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HomeMy WebLinkAbout040-1222-70-000 v, ST. CROIX COUNTY 4 WISCONSIN { ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 April 29, 1993 Art Wegerer Wegerer, Weber & Assoc. River Falls, WI 54022 Dear Art: The onsite soil evaluation which I conducted on lot 52 of Glover Station, located in the SW1/4 of the NE1/4 of Sec. 16, T28N-R19W, Town of Troy, St. Croix County, revealed suitable soils for onsite sewage disposal to a depth ranging from 5811-72". This site is suitable for new construction using a conventional septic system. I agree with your findings that the weakly cemented condition found within the C horizon of the soil profiles result in limited soil permeability. I do not believe, however, that the restriction is severe enough to justify the need for a mound septic system. It is my opinion that a series of dosed trenches, designed on a soil loading rate of 0.3 gal./sq. ft./ day, would accommodate this site. I believe that a system which is designed and installed based on these recommendations will be sufficient to overcome the soil limitations and will help insure the systems longevity. Should you have any questions, please feel free to contact me at this office. in rely, Q mes K. T ompson Assistant Zoning Administrator CC. L - Wisconsin. Department of Industry, SOIL AND 'SITE EVALUATION REPORT Page Labor and Human Relations Of W:Won of Safety r£ Buildings in accord with 11-1-11 183.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limita,4 to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimension d, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY GATE PR ERTY OWNER: PROPERTY LOCATION zi GOVT. LOT 1/4 114,S & T :14 NR j W PR ER OW ER'S MAILING AD RESS LOT # BLOCK# SUBD NAME OR CSM # Add. CITY-STATE l „ns ZIP CODE PHONE NUMBER ❑CITY ❑VIL NEAREST AO [ ew Construction Use [ esidential /Number of bedrooms [ j Addition to existing building j j Replacement Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 - trench, gpd/1`12 Recommended infiltration surface elevation(s) It (as referred to site plan benchmark) Additional design / site consideratiorts Parent material Flood plain elevation, if applicable It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM N FILL HOLDING TANK U=Unsuitable for stem IDS ❑U IDS ❑U IDS ❑U ❑S ❑U ❑S ❑U ❑S ❑U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Baaxby Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed mach 3/ /2c~2 S ' s i ni'l/ CS Ground S,'l 2JKS6{/ , CS elev. It -K- a ive, y' b G M Depth to iE limiting factor ia, a~ Gc~ 'moo Initial: Date 91911 Wisconsin. arneM Industry, SOIL AND-SITE EVALUATION- REPORT Page Labor and Human Relations. of Division of Safety & Buildings in accord with ILHR 83.05, Ws. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY - DATE PROPERTY OWNER: PROPERTY LOCATION 4-A~-'nn,~S 6c-" GOVT. LOT 114 1/4,S T N,R E (or) W PROPERTY OWNER :S MAILING ADDRESS LOT #a I Co BLOCK # SUQe. ~IAM M 247 CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ❑fOWN NEAREST ROAD [4--Ke'w Construction Use [ -JIGidential / Number of bedrooms [ J Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed; gpdtft2 trench, gpd/ft2 Absorption area required bed, 11:2 trench, t2 Mabmum design loading rate gpolt2 _ trench; gpdtftt? Recommended infiltration surface elevation(s) t (as referred to site plan benchmark) Additional design / site considerations Parent material - Flood plain elevation, if applicable t S - Suitable for system CONVENTIONAL MOUND W-GROUND PRESSURE AT-GRADE SYSTEM IN FILL -HOLDING TAW. U = Unsuitable for stem ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles _ Structure;__- ._GPD/ft z Boring # Horizon Texture Consistence Bartdery Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ranch' Ground elev. It - - .tom Depth to limiting s I factor C1 Initial: Date !n~ Wiispnsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 bor and Human Relations " Wvwon of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plait must include, but S7 Gvs), 1 x not limited to vertical and horizontal reference point (BM), direction and %of slope, scale or PARCELI.D.# dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION C,M •'B*,i FE 't k S Sctt0 L.T' Z GOVT. LOT S W 1/4 J-J ; 1/4,S 14 T Z8 .,N,R l9 E (of)k PROPERTY OWNER%S MAILING ADDRESS LOT # BLOCK If SUED. NAME OR CSM # l0 rZ. f~LlJ 5T- S Z - 6LOV~R Swl(w 3 V Wt~D1170N CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE RTOWN NEAREST ROAD ~Z ive~Z W I Sgoz2. (715) (4 LS _ 8 61 isbuTi'-V4,3 pf%ct,FtC New Construction Use [ Residential / Number of bedrooms r3 Addition to existing building [ ] Replacement [ J Public or commercial describe Code derived dally flow, SD gpd Recommended design loading rate 6` bed, gpcW - trench, gpoltt2 Absorption area required 3-1 S bad, ft2 37 S trench, ft2 Mabdinuin design loading rate 0, 5 bed, 9pd/fl2 O & try, gpd/0 Recommended infiltration surface elevation(s) ct"t --1 it (as referred to site plan benchmark) Additional design / site considerations K ~ UXAh k/ Z Q K LIJ! 6 et MI ti. 1 ' 0 F S }'rkrA r~ Lt, Parent material L U S out 11. %,C. Rood plain elevation, if applicable N . A ft S = Suitable for sySti2(r1 . CONVEM1oNAL MOUND & GROUND PREMRE AT-GRADE SYSTEM IN FlLL HOLDING TANK U =Unsuitable for system a s OU t~ s ❑ u Qs [XU ❑ s EZU ❑ s [RIU ❑ S OU SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Texture Structure Consistence Bantry Roots GPD/ft . In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed fFa~ - 1 0-9 ~~~-LIZ 3l3 Si 1 Z`f slow' Vn cS ° - o-S o• 6 - Z q-Z-T t0 `1.tZ 3IL _`s{1 1 Z ;`FShk `FL- cS - 0•;S b.(. Ground Z. 101 [ZY(6 Fs ~-Sbk t,~.~+, - elev. alq-6fL coti, Ns. w C:~-it~..t > po Depth to _ -limiting . i ,i factor tt Remarks: -Boring # lv`1Q313 - SZ` Z FSbk w,'~,, cS _ o.S o Z 2.. 7-Z7 10`11%3!6 - st Z'~S~k wt'F~•. c5 o-S o • 3 Z7-~6 . ion ~fl~ _ S I ~ e s,~ . - v, Ground elev. C'_N)tzw S w ~tc u g8. oft Depth ID limiting factor Z~ 4 Remarks: CST Name:-Please Print Phone: Arthur L. We erer 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Date: CST Number: MnnS7r; ~s r PLOT PLAN Page 3 of 3 tPActFJC TZ,thb S 8Z° l63o`t~ Zoo. oo' i t------ PVT L(--%3T 5r pRoe~ .~Q s~ rV N 7 iJ Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 l2vor and Human Relations fh~ision of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but GV.sJ 1 x 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 C-M • W-t ~N 1 S SCE{ V l,~ Z GOVT. LOT S LAJ 1/4 711; 1/4,S //6 T Z8 N,R l9 E (oG PROPERTY OWNER':S MAILING ADDRESS LOT If BLOCK # SUBD. NAME OR CSM # 710 t"lFf L~ 5T- S Z - 6lAl*R Sl"wO 3 v'4 W'~_)lat lON CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEAREST ROAD tub, US W 1 54oz.2. (2 4tLS -22L SbUn- PACIRC New Construction Use [ Residential / Number of bedrooms 3 [ ] AdditiQn to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow `1 SD gpd Recommended design ktading rate 0- bed, gpd - trench, gPd1ft2 Absorption area required 31 S bed, ft2 37 S trench, ft2 Maximum design loading rate o- S bed, gpd/ft2 0. 6 trench, gpddt2 Recommended infiltration surface elevation(s) q q.-7 ft (as referred to site plan benchmark) Additional design/ site considerations bytv~] W1 8-'Y-4-7" lam to t'v . I" o F- S kA b (ILL Parent material Q, Zs S . dv Rood plain elevation, if applicable N A\ • ft S = Stutable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYST9m IN FILL HOLDING TANK U = Unsuitable for stem ❑ S O U 1Z S ❑ U ❑ S [41.11 El S ®'U ❑ S I~ U ❑ S U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Roots Bed Trench 1 0-9 "",z)~-LIZ 3l3 - Si 1 Z`~Sbk f~- cs = o-S o•6 Z °I - z-1 o ti 316 - s 1 Z 'FS l~k 1rt c S S o . L D'2 2Yl(, - Fs 1 ~-sUk~ Ground elev. 01 R-6ft. ( c.oti, ws w tcs. C 1 Po Depth to limiting factor Remarks: Boring # ; ~ o--► Lo~e.31.3 - s1~ Z~' Sbk wl~,. cS _ o.s 0.6 7 Z7 1~`'lR-3l6 - st) Z~S~k 1~1'F1^ CS o•S o El Z. Ground 4, L elev. CO tw S w In: L a- S uT 0:15. o ft. Depth to F limiting rN - ~G• s, V, 10) factor ~A_ Z.--) tt Remarks: T Name:-Please Print Phone: Arthur L. We erer 715- g rer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number: ,2 S °13 / 5 -9 Sl M 0057.6 ~ROPERTYOWNER 'ENE- S c LIZ SOIL DESCRIPTION REPORT Page? 1 3 f PARCEL I.D. # Depth Dominant Color Mottles Texture Structure Consistence Bour>~ry Roots GPD/ft Boring # Horizon In. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trendl >:czz:•;:;:4 ..,x.. # I 0 10 3 L 3 - 5 S1* W 1►. c S - O S D 6 `1 R 3.``> s~: l Z sbk ►n`~i~ cs o, s n• 6 g-"L~ 1wtV- 911/ Ground 3lY 3 elev. ; trot• . ft. S w C.L" `M S POT- S Depth to limiting factor ? Remarks: Boring# Z'FSb12 wt'F1~ C- S u,5 u•~ cs o•s u 6 ~I Z-i8 tioK2 31Z~sbk M 3 J. -(,S -7-viv- 31 S) cS~k ugh - - Ground el v. 3 ~v S W~ S Stu ` W~ L S ft. Depth to limiting factor z~ Remarks: Boring # Z) Lt ~t 1.o'tR 3 ! Lo 4¢ 6!3 S i -`Fsbk ~s - - Ground elev. q9 ft. Depth to L" O h i f Al S 1.v fzl, _ C- S 1~~~ 5 limiting factor Z8 Remarks: Boring # 3 OF- 6 T2-; Ground ! 6 S 3 dAV O-11J C V. elev. N ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) PLOT PLAN Page 3 of 3 SG/~L~ uo' LuT SZ oo' G LOV Q-r~ -k4.zN p 1 HNUSE 't% Val. P'T Lwo T Z S f to c. •e 4 S ~ / t~ 4 t ~ \A4 s~ N 00 7 ~ L3L. 4639\\\~ 3iy. Dirk. 2 f lw e. P1 t+6 A-1 IL . ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 April 29, 1993 Art Wegerer Wegerer, Weber & Assoc. River Falls, WI 54022 Dear Art: The onsite soil evaluation which I conducted on lot 52 of Glover Station, located in the SW1/4 of the NE1/4 of Sec. 16, T28N-R19W, Town of Troy, St. Croix County, revealed suitable soils for onsite sewage disposal to a depth ranging from 5811-72". This site is suitable for new construction using a conventional septic system. I agree with your findings that the weakly cemented condition found within the C horizon of the soil profiles result in limited soil permeability. I do not believe, however, that the restriction is severe enough to justify the need for a mound septic system. It is my opinion that a series of dosed trenches, designed on a soil loading rate of 0.3 gal./sq. ft./ day, would accommodate this site. I believe that a system which is designed and installed based on these recommendations will be sufficient to overcome the soil limitations and will help insure the systems longevity. Should you have any questions, please feel free to contact me at this office. in rely, f a mesK. T o pson Assistant Zoning Administrator CC. v~iscon%n Department of Industry, PRIVATE SEWAGE SYSTEM County: ;Labor4add Human Relations INSPECTION REPORT ST. CROIX Safe'fy and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Pefjbgl er's b4ff & LAUREL ❑ City ❑ Village R Town of: State Plan ID No.: TROY 04Q-1222-7111-nnn CST BM Elevii.: Insp. BM Elev.: BM `Description: t, Parcel Tax No. / TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic a p U Benchmark /03,0 q~,3 Dosing 9$,(q ~J L.39 Aeration Bldg. Sewer 7 q 9S 5~ Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet q y Verit TANK TO P/ L WELL BLDG. AirIto ntake ROAD Dt Inlet Septic ' >100' l(' NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe LAI Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand s "d 49,c/-7 Model Number GPM TDH Lift Lri ion System TDH Ft Head 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 S -5 / A -1 DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER Model Number: INFORMATION TypeO t~ T System: d~ /U N,. 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 a Depth Over ~ w xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center y Bed /Trench Edges tL Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) 97 LOCATION: TR Y.16.28 19W,SW,NE,LOT 52,SOUTHERN PACIFIC 3 D v- M 3 7) '7. 5, 7'~ 17 der vuc Lac, tr - S -/0 o 2 Plan revision required? ❑ Yes ❑ No 1~ Use other side for additional information. 9y 5~ SBD-6710(R 05/91) Date IrUPact ors Signature Cert No. ADDITIONAL COMMENTS AND SKETCH 1 v~ r SANITARY PERMIT NUMBER: gqa qo, 4 qg ~'So~~ 90,0Z) g1.g9, ° SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY ice:: R r, RD/)C STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 4/9, 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 e4 A A I q,rtd G A KY{ TW %4 /VF-t/4, S ~o T N, R / E (or) PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # X 74 W, -7-0 ti h S on 4, 2- / CITY. ST✓r'/S ~y ZIPoZZ PHONE 11S NU-09 SI~BDIV~10'0Ve~0R I~tl //~'LlI7/10~'! 11. TYPE OF BUILDING: (Check one CITY` • ROAD J ❑ State Owned VILLAGE: T RD NEAREST er•✓ 10401rll 12 el. ❑ Public L1CJ 1 or 2 Fam. Dwelling- # of bedrooms ~ PARCEL TAX NUMBER() V III. BUILDING USE: (If building type is public, check all that apply) © z7101 - ~2 ZZ 7 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)11.0 New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure i , 43 ❑ Vault Privy 14 ❑ System-In-Fill ( /tiE/ve~'W Z/ q^- S A 1S Rf-0 940 VI. ABSORPTION SYSTEM INFORMATION: / Q • 93-0 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.) I(Gais/day/sq. ft.) (Min./inch) q2.0 ,&OL9VATION 1,41,00 l iroo q 3,0 F Feet VII. TANK CAPACITY Site in allons Total of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name oncrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank 2.O 0 ACS 1 E] H El Lift Pump Tank/Si hon Chamber CO.V VIII. RESPONSIBILITY STATEMENT 4&~& a" &R44._4 1, 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) krMPRSW No.: Business Phone Number: PO REPT ?OR 1647- 33 a 7 7!5, 3?6 ' Plumber's Address (Street, City, State, Zip Code): - f / - r / 69 O Q i J o..~ Cc~ ~S Sy0 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent s) pproved ❑ Owner Given Initial O Surcharge Fee) ISO 7- ~6 1 Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(8.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS r 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 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'grotmdwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) sconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of r and Human Relations + _ ' ;vision of Safety & Birildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY ` s T . c~Zo) x Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. O q b- I. ZZ -M APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION C• *q- Tao F k S S CMV LTz GOVT. LOT S k3 1/4 KJ E 1/4,S 1 b T 7-18 N,R 19 E (or 1+ PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # _ N 3 1~ 1 U QJ S Z G~ S ~ ~ t uU 2 U to 1v , r~ ti sT Lsl 1 R`I'► ~ Ps CITY, STATE _ ZIP CODE PHONE NUMBER EICITY []VILLAGE DOWN PrA(ZR REST ROAD Zt l L l"hL~S wl 5~(OZZ. (71S) 4ZS_ 81`I WIFtC RD, New Construction Use Residential I Number of bedrooms 4 Additign to existing building j [ Replacement [ ] Public or commercial describe Code derived daily flow boo gpd %soo d,-) Recommended design loading rate - bed, gpcW_trench, 9pdtft2 Absorption area required - bed, ft2 ~z~oo h,112 Maxi num design loWrg rate - bed, gpolft2 - trench, gpol(t2 Recommended infiltration surface elevation(s) SE' fuuT%-- )b 1ruSl*L1J R f~ V ft (as referred to site plan benchmark) Additional design 1 site considerations SI_ - 1,30'V n P'rT a U B-2 Axb S 10 Pb= t- Lbkt)1u6 Ralfi~s Parent material Lo 3 ov~~L Tl LL Flood plain elevation; 9 applicable ty - A - It S = Suitable for system CONVENTIONAL MOUND W MOUNND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U =Unsuitable for [as ❑ U [us o u as O U ®'S ❑ U ❑ s ® U O S WU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Sere Coirisistence Boundary Roots GPD/ftin. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed tench [ ) o-8 1b`iR 313 - S t 2'i Sbk N-\. cs - a• S o:b Z 8-11 lb`1~ 316 - s Z>ti► Sdk wt F~ cw o. S 0.6 Ground 3 )U-qz S`f2 Sly - ~s 1 c-Sblrt w~'F1--k►~i s - o• Y o. S elev. 8C-? It ~f 14 1 ~y 1fZSll6 - s o s3 r, Depth to limiting factor > -74 Remarks: ^ Y Boring # 0-'1 10`'1.2 313 St ~ Z TSb1t `~'i w wC$ o; S 0,b Z Z -zz S `t t2 Y/6 o.s o• L 3 zz-~lo ~•s YR 3/y - s ~ Zrn sh>2 ~~-_MV c s - o.s o.t, Ground g1Vl ft u° 0(1 `i P YI` - S si o 4g vn 1 - o. S ` o, to Depth to limiting factor Remarks: TName:-Please Print Phone. Arthur L. We erer 715-425-0165 Address: Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number. PROPERTYOWNER S C \kQ t-TZ SOIL DESCRIPTION REPORT Page f - 12 L 2, - 7 n,~ . PARCEL I.D. # o q0 Depth Dominant Color Mottles Structure GPD/ft . Boring # Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Botxy Roots Bed Trench ~ O--) 10`1-• 3 ~3 Sl ~ ~.`~5bk vr1 `F~. CS _ o. S u. s I 1~ w'vr ' o.~( o.S 3 z7-~7 6oy.v.. Y& Sbk - - Ground 1, elev. q~•4 ft. Depth to limiting factor 5 -1 Remarks: Boring # 1 0_-1 Lo`~►R-313 - sL~ Z'F9~tic V., cS - o,S v•6 El Z 7-2 tit tJ~-t2 3/y sZ Z'F9bw 'n` i- Cs O s '•.o-r; Ground 3 Z&7 7 7.5 4 M 3/ - S1 o- S elev. t 6 " w 0 Ih3 Is q1~- 1 ft N u Cz C!tvQ uv cn b l O N OF- Depth to limiting 5 \ Z vk,~ 18 3'a Q V L- S i "factor Remarks: Boring # o,a ~b`1R3l~ - St~ Z~Sbk lvt;f~. aS - o.so.6 S Z-Z7 1~ ~Q y/ - S 1 Z FSb1c►`Fl- ~s - o_S o.S. 3 Z~-yy SKR ~l - s ZvnS X12 `m~~h Cw _ o.S'•;o.b Ground S o s elev. Y L4V-77 1D~t2 VA0 - s1 ~0-5lo" - 0,Ll o.S go. 0 ft. Depth to limiting factor > Remarks: Boring # ti; ) o-q vO~A1L 313 s 3b1c mid c S - o-S u.b Z q-37 lt~4tZ 316 - Sit c_-S O-So.l. Y 3 3~_~a 7•S`!f2 3/y _ s o s~ wi s c bk y, o.~f' o.S Ground elev. 7~ ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) PROPERTYOWNER ~v1~ 5CH'y~~Z- SOIL DESCRIPTION REPORT Page 3 of y IM'PARCEL•I.D.41 O~[o - 1ZZZ-~O Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouxlary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed To-ch b_ o 3 13 - s i t Z `f -s ItNt - e s - 0-S v, b Z `~-ty 1o`t~ 4/t - Sl Z ~SUk »t'~h cS - o.S o.t. 1 'n ~1` - o.%4 Q- S s l l c s b1z Ground 3 I~1-~6 ~.S`iR 3y my t- elev. °I1.7 ft. ~1U Sl -'t3`r G. aS Z CV M ~lll Depth to p ~G til Lv 1 w h= d , S limiting taw Remarks: Boring # 0-8 ~6-tR 311 - SI' Z~S~k yni• , cS - o.s o.6 I El Z$-3Y w`tQ Y/V st 1 3 sbk yv~-f~. c s (s.S o.l 3 ay, ~ ~;s `1(Z 3.)S) \ 0- Sbk mfMf1 - o•1-1 o S Ground elev. 1.06.0 ft irr Depth to fatt~or Remarks: Boring # 1 v- 8 L o'-t R- 3! 3 - s 1 Z 3 bk vet c 5 - o .S o. b 9 Z g_ 1 io L-t 2 y /y - S i t z s b}z yy C - o• S o. 3 1$-~ 1.Syti 3Jy - S1 10- Sbtic o.S Ground elev. vz) e ft. Depth to limiting factor ? Remarks: Boring # b-a ~oKtz313 - S11 Sbk " tow Z to`-t tZ y! - Std Z~ Sbk 'wie g _ v• S s 6 3 zoos-S yR 3! _ Sl \e Sblrt "'`F► - oy0•S Ground elev. ,~,o D~ 5 L w Z~ o v, Ie3.8 ft. I Q- C' Depth to \ S 2 C W41rt l~ -7~ b U eN?- O F= limiting 3 01= 43 t S t`~ "C " factor ?7S Remarks: SBD-8330(R.05/92) y of. ' Page PLOT P LM S 0-,(N L4 0 Su.~ P ft ft c- t7--l. c ~.u s 15Z-t14 - 30 le Z-~o.oo2 PL c~ -n -t~hvctte-s Zq'`DelEyz Arr'WwlusuSpE e"E. ' iyu'~; F~~t_ p 1 'tu P'RoutDE 8 NI yc1L\ 1"1U M V n~1Tt OF D11'~-!i. ~ 1"~\ZvvtU~ L1ZU 51 N~1 NV'TitA ~ • 1~ t32 L~L -lq Meat ly J \ / 6 ttS . lC\L x kZ0 T 6' f to _~I d J N14~' r~T I 1~l } i4 ~ " auW~gt_ P ~n I 1T~ G 60 V1 ` tyL 917 l N I . s 1►~ S t*~t.~ Ll cis t nSi rrk~' C^Ac!! S LWv G t ! %t - t5L. Cl b' "ft-R"•, ZU t bi, H16N J/j"Wfi, to 1 / 38, O"lt- ITT ~"1"W Pve Pt PE 011. / ~oww~ s W\~tr 'gA6C, w/ LMTH V $t~ 9S°- _ ~-s elm - 96.39 on/ 1 ` -1S 4 Y • 3/y4 ply. PUC PIPk' ~ Sl`Cti R 7 \Z fit. 4 6. t 7 2 N 8.3 1`1 OTt? ~scS Tn ~E ~r L~sr zs' ~,c,►~ s4st~, ►rcc,,,~s. W trLL So` 1~ by ` g X10 S lT~. N C 11 ~ '[q'/ 1 ►nJ sZrct S Y%ej CWLrl 1 tel*VVA S' A b t lA'v C 1 ' y9 "tti . 6' rr[~11'RT , 1 1 Z14 OgL,P F!T "r21k' 1 _ 1 13.8 L'?-E%L! O I 81L01 Ea G ~ . b o - -j _ pu~►P 2~ut~.L3p. - =,PN-sE me no tZL 10 B'~ ZO Z'11.cl 01 t201u ptPE T~ ~q Z-3 W L.oT Cu1LtJt'R, 9 3- Z.-)b UZ:S 0)6S -~baS- b CS Signature Date Slgne Telephone No. CST # PLOT PLAN Page y of IILI hL 2 I ~4°tX> Wt~1 M~1 Z` 'b~'T1t OF 011~h1. . r ~ I ~ S 1 `1 L. X31 l?L 19 y 80 a d 5 j p vn~N• • tovi 0 .3 I_ rv VII J~ Ea b• r I, p. 7 6O o N A INS 1hLl ~Lt L~ICL~trS~ Lrl q oeC (3 r P'ttl,J. "Pm-r, z4'` E - t1 _ 6.o' Ors 611 Hie, 3AjIVi{i. N qtr, NT "tr ~ ewe ~I pr t: o~> ~r~~ ~~C DutsvNS~ot~iai' drAGC \ WiLATH V g , - I 'MIN. 3 ON 0 5.4 `b ' o S1T~'A 1 31y~~ ~t/1 • PVC Plpk' r fit. 'l 6 ~ 7 i o is FY oep; w \ N gee ~.3 0 N urr~ : 2,0,6 A Le s<J 'CD E R•T l."sT is, r-mm S4319q lrcc r\r, I t!LL i L~LOjg -64, 'A -011 *NVA S' jC 6t; LAwi c t I / 491 MIA J. 16' Tt-PMsT , • 24" peXATZ YNltr I 7 8. i Ct to6 Ouw.w►8~.u1 L~DC~. bo`~- J ~'P15 E 1r7E T l'L t o 6° 4 ,a t 0, tttoki pipe f Setj R LL). ~~-v~~r y~~o w t~ Fresh Air Inlets And Observation Pipe Approved Vent Cap Minimum 12' Above A Final Grade d/'~% "v- ?-f " Above Pipe _ 4' Cost iron 'to Final Grade Vent Pipe' Synthetic Covering Min. 2' Aggregate Over Pipe Distribution - Tee Pipe 0 0 0 0 0 , e Aggregate o Perfbrated Pipe Below BeneotA Pipe T o -Coupling Terminating At Bottom Of Srsteat Fresh Air Inlets And Observation Pipe -TP-GN _Y-Approved Vent Cap Minimum 12' Above Final Grade ~J . • 13. D 2~ "Above Pipe - 4' Cast Iron 1 a Final Grade Vent Pip Synthetic Covering Min. 2' Aggregate Over Pipe Distribution Tee Pipe - 0 0 0 0 0 ' Aggregate o Perforated Pipe Below Beneath Pipe o Coupling Termineting At Bottom Of System sYsT : ~ . 90. o oft / t,ZA Fresh Air Inlets And Observation Pipe Approved Vent Cap Minimum 120 Above f7 , n Ore , • Final Grade ZT ' Above Pipe _ 40 Cost Iron I"to Final Grade Vent f1pe' Synthetic Covering Min. 2' Aggregate Over Pipe - Distribution Pipe 0 0 0 0 0 , s Aggregate 0 Perfbroted Pipe Below Beneath Pipe o I-Couplino Terminating At 7. Z"7 Bottom Of System rl'~..d Fresh Air Inlets And Observation Pipe T ~E~ l~ Approved Vent Cop 1 Minimum 12' Above Final Grade ~ Above Pipe - 4 Cost Iron 1o Final Grade Vent Plpe' Synthetic Covering min. 2' Aggregate Over Pipe Distribution - Tee Pipe 0 0 0 0 0 ' Aggregate o Perforated Pipe Below Beneath Pipe 0 -Coupling Terminoting At 57/ Bottom Of System y'3. o Y .1,. STC-105 SEPTIC TANK MAINTENANCE AGREEMENT tt~~ St. Croix County OWNER/BUYER .V 2 a vi 9, * n c( L a Lc r e / go Aare MAILING ADDRESS 374, W, To A v►So n . #2- gi vrv Fa w x -S-11022 Ri A # PROPERTY ADDRESS 3 q J ~o P/tc( / S (location of septic system) Please obtain from the Planning Dept. CITY/STATE *veb, W s . PROPERTY LOCATION S yV 1/4, /V E 1/4, Section / T Z N-R W TOWN OF T2 0 y ST. CROIX COUNTY, WI SUBDIVISION G 10 ✓E2 5 r_ffTloN 3 /4aD r Tlo~ LOT NUMBER CERTIFIED SURVEY MAP , VOLUME , PAGE , LOT NUMBER Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year a pi tion date. SIGNED: DATE: -7 St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 ` S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/ contractor, (spec house), then a 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 D Ca n R. ^,l d I-a Lt re l F o A de Location of property 5W 1/4 NE 1/4, Section/ G ,T 24 N-R 15 W Township 7TR2o V Mailing address .37& Al. 7vAAcvn #2 Ryt,, FlAr 5-y0LZ Address of site_~/ 3y6 O/ Cys a v syb/~ Subdivision name Glover Sfafioh 3/1 dcll'fiar Lot no. 52- Other homes on property? Yes X No Previous owner of property C . M • 3 yE Total size of property 2, 63 Acvef Total size of parcel 2, t,; Acrtr Date parcel was created Are all corners and lot lines identifiable? X Yes No Is this property being developed for (spec house) ? Yes X No Volume 1053 and Page Number 03 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. SO 19 Y& , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. O~( pl Sig a ure of Applicant o-Applicant Z/i8~q Y -/8-1 ' Y Date of Signature Date of Signature a DOCUMENT NO. !!STATE BAR OF WISCONSIN FORM 1-1982 1 THIS SPACE RESERVED FOR RECORDING DATA • WARRANTY DEED 509911-6 ktulSTER'S OFFICE This Deed, made between --..C ST. MW rost~ ,a _ _ Grantor, D EC 2 1993 and. ...I1E'a__.Rohde..and_Laurel__L._.Rohde,___as._martal 1:45- M I survivrorship..property, a <le&WofD9ad9 , Grantee, Witnesseth, That the said Grantor, for a valuable consideration....._ • conveys to Grantee the following described real estate in .-t r_X ix.---.-_.--- RETURN TO C. M. Bye, PO BOX County, State of Wisconsin: 167, River Falls, WI 54022 Tax Parcel No- I j Lot #52, Glover Station-Third Addition, Town of Troy, St. Croix County, Wisconsin. II ~j This 15--JIO.t.--------- homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And-------- C,.. M --BY-C warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except r mmicipal and zoning ordinances, easement for public utilities, and building restrictions of record, and will warrant and defend the same. rT n Q Dated this day of j /'-2r., - - (SEAL) .e ----------------(SEAL) C. M e I .J -(SEAL) ---•-----(SEAL) 4 I AUTHNNTICATION ACHNOWLBDOMENT Signature(s) STATE OF WISCONSIN as. St. Croix - - County. authenticwd this ...day of____________ 19_ Personally came before me^ of Decembar-------------- 19!93 the above Imes . Y . W ,,,ate, TITLE: MEMBER STATE BAR OF WISCONSIN + u_ 11_!_r!_!• (If not, ed - 706.-- --------to me known to ,bb t}ya -----Ar ~ by#--- authorized by ?06.06, Wis. Stags.) person who executed the foregoing inst 2'' and the ~j/Ivr acknowledge THIS INSTRUMENT WAS DRATTED BY .nr , w~'Q wR+~1 ' t elnz a~ - t------ ------Attorney---at-.Law Notary Public ~t . St--- , !lX....... •-------CountY, Wis. (Signatures may be authenticated or acknowledged. Both My Commission'is jfe*.n~3n r.Y. (Tf not, state expiration j are not necessary.) date: August- , 97 ) 19 I •Names of persons signing in any capacity should be typed or printed below their signatures. j Hlank Co. Ina y WARRANTY DBHD STATE BAR SIN 1ilI in t.Wis. FORM No. o, t - - 1982 198: Dlit~sanicee, Stde of ftwnds CONnty Of St Crok 1 hereby oa* *46 dd: imbuaoR 6 a Aft and aoorr >w ~pef0" ad bw bear =apandbywa /1r~n I.. I.. . 5 119.0„. James O'Connell AIM; S Mamas Reg 51wef Deputy ti STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER "DE7Ay 4!406!5 Reg Q - 17 ,3 =O3 5 5~•TF ADDRESS 3 1/9 Sa • lQj4Gf {7•C 2r ' SUBDIVISION / CSM# ~~dU STS-r~o-y ~3~ LOT # S'Z SECTION I& T 2S* N-R W, Town of T P. o y ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~•S • ~3 1-7-- PL-al' P/ at.,.✓ ORIGINAL INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. i puc 1P~ - ~76. 3 9 BENCHMARK: ALTERNATE BM: SEPTIC TANK N QE's cow{~ Liquid Capacity: Q Manufacturer Setback from: Well House Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length Number of trenches Distance & Direction to nearest prop. line: A0 - TO too Ss ~ L • L Setback from: well: House _7P e Other M~~~fn/~ Gov C~~ 3' of ~F 0 r~ ELEVATIONS Building Sewer 9~J~y ST Inlet . '~F~'006 ST outlet ~F/, Z PC inlet PC bottom - - Pump Off Header/Manifold Bottom of system Existing Grade pRorade DATE OF INSTALLATION: 1w' /yam / 5;:, `,~l PLUMBER ON JOB: V,B&7T WZo if/ 0447_ LICENSE NUMBER: AW5 3 3 0 / INSPECTOR: 3/93:jt A /3 P4 0 F- . TIo S - v~tir) (l3 oX) ~ev~ Tif'E.V G Sys T. VO. ?o 92,io' 13 99, o ' 9a.o y o. 17 92.02, z~ 7-~PfuL~, SP~c s • C To S ~f w.~sH~v ,~Syt~Es~r~E Z•,~Ac~P s~ .~~ls v s~-. P•p% ~'fvl/.~ 17 ' 1-~~I~s'" /s%, 7C0/~dt~flJ ~ ~~'•c~G4 13 5 7- D~Gp ~O XIS • w~~ ~,uS~I~~'Tio,.> E/EVrfT/ORO of P/vas ~ o X~ ~ 9 72' 5-x 33 V T,PENC ti D 5,x 76 ' 157" SOX I ~ 2Z r o r- /3M - ~ o~ of DT's o ARrrrtsT s•T ~vEE,~S 1 cowctoe -le co ~I' /9' 1 < 3 ',e%sEPs s~ 4o Puc 1ti ~1iEu~ 1AJ1O0 r ;r ~ ,dEvcdy . `u 1~.vDt7p Lo.~sT,pOGrroc>