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HomeMy WebLinkAbout030-1088-70-050 o o0 M ~ 06- > ~ c I oa 0 0 o I N N N 0> w0i Oat ~ I tl I N C Z U. c o I 3 I a I 0 CD w z E N U 00 O z a m Cl) oI- z 0 O Z c 0 ~ w v O N F C a) z i~ Cl) N c 1 Oka .2 1 l a o p ZZZ Z N rn c c N E N 0 EL 0 co 0 93 a a - Z N> O> U w FL U) z 00 0 3 5 IL a. IL o ° rn rn co N -j Q 5M°' O Z O - - Cl) 2 o o O O w O O ° co N = a V c w ) ma w 0 m a a z in o M 7 « Ai + LO G M H! C p O 30 C ~ N O CC O p p N C = a l co L j l6 N N v O OMO N U _O N C N D Z co In N V 'O n O C d • Lj^~)l cO O MC;) O H O R U L O M U) a O z z t cn r~ ~ = II y € a L: IL r`IV a v c c A t~a~ onci Y 4 ~ q STC - 104` AS BUILT SANITARY SYSTEM RE,il OWNER c ~rv✓ CLi4 / RA if K.5 ADDRESS `3b j Oe/~ LUEST.~~ SUBDIVISION / CSM#SO !/LSE /d. ,'~19 G LOT # SECTION 3_TL30 N-R_W, Town of ~Slr ~-To,rE.o ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM N ~d00 GL S 4 q~ goo GC. h ~h cv~c~ 8 `sO Ret> ,r. a 9 k' Mo S C.AI 1 = 1/0' u~- 0 INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: / N $ reel -P/R,6- ALTERNATE BM: %00 //GclSb= ©Lon F~MQAr/rai. SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: e,y&ex'S Liquid Capacity: S.?, IOc1OE-e_ /~G met. Setback from: Well 16p 7- House 30' Other Pump: Manufacturer ZocC(,E/j . Model#5?&d Size fiAg Float seperation Gallons/cycle: /2,0, Alarm Location SOIL ABSORPTION SYSTEM Width: B Length 60 Number of trenches Distance & Direction to nearest prop. line: Setback from: well: 80. House 33` Other ELEVATIONS Building Sewer ST Inlet ?7,1,6 ST outlet e/ PC inlet PC bottom Pump Off Header/Manifold /03,.37 Bottom of system 102,75- Existing Grade Final grade .00 y, ~2 DATE OF INSTALLATIO : 9- ?q PLUMBER ON JOB: Cie 4ZZ:~ LICENSE NUMBER: 3aIC3S INSPECTOR: 3/93:jt I~ 'WtSl&rtsfn''D'irTFi'arthP2'ht,AQ§gH 30.30. County: Labor and Human Relations ] }E SEWAGE SYSTEM . ` Safety and Buildings Division INSPECTION REPORT . (ATTACH TO PERMIT) Sanitary Permit o.: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village R Town of: State Plan ID No.: PARKS, CLAY IN E III DANISE MIST, JOSEPH CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 12 %,S TANK INFORMATION ELEVATION DATA A9300200 /d TYPE 1 MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic GU ~~yJ Q( / GD Benchmark Dosing Aeratlo Bldg. Sewer Holdin St /WInlet ` TANK SETBACK INFORMATION St/,OK Outlet 9~4 TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake 12.o 07 Septic >Slj' 25 NA Dt Bottorzffl Dosing ' ~ZS 30 3 NA Header/btm Aeration NA Dist. Pipe ? 5/v Holding Bot. System ~O p3, ~O ,BDWINFORMATION Final Grade PUMP/StP Manufacturer vc ,F . Demand Model Number GPM TDH Lift Friction System TDH Ft oss Head Forcemain Length Dia.// Dist. ToWell > SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length, / No. Of Trenches PIT No. Of Inside Dia. Liquid Depth DIMENSIONS / DIMENSIONS LEACHING Manua rer: SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM INFORMATION Type O /1- / CH Moe Num er: System: M~~- _d 5 G~. 3 OR UNIT DISTRIBUTION SYSTEM Header / Ma gold Distribution Pi`p~e(s) x Hole Size r. x Hole Spacing Vent To Air Int ke ~0 6 length Dia. o~ Length T ~ Dia. L4Z Spacing 1 152 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Q , Depth Over xx Depth Of xx Seeded j. Sodded xx Mulched Bed LT enter Bed 14tenek-Edges Topsoil ~p es ❑ N ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: ST. JOSEPH 30.30.19.321 . r E J t F i \~~..JJJ r N _ 6w, ;1 42 Ian re siongwred. Yeses ❑ No Q S-- Use other side for additional information. A ~SB~.D-6710 R 05/91) Date inspector's Signatu a Cert. No. ADDITIONAL COMMENTS AND SKETCH - s , SANITARY PERMIT NUMBER: E 1701LHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 3 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. S q 3 -0a PROPERTY OWNER PROPERTY LOCATION C[ %4,7 F%,S 30T,70 N,R E( )W PROPERTY OWWEF;f S MAILING ADDRESS LOT # BLOCK # OU/0 :S% AIA CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME O CSM NUMBE 11. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD ❑ State Owned VILLAGE : ~ ~ QWN ❑ Public ❑ 1 or 2 Fam. Dwelling-# of bedrooms _ PAR GEL T-- OF:-- -UMBER( ) 11111. BUILDING USE: (If building type is public, check all that apply) 30-10-96 -70 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. X New 2. ❑ Replacement 3. ❑ Replacement of 4.0 Reconnection of 5.0 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 K Mound 30 El Specify Type 41 El Holding Tank 12 El 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 *1540 1 ~Iw yGb ♦ 5~ 103 Feet /6a _R Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New lExisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed IM-0 I I_ Se tic Tank or Holdin Tank 2G I El El El I El Lift Pump Tank/Si hon Chamber JqW R66 1 VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsits sewage system shown on the attached plans. Plumber's Name (Print): Plume s Signature: (No Sta ) M Business Phone Number: /277 S Plumber's Address (Street, City, State, Zip Code : IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature Ba4wPps) 1:1 Approved El Owner Given Initial Surcharge Fee) ~ 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 F 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 sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or :site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DIL_HR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, 'ocation of holding tank(s), septic tank(s) or other treatment tarks; building sewers; well!,, 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. - - - - - - - - - - - - - - GROUNDWATEIR'SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies r.c=oiected through the=se surcharges arr- used for iw ;woring gr0LW:dwvter, ground- water contamination investigations and establishment of standardn,. SBD-6398 (R.11/88) 'Pe2 2 PROJECT INDEX SH" FT OWNER: Cola - `126 - 76 7 7 ADDRESS : 2 ~/O /3/,PGIv ST. Gv~.E,Q~%1/l Lam, , /Lfi:vv • ,~✓r//O vo/. ~4 . Z t S. ( c ecs SITE LOCATION: GD t Z 4'5 s 7750 AJ UJ %y S t iy, SE'c , 3 10 , T 3 O f c~J ~:v u o~ ST. TosE,a fi`- PROJECT DESCRIPTION: ST Cleoi'X 400-07)1 fob NE~CJ Lp,c~S TA°Uc 7-loA3 ~~.~•tE ~S . /"~f}'.viv~~ . , ~STi'~lA T~0 D~t~'c~ GUTS?z~~04.~ sE~sov~~~ y Gc~ T ~T Ca,U UE•cJ TiD•u~ L x-10 o va <-y s 7-4~7.41 /'ss ,~~Popos~D - , PAGE 1. PLOT PLAN VIF';JS PAGE 2. MOUND CROSS SECTION & SYS-37 M PLAN VIEWS PAGE 3. PIPE LATERAL LAYOUT .PAGE 4. DOSING OR SIPHON CHAMBER CROSS SECTIONS PAGE 5. PUMP PERFORMANC" SPECS OR SIPHON SPECS S93-02340 PLUMBER: DESIGNER Goiv e DATE: _ U D~1111../600 SIGNATURE : •~,r Alin s P ' Q = ~ Xi'S tia G- y/lA-O~" C/E~JrFTio~us' < Dt"TE P A4 t'•V D R Y e S C6-4 e*P ,rrv is ,yo s T ZWI~foem "e l+ 6- h ~9ov~o /3e~ /S /G co ~ , w sys r~~, ~30 1~7- 103,5 0 PQopoSefl cell r. ~ ~'~Ev~r~o,~_Y ✓oo d ~ 1Kh~ 11v' ' + \ ~ Uv P rv 0 pew 1000 6&a Jew t4 tivr /EVi4To~ 579'10' PEtCAs r aye EI_ l 5 5 W ~tKS i .50i Cd AJ C, a E'r t CrV . 1 o S"d ~~A l of a ,OUG FOAOCE Al fl v 1 ~Z s93.02340 M O ~I G4,e s ~w ~P. FGEV~Tion~S Tai OF Rock,,. /D y 3 0, Page Top OF ATC P A L S 7• /2- ~ Synthetic Covering Distribution Pipe Medium Sand : y sreM ErevAn•w Topsoil F /D3 .Sd ._J E D r" 3 uN~ R 'E3~D ~ • Sic % Slope tForce Main Plowed Bed Of 2r _ Main Plowed /oZ-S Aggregate Layer D /-0 Ft. ~QI•~O , E s Ft. ~ F, ro~i; Sectio Of A Mound System Using . F -'0 Ft. < , , ~y ° B¢ or The Absorption Area G /,0 Ft. Ft . A . Ft. H a B Ft. K /ors Ft. fC k' - J~ O U L 1\ L Ft. o J~ vJ` 8 Ft. Ft. Lo W Ft. /I~g/•tJ L Observation Pipe - K ° A ` ON i.. W l,_1------- r ~ r Distribution Bed Of i Pipe Aggregate Observation Pipe Permanent Markers y pve c4m--v Roos • S93 -02 40 Plan View Of Mound Using A Bed For The Absorption Area ~~Qc~i,t~~D • ~~}S~L sf~E = OA~z~/ wA5 7E F/c~J y.~~ ~ld'O sQ. Gr. ~~PoPos~O ~'~sA-L ~o x 3 - /o,SO so. yT C Page 3 Of _ 0/ L2 U o /V144 E wok 5'D F~' ot" Luc FoRCF' S4s - ~VlAc€ /As r k % Perforated Pipe Detoll uvie1'6-ti r Fk v~cv~E vA(v 4 7-1'o,..) 0 End View )Perforated End Cop y~ PVC Pipe Holes Located On Bottom. Are Equally Spaced • R Q w Q PVC Manifold Pipe r Distribution Isr pipe Hole Should oil Neat To End M~~f otD/ Distribution Pipe. Lay-:;at P Ft r X(00 Inches W Y GD Inches t t iL ra t ' k ; Hole Ui ameter Inca, lateral Inch es) Manifold " Inches Force Main Inches c LNG rl of' holes/pi pe__/d__ Invert Elevation of laterals; Ft. Ti5TR 6V T't0~1 ~15GHA RGE R FoR E,o,~C 1i L.PtTER /~L rRnr' OTiS rP 7 M1N S93 0234 0 -TOTAL- "DisTR1eUrl0^j RG E RhrE FOR McTwo RK 23. yO .~2 ~•5" Lj i'wI'Al Vrt a~ 3 PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS BOA yE l or- S VEWT CAP M'C.I. VENT PIPE fF . WEATHER PROOF APPROVED LOCKING JUNCTIOM BOX MANHOLE COVER 25' FROM DOOR, W/ 4v4t,1J/, 1AACI WINDOW OR FRESH 12 MW. AIR INTAKE I i/1AD~ J,.1'10Al GRADE I `i"MIIJ. - ~p.35 I9" Milli. CONDUIT y10 IElbf f► ON P 40 INLET TtGHTES lL;~ ~ t, I I i I I~,O IV ` b~ All APPROVES JOIATe APPROVED JOINT A INS ,v~` , L . ( W/C.I. PIPE I I.TENDIPING PE 3' I A EXTENDING 3' EXTENDING ONTO SOLID SOIL OIJTO SOLID SOIL B a % O Yom` ' yf) I I C t \p~5 { ~~f r ELEV. FT PUMP _i OFF D '1 A~ BLOCK ~leV>'tfiod { c~a,.~ ✓ RISER EXIT PERMITTED ONLU IF TAWK MANUFACTURER HAS SUCH APPROVAL SEPTIC E 5PECIFI.CATIOUS DOSE 4o'-,Lc v at~ TE TANKS MANUFACTURER. IJUMBER OF D05ES: PER DA-4 TANK SIZE: QOO STRti7f~hGR NS DOSE VOLUME GEUEL fFL/FIeM ~o INCLUDING eACKFLOW: /c;2-097 GALLONS ALARM MANUFACTURER: MODEL NUMBER: CAPACITIES: A = ~4'$ INCHES OR 300 GALLONS 1'LeIQC URx '~1 C7 I4T B ° Z INCHES OR '3 LOAIS SWITCH TYPE: Allow PUMP MANUFACTURER: 706/IER C; INCHES OR fALLLOWS "I AAWL4 MODEL NUTAZEK. q p /2- N P 116 U D= -'-IkGHES OR ~ALLONS SWITCH TYPE r 1666 FA u< HERCU"y F/0*T-uOTE: PUMP AUD ALARM ARE TO BE INSTALLED ON SEPARATE CIRCUITS MINIMUM DISCHARGE RATE- 10 O S~~GS VERTICAL DIFFERENCE QETWEEN PUMP OFF AND DISTRIBUTION PIPE.. /6'~EET A + MIIJIMUM METWORK SUPPLY PRESSURE . 2 5 FEET FAGIn, + J FEET OF FORCE MAIN X ' . / FY0 FT.FRICTIOU FACTOR.. '77 FEET Z-4OA TOTAL O'JUAMIC. HEAD = /3' 3- FEET / IIJTERNAL DIMEIJSIOWS OF TAIJK: LENGTH WIDTH --~;LIQUID DEPTH °`~•S93-02640. • /if "EAD CAPACITY CURVE 3 7/8 6 1/4 MODEL "9th" 30 4 5/8 25 I 3 5/a t z 6-20- m + + I O 15 4 3/16 19 4 _ I O 10 f- 1 1/2-11 1/2 NP7 2 0 U.S. GALLONS 10 20 1 1 30 40 50 60 70 80 UTERS. 80 160 240 i z 0 FLOW PER MIWUTE i TOTAL DYNAMIC HEADIFLOW PER MINUTE }F EFFLUENT AND DEWATERING CAPACITY 12 ` HEAD UNITS/MIN I ~I FEET METERS GALS LTRS 5 . 1.52 72 273 f - t 10 3.05 61 231 h 1$ 4.57 45 170 _ L_J 3 5/16 y` 20 6.10 25 95 r , Lock VW e - 23' - T r ' a CONSULT FACTORY FOR SPECIAL APPLICATIONS m Beptrical.alternators for.duplex systems, are available and • Mercury float switches are available for controlling single and supplied with an alarm.: three phase systems. f l; ~►p t echani al' alt,ernators, for duplex systems, are available with or • Double piggyback mercury float switches are available f Jr i without alarm,Iswitches, variable level long cycle controls. f SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control requiretl. StandArd all models - Weight 39 lbs. - 1/2 l" I.P. 2. Single piggyback mercury float switch or double piggyback rpercury, float 98Serles Control Selection switch. Refer to FM0477. i Model ' Volts-Ph Mode Amps Simplex Duplex 3. Mechanical alternator 10-0072 or 10-0075. r M 115 1 Auto 9.0 1 or 1 & 7 4. See FM0712, for correct model of Electrical Alternator, "E-Pak". 5. Mercury sensor float switch 10-0225 used as a control activator, specify 115 1 Non 9.0 2 or 2 & 6 3 or 4 & 5 duplex (3) or (4) float system. D96 230' 1 Auto 4.5 1 or 1 & 7 - 6. Four (4) hole "J-Pak", junction box, for watertight connection or wired-in sim- : 1x94 230. 1 Nan 4.5 2 or 2 &6 3 or 4 &5 plex or duplex operation, 10-0002. 1 7. Two (2) hole "J-Pak", for watertight connection or splice. l ' s CAUTION For information on additional Zoeller products refer to catalog on Combination Starter, FM0514; All installation of controls, protection devicgs,and wiring should be dons by a gwli 1 Piggyback Mercury Switches, FMO477; Electrical Alternator, FMO486; Mechanical Alternator, tied licensed electrician. All aractrical and safety codes should be followed includ- F M0495; Alaimq Packagf, FM0513; Sump/Sewage Basins, FMO487; and Simplex Control Box, Ing the. awet recent National V*utrle Code (NEC) and the Occupational Safety and F°M9Z32. Heahh Act (OSHA). RESERVE POWE~D DESIGN 'trl' 1 J For unusual conditions a reserve safety factor s ertglneered into the design of every Zoeller oump. Louisvil e, KY 40256-0347 Manufacturers Pf . 1502) MAIL TO. P.O. Box 16347 SHIP TO.3280 01d Millers Lane LouisviJ;e, KY 40216 QUAL/TY/~GMPS ~iA'cE /9a . 778 2731 • PAX (502) 774-3624 93 S -4234 0 I_ i Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but 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. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Clay Parks GOVT. LOT NW 1/4 SE 1/4,S30 T 30 N,R 19 ft(or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 2210 Birch St. 2 na vol 8-page 2196 CITYSZ~TE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE GOWN NEAREST ROAD 1 a Bear Lake, MN, 55110 (612)426-7677 St. Joseph Co. Rd. #E [ANew Construction Use J Residential / Number of bedrooms 3 [ J Addition to existing building j J Replacement [ J Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 trench, gpolft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd$ trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design/ site considerations B4-6 Addend to soil evaluation of 7-12-93 Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for system ❑ S ®U [2S ❑ U ❑ S a 13 S KI U ❑ S )El U ❑ S JOU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bourid3y Roots GPD/ft L Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rerxil 4 >:I 1 0-7 10 r3/3 none 1 2msbk mfr CrW 2f .5 .6 2 7-14 10yr4/4 none sl 2msbk mfr gw if .5 .6 Ground 3 114-28 7.5yr4/4 none sl 2mgr mvfr na na .5 .6 elev. ? na ft Depth to 'limiting factor +28 Remarks: Boring # 4.sa 1 0-6 10 r3 3 1 1 2msbk mfr gw 2f .5 .6 5 # 2 6-16 10yr4/4 none sl 2msbk mfr gw if .5 .6 3 16-25 7.5yr4/4 none scl 2msbk mfr na na .4 .5 Ground elev. na ft. Depth to limiting factor +25" Remarks: CST Name _Please Print Phone: Gar L. Steel 715-246-6200 Address: 1554 200th. Ave., New ichmond, WI. 54017 Signature: Date: CST Number: cstm 2298 6-16-94 I ~.4 /5~, t PROPERTyOWNER Clay PaRKS SOIL DESCRIPTION REPORT 2 Page _ of 3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Barxi3y Roots GPD/ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed ITrench '.a6..'_ 1 0-8 10yr3/3 none 1 2msbk mfr gw 2f .5 .6 <y::;..;.zs 2 8-28 10yr4/4 none sl 2msbk mfr na if .5 .6 Ground elev. I na ft. Depth to limiting faclo 8 Remarks: Boring # Ground elev. ft. Depth to limiting factor FT F F Remarks: Boring # Ground elev. ft. Depth to limiting factor I J Remarks: Boring # Ground elev. ft. Depth to limiting factor i I Remarks: SBD-8330(8.05/92) k STEEL'S SOIL SERVICE 1554 2.00th A.rp - Garv L. Sleet 3W-'Ff-' r"? W C.S Clay ~ar).cs New Richmond, WI 54017 .T. 2298 twl-SF;.530-T301T-R1QW MPRSW-3254 (715) 246-6200 town of St. Joseph lot #2-vol. #8-page 2196 Ylc~ -44C /4 41 Ia b th, al Garv L. Steel 7-12.-0' FILED Q APR 2 01990► 2 JAMES O Dceds Deeds LL 457750 Register of of D t I SL Croix Cm, WI 4 CEP T .T E-TED SUP V E Y M Located in the NW 1/4 of the SE1/4 of Sections 30, T30N,R19W, Town of St. Joseph, St. Croix County, Wisconsin. Surveyed for: Joseph Nolde 815 Everett Drive' Stillwater, Mn. N 1/4 COR. 55082 . SEC. 30 3/J T30N, R19W h Q ,.~w Q:/ UNPLATTED _LANDS _ J AST - WEST 1/4 SECTION LINE W 1/4 CDR. SEC. 30 0 l S 89 -46-'-12"E 13114156' 2532.?3' 0 COU_ry7 ''^-845.66*G jAeLE - s' E~!►.e~' NII°51'56"E 468.90 , S 89046 12 ~ - Y ~~\wIDTtt 3 a N O 0 M LOT N88061 '35"E ,TRH ~ x-' 132,300 SO. FT. EI/4 COR. v 'Nk 3.037 AC. = 3 SEC. 30 Pte. \ \ N Q) ( to I ~0 O w1 DRIVEWAY\ \ 3 t 0 >1 n l I ?ry r 1 cr wl 2 I 1 I Iro1 m SHED N \ 10 \ olal a I LLd 1 m ° \ ei WI ~1 '1 / Mi Ir Q)I m c f N N. \ u 1 HI al QI \ yea HI '~I / pl V)10-1 + LOT 4 \ 'fi` * •s (Yl al >1 -if wl~ (~l 556.048 SO. FT. o (xc( ul W1 I iO 12.765 AC. 0 1 !t -10 n a k s-1\ I 0 to J& to WI >I 0 W m CU n aJt^ / VI " m a w n 0 I() • • \ I 4n ~ 1tJ \ LOT 3 W w (3i ~o N N co 506.619 SO. FT, ~trF to o °1 \ W O 0 M 11.630 AC. - °D o 0 Z J O 0" m LOT 2° l' z Z o 356, 353 SO..FT°- U) 0z- • < 0 8.18 AC. ° I 1= NOTE: Found z INCL. R-o-W I 1U N iron is S44°07'34" E 341.561 SQ,' FT. vl 1 - of computed o 7.84 AC. w o~ position, 18.14': Excl. R-o-w _ 0 ZI x m a of z A ~ f 1 I QD uil ILI V) 0 co _ o %Ij 1 WI ZI 1265.09'---' 399.62 .gip JI Fx 432.74 432.73' . 453.00 y? tL F'1 1 o S 89'02'23"W 1318.47' e w n-'.I C31 z z z1 W ~I QI SOUTH LINE OF THE NWI/4 - SE I/4 SEE DETAIL ON N JI PAGE3 OF 3 Q CLI z~ UNPLATTED LANDS _ w SCALE IN FEET I"=250' O' 125' 250' 500' i LEGEND S 1/4 COR. SECTION CORNER MONUMENT ' SEC. 30 I" IRON PIPE FOUND APPROVED Bearings referenced to the East West 1 /4 section o 1 IRON PIPE WEIGHING 1.68 L BS,/LIN, FT, SET. APR Z O 1990 line of Section 30,• T30N,-4 FENCE R 19W . Assumed ST. CROIk COUNTY S89046'l2"E. I (R-250) PREVIOUSLY RECORDED CO Mt EMla G s IPL "r, INFORMATION. VOLUME 8 PAGE 2196 PAGE OI OF 3 490- 1697 DRAFTED BY JWG J S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER UYER_ 'i t At~Z7 C: ~1yT tj ( / K ADDRESS :Q-3 0L-_D C : RD . E • W L5T' FIRE NUMBER CITY/STATE 110LLL-rot .j ~Ilf[S af3 ZIP ~l PROPERTY LOCATION: AIW 1/4 , 5 fi=_ 1/4, SECTION SO , T 3D N-R__L~_W TOWN OF ~hfJt , St. Croix County, SUBDIVISION , LOT NUMBER Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by 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 for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification 'form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1). the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix Co. Zoning officer within 30 days of the three year expiration ate. SIGNED: ' DATE : lD - ~ZZ ! St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 f STC-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 pormit issuance. ,Should this development be intended for resale by owner/contractor,(spec house), thenta 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 7D~ LS f- (A -S P Aft S A-NI) eth-'-tro~ E -/1~LeqN Location of • property N.ul/4 51:-71/4, Section , T J N-R W Township ST_ F-o SP-1011 Mailing address DLD KCJc.. LMT FOAL E (/457• Address of site "0A subdivision name Lot no. Other homes on property? yes- No LL Previous owner of property -~,A N O ~ L Total size of parcel_ Date parcel was created /Q 'Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes No Volume and. Page Numbs: as ::eccrded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description .references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register :of Deeds as Document No. , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded 1n the c'fficr, cZ county Register of deeds as Document No. J gna re of applicant Co-applicant _Z Date of Signature Date of Signature - 514--. - - - - _ II DOCUMENT NO. WARRANTY DEED THIS SPACE a[•[flV[O y0a a[COIIOINO DATA i i , STATE BAR OF WISCONSIN FORM 2-1982 I , 457885 ; • 5~grAa - _ REGISTER'S OFFICE ............mosaph..8....NQlde..-3r.._...and_.Shi1=1Q.XJNalde.... ST. Reed cRoIx for co.. Record ~ . hus.band...and..rlife.............................................._.............. APR 2p90 M I ' conveys and warrants to ...Clay.toll-Emer.son-kar-ks...11-L qww a I U.*Ja=d...dad-vi te I I I,tTU114 TO i the following described real estate in ..St..._.Croix..County....... County, State of Wisconsin: Tax Parcel No: .Part of the NW} of the SE} of Section 30, Township-30 North, Range 19 West, Town of St. Joeeph, described as: Lot 2 more particularly described in i CSM recorded in Volume 8 page 2196 in the St. Croix County Recorder's Office, as Doc. No. 457750. i' I p"~~M .1 3 ~~.yta I! I i. I ( I, This i-a-acit_........ homestead property. (is) (is not) i I I Exception to warranties: 1 I j Dated this ...................2D.th day of ...........A0.Pr-il 19...9.0. j ;tr.. ♦-1..`... .L ..........(SEAL) (SEAL) Ii i .......................(SEAL) ...................._.............................._(SEAL) • • Sh rie............Nold.....•---- i ' ! I. AUTHENTICATION ACKNOWLEDGMENT j 1 STATE OF ca. ! Washingtop_._....._...County. authenticated this day of ..........................1 19 personally came before me this ..2-Qth.... day of ii April 19.90... the above named it h._A.._Dlo•] da JF, ar1e1• Shi ley' I J-_.-.No.Lda..... husba•,nd•-•az:~d -•w•-€•e i CONSIN j TITLE: MEMBER STATE BAR OF WIS j (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. ji THIS INSTRUMENT WAS DRAFTED BY _ - : z_L-No-lda.......................................... P.O. 119 n,tf+w o i Notary n r Wis. if note eta3s~ i St'iI "'r M S QS uex ration z _ g 7) y Co Ieplon aa ' pert'9nent. My (Signatures may a auwafthenticate or a now edged. Both ) y,i V 11Y i. are not necessary.) date: * 19. r~ F~-; Ft ' y,V corn - .,..✓raG.M` •Nama or persons slsoint in any capacity should be typed or printed Iwtow their ■I•n-ta j ►f~iMM'iOM r i~ _ - - STATE 8.%R OF NISCON6IN Stock No. 13002 tle MilarC W"M FORM No. 11- 1992