Loading...
HomeMy WebLinkAbout004-1030-70-100 C ~ ~ Oo I ~ C)o c nj 0. b p C C N .LO• Vl Ln 0 _0 a) O N co o O 7 N O N C£ Y N C n N C U co C O O C C O O 3 o~ ° m- E 0.2 oO~~o o_ y a.m co i N E° C N L°. rn t° ,y = ~ U O) •'4 o c O. 2 0 U L C M N OC 2 0 N N CO y 0 7 y O O L - N cq o O ° m ° a m Q°~ o N N 7 ~p L a~iwwmC.)c y L o° m m = 3> o U U . N y 0 O U m h C N C C co N C C v~ N '_6 y C 0) o m N O N 06 O -p pwO'° a ~ a 3~~o°U o co-a? I C Z ° c v Z CL m c og o mY Li c Ecq~ L LL ,oo 0 C O U O_ p C U (6 U N a N E acv c Sri ~3 a~ _0 1E L3) CL 0 c ~ 3 M U CO Z N . . G p Q' p p Z M CO N N Z a m d 0 0) m W p 0 2 d m .U r cu C/ Z d' .5 c c o (n F- N N O Z m E E -O o 2 2 Cl) E o 0 o v I ° I VIII ' N ' ~ C I • tl5 Q? m L C L O O o Q Q o Q Q w 2 Z Z Z Z o N z M ICI, N N (0 E 9 E N m CD - 9) T O) C 16 w O V C m +1 O o D D IL D a` E E .0 z U) E _ E • n 0 0 0 a H Q 0 0 0~ z N m m a a a m a n. a " z c) co Z Lo in VJ J C1 rn m 0) 0) m z 0 -0 m Qi Z O 7 N O m O O r N N U') N N _ U O N ~ I~ n w LO C O O C O O 7 O 7 > ° m N O N CL 00 U N° N o a 04 3 w N d /6 C) N U) CO 0 0 O _ d N L N C r. O O C E O W a 3 U N N 3 U O (n O O O O ` + N C i', O C C N 0 C n- O O rV\ C u2 o m c c c r E - N CO G co ao H N 0 4) a) ~ 00 0 u _ -°i ~ q `n 00 N° Y M S Z L- Y M ~ Z °c • p~ m n v m m N c~ E m s U a`, E ad E L dt C a • n m u m a° a w rr~~ s 7 0, r ~1 A 0 a 0 in V 6 N 0 -0 0 o ° q I t. O c o N C L O O w 0 E N f- t~ L.. W _ N O w rv 3 > N 0 3 I ~ j ~ L N M N i f4 3 O C nL o a~ y ~ I ti O y C O: y C _ ~ Ur f4 O y C1 O > = U '6 N O o N ~ L L N w oU ° E w a~ o E m N o v Z co rnEr>E LL C 'C N N O U C j C O O- V C E O 'O N N i 0- (D U Q C O CL C) N "O N C O Cl) N w E (n O v ° z (D m M 04 oc) CL m Z _ O O Z d Q N aUi Z c ° 0) I- j N Z E 7 `1 M N • C N N L O C O N O Q Q 4 O Z Z ° N Z W = Cl) `O • • E N w N N A N CL m O7 O w O C N d i N O j O O a ° H H U) E ° E U *i z > ' 000 a~ Z •~t CL CL IL (n a II I O o h I I . O. m t0 to J U Co rn rn z `l Y p iZ°° co .0 to U') c y n o Z) O u'} Q r+ O U N C O _ O C O O O O N a) 0 N U 1 (0 a) ° O 6 C N OO C CO a N N 3 _ (n E Y z3 w O ~ L LO CO • C Co > co N t0 00 w v d M a #e a Z • a m 0 d `Iw E c C Parcel 004-1030-70-100 03i27/2007 03:25 PAGE 1 OF 1 F 1 Alt. Parcel 13.28.15.208A 004 - TOWN OF CADY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - WILK, MATTHEW P MATTHEW P WILK 3259 HWY N KNAPP WI 54749 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description 3259 HWY N SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.200 Plat: N/A-NOT AVAILABLE SEC 13 T28N R15W PT NW SE BEING LOT 1 OF Block/Condo Bldg: CSM 9/2639 2.2 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-28N-15W I i Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1176/423 QC 07/23/1997 1021/267 WD 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 09/07/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.200 29,400 212,300 241,700 NO Totals for 2007: General Property 2.200 29,400 212,300 241,700 Woodland 0.000 0 0 Totals for 2006: General Property 2.200 29,400 212,300 241,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 511 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 *nsinDepartmentof Relations Industry, SOIL AND SITE EVALUATION REPORT Page? of 3 nd H uman ,Ii bivision of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code ' Prelimin COUNTY St. Croix Attach complete site plan on paper not less than 8 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. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Matt Wilk (buyer) GOVT. LOT NW 1/4 SE 1/4,S 13 T 28 N,R 15 E (or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # RR 1, Box 129 - - NA CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE [MOWN NEAREST ROAD Knapp, WI 54749 (715) 665-2135 Cady CTHW "N" [x] New Construction Use [ x] Residential / Number of bedrooms 3 [ J Addition to existing building 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 goo bed, ft2 750 trench, ft2 Maximum design loading rate .5 bed, gpd/ft2--.6--trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations install 5' x 75' rock bed mound Parent material loess 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 ®S ❑U ❑S ®U ❑S ®U ❑S ®U ❑S ®U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. Bed Trer& k<.•..1.....' 1 0-7 10YR 3/2 - sil 2 m cr mvfr cs 2f/m .5 .6 2 7-15 10YR 5/3 - sil 3 m sbk mvfr cs 1m .5 .6 Ground 3 15-26 7.5YR 4/4 - sil 3 m sbk mfr cs if .5 .6 elev. ft. w/ ommon Gy si coats on peds & dk Bn c skins on peds Depth to 4 26-35 7.5YR 4/6 - sl 2 m sbk mfr cs if .5 .6 limiting 5 35-38 7.5YR 4/6 f2d 10YR 6/2 sl 2 m sbk mfr - - .5 .6 factor 35! w/ gr & cob Remarks: horizons 4 & 5 res to penetration in places, occ gr in horizon 4 Boring # 1 0-7 10YR 3/2 - sil 2 m cr mvfr gs 2f/m .5 .6 2 7-13 10YR 5/3 - sil 3 m sbk mvfr cs if .5 .6 3 13-22 7.5YR 4/3 - sil 2 f sbk mfr cs if .5 .6 Ground w/ s deposits o and between eds elev. 4 22-26 7.5YR 4/6 - sl 1 m sbk mvfr as 1m .4 .5 ft. 5 26-31 7.5YR 4/6 f1f 7.5YR 4/8 sl 1 m sbk mvfr..• 1m .4 .5 Depth to very o casional 2.5YR /6 cl inclusions limiting 6 31-35 7.5YR 3/3 f1d 7.5YR 4/6 sicl 3 k /rafr rS ..4 .5 - factor 9r,11_ res stant to penetration in place Remarks: CST Name:-Please Print h rt < - - Henry F. Grote 715- -2681 Address: • ~ PO Box 57, Knapp, WI 54749-0057 a Signature: Date: / 3 £ i Z Number: 3065 PROPERTY OWNER Matt Wilk (buyer) SOIL DESCRIPTION REPORT Page 2 PARCEL I.D. # 1 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 -9 10YR 3/2 - sil 2 m cr mvfr cs 1f/m .5 .6 c.;•.,:;.::.;:.': 2 9-16 10YR 5/3 - sil 3 m sbk mvfr cs 1 f/m .5 .6 Ground 3 16-21 10YR 4/4 - sicl 2 m sbk mfr cs 1m .5 1.6 elev. w/ occasional 2.5YR M6 cl inclusions ft 4 21-27 10YR 4/4 - sicl 1 m sbk mfr as 1m .2 .3 to w/ o dc gr & occasion ,,l s deposits Depth .5 i.6 limiting - - - factor 6 29-40 BR by penetration gr/com/st 21 i Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # ti'M1f Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) -Az C. w w 4 two ct, 1 S:~t CAL C&':~ ~ L~ w sue- M t,X~ eye, ~ t'o'm S e ~ S LO~ ~•O~ SY.MV ~ tl"Cb~ ~ VOA/ ~v A~4ST~Q.~C. Q.V a. ST. CROIX COUNTY auFt,~ WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE ` 911 FOURTH STREET • HUDSON, WI 54016 =1_ (715) 386-4680 May 14, 1993 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of the Charles Bowell property, which is being purchased by Matt Wilk, located in the NW-,SE-'4, S.13, T.28N., R.15W., Town of Cady, St. Croix County, WI., has been conducted with the assistance of Henry Grote, CSTM# 3065. This onsite revealed suitable soil for onsite sewage disposal to a depth of 24" while meeting the requirements of the A + 4" rule. This site should be suitable for new construction utilizing a mound septic system having 12" of sand fill. Should you have any questions, please feel free to contact me at this office. inc rely, ames T ompson Assistant Zoning Administrator cc: file Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: LaboranclHuman Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: _Town of: State PI PeWILKrmit s Name: ❑ City C] Village ❑X CST BM Elev.: Insp. BM Elev.: BM Description: Gady Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet Vent TANK TO P / L WELL BLDG. A ir Ito ntake ROAD Dt Inlet Air Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM I Loss Friction System TDH Ft TDH Lift Forcemain Length [Dia. H Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O CHAMBER 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.) LOCATION: Cady.13.28.15W, NW, SE, County Road N Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05191) Date Inspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: I I SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05, Wis. Adm. Code M0! STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 1:1 a 3 y 8th x 11 inches in size. ch if revision to previ us application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION y, AAJ'/a '/4, S T 216, N, R / (or PROPERTY OWNER'S MAILING ADDRE LOT # BLOCK # 021 CITY STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER k 7702 y 13 II. TYP F BUILDING: (Check one) CITY NEAREST ROAD ❑ State Owned ❑ VILLAGE .a TOWN OF: ARCEL TAX NUMBER(5) ❑ Public N 1 or 2 Fam. Dwelling- # of bedrooms Z~_ P Ill. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 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 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ❑ New 2.E] Replacement 3.E1 Replacement of 4. X 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 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./inch) ELEVATION "7` 7 d 1260 (Z 4F A/ A4 14J, Feet 1-03, l3 Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank r F1 1 171 1 [71 El Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plum is Name (Print): Plumber's Signature: (No mps) MP/MPG RSW No.: Business Phone Number: Plum s Address (Street, City, State, Zip Code): 0/ ae as F~ IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanit ry Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No Stamps) - ~ry I Approved ❑ Owner Given Initial OC Surcharge Fee) - - o(- Aija Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(8.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS t 1. A sanitary permit is valid for two (2) years. s 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 iss*uing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Farm (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 & 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. II. 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 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 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. 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% 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, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) ? m o 3 m (D 3 ~ T 7! c C; ID o 3 R' n N O O N C y W O O• N O a 00 a ? W O H L @ ONO N C 7 j D 7 00 O p U1 O CD at M co 3 W = O J ^~'O1 00 r- N CD Lrl p D o i. r CL 10 H oo O I to ~ ~ I, d m ° I ~ v> c D (D w W a X v ° O c°n c°n a 0 o o Z (D ~i N o co m n r CO) o e m CA 3 , Q I I 000 h. < z o ~i N 3 y co cn (DD g D ~ ~ov_v o v/ N 0) RAI N !D co Wa o I Z O`v 0 D D K O ° o CD I ~ t+1 CD c I w m Z 7 2 CO) I ° in A G w W c~ 00 C. Z °o " cn Cil N ;0 m N A W j N CD D a n. C=D cD a o' CL X o co 0) c co O O. m w m w 0 N Cf) =r CL x II o< COL CD ° =r ti ~0(DD x CD A y 7 CL y cn N fD O) S 3 o S O Ch a N A 0 N O_ CD 0 C G~+ A Efi O v W ti Parcel 004-1030-70-100 01/12/2006 02:28 PM _ PAGE 1 OF 1 Alt. Parcel 13.28.15.208A 004 - TOWN OF CADY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner MATTHEW P WILK O - WILK, MATTHEW P 3259 HWY N KNAPP WI 54749 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 3259 HWY N SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.200 Plat: N/A-NOT AVAILABLE SEC 13 T28N R15W PT NW SE BEING LOT 1 OF Block/Condo Bldg: CSM 9/2639 2.2 ACRES Cf Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-28N-15W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1 QC 07/23/1997 021 /26 WD 2005 SUMMARY Bill Fair Market Value: Assessed with: 106532 229,100 Valuations: Last Changed: 09/07/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.200 29,400 212,300 241,700 NO Totals for 2005: General Property 2.200 29,400 212,300 241,700 Woodland 0.000 0 0 Totals for 2004: General Property 2.200 8,400 110,800 119,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 511 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 STC - 104 AS BUILT SANITARY SYSTEM RE OWNER y ~f / { PLq(VED L a i995 ADDRESS ry; ~ E SUBDIVISION / CSMJ LOT ~ SECTION ---~-T 7-8 N-R___/;~_W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM e t y kJ N ' Pik Lbw ~O 3Q a 4 T~1111~ INDICATE NORTH ARROt~ Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover- L BENCHMARK: (3 S /04 ALTERNATE BM: J4 ld`.2,1 SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer wflfs <~Prklc Liquid Capacity: /Dab o Setback from: Well_o 5/"~ House Other Pump: Manufacturer Zat((~,. Model# a(r2 Size Float seperation 7.7 9 Gallons/cycle: &(v Alarm Location SOIL ABSORPTION SYSTEM Width: rr Length -75j' Number of trenches f Distance & Direction to nearest prop. line: /Vn 40%d Setback from well: 463 House Other ELEVAT ONS L 16~"V 600 ems"`` eo Building Sewer ST Inl t. Q~v•Z ST outlet i PC inlet PC bottom 12, 7 Pump Off g3 Header/Manifold 101148 Bottom of system /O/. Existing- Grade Final grade /03. DATE OF INSTALLATION: PLUMBER ON JOB: .w LICENSE NUMBER: ;kay INSPECTOR: 3/93:jt ST. CROIX COUNT p WISCONSIN f ZONING OFFICE p p 9 p p p p■ _ M,,,~ ST. CROIX COUNTY GOVERNMENT CENTER , 1101 Carmichael Road ' AN. Hudson, WI 54016-7710 (715) 386-4680 March 7, 1994 Roger Timm 3128 20th Avenue Wilson, WI 54027 Dear Roger: I still need an AS BUILT for the Matt Wilk Mound. Town of Cady. Please turn it in as soon as possible. Thanks! Sincerely, Mary. . Jenkins Assistant Zoning Administrator Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No-: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Benchmark Septic I Dosing Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP / SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Lriction System TDH Ft Forcemain Length Dia. Fi Dist. Towel SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS SETBACK Manufacturer: LEACHING SYSTEM TO P / L BLDG WELL LAKE/STREAM INFORMATION Type O CHAMBER Model 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.) In ? ~ ~ i y Plan revision required? ❑ Yes ❑ No r~ Use other side for additional information. C21\ SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ZED&HR SANITARY PERMIT APPLICATION tY`~r~ In accord with ILHR 83.05, Wis. Adm. Code couu S STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than j(f3 S 2 S 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. S J3y0 sA010 PROPN407 N R , PROPE~TY LO ATION P,J/a'/a, S 1j' T N, R / E (oryip PROPERTY WNER'S MAILING ADDRESS LOT # BLOCK # 401 . CI . STATE ZIP CODE PHONE NUMBS SUBDIVISION NAME OR CSM NUMBER .4 J2 IV 1- 1161 a 6 1bc o16`7j II. TYP OF BUILDING: (Check one) CITY : NE C 7[T 4 ROZA ❑ State Owned 11 VILLAGE : C. Al ❑ Public ❑ 1 or 2 Fam. Dwelling-# of bedrooms 2_ x N B 111. BUILDING USE: (If building type is public, check all that apply) , / ~ ) _ 70 / Ott 1 ❑ Apt/Condo `I 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 100 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 OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. N New 2. ❑ Replacement 3. ❑ Replacement of 4.E] 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 *JR1 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 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 (s q. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 3 3 ` / DJ` 3 Feet l--",Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank / Lift Pump Tank/Si hon Chamber x Vlll. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumb 's Name (Print): _ Plumber's Signature: (No Sta s) MP/MPRSW No.: Business Phone Number: 7 Z d 5Zl Plumber's ddress (Street, City, State, Zip Co e) 2-9 2-0 " k Ak IX. COUNTY/DEPARTMENT USE ONLY Disapproved Sanitary Permit Fee (Includes Groun)dwater ate Issued Issuing Agent Signature (No Stamps) Approved El Owner Given initial Surcharge Fee tea/ Adverse Determination LA~ X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) 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 th.~~ tin-!e of reni..viLd arty new criteria in the Wisconsin Administrative Code will be applicable. All • evisioris :c this permit must be approved by the per r"it is:z k ng authors:y. 4, Changes iri ownership or plumber requires a Sanitary Perrnit Tran.sfor/Rerewa! Forr (Flt; 6399) to be suor*,.;'ied to t? c . k _sr?ty prior to installation. -Or -te sE?`.M1'aje y < f;ms rnust be properiy mairitairred r? _ piic tans (a liuensed - purr-per whereev~ necessary, usually every 2 to years. 6. If you have questions concerning your onsite sewage system;, contact your oocal code administrator or the State of Wisconsin, Safety & 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 a,-id parcel tax numbE:r(s) of where the system is to be installed. 11. Type of building being served. Check only one and complete # of bedrooms 'f 1 or 2 Family Dwe;ling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tangy: replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. Vt. Absorption system information Provide all information requested in f~'-? Vil Tank information i ill in th;e c?ap-:i lty of every new and/or e,xistinc; Y! : IUiTi:jel of tard(s and 1;anutacturer's name. I^dwate prefat or Site constructe J ,w; . +aolk "rtc...:r Ia C ' i•`e' ? "Ur ,31i Seri,,; nu r;KV'Sipt on and hold>ng lanks fc? this system. Check eNpf rift, ;.•pr iva. `.y ; tnk.: !eceived r' pc iria :al p,,LA & I app.voval frcurt rDILHR Vill. Responsibility staterner,t installing plumber is to fill in narne, witr, a,,n•~~fisj~e prefix (e.g. MP et;;.;, ddress phone number. PI!jrnber must sign ape IX. County/Department Use Oniy. X. County, /Dep +rtrrie0 Use Only. Corr-!ete plans and spec.'afications not smaller than 8'f > 11 inct:~< rrnbe ~;ubr,itl, + to I[,( co! my The p!rcns ries7t incicide the folic=,aing: A) plot plan, Jraw to scale cr ui,~ _0 "r!" C.-I of tiul~t~„ rank(s), septic tank,',) or other treatme:-it t it ks ^:Jiklir w,:, e 1e se , rVlGe; Streaws and lakes porno ( iphon tanks, distribution nox s; r..r, ~rr_j,t system area' and the !,)cation of building served. B) he lzomit in 1.a-1 C) complete specifications for pumps and controls; dose volume, csi~vatio, c iierelnce: rw. _-1 io:1s; pump performance curve; pump model and pump maneifa(;turer; D) cross section of :he soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. - GROUNDWATER SURCHARGE 1883 Wisconsin Act 410 included the creation of ~.urchairges (f•3=,s) for it numbf-.,r cx reg!,?r-led practices which can effect gr, oundw :te,r. The r;;oi ie< rol!ected throeigh t s€.i charge,... o-( r ?ryi_.rir ey. waiter contarnlnation investigations and establis?impi;, of ° :iR• F"t`(;`• SBD-6398 (R.11/88) JOB TIMM EXCAVATING SHEET NO. / OF Route 1 Box 192 Z S WILSON, WISCONSIN 54027 CALCULATED BY ✓ DATE QS (715) 772-3214 (715) 386-5443 MPRS #3224 WI MPCA #696 MN CHECKED BY DATE SCALE ~vJ 33.. ->.I+......... . G . 9F 10 D f A , !7QKSf 1 f p E~ i . , r;_/w ~5~.. .xtSi t f PRODUCT 205-1 ~ inc., Groton, Mass. 01471. To Order PHONE TOLL FREE 1-000-225-6180 aECE1VE~ ~ ~ ~ ~ ~ ~ Matt Wilk - Mound 593-40588 OW Location: NW 1/4, SE 1/4, Sec. 13, T 28 N, R 15 W Town: Cady County: St. Croix Date: July 8, 1993 Owner: Matt Wilk Address: RR 1, Box 129 Knapp, WI 54749 Plumber: Roger Timm Signature License # MPRS 3224 Attachments: 6748-Plan Approval Application County on-site 115 page 1: cover 2: calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve page 1 of 7 System Calculations One family residence 3 bedrooms Loading rate gallons/sq ft per day Depth to ground water >.Zto in Depth to bedrock in Cross slope ~Z- % k Force main length Z'O ft of Z- in Manifold/header length VACS ft of in Drainback ~-g gallons Lateral length Z @ 3S~~b ft of Its`- in Lateral elevation ~b~•g ft (bottom of pipe) Lateral hole size in @ S b•z in ( ~'•~'R, ft) spacing holes/lateral, Flo holes total Lateral volume gallons Total lateral d1scharge rate 1`$' Z gpm @ 2's ft head Elevation difference ft Friction loss Lo ft @ gpm Total dynamic head • `j ft Pump/si n 22. gpm @ ~S ft of head Manufacturer Model # -L Z Dose volume 11b gallons Lift/si?ion tank l'~'=~~^• gallons Septic /tank gallons Measurement pump on & off at in Height alarm from tank bottom in Reserve capacity 3^ k gallons calcs page 0 f , ! • t i 1 I i 32)' S~■ ~ C~ ~ t ~ C~'! ti w L I' I I 3 ` ` ' ~ i3N I ~ ! f > f i - I ~ i! U~ I I I I go, ' ~ ~ `i ate. ~ ~ 5 .'~•-T I ~'~'4' i a r• f-~ A~ n l ~'`~Q a+ sa ~`a k g+ ~ ~ ~~L~~ ~ •.1~L~~liJ"r~lk '.~i r: 4,P~L ~:c.y8+ ~~::1~.~". i ~ i I I p...~ lbo.~ ( ! T' N 1 111 % j I~ ~ I i ht ~ I ■ l ~C 77 j ct i t~ I ~ j i '.3 ~ ~ •`c,\t.~,.. • . t-- ~ `~rv: ~ ti~ Iv.~, ~ ~ ~ teh~ I C eK V~, j i ~ I I 3: ~ ~ I I I i i o I ~t i i I i I I I i I J S Y Q ~M ~r o Q S e ova 2 u y 3 1re~-~ '9e-~( e~ r~ t~t ~v rJS 1or.1 z Out. . i 4-v. \ bM la..a Q " ON 'ITE SPAIAGL SYS- E".-9 p . 4• vRf.~ tJ l~ 31 d!_ ai i ti3J+..~. i Ie.Z~ 1 r ~S•o~ 9e.g` ` K ne1.o, 3~~~.-z l ~ Pv c s ~ 4v ` I I I~ t Zw F o a MAIN WE&Ti1ERPRooF LOCKimG.,'COVER JuNCTSON QU~C1C D~3G!l~VIGT-~ 4" G.T. IN 6v~GTtcr+4O6N1NG - ~r 6 1 o t . 12 C.T. PtP6. 3' tItTO WDLSTURBED SOIL- 24" 2_D. MIN MANLICLE VENT I ;ate MIN. Si T I GS(/7''LE'T = 11.21~/"wup HO:t IVA ! ppizcvLo A n e.s. Ptic ~LSttLT' 1lArr'g ~ AL& 3' b+i"O L~ D1P'C _ ,O .l :c ~raEC.'1'IOa+S Z-- 4N - ORDUND o6 a w ` .'ret Z7 v%, pvmp P SEPTIC E SPEGIFIGATIOI\1S 9 o DOSE TAWKS MAQUFACTURER: i1UMBER OF DOSES: 41 PER DAy TAMK SIZE: _ i "'O'ff e°t~-xo, GALLOAIS DOSE VOLUME ( ~ 10 ALARM MAIUUFACTURER: 5~ L 1a a k~e IMCLUDIMG BACKFL_OW: GALLONS MODEL kJUP E5.ER: CAPACITIES: A= 2.i"Ll IAJCNES OR 3gS.Q GALLOtJS SWITCH TyPf ; g c Z.. IAJCNES OR 24' g GALLO►JS PUMP MAAIUFACTURER: <<<°•"" C = ~ tA1LHE5 OR GALLOLJS MODEL 1JUMDER: Z" D= ~ INCHES OR GALLONS SWITCH TYPE: w. QA~ )DOTE: PUMP AMD ALARM ARE To BE MIAi1MUM DISCHARGE RATE ` ` GPM INSTALLED OM SEPARATE CIRCUITS VERTICAL DIFFEREAICE BETWEEki PUMP OFF AND DISTRIBUTIOM P-1 Pr, FEET + MIMIMUM IUETWORK SUPPLY PRESSURE. _ , 2.5 FEET 14.a / + Z'O FEET OF FORCE MAIN X .b~ Floo fT.FF(ICT1o►1 FACTOR._ ~4 FEET(j)-kq ~ TOTAL OtWAMIC HEAD = l0.}CA FEET WTERKJAI- DIMEWStoMr. OF TAQK: LEKIG•TH ;WIDTH ;LIQUID DEPTH QlLd[/TYPU4/PB SHCE /i/ r SECTION: 5.10.260 FM0269 -7 Product information presented here zffzzz Q 0991 Foflects conditions at time of © Supersedes ublication. Consult factory regarding iscrepancies or inconsistencies. 0389 MAIL TO: P.O. BOX 76347 at Louisville, KY 40256-0347 SHIP TO: 3280 Old Millers Lane • Louisville, KY 40216 (502) 778-2731-• FAX (502) 774-3624 HEAD/CAPACITY CURVE -4- 0 SEWAGE and DEWATERING S WARNING: Model 293 should not be subjected to less than 15 feet TDH. TOTAL DYNAMIC NEAD7CAPACITY PER MINUTE SEWAGE AND DEWATERING SERIM262266 267 Fr, Gal Llrc Gal Ltrc G31 Lira Gai 5 4 126 484 128 484 10 7 15 9 50 189 50 189 63 238 135 511 106 407 130 4B2 165 625 185 700 300 1136 20 6.10 10 38 10 38 10 38 33 125 106 401 88 333 119 450 150 568 168 636 250 046 25 7 62 76 288 68 257 106 401 136 515 153 580 200 757 30 0.14 43 163 47 178 90 340 121 458 140 530 150 568 40 12.10 5 10 50 180 94 356 115 435 50 1524 58 220 80 337 60 18 29 13 40 59 223 ff 21. 34 25 95 k Valve 18' 21.5' 21.5' 21 5' 26' 35' 42' S0' 62' 77' 40' W HEAD CAPACITY CURVE MODEL 405" 2 40 35 to- HEAD CAPACITY CURVE 30 u- SEWAGE MODES 15 1 75 6-2-o 22 0 D 20 5 2 18 0 55 1 6 U.S. GALLONo I50 0 250 300 350 400 4y0 yao SD VIER$ 00 600 e00 1000 1200 1400 . 1leoa 0 FLOW PER MINUTE x 14 U 72 40 0 35- 10 R 30 g 293 25- 6- 20 15 282 4 10 284 2 5 262 292 266, 67, 68 12941 1 295 0 11 U.S. GALL ONS 10 20 30 40 50 60 70 80 90 100 1 10 120 130 140 150 160 7018019 2p0 21 220 230 LITERS 0 80 160 240 320 400 480 560 640 720 800 880 'Consult factory for optional Impeller performance curves. FLOW PER MINUTE f Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 01 Labor and'"iuman Relations - Division of Safety & Buildings in accord with_IL_ HR 83.05, Wis. Adm. Code Prelimi~ - - COUNTY I- _inn r~r St. Croix Attach complete site plan on paper not less than 8 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. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Matt Wilk (buyer) GOVT. LOT NW 1/4 SE 1/4,S 13 T 28 N,R 15 E (or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # RR 1, Box 129 - - NA CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [3i'OWN NEAREST ROAD Knapp, WI 54749 (715) 665-2135 Cady CTHW 'IN" [xj New Construction Use [ x] Residential / Number of bedrooms _ 3 [ ] Addition to existing building 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 goo bed, ft2 750 trench, ft2 Maximum design loading rate __,~_bed, gpd/ft2__,6_trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations install 5' x 75' rock bed mound Parent material loess Flood plain elevation, if applicable . NA ft S e for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK• fors stem ❑S ®U ®S ❑U [Is ®U [Is ®U ❑S ®U OS ®U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bcundar)r Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-7 10YR 3/2 - sil 2 m cr mvfr cs 2f/m .5 .6 2 7-15 10YR 5/3 - sil 3 m sbk mvfr cs 1m .5 .6 Ground 3 15-26 7.5YR 4/4 - sil 3 m sbk mfr cs if .5 .6 elev. ft w/ ommon Gy si coats on peds & dk Bn c skins n peds Depth to 4 26-35 7.5YR 4/6 - sl 2 m sbk mfr cs if .5 .6 limiting factor 5 35-38 7.5YR 4/6 f2d 10YR 6/2 sl 2 m sbk mfr - - .5 = .6 w/ gr & cob Remarks: horizons 4 & 5 res to penetration in places occ gr in horizon 4 Boring # 1 0-7 10YR 3/2 - sil 2 m cr mvfr gs 2f/m .5 .6 'a 2 7-13 10YR 5/3 - sil 3 m sbk mvfr cs if .5 .6 3 13-22 7.5YR 4/3 - sil 2 f sbk mfr cs if .5 .6 Ground w/ s deposits o-i and between ed i elev. 4 22-26 7.5YR 4/6 - sl 1 m sbk mvfr as 1m .4 .5 ft. 5 26-31 7.5YR 4/6 f1f 7.5YR 4/8 sl 1 m sbk mvfr as 1m .4 .5 Depth to very o casional 2.5YR 16 cl inclusions r1r limiting factor 6 31-35 7.5YR 3/3 f1d 7.5YR 4/6 icl res stant to penetration in place Remarks: CST Name: Please Print Phone: , Henry F. Grote 7 -2iM1 ` tv Address: PO Box 57, Knapp, WI 54749-C#57 Signature: - ~ ~ Date: CST N 5/ 3065 PROPERTYOWNER Mat Wilk (buyer) SOIL DESCRIPTION REPORT Page 2-vf 3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bou nday Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench T yi:::i%i::ii:•Q 1 -9 10YR 3/2 - sil 2 m cr mvfr cs 1f/m .5 .6 4`s.. 2 9-16 10YR 5/3 - sil 3 m sbk mvfr cs 1f/m .5 .6 Ground 3 16-21 10YR 4/4 - sicl 2 m sbk mfr cs 1m .5 .6 elev. w/ occasional 2.5YR 316 cl inclusions ft. 4 21-27 10YR 4/4 - sicl 1 m sbk mfr as 1m .2 €.3 Depth to w/ o dc gr & occasional s deposits limiting - - - fa7tor 6 29-40 BR by penetration gr/com/st 21 Remarks: Boring # ~:.tiiirv Ground _ elev. - ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: _ Boring # t Ground elev. ft. - Depth to limiting factor Remarks: _ SBD-8330(R.05/92) C N 4 ~Z v k ~2+ S: ~ ~ J~• ~ cam, : b my1 ~ (v\ C~ ZN V 0 9MC ~mt V Off/ ~v 8~tf~~II~.Q.V Wisconsin Department of Industry, Labor arvf Human Relations SOIL AND SITE EVALUATION REPORT Page 1 of 3 Divisiuuf$afety & 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 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. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Matt Wilk (buyer) GOVT. LOT NW 1/4 SE 1/4,S 13 T 28 N,R 15) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # RR 1, Box 129 - - NA - CITY, STATE ZIP CODE PHONE NUMBER OCITY.QVILLAGE GOWN NEAREST ROAD Knapp, WI 54749 (715)- 665-2135 Cady CTHW "N" [x] New Construction Use [ x] Residential / Number of bedrooms 3 [ ] Addition to existing building 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, gpd1ft2 Recommended infiltration surface elevation(s) 1 'O 1.3 ft (as referred to site plan benchmark) Additional design / site considerations install 5' x 75' rock bed mound k0-'D . -i s\d Parent material loess Flood plain elevation, if applicab e . NA ft S =Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK. U= Unsuitable fors stem ❑ S ®U as E1U O S ® U ❑ S O U ❑ S ®U ❑ S D( SOIL DESCRIPTION REPORT Borin # Horizon Depth Dominant Color Mottles Structure GPD/ft 9 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. ShConsistence Boundary Roots Bed Tmr& . 1 0-7 10YR 3/2 - Sil 2 m cr mvfr cs 2f/m 5 .6 " • 2 7-15 10YR 5/3 - Sil 3 in sbk mvfr cs 1m .5 .6 Ground 3 15-26 7.5YR 4/4 - sil 3 m sbk mfr cs if .5 .6 elev. \oo`lft. w/ ommon Gy si coats on peds & dk Bn c skins on peds Depth to 4 26-35 7.5YR 4/6 - S1 2 m sbk mfr cs if .5 .6 limiting 5 35-38 7.5YR 4/6 f2d 10YR 612 sl 2 m sbk mfr factor - - .5 .6 3S" w/ gr & cob Remarks: horizons 4 &.5 res to penetration in places occ ar in horizon 4 Boring # 1 0-7 10YR 3/2 - Sil 2 m cr mvfr gs 2f/m .5 i.6 2 2 7-13 10YR 5/3 _ sil 3 m sbk mvfr cs if 5 .6 3 13-22 7.5YR 4/3 - sil 2 f sbk mfr cs if 5 .6 Ground w/ s de osits o and between eds elev. 4 22-26 7.5YR 4/6 - sl 1 m sbk mvfr as 1m .4 .5 ' 4.%ft. 5 26-31 7.5YR 4/6 f1f 7.5YR 4/8 sl 1 m sbk mvft as 1m .4 .5 Depth to limiting very o casional 2.5YR /6 cl inclusions ' factor 6 31-35 7.5YR 313 f1d 7.5YR 4/6 sic _ ?6„ res stant to penetr Et~n in place Remarks: CST Name _Please Print Phone: Henry F. Grote 715-665-2681 Address: PO Box 57, Knapp, WI 54749-0057 Signature: •,•a4, Date: CST Number: 14 41 5/ 1 /93 3065 PROPERTYOWNER_ Matt Wilk (buyer) SOIL DESCRIPTION REPORT Page PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Structure in. Munsell Qu. Sz. Cont. Color Texture Consistence Boundary Roots Gr. Sz. Sh. Bed Trench 3 1 t16-21 10YR 3/2 - sil 2 m cr mvfr cs 1f/m .5 .6 2 10YR 5/3 - sil 3 m sbk mvfr cs 1f/m .5 .6 Ground 3 10YR 4/4 - sicl 2 m sbk mfr cs 1m .5 .6 elev. W/ oc asional 2.5YR 3 6 cl inclusions ~~•3 ft. q 21-27 10YR 4/4 sicl 1 m sbk mfr as 1m .2 i,3 Depfhto w/ o c gr & occasion 1 s deposits limiting - - fa ctor 6 29-40 BR by penetrati n gr/com/st 2711 - Remarks: Boring # 13 Ground elev. i ft. , Depth to limiting factor i Remarks: Boring # Ground elev. ft. Depth to EE limiting factor Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) ~0.~ ~ :1\~ `~1aT 1~\w.v~~KC'.'Sk.. ~ /'SI..2~ I 1 I 1 ~ i ~2 5-~-~ C_S N w 1y' ' 1 ~ p, I ~ I i i ~ I I ~L.:...c~ s f ~ ~ ~ I ~ I I I S ~ I I ' i I I I k4' $N - 13-\ i - ~ 3 ~ I I -~,o eJ NOS-a.: : s-~~~~ I i i i j t~ o '7 a.. ( 1... n C ~n~c~ aL h+~ ~rvJ~ t~~4v • ito~ 1 `l ~o D3 b S b ue a b e-"`t i ~+.t ! 1~ >i S 1D~ aN 1r ot1~ I lam" `~L 1 7 ~~Z.o 4cvC. S:~ ~a..\.: s~ I i ' I of 3 ~ ~ I ! I j Wisconsin Department Industry, . Labor arv.7 Human Relations SOIL AND SITE EVALUATION REPORT Page 1 Of 3 4)ivis~*of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix 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. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Matt Wilk (buyer) GOVT. LOT NW 1/4 SE 1/4,S 13 T 28 N,R 15 W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # RR 1, Box 129 - NA CITY, STATE ZIP CODE PHONE NUMBER ❑CITY LJVILLAGE [1fOWN NEAREST ROAD Knapp, WI 54749 (715)- 665-2135 Cady CTHW N [xj 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 .5 bed, gpd/ft2 .6 trench, gpd/ft2 Absorption area required goo bed, ft2 750 trench, ft2 Maximum design loading rate --,5 _bed, gpd/ft2__,6_trench, gpd/ft2 Recommended infiltration surface elevations k 01.1 ft (as referred to site plan benchmark) Additional design / site considerations install 5' x 75' rock bed mound %&0- -i s\d `I~Q, Parent material loess Flood plain elevation, if applicab e . NA ft __7 S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK. U=Unsuitable fors stem ElS ®U ®S ❑U ❑S ®U ❑S ®U ❑S ®U OS ®U SOIL DESCRIPTION REPORT Borin # Horizon Depth Dominant Color Mottles Structure GPD/ft g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. S_h. Bed Tmr& 1 1 0-7 10YR 3/2 - sil 2 m cr mvfr cs 2f/m .5 .6 :e IX 2 7-15 10YR 5/3 - sil 3 m sbk mvfr cs 1m .5 .6 Ground 3 15-26 7.5YR 4/4 - sit 3 m sbk mfr cs if 5 6 elev. loo.lft. w/ ommon Gy si coats on peds & dk Bn ScskEinss Fnpmed Depth t0 4 26-35 7.5YR 4/6 bk mfr cs 1f .5 .6 limiting faCtOr 5 35-38 7.5YR 4/6 f2d 10YR 6/2 sl bk mfr .5 .6 w/ gr & cob Remarks: horizons 4 & 5 res to penetration in places occ ar in horizon 4 Boring # 1 0-7 10YR 3/2 - sil 2 m cr mvfr gs 2f/m .5 i.6 2 2 7-13 10YR 5/3 i sil 3 m sbk mvfr cs if ,5 i.6 3 13-22 7.5YR 4/3 - sil 2 f sbk mfr cs if .5 ? .6 w/ s deposits o and between eds Ground elev. 4 22-26 7.5YR 4/6 - sl 1 m sbk mvfr as 1m .4 .5 g g•g ft. 5 26-31 7.5YR 4/6 f1f 7.5YR 4/8 sl 1 m sbk mvf1.' as 1m .4 .5 Depth to very o casional 2.5YR 16 cl inclusions limiting factor 6 31-35 7.5YR 313 f1d 7.5YR 4/6 sicl mfr 261 _ res stant to penetr tion in place Cv g Remarks: CST Name _Please Print Phone: Henry F. Grote 715-665-2 Address: PO Box 57, Knapp, WI 54749-0057 5 >v~4- / Signature: ` j t•~x 4AaS Date: umber: 65 ~a 5/1/93 PROPERTY OWNER Matt Wilk (buyer) SOIL DESCRIPTION REPORT Page 2 .ef= PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft in. Munsell Qu. Sz. Cont. Color Texture Consistence Boix>dary Roots Gr. Sz. Sh. Bed Trench 3 1 -9 10YR 3/2 - sil 2 m cr mvfr cs 1f/m .5 .6 2 9-16 10YR 5/3 3 m sbk mvfr cs 1f/m .5 .6 Ground 3 16-21 10YR 4/4 - sicl 2 m sbk mfr cs 1m .5 .6 elev. w/ oc asional 2.5YR 3 6 cl inclusions t~•3 ft. q 21-27 10YR 4/4 sicl 1 m sbk mfr as 1m .2 Depth to w/ o c gr & occasion 1 s deposits 2729 .7.5YR 3/3 limiting - factor 6 29-40 SR by penetrati n gr/com/st ` Remarks: Boring # 13 Ground f elev. ' ft. Depth to limiting factor i Remarks: Boring # 13 Ground elev. ft. Depth to limiting i factor Remarks: - Boring # 13 Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) i , t, i S 1 ! 32 ~ Ct- I. I ! I I S c l' Ilk- ~14 I i gam' OT j b o.r,+ a 1 LA O i 1J ii+~~{ ~.►✓~`.r ~-l~ -\3 My(1~O.b, e~ 3 , j i , S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER_ AJ GIJ Yk ADDRESS R /e FIRE NUMBER CITY/STATE 1S eta /1 ZIP_ Gi'7~ PROPERTY LOCATIOiiN N tA14 , 1/4, SECTION 13 , T_2y_N-R !S W TOWN OF _~G►i , St. Croix County, SUBDIVISION , 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. croj&c Co. Zoning officer within 30 days of the three year expiratio ~~P SIGNED• DATE : 7 St. Croix co. Zoning office 911 4th St. Hudson, WI 54016 S y • 111 APPLICATION FOR SANITARY PERMIT STC - 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 got resale by owner/contcactoc,(spec house), then a second form should be tatalned and completed when the property is sold and submitted to this office with the appropriate deed recording. r r r r r rr r r r r rr r r r -r r - - m - • Owner of property fYa_7~ Location of property =1/~ /l, #action 1-3 T -1I Y Township -----Malling address le ~f/ 7 ~ Address of site , Z4Anu subdivision name _r ~ a Uo ( q o2 t, 35 D8C- 51 01 Lot number Previous owner of property „ ~2o~rks ~ULcJ~I~ Total slse of parcel - a c ~~5 Date patcal was created Are all corners and lot lines Identifiable? an o Is this property being developed tot tonal* tepee house)? on X a volume and Page Number c,26_7 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWINCt A WARRANTY DEED which Includes a DOCUMENT NVMBER, VOLVME AND PAoE NVMaER, and the SEAL OF THE REGISTER OP DEEDS. In addition, a certified survey, If available, would be helpful so as to avoid delays of the reviewing process. It the deed description references to a Ceitlfled Survey Map, the Cettltled satvey Map shall also be required. PROPERTY OWNER CERTIFICATION I(ve) certify that all statements on this form are true to the best of my (out) knowledge; that I (we) am (are) the owner(s) of the property described In this Information form, by virtue of a warranty Ued recorded In the Office of the County Register of Deeds as Document No. _`)16 ~ -IT) l and that I (we) Presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, roc the t lon f said system, and the same has been duly recorded In the office at nun V Register of Deeds, as Document No. conWit/ Slgnatute of Owner Slgnatuts of Co-Owner III Applicable) d l- f3 Date of algnatute Date of Signature IN, .e - r, +e' i3 :.,Qt.P « S.. 1 .ds,`, . 1: 4: 4 •.v S, ti' ' LY DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1982 THIS SPACE RESERVED FOR RECORDING DATA • t~ SO~2OO . --WARRANTY DEED 4 7''I 'L_ 267 REGISTER'S OFFICE This Deed, made between __Charles__W.__.Bowell__arad ST. CROIX CO., WI Rec'd for Record Sharon--S-.-Ekowell..-husband..arad-_vxife__and-- eacli__ia_____...- f thetc-nwn._rigt~t JUL 12 1993 Grantor, , ' and-_-Matthew_.P.._-Wilk.and__Nancy...L.....Wil_k~•_nuskand-and...... at 1:45 ~P~i► wife-._as-_sur-viY.orsbip--mari.taJ._pr_9per_tY--------- Rasta coeds Grantee , Witnesseth, That the said Grantor, for a valuable consideration----.- - RETURN TO conveys to Grantee the following described real estate in St,.__CrQ1X_......... , County, State of Wisconsin: rk A part of the Northwest Quarter of the Southeast 7 Quarter (NW} of SEJ) of Section Thirteen (13), Tax Parcel No Township Twenty-eight (28) North, Range Fifteen (15) West, ; more particularly described as Lot One (1) of Certified Survey Map, dated May 27, 1993, recorded July 1, 1993 in Vol. 9 of CSM, at page 2639, as Document #501675. SEEft 0 ,Y This iS._nOt homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except t x A' all easements, restrictions and rights of way of record. { and will warrant and defend the same. Dated this . a day of ------------------41 19.93. (SEAL) .Z - ---(SEAL) Cha_r_lee...W....BQWell--------------- & (SEAL) (SEAL) t i ' ' --Shar.Qn--S-•---Bowell.............................. F AUTHENTICATION ACHNOWLBDGMENT y Signature(s) _Chades_ W.__ Bowell_ and--------------- STATE OF WISCONSIN Sharon- . County. u en Ica t is si~._ fla i. ----__-_,_r 1993-- Personally came before me this day of it 0 19-------- the above named ' -RQber _ J_---Richardson- ..~yy ! TITLE: M BER STATE BAR OF WISCONSIN t; (If o i---------------- ; aut orized by § 706.06, Wis. State.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS STRUMENT WAS DRAFTED BY •`f.. - ' ..__._RORER-T-1-RI-CHARD-50N Attorney at Law SPrin9--VaJley-__1N_1 ._547.67 Nota-y Public County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (I1 not, state expiration ' are not necessary.) date- 19------•-•) -Names of persons signing in any capacity should be typed or printed below their sisLa>ztures. I - WARRANTY DEED STATE BAR OF WISCO` SM Wisconsin Ee al Blank Co. Inc. FORK No. 1-U8." Milwaukee, Wis. ~