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038-1050-20-000
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BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9300373 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet Verit ir Ito ntake ROAD Dt Inlet TANK TO P/ L WELL BLDG. A A Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand I Model Number GPM TDH Lift Friction System TDH Ft Forcemain Length Dia. H Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION DIMENSIONS SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of CHAMBER Model Number: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length 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 Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: STAR PRAIRIE,11.31.18W,NE,NE,CO. RD. H Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: I (i SANITARY PERMIT APPLICATION u ©'LHR 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 /~79 Q' ~70 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 INFORMAT N - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION Y4 All %4, S '[3 , N, R je. E (or PROPERTY OWN R'S MAILING ADDRE LOT # BLOCK # CITY TATE ZIP CO E PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER / - II. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ VILLLLAGE : NEAREST RgD ❑ Public 1 or 2 Fam. Dwelling~# of bedrooms AR GE L T u S Zq III. BUILDING USE: (If building type is public, check all that apply) O'~ /QS-Ei dO~ J///04/ yO -rXb 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. IJ New 2. ❑ Replacement 3. ❑ Replacement of 4.E1 Reconnection of 5.E] 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 ~ f7l Seepage Bed 21 ❑ Mound 30 El Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 420 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. ATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./ ch) ELEVATION Feet Feet VII. TANK CAPACITY Site in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New xistin Gallons Tanks concrete structed glass App. Tanks Tanks Septic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber 1:1 1 El F1 Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility forinstall on of the onsite ewage system shown on the attached plans. Plumb 's Na (Prinfl: Plumb 's n re: ( m )MP/MPRSW No.: Business Phone Number: Plums Addr S set, City, S State, Zip Cope): IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sar)g) ry Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Approved ❑ Owner Given initial Surcharge Fee) Adverse Determination bz X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-8398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS • 1. A sanitary permit is valid for two (2) years. 2. Your sanitary per-nit may be renewed before the expiration (late, and at the time of renewal any new criteria in the lfiisconsin 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 Pe; mit Transfer/Renewal Form 'S'Pi ) 6399) to be submitted to e county prior to installation. 5. Onsite sev,_* systems must be properly maintained. -7t,w -,,tic tank(s) rn,~st be pu:r l ci i"y 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: L Property owner's name and mailing-address. Provicle the legal description and parcel tax number(s) of where the system ds to be installed. N. 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. Absorptior system information. Provide all information rPg!Jested in #1.-7 VI!. Tani; inturniaticn. Fill in the capa_: gty of every new and%crs ex stinq tark, i si the total c + r ; number of tanks and n!<'nufacturer's name "nwc.ate prefab or site c;-_ :1..': ueted and to jk material. C: mn~ ele for a/( septic, pump/siphon and holding tanks for this system. Chc:rk vx,perirnerit.tl approval only ~ lnKs received experimental product approval from DIL_HR. VIII. Responsibility statement. Installing plur-her is to fill in name, license nlwnbfei with appropria?e 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 spec,`:c;,tions not .rnaller than 8'/s x 11 ir~~° f; rr Est be submitted `o The, county, The plans must ?nc:iLlde the following: A) plot °,-,-n, drawn to scale-..e,r f c;ornple:e di f;r : r} :)c:atic,n of - holding 7_ank(s), septic-tank(s) or other tre'Ament tanks; bui ~ r -vEFs. we ~s; w., •mater service; Strearn8 and lakes, pOrr~o ,r skphor, tanaj sllStribution bo.~:-, iu.:.r?lnert system areas; and the location of the building se d harizonte' ~rtical int~s; C) complete specifications for pumps and controls; dose velure; elevation difference;z ict,on foss; 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. - - - - - - - - - - - - - - - - - - - - - - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 inc:`uded the creation of surchar_jes (`rays) for a number of regulated pr;;mires which, rran effect groundwater The mcnies collected through these s:lrcharge : ;er+ 1--it monitoring ground,nater, ground- water contar?ination ir:ve tigations anti estaMishrr.er0" standards. SBD-6398 (R.11/88) B sZe -Gelt Z g' %+l~~sea z J/4 s' is' II I ~J / Northwest 1/4 a distance of 256 feet to the point of beginning. (The area between the meander line and the river between the lot lines extended is also a part of this lot.) 2. The Plat of Huntingdon in the Town of Star Prairie was recorded in the St. Croix County Register of Deeds Office on October 16, 1858, in Book "1" of Plats on Page 61 which is more than 40 years before the date of this application. 3. Since the recording of the Plat of Huntingdon, St. Croix County, Wisconsin, the 16 foot alley way immediately North of Lots 7 through 12, and Prairie Avenue immediately East of Lot 7 have never been opened and worked as a public alley and a public street. 4. The posting, publication and service requirements of §236.41 of the Wisconsin Statutes have been fully complied with. 5. There has been presented to the Court a certified copy of the resolution of the Town Board of the Town of Star Prairie authorizing the alteration of the Plat of Huntingdon located in the Town of Star Prairie as prayed for in the petition in accordance with §236.43(4) of the Wisconsin Statutes. THEREFORE IT IS ORDERED: That the Plat of Huntingdon located in the Town of Star Prairie, St. Croix County, Wisconsin, be altered as follows: 1. The 16 foot alley way located immediately North of Lots 7 through 12 of Block I be vacated as is shown on the copy of the Plat of Huntingdon attached to this order. 2. That Prairie Avenue immediately East of Lot 7 of Block I and on the eastern edge of the Plat being North of County Trunk Highway "H" be vacated as is shown on the copy of the Plat of Huntingdon attached to this order. 7 • s~ ^7 e; on.wisoonsin. plat lBook` pAge 61 1 , 6 .4 "k'i Y a,: r:..+4~ S. 't . 6 , * i. r r• 1 1. . . NEkof NEt• - R 1% S9 A 1 'Y t f` aj e Mr, • w, aJ~~ ~ ''SI'N. j(~ ~ F .~r 1 t t~ 1 , RN d, T ~ rrcrraftt r' ,rlr Ir?t:l7jgf Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of Labor and Human Relations Divisior of S£fety & 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 tzse` 0- not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OW PROPERTY LOCATION .l= y1,~} L L, GOVT. LOT NC-' 1/4 j f 6'1/4,S T 3 1 N,R 18 V(or) W PROPERTY OWNER':S MAILING ADDRFSS LOT BL ~CK` # SU NAME OR CSM # CI STAT ZIP CODE PHONE NUMBER C]CITY VILLAGE OWN NEAREST ROAD v3r, 5' z r, (7rs) e-79z7 = - h~ New Construction Use (Residential / Number of bedrooms 3 ( j Addition to existing building (j Replacement [ j Public or commercial describe Code derived daily flow ~O gpd Recommended design loading rate __=bed, gpd/ft2 g_trench, gpolft2 Absorption area requiredi54'-3 bed, ft2 .56 3 trench, ft2 Maximum design loading rate gybed, gpd/ft2, g _trench, gpd/1112 Recommended infiltration surface elevation(s) 46 -TP It (as referred to site plan benchmark) . Additional design / site considerations A Parent material 6 u Flood plain elevation, if applicable ,,y4 ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE T•GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem 5~-S ❑ U 4S ❑ U 'EM-0 U- ❑ U ❑ SL ❑ S ~U SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Bound3y Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tlench l O S z e.- .ion JF- <k4 Z l ~0 3 ~1~~ S/ 5 Ground d ~-f Co S 1'V elev. ~j Depth to limiting factor Remarks: Boring # 44 IS: 11 3 YL S/ z m r . 5, v Z Z 6-j a Ground O-~ E - O r4- : . ROW 04 1 Depth to limiting factor tgP~', Remarks: CST Name:-Please Print L ) phMe /7 q- Address: i ~l~r/ ( Ot ~J~'l! C S (4 • 5- lt0 Date: CST Number: Signature: V /,7 3~ fmZZ ,g r7e. 7_ PROPEUYOWIj;ajnA d Ae, SOIL DESCRIPTION REPORT Page2-of 3 PARCEL I.D. # Boring # Horizon Depth Dominant Color I Mottles (Texture Structure Consistence Bounclary Roots GPD/ft in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. Bed (Trench Ground _3 Jai elev. I Depth to limiting fact Remarks: Boring # 7- D s S D s WA 1)7: Ground elev.~zO Depth to limiting factor Remarks: Boring # fl -zz o % z Ground z-& ~7Z~ S S i9/d el , 8 Depth to liminng Remarks: Boring # 4~ Ii{ Ground elev. ft. Depth to limitlng factor Remarks: SBD-8330(R.05/92) ' . t STEEL'S SOIL SERVICE /Sa-l za0_'!t& G Gary L. Steel C.S.T. 2298 New Richmond, WI 54017 MPRSW-3254 (715) 246-6200 /V Y4 IV 0 Y4 /0 -/Z 196) 13,E s-,~ «stC~ in G 14_4_- ~ Ko tl.. w q~-El., tDo' WII R ^Z ~ 6-ZS JG? ,boo I- - - ---1a 43-5 o' '6 r I z ' 81 - C°D YLd,~ ~"I - 334 RetofIn ustry, SOIL AND SITE EVALUATION REPORT Page of HuDepart6 Division of safety & suildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY SZ. 0- !mod 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. REVIEWED BY DATE APPLICANT.INFORMATION-PLEASE PRINT ALL INFORMATION PROPERTY OW : PROPERTY LOCATION to A L GOVT. LOT C` 1/4 )v 114,S T 3 I N,R 18 'R(or) W PROPERTY OWNER':S MAILING ADDRESS LO j# ~ ~ # SU NAME OR CSM # ZIP CODE PHONE N CITY ILLAGE OWN NEAREST ROAD 12- CITY, STATE- UMBER 9 -q 0-7327 h~ 5' z 6 (71-'5) t4--New Construction Use M Residential I Number of bedrooms 3 (J Addition to existing building ibe Replacement Public or commercial desa [ J ( J Code derived daily flow ~D gpd Recommended design loading rate _j-Zbed. gpd/ft2_. _g trench, gpolft2 Absorption area required67± 3 bed, ft2 .56 3 trench, ft2 Maximum design loading rate iZ bed, gpd/ft2..~-trench. gl~ it (as referred to site plan benchmark) . - Recommended infiltration surface elevation(s) 4 Additional design / site considerations Parent material rQ vE, Flood plain elevation, if applicable r✓4 It 'S m Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE T GRADE SYSTEM IN FILL HOLDING TANK $~l1 U- Unsuitable fors stem [ U ®S. O U U o u [I S ,fBL- 0S SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Roots GPD/ft Boring # Horizon Gr. Sz. Sh. Consistence Boundary Bed T~ in. Munsell flu. Sz. Cont Color 8 Z -/Z- aT - Z - l to - e Ground d vlyw I! ,,:elev. ' , Depth ro, limiting t fack r Remarks: Boring # o rLz/Z c--- 5) S a-~ s' . 2 2. 3 L__ S/ Z m r 5 Ile, Ground 00 de f% Depth Io limiting Remarks: CST Name:-Please Print L ~~l hAne' Z c~ (o - &z:-a0 Address: 5 Signature: Date: -z3 "PROP pWA~v~a~ SOIL DESCRIPTION REPORT Page -of PARCEL I.D. Depth Dominant Color Mottles Texture Structure Consistence Boxx~ry Roots GPD/ft Boring # Horizon in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. Bed ITrench LZ .9 Ground 1 elev. t2Q_ Depth to limiting factor Remarks: Boring # ~ O S s o7 7 0 s s ' Ground elevv. Depth b Nmiting factor , .Remarks: Boring a~ 2~- G 57 z Ga Z -zz 0 ,S s B Ground Depth to limiting 'Remarks: ; Boring#' g Ground ' tt. Depth to Wiling facts T-17-1 Remarks: sets-easotR.osreai STEEL'S SOIL SERVICE ~~s-- ZOO 63 Gary L. Steel ~ 908 14. ftere DFiV8 C.S.T. 2298 in 09 I New Richmond, WI 54017 MPRSW-3254 (715j 246-6200 IV c y4 IV y~. S,, _ ~ 5J A) lCgd 134- E 1,, lDo' W m u A pa- log Ja=i I O ti 00 I - - - --r,~ B-3 d ,3_s o, rA z ' 8' C°012c~ ~ ~ 133' /Z-Z-3 ~93 or r ' SIto* ~1~~,. off' a ~~~4''''~ i~~~►-~ flesh Ak 11114110 AAA O~~~/wgM PIPS } - Qw•.... A/NNN 1061 Cy ,I MM•ww'Ja~AD••• ~ • ~ • 80 420 A40,104, m 4* Cell Usti M- v"I pope ' ~ INr W i.•~M~k C•.aMr Wool* ll~ • T•• • 1••••11 /1~• • ►wlw•1•• ►1p• YN•w • w ~'C•NI•T Twwl••IMt AI p cis ~ •NNw 01 i~11•A r r Pry c D P%n..l 9 rh c~ ~ Y--- • - loll ~ILL.• , ®15TILIBI•Jnom PI►C • ArmwiED S•I1JT1{CT1C COVC 2M W AGGRCGAIC -1--lo, "*-MATERIA,i OK 1' OF STRAM y~ OR MARsi• NAy ELEV. OFlLFEE''_.T AGaRCCArt . CISTRIOUT101,1 pope TO pC AT 4CA><T IWCNCS 5CI.OW ORivosj^t. •t.tAOC AMU AT LthST L0 1QCHCt OUT MO MOKC THAN 41 IuC4Ci DC1.OW 11WAL CItAOL t1~xvYwM DEPTV1,0F EXCAOTIOP FKOH OWWAL 6Mv9 WILL, BE _ IWCHCS ANIMUM pEFTIt of EA AVATION FO^ ORIZINAL GRAD 1L wn.l SC _422 . INGHCS fat ~ ~.;:~•i tic fyi ~ N O C 03 6-Y c i ~ U C N c ~ c'a 3~a o cUi v > `CiU m Z, = et o ~ y ~rn~~ I m L to co C'I C N= a N p > CU tl CLOo.6 O U) NpOj O r 04 M -6 Z~ CD C C 0) co (0-0 0) 0)_p mO d N y O N C pX O O O a) 'p z rnmNcoo ~E~O -i CL CL o -`for Nw c N N v v 3 v O L ° C C < CD CL 3 M zt a) z co W z o o z y y FM- a m z c 0 Z O v c L m r ~ y Z a ° a' o N ~ c z E -o p N M I N C N y ~ ! N N C L 2 a c m o N c O 'r- z m ~ z 0 41 j y c ! R E E N y ~ Y to U) y N c o G O IL` .Oa c I z - a O o ~w z a a a u, z a i~ w 0 U) ce) U) O I~ ~ ~ N I N =N 04 CD E ~ m a 0) (D 0 4) 'V O c CD 0) y E o0 3 N O E U 0 o o c l ~ M m o w m t6 N t o.- u) ~ = o z 0 = E I V~ y E dt o a ` a c +O+ E 2 a d ~1 A ciao !oaic°~ STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS SUBDIVISION / CSMI LOT SECTION T ff-R /4f _W, Town of 11 -$1- l$. tqyc- ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM dp 'a i /fous~ 1 INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form- Provide 2 d imens ions to cent-e' 01 'pt i c tai O' manhOl_e cover- 7 ,7k' l ~ 14/ S- i n s Gc~J~~, /G9~~'7 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF STAR PRAIRIE COMPUTER NUMBER 038-1044-40-000 Parcel Number 11.31.18.194C OWNER NAME: First DONALD K & KAREN Last HALL PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment SECTION 11 TOWN 31N RANGE 18W 1/4160 '/440 Line Description Line Description TOTAL ACREAGE 1.550 PLAT LOT BLK 01 SEC 11 T31N R18W PT NE NE 15 02 COM 16 FT N OF NE COR LOT 7 16 03 BLK I VIL OF HUNTINGDON N 17 04 179 FT W 378 FT S 179 FT E 18 05 378 FT TO POB ALSO THAT 19 06 PT OF VACATED PRAIRIE AVE 20 07 & 16' ALLEY IMMEDIATELY 21 08 N OF LOTS 7-12 BLK I & E 22 09 OF LOT 7 BLK I EXC AS DESC 23 10 IN W D-1094/274 24 11 ASSESSED W/038-1050-20 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit g~1g4C gE O g~ LQs~r'srtf~In~RIEi1.31IVATE S~GE S~SfiENf H County: \ Labor and Human Relations INSPECTION REPORT Safety aad Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: 199967 Permit Holder's Name: ❑ City ❑ Village IR Town of: State Plan ID No.: T B Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: / 019-1044-40-000 TANK INFORMATION EL VA ION DATA A9300369 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/Ht Inlet a 79 4Cj, 3 TANK SETBACK INFORMATION St/ Ht Outlet SOU qq,O y Verit TANK TO P/ L WELL BLDG. Air Intato ke ROAD Dt Inlet Septic has' 3 all ~02 / NA Dt Bottom Dosi ng NA Header / Man. Z. bd 27o / Aeration NA Dist. Pipe -7, / 6, 9 9 Holding Bot. System 3 Q(,Oe/ PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft Loss I Forcemain Length Dia. H Dist. To Well SOIL ABSORPTION SYSTEM BED / TRENCH Width Length i No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth I DIMENSIONS DIMENSION S SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of ~a~i as 7G~ Model Number: System: /u/ CHAMBER OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over %k Depth Over 0 xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) , LOCATION: STAR PRAIRIE11.31.18.194C,NE,Nk,'PO. RD, H wA'(1 lW~ g Ii J Plan revision required? ❑ Yes ❑ No Use other side for additional information. fgSBD-6710 (R 05/91) Date Inspector's Signature Cert. No r ADDITIONAL COMMENTS AND SKETCH L . SANITARY PERMIT NUMBER: t` R SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05, Wis. Adm. Code v STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ / ~1 8% x 11 inches in size. Chet i revislon 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 OWNER PROPERTY LOCATION PROPERTY OWNER'S MAILING DDR LOT # BLOCK J"4 )I J CITY, TATE 21 CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER II. TYPE OF BUILDING: (Check one) 1:1 State Owned VILLLLAGE NEAR T RO ❑ Public 91 or 2 Fam. Dwelling-# of bedrooms PAR L H .05,10 111. BUILDING USE: (If building type is public, check all that apply) 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 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 50 Hotel/Motel 90 Office/Factory 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ~ New 2. ❑ Replacement 3.E1 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 El Mound 30 El Specify Type 41 ❑ Holding Tank 12 H Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 130 Seepage Pit Pressure 43 ❑ Vault Privy 140 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./i h) ELEVATION Feet Feet CAPACITY VII. TANK Site in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks Concrete glass App. Tanks Tanks strutted Septic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber F] EJ 0 E] VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installati of the onsite sewage system shown on the attached plans. Plumber s Nam (Print: Plumber, s S' not e o [MP/MPRSW No.: Business Phone Number: P be ' Address (Street, City, State, Zip C e): IX. COUNTY/DEPARTMENT USE ONLY Disapproved Sanitary Permit Fee (includes Groundwater Date Issue Issuing Age Signs o S mps) Approved El Owner Given initial Surcharge Fee) 4212 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 r INSTRUCTIONS i. 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 _ounty prior to installation. 5. On :ile sewage sy0ems must be properly maintaired. The peptic tank(s) must be pumped t>y a licensed pumpe• 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. If. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. 111. 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 al! information requested in #17. Vh. Tank information. Fill in the capacity of evF~r-y new and/or existing 'Lank, list the total g:-31;ons, number of tanks and manufacturer's name. Indicates prefab or site constrnrcrvd and tank, ana(erial. Coryiplete for all septic, pump/siphon and holding tanks for this system. Chet;k e=;:,3erimental approval nit, if tanks received experimental f,rcctc? = pprovai from Dlf_HP. VIII. Responsibility sta*ern nt. Installing piumt-r is to fill in name nse number with apprepri~ie prefix (e.g. MP, etc address arkci phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 81/2 x i 1 incl-es must be submitted to the county. The Mans m~ist include the fallowing: A) plot poan, drawn to sca e -i+tl, to~,nplerte dimensic,rs-, , c!catioh of holding tank(s), septi,-- la;,k%c>) or other tre=atment tanks: n!.. wells; water ;Y a vzter service; streams ;4od lakes, pump or siphon tanks distribution bc-,~ -c-P systems, reC1l~°t~rrrent system areas; and the location of the building 8) horizontr: tv ai reference points; C) complete specificat'ons for pumps and controls, close voiurn,-, elevati=on c'a erences; fricL,-n loss; pump performance curve; pump model and pump manufacturer; D) ci oss section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. I GROUNDWATE14 SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices whit h pan effect groundwater The rnonies -ol`ected throogh these surcharges ate, used fr..-)r monitoring grouPdoYate c;,r,und- water cone -,'nation ;nves!icrations and-establisnmf.ri .-,f - r,-,~'d,: . SBD-6398 (R.11/88) imt ~i9c°s~ ~s'9 as -71 II _ -l s c~0 27 J `a s k) LoR SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER- L~'.✓~) /11 l ~l' ~ . 9~- 9C d ADDRESS: l7 FIRE NO: LOCATION: 1/41 ~1/4 , SEC.- ZZTN-R TOWN OF: a A0.1 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 l/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 e expiration date. y ar SIGNED: DATE:- St. Croix County Zoning office 911 4th St. Hudson, WI 54016 STC-loo This application form is to be completed in full and signed by the Otvllct(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 Douse), 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 _ Vej IV c%/ K Z- ka1, / / • T Location of property_&-1/4 AZA-114, Section, T L N-R-W .Township y,1;--f Hailing address ✓ . Address of site Subdivision name Lot no. other homes on property? - yes____.No Previous owner of property Total size of parcel Date parcel was created Are all cornors and lot lines identifiable? -4-y No la this property being developed for (spec house)?____Yes No Volume 4/77tind Page Humber _ as recorded.with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARIZMITY DEED which includes a DOCUMENT NUIWER, VOLUME AND PACE NUMBER & THE SEAL or THE I;EGISTill 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 Nap shall also be required. PROPERTY OWNER CERTIFICATION I(wc) certify that all statements on this form are true to the best of ny (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 Ho. , and that I (we) own the proposed site for the sewage disposal system orr Ie(we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of county Register of deeds as Document No (C si nature of'ap~1 cant Co appl c t Date of Si n t re Date If nature DOCUMENT NO wwlnt :~^rv ;ir.lcu Y w, STATE OF W1(,C0NSIN-- FORM 1 a} ft P~ 'j' dd/\ • ~4 Ttus el•Acc F"•.,t nvrn ro{: I.rcc;uuina r~.r.: LI << c t k.r t~ tli`, tC~Y'} I IlJ►2►. A .t J. fl~ti .t 1 1 t. d.Iti; oj_O.CIO.p r A. 1~. 19 71 tWc( 11 ! ' T' t Y' ~~iJ171~ ~1Y1Ct •ltlY'le 1102"n(':..; Ili- - ri., 4 _ ~1 c :1 a.„iz 111,-; 1-1 _ r R cord ) 1 cI lialltlf':.i_ _ of the first part, and r Cyr i 1,(i 1 LI ( 1 • .t Lf_ 111 Nlje LL:; J -.~t T,Ur1' it 1 X11 I L It1~:, Ut. u -viVot.;ill'J 1.t. of th( c( ru3 i t. + . LL - J r t ! ~t t. ri , t , , try u. +IC,I ! tt, for ant-( i❑ ~o~ui(1 ~r.t(lut: t o l V: U'L[) -U aruur: ro 1t i:, l:'_',. nl (i.. _ ,1.: .ill l.•S l!lt. ,ccoll(1 pal t, tht' 1.(:I!:.t hat 1!, r,ml,.( rclca,c, aLul, ((,lnt~.IUt{ (n;- nl,i ►.nf, _ I_' !I(Ir Hill a Iuttc.r. tllc iol!u:.irt,• I n. ( uI •r.- ')1. r. - _ .Lt(: of J l ) 1~'1) vt i. (1 i) r i 3 t. . _ ~ , -1? L 1. !Ji i 1% • f. ~'l , ,r :l -)i. i•-~~ I _.-o.. II .t. (!.r•,!l t u.? I. t. i t lc .t_ - 1 tin ..I .i ,.i I ..i 1: Ill .i:l.. I'.. ,r . .1.... I rihc.i N.itiI t1 ':.-t( ' ;1 1! c Kiln' -.n-! i•, lit nt(n, it I a(lu{ I i ,,doll u~cn.:{tf, uI illh :it, I,r ill till .it.. _ (!tilt, ,,.,t, 1•c,tt(',.;)!( iu•,•,r~ti:l I'll r.,tid .!t. 1.. ~1: a"..l{r l . ,_r~; l,:ru or }~cr;ous !.1 ay t_l:ildlll,~ rl.^vO 1)lali?:ll. It I,. s,t 1•:1....C,.__ (;t 1.• hr,t ►ttrt h.tV0- Lc; un(t, Ucto!?(;.:' - n. a i_77 .~i ~rtcr J I1711 i 7Ifr i` i,.ar1e IleI'll Cl t 1( (01. _Ocl ~ j,. . l 1. oi:- t.oIIn . i'c l-,un.llly toll( 1)( fore loc• this 1! J S'i t!,ly of 0c t 01) C1 - - ar n.tux., P!;LT'~ ICIIl(1: L.1'l~'vJ1.1t: t,l Inc l.nos+n to he th l,<_1 tug ~clw c:.(e utrtf the (,ulu~f s I u t ~n ><ti~la/l~a~c,~C(~~ ,.r~l~. Paul 0. 3vien WAS Dr<AFFED UY y "N tr Public , .it. Croix ~ Paul 0 ;wrenby, Realtkl I October 21,;t 19173 _ illy e(nnmissiotl (expirrs) (is) (ticthun 59.51 (1) of the \\lsi onsin tit it t c pr c dcI tilat all 1-ttunu(Its to h(r rotdrd slalt k- I,L-dy {,:itt 1 t-I tl e i eons of ILc „,eutu s { .urt<cs, s' [ c. yes a i noLlry, 1 h9 513 smLlady cquues tflt the ""n", ul tl, (c i l nu-ul tl aFeucy wLsL, dratt(d su[h in. trunwnt, st .~I~M( pr r I p •nJt { stank r written thereon to I 4r 11'1 1 ~'IiS~r~ 51 f, KltltA.\'I`1' DEED FORM No. 1~ Vltllnan:ud6~et. ~ Nf,t. B1, A -.h 28(; H if, 1 ..11 ) er.;.~ T, ~ '.~1 iWF'ir1AId S°7' it"R'~, ~I,A'M'M^~..~YI/.I'~J'.' ..if 'M': 1• • r khl . ,4 ABSTRACT OF TITLE Commencing at a point. Sixteen* 16 feet north of the Northeast corner of Lot 'seven 7) in Block "IN in the Village of Huntingdon,in Ot.Croix Co. Wis., running thenoe North one-hundred and seventy-nine (179) feet, thence west Three hundred and seventy-eight (378) feet, thence south one-hundred,and'-seventy-nine (179 feet, thence east, three- ; hundred and" sevont.y~-eight (378) feet to plane of beginning. x Beinir a ,part of the Northeast quarter of the Northeast quarter e (NE of MI) of section Eleven (II),in township Thirty_one(31), north of Range Eighteen ( IS) West. .I , r Exospt' Book I00 page 175 at No.2o on the Abstract. Also Lots 8even(7),.Eight(g),Nine(9),Ten(IO),Eleven(ll), and.Twelye(12),in Block "I" in Village of,Huntingdon,Wis. 1 Plait of. Huntingdon, Wisconsin. Plat 'Book 1, page 61. NEjofNEJ Sec.. 113, T31,R 18 ' I Apt 4 j• . Ir PAP t 1'i~a q. 'race fin' r + _ ;'~~trr~rta~P ~>~yl~~ t~cl::rra' d + ,t ,r`r y r d `aU ~ . C1 F i• . sheet' 0 . , , t~'. 1 a • t._ 4k ~ovr, '~3 t t` ~ ~1 r '(~zL:Cj~~ ]AEI i Irf l ;f k e . f r E.`tt~~dlrura' ill?'7- s; - S, w•• L ~ ~ L ~ L~ G . ~ 7 °l .i • 4 f. f_ [ wisoonsin. Plat-of, Rut:$don,.. Y Plat Book {1,t`pge 619 6~r.,~ : li Y;~. b{ ~A dM K'~ Y ~ 'F' ~~.A 1 ~'_s I{I.'tR tt ( i~ NEJ S®o 11-2 T-31 vR. 1` A~. ~ ~ F~ `~~~y, t e ~.1 f- tii YF+•ln•f qt••. tA 00 Jr r. a ....r~r-~rr Ali 1..C.c)I.~r.TY] A STATE OF WISCONSIN CIRCUIT COURT ST. CROIX COUNTY In the MATTER of the APPLICATION for the ALTERATION of the PLAT of ORDER HUNTINGDON in the TOWN of STAR PRAIRIE, 94 CV 125 ST. CROIX COUNTY, WISCONSIN The above matter having come on for hearing this 2nd day of June, 1994, at the courthouse in the City of Hudson, pursuant to the order of this Court dated April 8, 1994; and The Court having considered the testimony of Donald K. Hall, and there being no appearances in opposition to this matter; and the Court being fully advised in the premises; The Court finds as follows: 1. Donald K. Hall and Karen J. Hall are residents of the Town of Star Prairie and have owned and occupied the following described property at least since January 10, 1973: Lots 7, 8, 9, 10, 11 and 12, Block I of the Plat of Huntingdon (hereinafter PLAT); and An unnumbered lot in the PLAT or adjacent to the PLAT described as: Commencing at a point 16 feet North of the Northeast corner of Lot 7 in Block I in the Village of Huntingdon; thence North 179 feet; thence West 378 feet; thence South 179 feet; thence East 378 feet to the place of beginning, being a part of the Northeast 1/4 of the Northeast 1/4 of Section 11, Township 31 North, Range 18 West; and A parcel immediately East of and adjacent to the PLAT described as: Part of the Northwest 1/4 of the Northwest 1/4 of Section 12, Township 31 North, Range 18 West more fully described as follows: Commencing at the Southwest corner of said Northwest 1/4 of the Northwest 1/4 as the point of beginning for parcel to be described; thence proceed South 88°53' East along the South line of said Northwest 1/4 of the Northwest 1/4 a distance of 18 feet; thence proceed North a distance of 244.29 feet to a meander line on the Apple River; thence proceed North 56°11' West along said meander line a distance of 21.66 feet to the West line of said Northwest 1/4 of the Northwest 1/4; thence proceed South along the West line of said Northwest 1/4 of the Northwest 1/4 a distance of 256 feet to the point of beginning. (The area between the meander line and the river between the lot lines extended is also a part of this lot.) 2. The Plat of Huntingdon in the Town of Star Prairie was recorded in the St. Croix County Register of Deeds Office on October 16, 1858, in Book "1" of Plats on Page 61 which is more than 40 years before the date of this application. 3. Since the recording of the Plat of Huntingdon, St. Croix County, Wisconsin, the 16 foot alley way immediately North of Lots 7 through 12, and Prairie Avenue immediately East of Lot 7 have never been opened and worked as a public alley and a public street. 4. The posting, publication and service requirements of §236.41 of the Wisconsin Statutes have been fully complied with. 5. There has been presented to the Court a certified copy of the resolution of the Town Board of the Town of Star Prairie authorizing the alteration of the Plat of Huntingdon located in the Town of Star Prairie as prayed for in the petition in accordance with §236.43(4) of the Wisconsin Statutes. THEREFORE IT IS ORDERED: That the Plat of Huntingdon located in the Town of Star Prairie, St. Croix County, Wisconsin, be altered as follows: 1. The 16 foot alley way located immediately North of Lots 7 through 12 of Block I be vacated as is shown on the copy of the Plat of Huntingdon attached to this order. 2. That Prairie Avenue immediately East of Lot 7 of Block I and on the eastern edge of the Plat being North of County Trunk Highway "H" be vacated as is shown on the copy of the Plat of Huntingdon attached to this order. Dated this day of June, 1994. BY THE COURT: ~ • ~ ;ice -c-f~--r~ Circuit Judge BAKKE NORMAN, S.C. 1200 Heritage Drive P. O. Box 50 New Richmond, WI 54017 Telephone (715) 246-3800 ST. CROIX CO. Wa ~ i ' ATLANT/C ST j 'Ki Q L-- f I v ~I jr N . 11 „ Y = TELEGRAPH Y~ tr I Au.i,, «r!i MrC (J i~r7wv=irfT/ a q~..{'.(t(iw~ira. ✓'a. lw.r✓ * * ia.1 wf r/Jii}JY~;w~~R7y~dlrs NwdtiXe(X. /AA AM.C.w.. y4c4ted alley way and . -.:u." ,,.,.~~r~,,,~,...,;1,,~(a~,,,,~ avenue are highlighted ""''''~`'~1B!-~~'-°d~(~~'~~`K.c'/• y. ~.[rrJe~ in yellow-. ! ~rnreyn NI(( IY4lMJM (,A. this ~s~.~y,rr~•(.s..•a.a.ssr~.(,,,«.. w Ly .yy~(rneC iufri.. w.e'eX.An ~.wwM«.c sell A.Y.rsv r,.t !re(YY4aaM K w. . -/GNir.w, .4.ev.f.r( l..wJY.( j 1 «J,(d A&I Ac "..e1 !Fr 11 wY ham." Y a Yb W"a'WerwaaryafAabwnwwwe G'r.~ 'iLw~ aa/ of wad Y eer a0o ad W Mw A6! n..ar:.. ~r~~ r~oc..d .y~.aurs to Wm#*_Mepartmentof 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. " reiX Attach complete site plan on paper not less than 8 1/2 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 Doiiald K. Hall GOVT. LOT JJr- 1l41/4,S11 T31 N,RIU L`(or)W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 1294 Co. `-H n a fl /a - , CITY STATE ZIP CODE PHONE NUMBER ❑CITY (:]VILLAGE GOWN NEAREST ROAD Star Prarie t41. 54020 (715) 240-7327 Star PLari_ moo. l; t New Construction Use Residential / Number of bedrooms ( j Addition to existing building j ] Replacement Public or commercial describe Code derived daily flow 45G gpd Recommended design loading rate • / bed, gpd/ft2 •0 trench, gpd/ft2 '?4 Absorption area required bed, ft2 _ 5i3 trench, ft2 Maximum desian loading rate = 7 bed. gpd/ft 2 tre!>r'h, gpd~ft Recommended infiltration surface elevation(s) 95,15 ft (as referred to site plan benchmark) Additional design / site considerations -da. Parent material oiitWas i Flood plain elevation, if applicable F; ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem E3 S❑ U n S ❑ U QS ❑ U [aS ❑ U ❑ S E3U ❑ S 1 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 TwIch :;:r.•»c :c:•:. i V-C, 210112 s1. 4, 1,?,.r r,-t f_L ..s 2- •5 ...<.°•4w %'`:•`-a - J_ C! % . 5 is (c r r~ l 1 / . 8 yip/ :"loile i~ Ground 10)114/0 .ociC oo. S S,- l 1. n a .7 3 elev. r. r J J • 4_yt. Depth to limiting factor >u -J V Remarks: Boring # , 1 ,yt3/'2 rio~ C S1 :''VT ~ ys %z 1.5 a Syr /iti l.iO.i1E S i:: A_ J 1tl yL 4/._ LaollC c(J • J • ~l n ~ 1.'1-L ~Icq. ilih / • :.7 / - / 4 Ground elev. .05 ft. , Depth to limiting factor >%4' r l~ Remarks: CST Name: Please Print ,Phone' 'Jay L. St_ i15- . or`« Address: 554 ?C 0 PVC. t c u_c.: I 7/. _f Signature: r Date: tuber: i PROPERTY OWNER Donale, it. a.11 SOIL DESCRIPTION REPORT Page L of PARCEL I.D. # Boring# Horizon) Depth Dominant Color I Mottles Texture Structure Consistence Bamday Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed (Trench 1 0-3-4 10yr / none s'_ ',K-,r rlvf_r ;_S 2f .5 .6 34-47 10yr4/4 rioiie Sa_ t:riS r i,ifr PI If .5 j S Ground 3 47-85 10yi4/5 none co.s. 0s~ -A- no. na .7 i o elev. i 100.15 ft. Depth to limiting factor > J If Remarks: Boring # 1 v-1_:~ 10yr~/2 ~ior.e sl 2rlr rcvfr Cs ".f .5 5 4 10-5~ 10yr4/~:• 1lOL1P S 2r.~ r rwfr = a1 If .5 .o / xuyr4',5 ,10 -L1e co s 0 sq~ r J_ Clk n a. . 7 Ground elev. 1O'G, .15 ft. Depth to limiting factor Remarks: Boring # 1 0--'j 10yr3/2 none sl 2n-r r1vf r CS 2f .5 2 (-14 7.5yr4/4 none Is 0S rzl rz~ if .7 .8 3 14-9b 10yr4/ none Co.s. 0 Ss-, I -I]- na na .7 .8 Ground elev. let-35 ft. Depth to limiting facer >5 Remarks: Boring # :k Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/9~ OWN,. STEEL'S SOIL SERVICE 1554 200th. Ave. Gary L. Steel 9 M sARFIM C.S.T. 2298 Donald K. Hall New Richmond, WI 54017 MPRSW-3254 NF414E4 S11-T31N-R18W (715) 246-6200 town of Star Prarie 00 17 (Y1 C-Tv 14 `~Z 3 75' I SO k ?C S~ e o ` I Gary L. Steel 12-6-93 'Wisconsin Department of Industry, SOIL AND SITE EVALUATION R E P O R'T Paye= of 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 8 1/2 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. REVIEWED BY DATE APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION PROPERTY OWNER: PROPERTY LOCATION Donald I.C. Hall GOVT. LOT [JF 1/41/4,S11 T31' N,R 18 Zor) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUB D. NAME OR CSM # 12.94 Co . Rd. #H ii a n n/., CITY, STATE ZIP CODE PHONE NUMBER OCITY OVILLAGE SOWN NEAREST ROAD Star PrariE, WI. 54026 (715) 248-7327 Star Prari-e CO. L~. 4i ~c New Construction Use [ xjt Residential / Number of bedrooms 3 [ ] Addition to existing building (J Replacement [ ] Public or commercial describe 450 gpd Recommended design loading rate • 7 bed, gpd/ft2 •3 trench, gpd/ft2 Code derived daily flow Absorption area required 543 bed, ft2 553 trench, ft2 Maximum design loading rate __,Z._bed, gpd/ft2 r' trench, gpd/ft2 Recommended infiltration surface elevation(s) 9-5.15 ft (as referred to site plan benchmark) Additional design / site considerations i a- Parent material outwaSLI Flood plain elevation, if applicable it S :Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM" IN FILL HOLDING TANK U= Unsuitable fors stem 13S O U :0 S O U 93S O U US O U OS E34J O S QdJ SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD/ft in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. Bed Trertctl 1 0-01 ZC r3/2 t1Q;►e sl 2;-1-r Ftvfr es 2,[ 2 9-18 7 .5yr3/4 gone is Os^ rl c?;i 1i .7 .8 Ground 3 J.S-~~ 101ir4A none Co. S i sI-, nil n P. n z .7 .89 elev. .43h. Depth to limiting fact Remarks: Boring # 1 0-8 tivr3/2 none s:L r,w r CS .5 .6 2 8-17 7.5y-13/4 - iooe 1? .7 . 3 17-74 10yr/F/ r~or~e CO. S. 0 s rid na Flla .7 . v Ground elev. 53.55 It, Depth to limiting fac i4 Remarks: CST Name:-Please Print vary L. Ste:'i_ 71-5i-4'i,.P►!4eG Address: 1-554 2CC /':ve. ,iCru:;on,. 5/:CiJ-7 Date: CST Number: Signature: Cst" 117`1 I Donalc. K. ~ Pa of PROPERTY OWNER SOIL DESCRIPTION REPORT 9a PARCEL I.D. I Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 ( in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. Bed ITrend~ s.:.> .5 1 sJ. 2r~s r rlvf_r cs ` 2f .b ..~.yy 1 0-34 1Gyr3/2 none Y'"J><> sJ_ .:r:;r rifr Yw 1f .5 .o 2 34-47 10yr4/4 none Ground 7-35 10yr4/6 none co.s. Os~ rd na na .7 elev. 100.15 ft. Depth to limiting factor nrff Remarks: Boring # 1 0-1.6 10yr3/2 none s1_ 4cl r nivfr cs, 2f .5 1:4 ti; 2 16-31, 10yr4/4 none si 2c~. r Fwfr ect` If .5 .o . ~ 3 3<<-U 1uyr4/6 r~o~1e co s 0 su n. , n a. .7 Ground 100. 5 ft. Depth to Amiting ~u4 F-T I I Remarks: Boring # C5 1 0--~ 10yr3/2 none sl 2.n~r nvfr cs 2f .5 5 2 Z-14 7.5yr4/4 none is 0s,• raJ_ 1f .7 .8 3 14-95 10yr4/,i norm ca. s . 0 ssJ_ nos na. .7 .8 Ground elev. 101.35 ft Depth to limiting >W I L Remarks: Boring # C3 Ground elev. ft. Depth to kmiting factor Remarks: can aiinrn nFmp) . STEEL'S SOIL SERVICE 1554 200th. Ave. Gary L. Steel C.S.T. 2298 Donald K. Hall New Richmond, WI 54017 MPRSW-3254 NE,4NE14 Sll-T31N-81811 (715) 246-6200 taws of Star Prarie gm=,"70~ 6o 3 1).15 1 3O 9) ro f i Gary L. Steel 12-6-53 ~~J 8/ ~5 i`® i l );~t~B~r C~ )~~~r ~~l l PAG C or Ilk% . o~ Iq ~C17r•'~.~ 3~~ - V0. too 1111. 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