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030-1052-20-000
0 10 -0 0 —1 O y O 7 M 0 X 0_1 C"D m n C) z Cl) N O N W W �C • D 0 C_ W A g f1 m 0 N CJ1 T. N O O = CD CO G1 Q O O Q 7 fn li 0 N 9 0 O o pOj O c 0 CL _ 0 L p 3 w o p M c A o d (� D A a = N (n a n m W CD °i 3 rn rn o o f p U) 0 O = N ° C m 3 f m o z 0 C S C CS • N 3 Co N co (D ( D O O r. T _� N f �' W 9 N 001 N c M C 3 ° - 1 Cn a w N Z � o 0 N O D .•. lei N w 0 N O ZT O U) • N N = C S CD o n O m 0 O A Z n Z C �,. � 0 I � a v o .. I N W V O W C = z 00 3 0 O N � (D V O m a m o v C z a o •• N z O I I � I A O n I I � I N N I O O C o b N CD Op A CD C. Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page __ —I -_ of . -2__ Dtaision of Safety and Buildings o ith Comm 83.05, Wis. Adm. Code Attach complete site plan on paper not I in size. Plan must include, but not limited to: vertical and ho p BM), direction and County S t. Croix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. -- -- - -- - - 1 .,,,_ Parcell.D.# 30- 10522 -0 APPLICANT INFORMATION - Please pn t( fto a 4 Fill - --------------- Personal information you provide may be used for second Reviewed By Date p (Privacy Law,•s;.1�Q4 (1) (m) >. 1 - - -- - - Proped Owner �- Pfgpe Location Kaeck, Haro C G SW 1/4 SE 1/4 S 23 T 30 N R 19 W ---- - - - - -- --- --- - - - - -- -- Property Owner's Mailing Address _ Block Name or CSM# 1414 Hidde Oak Trail � ° City State Zip C > PhoneN Village Town Nearest Road New Richmond WI 5401 - 15 -24 Sf.Joseph I Hidden Oak Trail New Construction Use: �X, Reside, ' /A 0 2 ;Addition to existing building Replacement Public or co I d s Code Derived daily flow 300 gpd Recommended design loading rate -7 bed, gpd /ftZ • trench, gpd /ftZ _A bsorption area required 429 bed, ft- 375 trench, ftZ Maximum design loading rate .7 bed, gpd /ftZ • t rench, gpd /ftZ Recommended infiltration surface elevation(s) 92.4/89.0/86.5/83.2 ft (as referred to site plan benchmar Additional design /site consideration 4 - 5' wide trenches for 120 running feet; sys ele 48" below nominal contours as trench center lines Parent material sandy /loa outwash Flood p lain elevation, if applicable NA ft S= Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system X U X S U X S U X S U U U Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ftZ Boring# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 1 0 -10 7.5YR 3/2 - sl 1 m cr mvfr cs if /m 4 .5 2 10 -21 l OYR 3/4 - sl 1 m sbk mvfr cs 1 m 4 .5 Ground 3 21 -51 7.5YR 4/6 - Is /Icos 0 s ml cs Im .7 .8 elev -- -- ---- ----- -- - g r- 93.0 ft 4 51 -74 10YR4 /4 - mcos 0 s ml as im j .7 8 Depth to 5 74 -80 10YR 4/4 - Ifs 0 sg ml as - 5 .6 limiting 6 80 -88 l OYR 4/4 - s 0 sg ml - - .7 .8 factor 88" - Remarks: ---- --- - - - - - -- --- - - - - -- - 2 1 0 -11 7.5YR 3/2 - sl 1 m cr mvfr cs If7m .4 .5 2 11 -22 l OYR 3/4 - sl 1 m sbk mvfr cs 1 m .4 .5 Ground 3 22 -41 10YR 5/3 - sl 2 m sbk mfr cs lm .5 .6 elev - --- -- ---- - - -- 8 7.9 ft 4 41 -65 7.5YR 4/6 - Is /Icos 0 sg ml gs - .7 .8 Depth to 5 65 -85 l OYR 4/4 - mcos 0 sg ml - - .7 .8 limiting Note: Petition needed for steep slopes; - this report a supplement to Steel report, 7/1/94 factor —'- 85" - Remarks: . . d eep system elevations (4' below contours) to minimize steep slope impact; room for 3 br system if wanted CST Name (Please Print) Signature: Telephone No. Henry F. Grote 715- 665 -2681 — ----- - Address ox napp, 6/11/97 222 N umber Ref Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page _I of -2 _. Cvision of Safety and Buildings mm 83.05, Wis. Adm. Code Attach complete site plan on paper not le s ize. Plan must Count include, but not limited to: vertical and horiz al CAP t ), direction and y St. Croix percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. - - - -- — - -- - - - Pafcell.D.# 30- 10522 -0 APPLICANT INFORMATION - Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Reviewed By Date Property Owner Property Location Kaeck, Harold Govt. Lot SW 1/4 SE 1/4 S 23 T 30 N R 19 W Property Owner's Mailing Address Lot # Block # ubd. Name or CSM# 1414 Hidden O Trail Lot D City State Zip Code PhoneNumber City Village X Town Nearest Road New Richmond W1 54017 715- 246 -5035 St.Joseph I Hidden Oak Trail New Construction Use: ;x, . , X Residential / Number of bedrooms 2 Addition to existing building Replacement Public or commercial describe Code Derived daily flow 300 gpd Recommended design loading rate • bed, gpd /ft2 .8 trench, gpd /ft Absorption area required 429 bed, ft 2 375 trench, ft Maximum design loading rate - bed, gpd /ft2 .8 t rench, gpd /ft Recommended infiltration surface elevation(s) 92.4/89.0/86.5/83.2 ft (as referred to site plan benchmar Additional design /site consideration 4 - 5' wide trenches for 120 running feet; sys ele 48" below nominal contours as trench center lines Parent material sandy /loamy out - - - - Flood plain elevation, if applicable NA ft S= Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system X U X S U X S ' U X S U U U Horizon Depth Dominant Color Mottles Texture Structure Consistenc Boundary Roots GPD /ft2 Boring# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 1 0 -10 7.5YR 3/2 - sl 1 m cr mvfr cs 1 f/m .4 .5 2 10 -21 10YR 3/4 - sl 1 m sbk mvfr cs Inn .4 .5 Ground 3 21 -51 7.5YR 4/6 - Is /lcos 0 sg ml cs lm 7 .8 elev - -- - -- - -- -- - - - -- - -- -- - ; 93.0 ft 4 51 -74 10YR 4/4 - mcos 6 sg ml j as 1 m .7 .8 Depth to 5 74 -80 10YR 4/4 its 0 sg ml as - . 5 .6 limiting factor 6 80 -88 l OYR 4/4 - s 0 sg ml - - . 7 .8 > 88° Remarks _ -- 2 1 0 -11 7.5YR 3/2 - sl 1 m cr mvfr cs if /m .4 .5 2 11 -22 10YR3/4 - sl 1 msbk mvfr cs lm .4 .5 Ground 3 22 -41 1OYR 5/3 - A 2 m sbk mfr cs lm .5 .6 elev -- — — - -- - - - -- 87.9 ft 4 41 -65 7.5YR 4/6 - Is /Icos 0 sg ml gs - .7 .8 Depth to 5 65 -85 lOYR 4/4 - mcos 0 sg ml - - 7 8 limiting Note: Petition needed for steep slopes; this report a supplement to Steel report, 7/1/94 factor > 85" Remarks: d eep system elevations (4' below contours) to minimize steep slope impact; ro for 3 br system if wanted CST Name (Please Print) Signature: Telephone No. Henry F. Grote 715- 665 -2681 _ - - -- - P - . " oz 57 Knapp, W1 54/49-- - - - - -- - - -- - -- - - -- - - - -- - - - -- - - - -- - -- - -- Address Date CST Number Ref # 6/11/97 222774 139 `v i L I�l fi U 611 i f` iC.' A L U f i U rV frt t r' age of U in � r Labor and Human Relations 1 Divisio of Safety a Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (EIM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 030- 1052 -20 APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION REVIEWEOBY DATE PROPERTY OWNER: PROPERTY LOCATION Harold Kaeck GOVT. LOT SW 1/4 SE 1/4,S23 T 30 N R 19 )6dor) W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 14155 May Ave. N. na na na CITY STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE)OOWN NEAREST ROAD Stillwater, M. 55082 ( ) na St. Joseph Hidden Oak Trl. [ J New Construction Use ( Residential / Number of bedrooms 2 ( ) Addition to existing building j J Replacement ( ) Public or commercial describe Code derived daily flow 300 gpd Recommended design loading rate • 7 bed, gpd/ft - 8 trench, gpd/ft Absorption area required 429 bed, ft 375 trench, ft Maximum design loading rate • 7 bed, gpd/ft .8 trench, gpd/ft Recommended infiltration surface elevation(s) na ft (as referred to site plan benchmark) Additional design/ site considerations system el.- ton of Rine =96 87'bottom of rock - 99 117 Parent material __- stream terrace Flood plain elevation, if applicable na h S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for system ® S ❑ U I❑ S ®U gJ S❑ U 13 S ❑ U I ❑ S ID U I ❑ S 13 U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles I Structure I GPD /ft� in. Munsell Ou. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence 8afrlary Roots Bed ITrea l 1 0 -16 10yr4 /4 2.5 r4/6 sl fill na Qw if n 2 16 -30 .5yr4/6 none is f na gw na np np 7 Ground 3 30 -55 10yr2 /2 high organic 1 lmsbk mfr gw na .4 I.5 elev. c p 3.3 ft. 4 1 55-86 10yr3 /2 7.5 r5/8 sil lfsbk mfr na .2 .3 c p Depth to 5 86 -11 10yr3 /3 limiting 7.5 r5 8 sicl lfsbk mfr na na -9 factor oil Remarks: Boring # ~:> 1 0 -14 10 r4/4 none sl fill na 2 ` <` 2 14 -24 10yr4/3 p 5 r5 8 no y / sl fill n Ground 3 24 -30 10yr2/2 none I sl 2mgr mfr .5 na .6 elev. 4 30 -41 10yr4 /3 none sl 1 fgr mvfr .8 ft. gw na [ .4 .5 Depth to 5 41 -80 5yr4/6 none cos I Osg mvfr na na .7 .8 limiting I factor 1 Remarks: soil suitable 3' below bottom of system CST Name _ Please Print Phone: Gary L. Steel 715- 246 -6200 Address: 1554 2 th. Ave. , N Richmond, WI. 54017 Signature: Date: CST Number: 7 1 94 cstm 22 c�� -- ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT � •. Owner �Il��l � • `� Address C , /St Cit ate s� / , "9 y /��t�� �. ftiwdn� / tom' t Legal Description: Lot Block Subdivision/CSM # Y, Sec , T30N_R�W, Town of Sf PIN # SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer c, K-� Size6 'PC iL750 Setback from: House /o' Well 'p/L, �7 Pump manufacturer Model _ Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Meter location Water Line Alarm location SOIL ABSORPTION SYSTEM: Type of system: Ten ( krs Width 5 en L a 5 � Number of Trenches Setback from: House 3 _� Well //S � P& 5 ' Vent to fresh air intake ELEVATIONS: Description of benchmark Tay ��'��, ��� k Description of alternate benchmark Elevation Elevation Building Sewer ST/HT Inlet L7, — 63 ST Outlet. ' (- PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover , i 7 Distribution Lines V) ��, ( B 7, *(— Bottom of System (/,/) (J) Final Grade ( ) gip, 3 () 8� • U ( ) Date of installation Permit number _ �/ ��SS State plan number /-i� Plumber's sig ature Ud / License number /14/ - Date ( v 1 1z 5 1, 1 29 Inspector l (S-73 Complete plot plan or Safety Department of Division Commerce PRIVATE SEWAGE SYSTEM Count Safey and dings Dision INSPECTION REPORT y 01 Gv/1K GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). ��S9Si Permit Holder's Name ,/ ❑ City E] Village El Town of: State Plan ID No.: (G' I�cce�V CST BM Elev.: Insp. BM Elev.: BM Descriptio � Parcel Tax No.: Imo' lt�L' T c�ncr TANK INFORMATION EL NATION DATA A18 000 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. eptl w Bench ro ©' I d L Yt5fi & Aeration 0 Bldg. Sewer Holding 41t Inlet Z 9 ' .2-3 - 7 97.3 TANK SETBACK INFORMATION l h St Outlet a 5q 9 7 TANKTO P/L WELL BLDG. "- Mt take ROAD Dt Inlet epttc 0 NA Dt Bottom s Dosing A Header/ Man. �✓��, Aeration q Holdi Bot. System V a. PUMP/ SIPHON INFORMATION Final Grade �$" � x'• Manufacturer mand Model Number TDH Lift Friction S st TDH Ft Fo in Len ia. Dist. To Well SOIL ABSORPTION SYSTEM D N width _ if Length �� No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth C� MEN I N SETBACK SYSTEM TO P/ L BLDG WELL LAK /STREAM LEACHIN Manufacturer: INFORMATION Typeo c CHAMBE Num er: System S 6 17 fi OR UNIT _bapdV DISTRIBUTION SYSTEM Header/Manifold P k� Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length -$rcr. Spacing 9--/ k r SOIL COVER x Pressure Systems Only xx Mound Or G ri ms on I y' Depth Over Depth Over xx Depth Of xx Seeded/ Sodded TIO Mulched Bed /Trench Center Bed /Trench Edges Topsoil E] Yes E] No Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc.) /11/q 4Wn4n Aa 4 �/.ai/ F ce I1911E Plan revision requ red. ❑ Yes J] No Use other side for additional information. Cp l q& l 7 SBD -6710 (R.3/97) Date Inspector's ignature < ert No Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count Safety-and Buildings Division INSPECTION REPORT bT • CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitarlil""_: Personal information you provice may be used for secondary purposes [Privacy , s.15.04 (1)(m)]. Permit Holder's Name: ❑Tty ❑ Town of: State Plan ID No.: ECK, HAROLD $$ JJYY CST BM Elev.-.- �r Insp. BM Elev.: Description: Parcel Ti562- ;1052- 20-000 CUuc TANK INFORMATION ELEVATION DATA A9800243 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ' gob Bench I dj � v� Aeratiorr Bldg. Sewer yV Holding St /Ht Inlet " 1 7 , 4 - TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. 'Airs nto ke ROAD Dt Inlet Air intake Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade 11�V Manufacturer De nd l p f 1Z Model ber TDH ft Friction System TDH Fie Forcemain Le Dist. To well SOIL ABSORPTION SYSTEM'` BED/TRENCH Width ,. Length / No. Of Trenches PIT No. Of Pits Inside Dia. R Liquid D pth DIMENSIONS 3 �� 3 DIMENSION SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM , L r: EACHING Manufacture INFORMATION Type O / / ,HAMBER Model Nu Syste : 0 S - 7 I --� OR DISTRIBUTION SYSTEM Hear!V Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length -419 1 Spacing 11. t rr ©S t SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Syste mid Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed/ Trench Edges Topsoil ❑ Yes ❑ No E] Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) i S $ lz + LOCATION: ST. JOSEPH 23.30.19.197J,SW,SE 1414 HIDDEN OAK TRAIL /� r Plan revision required? ❑Yes ❑ No Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. Safety and Buildings Division SANITARY PERMIT APPLICATION 201 W. Washington Avenue *6consin I n accord with ILHR 83.05, Wis. Adm. Code P O Box 7302 Department of Commerce 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. • See reverse side for instructions for completing this application State Sanitary Permit Number Personal information you provide may be used for secondary purpose ❑ Check if ision previous application [Privacy Law, s. 15.04 (1) (m)]. I y l a 4 / j den l./C� �'� TV / V State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PR ALL INF RMATI N Property O ner Name Pro pert Location Zj t i4 ,� 1/4, S ;Z3 T , N, R/ k(orQ Property Owner's Mailing es �_ Lot Number Block Nyryl� Cit , State Zip C Phone Number Subdivision Name or CSM Number oe 11. TYPE OF BUILDING: (check one) ❑ State Owned o Ci OF Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms 2' E Town III BUILDING SE: (if building type is public, check all that apply) Parcel Tax Number( AS -3 0 • H. . 1❑ Apartment/ Condo 3b - 0 Z 7, -6 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 online B, if applicable) A) 1, ❑ New 2. Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System ------ System ________System _____________ Tank Only______________ Exi iq ----- ________ Existin�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 127RSeepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit /h�iy �..Y 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. Syy,j�em Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/da /sq. ft.) (Min. /inch) 7 &Y v Elevation �ptj 7 '`z 4; z Feet � Feet Ir Capacit VII TANK in allo Total # Of r Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existin structed Tanks Tanks Septic Tank or Holding Tank Op 440 1 , 404 C. ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ I ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plu is Name: (Print Plumber' Signature: (No St ps) MP /MPR�SW y �. Business Phone Number: �/ /Jt A►�/ / 7/S 7 7 2 7 Z l Plumbe s Address (Street, City, State, Zip Code): � i AA, Afzf A" IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate I ssued Issuing Agent Signature (No Stamps) j (Approved ❑Owner Given Initial p Surcharge Fee) t G C � „I / Adverse Determination O X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber - SAFETY AND BUILDINGS DIVISION 2226 Rose Street LaCrosse, WI 54603 isconsin G. Thompson, Governor Department of Commerce William J. McCoshen, Secretary August 28, 1997 TIMM EXCAVATING 3128 20TH AVE WILSON WI 54027 RE: PLAN 597 -41055 FEE RECEIVED: 225.00 KAECH, HAROLD SW,SE,23,30,19W TOWN OF ST JOSEPH COUNTY OF ST CROIX NON- PRESSURIZED IN- GROUND SYSTEM PETITION FOR VARIANCE TO CODE SECTION(S): Comm 83.09(3)(a). The Department has reviewed the above - referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters Comm 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter Comm 82 or in chapters ILHR 50 -64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. 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 (e.g.S92- 40973), the petition is conditionally approved. The condition is that plans for the non - pressurized in- ground system must be submitted to St. Croix County for review and approval. The variance requested was to allow the installation of a non - pressurized in- ground system in an area where a portion of the site has a 27 to 29 percent slope. This petition approval is granted conditionally with the understanding that all of the petitioner's statements included on the variance application form and any other documents submitted to the Department will be carried out. This variance is specific to the subject petition and cannot be used for any additional modifications. All permits required by the city, village, township or county shall be obtained prior to installation. SBD- 5524 -E (R.07/96) File Ref: SAFETY AND BUILDINGS DIVISION 2226 Rose Street LaCrosse, WI 54603 isconsin G. Thompson, Governor Department of Commerce William J. McCoshen, Secretary TIMM EXCAVATING Page 2 August 28, 1997 PLAN S97 -41055 Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, s Gerard M. Swim Plan Reviewer Section of Private Sewage (608) 785 -9348 5802L/ 2 cc: ST CROIX Leroy G. Jansky SBD- 5524 -E (R.07/96) File Ref: JOB TIMM EXCAVATING SHEET NO. - OF Route I Box 192 WILSON, WISCONSIN 54027 CALCULATED BY DATE (715) 772-3214 (715) 386-5443 MPRS #3224 WI MPCA #696 MN CHECKED BY DATE SCALE .. .......... .......... ........... ........... .......... ........... .......... ............... ............... .... ........... .......... .......... ........... ........... .......... .......... ........... ........... ........... --------------- . . ...... . .. ........... ........... ........... .......... ..... ....................... ........... ........... ........... ........... ........... ........... ................................... ........... .......... ........... ........... ........... .. .... ... .... ............ ........... .......... ........... ........... .......... .......... ........... .......... . ..... . ................... ........... .......... ........... .................. ...................... ---------- ........... ........... ........... ........... ........... . ....... ........... .... - ........... .......... ........... .......... . ..... ..... ........... ........... ........... ........... ............... ........... .... .. ............ ................ ... ....... ........... ........... ........... .......... . .......... ........... ........ .. . ... ... . .......... .......... .......... .... .......... ........... ... ................ . . .......... .......... ........... .......... ........... ........... ; . ........ ........... .......... .......... ... ....... . ...... . ............ ........... .. ...................... r 1 P f .......... ........... ........... ........... .......... ........... ........... ........... .......... .......... ...................... ............. ...... ..... ....................... .............. ............ ........... ........... . . .......... .5at . ...... ........... ..... .......... — --- ........ .......... ........... ........... .......... . .......... ............. 1 ........... .......... . .. ......... .... ........... ........... ............ ............. 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C .......... .......... ....... .......... .............. ........... ........... — ...... .......... ........... ................................................................... .......... 6 ----------- .............. ............ ......... ........... . ..... . . . ............. .......... . .......... .................... ..... ........ ................... Z— .......... ............... ........... ........... .......... . ..... . .... ................ ............. ................. .. ............ ........ — ........... ................ .......... .......... ........... .......... .......... ..................... ............ .................. .......... . ....... I .......... .............. ---------- .......... ................... .......... .......... ............... ------------------- .. .......... ........... ............... ........... .................... -------------------- ......... .......................... ...................... . .......... . ...... ---------- ................. ............... ............... ---------------- ........... ........... ........... ................. ............ - .. .......... .......................................... ................ .............. ----------- .......... I ----------- .......... ................ ........... ........... ................... .............. ------------------- ....................... ................... ........... .. . . . ... .... .......... ........... r ........... ............... ------------- .......... . .......... ............... .................... ........... ...................... ................ ........... ----------------- ............. ................ .............................. . ................. ........... ............ .......... ........... .......... ................ .............. ........... PRODUCT 205-1 Inc., Groton, Mass. 01471. To Order PHONE TOLL FREE 1-800-225-6380 JOB �Cc ✓6 �d !� ,(` toG K- TIMM EXCAVATING SHEET NO. OF Route 1 Box 192 WILSON, WISCONSIN 54027 CALCULATED By z!(�� DATE -1-5 (715) 772-3214 (715) 386-5443 MPRS 03224 WI MPCA #696 MN CHECKED BY DATE SCALE ........... ................. .......... ; .......... ........... ... ....... ........... ........... .............. .......... .......... ........... ........... ........... ............ .......... .......... .......... .......... ........... ........... ........... ........... ........... .......... .......... ........... ........... ........... ........... ............ ..................... ........... ........... ........... ........... ........... .......... .......... ........... ........... ........... .......... ........... .......... .......... .......... ........... ..................... ........... ....................... ........... ..... ...... ........... .......... .......... . . ....... ........... ............ .......... ........... ........... - ........... ........... ........... .......... .......... ........... ............... .......... .......... .......... ........... ........... ........... .......... . ...... ........... ........... ............. . . ....... ...... ...... ........... .......... ........... ........... ........... ........... ..... . .. . ............. .......... ............ ........... ........... ........... ........... ........... ........... ........... .......... .......... .......... .......... ........... ........... .......... ........... .......... .......... ...... ........... .......... ......... ........... .. ................. ........... . ............. ........... ........... .......... .......... ...................... ..................... ........... ........... ........... ................ ...................... ........... ........... ... ............ ........... ........... .......... ........... .......... ........... ........... ........... ---------- ........... .......... ........... ........... ................ ...... ........... ........... ...................... .......... .......... ........... ...................... 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PRODUCT 205-1 Inc,, Groton, Man 01471 To Order PHONE TOLL FREE 1-800-2256380 cons;n Department of Commerce ME EVALUATION Page I of 2 l9ivlslon of Safety and Buildings 83.05, Wis. Adm. Code Attach complete site plan on paper not less than 8 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D.# 30- 10522 -0 APPLICANT INFORMATION - Please print all information. -- -- Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Reviewed By Date Property Owner Property Location Kaeck, Harold Govt. Lot SW 1/4 SE 1/4 S 23 T 30 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1414 Hidden Oak Trail Lot D I I City State Zip Code PhoneNumber City Village XTown Nearest Road New Richmond WI 54017 715- 246 -5035 St.Joseph I Hidden Oak Trail New Construction Use: Residential I Number of bedrooms 2 Addition to existing building Replacement Public or commercial describe Code Derived daily flow 300 g pd Recommended design loading rate • bed, gpd /f:2 .8 trench, gpd /ft Absorption area required 429 bed, ft 375 trench, ft Maximum design loading rate - bed, gpd /ft - t rench, gpd /ft 92.4/89.0/86.5/83.2 ft as referred to site Ian benchmar Recommended infiltration surface elevation(s) ( P Additional design I site considerationsI 4 - 5' wide trenches for 120 running feet; sys elev 48" below nominal contours as trench cente lines Parent material sandy /loa outwash _ _ Flood lain elevation, if a licable NA ft S= Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system X U X S iu X S U X S U ;; U - U Depth Dominant Color Mottles Structure GPD /ft 2 Borin # Horizon Texture Consistence Boundary Roots 9 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 1 0 -10 7.5YR 3/2 - sl 1 mcr mvfr cs IUrn .4 .5 2 10 -21 l OYR 3/4 - sl 1 m sbk mvfr cs 1 m .4 .5 Ground 3 21 -51 7.5YR 4/6 - Is /Icos 0 sg ml cs Im .7 1 .8 elev- - - - - -- — -- -- - - - - -- _ _ . T 93.0 ft 4 51 -74 l 0Y R 4/4 - mcos 0 sg trill as Inn .7 i .8 Depth to 5 74 -80 10YR 4/4 - Its 0 sg ml as - .5 .6 limiting 6 80 -88 l OYR 4/4 - s 0 sg ml - - .7 .8 factor > 88" -- — Remarks: -- .._ —_— _— — _ -- - - -- - -- -- 2 1 0 -11 7.5YR 3/2 - sl I mcr mvfr cs if /m .4 .5 2 11 -22 10YR 3/4 - sl 1 m sbk mvfr cs lm .4 .5 Ground 3 22 -41 I0YR 5/3 - sl 2 m sbk mfr cs 1 m .5 .6 elev -- — — — -- -- -- - - - - -- - -- - - - - ____ 87.9 ft 4 41 -65 7.5YR 4/6 - Is/Icos 0 sg ml gs - . 7 .8 Depth to 5 65 -85 IOYR 4/4 - mcos 0 sg ml - - .7 8 limiting Note: Petition needed or steep s opes; this report a supplement to Steel report, 7/1/94 factor Remarks: deep system elevations (4' below contours) to minimize steep slope impact; room for 3 br system if wanted __— CST Name (Please Print) Signature: Telephone No. Henry F. Grote 715- 665 -2681 -- ----- ---- T ST, Knapp, -- — — ---- - -- - -- - Address Date CST Number Ref # 6/11 /97 222774 139 rid Human Relations v H LU M r t V 04 M C e Q In t i age 1 of �ro of Safety & Buildings in accord with ILHR 83.05. Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix 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. 030- 1052 -20 APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Harold Kaeck GOVT. LOT SW 1/4 SE - 114,S23 T 30 N,R i9 major) W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 14155 May Ave. N. na I na I na CITY STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGEiOOWN NEAREST ROAD Stillwater, M. 55082 ( ) na St. Joseph Hidden Oak Trl. (J New Construction Use ( Residential / Number of bedrooms 2 ( J Addition to existing building (J Replacement J J Public or commercial describe Code derived daily n 300 gpd Recommmended design loading rate • 7 bed, gpd/ft • trench, gpd/ft Absorption area required 429 bed, ft 375 trench, ft Maximum design loading rate • 7 bed, gpd/fc - 8 trench, gpdM Recommended infiltration surface elevations) na ft (as referred to site plan benchmark) Additional design/ site considerations system el too of pW =96 87_' bottom of rock -9S 87 Parent material stream terrace Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN•GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for system ®S O U I O S ®U EI S O U [3 O U I O S IO U I❑ S 13 U SOIL DESCRIPTION REPORT r Depth Dominant Color Mottles Structur I GPD /ftL Boring # Horizon Texture Consistence Boundary Roots in. Munsell Ou. Sz. Corn. Color Gr. Sz. Sh. Bed ITren '.,..1..., 1 0 -16 10 r4/4 2.5 r4/6 sl fill na qw if P n 2 16 -30 7.5yr4/6 none is fill na gw na np np Ground 3 30 -55 10yr2 /2 high organic 1 lmsbk mfr gw na .4 .5 elev. c p 4 55 -86 10yr3/2 7,5 r5/8 I sil lfsbk mfr aw na .2 .3 c Depth to 5 86-114 10yr3 /3 limiting 7,5 r5 8 sicl lfsbk factor U „ FT Remarks: Boring # 0 -14 10 r4/4 none sl fill na aw na np np 2,... <. P 2 14 -24 10yr4 /3 5yr5/8 sl fill na CrW na np np Ground 3 24 -30 10yr2 /2 none sl 2mgr mfr qw na .5 .6 elev. 4 30 -41 10yr4 /3 none sl lfgr mvfr gw na .4 .5 .8 ft. Depth to 5 41 -80 5yr4/6 none co s Osg mvfr na na .7 .8 limiting factor 1 Remarks: soil suitable 3' below bottom of system CST Name:— Please Print Gary . Steel Phone: ry 715 - 246 -6200 Address: 1554 2 Ave. , NW Richmond, WI. 54017 Signature: ' Date: CST Number: �'C 7 -1 -94 cstm 22()R STC -105 SEPTIC TANK MAINTENANCE AGREEMENT '/ � St. Croix County OWNER/BUYER WAf4l, MAILING ADDRESS PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY /STATE PROPERTY LOCATION 5 1/4, 5 1/4, Section N -R W TOWN OF a gl' ST. CROIX COUNTY, WI SUBDIVISION 41 LOT NUMBER CERTIFIED SURVEY MAP _ ,VOLUME , PAGE , LOT NUMBER 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: N7 I � A-2 �_ DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner /contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. ------------------------------------------------------------------- Owner of property Location of property $ &j l /4 1/4, Section � , T_ N -R Township f, a°e� Mailing address Address of site Subdivision name Lot no. Other homes on property? Yes_X No Previous owner of property /, za./�A- �, ✓G,� Total size of property Total size of parcel Date parcel was created Are all corners and lot lines identifiable? _ Yes No Is this property being developed for (spec house) ? Yes x No Volume and Page Number la as recorded with the Register of Deeds. ------------------------------------------------------------------- INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. -3 , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. Signature of Applicant Co- Applicant � -- I -� — 1 �/ Date of Signature Date of Signature