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030-2093-30-000
STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER Pat Owlets/Pat MrUer ADDRESS 431 H404and Trafls Houlton Wr SUBDIVISION / CSM+ HigKand Hills LOT r 3 SECTION 29 Tag N-R 19 W, TOWN OF St Joseph ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Q Well Driveway 75' ti Distribution Box z 2 Trenches 5' x 100' d 42' 12' ~ 4O' 1a 5.5' South Lot Line INDICATE NORTH ARROW PROVIDE SETBACK AND ELEVATION INFORMATION ON REVERSE OF THIS FORM. PROVIDE 2 DEMENS[OW TO CENTER OF SEPTIC TANK MANHOLE COVER. a s '"1f BENCH MARK: (I 001 108,206 ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Vieser Conc. Products Liquid Capicity: 1000/600 Combo Tank Setback from: Vell 7S House Other Pump: Manufacturer Zoeller Mader go Size 1 /2 HP loot Separation Gallons/Cycle: 121 Norm Location Basement SOIL ABSORPTION SYSTEM idth: 3 ength: I T berof trenches 2 'stance a Direction to nearest property line: f Setback form: Vell 7S' House 42' Other ELEVATIONS (ding Sewer T Inlet T Outlet FC Inlet bottom uwp Off: er Manifold ottom of System xisting Grade final Grade )ATE OF INSTALLATION LUMBER ON JOB RODNEY A HENDRICKSON ICENSE NUMBER: NSPECTOR LWAT,XQp+ertn5&rof4T9l3Ph.29.29. /4THEV1 GE~gT9I'fA County ou y.n n Labor and Homan Relations ,/o INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) sanitary ermit o.: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village IR Town of: State Plan D o.: IffffElev': Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9400026 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction Loss Head ITDH Ft Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION DIMENSIONS LEACHING Manufacturer: SYSTEM TO P/ L BLDG WELL LAKE /STREAM SETBACK INFORMATION TypeO CHAMBER Mode Number: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: St. Joseph.29.29.19W., NE, SW, Lot 3, County Road "E" Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. .:roryr, SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY ~5' , 0 STATE -Attach complete plans to the county copy S~rITgf{ty s- # ( ty py only) for the system, on paper not less than Gl T(q 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. PR OPERTY OWNER PROPERTY LOCATION q Vil-f rr 4L i C /'A LLE2 A/C y4 Sup S aZ T o2 N, Rj' E (or P PERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 3o 1_4tVC4S Gk LjvC 4PI. 310 TY, STATE ZIP CODE PHONE NUMBER SUBDIVISIO NAME R CSM NUM ER L )W O u ~ Al S ` a- Fad 1 ~ ~tJ~ i LL : NEAREST ROAD 11. TYPE OF BUIL ING: (Check one) ❑ State Owned CITY Sf 1~I : -4 TOWN ❑ Public L~ 1 or 2 Fam. Dwelling- # of bedrooms 3 P RCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) Q 3 Q 4 _ 3 G 1 ❑ Apt/Condo 2 ❑ Assembly Hall //6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground A4- 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) FZA A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 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.) PROPOS D (sq. ft.) (Gals/day/sq. ft.) .(Min./inch) 16.7 $ ELEVATION 1/000 Y0001,2 Sit100 "1,5- - / Feet 6 Y.- Feet VII. TANK CAPACITY Site in allons Total #of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks Concrete structed glass App. Tanks T anks Septic Tank or Holding Tank 670 / E pk~ G Lift Pump Tank/Si hon Chamber VI COQ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibilityf ation of the onsit ewage system shown on the attached plans. er'a ame (Print): Plumber's Si ature: s) MP/MPRSW No.: Business Phone Number: o .vim A Ekgl/L,'cksowt s0 Xber's Addr ss (Street, City, State, Zip Code): X F I - 0t? IX. OUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanit4ry Permit Fee (Includes Groundwater ate ssu uing Agent Si nature (No Stamps) pproved El Owner Given Initial] Surcharge Fee) Adverse Determination J X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety& Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at 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, 6011-266-3815. 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. Ill. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this systern. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. - - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. 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CD 7 b Q + _ 0 (;j N~ r+N C7 Q 7 1 -1 Q 7 -1 ❑ # to ci7 0 CO C 7 -0 co S CD CD C❑ b C1 'Q N t7 Lo X CD 2 `4 T 0 0 3c.❑ CD CD Q° CD C W ~ -0 X 0 7- CD -0 < rm-~ CD b ~ CD ty- 0 r+ 0 CD C " CD ❑ ° CD Q ° G~ c t Q Q < C: CD C? 0 `p t to r+ Q r+ a r+ CD 3 CD r+ 0 r~ 'o 7 m 0 O CD o O CD O Q_ - S ` S S S ° 7 2 Q_ r-~ m co CT CD Qj CO - 3 Co _ 0 Ln m D CD O S S ~ -~i Cn U3 0 7 r+ L 31+ Q R CD 0 CD r+ C. „J < ~G CD c C 0- 7 S C< Q rn r+ CD CD b CD CO ~ CD O 00 CD -1 to 2 2 - S ---I -7 Oo ❑ CJ r* S 0 CD C rn _ r* 0 rn Q 7 CL -TI tA r-~ 3 Q J3 (0 O s O c° Co n LO O X b Ul ❑ M O Q cQ CD Ul _ O W I~ lO IN IU-1 I~ l I~ IN IN v O C 3 I m -rl m m ~l m G7 G) 0 0 r+ r~ r+ r+ r+ r+ CD Q cv0 OD V C~ LJ1 W ft1 S # Q v (D CCU W - n ~C - -TI co L❑ LO r- '0 -n C] 0.Q CAD r+ O Q r+ r+ 70 trJ C r W p o = ❑ CD -0 CD Pump Capacity Q `o oa o CD 0 0- = p M W ro r o O Ln O LLn O LLn O LLn U7 _ LFJ _ N -Tl b rn 6 CO - N co ~rnLn mo 0 - Ln ° ❑ - iv iv - 3 D 3 CD LP W R) _ 7 -ri CO p W CD O ~ ci ClD X ro I LP w L7 C V Ln CI-) r* 3 W -Ln CD 7 co C:) N ❑ Ln A W LP CD V Q CD c0 c O o = °o CD ul CT) CZl CCD 0 w CD Ln N ~N=1 Q yN~mS~D C Y' C GGx Gri"~l A'-L' N Ill r C G) Ln FSN c°A Q Q blg WCD V~ <r+ CD CD Ol i CD CD ~ o m ' O H ~ CD ~ L' W C1 O Z r-~ 7S 0 Q 70 y 3 d CD = 7 z oo m -o tQ CD O 7- zF _0 ❑ 7 C = 3 S Q S Im T ^ -3 C-) ru o ° n m .b Q CD rD X 3 O _0 r - CD 3 r! 7 S Z m w G-) LF3 o m o I U) Q mm rn .11 3 O - Ln I b; ~ro CO u W z Z C-) i? 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O O C) Q , CJ 0 b C7 -n CD 7 n 0 O C CD 'S r~ H 0 t:1 CD 0 O 3 _ m C] `C CD ~ W m V O O 7y CD ❑ b Z] iii U-1 [.O Z ~1 ch) d b £ o-) p - N O V W Lo H G7 G J G J G-J Q 0 CD M- CD Lo O ° 5' Lo r+ Q O -D LO rrrr _ fVzz r- -n Q rrrr O 0 CD r- CD CD0 G-,HH H ZZ ZZ 7 ° --m---~ rv C~7 'ern °n CD p Q 7 o 7 n 7 U7 U7 U7 U7 p ° ON rU -co cc 7- 7- 7- 0 rN-~ - - ~ O° r ❑ z Z) CD CD CD r* V p °a ,n 0 y O f1] m 0 V Mm0°~'°x O CO ❑ R aj in m m d G7 ~c91a~E~ s OVl OO Q Q 0 0 _0 C 3 ro o 5-0 CD rC+ ~ ~ ~ 7 7 7 N rn z mHm -n Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of -j quman Relations Safety & Buildings in acco Ith ILHR 83.05, Wis. Adm. Code ' vised 1/8/94; Henry F. Grote ~ COUNTY _nple~p site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION part NW-SW-29 plus Pat Daniels & Patricia Miller GOVT. LOT NE 1/4 SW 1/4,S 29 T 29 N,R 19 W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 3930 Lancaster Lane, N., Apt. # 310 3 _ Highland Hills CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE DOWN NEAREST ROAD Plymouth, MN 55441 (612) 542-8212 St. Joseph 14711 [xI New Construction Use [XI Residential / Number of bedrooms ~4 [ J Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow __60Q_ gpd Recommended design loading rate _-NA _bed, gpd/ft2 .45 trench, gpd/ft2 Absorption area required NA bed, ft2 1340 trench, ft2 Maximum design loading rate NA bed, gpd/ft2 -8 trench, gpd/ft2 Recommended infiltration surface elevation(s) 102.8 & 102.1 ft (as referred to site plan benchmark) Additional design / site considerations bed not recommended: install 2 - 5' x 1.34' shallow trenches on contours _ Parent material fluvial outwash over glacial drift Flood plain elevation, if applicable NA ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem S❑ U S O U S❑ U S❑ U ❑ S U ❑ S U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench 1 0-9 7.5YR 3/2 - is 2 m sbk mvfr cs 2f/m .7 .8 ,.:::a 2 9-20 7.5YR 4/3 _ is 1 m sbk mvfr gs if .7 .8 Ground 3 20-36 7.5YR 4/3 - is 0 sg ml cs if .7 .8 elev. 4 36-56 7. SYR 4/4 104.5 ft. - is 0 sg ml as if .7 .8 w/ 7.5YR 3/4 sl 0 m bands: 1/2" 445 1" ® 51-52 & 54-55 Depth to limiting 5 56-80 7.5YR 4/4 mfs 0 sg ml .7 .8 factor to T_ I f Remarks: Boring # 1 0-6 7.5YR 4/3 - is 2 f sbk mvfr cs 2f/m .7 .8 Li 2 6-13 7.5YR 4/3 - is 1 m sbk mvfr gs if .7 t .8 3 13-30 7.5YR 4/3 - is 0 sg ml cs if .7 ? .8 Ground elev. 4 30-60 7.5YR 4/4 - is 0 sg ml cs - .7 ,8 104.2ft. w/ ery irregular 7 5YR 3/4, 4/6 sl (0 m) bands & associate small incl sions s Depth to " limiting 5 60-75 7.5YR 4/4 - is/mfs 0 sg ml ,7 .8 factor tight than horizon w/ common 7.5YR 416 sl (0 ) bands; ge lation 60" L Remarks: texture changes at depth indicate oversizing beyond nominal 0.8 loading rate CST Name. Please Print Phone: Henry F. Grote 715-665-2681 Address: PO Box 57, Knapp, WI 54749-0057 Signature: Date: CST Number: 5/2/93 3065 I PROPERTYOWNER Daniels/Miller SOIL DESCRIPTION REPORT Page 2 of s PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/fts ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trnch ..3....1 1 0-6 7.5YR 3/2 - is 2 f sbk mvfr cs , 2f/m .7 .8 2 6-10 7.5YR 4/3 - is 1 m sbk mvfr cs if. .7 .8 Ground 3 10-18 7.5YR 4/3 - is 1 c sbk mvfr cs if .7 .8 elev. 4 18-30 7.5YR 4/3 - s sg m gs it -a in? -g ft. Depth to 5 30-63 7.5YR 4/4 - mfs 0 sg ml cs if .7 i .8 w/ 1 7,5YR 3/4 sl_(_Q m) band (N 53 limiting 6 63 -77 7.5YE 4/4 f1f 7.5YR 4/8 ® is 0 sg ml .7 .8 factor 64-66 6311 W/ " 7.5YR 3/4 sl (0 m) 63-68 & most y sl ® 7 -77; horizon is general y tight Remarks: Boring # 1 0-7 7.5YR 3/2 - is 2 f sbk mvfr cs 2f/m .7 ' .8 4 2 7-14 7.5YR 4/3 is 1 m sbk mvfr cs if .7 ? .8 3 14-22 7.5YR 4/4 - is 1 c sbk mvfr gs if .7 .8 Ground elev. 4 22-58 7.5YR 4/4 - is 0 sg ml cs if .7 ? .8 inn ft. w/ v ry occasional .5YR 4/6 sl inclusions Depth to 10YR 613 limiting 5 58-78 7.5YR 4/4 f1d 7 5YR 4/8 is 0 sg ml - - .7 ` .8 factor 58" w/ 1 2" irregular 7. YR 4/6 sl (0 m) b nd 58-60 w/ f1d R-Gy ots; horiz n generally tight Remarks: Boring # 1 0-12 7.5YR 3/2 - is 2 f sbk mvfr as 2f/m .7 .8 2 12-22 7.5YR 4/3 - is 1 m sbk mvfr gs if .7 i .8 S 3 22-40 7.5YR 4/4 - mfs 0 sg ml gs if .7 .8 Ground - elev. 4 40-68 7.5YR 4/4 - mfs/fs 0 sg ml as if .7 .8 101.3 ft, w/ .5YR 3/4 sl (0 ) bands & associa ed inclusions: 1/2" 51 & 1-2" 56-58- Depth to !imiting 5 68-74 7.5YR 3/4 f2d 7.5YR 4/8 sl 0 m .3 i .4 factor - - - 68" w/ some inclu ions 7.5YR 4/4 mfs Remarks: Boring # t0 Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) ' ✓1 • r ~ r. k' N lc~ ~rp O O o F {n 6 O U 1 ! r t -f- 1 v a e ~ ~ vJ ~ Q n ! OV~7 ~ CIS ( 00 0 U a e Y o ps ,r Z So ~ ~ + u N ri Cl N ~ onn n~ LU1 4 ;0 tr IA 0 N o N UNPLATTED 0 Ow 'N f m F. ~ S 22 °~6 s9, o, o,. 4 a Sea 4NTFR coo S02° 58' 33,E s , ~ c .os_ r sa . 00 ~Q ~ ° s4 ss "w Saa o s 02 a3 I cs\ oqA \ ° N 01 GZ-131 0 .010 o g ;oC, Gm S'~ { 0 LA \ `C^ w m D ° \ Sq. rn rn OP O r ® O m a) O (-)o O N rn1 f" ti ~ D rn N , Z N cn 0 W rn A v C rn i N (n n Z x r O m OD 0 cn ~o w ° O W n o r OD Q N a co N A a cn ° N A L O O O 90.7\ 93~. ~ N07°24'46..E ss7.72, 9~p, 84 D UNPI ::-ATTED LANDS J A N- 5- 9 4 W E D 1 1 1 8 P 02 S T C - 1o5 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER R • DA~id~S Rifdr) R-T~ C- MJ4 L vzV- ADDRESS 3 930 LA.~~p~ L~►~ye Ao ~M .,,FIRE NUMBfi CITY/STATE •w~ zIP 5",~y PROPERTY LOCATION:.AJ- 1/4 ,,SVJ 1/4, SECTION_421 TOWN OF~ 1 • St. Croix 'County, SUBDIVISION LOT NUMBER__?_. Improper use and maintenance of result in its premature failure to yhandle eptic wastes stem could maintenance consists of years or sooner pumping out the septic tank ever pthr you er , if needed by a licensed septic tank pumper put into the system can affect the function of What the se tie as a treatment stage in the waste disposal system. p tank St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failin system, which was in operation prior to Jul County accepted this y 1, 1978• St. Croix program requirement that owners of all new systems agrees to kee th the system properly maintained. p their The property owner agrees to subm certification 'form, signed by the owner ando b t. Croix Zoning a journeyman plumber, restricted by a mater plumber, verifying that (1). the on-site waste ater odisposal licensed system is pumper 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/Ile, 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 Certification stating that your septic has been ma twined must be completed and returned to the St. Croix Co N 30 days of the three year expiration da , n1 Office within SIGNED DATE: St. Croix co. Zoning office 911 4th St. Hudson, W1 54015 JAN- 5-94 W E D 11:18 P-03 STC-100 This application form iS to be completed in full and signed by the owner(s) of the property being developed. Any, inadequacies will only result An delays of the permit issuance. ,Should this development be intended for resale by owner/contractor,(spec House), thenla 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 4;. d i2;C;A ~i IjeR V. Location of property,~E l/4 •S_J_1/4, Section 9 , T N_R p w • Township ,57: e Mailing address -3 936 LA.,eAxte2 L.o..p JVehf~+ . Address of site Subdivision name de ;l Lot no. Other homes on property? yas___~C ____^No . Previous owner of property o , Total size of parcel 3 g es Data parcel was created 'Are all corn.ers and lot lines identifiable? -A--Yes No Is this property Going developed for (spQC house)?,_-yes &-No Volume. `and. Pa9o Number of Deeds. no recorded with the Register INCLU6E WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DECD which includes a DOCUMENT NU11DER, VOLUttE AND PAGE NUMBER & THE SEAT, OF THE REGISTER Or- DEEDS. certified survey, if available, would be helpful ~Zso asd to oavoid delays of the reviewing process. If the deed description .references to a Certified Survey Map, the Certified Survey tap shall also be required. PROPERTY OW1lrR CT:R`,►'J' 1 ,r C1~~,i,Cc~u 1(we) certify that ell statements on this form are true to the best of my (our) knowledge that = (we), m (arc)... the ,.owner(s) of tho property daacrkbad-in this 'informa:ion~form, by virtue of a warranty dead recorded in the office of the County Reaistnr e%p Deeds as Deeuynn"f, u.. sor znQ sewage disposal system or I ~(we) obtained an easement, to run the above described i ,the construction of said system, and the sam© haarrtl o boon duly recorded in the otlieo of county Rogiatez of deecla n3 Document No. Sign ure applicant p cant Data of signature Data of Signature- vUC:UMENT N°. WARRANTY DEED D- ' IW7 SPACE RESERVED FOR RECORDING DATA '!STATE BAR OF WISCONSIN FORM 1982 X 5~.0~'79 ! V011 105 )PAGE 348 REGIST'S OFFICE j ER -i ST. CROW CO. Vw i _.Hi-ghland_ Hills,— g.. . a_ partnership.consistin of JoA_nn Recd for Record -Persico,"Roger Ruelin and .Bruce- Peterson.,.- - 99 at D8 30 - 1 3A-. II II conveys and warrants to .Patricia- M ...Daniels.- - . . j l d Re8(ster of Deeds j ! I RETURN TO 1 e following of Wisconsn16ed real estate in County, L__ Stat i' Tax Parcel No- Ij l hot 3, Plat of Highland Hills in the Town of St. Joseph, St. Croix County, Wisconsin. II i . S ~I FEE This -----is--not yyy homestead property. I~ (is not) II Exception to warranties: ~ it Easements, restrictions and rights-of-way of record, if any. Dated this i . day or ....December 1993. hl and Hills, by: •---------(SEAL) _ ~......-.....~-.-i... . (SEAL) JoAnn_-Persico -Roger. . Ruel_ix~..._--- _ . _ _ (SEAL) I Bruce Peterson AUTHENTICATION ACKNOWLEDGMENT Signature (s) STATE OF WISCONSIN ss. authenticated this day County. of........................... 19 Personally came before me this i day of DeGember ...................1 19.9-3---- the above named JQAnn..eri~Q_,..oger_. Rue~z~,. TITLE: MEMBER STATE BAR OF WISCONSIN Bruce__Peterson----- (If not authorized b 70,6 y-§' 706 .06, Wis. Scats.) to me known to be the persons....-_..__.. who executed the f going inst gent and 'ac' nowledge the same. THIS INSTRUMENT WAS DRAFTED BY Krishna. Qgland.. .4 - - lir- .Joy -Coan~s . S * Alice Jo n Notary Public- At>:Qrne~! at Law..................................... y Notary Public St ----'---C---r--o-„~ix _ - (Signatures may be authenticated or acknowledged. Both My Commission is1 permane D "t;t are not necessary.) 'CZ7- nok, state exnlratio„ date: _ L persons signing in any capacity should be typal or panted belrna their signau r- iANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co.. Inc FORb1 No. 2- 1982 Milwaukee. Wisconsin GIs fi.~~ ~F.D 11$ x Q o a'0i °o 3 0 h O v3 0. 0 a ~ 0 0 N V~ Ct g (D o~ Z m li c 0 c ' Q c 3 cY) Z N _rn p 2 p C) y y O W ! d m 0) CY) N F Z c O o z a c ~ o I FZ- rn CD Z c p E o 0 m ` M N a p J ~ p m (n N C •MV d s .C O C c O U O O p Q w Z F- Z O N Z - E N _N U) c0 C y C p N C w w CC) Z LA 2 co C) I :E i It a 13 IL .0 ~~1d U) > U) U) U) E = M ~ I-' ~ 3 N N II, > O O O a = O Z CL a. CL g in J U 3 rn rn z° C N N ..3 E L O O N N ;:3) O O M 7 w I/! N i O 0 U N N y y U , O O C C M r co a s ..O O O C d C O O O N w N In 7 _ C N 0 0) -0 O N F- F- N Cl) a) m E E v • y~,~' O N (n O N 3 =5 U1 V ~ eN m m a #t a L: (L w • a m .2 N d o `Iv o a 3 o A a a~ jI O U-) V j 4sin Department ndustry, Laburxa SOIL AND SITE EVALUATION REPORT Page Human Relations 1 Of -5_ , nivision f S fery 8 Buildings tot,,M in aC d with ILHR 83.05, Wis. Adm. Code v revised 1/8/94; Henry F. Grote COUNTY Attach complete site plan on paper not less than 8 1/2~x. 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION part NW-SW-29 plus Pat Daniels & Patricia Miller GOVT. LOT NE 1/4 SW 1/4,S 29 T 30 N,R 19 W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 3930 Lancaster Lane, N., Apt. 310 3 _ Highland Hills CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEAREST ROAD Plymouth, MN 55441 (612) 542-8212 St. Joseph CTHW 'IF" [X] New Construction Use [x] Residential / Number of bedrooms 4 [ I Addition to existing building [ I Replacement [ I Public or commercial describe Code derived daily flow -600- gpd Recommended design loading rate Nn bed, gpd/ft2 •45 trench, gpd/ft2 Absorption area required NA bed, ft2 1340 trench, ft2 Maximum design loading rate NA bed, gpd/ft2__8 trench, gpd/ft2 Recommended infiltration surface elevations 102.8 & 102.1 It (as referred to site plan benchmark) Additional design / site considerations bed not recommended: install 2 - 5' x 134' shallow trenches (,i n it.uurs _ Parent material -fluvial outwash over glacial drift Flood plain elevation, if applicable NA ft S = Suitable for system CONVENTIONAL MOUND IN GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem S❑ U S❑ U S❑ U S❑ U ❑ S U ❑ S U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Bourcbry Roots Bed Trendl 1 0-9 7.5YR 3/2 - is 2 m sbk mvfr cs 2f/m .7 .8 1 2 9-20 7.5YR 4/3 - is 1 m sbk mvfr gs if .7 .8 3 Ground 20-36 7.5YR 4/3 is 0 sg ml cs 1f .7 .8 - elev. 4 36-56 7.5YR 4/4 104.5 ft. - 15 0 sg ml as if .7 .8 w/ 7.5YR 3/4 sl 0 m bands: 1/2" ® 45 ® 51 52 & 54-55 Depth to v, v faCtOrg 5 T56-80 7.5YR 4/4 _ mfs 0 sg ml .7 .8 80" " Remarks: Boring # - - 1 0-6 7.5YR 4/3 - is 2 f sbk mvfr cs 2f/m .7 8 2 2 6-13 7.5YR 4/3 - is 1 m sbk mvfr gs if 7 ,g 3 13-30 7.5YR 4/3 - is 0 sg ml cs if .7 i .8 Ground elev. 4 Mw/ 7.5YR Elar - is 0 sg ml cs - .7 ,8 104.2 ft. eery irr5YR 3/4, 4/6 sl (0 m) bands & associate small incl sions s Depth to limiting 5 60-75 7.5YR 4/4 - is/mfs 0 sg ml factor - s 0„ tight than horizon w/ common 7.5YR 4 6 sl (0 ) bands; ge orally resi t t genet Remarks: texture changes at depth indicate oversizing beyond nominal 0.8 loading' e r` r CST Name: Please Print Phone: Henry F. Grote 715-665-2681 ~v Address: PO Box 57, Knapp, WI 54749-0057 Signature: Date: CST Number: 5/2/93 3065 PROPERTYOWNER_Daniels/Miller SOIL DESCRIPTION REPORT Page? of PARCEL I.D. # s Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounchry Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends 3 1 0-6 7.5YR 3/2 - is 2 f sbk mvfr cs. 2f/m .7 .8 2 6-10 7.5YR 4/3 - is 1 m sbk mvfr cs if, .7 .8 Ground 3 10-18 7.5YR 4/3 - is 1 c sbk mvfr cs if ~.7 .8 elev. 4 18-30 7.5YR 4/3 - Is sg m gs 102.E ft. 5 30-637.5YR 4/4 - mfs 0 sg ml cs if .7 .8 Depth to limiting 6 63w/ 1 7_5YR 3/4 sl -Cc _m) -band @ 53 -77 7.5YE 4/4 f1f 7.5YR 4/8 ® is 0 sg ml - - .7 .8 factor 53" W/ " 7.5YR 3/4 sl (0 m) 63-68 & most y sl ® 7 -77; horizon is general y tight Remarks: Boring # 1 0-7 7.5YR 3/2 - is 2 f sbk mvfr Cs 2f/m .7 .8 4 2 7-14 7.5YR 4/3 - is 1 m sbk mvfr cs if .7 .8 3 14-22 7.5YR 4/4 - is 1 c sbk mvfr gs if .7 .8. Ground elev. 4 22-58 7.5YR 4/4 - is 0 sg ml cs if .7 .8 inn a ft. w/ vary occasional .5YR 4/6 sl inclusions Depth to 10YR 613 limiting 5 58-78 7.5YR 4/4 f1d 7,5YR 4/8 is 0 sg ml - - .7 .8 factor 58" w/ 1 2" irregular 7.5YR 4/6 sl (0 m) band 58-60 w/ f1d R-Gy ots; horiz n gener lly tight Remarks: Boring # 1 0-12 7.5YR 3/2 - is 2 f sbk mvfr as 2f/m .8 5... 2 12-22 7.5YR 4/3 - is 1 m sbk mvfr gs if .7 ; .8 3 22-40 7.5YR 4/4 - mfs 0 sg ml gs if .7 .8 Ground elev. 4 40-68 7.5YR 4/4 - mfs/fs 0 sg ml as if .7 .8 101.3 ft. w/ .5YR 3/4 sl (0 ) band:; & associated inclusions: 1/2" 51 & 1-2" 56-58 Depth to limiting 5 68-74 7.5YR 3/4 f2d 7.5YR 4/8 sl 0 m - - - .3 .4 factor 68" w/ some inclu ions 7.5YR 4/4 mfs Remarks: Boring # Ground elev, ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) t 0 2 d ~ ~ J c~ o f ~f~ m d o W `J 3 Ix ~ a6 ; d r0 gyn.' ~ g t ~ ~ ~ ~ ~ J I s ~1 1 P-A 1 Wisconsin Department ndustry, SOIL AND SITE EVALUATION REPORT Labur~nd Human Relations Page 1 Of Division of Safety & Buildings in aC d with ILHR 83.05 Wis. Adm. Code 4 rift4 N CL ~..K 1J~. COUNTY revised 1/8/94; Henry F. Grote ~4r- St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION part NW-SW-29 plus Pat Daniels & Patricia Miller GOVT. LOT NE 1/4 SW 1/4,S 29 T 30 N,R 19 W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # 3930 Lancaster Lane, N., Apt. # 310 3 Highland Hills CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEAREST ROAD Plymouth, MN 55441 (612) 542-8212 St. Joseph " New Construction Use Residential / N (xl [X1 umber of bedrooms ( )Addition to existing building ( ] Replacement ( ) Public or commercial describe Code derived daily flow 6()q_ gpd Recommended design loading rate NA bed, gpd/ft2 .45 trench, gpd/ft2 Absorption area required NA bed, ft2 1340 trench, ft2 Maximum design loading rate NA bed, gpd/ft2__.8 trench, gpd/ft2 Recommended infiltration surface elevations 102.8 & 102.1 ft (as referred to site plan benchmark) Additional design/ site considerations bed not recommended: install 2 - 5' x 1.34' shallow trenches_ un contours _ Parent material fluvial outwash over glacial drift Flood plain elevation, if applicable NA _ ft F uitable for system CONVENTIONAL MOUND IN GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK nsuitable for system S O LT S O U S❑ U S❑ U El 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 Trendl 1 0-9 7.5YR 3/2 - is 2 m sbk mvfr cs 2f/m .7 .8 2 9-20 7.5YR 4/3 - is 1 m sbk mvfr gs if .7 .8 Ground 3 20-36 7.5YR 4/3 - is 0 sg ml cs if .7 .8 elev. 104 5 ft. 4 36-56 7.5YR 4/4 - is 0 sg ml as if .7 .8 w/ 7.5YR 3/4 sl 0 m bands: 1/2" ® 45 1" (W 51 52 & 54-55 Depth to factOrg 5 56-80 7.5YR 4/4 - MI's 0 sg ml .7 .8 80" w/ ve v 1rrPnijAr--7-5~'R 3/4 -ql (n al~t 1 Ca RA A AL Remarks: Boring # 1 0-6 7.5YR 4/3 - is 2 f sbk mvfr cs 2f/m .7 .8 2 2 6-13 7.5YR 4/3 - is 1 m sbk mvfr gs if .7 .8 3 13-30 7.5YR 4/3 - is 0 sg ml cs if .7 .8 Ground elev. 4 30-60 7.5YR 4/4 - is 0 sg ml cs - .7 8 104.2ft. w/ ery irregular 7 5YR 3/4, 4/6 sl (0 m) bands & associate small incl sions s T Depth to f r z limiting 5 60-75 7.5YR 4/4 - is/mfs 0 sg ml factor - 0„ tight than horizon w/ common 7.5YR 4 6 sl (0 ) bands; ge erally rest tant to P6, ion Remarks: texture changes at depth indicate oversizing beyond nominal 0.8 loapi."g rate i CST Name: Please Print Henry F. Grote Phone: 715-665-2581 Address: PO Box 57, Knapp, WI 54749-0057 Signature: Date: 5/2/93 SST Number. J06 1 PROPERTY OWNER Daniels/Miller SOIL DESCRIPTION REPORT Page? of 3# PARCEL I.D. ff ! . Boring # Horizon Depth Dominant Color Mottles Structure 9 Texture Consistence Boundary Roots GPD/ft m Bed Trench in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 3 1 0-6 7.5YR 3/2 - is 2 f sbk mvfr cs. 2f/m .7 .8 2 6-10 7.5YR 4/3 - is 1 m sbk mvfr cs if. .7 .8 Ground 3 10-18 7.5YR 4/3 - is 1 c sbk mvfr cs if .7 .8 elev. 4 18-30 7.5YR 4/3 - s sg m gs ft. Depth to 5 30-63„ 7.5YR 4/4 - mfs 0 sg ml cs if .7 .8 limiting factor 6 63-77 7.5YE 4/4 f1f 7.5YR 4/8 ® is 0 sg ml ,7 ,g 6.~-64-66 - w/ 7.5YR 3/4 sl (0 m) 63-68 & mostly sl ®7 r-77; horizon is general y tight Remarks: Boring # - - 1 0-7 7.5YR 3/2 - is 2 f sbk mvfr cs 2f/m .7 .8 4 2 7-14 7.5YR 4/3 - is 1 m sbk mvfr cs if 7 .8 _ I 3 14-22 7.5YR 4/4 - is 1 c sbk mvfr gs if .7 .8 Ground elev. 4 22-58 7.5YR 4/4 - is 0 sg ml cs if .7 .8 inn R ft. w/ v ry occasional .5YR 4/6 sl inclusions Depth to 10YR 613 limiting 5 58-78 7.5YR 4/4 f1d is 0 sg ml ,7 ,8 factor 7.5YR 4/8 58" w/ 1-2" irregular 7.5YR 4/6 sl (0 m) band 58-60 w/ f1d R-Gy ots; horiz n gener lly tight Remarks: Boring # 1 0-12 7.5YR 3/2 - is 2 f sbk mvfr as 2f/m .7 .8 5.. 2 12-22 7.5YR 4/3 - is 1 m sbk mvfr gs 1f .7 .8 3 22-40 7.5YR 4/4 - mfs 0 sg ml gs if .7 .8 Ground elev. 4 40-68 7.5YR 4/4 - mfs/fs 0 sg ml as if .7 .8 101.3 ft. w/ .5YR 3/4 sl (0 ) bands & associa ed inclusions: 1/2" 51 & 1-2" 56-58 -LL Depth to limiting 5 68-74 7.5YR 3/4 f2d 7.5YR 4/8 sl 0 m L.3:: 4 factor - - - 68" w/ some inclu ions 7.5YR 4/4 mfs Remarks: Boring # - - - - Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) y v O Li ~ J 3 l of f ~ Z ~ • ~ ~ pe i d ~ n o d~ 1 • a ~ r^ o l ter- ~ 1 ~ ~ s ° - 1 8 ~ o J c ~ Wisconsin Department ofIndustry, SOIL AND SITE EVALUATION REPORT Page 1 of _3 L-abos Relations ` 0Msion of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY revised 2/25/94 (Sub, T & R) 4)r- St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION part NW-SW-29 plus JoAnn Persico GOVT. LOT NE 1/4 SW 1/4,S 29 T 30 N,R 19 W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR GSM # 700 Second St. 3 - Highland Hills CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEAREST ROAD Hudson, WI 54016 (715) 386-8236 St. Joseph r.THW 'IF" [X] 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 bed, gpd/ft2 •45 trench, gpd/ft2 Absorption area required NA bed, ft2 looo trench, ft2 Maximum design loading rate NA bed, gpd/ft2 .8 trench, gpd/ft2 Recommended infiltration surface elevation(s) 102.8 & 102.1 ft (as referred to site plan benchmark) Additional design/ site considerations bed not recommended: install 2 - 5' x 100' shallow trenches(2-5' x 134' for 4br) Parent material fluvial outwash over glacial drift 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 for s stem PS ❑ U S❑ U PS ❑ U S❑ U ❑ S U ❑ S U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-9 7.5YR 3/2 - is 2 m sbk mvfr cs 2f/m .7 .8 2 9-20 7.5YR 4/3 - is 1 m sbk mvfr gs if .7 .8 3 20-36 7.5YR 4/3 - is 0 sg ml cs if .7 .8 Ground elev. 4 36-56 7.5YR 4/4 - is 0 sg ml as if .7 .8 104.5 ft. w/ 7.rYR 3/4 sl 0 m bands: 1/2" @ 45 1" @ 51-52 & 54-55 Depth to limiting 5 56-80 7.5YR 4/4 - mfs 0 sg ml - - .7 .8 factor „ > so" Remarks: Boring # 1 0-6 7.5YR 4/3 - is 2 f sbk mvfr cs 2f/m .7 .8 2 € 2 6-13 7.5YR 4/3 - is 1 m sbk mvfr gs if .7 .8 3 13-30 7.5YR 4/3 - is 0 sg ml cs if .7 .8 Ground elev. 4 30-60 7.5YR 4/4 - is 0 sg ml cs - .7 .8 104.2 ft. /74 w/ ery irregular 7 5YR 3/4, 4/6 sl (0 m) bands & associale ons s Depth to limiting 5 60-75 7.5YR 4/4 - is/mfs 0 sg ml - - .7 .8 factor tight than horizon w/ common 7.5YR 416 sl (0 ) ba dx;;ge erak rei` tant~ enet ation 60" - r Remarks: texture changes at depth indicate.oversizing beyor irk ,8 %di6 ate CST Name:-Please Print Henry F. Grote he -5-6 681 v Address: Po Box 57, Knapp, WI 54749-0057 S~ .gym r2t Signature: CST Number: 5 2 9 r 3065 PROPERTY OWNER JoAnn Persico SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-6 7.5YR 3/2 - is 2 f sbk mvfr cs. 2f/m .7 .8 3 2 6-10 7.5YR 4/3 - is 1 m sbk mvfr cs if. .7 .8 Ground 3 10-18 7.5YR 4/3 - is 1 c sbk mvfr cs if .7 .8 elev. 4 18-30 7.5YR 4/3 - s 0 sg m gs ir .7 .8 ing R ft. Depth to 5 30-63 7.5YR 4/4 - mfs 0 sg ml cs if .7 .8 I w/ 111 7,5YR 3/4 sl (0 m) band @ 53 limiting 6 63-77 7.5YE 4/4 f1f 7.5YR 4/8 @ is 0 sg ml - - .7 .8 factor ~3- w/ 7.5YR 3/4 sl (0 m) 63-68 & mostly sl @ 74-77; horizon is general ,y tight Remarks: Boring # 0-7 7.5YR 3/2 - is 2 f sbk mvfr cs 2f/m 7 .8 4 2 7-14 7.5YR 4/3 - is 1 m sbk mvfr cs if .7 .8 :ti•>•:: iii% iii: 3 14-22 7.5YR 4/4 - is 1 c sbk mvfr gs if .7 .8 Ground elev. 4 22-58 7.5YR 4/4 - is 0 sg ml cs if .7 .8 inn A ft. w/ v ry occasional .5YR 4/6 sl inclusions Depth to 10YR 613 limiting 5 58-78 7.5YR 4/4 f1d 7.5YR 4/8 is 0 sg ml - - .7 .8 factor 58" w/ 1 2" irregular 7.5YR 4/6 sl (0 m) band 58-60 w/ f1d R-Gy ots; horizon gener lly tight Remarks: Boring # 1 0-12 7.5YR 3/2 - is 2 f sbk mvfr as 2f/m .7 .8 };4':ti i%Y:i?Y4 ' 2 12-22 7.5YR 4/3 - is 1 m sbk mvfr gs if .7 .8 5 3 22-40 7.5YR 4/4 - mfs 0 sg ml gs if .7 .8 Ground elev. 4 40-68 7.5YR 4/4 - mfs/fs 0 sg ml as if .7 .8 101.3 ft. w/ .5YR 3/4 sl (0 ) bands & associated inclusions: 1/2" 51 & 1-2" 56-58 Depth to limiting 5 68-74 7.5YR 3/4 f2d 7.5YR 4/8 sl 0 m - - - .3 .4 factor 68" w/ some inclusions 7.5YR 4/4 mfs Remarks: Boring # 'v4 Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) L of ~ f~ d a ~ Q cr J I ~ ~ M ~Of• x ~o ~t 00 0 9 I a c I J c..--rte a Wisconsin Departmentndustry, SOIL AND SITE EVALUATION REPORT Pa e Labor and ~"iraman Relations Di~iaicskypf Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code ' COUNTY revised 2/25/94 (Sub, T & R) St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION part NW-SW-29 plus JoAnn Persico GOVT. LOT NE 1/4 SW 1/4,S 29 T 30 N,R 1.9 W PROPERTY OWNER':S MAILING ADDRESS LOT* BLOCK # SUBI? NAME OR CSM 700 Second St. 3 EligtalarLd Hills CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD Hudson, WI 54016 (715) 386-8236 St. Joseph 'I " [X] 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 NA bed, gpd/ft2 -45 trench, gpd/ft2 Absorption area required NA bed, ft2 1000 trench, ft2 Maximum design loading rate NA bed, gpd/ft2 •8 trench, gpd/ft2 Recommended infiltration surface elevation(s) 102.8 & 102.1 ft (as referred to site plan benchmark) Additional design /site considerations bed not recommended: install 2 - 5' x 100' shallow trenches(2-5' x 134' for 4br) Parent material fluvial outwash over glacial drift 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 PS ❑ U PS ❑ U PS ❑ U 0S El U ❑ S U ❑ S U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bohr Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-9 7.5YR 3/2 - is 2 m sbk mvfr cs 2f/m .7 .8 2 9-20 7.5YR 4/3 - is 1 m sbk mvfr gs if .7 .8 Ground 3 20-36 7.5YR 4/3 - is 0 sg ml cs if .7 .8 - elev. 4 36-56 7.5YR 4/4 - is 0 sg ml as if .7 .8 104.5 ft. w/ 7.rYR 3/4 sl 0 m bands: 1/2" @ 45 1" @ 51 52 & 54-55 Depth to limiting 5 56-80 7.5YR 4/4 mfs 0 sg ml - - .7 .8 factor 1 W/ VPTY irrPquIR 7.5)'R 3/4 ;1 (n m) hRnfl-q* 11 IQ 58 & 64 > 80" Remarks: Boring # 1 0-6 7.5YR 4/3 - is 2 f sbk mvfr cs 2f/m .7 .8 2 2 6-13 7.5YR 4/3 - is 1 m sbk mvfr gS if .7 .8 3 13-30 7.5YR 4/3 - is 0 sg ml cs if .7 i .8 Ground elev. 4 30-60 7.5YR 4/4 - is 0 sg m 9 0 .7 .8 104.2ft. w/ -very irregular 7 5YR 3/4, 4/6 sl (0 m) bands & associaincl si s s Depth to 5 60-75 7.5YR 4/4 limiting - `1s/mf5 0 sg - - .7 .8 60 factor tight than horizon w/ core on 7-.5YR ,4 6 sl (0 f)-,'bands; resi font to genet ion 11 Remarks: texture changes at deptt -indicate.,oveisizing beyond'.nomin 0.8 1&oing ra' CST Name:-Please Print Phone: y' Henry F. Grote 4 S:; 6 Y 6 Address: PO Box 57, Knapp, WI 54749-005 Signature: Date: 5/2/93 CST Number: 3065 PROPERTYOWNER. JoAnn Persico SOIL DESCRIPTION REPORT Page r of # PARCEL I.D. # `y Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bourlda~y Roots Bed Trench 0-6 7.5YR 3/2 is 2 f sbk mvfr cs. 2f/m .7 .8 rf{ 3a 2 6-10 7.5YR 4/3 - is 1 m sbk mvfr cs if. .7 .8 Ground 3 10-18 7.5YR 4/3 - is 1 c sbk mvfr cs if .7 _ .8 elev. -T--T8--30 7.5YR 4/3 s sg m gs 102.8 ft. - Depth to 5 30-63 7.5YR 4/4 - mfs 0 sg ml cs if .7 i .8 w/ 1 7,5YR 3/4 ;1 __CC m) hand 0 53 limiting 6 63 -77 7.5YE 4/4 f1f 7.5YR 4/8 ® is 0 sg ml factor •7 .8 6311 64-66 w/ " 7.5YR 3/4 sl (0 m) 63-68 & most y sl ® 7 -77; horizon is general y tight Remarks: Boring # 1 0-7 7.5YR 3/2 - is 2 f sbk mvfr cs 2f/m .7 .8 ~.~.::4:<•::.'f 2 7-14 7.5YR 4/3 _ is 1 m sbk mvfr cs 1f .7 •8 3 14-22 7.5YR 4/4 - is 1 c sbk mvfr gs if .7 .8 Ground elev. 4 22-58 7.5YR 4/4 - is 0 sg ml cs if .7 •8 inn g ft. w/ v ry occasional .5YR 4/6 sl inclusions Depth to limiting 5 58-78 7.5YR 4/4 f1d 10YR 613 is 0 sg ml •7 ` •8 factor 7.5YR 4/8 58" w/ 1 2" irregular 7.5YR 4/6 sl (0 m) b nd 58-60 w/ f1d R-Gy ots; horiz n gener lly tight Remarks: Boring # 1 0-12 7.5YR 3/2 is 2 f sbk mvfr as 2f/m .7 .8 2 12-22 7.5YR 4/3 is 1 m sbk mvfr gs 1f .7 •8 K 5 3 22-40 77.5YR 4/4 - mfs 0 sg ml gs if .7 .8 Ground elev. 4 40-68 7.5YR 4/4 - mfs/fs 0 sg ml as if .7 .8 101.3 ft. w/ .5YR 3/4 sl (0 ) bands & associa ed inclu ions. 1/2" 51 & 1-2"(F56-58 Depth to limiting 5 68-74 7.5YR 3/4 f2d 7.5YR 4/8 sl 0 m factor - - .3 .4 68" w/ some inclusions 7.5YR 4/4 mfs Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) 4 i a N S i o a y~ a l qao r` j M (l ~ o '