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HomeMy WebLinkAbout030-2095-40-000 ST. CROIX COUNTY ZONING DEPARTMENT ,. AS BUILT SANITARY REPORT, Owner Address City /Stat r , Legal Description: 1� Lot Block � e l Subdivision/CSM # 'I• '�. , Sec. ZL, T- ?2N -R W, Town of PIN # (.-?e- �?�9 SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer Size ST/PC /A.no Setback from: House _,s Well P/L Pump manufacturer Model _ ,4-g -1 �1 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: i„ Width _�� Length Number of Trenches Setback from: House Well /, p/I, Vent to fresh air intake �-/� ELEVATIONS Description of benchmark Elevation Description of alternate benchmark Elevation Building Sewer 9s ST/HT Inlet 95 ST Outlet PC Inlet 95!srq PC Bottom Header/Manifold �o �,�,� Top of ST/PC Manhole Cover ©D, i2 Distribution Lines () 1 , 1 �_2. / () ( ) Bottom of System( Final Grade ( ) ( ) ( ) Date of installation / /,�� ermit number /,5 State plan number Plumber's si natur g License number , ��� �?/ � Date Inspector _ �Q Complete plot plan or Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count oafety and Buildings Division �§T. CROIX INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanita!yf!5!)110.: Personal information you provice may be used for secondary purposes [Privacy Lir, s.15.04 (1)(m)). Permit Holder's Name: ity Town of: State Plan ID No.: EE, ROBERT gf. CST BM Elev.: Insp. BM Elev.: BM Description: Parcel 00-2095-40 !o I vv s � kc E TANK INFORMATION ELEVATION DATA A9800300 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. S f d� Benc mar �.0 to y z osi n $Oa $ M c & • - 7 37 Aeration Bldg. Sewer Holding Inlet 1/ 6� �j (3 TANK SETBACK INFORMATION � Outlet I I -qy 9`�• Fr( TANK TO P/ L WELL BLDG. kVent to (J ROAD Dt Inlet ntake 410D (-S` rt NA Dt Bottom 15 .7r� 79 7 NA Header / Man. Aeration NA Dist. Pipe H Bot. System Ll -K ` -7 PUMP / SIPHON INFORMATION y7 Final Grade Manufacturer S Demand � ,1Ma,.. e 6,5 / Qp. Model Number WE; 0 ,7 21 )111 L M (• U { JO$ 6 TDH Lift (I. (pFj Friction` Sys TDH16_ Ft oss Forcemain Lengt l Dia. Z N Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Liquid epth D IMENSIONS DIMEN I N SETBACK SYSTEM TO P/ L BLDG WELL LAKE / STREA LEACHING Manufacturer: INFORMATION Type Of CHAMBER Mo e N er: Syste G� OR UNIT DISTRIBUTION SYSTEM Header /Manifold N Distribution Pipe(s)� I x Hole Size x Hole Spacing Vent To Air Intake Length —3L Dia. Length � 00 Dia. / 2 Spacing 141� qe 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 r Bed /Trench Center Bed/ Trench Edges IZ Topsoil CG I Erl [] No 1 D - *tm - ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) f61 r'. I 1 4 .1-7 /0 1 LOCATION: ST. JOSEPH 24.30.20,SE,NW 1461 24 TREET ia2 �UVA ®�W� V CJ�C GI( - PV IbI - s de,%A71 /DMZ. 36 - N -I,.c 4-- ks v - ;;2 " Plan revision required? E] Yes []No v Use other side for additional information. t�- l ig i 7 SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. • f *' is i i i o ns i n SANITARY PERMIT APPLICATION 20; E w hi � �i "sl °" P.O. Box 7969 Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 812 x 11 inches in size. • See reverse side for instructions for completing this application State Sanit rmit N�u The information you provide may be used by other government agency programs ❑ Check it �evislon to Orevidus application [Privacy Law, s. 15.04 (1) (m)]. n /y �n n Jt/[ "sCi State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Propert er Name Property Location �C 1!4 1/4, S T , N, R ,14or& Propert ner's Mailing A51dr�ess Lot Number Block Number City, t e Zip Cod JPhone Number Subdivisio Nam or CSM Number ( ) Y OF BUILDING: (check one) ❑ State Owned It� Nearest Road Public 1 or 2 Family Dwelling - No_ of bedrooms [W Town of III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) ©T� -ao9s = �� aAl. 30. .9 -?4?,-7Z 1 ❑Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station /Car Wash 5 ❑ Hotel / Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. pj New 2. ❑ Replacement 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 2113 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1 _ Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate S. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min _ /i ch) Elevation Feet Feet Cap acity VII. TANK in Ca gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Co" Steel lass Plastic A New Exist in atructed g Pp- Tanks Tanks ( Se _ pticTajnvplWeling 4;9l4k . Lift Pump Tank - ® ❑ I El 1 Q 1 El VIII. ESPONSIBILITY STATEMENT I, the ndersigned, assume responsibility for in allation of the onsite sewage system shown on the attached plans. Plu e ' Name' P Plumb is � nat ps) MPlMPRSW No.: Business Phone Number: _41K 2 Plumber's Address (Stree City, Sat ip Code): O IX. COUNTY/ DEPARTMENT USE ONLY {� E] Disapproved Sanitary Permit Fee (includes Groundwater ate I ssued Issuing A Sig PdTU pp ❑ Owner Given Initial r No Stamps) KLA roved Surcharge Fee) /f"�� �b Adverse Determination c� X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SU,6Mqj- 0' GqT $ P SBD-OM (R t IA" DISTRIBUTION: Original to County, One copy To: Safety s, Buildings Division, Owrner f nber Safety and Buildings 15837 USH 63 HAYWARD WI 54843 -8107 Nvisconsin Tommy G. Thompson, Governor Department of Commerce William J. Mccoshen, Secretary July 09, 1998 CUST ID No.224263 KIM A O'CONNELL 504 3RD AVE OSCEOLA WI 54020 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 07/09/2000 IdentiBcati onNNunmbers Transaction ID No. 102848 SITE• Site ID No. 13119 Site ID: 13119 Pease refer to both i " Juation tumbe.rs, ST CROIX County, Town of SAINT JOSEPH above, in all:corcespotdenceth th6agepc SETA, NWl /4, S24, T30N, R20W ROBERT LEE RES SEPTIC SYSTEM FOR: Description: NEW MOUND Object Type: POWT System Regulated Object ID No.: 27494 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 450gpd 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: • Per Comm. 83.23(3)(b)2, the area 25 feet below the downslope edge of the soil absorption system must remain undisturbed. • The orientation of the mound system must be such that the mound's longest dimension is perpendicular to the direction of maximum slope. P O. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to Condit inspection by authorized representatives of the Department, which may include local inspectors. All permits APPR required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. DEPART ENT DIV»S10 SAFE Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. SEE CORRE Sincerely, DATE RECEIVED 06/26/1998 FEE REQUIRED $ 180.00 TO RAUN , PL 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 • 4 RESIDENTIAL MOUND DESIGN INDEX AND TITLE SHEET Project ROBERT LEE Owner ROBERT LEE Address 2517 BRYANT AVE MINNEAPOLIS MN 55405 Legal Description SE -NW 24- T30N -R20W Township ST. JOSEPH County ST. CROIX Subdivision Name COUNTRY SIDE ESTATES Lot No. 4 Parcel ID Number 030 - 2095 -40 Plan ID Number 102848 INDEX SHEET PAGE ONE T.S. MOUND CALCULATIONS PAGE TWO onall MOUND DRAWINGS PAGE THREE y PRES. DIST. CALCS. & LATERALS PAGE FOUR WED PUMP TANK DRAWINGS PAGE FIVE PUMP CURVE PAGE SIX F COMMERCE PLOT PLAN PAGE SEVEN i AND Ui NGS g oll ;PONDENCE Designer KIM A O bNNELL 7 License Number Signature v Phone No. 715 - 755 -3145 Date 6 -21 -98 Notice: Tampering v*h this file by unauthorized persons is prohibited. Deliberate modification will result In disciplinary action under s. 146.10, Ms. Slats. SBD- 10462 -E (R.04/97) Page 1 of 7 RESIDENTIAL MOUND DESIGN Eight Bedroom Maximum Complete information in red framed boxes as necessary. (y or n) n Is the system over creviced bedrock? Slope 5.4 % Number of bedrooms 3 Wastewater flow rate 450 gpd 1703.3 Lpd Depth to limiting factor 26 in 66.0 cm In situ sal infiltration rate (code) 0.4 gpdIfe 16.3 Um' Contour line below the upslope edge of absorption cell 100.8 ft 30.72 m Use standard fill depths? I A I OR Designer speed depth in L 1cm Place X M box to use standard depths (1$ 24, A*4 inclusive) OR specify design fill depth. Center or end manifold e (c a e) Estimated hole space 5 ft Not a final calculation. Lateral spacing 3 ft Minimum dose >= 10 times void volume Use a 0la1wW spacing for trenches Pump tank elevation 90.8 ft Outside bottom of tank Number of laterals 2 Force main diameter 2 in Force main length F ,6�0ft Force main actual dia. 1 2.067 lin SYSTEM SOLUTIONS Inch - pounds Metric Cell media "x" one only. Estimated daily flow F 450 9pd 1703 Lpd x Aggregate and pipe Chamber and pipe Absorption cell Design load rate & area 1.2 9Pwe 375.0 ft 34.84 m Linear load rate 7.1 gpd/ft 88.0 Lpd/m Design width (A) 6 ft 1.83 m Cell length (B) 63.0 ft 19.20 m Depth of cell (F) 9.9 in 25.1 cm Sand filter Upslope fill depth (D) aft2 in 30.5 cm Downslope fill depth (E) in 40.4 cm Basal area required (gpd/infiltration rate) 104.52 m Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.4 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe l 10.5 ft 3.20 m 9t ( K ) Upslope toe length (J) 7.3 ft 2.23 m Downslope toe length (1) 11.9 ft 3.63 m Includes basal adjustment Total mound length (L) 84.0 ft 25.60 m Total mound width (W) 25.2 ft 7.68 m Project: ROBERT LEE Plan I.D. 102848 Page 2 of 7 S MOUND PLAN VIEW m observation pipes (typical) J W= 25.2 ft 50- A = 6.0 ft 1.83 m F 7.68m — B= 63ft 19.2m - - - g - - J= 7.3 ft 2.23 m I I = 11.9 ft 3.63 m K = 10.5 ft 3.20 m L = 84.0 ft 25.6 m typ. obs. pipe A X B refers to absorption cell width and length (anchored securely) J = upslope width I = downslope width K = end slope dimension 6' (150 mm) MOUND CROSS SECTION D = 12.0 in 30.5 cm lateral topsoil G H subsoil cap E = 15.9 in 40.4 cm invert 102.3 ft i F = 9.9 in 25.1 cm elev. 131.18 m s e e n ote ` F G = 12.0 in 30.4 cm � H = LI8Ein, 45.6 cm D E ASTM C33 Sys. 101.8 ft sand Fill elev. 131.03 m 100.8 ft contour 5.4% 30.72 M slope ' Nate: Absorption cell media vNll D = upslope fill depth plowed layer consist of aggregate and pipe E = downslope fill depth or leaching chambers and pipe F = absorption cell depth as specified eAggregate G = subsoil + topsoil depth at cell wall at right. Chamber H = subsoil + topsoil depth at cell center Designer notes: If aggregate is used, it is covered with code compliant material. Project: ROBERT LEE Plan I. D. ### Page 3 of 7 PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch - pounds Metric Width (A) 1 6 ift 1 1.83 Im Length (B) 63.0 Jft 19.2 m Lateral specifications Number laterals 2 HolesAateral 13 holes Lateral length 60.0 ft 18.3 m Perforation dia. 0.25 in 6.4 mm Lat. dis. rate 15.15 gpm 1.0 Us Sys. dis. rate 30.30 gpm 1.9 Us Hole spacing 60 in 152.4 cm Lateral diameter Pipe diameter Design options Design choice Designer must 1 inr25 mm Place X in red "X" one choice 1 1 /4inr32 mm box of chosen from the options 1 12in/4o mm X x diameter. provided. 2in50 mm X 3in/75 mm I X Manifold diameter Pipe diameter Design options Design choice Designer must 1 in25 mm X" one choice 1 1/4n/32 mm Place X in red from the options 1 12in/40 mm X box of chosen provided. 2in50 mm X x diameter 3in/75 mm I X 4in/100 mm I X Distribution system contains 2 lateral(s). LATERAL DIAGRAM - END CONNECTION Place correct lateral diagram by cpcking in one of the drawings at right and dragging the dagram into this area. a ter a centers over 4 A &S f�osion Last hole drilled next to end cap end P All laterals are identical Holes drilled on the bottom of the lateral equally spaced S • Force main corneetion via tee or cross to manifold at -any point. Laterals & force main of PVC Soh 40 • =permanent end marker (per COMM Table 84.30 - Inch- pounds Metric Lateral length (P) 60.0 ft 18.29 m Lateral spacing (S) 3 ft 0.91 m Manifold length 3 ft 0.91 m Hole diameter 0.25 in 6.35 mm Lateral diameter 1.5 in 40 mm Number of holes per pipe 13 Invert elevation of laterals 102.3 ft 3 _ 16 _ 8 ­ 1 m Project: ROBERT LEE Plan I.D. 102848 Page 4 of 7 I� cam l� I Total dynamic head System head = 3.25 ft R m Vertical lift = 10.60 ft m Are laterals the highest point in the Friction loss = 2.53 ft m system? Yes 'X here. Total dynamic head = 16.38 If no what is the highest elevation Dose Volume downstream of pump? Lateral void volume = 12.7 gal 48.1 L Force main drain Minimum dose = 127.0 gal 480.7 L back to tank? ( ")<' one) Drain back = 27.9 gal 105.6 L � x Yes Dose volume = 154.9 gal 586.4 L C 1 No Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover weather proof w/warning label and padlock grade levels junction box —� grade levels quick disconect � alternate 4" vent pipe electric as per NEC 300 and El _- outlet Comm 16.28 WAC location 18" (46 cm) min. wall of pump - approved chamber or outlet combination — joint tank A 114" weep Grade levels alarm on hole as pump tank manhole - 4' min. above finished graft pump on B necessary pump tank man. =100 mm min above firished grade '? vent = 12' min. above firished grade C pump 91.7 ft vent = 300 mm min. above finished grade Off elev. 28.0 m D 3 " (75 mm) of bedding under tank and anchor tank as necessary 90.8 ft Pump tank elevation 27.7 m bottom of tank Tank specifications: WEEKS Pump tank = 19.04 gal /in Pump tank volume = 8001 gal Capacities Inches Gallons A = 23.9 454.7 Pump manufacturer: IGOULDS B = 2 38.1 Pump model number: IWE0311L C = 8.1 154.9 D = 8 152.3 Project: 46BERT LEE 'Plan I.D. 1MB48 Page 5 of 7 vcrtormance Curves P umps METERS FEET MODEL 3885 25 S IZE -- SIZE /4 Solids WE1SH -- -- - -- -- -- - 70 —1 -_ — 20 WEIGH - - 6U__ WE05H - - -�, -- - - -� — 40 I {� \ 10 WEOJM — - - } -- - - s to - 0 0 0 10 20 90 40 50 60 70 60 90 103 110 120 GPM L L L 0 10 20 00 m'/A CAPACITY °��. , f �.,, :e.. -,.e ,,�• �1 r1o�l�,�'4 ,y�rl.�.';.1 } l t '1i. - '�� �, �1.}t�.� 4 .'1n..'�t•. {I ) /� i ` *... s e y► . GOULDS PUNIPS, INC. METERS FEET 120 —fi- MODEL 3885 3. - - ? — I SIZE 1 /4 " Solids 110 WEtsHH — — — - - -t -- - 100 — -- -- — �— _ - 90 - — - 1 I 20 — - -� _r - —I —1 f O WEOSHH - - � - 15 - - -I - T i - --+— -- - - -� -; -- - - 40 10 30 — 20 10 0 0 0 10 20 90 Q w 60 70 c . W i W 110 120 GPM -- - --_ 0 t0 ZO m4A CAPACITY • tOS6 0ou1W Pump&. Inc. Ems" Alto. I C7ilt• a I I I I ;I 1 II _ ,/ i i I jai I I II i u I . 1 Viscor A Department of Industry SOIL AND SITE EVALUATION REPORT Page _ of Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches 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 road. 030- 2095 -40 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION R VIEWED BY DATE 8 PROPERTY OWNER: PROPERTY LOCATION Vern Sko Lund GOVT. LOT SE 1/4 ,NW 1/4,S24 T 30 N,R 20 ]&or) W PROPERTY OWNERS MAILING ADDRESS LOT # I BLOCK # SUBD. NAME OR CSM # 149 High St. 4 na Country Side Estates CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®FOWN NEAREST ROAD New Richmond WI. 54017 (71$ 246 -4767 St. Joseph I St. Hy . #64-35 [ New Construction Use [x] Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 g pd Recommended design loading rate • 4 bed, gpd /ft -5 trench, gpolft Absorption area required 375 bed, ft 2 375 trench, ft Maximum design loading rate • 4 bed, gpolft •5 trench, gpd /ft Recommended infiltration surface elevation(s) 101.80 ft (as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of el. 100.80' Parent material glacial drift 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 fors stem El S CCU ®S ❑ U [I S [3 ❑ S R1 U 7 ❑ S CC 1:1 S CC SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouinciary Roots GPD /ft .................. in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ................. .................. ................. .................. ................. '' 1 0 -5 10yr4 /3 none 1 2msbk mfr gw 2f 2 5 -15 10yr4 /4 none sil 2msbk mfr gw if .5 .6 Ground 3 15 -26 7.5yr4/6 none sl lcsbk mvfr gw na .4 .5 101 ft. 4 26 -50 7.5yr4/4 c2d 7.5yr5/6 sl /sil lcsbk mfr gw na .2 : .3 Depth to 5 50 -60 7.5yr4/6 c2d7.5yr5/6 is Osg mvfr na na .7 .8 limiting factor - 26v Remarks: Boring # 1 0 -8 10yr4 /3 none 1 2msbk mfr gw 2f .5 .6 2 _<_ 2 8 -16 10yr4/4 none sil 2msbk mfr gw if .5 .6 3 16 -30 7.5yr4/4 none sl lcsbk mvfr gw na .4 .5 e Ground 10 �1eV9 ft 4 30 -50 7.5yr4/6 c2p 7.5yr5/6 sl M NA NA NA .3 .4 Depth to limiting .' factor r Remarks: sr ' 1 9, 98 CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Z�Nr va N Address: 1554 200CAve., New Richmond. WI 54017 Signature: Date: Nurf bor: m 2448 2 -20 -98 ;m STEEL'S SOIL SERVICE Gary L. Steel Vern Skoglund 1554 200th Ave. CSTM2298 SE4NW4 S24- T30N -R20W New Richmond, WI 54017 MPRSW -3254 town of St. Joseph (715) 246 -6200 1 lot #4- Country Side Estates N 1 " =40' BM.= nail in Boxelder tree @ el. 100 Alt. BM. = nail in wood corner post @ el. 104.45' 1 0 3 6 ys' 5v C° e-V u y d.. I C N AL (4,b fie s -4 OP Gary L. Steel 2 -20 -98 • -_ l w Wisconsin. Department of Industry, SOIL AND SITE EVALUATION REPORT Page _ of Labor and Humpn Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches 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 road. 030 - 2095 -40 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION R VIEWED BY DATE 8 PROPERTY OWNER: PROPERTY LOCATION Vern Skoglund GOVT. LOT SE 1/4 NW 1/4,S24 T 30 N,R 20 )&or) W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # I SUBD. NAME OR CSM # 149 High S 4 na Countr Side Estate CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®TOWN NEAREST ROAD New Richmond WI. 54017 ( 715 246 -4767 St. Joseph St. Hy. #64 -35 ( New Construction Use [x] Residential / Number of bedrooms 3 [ ] Addition to existing building (] Replacement [ ] Public or commercial describe Code derived daily flow 450 g pd Recommended design loading rate -4 bed, gpd /ft .5 trench, gpd/ft Absorption area required 375 bed, ft2 trench, ft Maximum design loading rate • 4 bed, gpd /ft .5 trench, gpd/ft Recommended infiltration surface elevation(s) 101.80 ft (as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of el. 100.80' Parent material glacial drift 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 fors stem El S 12W ®S ❑ u ❑ S 13U I ❑ S &I u ❑ S [iu ❑ S CCU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trer& ............. .... .................. ................. ................. 1 1 0 -5 10yr4 /3 none 1 2msbk mfr gw 2f .5 .6 XX 2 5 -15 10yr4/4 none sil 2msbk mfr gw if .5 .6 Ground 3 15 -26 7.5yr4/6 none sl lcsbk mvfr gw na .4 .5 )1.9 ft. 4 26 -50 7.5yr4/4 c2d 7.5yr5/6 sl /sil lcsbk mfr gw na .2 .3 Depth to 5 50 -60 7.5yr4/6 c2d7.5yr5/6 is Osg mvfr na na .7 .8 limiting - — - -- -- - -- _ -- - - - - - -- -- -- factor 26 r1 -- - — Remarks: _ Boring # 1 0 -8 10 r4/3 none 1 2msbk mfr Y gw 2f .5 € .6 2 2 8 -16 10yr4 /4 none sil 2msbk mfr gw if .5 .6 3 16 -30 7.5yr4/4 none sl lcsbk mvfr gw na .4 .5 Ground -- — -- - - - - - _ - - - - - - 0 ev 9 ft 4 30 -50 7.5yr4/6 c2p 7.5yr5/6 sl M NA NA NA .3 .4 Depth to - limiting �'• factor -301- t Remarks: ' 7 o � i CS "I' Name: -- Please Print Gary I,. Steel Phonic: 715- 246 -6200 Address: 1554 200CAve., New RIChr tmd W1 54017 ' SiE,nattuc: L I ki�c ('ti7 Number:. m(1Z2 ,�.,,- 2 -20 -98 PROPERTY OiNER Vern Sk SOIL DESCRIPTION REPORT Page --of 3--), PARCEVI.D.# 030 - 2095 -40 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Barclay Roots GPD /ft ................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed jTwich ................. ................. 1 0 -15 10yr4 /2 none sl lcsbk mfr 9w 2f .5 .6 3 2 15 -29 10yr4 /4 none sil 2msbk mfr 9w if .5 .6 Ground 3 29 -48 7.5yr4/4 c2d 7.5yr5/6 scl lcsbk mfr na na .2 .3 elev. 9 9.2 ft. Depth to limiting factor 29" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft . -- -- -- -- - Depth to - -- - limiting factor - - - -- - - -- — Remarks: Boring # Ground - - - - -- --- - - - - -- - -- - elev. i ft . -- - — - - -- -- — - - -- -- - - — — — Depth to — limiting factor - - SBD- 8330(R.05/92) STEEL'S SOIL SERVICE Gar >, L. Steel Vern ISkoglund 1554 200th Ave. CSTM2298 SE4NW4 S24 T30N - R20W New Richmond, WI 54017 MPRSW -3254 town of St Joseph (715) 246 -6200 1 lot #4- Country Side Estates N 1 BM.= nail in Boxelder tree @ el. 100 Alt. BM.= nail in wood corner post @ el. 104.45' X0 8 4a A go �..2 2� 2J 31 5v C° ®v1 u eL. V j L C - 01 5 kJ3 ('oP �%cTW� tdL' 1 n L Gary L. Steel 2 -20 -98 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND �j OWNERSHIP CERTIFICATION FORM Owner/Buyer 2,,_'//� Mailing Address 25 Property Address (Verificat required from Planning Department for new construction) City /State �,��,� jy <2';�� f� Parcel Identification Number LEGAL DESCRIPTION Property Location S r '/4, ,MLi '/4, Sec., T - R,;j: W, Town of Subdivision �u, �4 S, -,,(.� s , Lot # � . Certified Survey Map # , Volume , Page # Warranty Deed # S�/ s �/.5 , Volume , /� /. 5 , Page # /s Spec house ❑ yes 0 no Lot lines identifiable 0 yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal 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. I/we, 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 staring 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 ex iration date. OZ l l 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 . VOL 126N`33 5f 5 r t - 565315 WARRANTY DEED �- i REGISTER'S OFF Q Document Number ST. CROIIX WI SEP 12 1997 11:55 A M Return Addrks�,� of tads J( Parcel I.D. Number: 030 - 2095 -40 Vernell A. Skoglund and Stephen L. Skoglund conveys and warrants to Jessica R. Nick and Robert M. Lee, both single persons, as joint tenants, the following described real estate in St. Croix County, State of Wisconsin: Lot 4, Country Side Estates in the Town of St. Joseph, St. Croix County, Wisconsin. ` This is not homestead property. Exception to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this -r day of September, 1947. 11 eil, (SEAL) cJ_ (SEAL) ... Vernell A. Skoglund Stephen . Skoglunu _ - AUTHENTICATIOt�I S T AN SFER Signature(s) Vernell A. Skoglund and Stepbm L. Skoglund authenticated this _ — day of September, 1997. a U/� Kristin Ogland �►f TITLE: MEMBER STATE BAR OF WISCONSIN 4 a THIS INSTRUMENT WAS DRAFTED BY: Attorney Kristin Ogland Hudson, WI 54016 r, � r 7 EST LINE OF THE SEI /4 OF THE NWI /4, SECTION 24 JNPLA i I F LAIND'%3� N00 1220.89 --0 _ 306.00' / j I \ W 4 �0, 0 t� Ln V A cm N r 3 c ' m ®` p i 1 � i \ M A \ m L4 A W N Q (0 \ -i a) \ \y 2 Oi m z 4 m \ \C \ m A te, \ \'<\ A � 00 �< W % Un c \6 2 ,� ® \ �lI S00 ° 16'03 "W 368.58' N26 \O� \ \��\ �s� � Ul LO �'' w � �'♦ O O W N OD p D I Z � o -n m rn 0 1 �, fV IU S00 0 16'03 "W 636.00' ITS N I IV