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032-2096-20-000 (2)
~ ~ 3 o I C c I o C) e» ao M 0. o ~ I o co o x ell N y" Y zi O .y O I h W O N U N O O. C Z N N LL C (4 O CD ° 00 -O Z y N Z O W - O Z y y v M w a m N U) I O Z d c U o N d Z F N N H C E O O N O aA CL n ° o co I ~ `m o • w~l (D d v) c m m cv O W Z m Z Z° Z o N ~ Z.; I "tl ° NW Y N d N C Q M ° a c o a •N oaaaa ~i 3 c N o `D 0) m Vl ~ U rn rn } ~j o 0 0 o 0 04 cn N 'O U N c`n N O 04 Q } f1J Q O O C C N C °0 3 a~i ° N co 0 5 5 C) o © ON M~ Y N D. C LL N N N \ L O? N = E C ma N S, o 4) \V' r"~ O O N 'O N L N O N N C L 0 =0 O Q5 N F- N O • M ° ICI N co tOyl1 E m 23 U L O U) Z N O Z Cn O ca a d .T+ • C~ 2 .V 4! r C ' EL 4) w +i 0 ` o n `~1 a r u R ;vnsi~ , Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 ?'t r and Human Relations Divisicovf Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code St. Croix FIPARCEL NTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but 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 ne tpsi road. endin APPLICANT INFORMATION-PLEASE PRINT ALL INFION EWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Leroy Urhammer GOVT. LOT SE 1/4 NE 1/4,S 14T 30 N,R 20 )e(or) W PROPERTY OWNER':S MAILING ADDRESS i LOT # BLOCK # SUBD. NAME OR CSM # 1501 Scout Camp Rd. 2 na Green Acre Country Estates CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEAREST ROAD Houlton, WI. 54082, p1.5).5Z19-6a Somerset Scout CAm Rd. kJ New Construction UseAx] ResidentialhNU. R or ! e'ra6m' s [ ] Addition to existing building j J Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .5 bed, gpd/ft2 •6 trench, gpd/ft2 Absorption area required 900 bed, ft2 750 trench, ft2 Maximum design loading rate . 5 bed, gpd/ft2 •6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 100.35-99.30 trench ft (as referred to site plan benchmark) Additional design / site considerations alt site trench 98.80'-96.951 Parent material stream terrace Flood plain elevation, if applicable na It rlu Suitable for system CONVENTIONAL MOUND IN GROUND PRESSURE A r-GRADE SYSTEM IN FILL HOLDING TANK Unsuitable for svstem S ❑ U ®S ❑ U EIS ❑ U EIS ❑ U ❑ S ®U ❑ S Q U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bondary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ci 1 0-6 10 r2 2 none 1 2msbk mfr cs 2m .5 .6 2 6-20 10yr4/4 none sit 2ms blc mfr gw if .5 .6 Ground 3 20-26 10 r4/6 none sicl lfsbk mfi °w na .2 .3 elev. 104-4 ft. 4 26-84 10yr5/4 none cos losc ml na na .7`:. .8 Depth to limiting factor +84" Remarks: Boring # 1 10-8 7.0 r2 2 none 1 2msbk mfr cs 2m .5: .6 2 2msbk mfr CJ if .5` .6 2 18-15 10yr4/4 none sil w ` Ground 3 115-25 10 r4 6 none si 1 m elev. 4 125-84 7.5 r4/6 none cos os ml na na .7 .8 103.35. Depth to limiting factor +8411 Remarks: CST Name:-Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th.Ave., New Richmond, Wi. 54017 Signature: Date: CST Number: M PROPERTYOWNER T- TTrhammAr SOIL DESCRIPTION REPORT pagw_2 .,)f 3 PARCEL I.D. # pending Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Barxiary Roots GPD/ft I in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed !Tram 1 0-6 10yr2/2 none 1 2msbk mfr cs 2m .5; .6 3 2 6-18 10yr4/4 none sit 2msbk mfr g'w lm .51 .6 i Ground 3 18-26 10yr4/4 none sic.l lmsbk mfi gw if .21 .3 elev. i 102.3 ft. 4 26-70 7.5yr4/6 none cos osg ml gw na .7 .8 Depth to 5 70-8 7.5 r4/6 none fs os mvfr na na .5 .6 limiting factor +84" Remarks: Boring # 1 0-9 10 r2/2 none 1 2msbk mfr cs 2m .5' .6 4??' 2 9-25 10yr4/3 none sil lfsbk mfr gw if .2: . 3 3 25-3 10yr4/6 none is osg mvfr gw na .7:: .8 Ground 100 elev.2 ft. 4 37-8 7. 5yr4/6 none s osg ml na na . 7 .8 Depth to limiting factor +82" Remarks: Boring # 1 0-4 10 r2 2 none 1 2msbk mfr cs 2m .5' .6 5 2 4-20 10 r4/4 none sil lfsbk mfr gw if .2` .3 3 20-4 10yr4/6 none sicl m na 9w na np' .2 Ground elev. 4 42-8 7.5yr4/6 none cos osg ml na na .7 .8 99.93t. Depth to limiting factor +82" Remarks: Boring # Ground elev. ft. f Depth to limiting factor I Remarks: SBD-8330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel Leroy Urhammer 1554 200th Ave. CSTM2298 SE4NE4 S14-T30N-x20w New Richmond, WI 54017 MPRSW 3254 town of Somerset (715) 246-6200 lot #2- Green acre Country Estates N 1"=40' BM.= top of SE lot stake C el. 100' ~J ~c -bo' 8/vi d~ ~2• Gary L. Steel 9-15-95 13„90,60.00N aV393 O1 03wn$SV b1 NOIIJ3S 'V/13S 3H1 30 3N1-1 3H1 Ol (13~N3a 3338 38V SONIaV38 1s y 1f- i b~ Ii 1-I I 1-I 1(I) ~ I~ 11 IZ ~ ly v Iv en i I 3HI 30 b/13S 3H1 30 3N1-1 IS 3M M„Z2,90o00S ,Z£"LZb ,OS ZLI N O Z N 2 I-PI 1C) Ir W m l C) 0 W w r (Al U) N' 5 00 (Ai OD m N~ X, f7=i (A W w r-- O H N A 0 - - n ~ N ~ ly m O ~ IV Ir'1 x 1 1 C O m ' C 30 Z~, . -4 [c) r C Z - \ Cl'- I U) I'~ I m ~9nd © ~ s ° 15 I -I I -C { i` \ \OOQ~ HIV IC) 2 \ \ 10 D o. I M O M„8ti,90o00S w ON - - m z w ~ v - ,29,16£ 3„8b,90,00N 0% p Z N r N o~ _n w o o c~0 1< Lo to r NA D o° ' IQ m ZC o m oD Ln ICO If- f Q Z m m I~ Iv C G7 I~' , , IS 3 ~ w I I m D Qo I~ 1 O ,L£'61b G mr0 N -1 N N O _ - r 0 Color WO1LH1--<a'az wasro£I--mm Op mc'J-NM~~P,NN0 ronmmmacw r O Z 1-i tr m m (D c m m a 10 O < li rt£ tD n <I-• m £ O (D 1-'- R n b " H~- m n '"I fn -1 rn m1 _A,:I a 0 Cm0 Ha ox - m n - m o" nmmmmr Cnar ro Ord n'U ZpD n m i n m U m n nro a n rt w c C rt O r rt v m 1-0 r- m C 11 -i D mrt0m:71 mC F'NCO SD cnm' Nrtn Z - o „ m n O z n 11 rt C W rt m 0(D w v o w 11 c < x m rt n o m ri 1 -'L) m ;7 N W CY [37 D a o~ r~r rn Z D r STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER -V_~;OAj ADDRESS SUBDIVISION / CSM# LOT # SECTION_ T--fV N-R.~W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 4 ZZ,, t ~ 9s INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cov r. r Alf) 1 BENCHMARK: IO.JY ALTERNATE BM: SEPTIC TANK PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity: L Setback from: Well 4ZZ House j Other Pump: Manufacturer Model# ~ Size Float se eration p -Gallons/cycle: Alarm Location j eus~ SOIL ABSORPTION SYSTEM Width: Length Number of trenches Distance & Direction to nearest prop. line: Setback from: well: House Other ELEVATIONS Building Sewer ,9 Z_-) ST Inlet: ST outlet: S~,714` PC inlet 2,1,_ PC bottom Pump Off Header/Manifold Bottom of system 9?1 ell Existing Grade Final grade 1 i DATE OF INSTALLATION:, PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt I Wisco~sin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX , ,Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 284192 Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.: NEWHOUSE, KEVIN/CONNER, SUE SOMERSET CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: av 10c) / ^r TANK INFORMATION L,/ V ELEVATION DATA 11,30 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer 191,0 9" 991 a Holding St/Ht Inlet /r,/-,o 0 2-,5 i TANK SETBACK INFORMATION St/ Ht Outlet /q,&~,, ` 8 0(. TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Q_ .'(,7k' Air intake Septic r /0 07 /y NA Dt Bottom Dosing f7 NA Header/ Man. / -A~ Aeration NA Dist_ Pipe ~d3 2' Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer J. Demand Model Number A)k-o31 / z_ GPM TDH Lift 150 Friction ~ System TDH Ft oss mead Forcemai n Length 9U, Dia. ,d." Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width )y Length 3G r No. OV enches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS / DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Typeo Jwc.. Moe Number: System: OR UNIT DISTRIBUTION SYSTEM Header/manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing 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 ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) ~ CATION: SOMERSET.14.30.20W, SE, NE, OAK RIDGE LANE U_ / Plan revision required? ❑ Yes No 1 2-16 Use other side for additional information. kq, d 1q- SBD-6710(R 05/91) Date Inspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH f SANITARY PERMIT NUMBER: I Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water Systems 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 than 81/2 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number The information you provide may be used by other government agency programs ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)). State Plan I.D. Number 1. APP ICATIO INF MATION - PLEASE PRINT ALL INFORMATION Prope wn r Na Property Location f 1/4 1/4, S T , N, R (or Prop rty Owner's Mailin ddress I Lot Numb 4r Block Number p i ame r CSM Nu er City, S to Zip Code Phone Number Submi I ( ) Road . YPE F BUILDING: (check one) E] State Owned ❑ Near st ❑ Village Public 1 or 2 Family Dwelling - No. of bedrooms Town OF ' III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment / Condo C1 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office / Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1.0 New 2. ❑ Replacement 3, ❑ Replacement of 4. ❑ Reconnection of 5.'E] 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 11,M 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. ate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq_ ft.) (Gals/day/sq. ft.) (Min./' ch) Elevation ;7 v ad Feet Feet VII. TANK Ca in galloacitns Total # of r Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing structed Tanks Tank,, Septic Tank or Holding Tank L El _L47, _rxa~--, - ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber 1 a El ❑ 1:1 E] 1:1 Vill. RESPONSIBILITY STATEMENT I, the ndersigned, as a responsibility for i all tiomof onsite sewage system shown on the attached plans. Vumbe7~sAdclres r' Nam of. Plum ignat am MP/MPRSW No.: Business Phone Number: h _ Y-5, treet, ty, State, Code): IX. COUNTY/ EPARTMENT USE ONLY ❑ Disapproved Samar jtary Permit Fee (includes Groundwater ate Issued t1ssuing A nt Signature (No Sta A Surcharge Fee) pprOVed ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) 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 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. • -VSO l ~ j j ~ ~ i ` ' 4 ~ i / iPoZ tzA)' i , 1-7 i i r , ~ I I I i ' i I I ~ i I I j : } f . 1 } j i i I t i ~ 1 f { , - 1 i J t j i + C I+ f I I I r f t f ~ t i~ { -j- f i f i j ~ f i( I { 1 _ I i i : i ~ 1 I II J : I ~ ~ ~ ff I t j I f _ t t 1 - + i J : r I i i r r f ~ + t I { ! j - ( I 1 f 1- - , i PAGE F PUMP CHAMBER C9055 SECTION AND SPECIFICAr(ows VE NT CAP 4" VENT PIPE WEATHERPROOF APPROVED LOCKING JUWCTIO)J BOX MANHOLE COVER WITH 25' FROM DOOR, WARNING LABEL WINDOW OA FRESH 12~MIU. AIR INTAKE GRADE I I y" MIIJ. ~ IB'Mlu. COWDUIT-- 18' AIAI. IAILET PROVIDE I - -T- AIRTIGHT SEAL 1 I I I APPROVED JOINT A I III APPROVED JOINTS W/ PIPE I III W/'" PIPE EXTEMDIWG 3' I II ALARM E%TEUDIWG 3' 0►JTO SOLID SOIL I i I ONTO SOLID SOIL i I I I ow c I I ELEV. FT. PUMP-- J OFF D CONCRETE BLOCK RISER EXIT PERMITTED OWLy IF TAWK MAIJUFACTURER HAS SUCH APPROVAL 3" PiPPROVEa BEDDING tAncig.r T►4~1K SEPTIC E SPECIFI*CATIOUS DOSE TAWKS MAWLIFACTURER: 1 S IJUMBER OF DOSES:-PER DAy TA WK SIZE: GALLOWS DOSE VOLUME ALARM MAIJUFACTURER: INCLUOIWG BACKFLOW: GALLONS MODEL WUMBEK: CAPACITIES: A= `ZIUCHES OR GALLOWS SWITCH TYPE: INCHES OR S f~ GALLOWS PUMP MAMUFACTURER: G - INCHES OR CALLOUS MODEL MUMBER: S G ED'/~.L D- INCHES OR GALLOWS SWITCH TYPE: z. NOTE: PUMP AIJD ALARM ARE TO BE MIMIMUM DISCHARGE RATE GPM~~gI INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFEKEWCE BETWEEW PUMP OFF ARID DISTRIBUTIOW PIPE.. FEET + MIL►IMUM WETWORK SUPPLY PRESSURL7,,E//. FEET F FEET OF FORCE MAIM X F/oorr.FRlCTlo11 FACrOR.. FEET TOTAL DIJWAMIC HEAD = FEET eel 1UTERWAL. DIMEWS OWS OF TAWK: ENGTH iWIDTH jIIQUID DEPTH zZ2 SIGrJED: LICEWSE NUMBERW. Submersible Effluent performance W"~ T Curves Pumps METERS FEET MODEL 3885 25 60 SIZE 3/i' Solids WE1SH 70 20 WE10H WE AWEOH- 15 50 - 30 10 WE03L 20 S 10 0 0--- 0 10 20 30 40 50 60 70 60 90 100 110 120 GPM 0 10 20 30 (Wlh CAPACITY GOULDS PUMPS, INC. SEIKA FALLS VFW ~Oca li~h METERS FEET 120 MODEL 3885 35 SIZE 3/," Solids 110 WE15HH 100 30 90 25 60 70 20 60 H 50 WEOSHI 15 40 10 30 20 S 10 0 0 0 10 20 30 40 50 •60 70 60 90 100 110 120 GPM i l I , 0 10 20 30 WA1 CAPACITY oin5 Goulds Pumps. Inc. 911w juiy. 1955 CX0' Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 r Labor and Human Relations w... Division of Safety & Buildings in accord with ILHR 83 05, VK 4dm°.' Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size must include, but St . Croix not limited to vertical and horizontal reference point (BM), direction and o~pe, ";cafe or, PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. .032-2096-20 ' REVIEWED BY DATE APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATI PROPERTY OWNER: 10WPERTY LOCATION Leroy Urhammer . LO_ T SE 1/4 N-E 114,S 14 T 30 N,R 20 k(or) W PROPERTY OWNER':S MAILING ADDRESS IE -BLOCK# SUBD..NAME OR CSM # 1501 Scout Cam Rd. 2': ' na~ Green Acre Count Estates CITY, STATE ZIP CODE PHONE NUMBER ❑CITY VILLAGE MOWN NEAREST ROAD Houlton, WI. 54082 715)549-6497 Somerset Oak Ride Ln. [x] New Construction Use [x ] Residential / Number of bedrooms 4 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd/ft2 .8 trench, gpd/ft2 Absorption area required 858 bed, ft2 750 trench, ft2 Maximum design loading rate .7 bed, gpd/ft2_,B ___trench, gpd/ft2 Recommended infiltration surface elevation(s) 98.60 24x36' bed ft (as referred to site plan benchmark) Additional design/ site considerations alt. site e1.=100.5' , Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ® S ❑ U F7 S ❑ U FKI S ❑ U EIS ❑ U &I S ❑ U ❑ S @U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-5 10yr2/2 none 1 2msbk mfr cs 1m .5 .6 '....1....`_. 2 5-17 10yr4/4 none scl 2csbk mfr if .4 .5 Ground 3 17-84 7.5yr4/6 none ms Osg ml na na .7 .8 elev. 101.9 ft. Depth to limiting factor +84" Remarks: Boring # 1 0-6 10yr2/2 none 1 2mgr mfr gw lm .5 ':.6 2 2 6-36 10 r4/4 none sicl 2msbk mfi gw if .4 .5 3 36-84 10yr4/6 none ms Osg ml na na .7 .8 Ground elev. 101. fit. Depth to limiting factor +84" Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200 . Ave. New IZiQb&ond, WI 54017 Signature: Date: 10-28-96 CST Number: m02298 PROPERTY OWNER Leroy Urhammer SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # 032-2096-20 Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-8 10yr2/2 none sil 2msbk mfr cs 2f .5 .6 .'4.....3.... 2 8-40 10yr4/4 none sicl lcsbk mfi gw if .2 .3 Ground 3 40-96 7.5yr4/4 none ms Osg ml na na .7 .8 elev. 102.9 ft. Depth to limiting factor +96" Remarks: Boring # 1 0-6 10yr2/2 none sil 2msbk mfr cs 2m .5 .6 2 6-20 10 r4 4 none sil 2msbk mfr 9w if .5 .6 3 20-31 .5yr4/4 none scl lcsbk mfi 9w if .2 .3 Ground elev. 4 31-893 .5yr4/4 none ms Osg ml na na .7 .8 104.9 ft. Depth to limiting factor +89" Remarks: Boring # 1 -6 10yr2/2 none sil 2msbk mfr 9w 2m .5 .6 5 2 20 10yr4/4 none sit 2msbk mfr gw if .5 ::.6 3 0-84 .5yr4/4 none ms Osg ml na na .7 .8 Ground elev. 104.4 ft. Depth to limiting factor +84" Remarks: Boring # 1 -6 0yr2/2 none sil 2msbk mfr gw 2f .5 .6 6 2 -32 0yr4/4 none sil lfpl mfr gw if np .3 3 2-36 0yr4/4 none sicl lcsbk mfi gw na .2 .3 Ground elev. 4 16-82 7.5yr4/6 none ms Osg ml na na .7 .8 103.5 ft. Depth to limiting factor +82" Remarks: SBD-8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Leroy Urhammer New Richmond, WI 54017 MPRSW 3254 SEQNEq S14-T30N-R20w (715) 246-6200 town of Somerset lot #2-Green Acre Country Estates N 1"=40' BI. = top of tel. ped mounting bracket C el. 100' u ~.v 0 g le °70 IX - Gary L. steel 10-28-96 r ' i STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ICE A)Acc E Su-6_ CCU MAILING ADDRESS,-,. YU~ 6~ , L l ~/r 4101. PROPERTY ADDRESS (location of septic system) Please obtain from the 1 rin e CITY/STATE + PROPERTY LOCATION ~ 1/4, kE 1/4, Section T T 3y N-R v2 W TOWN OF M cggST. CROIX COUNTY, WI SUBDIVISION 6xneiJ / ele rC a4) 7-Y 4CS b, a LOT NUMBER CERTIFIED SURVEY MAP . VOLUME , PAGE , 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 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: St. Croix County Zoning Office Government Center 1101 Cann ichael Road Hudson, WI 54016 11/93 4 STC - loo 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. ------------------------------------A-------------------------------- Owner of property kQ I AQ 1JkJ 1S'C a qtC 62A) 6k, Location of propertXlt~---1/4 #6,114, Section 30- N-R OZO W Township 3L E- Mailing address A) /1 4( 6UA Si Apt, 3;iq I W. 1,4-1 / 1 Address of site ° Subdivision name 6f /~e~ CGCt/t1T.~1,ot no. Other homes on property? Yes No Previous owner of property Ze1"py /V 0'm /hQj=- Total size of property. U~ IBC F_ Total size of parcel Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes No Volume 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. , 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. Signature of Applicant Co-Applicant Date of Signature Date of Signature .44 I j; 036 4 LOT 1 u SY-_ N / w O, 1.W SCM[S • ` ~ ' ISO. Jx_ t0 IT~ ..tl I N>9• I A 43.30'w J to LOT 1~ q w LOT' 2 2G3.203 so FT. 3.W Cots i m 1 l L 465,50 + 1, fi N~•t7x 1 1 ~ 27.12 W ~ "F vp.N \ ~ d gib o J 032, ri 3y' a W OUTLO.T_ I a ° x[I,... SO tr V S 1 a~ ,7x , LO~T, 10 m 17o,rzT so Ir _ ~ 1 LOT 3 fist a _ _ - 7 00 .0005 N '30,130 30. lT I I 1 1 u l; LOT 9 O 1 / / 3.00 -Cats I Qt 586'49'23•E 530 64 q LOT 4 - c, _ „ N 1f 7~. , O In N 10i N[CS J Af/ S?7.; • OI lO 0 .3,:. JZ] S0. ft 111/// / 03• N 01 N 43> 37' s.. s I LOT 8 1 f 1 445.12' I 1 i, 7 Gi -Cots i $ 61 30' IQ' W v 1 'Q \ \ X70, )]S S4 fT a N j LOT 5 L N T. \ Q 3" :J1(S IF !L m ~30.Jx. MIT 40135 01 t \.j5 5 W S ~ m a 5~1 ~I s6voe• e 41 a, \ m x I Ne4.06.41•W 336.00' ~'1 1~ O H 53605. 1' ! } LOT 7 - - - C , 700 C.Cs N rn `~C~ / ~IO•tw! SO It '~tJ 1 1 f ' N s~ LOT 6 f ~N SOS SCw[3 / / ~ Q S / ' 1 I ~ ro ° fff U k n7 s. m i I 'i9 / 6~ ~ • •1'9 N89'48'13'E J•~'/ cj °9~ i .o4tw 244.50 '/~r5 Se J~t0~9J STATE BAR OF WISCONSIN FORM 1 - 1982 WARRANTY DEED ,I f DOCUMENT NO _ *14 t REGISTER'S This Deed, made between ST CROD(M VA ' t ftvts t w Kevin p AUG 2 8 1996 ,4y' e ~ . 4s30 P.M ' Iff Jug Conner, Cfaotee, II ~brdDt~ Witnesseth, the said , Gratttmfor a vah.ble conveys to Grantee the [oUowittg described real estate in S _ Croix MS SPACE etES RWO FM DATA 7- WCORDWO CountN State of Wisconsin: NAME AND WTURN ADDAESS Robert F. Wall 'L', ' ' 522 Second Street Hudson WI 54016' sr A; 'v 032-2096-20 s Lot 2, Green Acre Country Fatstea' Tow►nsilp of P IDBmmAT" tarseEn " . Somerset, St. Croix County, Wisconsin. ER tbi. is not , (ti not) homestead ptoperryr1 + Mptther with ail sad d 6F, sloe the heted"netus a d rteaatices theneanru belonging; ~ i And Green Acre Enterprise, Inc. ~s watraras that the ehk is Rood, indefeswble in fee simple and free and clear of encumbrances aracpt covenantsi easements, and restrictions of record, if any, as of the date r' of this deed, astd wW wurma sod ddmd dw same. DOW this day of August ~ 19916 , G Acre E,nn rise, Inc. (SEAL) u (SEAL) dent s (SEAU (SEAL) - .E~y: Adele H. Urhammer, Secretary ' AUTHENTICATION A C' KNOWLEDGMENT State of Wisconsin. ST. CROIX Ab dsy of , 19 A Fkawaft came before we Ilt{s vP / of y August r ammer . e•tI *rd 'i • a>mtnner, urea 75IMWNBER STATE LU OF WMCONSIN respec ve y, a Gttttx, Enterprise, IncicK e sathafted by 1706.06, Wi . Seats.) b =r Imown w be the person S fae@Ding TM *MTF4MKT 1 P w waoeaAFTFD BY Robert - - v t~ ST. CROIX COUNTY a ti l k WISCONSIN ZONING OFFICE ■~..i ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road ► x- _ Hudson, WI 54016-7710 (715) 386-4680 February 14, 1997 Harmtan Homes Attn: Becky Hartman P.O. Box 326 Somerset, WI 54025 To Whom It May Concern: An inspection of the recently installed septic system, which serves the Kevin Newhouse/Sue Connor property at 1562 Oak Ridge Ln., located in the SE1/4 of the NE1/4 of Section 14, T30N-R20W, Town of Somerset, was conducted December 03, 1996. This system was designed and installed to accommodate the needs of a four bedroom home. At the time of final inspection this septic system was found to have been installed in accordance with the requirements set forth by Chapter ILHR 83 of the Wisconsin Administrative Code. Enclosed is a copy of the inspection report should you need one. Should you have any questions, please feel free to contact this office. Sincerely, Mar T?Je"nkins Assistant Zoning Administrator cc: file