report I don't recall exactly what I told Shaun, but as I look at the soil test this site does not have A +4. An interpretative determination or monitoring will have to be completed. We are willing to accept some old (pre July 1, 2000) fill sites for use if soil development has occurred and there are no redox features in the fill. Fill sites are tricky, and more than 3 borings may be necessary to establish conditions across the site because of high varibility. I'd have to think about it some more, but this site probably was not suitable for a mound in 1996 when the test was completed. Leroy G. Jansky, Wastewater Specialist DComm - Safety and Buildings 13 East Spruce Street Chippewa Falls, WI 54729 (715) 726 -2544 Office (715) 828 -5902 Cell (715) 726 -2549 Fax • - - - -- Original Message - - - -- • From: Pam Quinn • Sent: Wednesday, November 19, 2003 12:53 PM • To: Leroy Jansky (E -mail) • Subject: "Buried A horizons" and old soil report > Shaun said he'd discussed a 1996 soil report with you, performed by Bob > Ulbricht, where B3 had an A horizon 10 Y/R 3/3 from 0 - 14" and a "buried > A > 14 - 33" with 10 Y/R 2/3 color. Heck, I'll fax the thing to you, but > Shaun > was referring to a portion of the code that any A horizon >20" thick that • may have been naturally (or unnaturally) filled requires an on -site • determination of suitability. I just was looking for clarification and > edification for myself - if the one boring is not viable, an additional • soil • boring would be necessary to design a mound on this site, correct? Shaun > did not make it clear to me where to find the code reference or maybe in • the • handbook? I'll add this information to our red policies binder category > "old perc & soil reports ". Thanks! • Pam Quinn, Zoning Technician • St. Croix Co. Zoning Dept. • pamq @co.saint - croix.wi.us 1 Wisconsin Department of Industr SOIL AND SITE EVALUATIO Labor and Human Relations age of Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION - Please print all information. eview by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.14 (1) (m)). 1 1 r 3 D 3 Property Owner / /1UH13//7� /-AN� Property Locafi i�7 p PAw- 13,4 //P C CpA0P, ! Govt. Lot NE 114 /(/E1 /4,S T 2 I ,N,R a E (or) (0 Property � /3/l /�f 3 NNE / Lot # Block# S EJv!? CSM 0 1 YY tiT • P ly ir✓ o City State Zip Code Phone Number Nearest Road 6f- RtuL /VIN. SS /D/ (l� /z )2Z2�5555 El Cit El Villa Town /O? f1 , 11 3 3 E New Construction Use: E esidential / Number of bedrooms 3 Addition to existing building ❑ Replacement Y ❑ Public or commercial - Describe: Code derived daily flow y roo 00 gpd Recommended design loading rate "el bed, gpd/fF f f trench, gpd/ft Absorption area required S 6 O bed, ft •5 O O trench, ft Y , 7 P 4 Maximum design loading rate � bed, gpd/ft trench, gpd /ft Recommended infiltration surface elevation(s) :5-49- F q 3 ft (as referred to site plan benchmark) Additional design /site considerations OPJ LY FO k - v uI Ajo SYcs rASM r Parent material j /� S� OwS kS S� r�� �i(l�F'�f /'¢"� Flood plain elevation, if applicable N ft S = Suitable for system Conventional ,- Mound In-Ground Pressure AT- Grade System in Fill Holding Tank U = Unsuitable for system El 0 l 5❑ U 3 u El 1!J U ❑ S Ku ❑ S SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPD /ft g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench 3 /3 of s ; . G /O Z `' /a� >� S�i� astir /� /' CS ,Q Z 1 Ground 3 ��- /4 - �- /M SGGC n►i► 'r ' 06t" Z . S �o elev. ft. o y D � y� f - .s y0 -J / /` J/ G �S/ �t s/ /�.S i4rL(/T /� S -,S Depth to limitin (p S -70 l oyxl 3! C z. S ,vp d. �►.•r :Q factor S y 3� Z ✓ Remarks: Boring # r 0 y0 I'DW 313 / 2 th. f2 S zu f .s 2 SL _ 0 VX 3 I V A /41 /04 re Ground elev. q�• 3� ft , Depth to limiting factor $/47 f!�)}] ./ T. !, ' 7 0 3k-in. Remar CST Name (Please Print) Signature Telephone No. 7/5 386 Address Date CST Number Private Sewage Consultants 655 O'Neil Rd. k-,-- O L/ /' / z Hudson. Wis. 54016 s /S /2 be 67-J %h 4e, 9 v� �' � si , �,► /o� Ali n c rte- Ly J ORIGINAL. P SSSS j+ I ,4D f PROPERTY OWNER SOIL DESCRIPTION REPORT c� Page ` � of , PARCEL I.D.# Z ' 0 T ( P EA ,0 1 A,1C>- Cs� Boring # Horizon Depth Dominant Color Mottles Texture Structure 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Boundary Roots Bed Trench 31 l fShK .2 u ; . S -33 /oy 21 3 dv,0.4-- o /oIf y t fSbIC .w, f;2 S luf . q ' .S Ground 3 3 - 1-0 f I O A /`9 l ! S�IiC es " t ie C's r Y , • S elev. 9f3 ft. goy L` r Depth to �plF 7� C 2 � �-Mf S/9/� A. limiting 7 factor Bonn # Remarks: j4 (,f/�ryc,(/a( XI& 40 ................... ....................... ........................ Ground elev. tt. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD/f in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. n. . Depth to limiting factor ILL in. Remarks: Boring # , , Ground elev. Depth to limiting factor in. Remarks: SBDW -8330 (R. 08/95) JAW18190 k PROPERTY OWNER SOIL DESCRIPTION REPORT Page Z of 3 PARCEL I.D.0 L T P EAJP N 6— CSM Bonng # Horizon Depth Dominant Color Mottles Structure 2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots tt, Bed , Trench ,.. y "I4/ /00 313 "14 I fShK u f , y. S -33 /orl? 2/3 i 0.4 /opts ( f,5luw n"v fp, cS luf . q : .S Ground 3 33 elev. /e -Fff D A/`7 l f S!>,C n, r {,e C• . �{ ; • S ; Depth to / ° Y� limiting !/ factor Remarks: j4 w ' y Boring # �A Ground elev. n. Depth to limiting factor Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. n. Depth to limiting factor in. Remarks: Boring # Ground elev. Depth to limiting factor — in. Remarks: SBDW -8330 (R. 08/95) JAW101SO ti N - f LA (n FIT 6 g N m • d Cn G u - I 7b R� r z t Z o °Q v 1 3�°C �2!0T N •may aa�u o nw c a �G L t IM F O Ch `G • Q d © y C G � lti A E,4s r L o r G -- n y0 D �