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HomeMy WebLinkAbout036-1086-90-100 a O 60 o M ~o 4 0 c r. 0 N i N y I i 'Ct v, y E: w 6 z C LL m LL 0 Z N W E Z O v o Z m m IL Co ,It H U) 0 0 z d c v :3 w - m Z d c ~ to F- ~ a> z "2 I (6 Q7 _N N O 3 n • N C (n O O m Q z m z w z N o E N Its O LO 0 d C CL j' `n fl w o _ c m c o a .a ' Z c H Fes- H E3~~ •N 0 a a a a ~ I 7 0 N N M M w a) 0) Y } ~ r ch 0 0 0 M-.. O NO N 0 (o 00 O O O Cl) C Ira ~ I N W V! ~j 00 cO N E O CQ CO C OU N O O cs O O O O (m 1 O > a CL N N zE L L -O O -C~ LO h E E v 4 :C k w E N v~ d co ~ a i ~ xk a a w i • C m 2 a c `iv +r E L c c tt~~ ~1 A C> a 0 in c~ CNO 3 ao C ~1 A fs. ~ M ^ 0 9 ak p r: ,Y C d m N o O tO w N 7 m A cwn m' 3 4° 00 CL =r C- A O' O 7 O U) N y O G 1 m m d to O r~~. O to N N d 7 '3a N V O O O n N O N 07 O G 0) N a) C j y am"' 'z O O O 3 7 y ! N NO C"1 N d m U~ z D a m 0 D N a cO ' `C :3 W j CL ~3 p o 4 fpl CD w CL w co fD. CO W n r N C CO CD co co a 3 M c o o 0 0 cA < z n - N N ND I~ <D Vl C, 0 N I N ~ 3 m ~ rn z of ` o 3 O D D o O I G, a 3 z j N z co p z co N W v g co z a g ;u °o Z -4 3 m z C A W I a G I I I ~ T C I o a CD I A I e I ~ y I ~ I 0 I a I A o CD 0 a w J t STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER r ADDRESS 161e, 'Ag) SUBDIVISION / CSM# _ LOT # SECTION lT~- ~N-R_2 _W, f, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i ~j r' - INDICATE NORTH ARROW Provide setback and elevation information on reverse of this-form. Provide 2 dimensions to center of septic tank manhole cover. t r 1 BENCHMARK: ALTERNATE BM: SEPTIC TAN / PUMP CHAMBER / HOLDING.TANK INFORMATION Manufacturer: Liquid Capacity: ?(-a Setback from: WellHouse / Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location .:SOIL ABSORPTION SYSTEM Width: Length O~ Number of trenches i Distance & Direction to neaest prop. line: f (f N p~ ~o 0A Setback from: well: House Other ELEVATIONS Building Sewer 9~,y _ ST Inlet; b, ST outlet ,J PC inlet PC bottom Pump Off A r Header/Manifold Bottom of system F4,4oe, 93.3 Existing Grade - Final grade 6 `b DATE OF INSTALLATION: c2 3 PLUMBER ON JOB: 'S//~~„n.,o: LICENSE NUMBER: 1~ C INSPECTOR: 3/93:jt I ~ r~27~ c~ RD- L(DC&T,Ta*artrn~%4NTTQN,y,33 -31.17 Labor and Human Relations • PKIV' 'SEWASYSTE j~ M County: safety and Buildings Division INSPECTION REPORT ST. OIX (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 193455 Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: ~RkiWlev_: Insp. BM Elev.: BM Description: Parcel Tax No.: . QS 036-1086-90-000 TANK INFORMATION ELEVATION DATA A9300115 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 9.26. dv .Cb 2-44 1 r ~ Dosing,_- 1 4 A J GS 116 -n Aeration Bldg. Sewer o2 1,06,65 Holding St/WInlet dS.o,y ;1~ TANK SETBACK INFORMATION St/Outlet Ya 01 a 76r TANKTO P/L WELL BLDG. AirI to ntake ROAD Dt Inlet Air I Septic NA Dt Bottom Dosi NA Header-gV6vrr.- Aeration N Dist. Pipe 7 S O 409' Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade r ~o6,Zs Manufacturer Demand -604 &o- X775 UG. Mo a Number GPM TDH Lift Friction Sy em TDH Ft Forcemain Length Dia. Fi Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Wid Length Trenches PIT o. Of Pits Inside Dia. Liquid Depth DIMENSION th 7o D EN IN SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEA ING Manufacturer SETBACK CHAM R INFORMATION Type Of OR UNIT Mode tuber: System: DISTRIBUTION SYSTEM Header/ Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intak Length _/k ' Dia. Length 4P7 Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Ove N „ xx Dep xx Seeded /Sodded xx Mulched Bed /Trench Center/3 - Jr1 Bed /Trench Edges 43 -51 Topsoil ❑ Yes Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) i LOCATION: STANTON 33.31.17.527,SW,SE, CO. RD. K A-r7 C( Plan revision required? ❑ Yes Ly'NO se other side for additional information. U33; SBD-6710 (R 05/91) Date Inspector's Signature Cert fNA ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY 9:.,,,..v a...,...~,,.a. _ E:z STAT $Aqlralo Y ERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than 18% x 11 inches in size. ❑ Checto re s application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION C. 6u-) %.5 f t/4, S T31 , N, R/ E (or) PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER MhnC~ X15 2 -6 b 10 S~ NEAREST ROA II. TYPE OF BUILDING: (Check one) El State Owned VILLAGE T n OF: ❑ Public W1 or 2 Fam. Dwelling of bedrooms ~J_ PARCEL AX N ( ) III. BUILDING USE: (If building type is public, check all that apply) 03 co 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 40 Church/School 80 Mobile Home Park 120 Service Station/Car Wash 50 Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1,rNew 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 _ff Seepage Trench 22 ❑ In-Ground 420 Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 140 System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ASSORP. 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) a ELEVATION V Q0 Q Q . -5 Feet 0o eet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name oncret Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank 1700 1 F1 Lift Pump Tank/Si hon Chamber 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 ure: (No Stamps MP/MPRSW No.: Business Phone Number: / Pkfmber's Address (Street, City, State, Zip Code): IX. COON DEPARTMENT USE ONLY 42 ❑ Disapproved Sanitary Permit Fee (Includes Groundwater a e ssue Issuing ent Sign re (No Sta Surcharge Fee) Approved ❑ Owner Given Initial D Adverse Determination (.J 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.~anhtary'permit is valid for two (2) years. ' ~ r 2*_., Your ~nyta~y ermit ma be renewed before the p y xpiration date, and at the tirne of renewal any new criteria in the Wisconsin Administrative Code will be applicab':e. 3. All revisions to this permit must be apps„ved by the permit i<s:~uir;g authority. 4. Changes in owner~!,ip or plumber requires a San tart' Permi~ '-ransfer/Renewal Form iar?I~> 639°1 to be sr~brr7itted to thy; <~ot~ty' C~rior to installa€Ic)n. 5. O;t,it,=, sewage ~.J,~.°=.,rK~s rrtarv,`r be prope!rt.~ maintained. The •~i-; tank(s)mr.a+ !-•a ~;c:tr7,;rs~ ~y a licensed pumper whenever t;ecr?ssary, usually evp~ry 2 to 3 years. 6. l'i you have questions concerning your orlsita sew,3ge sys?:errs, contact youa iUCa.l code adrr)irristr2~tor orthe State of 'r~liscansin, Safety & Buildings Division, 6C18-266-38 i5. To be complete and accurate this sanitary permit application rr;ust include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where tt:e system is to be installed. - II. Type of i~uilciiny being served. Check only one and ~~omplete ~ at bedrooms if 1 or 2 Family Dwelling. IIL Building ii56. If build'+ng type is Public, cheek a!' appropriate t~oxes that apply. IV. Type of permit. Check only one in line A. Complete line B it permit is for tank replacement, ~ econr•~ection, or repair. V. .Type of system. Chock appropriate box. depending an system type. VI. Absorntlc,r system information. Provide al! information requesfr? in ;!¢1 7. Vlf. Tanl~ t~°~`+^rs.°-,ation. Fil! it ti!r; ;.apacity o `,~.=^r new and/or ee ; - ar,k :~st tt-ie total gall~~r Number of tanks ar,a +an;;facturer's narr~e. indicaPcs ,r~;*fab or site constr~~,. t-~~ and tan4: material. C r ;;c= : tt+= fc~r al! sept~e. try/siphon and hc;lding tanks fd~r i.~~is system. Chem >~rin~entai _~.pprova9 ^r " r<<nl;s received px,~erint-~;~_~l ~,raduct appr~vai from Dlt...i°~ Vlil. t~esponsits•iity statement. Ir~stailing plurrt?~-:r ss to fill in name. ~~.•~=rse nclmbe.~ wr+n ~a;rt.°rorrrii;.e prefix (e.g. MP, etc.), '1c~~'r~•ss and phony, ~ r.r:ber. F"surilber must sign ape _:,^n farm. IX. County/Cp~trtE:lent Use Only. X. Countyll?ep~artrr~er~t Use Oniy. C^m~(ete pls, _ %;~~d specifi.ati:3ns not ~r ~l'ar ;Ilan BYz x 1 t;~,.~s r;U+st be ° ~itt.~'. thy, county. The 7?';~-*1,a ri?USt t!1'.f~i~:~~~ ~'ryE.' fC)IICw.~;~~(at~ pl(?'. r?" E;r;_1Wn t0 SC&~~. _ ~ iYh i::Or^r,lc ; „GdtlOn Of P~r;~tS -tC➢ t_'!r x;°? :i r i.. K ;•f ~.ftlet' ~ ''~t,t tanks; N!-' ~ .Ac"~' f.- - r~ .+'.+aterServiCe; S1rCr'IS ~li.i 18'•*' rr::;'.~~ (-?r ef~thn~it.;~.,k . 4ictrlblltKtn bC1Y,'.- , ?nc,~r(ii~a), _'e~(14' If;fa...-~:-;rr~c>r~t Systl'.hl 3` ,t,:~r n,..f.. t!:as; iiRC? 5 t:iC t„ :Jf ^~~'F' ?1W ~ ~ nC Z•Jr~t` rtt.,r, r ~f=..._ 4, - ~r -}ic~ C) cornpletg> specifications to,I pumps'~ar~~ ~~;r~;trols; close vr_ : <,IevaL:.,t , c, ;cer; fr .;'ii.~.~ os.>; pump perforrr`rr;;e carve; pa_ar~r;p model and pt.nr;p manufacturer; cross section c= flit soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing inforrrlation. • GROE€I'a~Y+lAtEl~ SUIi~Mt~t~G~ - 1983 Wisconsir:.'~ct ~;'(i inc',uded the creation ~t sur~harces (fees} for a rumber of regr;latr~~~? practif-ery *;,s;;r~~ ;-ar, effect groundwater. Th-+ tt?t)n;e5 (•.,1.4''~tt"- t.-::.~_~ tt S"fCl1H. y~~ 4 ,:a-C '~i1r ~1C7r11tOF;rir; t~'-O~'r'.~NttstP.. ..j!~:.i - :~+=±t~r ~~ontamirt~ti~,r, ir~,aac;~r~~at~~+!?S aT?ri estat;llsi~r , ,t t,f ~+r;,~'<s. , ~ . - _ _ _ _ ; SBD-6398 (R.11/88) STC-loo , This application form is to be completed in full, and si ned the oa;ner s of being 9 b the propert s will only result in delays ofthepermitopissuance Y iSh uld 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 J i Location of property 501/4 Sr 1/4, Section L? T 3 N- ~-L2~ ► R l s~ W Township Mailing address ~~3 g 76 44, f L 0 / Address of site subdivision name Lot no. other homes on property? yes No Previous owner of property i c Total size o II f parcel Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being dQveloped for (spec house)? Yes No of Deeds-. page Number as recorded. with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: - - A WARTUUTi'Y DLED which includes a DOCUMENT NUM.DER, VOLUME AND PAGE IJURDI;R & THE SEAL of THE REGISTLI 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 the property described in this information f(are) the owner() orm, by virtuesofoa warranty deed recorded in th~ office of the County Register of Deeds as Document No. ~ oZ oand t I (we wn the proposed site or the ewage~ di p slalt system) orreI e(we) obtained an easement, to run the above described the construction of said system, and the same haasbeen duly op recorded ,i}1,he ffice of Count No. ~L(( a~Z Y Register of deeds as Document Signature of ap~licant Co appl c Date of S1gnatu / Date of Signature 990mGE 122 Southeast 1/4. thence South approximately 130 feet to a point ich is of the tLe North line of the Southeast 1/4 and 1435 feet West East line of the Southeast 1/4, thence Southwesterly 685 feet to a point which is 725 feet 3oatb of the ports line of the Southeast 1/4 and 1550 fee Test of the East line of the which Southeast 4feet thewestnce of is 630 Southeasterly 1025 feet to a point the East line of the Southeast 1/4 and 1255 feet South of the North line point which fishl 85 feet South ofe the North Slinee of tthe Southeast 1/4 and 630 feet Test of the East line of the Southeast 1/4, thence Northeasterly 890 feet to a point on the center line of the town road and 1520 feet South of the along Northeast corner of the Southeast 1/4, the center of said town road to the points of beginning. S 4 z( n try. :err-~ SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER c~eve r L2 Z ADDRESS: j0X_LJ mod/- FIRE NO: LOCATION:-5,01/4, 1/4, SEC. -T N'R TOWN OF: ~j f hl~ ST. • CROIX COUNTY_ X 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 rec-eive 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. 7 . SIGNED: DATE: ~--9j St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3- Labor and Human Relations ifv; -d;_Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY . R; 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 Tilrich GOVT. LOT Still 1/4 SE 1/4,S34 T31 ,N,R 17 x?(or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # _838 170th. St. n/a n/a n/a CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [SOWN NEAREST ROAD New Richmond Wi 54017 (715) 246-6896 Stanton Co. Rd. 46Y. [New Construction Use 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 n/gibed, gpd/0 •6 trench, gpd/ft2 Absorption area required n/P bed, ft21000 trench, ft2 Maximum design loading rate nb bed, gpd/ft2 •6 trench, gpd/ft2 Recommended infiltration surface elevation(s) starting @101.32 * ft (as referred to site plan benchmark) Additional design/ site considerations step down trench system 3.5' below surface elevation on slope Parent material stream terrace Flood plain elevation, if applicable n/a ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem EYS ❑11 iaS El u f3S ❑ U ®:S ❑ U ❑ S f 4J ❑ S Rkj SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bounday Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-10 10yr4/2 none L. 2/m/sbk mfr c/s 2/f .5 .6 2 10-21 1.0yr4/4 none sil. 1/f./sbk mfr g/w 1/f .2 .3 Ground 3 21-48 7.5yr4/4 none s1. 2/m/sbk mvfr g/w 1/f .5 .6 elev. 44_M 4 48-82 10yr4/6 none lf-s O/sg mvfr n/a n/a .5 .6 Depth to limiting factor >82 Remarks: Boring # 1 0-1.0 10yr3/3 none L. 2/m/sbk mfr c/s 2/f .5s .6 h" 2 10-18 10yr4/4 none sil. 1/f/sbk mfr. g/w 1/f 3 18-32 10yr4/4 none s1. 2./m/sbk mvfr g/w 1/f .5 .6 Ground elev. 4 32-84 10yr4/6 non g s. 0/sg ml n/a n/a .7 .8 105.42 ft. f Depth to . , ` y. limiting factor >84 Remarks: CST Name:-Please Print Phone: 715-246-6200 Gar L. Steel _ Address: 1554 00th. Ave. New Richmo di £ 5 Signature: / o Date: CST Number: 4-19-, 2?.98 PROPERTYOWNER Steve Ulrich SOIL DESCRIPTION REPORT Page 2 of ,3 PARCEL I.D. # Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trer& 1 0-8 10 r3/3 none L. 2/m/sbk rnfr c/s 2/f .5 .6 =V=>=f 2 8-18 10yr4/4 none sl. 2/m/sbk rnvfr g/w 11f .5 .6 Ground 3 18-82 10yr4/6 none S. 0/sg ral n/a n/a .7 .8 elev. 102.92ft. Depth to limiting factor >82 Remarks: Boring # ~K.;.,„..;.:.., 1 0-10 10yr4/3 none L. 2/m/sbk mvfr c/w 2/f. .5 1.6 4 2 10-21 7.5yr4/4 none sil. 1/f/sbk nrfr g/w 1/f .2 i.3 3 21-45 7.5yr4/6 none 1s. O/sg mvf_r g/w 1/f .7 .8 Ground elev. 4 45-82 10yr4/6 none S. 0/sg ml n/a n/a .7 .8 99.42 ft. Depth to limiting factor 882 Remarks: Boring # 1 , 0-10 1Nr4/3 none L. 2/m/sbk mvfr g/w 2/f .5 .6 5 2 0-26 10yr4/4 none sil. 1/f/sbk mfr g/w 1/f. .2 .3 3 26-52 10yr4/4 none sl. 2/m/sbk mvfr g/w 1/f .5 .6 Ground 98.30v ft. 4 52-72. 7.5yr4/4 none Is. O/sg mvfr n/a n/a .7 .8 Depth to limiting factor >72 Remarks: Boring # t:?r. Ground elev. ft. Depth to limiting factor Remarks: , -A330lR 05/921 STEEL'S SOIL SERVICE 1554 200th. Av~E Gary L. Steel C.S.T. 2298 Steve Ulrich New Richmond, WI 54017 MPRSW-3254 SW-' SE% S34-T31P1-R17W (715) 246-6200 town of Stanton Z 1)'0) e Fill 0c) 4 ~o 11 w► r~„^ i~ /O 2.r Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3-' ; Labor and Human Relations - CMsiori & Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code ' . COUNTY f 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. # A dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Steve Tilrich GOVT. LOT (3W 1/4 SE 1/4,S34 T31 ,N,R 17 XD(or) W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # _838 170th. St. n/a n/a n/a CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE GOWN NEAREST ROAD New Richmond Wi. 54017 (715) 246-6896 Stanton Co. Rd. //K [xkNew Construction Use 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 n/gibed, gpd/ft2 •6 trench, gpd/ft2 Absorption area required nn/_P bed, ft2 1000 trench, ft2 Maximum design loading rate n/p bed, gpd/ft2 . 6 trench, gpd/ft2 Recommended infiltration surface elevation(s) starting @101.32. * ft (as referred to site plan benchmark) Additional design/ site considerations step down trench system 3.5' below surface elevation on slope- Parent material stream terrace Flood plain elevation, if applicable n/a ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for s stem EYS ❑-U laS ❑ U laS ❑ U BS ❑ U ❑ S OU ❑ S MU 11 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 Trench t> 1 0-10 10yr4/2 none L. 2/m/sbk mfr c/s 2/f .5 .6 e'••::... 2 10-21 10yr4/4 none sil. 1/f./sbk mfr g/w ?./f .2 .3 Ground 3 21-48 7.5yr4/4 none s1. 2/m/shk mvfr g/w 1/f .5 .6 elev. 104•f?' 4 48-82 10yr4/6 none lf_s 0/sg mvfr n/a n/a .5 :.6 Depth to limiting factor >82 Remarks: Boring # 1 0-10 10yr3/3 none L. 2/m/sbk mfr c/s 2/f .5 .6 ;ti • 4\ 2 10-18 10yr4/4 none sil. 1/f/sbk mfr. g/w 1/f .2 .3. 3 18-32 10yr4/4 none sl. 2/m/sbk mvfr g/w 1/f .5 .6 Ground elev. 4 32-84 10yr4/6 non g s. 0/s9 ml_ n/a n/a .7 .8 105.42 ft. Depth to limiting factor >84 mac` Remarks: CST Name:-Please Print Phone: Gar L. Steel 715-246-6200 Address: 1554 00th. Ave. New Richmo d3 15 OZ Signature: Date: CST Number: / 4-19-93 229£ PROPERTYOWNER Steve Ulrich SOIL DESCRIPTION REPORT Page 2 or 3 PARCEL I.D. # « . ; Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 0-~' 10 r3/3 none L. 2./m/shk mfr c/s 2/f .5 .6 3 2 5-13 10yr4/4 none sl. 2/m/shk rnvfr g/w 1/f .5 .6 Ground 3 18-82 10yr4/6 none S. 0/sg rLl n/a n/a .7 elev. 102.93t. Depth to limiting factor Remarks: Boring # ~•::r;.w.<•:::..•::•;: 1 0-10 10yr4/3 none L. 2/m/sbk mvfr c/w ~/f. .5 .6 Fw' 4 2 10-21 7.5yr4/4 none sil. 1/f_/sbk mfr g/w 1/f .2 .3 3 21-45 7.5yr4/6 none ls. 0/sg mvfr g/ca 1/f .7 .R Ground S. 0/sg ml n/a n/a .7 L8 elev. 4 45-82 10yr4/6 none 99.42 ft. Depth to limiting factor 882 Remarks: Boring # 0-10 1Oyr4/3 none L. 2/m/sbk mvfr g/w 2/f .5 .6 sil. 1/f/ sbk mfr /w 1/f. .2 .3 5 2 0-26 10yr4/4 none g 3 26-52 10yr4/4 none sl. 2/m/shk mvfr g/w 1/f .5 .6 Ground elev. 4 52-77, 7.5yr4/4 none ls. Olsg mvfr n/a n/a .7 .8 98-30 ft. Depth to limiting factor ?72 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SRn-A330/R 05/921 STEEL'S SOIL SERVICE 155'" 200th. tVe Gary L. Steel C.S.T. 2298 Steve Ulrich. New Richmond, WI 54017 MPRSW-3254 SW%SE% S34-TKN-RIN (715) 246-6200 town of Stanton eel`s ' 3~` 10o4 VM a'- /o 7- 4 f II PLOT N PROJECT Lu o (I l e. ~c.~ ADDRESS IKq )704- cif 5y 00 CO 1 /4 1 /4/S3 q /T 3 I N/R 7 W TOWN fi G, ri COUNTY6~f, C_ f o i •MPRS Byron Bird Jr. 33181 DATE ~ -2 BEDROOM CLASS PERC Y CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT_ MOUND_ HOLDI TANK /OG SEPTIC TANK SIZE a LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE ABSORPTION AREA - PERC RATE • S BED SIZE 16, Benchmark V.R.P. Assume Elevation 100' Location of Benchmark * H.R.P. 0 Borehole Q Well Scale Feet O Perc Hole System Elevation O Uent 12" Grade TYPAR COVERING 2w 12" 3' 4 g' O 3' I Sewer Rock 6 i 1.2' .3po ~Y ' 37 f ~I / - _.s o 3 v r 027 D