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HomeMy WebLinkAbout030-1081-70-000 © p ° C: N 4 > N L a I ^ 0 c c 0 •a m I C co 0 O X j L Z '0 C X i~ o LL N v o N N L L I O Z N w 3 E L` 0 m U - tj p N a O O Co a 3 co Z N m W + O z O Z N ° a co 0) CY) N F- i C U O 2 d c d z C _ E 0 0) l-.7~lVl N O N N d OI O U C U ON C O - o a o ° N Z F Z - Z O N U') C V 30 i M C Q O o i 75 _N d O i y O o 0 a t E H N ~I U 1 (n O O O • +v ro u, a a a Z a :D •Q CE N N y O O N N to U o rn 0) AV M N N p r- O O O O c co p_ ~ y o p o O ° 3 w c c U') co m OU N O O~ rn O E N C N a.i W O cl -,c CL N W N > C N O N 07 Cl) 0 a) 7 I- y N E U co a; y' O N lA o -7 l0 r \ ~ ~ - E m V (D m a a e a • CC CL d .V N y C +i £ i c c `,01 C~ U a 0 fn U i i AS BUILT SANITARY SYSTEM REPORT OWNER W11 t;'U R~ TOWNSHIP L r plT SECTION L71,9 T dO N-R-,LW ADDRESS 13 )15o y- = ST. CROIX COUNTY, WISCONSIN 61)1 S ~Oe-2 SUBDIVISION-, Ea K LOT LOT SIZE G~ t AC~,~ s PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM CL. 94,-20 EL , \107a T ~~~CNrS 131 Et Boa 1--o p rR~ 00 13M. `02 Ti4~c~K &L,00.0 / TOP F0QA(,0 FT1AN to o° Gam. CLAa S •T. _ ~~R o/~~.s• e 0 'A{ou st INDICATE NORTH ARROW BENCHMARK: Elevation and description:/ STzFFL Alternate benchmark T_o o `gu ynA7,-6 w A4 Cave65'e-P7-IC- C& /oa SEPTIC TANK :Manufacturer : ~ J EEK S Liquid Cap. 166 6 Rings used:QManhole cover elev: Final grade elev: S Tank inlet elev.:73.3 Tank outlet elev.: 93.0 ' No. of feet from nearest road:Front , Side , RearxFt. ew t From nearest prop. line:Front , Side, Rear Ft. sD'` fy No. of feet from: Well y-e LL Building: 5'0 (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE r I PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufact.: Pump. Size Elevation of inlet: Bottom of t elevation Pump on elev.: Pump off a Gallons/cycle: Alarm: Man.: Switch Type: Location Distanc om nearest prop. line: Front_, Side_, Rear_Ft. stance from: Well Building SOIL ABSORPTION SYSTEM Bed: Trench: Seepage Pit: Width:--5--Length 8 3 Number of Lines:-,I-Area, Built &~Q Exist. Grade Elev. 9J,0 Proposed Final Grade Elev. Fa o Fill depth to top of pipe: _ ACIC-11 AG I~-=7 76 No. feet from nearest prop. line:Front , Side, Rear Ft.208 No. feet from well: 4® No. feet from building HOLDING TANK Manufacturer: Capacity: No. of rings used: Elevation of bo ank: Elevation of inlet: No. feet from est prop. line:FrQnt , Side , Rear Ft. No. et from: Well , building , nearest road Alarm Manufacturer: INSPECTOR: DATE: - PLUMBER ON JOB: ` LICENSE NUMBER: 3.2 0 5- i II 6/90:cj SEPH 29.30.19.294B SW ~Ej FOX RIDGE jj~~~!~,T.InN:rtmen STt.of AR "'Laborsin 6epastry, PRIVATE f EWAGESYSTEM County: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No-: GENERAL INFORMATION 175639 Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: MURPHY, WILLIAM F & SANDRA A ST. JOSEPH CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 030-1081-70-000 TANK INFORMATION ELEVATION DATA A9200298 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic, Benchmark D sin 3, 20~ ~C0,G~7 Aeration Bldg. Sewer Holding St /IVf Inlet X33' TANK SETBACK INFORMATION St/ l f Outlet ID / 63' vent TANK TO P/ L WELL BLDG. Air Ito ntake ROAD Dt Inlet Air Septic CZ) NA Dt Bottom r) o- LP D NA Header / Man. Aeration NA Dist. Pipe In Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade anufacturer Demand mark C6~11 5/7' L/, ZJ Model Number GPM TDH Lift Lriction Syste TDH Ft Forcemain Length Dia. H Dist. To we SOIL ABSORPTION SYSTEM BED/TRENCH Width Lengt No. Of Trenches Inside Dia. Liquid Depth DIMENSIONS .3 DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE / STREAM LEACHING facturer: SETBACK INFORMATION Type O CHAMBER Crr>7 L Moe Nu r: System: £/'ey1&~5 OR UNIT DISTRIBUTION SYSTEM Header /,Ulasti -&W ( Distribution Pipe(s) , x Hole Size x Hole Spacing Vent To Air Intake Length L Dia. Length KD/ Dia. Spacing 1L SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/Sodded 7xx Mulched Bed /Trench Center Bed/ Trench Edges Topsoil ❑ Yes E] No E] Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) ~ r 12,1S /Z a~c~7 ~YCc~ ca> "-Y,C~c Q I,t~~~rC'G~ ~ZYZ u~ c c~Q r74- Plan revision required? ❑ Yes Use other side for additional information. 9a O r SBD-6710(R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: r I ILHR SANITARY PERMIT APPLICATION 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 ,'7 c3 .4 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION W111 tluWli *11 JW '/a L-:% S T 340, N, R E (o PROPERTY OWNER'S MAILING A DRE LOT # BLOCK # o23 83 49hle APT 0 30.z &.4 1 /sr CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER c S 3 - - 11. TYPE OF BUILDING: (Check one) El state owned VILLLLAGE NEAREST ROAD _ a Fx Atpe-ar ❑ Public LO1 or 2 Fam. Dwelling-# of bedrooms AR LTAX NUMBER( S) Ill. BUILDING USE: (If building type is public, check all that apply) O _ 76 1 ❑ Apt/Condo Q / 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 1130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ~ 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 M Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 Seepage Pit Pressure 430 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) 9;z „'Z G uP. ``~LEVATION j, Feet 90, Feet VII. TANK CAPACITY Site in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks Concrete glass App. Tanks Tanks structed Septic Tank or Holdin Tank 0 Lift Pump Tank/Si hon Chamber =4__ El F Vlll. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on h attached plans. Plumber's Name (Print): Plu is Signature: Z(NoS m ) SW N Business Phone Number: JJJVA 7- (7/5' )SYP`445-1 Plumber's Address (Street, City, State, Zip Code): 5'& 0Au__4rZ4 01-=w 7-12- ZVI.' syo 2 IS IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitaryermit Fee (Includes Groundwater a e sue Iss ng Agent Sign No Stamps) Approved ❑ Owner Given Initial Surcharge Fee) 3 Adverse Determination PA6 X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 4 . 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 renEoNal 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 selvage 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 8th 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 gelding 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; rep!a ;ement system areas; and the location of the building served; B) horizontal and vertica! elevation reference points; C) complete specifications for purr:ps 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 tl':e county; F) soil test data on a 115 form; and F) al! sizing information--,;_, GROUNDWATER SURCHARGE 1983 Wisconsin Act A10 Included the creation of surcharges (fees) for a number of regulated practicer which can effect groundwater. The rno ies 1,r;iected "iruLigh there surcharges art, used for rooiiiioiIng cart?cn&wuter, ground water cotltanrination investigations and establishment-of Standard - SBD-6398 (R.11188) 00(' O 1;~'?5 f poo DOCUMENT NO. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA STATE BAR OF WISCONSIN FORM 2 -1982 x"74141 VOL 917PAGE 134 REGISTER'S OFFICE j! ST. CROIX CO., I j j _ Harr G-, Cummin and Geor Recd for Record Harry g..s pia J. Cummings-,•---. 11991 _.-husband and wife as joint---tenants v'v i . _ at 10:30 A - - - li conveys and warrants to _.._.~^1i.7 71 ln •~--F'., --M.>Yl. and _.Sandra A ii urphy,...husban.d..and- -.wife-.,..As_.,mnit TEgAm ReglsterofDeeds . I - - ~ . RETURN TO - . the following described real estate in.' C-rOlX County, State of Wisconsin: Tax Parcel No. , i i see Exhibit "A" attached it !i t KEE is not This homestead property. (is) (is not) Exception to warranties: easements, restrictions and rights-of-way n of record, if any. D to this . day f S.ep_t_ember.-._..... 1997._.-.. L) e---- AL) Har G. Cummin y - - ----•--------g - s Geor a - - - - -----.Cummings . (SEAL) - . . . . . S AL) * * . AUTHENTICATION ACKNOWLEDGM Signature(s) _ Harry G. Cummings, STATE OF WISCONSIN Georgia gs - _ g •s : "Guin -miri•••------------•- J r A4,' St.-_C~nix............. County. S TA`f authenticated this ..,....,day of S e p t e mb e r 91 19...... Personally came before me this .....34th ....day of -•---.11 19.....91 the above named i Vim' An e Kristina Ogland Lundeen Jt-~tal>-'i- hus_vx1-wfe-._-.---•---•----------------------------•-----•- TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized b - y § 706.06, Wis. StatsJ - - - to me known to be the person -_.S........ who executed the fore ping instrument and ckno dg the same. THIS INSTRUMENT WAS DRAFTED BY li Kristina Ogland Lundeen - . Attorney at Law , Mrlene M. Peterson • Notary Public • - - - - County, - may be authenticated or acknowledged. Both My Commission is permanent. (If not state expiration Wis. ration are not necessary.) date: 4`~------------------ 19----•---•) - - "Names of persons signing in any capacity should be typed or printed below their signatures. WARRAMTV "VV" ,-.r.. m.. nnr-r - ' VOL 91 / PAGE 135 EXHIBIT "A" ;-art of the West Half (W41 i2) of Northeast Quarter (NE 1/4) of Section Twenty-nine (29), Township Thirty North (T30N), Range Nineteen West (R19W) described as follows: Commencing at the North Quarter (N 1/4) corner of said Section Twenty-nine (29); thence N89°59'1 9"E (True Bearing) 1292.13' along the North (N) line of said Northwest Quarter (NW 1/4) of the Northeast Quarter (NE 1/4); thence S 0°27'07" W 1359.70' along the East (E) line of said Northwest Quarter (NW 1/4) of the Northeast Quarter (NE 1/4) and the East (E) line of the Southwest Quarter (SW 114) of the Northeast Quarter (NE 1,'4) to the point of beginning; thence SO'27'07" W 1273.03 along said East (E) line of the Southwest Quarter (SW 1/.4) of the Northeast Quarter (NE 114); thence S89°45'46"W 660.95' along the South (S) line of said Southwest Quarter (SW 1/4) of the Northeast Quarter (NE 114); thence N0°2707" E 1188.W thence N76°49'W 161.12'; thence Northwesterly (NWIy) 121.16' along a 366.00' radius curve concave Northeasterly (NE:y) whose chord bears N67`20'W 120.61; thence NS-'°51'W 351.63'; thence Northeasterly (NEiy) EE.C3' along the Scuthcasterly (SEiy) line cf a -reposed puCiic road on an 80.00' radius curve concave Northwesterly (N`iVly) whose crd tears N32108'59" E 66.00'; thence S57°51'E 351.63'; thence Scutheasterty (SEiy) 99.31' along a 300.00' redius curve concave Ncrheasteriy (NEiy) whose chord bears S67'20'E 98.8c': ~ ence S753491_ 1416.2 :'::hence NO°27'07"E 17.31'; thence N89"45'46"~E_ e6C.9F to the rccint cr Oeainning. T CCETHER WITH an easerreni for cubiic road 'cued :~n :he Northeast Quarter (NE 1/4) of the Northwest Quarter ;NE ','A• and ~e Ncrthwest Cuarter (NW 1/4) of the Nor; east Quarter (NE of S-ecticn Twenty- nine (29), Township Thirty Ncrt; 30N), range Nineteen I /Vest (R1 9W), Town of St. Joseph, described as follows: Commencing at the North Quarter (N 1/4) Comer of said Section Twenty-nine ther:ce N89°59'19"E (recorded as East) 'True Searing) 12.x' aicrg the North line of said Northwest Cuarter (N'iV 1/4) of "'-e Mcrheas► Cuarter (NE 114); thence South (S) 872.00'; ther;ca West, (W) 625.Z`G' tl,enc. `Scutheastedy 246.38' along a 197.0?' radius Curve concave Ncrtheasteriv ; NEiy) whose chord bears S54cLt 0' 23"E 230.64' to the point of beginning; thence East (E) 325.70'; thence S3Z27'C4" E 180.71'; thence Southeasterly (SEly), Southerly (Sly), Southwesterly (SW y), Westerly (Wly) and Northwesterly 837.87' along an 80.00' radius curve cc ncave Scuthwasterty (SWty), Westerly (Wly),Northwesterly (NWIy), Northerly (Nly) and Northeasterly (NEIy) wnosechord bears 538°32'20" W 137.16; ;hence Northwesterly (NWIy) 121.35'alcng a 100.00' , adius cure concave Southwesterly (SWIy) whose chord bears ,N55"l 4'08"W 114.C4'; thence West (W) 325.70'; thence North (N) 66.00' along the Easterly (Ely) right-of-way line of an existing public road to the point of beginning. RNLIty-1 c WED G _ _ y~3 P. E.1 23341869 P.02 " APPLICATION FOR SANITARY PERMIT 8TC-100 This eppliva tion Inrm in to be completed in full and signed by the ownex(s) of the property being developed. Any inadequacies will only result in delays of the, permit isNuanc;e. Should this development be intended for resale by ownex/contractor,(wpec house), then as second form should be retained and completed when the propsrky Is sold and submitted to this office, with the appropriate deed recording. Owner of property ~d gal i L0Ci1ti{1n of property 7e~ ..,s.=-=F-114i Section T~.~.~'~..,~. Township Hailinq address . A0 Zigwl r N Address of site subdivisldn name__i_- Lot number Ptevioue owner of propcrtl+ Total size of parcel. Date parcel was created Are all corners and lot lines Identifiable? Yes No is this property being developed for resale (spec house)?--- volume Z sn~] Page number _13i as recorded with the Register of Deeds. ++MMF.Yri..r+._ INCLUDE WITH THIS APPLICATION THE FOLLOWING1 A WARRANTY DEED which includes a DOCUMENT RIMIER, VOLUME AND PACH MBRR, and the REAL OF THE RECISTER OCR DEEM, In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process, It the deed description references to a! Certified Survey Map, the Certified Survey Map shall also be requlzad. .--rr_---. ----------Y----------------------- .PROPERTY OWNER CERTIFICkTION t(we) certify that all statements an this form art true to the beet of my (our) knowledge; that I (we) am (airy) the ownet(s) of the ptaparty described in this infvKmotion korm, by virtue of a wArranty cited rocardad in the Office of the Cownty Reglater of Deeds as Document No. tr/ riaanown thu -~~~•~f ~ and thak I (We) P Y own VroPoeed site for the 04wagd dispoool system (at I (we) have abkalned an fia*cm*nke to run with the above deacx1bed property, Eat the construction of o4)d nyetomi and tha acme ham been duly recorded in the Office 4t a~oun 7 Rag Iat x of toads, as Document No. y7't~- 8611aturw of Owns Signature of Co-owner (If Applicablal) 'Gat f dlgnature Date of Siynature 41JG-12--92 WED 8.._ 9 E:0D 6123343869 P.03 From ALAN F. H I HES PHaNE No. 715 273 3047 Aug, 11 1992 5: 36PM P03 t Sl. 3:C TANK MAIHTRNANCE XQRi: ' St. OroiX CQuntY OWNER/SGYER_ c.;`1Lc_ ~'s 04F AX 11 / 3FIRE hDDRtSS 1 __r----- LOChTIONs_ SEC. ST. CROIX COUNTY Town j;VJ3azvasz0NI I~aT NO. Imprvp~r use and V4 ntenunCa of yaur eagtic system could result in its premature, f'ail)are +-o handle wastee+ Proper roaaintars nor consists of pumping cut ty►e septic tank every th yo What sooner, if needed r by a li -cnaed aseptic tank pumper. You put into the system Qaa-j affoot the funotion of tho septic tAnk &B a treatment stage in the waste disposal systems St. ccoix County residents may ba eligible to receive a grant to help with the cost of the replacement of a failing system, which was in operation prior to ,duly 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 master Zoning s certification form, signed. by the owner and by a pl=ber, journeyman plumber, restricted plumber or a licenved pumper verifying that (1) the on-site wastewater disposal SYNteln is in proper operating condition and (2) after inspecti(M Arid pumping (it -r►e;cessary), 'Elie: septic tank it less than 1/3 full Of sludge and scum. certification from will be sent approximately 30 days prior to three year expiration* I/WB, the i;z:dera.igned have read the above requirements and agree to m Jjitaiij the private sewage disposal system in accordance With the standards get forth, herein, as set by the wisconsin DNR. Certifioati.on Corm A,~et be completed and returned to the St. Croix County zoning Officer within 30 days of the three Year expiration date. S DAME St. Croix Co%inty Zzana119 office 911 4th St. Hudson, W1 54016 • 3 3 0 e cP'?~ti 660 w .93' 133.61' . e°„ .39' • 4 B~• 146, 21 402.09' 98 i20 20 r POINT OF 26 .86 O w 6/ BEGINNING OF 0. 18.59' PARCEL 7 ~e-IS L• 21.616' !61.12 • • C M i m f o so m n G f W f Z ~ f- t0 IA W 0 0 PARCEL 7 A 24 f 20.24 ACRES N _ V ~ 3 0 Z §W-N • O 5§~ O W Y W f f ~ J A t0 O ,et N a N 1 1... W • o ' n .o to in - - - ' I I O s O 40 NOTE: 1 1/2• X 81 IRON PIPE SET INSIDE EXISTING 2• IRON P ) iq a 660.95' <E 1/4 CORNER ° 5 8 '45'46* W 203.82' SECTION 29 220.26' 236.97' SOUTH LINE OF THE SW I/4 OF THE NE 1/4 f i 4 E c ND OGDEN ENGMEERING CO. 4" IRON PIPE ,SET CNV EMdr++LOW Swwvws l23 Esst EIT Stn"t 4" REBAR,SET >I1 mvcRFALLS.wISC0.N51N 5022 p".r" tir 0.J. Z. kON PIPE, FOUND (UNLESS NOTE OTHERWISE) CAS s,00• A►~ROv[D w REVWSEB ON PIPE,FOUND DATE 6i22ie1 FRANCIS N.OGDEN _,nouco r, s~,tuc1IT.FQUNO CC Ao,ur. FARM SURVEY ~ ro IJUULIL;' nvAU~ , u► O 4 WEST 323.70 tR^0 Jv,• `ate ."~a b o ••Vy + ~ N 0 p O v it.6 J~• a h ~ Q~y\\a p• 103.01'02 ~J R•90.00' 9.74 SB a7'E hJ~•J/ w 3 125.23' A. 43'26• 3J r R•9U - L • 69.03' N 32. 09'S9•E 66.00' 66' X PROPOSED HOUSE I I I I i 5 SE-NW r 1 i 1 CERTIFY THAT ABOVE MAP AND SURVEY e 8 '`i`V~> IS CORRECT TO THE BEST= OF MY KNOWLEDGE 1°X AND BELIEF. tag~ ` t 2" If >w.~aOM i 00 ~:sn...u. • I" IR p e SAFETY & BUILDINGS DEPARTMENT OF REPORT ON SOIL BORINGS AND DIVISION INDUSTRY, P.O. BOX 7969 LABORAND PERCOLATION TESTS (115) MADISON, WI 53707 .'I-IUMA'N RELATIONS (ILHR 83.09(1) & Chapter 145) TOWNSHIITY: OT NO.: BLK. NO.: SUBDIVISION NAME: jLOC A TIONSECTION: 1 irF 1 29 /T 30 N/R 19:or► W St. Jose h n/a ri/a 137 Fox Rid e COUNTY: Old BUYER'S NAME: MAILING ADDRESS: t . Croix Ift. P'turphy 2383 Dale St . A t . ~~302 Roseville . 11 DATES OBSERVATIONS MADE USE PROFI EYD-Egi,'I I T ONS: E A O T STS: NO. BEDRMS.: COMMERC AL DESCRIPTION: New Replace [ IR je ,dence 3 n/a 8-4-92 n a RATING: S= Site suitable for system U= Site unsuitable for system :(optional) EM ONVENTIONAL: MOUND: IN-GROUND PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED :SYSt: ®S ~U S 9U I ®S EA ❑ S F1 S ®U s lit leverench DESIGN RATE: If any portion of the tested area is in the If Percolation T~ts.(r..)N~e~uird Floodplain, indicate Floodplain elevation: n/a under s. ILHR ate: C1aSS 2 PROFILE DESCRIPTIONS page 42 COD2 BORING TOTAL DEPTH T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED S G EST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 0-10, 10yr4/2, L.; 10-36, 10yr4/4, sl.; - B-1 84 95.88 none >84 36- 4 4 0-10, 10yr4/2, L.; 10-22, 10yr4/6, ls.; 22-84,- B-2 84 95.70 none >84 1 r5 4 S. 0-11, 10yr4/2, L.; 11-24, 10yr4/6, Co. S.; 24-84, g-3 84 93.70 none >84 1 5/4, ls. 89.90 0-17, 10yr4/2, L.; 17-34, 10yr4/4, sl.;- g_4 80 none >80 17-80, 7.5 r4/4 ls. g_5 84 89.28 none >84 0-9, 10yr4/2, L.; 9-26, 10yr4/6, Co. S.- iT-r514, 1.9 B- PERCOLATION TESTS TEST WATER IN HOLE DROP IN WATER LEVEL-INCHES RATE MINUTES DEPTH TEST TIME NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PE R IOD 2 PERIOD PERINCH P- 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. 92.20=upper trench SYSTEM ELEVATION 90.20=lower trench 5 . 1 f 3 ~ E . i I i AA I r € i i f ff ! ~ i I 1 i ~ ~ i e 4 k . , t - _ i IN t p~ ' I , 7 i l , I , I ' k A- ~ - i. { I C 1{ D i .38, i r t i , I, the 'undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. TESTS WERE COMPLETED ON: NAME (print Gary L. Steel ::1 8-5-92 CERTIFICATION NUMBER: PHONE NUMBERIoptionatl: ADDRESS: 7 1554 200th. Ave., New Richrl,ond, WI. 54017 2298 ? 5- 6-6200 CST SI E: v' DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DIL.HR-SBD-6395 (R. 10/83) - OVER - r 3N - 10 e CO a ri 12 o °g Ar E' 0 - mi) - - T- -T._ _ C Ake- AIV - - - - - - - L - ! ~t w S V e C - ~ $r - I 201 ~AO& 10 WO 6-- Paos Ila (-m F _ Gl~ - O / Cr - - - E oc o- - 1 17 111 1 1 I I j i I I i I li ~ li I ' - i I I, I I i i II I I I I I I ~ I i I I I II I I I III j , I I I j I I I I I i I ~ I I I j I I i'~ I I I I I I I I ~i', I I ~ I I I ~ i ~ 1 ~TI 'I II I I I I I I I I ! 1 ~ I I I I I~ I j I I i I ~ II I REPT131 ST. JOSEPH ST. CROIX COUNTY ZONING PAGE 1 08/26/92 13:01 REQUESTS FOR INSPECTION WORK SHEETS FOR: 8/26/92 AREA: JT Activity: A9200298 8/26/92 Type: CONVSEPT Status: PENDING Constr: Address: ST. JOSEPH 29.30.19.294B,SW,NE, FOX RIDGE Parcel: 030-1081-70-000 Occ: Use: Description: 175639 Applicant: MURPHY, WILLIAM F & SANDRA A Phone: Owner: MURPHY, WILLIAM F & SANDRA A Phone: Contractor: SCHMITT, DONIVAN Phone: 568-4948 Inspection Request Information..... Requestor: SCHMITT, DON Phone: Req Time: 15:08 Comments: 3;aj Items requested to be Inspected... Action Comments Time Exp 00012 FINAL INSPECTION History Inspection Item: 00012 FINAL INSPECTION ~pop, 4 o (4 o -a o C 7 ' O ~ W w 3 - , to CA w z O N O "I • Q fA Cd ~1 C O W ee i- W N 'z CD Uri W? O Q O ~ cfl N C O fD co `G N CO O *Ot N 0 d Z 0 7r N ? N J n 00 CT O O j O 0 W O 3 R y 00 r. d v ~ - CD D a CL 0 T X r Icy a N) 00 q~o ° m m w m o Q- CD co CD cn N N O C m a o O O O 3 CD o_ s c Uri N y 3 oO ^O' d O O cn N 90 lV O m v y v O I m ~ N < 3 r. a CL M y N z O Z~Z D O O 0 3 s h • N CD c C CD v m co o. i CD z ? co N P z ce O N C X 0 - :3 z O 0 a A 3 a. W CNO W m O d i,3 Z 3 00 m y m I W ~ Q CL c o: C N C o a I ~ N i 0 S I I I A ti ~ O v A 0 b = A r O hp w ~ N Ea O r o * o y 6 0 CL ti DEPAR-WENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DIVISION INDUSTRY, P.O. BOX 7969 LABOR AND PERCOLATION TESTS (115) MADISON, WI 53707 HUMAN RELATIONS (ILHR 83.090) & Chapter 145) TTSO W NSHIP ITY: LOTNO.:BLK.NO.SUBDIVISIONNAME: LOCATION: SECTION: 1/4NE '/4 29 /T 30 N/R19~or) W t. Jose h n/a n/a 1379 Fox Rid e COUNTY: Ob$/BUYER'S NAME: MAILING ADDRESS: 4302 Roseville Pan. 5113 St. Croix Wm. Murphy 2383 Dale St. A r- DATES OBSERVATIONS MADE USE (PROFILE DES RIP IONS: PER OLATION TESTS: NO. BEDRMS.: C3 n/a New =E]Repl.ce 53eesidence 8-4-92 n a RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ®S ❑U ❑ S ®S ❑U ❑ S QU ❑ S ®U split level trench If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: class 2 Floodplain, indicate Floodplain elevation: n/a PROFILE DESCRIPTIONS page 42 COD2 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 95.88 0-10, 10yr4/2, L.; 10-36, 10yr4/4, sl.; - B-1 84 none >84 36-8 4 B 95.70 0-10, 10yr4/2, L.; 10-22, 10yr4/6, ls.; 22-84,- 2 84 none >84 1 r5 4 S. B 93.70 0-11, 10yr4/2, L.; 11-24, 10yr4/6, Co. S.; 24-84, 3 34 none >84 1 5/4, ls. 89.90 0-17, 10yr4/2, L.; 17-34, 10yr4/4, sl.;- B-4 80 none >80 17-80, 7.5 4/4 ls. B 5 84 89.28 none >84 0-9, 10yr4/2, L.; 9-26, 10yr4/6, Co. S.- _ ILL B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATER INCHES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD1 PERIOD2 PER 4- PLOTPLAN: 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. 92.20=upper trench SYSTEM ELEVATION 90.20=1ower trench 6 3 / I - -6- ZC Fl . - 1rX1 ~0 E E e0 I, the undersigned, hereby certify that the s reported 4this f made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorde ovation of a eA re correct to the best of my knowledge and belief. NAME (print): Z. TESTS WERE COMPLETED ON: Gary L. Steel 8-5-92 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 1554 200th. Ave., New Richm,ond, 111. 54017 2298 121 7 5- 6-6200 CST SI E: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) -OVER - i TO T '