Loading...
HomeMy WebLinkAbout030-1074-60-120 (2) er O u°9 K; ~ I w ~ oa I C~ W O I O t M O x w y a~ `rt c I I Cl) o E: c ° ° I, c z 3 C co o m 00 Q W I v ~ I z I rn Z C I o N a m F- (n O C z U O Z c c = N Z a 2 c o N zz ° E '2 a> m N Q. C . "oil ° CL c.) z F- Z Z d Cl) - c N LC N ' O A U) CL ° O co y a m a~ c O C) c c a N < 0 co U) U) ° ° Z m > 1-- 51 d cn = N ~~11 o It *a it m 0 0 0 Z C) O rv is c a a a -~r) I Q g = I m o rn rn fA J V 1- O] O z a N r, rn ° O 3 *~l O O ~ .5 7~1 III O O ~2 F Q CO ~Ll. y N m r N d Q } ifd m O (n ) O 0 0 C 'O C N 3 ca E c J ~~V O y O tJ ~ 0 v r O C y a m p C a ~ ai S c E E C N _ N O L". ° O O y 0 L 'O N O m m u rn y m E U O N CA J O y U) C l r 0 CL xt a ti a E L c C r A C.) IL O m 0 Fo rm - S T C - 104 AS BUILT SANITARY SYSTEM REPORT C s TOWNSHIP S1, 50t - b(~ SEC. 06 T N-R r1 ADDRESS wf ~~~1h~4`~ ST. CROIX COUNTY, WISCONSIN I r Il Ct_6 N1 5D z S-17' SUBDIVISION .PISS Sw{D_ LOT LOT SIZE uk ~3 ce cd`~S PLAN VIEW Distances and dimensions to meet requirements of IMP- 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM A Wcc~~ f ee l v-,6 ~t rep cl 1 ,6~ , ~ Bra G.~~ I- INDICATE NORTH ARROW + BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: /601 Proposed slope at site: 3 /o SEPTIC TANK: Manufacturer: W"S. Liquid Capacity: 1ZOD Sa.~, Number of rings used: Tank manhole coo~ver a gvation: Tank Inlet Elevation: -tank Outlet Elevation: Number of feet from nearest Road: Front,Q Side,O Rear, O 9y feet e ..From nearest-property line . ' FrontGSide10Rear,O feet ho U_~Qd , Number of feet from: well 9 building: 7 f (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE, PUMP CHAMBER Manufacturer: y Liquid Capacity: " Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear, 0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Area Built: ~~ZJ Width: Length: Z Z S Number of Lines: Fill depth to top of pipe: WE1~'tc..~ e 3 Number of feet from nearest property line: Front, 0 Side, Rear,O Ft.5 3 Number of feet from well: k V0 ccJ~~ si Number of feet from building: (Include distances on plot plan). SEEPAGE PIT fil Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK ` Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, OFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: /ZZ14/9/ Plumber on job: License Number: 3 S 3/84:mj o V Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: i Labor an'd Human Relations INSPECTION REPORT Safety and Buildings Division St- Crnix SW, NW, 2 6, 3 0, 1 TXTTA(CH T9 PER MIT) Sanitary Permit No.: GENERAL INFORMATIONLot # 3 , Bass La -e out Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: Ric a-rd a ass St. Jose h CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 030-1074-60-120 TANK INFORMATION ELEVATION DATA / - TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. r~ GD Benchmark Se Ptic p /05!?/ /C~.GB Dosing Aeration Bldg. Sewer Holding St/ Vf Inlet TANK SETBACK INFORMATION St/,pK Outlet y~~ TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic Z 7/2,/ NA Dt Bottom Dosing NA Header/ Man. 97 Y! r r Aeration NA Dist. Pipe Ln, 89h. q 7-5-q Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Man fat Demand t-ap s4- " Mo el Number GPM TDH Lift Friction `S, stem TDH Ft oss ad Forcemain Length Dia. it. To well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION ' Jc~ 3 DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE / STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O C eat CHAMBER r Mode Number: System: V061 A4 zl 'i= OR UNIT DISTRIBUTION SYSTEM HeadertW rmfeQ / Distribution Pipe(s) ,gZ « x Hole Size x Hole Spacing Vent To Air Intake Length ;;L2 Dia. Length52iJ Dia. Spacing / SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over rr U Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched -Best/Trench Center &.../TrenchEdges ~ Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) - m e 42 Plan revision required? ❑ Yes ~d'ryo Use other side for additional information. Z P- 1 VI 0 SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. l DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code couryTY C%6vq STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than / O 8% x 11 inches in size. ❑ ~y 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. PRO RTY OWNER PROPERTY LOCATION fe; a" 4c~ Cet-s se- _cW Y. c4, S 2& T3a, N, R 6Q E (or) PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 3) 3 W, Gtwm `r 11 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER Mme, °seS~ ~rz ~3v-vsa3 $a.r.s l~ Sad 13 : II. TYPE OF BUILDING: Check one CITY NEAREST ROAD ( ) F] State Owned VILLAGE St JDS S2 ❑ Public 1 or 2 Fam. Dwelling- # of bedrooms _Z_- PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) t) 3p 1,)7y6 66 P,-6 Z5 7.0-2-0 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 80 Mobile Home Park 120 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. N 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 REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) r a ELEVATION / if '0 Mwj~ 00 *set 47:xbo /0 - site VII. TANK CAPACITY Site INFORMATION in allons Total # of Manufacturer's Prefab. Fiber- Exper. New istin Gallons Tanks Name Concrete Con- Steel glass Plastic App Tanks Tanks structed _T7_ F1 Septic Tank or Holdin Tank ZW 0 /Z00 I Lift Pump Tank/Si hon Chamber /V VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): PI bar's Signature: (No Stamps) MP PRSW Business Phone Number: SILI t Z- 7!5 5"6S--4445 Plumber's Address ( et, City, State, Zip Code IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved !Initary Permit Fee (Includes Groundwater ate Issued Issuing Agent Signature (No Stamps) Surcharge Fee) 0 1 Approved ❑ Owner Given Initial Rn t~ f7b 0 Adverse Determination d '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 APPLICATION FOR SANITARY PERMIT sTC-100 This application form is to be completed in full and signed by the Ovner(a) of the property being developed. Any inadequacies will only result In delays of the permit Issuance. Should this development be intended tot tesale by evnstfcontcactot,(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. m Ownet of property eC;~ ~ Location of pcoperty ,t._1/4 NJL l/~1, section - ~~p-,_.► T -aw,L-V Township -r. -1) Nailing address 3 ra Address of site Q -Ficht Y41 A s I 7 s Lce ce subdivision name -S U 716 Lot number _ :F::, Previous owner of property 5~a u_t Total also of patcel z ea CL C_- Q'e- Date parcel was created y r~tr"= / Are all cotners and lot lines identifiable? as 0 Is this property being developed lot resale ('spec house)? as i o Volume„snd Page Number Z+= as recorded with the Register of Deeds. w-w---•-•-••w•w-w•--w--------•w-------------- --------w-------- --------w-----w-- INCLUDS WITH THIS APPLICATION THE FOLLOWINCt A WARRANTY RIND which Includes a DOCUNNNT NUMBER, VOLUME AND PAOit NUMatR, and the BRAL OF THE RNOISTNR OF DEEDS. In addition, a cettifled survey, it available, would be helpful so as to avoid delays of the reviewing process. It the deed description taterences to a Cestlfled survey Map, the Cettlfled survey Map shall also be required. Tm PROPERTY OWNER CERTIFICATION 1(ve) cettl[y that all statements on this form are true to the best of my (ourl knowledge; that I (we) am (ate) the ownerts) of the ptopetty desetlbed In this Intotmatlon totm, by vlttue of a warranty deed tecotdad In the office of the county Regletet of Deeds as Document No. 4 7n'Z4 j and that I (We) presently own the ptoposed site for the savage disposal system (at I (we) have obtained an easement, to run with the above described ptopetty, for the eonstructlan of sold system, and the some has been dul recorded in the office [ of the County egl8 01?01 /D,"ds, as Document No. r 41 slgnatvte of ovine Signature of Co-owner (It Applicable) Dade at algnature Date of Signature DOCUMENT NO. STATE BAR OF WISCONSIN FORM 2-1982 THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED 74282 vn! 71 l PAGE 462 REGISTER'S OFFICE Richard n- S o , _ and Janet- P. si-c> >t' , htishand ST. CRO~X I~~SyW~ and w; survivorship marital property, Recd for Record OCT convoys and warrants to Richard W. LaCasse and Grace Ct 9;00 991 L. 0 & W z6wn J. LaCasse, husband and wife, R"bw of 0806 RETURN TO the following described real estate in St. Croix County, I State of Wisconsin: Located in part of Govt. Lots 6 and 7 of Tax Parcel No: Section 26, T30N, R19W, Town of St. Joseph, further described as Lot 3. of Certified Survey Map recorded in Vol. 8, page 2367 as Document #470293. Together with and subject to a 66' private road easement for ingress and egress as shown on CSM recorded in Vol. 8, page2366, Document # 470292, CSM recorded in Vol. 6, page 1523 and CSM recorded in Vol. 3, page 738, Office of Register of Deeds, St. Croix County. The roadway easement shown on the face of this map is a private roadway easement. Any maintenance costs of the private roadway shall be shared pro-rata by the adjoining property owners. The lot is subject to assessments for maintenance, repairs and/or snow- plowing should unpaid real estate taxes on the outlot (access easement) shown on the CSM result in St. Croix Co. acquiring a tax deed for the outlot. This is not homestead property. (is) (is not) ,+3 Exception to Warranties: I Dated this lst day of October 19 91 (SEAL) (SEAL) • Richard 0. Stout J.J?anet P. Stout I i (SEAL) (SEAL) • AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ss. St. Croix County. authenticated this day of 1 9 , Personally came before me thi ls~ st of October 19 t o a day bo e n o f Richard 0. Stout nT ~anevt: Stout • TITLE: MEMBER STATE BAR OF WISCONSIN (if not, to me known to be the person s who executed the authorized by § 708.08, Wis. Stets.) for ing instrument and a l "tN6'sac9p THIS INSTRY MENT WAS DRAFTED BY Jd"Ct P. Stout ~ 1353 Awatukee frail HtI 4sn" W1 5401,~ Notary Public C ~ Wis. (Signatures may be authenticated or acknowledged. Both My Commission is perriaaneAt. l ndt, ate: ptration are not necessary.) Gy- , , . c, date: 41 'Names of persons signing in any capacity should be typed or printed below their Signatures. SB2 NTF 0021 ` WARRANTY DEED STATE BAR OF WISCONSIN Nelco Tax Forms, P.O. Box 10208, Green Bay, WI 54307-0208 Form No 2 - 1982 .a • a ST C- 105 r a _ y SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County z d a OWNER/ UYER~;~~QS ROUTE/BOX NUMBER] Fire Number CITY/STATE f-;~~, `I.IP ~SI~2 PROPERTY LOCATION: SW Z, W~ Section Z~ T-30 N, R I J _W, Town of_~L St. Croix County, Subdivision. Lot number Imppwp-er- use and maintenance of your septic system could result in its r~lt*dre failure to handle wastes. Proper maintenance con- sists 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 ran affect the function of the septic tank as a treat- ment 9fage in the waste disposal system. t.%10' St. Croix.County residents may be eligible to receive a grant for 1 a maximum of 60% of the cost of replacement of a failing system, whic4..V,&s,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 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 is in 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. yo E I/WE, the undersigned, have read the above requirements and agree N to maintain the private sewage disposal system in accordance with H the standards set forth, herein, as set by the Wisconsin Depart- v ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNED' DATE - St. Croix County Zoning Office P.O. Box 98- Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. DEPARTMENT OF REPORT ON. SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION P.O. BOX 76 LABOR.AND PERCOLATION TESTS (115) MADISO N WI 53707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNS HIP/XxY: LOT NO.K. NO.UBDIVISION NAMLS SW 1/4 M4 1/4 26 /T 30 N/R 191 (or) W iSt. Joseph 3 :BL n/a: SPine Grove Q~- COUNTY: OWNER'S/UtRMM NAME: MAILING ADDRESS: St. Croix Richard Stout 11353 Awatukee Trl., Hudson, Wi. 54016 USE _ DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESC PT ONS: PERCOLATION TESTS: esidence 3 n/a New ❑Replace 9-18-91 n/a RATING: S= Site suitable for system U= Site unsuitable for system ONVENTIONA_L: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING~TAINK: RECOMMENDED SYSTEM:(optional) ((1111 SS ❑ UU ~L] S ❑U ®S E] U ❑ S 0 U ❑ S lU conventional D If Percolation Tests are NOT :SIGN RATE: required I If any portion of the tested area is in the under s. ILHR 83.09(5)(b), in Class 2 Floodplain, indicate Floodplain elevation: n/a PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL T THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH]k ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 7.50 102.31 none >7.50 .50bl.1. 1.17bn.sil. 3.50bn.l.s.&gr. 2.33bn.s.l. B- 2 7.01 101.78 none >7.01 1.17bl.1. 1.92bn.sil. 3.92bn.l.s.&gr. B 3 7.50 100.73 none >7.50 .67b1.1. 2.25bn.s.l. 1.00bn.c.s. .58bn.l.s. 3.00b . B- 4 7.17 100.63 none >7.17 .67bl.1. 6.50bn.s.1. B_ 5 7.09 100.11 none >7.09 1.00bl.1. 1.17bn.sil. 4.92bn.l.s.&gr. B- PERCOLATION TESTS TIME DROP IN WATER LEVEL-INCHES RATE MINUTES TEST DEPTH WATER IN HOLE TEST NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P P P- P See sign 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. SYSTEM ELEVATION 96.86 E r , L"! 4-0 00 u ' ` gym; o-p 7-0 r E ~ k I ~ z ~ i An TN i ~f IT , l t V, 7 1 r 1, 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. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 9-18-91 ADDRESS: CERTIFICATION N MBER: PHONE NUMBER (optional): 1554 200th. Ave., New Richmond Wi. 54017 2298 715-,Z46-6200 CST S DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. -7 DILHR-SBD-6395 (R. 10/83) - OVER - ® G, 5ca __....._._..y i pll~"ie~ Ili d Ib/7/91 ft~ID -!3-7 Cid ix f~b ! / 8-L G7 n (mss"~ - MIN, rt ~i s> C N a i S s P~~S 6 r 31 l Z oo GgGt t).%, 3 5 k 5 cross s~~o ~ o~ ~ x~~g Parcel 030-1074-60-120 04/11/2005 03:15 PM PAGE 1 OF 1 Alt. Parcel M 26.30.19.257D-20 030 - TOWN OF SAINT JOSEPH Current X I ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * MEYER, LEROY J & JANE E LEROY J & JANE E MEYER 1372 AWATUKEE TR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1372 AWATUKEE TR SC 5432 SCH D OF SOMERSET SP 1700 WITC no I~/,, Z Ci~/ " t V 1 Legal Description: Acres: 3.290 Plat: N/A-NOT AVAILABLE SEC 26 T30N R19W PT SW NW BEING LOT 3 OF Block/Condo Bldg: CSM 8/2367 3.29 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 26-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 10 WD 07/23/1997 45/333 07/23/1997 917/462 S 2004 SUMMARY Bill M Fair Market Value: Assessed with: 5364 309,900 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.290 77,300 227,600 304,900 NO Totals for 2004: General Property 3.290 77,300 227,600 304,900 Woodland 0.000 0 0 Totals for 2003: General Property 3.290 45,300 182,600 227,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 205 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges 0.00 0.00 0.00 Total RTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS USTRY, DIVISION ABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 769 N WI 53707 HUMAN RELATIONS (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: TOWNSHIP/QLY: LOT NO.:BLK. NO.: SUBDIVISION NAME: S" 1/4 NW 1/4 26 /T 30 N/R 19f (or) W St . Joseph 3 n/a Pine Grove COUNTY: OWNER'S/ NAME: MAILING ADDRESS: St. Croix Richard Stout 1353 Awatukee Trl., Hudson, Wi. 54016 USE DATES OBSERVATIONS MADE L~_ NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: [PERCOLATION TESTS: ~iesider 3 n/a Nev ❑Replace 9-18-91 n/a II RATING: S= Site suitable for system U= Site unsuitable for system r ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM-(o tional) DS ❑U [OU~~iS ❑U ®S ❑U E] S Z]U ❑ S t?AU conventional 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 dpoiraa BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL T THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTHXX ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 7.50 102.31 none >7.50 .50bl.1. 1.17bn.sil. 3.50bn.l.s.&gr. 2.33bn.s.l. B- 2 7.01 101.78 none >7.01 1.17bl.1. 1.92bn.sil. 3.92bn.l.s.&gr. B 3 7.50 100.73 none >7.50 .67b1.1. 2.25bn.s.l. 1.00bn.c.s. .58bn.l.s. 3•00b . B- 4 7.17 100.63 none >7.17 .67bl.1. 6.50bn.s.l. B_ 5 7.09 100.11 none >7.09 1.00bl.l. 1.17bn.sil. 4.92bn.l.s.&gr. B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P- P P- see sign rate P 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. SYSTEM ELEVATION 96.86 E 3 3 3 3 3 E t'Vak~, E 3 E N T t E E Z ' % O C)O ~i T~~_'~ ~J~ ~1v l E I, the undersigned, hereby certify that the soil n,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. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 9-18-91 ADDRESS: CERTIFICATION N MBER: PHONE NUMBER optional): 1554 200th. Ave., New Richmond Wi. 54017 2298 715-,Z46-6200 CST S DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - M 7V 6" FIL 2 izr% 0 1 1991A, JAMES C4, z, st Oft 470293 Cb.. *7 / L (S S0004215311W M 04- 2609.201 ° A 1.9 West line of the NWj of Section 26 o ~-..fir > > co o o U~ f0 N tN0 O -r Zs O> v cn V 2 d m p 1i r ~ Bearings are referenced to the east-west 1/4 line ° Unplatted Lands of Section 26 assumed to bear S8902915711E. u, w M 4-- rn \ g N0004215311E 20.001 Q 380.001 \ 40.001, 1 a, 10+ ' I N t•1 rt n a / 1 rr ~ ~ i ~ s Al 4 t't• rn - 0 1N ~A 0 (D N O a -P, M n, C/D 1 Coe L I G cn co w 1 1 4 N I~ O O y N 41 z O i~ i~ ` CD G 1 0 1 b ~ s CD ° r oo 10 1r• ,m a F I m ro W .F ' O 17 1 N Ct 1"1 1 d LM to to G re to O 1 N 1 c 1 • r'r • I P' W 4 - w to C O t~' I A' t o N ' la w -M W is 1 f70 c i w c rt *i m 1 0- I s t o h j I-h H. rt ° 11 N 11 'O k ~ o iU2 n 1 0 En C-) N ;w r. fit' M 1~ K O M TI w 325.001 375.001 O N r d S0004215311W 700.001 A O ~ c - s Unplatted Lands jJ I m < ~a :3 0 -mG ( d APPROVED I 00 i ~ o. N JUN 1 1 1991 o Q5 to 41 0 to r') 0 1ST. CROIX COUNTY _ o 66, ,e Lj np HE:131VE PARKS PLA W- ~ C N LA AND ZOMNG CQt>A~ ATfEE rn x I I r z 0 _ M C H 0 0 p o A rt 0 rt o W r• x O o o In w r-• o av+n z x o w a O ` A c a ~ ~ tz1 v o 7 s CCC2777`j111~~~JJ] c H N e = rt H F-' CD Z rt rti 7CC' o 1p rt. Ln A C E 3C I tri 4*1 C/) rn rt 4 p , C5 o co a N a, "n V CL a This instrument drafted by Fran Bleskacek Job No. 78-52-190 • Vol. 8 Page 2367 zld COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 iti FAX - 715 - 962 - 4030 ST. MIX ZONING REPORT NO.S 41278/01 PAGE 1 ST. CROIX COUNTY REPORT DATE: 5/18/93 COURTHOUSE DATE RECEIVED: 5/13/93 HUDSONs WI 54016 ATTNS THOMAS C. NELSON f OWNER: Stephen Schrader LOCATIONS 1372 Awatukee Ln., Hudson COLLECTORS M..Senk i ns DATE COLLECTED: 5-12-93 TIME COLLECTEDS 2:00pm SOURCE OF SAMPLE', Kitchen faucet DATE ANALYZEDS5-13-93 TIME ANALYZEDS2S00pm COLIFORMS 0 /100 ml INTERPRETATION: Bacteriologically SAFE NITRATE-NS 8 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. i Coliform Bacteria/100 ml r© I Nitrate-Nitrogen: mg/L 2G9 S ~.,NOFO.NOEti. LAB TECHNICIANS Pam Gane E WI Approved Lab No. 19 Means "LESS THAN" Detectable Level Approved byt j ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 01 ST. CROIX COUNTY WISCONSIN S A ZONING OFFICE ST. CROIX COUNTY COURTHOUSE ' 911 FOURTH STREET • HUDSON, WI 54016 1 - (715) 386-4680 May 14, 1993 Carrie Johnson Edina Realty 700 - 2nd St. Hudson, WI 54016 Dear Ms. Johnson: An inspection of the septic system on the property of Stephen Schrader, located at 1372 Awatukee Tr., Hudson, WI was conducted on May 12, 1993. At the same time a water sample was obtained for testing. The results of that testing will be sent to you as soon as we receive them back from the laboratory. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. Should you have any questions, please contact his office. Sincerely, Mary J. Jenkins Assistant Zoning Administrator cj 11 l2 M O T. CROIX COUNTY RECEIVED N WISCONSIN wt P";"':1' 0 5 1j'93 ZONING OFFICE ;j`."• sT (;R(-1A w T. CROIX COUNTY COURTHOUSE `IOI;NTY w ;C?vrNGQrFIGE. FOURTH STREET • HUDSON. WI 54016 SEPTIC INSPECTION / WATER TEST REQUEST FORM o- Specify desired test(s) & remit appropriate fee with application. Outside water lines are often turned off during winter months, making access to the home necessary. Please make arrangements with this office to insure a time when entry can be gained. O Water (VOC's) $185.00 X Septic $25.00 Water (Nitrate & Bacteria) $35.00 (Visual inspection) Owner : Requested by: J ZZ~ Address: Address: City & State: City & St. U Sz~v/( Zip Code: i-VOff/ Zip- Code: Telephone N°: ( Telephone N4: ( /_jj 9e 6 - < -R.36 Property address (Fire N4 & Street) Location: 5W h,__&jjj)N, Sec. Pte , T 3o N, R-L-J-W, Town of St. Croix Co., WI. Tax ID 141a69o.i9.L aParcel ID If Ido House color= Realty firm: Lock Box Combo: CJ"c Water sample taplocation: TO BE COMPLETED BY PROPERTY OWNER *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORMS Is the dwelling currently occupied? Yes ❑ No If vacant, date last occupied: Septic system installed by:~1j~~fd•G✓ Year: Septic tank last serviced by: Date: Previous Owner's Name(s): d 4e4,L) Have any of the following been observed? OY ltd Slow drainage from house. OY t1 Sewage Back-up into dwelling. OY Sewage discharge to ground surface, road ditch or body of water. OYA1 Slow drainage from the dwelling. OY )4N Foul odors. Other comments relative to system operation: I certify that the above information is complete and true to the best of my knowledge. OWNERS SIGNATURE: DATE: 4/93 I • y , w OWNERS DRAWING OF HOUSE & SEPTIC SYS LOCATION t IN D v ICJ ~ CJ TO BE COMPLETED BY INSPPCTION AGENCY System design &/or permit on file? Wes ❑No I qGa/o ` Soil series per SCS Soil Survey: sheet # Type of soil absorption system: elow grd OAt-Grd OMound Approx. size 5- ' X Bbl 8 6-C-3) Wravity11 ODose OPressurized Ft.' OBed 61 rench ODry Well ❑Holding Tank 00utfall pipe OBSERVED DEFICIENCIES 00ther []Unknown Septic tank Setbacks: OHouse OWel l S S+ OProp. line Ito " []Other Dose tank Setbacks: OHouse Well OProp. line []Other []Locking cover OWarning label OPump/Floats []Alarm []E ec. wiring Soil Absorption System Setbacks: OHouse 7 0 OWell- OProp. line V []Other OPonding: /h ODischarge:_lnv'~ General comments: INSP C RS SKETCH OF SYSTEM LOCATION N Inspector ~l/V✓~ Title