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HomeMy WebLinkAbout038-1021-30-100 4 0 ° o ' ° M ~ 0 d M 4 O h O � N O ti C C h 0� h O m z N 0 C Z U. m Y. c o Q U) i. C z_ a m US M C O O z a (A z r N Z £ -2 N Cl) 7 a� c L c O 'D 7 w Q Z Z 0 z �l M G1 V Cl) .. E N l6 EL C .. Y CV A n C0 ' N d `1 N C O D D a o @ N h w ¢ o > U o z r> FL Z CL IL n °L ° g E 3 O N N U) U rn rn } N N N 0 O = O O _ E m N O O U 7 .V�+ Q } C ) N A 00 is CD H c E el H m m :3 o M ¢ N ' C N CD C O N� N C O N O C C M Q O r a C co w N U) O N CO r y @ L CO O N C R U • O Cl) fn M O Z C� r L In i w � � w +' d 4` • a m u 0 0 A vat Omci I Parcel #: 038- 1021 -30 -100 05/10/2005 03:57 PM PAGE 1 OF 1 Alt. Parcel #: 4.31.18.89A 038 - TOWN OF STAR PRAIRIE Current ,X, ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): " = Current Owner JOHNSON, JEFFREY S & JEANNA A JEFFREY S & JEANNA A JOHNSON 1006 CTY RD H NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 3.060 Plat: 0662 -CSM 12/3437 SEC 4 T31 N RI 8W SW SW BEING LOT 1 CSM Block/Condo Bldg: LOT 1 12/3437 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 04-31N-18W Notes: Parcel History: Date Doc # Vol /Page Type 04/01/1999 600463 1415/326 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.060 37,300 196,200 233,500 NO Totals for 2005: General Property 3.060 37,300 196,200 233,500 Woodland 0.000 0 0 Totals for 2004: General Property 3.060 37,300 196,200 233,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 516 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner J xn t. Property Addre s Z41,1- 42z,�4j-1 939 City /State r GROX ODUNTY Legal Description: xl�ooFF�cr= Lot _L Block Description: �7r1 ' '/4 � - '/4, Sec. TA � N -R� LW, Town of L�.�x,� PIN # SEPTIC TANK — DOSE CHAMBER — HOLDING TANK INFORMATION: Tank manufacturer ' ' Size ST/PC/, / RW Setback from: House „3,� Well ,z3-- P/L Pump manufacturer Model /Jx, , i Z / /.L 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: Width Z Length /---? — Number of Trenches Setback from: House Z,s Well _s 5 P/L _ Vent to fresh air intake } . S;1 ELEVATIONS Description of benchmark Ic Elevation z • 1 — Description of alternate benchmark Elevation _ 9 Building Sewer ST/HT Inlet Z ST Outlet g z>/ PC Inlet fi'y ;�_ PC Bottom t Header/Manifold Top of ST/PC Manhole Cover Distribution Lines O O ( ) Bottom of System () () ( ) Final Grade () () ( ) Date of installation 9,L P mit number �6Q6P.yn7 State plan number Plumber's signature License number L - C3 Date Inspector ,,!,c> Complete plot plan �+ 1 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 emu s � G3 6 INDICATE NORTH ARROW i I Wisconsin Department of Commerce Count PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: ST. CHU LX Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 338872 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: JOHNSON, JEFF STAR PRAIRIE CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: d jp Q o ® 038- 1021 -30 -100 TANK INFORMATION _ Z3_ q ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Oi!C ` Benchmark Z p 6d Dosing wet `7 U B 3, ►O. Z� Ae Bldg. Sewer t, w / 9. z� ing 6/ Ht Inlet TANK SETBACK INFORMATION n / Ht Outlet TANK TO P/ L WELL BLDG. Ae Intake ROAD Dt Inlet `� j �'3 Septic 7 /O�r 36 r �S/ � .sp.a G p , NA Dt Bottom �� Dosing > /40( + ysr yam' NA Header /Man. O3 94, Aeration A Dist. Pipe Holdi Bot. System PUMP/ SIPHON INFORMATION (, 41Pf Final Grade Manufacturer d Demand ,� L 9, ZI aG. Model Number 0 -� L � "GPM Q Dim , v �3 S TDH Lift Z,0 Friction Systeq�� TDHt6 Ft a Z ✓ Forcemain Length G y ' Dia. Z Dist. To Well SOIL ABSORPTION SYSTEM / TRENCH Width / Length No. Of Trenches v PIT No- Of Pits inside Dia. Liquid Depth IMEN I N DIMENSION SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type O _ / js / 7� U 0 OR UNBT CHAME Model Number: S stem: DISTRIBUTION SYSTEM >Zo Header/Manifold f f Distribution Pipe(s) y x Hole Sizp x Hole Spacing Vent To Air Intake Length 3 Dia. Length 19& Dia. Spacing 3 / ri -� � 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 E] Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: STAR PRAIRIE 4.31.18.89A,SW,SW 1006 COUNTY ROAD H — LOT 1 �/ S��(1 i H4 Lev Plan revision required? ❑ Yes ❑ No Use other side for additional information. q 0 2 4 (� SBD -6710 (R.3/97) Dat Inspector's a re Cert No. >R Safety and Buildings Division 201 W. Washington Avenue Vi scons i n SANITARY PERMIT APPLICATION 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 81/2 x 11 inches in size. • See reverse side for instructions for completing this application State Saniter Permit Number Personal information you provide may be used for secondary purposes ❑Check if revision to previous application (Privacy Law, s. 15.04 (1) (m)). State Plan I.D. Numbe I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATI N Propert Owner Nam Property Location 1/a 1/4, T„3 , N, Rle E (orkg Property Owner's Mailing Ad ess Lot Number Block Nu to _-;�/ I ,/ 21er City, ate Zip Code 77 Phone Number Subdivision Name or CS ber 7 II. T E F ILDiNG: (check one) ❑ State Owned !t� Barest Road Public 1 or 2 Family Dwelling - No. of bedrooms Town OF III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) ( 3 1. l y. 89 1 E] Apartment/ Condo 8 _ — 1 6 () /1 T �"1 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. g New 2 ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5, ❑ Repair of an System Only ____ ________ Existing System ________ Existing B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 J0 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 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 Capacity VII. TANK in Ca gallo s Total # of Prefab. Site Fiber Exper. INFORMATION Gallons Tanks Manufacturer r s Name Concrete Con- Steel glass Plastic App New Existing strutted Tanks Tanks Septic Tank or oldii�ng an — ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Si tuber ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for ins Ilation of the onsite sewage system shown on the attached plans. Plumber' Nam : (Print) Plumbe 's S a r (N mps) MPlMPRSW No.: Business Phone Number: rl - J Plumber's A dress (S _r et, ity, State, Zip Code): ,f" _ IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing nt Signature (No Stamps) Approved ❑ Owner Given Initial O�� ` urchargeFee) Adverse Determination ��� (,C6 X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: original to County, One copy To: Safety & Buildings Division, owner, Plumber i Safety and Buildings 15837 USH 63 HAYWARD WI 54843 -8107 TDD #: (608) 264 -8777 isconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary April 15, 1999 CUST ID No.224263 ATTN.• POWTS INSPECTOR ZONING OFFICE KIM A O'CONNELL ST CROIX COUNTY SPIA 504 3RD AVE 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 04/15/2001 Identification Numbers Transaction ID No. 219084 Site ID No. 169748 SITE• Please refer to both'' identification numbers,, Site ID: 169748 L above, in all correspondence with the agency. ST CROIX County, Town of STAR PRAIRIE; 1006 CTH H, NEW RICHMOND 54017 SW1 /4, SW 1/4, S4, T3 IN, RI 8W Facility: JEFF JOHNSON 1006 CTH H, NEW RICHMOND 54017 FOR: MOUND, 450 GPD Object Type: POWT System Regulated Object ID No.: 460295 P.0. CoIIdi 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. Al F DEPART!.'ENI pl �F SAF The following conditions shall be met during construction or installation and prior to occupancy or use: 1. This plan action is subject to designer comments on the plan. 7LL 2. The orientation of the mound system must be such that the mound's longest dimension is perpendic ar SEE G(. ; -ZR to the direction of maximum slope. ' t r 3. The area 25 below the downslope edge of the mound must undisturbed. e A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerel DATE RECEIVED 04/02/1999 FEE REQUIRED $ 0.00 FEE RECEIVED $ 180.00 PATRICIA L S ORF �POWLAIN REVIEWER REFUND AMT $ 180.00 Integrated Services (715) 634 -7810, FAX: (715) 634-5150, M -F 7:45 AM - 4:30 PM PSHANDORF @COMMERCE.STATE.WI.US WiSMART code: 7633 RESIDENTIAL MOUND DESIGN INDEX AND TITLE SHEET Project JEFF JOHNSON Owner JEFF JOHNSON Address 1006 CTH H NEW RICHMOND WI 54017 Legal Description SW-SW-SEC 4- T31N -R18W Township STAR PRAIRIE County ST. CROIX Subdivision Name Lot No. 1 i Parcel ID Number 038- 1021 -30 V .T.S. Plan ID Number lionally OVED INDEX SHEET PAGE ONE , Of COM CE TY AN WINGS MOUND CALCULATIONS PAGE TWO MOUND DRAWINGS PAGE THREE PRES. DIST. C L LATERALS A F = SPONDENCE A CS. & LAT RA S P GE OUR PUMP TANK DRAWINGS PAGE FIVE PUMP CURVE PAGE SIX PLOT PLAN PAGE SEVEN 7 i Designer KIM OCONNELL License Number i Signature Phone No. 715- 755 -3145 Date 3 -18-99 "Ice: Tampering with this file by unauthorized persons Is probMed. Deliberate modification wail result in disciplinary action under s. 146.10, Ms. Stats. SBD- 10462 -E (R.04(7) Page 1 of 7 RESIDENTIAL MOUND DESIGN Eig ht Bedroom Maximum Complete information in red framed boxes as necessary. (y or n) n Is the stem over creviced bedrock? Slope 7 % Number of bedrooms 3 Wastewater flow rate 450 gpd 1703.3 Lpd Depth to limiting factor 38 in 96.5 cm In situ soil infiltration rate (code) 0.5 gWe 20.4 Um' Contour line below the upslope edge of absorption cell 96.25 ft 29.34 m Use standard fill depths? I OR Designer speed depth I in L 1 Place X M box to use standard depths (1Z 2{. A+{ lockisive) OR specify design till depth. Center or end manifold (cor Estimated hole space 4 ft Not a anal cakulana,. Lateral spacing 3 ft Minimum dose >= 10 times void volume Use a 0 lateral spacing for trenches Pump tank elevation 87 ft outside bottom or tank Number of laterals Force main diameter 2 in Force main length F ] 7q0ft Force main actual dia. 1 2.067 lin SYSTEM SOLUTIONS Inch - pounds Metric Ceti media "x" one only. Estimated daily flow ®gpd 1703 Lpd x Aggregate and pipe Chamber and pipe Absorption cell Design load rate & area t 1.2 gpcw 375.0 fl? 34.84 m Linear load rate 7.1 88.0 L 9p� ld/m Design width (A) 6 ;ft 1.83 m Cell length (B) 63.0 ft 19.20 m Depth of cell (F) 9.9 in 25.1 cm Sand filter Upslope fill depth (D) 12.0 in 30.5 ]cm cm Downslope fill depth (E) 17.0 in 43.2 Basal area required (gpdrinfiltration rate) 900 ft 83.61 m Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.4 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (Iq 10.6 ft 3.23 m Upslope toe length (J) 7.0 ft 2.13 m Downslope toe length (1) 12.3 ft 3.75 m Total mound length (L) 84.2 ft 25.66 m Total mound width (W) 25.3 ft 7.71 m Project: JEFF JOHNSON Plan I.D. Page 2 of 7 I MOUND PLAN VIEW observation Pipes (total) �J W= 1 25.3ft AI A= 6.0 ft 1.83m 7.71 m B= 63 ft 19.2 m t B �� K J= 7.0 ft 2.43 m �I t = 42.3 ft 3.75m K = F10.61ft 3.23 m L = 84.2 ft 25.7 m ?� typ. obs. pipe A X B refers to absorption cell width and length (anchored securely) J = upslope width I = downslopewidth K = end slope dimension L I 6 ( Im mm) T MOUND GROSS SECTION T subsoil cap D = 12.0 in 30.5 cm lateral topsoil G H E= t7.0 in 43.2 cm invert 97.8 ft F = 9-9 in 25.1 cm elev. 1 29.81 m see note G 12.0 in 30.4 cm /7 D E ASTM C33 H = 18 in 45.6 m c Sys . F ft �f sand Fin elev. 2 66 m 96.3 ft contour 7% 29.35; slope Mate: Absorptlon ceN media WN D = upslope fill depth plowed layer consist of aggregate and pipe E = downslope fill depth or kachirrg chambers and pipe F = absorption cell depth as specMed N regate G = subsoil + topsail depth at cell wall at rigit. Chamber H = subset + topsoil depth at cell center Designer notes: If aggregate is used, it is covered with code compliant material. Project: JEFF JOHNSON Plan I. D. Page 3 of 7 PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch -pounds Metric Width (A) 6 ift 1.83 Length (13) 63.0 ft 19.2 m Lateral specifications Number laterals 2 HolesAateral 16 holes Lateral length 60.0 ft M m Perforation dia. 0.25 in mm Lat. dis. rate 18.64 gpm Us Sys. dis. rate 37.28 gpm Us Hole spacing 48 l in Lateral diameter Pipe diameter Desi Desi Designer must 1 in/25 mm Place X in red wX" one choice 1 1 /4in/32mm box of chosen from the options 1 imn/40 mm X X diameter. provided ZnW mm X 3iN75 mm X Manifold diameter Pipe diameter Desi Design Designer must 1 inr15 mm We one choice 1 i mnw mm Place X in red from the options 1 1 rzn/4o mm X box of chosen provided. 2n50 mm X x diameter 'nl75 mm X 4irV100 mm X Distribution system contains 2 lateral(s). LATERAL DIAGRAM - END CONNECTION Plac coned let&* dagrem by cickhg in one or the drawings at nght and dragging the degrem into this or". L attrals Mitered over Last hole► dried next to end cap ffm 1 � P AN laterals are identical Holes dried on the bottom of the IaterW s Force main corm Mon trig too or ems to marrTold at my point Laterals & force main of PVC Sah 40 • a - permanent end marker (per COMM Table 8{.30.5) Inch-pounds Metric Lateral length (P) 60.0 ft 18.29 m Lateral spacing (S) 3 ft 0.91 m Manifold length 3 ft 0.91 m Hole diameter 0.25 in 6.35 mm Lateral diameter 1.5 in 40 mm Number of holes per pipe 16 Invert elevation of laterals 97.8 I ft F m Project: JEFF JOHNSON Plan I. D. Page 4 of 7 Total dynamic head System head = 3.25 ft 0.99 m Vertical lift = 9.90 ft 3.02 m Are laterals the highest point in the Friction loss = 1.62 ft 0.49 m system? Yes W here. Total dynamic head = 14.77 4.50 m If no, what is the highest elevation Dose Volume downstream of pump? Lateral void volume = 12.7 gal 48.1 L Faroe main drain Minimum dose = 127.0 gal 480.7 L back to ten*? (Y one) Drain back = 12.2 gal 46.2 L x Yes Dose volume = 139.2 gal 526.9 L No Typical Pump Chamber Layout In combination with state approved treatment tank Tank construction as per Comm 83.20(3) WAC. approved manhole cover weather proof F1 wlwaming label and padlock grade levels junction box —� 7- grade levels quick d'�sconect V� alternate 4 vent pipe electric as per NEC 300 and �— outlet Comm 16.2B WAC location 16" (46 cm) min. wall of pump L-- approved chamber or outlet combination j oint tank A V4" weep Grade levels alarm on We as pxnp tw* mwduie - 4" min. aboe *9d wd wade pump on B necesswy pmp hart nwm - loo mm ern abare anhhed Wade vwt - Ir min. above WSW WwW pump 87.9 ft C ' vwt - 3W mm rWm oboe fkddwd Wade off elev. 26.8 m D 3 " (75 mm) of bedding under tank and anchor tank as necessary 87:0 It Pump tank elevation 26.5 m bottom of tank Tank specifications: r Ngal Pump tank = gallln Pump tank volume = Capacities: Inches Gallons A= 24.7 470.4 Pump manufacturer: IGOULDS B = 2 38.1 Pump model number: 4 WEO311L C = 7.3 139.2 D = 8 152.3 Project: JEFF JOHNSON Plan I.D. Page of 7 Penormance Curves P umps METERS FEET ,o �— -, - - - ;MODEL 3885 25 - r- 1SIZE ' /4" Solids WE15H 70 20 WFIO W 110 { — WE -- — — � -- I- -- - - ;— — — 40 10 — - -- - — { { -_ -. -- S A— OL 0 0 10 20 30 40 50 60 70 80 90 1G7 110 120 GPM L L 0 10 30 ml/h CAPACITY 000LDS PUNIP METERS FEET 120 MODEL 3885 35 1 - 1 SIZE 3 /4" Solids Ito wE1s►rr+ �--} —? -� 30 100 -- —� 25 60 20 — --- .� - —I - -i 60 j - - - °- , WE05HI — - -� — 40 =fir -'- 10 - 30 �I 20 r 10 oL 0 10 SO ti0 70 4� W I W 110 120 GPM 0 10 20 90 0 10 90 m-m CAPACITY •1WO Gouido PUMPS. IM- EINGM1*JLh• I wa 06111 1`2 7Q F 7 zt _ (a5z- ,6 - 4�e 1'"t rA O le 1 IljpacaJA Si2K'-��.3 � �7',v s ,or,J,ew�+�y 9 I i� 1 Q I "Kz , d "Wisconsin`Department of Industry SOIL AND SITg�VALUATION Labor and Human Relations - Page of Division of Safety and Buildings in accordance I 11 0 , Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inc s i ize. FAQgf® County include, but not limited to: vertical and horizontal reference po' ), dire i . 1' D , 1 percent slope, scale or dimensions, north arrow, and location istange to nearest road. rcel I.D. # loo 8 `�•.. 03- 00 ;1- 3 APPLICANT INFORMATION - Please print a/lyn tion._ " CROI X evi wed Date COUNTY �qqQ Personal information you provide may be used for secondary purposes (P car w�AftNfOAe�E `._ ZZ !U Property Owner " �� Props�t�c rl qt 8t 1/4 N,R E (or Oc Sw 1/4 Sw y ,S T 31 g Property Owner's Mailing Address Lot # I Block# Subd. Name or CSM# a3 It I d -"N City , State Zip Code Phone Number ❑ City F-] Village ©Town Nearest Road N ;c ti,M Ot I SNP (7 5 )a y$- 390 64 0, N % r. i Co. R ® New Construction Use: ® Residential / Number of bedrooms 3 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate bed, gpd/ft trench, gpd/ft Absorption area required 375 bed, ft2 - 3- 75 trench, ft Maximum design loading rate 11 bed, gpd/f1 gpd /ft Recommended infiltration surface elevation(s) 91 ft (as referred to site plan benchmark) Additional design/siteconsiderations L Parent material Q l 1 aL' f , 0 T r (` Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S ®U ® S ❑ U ❑ S ®U N S ❑ U ❑ S M U ❑ S R U SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Structure GPD /ft g in. Munsell Ou. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed , Trench L a M F� qS a F b II -;J8 7, 5 L a k mFf- Cw IF .5' , Gro 3 8 -y-2 SyQ y/ S L d w►5 bk. M Fr c vj b f .6 , ! ° 1. lev yR N/y C 7. y S/ S L a �n s b k m Fr G w — . S b Depth to 5 S ye Nl Fa s/ S L a?w, S k m F * -- -' . 5 limiting factor ol ,in. Remarks: Boring # I -1D I b 9, 13 L a G c mFv a 5 ? F - �o a a8 7 ,61p yl4 -- ---- L 2 m s b k h% F r C w 1 F 3 ag 3S 7,Stik y/ Sc.L am k rnFr w )vf Ground $-5.2 5 r1 cz - ).S4& S)2 5 L Q rn hk mF,- elev. TV ft. s u-6 5 2 y F a P 7, y 2 S/8 5L d W, " F.- ""' .5 .6 Depth to limiting factor _$ in. Remarks: CST Name (Please Print) Signature Telephone No. C)l n n A . :5+0L% r1�� - 715 - a `l 8 - 35 8 Address T L% U Date CST Number 7 b aeo 5'r. 5+44v- PSG -4 e WT I2(' al - >D II 1 SOIL DESCRIPTION REPORT PROPERTY OWNER Q Itch ♦ G VIA, Ca ,+Pw Page Q of 3 PARCEL l.D.# ASV b 3'R C A — I Bonn # Horizon Depth Dominant Color Mottles Structure 2 9 Te xt ure Consistence Boundary Roots K. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 3 0 -II 10`Kg13 i. a ►6 m ,r' a5 01 .s •b 11.E -7,S\f2gJ sL avhs k rr•F� G.,.o tf .5 �• Ground 3 - I 5 Y Sc,1. , e y 4 1 -$ � c a V7 .s s;s SL Q,,, rtiFe Depth to 5;k U' S i f R y (o ra P I b(Z S / S l— Zk M Sb tM Pr- limiting ; factor q I in. 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. Depth to limiting factor ' Remarks: Boring # Ground elev. ft. Depth to limiting factor ' Remarks: SBDW -8330 (R. 08/95) ■ ■ ■ ■ ■ ■�� ® ■■ ■ ■ ■ ■■■■ ■■■■■■ 0 MEN MErdomw M MESHES WE M MERMIX61CA I "o, p "W". 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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 master plumber, journeyman plumber, restricted plumber 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 full 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 day of the three year xpiration date. 3 c1`7 SI APPL ANT DATE OWNER CERTIFICATION (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 propony descri abo e, by virtue of a warranty deed recorded in Register of Deeds Office. lo q U ATURE OF APPLI ANT DATE "r* * * ** 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 lip ITATE aNI OtE !t)NM 3 - if91 ��1 NANUM BW i$1ER 11 'iI h 9. nab Uatweto An* G. IX co. s said CrrEbis J. �/ Gltseler. arA JdMq !�. J�iatr�s asii 1=0 iR sm A. J00va, fiotdrd ami wW, ar mnhoWp swlW pe"wq, Cbaotee. tK- N -li!! ih01 M ECM 1W A rai d*b aoaeide:Wbik 000reys and wad 10 dssibd nd Q1aft 1a SL C 'x Covwy. Stare G(Wisoo=k C ft PCIPT FMs Put .,f SW 1N of SW 1/4 of Secdoa 4.31 -18 defied as fdlovrs Lot 1 of F ED t 10.01 Cectified am" Map Wed Aped 25, .land, is Vol. - 12". pain 3439, Docom t 1 No. 378M. f' TOGETM WrM ad SUBJECT TU ptaposed jabot ddvmy as down on acid Ceitised &Wfty Map. Aar tiaoe ad Ream Addy t BANK OF NEW RICHMOND PO BOX 128 NEW RICHMOND, WI 54017 !!d- ldltl� Aocd t+adae.lim Nwnbw (Pat) EuVtim .. .. 't1ie itosestead ptopeny. t0 wwriuWm Subject ID all ea=Wnts. Mttiet oN and covenants Of Moog& Dated d ds1 of 1999. *All= G. C *"u s 'a 4 j6ia I. C=4&U s At IVENTICATION ACKNOWLEDGMENT Sigrtsatre(a) STATE OP WISCONSIN ) S t County n. authenticated this _ dar Peraunapy before me this a 3 day of 19 the above rs .d_� P n W me known to be the sj who executed fthE otegoiq` s imminent and acknowledge the same. TITLE: MEMBER STATE BAR OF WISCONSIN (If wt. authorized by 1 706.06. Wis. Stars.) — TI'M INSTRUMENT WAS DRAFTED BY Notuy Pubii:.. State f ROW L. Siler My C is permanent (!f .'data expiration date: VAN DYK, O'BOYLE & SMM, S.C. Post Office Box 127 ` Mew RkhmaL W1 NQ17 <y (SiTnawm may be wtheaticated of ackix- -dyed. Both are not v k. fit, � r co (7) s FILED » 578047 APR 2 8 1998 b. � lse�ier 1p St.i�lct�a,W1 CERT)FIED SURVEY fMAP ' Located in part of the Southwest Quarter of the Southwest Quarter of Section 4, Township 31 Nor Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin. Prepared for and at the request of: Drafted by. Kristi A. 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I;2 , j : ;°, (0 �� fir! w 0 rn 0 V r w w 0 0 0 ° 0 Z 0 � Q r th N O � v I i� • g e • s z N Cn w w 4 (T G7 � n �'� (iI r/I G1 tD O 1 O W m� �NnnC I O 1 71 t i ^ -C I 21 I�vn 11 BOO oow ►► zcnzzzz w °tow ( to�� � I ,I�o ►i 65 a / O�ON�N yz O li 1 334.20' C �1 ^ II ox 1q oI c o m D D Z � 160 1 \` ' SO1'39'02 0 W 390.48'- - — M I ,� �� ���` Prepared by. Intnrn zzzzm II M �� - 56.28' oD oDoDM dodo �z w A & E o o N p �� � EAST LINE OF THE SW LAND SURVEYING do CIVIL ENGINEERING J °' w w 0D - lo 1/4 OF THE SW 1/4 Phone No. (715) 246 -4319 N N N 0 0 4 109 East Third Street, P.O. Box 325 oD OD ' 0 C 0 I �, New Richmond, N 54017 UNPLATTED LANDS Sheet 1 of 2 Vol. 12 Page 3437