HomeMy WebLinkAbout038-1064-10-400St. Croix County Planning and Zoning Wednesdgy, Februaq 09, 2011 at 4:39:25 PM
Detail Sanitary information Page I of l
Computer #:
038-1237-10-000
SublPlat: Maple Haugen
Section:
16
Parcel #:
16.31.18.1261
Lot: 10
TN/RNG:
T31 N R18W
Municipality:
Star Prairie, Town of
CSM:
114 114:
NE 1/4 NE 1/4
Owner: Gronquist, Nels 2164 County Road CC New Richmond, WI 54017
State Permit: 199953 Issued: 12/01/1993
POWTS Dispersal:
Non -Pressurized In -ground
Permit: New
County Permit: 0 Installed: 12/16/1993
POWTS Detail:
Trench - Seepage
Bedrooms: 2 WI Fund:
POWTS Pretreatment:
NA
Notes
Issuer/Inspector As Built
Plumber
Other Reauirements
Additional Notes Money Owed
Not determined Yes
Ulbricht, Robert
fka lot 4 CSM #16/4342 done to break up property $0.00
Jim Thompson Signed Off' Yes
into Britt's Way subdivision as of 2002. Found
Gary Steel soil report still in active files as of 2007 -
filed with permit. Lot 4 became Maplehaugen lots
1-11.
Maintenance
Notification
Scheduled Pum Date Pumped
Notification
3/1/2006 6/14/2006
04/20/2006
6/14/2009 11 /12/2009
11/12/2012 6/10/2010
6/10/2013
MIS
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER
ADDRESS_ !� /]���• C C
3M 113
Se4wA!%f, l?r v✓
.5--5-02,3
Prj eT e r-- -'X-e
SUBDIVISION / CSM _ - 4&J-f 5 LOT �
SECTION T 31 N-R /O W, Town of
ST. CROIX COUNTY, WISCONSIN
pler plat",
ORIGINAL
1 NI)ICATY. t4ORT11 ARROW
Provide setback and elevation infonnatson on reverse of this form.
i'i-avide 2 to Cent�c°r- of ,Optic t_ant: manhole covor-
L�' (EUmrl b", a
HM
BENCARK: Top c5T }S 5��c.2Q �� `' ~) /00 • C7 "
ALTERNATE BM:
SEPTIC TANK /PUMP efUtHBOR/Hefia3ENG.VMiN IMPGRKATION �� Q
Manufacturer: CUEEkS �o,c1G� f� Liquid Capacity:
� SoLaiL�'a�=
Setback from: Well /oZ House /7 Other /GZ '
Pump: Manufacturer Model# Size e—'
Float separation ' Gallons/.cycle:
Alarm Location
SOIL ABSORPTION SYSTEM
r
Width: 'S Length %(6 Number of trenches_
Distance & Direction to nearest prop. line: 92'
Setback from: well: 12-0 House 3y Other
e
Building Sewer to3.72'
z
Cx6voy,, 4'(.)
M hO I}o t E Co 0 E T2 ,
ELEVATIONS 1's t�2S ��• SG
/0 3. �(� + f
ST Inlet. ST outlet /0 Z . p
PC inlet PC bottom Pump Off
Header/Manifold Bottom of system
Existing Grade Final grade
DATE OF INSTALLATION: -I>Er- i6 14
PLUMBER ON JOB: T . 'k LS Q cc&T
LICENSE NUMBER:: M F S �3 �
INSPECTOR: •µ _f4ok SZL
P-
3/93:7t
S�/STE�
SCALE : Q
2y
�4
g•3
T3EDeµ .
I-fOMf-
3 y,
irw oa T' aF Titalr
,00 o da.P . zVEC ST -s• T
3y"
v "et-5 z-wcf l let co .
5`
F `
4
Zz�
/3M
o.... Top of _!
EleVATlo4J
/DO• D
'u r� r ro
e LE VJkTi oAJ S
-rREuc.11. s STEr1
Y
To a� �i Tnr of ���N��
SENT �
`Av'Eei
14
— -reF-utt+ SPECS ----
•
Luc
�D I'S r, p; p; k)(-
' +4Sg9c6-Air prolFcri�v VIA
Types fASArC
7efNelk '�l " FiffPs A7-
r•+ veer
pi.3o+3
16.3�tHAJ �EWi4� $�STE CC
Labor and Yuman Relations INSPECTION REPORT
Safety and Buildings Division
GENERAL INFORMATION (ATTACH TO PERMIT)
Permit Holder's Name:
❑ City ❑ Village Ej Town of:
CST B Elev.:
Insp. BM Elev.: 8M Description:
TANK INFORMATION
TYPE
MANUFACTURER
CAPACITY
Septic
'
Dos
Aeration
Holding
TANK SETBACK INFORMATION
TANK TO
P/ L
WELL
BLDG.
Vent to
Air Intake
ROAD
Septic
,/jr/G�j�
i7 /
NA
Dosing
NA
Aeration
Holding
PUMP / SIPHON INFORMATION
Manufacturer Demand
Model Number GPM
TDH Lift Friction SLossy
ead
Forcemain Len t Dist To well
SOIL ABSORPTION SYSTEM
ELEVATION DATA
County:
Sanitary ermit o
State Plan ID No :
Parcel Tax No.:
0238-1064-10-000
A9300359
STATION
BS
HI
FS
ELEV.
Benchmark
jo
Ff (a
164h, G7
6/-If
4, '
J�i
Bldg. Sewer
t/ VyInlet
St/ Outlet
Dt Inlet
Dt Bottom
Header / Man.
zo
' .7
Dist. Pipe
v" .
, 9d;s
~�
Bot System
Jl
�y
Final Grade
go
BED/TRENCH
width
Length
No, 01 Trenches
PIT --
No Of Pits
nsidE Dla
Liquid Depth
DIMENSIONS
_
-5
7
DIMEN 1 N
SYSTEM TO
P/L
BLDG
WELL
LAKE/STREAM
LEACHIN
an r:
--"`�
SETBACK
Typeo e,
re-
�/
i
��
_
Mode Number:
INFORMATION
OR UNIT
System: ��
0`1
-3 T
DISTRIBUTION SYSTEM
Header
q
Distribution Pipe(s) KI
x Hole Size
x Nole Spacing
Vent To Air Intake
Length _L�S: D+a
Length _A� Dia Y Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over 4 „ Depth Over „ ., xx Depth Of xx Seeded / Sod xx Mulched
Bed / Trench Center 3 V- f " Bed / Trench Edges �/ - � Topsoil es ❑ No ❑ Yes ❑ No
COMMENTS. (Include code discrepancies, persons present, etc.)
LOCATION: STAR PRAIRIE 16.31.18,276,NE,NE,CTY RD CC f
e,;,-Ice %a c,� e4 a _: � � , I d , G� /! l� C�rir► �i c.LP,
Plan revision required? ❑ Yes 5d1_ o 1/"-?
f�Use other side for additional information- IBI
SBD-6710 (R 05/91) Date
1FT I I J
inspector's Signature Cert No
— _ = SANITARY PERMIT APPLICATION
.a... e In accord with ILHR 83.05, Wis. . AdmCode
COUNTY
.56r. GtlQ/x
-Attach complete plans (to the county copy only) for the system, on paper not less thani'`
�
STATE 5 NIT R ERy1IT 4
//
8/2 x 11 inches in size.
1
❑ hdck if>{�evi�ion to previous application
—See reverse Side for Instructions for Completing this application.
STATE PLAN I.D. NUMBER
I. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPERTY OWNER _
1Vel5 CYO � �koe.0 42 5 %
PROPERTY LOCATION
/t�E'/a ilJt '/a, S �tL T 3/ , N, R E (o W
PROPERTY OWNER'S MAILING ADDRESS
6G)t, 123 115
LOT #
BLOCK #��`
CITY, STATE
ZIP CODE
SSc� .73
PHONE NUMBER
-LY z, 0
SUBDIVISION NAME OR CSM NUMBER
PV 7— c F o -4C' Z S
Check one) CITY NEAREST ROAD
State Owned ❑ VILLAGE: ST����,��f /pU C� LI-TOWN OF'
II. TYPE OF BUILD7%'Or
❑ Public 2 Fam. Dwelling-#� of bedrooms �' PAR EL TAX NUMBER(S)
11L BUILDING USE: (If building type is public, check all that apply) 0 3 / ��
1 ❑ APVCondo
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. TYPPE OOF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. LEI 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 ## — Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non -Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 Seepage Trench 22 ❑ In -Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System -In -Fill <L4o- Z _jr,6waE5 15.12---v +F/o, �fj^�) (�-/�� -f 7.5 r
VI. ABSORPTION SYSTEM INFORMATION: %. yy -- /di- C
1. GALLONS PER DAY 2. ABSORP, AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
REQUIRED (sq. ft.) PROPOSED (sq. ft.) (G/al-s/daylsq. ft.) (Min./inch) ELEVATION
7- /T S00'
c, Feet Feet
VII. TANK
INFORMATION
CAPACITY
in aallons
Total
Gallons
# of
Tanks
Manufacturer's Name
Prefab.
Concretestrutted
Site
Con-
Steel
Fiber-
glass
Plastic
Exper.
App.
New
xistin
Tanks
�
Septic Tank or HoldingTanks
Tank
jazz
C tr C
Lift
VIII. RESPONSIBILITY STATEMENT
1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print):
Plumber's Sig alure: (No Stamps)
MP/MPRSW No:
Business Phone Number-
AMZZ % GPI
�GGC� r G
3 3 D "7
Plumber's Address (Street, City, Stale, Zip Code):
�v fir'
IX. COUNTYIDEPARTMENT USE ONLY
❑ Disapproved
I Sanitary Permit Fee (Includes Groundwater
'�' Surcharge Feel
ate IssuedIssuing
Agent Signature (No Stam�is)
Approved ❑ Owner Given Initial
-:(/
Adverse Determination
0
X. CONDITIONS OF APPROVALIREASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11188) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new
criteria in the Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be
submitted to the county prior to installation.
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed
pumper whenever necessary, usually every 2 to 3 years.
6. It you have questions concerning your onsite sewage system, contact your local code administrator or the
State of Wisconsin, Safety & Buildings Division,,608-266-3815.
To be complete and accurate this sanitary permit application must include:
I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the system is to be installed.
fl. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
Ill. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in line A. Complete fine B if permit is for tank replacement, reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
V1. Absorption system information. Provide all information requested in ##1-7.
VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of
tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all
septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received
experimental product approval from DILHR
Mil. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g.
MP, etc.), address and phone number. Plumber must sign application form.
IX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specifications not smaller than 8i� x 11 inches must be submitted to the county. The
plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of
holding tank(s),.septic tank(s) or other treatment tanks; building sewers; wells; water Fnains/water service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system
-areas; and the location of the building served; B) horizontal and vertical elevation reference points;
C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of
regulated practices which can effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater, ground-
water contamination investigations and establishment of standards
SBD-6398 (R.11/68)
r Li A(4 s --
SCALE I' •�� 3o ,
-79,
Sw iao'
C-DA JE�e, 4
ARW� (3oX
a r 82-
S e' r ! 't
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err=►r 1 !
113
k ► I
�� rr r► ► r ar-,
97 yy
741 �y
�lee[�sr scpv c T.
Gc�E£K5
4JEFI
t�
Wiscon:An Departmentlof Industry, SOIL AND SITE EVALUATION REPORT Page L of
Labor and Human Relations
........ .. TV
' .
COUNTY
�
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but
PARCEL I.D. N
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or
dimensioned, north arrow, and location and distance to nearest road.
REVIEWED BY DATE
APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION
PROPERTY OWNER.
PROPERTY LOCATION
GOVT. LOT ,^ 1141y, -- 114,S/& T 3 1 ,N,R le ,V (or) W
PROPERTY OWNERS MAILING ADDRESS
LOCK #
SUBD. NAME OR CSM A
z3
]LOT(
CITY, TE ZIP CODE PHONE NUMBER
[]CITY QVI GE $MOWN
NEAREST ROAD
SsU73 ( z� N A
S +F19
#- C r✓
potew Consttuction Use Ili. Residential ! Number of bedrooms 3 ] Addition to existing building
f I Replacement ( I Public or commercial describe
Code derived daily tow O gpd Recommended design loading rate bed, gpdm2 trench, gpoltl2
Absorption area required" bed, 02 ZE0 trench, 112 Maximum design loading rate gybed, gpolft2 , L trench, gpw
Recommended infiltration surface eievalion(s) •'S� -- ! �• ft (as ref/erred to site plan benchmark)
Additional design 1 site considerations S' al cv S S 74 , '%
Parent material 5?lAdLAIof Flood plain elevation, if applicable
S - Suitable for system
U m Unsuitabte far slem
CONVENTIONAL
(,S O U
MOUND
❑ S ®U
IN -GROUND PRESSURE
'NS IOU
I AT -GRADE SYSTEM IN FILL
J9S ❑ U ❑ S ,&U-
HOLDING TAWK
❑ S �
Boring #
Ground
elev,
oo eft.
Depth to
limiting
factor
al
L•�
Boring #
ca7l
Ground
Depth to
limiting
factor
SOIL DESCRIPTION REPORT
Horizon
Depth
in.
Dominant Color
MUnsell
Mottles
Du. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GOD/ft
Bed
Thmch
0 3
s
Remarks:
I
a • �
3
,vc•
s/
•
�2
�
adP
, 5
2.
.S - A
✓
Sic
G�
.S
Remarks:
CST Name _Please Print r _ ! / Z Phone:
Address: dF}rj�G ��r� -�` S�i7
Sgnature: - ' %7 Date: CST Number:
1
PROPEHW OWNER %y,* urn SOIL DESCRIPTION REPORT Page?- of
PARCEL LD. ti
Ground
elev AL
Depth to
limiting
factor
r�
Boring #
Ground
eler
9F � n.
Depth to
limiting
factor
7 L
Ground
elevz q
Depth to
limitng
factor
? &A "
Boring #
, 1
Ground
elev.
It.
Depth to
limiting
la clor
Horizon
Depth
in.
Dominant Color
Munsell
Mottles
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Bandary
Roots
GPD/ft
Bed
Mmnch
-8
D A,11�e
Poo N6-
a r
C,
a
.�
Z
• 1
/0 .Z si
uG
.Si /
/
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Remarks: r^izUZ2 0 Al >6�u r%—
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Remarks:
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Remarks:
Remarks:--------..-
SOO-8330(R.05/92)
STEEL'S SOIL SERVICE Ave,
Gary L. Steel e
C.S.T. 2298. t-Tel.s Crongi1ist New Richmond, WI 54017
MRRSW-3254 17.' PIF' S15-MTT? "3 M! (715) 246-6200
totm of Star Frarie
s
0
a OZ-
'y 6.Z'
s' ���
Cary r.. Steal
o_2r;_o?
UpKe T IUFMC4.
Fresh Air Inlets And Observation Pipe
Approved Veal Cap
YWmum 12' Above
Flea de Fi.ur'S //�V /A
Zy" v 3 o ' Above Pipe a' Cad Irea
1e Final Grade Vent flpi
SL�g7q�
yi
OQisirlbullo� — Too
Pipe 0
a Aggregate a Parfbroled Pipe Below
Beneelk Pipe a -- Coupling Termlooling At
S V� Bottom Of Srstow
Q7 yy
Fresh Air Inlets And Observation Pipe
Lptc9E' 12 TR �,uC..L..
Approved Vent Cap
Minimum 12" Above
Final Grade ��� � :�/�;f• � y����_
� _ 4' Cast Iron
'to3 O ' Above Pips Vent Plpi
,to Final Grade
f Syathef c Covering
uhL 2' Aggregate
Over Pipe
Oistribuflon
Pipe a a 0 0 0
I
Aggregate
Beneath Pipe
— --- Tea
Perforated Pipe Below
Couptlag Termineling At
96110m Of System
S T C - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER /�felS CIA-1(
ADDRESS /6v 0/ CC- FIRE NUMBER
CITY/STATE ZIP
PROPERTY LOCATION: A/,t�7 1/40n 1./4, SECTION � �' , T ' N-R W
TOWN OF S 4v /P, it<= St. Croix County,
SUBDIVISION ��' s % s Ica rt r. s-� S , 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 a 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 Co. Zoning Officer within
30 days of the three year expiration date.��
SIGNED!<A4
DATE: — _ 3
St. Croix co. Zoning Office
911 4th St. .
Hudson, WI 54016
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 a£ the permit issuance. Should this
development be intended for resale by owner/contractor,(spec
house), thenla 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 propertyf'F 1/4 �4 1/4, Section , T N--R ' W
Township =� �Y t� I ►- / �
Mailing address
Address of site 2L x,,-, r C, n .
Subdivision name Lot no.
Other homes on property? es�_No
Previous owner of property
Total size of parcel
Date parcel -was created
r l- r
Are all corners and lot lines ic:entifiable? Yes No
Is this property being developed for (spec house)? Yes No
Volume and and Page Number J 0 6-' 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 & 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 CERT-IFICATION. _-
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. f'' , 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 County Register of deeds as Document
No.
Signet re of a �icant Co -applicant
Date of Signature
Date of Signature
iFy '
�'5 �- i : =r--- DF fd&I PICHM HD
f TEL r 715-246-66e6
1,
P. 1
• _ - _ - -1 ,i • .-. �. ''N,S BPASE RI;SMIiC FCR RLC01115I4,3 DATA
OFFICE
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AVMANTY DMED HTATR $AV Or WI$CON.�Iti wisconn[:i J,PgRI Mauk co, Ire.
Foam `o, 1...lvs2 31iimiukce, WU.
Wiscn_4nt7epartmentofIndustry, SOIL AND SITE EVALUATION REPORT
Laboi kind Human Reiabons
Divkion nfL,fety & Build nas
Page _ of 3
�1 111 Gl•V VLV •�1 LII IVL LI L VV•VV, ••V. r aV. vVVa.
COUNTY-
Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must include, but
PARCEL I.D. #
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or
dimensioned, north arrow, and location and distance to nearest road.
REVIEWED BY DATE
APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION
PROPERTY OWNER:
PROPERTY LOCATION
uC'As 5 -
GOVT. LOT 114 NI 114,S/& T .3 I N,R 18 ,V (or) W
PROPERTY OWNER':S MAILING ADDRESS
LOT #
LOCK #
SUBD. NAME OR CSM #
z3
CITY, WTE ZIP CODE PHONE NUMBER
❑CITY []VILLAGE MOWN
NEAREST ROAD
5sv73 ((0/z)
x_ (-'0 C__
dew Construction Use [ Residential / Number of bedrooms 3 [ ] Addition to existing building
j I Replacement [ ] Public or commercial describe
Code derived daily flow '5Q gpd Recommended design loading rate gybed, gpd/ft2 trench, gpd/ft2
Absorption area required bed, ft2 7SD trench, ft2 Maximum design loading rate 'j/F:___bed, gpolft2 L b trench, gpd/ft2
Recommended infiltration surface elevation(s) • S� — 1r^ ft (as ref rred to site plan benchmark)
Additional design / site considerations 4S �' cv 44,rra S t 4-2
Parent material 5?lALt rA f do, Flood plain elevation, if applicable 1¢ ft
S = Suitable for system
U = Unsuitable fors stem
CONVENTIONAL
5.S ❑ U
MOUND
❑ S 9 U
IN GROUND PRESSURE
S ❑ U
I AT -GRADE
ja ❑ U
SYSTEM IN FILL
❑ S Z
HOLDING TANK
❑ S '941
Boring #
Ground
elev
ao eft.
Depth to
limiting
factor
T 8z„
Boring #
Ground
elev.y�
Jo a -tt
Depth to
limiting
factor
T E,
SOIL DESCRIPTION REPORT
Horizon
Depth
in.
Dominant Color
Munsell
Mottles
Gu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
BoLnJary
Roots
GPD/ft
Bed lTrr
&
O /Z 3
s�
Z m 0 r
I
�7- z
5 o f
G
sj
a ,n 50K
M�
n/.3z
Remarks:
Mo 1M
. Wa
I
Aft
01
. W,4 i;
M,
FA
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MAN
IIIIIIIIIII11WIMM,
MEN
FROM
-
Remarks:
ST Name: —Please Print Phone:
Y, 15�Z��-
iignaNre: GC,eJ Date: CST Number:
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PROPERTYOWNER I��IS �Y'Bri u� SOIL DESCRIPTION REPORT
PARCEL IA S
Page Z - of 3
Ground
elevI
Depth to
limiting
factor
T RZF/
Boring #
k
xA j44_:"
.-
.�j-:'aeh�v-a-.;i
Ground
el
Depth to
limiting
factor
7 a"
Boring #
Ground
Pelev14
--fit.
Depth to
limiting
factor
r z"
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Horizon
Depth
in.
Dominant Color
Munsell
Mottles
Qu. Sz. Cont Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Barriary
Roots
GPD/ft
Bed TTrem�
45
M
t
421) 7 sy,%-
s e,
C5
Z- , 3
S
o-bz
4574- YVIZ.
o
a w► Sax
rn 4t-
rU x
--------------
Remarks: _ elZi L9r2 0 Y �SS 7III % od
IF II,
Remarks:
l
d- a
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lJ C
S/
d,�, r
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IvoNe-
it
j• 31
"7'. S
/U
Remarks:
Remarks:
SBO-8330(R.05/92)
A
STEEL'S SOIL SERVICE 1 qS4 9.00t"z. Ave.
Gary L. Steel 1MMktbCskw6dkwe
C.S.T. 2298 ?Tell ['ronquist New Richmond, WI 54017
MPRSW-3254 !7 IT- S1 1;-T31T ^1(r'u (715) 246-6200
town of Star Frarie
Cary T,. Steel
9-2r-q3