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HomeMy WebLinkAbout020-1295-00-000 o � r 0 / % 7! (k 2 � , w E � - § ■ / _ s z \ W : I N) o o m CD = w Z ' - , E i . @ @ ` ° c e ! i ` Q a . k \ ƒ Q @ 2 k ) ` F o k 8 r \ c © (D D / % 2 2 D = 8 ' / 3 \ - \ I [ ® § 7 E / co ) 'on n cn r ■ o r o ¥�■ r E { 0 0 0 \i ..- c § § § �� 4 / \ j / 0 9 CD ` D E § - IA = M 3 7 r � � { .. ( 7 § \ 0 g a $ { ƒ { §- f } r $ i 3 2 5 z _ E , Q. § k k / R ® ` { 7 o 0 : 2 ] CD M CL } 7 Z \ $ k \§\ ° § ,= E E_§ \ z % /} � $ C / } K 0 1 7 � _o §i �\ ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT r ' Owner Address 5%.,,, City /State j-�ho 5a Kj s c� Legal Description: Lot 3 Blocky Subdivision/CSM # SL -j '/, N 9 Sec T � - N -R�W, Town of PvpSoP PIN # SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer Size ST/1& P 0 4 Setback from: House a �� Well P/L S y Pump manufacturer Model Alarm location ---- -� (HOLDING TANKS ONLY Setbacks: ice road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: TAJ I n 1 l u r Width 3 Length $ 3 S Number of Trenches Setback from: House'SN" oV Well. R I b oP/L 18 Vent to fresh air intake Q�J I �� ELEVATIONS r Description of benchmark ' P V Elevation t U U- U Description of alternate benchmark Elevation ` Building Sewer ST/I -T Inlet `'`' K ST Outlet C Inlet PC Botto Header/Manifold t �� �. Top of ST/PC Manhole Cover Distribution Lines O O 7,� y O 1(. 7 0 Bottom of System (JA) So ((�y S. S �(-) �s � ) s" Final Grade ( ) ( S U ) g (L) � 9 ,D S Date of installation '�' /u/ Permit number 33 State plan number �+ Plumber's signature vd License number as Date Inspector complete plot plan •+ NOTICE: Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. i PLAN VIEW - F 4 c1p�Nav,� c -J z 3 — T"�� s INDICATE NORTH ` Wisconsin Department ofYommerce Count y PRIVATE SEWAGE SYSTEM Safety and Buildings Division • INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: ST CR IX Personal information you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. ;j?j 65415 Permit Holder's Name: ❑ City ❑ Village 20 Town of: State Plan ID No.: WILD, MARY & GRABER, JULIE HUDSON CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: tTD • 0' crp .0 CS i �3► -- 020- 1295 -00 -000 TANK INFORMATION ELEVATION DATA A9900102 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic I zoo Benchmark 3, Va, /03 . Z* 10. t Dosing 4 8m (31.2 `f Aeration Bldg. Sewer Holding CS /ilnlet 4 �.o1' 122,57- TANK SETBACK INFORMATION && Outlet A .2• ZC 122. 3 TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic t�p s- NA Dt Bottom Dosing A Header / Man. Aeration NA Dist. Pipe 3 (0.6'10 ' mob Holding Bot. System z S ;$e PUMP/ SIPHON INFORMATION Final Grade o Manufacturer and Model Number GPM TDH Lift Ion System Ft Forcema' Length Dia. H ead I Dist. Towels SOIL ABSORPTION SYSTEM( EN H Width Length No. Of Tr ches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSION SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manyfa lur _S 44C.1 INFORMATION Type o f ! 7 [S - R Modell N �e� System: C2� �(� OR UN T DISTRIBUTION SYSTEM Header/Manifold a Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length t Dia. Length �_ Dia. Spacing [eo SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over a Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed rench enter Bed /Trench Edges Topsoil El Yes ❑ No ❑Yes -A ❑ No ) COMMENTS: (Include code discrepancies, persons present, etc.) i��" = O' S`1 ����r.•e LOCATION: HUDSON 24.29.19,NW,NW 850 YOUNG ROALj AtA BM = St 1 �'-6 -ks i oC ti k4k ,(NW e'n4w) A ' $ + 44 +10 N� Plan revision required? ❑ Yes K No Use other side for additional information. 3 0 1 U� X SBD -6710 (R.3/97) Date Inspector's Signature Cert No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: j 4 t t ....... t - a , .. _.,, .... . . E € 5 3 r 4 � 3 } r a i ®, _. e° �a e s I , x a a a � m a a € I a a s € 8 a � i a .am �.,.. - .,w......,�. ...« w mm« ;p �,....«�„ .e,- - -,. .. — — .,, ®+ .. ...« m .t .... i s® .......... .,.�. € � a a E ( E mm j ., ,, m rz € } � r 1 Safety and Buildings Division 201 E. Washington Ave. %L SANITARY PERMIT APPLICATION P.O. Box 7969 In accord with ILHR 83.05 Wis Adm. Code , Dep artment of Commerce Madis WI 537 7 -7969 p Mad so , 0 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 1/2 x 11 inches in size. St. C'ecix • See reverse side for instructions for completing this application state Sanita Per it um ber The information you provide may be used by other government agency programs ❑ Check to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Property Owner Na • Property Loc ti S N, R 9 E (or) W rL l►.� t l d •d� 1 e R ot N• 1/4 R, � Property Owner' ailin A ddress g - 60 Lot Numbe Block Nu rb1er 3 �^4 @N r� ON VOP17 i�A City tate Zip Code Phone Num r Subdivision Name or CS Num L y ` r p i ts p a ( ) kN II. TYPE B ILDI G: (check one) ❑ State Owned E !ty Nearest Road p Public 1 or 2 Family Dwelling - No. of bedrooms ow OF kD t; U N L n III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) �}M q� ' 1 ❑ Apartment /Condo ® / 7 `� vv 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. RNew 2 ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5 ❑ Repair of an ,______System ________ System_____________ Tank Only______________ Existing System _________ExfstingSystem 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 E] Seepage Pit � 43 ❑Vault Privy 14 E] System-In-Fill VI. ABSORPTION SYSTEM INF RMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. SisteVlev. 7. Final Grade Required (sq. ft.) Proposed ( ft.) (Gals/day /sq. ft.) (Min. /inch) }t 7yy Elevatior�� ," l b u o 3 -0 9 S g Feet low bet Cap acity VII. TANK in Ca allons Total # of Prefab. Site Fiber- Exper_ INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existin structed Tanks Tanks Septic Tank or Holding Tank ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) PI mber's Si nature: (No Stamps) P/ MMPRSW No.: Business Phone Number: M N LtM,-e. e r I as vy Is y3 �Z- �� l� Plumber's Address (Stre t, City, State, Zip Code J N (N 412 j AV W %JI IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater 2; ue Issuing Age t Signa re ( o S pproved ❑ Owner Given Initial�Z —Wj Surcharge Fee) Adverse Determination F P X. CONDITIONS O APPROVAL /REASONS FOR DISAPPROVAL: SBD - 6398 (R. 11/96) DISTRIBUTION: original to county. one coyr To: safety & Buildings Division, owner, number INSTRUCTIONS F 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin Safety and Buildings Division, 608 - 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property ownI'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. 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 through 7. V11. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. R Sou 4 = 6b�kl,�P P ►fir pj � O = geNC.�, mo�K- Std' Tv of (''PYC GfEuuN D � l�v _ � o D d �► as 8 p 9 pl I� In 00 q a 3- r�,N�►�f p fi LI 1 I3 �lu ?o yoaUg Rio N ca T o c I 9s.a S L 99.aS V = -,� Liao iO c E C +-- M ® iO ca C x In a - = =r i E E U C t X O)l cn W_ cn i M i M 3 -C r N N U) O O 0 _C _O li - a Cf) ` N (d O N O F (n U ca CO -0 U_ O U 0) -C X L -- — ?� '0 C _� U L a) a) �. �Vy Q VVVVVVVV,�Q�ti O LL O = ) 05 05 Wisconsin Department of Industry SOIL AND SITE E V A L E P O R T Page of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 0� COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 " the e. PI tj ude, not limited to vertical and horizontal reference point (BM), directi % of s ope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest 0 w REVIEWED BY DATE APPLICANT INFORMATION PLEASE PRINT ALL INFO TION ST Ciaax PROPERTY9V *R- 134- y&AF5 ,l OVT LOT 1/4,S ZT T � 9 ,N,R /7 E (or jj ) PROPERTY OWNER':S MAILING ADDRESS CIF SUBD. NAME OR CSM # 3671 ,¢u2- , CITY, STATE ZIP CODE PHONE NUMBER OCITY []VILLAGE N NEAREST ROAD why l l�' G,fkt - l kxt 5511-0 ( &/)-) 65- 1 yo U,v6- [ New Construction Use [ <Residential /Number of b6drooms (] Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow & 0 0 gpd Recommended design loading rate bed, gpdm - trench, gpd/ft Absorption area required _� bed, ft trench, ft Maximum design loading rate _gy bed, gpd/ft2 . 61 trench, gpd/ft Recommended infiltration surface elevation(s) S-"- 4�L . 3 ft (as referred to site plan benchmark) Additional design / site considerations z/SE Lam 44�1, TitL'E��rlS - 41, 'l /k 1E, Z /110 S Parent material 5�5 ✓` 1 3v,fe441 DT— Flood plain elevation, if applicable !� ft S = Suitable for system CONVENTIO L MOUI�ID ❑ U IN- GOPUNDD P ATG�ADEE U SYST IN RLL HOLDING TAW - U = Unsuitable fors stem ff 5S [�'$ 2S B ❑ U OS 21 j SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed lT ::./ .. 1 0- /o yl.P 312- S� /, /ash ,Y•n � s � f s' . S Ground 3 /— 3/ 7, S yt° �fQ 3 e 1 3 ft. /* S Depth to limiting factor , Remarks: Boring # a_7 /o yA 2 2 7- Z3 ,6? y � y s,/ ��{Slj,� y 5 / f S .:.. 3 3,3 - /a Yee 6 Ground elev. ,1) /D yle .r4 Q.� � = 5 6 Depth to S' o -!.j - 7, Sys y/� /a� ,s. o, s �fL — — s limiting factor „ Remarks: CST Name: — Please Print Ro i3E p-T -uLg RtCtx 7 -- Phone: 715"- �s- Address: (o f f- Signature: Ulbricht & ASSOCIatils Date: CST Number: Private Sewage Consultants 655 O'Neil Rd. Hudson, Wis. 54016 ORIGINAL PROPERTY OWNER SOIL DESCRIPTION REPORT Page L Of -3 PARCEL I.D. # 4 07 - 3 7 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BouY Roots GPD /ft in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed ITrench .:. r 0 - -7 /0 3 Z s/ /f sh v�� �s Zf ; s :,t.....::...: Z 7--31 2,s Yle 8e /s I'lo -7 � Ground 7, S elev. � S 1 .7 .� Depth to limiting ' factor„ Remarks: Boring # 3 - 2 -3 /0 Y 313 - S/ 2, 6,� -60 �F 7 l� I I Ground elev. 1 ?- l6 75 Yi( ) y`�e G' •S. S ci° ,� 7 I Depth to ` limiting factor Remarks: � Boring # 0-// le�>Y"e 3 1z- s,/ /f�6 �.,fe . .. z -17 /0Y 3 13 I f,e Ground Y Y elev. 9f Go ft Depth to limiting factor -- T Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: eon "qn,o ncrnns a � t t% J oT 3 � S UrJ R i Q Cs- E I • _ �.9 cu re A Tv� af Jov / Or POP . f T ,e we- c Azk, w �S S v 6 6 7t::S T ED 'T W t.-7 C.(,., I OW - t ie eti C -(1,, 95 #2 5 r C �M No? TO 3- C ,41,6> All Yk A 192 cy / �o R 27. i ElcvhT�a� S — B� 13 /03. /3 Z ��6 o r � r /30 (TP � v�� U P 3 o*i 3 ~� ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Qy "- u v Mailing Address 3 39 Glevvloj P T, Property Address U v r WL f- i-16 (Verification required am Planning Department for new construction) City/State 401 1 r Parcel Identification Number 0:20 -e)n LEGAL DESCRIPTION Property Location lv w %., bj y,, Ste. T j N R, W, Town of H SD� Subdivision 5uy\ Q �� , �' Lot # Certified Survey Map # Volume Page # Warranty Deed # Volume Page # Spec house yes no Lot lines identifiable yes 0. no SYSTEM- fARMNANCE Impc+ operaseandnoaiatenanxofyearsepticsystemcouldresultmitsp ematui+ efar�uretohandlewastes .Propermaiabeaaaoe consists of pumping out due septic tank every tree years or sooner, if neodod by a fi What you put into the system can affect tiue function of the septic tame as, a treatment stage in the waste disposal_system. The Ply owner agrees to submit to St. Crone Zing Dcpattme t a certification foam, signed by the ow= and by a maga plartiber. - journeymanphunbc4 restrictedplumberor a licensed pumper verifying that (1) the on -site wastevAderdisposal system is in Proper operating condition and/or (2) after inspection ad pumping f if necessary). the septictanlcis less than 1/3 full of sludge. Uwe, due undersigned have read the above revireawnts and agree to maintain the private sewage disposal system with due standards set forth, herein. as set by due Department of Commerce and tare Department of Natural Peso stating that your tic �: State of Wisconsin.. C.ertificatioa �P system has been maintained must be completed and reduned to the St. Croix Zoning Office within 30 days of dw three year expiration date. vv M , h: U4 ' �" / 56/ '7 SIGNATURE OF APPLICANT DATE 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 ownaKs) of the property described above. by virtue of a warranty deed recorded in Register of Deeds Office, 4 5 L 11A. 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 ,J . �i95t354 KATHLEEN H. WALSH VARRANTY DEED REuISTER nF DEEDS DOCUMENT NO. ST. CROIX CO., WI RECEIVED FOR RECOU 01- 15-1999 2:00 PM This Deed made between CHRISTOPHER D. RRNTY DEED XE!1Ni M THOMAS and JENNIFER J. THOMAS, husband and C�Rr COPY FEE: wife, Grantors and JULIE M. GRABER and MARY K TkR Y SFER� N FEE: 162.00 WILD, as;oint tenants, Grantees. RECORDING FEE: 10.00 PA %S: Witnssett., That the said Grantors convev to Grantees the following described real estate in St. Croix County, State of Wisconsin: Lot 37, Plat of SunRidae II in the Town of Hudsor. St. Croix County, Wisconsin. 7 TO: Julie Graber and Mary Wild This is not homestead property. 339 Glenmont Road giver Falls, WT 3402 Together with all and singular the hereditaments and appurtenances thereunto beiunino: PP "C- L . And Grantees warrant that the title its good, indefeasible in fee simple and tree and clear of encumbrances, and will warrant and defend san,.. Dated this 1 { day of January, 1999. i (SEAL) y_' � � z r�t ��''' (SEAL) Christopher D. Thomas Jennifer J. Thomas STATE OF WISCONSIN )SS ST. CROIX COUNTY Personally came before me this _I day of January 1 the above named Christopher U. Thomas and Jennifer J. Thomas, to me known to he the persons :rho executed the fore, gun Instrument and acknowledged the same. Notary l'uhlic. Srtte'"of w'i�cons.s; My Cormnisston terpires): THIS INSTRUMENT DRAFTED BY: Robert W. Mudge Attorney MUDGE, PORTER. I.UNDEFN & SEGUIN, S.::. 110 Second Street, P.O. Box 469 Hudson, Wisconsin 54016 ► 64. 3 w �y2 O LL I l*1 N i O I 0 , N' ' O O I � O z I W x 7 - , , Q, W: c� O O w I m Q. • ' � 1 )� O ' • O O o I O1 0) N Z j I O x , 7-1. N I Ol o 1 J I 6 6 w I tn u.� 0 3 I i--, i.3 1.4 I I I / ! 0 x 01 LOT 3 1/ to / / I W x EXISTING FENCE -KNOWN TO NOT BE ON THE 1/16 LINE 7 FN 89' 25 ' 51 " E 300.00' _ , X __ - ------ R - - ��� X io? Z . 2 X SOUTH LINE OF THE NW 1/4 OF THE NE 1/4 � • I ;� / I ., m i2 v \ 37 W. I 16 "' '� 160,349 SQ. FT. I o / , y�s° s �- • 18 3:681 AC. 17 �50 oo` 0 � I m 31 \ 19 o S`aC`NE \ir7j�� 1 0 J" 1 • 1 z Yw N p �5� 1.79. 63.21 '. w 00•pp« ;I \ NG co ►y 2 21 O .� f h 30 1 2p . pp , R co N 87 00 0 0" E 0-0 0 0 !� > sf TQac _ S ° 00 00'•E_ 3 6 6' 4 Q Q 23 22 S 87 °00� 00'�W to SQ. FT. 0� i��? K tovc o W N S 00, 135.00 cn AC. P h 0rp oy � p 0 O p , oo C—p 5o'SEToACK LINE Q g0� / H * '\h STORM WATER i 04 39 co 5 / c \ q DETENTION EASEMENT I �I Z, 91,846 SQ. FT. pW m tih 2.109 AC. ' 26 \ W \ 25 0l 1 IV I 3 24 (_ 112,094 SQ. FT. ti 2.573 AC. 4t, N V 1 O i0 O o ? 5 I `y o \off, / • 9�• Q2 .\ � to � o � \•30pQ/ p f� UN ~ 01 N Z X 29 I NT8 0 N apt 00 I 1 �qT 6 • „ W I I �F0, S a-3-14'00 I n I I Wisconsin Department of Commerce 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'/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimemsions, north arrow, and hoc tance to nearest road. Parcel I.D.# APPLICANT INFORMATION - p /ea g a 020 1295 - 00 2 y,,t9. /4.i Personal information you provide may be used for purposes rivacy x. (1) (m)). R wed By Date / � 59 Property Owner 1" EIVED Pr perry Location + M WI1d & Jane Grabber Go. Lot SE 1/4 NW 1/4 S 24 T 29 N,R 19 w Property Owner's Mailing Address ' ? f '9, Lot Block # Subd. Name or CSM# �� cr,,,, St 9 _. 37 NA SunRidge City State e r y City ❑Village ❑Town Nearest Road y'w- (5t G4/ x541 rNG OFF Hudson Young Road ❑ New Construction Use: Z Res' u lCP f a ms 4 ❑Addition to existing building ❑ Replacement ❑ Public or co c6be Code Derived daily flow 600 gpd Recommended design loading rate •5 bed, gpdM .6 trench, gpd1ft Absorption area required 1200 bed, f1 f.aw trench, ft Maximum design loading rate .5 bed, gpd/fF .6 trench, gpd/ft Recommended infiltration surface elevation(s) 97.0 upper, 96.0 center, 95.0 low ft (as referred to site plan benchmark) Additional design / site considerations Install trenches using high capacity infiltrators. Parent material loess over outwash Flood plain elevation, if a pplicable NA ft S= Suitable for system Conventional Mound In Ground Pressure AT - Grade System in Fill Holding Tank U= Unsuitable for system ® S❑ U Z s❑ u Z S❑ U ®S ❑ u EIS M U ❑ S M U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure Consistence GPD/W Boring# Horizon in Munsell Qu. Sz. Cont. Color Texture G Sz Boundary Roots Bed Trench 1 1 0 -10 10YR3 /2 None A 2 f c r mvfr gs 2f,lm 0.5 06 2 10 -23 10YR3 /3 None sil 1 thin p laty mvfr gs 2f, Im NP ! 0.3 p� Ground 3 23 -52 I0YR4 /4 None sil 2 m sbk mfr cW if 0.5 .06 elev 99.71 ft 4 52 -96 10YR4/4 None Ifs 1 c sbk ds gw - 0.5 0.6 Depth to 5 96 -125 10YR5/4 None s o sg dl - - 0.7 0.8 limiting factor i >125" ' Remarks: 2 1 0 -7 10YR3 /2 None sl 2 f cr mvfr gs 2f,1m 0.5 .06 2 7 -18 10YR4/2 None sil 1 thin platy mvfr gs 2f, lm NP 0.3 pre Ground 3 18 -30 10YR5 /4 None sil 2 m sbk mfr cW if 0.5 .06 elev 99.34' ft 4 30 -44 10Y /4 None Ifs 1 c sbk ds gw - 0.5 0.6 Depth to 5 44 -123 I OYR5 /4 None fs 1 c sbk dl - - 0.5 0.6 limiting factor >123" Y Remarks: CST Name (Please Print) Signatur Telephone No. James K. Thompson srn ° 715- 248 -7767 Address A.E. Soil & Site Evaluations Date .0 CST Number Ref # 340 Paulson Lake Lane, Osceola, WI 54020 4/19/99 3602 1002 PROPERTY OYIMER Mary Wild & Jane Grabber SOIL DESCRIPTION REPORT tooz Page 2 of 3 PARCEL I.D.# 0320 - 1295 -00 A.C.E. Soil & Site Evaluations Depth Dominant Color Mottles Structure GPDfil Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. � nsistence Boundary Roots Bed Trench 3 1 0 -10 10YR3/2 None s1 2 fcr mvfr gs 20m 0.5 .06 2 10 -27 10YR3 /3 None sil 1 thin platy mvfr gs 2f, lm NP 0.3 Ground elev 3 27 -48 10YR4 /4 None sil 2 m sbk mfr cw if 0.5 .06 97. 98' ft 4 48 -72 10YR4 /4 None sl 2 m sbk dfi gw - 0.5 0.6 Depth to 5 72 -116 10YR5 /4 None Ifs o m dl - - 0.4 0.5 limiting factor >11 Remarks: 4 1 0 -9 10YR3 /2 None sl 2 fcr mv fr gs 2f,lm 0.5 .06 2 9 -21 10YR4 /2 None A 1 thin platy mvfr gs 2f, lm NP 0.3"' Ground elev 3 21 -57 10YR5 /4 None A 2 m sbk mfr cw if 0.5 .06 94.45' ft 4 57 -92 10YR5 /4 None s & gr o sg dl gw - 0.7 0.8 Depth to 5 92 -121 10YR5 /4 None vfs o sg dl - - 0.4 0.5 limiting factor >121" Remarks! 5 0 -7 10YR 3/2 None sl 2 fcr mvfr gs 2f,lm 0.5 .06 r 2 7 -26 10YR4 /2 None A 1 thin platy mvfr gs 2f, lm NP ! 0.3 Ground -- elev 26 -40 10YR5 /4 None fsl 2 m sbk mfr cw if 0.5 .06 94.08' ft 4 40 -50 f 0YR4 /4 None Ivfs o m dfi gw - 0.4 0.5 Depth to limiting 5 50 -59 10YR5 /4 m2d 5RY 4/6 sil 2 med platy dfi aw - 0.5 0.6 factor >112" 6 59 -97 10YR6 /4 None lvfs o m dfi aw - 0.4 i 0.5 7 97 -112 l0YR6 /4 I None I s 1 o sg I dl I - I - 1 0.7 0.8 Remarks: 12^ rule applied to horizon #5. Redoximorphic concentrations due to textural restriction at interface of soil textures 6 Ground elev Depth to limiting factor Previous soil evaluation completed by Bob Ulbricht. Sanitary permit for dose conventional system obtained by Boumeester Excavating. New soil evaluation conducted to eliminate installation of pump chamber required to use original site. Remarks: DQ o `er n N v ■ le Leo I 5Crenda.5 @ 3 X (o 9. 7S' .g,, e at k5�ng, kt e4 q+ y a y cA paC;t , i %e A f: ,� ri1. qa•�r � � N ^ I 4 I ' u I r D-or)cOS r►2,,.�. y L,-X, td e Lod 3 7 o f' r OCa -z� o f �, a �' f1k.dSa►•,, 5 � err, ;,