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HomeMy WebLinkAbout030-2095-40-000 (2)ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner2 " Address City/State Legal Description: Lot -41 - Block Subdivision/CSM # '/4 '/4 j , Sec. T N-R W1 Town of P I N # zi q�= -fir SEPTIC TANK -DOSE CHAMBER - HOLDING TANK INFORMATION: Tank manufacturer I Size ST/PC 1jfL Setback from: House Well Pump manufacturer Model CJ,��� 2- 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: L/ Width Length Number of Trenches Setback from: House Well! PAL Vent to fresh air intake ELEVATIONS: Description of benchmark Elevation Description of alternate benchmark Elevation Building Sewer ST/HT Inlet ST Outlet-- PC Inlet 9-LIL9 PC Bottom. L- Header/Manifold ), Top of ST/PC Manhole Cover ZLe,% 12— Distribution Lines ( ) ,Ze--2 /5- ( ) Bottom of System /c,�,�:� ( ) Final Grade ( ) Date of installation Permit number State plan number, ;�/Z Plumber's signature_- License number Date Inspector . 79�;.�o Compicte plot plan ev r S r i x NOTICE: Pleasc provide the following: - A plan view sketch showing everything within 100 feet of the system. Two horizontal reference points to center of septic tank manhole cover. Show alternate benchmark, if a plicable. l.�r LAN VIEW 4�4'r Pill //a 05C 4 ,¢ t � r 16>01 r w f � A t INDICATE NORTH ARROW Wisconsin Department of Commerce safety an(t Buildings Division GENERAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TOPERMIT) Personal information you provice may be used for secondary purposes (Privacy 4w, s. 15.04 (1)(m)j Permit Holder's Name: ItTown ot: jEE, ROBERT 9+ 0y CST BM Elev.: Insp. BM Elev.- BM Description: 100 100 Tt5 I V TANK INFORMATION TYPE MANUFACTURER CAPACITY E osin Aeration Holding < TANK SETBACK INFORMATION TAN KTO P / L WELL BLDG. Vent to Air Intake ROAD 4 e-0: p7- t j �C 1 OD NA o s i =ng I e7 b NA NA Aeration _..,---.-.. H�y. D1MAD 1C1D94fNK11K1r-nRMAT1r)K1 il-7 Manufacturer EuKg V 5 W , Demand Model Number 113 as 11 TDH Lift ((' Fri ctionj,50 I %sa'V �5' TDHIO.S] Ft_ L055 I Forcemain Lengt* Dia. Dist. To Well FLFVATION DATA CountkT. CROIX San Italf 159illo.: State Plan ID No.: ParcelOSOU-2095-40-000 A98003OU STATION BS HI FS ELEV_ Benc m6,, '7. 0 10 7.& o 6--&, 2�M I c> IS 6p.75 /o(o-7 Ada Bldg. Sewer e� q4w?(5-- G14 Inlet 3 Dt Outlet � I-4 y GIY�I Dt Inlet Z ILL ��{•.5� Dt Bottom i 6%78 q 7 Header / Man. Dist- Pipe y-/ �% • ( �, (p6' 16�� Bot. System y q'% /00 If Final Grade 574 M as, 6IP A14 6M OV94 6 goo' SOIL ABSORPTION SYSTEM BED / TRENCH Width ✓ Length No. Of Trenches PIT No. Of Pits cl_�- Liquid epth DIMENSIONS DIMENSIONS Manufacturer;---�LEACHING SETBACK SYSTEM TO P L BLDG WELL LAKE/STR 'ACHAMBER INFORMATION Type Of �a► __4� �,,�O U, N I T Model Nu-p*6er: Syste; 110U.'ej L. IL �R DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size 14F x Hole Spacing Vent To Air Intake Length _3L Dia Length &0 Dia- Spacing 2 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 Bed / Trench Edges Topsoil Gt N-1'es 0 No � E] No COMMENTS: (include code discrepancies, persons present, etc.) 161, 1� C'e. 11 4.1-7 /a/ &� I0 Z LOCATION: ST. JOSEPH 24,30.20,SEINW 1461 24T� TREET i Dt i A�Iel k2r Z2 _Z7 Vx 6 Plan revision required? ❑ Yes [] No Use other side for additional information. SBD-6710 (R.3/97) Date Inspecter's Sig -nature Cert No Safety and Buildings Division SANITARY PERMIT APPLICATION 201 E. Washington Ave. Nv.isconsin In accord with ILHR 83-05, Wis. Adm. Code P.O. Box 7969 Department of Commerce I Madison, WI 53707-7969 0 Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. 0 See reverse side for instructions for completing this application State Sanitary �6rm It Number 3)- 5revs The Information you provide may be used by other government agency programs ❑ Check it revision toLs application [Privacy Law, s. 15.04 (1) (M)J. State Plan I.D. Number I. APPLICATION.- INFORMATION PLEASE PRINT ALL INFORMATION Propert er Nam Property Location V'r 1­ 1/15 T J�2e, IN I R "A /Z1/4 l 4Z - A;��ZZ" ml r) ��orZ Property Owner As Mailing Ai�dr Ss Lot Number Z Block Number W Lot City, t e Zip Code Phone Number Subdivi 7'Nr,am ;r CSIVI Nu I mber C 11. TYPE OF 011DING: (check one) ❑ State Owned ❑ Village i litrNearest Road C] Viage Lj Public 1 or 2 Family Dwellin2 - No. of bedrooms,-:?— Eg LoT( .w n 0 F 111. BUILDING USE: (if building type is public, check all that apply) Parcel Tax Number(s) AA1. 30. 00. 71?7 1 E] Apartment/Condo 2 Ej Assembly Hall 6 0 Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 Fj Campground 7 0 Merchandise: Sales/ Repairs 11 Ej Restaurant/ Bar/ Dining 4 ❑ Church /School 8 E] Mobile Home Park 12 E] Service Station / Car Wash 5 ❑ Hotel/ Motel 9 E] Office / Factory 13 E] Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. New 2. © Replacement 3. [:] Replacement of 4. E] Reconnection of 5. [:] Repair of an System System ------------- Tank Only -------- ----- Existing System -------- Existing System 13) ❑ 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 E] Seepage Bed 21 ;3 Mound 30 [] Specify Type 41 E] Holding Tank 12 E] Seepage Trench 22 n In -Ground Pressure 42 E] Pit Privy 13 [] Seepage Pit 43 [:] Vault Privy 14 El Systern-In-Fill 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 (sq. ft.) (Gals/day/sq. ft.) (Min./l ch) Elevation ? Feet, Feet ? 7<_ Capacity VII. TANK in gallons Total # of Prefab- Site Fiber- Plastic Exper. INFORMATION I I Gallons Tanks Manufacturer's Name Concrete Con- Steel glass App. New Existing structed Tanksl Tanks 1:1 El El septic Tan r if &Yks _JZ Lift pumpTrank m El E 1:1 1:1 11 Vill. RESPONSIBILITY STATEMENT 1, theAndersigned, assume responsibility for in 5kallation- of the onsite sewage system shown on the attached plans- Plumb Plun-mj-'(Name- P s nat s) MP/MPRSW No.: Business Phone Number: Plu M*' ber's AddrFes;s 'Stree City, State ip Code): IX. COUNTY /vDEPARTMENT USE Of4LY E] Disapproved Sanitary Permit Fee (includes Groundwater ate Issue Issuing A SigDeTur No Stamps} Approved ❑Owner Given Initial Surcharge Fee) Adverse Determination L000, N X. CONDITIONS OF APPROVAL! REASONS FOR 01SAPPROVAL: C-Crfw $40NZ PkOLQ �+j DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owrw, Plumber SBD-63N (R. 11/96) Safety and Buildings 9 15837 USH 63 HAYWARD WI 54843-8107 nsconsinTommy 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 W1 54020 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 07/09/2000 SITE: Site ID: 13119 ST CROIX County, Town of SAINT JOSEPH SEI/4, NWI14, S24, T30N, R20W ROBERT LEE RES SEPTIC SYSTEM FOR: Description: NEW MOUND Object Type: POWT System Regulated Object ID No.: 27494 Identification Numbers Transaction ID No. 102848 Site ID No. 13119 Please refer to both identification numbers, above, in all correspondence with the agency,_j 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: remain • Per Comm. 83.23(3)(b)2, the area 25 feet below the downslope edge of the soil absorption system must rem undisturbed. • The orientation of the mound system must be such that the mound's longest dimension is perpendicular to the direction of maximum slope. 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. R.M"Now Sincerely, TOM RAUN , PL REVIEWER Integrated Services (715)634-3026 1 M - F 7:45 AM TO 4:30 PM TBRAUN@COMMERCE.STATE.WI.US DATE RECEIVED 06/26/1998 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180-00 BALANCE DUE $ 0.00 P.O. i Cond I APPR DEPART ENT 5 DIVISIO;441 AFE SEE CORREJ RESiDENTIAL MOUND DESiu"'N INDEX AND TITLE SHEET Project ROBERT LEE Cwner ROBERTLEE Address 2517 BRYANT AVE MINNEAPOLIS MN 55405 Legal Description SE -NW 24-T30N-R20W Township ST. JOSEPH County ST. CROIX Subdivision Name COUNTRYSIDE ESTATES Lot No. 4 Parcel ID Number 030-2095-40 Plan ID Number 102848 INDEX SHEET PAGE ONE .Ti So MOUND CALCULATIONS PAGE TWO MOUND DRAWINGS PAGE THREE onaily PRES. DIST. CALCS. & LATERALS PAGE FOUR )VED PUMP TANK DRAWINGS PAGE FIVE PUMP CURVE PLOT PLAN PAGE SIX PAGE SEVEN F WNIMERCE i AND UILDINGS Designer KIM A OQONNELL License Nurnber Signature Phone No Date 6-21-98 715-755-3145 Notice: Tampering with this file by unauthorized persons Is prohibited. Deliberate modification will result in disciplinary action under s. 146.10, Wis. Stats. SBD-1 0462-E (R-04W) Page 1 of 7 RESIDENTIAL MOUND DESIGN �a a am cranr Marc om maximum Complete information in red OTM bakes as necessary. tY or n n Is the s stem over creviced bedrock? Slope 5A Number of bedrooms 3 Wastewater flow rate 450 gpd 1703.3 Lpd Depth to limiting factor 28 in tom. o cm In situ soil infiltration rate (code) 0.4 IgWe 16.3 Um Contour line below the u. ope a of absorption cell 100.8 ft 30.72 r Use standard fill depths? x OR Designer speed depth i n cm !1pima x in boar to use stmAwd depths (I Z 2#. A+4 inclusive) OR specify design fill depth. Center or end manifold Lateral spacing Use $ D fetwW spacing four Trenches. Number of laterals Force main I ength aIft (c ore) Estimated hole space 5 ft Not a final calcuhdkvL Minimum dose >= 10 times void volume Pump tank elevation 90.8 f t Outside bottom of tank Force main diameter 2 in ft Force main actual di a. 2. Cr. in 3 2 F 1 So SYSTEM SOLUTIONS Inch -pounds Metric Cell media "x" one only. Estimated daily flow 450 1gpd 1703 Lpd x Aggregate and pipe Chamber and pipe Absorption cell Design low rate 8► area =1.2 gpde 375.0 ftZ 34.84 m2 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 filler Upslope fill depth (D) 12.0 in 30.5 cm Dovunslope fill depth (E) 15.9 in 40.4 cm Basal area required (gpdhnfiltration rate) 1125 ft2 104.52 mz Supporting components Topsoil depth 6.0 in 15.2 1 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 length (K) 10.5 ft 3.20 m Upslope toe length (J) 7.3 ft 2.23 m Downslope toe length (I) 11.9 ft 3.63 m Includes basal adjasbnent Total mound length (L) 84.0 ft 25.60 m Total mound width (V1) L 25.2 ft 7.68 m Project: ROBERT LEE Plan I.D. 102848 Page 2 of 7 1 W 25.2 ft 7.68 m I MOUND PLAN VIEW observation pipes (typical) J our A B K 84.0 ft L 25.6 m A X B refers to absorption cell width and length J = upslope width I = downslope width K = end slope dimension MOUND CROSS SECTION q" hqnl I rq n lateral topsoil G H invert 102.3 ft elev. 31.181 m see note F D E ASTM C33 syS. 101.8 ft Sand Fill eleV. 31. m 100.8 ft contour 5.4% I 30.72 m slope Note: Absorption cell media Will 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 x Aggregate G = subsoil + topsoil depth at cell wall at rigtt. -iChamber H = subsoil + topsoil depth at cell center A = 6.0 ft 1.83 m B = 63 ft 19.2 m J = 7. 3 ft 2.23 m I = 11.9 ft 3.63 m K = 1fl.5 ft L 3._20J M typ. obs. pipe (anchored securely) 6' (150 MM) Designer notes'. If agure ate is used, it is covered with code compliant material. Project: ROBERT LEE Plan I. D. D = 12.0 in 30.5 cm E = 15.9 in 40.4 cm F = 9.9 in 25.1 cm G = 12.0 In 30.4 cm H = 18.0 In 45.61cm Page 3 of 7 PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Width (A) Length (B) Lateral specifications Number laterals HolessAateral Lateral length Perforation dia. Lat. dis. rate Sys. dis. rate Hole spacing Inch -pounds' 5 ft ft in gpm gpm Metric 1.83 19.2 1 18.3 5.4 1.0 1.9 2.4 m m m mm us us cm S3. ❑ Ift 2 ]holes 13 60.0 0.25 15.15 30.30 60 lin Lateral diameter Pipe diameter Deign ooms Design chaice Designer must 1 ind Manifold diameter Designer must u)C one choice from the options provider!. 25 mm mm 2in14D mm ii X 3in175 mm I iC Pipe diameter Design options Desinn choice 1 inr25 mm Pipe diameter Design options Desinn choice 1 inr25 mm 1 114inf32 mm 1 1 /2in140 mm X AN50 mm x X 3in175 mm X 4n1100 mm X Place X in red box of chosen ofiameter. Plane X in real box of chosen aliameter Distribution system contains 2 lateral(s). LATERAL DIAGRAM - END CONNECTION Pecs correct Isere/ diagram by ricking in one of the drawings at right and dragging the diagram into this area. attt centered c&w dw A & B dimension Last hole drilled neat to end cap erid cap �4M laterals are identical �- -- Holes drikd on the bottom of the latetal $ e"ah Spate I r Force main conwfion uia too or cross to mWilOW at 4N point. Laterals & force main of PVC Sch 40 • = permanent eM mariner (pet CCOAM Tahe 84.30•5) Lateral length (P) Lateral spacing (S) Manifold length Hole diameter Lateral diameter Number of holes per pipe Invert elevation of laterals Project: ROBERT LEE Plan I.D. 102848 Inch -pounds Metric 60.0 ft 18.29 m 3 ft 0.91 m 3 ft 0.91 m 0.25 in 6.35 mm 1.5 in 40 mm 13 102.3 Ift 31.08 Im Page 4 of 7 Total dynamic head System head = 3.25 ft Vertical lift = 10.60 ft Friction loss = 2.53 ft Total dynamic head = 16.= ft Dose Volume Lateral void volume = 12.7 gal Minimum dose = 127.0 gal Drain back = 27.9 gal Dose volume = 154.9 gal 0.99 M 3.23 m 0.77 im 4.99 JIM 48.1 L 480.7 L 105.6 IL 586.4 JIL t 60 I�P��°l,Sc3 Are laterals the highest point in the system? Yes 'W' here. I X If no, what is the highest elevation downstream of pump? Force main drain back to tank? (")e' one) X Yes ]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 wAivarning label and padlock T_ unction box jL i grade levels grade levels quick disconect 4' vent pipe electric as per NEC 300 and Comm 16.28 WAC wall of pump chamber or combination tank A alarm on pump on B PUMP 91.7 ft C off el ev. 28. 01 m D alternate outlet location 18" (46 cm) min. approved outlet joint 1/4" weep Grade levels hole as pump tank manhcAe = 4" min. above finished grade necessary pumptank man- =100 mm min above finished grade veil = 12" min. above finished grade vent = 300 mm min. above finished grade 3 " (75 mm) of bedding under tank and anchor tank as necessary 90.8 ft Pump tank elevation 27.7 rn bottom of tank Tank specifications: WEEKS _5 Pump tank = 19.04 gal/in Pump tank volume = 8001gal Pump manufacturer: GOULDS-- Pump model number: IWE031.1. L Project: 140BERT LEE "Plan 11). 102848 Capacities-. Inches Gallons A= 23.9 454.7 B= 2 38.1 C= 8.1 154.9 D 152.3 Page 5 of 7 eenort'nance ` Curves w 0 15 � 70 LV W 0 10 30 u� 20 c 10 a 1 a Pumps �!MEN ODEL 3885OIZE 1/4" Solids No WIN 0 ME mmmmmmm 0 -- 10 20 30 40 50 60 70 60 90 1CO 110 `120 M 0 10 20 30 m'lh CAPACITY f NI 1 �0 U L D L A CURS FEET 120 -- —, ����0DEL 3885 SIZE�14 SAds 1 IQ 'WE 15HH _ 100 30 70 60 WEDSHH 15 40 III � 1 a 30 -- 10 0 0 S0 f�C] l© I;rU 1 1 1,� a P' M 0 10 20 0 CAPACITY • 1 W1S Qpula� PumNs. Inc. Giari C�jA� 271 14 Wisconsin. Department of Industry, SOIL AND SITE EVALUATION REPORT Page of �2bor and Human Relations Dlvi,Jon 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 PARCEL COUNTY I.D.D7 not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL L I. . # 030_209 P; VIEWED dimensioned, north arrow, and location and distance to nearest road. 030-2095-40 FR�VIEWED BY DATE APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION tWo - PROPERTY OWNER- PROPERTY LOCATION Vern Skoglund GOVT, LOT SE 1/4 NW 1/4,S24 T 30 N,R 20 for) W R Vern r E I PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK# SUBD. NAME OR CSM # 149 High St, 4 na Country Side Estates S CITY, STATE ZIP CODE PHONE NUMBER [:]CITY E]VILLAGE E17OWN NEAREST ROAD [New Richmond, WI. 54017 (71b 246-4767 St. Joseph St. Hy. # 6 4 - 3 5 New Construction Use [x] Residential / Number of bedrooms 3 Addition to existing building Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .4 —bed, gpd/ft2 . 5 trench, gpd/ft2 Absorption area required 375 bed, ft2375 trench, ft2 Maximum design loading rate .4 _bed, gpd/ft2 - 5 trench, gpd/ft2 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 ft na S = Suitable for system CONVENTIONAL MOUND IN -GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for system 1:1 S 12W 0S EIU 110 Os [3U IN El S 91 U =W� El S au Ds au MONSOON Ground elev. 101.9 ft Depth to limiting factor 269 Boring # ................. .................. 2 .............. ................. Ground I 0� ev ft. Depth to limiting factor SOIL DESCRIPTION REPORT Horizon Depth in. Dominant Color Munsell Motes Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots G P D/ft Bed :Tmrn&ch 1 0-5 10yr4/3 none 1 2msbk mfr 9W 2f 5 .6 2 5-15 10yr4/4 none sil 2msbk mfr 9-W if .5 .6 3 15-26 7.5yr4/6 none Sl lcsbk mvfr 9W na 4 .5 4 26-50 7.5yr4/4 c2d 7.5yr5/6 sl/sil lcsbk mfr 9W na .2 .3 5 50-60 7.5yr4/6 c2d7.5yr5/6 is Osg mvfr na na .7 .8 Remarks: 1 0-8 10yr4/3 none 1 2msbk s mfr gw 2f .5 .6 2 8-16 10yr4/4 none sit 2msbk mf r 9W 1 f 05 06 3 16-30 7.5yr4/4 none S1 lcsbk mvfr 9W na .4 .5 4 30-50 7.5yr4/6 c2p 7.5yr5/6 sl M NA NA NA .3 _4 4. Remarks: PROPERTY OWNER Vern Skoglund SOIL DESCRIPTION REPORT Page 2 ♦� 3 w'" PARCEL I.D. # 030-2095-40 Boring # Horizon Depth Dominant Color Mottles :L•: L 'S 3 ::ti::..... . Ground elev. 99.2 ft. Depth to limifing factor 2911 Remarks: Boring # ........... ............. Ground elev. ft. Depth to limiting factor Remarks: Boring # .................. Ground elev. ft. Depth to limiting factor Remarks: Boring # ............ ....... :::.............. ........... . Ground elev. f t. Depth to limiting factor Remarks: SBD-8330(R.05/92) in. Munsell Qu. Sz. Cant Color Texture Structure Gr. S�. Sh. Consistence Bou�Y Roots � P Dlft Bed Tr+end� 1 D-15 l�yr4/2 none sl lcsbk mfr yw 2f .5 .5 2 15--29 1 Gyr4/4 none sit 2msbk mfr gw l f . 5 .6 3 29-4� 7.5yr4/4 c2d 7.5yr5/6 scl lcsbk mfr na na .2 .3 STEEL'S SOIL SERVICE Gan, L. Steel Vern Skoglund 1554 200th Ave. CSTM2298 SEkNWk S24-T30N-R20W ew Richmond, WI 54017 {Ili PRSW-3254 town of St. Joseph (715} 246-6200 1 lot #4-Country Side Estates N 111=401 BM.= nail in Boxelder tree a- el. 100, Alt, BM.= nail in wood corner post @ el. 104.451 .0o " I 0e-VN Ll U ". 'd Gary L. Steel 2-20-98 ftstonsl.q Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 'r-abor and Human Relations Divrlibn of Safety & Buildings in accord with ILHR 83.05, WIS. Adm. Code [COUNTY St. Croix Attach complete site plan on ' paper not less than 8 112 x 11 inches In SIZE) r Plan must include, but - PARCEL - I-D, # not limited to vertical and horizontal reference point (13M), direction and % of slope, scale or 030-2095-40 dimensioned, north arrow, and location and distance to nearest road. FORMATION R VIEWED BY DATE APPLICANT INFORMATION -PLEASE PRINT ALL IN PROPERTY OWNER- PROPERTY LOCATION N,R 20 )&Or) W GOUT. LOT SE 1/4 NW 1/4,S24 T 30 Vern Skoglund PROPERTY OWNER'-,S MAILING ADDRESS LOT # BLOCK # SUED- NAME OR CSM # 149 High St. EAR 4 na Count Side Estates STHyADCITY, STATE ZIP CODE PHONE NUMBER E]CITY DVILLAGE OTOWN NSt. . #64-35 New Richmond ,_Wilo 54017 715 246-4767 St. —Joseph New Construction Use [xj Residential Number of bedrooms 3 Addition to existing building Replacement Public or commercial describe 450 npd Recommended design loading rate, .4 -bed, gpd/ft2 - 5 trench, gpd/ft2 o Code derived daily flw ft2 .4 .5 trench, gpd/ft2 Absorption area required 375 bed, ft2375 trench, Maximum design loading rate -bed, gpd/ft2 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, Ad ditional dit Parent r Flood plain elevation, it applicable na ft arent material glacial drift r m io 't m n io a en I n d a d e ar ea a ig t material S S S it f AT -GRADE SYSTEM IN FILL HOLDING TANK r CONVENTIONAL MOUND IN GROUND PRESSUREDS = Suitable for system U = U s uit I f s P� u ® S LIU El S E3U El S F&I U D S E]2:u au U = Unsuitable for sistem , 0 1 E SOIL DESCRIPTION REPORT Depth Dominant Color Motties Texture Structure Consistence Bouncbry Roots GPD/ft2 bring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITmr& ............. 1 0-5 10yr4/3 none 1 2msbk mfr 9W 2f .5 .6 2 5-15 10 y - r4/4 none sil 2msbk mfr 9W lf.5 .6 3 15-26 7.5yr4/6 none S1 lcsbk mvfr 9W na .4 .5 around I ,)Iev, na .2 .3 4 26-50 7.5yr4/4 c2d 7.5yr5/6 si/sil lcsbk mfr 9W 9 ft. depth to 5 50-60 7.5yr4/6 c2d7.5yr5/6 is Osg mvfr .. .... na na .7 • imiting cictor t Remarks: 3oring # 1 0-8 10yr4/3 none 2msbk mfr gw 2f .5 .6 2 8-16 10yr4/4 none sit 2msbk mfr gw if .5 .6 2 3 16-30 7.5yr4/4 none S1 lcsbk mvfr 9W na .4 .5 Ground lev 4 30-50 7.5yr4/6 c2p 7.5yr5/6 S1 M NA NA NA 3 .4 Depth to limiting factor IJ 1 3011 3 R e iii ark, s: CS'I'Naine:--t'le�1se PrIIII Gary I - Steel Addrck,v. 1554 'A2 0 ve., New RjC11iV()11d, W1 54017 7115-246-6200 "S'I' Nuwber-. n 0270 2-20-98 Mp�RTY OWNER Vern Skoglund SOIL DESCRIPTION REPORT PARCEL' I.D. # 030-2095-40 Page Horizon Depth . in. Dominant Color Munsell Mottles Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence BoLi" Roots GPD/ft 2 Bed 'Trer& 1 0-15 10yr4/2 none S1 Icsbk m f r raw 2f .5 .6 2 15-29 10yr4/4 none sil- 2msbk mfr gw if .5 6 3 29-48 7.5yr4/4 c2d 7.5yr5/6 scl Icsbk mfr na na .2 3 Remarks: Remarks: Lj Remarks: Remarks: SBD-8330(R.05/92) STEEL'S SOI+L SERVICE Gary L. Steel 1554 200th Ave. 1 Vern Skoglund NeW Richmond WI 54017 �STM2298 SE gNWa S24-T30N-R20W ' M P RSW-3254 town of St. Joseph �715} 245-62�D lot #4-Country Side Estates N 1 re=40 r BM.- nail in Boxelder tree @ el. 100, Alt. BM.= nail in wood corner past @ el. 104.451 Gary L , Steel 2-20-98 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property Address (Verification required from Planning Department for new construction) City/State �.���,� �.9A� Parcel Identification Number r3q6 LEGAL DESCRIPTION Property Location S ... 1/4, ,�I� 1/4, Sec. T ,Z -N- W, Town of "_�/k Subdivision J'... <- s , Lot # . Certified Survey Map # , Volume , Page # Warranty Deed # Volume , Page # _,5;? 5 Spec house ❑ yes 1Z no Lot lines identifiable 0 yes ❑ no SYSTEM MARNTENANCE 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 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 stating 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. 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. Y' ')lJeA i 6 / l 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 12M.tw5fi5 WAAtl2ANTY DEED REGISTER'S 0FFICQ ST. CROIX CO„ WI A•.ti hr Mauer SEP 1$ 1997 »:ss A ftds%w me Parcel I.D. Number: 030-2095-40 Verneli A. Skoginnd 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 . W`isconsin. A a Lot 4, Country Side Estates in the Town of St. Joseph,5t. Croix County, Wisconsin. Y _ This is not homestead prop erty. :ry •R. , L Exception to warranties: Easements„ restrictions and rights -of -way of record, if any. �! �.4 s6! Dated this day of September, 1997. 0) { -* (SEAL) Vernell A. Skoglund _ z r AUTHENTICATION Signature(s) Verneu A. Skoglund and Stephen L A : ` Skoglund authenticated this da of ber, 1997. .t - - Kristina Ogland g. TITLE: MEMBER STATE BAR OF WISCONSIN _ THIS INSTRUMENT WAS DRAFTED BY: `T Attorney Kristina OgIand . 3 Hudson, WI 54016 4� -W K F !y . - .- -&(SEAL) Stephen L Skoglunu T1$NSfrER L .7 LINE- ROAD DICA T cv 0 Ti H' E 13 7.8 0' - 216.0 0' - �, a S89"35'57"W 569.80' 00 LOT 3 LOT 2 i k3 -� 3.Q6 ACRES O 3.15 ACRES 3 1` TEMPORARY--56'� O . CUL-DE-SAC / 133,348 SO. FT. w 137,367 SQ. FT. 137, ' N II O y� v � N89°51' 12" W - 214. l4' _ _ 3 w - cn l co o _ O w N u- O LOT 4 ro ' 0 5.26 ACRES �w L f Li.l O 229,266 SQ . FT o w Ld 1 - © � 0 �-00 in o o co w < o J -J O D- p -7�7 216.00' 647.33' "W 216.00` SOUTH LINE OF THE SEI/4 OF THE N W I/4, SECTION 24 S 9° 35 57 1295.33