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HomeMy WebLinkAbout036-1057-40-000 C e °-0' ° 0 °v) H 0. I ° I c I °o L I N 3 I o ~ N w a) I CD ry U co C N ~ N ° n> I ti C z I v, c I ° M 7 m u. c o CU :L- -0 '0) E Q Oa ~ I M M a I v ° ~ N E r w OO z a m N CO W c c U v o z c ~ o m Z d c ~ H ° Z I c E -p ° al N a) N c *Ali .0 a O o N O Q w z co z N _ Z d c c 0) r E _p C'41 N N N r+ }y a to ~ U o y m~ `m y O I L v c G G IL N E 0 0 0 z • rv is a a a a 3 a) C O y N J U Z rn rn ~ I N M M V y 00 U) O O v a L co w)1 a) N co N % N N O N I 00 N N O 'O 44 E O Q c a) N c p aD O rn 3 > U S y 0) o a l m O O r \ L r M I- (n n E M N N v . 1.2 c c co c w O 3 CO O p a) N +31 a) L - iA r~i ch c N CO ° H CD L m CO Ct2 .w ~ d t6 ~ d ~ dt a L a w I • co a. G V a) y C L) CL 2 0 V) 00 • fa Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Pagel of 3 Lat- and Human Relations 4.E; f Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and 67y of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distatnce to nearest road. 036-1057-40 APPLICANT INFORMATION-PLEASE ,PRINT ALL. INFOR,11IAT10~? REVIEWED BY DATE PROPERTY OWNER: I' f11 PERTY LOCATION Steve Halle en . LOT NE 1/4 SE 1/4,S24 T31 N,R 17 xxF-(or) W PROPERTY OWNER':S MAILING ADDRESS # BLOCK # SUBD. NAME OR CSM # i 2162 170th. St. na na na 160 acres CITY, STATE ZIP CODE HONE NU R CITY ❑VILLAGE3fOWN NEAREST ROAD New Richmond, WI. 54017 'd'1, 1248; Stanton 200th. St. (J New Construction Use [x) Residential / Number of bedrooms 3 Addition to existing building 13( Replacement [ j Public or commercial describe Code derived daily flow 450 9pd Recommended design loading rate • 5 bed, 9pd/ft2.6 trench, 9pdtft2 Absorption area required 375 bed, ft2 375 trench, ft2 Maximum design loading rate . 5 bed, gpd/ft2__,~L-trenCh, gpdtft2 Recommended infiltration surface elevation(s) 101.00, ft (as referred to site plan benchmark) Additional design / site considerations na Parent material bitted 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 1:1 S ® U EkS ❑ U [3 S d as ❑ U ❑ S {~7 ❑ 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 if .5 .6 1 0-12 10 r4/2 none 1 2msbk mfi Cfw 2 12-28 10yr4/4 none sil 2msbk mfr gw if .5 .6 Ground 3 28-46 7.5yr4/6 none is Osg mvfr gw if .7 .8 elev. 4 46-78 7.5yr4/4 c2p 7.5yr5/8 sl M na na na .3 :.4 100' ft. Depth to limiting factor 46" T_, Remarks: Boring # 1 0-11 10yr4/2 none 1 2msbk mfi if 1.5 .6 2 2 1-28 10yr4/4 none sil 2msbk mfr 9w if .5 .6 J23 3 8-64 7.5yr4/6 none is Osg mvfr gw na .7 .8 Ground 4 164-84 7.5yr4/4 f2d 7.5yr5/8 sl M na na na .3 `.4 elev. 100" ft. i Depth to limiting factor 64" Remarks: CST Name:-Please Print Gary L. Steel Phone. 715-246-6200 Address: 1554 0th. Ave./, Ne Richmond, WI. 54017 Signature: Date: CST Number: 1-23-95 cstm 02298 1 PROPERTY OWNER Steve Halleen SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. u 036-1056-40 Boring # Horizon Depth Dominant Color Mottles Texture I Structure Consistence Boundary Roots GPD/ft in. Munsell (Du. Sz. Cont. Color Gr. Sz. Sh. Bed iTrer 1 0-10 10yr4/2 none 1 2msbk mfr gw if .5 j.6 2 10-26 10yr4/4 none sil 2msbk mfr gw if .5 .6 Ground 3 26-52 7.5yr4/6 none is Osg mfr gw na .7 .8 elev. 100' ft. 4 52-72 7.5yr4/4 none wet sl M na na na .3 ~.4 Depth to limiting factor 52" Remarks: Boring # t i Ground elev. ft. Depth to limiting factor T-7 Remarks: Boring # ?tea1 Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. j ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) f w STEEL'S SOIL SERVICE Gary L. Steel Steve Halleen 1554 200th Ave. CSTM2298 NE4SE4 S24-T31N-R17w New Richmond, WI 54017 MPRSW 3254 town of Stanton (715) 246-6200 N 1"=40' EM.= top of sill plate of rear house door C el. 100' 160 acres 16D i~ 4-7 T-1 . R L P © 6d z Sys+~N~ a' Bm t3 DO ~v', v L Gary L. Steel 1-23-95 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNE ADDRESS_21(,a /70 4-~ S+ Ne'44i R~~mo►~ (,c~) 17 SUBDIVISION / CSM# iH /Ut y1/ s~ l~l LOT # SECTION a T 3 I N-R_L7 W, Town of Zt-0 y1 ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~ I Q l t~~,ti... ail ; U ~ ojj~ o bar ° N" ke& ea,,C.- FT LF INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. 0/mils- C Q 1 / BENCHMARK: j1,-"LrW ALTERNATE BM. SEPTIC TANK / PUMP CHAMBER / N / 000/ s ~ Manufacturer: W-GL KS Liquid Capacity: ~pn Setback from: Well S(-)~4- House /0 4' Other Pump: Manufacturer Modell 3 Size Float seperation Gallons/cycle: 17 Alarm Location re tl l i SOIL ABSORPTION SYSTEM Width: / Length 50 Number of trenches . q . r ( Distance & Direction to nearest prop. line: J{ ' r' l.wa.1 r'1 Setback from: well: /00 House ffD Other ELEVATIONS Q Building Sewer 0 ST Inlet. ` ST outlet tl PC Tet PC bottom Pump Off 88v9c) 00 Helder/Manifold 98 68 Bottom of system Existing Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB: ~/l Q rw U, LICENSE NUMBER: ~L INSPECTOR: 501-A 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) SanitaryPermitNo.: **GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State P HALLEEN, STEVE X CST BM Elev.: , Insp. BM Elev.: , BM Description: Parcel Tax No.: /61 /Old, 0 ~m~ Q s TANK INFORMATION ELEVATION DATA 5 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ~O Benchmark' Dosing t e 8 T Aeration Bldg. Sewer 3(] Holdin St/lof Inlet TANK SETBACK INFORMATION St/pyt Outlet 91 Ventto TANK TO P/ L ELL BLDG. Ai Intake ROAD Dt Inlet J2.30' Septic Sd' Spy ' 44 NA Dt Bottom Dosing ~0NA Header/ 5.33 9 (D~ -00 Aeration NA Dist. Pipe S35 Holding__. Bot. System 3S' 7 XO PUMP /3f HNFORMATION Final Grade sl s(0 Manufacturer Dema - 1✓'', e r ° g~c/8' Model Number PM , e' o- TDH Lift p5 Friction q~ System TDH PO t oss H Forcemain Length Dia." Dist. To we a>Sd SOIL ABSORPTION SYSTEM BED/TRENCH Width~ Length / No. Of Trenches PIT Of Pits Inside Liquid Dept DIMENSIONS 'PO So DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHIN anu acturer: SETBACK INFORMATION TypeO QPQ. 3e 8?~' ` CHAVIT R Moe Number: System: A7 DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe s) „ x Hole Size x Hole Spa en ake Length _A~ Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Gr Syst I Depth Over Depth Over /y xx Depth Of xx Seeded / Sodded xx Mu c Bed/TrepoWCenter ~ Y Bed /Tip,hEdges ~~°y ~ Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Stanton.24.~31.37,W-1 NE, SE, 200th street ~~~",/~,e, 7 a- C /U11 ~W, Plan revision required? s ~clo Use other side for additional information. ~5 SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: r Safety and Buildings Division ~.4.r.' 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 than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit umber n 33+7- ~ The information you provide may be used by other government agency programs O PII ❑ Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. 0. of I 0" State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMAT116N' AN. ZQ If Prope rt O er Name J lopert Location ~ei / 461/4 3Z 1/4r S p;,4/ T3/ , N, R 17E*r) W Propert Owner's Mailing Address Lot Number Block Number /70 - ~-f-. Cit Sat ZipCode Phone Numb Subdivision Name or CSM Number MOMd wl /0/ (71s)aPg- G II. TYPE OF BUIL NG: (check one) ❑ State Owned 0 C~ Nearest Roadi If ❑ Public 1 or 2 Family Dwelling - No. of bedrooms Town of S vl~a~ III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 2 / 1 ❑ Apartment /Condo 1r • 4, ~ 2[P l~s?~ 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. ❑ 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 11 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 Required (sq. ft.) Pro osed (sq. ft.) (Gals/da /sq. ft.) (Min./inch) Elevation J O , j 0 e, ?.P R 5-Feet Feet _1 (PV VII. TANK Caa inglloacctns Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con Steel glass Plastic App New Existing strutted Tanks Tanks Septic Tank or AoWaa9jw * 5 ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /S40he>- C-I a F,er 800 C r ® ❑ ❑ ❑ ❑ ❑ VNI. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plu b is Name: (Print) PI b r' ignature: (No t ""MPRSW No.: Business Phone Number: F_- yLL-ol G~..l - 50 7/ it 15 's Plumbgr's Ad ress (Street, Ci State, Zip C de)wo. I I ,r1 ~ N to Y1 bl l O 1X• C UNTY / DEPARTMENT USE ONLY ❑ Disapproved San ary Permit Fee (Includes Groundwater Date Issue Issuing Ag nt Sig ture (No St ps) Approved El Owner Given Initial nyy Surcharge Fee) Adverse Determination ee 11~168 X. C NDITIONS9F~ APPROVAL/ REA ~NS FOR DISAPPROV/AL~ 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 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*67 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 receives 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 applica'Jon form. IX. County / Department Use Only. X. County / Department Use Only. Complete planVi pecifications not smaller than. R 1/2 x 1 1 inches must be sub fitted to the county. The plans must include the foilo i : A) plot plan, draw. n to scale or With complete di ne„sip . io~ati , o, -io ding tank(s), septic _ -?s1 or ether treatment tanks, b; ~ude~-1, we!L,; water mains,%vot,, ce; stre,I!ns !tikes; pump or siphon distril,u ion boxes; .oil obsarp,rsor, s,5tems r ;aircement system area,; ,ii the `the building served; ~u!!zonlal ~Irld ve'rt"cal el_r.1i=ii --fereoce poor ts, cor,pletespeuf,c_', icr ~surrp<<a - ._cs~ltr ~l>; dose volume; e co:on lily rerlce5; friction Toss pump p?rfor' _ ..r c',rve; pump t7 ~_t'~ m !-1; C(O55sectlOn of the soil absorption system ii equired by tre cuunt,, L) soil, estda':, u,;;: irn;; a ?u' ; I 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 -ontarrination investigations and establishment of standards. i E . j ..........'r a............j............. j... ..._.......r _ ' i .~~~-•%/L - ' ........._i .............1.......... - i ...............l...... i .............1............' j ..........................5.........,........ f i i i ......................i............ / . _....Q~ ..........d .........................a..,......... J 006 i . _ .~..........a ~ j S~ ~a~/ox "r^ P s- Setc. ~~..•k SeePe~~e Y9' :i3r+ Gi}u. _ / « . fi......... i - : !I/ N h ....i............. I I { ou3net's ee- BRUCE PUMP & TRENCHING, INC. N4165 Hwy. 40 BRUCE WISCONSIN 54819 l SK•, Herman Glotfelty Clarence Glotfelty ,,11 ~ 8 -52 5 MP -4423 860- 831 CST -611 o~q 7-31N A 17W ERs 3se~ y s OA ero;x PAGE -I?- 0 F PUMP CHAMBER CROSS SECTION AM SPECIFICATIONS ' V;E;A17 C,AP 'i"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING JUIJCTIOL.I BOX MANHOLE COVER Z5' FROM DOOR, WINDOW OR FRESH 12"MIU. AIR INTAKE GRADE I y" MIN. I 18" M11,1. CONDUIT IIJLE'T PROVIDE I AIRTIGHT SEAL I III I III APPROVED JOINT A I III APPROVED J011 W/ C.T. PIPE I ( W/C.I. PIPE EXTENDING 3' I I ALARM EXTEUDING 3 ONTO SOLID SC ONTO SOLID SOIL 8 I I I I I • I I ow C i ELEV. FT. PUMP ~ OFF D CONCRETE BLOCK RISER EXIT PERMITTED OIJLy IF TAUK MANUFACTURER HAS SUCH APPROVAL SPE CI F I'CATI0US DOSE TANK MANUFACTURER: WMBER OF DOSES: PER DAy TANK SIZE: GALLOWS DOSE VOLUME ALARM MANUFACTURER: F_ Iec b INCLUDING BACKFLOW: 171 GALLON MODEL WUMBER: CAPACITIES: A= -INCHES OR - - GALLOW: SWITCH TYPE: g=INCHES OR / GALL06! PUMP MANUFACTURER: 2~c f'- e- C=~ INCHES OR !71 GALLOM! MODEL NUMBER: 3 D=- / L- INCHES OR GALLOIJ. SWITCH TOPE: 1MQ( C,~2S_~ou~I~ I~GI~ MOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE GPM INSTALLED ON 5UNRATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. FEET + MIAJ __11IMUM NETWORK SUPPLY PRESSURE. . "rte" FEET +11 FEET OF FORCE MAIN X M~? FY.,,FRICTION FACTOR.. °(o/ FEET TOTAL DJIJAMIC. HLAD FEET 6 et rhe7'ir- INTERMAL DINIE.W$%ONS F TA K' L6!d(v H-- ;WI9T-II ;LIQUID DEPTH ~ ~ PAS ,r Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of Labor and Human Relations DivisSon of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code - COUNTY Attach complete site plan on opapp 10 ches in size. Plan must include, but not limited to vertical and hoerence int (B tion and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, ato n oad. APPLICANT INFORMATI A ALL I MATION REVIEWED BY DATE PROPER OWNER: PROPERTY LOCATION ST )0( GOVT. LOT 1/45Z 1/4,5 _ T N,R (or& PROPERTY OWNER':S MAILI G SSx C~ LOT # BLOCK # SUED. NAM OR CSM # ti CITY TAT P ER ❑ ITY ❑VIL GE OWN NEAREST ROAD iJ 1 " "_ST New Construction Use UQ Residential / Number of bedrooms [ J Addition to existing building LA Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate . -T-bed, gpd/ft2-,-,,/ trench, gpd/ft2 Absorption area required ,9 bed, ft2 trench, ft2 Maximum design loading rate _ bed, gpd/ft2-,Z trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site nsiderations Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ® S ❑ U 1)7 S ❑ U 0S ❑ U .®S ❑ U ❑ S ,jo U ❑ S [QU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Tmnch / J Ground / elev. 7s yes /W'_Q ft. Depth to limiting factor, Remarks: Boring # l ~ 161 's Ground S elev. { /W.01 ft. ` 7s ~ ' ,a Depth to limiting factor Remarks: CST Name:-Please Print Phone: / Address: Signature: Date: CST Number: _ _CS PROPERTY OWNER SOIL DESCRIPTION REPORT Page 01 PARCEL I.D. # ' Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor i ` Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) JJoi~iv J lc e I Wisconsin Department of Industry, SOIL AND SITE EVALUATION R E P O R 1 Pagel 3 Labe; and Human Relations _ Of Division 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. 3& - ) APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Steve GOVT. LOT NE 114 SE 1/4,S24 T31 N,R 17 xxF (or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # 2162 170th. St. na na na 160 acres CITY, STATE ZIP CODE PHONE NUMBER OCITY []VILLAGE,-WOWN NEAREST ROAD New Richmond, WI. 54017 V15)248-3746 Stanton 200th. St. [ J New Construction Use JK J Residential / Number of bedrooms 3 [ J Addition to existing building J)q Replacement [ J Public or commercial describe Code derived daily now 450 gpd Recommended design loading rate • 5 bed, gpd/ft2.6 trench, gpd/ft2 Absorption area required 375 bed, ft2 375 trench, ft2 Maximum design loading rate . _5 bed, gpd/n2_.,6_trench, gpd/ft2 Recommended infiltration surface elevation(s) 101.00' ft (as referred to site plan benchmark) Additional design / site considerations na Parent material pitted 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 1:1 S ®U Eks ❑ U iaS O U iaS O U 0S 0-4 ❑ S xjau SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence I Botiffiry Roots GPD/ft in. Munsell Qu. Sz. Cora Color Gr. Sz. Sh. Bed TMnCh >r 1 1 0-12 10 r4/2 none 1 2msbk mfi if .5 .6 2 12-28 10yr4/4 none sil 2msbk mfr gw if .5 .6 Ground 3 28-46 7.5yr4/6 none is Osg mvfr gw if .7 .8 elev. 4 46-78 7.5yr4/4 c2p 7.5yr5/8 sl M na na na .3 :.4 100' ft. Depth to limiting factor 46" Remarks: Boring # 1 0-11 10yr4/2 none 1 2msbk mf i if 1.5 .6 2 2 1-28 10yr4/4 none sil 2msbk mfr a gw if .5 .6 3 8=64 7.5yr4/6 none is Osg mvfr gw na .7 .8 Ground 100 4 64-84 7.5yr4/4 f2d 7.5yr5/8 sl M na na na .3 '.4 I n. Depth to limiting factor 6411 Remarks: CST Name:-Please Print Gary L. Steel Phone' 715-246-6200 Address: 1554 0th. Ave./, Ne°-r Richmond, WI. 54017 Signature: Date: CST Number- 1-23-95 c stm 02298 PROPERTY OWNER Steve Halleen SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL W x +0 Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in Texture I ICM=MncelftxWy Roots Bed iTrendi in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 0-10 10yr4/2 none 1 2msbk mfr 3 gw If .5 1.6 > M*".~ 2 10-26 10yr4/4 none sil 2msbk mfr gw if .5 1.6 Ground 3 26-52 7.5yr4/6 none is Osg mfr gw na .7 .8 100' ft. 4 52-72 7.5yr4/4 none wet sl M na na na .3 ~.4 Depth to limiting factor 52" Remarks: Boring # Ground i elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting i factor Remarks: 804330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel Steve Halleen 1554 200th Ave. CSTM2298 NE4SE4 S24-T31N-R17W New Richmond, WI 54017 MPRSW 3254 town of Stanton (715) 246-6200 N 1"=40' BM.= top of sill plate of rear house door C el. 100' 160 acres \0C, © 5d Sys+Er~ sm r3 6 0o ~ wGl1 Gary L. Steel 1-23-95 LED z MAY 2 4 1995 ► g KATHLEEN H. WAL$H Register of Deeds 5 492 St. Croix Co., WI S CERTIFIED S EY MAP Located in part of the NEJ of the SEJ and in part of the SEJ of the SEJ, all in Section 24, T31N, R17W, Town of Stanton, St. Croix County, Wisconsin. Ek Corner of N Section 24 _0 SCALE IN FEET r- o N 0 10,0 200 400 ami d m E a=-1 N o LEGEND -0 fV IS O c o 1O °o Aluminum County Section Corner L-+J N Monument Found O U H Q Masonry Nail Found at Section Corner ~~r, AT n' ~ 03 UN T~U `ANDq 0w o O 1" x 24" Iron Pipe Set, 66' weighing 1.68 lbs. per linear Lo S88°21' 18"E foot. .00 co oc°n 471.82' 100' Roadway Setback Line 442.51' 29.31'- Bins1 aSeptic v1 House OWNER Shed ; N O U)I Pump w c X1)1 Steve Halleen p ( House o CSI 2162 170th Street 1 I r` ~n 1 I New Richmond, WI 54017 Q~ 14 N <I -JI N °0 N o -JI cal cal LOT 1 LUI W 10.00 Acres Inc. R/W ~ I LiJI -I ° 435 640 S Ft. C) 4-1 Wi I--I ~--I o ~ q• o 4-- W I ~-I 0 o 9.42 Acres Exc. R/W p O I LL1 410,369 Sq. Ft. oo U)I CLI 11 00 °o N 11 M Z NEk - SE4 ^ _ - SEk - SEk O31 1 0 0 r, CVI 2 00 M O t a 27.601- atgfZcv*. , ff 444.22' N' d Y 471.82' N88 °21' " coo LEN C.' ~ ro 18 W 33 0 FIr1 UNPLaTTEC LANDS 13 I ° T ^ - - - g ~ ®N1 i. WIS. y~ 00 O ~ w 4 S 1 r 4y !y6 7~~ O ~ A~py~. n 0 S U R' ~qV LLJ A- Z ro 2 . to ~'v N•SEt3u:C~''P~ i, a 4 m ro WW a~ V o •o w 5 Z cc cm g a c L ~ N & x SE Corner of Section 24 VOL. 10 PAGE 2926 9Z6Z 39dd of •10n aoTnpv aoj pavog umol agviadoaddv pup aoTj;O SuTuoZ Aluno0 xToaO 'IS 9ql 4OVquOD Taoavd Auv SuTdoTaAap ao SuTs2goand aao;ag •(•ola 'Teoavd oq ssaoov 'aZTs -40T uinulTuTiu 'spuaTgaM '•a•T) suOTgvTnSaa pup saTna 'sMLT dTgsumol pup Alunoo 'agvgS of goaCgns sT dvux sTg1 uO uMOgs TaOavd gong • awuvs 6uTddvw pup SuTAanzns uT xTOaO •qS go AqunoO agq go aouvuTpaO uoTsTnipgns puvq aqq pup sagngvjS uTsuoosTM auq 3o t£'9£Z aagav, 30 suoTSTAOad juaaano 9ql ggTM paTTduioo TTng aAag I gVgj !p9gTaas9p pup paAanans Ravpunoq aoTaagxa_agl 90 aTVOS oq uoTjvquasaadaa goaaaoo v sT dvw AananS paigTiaaO sTgq gvgq A;Tlaao OSTV I •paooaa 90 squauiasaa TTv pup (gaaalS gg00Z) pPoa uMOq aO3 AEM-JO-ggBTa 04 g09Cgns sT Taoapd pagTaosap anogv 9ql 01 199; Z8'TLt 'H A TiTZO88S aouagl :qaa; OL'£Z6 'Su00,00000N aouagP :-499-4 ZS'TL'v 'Mu81,TZ088N aouagl :199; OL'£Z6 'auTT ISV9 ATVs SuOTV M11001000009 6uTnuTquoo aouagq go quT auq 01 qaa; 69•L£9 'uOTgoas pTVs go t/TSS agq 90 auTT IS99 9g1 SuOTV 'Mu00,00O00S aouaul ':iZ uoTgoaS PTVs 90 aauaOD V/TS agq Ia SuTau9unuo0 :sMOTTO; s2 pagTaosap aaggan; !uTsuoosTM 'AqunoD xTOaD qS 'uoqupgS 3o umoL 'MLTU 'NT£,L 'tZ uoTgD9S UT TTV 't/TSS agi 30 v/Tas agq 3O javd uT pup :V/TSS 9ql 90 t/TSN agl go gapd uT p91LOOT puaT ;o Taoasd V :sMOTTOJ sL pagTaosap ST paddsul pup paAanans Taoavd puPT agj go Aaapunoq aoTaagxa aqq gpgq !dLW Aanans paTJTIaaO sTgq Aq paquasaadaa ST gOTUM Taoapd puvl agq paddaui pup pagTaosap 'paAaAans anPg I 'uaaTTVg anagS Jo uoTJOaaTp 9g1 Aq JPgj 'A3TIa93 Agaaag 'aoAananS pupa uTsuoosTM paaalsT59a 'u96PuAN '0 uaTTV 'I g,L i 'd STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER MAILING ADDRESS 4 )-70 S1 N (I t-y ( S' '((j) 7 PROPERTY ADDRESS Zc) y O zoo S (location of septic system) Please obtain from the Planning Dept. CITY/STATET0>a n rV Q w ~C~ ~cr~ c 1 SyU PROPERTY LOCATION 6_ 1/4, 1/4, Section Zy T 1~ N-R__LW 'SOWN OF S T 4 1\j ) ]\j ST. CROIX COUNTY, WI SUBDIVISION _ ~ LOT NUMBER CERTIFIED SURVEY MAPS )(2, VOLUME/6 ,PAGE 19~ 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 treatrnent 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) r 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. UWe, 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: A~ S LL~L_ DATE: S` Z3 - 9 St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S Z c 10 0 . 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 - 1tcyt 1A, \Vt-- Location of property S~ 1/4-5;G7 1/4, Section >4_,T ~N-R 1_j W Township ST A,;- 0Yj Mailing address 2)t,) U J)t N1 N-Q ~ L3n-,..I S DUI-, Address of site 20go ZC~c~ Sfi ew~iL~ 0 ~~t_7 Subdivision name Lot no. / Other homes on property? Yes No Previous owner of property Total size of property ((~,Q k-4~t Total size of parcel Date parcel was created P1G~, `2 4-1 l g Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes \ No Volume __L!1_~ 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 TILE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, wou.1d 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 ff.icc of. the County Register of Deeds as Document No. _ GJa1 a~af 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 a~> Document No. _6 Signature o1_ Appl-I.Cant Co--Applicant_ 5-S' ) Date of Signature Date of Signature • DOCUMENT NO. WARRANTY DEED ¢ RCGERVED FnR RCSnPUiRG o,r, ►~y STATE BAR OF WISCONSIN FORM 2-1982 J~,~ f~CJ!V T';L l.l. 1f; REGISTER`SOcFICE ST. CROIX CO, WI Delbert Etchen, a/k/a Delbert L. Etchen, a/k/a Reed forRmcrd Delbert H. Etchen, and Lynda Etchen, a/k/a Lynda H. APR 3 1995 Etchen., husband and wife, At A. conveys and warrant. ll a one-half interest and 8'00 A ~A I so ....St ven Hall eIl Gary M. Haeen an~ Arlene Hal leen; husband and wife, a one-half interest as tenants in common A0Qt3bro1Dnccs _ . . . ncru- To /Om C) First National Bank _ New Richmond, WI 54017 ...County, the following described real estate in .St. .Croix Nate of Wisconsin: Tax Parcel No u ii SE1/4 of Section 24-31-17. i i i This - y~s.~..y..--y----.. homestead property. (is) WDQ4 Exception to warranties: Easenents, restrictions and rights-of-way of record, if any. a , 19 Dated this _ day of March 95. (SEAL) (SEA1, -De Bert Etchen, 3/k/a Delbert L. Etchen, _ •a/k/a Delbert H. Etchen ...(SEAL) W ~ (SE%Li Lynda H. Etchen, a/k/a Lynda Etchen AUTHENTICATION ACKNOWLEDGMENT Signature(s) Delbert --Etchen,--a,/k,/a- Delbert. L. STATE OF WISCONSIN Etchen, a%k/a Delbert H. Etchen; Lynda H. lgs EtchenI---a/k/a-•Lynda--Etchen-------------•------•••---- ...-County. authenticated this /%'I~.t~sy of------ MarCk1---------- 19.95 Personally came before me this day of , . 19......._ the above named Kristina 6glard . ' TITLE: MEMBER STATE BAR OF WISCONSIN . (If not. authorized by § 706.06, Wis. State.) to me known to he the person wl:o executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY - Kristina 0 land Attornye at Law Notary Public \ County. W+,. (Signatures may be authenticated or acknowledged. Both '.%Iy Commission is permanent. (If not, state expiration are not necessary.) date: 19 'Names or Persons signing in any capacity shouA be aped tv ;,im.J h,l- theft signnn.-, WARRANTY DEED STATE BAR OF WISCONSIN VV,scons-n Legal Blank Co. InC FORM No. 2- Ita3 Mdwaueee.'.N.sZunsin r ST. CROIX COUNTY WISCONSIN 4``t ZONING OFFICE 411 x N N p N u ■ ■1M.b ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 Y _ (715) 386-4680 June 1, 1995 First National Bank of Hudson 15 Davis St. Hammond, WI 54015 Attn: Steve Miller Dear Mr. Miller: An inspection of the recently installed septic system which serves the Steve Haleen property, located in the NW1/4 of the SE1/4 of Section 24, T31N-R17W, Town of Stanton, was conducted on May 31, 1995. This system was designed and installed for a three bedroom home. Enclosed is a copy of the inspection report should you need one. At the time of the 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. Should you have any questions, please feel free to contact this office. Since ely, ~ es K. Thompson, Assistant Zoning Administrator cc: file Y 'Wisconsin 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 Permit Holder's Name: ❑ City ❑ village ❑ Town of: State P HALLEEN, STEVE X CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. I _ Septic 2y G Benchmark to e Dosing $G~ a ~v r i Aeration Bldg. Sewer 92, 30 Holdin St/ Inlet az' 9/, r~ TANK SETBACK INFORMATION St/ fit Outlet 9/, e~l/~ TANKTO P/L WELL BLDG. ventto ROAD Dt Inlet 3b~ r Air Intake 5d SSeptic C' ' 4,4 NA Dt Bottom Dosing NA Headers Aeration NA Dist. Pipe 5.35- Holding Bot. System :5 7 XG, PUMP /St J'INFORMATION Final Grade Sl s/O ~;9, (1-U Manufacturer Deman S~5 Model Number a6 PM ti' 07' O~ % e% TDH Lift pS Friction System TDH ~t oss H Forcemain Length )ia. Dist. To We DSO SOIL ABSORPTION SYSTEM BED /TRENCH Width r length No.Of T enches PIT Of Pits Inside Liquid DeptlT DIMENSION ~ SQ DIMENSIONS LEACHIN anufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM INFORMATION Type Of -p. a CHA R Mode Number: ORONIT System: o~-7E DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe s ) x Hole Size x Hole Spac en ke Length _22 Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Gr Syste nl Depth Over Depth Over xx Depth Of / xx Seeded/ Sodded xx Mu c / o Bed/ TFepekCenter Bed / T.*%j h Edges - c Topsoil ❑ Yes F1 No El Yes ❑ N COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Stanton.24.31.17W- NE, SE, 200th street 0,0 ~V ~~%vr fay' s- C 0 Plan revision required?s [lo Use other side for additional information. FWE - _ . , c. Cert No r 04449 04449 C. 44 44.9 C~ OC~9 C0 0449 0449 C~ 44 d9 Cp 0pb9 e.04V C.vw C-104449 M E S S A G E GOVERNMENT CENTER 1101 CARMICHAEL ROAD HUDSON WI 54016 DATE: TO: FAR NUMBER: ~ NAME: 5f~e FROM: FAX NUMBER: (715) 381-4400 Cro,~c Cm.~~~ NAME: ~,nT NUMBER OF PAGES RKLUDING COVER SM=: 3 IF OOMPLE'TE AND LEGIBLE INFORMATION IS.NOT RECEIVED, PLEASE CONTACT: NAME: '-or A 56t-- TELEPHCNE NUMBER: