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HomeMy WebLinkAbout030-2029-50-100 1 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER 4Ek ` v /y AT//Vl> f /VG ADDRESS 7 T.'4 S j SUBDIVISION / CSM# LOT SECTION.2,T3,0 N-R_41,0 _W, Town of SZ: ST. CROIX COUNTY, WISCONSIN PLAN VIEW R.3M SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM po+oe2/~acis A(©R r, 12, e. rand tee. 5%T. 13 L O C- i 63 s&epA~ G ~3Cp b INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. y BENCHMARK: ~dp / " Sid=EI//~c CL ALTERNATE BM: fly~ SEPTIC TANK PUMP CHAMBER HOLDING..TANK INFORMATION Manufacturer: ~f c=~~'S Liquid Capacity:__&ad Setback from: Well House Other /34) 6 Pump: Manufacturer .&A Model#ffA_ Size /yp Float seperation_ Gallons/.cycle: /111 Alarm Location .&A SOIL ABSORPTION SYSTEM Ge Width: Length 5 D Number of trpe ekes L/~t~~ 3 3 Distance & Direction to nearest prop. line: If),F75i , S 3 F% Setback from: well: House Other &.0C ELEVATIONS Building Sewer ST Inlet. /U3, 21 ST outlet f _Y Q PC inlet &A PC bottom A(A Pump Off Header/Manifold Bottom of system Existing Grade /403 , 5 Final grade /0), S DATE OF INSTALLATION : /7- 7 PLUMBER ON JOB: LICENSE NUMBER: tfell Sa 32 (3 5 INSPECTOR: 3/93:jt ~ Y Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor, a;dHumaARelations INSPECTION REPORT ST. CROIX Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: PIAM16 aMATING CO. ( DON ❑ City ❑ Village :7 Town of: State Pan o.: ST jngrPH CST BM Elev.: Insp. BM Elev.: BM Description: Parcel ax o.: D6 1601 .tc TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic d,0 (j Benchmark /0 gJ 0, Dosing Aeration Bldg. Sewer ~r 0 /0 q -7 Holding St/Ht Inlet ACS /03.~~ TANK SETBACK INFORMATION St/ Ht Outlet Verit TANK TO P/ L WELL BLDG. Air Ito ntake ROAD Dt Inlet Air Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade .153 Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft Loss Head Forcemain Length Dia. f Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Len th No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS v DIMENSIONS SYSTEM TO ' P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer. SETBACK INFORMATION TypeO ~3 / 7O / CHAMBER OR UNIT Model Number: System: `w 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.22.30.20W,NW,SE,LOT 2, HWY 35/36 v- Plan revision required? ❑ Yes ❑ No Use other side for additional information. III, I SBD-6710 (R 05/91) Date inspector's signature Cert. No. ADDITIONAL COMMENTS AND SKETCH 4 r SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY S-~_ C STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than1 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION '/e $,F '/4, S T , N, R E (or) W PRO ERTY OWNER'S MAILING ADDRESS LOT # BLOCK # / 9!e6 '7 Tip CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 11. TYPE OF BUILDING: Check one CITY NEAREST ROAD ( ) ❑ State Owned R TOWN OF: VILLAGE s ir r7os-e~o* ` ❑ Publlc ❑ 1 or 2 Fam. Dwelling- # of bedrooms - PARCEL TAX NUMBER(S) 111. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 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. 9 New 2.E] Replacement 3: ❑ Replacement of 4.0 Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 Seepage Bed 21 ❑ Mound 300 Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 130 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. f.) PROPOSED (sq. f.) (Gals/day/sq. f.) (Min./inch) ELEVATION V5_0 O® Feet /035- Feet 25~ 166,02 VII. TANK CAPACITY in allons Total # of Manufacturer's Name Prefab. Site Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks Concrete structed glass App. Tanks Tanks Septic Tank or Holding Tank Lift Pump Tank/Siphon Chamber Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plu s Signature: (No Stamps) rP./yWLRSnW No • Business Phone Number: R S - 7 Plumber's Address (Street, City, State, Zip Code): 584 - yo IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved San ji ry Permit Fee (Includes Groundwater ate ssue I i g Agent Sign tur o Stamp Approved ❑ Owner Given Initial ~frC Surcharge Fee) (f / _ Adverse Determination / X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber ti 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 (SBIJ 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: L Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. It. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 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. SBD-6398 (R.11/88) ~ /03. 5- -37 181 Sys cell CC, /oU,,~v S94-04788 N Oeve °LE = T0P f''srE~_L PlAg E4, iDV 't'E SEV1l1 ~a. EGG' SST ~K Pri /65 IN "BOR HUMAN RELATIONS v IF ETY ILOIN+sss ~'nRRS3 mamma ~J f~2OO (yL On se i &0 5'cu,44 pRoprnev O i Acr DRidi WAy f8 ~ 5'O ` ; ; i E1~ S17E ! Qul~/~/KCs it a3 ' i_1 + hND~RSoN' H f PARKIN& i ;~~I~CS scvpt~' \ SGALE f''s (0 ` TRi k LOAOI q G- LQ= ; OO/V :/~"/V~k3ON" OAVA 4AlO&2.So/v' yeAr1W6- Qy~a~- 05 I S' H AUC 586 UAtZL-y al&w r4, aDSoN ZV/` • 64141G I'%6'A'S'~J 32as- ' I t4: S94-04788 CALCULATIONS FOR; ANDERSON BEATING, IIC Proposed New Building Proi2cm Location NWl/4 SE IA 22 T30 N R 0 W St. Joseph Township, St. Croix County 15 Employees @ 20 Gal. Per Day = 300 Gal. 3 Floor Drains @ 50 Gal. Per Day = 1 50 Gal. 450 G.P.D. Septic Tank Capacity 450+ 750 = 1,200 Gal, Seepage Bed 450 GPD /5 = 900 Sq. Ft. Will be using 18'x 50'Seel2a,ge Bed, 'AGE SYS ?onal - Aft Kff* OF IN LABOR & ►'Dt N OF SAFETY W!" Wiz, s 594..0 4.7 818 'Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEMS Private Sewage Section ,Labor and Hurnin Relations 2o1'E. Washington Ave., Rm: 141 Safety and Buildings Division PLAN APPROVAL APPLICATION P.O. Box 7969, Madison, WI 53707- Bureau of Build' • Water Systems (608) 266-3815 g : INSTRUCTIONS: Please fill in all applicable.data and submit this form with plans. Plans will not be reviewed until all fees are received. The reverse aldq.;,p#,t4js form describes most of the required plan information. Further requirements maybe contained in the Wisconsin Plumbing Code; w.hl" 'CAW be'purchas d4r*MAh4e.Department of Administration, Document Sales and Distribution, 202 South Thornton Ave., P.O. Box 7840, JVladison; WI, 53707, Telephoni (608) 266-3358. Plan Review Appointment Date Plan Ident4ficaUgn Number 1 PRO~ECT(NFORMATLON (Type or print clearly) Name of Submitting Party (plans returned to same) Project Name 0 G, Street Address, P O: Box #or Rural Route Project Address or Legal Description & -30 Al. .2,0 IV i or Village State Zip Code City ❑ County 3.., k 41) 15,1 Village ❑ of .Telephone No. (indude,area code) ` Town T izoadew ~f IPd/X Designer Name of Owner Dow AvaerP-seAl Telephone No (include,area code) Telephone No. (include area code) Street Address, P.O. Box # or Rural Route Street Address, P.O. Box # or Rural Route 7-19, 225- STW u,=- City or Village State Zip Code City or Village State Zip Code yazs. u~ vi 2. APPLICATION `FOR: '❑-Experiment ❑ Mound System ❑ Holding Tank 19 New Construction ❑ Large System (over 8,000 gpd) Conventional System ❑ Groundwater Monitoring jj]] Repla e_-;. ..❑:At.Grade System in Fill ❑ Petition For Variance ❑ Revision y r ' ❑ ln_Ground Pressure ❑ System in Flood Plain (attach SBD-6698) ❑ Other 3. FEE COMPUTATIONS (include existing tanks) FEE SUBMITTED FOR OFFICE USE MAKE ALL CMECKS PAYABLE TO SAFETY & BUILDINGS DIVISION. a. 750 - 1,500 gallon septic tank $110.00 b. 1.,5012,500 gallon septictank $120.00 C. 2,501 - 5,600 gallon septic tank $160.00 d. 5,001 - 9,000 gallon septic tank $ 200.00 e. -9,001 15,000` gallon septic tank $ 300.00 f. Over 15,000 gallon septic tank $ 500.00 g- sob-, 1-;000' °gallon dose chamber $ 70.00 11 1,001- 2,000 gallon dose chamber $ 80.00 _ i. 2,001- 4,000 gallon dose chamber $100.00 j. 4,001- 8,000 gallon dose chamber $ 120•.00 k. 8,001- 12,060 gallon dose chamber $140.00 i Over 12,000 gallon dose chamber $160.00 ?n. .500.- 5,000, gallon holding tank 1 60.013 n. 5,001- 10,000 gallon holding tank $ 100.00 - o, Over 10,000 gallon holding tank $ 150.00 p Revisions $ 50:00 q. Groundwater Monitoring - P -r So,, 60 CY ' (other than a proposed subdivt>ic)n) r. Petition For Variance: Setbar_R S• 1 G( Oi` SITE: Eva Uw ai 6aE;erimental ac _ t. Pricirity Review. E E s mz ..,c c.t a_.: `_+ubtoti, S OO Total Fee: ~./-Q NOTE: Ha ward Office LaCrosse Office ~1dCii54 ` ( if tF Siidv~ 1 + r';, i P V d:rI ; 0 ; 2(ly IN 1st Street 2226 io5£' 1 r@e.. . N' - ,v ifs t. 4' Rt 8, BoK 8072 LaCrosse, YJt 54603 P Ci Bu. 7769 V 1, C 24aN 4: 4• 31 s46 : Hayward, WI 54843 Phone (608) 785-9334 Madisr,n, WI 5370, Shawano, Wl 54166 Phone (41 1 -548-8606 Phone (715) 634-4804 Fax (608) 785-9330 Phone (608) 267-51 1S Phone (715) 524-3b26 Far. (414) i4; ,-8614 Fax (715)634-5150,,.,:, - fax (608) 267-0592 Fax (715) 524-3633 SBD-6748 (R. 05192) NOTE:fees ate pursuant to Vdi.. Adm. Cade, Chapter ILHR. 2, and OVER uFv sutiiuer ta,, thant~~.e„ne,,aily. '~$Y*~~`S'~r.. SEPTIC SYSTEM for A YDERSON HEA I NWIA SETA S22 T30 N.R. 20W St. Joseph Township, St. Croix County Pages #1 Plan Approval Application #2 Soil Data Report #3 Plot Plan - Plan View #4 Calculation Sheet Donavin L. Schmitt 6vt'~"- ;?e- SCL4 586 Valley View trail Somerset, Wisconsin 54025 Tel. 715-549-6651 MPRSW 3205 10-26-94 0940 '`d 8 Wis(gosin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 i~- r and Human Relations Division of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code . COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.O. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Don Anderson dba Anderson Heating, Inc. GOVT. LOT NW 1/4 SE 1/4,S 22 T 30 N,R 20 xj(or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 275 125 th. Ave. na na na CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE 17OWN NEAREST ROAD Hudson, WI. 54016 (715)549-6297 St. Joseph St. Hy. #35/64 [x New Construction Use [ ] Residential / Number of bedrooms [ ] Addition to existing building [ ] Replacement] Public or commercial describe Heating service, 12 employees, 2 floor drains Code derived daily flow 340 gpd Recommended design loading rate .5 bed, gpd/ft2 .6 trench, gpd/ft2 Absorption area required 680 bed, ft2 567 trench, ft2 Maximum design loading rate .5 bed, gpd/ft2 .6 trench, gpd/tt2 Recommended infiltration surface elevation(s) 100.20, alt . =i n1 .1 A ft (as referred to site plan benchmark) Additional design / site considerations na Parent material stream terrace 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 12 S ❑ U ® S ❑ U ® S ❑ U 12 ❑ U ❑ S IOU ❑ S EIU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color MOWS Texture Structure Consistence IBotrd3y Roots GPD/ft in. Munsell Clu. Sz. Cont Color Gr. Sz. Sh. Bed Trent 1 0-12 10 r3/3 none 1 2msbk mfr aw 2f .5 1.6 2 12-34 7.5yr4/4 none )sl lmsbk mfr gw if .4 1.5 :aa:,.:.... Ground 3 134-90 7.5yr4/4 none co s Osg ml na na .7 .8 elev. 103.3 ft. i , Depth to limiting factor F +90 ° - T-7 Remarks: Boring # 1 0-8 10yr3/3 no ~j 2msbk mfr gw 2f .5 .6 2 2 8-26 10yr4/4 none sl 2msbk mfr 9w if .5 .6 3 26-44 7.5yr4/4 none cob.ls Osg mfr gw na .7 €.8 Ground elev. 4 44-84 10yr4/4 none co s Osg ml na na .7 .8 103.85 ft. Depth to limiting factor +84" Remarks: CST Name:-Please Print Gary L. Steel Phone. 715-246-6200 Address: 1554 2()V h Ave. New Richmond, Wi. 54017 Signature: Date: CST Number: -L.1_ 7-27-94 cstm 02298 f jr PROPERTY OWNER Don Anderson SOIL DESCRIPTION REPORT Page? of 3 _ PARCEL I.D. # Borin # Depth DominantColor I Mottles (Texture I Structure Consistence Bouni3y (Roots GPD/ft g Horizon in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed ITnench 1 0-9 10yr3/3 none 1 2msbk mfr gw 2f .5 .6 ,.,,.,3,...... 2 9-37 7.5yr4/4 none ob. is Osg mfr gw if .5 1.6 3 37-79 7.5 r4 4 none co s Osg ml na na .7 !.8 Ground. y ~ 103e178 ft 4 79-89 10yr6/4 fractured li stone Depth to limiting factor 79" Remarks: Boring # 1 0-9 10yr3/3 none 1 2msbk mfr gw 2f 1.5 .6 4 2 9-21 10yr4/4 none sl 2msbk mfr gw if .5 .6 K........ 3 21-65 7.5yr4/4 none f is Osg mvfr gw na .5 .6 Ground elev. 4 65-80 10yr6/4 fractured li estone 103.6 ft. Depth to limiting factor 65" Remarks: Boring # 1 0-10 10yr3/3 none 1 2msbk mfr gw 2f .5 .6 S 2 10-20 10yr4/4 none sl 2mgr mfr gw if .5 .6 3 20-38 7.5yr4/4 none is Osg mvfr gw na .7 .8 Ground elev. 4 38-75 7.5yr4/6 none co s Osg mvfr na na .7 .8 102.9 ft. Depth to limiting factor +75" Remarks: Boring # NEW Ground elev. ft. ~ Depth to limiting factor i Remarks: SBD-8330(8.05/92) ' e STEEL'S SOIL SERVICE Gary L. Steel Don Anderson dba Anderson Heating, Inc. 1554 200th Ave. CSTM2298 NWgSE4 S22-T30N-R20w New Richmond, WI 54017 MPRSW 3254 town of St. Joseph (715) 246-6200 t N 1'=20' BM= top of 1" steel pipe at el. 100' Alt. Bm= top of steel pipe by power pole at el. 100' Pik .?00 1 _53 00 111) -1911 AW 10 8 ~2- 0/'0 5~ f c Gary L. Steel 7-27-94 r rsconsm vepartment of thdustry, SOIL AND SITE EVALUATION REPORT Fag"', _ of Labor and Human Relations Davisialn ofSafety 8 Buildings f~ in accord with ILHR 83.05, Wis. Adm. Code S' 9t Q - n COUNT' i c -Anaah complete site plan on paper not less than 81/2 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 LD. # '.i dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION - Don Anderson dba Anderson Heating, Inc. GOVT. LOT NW 1/4 SE 1/.4,S 22 T 30 N,R 20 xk(or) PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # _ 275 125 th. Ave. na na na CITY, STATE ZIP CODE PHONE NUMBER [:)CITY C]VILLAGE MOWN NEAREST ROAD Hudson, WI. 54016 (715)549-6297 St. Joseph ISt.'Hy. #35/64 I~ !xjcNew Construction Use( j Residential / Number of bedrooms _ (J Addition to exiitittg t)uildmg j Replacement pq Public or commercial describe Heating service, 12 employ es 2 floor drains Code derived daily now 340 gpd Recommended I~ design loading rate .5 bed, 9Pdm2 ..6 trench; gpdm2 j Absorption area required 680 bed, ft2 567 trench, n2 Maxll :am design loading rate _.5 bed, gpd/ft2 .6 trench, gpd/ft2 l Recommended infiltration surface elevation(s) 100 a1 t -101 f R It (as referred to site plan benchmark) 1 Additional design / site considerations na I Parent material stream terrace Flood plain elevation, if applicable na ft . S61a710 for System CONVFNTIONAL MOUND IN•GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING 'T 1 U Unsuitable for svstein l1f S U U I LAS U U I tS S U U I WS o u I El s a01.11 I CIS Ixl SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Boring # Horizon Texture Structure ConsistencelBouxiary Roots GPD. in. Munsell Ou. Sz. Com Color Gr. Sz. Sh. Bed 1 0-12 10 r3/3 none 1 mfr aW 2f .5 2msbk 1 2 12-34 7.5yr4/4 none I S1 lmsbk mfr gw l f .4 Ground 3 34-90 7.5yr4/4 none co s Osg ml na na 7 f elev. 103.3ft. - Deuth to limiting factor +9011 a Remarks: Boring # 1 0-8 10yr3/3 none 1 2msbk mfr 9W 2f , 5 2 2 8-26 10yr4/4 none sl 2msbk mfr 4W If .5 3 26-44 7.5yr4/4 none cob.ls Osg mfr 9w na .7 Ground - elev. 4 44-84 10yr4/4 none co s Osg ml na na .7 j (03.85 tt. Depth to limiting +$jt)r Remarks: CST Name:-Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 ?QV h Ave. New Ri hmond, Wi. 54017 Signature: Date: CST Number: 7-27-94 cst..: 02298 I~tER Don Anderson SOIL.. DESCRIPTION REPORT Page 2 of 3 } S94-04"7 88 Horizon Depth Dominant Color Mottles Texture Structure GPD/ft in. I Munsell Gu. Sz. Cont Color I I Gr. Sz. Sh. C°nslstenca E3r7trr I Roots _ ~ Bed iTrenc. 1 0-9 10yr3/3 none 1 2msbk mfr 9w ,2f .5 .6 3 2 9-37 7.5yr4/4 none ob. is Osg mfr g w,.,. .5 :.6 (Imund 3 37-79 7.5yr4/4 none co s Osq ml na na .7 1 .8 elev. _ w 03.78 ft. 4 •79-89 10yr6/4 fractured limestone Denth to limiting factor 79,• w Remarks: Boring # 1 0-9 10yr3/3 none 1 2msbk mfr gw 2f .5 .6 4 2 9-21 10yr4/4 none sl 2msbk mfr if .5 .6 3 21-65 7.5yr4/4 none f is Osg mvfr, ,gw,, na .5 .6 Grr'und elev. 4 65-80 10yr6/4• fractured li estone 103.6 it. Depth to limiting factor 651, Remarks: Boring # 1 0-10 ].0yr3/3 none 2msbk mfr gw 2f .5 ,h_ 5 ~ 2 10-20 10yr4/4 none s1 2mgr mfr gw if .5 ',6 Ground 3 20-38 7.5yr4/4 none is Osg mvfr ;gw na .7 .8 and ele~r 4 38-75 7.5yr4/6 none co s Osg mvfr na na .7 .8 ! 101.9 ft. Depth to _ limiting ` factor i ,.7511 Remarks: Boring # 11, Ground elev. i Depth to limiting factor Remarks: '.nt) Al3IMP. 05M91 S94-04788 STEEL'S ry OIL SERVICE aL. Steel ~`.S'TM2298 Don Anderson Anderson Heating, Inc. MPRSW 3254 WIWI S22-T30N-R20W 1554 200th Ave. Lown ()r 't; . , ►c>r t opl, New Richmond, W1 54017 (715) 246-6200 N 1'=20, BM- top of 1" steel pipe at el. 100' Alt, Bm= top of steel pipe by power pole at el. 100, owe jb\t' 4, 4N \k'`PJYn 1 ° 01 ~0i _53 ~ ~ ~ 100' ~ ti~• ~ ~ `co°~ zs I .S_3 c 2-010 \ loz _ 1 Gary L. &L--el 7-27-94 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER To L- MAILING ADDRESS PROPERTY ADDRESS (locatioon of septic system) Please obtain from the Planning Dept. CITY/STATE C& r CJ i'1 lJu S W &a PROPERTY LOCATION 1/4, S~ 1/4, Section T_N-R~W TOWN OF St, ~n<,P ST. CROIX COUNTY, WI SUBDIVISION LOT NUM13ER CERTIFIED SURVEY MAP, _,VOLUME 10 PAGE;) ~ P,I.OTNUMBER - Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. UWe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained nVst be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. 11 SIGNED: DATE: 3 q St. Croix County Zoning Office Government Center 1101 Carmichael Road _ . . , 11 /93  Hudson, W l )4U t b .