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Home My WebLink About016-1076-10-000 i". Q o ~ ° I a 0 e°% eQ o E o ° 0 ~ v I cD o N~ I y O m N o N N z C _ 0 - LL O 7 c 'CS m LL N E a~ U I CO _n ~ N Ln W E z o z d d ° w a m oN') z c o z c y Z v ° o N F- r : z c ° E v 'a 0) ° (U O a 3 N U) ci~ N c c 0 lot: O o z z M z ~ I a N 'O N - N C c O) N E y N N L t6 N m d U CL m c C, tn (D v o G a` a Z5 ° t~ z > o N 3 0 0 O z° •ti c CL CL CL 1 @ 7 O N ~ } N J V c 0) rn O rn 'a o Y M O O O a 04 c O ~ O d co _ I W N f6 M y N I V . U O N C d N LO O 2 04 00 v C~ cam- O c .U. N c 3 .r.- ° ~ O O t#1 O M ~ 213, ° Z < c co • L6 .2 1 I' O O 0 O Co m o M B 2 04 0 z N z fn Z w w v~ d d a 3 Q cl CL 2 a) `~1 A 0(L2 00)00 I ST. CROIX COUNTY WISCONSIN ZONING OFFICE INNflNNN11N rrr~6 ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 November 1, 1994 Mr. Herman Glotfelty N4165 Highway 40 Bruce, Wisconsin 54819 RE: Sanitary Permit for William and Mabel Hoffman Dear Mr. Glotfelty: Enclosed is the original Sanitary Permit for William and Mabel Hoffman. Very sincerel Marilyn aist~~ P 318 721 974 Administrative Secretary Receipt for mz Certified Mail Enclosure No Insurance Coverage Provided 'ED sn es Do not use for International Mail sEw¢E (See Reverse) s"' erman Glot.f_elty Str n f l way 411 P 0 , Tal>i Qeq C Postage $ Certified Fee 1.00 Special Delivery Fee Restricted Delivery Fee Return Receipt Showing tT to Whom & Date Delivered a) Return Receipt Showing to Whom, 1.00 e Date, and Addressee's Address 7 TOTAL Postage C & Fees 0 Postmark or Date E 11/1/94 0 u_ U a `mss c STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ~(l~n. d I " I c✓h f kf 1i / yv w ADDRESS Av e SUBDIVISION / CSM# LOT # /~L' SECTION_ _-2~ T 3ON-RW, Town of G /Pi►, L4-.> ST. CROIX COUNTY, WISCONSIN C> a PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM S INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: S % c, d` S A ~Yl L CSEPTIC TANK CMP C ER / HOLDING TANK INFORMATION 'J Manufacturer: QaAt-Liquid Capacity: Setback from: Well *'c)-S House Other Pump: Manufacturer -2,e-II e Model# -zSR> Size 1~3 Float seperation ►I , r `t_ Gallons/cycle: cl-; - Alarm Location 111 SOIL ABSORPTION SYSTEM Width: .J r Length c-;ID' Numbc- r of trenches Distance & Direction to nearest prop. line: > Setback from: well 0' House~> c Other 14. ~~0 T ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet PC bottom Pump Off Reader/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: f4/ PLUMBER ON JOB: p LICENSE NUMBER: INSPECTOR: 3/93:jt BRUCE PUMP & TRENCHING, INC. N4165 Hwy. 40 BRUCE, WISCONSIN 54819 Herman Glotfelty Y~ 868-5225 MP - 4423 Clarence Glotfelty 868-5831 CST - 611 ' f 7, y. sT Cl?v/X c 7v z ONIN6 /'O j ~ le ycu'~ vin f ~1 o d~~✓~ C--- /V,6 Sew. 3? 2 720 IV dRd X c ltz" + r7 /9-7 CZ-~ D eV rn S 9y. 3 s' y q, 2> 1' ~e c~ ga /x) 43 L)i a-~ Ft)rLe- I~1 a~ h ~ic?~ lp Wisconsin pepartmentof Industry, PRIVATE SEWAGE SYSTEM County: Laber.an man Relations INSPECTION REPORT ST. CROIX Safety`end ~ildifigs Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State Pla HOFFMAN, WILLIAM & MABEL X CST BM Elev.: Insp. BM Elev.: BMp/esc7ription: Parcel Tax No.: ~!d A9490390 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing s ~ 7Sv /D67, Aeration Bldg. Sewer /1 7Y C1/ Holding St/Ht Inlet TANK SETBACK INFORMATION St / Ht Outlet Verit TANK TO PI L WELL BLDG. Airito ntake ROAD Dt Inlet ir Septic NA Dt Bottom 971X Dosing NA Header / Man. 7.1 z 9s.a s Aeration NA Dist. Pipe is Holding Bot. System -7-17 9 -7 qv;3~ PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number i GPM TDH Lift, Friction,.., System Lose, 'd TDH'flie Ft Forcemain Length 13St Di a. a ` Dist. To Well ya SOIL ABSORPTION SYSTEM BED/TRENCH Width I Length No.Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 7/10 Ib DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE / STREAM LEACHING Manufacturer: SETBACK INFORMATION Typeo CHAMBER Model Numer: 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 I] Yes No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) ~L LOCATION: Glenwood.35.30.15W, NE, NE, 130th Avenue V -,4 , T1 l0 C Plan revision required? ❑ Yes No Use other side for additional information. ~ft j~j b f SBD-6710 (R 05/91) Date Inspector's Signature Cert No. r- ADDITIONAL COMMENTS AND SKETCH i J l SANITARY PERMIT NUMBER: t Safety and Buildings Division ' ►ii~ : 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. y ° • See reverse side for instructions for completing this application State Sanitary Permit Number ~I boo The information you provide may be used by other government agency programs ❑ Check if revision to prev us application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION N. A. Propert Y Ow r Name Property Location 1/4 C-- 1/4, S 5 T 3 , N, R Cs ar) W ) • d,& of fiE !Wd ' P Property Owner's Mailing Address, Lot Number Block Number U v Cit State Zip Code Phone Number Subdivision Name or CSM Number G~ (7/9 &5453 - 11. TYPE OF BUIL I G: (check one) ❑ State Owned Nearest Road ❑ 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~Nulm~bber(s) 1 ❑ Apartment/ Condo N, ' r' r v ` -10-7 60 r 0 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 OnlyExisting 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 ER 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.) Proposed (sq. ft.) (Galslday/sq. ft.) (Min./inch) EI vation ® 0, 1056 e c 2~ Feet 'f'7- C Feet VII. TANK Capacity INFORMATION in gallons Total # of Manufacturer's Name Prefab. Site Fiber- Plastic Exper. New Existin Gallons Tanks Concrete Con- strutted Steel glass App. Tanks Tanks Septic Tank or ink Q 0 j A!`,iJwu re- ,3 ER ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Sipkww~Ftember VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber' Signature: ( o S mps) PRSW No.: Business Phone Number: Plumber'; Address (Street, City, State, Zip C e): l J Go-; C- C-~ r- $ IX. COUNTY /DEPARTME USE ONLY ❑ Disapproved Sanitary P@rmit Fee (Includes Groundwater Date Issue Issuing Agent SignatuI;k (No Stamps) Approved 9 Surcharge Fee) f I ❑ Owner Given Initial 10-31-qv Adverse Determination l 9&Uj X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to County, One copy To: Safety & Ruilaings 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 lire B if permit is for tank replacement, re(onnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all informatioi requested for numbers 1 through 7. Vil. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, numb=r 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 exper men?~:i product approval from DILHR. VIIL Responsibility statement. Installing plumber is to fill in name, license number v:ith 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. Cu ete plans ar•r c _ ~Ic.it!ons not smailerth -n 8 1i2 x 11 ir, r s' nty. The p'sr must i~ iri(,de the fol lovv4Y'; ji-awn to of r,/ith con, u « Cj~ at (,i ding tank(s), seolic b , ;r'inp it , wat°r rnair3 punip or siphon 0 tr - r}UL, I.,,orptlon , k)ceme1ll1.yS1t')1 J ( l; Ccl' the building served; C _ ,~3ll01' •etE='F' t,% CC,-'ieS)E'.Cllii:._Illy Jr ,pl.'Tlr)`.a. - c, r7;.rols; NoseVOiUI"`e; ~ _'JOn rcnce`, ;;.lo-) loss t.~.. _ urVe; pUrnp r'io,,Pi lr'+.. >'JnlFi r ldr"t.f... Pr; 'L7) cross section v s o1. u sorption system i regUi. Li soil >iziriy information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges ((ees) for a number w reculateci praictiCiS which can - - effect groundwater. The monies collected through these surcharges are used for monitoring groundwater containlratloo investigations and establishment of standards. i i Ae, 3 i , : { t .........................t . i. I tl i_. • i i ............r L IgAgo 4, IcIp- i x.... ; , C,4af.( „ p i... l9 i Y . ; , ' F E [ i . i i i... p... ` _ F i i Z. .E t....... r : ( i i i i i i v.... bn :............i.......... A r... L.a. i : i i i i , I i F ._F a.........: i : I ' i i 3 ~Wl~ IG.s I w I f a i ...i... I e........ ; i... ; r i~ 3 0 ' 7...;.......T..:. s s. ~ 9 ► 3 . i.,.. C~Hnee-~d. on en... c.~r►r►~} K j.... Op ~ i.... d : ............r........... ...........s....... I i .i. : ~ is ' i.. 1 , :............:............r........................_;.......... i H i4 Mlo y k, .........................f.... ............y........... j r L .51 of : C~rytl i ' i . t t S ' Q. i Se4 ..f'4:..' ..........n_ . P A4- ell t ' i i 101 i ' i ~ ii i / i i ' 014 Pl f I BRUCE PUMP & TRENCHING, INC. Cdr lai /~~1 N4165 Hwy. 40 dye-. Cifj4Z~'~a C1fi ,1f~3 BRUCE, WISCONSIN 54819 - ' . Herman Glotfelty Clarence Glotfelty 1 s _ s~ _ 868-5225 MP -44 868-5831 CST -611 ) N E V NO /y s z~ 3S ON ,R PSO e ' "J tom. S t + f'O' s 4 1 HEAD/CAPACITY CURVE C~ EFFLUENT & DEWATERING TOTAL DYNAIMICHEADICAPACITYPERMINUTE 6J4i6 SE 1E9 105 -1 1e6 as ,6e tee .71 < % S#SLk A QAL I 1T- TP -AAL -1- OAL_;_~TR - - TR - - lOS 6 1JA 43 1W 72 V3 IN M 108 40f 61 23f 61 931'' 6e 220 _ fe6 687 166 607 10' 306 34 2t- It 231 71 WO 100 3?0 fli 231 81 231 sa 720 14e ...660_. ,61 677. 100 _ 16 *67 12 72 46 61 242 91 e0 e0 5e 220 142 6J1 145 540" -Sill 37 - - Lte~S16 140~_6J0 95-. 28 29 Ify 97 ~19 I" I 90- 30 914 56 2m --Ell "0 1 00 Wo 26 . e5 75 263 58 220 11 106 J07 114 4111 do U46 129 61 4i~; - ~I°6 h, 2111 6e 00 _111 100 `J)'Y 97' 43 -All. 2~ eD- 71 24N' ee 7s-- 70 1911y f~'.. 11 Jo i.V J'.' 1o 62 7 61 10J 70 lea 22 - lee go 124M 14 _ r --0 2e _tM - 0-- Y 54 ~-V- - - 90 2133 32 11.7 2._ a J7 14A zo E5_.. - - - _ _ 1e 68 _ `21_-- t65 110 7 26 e _ 30 18.25' 23' 2e' 64' 66 e7' 73' 116' 01' 112' 16- 55 163 WARNING: Model 185 should not be subjected to less 50 than 30 feet TDH. 45 _ NOTE: For Head Capacity on Model 112, Industrial 14 - iz- 40column-explosion proof pump, see FM0219. - - le5 35- 30- -35 - - - - - - O ea 0TZ7 ` tee 0- - - - MAIL TO: P.O. BOX 16347 • Louisville, KY 40256-0347 SHIP TO: 3280 Old Millers Lane • Louisville, KY 40216 _ ' '.3' 139 0 (502) 778-2731 • FAX (502) 774-3624 5559 V.S. GALLONS t0 201,30 40 50 60 70 801 90 t001,+0 170,130 t40 t5016U 160 246 - 320 400 460 560 6,0 0 ScprlC_ TAB, C 65 5&;✓T/DN AN/ , ~P 19/G47 16,VS _ ND S.CA~ . 4" C, I. PIPE u'/ AppRDVm 1lVSPEC-TIOrI _ --_,__i-MUND LEVEL PLUG s APPROVED I 7 n MArvI1OL6 IR1S61~wCOVER RPPROYEIJ ` 4 i WhTERTITt: w~ ,41=1~ROVED 'j_y" NEOPRL'f~jC NEOPR~N~.. 24 GASKETS i LA•BIN GASKET 1, 1 i1 4" C.I, PIPE p 3' BFZ: ON'Q W6. p) p J ` q" EXCAYATGON '5 BMND EXCAVATION , 1 BAFFLC°s Or Aryl'1ZOVCr~ GRADIENT OF SEWER GRAIL ENT OF S&'J ER yti" PER ;--;OCT I/y' PER FOOT MATERIiAL.S I f ov, re- e-0.4 ,LL L CTDK(35 SANAD-R- 4 k T 30 a GRAV15t. w S` 6N;:S or 1 1 (N\~ J I WJ1?TH: ' SAND BEDDING MATERIAL PAGc 0' ii, PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ' VENT CAP 4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING ff 75 JUNCTION BOX MANHOLE COVER ~ 25' FROM DOOR,. WINDOW OR FRESH I1"MIU. .AIR INTAKE, I GRADE I y" MtIJ, 41, 18" MIU.~ COUDUIT PROVIDE I INLET AIRTIGHT SEAL I i i I I I APPROVED JOINT A I III APPROVED J011, W/ C.'I. PIPE I III W/Ca. PIPE EXTENDIMG 3' I I ALARM EXTEUDIUG 3 OWTO SOLID SOIL I II B ONTO SOLD SC I I ON c r I _._ELEV. S,S FT PUMP-~ OFF y D CONCRETE BLOCK RISER EXIT PERMITTED ONLY IF TANK .MANUFACTURER HAS SUCH APPROVAL SEPTIC E SPEC.IFICATIOUS DOSE M"CU-j NUMBER OF DOSES: PER DA-9 TANKS MANUFACTURER: TAIJK SIZE: 7fS 0 GALLONS DOSE VOLUME -1 S -":S ))NICLUDIMG ACKFLOW' C-AIAON'. ALARM MANUFACTURER: C(,DD 3) + 135 . II~aI~ ~.00 + D.a • ly MODEL MUMBER' y I CAPACITIES: A=•al• INCHES OR 'I/ ,Z GALLON: SWITCH TYPE: VV\ClrG 19 .5 5A'I f 14 B = Lo INCHES OR GALLOI,.I° PUMP MANUFACTURER: Zoe-l r-= 11° INCHES OR GALI_OUE MODEL NUMBER: ~o L T I D= 9'0 INCHES OR 7f o GALL01J. SWITCH TJPE: C Wr clo0'01 NOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE 'GPM INSTALLED ON SFPARATE CIRCUITS VERTICAL DIFFERENCE 6ETWEEN PUMP OFF AND 015TRIBUTION PIPE.. 5"8 FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . , . . . . ATS FEET + FEET OF FORCE MAIN X a'QS FYo,,FRICTION FACTOR.. 9-6 FEET TOTAL D IQAMIC HEAD = FEE1' h (.1 l7 INTERNAL DIMEWSIONS OF TANK: LENGTH (P'~ ;WIDTH (0°0 ;LIQUID DEPTH 38a~- SIG NED:~ LICENSE IJUMBER: / nATF Ww4ensin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor i a Human Relations Dkisidjor>afssty & 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 rpot limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # fl?mensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: Mr. Bill Hoffman °~~~til N,R 15 XIC(a) W PROPERTY OWNER'S MAILING ADDRESS laoth Aye. CITY, STATE' ZIP CODE PHONE NUMBER T ROAD Glenwood City, WT 54013 (71E) 265-45 tit Ave. J New Construction Use Residential / Number of bedroor (~1 ing_ N. A. [Replacement [ ] Public or commercial describe L Code derived daily flow 600 gpd Recoi r, each, gpd/ft? Absorption area rernliri t1op y,d q2 /D13G ~h~ 2 Lnu::- I\~{//1ct , /I.'. be, ft F to vh' gxlvf ? Recommended infiltration surface elevation(s) _ Pim p~c, q# ' _P (as reterreu tu Additional design / site considerations m~ 51X 70~ ,~tpc~ Parent material N. A. Flood plain elevation, if applicable N• ft S =Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U- Unsuitable fors stem M11 U EYS ❑ U MZ ❑ U xI S❑ U xMS o u ❑ S UU SOIL DESVIiEPTION REPORT Boring # Horizon Depth Dominant Color Motf -a g Textur3 Structure Consistence Bwncl3y Roots GPD/ft in. Munsell Qu. Sz. Cont. i.'' Ior Gr. Sh. Bed tench A0 Yf -19/ Ground o elev. &A - o 7S Yf Wr Depth to limiting factor Remarks: Boring # 1 0-13 0 abk mr a~ , a 1/7 r 2 /3-3 0 ja a6 f11T~ S' 011 45 i at Ground u elev. ~z~ add QI b 1 Depth to - limiting- 8 ~,5 -5~ 71.,1 o B,. i Remarks: ' T Name _Please Print / Phone: or , /J 6 O'l zaax 14 work Address: Signature: Date: N . G's'~/h ~CST .ZC~ %9 7 PROPERTY OWNER SOIL DESDRIPTkON REPORT Pagi a s. PARCEL I.D. Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BaxibN Roots GPD/ft in. Munsell Quu. Sz. Cont. Color Gr. Sz. Sh. Q rends g9, A J -m 6k / -f 1' d6, 1. D /0 nik 0S 0,( Ground ° ~e,lev bK -mfr i 5epth t0 4-& 75 facto.' E , f Remarks: Boring # rMi Ground elev. ft. Depth to limiting factor Remarks: Boring # i gad "~6~ &11 -.4 V7*16 ule/t~ Ground _ elev. ft. _ Depth t.7 - - - 6mitirg p boor 4P.. s Remarks: Boring # Ground - elev. Depth to ~~ting (a°ADr Remarks: S0-2: 30(R.06rv2) l ~ r Page 3 Of 3 Bowman Plumbing, Inc. Master Plumber No. 5875 N 2819 Knapp Street Menomonie, WI 54751 (715) 235-4634 FAX (715) 235-3650 SOIL AND SITE EVAUTATION REPORT Bill Hoffman NW4NW4S35T30N/R15W Town of Glenwood t Site arena t. Cro ix renter `county , - N»: han 5ft. from lot_i_lines 1A (Z' or tta arrabee STM 3719 ~r< 2- 20~ v .J ~Y1 Ot='' - 9t v LEGEND J J BM: 100.1 top of con Crete sl,p, ~o by corner of garage, Borings dug with bac hoe` 0-borings Scale 111-40' C Proposed site area meets the required setbacks of ILHR 83 WrL fo- C? V_ - U J Wis^ansinDepartmentofIndus SOIL AND SITE EVALUATIO REPORT` -c~,Page 1 of 3 abo( &1d Human Relations Uiv n M 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 LOC Mr. Bill H f f man GOVT. LOT . NW 1/4 N:W 1 35 T 30 N,R 15 XR(or) W PROPERTY OWNER':S MAI ING ADDRESS LOT # BL SUED. N OE OR CSM # CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE )f0 N NEAREST ROAD Glenwood City, WI 54013 (715 265-4539 1 130th Ave. [ New Construction Use Residential / Number of bedrooms four j Addition to existing building N. A. jX Replacement [ ] ublic or commercial describe _ Code derived daily flow 600 gpd Recommended design loading rat 5 bed, gpdfft2~_trench, gpd/ft2 Absorption area required /,4-) o bed, ft2 00 trench, ft2 Maximum design loading to -.0.5 bed, gpd/ft2 0, 6 trench, gpd/ft2 Recommended infiltration surface elevation(s) _ V' ~ -3 It ( efer red to site plan benchmark) - 2~i2cQa Additional design / site considerations O ~ ~m c L11411 21 AME,- Parent material N. A. FI plain elevation, if applicable N. ft S = Suitable for system CONVENTIONAL M D IN-GROUND ESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem Ins ❑ U M❑ U MS U )m S❑ U )US ❑ U ❑ S 13U SOIL ESCRIPT N REPORT Boring # Horizon Depth Dominant Color M&'~ / Textur3 Structure Consistence &xrdwy Roots GPD/ft in. Munsell Qu. Sz. Col Grr . Sh. Bed rertdl r<, ' /0 y 3 V / a Xh- M/ 1 Z D it Ground elev. y3 ft. d -M c Wr S~~ 6 Depth to limiting \factor„ 5 Y/' 77 A _M4^ - - 47 's s~ a Remarks: Boring # > n -mrr a a ' 3 10-13 /0.W L W 19. 113 11124, '10 IF Ground E elev. 'i 416 17d. ud k r 1 'S Depth to t , 7 limiting 75 K 3'G n 13l ~Iq fact Remarks, T Name:-Please Print f yJ RA j E Phone: _Xor Address. - work ~b / y ~ G' X10 Jy7 DYt,CCL ~,c ~ _~"~'~l• . Signature: Date: CST Num§ej (23 rm PROPERTY OWNER ~~~✓.9ri SOIL DESCRIPTION REPORT Page of PARCEL I.D. Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouxxiary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed rends r15-2~1 D )16 ~r c j Ground It 2,1-_y6 7 1 4, 11 5epth to 4. .miting factor + Remarks: Boring # Ground elev. fL Depth to imifing factor Remarks: Boring # Zia 7,31 / Ground elev. ft Depth to limiting factor D . h + Remarks: Boring # Ground elev. ft. Depth to ~ m~ Remarks: S63-3:.30(R.05/92) i y Y Page 3 Of 3 Bowman Plumbing, Inc. Al Master Plumber No. 5875 Iv 2819 Knapp Street Menomonie, WI 54751 (715) 235-4634 FAX (715) 235-3650 SOIL AND SITE EVALUATION REPORT Bill Hoffman NW4NW4S35T30N/R15W Town of Glenwood Site area greater Et. Croix county r-)_ '_1han 5ft. from lot :.lines L~R11 ~ ~`~1~ _ 1 or tta arrabee STM 3719 ° v 0z--~-- v ~(l~w q 1~ n c. LEGEND BM: 100.' top of concrete sl by corner of garage 4 ® - Borings dug with bac hoe r-) - 0-borings> Scale 1"-40' Proposed site area meets the required setbacks of ILHR 83 ar Department Industry, L SOIL AND SITE EVALUATION REPORT Page -1 of 3 Labor and d HuSnan Relations t5 DKA-w*n bF<satety & Btnldings 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 riot 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 Mr. Bill Hoffman GOVT. LOT NW 1/4 MT 1/4,S 35 T 30 N,R 15 XR(or)W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # 31a3 130th Ave. N.A. IN.A. I N.A. CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE )UOWN NEAREST ROAD Glenwood City, WI 54013 (715 265-4539 Glenwood 130th Ave. [ J New Construction Use Residential / Number of bedrooms four [ J Addition to existing building N. A. [Replacement Public or commercial describe N. A. Code derived daily flow 600 gpd Recommended design loading rate 5 bed, gpd,,ft2~~trench, gpd/ft2 Absorption area required / o 0 bed, ft2 00trench, ft2 Maximum design loading rate I~, 5 bed, gpd/ft2 ~trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design /site considerations iLc,,grn,m,x t--c-,; - j~2pzmcuo .5/,r /O/ ,%,«L, is cr/ - 4~yccQ¢-, A449c- Parent material _ N.A. 0,& Flood plain elevation, if applicable N.9. C/ .ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT•GRADE SYSTEM IN FILL HOLDING TANK U =Unsuitable fors stem ❑ U 6'XS ❑ U ❑ U ( I ❑ U )OS ❑ U ❑ S 13U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Grp . Sh. Bed ft 6 /0 Ye 3 ! L a Doi" z o/ f r s or 6 Ground elev. ,9 o c t77- r S~ 5 6 Depth to J, J4 limiting r factor 7719 Remarks: Boring # i 1t Y6 "'A14 C3 Ground elev. "7 Depth to^ , lft~mltng ! ~f 8 715 2 f) n "4 s 7 p u-G c n C 1 Remarks: T Name:-Please Print ZDza 114 RAh -c Phone: 5 i Address: - work / Signature: Date: CST Nam§efr 0: l-A PROPERTY OWNER ~ SOIL DESCRIPTION REPORT Page. o(,; PARCEL I.D. ! Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BoundEry Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trends -f 1 0-6 IS--2 D Y Ground elev. 5epth t0 -r- -0a - to wmiting i facto! ZtzLe* Remarks: Boring # Ground elev. tt Depth to limiting factor Remarks: Boring # , 713 ' C17- *16 Ground elev. ft Depth to limiting (actor 1 72 Remarks: Boring # Ground elev. R. Depth to niting raator Remarks: S6,1-3-30(R.05/92) Page 3 Of 3 Bowman Plumbing, Inc. Al Master Plumber No. 5875 \ 2819 Knapp Street Menomonie, WI 54751 (715) 235-4634 FAX (715) 235-3650 SOIL AND SITE EVALUATION REPORT Bill Hoffman NW4NW4S35T30N/R15W Town of Glenwood Site area greater St. Croix county an 5ft. from lot-lines rc - 5 A 2C- . 0or arrabee STM 3719 <,~o4A&42 -crQ o~ - off--- LEGEND BM: 100.' top of concrete sl by corner of garage Borings dug with bac hoe" 0-borings Scale 1"-40' Proposed site area meets the required setbacks of ILHR 83 I i 1w ♦ ~ ST. CROIX COUNTY WISCONSIN ZONING OFFICE I x x ion x r~r~6 ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 October 24, 1994 Loretta A. Larrabee, CST 3719 2819 Knapp Street Menomonie, WI 54751 Dear Loretta: This office is in receipt of a soil and site evaluation report that you prepared for Bill Hoffman, Town of Glenwood, St. Croix County. A sanitary permit has been applied for by Herman Glotfelty of Bruce, Wisconsin, and Mr. Glotfelty has indicated that the legal description on your report, as well as the North arrow, is incorrect. I am returning the report to you for verification on these two items. Please return to this office as soon as possible, as the sanitary report will not be issued until verification from you is received. If you have any questions, please contact me. Sincerely, v Mary X. Jenkins Assistant Zoning Administrator Enclosure cc: Bill Hoffman Herman Glotfelt File JA r ST. CROIX COUNTY WISCONSIN ` ZONING OFFICE N N NN 11 r N n - Morieb ST. CROIX COUNTY GOVERNMENT CENTER _ 1101 Carmichael Road g-_ - r - ' Hudson, WI 54016-7710 (715) 386-4680 October 24, 1994 Herman Glotfelty N4165 Hwy. 40 Bruce, WI 54819 Dear Mr. Glotfelty: I am enclosing a copy of the letter sent to CST Lorretta Larrabee, regarding verification of the legal description and the directional arrow on the soil evaluation she conducted for Bill Hoffman, Town of Glenwood, St. Croix County. Please note that the sanitary permit will not be issued until we have the revised report from her. I am returning the two county forms, the STC-100 and the STC-105 to you for completion. Mrs. Hoffman signed them, however failed to provide the required information. Please send the completed forms back to this office. When the revised soil report, and the STC-100 & 105 are received, the sanitary permit will be reviewed for issuance. It is the policy of this office to only issue permits to the plumbers, so the permit card will be mailed to you. Should you have any questions, please contact me. Sincerely, Mary J. Jenkins Assistant Zoning Administrator Enclosure (3) cc: Bill Hoffman File 3 x`30 ~~37 NE COR. SEC. 35 522A-10 834/334 AVENUE I \ I NE 1/4-NE 1/4 i I 522A 834/334 949.29' co 522B 809/121 co ~ I M ~ tp 966.35' I I I SE 1/4-NE 1/4 525 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix CouJnty 1 tJ ° 11'11 C~ ~Y O WNERJB~t U M4,-r~ / 9 0 MAILING ADDRESS g r' 3 C7 -14", A-Ve 6l~'iV WC)C)j ! y t 01 S_V013 PROPERTY ADDRESS (location of se (system) Please obtain from the Planning Dept. CITY/STATE ~'em LA-) a Cad C i lJ~ PROPERTY LOCATION / V 1/4, / 1,~ 1/4, Section 3 T 30 N-R W TOWN OF Ie,/V" L,a DC-f ST. CROIX COUNTY, WI SUBDIVISION AJ A LOT NUMBER CERTIFIED SURVEY MAP_ rN , VOLUME? 'PAGE , LOT NUMI3ER 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: ~~1 c W at~t U DATE: 941 St. Croix County Zoning Office j - Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S T C - 100 ,IS K 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 Location of property/ C 1/4IY6 1/4, Section T 3C~ N-R_I_-i_W Township r-31e.,LUJe>C j Mailing address 3 8 3 1~>[)-0,4 v,2_ 61e/y, W 0)J yj ' Ya S Address of site 3 c- 3 8 3 Subdivision name Ly , Lot no. /V. . Other homes on property? Yes No Previous owner of property?aS-a- Total size of property G1~5 5 • 1,56 Total size of parcel . 160 Date parcel was created Are all corners and lot lines identifiable? _ Yes No Is this property being developed for (spec house)? Yes X 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. 4 3~( , 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. 144 Signature of App ant 06-Applicant Date of Signature Date of Signature Sax ,I a THIS sr„c_ RESEHVEO FOR R&COTDI}i6 OAT^ I~ r- OOLUM`.I`iT NO. STITF BAIL OF WISCONSIN FOR l 2 1ry> I~ a 4f, R'ZiSTER'S OFFICE i! , ST. CROIX C4,, W1 i • First National Bank of Glenwood, Rec'd for Record •a U.S.•-C6r'pbration 2 8 - - APR 1988 - : - co at 8:30 A M r nv w a rrai;ts to ...-...-.William C. Hoffman and - : Meaybs eland.R, .Hoffma n arld..a(l..__Wi.fe as ..urvtvorsiii i' ...an-- p Marl.:.al..•Property • _ i 11~ 30+ D lrld................. _t' 1 First Na Bank ~ y . RETURN To 204 E. Oak Street P,. 144 David. W. Hoffman and Theresa Hoffman, Glenwood City, WI 54013 4 Husband. and Wi-fz_ as-_Su_rv)yorshl M<<rital: Pro ert P P Y - - "A - the following described real estate in ..--...St: Croix County, -F State of Wisconsin: Tax Parcel No: 016-1076-10 I~T6-1076-~0•..---- The Northwest 1/4 of the Northeast 1/4 of Section 35, Township 30 North, Range 15 West, Town of Glenwood, St. Croix County, Wisconsin, lying south of "130th Avenue", and the Northeast 1/4 of the Northeast 1/4 of said Section 35, lying south of "130th Avenue", less the following described parcel: Commencing at the Southeast corner of the Northeast 1/4 of said Northeast 1/4, with said point of commencement also being the point of beginning of this description; Thence S 89°54105" W, along the south line of said Northeast 1/4 of the Northeast 1/4, a distance of 966.35 feet; Thence N 03°05'01" E, a distance of 268.28 feet; Thence S 89°49'53" E, a distance of 949.29 feet to a point on the east i' line of the aforementioned Northeast 1/4 of the Northeast 1/4; Thence S 00°34'17" E, along said east line, a distance of 263.45 feet to the point of beginning. i~ i is homestead 1 RANa7FLri+<.>, This - _ Property. A (is) (is not) Exception to warranties: FEE a- 19. . _ Dated this - 27th . day of . Apr-~ 8g .(SEAL) ..1. CIr~ (SEAL) Warren A. Oskey, SV_P - . . (SEAL) ------...(SEAL) • Jof~. Larson, VP AUTHENTICATION ACKNOWLEDGMENT I' Signature(s) STATE OF WISCONSIN St. Croix ss. z ------------County. 27th authenticated this day of_ 19 Personally carne before me this . ay o the :,hove named - -•--A prl---------------- 19 88_. TITLE: bfE,13BEI: STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) $ to me known tr'be '-h p?fsoa why executed the foregoing ins'.rumesrf•and acR- wwlclge the same. THIS INSTRUMENT WAS DRAFTED BY Warren A. Oskey J~ LaVcvn u Glenwood City Wisconsini x Notary P.,hli. y~ County, Wis (Signatures may be authenticated or acknowledged. Moth My Comn„ n,•y,,<K ~►+ra}4s Knt.tI: not, state expiration i are not necessary.) date: r, 19 a"_'-~' •Namea of pr-eras si;NINE in any capsc42y shot+lu' be !yD?'1 or printed hrlnw is?ir a.gnu:u- ,ry STATU, BAR OF WISCONSIN FORM No. I 14' 2 Stock No. 13007 1iCa?a?ar:.c, ga - ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road ' - ® Hudson, WI 54016-7710 (715) 386-4680 November 17, 1994 Mr. Clarence Glotfelty Bruce Pump & Trenching, Inc. N4165 Highway 40 Bruce, Wisconsin 54819 RE: STC - 104 for William and Mabel Hoffman Dear Mr. Glotfelty: Per your recent request, enclosed is a copy of the STC - 104, As Built Sanitary System Report, for William and Mabel Hoffman. If there is anything else that you need, please do not hesitate in contacting me. V ry sincere y, Mary erikins Assistant Zoning Administrator mz Enclosure I t/fir--tip (