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STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER
S en
k You n q /A I
ADDRESS Q, a 0 y~fo
Wa Pr town N S3S'd'
SUBDIVISION / CSM# LOT #
SECTION q T_,q N-R_Z&_W, Town of ~rnh I'c 11~%'t n i c
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
12 ~
O ,~C~ -GpF r~
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
r
,
BENCHMARK: d 7 Sf(,Y/1~i.A ~(4
ALTERNATE BM:
PUMP CHAMBER
-&RPTTC_72= <
Manufacturer: ),e s Liquid Capacity: 8 (oo
Setback from: Well House Other
Pump: Manufacturer 4V.er S Model# /r! 3 Size y /
Float separation Gallons/cycle: ,
o~ 3 G 8
Alarm Location ,jaS `y, en,f
:SOIL ABSORPTION SYSTEM
Width: Length Number of trenches
i I
Distance & Direction to nearest prop. line: l(~
Setback from: well: House Other
ELEVATIONS
Building Sewer_ ST Inlet: ST outlet
PC inlet PC bottom Pump Off
Header/Manifold_,jDd_,Q Bottom of system
Existing Grade Qp, Final grade Lo 3,
DATE OF INSTALLATION:
PLUMBER ON JOB: O~d C
LICENSE NUMBER: p a
INSPECTOR:
3/93:jt
WS9 sWAWtrrr X011rYd,1AF.29,T281~L ME'SEWAGE SYSTEM County:
.4abor and Human Relations P INSPECTION REPORT
Safety and Buildings Division 9T_ CROTX
.,GENERAL INFORMATION (ATTACH TO PERMIT) SanitaryPermitNo.:
193481
Permit Holder's Name: ❑ City ❑ Village ❑xTown of: State Plan ID No.:
CST BM Elev.: / Insp. BM Elev.: BM Description: Parcel Tax No.:
TANK INFORMATION ELEVATION DATA A9200432
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic g Benchmark S, Z' /21191 6'
Dosing LcJCL<rC, fCC✓ l~tz._
Aeratiorr- Bldg. Sewer
Holding St/t(t Inlet
TANK SETBACK INFORMATION StIA Outlet 32
TANK TO P/ L WELL BLDG. Ae Intake ROAD Dt Inlet
Septic > 5 0 / /S NA Dt Bottom '
Dosing 7 2 7' NA Fier / Man.
i Aeration NA Dist. Pipe
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Demand
Model Number GPM
TDH Lift ~,Y Friction,) System f~D TD g` Ft
oss flea
Forcemain Length rte:, 1 Dia. Dist.Towenz/w
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT Inside Dia. Liquid Depth
DIMENSIONS DIMENSIONS
SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manu urer:
SETBACK
INFORMATION Type 0 CHAMBER Model Number.
I OR UNIT
System:
DISTRIBUTION SYSTEM
44*e a -1 Manifold Distribution Pipe(s) , x Hole Size,, x Hole Spacing Vent To Air Intake
Length 5•95 Dia. Length 3-3 Dia. Spacing >
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over , xx Depth Of xx Seeded /.Sodded xx Mulched
Bed/ Trench Center Bed/ Trench Edges Ap Topsoil Cn ❑ No ❑ Yes Egwo
COMMENTS: (Include code discrepancies, persons present, etc.) ~j Y l 1 c~_-r~
LOCATION: SE,NE,SEC.29,T2$N-R18W (LIBERTY ROAD)
f
Kd~
f /
r L ~k `tea=
Plan revision required? ❑ Yes ~o
Use other side for additional information. Q.425,4_:~ fnft__O~-~ I
1
SBD-6710 (R 05/91) / Date Inspe or's Signat a Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
j
17EQ1 L R SANITARY PERMIT APPLICATION COUNTY
In accord with ILHR 83.05, Wis. Adm. Code
St- - Croix
STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than 1-3-1) ~/f
8% x 11 inches in size. 1:1 Check If revision taprevious application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. S93-40614
PROPERTY OWNER PROPERTY LOCATION
Mike & Wilmer Youn en E Y4 - NE X4, S 29 T28 , N, R 13 W
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
304 Wasson Court
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
River Falls, WI 54022 1(715 425-5809
NEAREST ROAD
II. TYPE OF BUILDING: (Check one) State Owned
❑ Public 01 or 2 Fam. Dwelling~# of bedrooms L PARC TAX EL E
111. BUILDING USE: (If building type is public, check all that apply) 022_1083-60
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1.0 New 2. ® Replacement 3. ❑ Replacement of 4.E] 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 R2 Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION
600 500 500 .4 101.20 Feet Feet
VII. TANK CAPACITY Site
INFORMATION in allons Total # of Manufacturer's Prefab. Fiber- Exper.
New lExisting Gallons Tanks Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank
Lift Pump Tank/
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Y(u7l iness Phone Number:
Plumber's Name (Print): Plu Z I Si nat73~s~
Paul C J Steiner 5 425-5544
Plumber's Address (Street, City, State, Zip Cod
N8230 Highway 65• River Falls WI 54022
IX. COUNTY/DEPARTMENT USE ONLY
F-1 Disapproved Sanitary Permit Fee (includes Groundwater a e ssue Issuing Agent Signature (No Stamps)
/ Surcharge Fee)
L-Approved ❑ Owner Given Initial / )
Adverse Determination U
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
1
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 (SBD 6399) to be
submitted to the county prior to installation.
5. Onsite sewa e ,syt-1-ms must be properly maintained. The sf pti- tank(s) must be pumped by a licensed
pumper whenever necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the
State of Wisconsin, Safety & Buildings Division, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the system is to be installed.
II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested in ##1-7.
VII. Tank information. Fill in the capacity of :.vary new and/or existing .oink, list the 4otal gall-"-=s number of
tanks and 0- acturer's name. Indicate J fab or site constructed arA lank material. C it ip ete for all
septic.. and holding tanks co system. Check experirr,r;°ltal approval only if tanks received
experllr!eru.ai product approval from DILH .
Vlll Responsibility statement. installing plumber r to fill in name, license ntswnber with aoproprir;te prefix (e.g.
MP, etr,.,'•, address an' phne number. Plumber must sign application form.
IX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specification:: iot smaller than 8'/z x 11 inches must be subr„itte v !o th_ courty. The
pl{tn ' rnr}s ;r?r;Bide the following:plot plan, drawn to spa or viith co nple`:~ f n}e }',r 43catien of
hr; j;r,g lap ?s), septic: tank(s) or other treatment tanks; l;;;r 1 r;: srewer~ wells, vi-Jer ~i-mi>,slrwater service;
streaois awj idKes, purno or ;iphf,,) _ istrlbution J!i absotclti:wi .sy';terns: r .pla,,ernent system
areas, an ?ocation of t+1e bu ,.,rt .er d. horizonta c.rrC' v?rt,c I~. s>i r reference points;
C) comp!e1c specifications for pumps and controls; (lose voiurne, elf watt j, J, e,encos; 1rictic°n 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.
GROUNDWATEIR SURCHARGE
1983 Wisconsin. Act 410 in ciuded the creation of surcharges (fees) for a number of
reguated p' can affect ground -titer
The thrc::gh thee' surcharges irk r ;ror idvvate ~r
W<%iYr t: ;~•~tts: ;r ar:;;~! [ c+.. ~1+,~ 9tC7'1'? and establislm .1;-16S
. .
SBD-6398 (R.11/88)
Plot Play,
ScQlc
T, Rod
e h 7 i~
213
3
~ ~ m Qo}lbrt o'~ S~cr'f,~q
i J
4 $ Ch Nou Fie v, I oo
Aimee Youqrch
Oc~k ~ $ nn
11Y00~+
ND b~ C
/o 0o ,~a I Ey,ci,:
/~bo ~o~ S~~tlc 8M Y
T
O
T
4, Weil
61 S lope
71
133
MOUND SYSTEM
FOR
Mike & Wilmer Youngren
304 Wasson Churt
River Falls, WI 54022
INDEX
Page 1 of 7 ...........................Index
Page 2 of 7 ...........................Calculations
Page 3 of 7 ...........................Plot Plan
Page 4 of 7 ...........................Lateral Layout
Page 5 of 7 ...........................Cross Section
Page 5 of 7 ...........................Plan View
Page 6 of 7 ...........................Pump Chamber
Page 7 of 7.. .......................Pump Curve
Located in the SE a of the 4, Sec. 29 ,
T 28 N, 'R 18 W, Town of Kinnickinnic , St. Croix Co.,
Wisconsin.
Prepared by Paul C.J. Steiner
Steiner Plumbing and Electric, Inc.
N 8230 Highway 65 South
River Falls, Wisconsin 54022
Master Plumber: 46780
Date:~
CALCULATIONS Lg 4
STEP 1: Absorption area: 150 gpd/bedroom X 4 = 600 gpd•
Table 4: 600 t 1.2 = 500 square feet required.
Use 7.5 ft X 70 ft bed
Use trenches, ft wide X ft long
4 laterals, each 33 ft long, 1 1/2 manifold, 5-2s-
spacing between laterals.
STEP 2: Table 5: 1 1/2'1 diameter laterals, 1/4 " diameter holes at
6 " spacing between holes.
STEP 3: Table 6: _~holes/lateral, 7 gpm discharge rate per
lateral. 7 gpm X 4 = 28 gpm total discharge.
STEP 4: Table 7: 1 1/2 " diam. manifold, inlet atr.ppt-rr of 5.25
foot long manifold.
STEP 5: Design dose volume is 236.8 gal/dose at a rate of 3 tilues
per day. Min. dose volume must be at least 10 X distribution
pipe volume.
Table 10: 1 1/2 diam. pipe= -O~gal/ft X 132 = 12.14X 10=121 _49al .
I
STEP 6: Table 8: Dosing rate = 28 gpm.
STEP 7: Table 9: Friction loss in 2 diam. force main, 220' long;
28 gpm= 1.31 in 100 feet.
ELEVATION DIFFERENCE 10.20'
FRICTION LOSS 2.198
HEAD 2-50
15.58 TDH
page 2 of 7
{ Plot PloA
$Ctt1G 111,11DI VA A5 N'07'e;0
GE gygt~
l _ n 1. 00
taonalty
Co I r,
t Aso
Ago eu°'~ ~ 13
B m aobr~ of d~ 8 y Oil ~ou c v, 14D A'
Akit., Yov vI f'C n
- ABAmbc,4 -Toe ~ ISt~N SEP`~ lC,
S°I SAM AS Pty.. ILO N 6`-03 (L)
OI D sysieo% D«k ,I ff~~
"7 +>l~YOp•~
f /o Y., r
I
IoDO
c~ol $h°
Y
Litt
Ch am
ti
T
4
well
f'RcvtDE A So S=AC[ WA'rCK JCVNC;-F
UI'4CP, 0#Z A cViSA -rtif- WF-.ta- AAE-A
ct Na ~r Kccc.ss
22~' c E= 2" , N y
Slops'
r
y
r
i
3
Page 4 of 7
LATERAL LAYOUT
Perforated Pipe Detail S(9 34 06 1. 4
End View
. P•rlaaled .
End Cop PVC Pipe
a'` • Haiee l.aceled On bottom$
Are EaWally Spaced
Q
PVC Face M&
* From Pump _
P PVC '
morilold Pipe
• DI•IrlOrllon
Pipe
Lost Mol• should of
Neal To End Cap
DINriDullon Pipe Layout .P 33
R
S 5.25
"CE SEW p,GE
Conditto V. Y 61
Hole Diameter 1 4 Inch
ON I
Lateral " 1 1 2 Inch(es)
QR & mlAAx,
Manifold " 1 1 2 Inches
# Xf 01
o o~y~sloK ( Force Main Inches
GE Iwo. EtkV, aF L-a;. - ICl-~7
S~ 00 '
CROSS SECTION Pa9o °f
Straw, Marsh Hay, Or V PW
Synthetic Covering
Distribution Pipe
Medium Sand
_ H G
Topsoil - f 101.20'
E "
C b
% Slope
Bed Of 2r- 2 Force Main Plowed
Aggregate From Pump Layer
D 1
SFW AGE SYSTEM E 1.2
p~,\,I~TE Cross Section Of A Mound System Using F .8'
Condit ionally . A Bed For The Absorption Area
G
z A 7.5 Ft. H 1.5
N B 70 Ft.
u►aoR aHo~aAta l~s ~s
OF 114DUSTRY SAFETY ANQ e q I Ft.
J Ft.
ENC'E
8C&e 00 K 10 Ft.
L g0 Ft.
W Ft.3le50 .
Force Main
L_
Observation Pipe
J 6 K
FA
I --------------J----------------------.I
r ■
Distribution Bed Of 2 - 2 %2
Pipe Aggregate
I
Observation Pipe Permanent Markers
Plan View Of Mound Using A Bed For The Absorption Area
PUMP CIIAFIIIF:R CROSS SECTION AND SPECIFICATIONS
Vent Cap Approvlcg 3,40
Weather Proof Manhole Cover.
Junction Box ,
12 Min '
Vent: Pipe _
Final 4" Min
Crada ,
18" Min
C o n d u i[
18" Flin
,11 ApprovcJ
Inlet: Joinc!i u/
C.I. Pipe
PRIVATE c , , E S N A G E S Y S T E M ' r x c e n J i n
hpprovcd I 3' Oncu
Joint w/ Conditionally Solid Cro
C.I. Pipe I A
Exeend inR
3' Onto P Ell
' Alarm
'•b
Solid
C round DEK. OF ±ti4USTRY, LABOR & H~ilA ! RELATIQNS
4ET LDINGS 0n
DIVISION C
NCE .Pu mp 0f E 1't~MP' AFF
SEE Ce Block' A
N
I
• I
. i
SPEC TF I CATI ONS
TANK PUMP
ilanufaccurar: -Weiser manufacturer: Myers__
Maccrial: Q=r-ret-P MoJc1 14 uinLur
Tank Size: 1F000 Callona Swicch' Typa Flat
To cal Dynamic Ii ea d: 15.58 t
CAPACITI F:S Pump Diucharl;c R:1 ce : 28 tr I
Total Daily Effluent: 600 CaI10r
A 25 " or 575 Callona Number of Uouca : I'er uc
2 or 43-70 Cal lona Dose Volume:' _CaIIQI
+11 " or _ 236.8 Ca I I o n u No cca : 1 . Sec pump curve for
p'- ~5 or 10C)_25 Cnllonu additional pa rformanca
Total 'l'ank information.
Capacity Rcquircd 964.75 Callona 2. Pump and alarm arc to Lc
inatrilli.:d on ueparac•! circuit
ALARM au per ILIIK 16. 19 WAC. -
tinnuf nccurer: Tave) Al am
tia~i c 1 I~umbc c : _ D
S w i t e 1 i Type. Float
page 6 of 7
S,
E Series rr
1/3 through 1-1/2 HP
Effluent Pumps
Performance Curare
CAPACITY LITERS PER MINUTE
0 50 100 150 200 250 300 350 400 450
100
cp 28
E30 n~
F~So 24 u)
cr
70 w
F-
LU h/~~ Op u w
L1 60 z
< so MF?S 1 w
W =
_ -
H 40 pro I ~
o
30
20 ME33
10 4
0 0
0 10 20 30 40 50 60 70 80 90 100 110 120 130
CAPACITY GALLONS PER MINUTE
F.E. Myers, A Pentair Company • 1101 Myers Parkway, Ashland, Ohio 44805-1923
419/289-1144 FAX 419/289-6658 Telex 98-7443
K33,7 7/91 Printed in U.S.A
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page - of
Labor 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 St. Croix
PARCEL I.D.
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or
dimensioned, north arrow, and location and distance to nearest road.
REVIEWED BY D ATE
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION
PROPERTY OWNER: PROPERTY LOCATION
Mike & Wilmer Youngren GOVT. LOT SE 1/4 NE 1/4,S29 T 28 ,N,R 18 lrl YI
PROPERTY OWNER':S MAILING ADDRESS LOT BLOCK # SUBD. NAME O I CSM x
304 Wasson Court
tPnOeOMMM
CITY, STATE ZIP CODE PHONE NUMBER EVOWN NEAREST ROAD
Road
erty
River Falls, WI 54022 b15)425-5809 Kinnickinnic Lil
[ J New Construction Use (x J Residential I Number of bedrooms 4 (J Addition to existing building
(xJ Replacement Public or commercial describe -
Code derived daily flow 600 _ gpd Recommended design loading rate .4 bed, gpd/ft2 .5 trench, gpd/ft2
Absorption area required 500 bed, 0~ trench, ft2 Maximum design loading rate .4 bed, gpd/ft2 .5 Uench, gpd/h2
plan benchmark)
i
to site ft
Recommended infiltration surface elevation(s) (as referred )
Additional design / site considerations Mound SyGtPm ki Y - -
Parent material Flood plain elevation, if applicable ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE LAT-GRADE SYSTEM IN FILL HOLDING IiM
U= Unsuitable fors stem EIS ®U 91 S O U ❑ S ®U CIS fil U CIS 91U O S 0 U
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence Bartoory Roots GPD!ft~-
Boring # Horizon in. Munsell GNU. Sz. Cont. Color Gr. Sz. Sh. Bed iTrc~, t
1 0-11 10Yr 3/4 None sl 1 m sbk mfr as 1f .4 5
1
2 11-27 10YR 4/4 None sl 1 m sbk mfr s .4 .5
Ground 3 27-36 10YR 5/6 f1 f sl 0-M sbk mfi as NP NP
elev. ~
100.33ft. 4 36-50 10YR 7/6 Rock Mostl lineston & a little is NP NP-
Depth to -
limiting
fact
Remarks:
Boring #
1 0-18 10YR 3/4 None sl 1 m sbk mfr as 1f .4 .5
2' 2 18-29 10YR 4/4 None sl 1 m sbk mfr gs 1f .4 .5
3 29-53 10YR 5/6 1f1 sil 0 m sbk mfi gs NP i NP
Ground
elev. 4 53-69 10YR 6/2 c2d silcl 0 -.m mfi ~~m 1:
100.7Ct.
Depth to 5 69-8 10YR 7/6 Mostly limes one R k and a 1' the NP
limiting
factor
Sr
t7 49
2911
1,t
Remarks:
CST Name _Please Print Phone' 715) - 4 ~CF 4'
Steiner Plumbing & Electric, Inc. (
Address: N 230 H' g way 65; River Falls WI 54022
Signature: Date: CST Nurnw
June 23, 1993 3074
l
PROPERTYOWNER Mike & Wilmer YoungrenSOIL DESCRIPTION REPORT Page _'of
PARCEL I.D. tr
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots G P Dlf r'
- -
in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. Bed ;Tru ui
3 1 0-15 10YR 3/4 None sl 1 m sbk mfr as 1f .4 i.5__
2 15-30 10YR 4/4 None sl 1 m sbk mfr s 1f .4 .5 _
Ground 3 3o-38 1 OYR 5/6 1 f1 silxl 0 - m mfi gs NP INP
elev. - -
101.78 ft. 4 8-46 1OYR 7/6 Mostly lim stone Fock and a little s 1 NP NP
Dapth to
limiting
factor
30.. - -
Remarks:
Boring #
1 10-8 10YR 3/4 None sl 1 m sbk mfr as 1f .4 .5
_ .4.. 2 8-29 10YR 4/4 1 f1 sl 1 m sbk mfi gs NP NP
3 29-40 10YR 5/4 c2d sl 0 - m mfi NP NP
Ground
elev.
ft.
Depth to
limiting
factor
8"
Remarks: -
Boring #
ii
Ground
elev.
-
it.
Depth to
limiting
factor
Remarks:
Boring #
M.M
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
S60-8330(R.M92)
Plot ploy,
seal ~ 1''-~0'
10
1 D L^ t h
a.13~
14
JN l3o}lbr~ a{ S~dr"~
g oy, Neu s c Fk V, 1D0
kte" '/oulrch ® y
U I
0)D Sysfc>„ D«k y ~raroo•~
No It, Q
00cp
60 1 ;e~t)c 8M
~S
Char
T
~ O
~lueil
~ ~ Slope i
t3 ,
r ® 1 02 a/e
Z ~
~3
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page _ of
L.gor and Human Relations
- Division of Salary & Buildings in accord with ILHR Adm. Code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but St. Croix
PARCEL I.O.
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or
dimensioned, north arrow, and location and distance to nearest road. REVIEWED BY GATE
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION
PROPERTY OWNER: PROPERTY LOCATION
Mike & Wilmer Youn en GOVT. LOT (Zr Ua ?IF 1/4,S 29 T 28 N.R NOW-1 18 PROPERTY OWNERS MAILING ADDRESS LOT I BLOCK it SUED. NAME OR CSM
+y
304 Wasson Court
'
CITY, STATE ZIP CODE PHONE NUMBER ®dW0Q=Vd& [SOWN NEAREST ROAD
River Falls, WI 54022 (715)425-5809
(J New Construction Use J xJ Residential/ Number of bedrooms 4 (J Addition to existing building _
Replacement ( J Public or commercial describe -
Code derived daily flow 600 gpd Recommended design loading rate • 4 bed, gpolft2 •5 trench, gpdih2
Absorption area required 5 000 bed, h2 trench, ft2 Maximum design loading rate __,4 bad, gpolh2_,.5_trench, gpd/R2
Recommended infiltration surface elevation(s) It (as relerred to site plan benchmark)
Additional design t site considerations
Parent material Flood plain elevation, if applicable ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT.-GRADE SYSTEM IN FILL HOLDr;G 1ld.n
U= Unsuitable to( system D S fill ®S O U ❑ S ®U C3 S ®U ❑ S ®U CIS )El u
SOIL DESCRIPTION REPORT
De th Dominant Color mottles structure Roots
Boring # Horizon P Texture Consistence Bo1 rmy
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITrl+a,
f .4
1 0-11 10YR 3/4 None S1 [1--m --;bk mfr a 1
1
2 11-27 10YR 4/4 None sl 1 m sbk mfr 99 .4 l_.5
I NP
CuOUnd 3 27_36 10YR 5/6 f1f sl 0 m sbk mf i as NP
elev.
100.33 ft. 4 36-50 10YR 7/6 Rock MostlV re limesto & a little 1 N NP_
D,;pth to -
limiting
Lclor
27"
Remarks:
Boring #
1 0-18 10YR 3/4 None sl 1 m sbk mfr as if .4 .5
..2 2 18-29 10YR 4/4 None sl 1 m sbk mfr gs if .4 .5
3 29-53 10YR 5/6 1f1 sit 0 m sbk mfi NP ITP
Ground
elev. 4 53-69 10YR 6/2 c2d silcl 0 - m mfi s NP NP_
100.,_70 It.
5 69-80 10YR 7/6 Mostly limestone R k'and a Little si NP NP
Depth to
limiting
factor
29"
V
Remarks: - -
CST Name:-Please Print Phone:
Steiner Plurtbing & Electric, Inc (715) 425-5544
lrldress: ?20 Hi h 5• River Falls WI 54022
Oate: CST Numt,cf:
gnatur~: June 23, 1993 3074
PROPERTY OWNER Mike & wilmer yQ]X enSO1L DESCRIPTION REPORT rage-.a
PARCEL I.D. 0
Consistence Bwrtary Roots
Boring # Horizon Depth Dominant Color Mottles Texture Structure GPU
in. Munsell Ou. Sz. COM Color Gr. Sz. Sh. Bed ;1awl
1 0-15 1OYR 3/4 None C;1 1 m chk mfr ac 4i_.5-
3
r 2 15-30 1 OYR 4/4 None if 4 5
Ground 3 30-38 10yr 5/6 1f1 silcl 0 - m mfi s NP 1.-NP.-
it. 4 38-46 1OYR 7/6 Mostly limestone Rock and a little sil NP NP_
10 1 V.
u,:pth to
tinkling
lactoor011
Remarks:
Boring # 1 0-8 10YR 3/4 None sl 1 m sbk mfr as if .4 .5
4 2 8-29 10YR 4/4 1f1 sl 1 m sbk mfi gs NP _NP
3 29-40 10YR 5/4 c2d sl 0 - m mfi NP _NP
Ground
elev. - -
Depth to
limiting
la~t~
Remarks:
Boring #
Ground
elev. -
tt
Depth to
limiting - -
[actor
Remarks:
Boring #
Ground
elev.
It
Depth to
limiting - -
lactor
Remarks:
S(10-83300.0"2)
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER//,,-'i,,/ F £ am. /O~•GM /~t°f'j
ADDRESS: I/ r~ FIRE NO :
LOCATION: 56 1/4, /V 1/4, SEC. 9 T N-R LLw,J'
TOWN OF: ST. CROIX COUNTY
SUBDIVISION: LOT NO.
Improper use and maintenance of your septic system could result
in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or
sooner, if needed, by a licensed septic tank pumper. What you
put into the system can affect the function of the septic tank as
a treatment stage in the waste disposal system:
St. Croix County residents may be eligible to receive a grant to
help with the cost of the replacement of a failing system, which
was in operation prior to July 1, 1978. St Croix County accepted
this program in August of 1980, with the requirement that owners
of all new systems agree to keep their system properly
maintained.
The property owner agrees to submit to the St. Croix County
Zoning a certification form, signed by the owner and by a master
plumber, journeyman plumber, restricted plumber or a licensed
pumper verifying that (1) the on-site wastewater disposal system
is in proper operating condition and (2) after inspection and
pumping (if necessary), the septic tank is less than 1/3 full of
sludge and scum. Certification from will be sent approximately
30 days prior to three year expiration.
I/WE, the undersigned have read the above requirements and agree
to maintain the private sewage disposal system;in accordance with
the standards set forth, herein, as set by the Wisconsin DNR.
Certification form must be completed and returned to the St.
Croix County Zoning Officer within 30 days of the three year
expiration date.
SIGNED• ~
DATE : G 17-9~
St. Croix County Zoning Office
911 4th St.
Hudson, WI 54016
t `
. APPLICATIONFOR SANITARY PERMIT
STC-100
This application form Is to be completed in full and signed by the ovnet(s) of
the property being developed. Any Inadequacies will only result In delays of
the permit Issuance. -Should this development be intended lot Lela h by
ow+ot/contcactot,(spec house), then a second form should be retained and
completed when the property is sold and submitted to this allies with the
appropriate deed recording.
r•-------------------
of e E _:►f *
.Owner property
A/ C
Location of property < ~/4 .LL1c._1Mr Section T 1•It Y
Township • ysr
x
McIIIn 9 addcass ~ V.
~
Z
Adeceaa of site
subdivision name. •
Lot number
Previous owner of property n1
Total else of parcel -
Date parcel was created ~f9
_~J1o
Ate all cornets and lot lines identiflablet ✓r an
is this property, being developed foc resale tapec house)? as
V01904 -and Page Number _ as recorded with the Register of Deeds.
INCLUDE WITH THIS APPLICATION THII FOLLOWING!
A WARRANTY DIED vhtch Includes a DOCUMENT NUM8aR, VOLUMS AND PAOS MMBZR, and
the SEAL OF THE RSaISTBR OF DBBDS. In addltlon, a cattifled survey, it
available, would be helpful so as to avoid delays of the reviewing process. If
the deed description references to a Ceitifled Survey Map, the Cettllled Survey
Nap shall also be requited.
PROPERTY OWNER CERTIFICATION
t(vel certify that all statements on this form are true to the best of sky (out)
Rnowledgel that I (we) any (ate) the owner(s) of the property described In
this Intotmatlon form, by virtue of a warranty deed recorded In the office of
the County Reglater of Deeds as Document Ho. ) and that t (we)
presently own the proposed site for the sewage disposal system) (at I (we) have
obtained an easement, . to run with the above described ptopetty, tot the
construction of said system, and the same has been duly recorded in the office
of the County Register of Deeds, as Document No.
S yn ! e vnee Signature of Co-owner ill J►OPilea01e1
Date of Signature Data of Signature
~ r
~I DOCUMENT NO. STATE BAR OF WISCONSIN-FORM 1
it 31495, BOOK 495 PALE 23® THIS SPACE RESERVED FOR RECORDING DATA
~I ~
kEGISTERS OFFICE
THIS DEED, made between Wilmer and Delores Yo rnggrPn, h»chanA ST, CROIX CO., WIS.
~I and wife, and each in their Own right.
fl - Recd for Record this_ 8th
Grantor day of_ iY Sa A.D. 1973
and Micha 1 F Yniing$Levi t_ :00_ p
i; - Grantee,
'i - W i t n e a a e t h. That the said Grantor for a valuable consideration Star pf
I
conveys to Grantee the following described real estate in St. Croix County, RETURN TO
i
State of Wisconsin:
~I
I
East 660 feet of the North 330 feet of South 660 feet TaxKey# 8
i! of the SE34 of NE4, Section 29, Township 28 North, This is not homestead property.
Range 18 West, consisting of five (S) acres more or
less.
I'
c
I' FE
i
EXEMPT
i
i
~I Together with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining;
And Wilmer an_d_ Delores
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except
i
i and will warrant and defend the same.
!
ji Executed at Iiv,Qr Fa11 cWjgconsl this--27th day of 19--- .
i
I
i
~j SIGNED AND SEALED IN PRESENCE OF (SEAL)
Wilmer ounggren
- -
n ( :rr1 (SEAL)
- - - - - ~ -DEaQ re s._Y _unggren - J---_ _ .
r
(SEAL)
1
(SEAL)
I
Signatures of -Wilmer. Younggrea-and__Delores- Younggren
authenticated this 27th day of y 73 _
- - - Februar
-Bye - - - -
Title: Member State Bar of Wisconsin or Other Party
Authorized under Sec. 706.06 viz.
STATE OF WISCONSIN 1
ss.
_ _ County. ~I
1
Personally came before me, this day of - ---------__--------------_--_-_T__--
the above namcd__ 19 -
,i
to me known to be the person-__- who executed the foregoing instrument and acknowledged the same.
I'
This instrument was drafted by
Notary County, Wis.
The use of witnesses is optional. My Commission (Expires) (Is)
- - I i
Names of persons signing in any capacity should be typed or printed below their signatures. v
M.C,MdlerCmgsry M
Ii WARRANTY DEED-STATE BAR OF WISCONSIN, FORM NO. 1 - 1971
i -
I