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HomeMy WebLinkAbout030-2009-90-006 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER /D7r'I °G!~ ADDRESS l?Q.3 ~yauif t ~(o~ SUBDIVISION / CSM# y?~7Z LOT # SECTION__7y T .36 N-R_Z;Z__W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM "v,GV /fRr~f , fei ~ 31 T' 1 = ~ r1, ' \ X41 pM INDICATE NORTH ARROW / c H~ r r ` ~rbAic 1Ak n e ion~information~o r v rse f t~s form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM: ~~lZdt•1O~a-~~~ Qssist~•~c. /CI.!D SEPTIC TANK PUMP CHAMBER / HOLDING..TANK INFORMATION Manufacturer: S Liquid Capacity: ovy Setback from: Well_A~ House Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SgI ~ 3ABSORPTION SYSTEM WA s7 3 Width: Length„,I , Number of trenches Distance & Direction to nearest prop. line: Ao Setback from: well: House > O ' Other ELEVATIONS q • 4e lea, o ST Inlet; Q7, (,:L ST outlet p7 PC inlet PC bottom Pump Off Ate y Of ~g Header/Manifold "`lf -S, Bottom of system Existing Grade Final grade d~ ~a ~o`. DATE OF INSTALLATION: ~l `~t o PLUMBER ON JOB: i LICENSE NUMBER: >4 INSPECTOR: 3/93:jt r o o o s V o • F" U i~ J M ~ z O v h ~ A a s ~ aO ~ I ~ i LN d d M 0 ~ f I i 7 S v9 Ail e F ~ ~ 8 O e 0©0 Y ~yt ti L 'T,6TAQV,ert4e` t.,fQt , H 34. 30. Labor and Human Relations AM A P SEWAGE SYSTEM County: Safety and Buildings Division INSPECTION REPORT ST. CF20IX (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 193476 Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: ST. JOSEPH TOM ev.. Insp. BM Elev.: BM Description: / Parcel Tax No.: w ezi /(/b, Chi ~Q QS 030-2009-90-006 TANK INFORMATION ELEVATION DATA A9300139 TYPE MANUFACTURER CAPACITY STATION B HI FS ELEV. Septic Benchmark i Dosi ` Aeration Bldg. Sewer 0 z 9j Holdin - - a St/ Inlet TANK SETBACK INFORMATION St/ t Outlet SL /07Q Veritto TANK TO P / L WELL BLDG. Air Intake ROAD Dt Inlet i f5'~Eo SepticS tr NA Dt Bottom Dosing NA Heacler7AIML_ 43-222 Aeration Dist. Pipe Holdicl9---- Bot. System PUMP/ SIPHON INFORMATION Final Grade Ma cturer Demand f Model Number GPM _ S.7d 6 6,Ch~ TDH Lift I Friction T m- f Loss ea Forcemain-1-Length Did. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length No. Of nches PIT Of Pits Inside Dia. Liquid Depth DIMENSIONS ~1 DIMEN 1 N LEACHING ufacturer: SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM INFORMATION Type Of fc-3 /CHAMBER Moe r: Systern:°.,r, OR UNIT DISTRIBUTION SYSTEM Header / Aa Lh ,s Distribution Pipe(s) x x Hole Spacing Vent To Air Intake Length, Dia. Length Dia. Spacing/Z SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded.. Mulched ,41e4 /Trench Center Bed-/Trench Edges Topsoil No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCAT ON : OSEP f qaw Qf r Plan revision required? 02-1'es ❑ No Use other side for additional information. U 9 =,2E -1 SBD-6710 (R 05/91) at inspector's Si nature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: 17 DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATEyftllTj4R~ 1~ -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 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNE PROPERTY LOCATION rI' Z21±2 zl~r 41_1' 6je _5'/. '/4, S T a, N, R E (or PROPERTY OWNER'S MAILIN ADD SS LOT # BLOCK # ©3 e 3 CI , STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER O o 3~' Z 0 7 OR, lfff II. TYPE 6F BUILDING: (Check one) CITY NEAREST _RO State Owned VILLAGE : ❑ Public ©1 or 2 Fam. Dwelling-# of bedrooms -7 PARCEL TAXN 13 ( ) 111. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo /h 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 40 Church/School 80 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. ❑ 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 ❑ 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 t A*-5, VI. ABSORPTION SYSTEM INFORMATION: ~r *Z WFO 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6µ : S S-A' LEV. 7. FINAL GRADE REQUIRED (sq..ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) *3 i9 j%PT.QN ~2_$_ 2- , SS # q. Feet Feet VII. TANK CAPACITY Site in gallons Total of Prefab. Fiber- Exper. INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Hold! n Tank 4.W_0 ~~446.& F1 I F1 Lift Pump Tank/Si hon Chamber Fj E1 I El F] VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite se ge system shown on the attached plans. P. er's Name (Print): Plumber's Signature: (No Stam #AP/MPRSW No.: Business Phone Number: i s Y a IF. 7 b s~0 Plumber's Address (Street, Oftf, State, Z' ode): .Z IX. COUNTY /D PAR MENT USE O LY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issue Issuing ent Signat a No Sta ) _S Surcharge Fee) i t 1/ Approved ❑ Owner Given Initial 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 9 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. Ali 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 appliclition must include: , 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the-system is.to be installed. II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakecs; 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) completi 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 lest data on a 115 fo[m; and F) all sizing information.' GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. i SBD-6398 (R.11/88) P i 7k 'k - - - xc O w IN ! x o N M W V'k 4 41, l h~ ~ w s V • O 0 x n r p 1 ~ ~ ~1 ' b _ ~ y,, 1 ~ ~ ~ w - w he ~ ~ ~ ~ r 0 V ~ 1 ' i~ ~tQy` / l 1_~ f) 1 ®'ji e ) 1 1 0 1.., • fi r r_ ~'y M -ter 7' i i 3 ~ z WiscoI in Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Lak 1?&' uman 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 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 Steve Henning GOVT. LOT SW 1/4SF 1/4,S34 T 30 N,R 19 3fXor) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # R.. R . #2 Box 328 A 3 n/a Henning CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE EjOWN NEAREST ROAD tliidson WT. 54016 ( nna St. Joseph Walsh Rd,. t*,New Construction Use [ x] Residential / Number of bedrooms 4 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate • 5 bed, gpd/ft2 • 6 trench, gpd/ft2 Absorption area required 120bbd, ft2 1000 trench, ft2 Maximum design loading rate . 5 bed, gpd/ft2 .6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 1 0 0 , 2 ft (as referred to site plan benchmark) Additional design / site considerations Parent material ou twa sh Flood plain elevation, if applicable n / a It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem )ER S ❑ U Q3$ ❑ U [Rfa ❑ U 9)8 ❑ U ❑ S ~J ❑ S x® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench F26-12 0-6 10 r2 1 none L. 2/m/gr mvfr c/w 2/m .5 .6 1 10yr4/4 none sl. 2/m/sbk mvfr g/w 1/m .5 .6 Ground 3 12-43 7.5yr4/4 none sl. 2/m/sbk mvfr g/w 1/f .5 .6 elev. 104~7ft. 4 3-88 7.5yr4/6 none Is. 0/sg ml n/a n/a .7 .8 Depth to limiting factor >8R Remarks: Boring # 1 0-14 10yr2/1 none L. 2/m/sbk mvfr c/w 2/m 1.5 .6 2 14-4910yr4/6 none sil. 1//f/sbk mfr g/w 1/f_ .2 .3 Groundv 3 9-86 7.5 r/+ 4 none sl. Z m sbk mvfr n /a n a .5 .6 elev. 104.71 Depth to 1® o limiting factor 0 n > 8 6 Ica 2 0 A C) n r~ Remarks: m CST Name:-Please Print Phone: Gar L. Steel 71- £ 6200 Address: 1554 20 ,6th. Av.e New Richmond WI. 5.4017 Signature: Date: umber: 4-23-93 2298 PROPERTYOWNER_ Steve Yenning-- SOIL DESCRIPTION REPORT Page _Z . PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Baxxl3y Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I ,,;Bed Trench `•i ' 1 0-12 10 r 2/1 none L. 2/m/ ,r. mvfr c/w 2/m .5 .6 2 12-24 10_vr4/4 none sil. 1/f/sbk mfr g/w 1/m Ground 3 24-53 7.5yr4/4 none sl. 2/m/sbk mvfr g/w 1/f_ .5 .6 elev. 103. 811. 4 53-84 1 5/4 none co. S. 0/sg. MI /a n/a .7 ::.8 Depth to limiting factor >84 Remarks: Boring # ':r<f:.. 1 0-12 10yr2/1 none I,. /m/gr mfr c/w 2/m .5 .6 4 r 2 12-24 1 r4 3 none sil. 1 f_ sb_r mfr g/w I/M .2 1.3 3 24-78 7.5yr4/4 none -s-sl 2/r.1/sbk mfr /a n/a .5 .6 Ground elev. 103.02 h Depth to limiting factor Remarks: Boring # 1 0-11 1.0yr2/1 none L. 2/m/gr. mfr c/w 2/m .5 .6 016 2 11-38 10yr4/4 none sil. _/f/sb?c mfr .,/w 1/f .2 .3 Ground 3 38-86 .5 r4 4 none S1. /m/sb): mvfr a/ /a .5 .6 elev. 102.62ft. Depth to limiting factor >86 Remarks: Boring # 1 0-9 10yr2/1 none L. 2/m/gr. mfr c/w 2/m .5 .6 6 2 9-31 10yr4/4 none sil. 1/f/sbt_: mfr /w /m .2 3 31-53 7.5yr4/4 none sl. 2/m/sbk mvfr g/w 1/f .5 .6 Ground elev. 4 53-86 10yr5/4 none co.s. O/Sg m_1 /a /a .7 .8 10 Sift. Depth to limiting factor >96 Remarks: SBD-8330(8.05/92) T STEEL'S SOIL SERVICE t554 200tti. Ave. Gary L. Steel C.S.T. 2298 Steve Henning New Richmond, WI 54017 MPRSW-3254 SGT%SE% S34-T30IJ-Rl9lT (715) 246-6200 town of St. Joseph lot #3, Henning Addn/ ,11 W© Q-IAV J, -L I'll %'e IL 11 00 r jib j ~ ) V 7. 171 r 401, FO /U.w VAKE a-4 ioo+- ST. CROIX COUNTY °i WISCONSIN w A ZONING OFFICE " r. ST. CROIX COUNTY COURTHOUSE x ; 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 April 29, 1993 Bill Seiffert Burnet Realty 219 2nd St. Hudson, WI 54016 Dear Mr. Seiffert: The onsite soil evaluation which I conducted on lot 3 of CSM recorded in Vol. 7, pg. 195, located in the SW1/4 of the SE1/4 of Sec. 24, T30N-R19W, Town of St. Joseph, St. Croix County, revealed suitable soils for onsite sewage disposal to a depth ranging from 7811-92". This site is suitable for new construction using a conventional septic system. However, the textural and structural characteristics within the B2t and C horizons of the soil profiles result in very limited permeability. I strongly recommend that a series of long narrow trenches be designed based on a soil loading rate not to exceed 0.6 gal./Sq. Ft./ Day. I believe that a system which is designed and installed based on these recommendations will best accommodate this site and will help insure the systems longevity. Should you have any questions, please feel free to contact me at this office. i4ee aT hompson Assistant Zoning Administrator cc. File Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and t4A. pan Relations f~ivision of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but St. Croix 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 Steve Henning GOVT. LOT SW 1/4SE 1/4,S34 T 30 N,R 19 j8(or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # R.R..#2 Box 328 A 3 n/a Hennin, CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ®iOWN NEAREST ROAD Hodson WI. 54016 (nha St. Joseph Walsh Rd. *New Construction Use (x] Residential / Number of bedrooms 4 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate • 5 bed, gpd/ft2 . 6 trench, gpd/ft2 Absorption area required 1206bd, ft2 1000 trench, ft2 Maximum design loading rate . 5 bed, gpd/0.6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 100-82 It (as referred to site plan benchmark) Additional design / site considerations Parent material ou twa s h Flood plain elevation, if applicable n / a It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U =Unsuitable fors stem ~MS ❑ U Q§ ❑ U ERfa ❑ U EbS ❑ U ❑ S End ❑ S NE U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bound3y Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed tench 1 0-6 10 r2 1 none, L. 2 m r mvfr c/w 2/m .5 .6 1 2 6-12 10yr4/4 none sl. 2/m/sbk mvfr g/w, 1/m 5 .6 Ground 3 12-43 7.5yr4/4 none sl. 2/m/sbk mvfr g/w 1/f'.5 .6 elev. 104/ZfL 4 3-88 7.5yr4/6 none is. 0/sg ml n/a n/a .7 .8 Depth to limiting factor 5198 Remarks: Boring# 1 10-14 10yr2/1 none L. 2/m/sbk mvfr c/w 2/m .5 .6 2 "2 114-4910yr4/6 none sil. 1//f/sbk mfr g/w 1/f .2 :::.3 Ground 3 9-86 7.5 r/+ 4 none sl. 2 m sbk mvfr n 1a n /a .5 .6 elev. 104.7. Depth to 0 limiting co factor 0 >86 LO 2 8 'R i C5 I'M Remarks: CST Name:-Please Print Phone: Car L. Steel 71_ -6200 Address: £ 1554 th. Av.e New Richmond WI. 54017 Signature: / zv -A 41 Date: umber: G. , 'P.P 4-23-93 2298 PROPERTYOWNER Steve Henning SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bw-d3y Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed rends 1 0-12 10 r 2/1 none L. 2/m/ r. mvf-r c/w 27 .5 .6 2 12-24 10yr4/4 none sil. 1/f/sbk mfr g/w 1/m .2 31 Ground 3 24-53 7.5yr4/4 none sl. u/n/sbk mvfr g/w 1/£ .5 .6 elev. 103.88. 4 15-1-84 10 5/4 none co. S. 0/sg. ml /a n/a .7 's .8 Depth to limiting factor >L-4- Remarks: Boring # 1 0-12 10yr2/1 none L. /m/gr rmfr c/w 2/m .5 .6 4 2 12-24 10yr4/3 none sil. 1/f/sb1c mfr /w 1/m .2 .3 3 24-78 7.5yr4/4 none s-sl 12/m/sbk mfr /a n/a .5 .6 Ground elev. 103.02 ft Depth ro limiting factor 7R Remarks: Boring # 1 0-11 10yr2/1 none L. 2/m/gr. mfr c/w 2/m .5 €.6 5 ~4< 2 11-38 10yr4/4 - none sil. _/f/stilt mfr g/w 1/f .2 .3 Ground 3 38-86 .5 4 4 none sl. /m/sbk mvfr / /a .5 .6 elev. 102.62ft Depth to limiting factor >86 Remarks: Boring # 1 0-9 10yr2/1 none L. 2/m/gr. mfr c/w 2/m .5 €.6 6 2 9-31 10yr4/4 none sil. 1/f/sbk mfr g/w /m .2 .3 3 31-53 7.5yr4/4 none sl. 2/m/sbk mvfr g/w 1/f .5 €.6 Ground elev. 4 53-86 10yr5/4 none CO. S. 0/sg ml /a /a .7 `.8 10L 2ft. Depth to limiting factor 96 Remarks: STEEL'S SOIL SERVICE t554 200th. Ave. Gary L. Steel saanocsxwem" C.S.T. 2298 Steve Henning New Richmond, WI 54017 MPRSW-3254 SVP<. SE% S34-T30N-R19W (715) 246-6200 town of St. Joseph lot #3, Henning Ad.dn/ ` J~ 0 VP l o~ ~0 d 0 N 94K F- IDo ~ Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page Labor and Human Relations - of Oivision . of safety s Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.O. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: Lu. d" 3 ~(~S ft : one ak,,.;cK PROPERTY LOCATION pp4,S GOVT. LOT - ~ 114 , jr 1/4,S ,4 T N,R ~p W PROPERTY OWNER': (LING ADDRESS L0 BLOCK # SUED. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑~VILLAGE N NEARE T AD ( ) [ ew Construction Use ( esidential / Number of bedrooms [ ] Addition to e)asting building j ] Replacement [ j Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed; gpd/ft2 trench, gpd/ft2 Absorption area required bed, 112 trench, ft2 Mabmum 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 It S = Suitable for system CONVENTIONAL MOUND IN-GROUND 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 Consistence Bouy Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed mrK:h 0 o _ - (Z- 5 / Ground elev. ft. i~ S (a - Grp ~ S -2 Depth to-S3 limiting 15, S factor 53-73 S 31el 6?w. rNdGj / le _ Y l! 240 r../.r. n I'v4 let ._0 _Gr~~ ~ ~ ~ !j-~ _ C"X CT ~ri ,,/ta, C/S ~t'4 Q_,ty 77/ ? jf ~J ~ 31 Sy Initial: Date PROPERTY OWNER SOIL DESCRIPTION REPORT Page PARCEL I.D. I Boring # Horizon Depth Dominant Color Motties Texture Structure ~ ist,nce Bw-cbry Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tench Lilcnrii Ground elev. It. Depth to limiting factor Remarks: Boring # v{ Ground elev. ft. Depth to limiting factor Soil pit locations tN DE m'NT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS P 9TRY, DIVISION LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 HUMAN RELATIONS ~ MADISON, WI 53707 (H63.090) & Chapter 145.045) LOCATION: SECTION: ITOWNSHIP/~ LOT NO.: BLK. NO.: SUBDIVISION NAME: SW ~4 SW4 34 /T30 N/R 19&or) W St. Joseph 11 n/a' Henning COUNTY: OWNER'S E: MAI LING ADDRESS: St. Croix Steve Henning R.R.#2 Box 328 A, Hudson .Wi..54016. USE DATES OBSERVATIONS MADE NO. BEDRMS.: ICOMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: ©Residence 3 n/a ®New ❑Replace I 11-10-87 n/a RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: S STEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) NV E~ S❑ U QS I U ® S❑ U ❑ S DO ❑ S conventional If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b)', indicate: class 2 Il Floodplain, indicate Floodplain elevation: n/a decimal 1 PROFILE DESCRIPTIONS page 42 ONC2 BORING TOT L DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST. I HE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 6.83 99.31 none >6.83 .58bl.1. 1.67bn.sil. 4.58bn.s.l. B. 2 7.67 99.02 none >7.67 .83bl.1. 2.17bn.sil. 4.67bn.s.1. 06 across B. 3 6.83 99.41 none >6.83 .75bl.1 .83bn.sil. 4.25bn.s.1. W/bn.lens .25 B. 4 6.91 99.32 none >6.91 .58bl.1. 2.000bn.sil. 4.33bn.s.1. B- 5 6.83 99.62 none >6.83 .75bl.1. 2.08bn.sil. 4.00bn. s.1."'` B- . PERCOLATION TESTS TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN.' PERIOD I D PER INCH P-See desl rate P- P-- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent. of land slope. SYSTEM ELEVATION 95.77 _r..__ . _ . _ Jw/ os - - TN I - I I ~ ! 5 r Y/ ~ ~.vJ ti.ci o6 ~ I ~ I I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. i NAME (print : TESTS WERE COMPLETED ON: i Gary L. Steel 11-10-87 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): CST S GN E: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/22) - OVER -!aw ST. CROIX COUNTY t' WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 - - (715) 386-4680 April 29, 1993 Bill Seiffert Burnet Realty 219 2nd St. Hudson, WI 54016 Dear Mr. Seiffert: The onsite soil evaluation which I conducted on lot 3 of CSM recorded in Vol. 7, Pg. 195, located in the SW1/4 of the SE1/4 of Sec. 24, T30N-R19W, Town of St. Joseph, St. Croix County, revealed suitable soils for onsite sewage disposal to a depth ranging from 7811-92". This site is suitable for new construction using a conventional septic system. However, the textural and structural characteristics within the B2t and C horizons of the soil profiles result in very limited permeability. I strongly recommend that a series of long narrow trenches be designed based on a soil loading rate not to exceed 0.6 gal./Sq. Ft./ Day. I believe that a system which is designed and installed based on these recommendations will best accommodate this site and will help insure the systems longevity. Should you have any questions, please feel free to contact me at this office. ince ely, am es K. Thompson Assistant Zoning Administrator cc. File it „ PLAT OF E.oCImER1y a 6. LD ALL IN SECTION 34, T30N, R19W,..• ' . LOCATED IN THE NWI/4 OF THE SEI/4 AND IN PART OF THE SVVI14 OF THE SOE 1/4 TS , TOWN OF ST. JOSEPH, S. C ROIIX CO B9 , AT 1 THE N ST.; CROIXUCO NTY AREGIST ER OF DE DS OFFICE DOCUMENTIENUMBERE 439728. j 7, PAGE MAP RECORDED IN VOLUME CuavE DATA ! f•„, ,•f II,N •1 N,N 11 !NK 1.1 •1.1. n11•N 1•••1 ` II Nor 11.11• NIJI•I 1~1 _ . ,1-_ Mt ,1 Nlt 441 i . p I - 1 1•l,N• N•n'•1• ,11'N'fl.l'1 1.1. p• 111.11• IN•11•IIY N••, 1•tIN f «w• , . ~ , 1 . • 1r,:1,' N•11',r• In•Irl\I.IY 1'\ MI. III.n• ,N•n'11•I ,N•11'r••1 T . na1,0. 1• 11 IN. N' 1•'IN••• 1•,•, 1'nY L. , IN. N' 1 IN••'IN 11rN1••N( IN.N• ,N.•I' , l.•.N' 1,•n'll• 11r•N•u.19 1,.,1• n. n' 11 1\•.N' N•IN•1• 111•N•\I.N, 111.n• 11..11' IN•11•IN• l11••I'll•r I S-6 J_Z, - r • 1 - A..N' N•w- n........... 1.1.11' III.IN IfN11'll•t IN•11'IN• 1/1 I ~Z • ~ ~ • • N•. W' N',i ,1' ,••'N'n.,'r ••.,t' N.•~ Ill ~ { . I , _ 1 1N.00' 1••01',0. ,a•I•'q'r ,N.fi N1.t1' 1 1.1 l•7t• •'•UNPEATT€Q LANUS ' [N of 7■C I _ wwu • m I esI'll u{ 1 1'11 1 wN •r ua uo• d •c w 1• L u' 1. y !YU•xY ]Y( IT21.11• (N •Mw I N: N' 1 ~ 1`I vl ~7 ,N.M• 11,•,1•- • 10•j Itrlu•«•/ N IK/ ••N0, 1'x ' r { . R~ I cw.N. NI, YI 1,1 •L..! r 1 g t FI ~ sent. IN - ' i OBI "q'.~•N~•.•'_° LOT 8 LOT 7 •_N«Nw ,.N K.1. k LOT V t0.-N IK w , I I . • qAT LOCATION JL_ LOT 9 i LOT 5 d. #I . 1 ;r.• • r • u..uK w. rr. / , LOT 10 I 11 r•I - - .,tr .,.1, •lf 1 . O b. rt. Y . , n.. =i. j ! 45 CI N19W / SJN .LLlr!_ 0 G 1s - _ ut• 1.•.Tt sccnort a 51 .I ✓ K 1 1 / x •R I I Y i S'~ LOT 4 / I law t :ii LOT 1I s'• LOT 14 21 g3 0' ell l•0 .1.4s ~ . . 1l 11,,1•:.•• rl• 1.00 It K1 I • B ' I ( 1.u c /l „,,I tp101r 11[11W •,•••111/! saws • tf•,, tV INrO. ' ~ ~ • q0• nr( Iww• 1 « : f1 i O } ! 1WL' n1 ~rnu w, tu;«Pf • ,w••rr'Ir/ U -1N_-p'1ra 1i1•'01• 1••.N' 1 fL I . Iw•w r1u , 1•' 1' pp ol.n' nit. wlraN,w, 1.N l•,. « Q G • a•I,,,w• rlw,l.,wt a O I. 1 1 i • l•larlwr 'wry LOT 3 L l • OT 12 4 LOT 13r ~•1 I .lw alawlr•• Iwl. 1,• N , lr•l 1 . i V1 1- I Y! Tr N1.00' ' 8 ---WALSH _ r-1 nl I I w 1 1, 1 LOT 2 r s R I k »I' CERTIFIED SURVEY MAP IN NOLUME Z. pfa M ,N•v,1 t •N.w 1 Uf-ax' QOC ; W. iMM ' LOT Tp6 _ 1111 •all {t 1 ; I , t N I ((fi Bill Selffert _ z 0 ESxecutive Sales Associate $5 Million Dollar club i Bearings are referenced to the Hudson Office t North-South Quarter Line of Section 34 assumed to bear 1100022' 20"E. Ds: (715) 386-9060 HHH Rees: (715) 386-6398 others 120"E Nest line of the SE} of Section 34 N00°2 N00022'20"E 676.80' N x 585.25' ^ ooo .r Co H ti n 1-° 00 ° a ti tl ° n rt 0 (D w Ff l L11 wOO , C-""-~- Low 1j1 P. Q r t+ 'J 'd I'- 4 PI 0 ti n1 w N rt 14. #I~~.+~ I r 1 Oslo 0 1 11 W LJ i*1-- 35 In to C v S ~ 1 2~93T'- aoI rt 0 f71 C)o aL ' a l r , ~711~ w I~f y~; 71 to C~ rl' • -i p, ~ 1--1 Nil 1 tt F er O ^ w > N• O M J n r.. .c >t o to a .o v rat N ° to ro to "4 pi 40 I~C • N n -M 0 :1> o • 0 N w _ (D . 33.001 N 1 ; 321 ' _ s7 354.90 h N ' O N --N00022;1201 676.801-- ii - I N 0 tr ~ 0e N I a 0 O to ° o' g r I-' r a°. 1- N s .ta o'er r ° sc No : ' -C3 tq t .°D °1 --tj v I 13 i 1 I"+ ~ rh I rt w n+ 3 331 Ilighway R/N -ra N0002213811E 1 01, 276.501 1 321.90 _b l.- - O1 2 ' 354.901 • ' ° rr 01 Ca 50002 1i 6 0 C T 11. I_ ~L ! n u w _T --r- s oo to O t East line of the SNI of;the SE# of Section 34 . o- 1 ' o At n Ij 1 1 ' a Lot 2 C.S.M. 1 Lots 3 6 4 1 1 m a Vol. -21-Pg.-512 Vol. -Pg_-1455 N on o w N °I w S T C - 105 r . SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER SLw~h IzL __1 O GSA' ~/a s ADDRESS FIRE NUMBER CITY/STATE- ZIP PROPERTY LOCATION::S_td 1/4,5e-1/4, SECTION TI-ON-R-~-9W TOWN OF St. Croix County, SUBDIVISION LOT NUMBER Improper use and main enance 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. Cro x Co. Zoning officer within 30 days of the three year expiration ate. t SIGNED: 4A -A DATE: St. Croix.co. Zoning Office 911 4th St. Hudson, WI 54016 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), thenla second form should be retained and completed when the property` is sold and submitted to this office with the appropriate deed recording. ----------------------------------------j-------------------------------- Owner of property _ ~IQ~rL/C Location of proper ysL4) 1/4 1/4 , Section, T J N-R 1q w Township / Mailing address ~~9 lifeGj /C~q~ ///x4,r Syp1,~ Address of site G!~+ Subdivision name .l of no. other homes on property? _ -yes No Previous owner of property Total size of parcel 3 + Date parcel-was created / S7 Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes XNo Volume and Page Number l 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 & 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. i 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. _q!2 ,?.5-b 3 , 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 recorde i a office of County Register of deeds as Document No. q a S1gnatu of applicant Co-applicant Date of Signature Date of Signature II n(~~; 1)bt[=1`IT NO. WARRANTY DEED 11 ,Ills Sc.l. RESCRVED FOR RECORDING paT• 'ATE BAR OF WISCONSIN FORM 2-198211 G~( 1, 1006MR 599 1; 438503 vm f(;FGIiTM~ i OFFICE I BARRY C. LUNDEEN, a ogle man, Crantor rwt~ IT MAY 41993 i 3:40 P.. P11 uvI arrant, to TOM E. KABRIGK and MARCARPI F ( r py{yp II _ KAB.RICK,_ husband and r tte_ as survivorsbiP _marital r.• II r Co. i Property,.Crantees 1 St. Croix GOll tlt the followinl: deserihed real r.:l in - - - Y+ Stale of Wisconsin: I Tax Parcel No-------------•-°---°---...... I I Part of the SW'4 of SE' f Section 34, Township 30 North, Range 19 West, St. Croix County, Wisconsin dest,ibed as follows: Lot 3 of Certified Survey Map filed II June 24, 1988 in Volua "7", Page 1989 as Document No. 438728. TOGETHER WITH and SUB.'' ':T TO a 66 foot private road easement as shown on said ;I it Certified Survey Map 1, CEPTING therefrom the North 33 feet of Lot 3, being the II private road easement -n the North side of said Lot 3 as designated on said Certified Survey Map. ~I I TOGETHER WITH AND SUB-II(J TO reservations, restrictions, easements and it rights-of-way of recoid, if any. II rR I~ I, 3 • . i F~ II I; This - is not homestead property. (X" (is not) I II Exception to warrantio II y 93 19. II I)alyd this 4th May day of yy _ ~.o_._.. _ . . (SEAL) (SEAL) I I I « BARRY C. LUNDEEN, (SEAL) (SEAL) I I I II AUTITENT1 \TION ACKNOWLEDGMENT SiGnnture(s) STATE OF WISCONSIN es. I St. Croix ii . - --------.County. i authenticated this ......-.day of 19...... Personally came before me this ..._4.th.....day of Alay-------------- 4 10...93. the above named - - - - •,k'0:. .t`_.... . _ I ~ E_nlndeen_.- n - TITLE: MEMBER STATE BA OF WISCONSIN bro-••.. 11/, V,• (If not, -§7---- - - -t- . - - . ,'1 authorized by 0fiAf,, Stns) f~,0 r - to me knownf,ttt hg he p ,fqR , who executed the forcFoi stnimint * to ackno. I , e the same. THIS INSTRUMENT WAS fW IrD nV r, I Attorney Barry C. Lunl en I MIIllGE, PORTER & LUNDPI rl, S.C. - • •F:: ~ - - - ---....._WI.S.. 110_. Second_Stre.et,_ Iwi ;on.,_14154016----- Notary Public -County' (Siknatures may be authentic:0 or acknowledged. Both My Comm•ssio Is '15trrt,14 lent. (If not, state exp9(~ratigh are not necessnry.) date: 1- •Names of persons Idaninx in any cap- Mold be typed or erinted brio., their si¢nntares. STATE BAR OF WISCONSIN Wisconsin 1,cgRi Blank CD., Inc. WARRANTY DBFD FORM No. 2- I'.I42 Milwnakee, Wisconsin