Loading...
HomeMy WebLinkAbout012-1073-20-000 Q o ~ °o N 03 61) o~ 0o Oq N o c 0 o I I I 4 Q i I i I III ' I 0 c Z c I LL L c 0 0 ~ ~ a I I M O- I > I' 2 N I~ Z E O O z0 N 01 4 m H Z M c O O Z d' Z p N H ! ~ M I N ~ O • O 0 'O 0 L . c O Q Q w N Z Z 0 Z LO c 'a 04 y 1 N m E _O N N 01 . p N - 61 O IL CL Lo Lo LO H d i N c O 0 p O G O CL 4 O N N c Z § 3 F F- F- 7 ~t o 0 31 3: 3: d m Z It a Z -0 000 OO ~ m a a a I a a) o y c rn rn !A -j L) rn o) w u') ti r oN M rn °o 00 0) E - N ao m a I m ,a W , O co 0) v d Q r1~ m O 3 w O c ~ H W i O m O C O c E N N 00 O O Lo O O O O a N N N N co 0) T h N c N O d' QO O O d Z -CO 3r a0 CC) • N Lo C? E c 0 0) 0 E Q L O M W O F- (4 O ~ . r i r d ~ w ~ .a III d C m O. y .v `y a 1 rr~~ E i C c w L) (L 0 0) 0 y j D~~l l1 1 ~vrr.. Nrvu %.)I t t tvHLUAI IVIV Htl'UH 1 in accord with ILHR 83.05. Wis. Adm. Code .~+K........M«1.,..R COUNTY St Crops X Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not fic ited to vertical and horizontal reference point (8M), direction and % of slope, scale or PARCELI.D. A dimensioned, north arrow, and location and distance to nearest road APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWE08Y GATE PROPERTY OWNER PROPERTY LOCATION e~" oh r Sr- e GOVT. LOT NE" 114 A kkIAA °~ST 30 AR a(or) W PROPERTYOWNER:'S MAILING DRESS LOT BLOC SUBO. NAME OR t ,1301 F~ O ell 1' S•f, ,6 CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE JWTOWN NEAREST ROAD W'• 4MWZ~ h,3') Sy- 92, 161:11H a r;c /36 Ave. [ [ New Construction Use ( ] Residential / Number of bedrooms 3 Replacement ( Public or commercial describe Code derived daily lbw gpd Recommended design loading rate ' 2 bed, gpd/ft2 • .3 trench, gpdAP Absorption area required -375W, n2 37 5 trench, ft2 ' Maximum design loading rate ~ 5 bed, gpd/9 • G trench, gpd/ft2 Recommended infiltration surface elevation(s) It (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable /yX n S = Suitable for system CONVENTIONAL MOUND NKGROUNDPRESSURE AT~WDE SYSTEM IN FILL HOLDING TANK U= Unsuitable forsystem ❑ S ®U MS ❑ U ❑ S O L ❑ S RU ❑ S 1Z U ❑ S O u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Baxndery Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tmrd o- 8 /o y9 2- ors G s,'~ A- c u-) Z • z • 3 k......:.:.. Z g-/5 75 e5 y C 6/ s ~ ,?msd~ /~~r C~ z~' •5 •do Ground 3 /.5Z/ 5 Y -!f T r C'& ° j •G elev. 9s_ZGn Z/ 38 5" Y5P 5~ m s s~ v f r Q LO - 3 - Depth to limiting Remarks. Boring # , ~z FIT _08" 4-14- 2, 50 5 -3 1,7-Z7 7:5 5 C 51 / Ground Z m SOyC /~!"/f elev. 9 Z73~ SY9 Y~ In 2 d -F /ld~r' Q C -''3~ I • `7~ ~ n. Depth to - limiting laclc~, I Remarks: CST Name:-Please Print / Phone: --?s 7 N _ address: g Z o /YIA~'n v`' 5yQ0zSignature i - L . Date- CST Number. s-_ - -3y/ Bonin # Horizo Depth Dominant Color Mottles Structure vGPD/N_ 9 Texture Consistence Bwxiaiy Roots in. Munsell' Qu. Sz. Cont. Color Gr. Sz. Sh• Bed nand 00, O-(n /OYiR 3 0 e- S~' S •3 - t~,rr C w 2m .2 •3 5' 7,5 YR e- z P7, sb~ Ground 3 /-S'-/q 1 s 172 2- P 2m /yl ~Y' e w • 5 . (o '5' W elev. Depth to smiling factor Remarks: Boring # l }6 Ground elev. fL Depth to limiting factor Remarks: Boring # r WE MKI Ground elev. K. Depth to ; uniting factor Remarks: Boring # Ground elev. ft. Depth to limiting I factor Remarks: O N T N o h ~ 1 i ~ M P-6 QQ ~ i ~ 0 V ,N Q M _N CC _ 0 N CZ N c_ ~ o p _J h 0 3 ~ r Z o . d 4 0 IV) ~ o v ~ 0 1 s h a~ o a N STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER_~g(& sUpy7 ~S ~'~i2~ ADDRESS SUBDIVISION / CSMf //i,111, el_ /OaS LOT SECTION T 30 N-R /7 W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM t=x~s~~t-;~,hG ~3 ~wek0,-lt~ ~ e ~ O I I p• /y ~ e IND] -'ATE NO TH ARROW Provide setback and elevation information on rev rse of his form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: o~kr~Z~'n? ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / SON Manufacturer: &,)e64 Liquid Capacity: Setback from: Wel15a:e(,7"House /P 'i 3S "Other ;~4- Pump: Manufacturer Gaez-~ Model# ex)6-03//L Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length / 1~ Number of trenches Distance & Direction to nearest prop. line: -.162 / O r6 _ Setback from: well: 7:5- / House c2S 4>4 Other ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: -30 PLUMBER ON JOB: 1~a'1 LICENSE NUMBER: INSPECTO 3/93:jt R L6kaM1ONlSarr Mj* Ir IE 35.30.0ffiV " IAWE63RMh#VE. County: Labor and Human Relations = INSPECTION REPORT Safety ildings Division (ATTACH TO PERMIT) Sanitar nni GENERAL INFORMATION 0 - / Permit Holder's Name: El City 11 Village ❑ Town of: State P i43 9 - s Elev.: BM Descriptio Parcel Tax No.: ell- TKrI 11 100, 0 TANK INFORMATION ELEVATION DATA A9300219 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ,F1 , v Benchmark GJ GZ~ Dosing pQv Aeration Bldg. Sewer s d Hol St / Inlet 9 S- 7 7 TANK SETBACK INFORMATION St/ Outlet S. 6-3 TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake' 3 ~S-/ Septic >Sv NA Dt Bottom //7 ~9 97 / Dosing >SO, 7' 3,5 NA Header / Man. Aeration NA Dist. Pipe Holdin Bot. System p/ PUMP kNWFORMATION Final Grade Manufacturer 68eman 7. X02 lr re Model Number c~E-0S//L GPM TDH Lift Friction System TDH Ft Loss Head Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width , / i Lengt)~v i No. Of Tr nches PIT Pits inside Dia. ui ep DIMENSIONS `f T DIMENSIONS LEACHIN anu a SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM INFORMATION Type O CHA R Mo a Number: as 7S / NIT System: DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacin Vent To Air Intake Length Dia. Length T / / Dia. Spacing js SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over ~i Depth Over „ xx Depth Of xx Seeded/ Sodded xx Mulched t-i CIIJ'*~ Bed /Trench Center ~U Bed /Trench Edges Topsoil CO es ❑ No p1re-s ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: ERIN PRARI$ 35.30.17.529B,NE,NE,30TH AVE. ~ Q )r p! 71L , l' ~ ! .Z GPC ~ ~,•r- 7 G1 /l~ err. _ jj"~ ~C t(// Plan revision required? ❑ Yes Use other side for additional information. 9 WA~l~- SBD-6710(R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: v { • ~2 _ ~ z6z _ 3 Z ~ 01=HR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code couNTY Cr , . ,.nw„rnv. / STATE SA T Y ERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑Y~ 8% x 11 inches in size. Ch__ f vis on to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. S 93- ~O1f 95 PROPERTY OWNER / PROPERTY LOCATION /Ilar1~ Do1^.~e~s~o~t~ ✓j-_%IV,'/a,S 35T36,N,R 17 -5(or)W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # I /35 / v^ar 1~~ Ale- `V IVX CITY, ATE ZIP CODE PLO Nl6B92 SUBDIVISION NAME OR CSM NUMBER 111.. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ VILLLLAGE NEAREST ROAp , 10 f A r, L' Q !V ei [a 40WW OF: AX N E ❑ Public 41 or 2 Fam. Dwelling- # of bedrooms PARCEL 111. BUILDING USE: (If building type is public, check all that apply) O / 2 /3o- 17 /oz3- zo7 o O 07 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 El 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. ❑ New 2. 19 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,W Mound 30 El Specify Type 41 El Holding Tank 12 ❑ Seepage Trench 22 In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) -~(J ELEVATION Z7_0 375 .3S4 /I~7✓ 97'49 Feet 99.29 Feet VII. TANK CAPACITY Site INFORMATION in allons Total # of Manufacturer's Prefab. Fiber- Exper. New istin Gallons Tanks Name oncret Con- Steel glass Plastic App Tanks Tanks strutted Septic Tank or Holdin Tank boo /000 l C~P j F1 F-1 I L-1 Lift Pump Tank/Si hon Chamber Fool 0 VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) MP/MPRSW No.: Business Phone Number: Jc~ lc_ pz?Gi✓so y. ",00,L/" R,t~.cyt. e-r~ - G4 Z 9 ~YV- 33 7 S Plumber's Address (Street, City, State, Zip Code): 0Z o frla.'rt S-t a, b~ IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing A a e (No Stamps) C*pproved ❑ Owner Given initial ~7a i charge Fee) 4. E n!~ Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your.sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (:.iqP 6399) to be submitted :o the county prior to installation 5. Onsite sa ^.,~age systems must be properly mairiWiried. The septi_, tarti<is) most be pu,~ 1;) "I b 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. ll. 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 inior,n ation. Fill in the capacity of every new and/or existing tank,'ist tie total ga3br~s number of tanks and inlifai.-Jurer'S name. Indicate prefab or :site constructed and tank material. Cornp? ete for all sep` c., r u= F r`s;,~t.; , and holding tanks for this system. Check experime,-a ,l }:;proval only if tanks received exp.;Y'e ? p od,.,_i approval from D11-l sr . VIII Respornsibihty statement. Installing plurrher is to fill in name, license nt:rnk,er with appropriate prefix (e.g. MP, etc,';, address and phone number. Plumber must sign application fus M- IX. County/Department Use Only. X. County/'[?W ;artment Use Only. Complete plans and specifications not smaller than 8% x 11 inches rrue-t be submitted t. thc county. The p'.ans must iod! the following: A) plot plan, drawn to scale or wit` r~ ale;:e dirrer;i;,ris, locr1ion of holding tar 's' se,,!tic tank(s) or other';rea.tment tanks; building serti z-wells; water , 1Jr;ater service; streams a-6 ir.iaes pump or siphon tanks; distribution boxes; soil at: ~,o tems r~ Y ~ r;t system a:~?aS'. and the locatio,-; of the builling =erved; :I) hc'!rizontal and rf!f?renN'(- (Cr. ; C) complete specifications for pumps and controls; dose volume, eievat:•.jn _lAerences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system it required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 ttiisconsin Act 410 included the creation of surcharges (fees) for a number of regulcted practices which can effect groundw-`r-r i he r'3C'd.'eF- Collected throuW, these sorcharcues 1 water' f.ontarnirfation Investigalions and estahbishmi-f., I SBD-6398 (R.11/88) O N N h Oo O U1 ~ ~ \ ~9 . a cl:Q i 1 0 c ~ _ O N K~ 40 ul to - O _v rA h 0 0 3 ~ to . I a 4 Q ~ ~l ~e & Vil', as of 1, AVIS apt. 10% of. SP&M y16 • ~IGE a ~ ~ C,pAEt ' , ~ M 3 Cross Section Of A Mound Using A Trench For The Absorption Area Medium Sand Fill ° F 6" Topsoil 3 E 0 Trend "gYglVAggregate, Plowed Layer 6" Bd pe, Covered With D ,2•.33 Ft. Straw, 04r jjk)tr Synthetic Fabric E 2•`/~- Ft. 0 Ft. a F F t. H Ft. DEPT. 4anew S COE 9 3 4 0 4.9 5 ;iound Using A Trench For The Absorption Area Force Main J Distribution Pipe Permanent Markers Observation Pipe W I I' B - K \\-.",Trench Of )i" - 22" Aggregate I L A 1 5t. I Ft. K Ft. W 2_ Ft. 6 96 Ft. J Ft. L Ft. License Signed: Plumber: /11 6e Date: '93 Distribution Pipe Detail, For Two Lateral Network t 3 4 0 4 Holes Located On Bottom Are Equally Spaced PVC Force Main End Cap ~ H. X X PVC Distribution Pipe P P X * Last Hole Should Be Next To End Cap 7 P 7 Ft. Hole Diameter ~ Inch i X Inches Lateral Diameter Inch(es) Y Inches Force Main Diameter Inches # Of Holes/Pipe /Z Invert Elevation Of Laterals 97.79 Ft. Signed: License Number: ,ij p 6 L41 r - - 93 SYSTEM Date: x.ATIINS 8EE CORR PO D SCE PAGE" 3 CF PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS VENT CAP 'i"C.I. VENT PIPE APPROVED LOCKING _ WEATHER PROOF MA JJ t~10~` ~4>0 4 ~ ?_5' FROM DOOR, JUNCTION BOX it WINDOW OR FRESH 12"MIU. AIR INTAKE GRADE I '1" MIN. 18" /Kl N. CONDUIT-- 18"MIN. \ INLET VIDE I ~,'v"'`[AGir g" -AIRTIGHT SEAL I I I - I) v APPROVED JOWT A N ( I APPROVED JOINTS W/C.I. PIPE y I I W/C.I. PIPE EXTENDING 3' c~ I I ALARM EXTEMDIAIG 3' ONTO SOLID SOIL I I I ONTO SOLID SOIL d 1 +a z I ON G.1;yillt t i ELEVW, 9 FT. ;dGE PUMP OFF SE RR, S D CONCRETE BLOCK RISER EXIT PERMITTED OIJLy IF TANK MAUUFACTURER HAS SUCH APPROVAL SEPTIC f SPECIFICATIONS DOSE e MBER OF DOSES: PER DA. TANKS MANUFACTURER: IJU TANK SIZE: X00 GALLONS DOSE VOLUME SJ G`~/eC~rO INCLUDING BACKFLOW: '07 GALLOWS ALARM MANUFACTURER: MODEL NUMBER: r CAPACITIES: A= =2:51591MCAFS Oft GALLONS SWITCH TYPE: Akrcuru B= INCHES OR -3_'1•OY GALLON5 PUMP MANUFACTURER: go ald N75 C = 7 y l INCHES OR / 'O CALLOUS MODEL NUMBER: GJE-O 311 D=IZ- 1NCHES 0P 2Q.Y'Z6 GALLONS SWITCH TYPE: /verC- 1,4 r NOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE g'bY GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEELI PUMP OFF AND DISTRIBUTION PIPE.. _ 9 FEET + MINIMUM NETWORK SUPPLY PRESSURE , , , , , 2.5 FEET + 30 FEET OF FORCE MAIN X ~_-LF/aO FRICTION FACTOR.- -.39 FEET TOTAL OtIUXMIC• HEAD = 9 FEET INTERNAL DIMEWS10KIS OF TANK: LENGTH 7 ;WIDTH - ;LIQUID DEPTH _ 7 SIGtJE D: X - LICENSE NUMBER: 114P 69 7 DATE: G 93 Submersible Effluent Performance Curves Pumps y METERS FEET 90 MODEL 3885 25 80 SIZE 3/4' Solids WE15H 70 Z 20 WE10H J I I H 60 1- \ I 15 50 WE05H 40 10 30 WE03M 20 WE03L 5 10 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM 1 I 1 1 0 10 20 30 ml/h CAPACITY [qGOULDS PUMPS. INC. SE ECA FALLS NEW YORK 13148 METERS FEET 120 MODEL 3885 35 SIZE 3/4" Solids 110 WE15HH 100 30 90 25 80 N -1 o I Q 70 = 20 H 60 O H - 50 WEDS' I 15 40 10 30 2Q 5 10 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM I 1 1 1 0 10 20 30 m'/h CAPACITY 01985 Goulds Pumps, Inc. Effective July, 1985 C3885 Hrvu -At C tVHLUAI IUNJitl'UH 1 D I L H R in accord with ILHR 83.05. Wis. Adm. Code .~.~,.....~......,,M COUNTY Attach compte(e silo plan on paper not less than 8 112 x 11 inches in size. Plan must include, but C o ► X not limited to vertical and horizontal reference point (84. direction and % of slope, scale or PARCEL LD. Ii - dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER PROPERTY LOCATION d zr o e ( GOVT. LOT /I JE`" 1!4 ~ 14,S j.5 T 30 N.R f 7 a (a) W PROPERTY NER'S MAILING DRESS LOT JBLOC ISUBO-NAMEOR8 CITY, STATE 21P CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD A✓e. New 'Construction Use ( J Residential / Number of bedrooms Replacement (J Pubtic or commercial describe Code derived daily flow '150 gpd Recommended design loading rate bed, gpolft2 • 3 trench. gpd/it2 Absorption area required -375 bed, I12 37.E trench, 02 - Maximum design loading rate bed, gpolft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) It (as referred to site plan benchmark) C4 ) Additional design I site considerations S - Parent material Food plain elevation, it applicable ft S = Suitable for system CONVWTIONAL MOUND NGI0MOPRESSURE AT~WDE SYSTEM 14 FXL HOLDING TANK U= Unsuitable forsystem ❑ S ®U MS ❑ U ❑ S I U El S 0 U ❑ S 0 U ❑ S ja U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed Trend- 0-8 /0XR z onC skK A- c r.~ Z .Z • 3 CG() ZP •5 •G f Ground 3 1-5-P/ 5 41 1,2 z Z s6 mtr C c J • to elev. 9S.'y Z/ 38 5YSP y1 m s s~ r~ ✓~r a - 3 . Depth to limiting 1a g,~ i Remarks: _ Boring # 14 & ctA) 2, f 5T. _6 3 127-Z7 '7 5, 5 C C W 1 ' to Ground Depth to - - - - G limiting 1 I act(Xz,, 8 Remarks: S CST Name:-Please Print / fN~~~n Phone: Address. S, Z o r~ 5'f'• 1~a /~w, r Gel ao~ Signature Dale: CST Numbw: a s-,3 -9 3y/ Boring # Horizo Depth Dominant Color Mottles Texture Structure G:PD/Q2 Ou. Sz. Cont. Color Consistence Roots' in. Munself Gr. Sz. Sh• Y Bed Trend R Z 7,5 ` 5 / .44 z o e Si h sb~,Wfr C k) Z•F •L Ground 3 s 172 L C/ 207 /fl ~r C • 5 elev. 9(Iz/ ft. / sYR .3 s / ~tii✓~'r qw - '3 Depth to Wiling factor Remarks: Boring # 13 Ground elev. K Depth to limiting factor Remarks: Boring # Ground elev. h. Depth to Wfing I factor Remarks: Boring # SJ ~:u Ground elev. ft. Depth to _ Gmifing I factor T Remarks: Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page - of tab6r and Human Relation; D vision otsafety s 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 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 OW R: PROPERTY LOCATION GOVT. LOT /4 rte., ,N,R /7 1/4,S357 T w P OPERTY OWNER':S MAILING ESS LOT # BLOCK # SUED. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE NEAREST RQAD * ( e ( w Construction Use [ esidential / Number of bedrooms ? ( ) Addition to existing building j eplacement ( I 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/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable fors stem ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouxtary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench o R Ye f/ Ground ,t 73 1C' M 9/ elev. u-). 7 7 ft. )-3 { 'tD Depth to limiting y c r REC ED J U I 1 6 1993 Pa). 7: 60) . 2 . INV. 3 ~'a tee. --S i 3 " DqQ~ Initial: Date S 3 H • a S T C 105 r r a ~ H SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County z /Nlclu,h £%vt^ A I.ff,, ILI a - OWNER/ UYE 451 41 Y_ ` Ac~~~ ROUTE/BOX NUMBER J/ Fire Number CITY/STATE- 'LIP Z i; PROPERTY LOCATION: _14, Section 5"5 T20 N, R. 17 W, Town of St. Croix County, Subdivision Lot number. /V Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pum tr. What you put into ` the system can affect the function of the septic tank as a treat- ment 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 systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. 0 I/WE; the undersigned, have read the above requirements and agree L to mai,ntain,.the.private sewage disposal system in accordance with I N x the standards set forth, herein, as set by the Wisconsin Depart- v ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SICNED_ rt D f i ATE " ~t -1 7 St. Croix County Zoning Office P.O. Box. 98• Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign,.date and return to above address. " APPLICATION FOR SANITARY PERMIT 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 ` ~o3'i e S eJ~~ / Location of property 1/4A//7- 1/9, Section T N-R W Township Pro 1'r C J Mailing address 1_?,•,~'~,'>1 J/ Address of site ve . z-,-, r-C? //-/f Subdivision name /11 Lot number X/X Previous owner of property er J a 5 +o c k T a m S ra.i in Total size of parcel XC, Date parcel was created dl-,,/271 Are all corners and lot lines identifiable? X Yes No Is this property being developed for resale (spec house)? Yes No volume %693 and Page Number -20-7 ~ 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. -------------------------------------------------------7--------------------- 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 Z(; 9Z1 ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorlded in the Office of the County Register of Deeds, as Document No. Signature of Owner Signature of (If Applicable) _-C-C(3 Date of Signature Date of Signature II 'r DOCUMENT NO. WARRANTY DEED THIS SIACL RES[PVED iOR RECORDING DATA it STATE JW OF WISCONSIN FORM 2-IM 502696 YOl 1O23PAGE 207 .r REGISTER'S OFFICE ~i ST. CROIX CO., M Aletta.•H.-•Donkersgoed a&/a... letta Donkersgoed Rac'dforRecoM Aletta H Dinkersgoes, a single person JUL 22 1993 s: 30 A:'M .......N - Donkers oed 8t I~ conveys and warrants to Ma...1S__... ~ ...4.__._................................ # . r . Re$taMof ! - RLTURN TO the following described real estate in St..._ Cro.ix .....................County, - State of Wisconsin: ! Tax Parcel No:012-1073-20.__. Part of Northeast Quarter of Northeast Quarter (NE 1/4 NE 1/4) of Section 35 Township 30 North, Range 17 West described as follows: Lot 1 of Certified Survey Map filed December 19, 1990 in Volume "411, page 1025. i jI This .._1$_.A.4t........... homestead property. (is) (is not) Exception to warranties: Subject to municipal and zoning ordinances and recorded easements and restrictions of record, if any. I Dated this C=-1-Z day of ,Tu1Y-............................ 19...93. (SEAL) SEAL) Aletta H. Donkersgoed a/k/a Aletta Donkersgoed a/k a - ------------•----...._........._..-••-••-•••-...............(SEAL) letta.--K.---Dinker.agues............. Us=x) i AUTHENTICATION ACHNOW LBDOIKBNT Signature(s) ?i~.etta_.H,.._Donkersgoed__a(k/a STATE OF WISCONSIN Aletta Donkersgoed a/k/a all. AZ7stta""2i:"D•izt rsgoe8 ...-------------------------------.County. nticated is, L' Of...._..__>luiy_._..... 19--93 Personally came before me this day of 119-....... the above named Daniel M. r es TITLE: MEMBERS T BAR OF WISCONSIN (If not- authorized by 1 706.06, Wis. State.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Dap el-. M.__•Byrnes- _of CWAYNA & BYRNES ,___0. Box 179 Ameryg__ WI 54001 - Notary Public County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: 19._.......) ~I *Names of persons signing in any capacity should be typed or printed below their signatures. , li WARRANTT DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc. FORM No. 2- 1982 Milwaukee, Wisconsin C WA YNA AND B YRNES Attorneys-at-Law 314 Keller Avenue North P.O. Box 179 Amery, Wisconsin 54001 (715) 268-7360 Telephone 715-268-7360 Michael B. Cwayna (715) 268-9303 Fax May 25, 1993 Daniel M. Byrnes Mr. Mark Donkersgoed 1351 Franklin Baldwin, WI 54002 Re: Estate of Melvin Donkersgoed Dear Mr. Donkersgoed: Pursuant to our telephone conversation, I am enclosing herewith a copy of the Final Judgment of Strict Foreclosure in the action of Donkersgoed vs Jostock, et al and a copy of the Termination of Decedent's Property Interest showing title to be vested in your mother, Aletta H. Donkersgoed. The Termination of Decedent's Property Interest was filed on May 14, 1993 in Volume 1009, page 74 as Document No. 499032 in the office of the Register of Deeds for St. Croix County, Wisconsin. I am informed that it was sent out in yesterday's mail and we should be receiving the same in a day or two. I trust this is the information you needed at the present time and if I can be of further assistance at this time, please give me a call. I will be back in touch with the updated abstract is received by me. Very truly yours, CWAYNA AND BYRNES r Daniel M. r s DMB:cmk Enc. 49487 1 9PPM 6"7 11 STATE OF WISCONSIN CIRCUIT COURT ST. BRANCH II Acy~O- MELVIN DONKERSGOED a/k/a ] ~c 1 r MELVIN H. DONKERSGOED Cam'°~ 241 Montgomery ] Amery, WI 54001 0? -and- ALETTA H. DONKERSGOED a/k/a ALETTA DONKERSGOED a/k/a ] ALETTA H. DINKERSGOES 241 Montgomery ] FINAL JUDGMENT OF Amery, WI 54001, ] STRICT FORECLOSURE Plaintiffs, ] Case No. 92 CV 215 -vs- Classification: 30404 ROGER J. JOSTOCK 1993 Casey Lake Road Route 12 7RE TER'S GFICE Baldwin, WI 54002, CROIXCO., VA 'd for Rerord VIRGINIA K. JOSTOCK FE 8 1993 - 1993 Casey Lake Road Route #2 Baldwin, WI 54002, at 2.45 , PM, THOMAS STRAIN Register of Deeds 1'`~ w , 1051 Jenks - St. Paul, MN 55106, -and- JUDITH STRAIN C' ; 1051 Jenks ] St. Paul, MN 55106, ] Defendants. ] - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - WHEREAS, an Interlocutory Judgment of Strict Foreclosure in the above action was granted by this Court on the 14th day of October, 1992 and the period of redemption of 90 days was granted by the Court and said redemption period having expired and it appearing from satisfactory to the Court that the property which is the subject of this action was not redeemed in accord with the terms of said Judgment, Now, Therefore, On Motion of Daniel M. Byrnes of CWAYNA & BYRNES; ropy __-17 'U?L ~9n?AGE 4 8 IT IS ORDERED as follows: 1. That the defendants and each of them, their heirs, successors and assigns and all persons claiming through them or any of them since the filing of Lis Pendens in this action be and are forever barred and foreclosed of all right, title, interest and equity of redemption in the property hereinafter described: Part of the Northeast Quarter of Northeast Quarter (NE 1/4 NE 1/4) of Section 35 Township 30 North, Range 17 West described as follows: Lot 1 of Certified Survey Map filed December 19, 1980 in Volume 11411, page 1025, St. Croix County, Wisconsin. 2. That title to the property described above is vested absolutely in the plaintiffs herein. d Granted and rendered this --,a- day of IJA-LdAf/ 1993. BY THE COURT, onorable C. A. Richards Circuit Judge, Branch 2 St. Croix County, Wisconsin a full, .-na! on file . ' . ou.Y : ST. CROIX COUNTY WISCONSIN t A ~ tr t%; A ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 May 14, 1993 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of the Mark Donkersgoed property, located in the NE,NE;, S.35, T.30N., R.17W., Town of Erin Prairie, St. Croix County, WI., has been conducted with the assistance of Dale Hudson, CSTM# 3413. This onsite revealed suitable soil for onsite sewage disposal to a depth of 12" while meeting the requirements of the A + 4" rule. This site should be suitable for a replacement mound septic system having 24" of sand fill. Should you have any questions, please feel free to contact me at this office. nce,Fely, J Thompson Assistant Zoning Administrator cc: file ST. CROIX COUNTY z. WISCONSIN ZONING OFFICE ~ ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 May 14, 1993 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of the Mark Donkersgoed property, located in the NE;NE',, S.35, T.30N., R.17W., Town of Erin Prairie, St. Croix County, WI., has been conducted with the assistance of Dale Hudson, CSTM# 3413. This onsite revealed suitable soil for onsite sewage disposal to a depth of 12" while meeting the requirements of the A + 4" rule. This site should be suitable for a replacement mound septic system having 24" of sand fill. Should you have any questions, please feel free to contact me at this office. gsinc ely, .4 Thompson c Assistant Zoning Administrator cc: file •-G-R3 S+ C roi K C o,kn~y Z oni n~ 13.1f s Plkm 6; N c0.~i ncf Sct61 ac+ Pero,;f for J 9 q3 Casey L4kc Road Proper I-y ; r► db &es orl w as re + u r n cd +o Ic9al owners giy o'f M Ll vin a Alti}a Don 4e-r,slocat CSec Casa #92 CU z15S) Upon Mclvin~s je- San 22, 93J +kl$ Proper l y W* now llett ally 6,-Jonys +o A l{i-I-,t Don k*-^lgucct qs Sa'e_ Owner, .T plan +o pLt r ckasc +kt- prop e-b^+v a ~ 19`T3 CaScy La.JTa Road ~d Ilowi co nck; 4,a~►s, T1, WcJ) w kith wa S cQ C& 0-1 ay e~^ KMAdLA i Roger f 0$+dc~s awne.r s i s r-p 14%C-ej (Nn+c.: CKrr`N+ly 6ci ny dri ll ect) Z~ Perml 7 s urc y ran Tt&( +-o uP c~ raC.Qc ScP~i 5y 5+-ftJ, +aCL (nau cl 5ys!-ecM a5 'e- CA -d Tv 1^ rtn~al/rv,uc~~Meh~ rrurerTy. 3) A C O K P 1 L of l e v a l rill ct ~ S CL c~e_wi"cc~ L-t P Pr' ov~ my s GI -P COue- r) ~C'k f~ I hoF 6tc~uc4.1 ~wncnsi< lp pIc.usc Rccp T'~tst ~tC- 1 h tr~l Pi CA w hV&l (tie- A pp c4f i ot, 7POYN S un~ qr^Pt r^ /v%i+. G~I OLD K 13,51 rra~ hl; ti (3-IcP w; 1 s S4ooZ Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page - of La&4 and Human Relations Division of Safety & 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 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 GOVT. LOT 14 1/4,S 35T 30N,R ~7 ~I W PROPERTY OWNERS MAILING ESS LOT # BLOCK # SUED. NAME OR GSM # CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE NEAREST ROAD ( ) / ZIP- [ w Construction Use [ esidential / Number of bedrooms ? [ J Addition to existing building j eplacement [ J 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 Mabmum design loading rate bed, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN RLL HOLDING TANK U = Unsuitable for stem ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rends o a iota Ground 4-73 S ie jW :41P I y& G !5,-( l,K 114" elev. It. )-3+ ~ u) • 1 7 7 Depth to limiting r~ r ~~'-e-e1.✓7'/Q/ Lift=r~-Z-- ~d~ T~J r!~1 -t~~ ~d 67 C/ rv Initial: Date S PROPERTY OWNER SOIL DESCRIPTION REPORT Page ,at PARCEL I.D. # Boring # Horizon Depth Dominant Color . Mottles Texture Structure Consistence , Roots GPD/ft in. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. Bed mrich Lim, Ground elev. ft. Depth to limiting factor Remarks: Boring # LIED"31 Ground elev. ft. Depth to limiting factor Soil pit locations N Wiisconsin.DepaMrentoflndustry, SOIL AND SITE EVALUATION REPORT Page of LalZcand Human Relations Division of Safety & Buildings in accord with II-HR 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 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 PROP RTYY N {o f< Cy - /Yt4,' v PROPERTY LOCATION f,~ per- GOVT. LOT E 114 114,S- N,R 7 W PROPERTY OWNER':S MAILINUDD ESS LOT # BLOCK # SUED. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE gFeM- NEAREST ROAQ„ lira ~1-1 el 13~) [ ] New uction Use [ 4,ffe'sidential / Number of bedrooms [ J Addition to e)dsting building j eplacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed; gpdt9 trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/0trench, gpdtft2 Recommended infiltration surface elevation(s) It (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND "ROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable for stem ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure /Roots GPD/f in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. tence Bed Tench 1:3 Ground elev. It Depth to limiting factor ICJ ~ .5 / Initial: - Date S 93 PROPERTY OWNER SOIL DESCRIPTION REPORT Page _of s PARCEL I.D. # Boring # Horizon Depth Dominant Color . Mottles Texture Structure Consistience Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed tends a Ground elev. It. Depth to limiting ' factor - Remarks: Boring # Ground j elev. ft. Depth to limiting factor Soil pit locations tN ovrr. Htvu .it t t tvHLUAI IUN HtPUHI D I1.H R in accord with ILHR 83.05, Wis. Adm. Code .~.%•.rw.^u+~.r COUNTY r Attach complete site plan on paper not less than 8 1f2 x 1 t inches in size. Plan must include, but /'n X not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. I dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY CNYNER PROPERTY LOCATION rt r" Don S • o Ol GOVT. LOT JQ- 1/4 /4,S-'5 T .30 N.R 1 `7 d ((x) W PROPERTY CINNER'S MAILING ADDRESS LOT N BL WK I SUBO. NAME OR CSM A /3 5'l Fran ~I ~t//' CITY, STATE ) ZIP CODE PHONE NUMBER []CITY []VILLAGE OWN NEAREST ROAD Ct~; i~ ~f/s'• ~~'Ol~~~ (7/ y~Ei'-.~~ ~Z r-i'ri G+ i r' i ~3C~ `v i/e' - (j New Construction Use j>d Residential / Number of bedrooms ,3 Replacement ( j Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed, gpd$ trench, gpd/ft2 Absorption area required bed, 112 trench, ft2 Maximum design loading rate bed, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) It (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable n S = Suitable for system CONVENTIONAL MOUND NIGROUNOPRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK "FT- U = Unsuitable fors stem ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U El S F1 U ❑ S ❑ U ❑ S ❑ U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouxiay Roots GPD/ft in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed Trerxt F2- Ground 3 /s-Z~ s S/1 elev. Xe s Depth to limiting factor I i ~ Remark's: Boring # ) 1/0 yg'YI2- £ 1 Ground 7-3 elev. n. Depth to - - - - limiting factor - - I Remarks: CST Name:-Please Prii!!- Z~ Phone: -Dole- 715 -?37 9 Address. nip S'y00~ _ Signature: ~ Dale: CST Number: s- 3 -93 Boring # Horizo Depth Dominant Color Mottles Structure in. Munsell Qu. Sz Cont. Color Texture Gr. Sz. Sh. Consistence Baixtary Roots r> Bed ;TrGnj Ground 3 y y elev. Depth to limiting factor Remarks: Boring # . ` Lttitv:C 1 f' f Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. n. Depth to limiting factor Remarks: Boring # f<R Ground elev. ft. Depth to limiting factor r - Remarks: JUN-24-193 THU 13:33 ID:SAFETY AND BUILDINGS TEL N0:608-785-9330 #974 P01 • SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations June 24, 1993 2226 Rose Street LaCrosse, Wisconsin 54603 BOUTS PLBG & HTG 820 MAIN ST BALDWIN WI 54002 RE: Plan Number 893-40495 Project: DONKERSCOED, MARK County: ST CROIX Location: ME) NE,35,30,27W Fee Received: 180.00 ERIN PRAIRIE Date Received: 6/02/93 This letter is to acknowledge receipt of the Plumbing Plans which you submitted to the Office of Division Codes and Application, Section of Private Sewage. We cannot however, process your submittal until we receive: 1) A revised Site and Soil Evaluation Report. The submitted report shows no colors reported for the mottling observed in each profile and some of the texture and structure reported is.questionable, You may contact Jim Thompson at St. Croix County to arrange a visit to any site you feel, necessary, or for aid when filling these forms out correctly. You may also contact this office for aid when filling the forms out for accuracy if Jim is not available to answer your questions, 2) The St. Croix County Onsite supporting the location of the mound. Please retain one cony of this letter for reference and return the other with the materials requested, Your Plans will be processed within 15 days by the Section of Private Sewage following receipt of the requested items. Petitions or plans submitted to this office which require additional information will be held 90 working days for receipt of the information. If, after 90 days, response to this letter has not been received, your plans will be returned. If you find it necessary to contact us regarding your submittal, please call us at (608) 785-9348 and refer to the plan number as shown above. Sincerely, Post-It" brand fax transmittal memo 7671 * ofP"eVF meek C 1, Mn ~ Sw 18 !At M. SWIM Co, t Mit iiim Section of Private Selvage t, Phant Division of Safety and Buildings 4PP039/0001n/ 6 COMP: 11 Rex x+v ELEM: 12 uun.e ,x.#Ti.ivate Sewage Consultant JUN-24-'93 THU 13:35 ID:SAFETY AND BUILDINGS TEL N0:608-795-9330 U ---A-9-74- P0-3 _ . niru ,p1 1 t t V A L. J _ uA11i:}1V:ti i tH 1 y y~/~1/.~ .83Aa, Wig.. Adm.~Code. yltla o6meEi"l~ta ptaei at iaPar not less fhaR:.h1 -_,Y T . l.. ' #..y,., r.. i rcaf and horfzvnlat refer a/ ><.11 +cha: M wza, i'Ian r+uas! intfudo, • not t ted:td:virt' ence but.. t , t '(Rti , dr Ycn a+xl Y. e!'Tope. scalp or PAHCELI.0. e dmansta+ed rarlh iirr s . ow and locati on send dg [6166 to,' nareq read, JkPPLICANT:INFO'ROATI(jN-P.LEASE PRINTA1.0mr-ohMATION Ae?IEMOBY QATE.M. I RTY0WHER r TYtncaTiou o r C (~OYI'. tOT iJ 114 k~V;A .SST 34 AR )w !fit ARTY OWNER1 MNt.ING DRESS LOT 81. SURD. NAME 1! CITY, STATE ZIP CODE PFI M NWrfB ER qiY ~ CJ ©vILlAGE OWM Ovz_ J~ NEAREST ROuW 2.39 h,) -4 1 9 r ,~;3c eve . New 'COn hdon Use ( ] Residential 1 N=ber df tiellrtaorttis .3_ Reptacemsnt { ) Public or coanmercW dewtte `ode e derived dally WwZj~0 9Pd t"tecortmenM d**n bad tale bad , gpdW 3 trend,, gW? Absorption area moody bad, b2-.~7~ trend, 42 : Maximum design loading rate • 3 bed, gpcW ~ s~fra!>cit, go* Reo rtded ~l~ltfSllOA 9tef8oe elevation(s) Ft (as referted to site plan bendunark) Additional design'/ site rations parent meterlAl FIood plain elevation. N applkable /V R S a Sul" for "em • OQNNFNiI MIL MOUND Nt~i WOAR MME AMMOE SYSTt~J6t~N Fl L NOLDW(i TAME U= unsubble for rem 11 S 9 U Jw S d U ❑ S In 08 MU 8 S u Q$ MU SOIL DESCRIPTION REPORT Boring HoriZo Depth Dominant Color Mottles Structure GPD/ti in. Munsell (MSS: Texture Cor:sisberlce l3ard3y Roots Gr. Sz. Sh. Sed 7rt~ -Alan C --3 etrowtd /"z/ 5J'` rrt sb? /?1r'c:v 'li etev_ • Deo to wor } Remark: a ? , !.J I r Cut • 5 - (around /ZG' `7. -54 r» 5~ / r, C W ILL - • eley, .en Z 0/ yr ar. •3 • y b fimiGng factor „ . 3 , Remarks: CST Nance:--Meass Print. t'l+vne: Addrass: / SiQnr♦lure' k,.,., f Oslo: CSY Number; S- 3 ~ f JUN-24-193 THU 13:36 ID:SAFETY AND BUILDINGS TEL N0:608-785-9330 #974„P04 Horing N Wvrfzo Depth Dominant Color Mottles Texture: Structure Cortsistpnce ' G,PDD in. , Munse1v ' Qu. $Z• Coot; Color Gr. Sz. Sh. Y RRool Bbd f _ eley. _LL lh to , tacbr El. ' i Rem8,rk5: ~ o- Borah I Ground elev. IL _ Depth to IrAng tacw Remarks: Boring # Ground: •,DeQth b S ~ T Remarks: Goring 0 ' Gld(W i eleV. j. DBp01 b wof Remarks: o-, i