The URL can be used to link to this page

Home My WebLink About022-1018-20-100St. Croix County Planning and Zonin Detail Sanitary Information Tuesday, July Irf, 2005 at 3:02:23 PM Page I of l Computer 0: 022-1018-20-100 Sub/Plat: NA Section: 7 Parcel 0: 07.28.18.102B Lot: 1 TNIRNG: T28N R18W Municipality: t(innickinnic, Town of CSM: Vol. 09 Pg. 2648 1I4114: W 112 NW11/4 Owner. Ray, James & Elaine 471 90th Street (Boundary Rd.) Hudson, WI 54016 State Permit: 208928 Issued: 03/2PJ1994 POWTS Dispersal: Mound PermM: New County Permit: 0 Installed: 0=1994 POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Notes Inspector As Built Plumber Other Requirements Additional Notes Money Owed Not determined yes Heise, Carl check archives - notecard Bled with permit $0.00 Signed Off: No Maintenance Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 9/22/2005 RAY, James/Elaine SW4, NW', Sec. 7 515 90th Street T28N-R18W, Town of Hudson, WI 54016 Kinnickinnic, Lot 1 90th Street Address Site: 471 90th Street Hudson, WI 54016 cyk Permit No.: 208928 3/22/94 Carl P. Heise New System - Mound ab - (007 162E Parcel #: 022-1018-20-100 07/26/2005 02:58 PM PAGE 1 OF 1 Alt. Parcel #: 07.28.18.102B 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): ' = Current Owner JAMES A JR & ELAINE A RAY ' RAY, JAMES A JR & ELAINE A 471 90TH ST HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description ' 471 90TH ST SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 9.991 Plat: N/A -NOT AVAILABLE SEC 7 T28N R18W PT W1/2 NW1/4 BEING LOT Block/Condo Bldg: 1 OF CSM 9/2648 9.991 ACRES Tract(s): (Sec-Twn-Rng 401/4 160114) 07-28N-18 W Notes: Parcel History: Date Doc # Vol/Page Type 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/21/2000 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 9.991 36,500 261.200 297.700 NO Totals for 2005: General Property 9.991 36,500 261,200 297,700 Woodland 0.000 0 0 Totals for 2004: General Property 9.991 36,500 261,200 297,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 219 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0,00 St. Croix County Planning and Zoning Tlu nday, April12, 2007at 10.40.02AA1 Detail Sanitary Information Page I of l Computer #: 022-1018-20-100 Sub/Plat: NA Section: 7 Parcel A: 07.28.18.102E Lot: 1 TN/RNG: T28N R18W Municipality: Kinnickinnic. Town of CSM: Vol. 09 Pg. 2648 1/4 114: W 1/2 NW 1/4 Owner: Ray, James & Elaine 471 901h Street (Boundary Rd.) Hudson, WI 54016 State Permit: 208928 Issued: 03/22/1994 POWTS Dispersal: Mound Permit: New County Permit: 0 Installed—TYll/1994 POWTS Detail: NA Bedrooms: 3 -40VVTS Pretreatment: NA Notes Issuer/Inspector As Built Plumber Other Requirements Jim Thompson Yes Heise, Carl Jim Thompson kr Yes Maintenance Scheduled Pumo Date Pumped 1st Notification 2nd Notification 3rd Nolificalion 9/22/2005 10/25/2006 04/20/2006 10/25/2009 fl I WI Fund: Additional Notes Money Owed check archives - notecard filed with permit $0.00 1 parcel #: 022-1018-20-300 02/08/2008 07:46 AM PAGE 1 OF 1 Alt. Parcel #: 07.28.18.102D 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map'# Sales Area Application # Permit # Permit Type 05/15/2006 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner 0 - RAY, JAMES A JR & ELAINE A JAMES A JR & ELAINE A RAY 471 90TH ST HUDSON WI 54016 %. Districts: SC = School SP = Special Property Address( ): '"= Pri ry Type Dist # Description SC 4893 RIVER FALLS ' 471 90TH ST SP 0100 CHIP VALLEY VOTECH U I tt Legal Description: Acres: 6.663 Plat: 5190-CSM 21-5190 SEC 7 T28N R18W PT W1/2 NW1/4 FKA PT LOT Block/Condo Bldg: LOT 02 1 OF CSM 9/2648 NKA CSM 21-5190 LOT 2 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 07-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 2008 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/28/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.663 75,000 326,000 401,000 NO AGRICULTURAL G4 3.000 500 0 500 NO Totals for 2008: General Property 6.663 75,500 326,000 401,500 Woodland 0.000 0 0 Totals for 2007: General Property 6.663 75,500 326.000 401,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Cl r" LAWA=QjiArtNeimM &gX,4nnic.7.28P ATE��EVI 6E TIN Labor and Human Relations Safety and Buildings Division INSPECTION REPORT GENERAL4NFORMATION (ATTACH TO PERMIT) TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeratio Holding TANK SETBACK INFORMATION TANKTO P/L WELL BLDG. Ato Au irintake ROAD Septic 3 ,4. NA Dosing NA Aeration NA Holding PUMP / SFPAII11ABi INFORMATION Manufacturer Demand Demand GPM Model Number #S.� TDH I Lift l Friction S stemLoss a ��' TDH Ft Forcemain Length Dia. a // Dist To Well SOIL ABSORPTION SYSTEM 90th Stj ELEVATION DATA o y Sanitary ermit WTX State Plan o.: Parcel Tax No.: 77 a7 lYDWNq A9400051 STATION BS HI FS ELEV. Benchmark Bldg. Sewer 3 St/,011nlet 117 Of/ ' St /if Outlet Dt Inlet Dt Bottom O 03 97971 Dist. Pip Bot. System 37� O c/ Final Grade �q BED/TRENCH DIMENSIONS Width Length��1 No. Of Trenches I PIT DIM No. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO P/L BLDG WELL 640*/5TREAM LEACHING cturer: INFORMATION CHAMBER _Tip_eM77A Mo m r: System: DISTRIBUTION SYSTEM UeadK / Manifold Length Dia Distribution Pipe s r „ Length � x Hole, S/ae// x Hoe Spapcing elp r Vent To Air Inta e Dia Spacing / SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over er Q xx Depth Of ..Y xx Seeded/Sodded xx Mulched Bed LTgiOCenter Bed / T ges �C� Topsoil l0 es ❑ No Effe—s ❑ No COMMENTS: (Include code discrepancies, persons present, etc.)-+/+, //& vC• -+ LOCATION: Kinnickinnic.7.28.18y�, SW, NW, Lot 1,, 90th Street 746ec0 , KeyA- /03,9' • Tir`'i25e �af��Dl fir' / fiias S3 Plan revision required? ❑ Yes No 7 Use other side for additional information. SBD-6710(R 05191) Date Inspector'sSignature "Now ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: It �.. . ._ SANITARY PERMIT APPLICATION C =��`"K In accord with ILHR 83.05, Wis. Adm. Code COUNTY r STATE S!A�,N� E RdIT # -Attach complete plans (to the county copy only)ilor the system, on paper not less than Z 8'fi x 11 inches in size. OANrrGA / p ❑ Check Nrevision toprevious application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER I. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION -IT 4 oil _<V2Y4r,;.:'/4,S / T. ,N,R 1 or)W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # S i. 46 t 57. ' CITY, STATE ZIPCODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER /s 4q C - II. TYPE OF BUILDING: (Check one) ROAD ❑ State Owned VIL GE ' A❑ Public R 1 or 2 Fam. Dwelling-# of bedrooms57 III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 1 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 in line A. Check line B if applicable) A) 1. N 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 # — Date Issued V. TYPE OF SYSTEM: (Check only one) Non -Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 0 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 Ej 2, ABSORP. AREA 3, ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gels/day/sq. ft.) (Min./inch) ELEVATION L) �� I 1 1 C 3 r) 5 �� I 2 7 10 Q q Feet 1 o rl , 5 Feet VII. TANK CAPACITY in gallons Total # of Prefab. Site Fiber- Exper. New istin INFORMATION Gallons Tanks Manufacturer'N same Concreteplastic Con- Steel glass App. Tanks Tanks strutted Septic Tank or k /(•SCG C C C ) c ; (.: 1%�_ . Lift Pump Tank/ r BOG '- ACC 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 Stamps) MP/ P No.: Business Phone Number C 6L 1� e 1 c' •3. % '115 9 S- e?Ii5 Plumber's Address (Street. City, State, Zip Code): G t1A a. , R % V t, IX. CO NTY/DEPARTMENT USE ONLY Disapproved G Sanitary Permit Fee (includes Oroundwebr Date beuiTq Approved ❑Owner Given Initial rules Fee) (ol � =Ma Adverse D rmin i n 0(� �a X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL Suo-638e (Tormerly Plb-67) (R. 11188) DISTRIBUTION: Original to County, One Copy To: Safety 6 Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, grid 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. t To be complete and aocurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. 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. Vill. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service, streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation refetence points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through_ these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6M (R.11188) . • ��$ � �S_933 p PLOT PL A N q.991 ACiZELOT S94 • 400gg P1 2 of G ® HRP.,VRP S/i44 iN G''alood fenc6 Pos7 DRr P,uN SCALE 1 ' _ 40" 6rCt'T Wlrtrr At'mf+flow B3 A 09 Go�Ppaf 35e:'To �p N�%aRB PI Qol 9oTy STREET p►SY Co,.7p,r,r 1o3.g D 54 82 _ - ' 35'��ores �aN �PVC PRIVATE SEWAGE SYSTEM Conditionally Vft PPROtijAVEJOATIONS µpIAAN ow. OF INOUSTNY, LAsof, a ION SAFETY 0 DUiU�E,�S E6KS 1000 GAL SEMP, Y iG� 40 3 BeB.vo.rn 54S.92?o Hy7 s.Y k O W ELL S 94. 40088 I MOVE -THE EARTH f CARL HEISE EXCAVATING 1042 South Main RIVER FALLS, WI 54022 CARL P. HEISE (715) 425-2175 Owner MOUND SYSTEM FOR BEDROOM RESIDENCE LOCATED IN THE 5" OF THE vUw i'q OF SECTION -7 TAN, R It W, TOWN OF _KNN;b 1C.:ua�c , ST. Croix COUNTY,WISCONSIN. INDEX PAGE 1 of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW -CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAY -OUT PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR T�Ft11ES+-ELA[HE RAC 515 40TN ST 144950N W1 54016 PREPARED-0 BY Carl 'P. Heise CST 3314 MPRS 3378 1042 South Main Street River Fa11S,WI 54022 RECEIVED MAR 1 0 1994 Samar a KoeS. DIV. PLOT PL A N Q.991 pCSZELOT S94-40088 Pt 2 of d ® HRP-JVR9 SPit.. iN Z,"k)svJfenc.e, ORS SCALE up 9wcrpT�l;mwfiaw 01 A 09 35e:'T o 0� tat 90Ty STREET 915Tr'R6 P� p01 !> P2 D'dq 82 - 35�~%.ca WEEKS 6RL 4�P Luba' �Puc PRIVATE SEWAGE SYSTEM Conditionally AppFjOVED MAN NEIAnONB . plouarn� t BuaIANGS WEEKS �o00GgLSEprj,�, 1 a ttl, ae 3 BGLv 0 P. SA5.92' To NUr s.Ybacicl.:,. o W ELL S94-- 40088 Sttow 9worsh Hoy, Or ;: �pptzov� Synthetic Covering, Medium Sand Topsoil T 6 % Slope Bed Of z�— 2 %Z Aggregate — PRNATE SAGE SYSTEM Conditionally ovinvEID 0 O 6 Distribution Pipe F�9,4 16 r1nar n d Force Main From Pump Cross Section Of A Mound System Using A Bed For The Absorption Area Wr WA R"Halls atnr. U,eoa i � art. F of . NDENC� sEE GO �L r . A �_ Ft. B .417 Ft. I I.� Ft. J F_ Ft. K ►a. Ft. L Ft. N Ft. '2 Observation Pipe---,,," B tObservation -------------------- Ti �Distribution Bed Of Z— 2•Pipe Aggregate Pipe Permanent Markers Plan View Of Mound- Using A -Bed For The Absorption Area Plowed Layer D J'D F-T- E'/5FT- F Fr. G �} , 0 t r. H_�, U Foff Oro lc6 Plpt Dolall S 9 4 _ 4 O O ^^ �vx /Ind yir•. I Frrlorols6 `PVC Pr ' of SOY mr%TZV-GV . 4•c1' lorDied 6r.6oltom. I -re t ouelly Spaced II .. 0 .. � mV•Y. Y.Y r.11{ *� 1• II Dim I flat. P1pr '' Lost Holt Should Be, to End Cop /1 F^A Con! nhirlbullorl Plot Loyoul P S q' Hole Diameter !/q Inch Manifold Inches v Force Main " 2 Inches ' lateral " I_ Inches) INV• EL-EY. = 105,-j a Holes Per feral tioGe sY$ SOW" p • '' I,' u� .,: •r1d.nulls sTMr. �xo M�� E V , ' NC SEE CD PAOC OF PUMP CHAM6ER CROSS SEC710W AWD SPECIFICATIOWS' VCNT CAP S. 94 400 8.$, rVENT PIPE 7[ rR T WCATHEIC PR001 APPROVED LOCKIAIG JUIJCTIOW BOX fits' FROM DOOR, 3 MAUHOLE COVCK wIIj00W OR FRESH A W14IU. AIRS` IJTAKE 3 I ORADC f I 4. I '1�HIIJ, COWDUIT IWMIU. � is •:. � �`•JIIJLCT P,6E PROVIDE I --- Nis Wally ' . AIRTIGHT SEAL.:::' I II I L.APPROVED JOIU7 A ditto lJ/G:Z: NPC co APPROVED .IOIUTJ ' CXTCWDIIJb 3' O ,t\°N5 I III WIC-T. PIPE OU�OkS01.10 SOIL ALARH CXTWDIIIG a' `�` I! °R t �� • 1 I I ONTO 50L11D SOIL I oIJ �Vx� LI:GY"� FT, PUMP az4A, COLICKETE BLOCK ' 1 RISCR EXIT PCRMITiCD OIJL-J IF TANK MAIJUFACTURLR HAS SUCH APPROVAL 3"APPROVi SEPTIC 'C. 8PECIFICA710 1S MAIIUFACTURCR: W SEk S Ce��' ?' RDO GALa - WUMBCR OF OoiES: —%---PEK DA4 LDWS ' TAIJK L12C', , .Ytr DOSE ,VOLUME NUWUFAGTUALR: -' 11P ToI IUCLUPIWG 6ACKFLOW: L10.9 GALLONS �•lOOCL 1JU1 BCR.•=-� DLL ``'. 1' CAPACITICSI Az �5 �—,IUCHC5 OR 41eWITCH 'ru M6Q 'r �..GALLOus 2WCHES Olt G6LLOUS `-PUMP MAIJUFACTURCR:-- aetcLLtR MOOCL. )JUABCR: �' N S 3 C `--2—IUCNCS OR 12 GALLONS D'-1-_INCHES OR 2.18,.� GALLOIJG J SWITCH TU C' Mcvw..y PUMP AUD ALARM ARE TO BE MIIJIMUTA 01 CHARGC RATE2@.0Q__OPM. `INSTALLED ON SEPARATE CIRCUITS 'VERTICAL DIFFEREIJCE DETWECIJ PUMP OFF AIJO.OISTRI04TIOIJ PIPC..c:L. FEC7 {{ MA1.11A )JETWORK SUPPLY PRESSURE . 2.5 4viy�a i4,s y. FEET FEET OF FORCC MAUJ X Fy 100FLFRlG710U FACTOR.. FEET TOTAL DtIIJAM�� •iSf`. r41'f�F*M1.a.-.�� FEET �r`,`�'.: IIJTCRIJAL CIMLIJStOIJ OY XAAJK: LE►JGTH ' oI`�/ 1 l :WIDTH'., jLIQUIO 0CPTH -9 r .,'LICENSE 1JUMBER: t!TE3121 'DATE: : ' fl .S94-4OO88 cc W ► K f. U. W 115 34 110 32 105 30 100 — 95 28 90 26 85 24 60 Q 75 MODEL 22 16s G S 70 U 20 � 65" Q Z IS 60 55 'j 16 Q F- SO O L`- 14 as 12 40. 35 10 30 8 25 r 6 20 15 4 AD 10 2 rs 57,59 0 GALLONS 10 20 LITERS 0 80 _ 1 e)0�6 Zp ELLFR. Ca. I I MODEL 189 MODEL 137,139 ®IRW MODEL 188 185 MODEL 161 /n so 50 601 70 80 190 100 I11D 160 240 320 400 PER MINUTE 18.o8 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY &BUILDINGS NDUSTRY, DIVISION -ABOR AND PERCOLATION TESTS (115) MADISON WI 7969 HUMAN RELATIONS 1 (ILHR 83.090) & Chapter 145) LUGA•1 IUN: bhulIuN: TOWNSHIP/MUNICIPALITY: OT NO. BLK. NO.: SUBDIVISION NAIMt: 5W1/ N w V41 r7 /Tz8N/R19,((or)W wM C-SPA ST, CrbI A. I lamed Sr. a•+ Etot,c R ®Residence tV 515 T*749 ST. NN950N W I S, 54D& DATES OBSERVATIONS MADE IN DESCRIPTIONS: PERCOLATION TIES. Y1NBW ❑Replace a-22- On L,r♦ f3r IATING: S- Site suitable for system U- Site unsuitable for system .ONVENT NAL: MOUND: IN- S E -IN-FILL OLDING TANK: RECOMMENDED SYSTEM:loptional) OS ®U ®S ❑U EiS ®U ❑S MU ❑S ®U Motfa,p If Percolation Tests are NOT required T ESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: vl Rtl&ss '1 Floodplain, indicate Floodplain elevation: IV 14 PROFILE DESCRIPTIONS 30RING NUMBER TOTAL DEPTH IN. ELEVATION HGROUPOWATER•INCHES CHARACTER O SOIL WITHTHICKNESS. COLOR, TEXTURE, AND DEPTH TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) OBSERVED B- I 3lo 103, 8 Ivotic 2 G" 0•2+ C3k 5;) 21. 2G otC3•L 2G-345CLL 34-24 760F nn�.•e B- 2 3 l u 3. r1ory. �7 0-' B 13k S;1 18-29 PA&L 29 3G D4 & SUL B_ 3 50 loos rJor,,e r. 38 0_+2 t r 13ft S, I Is -38 84s:1 38-So'' OA 8. 5; j wlf,... l the';I.:., 3 g_ 9 -x- 0 164 VQ0-4 t 1 e8 0-20" L 20-L16 Us: 'Tk.'s ,a0', o,.,..,1 dw •,1 To CGrre ;cr I;...i'e•t r� n+o..ia,ra. B- B- PERCOLATION TESTS TEST NUMBER DEPTH INCHES WATER IN HOLEFINTERVAL-MIN. AFTERSWELLING D 1 WA LEVEL -INCHES RATE MINUTES PER INCH P. zo NoNe20 P. P_ 20 vV o. a 1� I fi r �GP. 2 d rJ �. I P- P- P- LOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- mtal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent I land slope. ,YSTEM ELEVATION loq.9 RIV I iIQP Sp'4 �: 1'• ' nty004 � � 42 _ ' � I -1 I i I --I -� I r q l. /; a 3+u� 9 Cr H $T, i -I----t-- ---{--i- I L I i \ ry WwLl �h Jeer} %tt4 1.i 9 the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin dministrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. ,ISTRIBUTION: Original and one copy to Local Authority. Property Owner and Sod Tester. ILH"BD8395 (R. 10/83) -OVER - )EPARTMENT OF NDUST NDUSTRY, SAFETY & BUILDINGS REPORT ON SOIL BORINGS AND -,BOR AND HUMAN RELA,T IONS DIVISION PERCOLATION TESTS 115 P.O. BOX 7969 (ILHR 83.090) & Chapter 145) MADISON, WI 53707 L sW�/ Nw% TOWNSHIP/MUNICIPALITY: T N0. : SUBDIVI I N NAM r7 %T2eN/RIB,f(or►W �OUNTY : )<;.,�1c,k."� - i >v>~ cst4 ST. Cre,ti ICIil TV. aII E4 515 To7H Sr NkvSpN W i S 540/6 )SE O�� Residence DATES OBSERVATIONS MADEReplace 3 >U A Now ❑ 11 q- ZZ - 4'S e - i 2 5 - 9;3 IATING: Sa Site suitable tors rtem Y .ONV o n ll Qr 3 tw 1 L, fs po . 4. 23 - 03 U Site unsuitable for system N NAL: ❑S ®u MOUND ®s ou ❑S ®u - •FILL OLDIN TANK: ❑S u ❑S ®II RECOMMENDED SVSTEM:loptionall MuutuD If Percolation Tests are NOT required DESIGN RATE: under s. ILHR 83.09151(bl, Indicate: N R tl.sy I If any portion of the tested area is in the ll Floodplain, indicate Floodplain elevation: N )4 PROFILE DESCRIPTIONS iORING AL NUMBER DEPTH IN, ELEVATION P H R V N AT R-INCHES HA q IL WI H HI KN T BEDROCK SS, COLOR, TEXTURE, AND DEPTH IF OBSERVED SEE ABBRV. ON BACK.1 tV0 L 2G„ 0. 21 1315;1 21. 2L Pt G'AL 26-345CL1 34--74 76 a P. 4,1c B 2 3L 103. tya v� e17 " 0-16 C3/ s;l 18 21 D48"1 29.36 04&SUL w/A.rin B• 3 SO loos None 38r 0.12 trO,s;J 12-38 845:1 38•60" 040.s;J wr(...r a-1,:,;•gf" 30 164 rlo., a 0.20" a 2 ,I,;S •,f B- w.•. a;,...,I d� r0 CLrcA )or lover ,�..t ,., m0+•�ara. B- PERCOLATIt1N TFCT! NUMBER P. P. 2-w P. P. INCHES to 20 20 FTERSWELOLING INTERVAL --MIN. Nove fN o.ve 'So,' r.1 av Mtw INWATERLEVEL-INCHES RATE MINUTES �PER PER INCH � S, ! 7i t ' 1 �'i 20 �� 2 P. P- tarsi, son oonngs and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the horn ,ntal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent If land slope. ;YSTEM ELEVATION the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin dministrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. 4STRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Taster. , uo con a,na S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. should this development be intended 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 SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations March 14, 1994 HEISE, CARL 10.12 S MAIN RIVER FALLS WI 54022 RE: PLAN S94-40088 RAY, JAMES & ELAINE SW,NW,7,28,18W TOWN OF KlNNICHINNIC MOUND SYSTEM 2326 Rose Street La Crosse. WI 5-1603 FEE RECEIVED COUNTY OF ST CROI1 The Department has reviewed the above -referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, ;Plan rd Swim Reviewe Section of Private Sewage (608) 785-9348 3272R/ 1 suuaw�R.�im� 11 ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 April 28, 1993 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of the James Ray Jr. property, located in the NW1/4 of the NW1/4, Sec.7, T28N, R18W, Town of Kinnickinnic, St. Croix County, WI., has been conducted with the assistance of Carl Heise, CST# 3314. This onsite revealed suitable soil for onsite sewage disposal to a depth of 26" while meeting the requirements of the A + 4" rule. This site should be suitable for new construction utilizing a mound septic system having 12" of sand fill. Should you have any questions, please feel free to contact me at this office. inc rely, ames K. h ps'on —/00� Assistant Zoning Administrator cc: file ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI54016 (715) 386-4680 April 28, 1993 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of the James Ray Jr. property, located in the NW1/4 of the NW1/4, Sec.7, T28N, R18W, Town of Kinnickinnic, St. Croix County, WI., has been conducted with the assistance of Carl Heise, CST# 3314. This onsite revealed suitable soil for onsite sewage disposal to a depth of 26" while meeting the requirements of the A + 4" rule. This site should be suitable for new construction utilizing a mound septic system having 12" of sand fill. Should you have any questions, please feel free to contact me at this office. inc rely, ames K. i ps'on Assistant Zoning Administrator cc: file INDUSTRY, TOF REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 7969 HUMAN RELATIONS (ILHR 83.090) & Chapter 145) SECTION:/ TOWNSHIP/MUNICIPALITY: OT NO.:BLK. NO.: SUBDIVISI N . 541/4 Nh/1/4 r% /1�8N/AIB,f(or)W .C�1c,.a N)F GSM COUNTY: MAILING ADDRESS: ST. Crbir- 70L,he.%3,..a.4 EZo".t Rq 515 To-rF+ 57. F{1+950N WIS 540/&P USE DATES OBSERVATIONS MADE NO. BEDRMS.: O T ITITMILE DESCRIPTIONS: PERCOLATION Tn7: ®Residence 3 N R New ❑Replace 4- 2 2- q -5 q- 2-5 -13 ar 31w1L..Psa. 4.za-e3 RATING: S- Site suitable for system U- She ustwhable for system ONVENT N L: ❑ S ®U MOUND: I ®S ❑U I [is ®U - -FILL I [Is ®U OLDING IHEIS TANK: ®U RECOMMENDED SYSTEM:(optional) I MOI+aD If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: U p t 4%s Z Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING NUMBER TOTAL DEPTH IN. ELEVATION R UND ATER.INCHESCHARACTER SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) OBSE V B- I 3G 103, 8 rvowc 2G" 0•21'oks:l 21 2G oAG.L 26-345CLL 34-3G 7500.t;.,n40.r B. 2 3/a 1u3. I Nona .97 p_�g Ql.s;l t8-29 oce.L 2�-3G DdF,1.SLLL 4./...n'.. ,T2�° B_ 3 So 100-6 rQ0svf. r, 38 0_i2 lY G.5, 12-38 846.) 38-60' DA e. 5rf ,uf+"•.- mo 77/,4•73 B- 30 104 *JON 4 2$ 0-2o" 1 ; 20-Z6 e, 7i s wss o To r_LeCA �oe I;n..7 0,#_ .. mo..J A.ea. B- B- PERCOLATION TESTS TEST NUMBER DEPTH INCHES WATER IN HOLE AFTER SWELLING TEST TIME INTERVAL -MIN. DROP IN WATER LEVEL-INCHESRATE MINUTES PER INCH PERIOD2 PERIOD 3 P. I ZO Wo Wt iN p I / I R& 20 P- 2- 20 WOae 3a ,y„ 1 *,6 1 1 t.L 2 P- Zo N r 3o Mtw i P. P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and Show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SY 11911,114TIAL�11 ENRON aMMEMMMMENE1 Im MA11111111111111 MEMEME MENNIONE 0 MEN rMEN 0 NOININNEW, UN EMMONF.", MEN NEWR room AMNON INS =1k1,15P4 NVO.' for 125' U ee ttio../,)/r.•. E— I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. DISTRIBUTION: Original and one Copy to Local Authority, Property Owner and Soil Tester. DILHRSBD{395 (R. 10/83) -OVER - F-A INSTRUCTIONS FOR COMPLETING FORM 1-15 - SOD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use soction must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS: 6. PLEASE use the abbreviations shown here for writing profile descriptions end completing the plot plan: 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing scale is prefored, A separate sheet may be used if desired; 9. Make sure your benchmark and vertical elevation reference point are clearly shown. and are permanent; 9. Complete all apropriate boxes as to dates, names, addresses, flood plain data, percolation test exemption, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and yur certification number: 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil SolperaNs and Textures at — Stone (over la') cob — Cobble (3 - 10") gr — Gravel (under 3") 's — Sand cs — Coarse Sand mods — Medium Sand Is — Fine Sand Is— Loamy Sand 'at — Loamy Sand '1 — Loam 'ail — Silt Loam III — Slit cl — Clay Loam SO — Sandy Clay Loam srcl — Silly Clay Loam sc — Sandy Clay sic — Silly Clay 'c — Clay pt — Peat m — Muck Six general soil textures for liquid waste disposal TO THE OWNER: Other Symbob BR — Bedrock SS — Standstone LS — Limestone HGW — High Groundwater Perc — Precolation Rate W — well Bldg — Building — Greater Than — Less Then Bn — Brown BI — Black Gy — Gray Y - Yellow R — Red mot — Mottles w/ — with fit — few, fine, faint cc — common, coarse mm — Many, Medium d — distinct p — prominent HWL — High water level, surface water BM — Bench Mark VRP — Vertical Relerence Point This soil test report is the lust step in securing a sanitary permit The county or the Department may request verification of this sod test in the held prior to permit issuance A complete set of plans for Ine private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit The sanitary permit must be obtained and posted prior to the start of any construction