HomeMy WebLinkAbout026-1115-90-000 (2)Wisccnsin Deoartrnent of lndustrv.
Ldbor and Huinan Relatiors
Diysion of Safety & Buildings
SOIL AND SITE EVALUATION REPORT
in accord with ILHR 83.05, Wis. Adm. Code
1 3Pageof
COUNTY
St. Croix
PARCEL I.D. #
REVIEWED BY DATE
PROPERW OWNER:
Derr j-ck Cons truction, fnc .
PROPERTY LOCATION
GOW. LOT SE 1/4 NtJ 1/4,S 1 T 30 ,N,R 18 >cE (or)W
PROPERTYt505 I{y.OWNER, :S MAILI NG ADD RESS
#65
r1'd BLOCK #nla llihl#'pol"t3$ fu".do'"
CIW, STATE ZIP CODE
New Richrnond, tr^ll. . 540L7
PHONE NUMBER
(7L1-246-2320 EcrrY DVTLLAGE firowN
Rictr.'nond
NEAREST ROAD
Co. Rd . lfc&
Attach complete site plan on paper not less than I 112x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction andY" of slope, scale or
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION
[{ New Construction Use [< ] Residential/ Number of bedrooms I I Addition to existing building
[ ] Replacement t I Public or commercial descri ho
Code derived daily flow 450 gpd Recommended design toading raE . 5 beO, gpdlft2j6 fench, gpilP
Aborption area rEuired 9OO OeO, tP 750 reoA, d lraximum design bading rac . 5 bed, gpd/ft2_. Q_fench, gprilP
Reco mmen ded infi ltrati on surface elevation(s )ft (as refened to site plan benchmark)
3
Additional design / site considerations 18x50' see
Parent material outwash
or trenches
Flood plain elevation, if applicable n a ft
S = Suitable for svstem
U = Unsuitable foi system
CONVENTIONAL
EKS trU
MOUND
Eks tru IN.GROUND PRESSUREtr(S nu AT.GRADEm6 tru
SYSTEM IN FILLtrS fiU HOLDING TANK
NS fiU
SO!L DESCRIPTION REPORT
Boring #
Ground
elev.
101.90t.
Depth to
limiting
factor
>86
Remarks
Horizon Depth
tn
Dominant Color
Munsell
Motfles
Qu. Sz. Cont. Color
Texture Structure
Gr. Sz. Sh
Consistence Bourdaty Roots G P D/ftz
Bed Trendr
1 0-B 10vr3 / 3 none L 2/n/sbk mfr cls 2lt 5 6
2 B-28 LW4l4 none si1.Llf lshk mfr 8lw Llt 2 3
3 28-64 7 .5yr4l6 none s1 2lnlsbk mfr glw L/t 5 6
4 64-86 tOyr5 / 4 none S 0/sg m1 nla ila 7 B
Boring #
Ground
elev.
101.f85
Depth to
limiting
factor
>w
Remarks:
1 o-L6 1Oyr3 / 3 none L 2lnlsbk mfr cls zlf 5 6
2 16-33 LOyr4 I 4 glw LltnonesilL lf /sbk mfr 2 3
TT,\3 )3-BZ 7 .5yr4l4 none ,6t 2lnrlsbk mfr nla nla 5 6-K\
:
{t W.^
a-
\U
{la
V\"qh*il l+'o0?tu
'r?'BtEBl 1 7L5-246-6ZOO
t!:Phone:Name
200rh , I{r . 54OL7
Date:TZ-L-92 29qd"b'"
a7 ?5
ri;
PROPERW OWNER Darri ek qt SOIL DESCRIPTION REPORT Page 2 of -j
PARCEL I.D. #
Boring #
Ground
elev.
100. B5ft.
Depth to
limiting
factor
>BZ
Remarks:
Horizon Depth
in.
Dominant Color
Munsell
Mofies
Qu. Sz. Cont. Color
Texture Structure
Gr. Sz. Sh.Consistence Bcurdary Roots G P D/ftZ
Bed Trendt
1 0-13 10vr3/3 none L Zl:rnlsbk mfr c/s 2/f 5 6
Z L3-24 LOyr4 I 4 none sil .L lt lsbk mfr 8lw ]-lf Z 3
3 24-36 7 .5yr4l4 none s1.L lt /sbk mfr Elw rlf 4 5
4 36-E2 LOyx5 I 4 none ]-s.o. sg m1 nla Llf 7 B
Boring #
Ground
elev.
LOO.77t.
Depth to
limiting
factor>82-
Remarks:
1 0-16 l}yr3 I 3 none L 2lmlsbk mfr cls zlt 5 6
2 L5- _"5 L0yr4 / 4 none L 2l'ri'lsbk mfr g,lw l lt 5 6
3 35-41 7 .5yr4l4 none s1 Lltlsbk mfr Blw Llf 4 5
4 4L-82 LW4l5 none fine S 0/sg m1 nla nla 5 6
Boring #
Ground
elev.
100-ll1t.
Depth to
limiting
factor
>82
Remarks:
1 0-10 LOyr3 I 3 none L ?.lnlsbk mfr c/s zlf 5 6
Z LA-24 lOyr4 I 4 none sil.L lf lsbk mfr g,lw rlf )3
3 24-55 7 .5yr4 /6 none ]-s.o/sg m1 Elw Llf 7 B
4 55-82 7 .5yr4l4 none s1 Zln,lsbk mvfr n/a nla 5 6
Boring #.i .t '-'
4'l'
{
r
b
Ground
elev
ft.
Depth to
limiting
factor
Remarks:
sBD-8330(R.0s/92)
STEETS SOIL SERVICE
Gary L. Steel
c.s.T. 2298
MPRSW-3254
Derrick ConsEruction, Inc.
1ot #19
tr'iillow River lleadows
sEtNwt s-1-r30N-R18r,I
Richrnond, township
Yb r\t
l'z-'
0 s
a60'
Jl
^,1,. , n e
988 N. Shore Drive
New Richmond, Wl 5/1017
f/15) 24&6200
,P
er"^'t'
3
).
IAI
An-/onV /4|/tti
A/z Pt tA ' tod'
vt'|6*rla u-.'- ('?t
1tt>tf1,
le't'-. z ,oz fiaY E J
4t
9.4
f
J1-
,t
AS BUILT SA}IITARY SYSTET,I REPORT
SHIPowN(^)bu)
I r a4^r-r. /g w t1b1 144 t-1"- {.tSECTION
ADDRESS /5 oS /./"-*, LS N.L. ST.cRorx couNTY, wrscoNsrN
Krt-n.#S5 /7
SUBDIVISION _LOT SrZ R
PI.AN VIE'I{
SHOW EVERYTHING WITHIN ].OO FEET OF SYSTEM
BENCHI.IARI( : Elevation and .,/4O, a
Alternate benchmar
SEPTIC TNIK: Manuf acturer :iquid Cap.
Rings used Zvanhore cover erev lO{,Gtinar grade elev:/a5,7
Tank inlet elev. :/633oT.r,k outret eI ev.: /63.03
No. of f eet f rom nearest road: Front ,L, Side , Rear-Ft . l7S-
From nearest prop. l ine : Front , S!icte+, Rear-Ft .
No. of feet from: Well N ' )\
-
, Building:a7/,/,
( Include this inf ormation in the above plot pJ.an )(2 reference dimensions to septic tank)
SEE REVERSE SIDE
-dL
)
8,\,.
37
INDICATE NORTH ARROW
o
*lz
/&'
,\^
on:descr
96'
Y
a
t
/
PUUP CHAITBER
Manufacturer:T.iquid Capacity:
PumpMode1:-Pump,/SiphonManufact.:PumpSize-
Elevation of inlet:
-Bottom
of tank elevatio
PumponeIev.3-Pumpoffe1ev.3-Ga11ons/cyc1e:
Alarm: Man . 3 Switch Type:
-Location-
Distance f rom nearest prop . I ine : Front-, Side
-,
Rear-Ft .
-Distance f rom: WeII-
-Building-SOIL ABSORPTION SYSTET,T
Bedz I Trench:
-seepage
Pit :
widrh:f<T.ength (O Number of Lines 3 ? Area Bui LL 7SA.dI
Exist. Grade EIev . /O I 2 Proposed Final Grade EIev.1a1,2
PiII depth to top of PiPe:a/
No . f eet f rom nearest prop. Iine : Front , Side X, Rear-Ft .85
No. feet from well:{*"o. feet from buildi
HOLDING TA}TK
Manufacturer: CaPacity:
No . of rings used:
-Elevation
of bottom tank:
-Etevation of inlet:
No. feet from nearest prop. Iine:Front , Side-l
No. f eet f rom: WelI-, buj-Iding-, nearest
Rear_Ft . _
A1arm Manufacturer 3
TNSPECTOR:
/
DATE:PLTJMBER ON JOB:
LICENSE NI.]MBER:/56j
6i9O:cj
E _t
It
LOGA[Tq&i"RtrgJf,ilENE
Lobor and Human Relationi
Salety and Buildings Division
, 01 ' 30 ' 18 FftTt}AfEsE&rdflvl?ru"o'RD
INSPECTION REPORT
(ATTACH TO PERMIT)
ELEVATION DATA
GENERAL INFORMATION
TANK INFORMATION
TANK SETBACK INFORMATION
PUMP / SIPHON INFORMATION
Manufacturer Demand
GPMModel Number
TDH Lift FrictionLo(r Svstem
Head TDH Ft
Forcemain Length Dia oirt. To well
SOII ABSORPTION SYSTEM
A9300004 3d
Permit Ho ame ety
CST BM Elev
t00.o
lnsp. BM Elev
loo, 0 .*<rtrl
flDe$nropt
nty
State Plan lD No
ParcelTax No.:
o26-1115-90-000
TYPE MANUFACTURER CAPACITY
5eptic U^*;l- 60D
Dosing
Aeration
Holding
TANK TO PIL WELL BLDG Vent to
Air lntake ROAD
Septic IqD plA )'lr >Jl NA
Dosing NA
Aeration NA
Holding III II
STATION B5 HI F5 ELEV
lo6iBenchmark4V/0s, 9
Bldg.Sewer
st/ Ht lnlet 5,1 to3,1
5t/ Ht Outlet K:.4 lbb)>
Dt lnlet
Dt Bottom
Header / Man.q 1t c3'q.
9 8.)LDist. Pipe ln,)i
tt.l7'9?, J8Bot. System
b,2 1i 1,7Final Grade
[r€^&l -.ll (-l ,J
s < I c;^)"3,11 I Dq,L'
IIIIIIIIIIIIIIIIIIIII
BED / TRENCH
DIMENSIONS
*'T(t""n5o No. Ol Trenchei PIT
DlMEitstoNs
No. Of Prtr lniide Dia Liquid Depth
SETBA€K
INFORMATION
SYSTEM TO PIL BLDG WELL LAKE / STREAM LEACHING
CHAMBER
OR UNIT
Manulacturer
rype oflj rr.!J I
System: r?.oA f5 /0 b't/l*y',<ModelNumber
DISTRIBUTION SYSTEM
Header/Manifold
Length _ Dra -J:
Distributron Prpe(i)
Lensth -6D Dia I.r aSpacrng
x Hole Size x Hole Spa.ing ve6t To Air lntake
SOIL COVER x Pressure Systems Only xx Mound OrAt-Grade Systems Only
Depth Ovet
Bed /Trench Center
Depth Over
8ed /Trench Edges
xx Depth Ol
Topioal
xx Seeded / Sodded
OYes ENo
xx Mulched
EYes DNo
COMMENTS: (lnclude code discrepancies, personsflr$)rt, etc.)
LOCATIoN: RICH!,IoND 01 . 3o . L8 . 671 , SE ,LOT 19 , co. RD. GG
d",lQtu
5,1 'rol
drk
'lo.
-2,
o
Plan revision required? E Yes E No
U$e other side for additional information.
SBD-6710 (R 05,91)
5 r (t 4 b
1ll
Date
,\7
10,\'1
QV u)
"qx
lnspe.tor'r Signatur€Ccrt No
Sanitary Perlnit No.:
1465L7
L J
E LHFI SAI{ITARY PERiIIT APPLICATION
ln accord with ILHR 83.05, Wb. Adm. Code
-Atact complete planr (to the county copy only) tor lhe syEtem, on papor not less than' 8,4 x 11 inchoa in Elz€.
€€e reverso 3lde ior lnEtructlont ior completlng lhls applicetion.
I. APPLICATIT FORTATTOX - PLETAE PRtlfT AII ilFOBIATIO .
SIAIEAAMTANYPERMITT I
tJ&(mffJ..tpDllcdoi
STATE PLAT{ I.D. I{UMBER
*Tilffi" Pitu, W u.,-*Jn*sh,_sf vltrtv,s I rro,N,a /K aowPnoPERW LOC nol{
PNOFENTYOWT{ERS UAILIiIG AI'DRE88 - .7 LOT#/?BLOCK #
tr;tr,,t,*,r h;ztP oqrEg/ot7 P[(,l€ ltiJUBEn
tTtg t1c/z-2L7o
SI.IBT'IVISIO]{ NAME OB.GSM NUMBER-- c,rr/;,l- fiAi -llL.J",as
e E Ueafat facillly/Nursing Homo
7 ll Merchandlre: SaleJReDairs
8 E Moblle Home Park
s E omcelractory
iEAREET ROAD
2
3
4
5
trtr
trtrtrtr
!tr
o2L- l)t 5 -?o
rE
Oher: Spadly
lll. BUIJ O UgE: (ltbullding type l! pnbllc, chod(4lthrt.pply]
ll. TYPE OF lUlLDl G: (chcd( on.)Stato Owned
10
11
12
13
ApUCondo
Assembly Hall
Campground
Church/Shhool
Hotel/Motel
Outdoor R.crcatlonal Faclllty
R6tauranuBar/Dlnlng
Sorvlce Sltatlon/Car Wash .
E prutt E[t orzram. Dwetttngr#orbedrooms3
lV. TYPE OF PERXIT: (Chck only ono ln llne A. Ch.ck lln€ B ll appllcabl3)
Replaoement 3. E Rcptacement ot l. E Reconnectton o, 5.l-l Repalr ol anSystem Tank Only Exlsting Syst€m Exlstlng System
B) E I Santtary eermlt was prevlously l3!ued. Permlt#Date bsued
A)1.8,New 2.
Sysbm
Other
41
42
rl3
trtrBtrtr
trtrtrtr
Experlmental
3() E Specity rype Holdlng Tank
Pit Privy
Vault Prlvy
V. TYPE OFSYSfE 3 (check only one)
Non-Pro$urlz€dDlstrlbutlon Pre3surlzodDlstrlbutlon
21
22
Mound
ln€round
Proaaure
11
12
13
11
Soepage Bod
S€opago Tronch
S€€page Plt
Systcm-,ln-Fill
2. ABSIORP. AFEA
REQUIRED (!q. lt)
100
3. ABSORP. AREA
PROPOSED (sq. lt)?6
4. LOADING RAIE
(Gab/day/sq.lt)t5
5. PERC. RAjrE
(Mln./lnch)
^r/h
7. FINAL ORADE
ELEVATION
/61,7 ra
8. SYSTEM ELEV
?24."
YI. AESORPTIO SYSTEIIIFIOiIATIOII:
CAPACITY
ln oallon!Pr.tabYII. TAIIT
IXFIORIATb Total
Oallon!
#d
T.nks Manulecfrr.er's Name
Slte
Co1r.
Etructed
Sbol Flb€r-
gle!3 Plaatlc Exp€r
App.
Sdllc T.rk or Holdlnd Trnt /@o I lscF
Llll PumD T.nld8lDion Chmbcr
YU. NESPiOI|S|BIUTY STATETEI{T
I, lho ulderslgned, ascumc teapolllblllv tor lmtallatlon d the onslb serage lystrm slEwn on tha attached plans.
UrMPnt Y ilo.:
15(s
Plumborl t{amo 'P"tlrQ,r:'C-,sbr:,,i
PlumD!.'! Slgndrc: (il6irmF)tl!^-k*B{aln€ls Phono l{umbor:
( 7/rt )?L-s/sS
IL OOUI{TY'DEPAiTTEIIT ol|LY
ff^o**n
Dl!!pprovrd
Oiler Glwn lnltd
ldv.r!. D.L''nlll8da -/4aF..)
o
X. OOIIDITIoI{8 OF APPROYAL'RETsO 8 FOR DIBAPPNOYAL:((/tt/
ffiII I)-.<I III II II IIITII rIITIIITIiIITITTIITI):a II o.
SBD896 (formcrly Plb{r) (R. 1 U!6) DETnIBUnO{: Orle ln.l b County, On. Copy To: SEilty & Bulldlnla olvl.lon, Oyrncr, Plumbcr
I]
I
1. OAI,IONS PER DAY
_.,
[.Y I
Tanlc I
I
APPI.ICAI] ION FoII SANITARY PEI{MIT
s r c - 100 r
Thls appllcat:lon form ls to be conpl€'ted tn l'ull arrd signed by the owner:(s) of tlre
property be.l-ng developed. Any Inadeqtracles wlll only result ln delays of the perrnit
issuance. Shorrl-d thls development bc. intc'rrded for resale by owner/cont ractor ' ("spec
house"), therr a second form strould be rctaj.ned and comt)leted when the property ls
sold and submltted to thls offlce wlth the approprtate deed recording.
l/l,rl LLo.*,lverL J,
Locarlon of Property Se-=U -N r^l-U, sectlon I
a€l4t a4 2.sOwner of Property
,T 7o w-R l9 w
Townshlp frur-ouo
MatLing Address CE €og bs
Ktr*,yotro. ht S,lot'l
Subdlvlslon Name hr,+o,rt ,€ruu,s
Lot Number n
t. warranty Deed
Prevlous owner of Property A€ Srr*,n,
Total slze of Parcel '2,o> Acz-s
Date Parcel was Created lo -11- 9o
ts thls property belng developed for resale (spec trouse) ? X Yes
-
No
volume 8bt ancl Page Number 4SV as recorcled wlth the Regrster of Deeds
INCLUDE WITH T}IIS APPLICATION ONE OF THE FOLLOWING:
Are all corners and lot llnes lclentlfiable?
2. Land Contracr
Yes No
6
)
Co
3. OEher recordlngs flled with the Reglster of Deeds Of .flce
In addlt!.on, a certlfled survey, lf avallab.te, would bc' hclpful so as to avoid (lelays
of the r:evlcwlng process. 1f the deed descrlptlon rclt'rerrces to a Certlfiecl Survey
Map, the the Cert:tfled Sttrvey Map shall also be requirecl.
PQ,PF-RT V 0tttNER IERT l F I CAT 1 0N
I lTe.l ce.n-ti(r1 that all L td.t.QnQ.nta oh th.i.t otlm dne thue- to the. but o( nq lounl
hruwtc-dg a.; tlnl. I lwo-l an laiel thQ. ou)wn lE aAULLbed in tlvit
inl 0 na.tion (onn, bq v.i,ttue o (
ol tl*. pnopen-tq d
,Le.co tld.ed in thQ-O((,ice ol the.a UJO",CLN.Tq do.ed
C oun tU Ra.quf en o( De-o.l t al flocttnqnt No.20b and that I lno )
prlet etLtltl own tho. pnopoto.d ,srte fun thQ, 6 Lfia"gQ.poA 6q8 te.n lon 7 lwe.l havo
olstain.t' d an e.dae-me.n-t,1.0 nu.n. wi.th the. abuve detcnlbed pnopetl4,lon the.
conAt.ttc.lion o( daLd Aq|te.m, and the- tane lns b o.e .n dul u. 4sszo
,Lo.c.o rLda.d in the.0l(Lce.
SICNATURE OF OI^'NER STGNATURE OF CO-O[ N'lR (rF APPLTCARLII)
l>'lo - ?)
DATE SIGNED I)ATE S tCNIiI)
455206
AUTHNNTIOA?ION
lf not.iitii'lftiii i;y ! iid:o,i, 'Wi;:'Si;i;. i
wn tlllArtl r utst
s'r,\r'l; tt^lr ilrf wlsc()l,[rl]l F(tltnl 2-nez,r ,, . tjGlpA6r4SG
REGISTER'S OFFICI
sr. cRolx co., wl
Ree'd for Reeord
Mlehael R. Stevens, Wllllam ll. Def f iek,
Wtlllam. M. Derriek, Thomas E. Derrlek and
Ronald t. Derrlck ae tenants:ln-common.... --
t'ortt't'l s :tltrl t, -t1 7;1111-r: [rr
. ...Venture
l{tllow Rlver,loJ-nt . .
S t . Crolx
.\... ..
County,
lflirlr;j't,'i,r . .
,
zonLng ordlnaneeo I €as€ments and
90.
i
.i
rl
tl
I
.,AN 19.139[J-ot B: 3o- A. fvl
U* 0 &""^te(
0 * n4UrolDecdt
NETUhN ?O
tl
llre follnrvirrt,f rlescllhr,l renl estnte ltr
Strl.e of lVisconsin:
Southeast euarter of Northwest Quarter and Nottheast Quarter
of Southwest Quarter of Seetlon 1, Townshlp 30 North, Range
1S l{est.
Tar Pareel No:
ti
I
rl
W
i:::;;l; tfuii,.,l.r{f l llam I
lt
I
l'hl* , lg [b!......, hoirttrtcrtrl lrrrrlret'ty,
llsl (ls notl
iliceptlorr to rrntrnntlel: tnUnlclpal and
restrietlon3 uf record r
ttrrtb,l tlrls /bd rlnl'of . ....
SIIAI,'
(
tlanuS:y. .
llilL;7(
t Wtlllam U. Derrlck .t
MENT
( SEA I,,
(sEAl,)(.tillA L).';,' l,'!//.,foi ,,1r.'l I il c.' . . /- .//as Er Derhgr
-l/'lv; t rtli lck
l!
a
c
STiTE OF WTSCONSINnlqir{tl
IDer
il
Ttl'LE: t\tbfrtDtln STAI'n nAR Or" WISCON$tN
BS.
...CountY.
rn.90 --llarsonnlly e0trro-beford- rna thh rlnl' of
, lg..---.-. the nbore nnnte,l
to nre hrtorttt to be tho person .-.- rvho ereeuted the
foregolntr lnst.tuntettt trnd neknowledge the tatre'
a
tlnte:' l9-- - ')
(
h
IFtr9 ltrsrRUMENr u/n s DnAFrEo ttY
sEtu trGr.aN.. I.,ltw.. gqr.I g.Eg. .
frE.0 lffsnfi*FaTlfl!::l i l o r z Notn''l' I'rrhllc :.. .. ..County, Wis,
iii'-"r',,"'n;i;;i";' i; i;;;;i;iient. i ti iioi, ;t.i; - eirilintlnn(Slglrnturrs nrny he nttlhotrtlentetl ol' :rclurrrrrlerl,lcrl. Ilol,h
nro not neee:rsnt']'.)
rrat ol Fcrsort! rlcnlng ln nrry rnfr:rrll! nh,rrrl,f I'r'!rrr. l r.:'t'tltrt,rl I'r'ltrrt fhllr ilEttnlrtrlq.
nn^N?t nrED st^'rn n{tr or wlscoNstl{
r . aa- i a.ra{
B'f'tcolrsln t.rlrl
, ..1 !. '..
Itlu '.', l',. I t',
!
i
l1
I
tl;l
lt
Slshse
Derr lc
tr
k
o1...-.-
1 ..F.i.. s lpver'.8 iii; iiiiitim r,,i.
-'Dertrlek.. and
iludt th A .ton
r.Ol Ma
o
(v
Outlot 1
603.5r
17
z.Gl Acr.l
80
J
18
2.O2 k 616
2.01 Acrs!19
LO? rLct t
(t
o
Cc
16.
20
2"ql Acrt
ulc?
r'l
305
15
2.'15 Acrc3 14
2.O2 ,ctet
Zt8 Acrls
361 .13C1
13 21 g
NN(.)
in
t8
2.0:! Acrlr
214
rJ)
s 10
2.00 Actot2.01 Acres
I
208
l6t
,35.29
11
aoo Acnr
aooi
or(t
6t 22 (t(o
N
@(,
2.00 Acrlr
o(,
2
'u)
1
a0t t{,tat
469.7.
2.22
^c,teg
7
(oo
6Jot(\r
298
I
2.00 AcroE
289
23
2.00 Acr..
l,,o(\r
6
24
2.00 Acr6
(r,
Ol b
(t(o
o
Q2.02 ts'c'.
425.25
2.27 k o.
28
o(D
(oool
I,'ct t-ol tJ
2.0t Acte3
49
77.60
o25s
2.04 Acrer
D
@
CD(^(,
o(t!4
.33
Z0 Acres
629ro 2.32 Acrc!
(,
.gs31I
q,
q,
(\a
250 .51
d!o
Ol
tJ)
2.iXl Acres
(,(oa,(,
(D
27
77.60
n
00
o
<r!2.11 Act .
53
26tO
osa
3
2.30 Acres
507.06
(ri(,
d,g,
oo?
30
2.08 Acrer
t
211.03
(o
(o
(o(t
(\Joa,2
l.El. AcreE
200.50
(o
oa
326.37
31
2.03 Acns
224
I
226
oN
32o 2.20 Acrct
o
(\.
I
(t
(,
i
200
1 AcrEt
3
.9,4
3
Willow
River
Meadows
@
(Do
Public
.9
=Jo-
Higlrway GG
DERRIGK 6
(715) 246-2320
Route 1
New Richmond
Wisconsin
City of New Richrnond
E,otil
lr!(o
Willfl
River
CONSTRUCTION }{FOifrivrr-4,
a
Rd. GG
2
Str3:: C '.\|t K XA !:t?:::!AitC= ,\C:itrEllEllT
Se. CroL: Csunc'r
\lv, Lto.r,) Ptuert- JOI ^r1 Vexllt@
orrNEIt/ BU'rE3 K*tAeL t<./g,JS
R,O UT: / B O -',- vU!18 E:l ttu9 br
CI?T/ S?.\:= Ng (,cAn4oND, UE zlP S{ofi
N'a' t sec::.od I r-E-u, I /g ,r
fr*,u,ND
Fl:e llrrnoer
PioPER:? LcC.ttZON: y \-
?otrn o E Ccun c'., ,-
Lc c crunber t1
Eaoeogcr r:se {ad rlsh.canance o i 7our saEcLc ryscau ecuJ.d resu!: :-a
1Es p?eEac:tra is1!urg Ec lrendlc 'rasca!. P:ooar oa!neeaanc,r crn-lLses oi ptrnolng ouc eha s.oc:.c eenk avcg,7 chEac yaaEs oe goo(er,
i: c€€dad. by a i:ccrled reaelc :3nis otrEEar. Bhae you pttE LaE3Che 3:rsces €a11, a!:ac: t!1e :une::,:n o i e:e s€rc1c, eatr.i( as a ::eac-,.nE Eca'g. i* :lrtr zasce disoo3aj. syscas.
Srrbdrr."."' -'1AffE
Sc. C=ci.=
re€eive a g=anc ior
a Ea1.llag sys EaE,
sc. c=ci.x cltunclr
elrl trequ!=aEct.lc ehac
syscaos ?troper!7ag!sa Eo keeg eltel=oa:.r,ealr.ed.
ihe 2r:oe::T or.neE ag:.as :c subsi: co Sc. Clot: CouncT ;oo:ng aeer:::-leaeica EoE:It, SiB:!.ad ,y e:ra osnef and, by a oas.ear pI,.raoer,
louE:lcytnall pluaoer, :a!c::.c=ad tlsuoer oE a, Llcen,s€d pqq,gaE ,raE1-
€I1ig :lr,ac (l) cf:c on-.::a ?ascc!r.cEr dlsgoi.! sy!cea !s : 1.n propc:rooeEac,j.,'B eosdleloa end (i) af'ta! l*ssqc,:lor1. eu,d puEE!!,g (l! acc-rssrrT) , c5.c r.oc:c e4c!c Ls Lass aiaa L/ I Eu!1 o E sludga rs ci sc.raC.r=1:1ca,c1on Eor:! ztll bre s.nC .o9Eo:c:aaceJ.T lO day: p€1,oe c5
c:: E ge taaE .=s. arac1or1.
Sc. Croi= Csunc: res:-dencs fti_at, le =i:Blb!a cca ma-lsura o i 602 ,-r r che ccsffie r=oiac,Eaace o ftehich 'ra.s in, ogarac j..cn p rao E E,o JuIf L , L97A .
ac,geoeaci :!rLs prog=aE !* r\ugrrstr o c L98O, !rLE!r
o!rt1,a rs o € all BCt,r,
-
gvs e eltls
!/l;E. ?te 'rncicES\tyLcd, ha'rq rgaci iIecc na::ca1::, che oE1?ace s{l"Jrage Clsooche se:o,iarCs sac Eo r:!r; herele. as
ilen c o i Ya e.:raL Saso qtr c as - Ca E: l! 1canci 3"e:r==ed ec qho Se. C=cl= CcuncToE :5e :Xree yaar .=?l=:.:c1ctt dace.
above Esqui:?n€ncs anci agrce
sal sy!ceE Ln acecEdance 'rr3l
sae by Ehe',IiscccsLn Dcpatr:-
ac:orr (oea lusc bq ccooLeeaci
Zonlng OE:Lee zr:lrta 30'Cays
c - F.r-qrl -{rl l--
'lA-=
S c . C =c :--- Ccun c..' icain.: O e::c€!P.rJ. 3o- l:;
!lanrnorlct.'.ti :i0L-<
:: T
-iCr-'--,rt - / t< :
\- i':n ,i,-t- - .:nri .t-s,t?-l ) thrrrrE :rfci:a11S.
lz - /b -cl
t
-
SOIL AND SITE EVALUATION REPOHT
in accord with ILHR 83.05, Wis. Adm. Code
Prg. 1 of3Wisconsin Department of lndustry,
Labor and Human Relations
Division ol SafetY & Btildirps
.{ttach complete site plan on pap€r not leqs than 8 112 x 11 inches in size. Plan must include, but
not limited io vertical'and horizontal reference point (BM), direc{ion ardt" ol slope, scale or
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORUATION
St,. Croix
PARCEL I.O. f
REVIEWED BY DATE
PROPERTY OWNER:
Derrj-cl< Constmct,ion, fnc -
PROPEHTY LOCATION
GOW. LOT SE 1/4 NW 1/4,S 1 T 30 ,N,R 18 ,xf (a)W
PROPERTY OWNEF':S505 IIy. 1165
MAILING AOORESS ..tu BLOCK #n.la tlI?rWtf.LEYheado*s
Ri Co. Rd . lfc'f,,
Use k I Residential/ Number of bedrooms 3 I I Addition to existing building
Recommended design loading rate . 5 bed, gpdft2 ' 6 trench, gpdft2
Aboetion aea r€quircO j@- UeO, rP 750 r$dr, [2 i/hximum d6ign loading rae . 5 bed, gpdrn2-:..q-remh, gpdft2
parent material outwash Flood plain elevation, if applicable ft
I I Public or co mmercial describe
Additional design / site considerations 18x50 ' seeDaqe bed or t,renches nla
(as refened to site plan bendtmark)Recommended infi ltration surlace elevation(s)
[{ New Consfuction
[ ] Replacement
Code derived daily flow 450 gPd
HOLOING TANKtrs fiuSYSTEM IN FILLDs fiuAT.GRAOEE}6 truMOTJNDtr(S tru
IN.GROUNDE(S tr PRESSURE
U
CONVENTIONALE6 DUS
U
foruitableS
nsuitableU
SOIL DESCRIPTION REPORT
Boring #
Ground
elev.
101 .90t.
Deph to
limiting
lactor
>86
Horizon Depth
in.
Dominant Color
Munsell
Moiles
Qu. Sz. Cont Color
Tex.ture Consstence Boxry Roots GPD/ftz
Bed Trerrfi
1 0-B 1oyr3 / 3 none L 2lmlsbk mfr c/s zlt 5 6
z B-28 LW4l4 none sil.Llt I sbk 8lv ut a,
L 3
3 zB-64 7 .5yr4l 6 none s1 Zlmlsbk mfr 8/w Llf 5 6
4 64-86 Lqrr514 none S 0/sg m1 n/a ila 7 B
Boring #
Ground
eler.
101 .fB5
Depth to
limiting
lactor
>frz
Remarks:
1 0-L6 LW313 none L.Zlnlsbk mfr cls zlt 5 6
,16-33 LW4l4 none si-l.1/f/sbk mfr glw LIf Z 3
3 33-82 7 .5yr4l4 none sl.2lnlsbk mfr nla nla 5 i .6
frli
Si0nalurp
Remarks:
fl ola
L2-L-ii:2 21?i{i'"b"'
Phone:7t5-246-6200
.,Nerv-, Idr . 540t7
Name ,rT.3EE8I
200Lh/
,to'7 ,q
Structure
Gr. Sz. Sh.
mfr
't
OWNER nk Const- ^SOIL DESCRIPTION HEPORT Page Z of 3
PARCEL t.D. r
. Boring #
Ground
elev.
100. B:ilt.
Deph to
limiting
lachr
>82
Remarks
Horizon Depth
in.
Dominant Color
Munsell
tvlo$a
Qu. Sz. Cont Cobr Texture Structure
Gr. Sz. Sh.Consisterrce Box6y RooB G P D/ftZ
Bed Ttgdr
1 0-13 lfrrr3 / 3 none L 2lmlsbk mfr cls zlf 5 6
Z L3-24 lOyr4 / 4 none si1.1 /f/sbk mfr glw Ut 2 3
3 24-36 7 .5yx4l4 none sl.1/f/sbk mfr Elw rlf 4 5
4 36-BZ Low514 none 1s o. sg ml nla Llf 7 B
! Boring #
Ground
elev.
100 JtL
Depth to
limiting
factor
>32
Flemarks:
1 0-16 LW3/3 none L Zlmlshk mfr c/s zlt 5 6
Z L5-35 LOyr4 I 4 none L ?.lnlsbk mfr glw Llf 5 6
3 35-41 7 .5yr4l4 none s'l .Llf /sbk mfr B/t't LlT 4 5
4 4L-82 LW4l6 none fine S 0/sg m1 r.la nla 5 6
Boring #
Ground
elw.
1Q0.6rr
Deph to
limiting
fachr
>82
Remarks:
1 0-10 Lqrr3/3 none L 2.ln/sbk mfr cls 2/f 5 6
Z to-24 Low4/4 none si1.Llf /sbk mfr 8/w Llf .)3
3 24-55 7 .5yr4l6 none 1s Olss m1 g/w LlT 7 B
4 55-82 7 .5yr4l4 none s1 2lnlsbk rmrfr n/a n/a 5 6
Boring #
4il-.
:i.l .it)
elw
Ground
ft.
Deph to
limiting
factor
Rpmarks
s80,8330(n 05/92)
ffi
N![ o ii'$
if# J ,ii.t
HWssrN
Gary L. Steel
c.s.T. 2298
MPRSW-3254
STEEL'S SOIL S
Yb I\
Derrick Constmction, fnc.1or #L9
I'Ii11ow River lteaclows
SEttlt^It s-1-T30N-R1 8rJRichmond, Eownship
988 N. Shore Drive
New Richmond, Wl 54017
(71s) 246-6200
ERVICE
Ze'
<i/
,t\gflt''
-JV-
4n- /,,n/ /'/S/ta
12, 12, r+f tA . tad
&'I rtt *-/' K w-' (' Q t
l'('*o'
l...r, {- Z ,o z IH/v E J
L,
s 3
rl
1
4t
{
b-4
.t Ad
db&
ktne
I
I
IT'
t
I
-T-I
f-t"9,R)UJ
3:,6 -
i
i
'
I
I
,I
l-N
:
-+
++
I-t
I+
_l
I+
I
IT
I+
I-t
I-r
+
I--+-
I
-f-I
I+I
I
Ill+
senS5t*
DI nt
fi tcl\e e/
/5os /I
tltUT,Iq,J
I
I
i
I
I
I
I
i
I
I
a
I
0
?
5ro t 7
o qJ5
I
nd
ary Lf&.h**n,l c,
Bruen, D\ n
/l)c+)
t-l r ll tur
I
-+
I-1
T
I
f
I
I
T
I
I-t
I
I
I+
I
I
IT
I
I-+-
I
I
+
I
+
1
N
el /cro
r\-u)i;rn ?
Lot
(
7"r t'sj"a"6,Fl ,
5"".1.a l'L1r'
*nMc /r) )*F
/;' xs o' J'"'^&J
pft t//re
dlu, tt
-f
I
,
i
I
+
-+-
II
IT
I
+
IIt
I
It
I+
I
Ii
i
I
+
it'
II
I
i-
I
r
I
I
+
I
-t
i-i
I
+
I
+
It
It
II
I
+
Ij
I
l
It
I
-+
I+
I
-l
I
1
II
-i
.i
+
I-1
I
I
i-t-tI
I
2,f0
9
\t
L
I
I
I
j-
IJ_
It
I
I
+
I
I
I
r
t
I
I
I
+-
I
I
I
+
I
ti
(u
I
lvaf
+--.-,- - +lt
4)r?S
63/5l,5ulnP
uorl\*sQrperror"rltffif
/nrchcJ *.*,*.t' tga{ y1,,ts
tUr,.';Rn}-.-J t^lsi' 9?6(7
S*"|,o,^r oF AB*o
5E-ild
frr rh Alr lnlrtr And Obrrrvollon plpr
SyrIu.'.
snA 7 qVJO- /& tJ
lro,rA lloT 0r Synrhrtk C Orlllhg
lllafrnsar l2'AOOvr
ftn Gr dt
20 - { A' Aborr ptp
fo ftnol 0rrcr
Approrid yrnt Cop
_ {'Cort Iro,r
Vtnt I'lpr
- Tr r
PrrlorrltC plpr Brlcr
- Cogllng f oralnrtlrre At
Soltear Ot Syrlrn
Pn, p o) ( D F,,^,.-l,q r,..l.,
tltJ^t t or)
'ut
o
0lttrtbrlloa
?]P r
3 I
tn 2' A 9gr. oot.vrr Plpt
ti'Ag jrrgorr
0rarrtl plrr
APPRoVEo slVprE,rrc cov(R.-flATERlAt oR q" oF srBAV-/?'oF A66gE6AT e -/
ELev. o Fl?dlEET_
OR ltARsH HAY
I
Drs'rRtRUTtou prFE To bE Ar LEAsr 2</ r,*JcHEs BELow oRtGt,JAL GRAoEAUtr AT LEAsTeo l\JcHEg BUr tlo AoRE THAN .tz lucHEs 6ELow Fl\tAL GRAoE
rurU^1url DEPrH oF EXcAyATtol., FRon oi(rc,h/AL 6I(ADE wrLL BE 39 _ rucHEs
Att{tnuH o€r r1l o5 Exc4vn rloN f'Aorr. o4,6rr/AL GRzrpf wruu BC 3 o rNorE s
5t6uEo:
LICEUSC TJUIABEII:/3
(
I
.l
ll
I
o
sotL r ILL
DISTRIBIJTIOI.I PIP
u' or iri - a'ri AGGRCCATE.
DATE:
-_
//-y- ?3
110
r
I