HomeMy WebLinkAbout030-2093-90-000
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Wivlthsin department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3
Lat~ ~ n5+ Human Relations
Ah •ion of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
revised 2/25/94 (Sub, T & R) ZZ COUNTY
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
JoAnn Persico GOVT. LOT SW 1/4 SW 1/4,S 29 T 30 ,N,R 19 W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM #
700 Second St. 9 - Highland Hills
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE GOWN NEAREST ROAD
Hudson, WI 54016 (715 ) "Ell
[XI 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 5 bed, gpd/ft2_trench, gpd/ft2
Absorption area required goo bed, ft2 750 trench, ft2 Maximum design loading rate .5 bed, gpd/ft2 .6 trench, gpd/ft2
Recommended infiltration surface elevation(s) 98.9 ft (as referred to site plan benchmark)
Additional design / site considerations install 5' x 75' rock bed mound on 97.9 contour as upslope edge of rock bed
Parent material loess 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 Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trends
1 0-12 10YR 3/2 - sil 3 c cr mvfr gs 2f .5 .6
2 12-20 10YR 4/3 - sil 2 m sbk mvfr cs if .5 .6
w/ occasion El cob & st
Ground
elev.
100.0 ft. 3 20-36 10YR 4/4 - sil 3 m sbk mfr cs - .5 .6
Depth t0 4 36-42 10YR 4/4 f2d 10YR 613 sicl 2 c sbk mfr - - .4 .5
limiting
factor
36"
Remarks:
Boring # 1 0-13 10YR 3/2 - sil 2 m sbk mvfr cw if .5 .6
2 13-18 10YR 4/3 - sil 2 in sbk mfr cs if .5 .6
3 18-39 10YR 4/4 - sicl 3 c-m sbk mfr cs if .4 .5
Ground
elev. 4 39-44 10YR 4/4 f2d aR,2 sicl 2 c - - 4 5
97.5 ft.
0-39 occa Y cob & st
Depth to m
limiting
1
factor -'a c
r
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soils suitable ~fer', at r de-, but ares re, rk d 5 t) xs excessiv
g a by. X1'1 Pared to surveyed area
Remarks: - =
CST Name--Please Print ! Phone:
Address: PO Box 57, Knapp, WI 54749-0057
Signature: \ Date: 5/2/93 CST Number: 3065
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STC - 104 AS BUILT SANITARY SYSTEM REPOR ~MIED j
~ N
OWNER L r~7C~.<<~~, MAY 1 1 1995
ST CFO X ~CCO"TY
ADDRESS ~ E ZONWGO"qGE
SUBDIVISION / CSM# L T #
SECTION~T ? ; N-R ` W, Town of
ST. CROIX COUNTY, WISCONSIN
WkLV PLAN VIEW
SHOW EVER THING WITHIN 100 FEET OF SYSTEM
n a'
u
56•
u
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
r
i
b
BENCHMARK : "1 f
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer:_ W c ~ Liquid Capacity: /oo°
Setback from: Well A 51 House 1 Other
Pump: Manufacturer -2oc(lev Model# 5 3 Size
Float seperation 6,5 Gallons/cycle: 13,'3
Alarm Location Q,.,e.,_4
SOIL ABSORPTION SYSTEM
Width: 5 Length T!L Number of trenches I
Distance & Direction to nearest prop. line: yJ S
Setback from: well: )6S' House 1 Other
ELEVATIONS
Building Sewer --?l ST Inlet I d of ST outlet J 'Z o, 573
PC inlet. S S.. PC bottom f1 s Pump Off 94,2>
Header/Manif old 9 Bottom of system U 3
Existing Grade q 3 Final grade 100i35
DATE OF INSTALLATION: y-4
PLUMBER ON JOB: L., ? ) t,~ ~
LICENSE NUMBER: f-,Ct5 3~
INSPECTOR:
3/93:jt
LWATJ(IVp 45ttof49aWh • 19.30, WAEkAIEFTAVE§'Pad "En County:
Labor and Human Relaticfis INSPECTION REPORT
Safety and Buildings Division
(ATTACH TO PERMIT) Sanitary ermit R.PIX
6EN&AL INFORMATION
Permit Holder's Name: ❑ City ❑ Village li Town of: State Plan D o.:
ev.: nsp. E ev.. BM Description: Parcel Tax No.:
TANK INFORMATION ELEVATION DATA A9400023
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark d
Dosing
Aeration Bldg. Sewer 07
Holding St/ It Inlet I to
TANK SETBACK INFORMATION St/ H Outlet I
0
Vent
TANK TO P/ L WELL BLDG. Airito ntake ROAD Dt Inlet b' • ST
Ar
Septic NA Dt Bottom q. 3`9 ~3, 3
Dosing NA a-Lr Man.
Aeration NA Dist. Pipe j~• ° ~8
Holding Bot. System q 9" 9 G~~
PUMP/ SIPHON INFORMATION Final Grade 7
Manufacturer Demand
S&ik
Model Number GPM .
oss ction Syestem TDH Ft
TDH Lift Fri
Forcemain Length Dia. HH Dist.Towell . 1Y 101.1t)
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 LEACHING Manufacturer:
SETBACK
INFORMATION Type 0 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. I 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 E] Yes ❑ No E] es_~ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: St. Joseph.29.30,19W Lot 9, County Road "E"
'7 3 -i° 6-y' !~a
Plan revision required? ❑ Yes ❑ No
Use other side for additional information.
SBD-6710(R 05/91) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
p =
I '-51.~ =
D ~~Ig
Nil -
~~3~
- SANITARY PERMIT APPLICATION u~
D1LH~R In accord with ILHR 83.05, Wis. Adm. Code Colt
.Gd (C
STATE SANITARY PERMIT #
-LAttach-complete plans (to the county copy only) for the system, on paper not less than 1:1 ~~99~
S% X 11 inches in SIZ@. 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. 3 - `//3 -29
PROPERTY OWNER PROPERTY LOCATION
T S kj '/4 5 t~J'/4, S T 30, N, R 1 f k(or) W
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
k/
CITY, STATE ZIP CODE PHONE NUMBER SUBD~ /VISIN NAME OR C N MBER
S o2ti I `1~s-`l~3 rT~ h)4n i S
II. TYPE OF BUILDING: Check one) ❑ CITY' ~r NEAREST ROAD
( State Owned VILLAGE : ST C5 A
❑ Public 9 1 or 2 Fam. Dwelling-# of bedrooms ~ PARCEL 111. BUILDING USE: (If building type is public, check all that apply) 030 r ~ O j ' - y a
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 70 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. V New 2." ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.E] 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 -a 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
- -sa ~ _5- 3 7 6- • 2 yu 14 '?9,q' Feet 16 f S Feet
VII. TANK CAPACITY Site
in alIons Total # of Prefab. Fiber- Exper.
INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holdin Tank 11600 l O D 1
Lift Pum Tank/ QG go a
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 No.: Business Phone Number:
CGY1 7f5- 4:2 5 •AI S_
Plumber's Address (Street, City, State, Zip Code):
164 ~5. ° 5/ k f.-,[( j $4a -a Y?l IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved i ry Permit Fee (includes Groundwater Date Issued Issuing Agents gnature (No Stamps)
XApproved ❑ Owner Given Initial 4$un harge Fee) } t
Zf V /
Adverse Determination
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 1 1/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS r
1. A sanitary permit is valid for two (2) years. L
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 cn 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 131/2 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 gro;.indwater, ground-
water contamination investigations and establishment of standards.
SBD-6398 (R.11/88)
02/17/94 12:23 UW STOUT PURCHASING i 40OPPP71566526819078 NO.061 P04
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Wisoonsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3
-Laboi and Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
' COUNTY
revised 2/25/94 (Sub, T & R) 4.V_A 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
JoAnn Persico GOVT. LOT SW 1/4 SW 1/4,S 29 T 30 N,R 19 W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
700 Second St. 9 - Highland Hills
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [ZfOWN NEAREST ROAD
Hudson, WI 54016 ) „
[X ] New Construction Use [ X] Residential / Number of bedrooms 3 [ ] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow jinn gpd Recommended design loading rate 5bed, gpd/ft2 trench, gpd/ft2
Absorption area required _onn bed, ft2 750 trench, ft2 Maximum design loading rate • 5 bed, gpd/ft2 -6 trench, gpd/ft2
Recommended infiltration surface elevation(s) 98.9 ft (as referred to site plan benchmark)
Additional design / site considerations install 5' x 75' rock bed mound on 97.9 contour as upslope edge of rock bed
Parent material loess Flood plain elevation, if applicable NA ft
rU= tablefor system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
suitable for system ❑ S U S❑ U ❑ S 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 Tmrtch
1 0-12 10YR 3/2 - sil 3 c cr mvfr gs 2f .5 .6
2 12-20 10YR 4/3 - sil 2 m sbk mvfr cs if .5 .6
w/ occasion 1 cob & st
Ground
elev.
100.0ft. 3 20-36 10YR 4/4 - sil 3 m sbk mfr cs - .5 .6
Depth t0 4 36-42 10YR 4/4 f2d 10YR 613 sicl 2 c sbk mfr - - .4 .5
limiting
factor
36"
Remarks:
Boring # 1 0-13 10YR 3/2 - sil 2 m sbk mvfr cw if .5 .6
2 13-18 10YR 4/3 - sil 2 m sbk mfr cs if .5 .6
3 18-39 10YR 4/4 - sicl 3 c-m sbk mfr cs if .4 .5
Ground
elev. 4 39-44 10YR 4/4 f2d.-laY4j 6/2 sicl .4 .5
97.5 ft.
0-39 ocg2sl al cob & st
Depth to
limiting"
factor
391
Remarks: soils suitab for at-grade but area req (115 sq f is exc e compared to surveyed area
CST Name: Please Print Phone:
Address: PO Box 57, Knapp, WI 54749.Q6P, E
Si nature: Date: CST Number:
9 ~ 5/2/93 3065
PROPERTY OWNER JoAnn Persico SOIL DESCRIPTION REPORT Page? 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 Twich
3 1 0-15 10YR 3/2 - sil 2 f sbk mvfr cw 2f .5 .6
%`<-'s=z?? 2 15-21 10YR 4/3 - sil 2 m sbk mvfr gs if .5 .6
Ground 3 21-41 10YR 4/4 - sil 3 c-m sbk mfr gs if .5 .6
elev.
9R_n ft. 4 41-55 10YR 4/4 f2d R-Gy sicl 1 c abk mfr - - .4 .5
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
1?
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
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02i1V94 12:22 UW STOUT PURCHASING i 40OPPP71566526819078 NO.061 P02
w~;onsin Department of Industry. SOIL AND SITE EVALUATION H E N U H I rayt! U' '
Lab-or *ad Human Relations
Division of Safety a Buildings in ac Ord with ILHR 83.05, Wis. Adm. Code COUNTY
revised'(T&R6subdivision) 2/15/94 VJJ'' St. Croix
Attach complete site plan on paper not less than 8 1/2 s 11 inches in size. Plan must include, but PARCEL I,p, R
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or
dimensioned, north arrow, and location and distance to nearest road.
REVIEWED BY DATE
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION
PROPERTY OWNER: PROPERTY LOCATION y
Joann Persico GOVT. LOT SW 114 SW 114,S 29 T 30 N.R 19 W
PROPERTY OWNERS MAILING ADDRESS LOT I BLOCK # SUED. NAME OR CSM #
700 Second $t. 9 - Hi -land Hills
CITY, STATE 21P COOS PHONE NUMBER pCITY It 1JAcE [jfOWfV NEAREST ROAD
Hudson, WI 54016 (715) H "E"
1X I New Construction Use [ X) Residential I Number of bedrooms 3 - _ (J Addition to existing building
[ l Replacement [ [ Public or commercial describe- _
Code derived daily flow A 5p gpd Recommended design loading rate 5 bed, gpdrnz__ ,6 _trench, gpdm2
Absorption area required bed, R2 750 trench, ft2 Maximum design loading rate_ .5 _bed, gpd/It2 .6 trench, gpd/ft2
Recommended infiltration surface elevation(s) 98.9 __ft (as referred to site plan benchmark)
Additional design / site considerations install 5' x 75' rock bed mound on 97.9 contour a, upslope edge of rock bed
Parent material . loess _-Flood plain elevation, it applicable NA ft
S =Suitable for system CONVENTIONAL MOUNT} IN•GROUND PRESSURE AT•GRADe SYSTEM IN RILL HOLDING TANK
U- Unsuitable fors stem 0S U S O U EIS U D S U D S U 0S 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 Tt-I
1 0-12 10YR 3/2 - si3 3 c cr mvfr gs 2f .5 ,6
1
4mal 2 12-20 10YR 4/3 - sil 2 m sbk mvfr cs if .5 .6
4"
w/ occasion el cob & st
Ground
elev.
100.01L 3 20-36 10YR 4/4 - sil 3 m sbk mfr cs - .5 E.6
Depth to 4 36-42 10YR 4/4 f2d 10YR 6/3 sicl 2 c sbk mfr - - .4 .5
limiting
factor
' 36"
Remarks:
Boring # 1 0-13 10YR 3/2 - sil 2 m sbk mvfr cw if 5 ..6
2 13-18 10YR 4/3 - sil 2 m sbk mfr cs if .5 '.6
WWI
3 18-39 10YR 4/4 - sicl 3 c-m sbk mfr cs if .4 1.5
j Ground 4 5
elev. 4 39-44 10YR 4/4 f2d 10YR 6/2 sicl 2 c sbk mfr
97.5 It.
0-59 occasional cob do 51:
Depth to _
limiting
factor
391.
Remarks: soils suitable for at-grade but area required (1125 sq ft) is excessive compared to surveyed area
CST Name; Please Print Phone:
7 7 ~i t~4 7/,{t4._
Address: PO Box 57, Knapp, WI 54749-0057
s;nnarure _ Date: ion CST Numb: <ncs
02/17/94 12,:23 UW STOUT PURCHASING 40OPPP71566526819078 NO.061 P03
PARCEL I.D.
tt
Depth Dominant Color Mottles Texture Structure Consistence Bou'r i y Roots GPD/it
Boring # Horizon in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. Bed rend
w _ 1 0-15 1OYR 3/2 sil 2 f sbk mvfr ow 2f .5 .6
5 3
2 15-21 10YR 4/3 2 m sbk mvfr gs 1r 5 .6
Ground 3 21-41 10YR 4/4 - sil 3 c-m sbk mfr gs if .5 .6
elev. 4 41-55 10YR 4/4 f2d R-Gy sicl 1 c abk mfr - - •4 + .5
oft n It. Depth to _
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to -
limiting
factor
Remarks:
Boring #
13
Ground
elev.
tt.
Depth to
limiting
factor
Remarks:
Boring #
I low
Ground
elev.
ft.
` Depth to
limiting
factor
Remarks:
02/17/94 12.22 UW STOUT PURCHASING 4 400PPP71566526819078 NO.061 D01
University of Wisconsin.-Stout
Menomonie, Wisconsin 54751-0790
FAX TRANSMITTAL SHEET
- - - - - - - - - - - - - - - - - - -
DATE: r ~ a 4
FAX
COMPANY:
AT'TEN'TION: ~ : ~ ~o H~
This transmission is pages including this cover page.
5VI - t.,. 10 ~
COMMENTS:
h w1~1 • +y •
CIO
FROM:
Purchasing Services
University of Wisconsin-Stout
Menomonie, W1 54751
FAX 715/232-1565
Phone: 7151232-2453
S93 41379
MOVE THE EARTH
AILPORT EXCAVATING
1042 South Main
RIVER FALLS WI 54022
CARL P. HEISE (715) 425.2175
Owner
MOUND SYSTEM
FOR
A BEDROOM RESIDENCE
LOCATED IN THE LL 4 OF THE E OF SECTION _Q 1q, T&-d N, R91 W,
TOWN OF_: "l_________, COUNTY, WISCONSIN.
INDEX
PAGE 1 of 6 TITLE SHEET
PAGE 2 of 6 PLOT PLAN
^Ir
PAGE 3 of 6 PLAN VIEW-CROSS SECTION
PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT
PAGE 5 of 6 PUMPING CHAMBER
PAGE 6 of 6 PUMP PERFORMANCE CURVE
PREPARED FOR
LESTE R- RIc:HA Rpr__
- - 927 RIVER HILL 5 RD
RIVER F4LtS. W L_,5_jD22
,'REPARED BY
L~ P. "
-CARL P. HEISE
CST-3314 MPRS-3378
1042 SOUTH MAIN
RIVER FALLS, WI 54022
l
a
RECEIVED
DEC -1 IM
SAFETY i sm. mv.
1
CPO a - 130
• PLOT PLAN X93 41379 Y~Zot~
SALE I"=9d, 801.3oi~
o Co. R~ E
OT
Y
TTTTC 3 6~4 ~w Po
4 P,)c
WEEKS ~
0 looo r,41
sPP, c?Auk
4 pl, C.
pR,IVATE SEWAGE SYSTEM
Condationa~ .l OVA", z
1,..
DEPT. DF tNDUSTi1Y 'SALABOR &
FETY A
DIY ON OF W650
goo W
Pit mec-6-6,91'
S- C Ftk` °-I O po ,a
-y
h
o
G
i
s
Iron P~QC ~bTCo+«~'
i
A554~fte EL.IOo.oo
893 41379 OF.
App~v~-D Synthetic Covering
Distribution Pipe
Medium Sand
rv. ter-,. -LG 8. r
Topsoil F E q
3 I - r D `
IE-
u. ~
a
Slope
Plowed
Bs
ed Of 2 For ce Main
• 2 Z
Aggregate From Pump Layer E' .j
DCross Section Of. A Mound System Using
F
A' .-rkEgCO For The Absorption Area
ATE SEWAGE SYSTEM G ~.0i",
pEN Air: Ft. H t . 5' FT.
Conditionally
D e'er Ft.
E I _i?.,S. Ft'
p a►a~ a J q Ft.
, tJ►8t1~. p gull.DSf~y~~
OF 00 T s0W K )0.5 Ft.
D1V ;::ice . • ~ rQo 4asl~~
E oN~ ~ W 24, Ft.
SEE
L
Observation Pipe
J B •K
Distribution - Bed Of
-Pipe Aggregate
Observation Pipe Permanent Markers
Plan View Of Mound' Using A 'Bed For The Absorption Area
~g q o~ G
f5y3 41379
D15TRIBU716f1. -Plprr..LAraUT
PERtlANENT MARKlR
Xmv Cep
Q
PuC Pr PE
PFRF0RAT,9D
} . 1
-LOST )10L- YExr~TO ENiJCRP
P= 35FT
X = 41INCNES Y= 41: W"es
_N0LE DIAMETER 1/4 1 RUE - -
LATEKAL SIZE t yi I4cN1:5
FORCE MAIN 2 )NCYES
NOLE$~PIpe 10 r sr POLE 29 "FROM
F~s`'.'~~E SC9NAGE SYiTCNI
Conditional
was V7,k
lAgOR & Nii~lAN L'~ .q~Ti11IF1`S
8tltr, IL~Rz~
OEPT. WVISVM OF T
SEE COF( P
S93 ..4.1379. PAGE OF
PUMP CHAMBER CROSS SECTICH AUD SPECIFICArioms
CWT CAP
C.I. VENT PIPE
WCATHEK PKOOF APPROVED LOCKING
MAWHOLE COVER
JUIXTIOW BOY.
W OV. FRESH
IJTAKE
GRADE 40AI&J.
leAlu.
c 0 )NJ r)
IV
15 AM
IMLCT e
AIRTIGHT SEAL
ally
M P fLOVED Itioll APPROVED J014T$-
JOIIJ A condi
C.T. PIPC I W/,c.x. PIPE
ENDIIJ4 31 EXTELIDILIG a'
ALARA
401,40 &OIL
0,
Ir
oft na
NIP
I Ow
c
visl
q F T.
0 e Pump
Orr
COLICKETC LOCK
BLOCK
21,q
Fisr XIT PpmTret) OWLIJ IF'
IrAWK tAAWLIFACTURc.P. HAS SUCH APIPPLOVAL, 3" APPROV9
S P E C_ I F I C AT 10
.SCP.TIC,,f
D059
".104UFACTURcm. PEK DA4
WUMBER, OF Dos
TA w K ~ I z ri, -GALLOWS
DOSE.VoLuAC
IWCI-U.DIIJCI 5ACY.FLOW:
"n,:,,~AODE.I. WUIAbrg +Z7 -7
V CP PACIT4; A I)Jcli[5 DIX
WITCH TUFf.* tf IZ #-Ltty- A C Og_".,-L
B Ili Hc~
r
U IMA p L 0 5,
w
D- ImCjJE~ OR ~U' (DALLOIJ9
5WITC H TVP
g: N: 15 IZ e, U, P. 'PUMP A)JD ALARM ARE TO br,
~INSTALLED OW SEP&RATE CIRCUIT$
I MUM,~ DISC HARGC RATIS G PtA
EXTICA1. DIFFEILEkIC~~ETWEIJJ PUMP OFF AkjO.,0ISTR1BqTjOm PIPE.. FEET
NO
+,,,IAI WIMUM kJCTWORK ~vppltj PkE56UFc . FLr,.T
+ JCET OF FORCE ftim x 11 _8 in fj.FRICTIO)J FACYOR..~
'3 5 FEET
TOTAL
FLET
44
11,1TERWAL. DIMILWSIOW Of TAWK: Lekl CPTH ~;Wl DTH:
LIQUID O~PyH
t
893 413'79
y W
P ~ o ~FG
W ~
W
115
34 20 ELLER
110
r ,4k,? 4*
1 !
, 32 105
` 30 100
28 .
90
26 85
NTp +.n. 24 80 MODAL
189
MODEL
_ a 22 75 165 t. .
UJ. '
SING _ 70-
20 N.. 65
60
18
O 55'` _
J ; 16 -
MODEL
' a
p ~O 50 163 MOD
14 EL
A 188
45
12 40
r • w 35 Y
10 ODEL ' MODEL
.ti 30 37, 139 p 185
6 20 MODEL
i i 15 ypDEL
4 97 '
' MODEL
2 5. X53, 55,
_ N ~ST, 59
rx~ yv
GALLONS 10 . 20 • 30 40 50 60 70'' 80 90 100 110`
400
80 160 240' , K 320 ry~ hr
a
'LITERS 0
' OW PER MINUTE
4~ 3 a ,
Z
r\
r
3„LZ,OboZON
r ~
r ,
• 99
i
i
O ~
U-
OD O N
\ N N WW
\ \ H UQ N
Q O M N
J M
M
~ M
3 •
in
3Q NCO
o
K) - a)
M N
N M Q I rn
O ~ N
m O O 6b'SOb
OD O
(n M Icy IboZON _
U
O p
N N vnl
` ~ DI
\ I N U- ZI
` N QI
-j
\
\ N 3 Q I
N
- LIJ I
Q1
\ LL 0 2
O fA W Q
I
fn W - <L
N O -11
N co a N W CL I
N
Z zl
' O ~
O I
to , 'off, O
O Z cn
3 00•
Zj s • .
S; o~ss 00 Fi
o
ASS ~.y \ M 3 00,
Z/
:ate
\ CL r00
3 N
2 . zM
•YO ~I
_ x r Z QI
NZO tom/ ~I ~I
o ZO>> 2/
oh°
ZW WI WI
"0"O o W o 0 -1 O
0 S! CD F- W >I U' 1
0 n-U~l
~ d
O tr . \ M
O s9 nW~ NI
cli \ -99 - I L1J I O l
\ co I ::D I
0 ry I JI UI
/ WI OI OI
0 7 UI ~I ~i
STC - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER ~~r_~a (tns _T rue
ROUTE/BOX NUMBER --t 7 war Nt jt 5 FIRE NO.
CITY/STATE 4~ tue, LJ 4 ZIP 5 O z
PROPERTY LOCATION: S I,c1 1/4 Sv.; 1/4, Section a ( , T i6 N, R-4-W,
Town of 57 6S~`~ , St. Croix County,
Subdivision 1`t 'ti lwn~` 14, 1 Lot No.
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
$3000 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
systems properly maintained.
The property owner agrees to submit to St. Croix County Zoning a certification
form, signed by the owner and by a master 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. Certification form will be sent approximately 30 days prior to
three year expiration.
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 Department of Natural Resources. Certification
form must be completed and returned to the St.Croix unty Zoning office within
30 days of the three year expiration date.
A
SIGNED
DATE
St. Croix County Zoning Office
St. Croix County Courthouse
911 4th Street
Hudson, WI 54016
(715) 386-4680
Sign, Date, and Return to above address
APPLICATION FOR SANITARY PERMIT
STC - 100
application form is to be completed in full and signed by the owner(s) of the
erty being developed. Any inadequacies will only result in delays of the permit
ance. Should this development be intended for resale by owner/contractor, ("spec
e"), then a second form should be retained and completed when the property is
and submitted to this office with the appropriate deed recording.
I
r of Property R tc:0 C 4 y,, .
tion of Property 5 Section L) q , T N-Rak& W
ship S r 3 5~ Gi
.ing Address r)
•ess of Site i
a I.I~
iivision Name
S
Number
pious Owner of Property la wl i ~a 417
ersh
zl Size of Parcel
: Parcel vas Created _ A9 Z.
all coipers and lot lines identifiable? Yes No
:his property being developed for resale (spec house) ? Yes No
me and Page Number o2,6-6 as recorded with the Register of Deeds.
INCLUDE WITH THIS APPLICATION
THE FOLLOWING.
irranty Deed which includes a Document number, volume and page number, and the
of the Register of Deeds. In. addition, a certified survey, if available, would be
)ful so as to avoid delays of the reviewing-;process." I'f`the-deed description refer-
is to a Certified Survey Map, the Certified~Survey Map shall also be required.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
PROPERTY.OWNER CERTIFICATION
Je) cent i6 y that atet a tatemen to on th i.a onm au thue to the beat o6 my (oun )
vtedge; that I (we) am (cute) the ownen(a) o6 the pnope.Uy deach,ibed in thi4
ohmation 6onm, by vi tue o6 a waAAanty deed ne onded in the 066ice o6 the
qty Regia.ten o6 Deed6 ad Document No. S j Z. o'5 ; and that I (We) puz en tCy
e pnopoa ed .6 to 6oh the d ewag a d is poa d ya em (on I (we) have obtained an
unent, to nun with the above d6c i.bed pnopehty, bon the eonetAuction o6 said
tem, and the name h" been duty heconded .in the 066.ice o6 the County Regizten o6
Do ent N 5)_0 q0
) , I
NATURE 0 OWNER / SIGNATURE OF CO-OWNER (IF APPLICABLE)
1-19
i
E SIGNED DATE SIGNED
J
r DOCUMENT NO. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA
STATE BAR OF WISCONSIN FORM 2-1982
512903 -VOL 1064PAGE268 REGISTER'S OFFICr-
_ - - ,
_ g ' ST. CROIX CO., WI
Highland Hills PartnershiP, consistn o ...Io n.. ersico R4cc
. . . . . . . 'd f--r
Roger Ruelin and Bruce Peterson . . . FEB 1 0 1994
9.00 A.
_
at ~ofconveys and warrants to .._.C.
ReglsDeec!s
_ tI. RETURN TO
I. I'I
.
I
the following described real estate in .SL,.._Cr.oix . . . ...County,
State of N1•isconsin:
Tax Parcel No-
Lot 9, Plat of Highland Hills in the Township of St. Joseph, St. Croix
County, Wisconsin.
Y'Rt jo-
C_ ~~93
I
9o i!~
II
I
(I
This 1..S ---n-•o---t - homestead property.
}Q (is not)
li
Exception to warranties: Easements, restrictions and rights-of-way of
record, if any.
s~--
Dated this day of - ---January . 19..94_.
Hi hland Hills Partnership
~i. ~...~~0.~. dam-
By.:... Yal eaac~av 6?.................. ....(SEAL) By.:-.
. JoAnn Persico Roger Ruelin i'
------_(SEAL)
. Bruce Peterson
*
AUTHENTICATION ACKNOWLEDGMENT II
.I
'
Signature (s) STATE OF WISCONSIN
Ss.
! J.:..: Count
Q'4; ~ ~ l~cv~►~I 1~,.I~c ..St,._. .01.X y•
authenticated this'-*Cay of__ 1 Personally came before me this ................day of
1:::5~ I n ''n ,J317111Xy........................... 19.94... the above named ~I
{ JQAuu. Pe. rs~ gene n---------
i
Br. uG0_Pexe. rsQn------- III
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
to me known to be the person g----------- who executed the
authorized by § 706.06, Wis. Stats.)
foregoing instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
Kristina- Ogland......................................
AttOrnev at Law Notary Public _County, Wis.
My Commission is permanent. (If not, state expiration
ii (Signatures may be authenticated or acknowledged. Both
are not necessary.) date: 19__.......
i
I
*Names of persons signing in any capacity should be typed or printed below their signatures.
Wisconsin Legal Blank Co., Inc.
WARRANTY DEED STATE BAR WISCONSIN Milwaukee, Wisconsin
FORM No. . 2 - 1J82
Wisoonsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3
Labor and Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
` COUNTY
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
JoAnn Persico GOVT. LOT SW 1/4 SW 114,S 29 T 29 N,R 20 W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
700 Second St. 9 - c to (Yr' CGnCr
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [ZTOWN NEAREST ROAD !f]
Hudson, WI 54016 ) M( I CTHW 'IF"
.U36 St. JoseDh
[X] New Construction Use [ X] Residential / Number of bedrooms 3 [ ] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow /,50 gpd Recommended design loading rate __5 _bed, gpd/ft2_trench, gpd1ft2
Absorption area required 9 pa bed, ft2 750 trench, ft2 Maximum design loading rate -5 bed, gpd/ft2 -6 trench, gpd/ft2
Recommended infiltration surface elevation(s) 98.9 ft (as referred to site plan benchmark)
Additional design / site considerations install 5' x 75' rock bed mound on 97.9 contour as upslope edge of rock bed
Parent material loess 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 PS ❑ 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
0w:.vv3\:.
r~ti 1 1 0-12 10YR 3/2 - sil 3 c cr mvfr gs 2f .5 .6
2 12-20 10YR 4/3 - sil 2 m sbk mvfr cs if .5 .6
w/ occasion El cob & st
Ground
elev.
100.0 ft. 3 20-36 10YR 4/4 - sil 3 m sbk mfr cs - .5 .6
Depth to 4 36-42 10YR 4/4 f2d 10YR 613 sicl 2 c sbk mfr - - .4 .5
limiting
factor
36"
Remarks:
Boring # 1 0-13 10YR 3/2 - sil 2 m sbk mvfr cw if .5 i.6
2 13-18 10YR 4/3 - sil 2 m sbk mfr cs if 5 6
3 18-39 10YR 4/4 - sicl 3 c-m sbk mfr cs if .4 .5
Ground
elev. 4 39-44 10YR 4/4 f2d 10YR 6/2 sicl Oc ~sbl t - - .4 j .5
97.5 ft.
0-39 occasional cob & st
Depth to V_ A
limiting r
J ,
factor J
3911 , 3 tv
Remarks: soils suitable for at-grade but area requ \(1'C25 sq is exc e compared to surveyed area
CST Name:-Please Print Phone:
Henry F_ rrni-P
Address: PO Box 57, Knapp, WI 54749-0057 E 1
Signature: Date: 5/2/93 CST Number: 3065
wo~~
- -
.
V ~0+~ ~~L i. ? \~-o' ~ $ .......e 10 ~ Q~1vd~e.o~~y. ~
_ --yL/
w
x
a ~-s ~
~y )
~ti9e ~IR 4.0 )
So:\ S ,1 1e,t a.vv- Q-
v h ~o
e
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3
Labo%and Human Relations
Division of Safety & Buildings in acc9rd with ILHR 83.05, Wis. Adm. Code
revised (T&R&subdivision) 2/15/94 wr I=- COUNTY
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
JoAnn Persico GOVT. LOT SW 1/4 SW 1/4,S 29 T 30 N,R 19 W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM #
700 Second St. 9 - Hi hland Hills
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE [ZrOWN NEAREST ROAD
Hudson, WI 54016 (715) „ 38A-873A St. Jnseoh CTHW [XI New Construction Use [ X) Residential / Number of bedrooms 3 [ J Addition
to existing building
j I Replacement [ I Public or commercial describe
Code derived daily flow n9n gpd Recommended design loading rate 5 bed, gpd/ft2 -A trench, gpd/ft2
Absorption area required goo bed, ft2 750 trench, ft2 Maximum design loading rate -5 bed, gpd/ft2 .6 trench, gpd/ft2
Recommended infiltration surface elevation(s) 98.9 ft (as referred to site plan benchmark)
Additional design / site considerations install 5' x 75' rock bed mound on 97.9 contour as upslope edge of rock bed
Parent material loess Flood plain elevation, if applicable NA It
S 71su ble fo r system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
❑ S U S❑ U [I S U El S U ❑ S U ❑ S U
Uitable for system I _j
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxi'ary Boots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends
' 1 0-12 10YR 3/2 - sil 3 c cr mvfr gs 2f .5 .6
2 12-20 10YR 4/3 - sil 2 m sbk mvfr cs if .5 .6
w/ occasion 1 cob & st
Ground
elev.
100.0 ft. 3 20-36 10YR 4/4 - sil 3 m sbk mfr cs - .5 '•.6
Depth t0 4 36-42 10YR 4/4 f2d 10YR 613 sicl 2 c sbk mfr - - .4 .5
limiting
factor
36"
Remarks:
Boring # 1 0-13 10YR 3/2 - sil 2 m sbk mvfr cw if .5 .6
2 13-18 10YR 4/3 - sil 2 m sbk mfr cs if .5 .6
3 18-39 10YR 4/4 - sicl 3 c-m sbk mfr cs if .4 .5
Ground
elev. 4 39-44 10YR 4/4 f2d 10YR 6/2 sicl 2 c sbk mfr - - .4 5
97.5 ft.
0-39 occasi al cob & st
Depth to
limiting
factor
39"
Remarks: soils suitable for at-grade but area required (1125 sq ft) is excessive compared to surveyed area
CST Name: Please Print Phone:
Henry F_ rrntp
Address: PO Box 57, Knapp, WI 54749-0057
Signature: Date: 5/2/93 CST Number: 3065
PROPERTY OWNER JoAnn Persico SOIL DESCRIPTION REPORT Page? oK 3
PARCEL I.D. 0 ,
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. Bed TwIch
._3..... 1 0-15 10YR 3/2 - sil 2 f sbk mvfr cw 2f .5 .6
2 15-21 10YR 4/3 - sil 2 m sbk mvfr gs if .5 .6
Ground 3 21-41 10YR 4/4 - sil 3 c-m sbk mfr gs if .5 .6
elev.
sx_n ft 4 41-55 10YR 4/4 f2d R-Gy sicl 1 c abk mfr - - .4 .5
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
13
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
13
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.0"2)
ar
sw • Sr.. • Z1.1• • 11~
~K JLt dti n r► ~+a~ ~ , `o i~tiy6.r .,.,,,w1r1~r
Q ~ro,u~ n
Z..9.~ ~3M eS..S6 e b Mt o ~ s J47~
la `o K ~ het
H
Lq }.a)
S i 1S ~.S 'T 1r w~ O, Y M. Z ~ n. ~r~~
AA.
QK `1.tO.p~
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3
Labor a°rid Human Relations
,vision of Safety & Buildings in acrQr with ILHR 83.05, Wis. Adm. Code
revised (T&R&subdivision) 2/15/94 W COUNTY
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
JoAnn Persico GOVT. LOT SW 1/4 SW 1/4,S 29 T 30 N,R 19 W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
700 Second St. 9 - Highland Hills
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE GOWN NEAREST ROAD
Hudson, WI 54016 (715) "Ell 386-8236 St. Joseoh J QTHW [Xj New Construction Use [ X] Residential / Number of bedrooms 3 [ ]
Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow n5n gpd Recommended design loading rate 5 bed, gpd/ft2trench, gpolft2
Absorption area required n~_ bed, ft2 750 trench, ft2 Maximum design loading rate • 5 bed, gpolft2 -6 trench, gpolft2
Recommended infiltration surface elevation(s) 98.9 ft (as referred to site plan benchmark)
Additional design / site considerations install 5' x 75' rock bed mound on 97.9 contour as upslope edge of rock bed
Parent material loess Flood plain elevation, if applicable NA ft
LU =Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
= Unsuitable fors stem ❑ S U S O U ❑ S U El S U ❑ S U El S I'D U
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Structure GPD/ft
Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trer&
1 0-12 10YR 3/2 - sil 3 c cr mvfr gs 2f .5 .6
2 12-20 10YR 4/3 - sil 2 m sbk mvfr cs if .5 .6
w/ occasion El cob & st
Ground
elev.
100.0 ft. 3 20-36 10YR 4/4 - sil 3 m sbk mfr cs - .5 .6
Depth to 4 36-42 10YR 4/4 f2d 10YR 613 sicl 2 c sbk mfr - - .4 .5
limiting
factor
36"
Remarks:
Boring # 1 0-13 10YR 3/2 - sil 2 m sbk mvfr cw if .5 .6
2 13-18 10YR 4/3 - sil 2 m sbk mfr cs if .5 .6
3 18-39 10YR 4/4 - sicl 3 c-m sbk mfr cs if .4 i.5
Ground
elev. 4 39-44 10YR 4/4 f2d 10YR 6/2 sicl 2 c sbk mfr - - .4 .5
97.5 ft.
0-39 occasional cob & st
Depth to
limiting
factor T__ 1-1
39"
Remarks: soils suitable for at-grade but area required (1125 sq ft) is excessive compared to surveyed area
CST Name: Please Print Phone:
Address: PO Box 57, Knapp, WI 54749-0057
Signature: Date: 5/2/93 CST Number: 3065
PROPERTY OWNER JoAnn Persico SOIL DESCRIPTION REPORT Page 2`0f 3
PARCEL I.D. #
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bound3y Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
..3.... 1 0-15 10YR 3/2 - sil 2 f sbk mvfr cw 2f .5 .6
2 15-21 10YR 4/3 - sil 2 m sbk mvfr gs if .5 .6
Ground 3 21-41 10YR 4/4 - sil 3 c-m sbk mfr gs if .5 .6
elev.
sR-n ft. 4 41-55 10YR 4/4 f2d R-Gy sicl 1 c abk mfr - - .4 :.5
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
13
Ground - - `
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
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