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HomeMy WebLinkAbout020-1280-90-000 o 3 o rv O ~ ~r; 5S a7 t o I o S ~ O I N s, X C O N C -C U C N 'y N k, O Y C m U U O O ° 0 0 C Z a) v, N C m LL O 0) O - d Q O a V a) r z N O Z O V p Z r N N a m co H (n O Z U O N 0 Z d c N I- m m c O v 0 0) ° CL a) N N ~ ° 1V ~ a c C. N O _ ~ - N o Z H Z Z o ° y N 7 E C N yN R co > *i = c o R ` U Z J G G CL a" N S N CO U) 3 L r f.. F. U ° s 3 ~ a a • v nom. a a a g ~ CD N N N Vi -j U - rn rn } co 7-: co o 0 Q ~ O O O C _ a N N O O n 64 y N 04 o U) co v r od v R o U U) o ° ° w c o ® O 3 U v to N CL O O O O ^i m cl) ° N C C F- co C C C N C C 'IT O ea r N _0 C Z' r r • y` O M = LL O N Cn r +r V z E v y m s d O. ` (L w • C~ C d V d 1 A v a 2 0 v AS BUILT SANITARY SYSTEM REPORT OWNER Y'1 r (1z 21rt b X11 xr-h_TOWNSHIP ~u. CA -5 4 Y ~ SECTION-,I.-/'_T--9 5~ N-R /c' W ADDRESS C-- Q QD ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT !a LOT SIZE A- PLAN VIEW N~ GnK4`-~-~'SHOW EVERYTHING WITHIN 100 FEET' OF SYSTEM 14 '0, M* c 5 ` r 5 5 po*- Dr, INDICATE NORTH ARROW BENCHMARK: Elevation and description: `5t~ 57k-,k-~ om o?1Alternate benchmark car O L~e.. o SEPTIC TANK: Manuf acturer : - Liquid cap. /o?S Rings.used:-t-Manhole cover elev:9/,~ Final grade elev: >''a Tank inlet elev.: Tank outlet elev.: V,0',190 No. of feet from nearest road:Front-,)L, Side , Rear Ft. /3b From nearest prop. line:Front_, Side , Rear Ft. 1.3 No. of feet from: Well AY -36'L Building: (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE 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 jr SOIL ABSORPTION SYSTEM Bed: Trench: Seepage Pit: Width: S Length //D Number of Lines: Area Built i 0 Exist. Grade Elev. /D 6, Proposed Final Grade Elev. /46,0- Fill depth to top of pipe: No. feet from nearest prop. line:Front SideRear Ft. 7-9 No. feet from well:_OLNo. feet from building iD 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: INSPECTOR: DATE: PLUMBER ON JOB: LICENSE NUMBER:_ w 6/90:cj`' P14 G `Wiscon~s~iIP14 metDofi'fnO i stry 4.29 .19 .1 17~(A~A~OOD LANE Coun y: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) Sanitary witI&OIX CENER`AL INFORMATION ~~t~ Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State PlaIM-44 CST kENBUSC n,p_L0yf~ev.. BM Description HUDSOParcel Tax No.: TANK INFORMATION ELEVATION DATA 020-1280-90-000 TYPE MANUFACTURER CAPACITY STATION BS Ht FS ELEV. Septic Benchmark DS /Op,O Dosing Aeration Bldg. Sewer Holding St/Ht Inlet i /p,-, q0~ol TANK SETBACK INFORMATION St/ Ht Outlet ~d,ya 3 a.7 9 TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom L Dosing NA Header / Man. L rr /0 3, 6 ,r Aeration NA Dist. Pipe (a Holding Bot. System r,~3 0,.?_,- _ -7 PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand JINI~~,, DOr~/ / / 0 e iel V Model Number GPM? n6 y Jf, 401.E TDH Lift Friction System TDH Ft Forcemain Length Dia. H Dist.ToWell SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 5 110 c,2-, DIMENSIONS LEACHING Manu acturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE /STREAM INFORMATION TypeO CHAMBER Mode Number: System~0217;1t-A) 7S l 'J ~0 N l N~/+ 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 tf Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed / Trench Edges Topsoil ❑ Yes ❑ No ❑,Yes ❑ No COTENTS: (Include code discrepancies, persons present, etc.) -3(' 8 v- t _ 0~ f I 4 r Plan revision required? ❑ Yes ❑ Nom J Use other side for additional information. (Q SBD-6710 (R 05/91) Date Inspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: DILHR SANITARY PERMIT APPLICATION COUNTY TARS In accord with ILHR 83.05, Wis. Adm. Code ` STATE SANITARY PERMIT # / -Attach complete plans (to the county copy only) for the system, on paper not less than ' x 11, inches in size. ❑ Checkifrevisi~~ onto Ylousapplication 8r4 P -See reverse side for instructions for completing this application. _ STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION C S PROPERTY OWNER PROPERTY LOCATION Fie nit n j6U5, C h /4,S_3,~ T ,N,R 19 Igor) W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUyMBER G /G• C M e r w II S Li j II. TYPE OF BUILDING: (Check one) ITM N ST ROAD F] State Owned V CITY ~ u__I ❑ Public R 1 or 2 Fam. Dwelling-# of bedrooms PARCEL AX NUMBER(S) GIII. BUILDING USE: (If building type is public, check all that apply) to Q 9 13 ~',7 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. [0 New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ 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 ❑ 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 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 REQUIR D (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) (t„ ELEVATION (/o 0 Feet /O s. 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 t strutted Septic Tank or Holdin Tank / b Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. PI ber's Name Zo t Plumber's Signatur o Stamps) MP/MPRSW No.: Business Phone Number: Plumber's Address (Street, City, Star zip code): Q -'~c_ IX. COUNTY/DEPARTMENT USE O LY ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) J Surcharge Fee) Approved ❑ Owner Given Initial Adverse Determination q6- A A, /44 dJ* -0 X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: L J-6398 (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. Yobr sanitary permit may be renewed before the expiration date, and at the time of rene,aal 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 (S130 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To.be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address, Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from 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 B% 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/,cater 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; close 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 4`15-form; and F) all siA,ng information. - - - - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monips collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (8.11/88) APPLICATION FOR SANITARY PERMIT S T C - 100 r 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 1012 iC- ~t_AW j4•t We)kA5c4i GH(~S'~"li4C- -~t~.f7j~G Location of Property S~l~! KW Section T N - R W Township [4-0 050N _ Mailing Address 1Z0 q C410 IX ST PA4050 N, W 1 540110 Subdivision Name (=[2-i VkiL.~S Lot Number Previous Owner of Property 'c~)A A I-•u.Q Total Size of Parcel 4. CA Date Parcel was Created ~_L `A' ` _ f Are all corners and lot lines identifable? Yes No Is this property being developed for resale (spec house) ? Yes X No Volume and Page Number I q Z as recorded with the Register of Deeds INCLUDE. WITH THIS APPLICATION ONE OF THE FOLLOWING: C1. Warranty Deed 2. Land Contract 3. Other recordings filed with the Register of Deeds Office In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description re.fc+rences to a Certified Survey Map, the the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -PROPERTY OWNER CERTIFICATION I (eve) ce., ti.{y that a f Atct-teme.nt6 oh. this 6onm ane .tAue to the best oA my (oun) fh now edge; that I (we) arri ( cute) the own eA (,s) o (j the pn.open ty dens eA.i..bed in ,th iws imAonmation 4on.m, by viVue o{ a waA an.,ty deed neeohded in the. 066iee o{y the County Re.giAteh o4 Deed_ riA Dootimeot No. +18 -455 a.nd that I (we.) pu,6entt-y own .the pn.opoAe.d A te. {yon. the sewag~o~5 ys~e.m (on I (we) have ob.ta.ined an e.aAe.me.nt, to hun wtith -th.e, above. descAAe.d phopeAty, Aoh the conA.tlr-ucti.on o{y Aaid AyA.tem, and the Aame hab been du.P.y ne.eonde.d in the O{y().tee o{y the County RegiAten oA Vee_dd, ah Document No. 414b -45S ) . SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED DOCUMENT NO. WARRANTY DEED TNr1 a►Ace aesea9eD ►on 11'[e0110I1146 DATA STATE BAR OF WISCONSIN FORM 8--its! 4'78455 Sam E. Miller, a single person „ REGISTER'S F1 ' _ Reed for heil conveys and warrants to Eric. F'. FUtll.....JUSCtI_-arid JAN28192 .-Christine Marie--TarGe?,• husband and-wife• Of 8:30 M h _ w a . REiUeN TO Count - - the following described real estate in St-._.CY!OlX... y, 7~ State of Wisconsin: Tax Parcel No: Lot 12, Plat of Cherry Hill in the 'loam of Hudson, St, Croix County, Wisconsin. Also a one-half undivided interest in the Private Road shown as Outlot "2" on said Plat, alonlp, with an easement to Lot 11 for ingress and egress IV Ij EO II ~f h 14 j This Is, not - homestead prf,t,crt%,. (is) (is not) Exception tip warranties: easements, ro:•tri ti ?r s ani rights-of-way of record, if any. E Dated this LA daN. of TanUar;1 19 92 . I Sam F. Miller i II (SEAL) 4SEAL) AtrTHENTICATI0N ACKNOWLEDGMENT Signature(s) STATE OF Wil',C(INSIN ss. _ .t _ i _Cr0 -X . county, ) authenticated tl.is day of Vr our ht• ore nu da}' of ~FinIJlJ.I';J 19 9 the above named _ ti am r . 1.111 leg TITLE. NIFNIBER STATE BAR OF WI1,f*0NSiN (1 not. authorize) by § ,.nr, Wis. Vitals.) to me known to he the r<on who executed the j f eco'nt' instttm n rd ukno die the same. -fIS INSTRUMENT WAS DRAFTFD RV Kristi na 9(rIan<I Lun-ic,(,ri nl;torn(17 .,)l 1 sir 111ict Jo.v Ivotar'. I'nhlio ~t•. Croix County, Wis. (Signatures, may he witheriticnted or a4-t1mvk•(tred, Both )1' l nnli <inn prrtomwnt.(if n)t, state expiration are not neccssnry.) date: July 12 1993 .1 n' •NAM- r•r In-mg cicninR in Any ^nPArity rl~nid hr ly er•.1 , r r rinl••d h dnw Ih• it •ircnnhn r:. - WARRANTY DF.F,D FTATB BAR OF WISCONSIN Wisconsin legal 91" Co.. Ire. FORT/ Me. A- 1982 Milwaukee. SEPTIC "AMK MALMTEMANCE AGREEMENT Sr.. Croix County OWNER/BUYER :G~'Q-AC *Z4k)G~NbVISC4A ROUTE/BO NUMBER ~ Lo 51: Coo 1-,A ~S- Fire Number CITY/STATE P-t4oco", ~I ZIP 540 1 ~o P^OPERTY LOCATION: SW 'ti. ' 4W `t. Section 3+ , T 19 N, a l9 W, Town of tvldsoN , St. Croix County, Subdivision ~-IE«lL~/ 41 ~-c-S Lot number 1-2- Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed seocic tank pumper. What you put into the system can affect she funcciun of the septic tank as a treac- mene stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the case of replacement of a failing system, which was in operaci.on prior to July 1, 1978. St. Croix Cuunty accepted this program in August of 1980, with the requireme•nc that owners of all new systems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system isAn proper operating condition and (2) after inspection and pumping.'(if nec- essary), the septic tank is Less than 1/3 full of sludge and scum. Certification form 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 sec forth; herein, as sec by the Wisconsin Depart- ment of Natural Resources. Certification forts must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIC.dED GATE 1- St. Croix County ':onin; Office P.U. Sox _"_7 Hammond. '11 3401 5 7L3-7196-2Z29 S i.z.n . Jar.- rinct r e,7rnrn In rthove address. I ~ US T NT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR P.O. BOX 76 HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 3707 w (H63.09(1) & Chapter 145.045) LOCATION: SECTION: T0WNSHIP/j6n 0eaMY: LOT NO.: BLK. NO.: SUBDIVISION NAME: NE 1/4 SIJ/4 34 129 NCR 191 (or) W Hudson 12 n/a Cherry Hills COUNTY: /BUYER'S NAME: MAILING ADDRESS: St. Croix Eric Funkenbuxch 1649 Cherrywood Ln., Hudson, Wi. 54016 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: esidence 3 n/a WNew ❑Replace 1-16-92 n/a a2 u- is~ d ti RATING: S= Site suitable for system U= Site uns able for system CONVENTIONAL: MOUND: JITANK: RECOMMENDED SYSTEM: (optional) L I CBS ❑U ❑U S ❑U E] S ®U ❑ S E]U conventional split trench [under:s:.H63.09(5)(b), PTests are OT required DESIGN RATE: If any portion of the tested area is in the indicate: class 2 I Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 66 Con2 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- 1 6.92 106.6 none ->6.92 .42bl.1. 1.58bn.s.1. 4.92bn.l.s. B 2 7.00 106.2 none >7.00 .58bl.1. .83bn.s.l. 5.58bn.l.s. B3 7.00 104.2 none >7.00 .58bl.1. .50bn.s.1. 5.92bn.l.s. - 4 6.83 100.40 none >6.83 .75bl.1. 1.83bn.sil. 3.42bn.l.s. .83bn.c.s. B- B 5 7.08 100.0 none >7.08 ,75bl.1. 1.33bn.s.l. 5.83bn.l.s. B_ PERCOLATION TESTS TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD 3 PER INCH P- P- P- P-_ see desj= rate 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. 102.6=upper trench SYSTEM ELEVATION 100.20= lower trench :_T~Tj { E 0 vV I ( / . ) 04 E a l I r r I (b,\ 1, the undersigned, hereby certify that the soil tests reported on thi 11 i ccord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location o t is are cooect to b > f my knowledge and belief. NAME (print): ESTS WERE COMPLETED ON: Gary L. Steel 1-16-92 a S, T. IES~Oth. Ave., New Richmond, Wl. ] ERTIFICATION NUMBER: PHONE NUMBER (optional): Croy 2298 7 -246-6200 CST SIGN RE: ZONINGOFFICE 9 LH RI BUTION: Original and one copy to Local Authority, Property Own er. R-SBD-6395 5 (R. 02/82) - OVER - ,y INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6595 To be a complete and accurate soil test, your report must inr:lude; 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms r commercia use planned; 4. Is this a new or replacement sys' 5. Complete the suitability rating b. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS . PLEASE use the abbreviations shown here-f©r writing profile descriptions and completing the plot plan; 7. MAKE A t 'GIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separr'e iy be used if desired; 8. Make sr_.. lr I r lark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete ,)priate boxes as to dates, names, addresses, flood plain data, percolation test exemp- tion, if apprc= _ 10. If the infer 1e ich as flood plain, elevation) does not apply, place N.A. in the appropriate box- 11. Sian the too cr, i ;:;;ace your current address and your certification number; 12. Make legible c:•pirxs and distribute as re<luired. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 MAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Symbols 't - Stone (over 10") - Bedrock Cobble (3 - 10") Sandstone - Gravel (under 3") L - Limestone *s - Sand High Grol cs - Coarse Sand - Percolation sped s - Medium Sand WeII fs - Fine Sand Building Is - Loamy Sand > Greater Than ' sl - Sandy Loam - Less Than 'I - Loam Bn Brown *sil - Silt Loam BI Black si - Silt Gy Gray .cl - Clay Loam Y - Yellow scl - Sandy Clay L R - Red sicl - Silty Clay Loarn r1int - Mottles, sc - Sandy Clay - with sic - y Clay - few, cr - comma , t - r'eat mm - Many, n«:d ,ii in - Muck d - distinct p prominent H W L - High water- =1, Six general soil textures surfa, r 'for, liquid waste disposal BM - Bench M VRP Vertical F Point s TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county r> th - r= nt may request verification of this soil test in the field prior to permit issuance. A compip _ l's for the private sewage system and a permit application must be submitted to the appro i o `.hority in order to obtain a permit. The sanitary permit muss: be obtained and posted pi for to the st rt of any construction. O O~ W-Scont+n Deoa'Srr►rt or Industry, EVIL U t:)l.nlr I lvi 5,% t.r vnr =U 955 I Labor and human Relations (Attach Soil Profile Location Map • To Scale . On A Separate. Signed Sheet) Madison. Page 1 1 eu"04111Y"s 505. ivft. time CVi9'B,TWOtSiar vEe txMel ►Ane►R WTtIi al0► T 0.0x0 as Eric Funkenbusch 1-16-92 woodedtream der . 1`+" nr 6+ herrywood Ln, Hudson, `ffi. 54016 `cL .Croix `~4t50 e►aaa NE Loc" Tw 34 29 19 tT Hudson Tut►MCa►wte 1/4 11,4 BORUrG ~W CBMI LOT 12 BLOCK n/a SuBDIvI810N Cher Hill x NlW _ alw.Aee (3. 1 Houton Depth Dominant Color Mottles Structure Limning Faetorr LoaangGPD'54 h• In Munsell Qu. St. Cont. Color Texture Gr. St. Sh. Consistence Roots Boundary Depth Trench Bea 1 0-5 10yr 3/2 none 1. 2/m/sb mfr 3/m G none .2 .3 Elev = 2 5-24 10yr 5/3 none s.l. 1/m/sb mvfr 2/m G none .3 .4 106. 3 4-8 10yr4/4 none l.s. 1/f/gr ml 1/f G . none .5 .6 B. 2 Houton Depth Dominant Color Moines Structure Limiting Factor# LoAgn906`0,54 it. L In. Munsell u St. Cont. Color Texture Gr. St. Sh. Consistence Roots Boundary Depth T Bch Bed 1 0-7 10yr3/2 none 1. 2/m/sb mfr 3/m G none .2 .3 Elev = 2 7-17 10yr4/4 none s.l. 1/m/sb mvfr 2/m G none .3 .4 106. 3 17-8 10YR 4/4 none l.s. 1/f/gr mvfr 1/f G none .5 .6 B.3 i Monson Depth Dominant Color Mottles Structure Limiting Faetorr Loading.GPI19% N. In. Munsell u. St. Cont. Color Texture Gr. St. Sh. Consistence Roots Boundary Depth Trench teed 1 0-7 10 YR3/3 none 1. 2/m/sb mfr 3/m G none .2 .3 Elev = 2 7-13 10YR4/4 none s.l. 1/m/sb mvfr 2/m G none .3 .4 104. 3 13-8 10YR 4/4 none l.s. 1/f/gr mvfr 1/f G none .5 .6 B-4 Horizon Depth Dominant Color Mottles 'Structure Limiting Faetorr Loaan0aP0'w.n• In. Mun eli u. St. Co., Color Tenure Gr. St. Sh. Consistence Roots Boundary Depth Trench Bed 1 0-9 10YR 4/3 none 1. 2/m/sb mfr 3/m G none .2 .3 Elev = 2 9-31 10YR 5/3 none sil. 2/m ab mfi 2/m G none .0 .0 100. 3 31-7 10YR 4/4 none l.s. 1/f/gr mvfr 1/f G none .5 .6 4 72-8 10YR 4/5 none c.s. 1/f/gr ml 1/f G none .7 .8 B _ 5 Houton Depth Dominant Color Mottles Structure Llm4inp Faetorr Loeding0P054. h• in. Munsell u. St. Cont. Color Texture Gr. St. Sh. Consistence Roots Boundary Oepih Trench Bad 1 -9 10YR'3/3 none 1. 2/m/sb mfr 13/m G none .2 .3 Elev a 2 -25 10YR 4/4 none s.l. 1/m/sb mvfr 2/m G none .3 .4 00. 3 5-85 10YR4/4 none .s. gr my r 1/f G none .5 .6 Additional Remarks: RECOMMENDED SYSTEM TYPE: ,page # 66 Soil series COD2 plot plan on :back lot 5.7 acres - ' other Site Features: 102.6=upper trench 100.20=lower trench 1-16-92 r 715i246=6200 2298 Systcm Elevation si ature Date Signed Telephone No. CST a Gary L. Steel 1554 200th. Ave., New Richmond, wi. 54017 CST Name (Print) City Stale Zip ' a r Y SID Ito ~ y J i i , GS AND SAFETY & BUILDINGS DEPARTMENTOF REPORT ON SOIL BORIN DIVISION INDUSTRY, P.O. BOX 7969 LABOR AND PERCOLATION TESTS (115) MADISON, WI 53707 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) I-MAT ON: SEC ON: TOWNSHIP/1J ICY: OT NO.: BLK. NO.: SUBDIVISIO N NAME: rTF 14 St,~~ 34 ~j29 p/R 191 (or) W Hudson 12 n/a Cherry Hills COUNTY: YER'S NAME: MAI IN ADDRESS: St. Croix Eric Funkenbuxch 649 Cherrywood Ln., Hudson, Wi. 54016 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERC A DESCRIPTION: Kill D S DNS: T T STS: Wf tesidence '`g, n/a Oiew Replace 1-16-92 n/a RATING: S= Site suitable for system U= Site unsuitable for system [CONVENTION AL: MOUND: IN-GROUND PRESS : S STEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) BS DU EM ❑U ~ S ❑U S ®U S ~U conventional split trench If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the n/a under s.H63.09(511b1, indicate: class 2 Floodplain, indicate Fioodplain elevation: decimal' PROFILE DESCRIPTIONS page 66 CON BORING TOTAL DEPTH T GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEX TURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST. IGHE T TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B_ 1 6.92 106.6 none X6.92 .42bl.1. 1.58bn.s.l. 4.92bn.l.s. 2 7.00 106.2 none >7.00 .58bl.1. .83bn.s.1. 5.58bn.l.s. 6- B3 7.00 104.2 none >7.00 .58bl.1. .50bn.s.l. 5.92bn.l.s. - 4 6.83 100.40 none >6.83 .75bl.1. 1.83bn.sil. 3.42bn.l.s. 3bn.c.s. B- B 5 7.08 100.0 none >7.08 ,75bl.1. 1.33bn.s.1. 5.83bn.l.s. B- PERCOLATION TESTS - NCHES RATE MINUTES DROP IN WATER LEVEL-I TEST DEPTH WATER IN HOLE TEST TIME P NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD P 1 D 2 PER INCH P- 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. 102.6=upper trench SYSTEM ELEVATION 100.20= lower trench - 7-0 ~f-_1.._ 04 TN _ I, the undersigned, hereby certify that the soil tests reported on this form were made by m$ 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 th6 best of my knowledge and belief. NAME (print): TESTS i P 92 MPLETED ON: Gary L. Steel CERTIFICATION NUMBER: PHONE NUMBER (optional): ~+ES00th. Ave., New Richmond, wi. 54017 2298 7 -246-6200 CST SIGN RE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) -OVER - A I I I I I I 1 1 ~ } I 1 I ' ~ I 1 I I ~ I ~ it L _ _/+f w Y,14 z/L 41-9 -P. - 1- I I I , I IH Von I , t 1 1 1 ~ ,i 1 I I 1 ~ ~ 1___ ~ f. t : I ' ~ ( - ~ I i j I I I I I I i SID- t j_ I I i I I t I i I I I I . 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D15'rRIf~UTIU1J PIPE TO BC AT LEAST IIJC.HES BELOW ORIGIIJAL GRADE AWU AT LCAST t0 IIJCHES BUT 1.10 MORC THAI) 42. IAICHES BELOW FIyJAL GRADE MAXIMUM MrH OF C*KAVATioo FKom okitiwu 6i ADS WILL BE --i-L INCHES rJli)MVM ©EP rn OF EACAv/1T1mN fA01A 0 ,14IVIAL. C3RAVF. WILL BE. INCHES SIGIJED: LIC E►J SC UUMBE R: ci DATE._-~3-~~ Ila REPT131 HUDSON ST. CROIX COUNTY ZONING PAGE 1 09/11/92 10:14 REQUESTS FOR INSPECTION WORK SHEETS FOR: 9/11/92 AREA: MJ Activity: A9200209 9/11/92 Type: CONVSEPT Status: PENDING Constr: Address: HUDSON 34.29.19.1347, SW,NW, CHERRY WOOD LANE, LOT 12 Parcel: 020-1280-90-000 Occ: Use: Description: 171444 .Applicant: FUNKENBUSCH, ERIC Phone: Owner: FUNKENBUSCH, ERIC Phone: Contractor: POWERS, CALVIN Phone: Inspection Request Information..... Requestor: POWERS, CAL Phone: Req Time: 14:09 Comments: Items requested to be Inspected... Action Comments Time Exp 00012 FINAL INSPECTION Inspection History..... Item: 00012 FINAL INSPECTION