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Home My WebLink About008-1070-40-000Parcel #: 008-1070-40-000 03/30/2007 04:23 PM PAGE 1 OF 1 Alt. Parcel #: 24.28.16.3628 008 -TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -CASEY, THOMAS B & AMY K THOMAS B & AMY K CASEY 237 CTY RD B WOODVILLE WI 54028 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 36.320 Plat: N/A-NOT AVAILABLE SEC 24 T28N R16W 36.32A NW SW EXC N 400' Block/Condo Bldg: ' EZ-U-1518/519 OF W 400 Tract(s): (Sec-Twn-Rng 401/4 160114) 24-28N-16W NW SW Notes: Parcel History: Date Doc # Vol/Page Type 04/05/1999 600713 1416/360 WD 07/23/1997 1201 /194 WD 07/23/1997 838/410 07/23/1997 569/443 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessme nt Valuations: Last Changed: 07/06/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 27,000 241,000 268,000 NO AGRICULTURAL G4 24.320 2,700 0 2,700 NO UNDEVELOPED G5 6.000 2,700 0 2,700 NO AGRICULTURAL FOREST G5M 3.000 1,700 0 1,700 NO Totals for 2007: General Property 36.320 34,100 241,000 275,100 Woodland 0.000 0 0 Totals for 2006: General Property 36.320 34,100 241,000 275,100 Woodtand 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department oflndustry, SOIL AND SITE EVALUATION REPORT Labor and Human Relations l~tiision of Safety ~ Buildings in accord with ILHR 83.05. Wis. Adm. Code Page ~ of ,~ '~ "~-~~ GUUN IaY~- p ~~ ~~t`~-~~' J, - ~'~~rd{~ Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. nc ude; ~ ~s. y. - PARCEL LD # ~ . ,~,r not limited to vertical and horizontal reference point (BM), direction and °/ o e, ~ale~ ~ Oo $ -0'76 _ ~o dimensioned, north arrow, and location and distance to nearest road. ~"t'•a,r<, ~ ~. ~~Mg ~ APPLICANT INFORMATION-PLEASE PRINT ALL INFORMA I g_ IEWED BY DATE < ~, x ~- ~ x. ;> PROPERTY OWNER: a yne, r t I~. 5 ~ ~ ~ PROPERTY LO~Al`~ N`-~' / m- ~ ~ ~~ ter; e~ ~ ~c.t~~~b 114 ,S ~~T ~$ ,N,R ~, b E (o W GOVT. , ;°' , PROP RTY OWNER':S MAILIN ADDRESS ,,l. `+% s~f~~ ~ S ` ME OR CSM # ~ C~ c ~ CITY, STALE ZIP CODE PHONE NUMBER ~ g WN ; NEAREST ROAD ~~ $ ~~ s~ ~ (~/s>~ 8- His u7i.v ;~r~t,~ a ~- c.7'H~ [c.)~lew Construction Use [residential / Number of bedrooms ~tn, Kv- avrt [ ]Addition to existing building j ]Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate . ~ bed, gpd/ft2 . ~ trench, gpd/ft2 ximum design loading rate ~ ~ bed, gpd/ft2 - ~ trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 M a , ~ Recommended infiltration surface elevation(s) y7 fit; '~°~c~ ~~ ft (as referred to site plan benchmark) Additional design /site considerations Parent material S~ /~ ~u @~- Tar/ Flood plain elevation, if applicable ~ ft S =Suitable for system CONVENTIONA ^ S ~ M~OUyD. 0"S ^ U IN-GROUND PRESSURE ^ S C~J~" AT-GRADE ^ S C~ SYSTEM IN FILL ^ S ~~ HOLDING TACK ^ S 0"(J U =Unsuitable fors stem SOIL DESCRIPTION REPORT Boring # w ~ :w:: ~::::-~ Ground elev. ~~t. Depth to limiting fact ~ ~.G,~ Boring # :::;~4 stia.\\~:{6i:: ~:::~:~ Ground elev. . ft. Depth Dominant Color Mottles Texture Structure Consistence Bourxfar Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. y Bed Trt~ -~ l ~ R ~ fa• ~ ~ ~ 5~ ~ rt ~ S . ~ S -~ lc~ R - v~ s ~u~ ~y,S Remarks: / a-~ jb ~ ~ _ sit a f sbl~ s~. ~ t~~ ~. ~ cG ~ b ~' ~ 4r~ 5~~ 6 h c~ t v F ~ .,( _f ~~ ~ Depth to limiting factor ~~ 1.~° ~~~ Rnmarkc• SST Name: Please Print ~ ~ ` o .QS a Pho1ne:1~ / S .7 7/~ , ~~-~ 4ddress: l.,U [ ~ ~ ~l "7 7 Q '[° ~ v ~ t- l V~ ~ `~ W/~ ~ ~ Y ~~b Signature`'/~ ~~~_ .' ~., DaS~9T ~/. 9~ DST~09.~/ PROPERTYOWNER~~ h~ ~`t r~ /1 f'` SOIL DESCRIPTION REPORT Page c~ of 3 PARCEL I.D. # OG ~ - /D 7 y " ~y ~t '" Boring # <::;::<~:<<r€: -~:~.>: ~:: ~a~ `:?:, Ground elev. ft. Depth to limiting factor ~Sy ~ ~.~~~. Boring # :': .:::: ~~.:; .,M1• 4..: Ground elev. ~~Sft. Depth to limiting factor lY~., ~ ~ ~.~ Boring # ~:~~ ... ~~~ ~--~ Ground elev. ft. Depth to limiting factor Boring # Ground elev. ft. Depth to limiting factor Depth Dominant Color Mottles r T t Structure Consistence Boundar Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont. Color ex u e h. Gr. Sz. S y Bed Trend / - r' O O 33 - `` c~ S b~ S C t~ 1, v ~ S ~ 3 ~S"3 ~ e 2 ~~ .~ a ~ s ~ ~ s ~ ~ ~ '' y ~ y - y ~syr~ ~ - c~ ~ ~, - - , s ~,~ Ramarks~ b-~ a ~' ~ l ~ ~ sbk ~ `~ . s 6 v~ ~ ($ o '~ ~ b ~' c~ ~ ~ S ~ ~ ~ y ~ . S y- .7~ Irn a +~ c l~ s~ h t v~ ..? 3 Remarks: Remarks: Remarks: SBD-8330(8.05/92) I' 1 .. s ,~~J~ ~ /c~G~ Tod n ~' ~ ~ ~ I ~ ~-- I ~- _ ~^ `~ ~ ~ ~ c v~, G 0 1 ~ ~ ~~ ~._-~ ~~ \ ~~ ~ P~ A s ~1 w / ~t N_ ~ ~ V ~ a / ~ p v / ~ r`~ N ~~ n ~~ o .a- ~ ~ ~ R, i /' -°~" m ~ L ~ G L t't ~ ~ i' fi '~ ~ ~ O ~,o ~. 0 pU h'.1 VV W Wisconsin Department oflndustry, SOIL AND SITE EVALUATION REPORT ' labor and Human Relations nl„ ..{C.,ron~ R R~dlrlin I~r._ na-.__L~,..-!.. Page l of -"'-'"" - - ' III Cll.I.VIU YYllll ILI III (JJ.VJ, ~~~~'~~v y,~~4, r' r. COUNTY ~ ~ ~ L ~ ~ I ~ S~ ~ °'+ br74 ' in ude st i i 1 i h ~ n s es z nc Attach complete site plan on paper not less than 8 1/2 x 1 not limited to vertical and horizontal reference point (BM), direction an , u slope , r ~ ARCEL LD. # , and location and distance to nearest road. north arrow dimensioned ~ , , APPLICANT INFORMATION-PLEASE PRINT ALL INFORM N VIEWED BY DATE PROPERTY OWNER: l;l./o_y,l~ lor~5h SC-- ~" ~ PROP~~~T(ON ~, ` E (or S ~`f T ~~ ' 1/4 1l4 N G `~--~i~YL~ R ~ f ~~ @~"'~ ~5 (~• ~.s~~v~ jr;.-.. , ~ , •, . C T``Y OWNER':S MAILIN ADDRESS PROP R ~k,~ # AME OR CSM # // fE+"~ C'Y~ ~c~ ~ `~/~'' CITY, STATE ZIP CODE PHONE NUMBER ICY! V L OWN NEAREST ROAD (u.]~lew Construction Use (residential / Number of bedrooms ~>n;~ i1 ~ +n [ ]Addition to existing building blic or commercial describe (]Replacement [ ] Pu n Code derived daily flow gpd Recommended design loading rate ~ =~ bed, gpd/ft2 . ~ trench,gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design leading rate ~ S bed, gpd/ft2 - ~ trench, gpd/ft2 Recommended infiltration surface elevation(s) f'' ~ - ~p~~ < < ~ .f ft (as referred to site plan benchmark) Additional design /site considerations Parent material ~~'; /~ c~~ ~ `6 - T I / Flood plain elevation, if applicable ./: ~ ft S =Suitable for system CONVENTIONA (~ ^ MOUN ~ ^ U IN-GROUND PR SURE ^ S A^T- S D^~ l~u S^YSS M ICN~FI~ H^OLSING TL'7 U U =Unsuitable for s stem S SOIL DESCRIPTION REPORT Boring # Ground elev. ~~S ft. Depth to limiting factor t ,~ k~.~,oi: Boring # >: :» >.>:< ,..... ~,.~ :> Depth Dominant Color Mottles Structure i t C rxia Bo Roots GPD/ft Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. ence ons s ry u Bed Trer~ ~ ~ ~- _ ~ ~ ~~k .~ s `v ~ s ~ _ .; - i ~ o ~~ - s , a an ~,_, ~ ~ , s . l~ _-~ !~-a~ lb 2 ~" ~ ~ 3 ~ .~ c~~h o~~ ~ U ~ i4 ~ ,~ .~ ~-~- 1~ R - vF ~ ~ +~~ , y , S Ramarkc• / C-~ ~o _~ ~ ~ s ~1 ~ f 5bk ~l, c~~ t ~1 ` ~ i / to - l o ~' _ w, s~~ s ~. w ; ./ F ~ • ,~ -~ ~~ - ~~ . ~ ~ f~~ ~. ~ 1 ~ ~ s b ~ ~~ r, - ~ 4 , s ,` I Ground elev. ~~ ft. Depth to limiting factor ~'~ ~ ~•~L Remarks: CST Name: Please Print '~ y ~S ~ Phone: ~ f S ...7 7 ` _ •>~a ~ C u u. ~ Address: ! ~ S y ~,~ ` Signature: ~ Date: CST Number: PROPERTYOWNER~ ~o1/~e ftl~Or~~ SOIL DESCRIPTION REPORT PARCEL LD. # D~ ~ - /v 7 ~~ ' `~"y Boring # >_~ Ground elev. ft. Depth to limiting factor ~~ ~~ ~ G u;. Boring # Ground elev. ~~sft. Depth to limiting factor ~- F-~ ~1.~ w Boring # Ground elev. ft. Depth to limiting factor Boring # Ground elev. ft. Depth to limiting factor Page c~ of -~ i ~ th De Dominant Color Mottles Structure i t C Bour~u Roots GPD/ft Horizon p in. Munseil Du. Sz. Cont. Color Texture Gr. Sz. Sh. ence ons s y Bed Tt2ndi a ~ a . ~ y- - s~ ~ :..~ ~ ' ~ s , w p \ _ ~ HemarKS : ~-~, D ~' ' ~ ~~s~~c ~ ~~ oS 6 ~; 1$ ~ o ,~„` 6 ~k ` ~ , S fv ~~ ~ yl ..S y' trn a P ~. ~ ~ ~ 5 b h - t ~~ ~ _ a . 3 Remarks: Remarks: Remarks: SBD-8330(8.05/92) _~ i ~ ~I m ~ I~ I ~ ~ ~ f ~ ~ ~ '~' -y- ' 1 ~. ~- 1, ~ ~ ~.. ~,, ~. ~ ~ ~, ~, r ~_. I i I y s r ~, ~~ ~~,~ ~-C ,.. -~ r `~Wiscon`sinDepartmentofCommerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. Permit Holder's Name: ^ City ^ Village ^ Town of: Casey, Tom & Amy Eau Galle Township CST BM Elev.: Insp. BM Elev.: BM Description: lv ~~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic M< s fOf ~ L a a Dosin g `~ ~` /6 D ion Holdin TANK SETBACK INFORMATION. TANK TO P/L WELL BLDG. vent to Airlntake ROAD Septic / Od ~ ZS ~ ~ --/ NA Dosing ~~U/j / D ~3 ~' NA NA olding PUMP /SIPHON INFORMATION _ 1, ~~ Manufacturer S demand Model Number ~>~ ~ Z~•SGPM TDH Lift~,S'; Y LrictionZ O Syste 2 S TDH 7io Ft Forcemain Length a Dia. 2 /~ Dist. To Well SOIL ABSORPTION SYSTEM tLtVAIIUN UAIA county: St. Croix Sanitary Permit No.: 363850 State Plan ID No.: Parcel Tax No.: 008-1070-40-000 STATION BS HI FS ELEV. Benchmark ~~ ~ ~ , 3 j6 ~ Alt. BM Bldg. Sewer ~ 2' 4 Z r 3, S ~~, y S Ht inlet I z' ~ 2 '' ~ 6'~ Y Ht Outlet Dt Inlet Dt Bottom -~ ~~` ~. Header /Man. Z , ys / vO •/ Dist. Pipe 2•Y,S~ Z. /00-/7 00 Bot. System 3 ~ y~ Final Grade St cover S N1 ~' ~ Z ~ ra2. ~ a , BED /TRENCH width ~ Len th ~ No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN I N 2~S ~r DIM N I N SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEAC M durer: SETBACK CHA r: M INFORMATION Type O t ~ - oe um e System: _ ya ~ l Do - a°S O NIT DISTRIBUTION SYSTE11l~ Header /Manifold ~ Z Distribution Pipe(s)r / I ~I ~ ~ J ~ x Hole Size r/ 3` x Hole Spacing L ' ~ Vent To Air Intake Length Dia. Length i Dia. Spacing 3 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 ^ ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.) Ins ectic~ti / / DInspection #2: ~ //.~/ao Location: 237 County Road B, Woodville, WI 5402 2~ 1/4 SW 1/4 24 T28N R16W) - 24.28.16.362B 1.) Alt BM Description = ~p ~ a .~ s~~; F ~°~ 2 6c ~w~r,t 5 2.) Bldg sewer length = 3 (, ` /c G .~ ~~~ / ~/pv /a5><~~0, -amount of cover = ~ (~ ' ~,) ra w~(/ ~ ~,ti~ y~~ W~Ir ~v~iL~~ q~ P(6-w~~ Plan revision required? ^ Yes ~ No Use other side for additional inform tion. G SBD-6710 (R.3/97) De nspedor's Sig re Cert. No. i^ ;. f, ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ~~isconsin Department of Commerce ~a3 ~- ~`~+- = g SANITARY PERMI , LIC/1-; ~ N In accord with ILHR~~O~, Wis. Adm. Cody' ~ , / _ ~" .~~ Safety and Buildings Division 201 W. Washington Avenue P O Box 7302 Madison, WI 53707-7302 • Attach complete plans (to the county copy only) fort ste ga~~i~'~r not le ~ :~ ~ ounty than 8112 x 11 inches in size. r, ~~" e.<~~ ~~ V F _ ~ pti ' t. • See reverse side for instructions #or completing this a vtstftation ~ '~:~ ' ~ ' Sate Sanitary Permit Number rte. ; l ~ , t ~ ~ ~~ S N ~ ~~ '" "" Persona information ou rovide ma be used for seconda ;` Y p y ry pUrpOSes ~ , `,, ~ ,.,~( Check if revision to previous application . [Privacy Law, s. 15.04 (1) (m)). C C~ , r~;~. State Plan LD. Number .. L APPLI ATI N INFORMATION -PLEA E PRINT AL T ~ ~ $ ~,el S - Property Owner Name •T Pr~p cation ~ t' St~ v4 S T ~ , N, R ~ E (or~ ~ Property Owner's Mailing ddress Lot Number Block Number .s ~ '~- ~" City, State Zip Code Phone Number Sub ivision Name or CSM Number II. E ILDIN (check one) ^ State Owned ^ Ity Nearest Road Public 1 or 2 Famil Dwellin - No. of bedrooms p Village Town of le- Co ~d ~ III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) ~ ~ ~ /~~ 2 /_~ J ~+ I ~ 6 6` ~` - ~a 70` '" ~A " 1 ^ Apartment /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 box on line A. Check box on line B, if applicable) A) 1. ~ New 2. ^ Replacement 3_ ^ Replacement of 4_ ^ Reconnection of 5. ^ Repair of an -_____System ________System Tank Only______________ Existinc,~System ________ Existinc~S~rstem B) ^ A Sanitary Permit was previously issued. Permit Number 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 Tan)c 12 ^ Seepage Trench 22 ^ In-Ground Pressure 42 ^ Pit Privy 13 ^ Seepage Pit ~ fi GrQd ~ 43 ^ Vault Privy 14^5ystem-In-Fill ~ ~~~ ~~ 8.~1~ ,~,~ VI. ABSORPTION M 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. ftJ (Gals/day/sq. ft.) (Min.linch) Elevation God 04'~ Q ~ r ~ Y~ Feet .2... Feet VII. TANK INFORMATION Ca acct in silo s Total # of Manufacturer s Name Prefab. Site l s Fiber- Plastic Exper. N E i i Gallons Tanks concrete act tee glass App ew x st n st ed Tanks Tanks Septic Tank or Holding Tank ~ ,.r ,-p~ ~ ^ ^ ^ ^ ^ Lift Pump Tank/Siphon Chamber ~QOQ ~ tc ,~ f ,,~ ~ ^ ^ ^ ^ ^ VI11. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sew ge system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: No Stamps) P PRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): ~~ IX. COUNTY /DEPARTMENT USE ONLY ^ Disapproved S nitary Permit Fee (InciudesGroundwater ate ssue Issuing Agent Signature (No Stamps) A roved pp ^ Owner Given Initial surcharge Fee) 3~S ~ ~ ~ Adverse Determination X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: j ~2.i` ~ ~rlt~/6t,Ce~~'d~ a>~~~1.L_ ~Q~ / nSt~-~'a~~B't~t , VJ ~ r SBD- 6398 (R.11197) DISTRIBUTION: Original to County, One copy To: Safety & 8uiidings Division, Owner, Plumber INSTRUCTIONS t. A sanitary permit is valid for two (2) years. ` 2. Your sanitary permit maybe renewed before the expiration date, and a#a;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 plumberrequires aSanitary 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 and Buildings Division, 608-266-3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete Tine 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 for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/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 plumberis 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 8 112 x t t inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or withcomplete'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 contamination investigations and establishment of standards. ~ ~ ~scons~n Department of Commerce April 15, 2000 CUST ID No.267341 WEGERER SOIL TESTING & 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 RE: CONDITIONAL APPROV. PLAN APPROVAL EXPIRES: 0 ~,~-~. G ~`~ ~ y~•f ..t: .,. t~IIP~~hY '` _ _ .-'~ SITE: ~ ~ ? ~ t \ la Site ID: 189705, Tom & Amy Casey St. Croix County, Town of Eau Gallo NW1/4, SW1/4, 524, T28N, R16W Facility: Tom & Amy Casey Proposed Residence Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.state.wi. us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary ATTN: POWTS INSPECTOR ZONING OFFICE ST'CROIX COUNTY SPIA 1101, CARMICHAEL RD I-NDSON WI 54016 `~. ~ Identifi ors ;""~,~ Transaction ID o. 308201 !` Site ID No. 1897 5 Please refer to bo tification numbers, above, in all corres ondence with the a enc . FOR: Description: Four Bedroom At-grade System Object Type: POWT System Regulated Object ID No.: 656828 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the Wisconsin At-Grade Soil Absorption System Manual (Pub. 15.21). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard by discharge of partially treated or untreated liquid wastes to ground surface or into surface waters or groundwaters of the state, the owner will employ a properly licensed plumber to repair, modify or replace this system (including the possibility of installation of a holding tank with proper disposal) with such action approved by the Division and appropriate local officials. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • If a septic tank filter is used, maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. WEGERER SOIL TESTING & DESIGN Page 2 4/15/00 Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, erard M. Swim POWTS Plan Reviewer -Integrated Services (608)-785-9348, Mon. -Fri. 7:15 AM to 4:00 PM j swim@commerce. state. wi. us DATE RECEIVED 04/06/2000 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 BALANCE DUE $ 0.00 iSMART' code: 7633. '; Page ~ of 6 ~-~-~~ ~'~T-G~~1)E SYSTEii FOR A ~ BEDROOM RESIDENCE LOCATED IN THE ~.11.J 1/4 OF THE SW 1/4 OF SECTION Z~ , T ~-~' N, R 16 W, TOWN OF E_`(~U C~pcL~,L, , S• L°.17.~LX COUNTY, WISCONSIN. INDEX PAGE 1 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR Tom _ r~~D ~w~~t ._ c~---- ---- 100--_C~Pr1z. ST __-- _---- - -- PREPARED BY WEGEE~EFt SQ I L .TESTING AND . I3ES = G!V S~R~1 I CE F.O. BOx 74 421 K. tSAIM ST. ~.®.~.T.~1 RIVES? FettS. ifi 54422 C(l fptl'~ti.olr.a~'~y 715-4~.r-016~ C. DEPART NT OF COtJIM DIVISION O SA ET N B 1NGS ` E~ CORRE~ ON '~-E l' ~~ ~ goo ~ ~~~~ o ~~~~/ ~~~~..""""' s/~ ~r~ ~~ ARI11W1 L } WE6EREq {i ~,g. 6it9WORT11, ~ t ~~ 1 IINIIIN ~°ley~ ~SIGN~ ~ ~~ JOB N0. 0p `g8. PLO`i' PLAN Scale 1"= 4 0 ' L o ~Zm t• t- -_ No`C~ : _: ---- P~uwv~AE `nCE ow-v~m w~'TN w~2.L ~ BE A~f ~~3T so' Ftzc~w- ~E S`-i5''`cirr~l ~D 1`YT L~3T I I Zi ~r~~71~•i'i s~ Ch -~,~ ° Page Z of ~ O. 1 Vr1 1 ~ ,~ cam„ ,N n ~u~r., ~,qq . 6' L.R'~~ti..~, ~ . ~ou.t' - - - --- -- _~L~ _V.`~ - C-ZoSg ._S~fi1_U1V Page 3 of 6 L I I ZKPvc F.11, 5 ~ ~ 2' P ~~ cM- ~~cak~,'k-s _-_.,_ ~--- ---- - --- --------~ 'zv_D /~ _ ~ A 1 ,~ . ~ I o > 5' ~ oas~.u,~,uu wets - 3 ~ o , ~ I/6B I/6B • 1/2 B A= 8 Feet B= \ZS Feet Linear Loading Rate= ~-a GPD/LN FT L= ~3S Feet Design Loading Rate= o • b GPD/SQ FT W= zo Feet Fabric Distribution . Laten~l `~~• Loo.l Observation ~~ ~~ ~ ~ ~, , Soil Cover ~-vc~o~ S~~,y ~~ ~ - ~ '~~'o ':~., ~ 2 /~ =111 ~ww~p 'PtR~`A i Plan View and (~vss Section of Wisconsin At-grade Unit with a Single Absorption Area on a Sloping Site ' Page ~ Of ~ End Co Perforated Pipe Detail End View 't:rforoted 'VC Pipe Install permanent marker at end of each lateral Holes Located On Bottom, Are Equally Spaced ~p Lost Hole Next To End Gap Distribution Pipe Layout P 61.5 Ft , X 3 b Inches Y 3 h Inches Hole Diameter 3116 Inch Lateral 1~1Z Inch(es) Force Main Z Inches ~ ofi holes/pipe ZI Invert Elevation of LateralstDO.1~ Ft. ZlX .bSS- ~31SS KZ_ 2-~.Sl 61~t Place lst hole ~$w from tee with succeeding holes at 36' intervals. Last hole to be next to the end cap. '1"C. i. VENT PIPC ~ lO' FROM DOOR, WINDOW OR FRCSH AIR WTAKE 18"1'11 N. 1lJLET APPROVED JOIAIT/ _-GLEN. ~~'S FT. PUMP CHAMBER CRO55 SECTIOIJ AA1D SPECIFICATIOAIS ~ PAGE S OF ~ A 8 •C D VENT CAP 12'MIIJ. WEATHER PROOF -JUJUCTIOIU 80X • (- • 1 GRADE ~ COIJDUIT ~-- V • PROVIDE AIRTIGHT SEAL Tank construction shall comply with COMPS 83.15 and COMP4 83.20 PUMP ~ ~-~, 83,5 COAJCRETf BLOLK APPROVED LOCKING MANHOLE COVER WITH WARNING LABEL _I .I I --~ ~- L `i' MIN. ~. 18' MIAl. II~ II) ~I) 1 ~ ~ + ALARM I~ I I ~ ON I ._~ V APPROVED .JOINTS OFF ~3" AVARoVED ~• RISER EXIT PERMITfEO OIJLy IF TAWK MAWUFAGTURER HAS SUCH APPROVAL gEDpl~ SPECIFICATIOAJS • ooSE . Mt~bJ~~~l p1~~sT 3.35 TAnlK MAAJUFACTURCR. NUMISER OF DOSES: PER OAy TANK SIZE: 1u0u GALLOIJS DOSE VOLUME t ALARM __1!1AIJUFACTURGR: s S•~~-TR(J S`2~1~3''1S IAJCLLJ OIAIG OACK-LOW: ~'~$ GALLONS MODCL AIUMBER: 1l~ ~ ~w CAPAC ITIES: A= ~ 6llZ IAJCHES OR ~~?~ GALLOys SWITCH TyPC: ~~~~ ~ g = Z INCHES OR SZ GQLLOUS PUMP MAWUFACTURf<R: GO V ~-~g C s $ IAlCHES OR Za $ GALLOWS MODEL AIUMBER: `3a~ ~ EPOS D = 1 Z 3 ~Z INCHES OR GALLOWS SWITCH TYPE: ~~~-~ WOTE: 1,~T1ri- = 1.00: PUMP AIJD ALARM ARC TO DE MIWIMUM DISCHARGE RATE Z-1. S~ GPM INSTALLED OIJ SEPARATE CIRCUITS VERTICAL DIFFEREIJCE DETWGEU PUMP OFF AUO..DiSTRIBUTIOW PIPE.. tiS'~0 FEET + MIAJIMUM AIETWORK SUPPLY PRESSURE .. .. 2•5O FEET ~- l~s FEET OF FORCE MAIIJ X 1' S S F~c rr.FRICTIOU FACTOR. 2''~ ~ FEET TOTAL Oy1JAMiG HEAD = Z~' S ~ -FEET DIAMETER -- ~ a IIJTERIJAi.. DIMEIJSIOAJ~i OF TANK: LEIJ6TH ;WIDTH _._~~LIQU10 DEPTH 3a ~z ---~- --- BOTTOM AREA - - 231= ~ GAL/INCH AS PER MANUFACTURER = ~ ~ ~~-:a GAL/INCH ,, ,,__ 3871 EP05 APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS Pump: EP04 • Solids handling capability: 3/a° maximum. -- , • Capacities: up to 55 GPM. ~`-' • Total heads: up to 24 feet. • Discharge size: 1'/z"NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Pump: EP05 • Solids handling capability: 3/4' maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: l'/i' NPT. • Mechanical seal: carbon- rotary/ceram i c-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. ~,~:. _ v • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Automatic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller: Thermo- plastic Semi-open design with pump out vanes for mechanical seal protection. ^EP05 Impeller: Thermo- plastic enclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover: Thermoplas- tic cover with integral handle and float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING SP• Canadian Standards Association (CSA listed model numbers end in "F" or "AC".) 21 0~ ~ ' ~ 1 30 I ~ ~ -- 1 LSGPMi u_ 25 ~ ~ - _ - ~25 FT .. _~.i ~ I f ~ zp / i 20 1 i 15 ~ I ~ ' Z~_5I i-. EP05 10 ' ~ I ~ .~.r ~ ~ ~ EP04 ~ _..~.I , 5 ~ i i i 00 10 20 30 40 50 ~ GPM 0 2 4 6 8 10 12 m~/h CAPACITY C 1995 Goulds Pumps, Inc. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz,1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: l0 foot standard length,16/3 SJTO with three prong grounding plug. Optional 20 foot length,16/3 SJTW with three prong grounding plug (standard on EP05). METERS FEET 10 9 s o ~ a U 6 5 0 a 4 0 ~ 3 - 11 ~~b~~~~~~1~ Effective May, 1995 oc- •WisconsinpepartmentofCommerce ORIGI~IAND SITE EVALUATION Division of Safety and Buildings with Comm 83.05, Wis. Adm. Code Attach complete site plan on paper not less than 8'h x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to ne st roa~ APPLICANT INFORMATION - Please print all Information ~ t +~~~ Personal infom~ation you provide may be used for secondary purposes (Privacy t.aw, s. 15.04 (1) (m)). Property Owner Casey, Tom Property Owner's Mailing Address 1080 Oak Street Baldwin Property Location Page _ 1 of _4 .- Certified Soil Testing County St. Croix ---- - ParceII.D.# 008-1070-40 ~d~~ D~~ IrZ) C~ ~1 Govt. Lot N W I /4 S W 1 /4 S 24 T 28 N, R 16 W Lot # ~ Block # Subd. Name or CSM# -----'-- --- 1 - _ _ ----___ _ ___ -- - ---- State Zi Code PhoneNumber ^ City Vill ga pQTown Nearest Road WI 5002 715-684-3696 ~au Galle ~ New Construction Use: ®Residential / Number of bedrooms __ Addition to existing building ~-] Replacement ^ Public or commeraal describe Code Derived daily flow 600 gpd Recommended design loading rate •5 bed, gpolft' •6 trench, gpolft' Absorption area required 1200 ~, ft' 1000 trench, ft' Maximum design loading rate •5 bed, gpolft' •6 trench, gpolft' Recommended infiltration surface elevation(s) _ lateral follows 99.6 ft (as referred to site plan benchmar install 8.5' x 120' effective (10.5' x 124' overall) at-grade rock unit on 99.6 contour Additional design I site considerations Parent material loess over till & sandstone Flood lain elevation, if a licable N'4 - ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ® ^ U ®S ^ U ~ S^ U B S I U S h U l' S :?ti U Boring# 1 Ground elev 99:6 ft Depth to limiting factor - 38" - 2° Ground elev 99.6 ft Depth to limiting factor 48" Horizon Depth Dominant Color Mottles Texture Structure ' GPDIft~ Consistency Boundary Roots in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed i Trench 1 0-6 I OYR 3/2 - sil 2 f sbk ds cs } 1 f/m .5 .6 2 6-17 IOYR 4/3 - sil 2 f-m sbk dsh ~ gs 1m .5 .6 -- - ------- t _ ___ - --- -- - r - __ --. 3 17-38 lOYR 4/4 - sil 3 m sbk mfr i cs lm ~ .5 .6 -- 4 38-44 7.SYR 4/4 f2f 7.SYR 5/3 sl 1 m sbk mvfr cs - .4 .5 5 44-51 7.SYR 4/4,4/6 - s/mcos 0 sg ml cs - .7 .8 6 51-66 SYR 4/4 - lmcos 0 sg ___ ml _ ____ ~ as - .7 __ _ .8 __ 7 66-70 lOYR 5/4 cap 7.SYR 5/8,5/3 scl 0 m ~ mfr ~ - - r NP ~ .2 Remarks: common vy s- coau on peas nonzons c ac ~ 1 0-6 l OYR 3/2 - sil 2 f sbk ds cs 1 f/m ~ .5 .6 ~ I- - 2 6-14 l OYR 4/3 - sil 2 f-m sbk dsh gs ', 1 m .5 .6 --- 3 -- 14-39 --_. ____ -- lOYR 4/4 -- _ --___ _..---- - _ sil 3 m sbk mfr i gs ~ lm i .5 .6 4 39-48 lOYR 4/4 - sl 2 m sbk mfr c 9 C~1 s- 5' •.,, .6 5 48-60 lOYR 4/4 t2 7.SYR 5/8,5/3 - mcos 0 s - ml - ~, e ~.,. , ~ ~ ~ i~ ' - f f_. f~L1 ~c t~'7 ~ ~~ :~ ~ ~ ~- i moaung rs at nor~zon 4-~ ~uncuon; wmmon vy sr cows on peas nonzons ~ « y Remarks:.------ ---------------- CST Name (Please Print) Signature: Henry F. Grote --~ertr r-'1•ed Soil estm'f- g - ~ . - - -_ _ - ------- -- _ _ p t_ _ Address P O. Box 57, Knapp, WL 54749 8~3/e1999 .~.~ ej~p a No. ~_, 6 ~\ 222774 m 1 92 PROPERTY OWNER:. Casey, Tom PARCEL I.D # 008-1070-40 3; Ground elev 97.2 ft Depth to limiting factor _---44"- Ground elev _,101_7_ft_ Depth to limiting factor > 96' Ground elev 101.5 ft Depth to limiting facts; _._59" _ 6 Ground elev 97.3 ft Depth to limiting factor 64"_ SOIL DESCRIPTION REPORT ~z Page 2 of -.4 ~ ~, ~~? Certified-Soil Testing , . n H i De th Dominant Color Mottles Texture Structure onsistence Bounda Roots - - GPDIft2 ---- --- - - or zo m, Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed I Tre nch 1 ~ 0-6 lOYR 3/2 - sil - - 2 f sbk ~- ---- ------ ds ---- - _ cs i __ lf/m ~~ __ .5 __ __ _ .6 __ --_ 2 ! -_ 6-11 ------- ------- l OYR 4/3 - -- - --- sil --- 2 f-m sbk ! -- ------ dsh _ i ~~ gs ~ _ __ ~ 1 m __ _- r- .5 I _ ;_ .6 - -- 3 i -- - r I1-33 - IOYR 4/4 - - sil 3 m sbk ~ mfr ~ gs lm ' .5 .6 4 1 33-44 ~ SYR 3/4 - Imcos --- I 0 sg ~ ml ; cs - .7 r .8 S 44-48 ~ SYR 3/4 fad 7.SYR 4/6 ~ mcos t ~ 0 sg ml as - .7 .8 6 ~ _ 1 48-54 - ___ -- lOYR 5/4 --p _ _.. -- -_ c3 7.SYR 5/8,5/3 __ _ scl i I 0 m mfr - ! - i~ ~ NP I .2 ------ - -- - f -- _ _ r ! Remarks: 1 ~ 0-3 ' lOYR 3/2 - sl - - -- 2 m r - - -g - ds cs 2flm - _ - 5 ~ .6 ; -. - 2 ~ 3-16 -- - 3/2 IOYR --- ----- - - _ sl 2 fsbk ~i ds ! gw Im ~ .5 ~ .6 _ i __ _ _ ---- _ --- -- - _ _ - _ _ _ -- _ _ _ . _ ~ _ - _ 3 ~ 16-45 l OYR 4/3 - sl 3 m sbk dsh cw i 1 m 5 .6 ~ --- -- +_ -- - 4 ~ 45-51 SYR 4/4 - - -_ Imcos -- 0 sg ! -__ __ ml ___ _ _- gs _ im i _ _ .7 .8 _ - - --- 5 51 64 ~ ---- 7.SYR 4/6 --r - - s --- 0 sg -- ------ ml - - cs ~ - - lm , } - - r .7 .8 F __ _- _ --- _--- 6 ~ 64-96 -- I'I I OYR 4/4,4/6 - s/mcos 0 sg ml - ~ - ! .7 ', .8 -- ---- -I ---- ----- _ -- - ----- - - _ _ Y- - + --- i ------- -- ; .. l.Vllll ll Vll V Ja VVUw Vu vva •v -r.. ernar ~. _ - _ -- ------- ---- _ - - - _ - _ _ _ _ 1 0-3 lOYR 3/2 - sl 2 m gr ~ ds cs 2flm ! .5 '; .6 2 3-14 lOYR 3/2 - - ------ sl - - 2 f sbk __ _ ds _ cs 1 m ~ .5 .6 _ _ } _ ------ 3 ---_ _ 14-36 - -- lOYR 4/4 - Imcos 0 sg ~ dl cs ~ 1 f ~ 8 ~ ~ .7 4 i 36-59 ~ - IOYR 5/6 - - - s/mcos --- 0 sg - -- ~ ml - __ _ r----- - - __ _ as ~ - .7 .8 5 ! 59-63 I IOYR 5/4 f3p 7.SYR 5/8,5/3 scl 0 m mfr t - ~ - NP .2 _ _ - ~ --_ i ~ I - -- ---- --- -- _ --__ _.. - ~ ~ __ ~ i p~m.y-LS JVVIG It1~lUJlVIIJ 1 V 11\ Y/V IlI.rVJ aaa aava aLVaa ~, a~Vaa. u-/ av v-as ua ,.u ... ~a.a.ua.... av. u ... u..v •• ..vaa. v.... V.. u. .s~.a.v ... ..... ...... b............ 1~ 44~~1I~~J distance-from-houscsite. recommended-(conservative)-toadinQ rate here would be 0.5 for trench system; sl at system elev l 0-3 i lOYR 3/2 - sl 2 m gr ' ds cs ~, 2flm .~ .6 2 - - - - ~ 3-8 ~ ------ l OYR 3/2 --- - --- sl 2 f sbk ~ __ _ ------ ds gs 1 f .5 .6 1 ; 3 i 8-26 l OYR 4/3 - sl 3 m sbk ~ dsh cw 1 m .5 .6 4 26-64 j lOYR S/6 4 - s 0 sg __ ~ ml ~ as - .7 .8 5 64-60 lOYR 5/4 f3p 7.SYR 5/8,5/3 scl 0 m mfr - - NP !, .2 -. ___ _ . ! ! Remarks: IIUI1LU11 Y 11aJ yAI,G JLI 0.LlilGU /..a u\ ro V un.VJ as ..w auau uaa.av au aaa.vua a vuaw a~...va V ,.~-.,.. , ..~ o.......w .... r.....~ .. .... . .......... system wouM-have-~= ~-7`-x-t 18:75`~ideewindcrl-li-capacity 'turtle-shed" trenches or2 - 5'-x } 20' gravel trcnchcs i~ • PPAPERPI OWNER: Casey, Tom SOIL DESCRIPTION REPORT PAaCEL LD # 008-1o70ao 7 Ground elev 101.4 ft Depth to limiting factor 69" r ~~ Page 3 of 4 • .. Certified Soil Testing - Horizon De th Dominant Color Mottles Texture Structure onsistence~ Boundary ~~ Roots ''; GPDIftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ~ ged .Trench 1 0-4 IOYR 3/2 - sl 2 m gr ds cs ~ 2flm .5 .6 2 4-10 l OYR 3/2 - sl 2 f sbk i ds 1 gs ~ 1 f .5 ~ .6 3 10-37 l OYR 4/3 - sl 3 m sbk ~ dsh ~ cs i 1 m ! .5 .6 4 37-45 SYR 4/4 - Imcos 0 sg ml cw - .7 ! .8 5 45-49 7.SYR 4/6 - s 0 sg ~ ml ~ cw - .7 .8 - -_ -_ i ~ 6 49-69 l OYR 4/4,5/4 s/mcos 0 s g ~ ml as - i .7 ~~ .8 7 69-74 lOYR 5/4 f3p 7.SYR 5/8,5/3 scl 0 m ~ mfr ~I - - ~', NP ; .2 g Ground elev 100.2 ft Depth to limiting factor 58" i 2 0-3 3-11 lOYR 3/2 IOYft 3/2 - - sl sl 2 m gr 2 f sbk ds ds i cs cs i 2flm ]m '', .5 ~ .5 .6 .6 3 11-31 lOYR 4/3 - sl 3 m sbk I', { dsh ~ _ cs _ _ I lm ~' 1. .5 . .6 - -- - 4 -- 31-38 --- - ---- - SYR 4/4 --- - - _-__ lmcos __ _ _ I Osg ~ ml 'I cs lm '; .7 .8 -_ _ 5 ___ _ 38-45 _____. _ __ 7.SYR 4/6 r ._ . __ - s 0 sg ml gs 1 m .7 .8 -___ -- 6 --_ 45-58 ------ __---- lOYR 4/ti --- - -_____ s _ _ 1 0 sg I ml ~ as ', - ', .7 .8 7 58-64 lOYR 5/4 f3p 7.SYR 5/8,5/3 scl , 0 m mfr - - NP .2 Kemancs:.,.,.......,...., ~....,.,.., .... r_.._ .. _ . Ground elev Depth to limiting factor I i ~ ; . __ ._ ___ - _ ._ - ---- ------ ..--- -- -fi- ------ ---- ----- _ _ I _ _ ; - i ~, ~ ~~ Note: CST recommendation is to instal~at~rade system vu/ county approval relatively close to house site; a large shallow trench system should work m B-4 - B-@ area and could be used if economics are favorable _ - - -~ __ ~ _-- - ---- --- I - -------------~-------~-- __- -- ---- _ t Remarks: conven Bona rent sys em rs ms a e , a conserva rve oversize o is recommen e a ove c nomina regwre y co e; this is due to texturah variationratdepth; much of such a system would be in sands of 0.8 trench sizing Ground elev Depth to limiting factor 3 N s ~ ~ 3 ~h d ~~ 9 T S ~ ~ fl ' 9 s a ~~ 9 ~i s L~ I Nll 1- '.:' a~ ~ -~ = ~ ~ °~ ~~ o ~~ ~ v ~ ~ Y ~ ~ _ u ~ ~ y 1 ~ d' J 'v x ~ ~ ~ ~~,~ H / I d ~ ~ + ~~~ ~'~ t .~ . / \ / 1 v ~ n/- ~ ~ ~ 4~ ~ ~ ~ o ~ u ~ o- l ~ ( /~ ~ ,,,~ `CF l ~ M / ,n o~ 9°~ ..~ A ~- Jf 0 N u 0 1 J ~• ~ ~ ,~ ., ~ _ .~ ~ ~ ~ .~ `~ j -~ ~ d ~ ~`~ a a y o~ a .fi ~, y ~ i r+ .~ .~ ~ ~ o ~, ~ ~ d a ~ ~ ,_ ~ $ s ,. a ~~ ~ ~ ~~ ~ ~ m r ~ d a ~1 ~ ~~ ~ ~ 3~ ~ ~ ~ ..~ ~ ~/, ^' , 4 ^ t1 ~ ~ 1~~ M ~"~ f ~ v ~~ fl Q / ' 1 ~ d ~ ~. ~ ~~ ~' ~S d, fl d. u n [~ ~ ~~ ~ ~scons~n Department of Commerce SAFETY AND BUILDINGS DIVISION 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 Tommy G. Thompson, Governor William J. McCoshen, Secretary Ons~te Verification Report Are the soil and landscape features accurately reported on the Soil and Site Evaluation Form yes no If no, provide a further description by including an onsite report, which may consist of a soil profile report, or provide a brief explanation below. If yes, what other type of Private Owned Waste Treatment System (POWYS) could b to used? I ~ /'~ -^' /L ~ /~/ / ~/~ 1 • / ~~ V Y ~ ~ ~ ~ {, -7 Vl A ~ 1 V 1n~ 'f~/~ L~ 1/t_G ~, '7 ~ `~-~Y, Y `" vV W n b/ ~~+ ~r `~ ~ 10/V ~.'~'. {/~/ ~ S ~ i ~ a ~raao~ sib ~ y?~ County Ofd cial Signature Date ~ ' Propert Locati n Landowners me ~~~~ ~~ ~~~ L ~a i X .p tJ w~ SBD-10513 (N. 11/96) Wisconsin Deparimentof Commerce ~± ~~~ AND SITE EVALUATION .Dive Safety and Buildings ~R'G0~~1lC~brd with Comm 83.05, Ws. Adm. Code . ~ .; Attach complete site plan on paper not less than 8'r4 x 11 inches in size. Plan must inGude, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. APPLICANT INFORMATION - Please print all Information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Page _ i of 4 _ Certified Soil Testing County $t. CrO1X Parcel 1.0.# 008-1070-40 ___ -_- Reviewed By Date Property Owner Property Location Casey, Tom Govt. Lot NW 1/4 SW 1!4 S 24 T 28 N,R l6 W Property Owner's Mailing Address Lot # I Block # I Subd. Name or CSM# 1080 Oak Street l 1 City State Zi Code PhoneNumt~er ^ City Vill ge ~ Town Nearest Road Baldwin WI 5002 715-684-3696 ~au Gape New Construction Use: ®Residential / Number of bedrooms 4 [ __ ]Addition to existing building Replacement ^ Public or commeraal describe Code Derived daily flow 600 gpd Recommended design loading rate •5 bed, gpd/ft= •6 trench, gpolft2 Absorption area required 1200 ~, ~ 1000 trench, ft' Maximum design loading rate •5 bed, gpd/ftZ •6 trench, gpolft' lateral follows 99.6 ft as referred to site !an benchmar Recommended infiltration surface elevation(s) (. P install 8.5' x 120' effective (10.5' x 124' overall) at-grade rock unit on 99.6 contour Additional design /site considerations Parent material loess over tilt & sandstone Flood lain elevation, if a licable NA _ ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system. ® ^ U ®S ^ U C S C-1 U 69 S C U ~ ! S X U !! S :~ U Boring# .`; -. 1 Ground elev 99.6 ft Depth to limiting factor _ ~~- 2 Ground elev _ 99.6 ft - Depth to limiting factor - ~~ -- Horizon Depth Dominant Color Mottles Texture Structure ~ Consistenc~ GPDIft~ Boundary ~ Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ;Trench 1 0-6 l OYR 3/2 - sil 2 f sbk ds cs i 1 f/m .5 .6 2 6-17 lOYR 4/3 - ~ f-m sbk dsh gs lm ~ .5 ~ .6 _ ~ _._.. --- __- ~ -- -- -- -_-__ __. _ 3 17-38 lOYR 4/4 - s 3 m sbk mfr cs ~ lm .5 i .6 ~ _ _ 1 ~ --- - - -----_ _ _ L - --- - 4 38-44 7.SYR 4/4 f2f 7.SY 5/3 1 bk mvfr _ ~ cs , .4 - -- .5 5 44-51 7.SYR 4/4,4/6 - m 0 sg ml j cs - .7 .8 6 51-66 SYR 4/4 - lmcos 0 sg ml i as ~ - ! .7 .8 7 66-70 lOYR 5/4 cap 7.SYR 5/8,5/3 scl 0 m ~ mfr ~ - - r NP .2 Remarks: common uy sr coars on peas nonzons a ac ~ 1 0-6 lOYR 3/2 - sil 2 f sbk ds cs 1 f/m ~ .5 .6 2 6-14 l OYR 4/3 - - - -- _ 2 f-m sbk dsh gs ~ 1 m .5 ~ .6 3 14-39 10YR4/4 - s' 3 m sbk mfr gs ~ lm ~ .5 ~ .6 4 ------- 39-48 - ____ -------- I OYR 4/4 - -- --- - - -- - - _ _ sl 2 m sbk ~ mfr _ ~`~ ` r'~~~ c ,, ~ ~ S ~ .6 ~ - -- 5 48-60 lOYR 4/4 t2p 7.5Y 5 ,5 - s -- 0 sg - -- ml 1 b ~ \, ~ ' . I ~~ra~,, 7 ~ % j..8 -- n• ~ ~'•~ i mom-ng rs ac nonzon 4-~ Remarks: --__-- - -_---_-.__-- CST Name (Please Print) Signature: Henry F. Grote Address ertt r of Testtng P.O. Box 57, Knapp, WL 54749 common uy sr coati on peas nanzaus ~ « Y 1- _-_ 8/3/1999 222774 ~~~~~,N,,7,_~Y.~ f Na~rC t_, ~\ 1192 ,~~k- 4~~~IRH PROPCRTY OWNER: Casey, Tom. PARCEL LD p oo8-t0~0-40 3 Ground eiev 97.2 n Depth to limiting factor ~. Ground eiev _ ~o~.~ n Depth to limiting factor ~-96~ S Ground eiev 101 5 ft Depth W , limiting ' factor. _ 59"-. +~ Ground eiev 97.3 n Depth to limiting factor 64" SOIL DESCRIPTION REPORT ~-~--~ 2 4 i I ~ . Page __ of +,h~ ~ ~ ~~ ;~~ ~ Certified Soil Tsst~flg ~; ~./ Horizon Depth Dominant Color Mottles Texture Structure nsistence Boundary Roots 1 GPDIftZ in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. Bed ~ Trench 1 ~ 0-6 lOYR 3/2 - sil 2 f sbk ds cs i lf/m .5 .6 i _.. _.. 0 _ __ 6-l l lOYR 4/3 - sil 2 f-m sbk dsh gs 1 im ~ .5 .6 I - - _ r 3 ~ 11-33 10YR4/4 - sil 3 m sbk mfr ~ gs lm .5 .ti ' 4 j 33-44 I SYR 3/4 - - --- -__ ---- Imcos -- -_ - 0 sg - _ ~ ml ; cs - ~ .7 , .8 , 5 44-48 _.._ _-- SYR 3/4 fad 7.SYR 4/6 i moos ~ 0 sg i ml as - .7 .8 6 48-54 ~ lOYR 5/4 cap 7.SYR 5/8,5/3 scl 0 m mfr ~ - - ~ NP j .2 . Remarks: 1 0-3 lOYR 3/2 - sl 2 m gr ds ~ cs 2flm .5 ~ .6 'Z ~ _ _ _ ~ 3 j 3-IG ._.- ...___ 16-45 lOYR 3/2 -- IOYR 4/3 - - _ _ - sl - -- -- sl 2 f sbk _ ~ _ r 3 m sbk I ,. ds f dsh gw cw Im _ _ _ - lm .5 ~ .6 1 i .5 .6 I 4 ~ 45-51 SY~,4/4 ~ - hncos { 0 sg _ _ _ - -- - ml --- gs lm i _ _ .7 ~ .8 --- -- _ S ------ 51-64 --- 7.SYR 4/6 - s 0 sg ml cs lm i , .7 .8 G --- ~ 64 9G ~ - l OYR 4 f~14/6 - -- s/mcos 0 `sg ml - I - ~ .7 .8 . -- - - _ - -- -- .-- .' I ; 1 r - Rernarks: \.VIIIII,L11 V, JI .,./~.J .,.. ,,.,..J ...-~.. 1 0-3 lOYR 3/2 - sl 2 m gr ds cs % 2flm ! .5 ~,~~,;~~~.6 2 3-14 lOYR 3/2 - sl _ _ _ 2 f sbk~s,. _. ' ~" :~~' - cs ~ i lm .5 .6 ' ~ . 3 ~ 14-36 1 '.OYR 4/4 - Imcos 0 sg dl - cs ~ l f i .7 .8 -- --- _ 4 - --- 36-59i~ - lOYR 5/6 - s/mcos - 0 sg - rt ml ~ ------ as _ --- - - _ -- - - - _ ~ - .7 .8 '~ ~ 5 ~ i _ _ i 5~9-63 ~ ,, ---- 1 ' lOYR 5/4 j -- -- ---- f3p 7.SYR S/8,5/3 ------- scl ----- 0 m ~ mfr ~ .; - - - :.. - ~ - NP .2 . ~. Kl/marKs: JV lI1V IIIN UJIVIIJ I V 11\'T/V IUVVJ 111 , ULVII ~, LVIV U- •V -V flfJVIlUV1V aV1 p JI uuV ~. VVU•VUUVU41 ,JIV.,. Vua m v.~unlVwu distance from house-site; recommended (conservative)-loading rate ere would be 0.5 for trench system; sl at system rle~• 1 2 0-3 3-8 lOYR 3/2 l OYR 3/2 - -- - k~ -' -- _ -- sl sl 2 m gr ', 2 f sbk 1 ds cs ! 2flm :~ .6 ds gs 1 f .5 .6 _ , - -- 3 ~ ----- 8-26 - I OYR 4/3 - sl' --------- 3 m sbk •5 - dsh cw 1 m ~ .6 4 26-6~# ' lOYR 5/6 - s 0 sg _ ml as - .7 ' .8 - -- 5 - _- 64-60 - --- - IOYR 5/4 ---- ---- - f3p 7.SYR 5/8,5/3 ------- scl ---. __ 0 m ---- - _..._.__ t ~ mfr - - NP ! .2 -___- _ -____ L_... _ li -_ _ , _ _ _ I ~ ~ f Remarks: °V, ILVII Y flow x/111\. JllpUalVU /.J l l~ HIV IU\.VJ W bVJ allLL UIVIV IJ 4VVUl I ~V U,\U Ll VVJ ~ J L VV , V~ JI VVUIJ VII r/VYJ V-/..V , •I VIIV II system-wouM fiave r ~`~ri 18:75`~tdewmder,-Hr-capaaty-'turtle-shed trenches-or2 --5 x 120' gravel trenches ' y, •~--~ <`~ ' `~ -~:. PROP.I:RTY OWNER: Casey, Tom SOIL DESCRIPTION REPORT ' - ~ - - -• - ~ 008 1070-40 .g Ground elev 100.2 ft_ ~i Depth to ~~ _ limiting -factor. ~' - its Page 3 of 4 - ` Certified Soil Testing D.# - Depth Dominant Color Mottles Texture Structure Boundary ~~ Roots ~ onsistence PD Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. i Trench Bed 1 0-4 lOYR 3/2 - sl 2 m gr ds ~ cs ~ 2flm .5 .6 i- - _ ; ~ 2 4-10 lOYR 3/2 - sl 2 f sbk ' .6 ds ~ gs ~ 1 f .S 3 10-37 lOYR 4/3 - sl 3 m sbk _ _ _ dsh cs i lm .5 ~, .b ___ , __ 4 _ 37-45 _ SYR 4/4 - 1 0 sg ml cw - 7 .8 - -_ - __, _ , ----- 5 - 45-49 - 7.SYR 4/6 --- - i 0 sg ~ J ml cw - 7 .8 --_ _ _ _._ ,-- 6 49-69 lOYR 4/4,5/4 - s/mcos 0 sg - ml as I .7 ~ .8 - ___--- 7 - 69-74 ~---------- lOYR 5/4 ---- --- -_.._-_--- f3 7.SYR 5/8,5/3 p -_ - - scl _ 0 m i - ~ _ ! ! .2 , mfr i i NP 1 0-3 lOYR 3/2 = ~ sl 2 m gr I ds I cs i 2flm ~, .5 .6 2 3-11 IOY~t 3/2 - sl 2 f sbk ds ~ cs lm ': .5 ~ .6 3 11, 31 l OYR 4/3 - sl 3 m sbk dsh cs 1 m .5 ~ .6 __ _. J- _- _. _ i _ _; ____ 4 _ _ ~-38 ____ __ SYR 4/4 _ _ - f cos Osg ml cs ~ lm ', .7 .8 5 " ' 8-45 7.SYR 4/6 - s 0 sg ~ ml gs ! l m .7 .8 - : ----- 6 --- --- 45-58 --------- lOYR 4/6 - s 0 sg 1 1 ml ; as - .7 ~ .8 7 58-64 lOYR 5/4 f3p 7.SYR 5/8,5/3 scl 0 m mfr ± - ~ - NP 1 .2 '~- '~ Remarks: comm n y i e - ;. .. ~. +,y+~. G>•aund ~~ ::'^IE.. A.'4 ' elev ~., ..- DepttkW, ~-, ,~x, .: ~ i timiting, factor~r~ . ote -.C fiecommendation is to install of-grade system wlcounty approval relatively close to house site; a large shallow trench system should M Rtork m B-4 - B-8 area and could be used i economics are avora _ ' - --~---- __- ~ _._ _ ble . .. ~ emu. I ~ I conven -ona renc sys em is ms e , conserva rve oversize o is recommen e a ove nomm require y co e: .Remarks: t~s is dueto textural variations atdcpth; much ofsuch a system would be in sands of 0.8 trench sizl5" B'"" ,, _ ___ __ _ 1- _ r -- u _ - .. ~~ a, ____ __ - - ,_ _ i I Ground 4~. -- _ ._ __. _ _ _ -- - ----- - -- _ --- - _ _ - _- t _. I .. Depth to _ . - ~ ~ I limiting _ - ----- ------- . -------- ----------- ---- -- --- _ - } - -- 1 . _ - T _ -4,,: factor _ Remarks: ~~ 9 ~i f (~fl I ' a • s` au ~ ~ `~ o x ~ c3 "d1 ~ d,~ ~ a ~ ~ \ ~- ~ Y ~ ~ u ~ .a y 1 ~ ~" .~ d i N ___ ~ ~ SAN / I d ~' ~ ~~'`~ ~-c t ~. ~ ~ ~ -~ ~ ~ ~ \~ ~ ~ ~ ~ ~ ~~ ~ ~ ~ 4~ ~ ~ ~ o u ~ ~ ~ a l ~ ,~ °' ~ ~ ~ ~ ~ ~ ~ ~ 9 / r ~` ~ ~~ ~ ~ ~~ ~~ d mod' d~ '~ y ~ o ~ 0 ~ ~ _ _ A ~3' ~~ ,.. ~ ~ "' _ ~ ~ s '') Do ~ c ~ ~ ~ I ~ ~ '~ ,~ ~ 9 ~ N N ~ r BC~~I~~J $ ~, ~ ~ fl a ~ i. ~ ^ 0 ~ ~ Q~ ~ 6 y ,d•. 9 ~a1' 9 ~~ \ ~ v ~ i ~~ / J ~ \ _ ~ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailing Address i C~~' D ~a,.k ~'7-- ~a-~d ~' ~'n ~- ~o ° 1- Property Addressa'3~ ~. required from Planning Departrrteat for new City/State [~,i,~n~~.'/~~ (~'Z., Parcel Identifcation Nttmber 1~~ ?DS Property Location ,1~ /!~ _ '/., ~ '/., Sec. 2 ~-/ . TAN-RAW, Town of ~,~,~ . C a,~~~. Subdivision ~~ ~'~- ~ Yc ~ ,Lot # Certified Snrvey Mttp # .Volume .Page # Wirntnty Deed # 1L~~~/.3 . Volume ~ .Page # ~~ D Spx house ^ yes ~ no Lot lines identifiable ^ yes ®no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature ~fiilure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic task as a treatment stage in the waste disposal system. The property owner agr+a;s to submit to St. Croix Zoning Department a certification form, signed by the owner and by : masterplumber, journeymaaplumber, restrictedplumber or a licensedpumper verifying that (1} the on-site wastewaterdisposal:ystem is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of shtdge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as at by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiation date. 2 ~o S OF AP LICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are tote to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of : warranty deed recorded in Register of Deeds Office. i Zoe .~ S OF APP CANT DATE s•••s• ~ infomsation that is mis- y tary permit being revoked by the Zoning Departrrteni. •«'••• y represented ms° result in the sash •• Include with this applIeation: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed uo~ 14~.6Pa~E~6(~ Wesley Swanson, a/k/a Wesley G. Swanson and Karen Swanson, alk/a Karen A. Swanson, husband and wife, conveys and warrants to Thomas B. Casey and Amy K. Casey, husband and wife, holding as survivorship marital property, the folbwing described real estate in St. Croix County, State of Wisconsin: 1 pO.N ~ - es ey G. S~SSa ~~1tj~tQ.d7'~J en A. wanson ~a,t~ ~ %~ tEsOd713 kEGI5TER OF DEEBS ST. CROhX CO:, Wi RECEIVED FOR RECORD a-os-tm u:3o an E~ DEED CERT COPY FEE: COPT fEEs TRNNSFER FEE: 300.00 RECORDIM6 FEE: 10.00 PAfiE5: 1 Thanes A. McCormack 740 Main Street Baldwin, WI 54002 oos-1 ono-so, -ao ~ ~- (Parcel Identification Number) North Half of Southwest Quarter (N '/: of SW '/,) of Section Twenty-four (24), Township Twenty-eight {28) North, Range Sixteen (16) West EXCEPT Commencing at NE corner of said Southwest Quarter (SW %.); thence West 32 rods; thence Southeasterly to a point 16 rods South of NE comer; thence North 16 rods to Point of Beginning and EXCEPT Nortti 40Lr feet ofWest 400 feet of NorthwesYQuarter-of-Southwest quarter (NW~'/. of SW '/. ): Said property also described as North Half of Southwest Quarter (N ~ of SW %.) except 1'h acres in the NE comer thereof, being that part lying NE of the highway, also except the N 400 feet of the W 400 feet thereof, all in Section Twenty-four (24), Township Twenty-eight (28) North, Range Sixteen (16) West. Exception to warranties: all easements and restrictions of record. This is not homestead property. Dated this day of , 19gg. AUTHENTICATION Signature(s) authenticated this _ day of signature type or print name TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.1)8, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack Baldwin, WI 54002 ACKNOWLEDGMENT STATE OFWISCONSIN ~„~ ST. CROIX COUNTY ` a P onglty came before day Of me this l G CC 1999 the . ey above named Wes S anson and Karen A. Swanson to t[te.tutoy/f) to be the person(s) who executed the for@gprl~g IMDftt and " acknowledge the same. // /- pnn ~~: ••y .' .!j~~y ~• elg lure if ~,11~ {~.'~ fyp or pant name -s ~~ F~ ~; Notary Public St. Croix County, Vt'~issonsin.Q My yommisspn is permanent. {it nof,,;_afefse~'+rat+~?lq date: 'Names of persons signing in any capacity should be typed or printed beknv their signatures. ~n<ormetion ara,s.fond. conpeny Foos a ua ~nn.cansn eooasszozs