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HomeMy WebLinkAbout006-1021-10-000 Safety and Buildings 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304 isconsin Philip G. Thompson, Governor lip Edw. Albert, Acting Secretary Department of Commerce November 04, 1998 CUST ID No.224263 ATTN: Plumbing INSPECTOR MUNICIPAL CLERK KIM A O'CONNELL TOWN OF CYLON 504 3RD AVE 1840 240TH ST OSCEOLA WI 54020 EMERALD WI 54012 -7800 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 11/04/2000 Identification Numbers Transaction ID No. 185853 Site ID No. 5982 SITE• Please refer to both identification numbers, Site ID: 5982 above, in all correspondence with the agency. ST CROIX County, Town of CYLON; 2395 CTH H, DEER PARK 54007 NE1 /4, NE1 /4, S10, T31N, R16W DAVID MADDOCK FOR: Description: PRIVATE INTERCEPTOR MAIN SEWER Object Type: Sanitary Drain & Vent System Regulated Object ID No.: 434544 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: The installation of the Sanitary Private Interceptor Main Sewer(s). 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. Sincerely, CO ndi DATE RECEIVED 10/28/1998 FEE REQUIRED $ 80.00 APPI WESLEY RUBE, PLUMBING PLAN REVIEWER FEE RECEIVED $ 80.00 DEPARTME? Integrated Services BALANCE DUE $ 0.00 DIVI N 01 SA (920)492 -5613 , M -R 7 -4:30, F 7 -12 C. WGRUBE @COMMERCE.STATE. WI.US SE CORE cc: KIM A O'CONNELL DAVID MADDOCK • e) —o Alle ►off /G,c -CS ff �� q fio_� _ Wonally IQ�IED T OF COMMERCE FETY A BUILD $ ESPONDENCE _ D' 3 r a e n a � m m BUILDING SEWERS - SANITARY CHAPTER E (CO / Frost Sleeve) Top of sufficient thickness Concrete pad required in and strength. See ILHR 82.35 traffic areas. See ILHR (5) (a)2 d. (page 58). 82.35(5)(a)2.b. (page 58). Material suggestion: cast iron ferrule with water tight count- er sunk plug for traffic areas. 9" 4 slope Water proof Design suggestion: caulking. See I Cleanout plug should extend ILHR 82.35(5) to within 2" of the bottom (a)2.d. (page I I of the furrule. 58). Frost sleeve material of ASTM D -3033, D -3034 PVC or ABS. See ILHR 82.35(5) (a) 2.a. (page 58). The frost sleeve shall I I extend to within 6" to 12" above the top of the drain pipe or can end 6" below frost line. See ILHR 82.35 (5)(a) 2.c. (page 58). Wye pattern fitting. See V f ILHR 82.35(5) (a)1. (page 58). Frost sleeve access covers located in non - traffic areas may be made of ABS or PVC plastic. The connection between the frost sleeve access cover and the frost sleeve may be accomplished with a solvent welded joint, or connected with a Fernco coupling or as shown above. A concrete pad is not required in non - traffic areas. E6 t ST. CROIX COUNTY ZONING DEPARTMENT: r AS BUILT SANITARY REPORT Owner Address S , ry City /State �GaC�I - Legal Description: Lot Block Subdivision/CSM # '/. '/. 96' , Sec. ,Z, TAN- R,/�W, Town of PIN # SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer Z&!t Size ST/PCj / Setback from: House Well Pump manufacturer _ t Model lr 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: - - 1,4 1 - - -io Width e Length � Number of Trenches Setback from: Hose Well P2 f,�_ Vent to fresh air intake ELEVATIONS Description of benchmark Elevation ,leo,4 Description of alternate benchmark Elevation Building Sewer ST/HT Inlet ST Outlet 95"x PC Inlet PC Bottom _SY,67 Header/Manifold i, . 7l Top of ST/PC Manhole Cover Distribution Lines O /moo, 7� O ( ) Bottom of System ( ) _ /, , Final Grade ( ) /0,2 ,; ( ) ( ) Date of installation % ermit number State plan number 7Sf2�� � Plumber's signature � -� License number ,, , 3 Date / / Inspector complete plot plan a 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. ' J.1411 L4 AN VIEW J Wkll C /S'O a`c7 %v1C'.c•.'l <Zt,n1 eCe�oax.zo A A" �3 � sc v2 S �0 1�c yes INDICATE NORTH ARROW WfhcQpsin Department of Commerce PRIVATE SEWAGE SYSTEM v Safety and Buildings Division Count ST. CROIX INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar Pe t Personal in provice may be used for secondary purposes [Privacy L s.15.04 (1)(m)]. NiAD6 � CK,s you ID Ic 'it�Village Town of: State Plan ID No.: CST SM Elev.: Insp. BM Elev.: BM Description: Parcel ldbt:14021 -10 -000 TANK INFORMATION ELEVATION DATA A9800293 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. eptic d0 � Bench ' •�q �0�.� / 0c) Dosi n l o � S ov Aeration Bldg. Sewer Holding c;`ik Inlet S,4 I 0.t5 g5.II> TANK SETBACK INFORMATION (0 to - outlet IOf9►b I o.S3 , . `ff� TANK TO P/ L WELL BLDG. Vent to ROAD t net 0 'j r s•y8 I`2.7 9'3.1i e Air Intake D Inlet NA Dt Bottom f0$. I(. - V Dosin ti/It J NA Header / Man. Aeration NA Dist. Pipe JT �. 2S Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Jj d Demand Model Number 6-01 - .0 -APM TDH Lift j /. /e> Friction r S C P System. TDH / 0 Zj t Forcemain Length) &b' Dia. H Dist. To Well SOIL ABSORPTION SYSTEM BE ENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth Vq`ME NSION S y �i DIMENSION SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEA NG Manufactur INFORMATION Type Of OR - Moe Number: System '��►'" '` `'� OR UNIT DISTRIBUTION SYSTEM Header /Mani old Distribution Pipe(s) , x Hole Size x Hole Spacing Vent To Air Intake Length_ Dia._ Length Dia. / /�' Spacing '� // SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center Bed / Trench Edges Topsoil ❑ Yes E] No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) �.,s ► SzG _ b LOCATION: CYLON 10.31.16.134,NE,NE 2395 CTY RD f J � . r V ( �0 © Sol (iO 'Af h1 "�/ ' d Vill � 4- 9 pi d C� �! ao�,l re -�->, q � 1 - hI '� TS v — Aou I%*# cl rtiefi &Ks+rvc.4wj .rf" revision required? ❑ Ye� ❑ No Use other side for additional information. 1 W — SBD -6710 (R.3/97) Date Inspector's Signature C ert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: . f i C 6 Y- s � � oe i a e 9 ar S _� L Safety and Buildings 15837 USH 63 HAYWARD WI 54843 -8107 N vi sconsin Tommy G. Thompson, Governor Department of Commerce William J. Mccoshen, secretary April 28, 1998 CUST ID No.224263 Vi scionsin Safety and Buildings Division SANITARY PERMIT APPLICATION . E. W ashington Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7969 is Attach complete plans (to the county copy only) for the system, on paper not less County J than 8 112 x 11 inches in size. :�rl '-,/ • See reverse side for instructions for completing this application State Sanifary Permit Number 315 The information you provide may be used by other government agency programs ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan V.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION Prope yOwnerNarple Property Location 1 /a 1/4, S T , N, R PorXi Property Owner's Mailing Ad dre Lot Number Block Numb Cit State Zip Code Phone Number Subdivision me or CSM Number ( ) . TYP F ILD NG: (check one) E] State Owned ❑ it� Nearest Road F] Vil age Public 1 or 2 Family Dwelling - No. of bedrooms Town OF 111. BUILDING USE (if building type is public, check all that apply) Parcel Tax Number (s) /5 1 ❑ Apartment/ Condo 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. U New 2 [] Replacement 3_ ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only System ________ Existing 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 ICI 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. Pate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /i/ich) Elevation 7 / Feet Feet VII. TANK in Capacity gallons Total # of Prefab. Site Fiber- plastic Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con Steel glass App_ New Existing structed Tanks Tanks Septic Tank or Holding Tank O El E] 13 1:1 11 Lift Pump Tank /Siphon Chamber -- E3113 ❑ Vill. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for inriallation of the onsite sewage system shown on the attached plans. Plumber's ame: ri Plumb e ' na a p5-) MP /MPRSW No.: Business Phone Number: Plumber's Ad ress (Street, y, State, Code): .C p t�• IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sar�'tary Permit Fee (includes Groundwater ate Issued Issuing ent Sig ture (No a s) A roved � surcharge Fee) pp ❑Owner Given Initial ��j Adverse Determination leo X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD•8388 (R.11/s)6) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Oiwision, Owner, Plumber I P I 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. l RESIDENTIAL MOUND DESIGN INDEX AND TITLE SHEET Project DAVID MADDOCK Owner DAVID MADDOCK Address 69 Winnipeg Ave St, Paul MN 55117 Legal Description NE/NE 10- T31N -R16W I Township CYLON County ST. CROIX Subdivision Name N/A Lot No. N/A Parcel ID Number 0000000 Plan ID Number 75838 p.O.W.T.S. INDEX SHEET PAGE ONE Conditionally MOUND CALCULATIONS PAGE TWO MOUND E A ROVED PRES. D DRAWINGS PAGE THREE CALCS. & LATERALS PAGE FOUR DNI SAFETTY Y AND UILDINGS DEP ENT CDMMEC PUMP TANK DRAWINGS PAGE FIVE PUMP CURVE PAGE SIX 1211 OT PLAN PAGE SEVEN EE COR NDENCE Desif; ,er KIM A OC NNELL License Number i Sign tare / Phone No. 715 - 755 -3145 Date 4 -23-98 Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result in disciplinary action under s. 145.10, Wis. Stats. SBD- 10462 -E (R.04W) Page 1 of / 7583 a WLI i RESIDENTIAL MOUND DESIGN Eight Bedroom Maximum Complete information in red framed boxes as necessary. (y or n) [ Is the system over creviced bedrock? Slope 3 % Number of bedrooms 3 Wastewater flow rate 450 gpd 1703.3 Lpd Depth to limiting factor 26 in 66.0 cm In situ soil infiltration rate (code) I 0.5 gpd/ft 20.4 um Contour line below the upslope edge of absorption cell � 30.18 m Use standard fill depths? x OR Designer speed depth in cm �� _ __.., Place X in box to use standard depths (12, 24, A+4 inclusive) OR specify design fill depth. Center or end manifold I a (c ore) Estimated hole space 4 -ft Not a final calculation. Lateral spacing 1 :...eft Minimum dose >= -10 , times void volume Use a o lateral spacing for trenches. Pump tank elevation 88 ft Outside bottom of tank. Number of laterals 91ft Force main diameter 2 in Force main length Force main actual dia. 2.067 lin SYSTEM SOLUTIONS Inch - pounds Metric Cell media "x" one only. Estimated daily flow 450 gpd r _ 17 - 03 5- 1 Lpd y x Aggregate and pipe f Chamber and pipe Absorption cell ~ i c Design load rate & area 1.2 gpde 375.0 ft 34.84 m Linear load rate 7.1 gpd/ft 88.0 Lpd /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 [ Em' cm Downslope fill depth (E) 14.2 in cm Basal area required (gpdfinfiltration rate) 900 ft 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 (K) 10.3 ft 3.14 m Upslope toe Iength (J) 7.8 ft 2.38 m Downslope toe length (1) 9.9 ft 3.02 m Total mound length (L) 83.6 ft 25.48 m Total mound width (W) 23.7 ft 7.22 m Project: DAVID MADDOCK Plan I.D. 75838 Page 2 of MOUND PLAN VIEW observation pipes (typical) �\ J W = 2377 ft A A = 6.0 ft 1.83 m 7.22 m - O B = 63 ft 19.2 m — - -- g - - -- = K J = 7.8 ft 2.38 m I I = 9.9 ft 3.02m K = 10.3 ft 3.14 m ft _ 25.5 m typ. obs. pipe A X B refers to absorption cell width and length (anchored securely) J = upslope width I = downslope width K = end slope dimension Li 6 mm) MOUND CROSS SECTION D= 12.0 in 30.5 cm lateral topsoil G subsoil cap H E = 14.2 in 36.1 cm invert 100.5 ft \ F = 9.9 in 25.1 cm elev. 130.63 m see note F G = 12.0 in 30.4 cm H = Ll8nin 45.6 cm D E' ASTM C3i F Sys. 100.0 ft i Sand ill elev. 30.48 m 99.0 ft contour 3% 30 slope Note: Absorption cell media will D = upslope fill depth plowed layer consist of aggregate and pipe E = downslope fill depth or leaching chambers and pipe F = absorption cell depth as specified MChambeF Aggregate G = subsoil + topsoil depth at cell wall at right. H = subsoil + topsoil depth at cell center Designer notes: If aggregate is used, it is covered with code compliant material. Project: DAVID MADDOCK Plan I. D. ### Page 3 of 7 PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch-pounds Metric Width (A) 1 6 ft 1 1.83 Im Length (B) 63.0 ft 119.2 m Lateral specifications Number laterals 2 Holes/lateral 16 holes Lateral length 60.0 ft 18.3 m Perforation dia. 0.25 in 6.4 mm Lat. dis. rate 18.64 gpm 1.2 Us Sys. dis. rate 37.28 gpm 2.4 Us Hole spacing 48 in 121.9 cm Lateral diameter Pipe diameter Design option Design choice Designer must 1 in/25 mm :Place X in red 'X" one choice 1 1/4n/32 mm box of chosen from the options 1 1/2in/4o mm X x diameter. provided. 2inW mm X 3in/75 mm I X Manifold diameter Pipe diameter resign options Design mace Designer must 1 in/25 mm ---• ~ . -_ "X" one choice 1 1/4n132 mm ;Place X in red from the options 1 1 rin /40 mm x� ' box of chosen provided. 2inM mm x I x x diameter 3in/75 mm X 4in/100 mm I X Distribution system contains 2 lateral(s). LATERAL DIAGRAM - END CONNECTION Place correct lateral dagram by clicking in one of the drawings at right and dragging the diagram into this area. arena s centers overt e drmensron Last hale drilled next to end ca J P P All laterals are identical IE x—�I Holes drilled on the bottom of the lateral S equally spaced Force main connection via tee or cross to manifold at any point. Laterals & force main of PVC Sch 40 • . =permanent end marker (per COMM Table $4.30 -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 100.5 i ft 30753 m Project: DAVID MADDOCK Plan I.D. 75838 Page 4 of 7 /av X �? 70 Total dynamic head System head = 3.25 ft 0.99 m Vertical lift = 11.90 ft 3.63 m Are laterals the highest point in the Friction loss = 1.74 ft 0.53 m system? Yes "X" here. L� Total dynamic head = 16.89 ft 5.15 m If no, what is the highest elevation Dose Volume downstream of pump? Lateral void volume = 12.7 gal 48.1 L Force main drain Minimum dose = 127.0 gal 480.7 L back to tank? (")" one) Drain back = 13.1 gal 49.6 L G x Yes Dose volume = 140.1 gal 530.3 1 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 wNvarning label and padlock BOO C grade levels function box grade levels 1 quick disconect alternate 4" vent pipe electric as per NEC 300 and outlet Comm 16.28 WAC location 18" (46 cm) min. wall of pump _ -._ - approved chamber or outlet combination - j oint tank A 1/4" weep Grade levels / -/ alarm on hole as pump tank manhole = 4' min. above finished grads pump on B necessary pump tank man. =100 mm min above finished grade C vent = 12' min. above finished grade punt p 88, 6 f t vent = 300 mm min. above finished grade off el ev. 27.0 m 'I D j Install per mash real regne- 3 " (75 mm) of bedding under lank and anchor tank as necessary 88.0 ft Pump tank elevation 26.8 m bottom of tank Tank specifications: WEEKS Pump tank = 19.04 gal /in Pump tank volume = 800 gal Capacities. Inches Gallons A= 28.7 545.6 Pump manufacturer: IGOULDS B = 2 38.1 Pump model number: IWE0311L C= 7.4 140.1 D= 4 76.2 Project: DAVID MADDOCK Plan I.D. 75838 Page 5 of 7 - Performance cluueni Curves Pu mps METERS FEET 90 — MODEL 3885 25 80 _ SIZE 3 /i Solids H WE15 _ w - S IZE 20 WEIGH - -- - 60 WE07H 0 -- - t5 50 WE05H - 40 - 10 30 WE03M - - -- �- I 20 WE03L -_ I - 5 I 10 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM Li 0 10 20 30 m CAPACITY y+ . ��''yS`r�`' i F - GOULDS PUMPS, INC, ✓`-� Sf�ELA tiut5 rt'V,r rtia .l.a.. METERS FEET 120 MODEL 3885 35 SIZE 3 i4" Solids 110 WE15HH 100 - 30 80 25 70 60 0 WEOSMH 15 } 40 7q 10 30 20 5 — - — 10 0 0 -- __-H -- 0 10 20 90 40 50 60 70 W 90 1w 110 120 GPM 1 — 0 10 20 30 ml/h CAPACITY •1W5 0ou1ds Pump&, Inc. ExKbVe.". I � �V K i - X1 r� I � ` ti 1 -- I _ I I i c i po UR Idjo 17 1S `y w qj y 1\ u++op a s9y '�S a a � 1st I Mo�aq Jo • � a w � � � (� �� a :`• � �St Page a�1a Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page —/— 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 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 # I APPLICANT INFORMATION - Please print all information Reviewed by Date Personal intonation you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Props Owner Property Location Govt. Lot 1/4 1/4,S T ,N,R Z )LK(orW Property Owner's Mailing Address Lot # Block Subd. Name or CSM# � ✓5 city State Zip Code Phone Number ❑ City ❑ Ilage ® 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 _,� L bed, gpd4F _Z -2— trench, gpdffl Absorption area required .37S bed, 11: X7, trench, ft Maximum design loading rate _ bed, gpolft gpd,* Recommended infiltration surface elevation(s) 6 - it (as referred to site plan benchmark) Additional design /site considerations Parent material 'Tl 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 systeml ❑ S ®U ®S ❑ U ❑ S U ❑ S O U ❑ S ®U CIS 91 U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 Ll 0 zq in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench +� r Ground elev. Depth to limiting factor Remarks: Boring # L1 a �� , ij Ground ° - - ' J r Bev. ft. I Depth to limiting factor Flo in. Rem s: CST Name ( e Pri ) Signature Telephone No. Address Date CST Number PROPERTY OWNER SOIL DESCRIPTION REPORT »' Page -<2?— df 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 rn ze Ground elev. 994Lft. Depth to limiting factor l _ 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. ft. Depth to limiting factor ' Remarks: Boring # E Ground elev. ft. Depth to limiting factor ' Remarks: SBD -6330 (R. 07/96) f NN i ti � Wisconsin Department of Industry SOIL AND SITE EVALUATION R E P O R T Page 1 of 3 Lauor a Human Relations Jivision�o'f Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY ' St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches i Ian must include, but not limited to vertical and horizontal reference point (BM), dire ' ;Cbd qfcp scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to near'�str , 006- 1021 -10 REVIEWED BY DATE APPLICANT INFORMATION - PLEASE PRINT AL ORMA N PROPERTY OWNER: , PER ATION DAvid Maddockw ' G VT. LO 1/4 NE 1/4,S 10 T 31 N,R 16 j (or) W PROPERTY OWNERS MA!I.ING ADDRESS ' � # K # SUBD. NAME OR CSM # 69 Winnepeg ` a w !on na CITY, STATE ZIP CODE PHONE U ❑CI AGE MOWN NEAREST ROAD St. Paul, MN. 55117 (612)4 _ Co. Rd. #H Pq New Construction Use [ xJ Residential / Number of bedroom [ J Addition to existing building L J Replacement [ ] Public or commercial describe Code derived daily flow 450 aDd Recommended design loading rate • 5 g p 2 .6 trench, gp�2 AbSnrntinn aroa ronu it 375 2 375 tr_ 2 5 .6 �! ed b n _anti+ ff Maximum design loading rate _� — , bed, god/ft 9P Recommended infiltration surface elevations) 103.22 _ft (as referred to site plan benchmark) Additional design / site considerations system el. based on ocntour line of 102.22' el. Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN. GROUND PRESSURE AT-GRADE 70s' EM IN FILL HOLDING TANK U = Unsuitable fors stem 1:1 S ID U ®S ❑ U ❑ S 9 13 S t3 U ®U ❑ S ® U 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 ITirent 1 1 0 -8 10yr4 /3 none L 2msbk mfr qW 2f .5 .6 >� �s 2 8 -21 10yr4 /4 no sil 2msbk mfr gw if .5 .6 Ground 3 21 -27 5yr4/4 none sl 2msbk mfr gw na .5 .6 1 02 f� .6 4 27 -32 5yr4/4 c2p 7.5yr5/8 sl 2msbk mfr gw na .5 :.6 Depth to 5 32 -60 10yr5 /3 c2p 7.5yr5/6 sicl M na na na np .2 limiting factor 27" Remarks: Boring # 1 0 -7 10yr4 /3 none L 2msbk mfr gw 2f .5 .6 2 ? 2 7 -25 7.5yr4/4 none sl 2msbk mfr gw if .5 i .6 3 25 -39 10yr5 /4 2p 7./5yr5/6 sicl 2msbk mfr gw na .4 .5 Ground elev. 4 39 -60 10yr5 /4 2p 7.5yr5/8 sicl M na na na np .2 102 ft. Depth to limiting factor 2 Remarks: CST Name. =Please Print Gary L. Steel Phone. 715 - 246 - 6200 Address: 1554 200th. Ave., w Richmond, WI. 54017 Signature: 5 -2 Date : 5 cstm 02298 1 PROPERTY OWNER D A v id Ma ddock SOIL DESCRIPTION REPORT P ye?_.U PARCEL I.D.# 006 - 1021 -10 Boring # Horizon Depth Dominant Color Mottles (Texture Structure Consistence Banc1k ry Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITiench 1 0 - 10yr4 /3 none L 2msbk mfr gw 2f .5 .6 3 w� 2 8 -24 10yr4 /4 none sl 2msbk mfr gw if .5 .6 i Ground 3 24-40 5yr4/4 c2p 7.5yr5/8 scl lmsbk mfr gw na .2 { .3 100 ft. 4 40-55 5yr4/4 c2p 7.5yr5/8 scl M na na na np .2 Depth t3 limiting - factor 241 Remarks: Boring # vi4.i,Ht4i::: i::• Ground elev. ' ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. j ft. Depth to limiting factor Remarks: SBO- 8330(R.05/92) PROPERjYOWNER DAvid Ma d d oc k SOIL DESCRIPTION REPORT Paget of 3 PARCEL I.D.#f 006- 1021 -10 Depth Dominant Color Motlles Structure GPD /ft Boring # Horizon in Munsell Chu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ITmr& `K 1 0 -8 10yr4 /3 none L 2msbk mfr gw 2f .5 j .6 3 >' s 2 8 -24 10yr4 /4 none sl 2msbk mfr gw if .5 .6 i Ground 3 24-40 5yr4/4 c2p 7.5yr5/8 sci lmsbk mfr gw na .2 .3 elev. 100. ft. 4 40-55 5yr4/4 62p 7.5yr5/8 sci M na na na np .2 Depth to limiting factor 24" Remarks: Boring # hwm Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. i Depth to limiting factor Remarks: SBD- 8330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel DAvid Maddock 1554 200th Ave. CSTM2298 NE4NE4 S10- T31N -R16w New Richmond, WI 54017 MPRSW 3254 town of Cylon (715) 246 -6200 r 40 acres N 1 =40' BM.= top of 1" steel pipe C el. 100' Alt. BM.= top of 1" steel pipe @ el. 99.47 n r 4 52 J IV 4 0% � 1 s� s po ll Gary Gary L. Steel 5 -25 -95 Wisconsin Department of Co SOIL AND SITE EVALUATION Division of Safety and Build'; Page of Bureau of Integrated Serv' � ,,f � �ss / � „, in t ance with s. ILHR 83.09, Wis. Adm. Code Attach complete site pl paper mss th as in size. Plan must minty ,( include, but not limited rtical a* re erencepYSfpt (8M), direction and � percent slope, scale or idr�s q� rro�,and location, distance to nearest road. Parcel I.D. / # �,I�v r,,Z 1 ,2 APPLICANT �v Cj — Jo 2 l APPLICANT INFOR - Se pr" ` ,Information. Reviewed by Date Personal information you provide u (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Govt. Lot 1/4 1/4,S /4�;, T /,N,R �� E Property Owner's Mailing Address Lot # I Block# [ Subd. Name or CSM# City State Zip Phone Number ? ❑ city e ❑ Village 0 Town Nearest Road 4 New Construction Use: Oftesidentiall / Number of bedrooms Addition to existing building Replacement ❑ Public or commercial - Describe: Code derived daily flow " _ pd pd Recommended design loading rate bed, gpd/FI trench, gpd* Absorption area required gi ' bed, ft2 O nchcc ! . ft 2 Maximum design loading rate gy /fl bed, gpd trench, gpd/ft? Recommended infiltration surface elevation(s) ,2 8. � It (as referred to site plan benchmark) Additional design/site considerations Parent material Flood plain elevation, ff 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 I ❑ S Ku ci OU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Sere Consistence Boundary Roots GPD/fl2 C3 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench O-E o7m ar m , cs J 5 b b I� Ground S r W� l o t — ei Depth to limiting fa�py� L Remarks: Boring # 13 5 — ✓ i� o� � L'-S �� S ;� t o 54K �S Ground J �� r 7�' Depth to limiting fact r in. Remarks: CST Name (Please Print Sig a Telephone No. ddress � Date CST Number /, . PROPERTY OWNER i 1 �"rIL DESCRIPTION REPORT Pag of PARCEL 1.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 7 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ..... M 7 � — C2 8- - r k141 I Ground Depth to limiting ,M L I I I I I I I I Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. ft. Depth to limiting factor ' Remarks: Boring # Ll Ground elev. ft. Depth to limiting factor 'n. Remarks: SBD -8330 (R. 07/96) Soil Test Plot PI et of n a Project Name David Maddock Byr d Jr. Address 69 Winnepeg Ave = 2 St. Paul Mn 55117 C #3479 Lot ------ Subdivision ----- - - - - -- Date 9/ 5/97 NE 1 /4 NE 1/4S10 T 31 N/R 1 6 W TownshipCylon F] Boring ()Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft.Top of 3/4" Steel Pipe System Elevation 98.85 *HRP as Benchmark 100' to Pro Bedroom House I 35' -3 Ac 40' Mound Area System to be Installed along the 8% � 97.85 Contour Line B- l Slope w N O 30' B -2 110 1080' Property Line 240' i ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer z1)'t, � Mailing Address Property Address f I/ (Verification required from Planning Department for new construction) City /Stag; ):La" zL J-v--s�Al Z Parcel Identification Number 6 1,62/ -lA LEGAL DESCRIPTION Property Location 'A�E /,, �_ /,, Sec. 1� , T . ?/ N -R //, W, Town of Subdivision , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # , Volume / / /� — , Page # 75' Spec house ❑ yes TE no Lot lines identifiable 91 yes ❑ 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 master plumber, journeyman i is in proper lumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewatz rdisposal system after ins cction and gum in if necessary), the septic tank is less than I/3 full of sludge. o eratin co [io and/or ( 2) p I P g P P P g I/we, the widersigne have rea the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, a set by the epartm t omniercc and the Department of Natural Resources, State of Wisconsin. Certification stati g t at your epit cyst • a be n n 'tit tried must be completed and returned to the St. Croix County Zoning Office within 30 day a thre year a C. NATU i 1 ,h'tKAP I ANT DATE O I' CERT ICA ION I ; e) ce fy that l stateme s n th s form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the pr ei des 'bed a y it e ) a � arranty deed recorded in Register of Deeds Office. U / IGNATURE APPLICANT DATE * * * * ** �- r rgrntrrl nla` result in the sanity p ermit being revoked by the Zoning Department. * * *` *• Any information that is mi , r rr / ry � ** 1111'llllle t�ilh tlfil Il��hllt illlnll .t •.1;11111 -1 111't'tl ftom Ihr offi�'r a copy of the certified su► map if reference is made in the warranty deed 1 + State Bar of Wisconsin Form 2 — 1982 WARWS TY DEED +a�� DOCUMENT NO. V 01 1 IIC.S Q PA i , 5 15 i ce{ I 0 FRCE 1. Vii= co W1 John P. Raleigh. e c;al L A Lf t st d�iniatrat _Eat dWR*wrd 3n of A iCA G Ratpigh . LWa Alice lar-obHnn- RALeigh- APR '� 1995 - — -- - --�— at 1:00 P.M conveys and warrants to _ David �.Bnd T.nri'Maddnetc __ THIS SFACE RESERV FOR RECORDING DATA —'- AME AND RETURN ADDRESS t O 4 J the following described real estate in St. Croix 'j County, State of Wisconsin: The Northeast Quarter of the Northeast Quarter -' (NE} of NEV of Section Ten (10), Township Thirty -One (31) North, Range Sixteen (16) West, Town of Cylon, (Parcel Identification Number) St.Croix Co., WI. i DAN 1 . =1 r1�.�C�AN 1 j S R I I This A net j homestead property. i (is) (is not) Exception to warranties: Easements, restrictions, and rights -of -way of record, if any y� 't 1 Dated this � of April _ 1995_. I , f � (SEAL) !_ � — (SEAL) • P. Raleigh }-- (SEAL) — (SEAL) I AUTHENTICATION ACKNOWLEDGMENT Sirature(s) STATE OF WISCONSIN ST.Cl01Z County. authenticated this day of l9 Per4mally came before me this _ —_ day of April 19__ the above named John -P- _Raleigh, TITLE: MEMBER STATE BAR OF WISCONSIN (If not, _ _ 1 I j authorized by §706.06, Wis. Slats.) to me known to be the person 8- who executed the kxgpi l8 ivrumlipt and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Len . -A. _Bv skaz ;__ Atl a rnev Rodli,Beskar, Boles & Krueger, S.C. - - -- -� � -- ' - -- — L-- tf -- ( 219 - Nci, i - 3t - River - Falls, -VI - 540 - 2 - 2 County, wis. (Signatures may be authenticated or acknowledged. Both are not My - n- ,mission is permanent. (if not, state expiration date. necessar I •Names of pen.ros .,string in any Capacity skwId be typal ix panted below their ,iEnatun- d� Of 9 WARRANTY DEED STATE BAR OF WIISC0%-^ Wisconsin Legal Blank Co -. Inc, FORM Na, 1 — 11B: }� Mdwaukre W s ,Cy �s , ^Ca a` ig +"',� i��-;f its'••`& e. -�.. _.a, ^e a' ,�. ` yNS v'�+>dy'r -a` ±s 1t c° -.. �., �, s �.� � u�+p- : �