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HomeMy WebLinkAbout020-1113-60-000 � I ` oco) o j■ n e 2 £ & § § m � % r ■ C/) ■ m — z ƒ- CL j A A E e- / 2 a / $ / K CL k \ ° ° w *P. § 8 8 2 E m k k k ■ ° a to E f c © [ /// /� I 3 i 0 g S . a / § n r @ _ \ , -N I 0 Cl) 3 d d 2 j \ [ 2 [ 7 0 7 / ^ 7 I D K � [ N) \ g E E § z E a) z CD 0 k Q 0 # ( \ D \ ƒ 2 3 i � � \ / 2 z CA / CL / G 0 \ : C3 M 2 § � g \ k 2 k m m k cp \ a 0 § � \ ƒ n [ R _ ; 0 3 \ \ � 2 � I � � Er ) i J 2 � K 0 $ � < § § _o �§ C: ) � Parcel #: 020 - 1113 -60 -000 01/12/2005 10:25 AM PAGE 1 OF 1 Alt. Parcel #: 12.29.20.459E 020 - TOWN OF HUDSON 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 * RYAN, TIMOTHY A TIMOTHY A RYAN HARINGS HEIDI S HARINGS HEIDI S 1020 HWY 35 HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 1020 HWY 35 SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 0.258 Plat: N/A -NOT AVAILABLE SEC 12 T29N R20W PT SW SE & PT SE SW COM Block/Condo Bldg: S1/4 COR SEC 12,N 756.69FT TO PT ON WLY R/W ST HWY 35 -POB, N 30DEG E 192.86'N Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 59 DEG W 120.18'S 63.62'S 31 DEG W 12- 29N -20W 31.06'S 58DEG E 20.05'S 126.32'- POB & INC AS DESC IN WD- 1373/302(0.028AC) Notes: Parcel History: Date Doc # Vol /Page Type 09/07/2000 629469 1540/620 WD 11/04/1998 590734 1373/306 WD 11/04/1998 590732 1373/302 WD 07/23/1997 839/349 more 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 48548 104,400 Valuations Last Changed: 10/29/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.258 7,000 73,800 80,800 NO Totals for 2004: General Property 0.258 7,000 73,800 80,800 Woodland 0.000 0 0 Totals for 2003: General Property 0.258 7,000 73,800 80,800 Woodland 0.000 0 0 Lot Credit: tt [�( Claim Count: 1 Certification Date: Batch #: 303 Specials: User Special Code Category Amount 018 - RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 r S 8c N LAND SURVEYING, INC. HUDSON, WI 54016 PREPARED FOR (715) 386 -2007 _._.. MARTIN MILLER SCALE OF MAP >" = 40' 1020 S.T.H. '35' HUDSON, WI 54016 JAN 8 L' DESCRIPTION ST. CRp COUNTY LOCATED IN PART OF THE SE1 /4 OF THE CENTER SURVEYOR'S RECORD SW1 /4 OF SECTION 12, T29N, R20W, TOWN OF SEC 12 HUDSON, ST, CROIX COUNTY, WISCONSIN. I I o C. 00 0 Ni NO1 °15'09 "W % 10.13' E-1 b o cn ���Fd� p w ti 0 $ �R 00 ' �'' S31 °36'00 "W NORTHWEST LINE OF PARCEL 2 20,09' q IN DEED VOL, 839, PG. 349 C\\\� Q / v w C ' , ED LLI J I L" Q LEGEND IAJ LLJ � LLJ I " Ld ALUMINUM COUNTY SECTION �� I w~ a 6 / CORNER MONUMENT FOUND z • 1" IRON PIPE FOUND I '� I A? / O 1" X 24" IRON PIPE SET WIGHING 1,68 LBS, PER LINEAR FOOT z / 0 �D -' 0 o N J R) 0'F wils DOUGLAS J. ZAHLER iz *. 5 -2145 * S1 /4 COR HUDSON, SEC 12 W S. / �0 23�` I, Douglas J. Zahler, Registered Wisconsin Land Surveyor, hereby certify that the above described and napped property was surveyed by me or under my direct supervision and that this map is a correct representation to scale of the boundaries to the best of my knowledge and belief. SHEET 1 OF 2 SHEETS li Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but S cR oi X not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION R BY� DATE PROPERTY OWNER: PROPERTY LOCATION Alv /0i•/l&7? GOVT. LOT 510 1/4 5;6 1/4,S T 2.9 (,N.R t 4 (or iV PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # /02. fflw . 35 CITY, STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE BMWN KAREST ROAD h}U12SoN Wis. 540r& (?!5) 386 R00Saa V ifw Y• 5 (] New Construction Use [ 'Residential / Number of bedrooms 2 - t& 3 [ ] Addition to existing Idin Nleplacement ( ] Public or commercial describe I Code derived daily flow 0 gpd Recommended design loading rate bed, gpd/ft trench, gpd/ft 1 Ah­. ption , .rea required 3 75 bed, ft2 315 french, ft Maximum design loading rate • ? bed, gpd/ft trench, gpd/ t Recommended infiltration surface elevation(s) SEA �� • 3 ft (as referred to site plan benchmark) Additional design / site con rations �'M" vt`Th 1w . O" foft Parent material SG 5 y y 6' //Vw S /4.5 6 - 0 , j M Flood plain elevation, if applicable N - It S = Suitable for system CONVENTIO M_O S [I U IN UND P URE AT-G ❑ U SYSTEM IN FlJJr HO TANS U = Unsuitable for system 13 S C9'0 (7'S 0'Q 21Y SOIL DESCRIPTION REPORT Consistence Ba.ndary Roots Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 0- io Y R 3/3 1 0 n» R A— wfk C s Ff s f-i LN? 10 yR y 45 d, /1-1, fe c 5 �,; Ground B2- 3 749 7 yR Y14 1 C yR -F'P, CS 2�, . 7 elev. ft. C 1•5 YF j Y5 0 , 14 n^^x - A c5 Depth to C 2- j. YR y �` y / �S �, �� y p IJ f limitina factor Remarks: L 2 i zoa "C 2 — W F !�' CE.�cE �vT>EJ� S,}.up Sfo.J E- . Boring # 2 0-? /0 yoe 313 /5 a, ^4, 4i� �+v oR G5 i f Z ' (3 F- 3o io yie y/3 --� /S 0 f f/Q A4 U f �e s 3 f . b' i � } Lt n �i<f (3 z O.3 g 5 3/� �,� & 'r`' z,, / 5 0 �,, y , e r�►f R es .� Ground w! L elev. v� ,'� •+ Y r�.N r ft. t 3 g- 1 G 5 ' ' oplr. 1 o,vf, It n.. U -F i e >u� s8 75Y / Depth to limiting i0 yR 5/i Je3y factor ,, SYR yl4 �� ��Ay S 0 4 C-, 9K 1L. r • &' 6.5.5. CO *et 2 Oi- ) CST Name: — Please Print 2p (�e� 1 Address: (� 5 S 0 /0 t:7T4. RP - If W • 5-V61 lEc , I,$ — I t 3 A STtt 2• y8 2— Signature: � Date: CST Number: TF'S T co , D t TIC N S ° r S vas y , Y t -F, -.-a S ys� 3, -� \6 ORIGINAL PROPERTY OWNER M ' R' SOIL DESCRIPTION REPORT Page L of 3 PARCEL I.D. #t Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boun 3y Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tren � - /o v i e 3 0 ,4"J h& cur R. 13 2,.,. . , 1 L ip /oYR d, uf, g�f2, eS Ground (3 �-- !0 Y S YR Y& 1. f, 5 bk R C57 elev. ft. IJEX y Depth to C go t o yR s/� 13��D S o, �, , s �. a. $ • g limiting factor r' d, f , $ie mA*-' S - PP i S•ss. Remarks: (� p p Boring # A DSO /Q r //G Q /Z /s 0,,w, y� 1� 5 -3 y a, 8 -�� �o YR y/3 — ��s 6, f y,� fie c s .� yy ...... tiSy'� vQ-0i a, fX Amy c _ . S .G Ground elev. G O ' S YR y �' 2 ' S� 2- 4 .1 , s .bi� r i,,+ t ' - . S • G / ft. s �R 41 — Depth to limiting factor 1 5.5 Remarks: Boring # Alf Y i3ou fi•:; S` P r r S s :�li• 4'< � •��— �f� �4o Tfiz -r'� w� . Ground elev. O� i ft. i Depth to limiting factor 17 i Remarks: Boring # I Ground elev. ft. Depth to limiting factor I Remarks: CDII 077I� /D AC /AM I A Vi 1 0"' 1 q 0 0 a TIN yy� / D Z oo 13 �. 9p' IV o � 5 0 w` I � a� I 6,C ALZ : l "= 30 ' 0 OF • = /3�tarha E ��'1'S hT L LE V -4,1.1 I+OI�S i FIe�kTloA.) O 43 14 f5'' ST. CROIX COUNTY ZONING DEPARTMEXT' ' w AS BUILT SANITARY REPORT Owner Properly Address �D e?ct 46 , vr•,,` .; City /State - .4 Ca AJ Legal Description: _ Lot Block Subdivision/CSM # -I& t /44�g t /4, Sect, T N -R :JW, Town of . , ,�_ PIN # e'1 SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION Tank manufacturer Size ST/PC/ Setback from: House q Well �P/L IV 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: 4rcu r Width Length ,. Number of Trenches Setback from: House Q4 — Well 1 4 , 1) P/L / Vent to fresh air intake . ELEVATIONS Description of benchmark Elevation MOa, d Description of alternate benchmark Elevation Building Sewer f. '? ST/HT Inlet ST Outlet PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover Distribution Lines ( ) 1 9,? r/ ( ) ( ) Bottom of System Final Grade Date of installation M194 9 ermit number J- 0 State plan number Plumber's signature 1,, /. �'- - �P License numbe 74 l;" Date Inspector #R r� �� Complete plot plan I s 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 AL 1 ? o � I . �s 3 � ; INDICATE NORTH ARROW Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Y' Safety and Buildings Division Count ST. CROIX INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) SanitartP24%th.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit MILLER is N�am IN D . [ket6g6gllage E] Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Descripti ` I1U b`� Parcel T�xLf�FA.:1113- 60-000 D (� TANK INFORMATION ELEVATION DATA A9800513 TYPE MANUFACTURER CAPACITY STATION 65 HI FS ELEV. Ic A , G LA Wv Ben Dosing Aeration Bldg. Sewer 1 v.q R5• I �— Holding t. Inlet 7 �,� q4. 3a7 TANK SETBACK t Outlet �. � - 7� T P/L WELL BLDG. I ROAD Dt Inlet Air Intake NA Dt Bottom Dosing A Header/ Man. Aeration NA Dist. Pipe Holding Bot. System Q,? q,2� 0 I2 .2(' 7 q2.73 PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand el Number GPM T Lift Friction System m TDH Ft Forcema la. H Dist. To Well SOIL ABSORPTION SYSTEM E QEljj,1RENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth EN I N 3 DIMENSION I SETBACK SYSTEM TO P/L I BLDG WELL LAKE /STREAM LEACHI INFORMATION Type Of I C r 2 , O C BER Moe er: 5 ste .7 � NIT DISTRIBUTION SYSTEM Header / Manifold r Distribution Pipe() r x Hole Size x Hole Spacing Vent To % r Intake Length Dia. Length 3� Dia. Spacing �(L SCJe �"( y � : ;�7 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 C] Yes E] No El Yes E] No COMMENTS (Include code discrepancies, persons present, etc.) LOCATION: HUDSON 12.29.20.459E,SW,SE 1020 HIGHWAY 35 x; -. +- M w� a,W. tV ..,{ (.ICA Ca& w (a? I y8 i Plan revision required E] Yes {Z] No 7 / Use other side for addi tional information. SBD -6710 (R.3/97) Date Inspector's Signature ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: I I I ' I. Safety and Buildings Division Visconsin SANITARY PERMIT APPLICATION 201 Box Washington Avenue Department of Commerce In accord with tLHR 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 8 1/2 x 11 inches in size. .SrCY-) � - • See reverse side for instructions for completing this application State Sanitary �Permit ( N Personal information you provide may be used for secondary purposes ❑ Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. sn 7 s S e Ian I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION var'iQpy, +50rx0 Property Owner Name Property Location e ,1 v4s 1/4, S T �� , N, R„jQ E (or V roperty Owner's Mailing Address Lot Number Block Number City, State Zip Code Phone Number Subdivision Name or CSM Number S D ( ) 3 -9' II. Y F BUILDING: (check one) ❑ State Owned ❑ it Nearest Road ❑ Village Public 1 or 2 Family Dwelling - No_ of bedrooms � Town OF .✓ 5 7 �- C III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) I a . a 9. ao. 45 4 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 S, if applicable) A) 1. ❑ New 2_ VQeplacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5. ❑ Repair of an ______ System________ System_____________ Tank Only______________ Existing 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 ❑ 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: .,�L7 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) I Elevation 34O '4d jD jec S 40 A41- 1q le Feet QG, Feet Capacit VII. TANK in Ca allo s g Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons an Manufacturer s Name concrete Con- Steel glass Plastic App New Exist in structed Tanks Tanks r-� Septic Tank �Qd l Try Q1 ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber I I ❑ I ❑ I ❑ 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's Signature: No Stamps) MPRSW No.: Business Phone Number: =?99D P3 3FG'- OVA e' Plumber's Address (Street, City, State, Zip Code): _ TD 7e S c .r✓ G� IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate I ssued Issuing nt ignature (No Stamps) Surcharge Fee) Approved E:] Owner Given Initial /f./ Adverse Determination Qu 1 0 - 2 f1 l X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: VIJ*&f " xkkAhn clii wLjI P (o7ldl�ms O. ap)A M Wia*ce. V1 w¢ 7 1 tga� SBD- 6398 (R.11197) DISTRIBUTION: Original to Coul4ty, One copy To: Safety & B ildings 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 corrpleteand accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. 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. VIL 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 81/2 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) crosssection of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. Safety and Buildings Division 15837 USH 63 Hayward WI 54843 -8107 ,scons Tommy G. Thompson, Governor Philip Edw. Albert, Acting Secretary Depa of Commerce October 07, 1998 1y i . _/ WEGERER SOIL TESTING & DESIGN CUST ID No. 267341 421 N MAIN ST Q E /VED PO BOX 74 ' i RIVER FALLS WI 54022 cp x9 1 9 8 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 10/07/2000 I aenft um Transac,(ion,ID No. 150 SITE: ST CROIX COUNTY, TOWN OF HUDSON Site ID N6,',61633 SW 1/4, SE 1/4, S12, T29N, R20W Please refer toba ication numbers, FACILITY: MARTIN MILLER RESIDENCE above, in all correspondence with the agency. FOR: NO OBJECTS FOR THIS TRANSACTION The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. All of the statements and supporting documentation included with the petition were considered. Since your request is similar to other petitions approved by the Department the petition is CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. Conditional approval means that the owner must accept and follow the conditions specified as part of this approval. The code sections petitioned require that a setback from a soil absorption system to the foundation of a habitable structure be 25 feet, that the setback from a property line to a soil absorption system be at least 5 feet, and that a soil absorption system not be installed in a filled area unless written approval is received from the Department. The variance requested is to install a replacement soil absorption system in the only remaining area on the lot for such a system, and in an area occupied by a seepage pit used for disposal of grey water wastes. In addition, the owner requests that setback reductions be considered from the occupied structure and property line to accommodate soil absorption system installation. The intent of the code sections petitioned are to provide a construction and operation zone between encumbrances and the soil absorption system and not to install a system in unsuitable soii conditions. The petitioner submitted a notarized SB -9890 application form including two additional page(s) of supporting documents and/or plans. Reviewer's Comments: 1. In reviewing the petition, it was noted that the request is similar to other petitions accepted by this department. 2. Based on the precedent established by the previous petitions, (e.g. S93- 40398, S93- 01960, and S93 - 00976) this petition for variance is being processed as permitted by Wisconsin Statute s. 101.02(6)(g), and Comm 3. 3. Equivalency is met in that property will be protected from damage during construction, permeable fill will be used to fill the seepage pit excavation. The proposed 20 foot separation between the habitable structure and soil absorption system is adequate in sandy soil conditions where wastewater movement away from the system is primarily vertical. 4. The specific requirements for system -in -fill installation as specified in Comm 83.10(6), Wis. Adm. Code, do not apply well to this installation. WEGERER SOIL TESTING & DESIGN Page 2 10/7/98 Conditions of Approval: 1. All of the petitioner's statements included on the variance application form, any other documents submitted to the Department, and all conditions of approval, if any, listed below shall be carried out. This variance is specific to the subject petition and cannot be used for any additional modifications. 2. The existing seepage pit shall be pumped with the contents disposed of in accord with NR 113 Wis. Adm. Code. 3. ASTM C -33 quality sand shall be used to backfill the excavation left by the removal of the seepage pit to the recommended infiltration surface elevation of 93.0 feet. 4. If aggregate surrounds the seepage pit the entire pit and aggregate shall be removed prior to filling of the excavation. If there is no aggregate surrounding the seepage pit the pit may remain in place and filled. 5. Provide shoring or other means to stabilize the cut made near the property line from collapse and disturbance of land not owned by the owner. A written agreement from the adjacent property owner allowing site disturbance during construction of the soil absorption system would negate the need for shoring or other protection. This approval does not include review of the design and size of the system(s). All other criteria in chapter Comm 83, Wis. Admin. Code, must be met prior to issuance of the sanitary permits by the local authority. 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, or operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 09/29/1998 FEE REQUIRED $ 225.00 eroy G. sky, W water Spe ' list FEE RECEIVED $ 225.00 Field Operations Bureau BALANCE DUE $ 0.00 (715) 726 -2549 Fax (715) 726 -2544 Voice Ijansky@conunerce.state.wi.us cc: Martin D. Miller lleY Ff I I 1 I • WiscQnsin Departrnent of Industry SOIL AND SITE EVALUATION REPORT Page \ of 3 Labor and Human Relations . Division of Safety & Builclings in accord with ILHR 83.05, WIS. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest toadr-- �•�..� DZO 1 1 3 - b O APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION, ?, REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION 5�1 1/4 St 1/4,S 1ZT Z cl ,N,R ?A E PROPERTY OWNER' :S MAILING ADDRESS LOT # I BLOCK # I SUBD. NAME OR CSM If CITY, STATE ZIP CODE PH E;NUMBER , , ITY GE DOWN NEAREST ROAD 1 SUrv s�1.u (�t 386 �' sow [ New Construction Use K Residential /Number rooms [ ] Addition to existing building Replacement j J Public or commercial descrbe Code derived dail ffdow 3'00 gpd Recommended design loading rate o 'Z� bed, gpolft trench, gpolft tz,�.ow� �xn� ec� yr Absorption area ►squired bed, ft — trench, ft KWmum design loading rate S bed, gpd/ft b trench, gpd/ft Recommended infiltration surface elevation(s) q 3.O It (as referred to site plan benchmark) * INT 511 s'�► Additional design / site considerations tiu`cE s o�.d ��t G 3 - 't)(3 SZb 1 0 0 i�_b , Parent material s pmj'� wv'Tuj f) S � Rood plain elevation, if applicable NA It S = Suitable for system I CONVENTIONAL MOUND IN-GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDNG TANK U = Unsuitable for stem ®S ❑ U I ❑ S ®U ®S ❑ U ❑ S ®U 0S RU ®S ❑ U * " - ��uCaE v� Su1TN'Pl * »1} `� \)WTL1f %1C-eS ?rPp � Mov �wv SOIL DESCRIPTION REPORT Q - ` C-Vr- of R1ZEA Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. B id rend& z� l Z 6 - '�•S'1 yt3 _ 1 1 �sb� w►v�v �w - S , l Ground 3 43-S S `� R- 31 y _ li d �s 1 1 Sbk Yn Z-' w - q S elev. a - ft y sg �$ �•S`�R31 — 1 s ts1 � m V - .��i .S Depth to s G wt ►Ul~ v ov limiting factor Remarks: Boring # o -1 lb`1 31 t L Z Z - , -it �• S 2 313 1 1 �sbh `M v�Fti w • s . L . 3 z► -q0 S `1 r u (� — s 1�Sbh Yv� e ►v — • _� Ground elev. y ° l6- 3 43-80 7•S `1 R 31y - \S $01 \ asb>W_ Vn vi - — .\4 ft Depth to y limiting factor 7 80" Remarks: GSTName:— Please Print pine Arthur L. We erer 715 -425 -0165 eg %rer Soil Testing & Design Service -P.O. Box 74 River Fa11s,WI 54022 Signature: l Date: CST Number: .., °18 - Z1q ���Z `'1 M00576 PROPERTY OWNER "-`- SOIL DESCRIPTION REPOr�'r Page _t of 3 PARCEL I.D. # O O— M I Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed rends O -lS 1�` -t1Z 31Z — S1t Z`F5'1r S CL S — •S E3 •` Z 1S -�1f3 ., S 313 N 4S ltit\) iv • 5 ' Ground 3 u�$y 1 31y — 1eS b\. l �,� _ • s •6 elev. c S •3 ft. i Depth to limiting factor > 8y Remarks: Boring # E Ground E elev. E ft. Depth to limiting factor E Remarks: Boring # E3 i I - t Ground elev. ft. Depth to p . limiting factor E Remarks: Boring # , E3 f Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(R.05192) PLOT PLAN Pa 3 of 3 SCALE 1 "= ZO ' v 0 10ZA `chi 3 S r Z Bpv.� ti�owiE -v B�_ 'i3oYNth oar stot,✓G e WC.LI 3v — LL tbb• ta' of V- e� Z.O" F-V-Om 1fi1V s E Z . 1' F - • M U h/Z 8V-%2E' �rvS T1z-u e 0v� 3. S t S 1 W S-Tf�'� dU L''R °18 -Z�q (71 5 l 425 -0165 1400576 CST Signature Date Signed Telephone No. CST # W&onsin Department oflndushy SOIL AND SITE EVALUATION REPORT Page _1 L of 3 Labor and Human Relations . Divisan of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code [REVIEWED NTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point @N% direction and % of slope, scale or CEL I.D. # dimensioned north arrow and location and distance to nearest road. DZ 0 - 1 1 3 - b O APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION BY DATE PROPERTY OWNER: PROPERTY LOCATION "P ctn N - \z) • `P'1 L` 88Vfit@T Svv 1/4 St 1 /4,S VLT Z q _,N,R ZD E PROPERTY OWNER'S MAILING ADDRESS LOT # I BLOCK # I SUBD. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE WfOWN NEAREST ROAD \ -V 01b 3S" [ ] New Construction Use pq Residential / Number of bedrooms Z [ ] Addikn to existing building Replacement [) Public or commercial describe Code derived daily flow 310 gpd Recommended design loading rate o .-- bed, gjXW trench, gpd/ft tttV&M oKa ei") yr ot Absorption area repaired %\ Vo bed, ft - trench, 9 Maximum design loading rate _ bed, gpdjft • b try gPd/ft Recommended infiltration surface elevation(s) C� 3.O ft (as referred to site plan benchmark) 1�?r Additional design / site considerations s "b is abi l»vs ve- 3 - �o S�J t WV V\MoUfYc- 1�m . Parent material Rood plain elevation, if applicable tV At It S = Suitable for system COW WTIONAL I MOUND KGROUND PRESSURE I AT -GRADE 7 7ST 0S 11 M iN F L•L HOLDiNG TANK U = Unsuitable fors stem ®S ❑ U ❑ S O U ®S ❑ U ❑ S 0 U 0_U ® S ❑ U MTW \)TMAMJcL S W?Im civ� SOIL DESCRIPTION REPORT o cis o� f�iz.� e Cj. ,OE JL14 . � opt t �. Boring # Horizon Depth Dominant Color Motes Texture Structure Bouridaty Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench . � ) n -b 1 o�I cZ 3/Z — st 1 Z� �. c�.s a,s - -s •6 VI _ 1 1 �sbk �►v�� e-w - • S :l Ground 3 yu -S S S `f R- 31 y _ li d �s 1 Sbk tin V '� t v - • S elev. a6 -o fL y sR it - )•s Ktz 3 /y l�sbk "►"� - .iii .s Dep to s 1 ►u� ry S pWs - r�,o'r cz, '" 4 1 v ov � � ii t in g '" (y M Remarks: Boring # O ` 1 b`•l tz 3 ! t S 11 Z 91- S o�. g - • S .1, S 3 zI -� - 1•S'IrL uI (� 1 s 1eSbh v e►., — . _U Ground elev. y yO-80 - 1 -S `1 R 3!y - �S acSl �Sd1c vn V'Fv _ `!_ ' .s x . 6. 3 ft Depth to limiting factor Ll 7 80" Remarks: CST Name: - Please Print Arthur L. We erer Phone: 715- 425 -0165 ege3rer Soil Jesting '& Design Service -P.O. Box 74 River Falls,WI 54022 Signature: / >-�l� � g 0 _7_t q Date: �_ Z Z �� CS Number: 0 0 5 7 6 PROPERTY OWNER SOIL DESCRIPTION REPOr:'r Page 4 Zof 3 — PARCEL I.D. # 07-Q M Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistenm Bourday Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 0 VS 10m 1Z 312 ail S .S •S •` Z 1S - �18 .� S`1R 3L3 � 4S V `Ft- �J ` S • l Ground sbh �U`F►. "- • S •6 elev. S-3 ft. j Depth to limiting factor • > E5 i Remarks: Boring # Ground elev. ft. � Depth to limiting factor FT t i Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor Remarks: Boring # f Ground elev. ft. Depth to limiting factor T-1 Remarks: SBD- 8330(8.05/92) • PLOT PL Page 3 of 3 SCALE 1 "= ZO .. c h V � S�P'R IOZA `t1W7 3 S r �`1rOt�tE . s vow G 0 3i' 8 -3 _ I ' j 1 i / L'1 , a► 3. uz' �. —LVL- coo. � . LO � ��2A1`•l 1�11V S E U Np C V 'z\U N Lv► gm2E rp1 �►,,��c -mss o�[w�s -� �o� G�z. _ - ____- - - - - -- . y y �y Sl 35 _ °18 —Z 1� M 00576 CST Signature Date Signed Telephone No. CST # l ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owt �rBuy ei C r t r SCE l l Maing A4 4,c Ls � LL Prol`; = A,ic :lr :'a,s (Verification requited from Planning Department for new construction) n City ,State Cti� Parcel Identification Number Prol; .rty Li,xett.,on 5 ' /a, 5 ( ' /., 5cc. � T N_R W, Town of (vl Sut xyisioaC �..... Lot # Cep' :wed r', ey Map Volume . Page # C. 3Z2 Woli :ranty D era! (1 # � y (� . volume Page # - - Spo: ' house. C °I yes ❑ no ? Lot lines identifiable yes ❑ no ] !►! : Imps. j e i! - use and ms i.atenaneeof your septic system could result in its premature failure to handle wastes. Proper m,a tlemmce cons; is of pr O�i::tg out the septic tank every three years "sooner, if needed by a Licensed pumper. What you put system cans >.;fect the :fi. ini'Aon of the -septic tarok as a treatment stage in the waste disposal system. The ` 3p:!rty owner rtgrees to submit to St. Croix Zoning Department a certification form, signed by the owum ' a qd by a mast<..: plumli'�r ,;jr, C�ueymaup'�umber, restrictedplumber ox a lioensedpumper verifying that (1) the on - site wastewaterdisp.o ;6 system is in toper ofie -,w lug eonditiosa and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 fit11 o fludge. Uwe, >he un& is- :red have recd the above requirements and agree to maintain the private sewage disposal system, with this ilandards set ii th, herein., ti:: set by the Department of Commerce and'the Department of Natural Resources, State of Wiscolisin, CcF :.ficstion statii+ ;; that y5 u} ii, ptic system has been maintained must be completed and returned to th e St. Croix County Zoning; Mcc. %v,ithin 30 days :T:the tike!. ; , ear�pirati•an date. /J 1 I S1W ,k Of; AP DATE OVA. % iJ: .rmcA7i jo N I (wi•) i :1::1fy that all statements on this form are true to the best of my (our) knowledge. I (we) am (are: the o•.tr. of The p :` :�bed above, -by virtue of a warranty deed recorded in Register of Deeds Office_ SYG:P• VFWL;T01" APPLICAIVT DATE M ;.rnadon char is mis represented may re sult in the sanitary permit being revoked by tha Zoning Departmen tt.. * " " *•` ** Ir ,;Iude wilii 'I.hiis applicailow. 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 i;0 39G'd tid9L' L5 8b :ET 8661 /6T /0T v +4 f 1 t w«4 .AiiiX+t�w Iry ' %v t Hm � €',' tt>�1t111 a point an the' A 6anthexl ' of th6 c, pio.7"S) in the.Offlim clt 40 1'14. 126.22 IW24 i�tf 6 IAir thmm R01 S1"� k 4 I rlbl` r k .c 8:'Cy il. tii y� OW appurtenanea Oereunto A 11 o, ir,wr,�,.,.�aa►.w a�ple.and tree and clear of eneambr 1. rir °. X;jrf .Z l + i � .mp v -� 1 `1 u S:, i Ric gWd 0. i s In k I y 41 � �yi• � • °rt 1 S l R X {A 4 �w ^ .STAVE OF WISCO �ill 44 . ..... X ` Personally ¢ante him 0. 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