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HomeMy WebLinkAbout034-1071-10-000 o § , ; 3 ° � -5�2\ ' &ƒ o E ° w § 2 e ° - CL m � E ' (D 0 S a ® �%�� R$� 8 �'ƒ \\ / 2_; k` Q 7 k= ] k § 2 #� v 2 ° ® E E -4 § t / „ w' 2 $ > F � § � % ■ E a § m % .. § . § 2 G . Q a \ � ;::; 2 $ 7 k CL \ CD k k § \ 2 E CA E � M / 0 0 0 :5 k 0 k / (A CO) ) §i \ > � / / / w \ 7 E Co § § = 2 'J � � � ! CO Z g m 0 .. J > > o \ g C � �- ( \ & ; � 7 CD z ) 0 f e ° q j = � \ c . f % m 0 � � ) § � ; § � � \ � � \ � � ( 0 » < 4 % \� R� : � k Wideonsiri Department of Industry SOIL AND SITE EVALUATION Labor and Human Relations Page —L of Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and S7` C IA? X percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # ©. - - /o 71-- /21) APPLICANT INFORMATION - Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location d A/ , G1 B S Govt. Lot Ste' 1 14S 1 /4,S T.2 9 ,N,R Property Owner's Mailing Address Lot # Block# I Subd. Name r CSM# City State Zip Code Phone Number ❑ City ❑ Village [�j Town Nearest Road M //V/VCH I p abs I 14N .,5"55" z 1 (6102 �8�� - 90? �/ S //v ieLd [� New Construction Use: ❑ Residential / Number of bedrooms 3 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate bed, gpd/ft gpd/ft Absorption area required bed, ft trench, ft2 Maximum design loading rate bed, gpd/ft trench, gpd/ft Recommended infiltration surface elevation(s) 8 / ft (as referred to site plan benchmark) Additional design /site considerations 7— Parent material G1-/ G /I Flood plain elevation, if applicable IV R ft S = Suitable for system Conventional Mound In Ground Pressure AT -Grade System in Fill Holding Tank U = unsuitable for system ❑ S ® u ® S ❑ u ❑ S 0 u ❑ S M u ❑ s ®U [Js ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD /ft2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed , Trench 9 . t M M G/5' G S v/� j­ Ground 9 Ll PM M VF- A4 /Y� 9 1ev Depth to limiting factor 29 in. Remarks: Boring # Al Ground elev. Y,ft. Depth to limiting factor a_?-in. Remarks: CST Name (Please Print) Signature Telephone No. Address � _ Date CST Number 22 2 / 0 6YQ wOOo err J olz S,44 e - _I ,� A t4 fs PRO sf��d a ' 4 c FI '41 e y FORM NO. 985-A `- Worm- Stock No. 26273 JUL 3 01997 ��1.FJ j SURVEYOR'S RE CERTIFIED SURVEY MAP NO. 3288 VOLUME 12 , PAGE 3288 . BEING A PART OF THE SOUTHEAST 114 OF THE SOUTHEAST 114 OF SEC77ON 31, TOWNSHIP 29 NORTH, RANGE 15 WEST, TOWN OF SPRINGFIELD, ST. CROIX COUNTY, WSCONSIN. LEGEND NOTE. EACH PARCEL ON THIS MAP IS SUBJECT TO STATE AND COUNTY LAWS, RULES, AND REGULATIONS ...._ GOVERNMENT CORNER (AS NOTED) (I.E. WETLANDS, MINIMUM LOT SIZE, ACCESS TO PARCEL, ECT.) BEFORE PURCHASING OR DEVELOPING ANY PARCEL, o ......... SET 314 "x 24" RE —ROD WEIGHING CONTACT THE ST. CROIX COUNTY ZONING OFFICE FOR 1.502 LBS. /LINEAL FOOT ADVISE. THIS INSTRUMENT DRAFTED BY STEVEN J. WAAK SCALE:1 N =300' O 0' 150' 300' 600' amz �jG" • • • •:;S /� ��!���� STEVEN J. L • WAAK = E1 /4 COR. 31 -29 -15 ' S -1610 = FV• 2" I.P. PREPARED FOR: _ MENOMONIE ; C •,� p MR. JOHN SAUERS ° %,9�j'•... � �.�� 3900 PEBBLEBROOK DRIVE MINNEAPOLIS, MN. 55437 ^.n NIM � >` • 1 31/97 'Ig S � UNPLAT►ED LANDS NIL— S.E. —SE. � i � AI N8955'12 "E 1201.17' U � , , y 1 , � 199, 10 441.10' 717.63' 42.44' 'KW 760.07' a LOT 4 310,699 S.F. ti o 7.13 AC. �coi� i EXCL. R/W Z rn g i g 293,947 S.F. 04 1 :s 6.75 AC. i i 2 S89 56'50 "W 760.81' 381.00' 340.28' 39.53' o 3 of 4 � 379.81 i g LOT 1 Z�e1'co p� c 583,699 S.F. e I I rn 13.40 AC C! i Si N Ww N K zi 5 XCL R 1 _..' ai LLj S.F. = w F bo o a 1 '08 ac: �; LOT 2 N L 2 �` F2 ro ° 0 348,609 S.F' ° p = 348,262 S.F. ' C r ° $ r;` 0 o 8.00 AC. (A— 8.00 AC. 1 00 1 o° 4 ST. CROIX COUNTY ZONING DEPARTMEN AS BUILT SANITARY REPORT Owner c *7 Address 1. ST r City /State ? ZON,NC oF�,cF Legal Description: Lot / Block Subd "vision/ # V4 /4 'sec �N_IS Town of e'a, PIN # / a D SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer, A-I � Size ST/PC/G�/ v from: House WelL;—Fd— P /L /& Pump manufacturer Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh a" e Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: �L� Width, + Length loll Number of Trenches Setback from. House _4� Well Z P/L / Vent to fresh air intake ELEVATIONS: _ Description of benchmark s Elevation,�i o Description of alternate benchmark Elevatio , G Building Sewer ST/HT Inlet O/ / ST Outlet- 50 PC Inlet • J PC Bottom -�2' Header/Manifold Top of ST/PC Manhole Cover Distribution Lines ( ) ( ) ( ) Bottom of System ( ) ( ) ( ) Final Grade ( ) ( ) ( ) Date of installation c t number ���y State plan number Plumber's signature License numbe 01 , 6 Date C Inspector Complac plot plan a Wisconsin Department o f Commerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division y: INSPECTION REPORT S.T. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice maybe used for secondary purposes [Privacy Law s.15.04 (1)(m)]. 315990 P t1-I.Qlsf�i� ' dL ENN A. ❑SP�RINvGF9I T of: State Plan ID No.: MMW CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: Z� .: S k 034- 1071 -10 -000 TANK INFORMATION L ATION DATA A9800378 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic I o-a Benchmark / u Dosing 011 ,610 131. ON"S Aeration Bldg. Sewer /. 4j _ S i v Holding St 0 Inlet 6- /00.1 TANK SETBACK INFORMATION St 0 Outlet TANK TO P/ L WELL BLDG. Air I ntake ROAD Dt Inlet q Air eptic (Zp+ 3 - 3Io I-,1w NA Dt Bottom 9.5 ' 7 6 . S S osing j 3 C� �' �' NA Header /Man. 1,78 Aeration NA Dist. Pipe Z i /p t/. 3 Holding Bot. System PUMP/ SIPHON INFORMATION Wak Final Grade 46 1O 5 Manufacturer ou Demand 5f, W GN 'e (o —e 7 .o7 Model Number s 5 1 37•rGPM TD H Liftlu' Lriction1 Systema � DH #-! Ft Forcemain Length $p Dia. FFii '� Dist. To Well SOIL ABSORPTION SYSTEM a•�a DIMEN H Width d ' Length , / 7 r No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth �J DIMENSION SYSTEM TO P/ L BLDG WELL LAKE /STREAM STREAM LEACHING anufacturer: SETBACK `�� INFORMATION Type Of CHAMBER Model Number: Systemmo `1O ° /D OR UNIT DISTRIBUTION SYSTEM Header / M�ifold Distribution Pi e(s x Hole Size x Hole Spacing Vent To Air Intake Length Dia. � Length � Dia. Spacin / ' 360" SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center (8 S ' Bed /Trench Edges C Z Topsoil 6" I$ Yes ❑ No [jj Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) ; .1-W 4.sz. ysz LOCATION: SPRINGFIELD 31.29.15.481A,SE,SE 2790 60TH AVENUE — LOT 1 "" / � IaI.l se user q S' �w►%+ t a q ' " a—e( jAmt k4 T A V &A ^ ITO 0t o�+ 417 o �� r .��w f�� Plan revision required? es ®No � � � ^/ Use other side for additional information. 7 / SBD -6710 (R.3/97) Date Inspe or's Signature Cert- No SANITARY PERMIT APPLICATION Safet ���n Division 1�i6consin In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Department of Commerce Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number � /��/ A 3 155529D The information you provide may be used by other government agency programs ❑ Check if revision to previous application (Privacy Law, s. 15.04 (1) (m)]. ,L _,2 7 6t7f�'✓ State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATH �G Property Owner Name /_ Prop Location `� ✓� /' - �dlt�P,� /4 �� V4, S T 9 , N, R f�(o W Property Owner's Maili Addr ss Lot Number Block Number .. City, State Zip Code Phone Number Subdivision Name or CSM Number ( ) II. TYPE OF BUILDING: (check one) ❑ State Owned it� Nearest Roa Public 1 or 2 Family Dwelling - No_ of bedrooms [] Town I11. BUILD( G USE (If building type is public, check all that apply) Parcel Tax Num er(s) 1 ❑ Apartment/ Condo 31. d 9 . 1 5, 4 R/ q — 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 eW 2. E] Replacement 3 E3 Replacementof 4 E] Reconnection of 5 E] Repair of an tem ___//_� — _5 ... ... - _ - ___ 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 2 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- I n- Fi I I VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (s . ft.) (Ga /Sq. ft.) (Min. /inch) �S Elevation w Feet Feet VII. TANK Capacity INFORMATION- in gallons Total # of Manufacturer's Name Prefab. Con- Fiber- Plastic Exper. New Existin Gallons Tanks Concrete strutted Steel glass App. Tanks Tanks Septic Tank or Holding Tank X ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber X ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for i tallation of the onsite sewage system shown on the attached plans. Plumb is Name: (Print) Plumbe S' ature; (No p o.: s) MP /MPRSW N Business Phone Number: u� Ir� r 6 rJ~ Plumber's Addr ss (Street, It Sta , Zip Code): IX. COUNTY / DEPARTMENT USE ONLY CZ ❑ Disapproved S "tart' Permit Fee (Includes Groundwater D ate I ssued ] issuing A nt Signat St Approved ❑ �harge Fee) Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: sw4m DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Number ' Safety and Buildings 15837 USH 63 HAYWARD WI 54843 -8107 N visconsin Tommy G. Thompson, Governor Department of Commerce William J. McCoshen, Secretary August 14, 1998 CUST ID No.226900 SHAUN R BIRD 896 68 AVE AMERY WI 54001 RE: CONDITIONAL APPROVAL IdentificatiaVNuu bers APPROVAL EXPIRES: 08/14/2000° Transaction ID No. 120497 Site ID No. 14252 SITE: Please refer .16 both identification numbers, Site ID: 14252 above, in all corresp denee wiih the, ST CROIX County, Town of SPRINGFIELD SE1/4, SETA, S31, T29N, R15W R.�.� GLEN IRESTONE FOR: C011 4i, Description: NEW MOUND Object Type: POWT System Regulated Object ID No.: 418433 APPS DEPA TW NT DIVIS F SAFI 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. SEE COFRE 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: • Scale on plot plan: 1 inch equals 40 feet. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 08/10/1998 FEE REQUIRED $ 180.00 TOM BRAUN , LAN 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 PLOT PLAN PROJECT Glenn Irestone ADDRESS 1233 Matilde St. Paul Mn 55117 SE 1 /4 SE 1/45 31 /T 29 N/R 15 W TOWN Springfield COUNTY ST. CROIX Shaun Bird I.D. # 226900 '� ' DATE 7/ 19/98 BEDROOM 3 CONVENTIONAL IN- GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND X000< SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE 800 HOLDING TANK SIZE LOAD RATE 1 ABSORPTION AREA 375 BED SIZE 8'X 47' BENCHMARK V.R.P. Base of Garage Siding ASSUME ELEVATION 100' V.T.S. ❑ BOREHOLE O WELL * ona H.R.P. Same as Benchmark tonally SYST 'M ELEVATION 104.2 DVED Scale = " = 1 OF COMMERCE TY AID B LDINGS Well to meet setbacks found in Comm. 83 SPONDENCE Pro 3 Bedroom 0 House Weeks 1000 Gallon Septic Tank and a Weeks 800 Gallon Driveway Tanks are to be properly bedded ST Dose Tank and provided with approved warning labels. The dose tank is DT System to be to have a lockdown cover installed along the 103.2 Contour Line B -2 Existing arage J� ❑ Alt. B.M. B -1 % B -3 B. M. Slope Area 25' Below 120' System to remain undisturbed 1600' Property Line Designer -�N i \ ✓- v Q Date Non —Woven Filter Fabric 4" Observation Pipe Perforated Below Filter Fabric �Dlslribulion Pipe ASTM C -33 Sand ; T opsoll % Slope Bed Of f 2 �2 Force Main ��Flowed Drain Rock From Pump Loyer D � � Cr ess Section Of A Mound System Using E j. A Bed For The Absorption Area F G _-1__ A Ft. H �, I J Ft. K._j 0, 1 Ft. L L Ft. W Ft. L �'Observolion Pipe F -- - - -e e - -- ---- - - - - -� —K 9) /� I - 0- A 1 W V) t o - ------- - - - - -- --------------- - - - - -- 1 Force Moin c _7 .-- - - --. — From Pump 3 p Distribution Bed Of % 2 1-2 Pipe Drain Rock I 4 Observation Pipe Permanent Marker Pipe or Rods Pion View Of Mound Using A Bed For The Absorption Areo PAGE OF Page Of Distribution Pipe Detail For A 1 Lateral Network PVC Distribution Pipe PVC Force Main P PVC Manifold Pipe �-X S X X 2 * Last Hole Should Be Next To End Cap * 1Y P Ft. S Ft. { X Inches Signed: -- ;! .,'� `'f Y I nches , Hole Diameter I Inch License Number: �,a, �j� �� Lateral Diameter �Inch(es) Date: Manifold Diameter C) Inches Force Main Diameter Inches a Holes Per Pipe Invert Elevation Of Laterals Ft. PLJt"\P CHAMEER CROSS SEC TICI ArJC -'F[Cir ICATIDf'jS VCKJ7 CAP WC."ATHE RPROOF APPROVE __ '� JUMC71DKJ BOY M AIJHOL P aIR I tJ - 7 GRADE COKjDUIT PROVIDE AIRTIGHT SEAL I I ALARM *APPROVED I I OQ c JOINTS WITH L C J� F T. I APPROVED PIPE 3' ONTO P D SOLID SOIL C,0QCRZT[ BLOCK RISER. EXIT PERMITTED OQLy IF TAUK MAUUFACTURZR HAS SUCH APPROVAL SEPTIC F 5 P C C11 1 C I QQ 5 DOSE TAQKS MANUFACTURER: ►UMBER OF DOSES:_. P DA.'J TAIJK SIZE - -ROO -GALLOQS DOSE VOLUME ALARM i'1AQUFAC7UR.IZZIR: IMCLUDIQG 15ACKFL-OW: GALLONS MODEL ►JUM15EK: CAPACITIES: A =A INCHES OR GALLONS SWITCH TyPC: WCHESOR GALLOQS PUMP /"\AQUFACTURER. 147OW-Irk C= WCHES OR /30 GALLONS , "1ODEL QUMBER. - E Po 5- D- INCHES OR lae2 GALLONS SWITCH TYPE: ^ IJOTE: PUMP AND ALARM ARE TO 6F_ MIQIMUI'% DISCHARdE RATE,32- 5 -GPM INSTALLED OQ 5EPARAT[ CIRCUITS VERTICAL DIFFEKEQCE bETWEEIIJ PUMP OFF A►JD OISTRI15UTION PIPE.. id FEET + MIKJIMUM ►JCTWORK SUPPLY PRESSURE . . . . . . . . . . . 2•5 FEET + FE OF FORCE MAIhJ X I U FACTOR.. ]] 3- L FEET TOTAL DyIQAMIC. HEAD = 1 9 FEET IUTERUAL DIMEWS10 ra F TA Q E GTH ;WIDTH .;LIQUID DEPTH DATE: 51GKJE D: LICENSE QUMBER. Submersible Effluent Pump I -! EPO4 3 871 EP05 r � APPLICATIONS • Fasteners: 300 series Fu iy submerged in high ■ Motor Housing: Cast iron Specciically designed for the stainless steel grade turbine oil for for efficient heat transfer, folloVVing • Capable of ruining lubrication and efficienl strength, and durability. Effluent neat transfer. dry without damage u' u Motor Cover: Thcrmoplas- 110 i_11 v" tvaifable for automatic and Sj'SIBIII$ components. tic cover with integral handle • Fariii9 Motor: and float switch attacnlnent • EPO4 Single base: 0.4 HP, Manual operation. Automatic points. g p Iodels include Mechanical • W �i!e� t! 115 or 230 V, 60 Hz, 1550 loaf Switch assembled and ■ Power Cable: Severe duty • De,. itig RPM, built in overload with ,reset at the factory. rated oil and water resistant. automatic reset. • EP05 Single rase: U.5 HP, a Bearings: Upper and lower SPECIFIC 115 V, 60 Hz, 1550 RPM, FEAT heavy duty ball bearing Pump: Epua built in overload wills -- constriction. EF04 Impeller: I hef!no- capability: automatic reset. ris`ic Semi -open Power cord: 10 fool �"ith pump out vane lug AGENCY LISTING ',sp to 55 GPM. standard length, 16/3 SJTO niecnanical seal )toleclioll. • 1 otli, tle,ics: up to 24 feet. with thr prong grounding f $P C�inadian Standards !<ssocialiun • pl EF05 Impeller: DiscnaJ plastic enclosed rg O size: 1'12" NPT. plug. Optional 20 foot esig o plld design f (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with tor end in "I " or "AC ''.) rotaty; ceramic- stationary, three prong grounding plug improved performance. BUNA -N elastorners. (standard on FP05). m Casing and Base: Rugged . elai�et: ;!we- then ioplastic design provides continuous superior strength and �.' ,! iillelmitten(. corrf'slon resisl�ince • :Sit:'!:_ .;._ s.'rles METERS . FEET _ • Ca pahlt of ti-ini g dry ti Il Jt [ Uan1aye t0 9 ip- I _ S GPM Pump: EP05 e 2.5 FT — i • Solidsx n din 25 g capability: 0 7 it w • Capacities: up to 60 GPM. -- • Toni! heads: up to 31 feet. 20 , f -- • Diucn:irge size 1'! NPT, z s � ivy ;t� � sell carbon- } J Statlondr }, J astonlers. r EP05 T • leriip nitre: 3 to -- - 10I °F IOC) continuous "F 60- EPOa 140 C) intermittent. 2 I 5 _ 0 0 10 0 a0 GPtot CAPACITY r'�mps, inc. Elloci ve May, 1995 83871 Wisconsiii Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Ititegrated Services in accordance wit HR 83.09, Wis. Adm. Code rl j P J '° • Attach complete site plan on paper not less than 8 1/2 x 11 in s e. Plan miis4,y } County include, but not limited to: vertical and horizontal reference ,pdint M), ectr& and r percent slope, scale or dimensions, north arrow, and locat' a distan% , t road; parcel I.D. # APPLICANT INFORMATION - Please print aditInform8tion. I Review ` y Date n Personal information you provide may be used for secondary purpc�ee•()?rivacy Lat� ��l�( s.G1) f9.9 (m ). r Property Owner � /-� CONWG f��erty n _ Go t` 1/4 3 f 1/4,S Ta�,N,R / E ( ) W Property Owner's Mailing Address h., _171 o r Block# Subd. Name or CSM# 3 �� ld Ci State Zip Code Phone Number ears � �S 41A) lvek3 5,/,( ❑city ❑ V i7 N R 1 Construction Use: a idential / Number of bedrooms _� Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flov 84 gpd Recommended design loading rate � / ed, gpd/fi gpd/ft Absorption area required bed, ft t rench, ft Maximum design loading rate z bed, gpdffl / -�Z trench, gpd/ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design/site considerations Parent material Flood plain elevation, if applicable /1/f "O ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S U s❑ U ❑ S�9 U ❑ s V U ❑ S u [- U SOIL DESCRIPTION REPORT Boris # Horizon Depth Dominant Color Mottles Structure GPD /ft LID Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed , Trench a- / s � Ground /e1�l.�t. A of Depth to limiting ctor �in.- Remarks: Boring # .� 1 a - s� -�. Ground - el ��ft. Depth to limiting factor Remarks: CST Name (Please Print) SIppliture , Telephone No 7f . 5 o?77 7 Address � � �' Date � � CST Number • 4 Soil Test Plot Plan Project Name Glenn Irestone Sha ird Address 1233 Matilde St. Paul Mn 55117 - CSTM #3922 Lot --- -- Subdivision --- - - -- Date 7 SE 1 /4 1/4S31 T 29 N /FR 15 W Township Springfield Boring ()Well PL Property Line County ST. C R O IX BM or VRP Assume Elevation 100 ft. Base of Garage Siding System Elevation 1 04.2 * H R P Same as Benchmark Alt. BM Base of Tree @ 102.0 Scale = 1/4" = 10' 03 e r&66' m House Driveways System to be installed along the 103.2 Contour Line g B -2 a ❑ Existing Garage Alt. B- 1 13 B.M. B -3 B.M. °Io lope 120' 1600' Property Line No ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer Mailing Address Property Address 0 �0 (Verification required from Planning Department for new construction) City /State Parcel Identification Number LE GAL DESCRIPTION Property Location ' /4, y,, Sec, 3, Tr2!?N -RZ!��W, Town of Subdivision , Lot # Certified Survey Map # �.� /� 7 , Volume /,.;z , Page # Warranty Deed # ��4L �� , Volume moo? 6 �? , Page # Spec house ❑ yes Rio Lot lines identifiableky_es ❑ 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 wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements g s and agree to maintain the private sewage q g p g 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 statin&osepti sys i as be intained mus t be completed and returned to the St. Croix County Zoning Office within 30 days a ira ' e. _ SIGNLICA DATE OWNER CERTIFICATION I (we) certify that all is on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the p e cribed above, virtu of a warranty deed recorded in Register of Deeds Office. W/ ATURE O PPLICAN 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 »- FORM NO. 985-A ,✓ Stock No. 26273 5616 8 CERTIFIED SURVEY MAP NO. 3288 VOLUME 12 , PAGE 3288 . BEING A PART OF THE SOUTHEAST 114 OF THE SOUTHEAST 114 OF SECTION 31, TOWNSHIP 29 NORTH, RANGE 15 WEST, TOWN OF SPRINGFIELD, ST. CROIX COUNTY, WSCONSIN. LEGEND NOTE. EACH PARCEL ON THIS MAP IS SUBJECT TO STATE AND COUNTY LAWS, RULES, AND REGULATIONS ......... GOVERNMENT CORNER (AS NOTED) (I.E. WETLANDS, MINIMUM LOT SIZE, ACCESS TO PARCEL, ECT.) BEFORE PURCHASING OR DEVELOPING ANY PARCEL, o.......... SET 314 "x 24" RE -ROD WEIGHING CONTACT THE ST. CROIX COUNTY ZONING OFFICE FOR 1.502 LBS. /LINEAL FOOT ADVISE. THIS INSTRUMENT DRAFTED BY STEVEN J. WAAK SCALE:1 m -300' 0' 150' 300' 600' • STEVEN J. • E.1/4 COR. WAAK ;", z 31 -29 -15 FD. 2" I.P. S -1610 x PREPARED FOR: MENOMONIE ~ a` <. • wis .•�0�� MR. JOHN SAUERS �' %,,2� ' • • • • '� ��`�� 3900 PEBBLEBROOK DRIVE MINNEAPOLIS, MN. 55437 r II III ro n vn UNPLATTED LANDS � L N IL- S.E. -S.E. ' �D 1 I I JU I _ N89�5'12 1201.17' N I O 717.63' 4244' ' 441.10' i �� � �� 760.07' . _ LOT 1 ►N/ lJ v 310,699 S.F. - R i, o0 7.13 AC. rn I. C6 led I t� '* EXCL. R/W Z rn v 293,947 S.F. :3 N j j; � 6.75 AC. S89 56'50 "W 760.81' I '; 1 N v 381.00' 340.28' 39.53 J N N 379.81 i NI 1 = p v 3 o 1 � of 0 1 . 0 QI 1 JI W p LOT 1 fn I ' w 583,699 S.F. W I al 13.40 AC. N p¢ % N EXCL. R I i z 2�w � 3 569,681 S.F. •W ^ rn o f pl =o m 13.08 AC. N LOT 2 N LOT Z S 00 ° 0 348,609 S.F. � W 348,262 S.F. co , !; j o 2 vi 8.00 AC. 8.00 AC. 1 °o_