HomeMy WebLinkAbout020-1177-30-000
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER I /h e•"L" e i'f -e r
ADDRESS IJ
/`7`G.C. Q/t Cn~'1 CAL. ~ y4J ~
SUBDIVISION CSM#_ ral r /
/ rt l- r ~ S , LOT #
SECTION a-F T a% N-RAW, Town of
ST. CROIX COUNTY, WISCONSIN ~~YJ
PLAN VIEW /
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
/ EklS GcJ.~ ~
~ S Fiorrrot LQ~ct wY" fti
a 7{rPr1wS JX~.CS/4,4-
'0 I ~
DR 6 Kd INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
BENCHMARK: O d //GY! < ~C J` /1.~ Ly~ ~Urr+~r
ALTERNATE BM•
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: Meeks C Liquid Capacity:
Setback from: Well House a 8' Other
Pump: Manufacturer 44 Model# Size
Float seperation Gallons/cycle:
Alarm Location
-:SOIL ABSORPTION SYSTEM
Width: S Length Number of trenches
Distance & Direction to nearest prop. line:
Setback from: well: House -17"(,'l Other
ELEVATIONS
Building Sewer ST Inlet. ST outlet
PC inlet PC bottom Pump Off
Header/Manifold Bottom of system
Existing Grade Final grade
DATE OF INSTALLATION:
PLUMBER ON JOB:
<e
LICENSE NUMBER: ~f~s 3 Z Z`/
INSPECTOR:
3/93:jt
{ + 's l dar € vst~ . 29.19W, &XjtS~Ai&JSyj~JW Road county:
Labor and Hu man Relations INSPECTION REPORT
Safety and Buildings Division ST. CROIX
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION 208979
Permit Holder's Name: ❑ City ❑ Village R Town of: State Plan ID No.: TT-T. ZL lHudson
M v.: Insp. BM Elev.: BM Description: Parcel Tax No-:
TANK INFORMATION ELEVATION DATA A940010.2 ~~OS
TYPE MANUFACTURER CAPACITY STATION BS HI FS EL V.
Septic S CG/)C_ Benchmark 6v
Dosi n~ 0?2 r
Aeration Bldg. Sewer
Holding St/ Inlet
TANK SETBACK INFORMATION St/ ¢ Outlet
TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
NA Dt Bottom
Septic
Dosing v-«--GoLc NA Header.
Cu,. 69
Aeration Dist. Pipe p,5
~i
Hol Bot. System
PUMP/ SIPHON INFORMATION Final Gradep
Cl-
Ma Demand ~ (o~S
Model Number
a~~° t SCE SAS d 7
TDH Lift Friction yste H Ft
Flea
Forcemain Length Dia. 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 LEACHI Manufacture
SETBACK J r CHAMBER ode/ Number:
INFORMATION Type O o.~ ,,J: _50'r~- V7
System:~c r
DISTRIBUTION SYSTEM
Header/Manifold ~r Distribution Pipe(s) ii x Hole Size x Hole Spacing Vent To Air Intake
Length Dia- Length 57 Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Sys O
Depth Over Depth Over xx Depth Of xx S/ Sodded
Bed rench Center/v' .-d rench Edges s~ Topsoil [I Yes E] No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION; Hudson.2 .2.9.19 MA NE Lot 13 A1dr Road ,E
f
J
Plan revision required? ❑ Yes D-ND
J
Use other side for additional information.. /
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No
SANITARY PERMIT APPLICATION
(~MILHR In accord with ILHR 83.05, Wis. Adm. Code Cou
!7 ''f
STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than Q69,979
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.
PROPERTY OWNER , P PERTY LOCATION
1Ajft2 dg I let- C- Y. Af6'/a, S o~ 8 T Zf, N, R (o
PROPERTY OWNER'S MA14i/~~ ADDRESS , LOT # BLOCK # ,
CITY, S ATE '~vJ ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER ~(1/
L:I II. TYPE OF BUILDING: Check one) CITY NEARE T ROAD
( ❑ State Owned VILLAGE : , al /~D )
4L 0W W: 4~
A NUMBER(b)
❑ Public N 1 or 2 Fam. Dwelling-#f of bedrooms ~
111. BUILDING USE: (If building type is public, check all that apply)
X20 ~(!7~- 30
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
30 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 in line A. Check line B if applicable)
A) 1. ~ 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 ❑ 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
q150 I ~0 41N 5 b4nF-0 .75 Z Feet A01, 7 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 16'a ue-a- I;m F-1 -J:Li F1 1
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.
Plumber's Name (Print): Plumber's Signature: (No Sta ps) MP/MPRSW No.: Business Phone Number:
&!ftw 3 zZ 77 z -3z~
Plumber's ,Address (Street, City, State, Zip Cc
Z .215 Lt !i't L.cJ/~5 `7 ~6 Z
,3/ 7
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater a e ssue Issuing Agent '
Approved ❑ Owner Given Initial, !surcharge Fee) -5- 511 C
Adverse Determination f
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
o
1. A sanitary permit is valid for two (2) years.
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 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 & 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 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 .5% 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; close 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 ana'establishment of standards.
SBD-6398 (R.11/88)
JOB GJ , J/, a w- A-le 11r k
0. TIMM EXCAVATING SHEET No. 1 of 2
Route 1 Box 192 7
WILSON, WISCONSIN 54027 CALCULATED BY DATE
(715) 772-3214 (715) 386-5443
MPRS #3224 WI MPCA #696 MN CHECKED BY DATE
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PRODUCT 205-1®Inc., Groton, Mass, 01471. To Order PHONE TOLL FREE 1-BOU225-M
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JOB
_ TIMM EXCAVATING
2
Route 1 Box 192 SHEET NO. OF
WILSON, WISCONSIN 54027 CALCULATED BY DATE
(715) 772-3214 (715) 386-5443
MPRS #3224 WI MPCA #696 MN CHECKED BY DATE
SCALE
.
PRODUCT 205-1 ~ Ina, Grotoo,Mass. 01471. To Order PHONE TOLL FREE "00-225-6W
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3
Labor and Human Relations
Division olSafety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
el" I -A .1 St. Croix
Attach complete site plan on paper not less than 81/2 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
William Heller GOVT. LOT SE 1/4 NE 1/4,S 28 T 29 N,R 19 VXM W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
784 Aldro Road 13 - Cedar Hills Estates
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OWN NEAREST ROAD
Hudson, WI 54016 (715) 386-7541 Hudson Aldro Road
(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 • 65 bed, gpd/ft2 .75 trench, gpd/ft2
Absorption area required 693 bed, ft2 600 trench, ft2 Maximum design loading rate .7 bed, gpd/ft2 .8 trench, gpd/ft2
Recommended infiltration surface elevation(s) 98.2 ft (as referred to site plan benchmark)
Additional design/ site considerations install 9 - 51 x An, tranchPa
Parent material sandy 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=Unsuitablefors stem E3S ❑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 Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
1 0-15 10YR 2/1 - 1 2 m cr mvfr cs 2f .5 .6
2 15-19 7.5YR 3/2 - sil 1 m sbk mvfr gs if .2 .3
Ground 3 19-31 7.5YR 3/3 - sl 2 m sbk mvfr gs if .5 .6
elev.
102.1ft. 4 31-44 7.5YR 4/4 - s 0 s ml s if .7 .8
Depth to 5 44-86 7.5YR 4/6 - s 0 sg ml - - .7 .8
limiting occasional. mcs
factor
> 86„ ,
Remarks:
Boring #
1 0-14 10YR 2/1 - 1 2 m cr mvfr cs if .5 .6
2 14-23 7.5YR 3/2 - sil 1 m sbk mvfr gs if .2 .3
3 23-33 7.5YR 313 - sl 2 m sbk mvfr gs if .5 .6
Ground
elev. 4 33-44 7.5YR 4/4 - mcs 0 sg ml as if .7 .8
102.2 ft. w occasional gr
Depth to 5 44-75 7.5YR 4/4 - s 0 sg ml cs - .7 .8
limiting w/ occasional stratified 7.5YR 4/6 s & ccasional m s
fact88r 6 75-88 7.5YR 4/4 - cs 0 sg ml - - .7 .8
Remarks:
CST Name:-Please Print Henry F. Grote Phone: 715-665-2681
Address: PO Box 57, Knapp, WI 54749-0057
Signature: Date: 4/11/94 CST Number: 3065
PROPERTY OWNER William Heller SOIL DESCRii- i ION REPORT Page 2 of- 3
PARCEL I.D. #
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Baxxiary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
1 1 0-12 10YR 2/1 - 1 2 m cr mvfr cs if
5 6
3
2 112-19 7.5YR 3/2 - sil 1 m sbk mvfr gs if .2 .3
3 119-28 7.5YR 3/3 - sl 2 m sbk mvfr cw if .5 .6
Ground - w/ accasinad or
elev. 4 128-70 7.5YR 4/4 - s 0 sg ml cs - .7 .8
101.7ft.
w/ occasiona mcs
Depth to 5 170-86 7.5YR 4/4 - -
limiting w/ occasional, gr
factor
t 86"
Remarks: -
Boring #
1 0-15 10YR 2/1 - 1 2 m cr mvfr cs 2f .5 .6
ti 4 2 15-19 7.5YR 3/2 - sil 1 m sbk mvfr gs if 2 .3
-32 7.5YR 3/3 - sl
3 2 m sbk mvfr as if .5 .6
w/ occasion .,1 f r
Ground 4 32-50 7.5YR 4/4 - mcs 0 sg ml as if .7 .8
elev.
101.7 ft. 5 50-61 7.5YR 4/4 - s 0 sg ml as - 7 .8
Depth to
limiting 6 61-67 7.5YR 4/4 - mcs 0 sg ml as - 7 .8
factor
'86, 7 67-86 7.5YR 4/4 - s 0 sg ml - - 7 .8
Remarks: horizon 7 has occasional stratified 7.5YR 4/6 s & both 6 & 7 have occasional gr
Boring # 1 0-12 10YR 2/1 - 1 2 m cr mvfr cs if .5 .6
;•.,5....` 2 12-17 7.5YR 3/2 - sil 1 m sbk mvfr gs if .2 3
3 17-32 7.5YR 3/3 - sl 2 m sbk mvfr as if .5 .6
Ground 4 32-62 7.5YR 4/4 - s 0 sg ml cs - .7 .8
elev.
101.3 ft.
5 62-86 7.5YR 4/4 - mcs 0 sg ml - - .7 .8
Depth to w/ ccasional gr
limiting
factor
86"
Remarks:
Boring #
Ground
elev. i
ft.
Depth to
limiting
factor
Remarks:
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272.87' - 66.27-\ SF 540.00'
S 89 25.09 W 812.67'
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S T C - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER- 4/, lie
ADDRESS 7 FY -ad eJ FIRE NUMBER 7?f-
CITY/STATE k ZIP_ :L
PROPERTY LOCATION: Z1/4,1/4, SECTION_2~1 , T 1 N-R~W
TOWN OF., St. Croix*County,
SUBDIVISION__ Gac~CC, (/ills • ~7tx.r~ , 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. Croix Co. Zoning officer within
30 days of the three year expiration date.
' SIGNED : _ V-L~
DATE: St. Croix co. Zoning office
911 4th St.
Hudson, WI 54016
STC-100
This application form is to be completed in full and signed by
Ithe owner(s) of the property being developed. Any inadequacies
will only result ~n delays of the permit issuance. ,Should this
development be intended for resale by owner/contractor,(spec
house), thenta 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 511/4 WK 1/4, Section =,'TAN-RAW
Township,.
Mailing address
Address of site
7i2?
subdivision name__ r~ s Es 4-5 ~•3
Lot no.
other homes on property? es- -No
Previous owner of property
Total size of parcel
Date parcel-was created
'Are all corners and lot lines identifiable? _-__L__Yes ___No
Is this property being developed for (spec house)?,_Yes ~No
Volume ZO7 $and.Page Number 3(? 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 & 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 and that I
own the proposed site for the sewage disposal system) orr I e(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 County Register of deeds as Document
No.
Signature of applicant
. Co-applicant
.j.
~ z~l9y ~ • z~
Date of Signature
• Date of Signature
DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1982 THIS SPACE RESERVED FIR RECORDING DATA
' WARRANTY DEED
Clausen
This Deed made between Douglas Q-
Ci`o C3.~ ~^r!
Rbed for Rewra
, Grantor, APR 2 8 1994
and-______ William G. Heller and Carolyn A. Heller, !I "
husband and wife 3.15 P,
-
Grantee,
Witnesseth, That the said Grantor, for a valuable consideration------
conveys to Grantee the following described real estate in St. Croix - RETURN TOMidAmerica Bank Hudson
600 2nd Street
County, State of Wisconsin: Hudson, WI 54016
j Tag Parcel No: __..-020-1177-30
Lot 13, Cedar Hills Estates in the Town of Hudson, St. Croix County, Wisconsin
I
ii
is
r.
~ ray-`~ ` i
i
it
This is_____________ 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
and will warrant and defend the same.
28th April 94
Dated this day of . 19
- ----------------------------------------(SEAL) (SEAL)
* Douglas Clausen
------------------•---•-•-••----••--------------------•------------(SEAL) (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signature (s) STATE OF WISCONSIN
Ss.
St. Croix
County.
authenticated this day of___________________________ 19 Personally came before me this 8th ___day of
i
A r> 1 1 19... 4_ the above named
L~ s
tie ougla Clausen
s
TITLE: MEMBER STATE BAR OF WISCONSIN amr~soe , d a
(If not,
authorized by § 706.06, Wis. Stats.)
o z!` b % t e erson who executed the
i*ioregoinnstrum d acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY ~ o+ P~~~~~ •u(~un\
i, -
- - - - N--- St. Croix County, Wis.
(Signatures may be authenticated or acknowledged. Both My o ion is permanent. (If not, state expiration
are not necessary.) date: October 5
19- )
'Names of persons signing in any capacity should be typed or printed below their signatures.
WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc.
FORM W. 1 - 1092 -1-111- W.-
wiis-onsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3
Lai''`' nd Human,Relations
D'i~in of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
St. Croix
Attach complete site plan on paper not less than 81/2 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. Z0 7~ -060
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED B DATE
7 .Qld a
PROPERTY OWNER: PROPERTY LOCATION a. /
William Heller GOVT. LOT SE 1/4 NE 1/4,S 28 T 29 N,R 19 VX" W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
784 Aldro Road 13 - Cedar Hills Estates
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OWN NEAREST ROAD
Hudson, WI 54016 (715) 386-7541 Hudson Aldro Road
] 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 • 65 bed, gpd/ft2 .75 trench, gpd/ft2
Absorption area required 693 bed, ft2 600 trench, ft2 Maximum design loading rate .7 bed, gpd/ft2 .8 trench, gpd/ft2
Recommended infiltration surface elevation(s) 98.2 ft (as referred to site plan benchmark)
Additional design / site considerations ins al 1 5' x ran, ttranrhac
Parent material sandy 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=Unsuitablefors stem BS ❑U ®S ❑U ®S ❑U ®S ❑U ❑S ®U ❑S EIU
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 Trertdl
k4:zsti<titi<•::.<.: 1 0-15 10YR 2/1 - 1 2 m cr mvfr cs 2f .5 .6
x
2 15-19 7.5YR 3/2 - sil 1 m sbk mvfr gs 1 f .2 .3
Ground 3 19-31 7.5YR 3/3 - sl 2 m sbk mvfr gs 1f .5 .6
elev.
102.1 ft. 4 31-44 7.5YR 4/4 - s 0 s ml s 1f .7 .8
Depth to 5 44-86 7.5YR 4/6 ZN- f'/~ s 0 sg ml - - .7 .8
limiting
occasion
factor f,
> 86„ , >
5:.
Remarks:
Boring # r
:v..+:..i.._._.. 1 0-14 10YR 2/14`-~ 1 2 m cr mvfr cs 1f .5 .6
2 2 14-23 7.5YR 3/2 - 1 1 m sbk mvfr gs 1f 2 3
::':..x
3 23-33 7.5YR 3/3 S1 2 m sbk mvfr gs 1f .5 .6
Ground
elev. 4 33-44 7.5YR 4/4 - mcs 0 sg ml as 1f .7 .8
102.2 ft. w occasi na gr
5 44-75 7.5YR 4/4 - s 0 sg ml cs - .7 .8
Depth to
limiting w/ occasion 1 stratified 7.5YR 4/6 s & ccasional m s
factor 6 75-88 7.5YR 4/4 - cs 0 sg ml - - .7 .8
88~~
Remarks:
CST Name: Please Print Henry F . Grote Phone: 715-665-2681
Address: PO Box 57, Knapp, WI 54749-0057
Signature: Date: ,1 CST Number:
4/11/94. 3065
PROPERTY OWNER William Heller SOIL DESCRIPTION REPORT Page 2 of3
PARCEL I.D. #
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouriclary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
1 0-12 10YR 2/1
- 1 2 m cr mvfr cs if .5 .6
ki:!
2 12-19 7.5YR 3/2 - sil 1 m sbk mvfr gs if .2 .3
3 19-28 7.5YR 313 - sl 2 m sbk mvfr cw if .5 .6
Ground
elev. 4 28-70 7.5YR 4/4 - s 0 sg ml cs - 7 .8
101.7ft.
w/ occasional mcs
Depth to 5 70-86 7.5YR 4/4 cs 0 so M1
_
limiting W/ occasional gr -7 A
factor
l t8611
Remarks:
Boring #
1 0-15 10YR 2/1 - 1 2 m cr mvfr cs 2f .5 6
2 15-19 7.5YR 3/2 - sil 1 m sbk mvfr gs if 4 .2 .3
-
3 32 7.5YR 3/3 - sl 2 m sbk mvfr as if .5 .6
w/ occasion El f r
Ground 4 32-50 7.5YR 4/4 - mcs 0 sg ml as if .7 .8
elev.
101.7 ft.
5 50-61 7.5YR 4/4 - s 0 sg ml as - .7 .8
Depth to
limiting 6 61-67 7.5YR 4/4 - mcs 0 sg ml as - .7 8
factor
7 67-86 7.5YR 4/4 - s 0 sg ml - - .7 ,8
Remarks: horizon 7 has occasional stratified 7.5YR 4/6 s & both 6 & 7 have occasional gr
Boring # 1 0-12 10YR 2/1 - 1 2 m cr mvfr cs if .5 .6
?....5.....•. 2 12-17 7.5YR 3/2 - sil 1 m sbk mvfr gs if 2 3
3 17-32 7.5YR 3/3 - sl 2 m sbk mvfr as if .5 6
Ground
elev. 4 32-62 7.5YR 4/4 - s 0 sg ml cs - .7 .8
101.3 ft.
5 62-86 7.5YR 4/4 - mcs 0 sg ml .7 .8
Depth to
limiting w/ ccasional gr
factor
P 8611
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page ? of 3
Labor and Human Relations
' iviw.r, of Safety & Buildings
in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
St. Croix
Attach complete site plan on paper not less than 81/2 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
William Heller GOVT. LOT SE 1/4 NE 1/4,S 28 T 29 N,R 19 )L(M W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
784 Aldro Road 13 - Cedar Hills Estates
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OWN NEAREST ROAD
Hudson, WI 54016 (715) 386-7541 Hudson Aldro Road
(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 • 65 bed, gpd/ft2 .75 trench, gpd/ft2
Absorption area required 693 bed, ft2 600 trench, ft2 Maximum design loading rate .7 bed, gpd/ft2 .8 trench, gpd/ft2
Recommended infiltration surface elevation(s) 98.2 ft (as referred to site plan benchmark)
Additional design/ site considerations install 2 - 51 x An, t ranrhpc
Parent material sandy 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 BS ❑U ®S ❑U 713 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 Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
1 0-15 10YR 2/1 - 1 2 m cr mvfr cs 2f .5 .6
2 15-19 7.5YR 3/2 - sil 1 m sbk mvfr gs if .2 .3
Ground 3 19-31 7.5YR 3/3 - sl 2 m sbk mvfr gs if .5 .6
elev.
102.1 ft. 4 31-44 7.5YR 4/4 - s 0 s ml s if .7 .8
Depth to 5 44-86 7.5YR 4/6 . - = s 0 sg ml - - .7 .8
limiting occasipKa q s°
factor
ti+
Remarks:
Boring #
1 0-14 10YR Y 0 t,': 'w; C 2 m cr mvfr cs if .5 .6
y 2 2 14-23 7.5YR 3 1 m sbk mvfr gs if .2 .3
3 23-33 7.5YR 313 sl 2 m sbk mvfr gs if .5 .6
Ground
elev. 4 33-44 7.5YR 4/4 - mcs 0 sg ml as if .7 .8
102.2 ft. w occasi na gr
Depth to 5 44-75 7.5YR 4/4 - s 0 sg ml cs - .7 .8
limiting w/ occasional stratified 7.5YR 4/6 s & ccasional m s
factor 6 175-88 7.5YR 4/4 - cs 0 sg ml - - .7 .8
88~~
Remarks:
CST Name: Please Print Phone:
Henry F. Grote 715-665-2681
Address: PO Box 57, Knapp, WI 54749-0057
Signature: Date: CST Number:
. 4/11/94 3065
PROPERTYOWNER William Heller SOIL DESCRIPTION REPORT Page 2 of 5
PARCEL I.D. I A
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Baxdary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trer>ch
4,...3..` 1 0-12 10YR 2/1 - 1 2 m cr mvfr cs if 5 6
2 12-19 7.5YR 3/2 - sil 1 m sbk mvfr gs if .2 .3
3 19-28 7.5YR 3/3 - sl 2 m sbk mvfr cw if .5 .6
Ground
elev. 4 28-70 7.5YR 4/4 - s 0 sg ml cs - .7 .8
101.7ft.
w/ occasiona mcs
Depth to 5 70-86 7.5YR 4/4
limiting w/ occasiona gr
factor
?t8611
Remarks:
Boring #
1 0-15 10YR 2/1 - 1 2 m cr mvfr cs 2f .5 6
4 2 15-19 7.5YR 3/2 - sil 1 m sbk mvfr gs if .2 3
3 79--32- 7.5YR 3/3 - sl 2 m sbk mvfr as if 5 .6
w/ occasion El f r
Ground 4 32-50 7.5YR 4/4 - mcs 0 sg ml as if .7 .8
elev.
101.7 ft. 5 50-61 7.5YR 4/4 - s 0 sg ml as - .7 .8
Depth to
limiting 6 61-67 7.5YR 4/4 - mcs 0 sg ml as - .7 .8
factor
'86, 7 67-86 7.5YR 4/4 - s 0 sg ml - - 7 8
Remarks: horizon 7 has occasional stratified 7.5YR 4/6 s & both 6 & 7 have occasional gr
Boring # 1 0-12 10YR 2/1 - 1 2 m cr mvfr cs if .5 .6
...5..... 2 12-17 7.5YR 3/2 - sil 1 m sbk mvfr gs if .2 .3
3 17-32 7.5YR 313 - sl 2 m sbk mvfr as if .5 .6
Ground
elev. 4 32-62 7.5YR 4/4 - s 0 sg ml cs - .7 .8
101 .3 ft.
5 62-86 7.5YR 4/4 - mcs 0 sg ml - - .7 .8
Depth to w/ ccasionai gr
limiting
factor
7 86"
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
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ST. CROIX COUNTY
0AW WISCONSIN
ZONING OFFICE
1 N N N N u N N 11 ro.■` ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
► _ s = Hudson, WI 54016-7710
(715) 386-4680
August 11, 1994
FAXED TO YOU THIS DATE
MidAmerica Bank
600 Second Street
Hudson, Wisconsin 54016
ATTN: John Garden
RE: Septic Inspection for William Heller
Dear Mr. Garden:
An inspection of the septic system for William Heller's property
was conducted on August 5, 1994. This property is located in the
NE, of the NE, of Section 28, T29N-R19W, Lot 13, Cedar Hills
Estates, Town of Hudson, St. Croix County, Wisconsin. At the time
of the inspection, this septic system was found to be code
compliant for a three (3) bedroom home. If you have any questions
with regard to the above, please do not hesitate in contacting our
office.
r;Sine1y,
es thofipson
Assistant Zoning Administrator
St. Croix County, Wisconsin
mz