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Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT St. Croix
Safety,and Buildings Division
If NE 4 , OR4T,.~~tIT809 $ gWT1)8 , Lot 2 Sanitary Permit No.:
GENERAL INFORMATION 149068
Pet H Ider's ame: ❑ City Village cj Town of: State Plan ID No.:
9oiraon NArcand Star Prairie S91-40383
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: b~
d~~'~ Dc~ClZ7~ >n 150C Z.r
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TANK INFORMATION ELEVATION DATA - f Z
rJ
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark ~d2,ss /Am
61 01,
Dosing , 8 /dD - V7
Aer n Bldg. Sewer
Holding St/Ht Inlet
TANK SETBACK INFORMATION St/ Ht Outlet
TANK TO P`/ L WELL BLDG. Ai Intake ROAD Dt Inlet
Septic NA Dt Bottom azas tj _27
Dosing s'; s .~3T NA Headers ps
e-7<-
Aer ' n NA Dist. Pipe 9 Qy'
,at •Y
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Gaids Demand
Model Number GPM c4w
i A) TDH Lift , Lrictio System, TDH b,RFt
H ead
Forcemain Length ZZO ' Dia. Dist. To Well
SOIL ABSORPTION SYSTEM
TRENCH Width Length No. Of Tr nches DT EN 1 N is Inside Dia. Liquid Depth
DIMENSIONS r
LEACHING anufacturer:
SETBACK SYSTEM TO P/ L BLDG WELL LAKE / STREAM
INFORMATION Typeo CHAMBER Moe Num
System: /tii,v! y~ 3y - OR UNIT
DISTRIBUTION SYSTEM
Header / Ma fo Distribution Pipe(s) x Hole Size i x Hole Spacing Vent To Air Intake
a y
Length ~ Length c ~ Dia. o? Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over /f Depth Over xx Depth Of „ xx Seeded/ Sodded xx Mulched
~/Trench Center ¢d'/Trench Edges Z t ~U Topsoil ( t D-V93',D No es ❑ No
COMMENTS: (Include code discrepancies, persons present, etc)Y- /2 1
LC "l fliL C it ctir< 1? d . / I
Plan revision required? ❑ Yes l1~'No
Use other side for additional~r ormation. o~-
SBD-6710 (R 05/91) %w Date Inspector's Signature Cert - No
~qq~ Nl.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
D~LHR SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code CouN
2- 1 1 &Wd~
STATE SANITARY PE I
-Attach complete plans (to the county copy only) for the system, on paper not less than El ~0~
834 x 11 inches in size. C eck f 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. 5
PRO RTY OWNER PROPERTY LOCATION
r a \1 a r ` ' Y. jS E? T.31 , N, R $ 7Dr) W
PRO ERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
/V/ t4
CISTA E ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
LL: IQ)- n) ,e- m O`~U
II. TYPE OF BUILDING: (Check one) CITY t NEAR OAR , ri
❑ State Owned ❑ VILLAGE 5~,t h `r q I M I
❑ Public 1 or 2 Fam. Dwellins~ of bedroom P1771 4OWN g:
ARCEL TAX Nu
d 38"-3 -
III. BUILDING USE: (If building type is public, check all that apply) I~
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 8 ❑ Mobile Home Park 12 ❑ Service Station/Cpr Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13jff 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 4.0 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) of c~ ELEVATION 3?-9 0 326,0 b :X &9,5 Feet ~.5 Feet
VII. TANK CAPACITY Site
in as Ions Total # of Prefab. Fiber- Exper.
INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks strutted
Septic Tank or Holding Tank /Q-M
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 A>C~yev'sint): Plumber's Sin e: (No Stamps) MP/MPRSW No.: Business Phone Number:
1-5 6.3 ")/S 6- /
Plumber's Address (Str ity, State, Zip Code):
9 / (4.
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date issued Issuin Agent Stgnatu (No Stamps)
Approved E] Owner Given Initial Surcharge Fee)
~ / _ ~ /
Adverse Determination
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety s Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
i
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.
1
5. Onsite sewage systems must be property maintaineb. 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 81/2 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/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)
APPLICATION FOR SANITARY PERMIT
STC - 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 Cl oa4. oN t u~tJ
Location of Property T, Section I , T 3i N-R W
Township 5TP4L. PA.,A.I rat
Mailing Address 'PO box
~q-
V/1LLx--- a- t-4 rE ~N S091)
Address of Site X XX qST" ST
~ Vy ~1 U-i 1~ n t-1 , 1 ~J 4 0 1-1
Subdivision Name
-TZ~"1'~lEb ~rLV~yl~.fJ
Lot Number 2
Previous Owner of Property/ I,L~IS (.U 14 H 1 Ntat-~IAN~
T
Total Size of Parcel C.a
Date Parcel was Created 1-A tatAc j: ~ i Q1 ^1
Are all corners and lot lines identifiable? )O(s Yes No
Is this property being developed for resale (spec house) ? Yes x No
Volume and Page Number 10 S4 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, and 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 refer-
ences to a Certified Survey Map, the Certified Survey Map shall also be required.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
PROPERTY OWNER CERTIFICATION
I (We) eenttby that a l .6tatementz on this bonm ane t.ue to the best ob my (ouA)
knowledge; that I (we) am (ane) the owneh(s) ob the pnopWy desc i.bed in this
inbonmati.on boxm, by viAtue ob a wwftanty deed neeonded in the Obbice ob the
County Reg.c steA o6 Deed6 a6 Document No. g 4 9 39 i ; and that I (We) pne a entty
own the pnoposed site bon the sewage dispos .6y, em (on I (we) have obtained an
easement, to nun with the above deg c ibed pnopenty, bon the con t uction ob said
system, and the same has been duty %eco&ded in the Obb.ice ob the County RegisteA ob
Deeds, as Document No. 4 49 39 i ) .
SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
DATE SIGNED DATE SIGNED
4 PA' .EZT'
DOCUMENT NO. i r' r • THIS 8PACF nzaenveo ro" F[conoima DATA
i S TAIL LIAR Oh \VISC NSI R111-1982
LAND CONTRACT
ON-CONE SUAIER
II 449391 =1000 I3 FINANCE AND IN TRANSACTIONS) OTHER NWHER OVER
ACT
REGISTER'S OFFICE
Contract, by and between PEiYLLIS, It; __ltU~]~1 ~(G ST. for ReUcord
it FORMERLY KNOWN AS PHYLLIS VOSECKY
i .......................•-•..............................................................("Vendor", JLU 31989
I{ whether one or more and...... QQRQQN..ARQAND ANP..QHERXL..ARQA.IP...... at 4:00 P M
("Purchaser", whether one or more).
1 Vendor sells and agrees to convey to Purchaser, upon the prompt and full per.- ReglsterofQeeds
j formance of this contract by Purchaser, the following property, together with the
Ifi rents, prcfits, fixtures and other appurtenant interests (all called the "Property"),
.I in....... S.T.....CROIX County, State of Wisconsin: 119TURN TO
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PART OF E} OF SWj OF SECTION 8, TWP 31N, RANGE 18W,
BEING LOT 2 OF CERTIFIED SURVEY MAP FILED AUGUST 22, Tax Parcel No
1975 VOLUME 1, PAGE 169.
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This ..L(ie) _ Q. homestead property.
(is) Is not
Purchaser agrees to purchase the Property and to pay to Vendor at A....PLACE............DESIGNA................T...ED ...$....Y..S....ELLER
the sum of $....11,.QQQ,.QQ in the following nianner:.(a) $...2 250 00...........
at the execution of this Contract: and (b) the balance of $...8,t,'N 0 together with interest from date
hercoi on the balance outstanding from time to time at the rate of..... 10 ; 0 per cent per annum
until paid in full, as follows:
,i
PAYABLE IN MONTHLY INSTALLMENTS OF $151.58 OR MORE AT THE OPTION OF THE BUYER
INCLUDING INTEREST AT THE RATE OF 10.0% PER ANNUM COMPUTED ON UNPAID BALANCES.
INTEREST SHALL BEGIN ON DATE OF CLOSING. FIRST PAYMENT SHALL BE DUE AND PAYABLE
ON July 28, 1989AND SUBSEQUENT PAYMENTS SHALL BE DUE AND PAYABLE ON THE 28th DAY
OF EACH SUCCEEDING MONTH. PAYMENTS SHALL BE APPLIED FIRST TO INTEREST AND THE
REMAINDER TO PRINCIPAL.
Provided, however, the entire outstanding balance shall be paid in full on or before the....... 20.0 day of
July 19,92
(the maturity date).
Following any default in payment, interest shall accrue at the rate of ..l.?...... % per annum on the entire amount
in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire
principal balance).
Htiai.
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Vendor-ugrees-to-apply-paynTentr-to-these- obligations -when-dues.-Sueh-amou*ts-reeeived y4he-Vendef !or Payment L-
.
Unless 51:1 . . d by !.,N.
taxes, maessinuatho and i-r3tittmee. %will 6e deposited -site -n ascrow fund or trustoo account. but -hall not bear. Payments shall be applied first to
interest on the unpaid balance at the rate specified and then to princip I. Any
ainouut may be prepaid without premium or,•fee upon principal at tiny time aftcr....~1..!~1 .Q..., 19.8 -(olt)
In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long
at- the unpaid balarnce of principal, :old interest (nnd in such ense accruing interest from month to month shall be treated
as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been
made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds
of insurance or condemnation, the condemned premises being thereafter excluded herefrom.
Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser
for examination except:
E"2 se 1~'1 e 7-S ge .fir i'07/0/1 , a ry AT1 o to t oa y o,4- ec ro ro; i f"i9h y
Purchaser agrees to pay the cast of future title evidence. If title evidence Is in tho form of an abstract, it shall
b1i retufucd by Vendor until Ilia full ~Purehuwu price Is paid.
~ pp QQ
Purchaser shall be entitled to take possession of the Property on .R............. 19.t?l...
'Cross Out One.
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uto.Ij uoaaaill lsa.talul ql!m 'aallulilq :Ynllmulslt o Dalltla Dill jo luatuXud litij s,aasugaand uodn pauo!l!puoa aq of uoildtuapoa
;o Al!nba Attu ql!m aansol33ao; lolals g2noagl y3x:q Alaado.d Bill aaAmaa pur Xlaadoad oql ut lsaaalut pus alltl 'sltlslt
s,aasrgoandl puu laualuo0 s!ql al eit !tu .101 'uotldo s!q is 'Autu .tOpuDA (t) :Allnba ut ao tail Aq paptnoad asoyl of uo!l!ppe
ut (mil Aq pap!.toad suotlul!m!l due of loafgns) salpautaa pug slg2ta 5u1ta0ll0j ag1 DAeq osle Aegs aopuaA Pula '(sDAte-M,
Agaaay aasuyaand yD!ym) 33!lou lnogl!At put: uotldo s,.topuaA iu 'Iln3 ut olquArd put anp Alaletpatutul awonq slugs
joualuoa still aapun unqug 2u!puelsino aa!lU3 Bill uDgl ' (l!uul pa!;!laao All pal!uut ao Alleuosaad paa3Atlap) a0pu3A All joaaagl
0311OU uDll!aet 211lM0110; 9,iUp 09 jo potaad a ioj sanu!luoD t1milm a3sugDand ;o uotiu2tlgo aaylo Aug jo oatteutao;lad
tit llnu;ap a jo lttana Dill ut (q) to aiup Blip pa!;►oods oql Supmolloj sArp 0~} ;o potaad a toj sanutluoa gotgm isaaolut
ao lgdlau!ad Attu jo luotuAgd ail tit llnrjap u ;o Juana oql ut (e)t put a3uassoayl ;o st aw!l luill saaa2v aasgyaand
_ f
. ~ ~
...~~.0~.. tin`y` ~ ~`ltf . X' ~T~J•
• uf 7r
- •ldaaxa pus 'a3sgg3and"jo lln
uo~ sjap ao Jos aqi Aq paleaaD sa3USagwnbua ao stiatl Aug
sJ
'ldoaxa 's33ur.Twunaua pug sua!1 llr jo auala pug Baal 'SI.rodoad oql ;o 'aldta!s aoj ul 1p3aCI Alugaaeb g 'aasuyaand Bill
of aaAtlap Pug egn3oxa 'purwap uO ll!m aopu3A 'payloads DAoge aauugtu ayj ut pug saw!` Bill le patulo;aad dllnj eq Itggs
suotl!puo3 jig pug pled Allnj aq llrils sAouotu aaglo puu lsalalul IWA Datad asrgaand aqi asap rl leg` 90032V aopuaA
•Xlaadoad Bill 8u!loajtg suotleln8aa pug geoueutpao 'stagl Ili gltA% Aldtuo3 e1
pug 113raluo0 still jo Intl Bill of iopadns suatl tuoaj aa.tj Alaadoad aqi 'dwj of 'atgdaa pur uotl!puoD e1gelusual pool ul
Alaadoad egl doa)j of 'Alaadoad Dill Uo pali!tutuoz aq of alsem molls Sou alsrm lituuto3 Ol IOU sluru3AOD aesgg3and
•algcsga; Allg3twouo3a
ail of a!rdaa ao uo►lgaolsDa Dill swa3p aopuaA Bill paptnoad 'p38gucrp Alaadoad ail ;o atgdaa to uotjejolso-z of pailddg aq
lint`s spaa3oid a3uuansu! ';9ut1!am ill 0aaJr 0s!MJD1170 aopu3A putt aOSeyDand Mlun •aopuaA pug satuedwoo Dauransut
ill ssol jo 3311ou aA!9 A17dwoad lleys JJSeg3.ui,1 •aopuaA illrm pallsodap aq lluils Alaadoad Bill i9U1aaAOD sa!D!lod lie ;o
1gu13jao 0111 '2u!l!Jm ul s0aa21! as!ma01110 JopuaA ssalun 'pug lsaaalut s,aopuDA 0111 ;o Jong; ut asnela paupusls ail u!e1U03 -
llgys sa!a!lod aqi, anp uagAt sutn!waad Bauransu! Bill Aud Iletis xasryaan j •laealuo0 stq; aapun pamo a3uu(gq ayl ugyl
aaotu lunotuu us ill 92131DA03 ounbaa soil lls!tls .toplDA lnq ;o tuns aqi ut 'aopuaA Ail
p3Ao.idde saaansui g2noatll 'a3uransut/-oa Inogl!m 'o.nnbot Atw aopuaA sr spagzeq aaylo y3ns pus esuad 0ee39n03 p3puDl
-xD 'aatd Sq pauolsr3Do amutallap ao ssol 1sut11lte po.tnsut Alaadoad aqi uo sluaw0AOadutt attl dawl `tugs aasegaand
•ltaulAud vans 8utmotis sldteaaa plteutap Uo aopuaA of aaA!IDp 01 pug l! ut
1s0.101ut s,.lnpuaA uodn to Alaadoad Bill uo pa!ADl sluatltssassil puu saxgl llu enp u3gm Aid o, sasituoad aasgyaand
s
l
SEPTIC '"ANK MALNTENANCE AGREEMENT
St. Croix County
OWNER/BUYER t~
ROUTE/BOY NUMBER ~Uk '34 Fire Number
CITY/ STATE Vy I L-Ui5V2, V-1 %E t I ZIP SSd90
P70PERTY LOCATION: ' 5W `t, Section T 31 N, R 1'6 W,
Town of St. Croix County,
Subdivision" ~Jt~1fWc~`/ Lot number
-r
Improper use Xnd 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 septic tank pumper. What you put into
the system can affect the Eunccion of the septic tank as a treat-
ment stage in the waste disposal system.
St. Croix County residents may be eligible to receive a grant for
a maximum of 607: of the cost of replacement of a failing system,
which was in operaci.on 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) aE'cer 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/W E, the undersigned, have read the above requirements and agree
to maincain.the private sewage disposal system in accordance with
the standards sec forth; herein, as set by the Wisconsin Depart-
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.
SIC14ED
']ATE Ct
I
St. Croy County Zoning Office
P.U. Box 227
Hammond, !JI 54015
7L5-195-1239
Si..n. Oar,z and rt-rrnr.n !-n above address.
~M
t~
•
l
STAR PRAIRIE
JIPOLK-sr. CROrx 1L POLKt COUNTY
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08 001 r d t ('i.r~fhr2 r r-~ _ _ ~:rB e. C N c'
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DEC 19 '99 10:12 GOURMET AWARD FOODS' P.1
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Post-it's' brand fax transmittal memo 7671 # of POW
vrom
"All e. ~evenS er f C Qn
Co. ,r 1, co.
Dept. phone N
6 - $ O Fax
Fax # 7 15
Wisconsin Department of Industry, ON SITE SEWAGE SYSTEMS off1CQ of Division Codes and Application
Onsite Sewage Section
Labor and Human Relations t _d 201 ash on Ave.;Rm:141
W g
Safetyand Buildings Division E
PLAN APPROVAL APPLICATION P.O. Box 7969, Madison, WI 53707
(608)266-3815
INSTRUCTIONS: Please fill in all applicable data and submit this form with plans, Plans will not be reviewed until all fees are received. The
reverse side of this form describes most of the required plan information. `Further requirements may be contained in the Wisconsin Plumbing
Code;-which`can be purchased frorn:the Department of Administration, Document Sales and Distribution, 202 South Thornton-Ave., P.O. Box
7840, Madison, WI 53707, Telephone (608) 266-3358: r '`Y
Plan Number Previously Assigned
1.- PROJECT INFORMATION (Type or print clearly) w - 4
Nam f S miffing y (plans returne to same) pojeCtaNa me . ; -
Adds or Legal
drss, P.O. Box # or Rural Route re s Description
Street
AA_
Algy V
City or illage Stat Zip Code City County
village Q. of
Telephone No. (include area code) Town' 19
Nam of Owner ,
Designer;
ZA~
Telephone No. (includ area code)' Telephone No. (include area code).
Street Address, P.O. Box # or Rural Route Stres Address, P.O. Box # or Rural Route
City or Village State Zip Code ity r Vil age State Zip Code
r
2. APPLICATION FOR: ❑ Experimental Mound System,_-,., ❑ Holding Tank
New Construction ❑ Large System ❑ Conventional Gravity System, - ❑ Groundwater Monitoring
❑ "Replacement ❑ `At-Grade ❑ System in Fill ❑ Petition For Variance
❑ , Revision Pressurized System Y . ; ❑ System in Flood PIaIn (attach SBD-6698). p Other Alternatives
3. FEE COMPUTATIONS (InCIUde existing tanks) n : FEE SUBMITTED `FOR OFFICE USE
MAKE ALL CHECKS PAYABLE TO SAFETY & BUILDINGS DIVISION.
a. 750- 1,500 gallon septic tank $ 50.00
b 1,501- 2,500 gallon septic tank $ `60.00
C.. 1,501- 5,000 gallon septic tank 80.00
d. : 5,001 9,000 gallon septic tank $100.00-
e. 9,001- 15,000`gallon septic tank $150.00
f. ` Over , 15,000<gallon septic tank - $250.00
g. 500- 1,000 gallon dose chamber S 30.00
:
h. 1,001 2,000 gallon dose chamber''~ '"4'56.'00
_i: 2,001- 4,000"'gallon ' dose chamber $ 70.00
j. 4,061- 8,000 gallon dose chamber $ 90.00
k. 8,001- ` 12,000' gallon dose chamber $110.00
1. Over 12,000 gallon dose chamber $150.00
m. 500- 5,000 gallon holding tank $ 30.00
n. 5,001 10,000 gallon holding tank $ 55.00
a Over 10,000 gallon holding tank r $100.00 =*p. Revisions $ 20.00
q. Groundwater Monitoring - Per Site $ 32.00
(other than a proposed subdivision)
r. Petition For Variance: Setback $ 25.00
Site Evaluation $ 50.00
Subtotal: sf ll R
s. Priority Plan Review: Enter same amount as Subtotal
Total Fee:
SBD-6748 (R. 04/88) NOTE:Fees are pursuant to Wis. Adm. Code, Chapter Ind. 69, and OVER +
are subject to change annually.
ST. CROIX COUNTY
ei N- WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, WI 54
~r
_ (715) 38 -4;8f0 &$Ar
May 20, 1991
Division of Safety and Building
Bureau of Plumbing
P.O. Box 7969
Madison, WI 53707
Dear Sir:
An on site investigation of the Gordon Arcand property, located
in the NE 1/4 of the SW 1/4 of Section 8, T31N-R18W, Town of Star
Prairie, St. Croix County, revealed suitable soils at a depth of
24".
This site should be suitable for a mound.
Should you have any questions, please feel free to contact this
office.
Si erely,
James T
Ass' ant Zoning Administrator
cj
1 ~a,~,oo•J ,~iPCANp
WORKSHEET - MOUND SYSTEM DESIGN p~ ,Bob 3~
PROBLEM:
Design a mound system for a %sx _
The site characteristics are:
Depth to groundwater or bedrock a~ in.
Landslope %
Percolation rate min./in.
Distance from dose chamber to distribution system Z3,s ft.
Elevation difference between Dump and distribution system ft.
Step 1. WASTEWATER LOAD gal
Step 2. SIZE THE ABSORPTION AREA
A) Area required sq. f t.
B) Bed or trench length (B) y~ft.
C) Bed or trench width (A) _ ft.
0) Trench spicing (C)
Wastewa er load .24 gal/ft?/day B ft:
treI'r► es
Step 3. MOUND HEIGHT
A) Fill depth (D) s ft.
B) Fill depth (E) = D + slope (A)+P) fp~ft.
.7- ( oi (y~ ) - / D/7/
C) Bed or trench depth (F) _ a.
D) Cap and topsoil depth (G) = ,D ft.
E) Cap opsoil depth (H) - ft.
'J C, 1. ~ . . .-Y.
t
~4,{,00.,j
- a"I 3y
;Id l-l k,04 /~N SS~094
Step 4. MOUND LENGTH.
a
A) End slope (K) _ CD~+ F + H x 3 ft.
le,
6~7
B) Total mound length (L) B + 2(K) a ft.
9"Y, ys' 2 (14, 0
Step 5. MOUND WIDTH '
Al) Upslope correction factor =
A2) Upslope width (J) - (D + F + G)(3)(factor) _ ft.
f.83~- ~)(3)l-9y~= Via. s
Bl) Downslope correction factor = ,GQ
B2) Downslope width (I) _ (E + F + G)(3)(factor) /xo
Cl) Total mound width (W) for bed = J + A + I 1 ft.
C2) Total mound width (W) for trenches:
j + + (no. trenches -1)(c) + A f + I eft.
Step 6. BASAL AREA
A) Infiltrative capacity of natural soil = gal./ft2/day
B) Basal area required = wastewater flow
natural soil infiltrativJ capa ity = sq. ft.
03,t/ ~r'~.9
Cl) Basal area available for bed for sloping sites =
B x (A + I) = sq. ft.
C2) Bas are avail le for trench for sloping sites = /8 yS
B W tj + A 1 = ~q. ft.
Y J
'9S, X5 x,--z2 s - (S,,3 ;~o //7/. -
C3) Basal area available for trench or bed for level
sites = B x W = sq. ft.
Sign. _
License Wu:_.1
9 ys moo, 3-
Coep u) Axwo
f O Qe ~ 3 l
Step 7. DISTRIBUTION SYSTEM yJ,./lle-Ak 011 S 0,?--0 A c~
7A) SIZE DISTRIBUTION SYSTEM
1) Hole size = 1~~ in.
2) Hole spacing in.
3) Distribution pipe length iTr.ff
4) Distribution pipe diameter in.
5) Spacing between distribution pipes in.
6) Distance from sidewall to distribution pipe in.
7B) DISTRIBUTION PIPE DISCHARGE RATE ft.
1) Number of holes per pipe =
2) Flow per pipe = ,2 Z GPM
7C) SIZE MANIFOLD
1) Manifold is central/ end
2) Manifold length ft.
3) Number of distribution lines a
4) Manifold diameter _ in.
7D) SIZE FORCE MAIN
1) Minimum dosing rate GPM
2) Force main diameter in.
3) Friction loss = ft.
7E) TOTAL- DYNAMIC HEAD
1) Vertical lift = ft.
2) Friction loss =
3) System head 2.5 ft. ft.
4) Total dynamic head ft.
Licerge;:~~~
lla. to
r~, Ila~~w ~',v ss'o9o .
7F) PUMP SELECTION li
1) Pump selected will discharge ZQ _GPM at ft.
total dynamic head.
2) Pump model and manufacturer
7G) DOSE VOLUME
1) 10 times v id volume lines 92 g gal./cycle
/ox o9axa 445oYistribution ~ 8~•8
2) Daily was ewater volu~~~ - 4 doses/24 hrs. _ gal./cycle
3) Minimum ~a o.se .volume ~ ZQ1 gal./cycle
7H) DOSE CHAMBER
1) Minimum capacity required = 5fQ0PI-7Saf~/~;, -I-Aj._ gal.
Si n:a 0.1
Licunso i:u:~ _
Date:
00/abv Azov
mod. xe s/ x 4YI,el,c
G Dle 4 w SSDy'o
n NS1TE SEWAGE SYSTEM
AydUAbo
nor
Kijol '040,oe- '41""'1 "1 priuvED tons
A
DEPART'E, F lND 0 RY, LABOR AND ! RELAT
,5--17- 9/ S,ON
CE
SEE CCRRE
300 ~ `r ~Cidoe
f~putd
3 F,
8a
\CG LAS ~t M ~~~'1'
Ell 1
5frr't"~C '~hh►ic
80 ~ pp
~l l'~f' CHAftiIZfrQ /
c
O
, 6L Lc~i "i'FtE
TiiE AREA
D""'we, c r E or 'Tti£
' , vo~~rST~^rc ~ .
gQ~S°00--1 AC'e4'4'0 Page Of
l°O..c~o r 3
s-s'o9a
X1,'1%ewx 11-711
Straw, Marsh Hay, Or s 4Q S
1
Synthetic Covering
Distribution Pipe
Medium Sand
G
Tops - r:
-i r F- r;
l % Slope u
Bed Of 2 %2 Force Main Plowed
Aggregate • Layer
D Ft.
E Ft. F Ft.
Cross Section Of A Mound System Using
V Bed For The Absorption ATeo
G % D Ft.
A Ft. H~ Ft.
Signed:
B .2,L24-Ft.
License Number: K lox I_ Ft.
L Ft. d - Ft.•
Alternate Position T /g,0 Ft.
of W Ft.
Force Main
I Observation Pipe
6 K
I $S-S i Force Main
W ~~E SSW AGE
Distribution. eo 2 - 2'
Pipe Moab
Observation Pi a f
tNC~US~RY 1141
1CN~
. E
SEE OpRRES
Plan View Of Mound Using A Bed For The Absorption Area
Page Q.'
Perforated Pipe Detoll
/11"rEnd View
Perforated
End Cop PVC Pipe
ce Notes Located On Bottom,
- Are Equally Spaced
Ell\ D's r;er tia0
Last Hole Should Be
Next To End Cop
Distribution Pipe Layout P Ft.
R,
S
X =2 ~Z_ Inches
Y Inches
Signed: Hole Diameter Inch
Lateral Inci~( s)
License Number Manifold " Inches
Date` f f.•rt ONS Force Main " 3_ Inchij3
Uohatuonall 517 # of holes/pi pe.2,;Z
Im 'Mk~ "0 9%
Invert Elevation of Laterals Ft.
6A~ liltJS
fR AND I
DEPARTb1ENT INDUaAPPKw
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SEE COW
A
r~ Fl y
SEW M
j ,ONg~TE
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~ SEE COpRE
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. PA G E -y- OF
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PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS
VEWT CAP
4'C.I. VENT PIPE
WEATHER PROOF APPROVED KGB d71
Z5' FROM DOOR, JUNCTION BOX FLIF~ tj
WINDOW OR FRESH I2"MIU.
AIR INTAKE
GRADE
41
CONDUIT
rrrr_
10"MIN. r__rr
. • r r r r r.
(t`ll_.El' . r l; i Qt4Sj'T `SeW PROVIDE I I
j. . TIGHT SEAL
l' APPROVED JOINT A co I III APPROVED JOINT:
• W/C.I. PIPE T ~S ( I I W/C.I. PIPE
CXTCNDIAIC. 3' E~SI ,
I ONTO SOt.ID Sc AT
PAID MAN ALARM ONTO NSOLID SOIL
►N4TR~ , N i I
Ip t-'AU 10N ow
PSI
• I I
CARS I
PUMP-~
OFF
1 O
CONCRETE BLOCK
RISER EXIT PERMITTED OIJLy IF TANK MANUFACTURER HAS SUCH APPROVAL
SPECIFICATIOUS
SEPTIC AND
DOSE TANKS MANUFACTURER:
NUMBER OF DOSES: PER pA!J
TAMK SIZE : _ GDn' GALLONS DOSE VOLUME
ALARM MAAIUFACTURCR: INCLUD!!;C :,%C: FLOW: (O IX 4 GAIL NS
T cic
MODEL IJUMBER: h/ !/A/ CAPACITIES: A- IIJCAC5 0R ZF~,,LF GALL 0W5
SWITCH TyPC: B -r~.C--INCHES OR Ll
pp GALL01J5
PUMP MANUFACTURER: Ca /0 INCHES ORC21~ALLONS
MODEL NUMBER: D INCHES OR GALLONS
SWITCH TYPE: -ALL J- NOTE: PUMP AND ALARM ARE TO BE
PUMP DISCHARGE RATE --~~=---GPM INSTALLED ON SEPARATE CIRCUITS
VERTICAL DIFFERENCE 15j~°?WCC►1 PUMP OFF AND 015TRIBUTION PIPE.. IQ d FEET
f MIMIMUM NETWORK SUPPLY PRESSURE , . . 2.5 FEET
+ JJ FEET OF FORCE MAIN X 1,AftF/
IOO fT.FRlCT10N FACTOR..-/, -YK. FEET
_ TOTAL DYNAMIC HEAD = FEET
. ro,
INTERNAL. QIMEWSIOMS TANK: LENGTH
;WIDTH ;LIQUID DEPTH_
SIGkIED: LICENSE NUMBER: 45' fa DATE:
-117-
0-0
*14 Wy-i"
>117~ 31 UBI~tl;RS1BLE 4
L,DS .:S
a• y~ y ~~CJ'/]~
SEWAG, .;AND. EFFLUENT PUMPS
4
s
EP031.1 ,
~ ~•~'~r~'~"i, LTST DISC.
1/2•' s olids 256.80 172.10 7
" 115 V Effluent PuR~
jq r 't 0XIMP.0311 142 EP0311 1/3 tip
Submersible. s
MODEL EP0311
Effluent Pump
SIZE 3/e'' SOLIDS
is rSy 1 METERS FEET ~r
t , • + S 25
15
t
'k~^4 y C 10
d 5 7 Y L
45v
' ~i•~ 2 w
k@1 "5'~r .q i 6 1
t! Y`Av~~, n Kp;
Gi r
p p 40.
t `
20 Z`.. 28 P2 36 c:
v O ` S 12. 15
GPM
5
7.5 mIM
0 2.5 5.0
CAPACRY r+
LL 'a
Y i V))
y r•7 1 , i
,G f
s.
Performance
3885
lyKry`.,.,. Curve ,
N[7Lti RR
=1 .x 90 MODEL 3885
Y
n n SIZE 3/4" Solid ,
fr
9+F fk.~ i t 16 y0 1
40
f1!' S l0 00 wi _ -
w[o>L
70 1
Y.
i' .
yi.y _ oC a
40' 60 60 70' . 60 i0 100 110. 170 , Ow
fjh~4+0 5~ ~q"t• 0 f0 70 >0
to 30 -WA
CAPACITY
LIST DISC.
4 ~~x 3/4' solids 491.5S 329.35
3 v y r, I r pC( NT.03111, 142 WE0311L 1/3 HP 115 V LOW H
Y
+~£fi~ a` ,'P OOIl PWE0311M 142 ' WE0311M 1/3 HP 115 V Mid H 3/41' solids 491 .55 329 35
~r
••1.~x~i. 3/4 eblids 704.25 471.95
r ra~~J GC7( 01111 142 WE0511H 1/2 HP 115 V High H
3/4; solids 847.65 565.25
230 V High W- kb+
F~c ! i „rsr CDMIE0712H 142 i,E0712H 3/4 HP
~C ,v't's ~ •
`1l " et ~s...
i f , tiJ~s SEE',FOLdLwINGPAGE FCR PEFtFCIthY+l AND SPECIFICATIONS.
PAGE Dh
10 88 DEI'r 30
.3 DATE
t
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, DIVISION 7969
LABOR AND PERCOLATION TESTS (115) MADISONP•0., WI BOX 53707
HUMAN RELATIONS 3707
(ILHR 83.09(1) & Chapter 145)
LOCATION: SECTION: TOWNSHIP/MU LITY: LOT NO.: BILK. N 1 10 llslwxp
1/ /T3 N/R E (or -
COUNTY: OWNER'S BUYER'S NAME: AI I G ADDR
DATES OBSER ATI NS MADE
USE S:
NO. ED IMS.: C M D T N:
Residence New ❑Replace
O~Z_
RATING: S- Site suitable for system U- Site unsuitable for system
ONVENTI NAL: MOUND: IN-GROUN U : S E -I -FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional)
Os ®u ®s au ❑s®u ❑s u ❑s[ZU . YAWU 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: Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH T GROUNDWATER-INCHES CHARACTER OF SOIL WI H T I KNE S, OR, T TUBE, AND DEPTH
NUMBER DEPTH IN, ELEVATION B VE E TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B.
ii -1A Ad L
'q 46/' 8 B-
B-jr 34 A.
16-. leglizX-12 lei Irlic,
B-
B-
B-
PERCOLATION TESTS
-TffF- DEPTH WATER IN HOLE TEST TIME DROP N WATER LEVEL-INCHES RATER INCH NUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN.
-120 To -
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 ;th/ su r fa ce elevation at all borings and the direction and percent
of land slope. .Ce .CrJw'
SYSTEM ELEVATION _ _r__FT . _A°-'~N 3m ~6. tcc _
SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
PRIVATE SEWAGE PLAN APPROVAL Western Regional Office
2226 Rose Street
LaCrosse, Wisconsin 54603
CALVIN POWERS JR Owner: GORDON ARCAND
ROUTE 3, BOX 249 P 0 BOX 34
NEW RICHMOND WI 54017 WILLERNE MN 55090
RE: Plan Number: S91-40383 Date Approved: May 29, 1991
Gallons Per Day: Date Received: May 24, 1991
Project Name: ARCAND, GORDON - RESIDENCE Location: NE,SW,8,31,18W
Town of STAR PRAIRIE County: ST CROIX
The plumbing plans and specifications for this project have been reviewed for
compliance with applicable code requirements. This approval is based on Chapter
145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are
stamped 'conditionally approved'. This approval is contingent upon compliance with
any stipulations shown on the plans. All items that are noted must be corrected.
All permits required by the city, village, township or county shall be obtained
prior to construction. The licensed plumber responsible for this installation
shall keep one set of plans with the department's approval stamp at the
construction site. The installer shall notify the appropriate inspector when
inspections can be made.
This approval will expire two years from the date approved or if a sanitary
permit is obtained, it will expire the day the initial sanitary permit expires.
The Section of Private Sewage has reviewed these plans for private sewage system code
requirements only. These plans have not been reviewed for the code requirements
set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the
Wisconsin Administrative code.
This approval is for the following components only:
- NEW MOUND
Inquiries concerning this approval may be made by calling (608) 785-9348.
Sincerely,
ERARD M. SWIM
Section of Private Sewage
Division of Safety and Buildings
PPP039/0009n/43
cc: GORDON ARCAND X Private Sewage Consultant
S13D-94231H.01/911
.RTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
STRY, DIVISION
DR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 53707
IAN RELATIONS
(ILHR 83.09(1) & Chapter 145)
;ATION: SECTION: r TOWNSHIP/MU LITY: LOT NO.: BLK. N =SUBDIVIS102 NAME:
/T3 N/R L (or
IUNTY: OWNER'S/BUYER'S NAME: 19191 LING ADDRESS:
_04400-4~ 14
aE DATES OBSER ATI NS MADE
NO.BEDRMS.: COMMERCI L DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS:
UResidence IgNew ❑Replace _
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional)
❑s LOU ®s au EIS Z11 os u os[Xu
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: Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH T I KNE S, COLOR, T TUBE, AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST- TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
~ G
ijlk /!9
6-
B-
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RAPER INCH ES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PER IOD 2 PER D
P
P- __2o 40A6C SO
r
P 1
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 th surface elevation at all borings and the direction and percent
of land slope. ZLL,
SYSTEM ELEVATION
/ I -
s
i
a i /t t i 1
yI
a_ -t
,
r Xied i
00
,
,
71
3 r ,
_ TN
3
361
,
l
3
,
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.
NAM (pr nt): TESTS WERE COMPLETED ON:
A D S CERTIFICATION NUMBER: PHONE NUM ER(optional):
IC S =M
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 10/83) - OVER -
A
It°" TRUI TIONS ."LETIN C "7"RM 11 - Sl - x°395
To be a cc)inp :wrote soil tt aort nIt=
1. Ct.
. ? r ° nciical is is a resit r commercial project;
III :aorra, o; planned;
4, sYsterar;
5, a , -tinrg boxes '?HATABLE FORE 'OLDING TANK ONLY IF ALL
OTHER Sr F~JLED OUT ti OIL CONI.:h r
. PLEASE use ate -«t:{.arss shoran s brag profit- >ns and completing the plot plan;
7, MAKE A LEGIBLE diagram acc~ i Jtdy locatrr g your test local )ns. Drawing to scale is preferred. A
separate sheet ma? 1;, used if des 1;
B, rake sure your b 1niark an ' : ;al ale a8:irarr reference point are clearly shown, an(] are permanent;
9, Complete all ap,_. -a' boxes as to dates, naries, addresses, flood plain ciata, percolation test exemp-
tion, if apps.
10, If the inforrsiacr- ood ply.' -a) dries rX place N.A. in the appiopriwe box;
11, Sign the form a.ar cu re. ~d your c r ion nurraber;
12. Make legible c 'stribute ALL SC'L TESTS MUST BE FILED WITH THE
LOCAL AUTHORITY WITHIN 30 DAY ; OF t,OMPL E'rION.
ABBREVIATIONS OR CERTI .-F , ull- TESTERS
Soil :Separates and Te> ' Other Symbols
st - Stone (over 10") BR Bedrock
cob - Cobble (3 - 10") SS Sandstone
gr Gravel (=under 3") - Limestone.
S - Sal-. ;Aigh Gro>. 1 rer
cs - Co"
med s ICS I WeII
fs
m~ L Sand
'sl Loam
k
si , av
U azrn Red
rnot - I`•.lottles
y ,i' "with
sic - F Clay f= few, fine, . i
Pi Many, rr
r?i - M X61- - distinct.
F prossair
r-Li„sHir ,
F SE4ti)t'e
is 75a' B 1 M
Vertical Refemnce Point
TO THE OWNER;
This soil test report is the first step in securirr~ a ;ry pert-nit. The county or the Department may request
verification of this soil test in the field pri it issuance. A complete set of plans for the private
sewage system and a permit application must b•! =itted to the appropriate local authority in order to
obtain a permit, The sanitary permit must be obtained and posted prior to the start of any construction.
k ST. CROIX COUNTY
WISCONSIN
~y } " 'ny ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
x: 911 FOURTH STREET • HUDSON, WI 54016
(715) 386-4680
May 20, 1991
Division of Safety and Building
Bureau of Plumbing
P.O. Box 7969
Madison, WI 53707
Dear Sir:
An on site investigation of the Gordon Arcand property, located
in the NE 1/4 of the SW 1/4 of Section 8, T31N-R18W, Town of Star
Prairie, St. Croix County, revealed suitable soils at a depth of
24".
This site should be suitable for a mound.
Should you have any questions, please feel free to contact this
office.
Si erely,
James T~fo so
Ass' ant Zoning Administrator
cj
it
o ro o Y\ 4-rccXV 0 W
~ $ -
~y S7ur~i ~I.f
w I I Y) s--o yv
S I v
i
r
C 4~ vt►-~ 1 ~w tr~; v t`
V-e c", 51).
q i
i 1
I
C c._q3, L~
S,J
y
PAGE OF
»
C(~U J S J ~C}I V('1 Q C VC17 S~Cn'~ of e u
• ~PrDon Arc4~~ V Eyy 6W se~ ~7'J1 ~
8ux 7`/ STS I~r141~i'~
I~I •~yr•~1 G^V~~ Flo 1A Alt IOloI6 And Obiarr011011 Plpo
J
L_ Applovid Vonl Cop
Mkjnri A 12' Above
Final Good,
20. 42' Above Pip' _ 4' Coal Iron
To final Goads Vent Pipe
"Wait lion Of Synin.ik Co.esiny .
Yin 2" Aypvapala
Goes Plpa
' Olwl4vllon -
elpo 0 0 0 --Tao a
AoOoapala
Bon.al► Plpa ° P,t10lolad Plpa below
o _~CO*AIAII TesalAallny At
Bottom Of Yyalaw
i
' .~~cJ•. T 10/1
SOIL FILL'
OISTRIBUTIOM PIPE
• APPROVED SwTur-TIC com,
~~'l1ATRl1~l. OR 9" OF STRAW
2" OsF &GGR£GA1E Ott MAKS14 HAj
~►.EY. OF»..LLL.. >~~Y L"OPJt-2i/z AGGitCGA7C
EET-QQ
O15TR 9JTIUIJ PIPE TO BE AT LEA5T y~ INCHES BCLOW ORlG11JAL GRADE
AIJU AT. LEAST LO IUCHEL BUT 1.10 MORC THAW 42 MCHES BELOW FIIJAL GKAOC
MAXIMUM DF-PXH OF EXCAVATIOIS rKOM OKIOWAL 69ADF- WILL BE, ..~L_ rIJGHES
rUNIMUM pEPtli of EACA%IATION rAOM 0~14IVIAL. GRAPE WILL BC YQ INCHES
J21
SIGUCO:
LIGCUSC lJUMBEIi:
DATE:
'yb lu:le GOURMET RWARD FOODS P 2
DIVISION
OF REPORT ON SOIL. BCaRINGiS AND sArE r:Y & 6UILUINGS COW P'0. BOX 7969
b ` PERCOLATION TESTS (115) MADISON W153707
RELATIONS (1`183,090) & Chapter 145.045)
I F- 0. L1C. 0.' SU VIS )
. TOW HIP/ E Ys a
:5 SECTION!
15 ~ e /T i N R►~ E co) ; Ai E' l M~
N
cc al~c aReoN teG14N+~► •0. In/r«1Z.1NIlj M v n)6
GATES 0135011VATIONS MADE
NOL R O ; PRi5FT[. =
USE ERCIAL ' TS:
c IY ( j
Residence r;{,~i ~ . ..1 New ❑saplae 1. , 9i2y ^AY J4
Awky
RATWO, SN.S)te eulgllsl+ for $"am UN site urpultable for system
TIO LL LDI K: R/~ tCOMMENDED SYSTEM: o tonal)
NAL S• t,~, 1 aU S C~US 11WC~I[ U E]
S c_,4NVt±r~17)ohllAL
If P►rrolsltion-Tests are NOT required b / ATE: if any portion of the tested area is in the
under' 1.1,163:f)9f61(b); Indicate: Fioodplain, Indicate Floodplein elevation. sV
i
PROFILE DESCRIPTIONS
C S F soiMTR-WHURE , COLOR T XTUR b DEPTH
trgTeC,lV TO BEbROCK IF 20SERVED (SEE ABBRV• ON sAck.I '
' •r9z ~+5'cl~ ;~'~,9~ 16~Q~ 2l"~ 5tL 6t~ ~ SRN ~
p e
~ t'~. l~ ~i~ .00 /QNI~LSG.`f~ Z ~r ~4ni ~ rti~::L1~+P+v ~7Z~IeA~~/v~ r L'
17IS6 a. n1AN 77. Sb U' 8e s~Ts 'Z e gAl S4 -Rleu. F Sc. S} c
i
s.t~' ► ,oa . q9,z~•' N 6N r ~ t~.bU io Bt.~ L~ ~~~~~5~ kN.~► ,~S a't?~n, r t ~.•t Erb ~rtrti. ~1,
& ' 3'3 ,Cf3 y , f.f.~'S 24'>r?~N X11.?.'~ ~~~(r r►, f
PERCOLATION TESTS
YFAT pp i
hNA+4t~'Ft ' H ' ATE iLGIN INTrEAVA PAIN. pff~ PER INCH
: Q.zo oNli Q .zG, !Q 14 1 4
P:''•' 3.•7b p
3
7 sb P.
9 u 0 4 e 4 0
rLI-44t,PLANt Show loeetions of paroolatlon tests, toll borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the horl• t
ston"I and "rtleal sidllttlon reference points and show their locWlon on the plot plan. Show the 'surfed elevation at all borings and the direction and percent i
Y ATON
~ • ~ •Ar + I}~' S • . 1 ` III`
tN
F• i r 1~~~ +,)c t LLC
,
RmtAf~~'i W pi~rz. 1~,t P4 AA, LATUII~
it
i ii:e~~~•toh'~~ 17~6.66
1, ttte undafs.gr*d, hereby certify that the soil tests reported an this form ware made by me hl accord with the procedures and mothods specified in the Wisconsin
A4;nWett'atlve Code, and that the data recorded and the location of the testa are correct to the best of my knowledge and beliaf.
n = 7 S7 WE E COM LETE0 ON: I
. fllzv y ~'bMN S' ~osct4 f)A L';YIM41 INc M►4y !
CERTIFICATION NUMpEft: PHONE NUMBER op► onall: 1
6 .7t Ec~ +4 5,r 1-~uh orv W~l S 4 W15 3A'K~i'
J .
. !rte CST S TURF:
a
' t rl(W1PIlt,PtiglMl aAdonB,npAV in t r•4di A h-j.ity P rte V Owner w s err