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HomeMy WebLinkAbout014-1031-30-000 " ST. CROIX COUNTY ZONING DEPARTME AS BUILT SANITARY REPORT► A' Lr Owner MARK 6CCDk10 Address M 3c 3Z ZIC X49$ City /State T CRO I f COU ° 70NING OFFICE e Legal Description: Lot Block Subdivision/CSM # '/, SVk/ Sec. ZY—, T / N -R l�'W, Town of . �Zh'fS7 - PIN # SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer AI 5� .� Size ST/P& /Sn Setback from: House Well P/L Pump manufacturer GQ UL /) ,S Model /'f 5 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: M O3% 3 IJ Width (o ' Length `�_ Number of Trenches Setback from: House /2C , Well kZd PAL Vent to fresh air intake ELEVATIONS 3y5 Z)o o r ' Description of benchmark Elevation Description of alternate benchmark 7 � , yo6C , Elevation ?7 Building Sewer Sw�` C l ST/HT Inlet L/ 7 ( ST Outlet- PC Inlet PC Bottom '514/4 Header/Manifold Z Z Top of ST/PC Manhole Cover 2 �� Distribution Lines ( ) /0/. Bottom of System ( ) /c c , Final Grade ( ) ( ) ( ) Date of installation ` / / ''Permit number �2 /5 1 1 %I State plan number 7 Plumber's signature License uumber --I;Z�,:� Ll-:) Date / Inspector Complete plot plan I - 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 -r 160 ' T6 A l( PRof bA/G.i' /Zo 7i s z' b Z.AR jArt B.m. Week 0U Noas� G�tk�c� INDICATE NORTH ARROW Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM y: Count Safety and Buildings Division INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No Personal information you provice maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 315945 Eermit,HoTtl NaWRK E V& 13 E ST Town of: State Plan ID No.: CST BM Elev.:. Insp. BM Elev.: BM Description: Parcel Tax No.: C00 /":�e> j8M # t 014- 1031 -30 -000 TANK INFORMATION ELEVATION DATA A9800 TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. eptic �' lZ'9� Bench �f•2� /D .Z / d d Dosing cm � 7-13 /�► Aeration Bldg. Sewer g, 10.71 Holding S 14$ Inlet W -75- rji,Q g 7.7/ TANK SETBACK INFORMATION St Ht Outlet TA P �L WELL BLDG. Ai Intake ROAD Dt Inlet Septic {.�� b ~lu NA Dt Bottom 9 ,9 .75, 15-. 3 30' NA Header / Man. Aeration NA Dist. Pipe Jo�fiT 3 •( l d �- Holding Bot. System ►o 2 100, PUMP/ SIPHON INFORMATION Final Grade Manufacturer v L/5 Demand 19?// , "NIA (o 7 Z 97 /Z Model Number Vj 6pS *-< -°GPM S4 WU., f $• v�„ TDH Lift Friction Systerrr� TD ?.fD L w e Forcemain Length2� Dia. ��� Dist.Towell 2O) SOIL ABSORPTION SYSTEM 3 g 6 BE RENCH Width Length r No. Of Trenches PIT No. Of Pits Inside Dia. Li uid Depth EN I N g �y DIMENSI Q SYSTEM TO P/L I BLDG WELL LAKE /STREAM LE CHING L mber: uSETBACK C MBER INFORMATION Type O 110 � C T System1"Do' —) k DISTRIBUTION SYSTEM rOUCI 4 , Header /Manifold to Distribution Pi e(s) x Hole Size x Hole Spacing Vent To Air Intake Length 3� Dia. 12L Length V Dia. Spacing ' /y 51 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 Cl Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) . 5 - 0-7 Y •75 1 71.5 - LOCATION: FOREST 14.31.15.220,SE,SW 3032 210TH AVENUE 10 .5'.sy5. elet- 3 • ria u�lf " u..� is S fns- -- Plan revisi ref Ired? ❑ Y s No [ �4 Use other side for additional information. 1_ / l od qi ? ZW 7 $ SBD -6710 (R.3/97) Date Inspector's nature Ce V isiconsin SANITARY PERMIT APPLICATION 01 E w shngtonA Division In accord with ILHR I3 53.0 Wis. Adm. Code P.O. Box 7969 Department of Commerce ' Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 81/2 x 11 inches in size.• X • See reverse side for instructions for completing this application State Sanitary Permit Number s q yS 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 I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION Property Owner ame Property LO ation R K I $E 1/4 -J IV 1/4, S 4 T 3 , N, R ` 5 E (or)` Vo Property Owner's Mailing Address Lot Number Block Number =425 A City, State Zip Code Ph ne Number Subdivision Name or CSM Number 5CA 50 (`I )q -zzJ5 11. TYPE OF B ILDIN : (check one) E] State Owned °❑ Ci a a Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms own o f F ORE3 T 1 216 1 1111. BUILDIN USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1q. 1 ❑ Apartment/ Condo 61L I' 1631 _Z000 7 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. X New 2. ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5_ ❑ Repair of an System System Tank Only Existing ___ ____ -___ _ _ _____ ____________________ Existing System _________ --- S�r --- 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 2Mound 30 E] Specify Type 41 []Holding Tank 12 El 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. /inch) Elevation O F 6 0 1 5® O Soo / Feet Feet VII Capacity TANK in g allon s g Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existin strutted Tanks Tanks Septic Tank or Holding Tank 175 I?S ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber 75 1 ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber' ignature (No S mps) MP /MPRSW No.: Business Phone Number: �E` F ) s Plumber's Address (Street, City, State, Zip Code): Et np ass l 4" IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issued Issuing Agent Signature (No Stamps) Approved ❑ Owner Given Initial a4 A Surcharge Fee) _ 127 Adverse Determination CJ X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SOD - 6398 (FL11W DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber I Safety and Buildings 1 \ VAA 15837 USH 63 HAYWARD WI 54843 -8107 scosi/ / Tommy G. Thompson, Governor Department of Commerce William J. McCoshen, Secretary July 22, 1998 CUST ID No.223242 JEFFERY V FOX PO BOX 295 DRESSER WI 54009 RE: CONDITIONAL APPROVAL Ideritific4tiirn Numbers APPROVAL EXPIRES: 07/22/2000 Transaction ID No. 113527 Site ID No. 14 121 SITE: Please refer both.identiac tin nuatbers, Site ID: 14121 above, in 411 correspondence with the agm' ST CROIX County, Town of FOREST SEI/4, SWI /4, S14, T31N, R15W MARK GOODRIDGE RES SEPTIC FOR: Description: NEW MOUND Object Type: POWT System Regulated Object ID No.: 30013 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. This plan approval is for a 600gpd mound. The following conditions shall be met during construction or installation and prior to occupancy or use: • This plan action is subject to designer comments on the plan • Correspondence Note: • Maintain well setbacks per Comm. 83.15(4) & 83.10(1). • Install dose pump per manufacturer recommendation (Re: "D" dimension — 4 inches). A copy of the approved plans, specifications and this letter shall be on -site during construction and open to P inspection by authorized representatives of the Department, which may include local inspectors. All permits con required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. APF Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address D DEPAftTM ; on this letterhead. I Qd OF Sincerely, SEE _'JF DATE RECEIVED 06/23/1998 FEE REQUIRED $ 180.00 TOM BRM i,PLAN REVIEWER FEE RECEIVED $ 180.00 Integrated Services BALANCE DUE $ 0.00 (715)634-3026, M - F 7:45 AM TO 4:30 PM TBRAUN @COMMERCE. STATE. WI.US MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET Project Mark Goodrich Owner Address 22695 Olenda Trail N. Scandia MN 55073 Legal Description SE114 SW1l4 sec14 t31,N,R15 W Township Forest County St. Croix Subdivision Name Lot No. Parcel ID Number 014 - 1031 -0000 Plan Transaction Number 113SZ7 O.W.T.S. Index and title sheet Page 1 ditionally Mound calculations Page 2 ROVED Mound drawings Page 3 Pres. dist. calcs. and laterals Page 4 ENT OF COMMERCE TDH and pump tank drawing Page 5 SAFETY Np ILDINGS 76 MP 61ARr _ FrAa .& � _R o - I - TL'Aim ?a 7 RESPONDENCE Snii_ ?EST AATtt &ral) Designer :J'EFFERy l�)t;.y License Number 2Z3Z41 Signatur Phone No. WS a? — 3N I Date 7 Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result in disciplinary action under s. 145.10, Wis. Stats. �Ar^ Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. ECE`I�� SBD- 10462 -E (R.05198) Pagel of J ut 16199 SA" too -. ifl/V. 07 -14 - 97 07:48 RECEIVED FROM:1 715 483 9099 P -a1 MOUND SYSTEM DESIGN Complete red boxes as necessary. 1000 gpd maximum design flow Inch- pounds Metric Residential or commercial? r (r or c) (y or n) Replacement system? Creviced bedrock site? n (y or n) Slope 4 % Wastewater flow rate 600 gpd 2271 Lpd Depth to limiting factor 24 in 61.0 cm In situ soil infiltration rate 0.5 gpd/ft 20.4 Lpd /m Contour line elevation 98.3 ft 29.96 m Use standard fill depths? x OR Design depth? =in cm Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth. Center Or end manifold C (c or e) Hole diameter 0.25 Ill 0.125, 0.156, 0.188, 0.219, 0.25, 0.281, or 0.313 inch only. lateral spacing for trenches. Laterals spacing 3.00 ft use o I p g p 9 Estimated hole space 4.00 ft Not a final calculation. Number of laterals 4 Pump tank elevation 90 ft Outside bottom of tank. Forcemain length 60.0 ft Forcemain diameter 2.0 in 1.5, 2, 3 or 4 inch only. 2.067 in Actual I.D. HOLE DIAMETER CONVERSIONS 1/8 = 0.125 1/4 = 0.250 SYSTEM SOLUTIONS Inch-pounds Metric 5/32=0.156 9/32=0.281 Estimated daily flow 600 gpd 2271 Lpd 3/16=0.188 5/16=0.313 7/32 = 0.219 Absorption cell Design load rate & area 1.2 gPt 500.0 ft 2 46.45 m Linear loading rate (LLR) 7.14 gpd /ft 88.5 Lpd /m Design width (A) 6.00 ft 1.83 m Cell length (B) 84.0 ft 25.60 m Depth of cell (F) 9.5 in 24.1 cm Sand filter Upslope fill depth (D) 12.0 in 30.5 cm Downslope fill depth (E) 14.9 In 37.8 cm Basal area required (gpd /infiltration rate) 1200.0 ft 111.48 m Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.5 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (K) 10.24 ft 3.12 m Up slope toe length (J) 7.50 ft 2.29 m Down slope toe length (1) 10.30 ft 3.14 m Total mound length (L) 104.48 ft 31.85 m Total mound width (W) 23.80 ft 7.25 m Project Mark Goodrich Transaction Number: Page 2 of 07 -14 -97 07:49 RECEIVED FROM:1 715 483 9999 P•01 MOUND PLAN VIEW observation pipes (typical) J 23.8 ft 1.83 A�` A= 6.00ft m 7.25 m :•:•:•:•'•:• : :::::.:.::...•'•'•:::::::'' _ B= 84.0 ft 25.60 m W B J= 7.50 ft 2.29 m I K I FT6.3 F m K = 10.24 ft 3.12 m L _ 104.48 ft 31.85 m typ. obs. pipe (anchored securely) I = down slope dimension 0 = absorption cell (AxB) J = up slope dimension = plowed area (LxW) K = end slope dimension 6" 052 mm) T MOUND CROSS SECTION D = 12.0 in 30.5 cm topsoil G H subsoil cap E = 14.9 in 37.8 cm lateral p invert 998 ft ____ F= 9.5 in 24.1 cm elev. 30.42 m -- - - - - - -- : G = 12.0 in 30.5 cm 'r ASTM C33 H = 18.0 in 45.7 cm D Sand Fill t Sys. MTM a elev. contour (DC� [ trm elev. 4 %. ---j slope �D = upslope fill depth plowed layer E = downslope fill depth Note: Absorption cell media will consist F = absorption cell depth of aggregate and pipe with laterals G = subsoil + topsoil depth at cell wall centered across AxB media. The cell H = subsoil + topsoil depth at cell center media is covered with geotextile fabric. Designer notes: ------------------------------------------- - - - - -- ------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------•-----•----------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Project: Mark Goodrich Transaction Number: Page 3 of 07 -14 -97 07:51 RECEIVED FROM:1 715 483 9099 P -91 PRESSURE DISTRIBUTION CALCULATIi Absorption cell Inch-pounds Metric Width (A) 6 ft 1.83 Length (B) 84.0 I ft 25.6 Lateral specifications Number laterals 4 Holes/lateral 10 holes Lateral length (P) 40.38 ft 12.31 Hole diameter 0.250 in 6.35 Lat. dis. rate 11.65 gpm 0.73 Sys. dis. rate 46.60 gpm 2.94 Hole spacing (X) 51 in 129.5 Lateral diameter Pipe diameter Design options Design choice Designer must 1 in (25 mm) X' one choice 1 1/4 in (32 mm) x from the options 1 112 in (40 mm) x x provided. 2 in (50 mm) x 3 in (75 mm) X Manifold diameter Pipe diameter Design options Design choice Designer must 1 in (25 mm) X' on choice 1 1/4 in (32 mm) x from the options 1 12 in (40 mm) x provided. 2 in (50 mm) x x 3 in (75 mm) x 4 in (100 mm) x Distribution system contains: 4 Lateral(s) LATERAL DIAGRAM - CENTER CONNECTII Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram Force main connection via tee or cross to manifold a t any point. i Laterals are identical kypt Cal P end cap i I<- j{�IE x?2 I xl2 +I Laterals & force main of PVC Sch 40 Last hole drilled next to end cap (per COMM Table 84.30 -5) Holes drilled on the bottom of the lateral, i = permanent end marker equally spaced Inch-pounds Metric Lateral length (P) 40.38 ft 12.31 Lateral spacing (S) 3.00 ft 0.91 Hole spacing (X) 51 in 129.5 Manifold length 3.00 ft 0.91 Hole diameter 0.250 in 6.4 Lateral diameter 1.50 in 40 Forcemain diameter 2.00 in 50 Project: Mark Goodrich Transaction Number: Page 4 of 07 - 14 - 97 08:11 RECEIVED FROM:1 715 483 9999 P -01 b l a TDH and Pump Tank Drawings o� d Total Dynamic Headb Operational head 2.50 ft 0.76 m 3 .S Vertical lift 9.20 ft 2.80 m Are laterals the highest point in the Friction loss 5.60 ft 1.71 m system? Yes „x„ here. x Total dynamic head 17.30 ft 5.27 1 m If no, what is the highest elevation Dose Volume downstream of pump? Dose is > 10 times lateral volume Forcemain drain Lateral void volume 17.1 gal 64.7 L back to tank? (x° one) Minimum dose 171.0 gal 647.3 L x Yes Drain back 27.9 gal 105.6 L No Dose volume 198.9 gal 752.9 L Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover with weather proof vvaming label and locking device grade levels) junction box 7- grade levels disconnect alternate 4" vent pipe electric as per N EC 300 and E— outlet Comm 16.28 WAC location 16" (46 cm) min. wall of pump — approved chamber or outlet joint combination tank A Provide 1 W weep hole or anti- alarm on siphon device as necessary pump on B Grade levels pump 90.6 ft C pump tank manhole = 4" 00 cm) off elev. 27.6 m minimum above finished grade D vent = 12' (30.5 cm) minimum above finished grade 90.0 ft Pump tank elevation 3 " (75 mm) of bedding under tank 27.4 m bottom of tank Tank manufacturer Wiesser 1250/750 Combination Pump tank capacity 15 gal /in Pump tank volume 7501 gal Pump manufacturer lGoulds Inches Gallons Pump model number EP05 o A 30.7 461.1 N B 2 30.0 Alarm manufacturer ITank ert Al C 13.3 198.9 Alarm model number 101A p D 4 60.0 Project: Mark Goodrich Transaction Number: Page 5 of 07 -14 -97 07:53 RECEIVED FROM:1 715 483 9099 P.01 f �rt � METERS FEET _ 70 - MODEL: 3871 B 30 25 7 O 6 20 S S2 5 15 a 4 EP05 r -- 0 3 10 -- 2 - PO4 5 — 1 0 00 10 20 30 40 50 U1 GPM 0 2 4 6 8 10 12 m CAPACITY Pump Specifications Features and Benefits 4 /10 and 1 /2 HP • EPO4 impeller- semi -open design Up to 60 GPM with pump out vanes to protect Maximum head to 32' mechanical seal. Discharge size 1 NPT • EP05 impeller - enclosed design Solids: 1 /4 " maximum for improved performance. Motor • Rugged glass - filled thermoplastic All motors feature ball casing and base design provides bearing construction. superior strength and corrosion Single phase: 115V resistance. Materials of Construction • Cast iron motor housing for Cast iron efficient heat transfer, strength, Thermoplastic and durability. Stainless steel • Corrosion resistant threaded stainless steel shaft. • Available for automatic and manual operation. • CSA listed models available. sration and feature stainless steel hardware. �AG � MARl< GGDtk2 AW 22i�9b Ot�i✓�,A 7" RA II l( sc'lti VI scANZI A , M F ORES T 7DWA-SN/P 556 yD AUM PA RUL l CWUM AR K -4 / flT G.ar)a .2 5ovrK 6F 4AR6e v✓[ xJ & R UEQ OST 12- !r✓IWER COMS TANK EL E V Im 4 ' FORCL`'MAIN G x8 ` SCD l I Na ?RAFFie A REA 4( SLOPE 1 GAr? l ' I S3 POCK P ILE AW,WM AE K ' 7ap aF / z v✓y I TE 4'VC 216T A �✓£ b S61L HDRIde., S ScALF 07 -10 -98 16 18 22 7152487839 SUPERIOR AUTO 19001 W isconsin Depart of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of _ Bureau of Integrated Servloes in accordance with s. ILHR 83.09, Wis. Adm. Code Attach Complete alto 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), d'ueotion rind �: +� 1� percent slope. scale or dimensions, north arrow, and location and distance to nearest road. 7 a — m l I.D. It __LLLL� - _1.b ME b b n APPLICANT INFORMATION - Please print ail information. Reviewed by Date Personal information you provide may bo used for serondury pu+poBbs (Privacy Lew, s. 15.01(1) lm)). -- -- Property Owner Property Locallon Govt. Lot j 1 14 �C �� 114,S 1 L T _31 N,R � � p (r v Property owners Mailing Address Lot ft Blockit Subd. Milne or CSM4 C S1, - - -- City State Zip Cr+de Phone Number ❑ City ❑ Village (] f'own Nearest Flood � p , ( 612) - -A) New Construction Use: FARBSid@ntial I Nurrlber of bedrooms .__ I _Addition to existing building - Replacement ❑ Public: or rommorcial . Desorihe: Code derived daily flow ... taQ gpd Racommended rlASign loading rate ."1 bed. gpdNP - _ 1 - -!� tronch, ypd /ft trench, /0 - 2 tronch, ft� Maxi SOC7 rnurn tlasi n loading _�_�.. a, bed. gpd/ft'__.L._" 91x1 AbsOrptiOn area rogwred .. � ��?.. bed, ft .... .. r 9 rate Recommended infiltration surface olevation(s) m I S. .. {+ s ..1_ .13 t 1.0 ��.s�.�) . fl (as referred to site plan benchmark) Additional design /silo considerations ... - Parent material .$�.!. °4 } �- • -- .._ -.• Flood plain elevalion, If applicable.--.- S = suitabie for system Conventional AAOUnrI in- Ground Pressure AT -Grade System in Fill Holding Tank I U = Unsuitable for system ❑ j u s f I s m s l:_] s rte u Ll W ®u L� s ! u (� s 5 u SOIL DESCRIPTION REPORT" ttl M Horizon Do th Dominant Color oos Structure GPD /ft2 Boring 4f P ' Consister+ce Boundary Resits in. Munsoll Qu. Sz. Cont. Coln+ Gr. Sz. Sh. Bad Trench L a1 n+ G P, rig V, -�- -- G rourxt Depth to - limiting - - -- -- factor -" Sp� in. Remarks Boring #� �.,. F S �� -- -- - s .V Around —_.. .� ......— �.... — - ... _. /� Q glee� {y y / Depth to limiting t to _t b in. Remarks; CST Name (Please Print) signatur Telephone No. CST Number Address r . 1 „ 4 `M 07 -10 -97 16:23 RECEIVED FROM:7152487839 P -01 07 710 -98 16:19 22 7152487839 SUPERIOR AUTO B 003 yr� SOIL DESCRIPTION REPORT r� PROPERTY OWNER �Lt ` Pago of PARCEL I.D.N . O Z � Boring # Horizon Depth Dominant Color Mottles Structure 2 in. Munsell Qu. Sz. Cont. Color Toxturo Cr Sz Sh Con�isteno® Boundary Boots Bed , Trench _- t c , Ground lS •.1 �b ti� �� l i . ,,.�•� _ Depth to .17-33 r J' `1 K 4j _ limiting ( ,_. 3 -t S y J r factor Remarks: Borne # Ground oleo. ft Depth to -- limiting factor In, -- Remarks: Horizon Depth Dominant Color Mottles Structure GPD /tt2 in. Munsell Qu. Sz. Cont. Color Texture Or. Sz_ Sh. Consistonce Bour)(Jary Roots Bed .Trench Boring # Ground Depth to - - - - - -- - - - - -- limlting factor —in. Remarks: Boring # Ground Depth to -- -- - - - -... - — - -- limlting factor _._ _- in_ Remarks: SOD -13330 (R. 07198) 07 -10 - 97 16 :24 RECEIVED FROM:7152487839 P -03 ZO'd 6^c 8L8��5IL:NIOi33 QHAIrZ��ti tiZ:9T L6 - &T -LO 1 � Sao f _ i • 9 I 1 4 N� a ) o rOSQ.. �} $� .3+ 1J I t �reFc.• «�,..� �{ s �„ $m - a, � 1�'.'�J.c. S� , .�a.ccv. GaF�herr cr. c *- vU , 4 . q$•SS' �� !0 10.37 . 10 1` �k'A P�c_� �� 98.9$ [3a 1 0 6 -30 , 163 103.Y3 'c00 14 oin1 dOId3dns { 6£8L802STL 9 6T:9Z 86 -0t -L8 4 Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accords s. ILHR 83.09, Wis. Adm. Code .r� �w 8 °� w�, County Attach complete site plan on paper not less than 8 1 /2, k)1. inches in size. 4, u include, but not limited to: vertical and horizontal reference point,(-PkA }! irectio I percent slope, scale or dimensions, north arrow, and location an neara f rp d. / - Parcel I.D. If f f f APPLICANT INFORMATION - Please �Kll±t >±all7nfor y da>{fohgQ Reviewed by Date Personal information you provide may be used for second puaposes (Privacj-L" "(A. 15.04(l) . Property Owner t,r zc*/ Nc.a. Fr�Ck P 0 Location , Govtdtot 5 1/4 .SW 1 /4,S T 3 N,R .S E ( W Property Owner's Mailing Address ! k0i # Block# Subd. Name or CSM# City State Zip Code Phone Number ❑ City ❑Village Town Nearest Road LA I 4q O I S Sv73 (Cola) Y33 -aa)S ff New Construction Use: 5gResidential / Number of bedrooms q Addition to existing building Replacement ❑ Public or commercial - Describe: Code derived daily flow L00 gpd Recommended design loading rate bed, gpd /ft I.. „ trench, gpd /ft Absorption area required . 5 00 bed, ft -S trench, ft Maximum design loading rate _ • o� bed, gpd /fF L • Z trench, gpd /ft Recommended infiltration surface elevation(s) _Bm 1 ( 9 9, 4 6 ) 4m a 1 1 u ?, 37 ft (as referred to site plan benchmark) Additional design /site considerations Parent material Q I ctc 0 , • f Flood plain elevation, if applicable ft EU = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank = Unsuitable for system ❑ S [E U 54 S ❑ U ❑ S ®U I ❑ S ® U ❑ S ® U ❑ S © U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 + ........................... I- I ►0`1 Rsi o 7,n �b rf Fr C �F 1 1 ►tea -`'Y Ground -� rb��'c �l - L elev. c�htS�3vt MM; M; :,,- C W tf • S 9a•eft. y y 5L- I c 5b ►t rn c ► F , Y ,s Depth to _39 - 6 H R,9 I F- S `r f24 9 limiting factor _(p-0 in. Remarks: Boring # 0-9 1 D1 R 3 13 L m F 0 A S �F 5 a ' � 9 -r� 7.S Yr±�l ..- ,.- ...-- .,. -..._. L. ��~1 rn r .- G w �F , 5 , {v Ground - � `�(��/ rr of S `I � �! C., - Mme ' 1 elev. Depth to limiting factor -(&in. Remarks: CST Name (Please Print) Signatur Telephone No. A +Av'k_ 7 1 S -34 -35$g Address Date CST Number a O +. �r v ���,, r c t 7- )p --98 aat7 :S q D 2L b ��++ nn 4 PROPERTY OWNER MO ►^ bDO�! roc % SOIL DESCRIPTION REPORT Pag r� of � n PARCEL I.D.# 01 —10 3 i — 2 Q0 D Boring Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 l o_q �t2 a �2 M�rr C 4 Ground 3 �S •.�� f � � R 9 N �I— y a, M k MFG �. �,� � �'' . S • (p elev. as,c .Lft. y Da -a 7.5 H R y� S �- 0 M sb►t M f� t I J' Depth to S a7 -33 5 K A `� f V F I F 6`1 s / 5 L ) c. 56k r, F,- G w )0 r- limiting l� - �O 5 y R Aa F2 Q 5 `i t°f `J L- Q —rl J factor VD in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # .......................... .......................... ........................... Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) I : rpv<x T K (D DO •SE'��� �wYi scc- 14, T31 t4 RIsW p aa0 acre: s cst aa���J Gov i I t .5 p aDo + 4 �<6. I o 9 � O i ya' 6 ,a 16, -1 1 oC. t 3 ss f 9 w / p � I (ps v + hdr:1 dl Q'M m JDD -� ��eFe.•.`.o� P�.s F gm IDU cakn�,r- « Pos+ Q 9$.55 �) to - top k k,►�,�c P�(, �a 98.y8 f 6a 106 -30 , Sr�2 P Pe- cA po4i°- P,te 3 `I S.bI p,3 lo3,y3 " ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer M AR K C:WtR10_N Mailing Address 3LL32 210 1 " N ✓E 8 - 1-Edy /QD,t) C iTV W1 S9 n 13 Property Address .38 2 2 /U ?t-t A VF Vi(ODtl 8 W1 SqU 13 (Verification required from Planning Department for new co►,struction) City /State e— E1J00M � 1' T'/ W1 Parcel Identification Number 41W 1631- 34nd LEGAL DESCRIPTION Property Location 5E 1 /4, SY✓ y 4, Sec. A/ ) T 0 N-R W, Town of FpRE3T Subdivision YD A2R1= A M' 09 t , Lot # Certified Survey Map # Volume , Page # Warranty Deed # DDOWM£uT tt- .57 39.82 , Volume /306 , Page # 532 Spec house ❑ yes 9 no Lot lines identifiable ❑ yes M 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, j ourneyman 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 days of the three year expiration date. - 7 /27/ 9 Y SIGNATURE OF 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. SIGNATURE 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 ter 'IhT' -' ,+."`: STATE BAR OF WISCONSIN FORM 2 - 1932 ' *, 5 7398 2 ! ",CORRECTIV ,4 TY E�IJ�"•+ + DOCUMENT NO 1 ` REdiKfEQ S Of DICE I� ST. CR iX CO.. WI ' Melvin j, Mc011ough AL A t `e' X11 t`.c.411hu&b � Rm'�f to Maad !! _t . Mc_Ql l_o_u¢h Al U A-Do = --J� ;�411ugh-,� FEB 2 7 1998 Ink ! 9:30 A M conveys and warrants to T_he G09�IlSh -P1�ie corpQrat j pn __ for of Qom THIS SPACE RESERVED FOR RECORDING DATA I -- NAME AND RETURN ADDRESS the following described real estate in St Croix CSR VA D Offic e Bo ' BE127SILER, S. C+ �) State of Wisconsin: jj New Richmond, WI 54017 South Half of Northwest Quarter (S 1/2 of N4 1/4) and North Half of Southwest Quarter (N 1/2 of SW 1; 4) o North, Section Fourteen (14), Township Thirty One (31) Nort f Range Fifteen (15) West, St. Croix County, Wisconsin. 014 - 1030 -70 000 it Southeast Quarter of Southwest Quarter (SE 1/4 of PARCEL IDENTIFICATION NUMBER SW 1/4) and East Hal' of Southwest Quarter of 014 - 1030 -80 -000, Southwest Quarter (E 1/2 of SW 1/4 of SW of Section 014- 1030 -90 -000. 1/4) 014 - 1030 -95 -000, 6 Fourteen (14), Township Thirty One (31) North, Range 014 - 1031 -10 -000, Fifteen (15) West, St. Croix County, Wisconsin. 014 - 1031 -30 -000, 014- 1033 -50 -000. 014- 1033 -80 -000, and �;i East Half of Southeast Quarter (E 1/2 of SE 1/4) of 014 - 1046 -10 -000 Section Fifteen (15), Township Thirty One (31) North, Range Fifteen (15) West, EXCEPT Railroad Right -of -Way and and EXCEPT West 38 rods of East 66 rods of South 35 rocs th ereof �3406, as Lot E Document No. Certified Survey Map filed January 28, 1998 in Vol. 12, page , g e 571896, St. Croix County, Wisconsin. i Northeast Quarter of Northeast Quarter (NE 114 of NE 1%4), Section Twenty Two (22), } Township Thirty One (31) North, Range Fifteen X15) West, St. Croix County, Wisconsin. THIS DEED IS TO CORRECT THE LEGAL DESCRIPTION Th is homestead property. AS DOE DIT NO CORDED IN VOL. 1281, PAGE, 512, (is1 ttslso]i Exception to warranties: Subjr!c*_ to all easements, restrictions and covenants of record. o A.D., 19 Dated this O day of ( (SEAL) (SEAL) . Mel vin F. Mc011 Donna J cO1louQh (SEAL) (SEAL) '1w , • y ACKNOWLEDGMENT AUTHENTICATION Scale of Wksc000iot, Arkansas, j Signature(s) ss i l �, /�G'Z • County p came before me this day of authenticated this day of 19 — 19 , the above named 1Ke - �h and Donn^ 1 - l Mr-Ol 1 ouQh , i TITLE: MEMBER STATE BAR OF WISCONSIN - !� (if not, who executed the foregoing to mz knr�n to be the persons___ authorized by §706.06, Wis. Scats) imtstru:'Tx­ and acknowledge the same.r (��a••a AT I' (3A7AR0 THIS INSTRUMENT WAS DgAFTED BY Hendrik W - — . Van Dyk l � _ _YAILDYK Nv� O' BOYLf3 4__SI�Rx -- Post Office Box 127 — ry ft — — "� _ County, yf§t AR, �i e_8 is b mood 1�Ti 5 401 j� �; t..- ts�•.xt is permanent (If not, sate expiration date' (Signatures may be authenticated or acknowledged Both are not y necessary) - - - -- - - g aH L Bio$ast N tJames of ? r °` .oning m an) . ^tiuy should by typed u primed o% i her I a urns ST :%Tr BAR OF V i�CO \51V- ""'�`g Coun State G Taco 5� �_e�` 0 ` ' s N%AR&SNTY DEFD Furm No. 2 - 1982 t tY :.an'anission Expires - LAD - wg 3 , R � TTT f I T � 'T A S r U S P S � I CA N op P r- U'