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HomeMy WebLinkAbout020-1123-00-025 a o o O e» h ao 0 0. a ry' : C3 ~ I N O o E O ot$ O ~ r C ~ N O p Q O e )z ~s N N C C N CL) C N N _N O W C Z 7 (6 N U LL CT) > O Q rY-~C i 3 co z W E rn = p v £ 0 Z m y I n H Z a co C 0 76 c C7 o z d c U r p w - d 0 to P r m N Z C o E -a a) C13 ~y] -a O N a 0 co N C C C O U O w Z F- Z o z c c ~ N ~I N E Y "O O CL CL (0 N N d i N O a 0 0 N N c o .B CO N O cu 0 W co O (n U) N 0 O N 'US_ a a a Z C) 0 ~ N I a gi S o y! o rn m m N J U m rn N LO F\~ r r N N C O O = E Cl) co a N N .a d QI ~ t6 (9 7 ~ Oi O LO O Y w c O O r C C E N In co O p 3 M N N a- 0 0 0 0 E CZ 0- CL N N N r O G2 C L L -gyp r 0) C> .0 r O y O N F- H r " N 7 - 00 o y E E v O ~ C l ~ E d :n d m a a t a m (D :c a • c E ` c 3 L 0 a E 0 in U I STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER-.5 Ar I L L. ADDRESS. 130x Z S o.)5o SUBDIVISION / CSM4 IF L LOT I SECTION 7 T 2'/ N-R l Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW HO WE WITHIN 100 FEET OF SYSTEM HO ~sE ~~@ A 4E .4-ZsX - on - - V/FLL, SS 1VnTE : f~5 of /o-IJ" jGtT€l~ OVA TE WELL NOT V67 toy3rotuep see A UCC A 0 ~ 13.rti. ~'°'U~ E ► _ IO~.oaT i3, ►1~ MIL /N7QFE E I l03.q, k►~ JA -rT v IPBIEI~TE NORTH~ARROW Provide setback and elevation informatign on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. I T BENCHMARK: "r"pjZ ®F / ~ F~ N~ E l = I s CSC?, oo / ALTERNATE BM: IVA ri 1 N 7g ~e g: F l (o nS: O 3 SEPTIC TANK-PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: WE(sf 12 Liquid Capacity: (00C) ~A- , Setback from: Well House /'7 « Other 3 3 j'o T/~C~cfit Pump: Manufacturer Model# Size Float seperation' Gallons/cycle.. Alarm Location SOIL ABSORPTION SYSTEM Width: Length ~ Number of trenches Distance & Direction to nearest prop. line: (C7 bNE Setback from: well: House Other ELEVATIONS i Building Sewer ST Inlet.1-10 ST outlet g, yO PC inlet PC bottom Pump Off ~--101.1 S Header/Manifold $ , $ t Bottom of system / b . o © `1 9 Existing Grade $ , S C--5 Final grade 10q, y,5 DATE OF INSTALLATION: PLUMBER ON JOB: ~,~/U`~~ LICENSE NUMBER: INSPECTOR: 3/93:jt a Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor andHuman Reis INSPECTION REPORT ST. CROIX Safety and Buildings Div Division (ATTACH TO PERMIT) Sanitary Permit No-: GENERAL INFORMATION 268697 Permit Holder's Name: ❑ City ❑ Village jEl Town of: State Plan ID No.: MILLER, SAM HUDSON CST BM Elev.: Insp. BM Elev.: BM Description: , ✓ Parcel Tax No.: 1d~ , a , G'j So "le aS `y_J(/-~_'~~ I _J TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic, Benchmark Dosing Oj-~ ✓`/f1, 45117 01, 1-2 OCP1 Aeration Bldg. Sewer Holding St/ I( Inlet 7 OF~' 101,90 TANK SETBACK INFORMATION St/I0 Outlet 7,36-1 /,-)/,,S7' TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic SO NA Dt Bottom Dosing NA Header / Man. -7, 6, 7 6$. /d/, a7 Aeration Dist. Pipe 6o, Holding Bot. System , 6b~ 9 7S PUMP/ SIPHON INFORMATION Final Grade ' jj S/ 8S Manufacturer Demand' Model Nu GPM TDH Li Lrictlo H Ft For main Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length No. Of T enches PI fN 1 N No. Of Pits Inside Dia. Liquid Depth DIMENSIONS L DI Si LEACHING anufacturer: SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM r , CHAMBER odelNumber: INFORMATION TypeO fia-r-co br~ System: £re,t5 "'~Gd 4? 5~ (~.S ~lY OR UNIT DISTRIBUTION SYSTEM Header / Distribution Pipe(s) ✓ ✓ x Hole Size paung t`To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or -Grade System Depth Over „ TB pth Over it/// xx Depth O xx Seeded /Sodded xx Mulched Bed /Trench Center 7 /Trench Edges ` Y `i Topsoil E] Yes ❑ No E] Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: HUDSON~./7.29.19W, NW, SE, LOT 18, KRAT/TLEY LANE n 0/0 vrn~na~ ~C ny^a .C~E t % p 4na J(~ CY f' p 0 S. E: eOrinAc. d~ cc f'. tir !J/) Plan revision required? ❑ Yes [moo Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ° Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water System 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County 45Crin I than 81/2 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number °l ;6f,7 pThe information you provide may be used by other government agency programs ❑ Check if revision to prevplication [Privacy Law, s. 15.04 (1) (m)J. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Property Owner Name Pr perty Location /C G ~tZ 0/4 S F, 1/4,5 T ii? , N, R/ j E(CO Property Owner's Mailing Address Lot Number Block Number Z r -L, / .ll' City, State Zip Code (h3 one ? u~ e ~ ~ Subdivision ~ e o~ Number H(ll SDN GJ 1 S f 7 II. TYPE OF BUILDING: (check one) ❑ State Owned E Its Nearest Road Ti age J1~So)~I Li4/Y.~' of OF Public 1 or 2 Family Dwelling - No. of bedrooms M To n III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ OL door 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. [Z New 2. ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5, ❑ Repair of an ---___System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 110 Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade q S-d Required (sq. ft.) Proposed . ft.) (Gals/day/sq. /sq. ft.) (Min./inch) Elevation 9f Feet DV Feet VII. TANK Capacity site in gallons Total # of Manufacturer's Name Prefab. Con- Steel Fiber Plastic Exper- INFORMATION New Existing Gallons Tanks Concrete strutted glass App. Tanks Tanks Septic Tank or Holding Tank 0 ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ El El El VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: ( MP/MPRSW No.: Business Phone Number: ene ~QON~L L ~~s -a3SacJ F`4 Z, l Plumber's Address (Street, City, State, Zip Code): /0 i7io 41-045- IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanjtpry Perm/it Fe(ISncludes Groundwater ate Issued Issuing gent Sign ps) A roved/tJ / urcharge Fee) pp ❑ Owner Given Initial ~d Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05194) DISTRIBUTION: Original to County. One ropy To: Safety &Buildings Division, Owner, Plumber INSTRUCTIONS 1 _ A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a 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. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7_ VII. Tank information. Fill in the capacity of every new/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. VIII. 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 8 112 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 mains/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 contamination investigations and establishment of standards. l 1► f~ 4 ll~ O~~ ~.E ~aisf~ a 6` iri a b_ C -c o /~~ltrR ~e~ ~ ~ ' ~ I _ ~ F V y I S ~ _oe2~~ nl N rn m In p ~ G o r 0 w z ~o7viW tlx: ° ° si ~ O "~F V Q O y O 41 O r f ~ _ I w I a ~ M M ~ ~ I 71- N I W 0. , ~ I a LL. cf i 0 J II ~ ~ ~ ' y I i n. I 3 w i m 4 U i W ~ I to ' 0- I z I w a. Divisiortof8afety ag Buiings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than S 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 020-112-11-no APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION GOVT. LOT IVK 114 SE 1/4,S 7 T 29 ,N,R 19 Expo w PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # Box 282 18 Eactle-Ridae CITY, STATE ZIP CODE PHONE NUMBER QCITY []VILLAGE XTOWN NEAREST ROAD Hudson, WI. 54016 0715)386-2769 Hudson Krattle IA. [2d New Comtruction 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 . 7 bed, gpd/9 _trench, gpdAt2 Absorption area required 643 bed, ft2 563 trench, ft2 Maximum design loading rate . 7 bed, gpd/ft2_._ __trench, gpolft2 Recommended infiltration surface elevation(s) 99.90 ft (as referred to site plan benchmark) Additional design/ site considerations alt area trenches @ 99 90 , & 98 50 Parent material glacial drift Flood plain elevation, if applicable aa.--ft S - Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FU HOLDING TANK U= Unsuitable forsystem ®S ❑ U ®S CU ®S O U a S ❑ U us ❑ U O S:E] U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Eb ry Roots GPD/ft Boring # Horizon in Munseil tau. Sz. Cant Color Gr. Sz. Sh. Bed Iench ~f 0-12 i mfr 2f .5 .6 2msbk 1 2 12-42 10yr4/6 none sil 2msbk mfr 9W if .5 .6 . Ground 3 42-46 1 r4/6 none sicl lcsbk mfr gw_ if .2 .3 elev. 103.9 ft. 4 46-84 7.5yr4/6 none ms os mvfr na na .7 .8 Depth to limiting factor +84" Remarks: Boring # 1 10-8 10r3 3 none sil 2msb 2f .5 i.6 r:'F 2 8-31 10 r4/4 none sil 2msbk mfr if .5 .6 3 31-43 10 r4/4 none sici lmsbk mfr If .2 1.3 Ground elev. 4 43-50 7.5 r4/4 none sl lcsbk mvfr na .4 .5 104.3 ft. Depth to 5 50-90 7.5 r4 6 none limiting +9011 Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th. A New Richmon WI TM- 54017 Signature: Date: 9-27-96 CST Number: mO2298 ye- A PROPERiYOWNER Sam Miller Cnnat _ TncOUIL UtbUhI10 1 IUM hr-rUn 1 rays PARCEL I.D.# 020-1123-00 Lot #18 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence t-I Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 3 1 0-12 10 r4 2f .5 .6 2 12-21 10 r4 4 none sil 2msbk mfr w if .5 .6 Ground 3 2138 10 r4/4 none sicl lcsbk mfr 9w na .2 .3 e104.ft3 4 38-90 7.5 r4 4 none ms os mvfr na nor .7 .8 Depth to liming factor +90" Remarks: Boring # 1 0-12 10 r3/3 none sil 2msbk mfr 9w 2m .5 .6 4 2 12-37 1 r4none sil lcsbk mfr 9w if .2 I .3 3 37-48 7.5 r4/4 none sl lcsbk mfr 9w na .4 ` .5 Ground elev. 4 48-84 7.5 r4 6 none ms Os mvfr na na .7 .8 102.5 ft. Depth to limiting factor +84" Remarks: Boring # 1 0-15 1 r3/3 none sil 2c 1 mfr gw 2f np .2 IRIM. 2 15-36 10 r4 4 none sici lcsbk mfr 9w if .2 3 La Ground 3 36-84 7.5 r4 4 none ms os mvfr na nor .7 .8 elev. 102.5ft Depth to limiting factor +84" Remarks: Boring # Ground elev. ft. Depth to Nmiting factor Remarks: STEEL'S SOIL SERVICE Gary L. Steel SAm Miller Const., Inc. 1554 200th Ave. CSTM2298 NWhSEA S7-T29N-R19w New Richmond, WI 54017 MPRSW 3254 town of Hudson (715) 246-6200 t lot #18-Eagle Ridge N 1"=40' BM.= top of 1" pvc pipe c el. 100' Alt. BM.- nail in tree C el. 103.91 32~ ~C c r O~ erg R i Gary L. Steel 9-27-96 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER S I C, C.~ fZ MAILING ADDRESS Z.. . PROPERTY ADDRESS A TC Lpe L - A NE (location of septic system) Please obtain from the Planning Dept. CITY/STATE V 0-9,e M %-iJ t / (o PROPERTY LOCATION VW 1/4, S E 1/4, Section T~N-R W TOWN OF 9 Q DS o YA , ST. CROIX COUNTY, WI SUBDIVISION 1`:A 4- L E- Q 11~ 4. , LOT NUMBER IV CERTIFIED SURVEY MAP S2M VOLUME////, PAGE A!5"'XOTNUMBER. j 48 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 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 County Zoning Officer within 30 days of the three year expiration date. SIGNED: DATE: I - `I l St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 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 of the permit issuance. Should this development be intended for resale by owner/ contractor, (spec house), then a 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 51+M M I L L X (L Location of propertyJ(u) 1/4-"7; 1/4, Section -7 T_~N-R / T Township H y n S O w Mailing address $0 X ?=2 t`Qbz'tAJ W 1 S `(0 I Address of site al 7 k k.4 IT L i+JV E Subdivision name Ej+,(oj-r' Zj b (e4 Lot no. 1,~T_ Other homes on property? Yes No Previous owner of property X57`, r-epl y CQ, (--Mw)Q SP µdSA4 Total size of property 91 Vie.. Total size of parcel 71 71 AC-1 Date parcel was created Z- ( 5- Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? V Yes No Volume ill and Page Number 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 AND 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 CERTIFICATION 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. _1-Z T e 7 77 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 the County Register of Deeds as Document No. _ ~ 2~y 87 natur f Applicant Co-Applicant Date of Signature Date of Signature KERMOTT AGENCY GALLERY OF HOMES 600 Third Street Twin City Toll Free 436-5 HUDSON, WISCONSIN 54016 EAGLE RIDGE ivision Located in the SE 1/4 of Section 7, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin I .UNP1.AxZf D l ~ I .LAMpLSe • M•MY trtwK I I nr Ir.N tr 00 tM.t1 tM.td ~ if►rt~ • trr now 34 1 33 32 f 31 30 29 1 28 • 27 t.tr •wt ,.rttr y t.r• •wMr trtart L LeM008 26 tr AMt I.n.att : t11 Mae 0~4 t.rt •wa tt~~ ■ r • r~ r Q ~ { f M M~ alb& 0 ro 25 I 19~ . n AMt P~i• 'J D OF An / ar rln {f• II 20 r 21 22 # 23 24 ; l • ~.t••rr ! w tart • ar► tart t M ttttM amt e !!I L 11 18 a (8~~. 11 ~ ' . • it r wN . .t►M r/r l!!N ip -el + y !0 .ti ..o AMt ~ r t, tMtt .r: 4 IT f IS 16 La "m Mr rtrr r ' O.w .r is ; . . 46 1-70 h' 39 47 I I O ■rwfttt •rtt true • Lr.rMr , I i {p tr. 1/ r l•r -0, 1 I • 7 ' y e + 48 I I r''~ '•~ayt.` ~°•ar r~ •r C rruM{ I I • 14 ,~t M 45 ' 13 o I.r Acme b j l 1 4 / ` • •i{`• I 149 ur •rwn 1 bi `00°~ tr~ui lut rwt Q w1. die LrtuMs trs= b, LtouM. `•O I 1 a:. r. r ' 44 50 ♦j 11 I~ 43 t i I I •ot.IMt. 8 •b 1 t IMAM. ] • 51 b. .il „.M u`. b.'1~A YY M TO.crr I N r r •P b b• INtf JAY. M .MAP. j~A ~ • 3-1242 THIS SPACE RE Si:RVED FOR AEGOflDING DATA t DOCUMENT NO. STATE BAS OF VV QUIT CLAIM D~ QUIT CLAI DDE~ED ills a~=4 Yq 't REGISTER'S 04_--ICE ST. CROIX CO.. W1 St. Croix count y. Wisconsin Recd forPeoord _ FEB 16 1995 quit-claims to m at 10:20 ``..A.M K P_ 'Aer of D%Kb County. the following deaoribed real estate in_.a RETURN TO State of Wisconsin: Tax Parcel NO- SE 1/4 Sec 7, ?29N, R19W, Town 01 Hudson, Lot 18, Eagle Rydge, St. Croix County, Wisconsin. MNTT is not homestead vroWY- This (ia) (ijssnot) tg 9 d_--- (SEAL) Dated thi ay of e (SEAL) Richard B. Petrson, Chairman St. Croix Count Board O Su_-R r°lsor 711 M (SEAL) (SEAL) Sue E. fit. Croix Count Cl IS ACKNOWLEDGMENT AUTHENTICATION STATE OF W1SCONSiN ss. Siynatura(s St _ Croix County. 14 day of persa ally tame before me this ~~.~~__--•,ili_ttleatxov.riamed authenticated this---d8y 01 -SQ ar- - office 3 -E~P-t"a-an--a nq E'__j1e 130 Sup- _ whey execute, the TITLE: MEMBER STATEBAfiOF WfSCOtialN ID fame krow~;drf'fia nowled~e tea same. for rKi'~ i - (if not ~ W s Slats-) authorized by 4 7i !lard ve THIS INSTRUMENT WAS DRAFTED By Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Divisicn of Safety & Buildings in accord with ILHR 83.05,-,W'Isom ?CQcle" 1 COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan musA include, but *a,A PARCELLD.# not limited to vertical and horizontal reference point (BM), direction and,%'of slope -"I.e pr dimensioned, north arrow, and location and distance to nearest road 1/ 020-1 23-00 w pEVIEWED BY DATE APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION i PROPERTY OWNER: PROPERTYLOCATION Sam Miller GOVT. LOT 114,S 7 T 29 NR 19 (or) W Construction Tnr-- , NW PROPERTY OWNER':S MAILING ADDRESS LOT BLOCK SUBD. NAME OR CSM # Box 282 18 Ea le CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE KTOWN NEAREST ROAD Hudson, WI. 54016 h15)386-2769 Hudson Krattle Lt'i. [x] New Construction Use [x] Residential I Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .7 bed, gpd/ft2-trench, gpd/ft2 Absorption area required 643 bed, ft2 563 trench, ft2 Maximum design loading rate __.7 bed, gpd/ft2_,$_trench, gpd/ft2 Recommended infiltration surface elevation(s) _ 99.90 _ft (as referred to site plan benchmark) Additional design/ site considerations alt area trenches @ 99 90' & 98 50' Parent material glacial drift -Flood plain elevation, if applicablea ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitablefors stem ®S ❑U ES ❑U ®S ❑U ®S ❑U [RS ❑U ❑S :7U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Roots GPD/ft Boring # Horizon Consistence Boundary Bed Trer& in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-12 10 r4 3 sil 2msbk mfr 2f .5 .6 2 12-42 10yr4/6 none sil 2msbk mfr gw if .5 .6 Ground 3 42-46 10yr4/6 none sicl lcsbk mfr gw if .2 .3 elev. 103.9 ft. 4 146-84 7.5yr4/6 none ms osg mvfr na na .7 .8 Depth to limiting factor +84" Remarks: Boring # 1 0-8 10 r3 3 none sil 2msbk mfr 2f •5 •6 2 18-31 10 r4/4 none s i l 2msbk mfr if .5 6 3 31-43 10yr4/4 none sicl lmsbk mfr if .2 .3 Ground elev. 4 43-50 7.5yr4/4 none sl lcsbk mvfr na .4 .5 104.3 ft. 5 50-90 7.5 r4 6 none ms .7 1.8 Depth to limiting factory +9011 Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th. Av . • New Richmond, WI 5M 54017 Signature: Date: 9-27-96 CST Number: m02298 -e A70~_ PROPERTYOWNER Sam Miller Const_ Tnc4UIL Ur-bUKI1' I IUN hcl+Un i rayu_ 2 ui PARCEL I.D. # 020-1123-00 Lot #18 Depth Dominant Color Mottles Texture Structure Consistence Botndary Roots GPD/ft Boring # Horizon in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-12 10 r4 3 2f .5 .6 3 MEMO 2 12-21 10 r4/4 none s i 1 2msbk mfr gw if .5 .6 Ground 3 21-38 10 r4/4 none sicl lcsbk mfr 9w na .2 .3 elev. 10443 4 38-90 7.5 r4 4 none ms os mvfr na na .7 .8 Depth to limiting factor +90" Remarks: Boring # 1 0-12 10yr3/3 none sil 2msbk enfr gw 2m .5 .6 2 12-37 10 r4/4 none sil lcsbk mfr gw if .2 .3 Ground 3 37-48 7.5yr4/4 none sl lcsbk mfr gw na .4 .5 elev. 4 48-84 7.5 r4/6 none ms os mvfr na na .7 .8 102.5 ft. Depth to limiting factor +84" Remarks: Boring # FEW 1 0-15 10 r3/3 none sil 2cp1 mfr gw 2f np ' .2 S 2 15-36 10 r4 4 none sicl lcsbk mfr gw if .2 .3 Ground 3 36-84 7.5 r4/4 none ms osg mvfr na na .7 .8 elev. 102.5ft. Depth to limiting factor +84, Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel SAm Miller Const., Inc. 1554 200th Ave. CSTM2298 NW4SE4 S7-T29N-R19W New Richmond, WI 54017 MPRSW 3254 town of Hudson (715) 246-6200 lot #18-Eagle Ridge N 1"=40' BM.= top of 1" pvc pipe C el. 100, Alt. BM.- nail in tree C el. 103.9' 52' b~ e Gary L. Steel 9-27-96