Loading...
HomeMy WebLinkAbout020-1009-40-500 o (D ° kn 03 °v!). ~ I r~ °o ° a ~ I o ~ I i > Q~ m o N a I 0 0 c z c. G LL N O v ~ Cl D 7 +L-Q o '3 I 3 Cl) 3 z " E z w o z c m m pC-4~w! am I 0 O z d c m = _ avi Z v ° c o N ~ c (D z p m CL • N ~ ~ C O z F- z N I E z I r~ o n3 c d M G r+ Y C p N d N o0 ME 0 Y ° G C a ~ E N ~ H H H ro ao v 0 0 0 a z° •ti ~ ~ a a a I N y = 3 y to J V 'I, O O } N ao O N N - 0 0 MC O O E L T = N I d -8 m N N r~~ o o 2 •ri L9 oLO C ° c E Ln rn 0 N a o) ° C rn o o F E c c co to wr p CO cp L -Oj Kb O N N o N Y? N 0 Lao r l • N o 7 ~ a v, E co m E m v ~ I • a m .0 `m a w `IV E c rw m v a O <n v i NE"w CD~V ST/?U c T~o-v . 3 T3t~~~ afar->' ~ Wisconsin Lrrpartment of Industry, SOIL DESLKIPTION REPORT Safety b ox Buiiwngs Division Labor and Hunan Relations BW' W' ' S370' (Attach Soil Profile Location Map Scale - On A Separate, Signed Sheet) Madison. SC s o _ Page ! of 3.0 -~3 F2 Customer Name v+ uatwn ate urrent lan Use or Veyeuuve over Parent Matena s S/~T SEOi v E .STS i P P,~iiPi~ - S,P'~ssE-s odt s,+tip . _Tlood ustomer ras sumate a est rou water Pam Elevation /d ~f Gel~O~ti O~i~S Lev, ~010~ ~1i/. Sy0/G > County ax uq o. GGf # System l. my to m a ons er Sq. t. er sy ° j Ci?p~ ~✓v/P 8 Tio,v - 1S FC> rlpC u 4& S 04--, Sld N~ pe an Aspect ` Lot ley. Descnption rot,._, ystwn Geometry an Dep S G, lOr Tiyv /yw o~ ,P~vcGt S - (~I~ E, SE u~o~ T Horizon Depth Dominant Color Mottles Structure Remarks: clayskins Loading In. Munsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Boundary ores Hand other GPDlft.2 y~ 3/Z io i , o k, yn i3 13, ~ 30 oyle ~lo S/ f sl,~ cep /vf C b-yk /a R S/lQ S cry 2 F/.- [/rl TioiJ - - - Remarks: clayskins loading Horizon Depth Dominant Color Mottles Structure In. Munsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Bounda ores H and other GPD/ft.= A D-? /O 2 3/, ,S// SIrC l S /oCv ~Q . J' t 7-is /o yR 4 kw r ifs /f s - S 1-3D /aye S6~ ! ~v~ Q, 5 • S G /o ,2 s S Remarks: clayskins Loading Horizon Depth Dominant Color Mottles Structure f ln. Munsell u. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Roots Boundary ores H and other GPD/ft.2 YX 313 56,E ae /mot s i~~rs w- . 3 3, I A /emu,4 %laN Horizon Depth Dominant Color mottles structure Remarks: clayskins L ding In. Munsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Bounda ores H and other G D/ft.2 9,6 10Y2 -Y3 3 /o 0 y G Si / /of e l f es 3 10V //4 Sl , f sbe r Y is test ite APPROVE 'nven on sepI I s - Horizon Depth Dominant Color Mottles Structure Remarks: clayskins Loading In. Munsell u. Sz. Cont. Color Texture Gr. Sr. Sh. Consistence Roots Boundary ores Hand other GPD/ft.z - /alrl ¢ - Si/ f she 15C,41 / c s 3 1`3l ,F-3z /e y,C s~o s , s = Cs NPI s o - cS - Y C , 3y y~ s /2 y V jib, y s 4~ / o S/Co s o c S sT / HOMESITE SEPTIC PLUMBING CO. 9 '~iCF ti 8b5 O'NEIL RD., HUDSON, WIS. 54016 ROBERT ULBRIGHT c s r- _ j 4!S. MASTER PLUMBER LIC. NO. 3307 MAUL "rm. IN; TALLE16 DESIGNER LIC.140:0M ~ Allt~,~ 1 f Additional Rem,arks: 2(S~ 7"~f'EtiCGt s c~i ~i~~ /3o X ~/j 7;P/ v r/a . j Other Site Features: 715 3 J01,05 te STelephone No. CST limiting FactorslDepth: JV-[Fa CST Signawre 9 o v,~0, s v'eveyorP S sno-e»o~N 01190) ~Y~T/0u /d N0, LoT 6%.vF ~w DoT coR.~F2~ fi ysr` , 63 9~l r ~p f /d 32- owe, A • r 7S r srsT~~ yo Q e 1 13r /o y 35 l3 /b/i y3 3 7 /o Z ge40 01.35 ~ J 5 6lc v~T!O i' = l ~3 ° " j ST~► ~E-ED our 3 ,j 5 y.fT~i`J E'lEvif-~ro~s sv lit'elf- 19 - /3`l-/3s /f i~~ T'tw ~ /OD ~ ✓~D iow s~g~~: i yo A~, 13 2_ T3~ _ g s Gc~tlp £ 2/St~ . HOME-SITE SEPTIC PLUMBING CO. ~T 0 655 O'NEIL RD., HUDSON, WIS. 54016 ROBERT ULBRIGHT of r # 1 y~L ~ WIS. MF TER PLUMBER LIC. NO. 3307 M.P.R.S. EP & DESIGNER LIC. NO. 00663 ~E i !1 C-0 LJ U3 m Q" m Z o y ~ fi N ~ I a j r o cn m rn ~ / ~ ~ tt, 2p Do y i iI I' C E i I I I o y ~ ?D 1 II c yv I I I,; y 1 N 1 ' ~ 1 l ~ -4-, 00 O -i b z P'I o m I~ 41 G M. ro r m Z c) ? ~ r- a T . z `C 'Ag0 b '18 p r' 1 s s AS BUILT SANITARY SYSTEM REPORT OWNERa`.ic~~ TOWNSHIP /~✓i~ ~S'ov.-~ SECTION T N-R W ADDRESS ~~w' ST. CROIX COUNTY, WISCONSIN G 0 GC'd~ E~OA/ % SUBDIVISION 4To,/"4 -LOT LOT SIZE 2 . PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 60 INDICATE NORTH ARROW BENCHMARK: Elevation and description: Same l s Alternate benchmark SEPTIC TANK: Manufacturer: h7.~sr Liquid Cap. Rings used: a Manhole cover elev: Final grade elev: Tank inlet elev.: Tank outlet elev.: No. of feet from nearest road:Front , Side , Rear Ft. From nearest prop. line:Front , Side, Rear Ft. No. of feet from: Well Building: .2 /(Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE i P" s PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufact.: Pump Size Elevation of inlet: Bottom of tank elevation Pump on elev.: Pump off elev.: Gallons/cycle: Alarm: Man.: Switch Type: Location Distance from nearest prop. line: Front_, Side, Rear_Ft. Distance from: Well Building SOIL ABSORPTION SYSTEM Bed: Trench: Seepage Pit: Width: Length .6-2 Number of Lines: Area Built Exist. Grade Elev. Proposed Final Grade Elev. sill depth to top of pipe:_ y2 No. feet from nearest prop. line:Front , Side RearFt.IZ,* No. feet from well:` r feet from building 7® HOLDING TANK Manufacturer: Capacity: No. of rings used: Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front Side Rear Ft. No. feet from: Well , building , nearest road Alarm Manufacturer: eor INSPECTOR: DATE: PLUMBER ON JO ^ LICENSE NUMBER: 6/90:cj iQ,qcOnT,w9A• rwUP~~N 10.29.19.37A SE NE LOT 8 BURKHARDT ST i ar# en o n ustry, PRtVAfE SEWAGE SYSTEM County: Safety aaaidnd B FBuiuildildings DivisioRelationsn INSPECTION REPORT ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 171507 Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: REKOFF RANDY HUDSON CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: pI 111 11"/ ' ~ i ~ , ,'"3 Cv? ?,:91i 020-1009-40-000 TANK INFORMATION I ELEVATION DATA A9200274 TYPE MANUFACTURER CAPACITY STATION B5 HI FS ELEV. Septic Benchmark lU SY" Dosing Aeration Bldg. Sewer Holding St/Ht Inlet /0 7i7 TANK SETBACK INFORMATION St/ Ht Outlet l0 q. 7 TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic- NA Dt Bottom Dosing NA Header / Man. 10 Ipl.$L Aeration NA Dist. Pipe Holding Bot. System ~,9 L 10 PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction I TDH Ft Loss Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 5 ~ 7 12-- DIMENSIONS LEACHING Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM INFORMATION Type O CHAMBER Moe Number: System: )L -70 /1/ 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 pr ,etc.) lo' 1 15 Plan revision required? ❑ Yes ❑ No l Use other side for additional information. tie SBD-6710 (R 05/91) Date lector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH . SANITARY PERMIT NUMBER: OILHR SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05, Wis. Adm. Code ~Ra STATE SANIT Y PERM T # -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. El Ch if1 s3i'io o revious 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 y r Sr'/4 S T.Q q, N, R E (or PROPERTY OWNER AILING ADDRESS LOT # BLOCK # /Oft 4,M-101? ,v /,eel 9! 1 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVI ION NAME OR CSM NUMBER II. TYPE OF BUILDING: (Check one) NEAREST ROAD El state owned viLTMLAGE * a- PARCEL 56 -4 1 T UM ER( ) ❑ Public K1 or 2 Fam. Dwelling-# of bedrooms -2 111. BUILDING USE: (If building type is public, check Z11 that apply) Q a d _ j O O '~T~Q d 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ 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. Fol New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an VS-L 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 E] Specify Type 41 El Holdin9Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ED O. S~ tl ~N ,3--G ,3 S' Q d' ~j~'• S LVAT Se 7 Feet D Feet VII. TANK CAPACITY Prefab. Site Fiber- Exper. in gallons Total # of Manufacturer's Name Con- Steel glass Plastic App INFORMATION New istin Gallons Tanks Concrete structed Tanks Tanks Septic Tank or Holdin Tank Dvd , W 1 S~Xif/ 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 Signature: (No Sta s) "Fr PRSW No.: Business Phone Number: ~y 3 1s - 1 Plumber's Address (Street, City, State, Zip Code): e 40 -7d IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved S~tary Permit Fee (Includes Groundwater a e Issued A ent Signatur ;~/Approved ❑ Owner Given Initial Surcharge Fee) / QJ~~ Adverse Determination X. CONDITIONS OF APPROVALIREASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety a Buildings Division, Owner, Plumber 2 INSTRUCTIONS 1. A Sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety 8, Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provic'e 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. Compete for all septic, purnp/siphon and holding tanks fof 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, 'ocation of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. - - - - 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. SBD-6398 (R.11/88) 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), 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 /Pc&" a /f Location of property!51~ l/4 N,61/4, Section /0 , T';2-5 N-RAW Township FA U_4\ c III Mailing address Address of site Subdivision name cc,r Lot no. g Other homes on property? yes No Previous owner of property ~~I e aK e, Total size of parcel we S Date parcel was created 1 ~O Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes No Volume and Page Number 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. PROPERTY OWNER CERTIFICATION I(we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of County Register of deeds as Document No. Signatur of applicant Co-applicant '711,411 (7X Date of Signature Date of Signature I 6000MENT NO. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA STATE BAR OF WISCONSIN FORM 2 -1982 485946 ~Y REGISTER'S OFFICE ST. CRQIX CO, ,W f y Dale G : Wucher and Sandra S. Wucher, husband Reed for Rec©rd and wife as..7oint tenants JUL 16 1992 of .-Randall••D,•••Grel~off•.nd-•)`T17..( :--Crr~14i2 conveys and warrants to 10:20 A,. M •,•-husband:.~nd..wife,-.•es. subv~y-Qxsh~.p•.merte~:_p~:operty,..•--. V Register of RETURN TO the following described real estate in ....St....Cr.QiX ..........................County, State of Wisconsin: Tax Parcel No: Lot 8, Plat of Burkhardt Station in the Town of Hudson, St. Croix County, Wisconsin. t?ANSTER -3Od) E.HE is..not homestead property, This (is) (is not) Exception to warranties t Subject to easements, reservations and restrictions of record. . 19..92.. . . . . Dated this O day of Ju.ne . (SEAL)..!Q!:..W. ......................(SEAL) • * DALE G. WUCHER (SEAL) ~ . (SEAL) * SANDRA S. WUCHER AUTHENTICATION ACKNOWLEDGMENT Signature (s) Dale G. Wucher and STATE OF WISCONSIN Sandra S. Wucher as. authenticated this .6day of June 19.92 Personally came before me this ................day of 19........ the above named * STEPHEN J. JNIAP TITLE: MEMBER STATE BAR OF WISCONSIN V N to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY STEPHEN. J... DUNLAP... Hudson, Wisconsin Notary Public ........................County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: 19.........) .Names of persons signing in any capacity should be typed or printed below their signatures. 1Nicrnncin I-PrnRl RIRnI, rr) Inr S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ( t vc4 c I I C L~ M l9 k" 4 ADDRESS 6 eAq Z e-,QL S4 FIRE NUMBER CITY/STATE 4,t sctia-~ ~c/ ZIP S4'o/ w i PROPERTY LOCATION: 1/4, ll/L 1/4, SECTION TAN-R_LS W TOWN OF St. Croix County, SUBDIVISION 5` t, A ,,o LOT NUMBER F Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Cro' Co. Zoning Officer within 30 days of the three year expiration te. SIGNED: fia4' DATE: 7111411k St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 NEw 40tis772vC7-10ti //o t-/ 257 1; Saiet 3 Bui~uings Division v'lisconstrvLepartment of industry, SOIL DESLr(IPTION REPORT P.O. sox 7969 Labor and Human Relau{~rts (Attach Soil Profile Location Map Scale - On A Separate, Signed Sheet) Madison, W' 5370' / Page of ;Z --&3 12- I urltntLan UstofVeytuUvs oWr PartntMatsrrat 5/~T xEOi.yC.~TS wtomsr Name ra watwn aft p✓t,Q S/}NQ . 'P AA 1J0 , -f 7 v v E y" 2r pwQl//rim - P a,n ratwn samate a owrlst row, water Customer rea LN. ~!/vJ0[J l(J/. S~lD/G > /290 N, ' / d /r'~ Gd/Q~.t• O~/ ~S ax arp .G(>ft 8 y►tem(~atem a omPtr Q. t. or ay O" S10 ownty .7"g Tt~ E U S Aspea sr. 0,~or X sr T,o~, Ae -r~6q' ysttm someuy a Dept W a SEC rv SEL`D`=rtpUO~ 0 r Remarks: clayskins Lo•*dirb Horizon Depth Dominanteolor Mottles Structure In. Munsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots ~a res.nd other X02 412- shk s • 13 10 -.~o /3z x•30 OYX /G S/ /fshc /vt ee V 1 /E l/ - - - - - - Remarks: clayskins Loading Horizon Depth Dominant Color Mottles Structure In. u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots boundary- ores Hand other GPD/h.= MunsetI T J'/ /a,~ f SIu~C AF S ' -S 7-If /0YR 11/6 /,S-3o 4 CP S/ i f sb~ cp0Q a- 5 • 5- /6oe G 2 s /0-Y - This test site APPROVED vet -o,-j fora conventionalM. Structure Remarks: clayskins Loading Horizon Depth Dominant Color Mottles In. M nsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Bounds ores Hand other GPD/h.2 -/v /~Y~ 3/3 s./ if s6K ©e ~ /•m s ~~/6w~ . 3 A b - - 'j 13/vet//O.v -=-3------- Remarks: clayskins Loading Horizon Depth Dominant Color Mottles structure i In. nsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Bounder pores, ai then GPD/it•2 IR '12 /py,~~/G cif /vi ~i~rr: j4- /f 0s - 3 1-f4 log 516 a arks: cla skins Loa Structure Rem clay skins horizon *DepthD0MIn&nt Color Mottles nsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots _.ggq2d4ry_ ores Hand other GP'ft.= 3/3 S,/ /,f,sh/~ p/oiv1 A j cs ye sly S 3Z 16 s ~Q j C , s~ y~ ? sYR y - s a 41 d cs - C z -9p o 5144 -s A c s d HOMESITE SEPTIC PLUMBING CO. 855 O'NEIL RO., HUDSON, WIS. 54Q16 ROBERT ULBRIGHT a s T; r z `~8Z d1S. MASTE R PLUMBER LIC. NO. 3307 >r0AR& i ion mar s. r- E . ZIS~" 7,f ~.c► s W/o° yi~"o~~ i. o D/.r 7*1 IJ o oC>!S~'~t/ ~O~~i•o(r- ~~i Y~-Pj fQ . r lK - ael s' r Other Site Features: ,--L_ - - 715 3 A05 ~ limiting faclorslQepU): Of Signature Date Signed Telephone No. CST W 6110 (N 0160) I'le4v 'All /04 4 iv, E DoT- if/O ~0 7- L vE d 3g ysr\ .63 9S / Tf'f'ti 92 r q yo 10y 3S /3 /33 /b/, L/3 COPY 13.1 /G y, 37 ' 'I /3S /0.2 .yJr 107.35 "A/ 41fjio~ i ST~tk-D o v 7' 3 This test site APPHUiW' iD for a conventional septic system sti g~~.~•- fay - /3S 7?eva, /oDSD , S I r_ 4,fe f 733 _ F3 S Wt~ rs _ HOME-SITE SEPTIC PLUM13ING CO. 655 O'NEIL RD., HUDSON, WIS. 54016 ROBERT ULBRIGHT esT 1 y~L / .VIS. MASTER PLUMBER LIC. NO. 3307 M.P.R.S. lOW T~~.uC.{~ 7 0 f+tNN. INt:7Al I.ER & DESIGNER LIC. NO. 00663 I I • a.✓ ~ G~~ S< ~ ~ a~ ~~w~-ff a. ~'o..✓ 'owl t L /v 3 G` e?- S~S7jYe ~Or I )6GG A'o ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 Aug. 5, 1992 Randy Grekoff St. Croix Development P.O. Box 703 Hudson, WI 54016 Dear Mr. Grekoff: On July 21, 1992 William Schumaker brought a check to this office for a sanitary permit in the amount of $185.00. The money is then turned over to the County Treasurer for deposit. We have just been notified by the County Treasurer that the check came back due to the fact there was not enough money in your account. Please submit a money order or cash to this office in the amount of $184.00 ($180.00 for the sanitary permit and $4.00 for handling fee) to our office immediately. Please be advised there will be no inspection of the septic system and it may not be installed until you have taken care of this check. Should you have any questions regarding this matter, please feel free to contact this office. Sincerely Thomas C. Nelson Zoning Administrator cj REPT131 HUDSON ST. CROIX COUNTY ZONING PAGE 1 08/27/92 11:09 REQUESTS FOR INSPECTION WORK SHEETS FOR: 8/28/92 AREA: MJ 'Activity: A9200274 8/28/92 Type: CONVSEPT Status: PENDING Constr: Address: HUDSON 10.29.19.37A,SE,NE, LOT 8 BURKHARDT STATION Parcel: 020-1009-40-000 Occ: Use: Description: 171507 Applicant: GREKOFF, RANDY Phone: Owner: GREKOFF, RANDY Phone: Contractor: SCHUMACHER WILLIAM C. Phone: 386-3121 Inspection Request Information..... Requestor: SCHUMAKER, WM. Phone: Req Time: 10:08 Comments: /Qc~ Items requested to be Inspected... Action Comments Time Exp 00012 FINAL INSPECTION Inspection History..... Item: 00012 FINAL INSPECTION