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HomeMy WebLinkAbout032-2115-20-000 ST. CROIX COUNTY ZONING DEPARTr� AS BUILT SANITARY REPORT Owner . Property Address City /State _ Legal Description: -< r J; 'a Lot �42- Block Subdivision/CSM # '/a L I /a, Sec. , T3�N -RAW, Town of �,ry P # 7 - c' 1� SEPTIC TANK — DOSE CHAMBER — HOLDING TANK INFORMATION Tank manufacturer - Size ST/PC Z Setback from: House -4� Well PAL Pump manufacturer Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: ,�,--r� Width 62 Length Number of Trenches Setback from: House _// -Well Well P/L Vent to fresh air intake ELEVATIONS Description of benchmark Elevation Description of alternate be nchmark Elevation Building Sewer ST/HT Inlet ST Outlet PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover Distribution Lines () () ( ) Bottom of System () () ( ) Final Grade () () ( ) Date of installation 7!/,199 P mit nu er State plan number c Plumber's signature License number :2 "9 Date Inspector Complete plot plan � e 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. PLAN VIEW LJJE 1 oe i9' GG 40 - a INDICATE NORTH ARROW v Wisconsin Department o f Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division Count yST. CROIX INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar3F_%4y7t".: Personal information you provice may be used for secondary purposes [Privacy LNv, s.15.04 (1)(m)J. e�it�hlol �IVame: [SostERgIfte ❑ Town of: State Plan ID No.: CST BM Elev.:- Insp. BM Elev.: BM Description: 3 Parcel _0823- e2115- 20-000 TANK I FORMATION ELEVATION DATA A9900050 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic (Z Vb Benchmark .5. 14 Dosing A -H% g►M 3A- ga ,oy Aeration Bldg. Sewer Holding N•F Inlet S, �o q, TANK SETBACK INFORMATION S /+tt Outlet 4 I TANKTO P/L WELL BLDG. Air to I ntake ROAD t44let- Air Septic ] / r s� r NA D - Bvttom -- Dosing NA Header / Man. Aeration NA Dist. Pipe Z/ $; L � Holding Bot. System y./ V PUMP/ SIPHON INFORMATION Final Grade /� o Manufacturer Demand '5 4 36 Q' /, 26 Model Number GPM TDH Lift Lricti System TDH Ft o ti Forcemain Length Dia. Dist. To Well SO L ABSORPTION SYSTEM ED 1'lil�at Width r Length o. Of Pits Inside Dia. Liquid Depth EN I N 2 `F I DIMENSION SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING Manufacturer: INFORMATION Type O / mo Number: System: �!� CHAMBER OR UNIT DISTRIBUTION SYSTEM Header / Manif Id a Distribution Pipe(s) I / x Hole Size x Hole Spacing Vent To Air Intake Length Dia. _�t7 Length �t Dia. Spacing 2 SOIL MR 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 COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: SOMERSET 3.31.19,NE,SW 550 232ND AV UE Downo 12 �ec�cu,,� c�;- ,Pt�,,,,� y�- � 1 n�C�a►^ - g�•�5y Plan revision required? E] Yes DA No Use her Sl a for d itional in ormatior� << z9 Q ,�^^' S Z ® SBD -6710 (R.3/97) ��� �'^ II— 1gspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: € _ E I ° ' € a E € € 3 9 6 ..a....,,m�m °° i i ee k 4 1 j [ E 3 _ ... _.._. .. ,.... .. ° s € ; 4 a f a { c f € E W 3 € 3 8 e s E 1 # { F s S r mm� t � i E A € - :� _ _ 6 f f t r i 7 € 1 1 { 4 � � . ..... p e - �.._....., d....,. ._.. „_..�.m.._ .... _�.... .m_ _.i °a ....._. :. ......_. ,.m._. _ v. E E i S 1 s i SANITARY PERMIT APPLICATION Safety and Washington Avenue n Vi scons i n 201 W. Washin P O Box 7302 Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary P rermi Number Personal information you provide may be used for secondary purposes ❑ Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Prope y ier Name Property Location -114 1/4, S T , N, Ror Property Owner's Mailing Add ss Lot Number ✓ Block Numb r I City, State Zip Cod Phone Number Subdivision ame ecLSll4dluaaber II . TYPE F BUILDING: (check one) ❑ State Owned 0 It� Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms [ Town o ' III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) a 152. 211 S - 2.0 - .OaO 1❑ Apartment/ Condo 11, 16 1 16 41 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. lg New 2. ❑ Replacement 3_ ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an - _ - ___ System - ___ - ___System _____________Tank Only______________ Existing System ________ Exi sting ---- 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 ❑ Mound 30 ❑ Specify Type 41 []Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit X 7 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp A a 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /i ch) Elevation Feet Feet Capacit VII. T ANK NFORMATION in gallon Total # of Manufacturer's Name Prefab. Con Steel Fiber- plastic Exper. New Existing Gallons Tanks concrete structed glass App. Tanks Tanks eptic Tank — ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ I ❑ 1 ❑ 1 ❑ I ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, thl undersigned, assume responsibility for' stallation of the onsite sewage system shown on the attached plans. Plumbe Na e: (Prjnt Plu er' i de: Stam ) MP /MPRSW No.: Business Phone Number: Plumber s Address (Str et, City, tate, Zip de): IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwate Issued Issuin ent Signature (No Stamps) j )Ap p roved Surcharge Fee) pp ❑ Owner Given Initial � Adverse Determination 5 I 7 4, O l X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD- 6398 (R.1 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. 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 owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. il. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. 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 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. ` ---------------------------------------------------------------------------------------------- - - - - -- I 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. �1 pfd Yvo v✓1 � < � � -�9 `�_ n r� 41* 33 I f Wiscbngin Department of Commerce SOIL AND SITE EVALUATION Division abafety and Buildings Page 1 of 3 Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in sib Plan must unty include, but not limited to: vertical and horizontal reference point (BM , d ^ St. C ro i x percent slope, scale or dimensions, north arrow, and location and di�tanc6 to ne r st road ` Parce I.D. # -. _. APPLICANT INFORMATION - Please print all informatlon n" , � Rdyie r y Date Personal information you provide may be used for secondary purposes (PrivacyuaW. s. 15.04 ($)T(n4}) Property Owner �' >° pp�grr(Aptn Richard Stout -Govt. Lot NE 194 SW 1 /4,S 3 R 1 9 E (or�W Property Owner's Mailing Address #,' r , Biock�#- Subd. Name or CSM# 1353 Awatukee Trail 12 Meadowoods City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road Hudson Wi 54016 ( 715 ) 549 -6731 Somerset 232nd Ave © New Construction Use: ® Residential / Number of bedrooms 4 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 6 0 0 gpd Recommended design loading rate —_ bed, gpd/ft gpd/ft Absorption area required 858 bed, ft 7 5 0 trench, ft 2 Maximum design loading rate -7 bed, gpd/ft 8 trench, gpd /ft Recommended infiltration surface elevation(s) See Mot plan It (as referred to site plan benchmark) Additional design /site considerations Parent material CNC2 Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holdinzlu U = Unsuitable for system ®S ❑ U ®S ❑ U ®S ❑ U ® S ❑ U ❑ S ®U 1:1 S SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPD /ft g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh, Consistence Boundary Roots Bed Trench 1 1 0-14 1 0yr4 /3 -- sil 1.Aabk mfr cs if . 5: .6 2 14-2.2 10yr4/6 -- sicl 2 � mfi cs -- .4' .5 Ground 3 42- 1 10yr4/4 -- ms osg ml cs -- .7 .8 elev. 91 __S-0-ft- Depth to limiting factor 91 in. Remarks: _ Boring # 0-1 10yr4/3 - 14_ 2 F341-SO 10- 1 10yr4/6 -- sicl 2�ie� mfi cs -- .4 .5 10yr4/4 -- ms osg ml cs -- .7 -.8 Ground elev. Depth to limiting factor 90 in. Remarks: CST Name (Please Print) / Signature Telephone No. Address Date CST Number 2d RA Richard Stout SOIL DESCRIPTION REPORT g �_,— ' PROPERTY OWNER — Pa of PARCEL I.D.# Boring Horizon Depth Dominant Color Mottles Structure 2 g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench 3 1 0-12 1 Oyr4 /3 -- sil 1 dA mfr cs if .5 , .6 2 12-]5 10yr4/6 -- sicl 2 Xi A k ff mfi cs -- .4 ;.5 Ground 3 35-S3 10yr4/4 -- ms osg ml cs -- .7 .8 elev. 9 0 -510-ft. Depth to limiting factor _9-3 in. Remarks: Boring # 1 - 0 1 0 r4 3 sil 1 rpd, � mfr cs 1 f — .5 ,. 6 4 2 10-36 10yr4/6 sicl 2 mfi cs -- .4 .5 3 6-89 10 r4/4 us os ml cs -- .7 .8 Ground elev. 89 . 2-Q ft. Depth to limiting factor 8 9 in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # 0 -12 1 r -- t Vwb/e 5 2 12 -32 10yr4/6 -- sicl 2 fAb mfi cs -- .4 .5 3 32 -88 10yr4/4 Ms Osg ml cs -- .7 ,.8 Ground elev. ' 90. ft, 1 "6U� . Depth to limiting factor 8 b in. Remarks: Boring # E3 Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) s TD G� .4, r /.0 SASr«+, rA 5"a —t4 /T 7 % F7 ✓` 4 Z: �'(� �?Q �V 1 / I I i f� C pYROf 1 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner[Buyer ,, Mailing Address 135g w.1 Property Address 5,5 03a 6,o 4 4 11 - -- (Verification required from Planning. Department for new construction) 1� � City /State Sord Parcel Identification Number LEGAL DESCRIPTION Property Location - �/� '/4 Sec. — TN - R��W, Town of MR Certified Survey Map # , Volume , Page # Warranty Deed # s :Z&j: , Volume , Page # Spec house 5k yes ❑ no Lot lines identifiable) yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance c­7 ;'7f.z of pumP;n^ �Tlt the septic tank every three years or sooner, if ^^ ^ded by a licensed pumper. What you put into the systerr. 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, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/w•e, 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 Zoliing Office within 30 days of the three year expiration date. Zt / /1 SIGNATURE F 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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office. al�9/9? SIdNATUR 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 decd from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed A 4Z� I 1 _ N00'10'53'E 1317.68' ..L _ W&IO'S3'E 1306.07 k ., 1 11.1k - • n r, - t - 761 ♦ - 5e 76 :'06. 206 09 1 .1 pp 4a I \ 's ue I \ \ 4 I P � °� c; "026' i 1e 7- F � _- A •... IJ� � seal ' wm•a'25'r 3w. U P 115" 1 �/C N .•p "rs, i .. ,°" ............. ........... V ej lr h? .ir la I R 40 % 19 1Y 5 261 e1 ttt i K , li •, i •� � ��� _ U �� � �_ - womo'est ao.w -- - � °• � � �`. .. uomo'se 392.3W m I L a . _g j ,. nooro e c os 2W 49 .75219'... _ 216w S u. iY NOOVt'S1'E ',� Lam*'. S00VI'51'w 1311.16' 2433.39' / Ok ►hip p7�1EET _. 300V1'51'w 1314.16 f b ^00ro1 506175' <; j I !t , d � 6 N � � ; ;c �•Iti � I ',n f''• � � a " 1 "4 P�� f ,� 5 y y 5� �: � � 8 8:s � d �M f — - U ?!'19r "1U99 1iz:4i 7 El 2 2 R.E[4 *: TEAM 1 REALTI F'F;GE U1 oY,l8 +89 FRI 15:18 FAX 71D 306 WbT rcast..iytsa ur 1 - _ VOL 1 404 PiAll S:AYe BA0. QF VnSCONSIN KCRM KATHLEEN H. uAl$M w8aRANTY DEED yy REOISTER OF DEM x CO., y S r. LROI i U00UMENT NO REL£IYED fm 116M ,I _._._�RSCHAI�• rt — .�T[SrI-P_8nd .t]NFT F 4'T1CIT a2- 19.1959 u s3 9 q1 _ —. - T - -- -- L 0[E6Y SCEf I; cPrlvcls and wRO1Rt3 to °--� L�QQ� REtbItD1M9 f[E: 1 s SPA GG nos Mviii P P ING DATA U PECUA D p thefdi:ruu de,cribedrenevtautn t 'im3�11+3^bCrt^� -tn� :.�. . Stan of wixunttn' a� ,t4vac Lot 1 r Plat of gmadourovds, Town Of Sornergokt« i,+3s Hu�a�b►11.t�R "�rra+! 5t. Croix County. 4ieuorlsin. dxa,1A, 8540 tv 'a'l ID M IFI TI N NUMRiR , I I i I I I t I it i E J Ls no hamtat ad { Fruper`y {i I wt7 0., req it i Excep6onttiwartartSts gy.e1:4ents, rCStriCtlon5, rights - Of W4y And COVariants of record. i s 20t ty"ebr A.D, 19 I dxy of - - -, - °I Janet P. stout Rictsard c, s to ut -- �SERU � -- - S SFAL) _ isFA1.! — 1 .. I t'. i� ACKN09WLEOGMENT ALTUt N "f I CATION it StAte of W:6coAsta, 1 St. Croix _ County , lirrri.milly came lxlua tcc rn� _ - ?Qth �- dry M , 7Q , rho above r»maJ E' Ri 012n r) - Uinnu wino lJSrt ®t D - � il `', t1TLL: 7r!EtdEeuSiaTC dltn C.r WISCQNSIN • ��F 1 J F � - J'°"� _�- 1y e,tcl try 1706.04 W's, Slsl, *4 c r ke+nM* w �e the person S- whu cvetvtM rtu 1-90% I l i l riCrYa 5tm. e ,� 1 Y i man[ ens tknouritdf� the I h (r1:$ INSTRUM ry 0 WA UR,4 , ilO 9 Janet P.CCLI T� aad Wi_ 54016 p � G rluanrubtc. .� "'7� - -Cc, nrKwu - -. =r- •�^•"_ —_...— —�_ Y- RL[ 4x�1Y7[ On ZiAt[ t '. i; rcp�rlrtart;■ mRy ht RFlh ;nttt�ttd a: ackr,Uw ged. � Y 79�_•l tttcesr:�ty.) M ccmmisewn t �errna� - (1! - j ..... _ .. _ . ' '�.. Q i Y' F is rna�ln by ,yrxE or prnxy bol t�uu '�. t1. c.lA�nlrn. I 51'AT■ VAt 9Y W1S170%ilN ri.s j Fuem fr A a - 1}tll Nuxle�¢rr. �I'a, NAAWLN T' n? 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' 4 ' ( K pom 5 25 AMP ti� F 1 Q' a f . 985:(1 �7 — — — — - -�, J _ n�i tav�� NE 7/�c irtE sw i ET T CH NARK: •t,, " r OF IRON t/ - t/ Wisconsin Department of Commerce SOIL AND 'SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accordance with s. ILHR,.$3..09, Wis. Adm. Code Attach complete site plan on paper not less than 8 112 x 11 inches in size PAan must County 's / include, but not limited to: vertical and horizontal reference point (BM) direction an percent slope, scale or dimensions, north arrow, and location and distar "0 neare 'rood i parcel LID'- # APPLICANT INFORMATION - Please print all informa Re iewed by Date Personal information you provide may be used for secondary purposes (Privacy La ( a. (1) (m))'. Property Owner Pro ,t s �\ Govt. Lot 1 /4" 1 /4,S� T 3 ,NR E (or)19 Pr perty Owner's Mailing Address Qt,9f Block# ,Subd. Name or CSM# City State Zip Code Phone Number ❑ City El Village ® Town Nearest Road ® New Construction Use: Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow ._ gpd Recommended design loading rate ; 7 bed, gpd /ft gpd /ft Absorption area required 9S'g bed, ft , . trench, ft Maximum design loading rate bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design /site considerations Parent material Q,24d l Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure I AT -Grade System in Fill Holding Tank U = Unsuitable for system I f z S ❑ U ® S ❑ U Z S ❑ U L9 S ❑ U ❑ S ® U ❑ S A u SOIL DESCRIPTION REPORT Boris # Horizon Depth Dominant Color Mottles Structure GPD /ft Boring Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground elev. e Lr Depth to limiting factor Remarks: Boring # Ground I I � , ft. Depth to limiting factor >,ZZ2_in. Remarks: CST Name (Please P ' t) Signature Telephone No. Address Date CST Number r � PROPERTY OWNER /��JC - ; iZ2 SOIL DESCRIPTION REPORT Page ',�' of PARCEL I.D.# 0212 - //)ILL - ee - c eo Boren # Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench r . y q 1 Ground 3 1 171 - -2 p elev ) 4 _ Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) ,� ,�,� �'I��- �� c1`cd�ciclvs�t�.o - �w.,✓�µf.�i�o , s r i ,S 33 i St s � SYSTEM ELEVATION AND SIZING CALCULATIONS Below Grade Aggregate Soil Absorption Systems Permit Number 11/29/99 Date X X. Gravity Distribution only 1 Pressure Distribution 3 ft Suitable Soil 1 6 in Aggregate Depth 2 4 in Nominal Pipe Diameter 450 gpd Estimated Daily Peak Flow 0.70 gpd /ft Wastewater Infiltration Rate 642.9 ft Minimum SAS Size 94.60 Ift Proposed SAS Elevation Soil Surface Acceptable Finished Grade EL 3 (ft) Boring Grade Limitation SAS Elevation (ft) System Minimum Maximum Number Elevation (ft) Depth (in) Lowest Highest Elevation? 97.10 98.93 1 98.70 110 92.53 97.20 Yes 2 99.20 112 92.87 97.70 Yes Cut required 3 98.40 112 92.07 96.90 Yes 1. Depth of suitable soil required below the infiltrative surface for treatment. 2. Depth of aggregate below distribution pipe. 3. Based on chosen system elevation, and aggregate depth. The addition of fill for cover or the reduction of finished grade may be required to meet minimum or maximum code standards. I Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. SBD- 10553 -E (R.05/98) ST. CROIX COUNTY WISCONSIN ZONING OFFICE II N N p p B 8■ ST. CROIX COUNTY GOVERNMENT CENTER NNN.� 1101 Carmichael Road Hudson, WI 54016 -7710 _ (715) 386 -4680 November 30, 1999 REMAX Team 1 Realty Attn: Mike Germain 103 Main Street Somerset, WI 54025 RE: Septic Inspection for M & G Inc., located at 550 232 " Avenue, Lot 12 of Meadowoods, Town of Somerset, St. Croix County, Wisconsin Dear Mr. Germain: A septic inspection of the above referenced property was conducted on July 13, 1999. This property is located in the NE'/ of the SW'/ of Section 3, T31 N -R1 9W, Lot 12 of Meadowoods, Town of Somerset, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a four (4) bedroom home. If you have any questions regarding this, please contact our office at (715) 386 -4680. Sincerely, Kevin Grabau Zoning Technician /s