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HomeMy WebLinkAbout022-1015-60-100 -0 °o o o p o~ I ao bo c y Q I': N a o ° N a7 - ti a p N C y d U M O fa -U "O N °C N 00 3 CO N ~ O ~ O O O 0 c O C z a aM 7 Rf co 0 LL. C r- C ° 0 CD N '*O ~ •N t E Q y w V! U M ~ V! w E ao U) i! = O z co 3 a m co - z FN ' y i! N O z d i' of Y ~ T w y 3 d Z y c ma jl N N ^ C N N (D • i,'. 3 t O O 2 z z I N Y I M N i': O C N V y co ~i a a' co cD T y w m ~ a~ ° c •ooa a ° ~ = d zT> tOO a O O •►v ~aaa a o I, h I -i O O y in U , rn rn } '0 C) ~l T T M LO w O_ N_ w. 0 OO O 0 0 0 0 0 0 O N N N N N 0 co N N O O co - - O 0) CY) co c 3 y ° I o O CC OT ~ y U O O d 7 N (O 00 T M- O O y y y Vl U a 0 0 0 0 0 0 r ~Q pp O a 'O N N N N N N LID m Lo V 0 ap C EO EO C V N N 3 H C ~ co 0 N F- H C O co (D a) N C 7 L cm co M 0 O Y m r O z 2 '5 ; 2 (n • O v~ y poi, ~a o a II e (L • a m .2 a) rr`~~i y o 0 3 3' o ~1 A U a o (n U ti. Parcel 022-1015-60-200 11/23/2004 10:37 AM PAGE 1 OF 1 Alt. Parcel 6.28.18.89B 022 - TOWN OF KINNICKINNIC Current 0 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): * = Current Owner * JACOBSON, KRITH C & DARLENE KRITH C & DARLENE JACOBSON 924 TOWER RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 951 TOWER RD SC 2422 ST CROIX CENTRAL SP 1700 W ITC Legal Description: Acres: 20.000 Plat: 1508-CSM 16/4324 SEC 6 T28N R18W NE SW LOT 2 CSM 16/4324 Block/Condo Bldg: LOT 2 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 06-28N-18W NE SW Notes: Parcel History: Date Doc # Vol/Page Type 10/07/2002 963024 2002/95 WD 07/23/1997 1163/372 WD 07/23/1997 860/388 07/23/1997 497/05 2004 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/11/2003 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 20.000 2,800 0 2,800 NO Totals for 2004: General Property 20.000 2,800 0 2,800 Woodland 0.000 0 0 Totals for 2003: General Property 20.000 2,800 0 2,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ' 682735 0 f~ Q 2 V L 16 PAGE 4324 [5 15 KATHLEEN H. MALSH REGISTER OF DEEDS w $ 7ry~ ST. CROIX CO., MI ~~WWCC RECEIVED FOR RECORD SSt ORECORD 06-26'2002 2t59 PM CERTIFIED SURVEY MAP REC FEE: 13.00 Q COPY FEE: Z ; OO i BEARINGS ARE REFERENCED TO THE Z ; 65 ; P EAST - WEST 1/4 LINE OF SECTION 8, c ASSUMED TO BEAR S88°'14"E. m 0 K C:5 1 z g 0 m ° 'OQ'9O 0 1 I~G1n n \O , v ' ~IOdo 9 @s PCo 4904 Z WEST LINE OF THE NE1/4 OF THE SW1/4 Z m N00°08'11 NH 1321.62' Z 1288.50'.---- - m :33.02 ,p coo ' z g 0 an D r 937: p 0 ' m ~ m m O abi ~"'@ ' ~ 0 z 0 cn -1 . , 1~ m m -ice Q N I A i° a -im Z 1290.01' : rt1 ice/ i i 0 Z ~ m O Q m N00°08'11 "W 1323.03' 33.02' 0 r~ v 0..,11~~ I CA In 1 l~j 1~ `Zli A N / _N I~ i~ Z z ;x r N ( 1go'. ° z D ` > r O nC N - ■ co n m I m I 0m S00°18'37'E g :33.03' I N00°18'37'W ---~vj A 1324.69' 800.18'37°E 417.73' 800°18'37'E 588.4W 2763-19 O N N 321.62' Z C A NORTH - SOUTH 1/4 LINE Z A 91 28 A aRm 800.18'37'E 417.73' a 2. °f W.-4 rA 612 NN ,3 -o O m O MG!]G? _L~G1_°._44CD d/QG~] D~ a w %v N Obi Ii Gr]CD v O4G11_G~_G°3~a w o_ R ~ A y n - - _ o Z m dd 3~G~ Z -n ~~Z • m~ m r to wx m ~o~zm N c n c~ 0 ~O g z O m z Ac Q ~n0) Z m m x ~ ° 8 ° O r z> c m c.9 cP v ~"mm _ zm m Ego a II m CO) c z m O r` Vol. 16 Page 4324 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS IN9US.TRV, DIVISION LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 HUMAN RELATIONS \ / MADISON WI 53707 (ILHR 83.0911) & Chapter 145) 7-LOACATION: SECTION: TOWNSHIP/ktb'd+E+P~~/: OT NO.:BLK NO.: SUB IVISION NAME: NW/ SE 1/ lo /TAE H/R 18 E (or ' c_ COUNTY: ©w,ner% MAILING ADDRESS:Re,~~e 0 RoK 1-17 SL a e-~ -9 of . USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMM R AL DESCRIPTION: - Al ESTS: L`_'JResidence 3 /L ❑New L✓1Replace s q -3 t? yc /V 1 RATING: S= Site suitable for system U= Site unsuitable for system ONE:]VENTIO IMOU%Yo U IN-GROUNDSYSTEM-IN OLDI GTANK: RECO~MMME NDEDSYSTEM:(optional) Do DS Do If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the AI A s. ILHR 83.09(5)(b), indicate: A Floodplain, indicate Floodplain elevation: AV A PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST.HIG HET TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) io ` 131 : i ?`s Uk 8r, S 19C- A16t B- Y1 F, ~1 2 1 a~ 1Ci r r_ L , B- ~C)~. r~t5. is /',D ~r, s,i F~ a .r~o tr r ID,~~ 5, TS t3"Qn /'IFptt),Nl.~, Mr~" B- 3 I" fir', fl t. B- 7S C) n , :?3 • lQ 8 S C G.. w/ m Mn 1t S~IrS 3rr 'Dk & 5,6 /Jro B:'! -5iI b /'lOr ~ ti 271 ~Q 1!0%1- + . " M I 3 eli 5; i "mss; to RA lBv\ sc r_ Nc o I I CA 9. 5 9y. f~a a o d B- -frA 60\ PERCOLATION TESTS } EST. DEPTH . WATER IN HOLE TEST TIME DR I WATER LEVEL-INCHES RATE MINUTES f NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P- ► tl P- II 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 t e plot plan. Show the surface elevation at all borings and the direction and percent of land slope. h 1 t ' SCZ_ ( { p Q SYSTEM ELEVATION oj w_ E """PPP t A 81 & ~t 1 74µ E ~.E(? E _~1f~_. S I i t ,~y I I ; c r i 3 : E t 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. NAME pri TESTS WER COMPI-TED ON: G' A DRESS: e CERTI CATIO NUMBER: PHONE NUMBER (optional): z _ _3010 1 773- I br`, CST SIGN T RE DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHRSBD-6395 (R. 10/83) - OVER - INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 ` To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating yourtest locations. Drawing scale is prefered. A separate sheet may be used if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all apropriate boxes as to dates, names, addresses, flood plain data, percolation test exemption, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and yur certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 10") BR - Bedrock cob - Cobble (3 - 10") SS - Standstone gr - Gravel (under 3") LS - Limestone 's - Sand HGW - High Groundwater cs - Coarse Sand Perc - Precolation Rate med s - Medium Sand W - Well fs - Fine Sand Bldg - Building Is- Loamy Sand > - Greater Than 'sl - Loamy Sand < - Less Than 'I - Loam Bn - Brown 'sit - Silt Loam BI - Black si - Slit Gy - Gray cl - Clay Loam Y - Yellow scl - Sandy Clay Loam R - Red sicl - Silty Clay Loam mot - Mottles sc - Sandy Clay w/ - with sic - Silty Clay fff - few, fine, faint 'c - Clay cc - common, coarse pt - Peat mm - Many, Medium m - Muck d - distinct p - prominent HWL - High water level, surface water Six general soil textures BM - Bench Mark for liquid waste disposal VRP - Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance A complete set of plans for the private sewage system and a permit application must be submitted 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. I I Yq, I I ' I I i I - / - 7 a --t j t - ! I ~ T~ Post I ! i ~ j ~ I i I -t-- C~~ U)41 - - - - I--~ + --F - t - - - I -S - I- - - r', I I ~ 'I I I I ! I ~ I ~ I ! I ~I 6 $e I i i ~ T I I , I { --t + I ' } - - } + - I- - i T - } - r- - t- I i i t I f I Ii t I I i I I i I l~~ C f i ~ q:T - - - - - + - - } { - - I I 1 I - - I -41 j I 7 } ~ r - i- j- - 1--- -I I - - t ~ 1 f i I1 I I~ . ; I ~ t { } ~ f f t i I ~ I I _ l Form - STC - 104 i AS BUILT SANITARY SYSTEM REPORT %OWNER'~Q~ TOWNSHIP ; NtiI SEC. ; TN-R Li--W ADDRESS 7044 12 2_.__`• ST. CROIX COUNTY, WISCONSIN 1Cr4r-s SUBDIVISION LOT LOT SIZE PLAN VIEW • ci z , Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM . ; r `*'i ; f 4 fitttYYY \\\TTT - r a qv _ •1 M V . • I 1 1 j 60 ;0 IN CATE NORTH ARROW BENCHMARK: Describe the vertical reference point used ToPw C6b r~ Elevation of vertical reference point: IC0.00 Proposed slope at site: SEPTIC TANK: Manufacturers k'e Liquid Capacity: =n '-'••'•Numbee of rings used: _ Tank manhole cover elevation: 9~ • 7 ` Tank Inlet Elevation: 2,?. 70 Tank Outlet Elevtio • Number of feet from nearest Road: Front .0 Side 191-ear O-_._.~~~ 3 J feet From nearest-property line s • Front 10 Side Oear,0 7.5 5 feet Number of feet from: Wellbuilding: 3 (Include this information of.-the above plot plan)( Z reference dimensions to septic tank) SEE, REVERSE SIDE PUMP CHAFER Manufacturer: ' o,Liquid Capacity: ' .Pump Model:Wj5C)_3/0,1 Pump/Siphon Manufacturer: Pump Size $ 7. Elevation of inlet: Bottom of tank elevation: 9.5 j Pump off switch elevation: C1 Gallons per cycle: f(7 O 4 Alarm Manufacturer:. . EkcT'rr5. Alarm Switch Type: _-1-4cr-- -Number of feet from nearest property line:'. Front, O Side,~ear. O Ft , 'Number of feet from well: Number of feet from building: (Include distances on plot plan). j ~ SOIL ABSORPTION•SYSTEH: Bed r Trench: Width: • S,l' Length: 7 --Number of Lines: Area Built: 7S~ Fill depth to top of pipe: _20 Number of feet f om nearest-property line: Front, O Side, (E)"Rear,O It.5Z5' (Number of feet from well: r~ N 'ber of feet from building: _ (Include di Lances on plot plan). SEiPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: r Has either a drop box O or dint*ibution box O been used on any of the above soil absorbtion syteme? (C eck 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, OVt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer : Inspector:. Dated: Plumber on j ob: p h L(-e ~Q -eg 0 4 ~ . i License Number: 2~,[ S 3/84:nij 682735 M R V L 16 PARE 4324 O V 15 XATHLEE11 H. VALSH REGISTER OF DEEDS A -8 2V ST. CROIX CO., VI RECEIVED FOR RECORD . CROIX COUNnr 06-26-2002 2:50 PH oil OR'S RECORD CERTIFIED SURVEY MAP REC FEES 13.00 I G COPY FEE: Q BEARINGS ARE REFERENCED TO THE EAST - WEST 1/4 UNE OF SECTION 8, r ASSUMED TO BEAR S88W14T. a m C:5 T - ;p QO O 9 ~ o W@[L. 9 @9 UD@. 4904 a z W a. co WEST UNE OF THE NE1/4 OF THE SW114 I I 1 ° z m N00'08'11 "W 1321.52' m m 1288.50' i i :33.07 518 ~8 r. /.37 O zj 0 a 4I'I'I 11~ m II~ m 5~ ro I A° N O 19 a 'A I Z s m I"I c~1 Im I`3i Z 100~ 1290.01' I I N00'W11NN 1323.03' :33• i 0 i i v O 2 Z Imo! ' ~v 'GPI ' z L-j ' m 1 1 ~ -'I o ~ g -I I N O N i a. on cn A I pm g :33.03' I N0 0.18'37"W S00.18'37'E 1 800.103TE 417.73' 800.1 a'3T6 5852783-1 6 C N N 1324.89' 321.52' I cn z O NORTH - SOUTH 1/4 UNE Z T .n N 8 8 o +1 1 W37'L 417.73' a a c- rn w ¢ z -p C~ m 8 uapaca~~o ~caa~~ a o o - z N Q Z 'In O 06 m 9- .n ' m §8 $ w m o c m O g m s m W z a i > rr V_ m m o o m 4 m O~ s Vol.16 Page 4324 Parcel 022-1015-60-100 11/23/2004 10:06 AM PAGE 1 OF 1 Alt. Parcel 6.28.18.89A 022 - TOWN OF KINNICKINNIC Current ❑ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owners : * = Current Owner * BAZDELL, JOSEPH P & JOSEPHINE T JOSEPH P & JOSEPHINE T BAZDELL 951 TOWER RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 951 TOWER RD SC 2422 ST CROIX CENTRAL SP 1700 W ITC Legal Description: Acres: 22.150 Plat: 1508-CSM 16/4324 SEC 6 T28N R18W NE SW NW SE LOT 1 CSM Block/Condo Bldg: LOT 1 16/4324 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 06-28N-18W NE SW Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1163/372 WD 07/23/1997 860/388 07/23/1997 497/05 2004 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/11/2003 §cription Class Acres Land Improve Total State Reason AGRICULTURAL G4 19.150 2,500 0 2,500 NO UNDEVELOPED G5 1.000 100 0 100 NO OTHER G7 2.000 20,000 157,000 177,000 NO Totals for 2004: General Property 22.150 22,600 157,000 179,600 Woodland 0.000 0 0 Totals for 2003: General Property 22.150 22,600 157,000 179,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Pa cel 022-1016-10-000 12/01/2004 09:56 AM PAGE 1 OF 1 Alt. rcel 6.28.18.94A 022 - TOWN OF KINNICKINNIC Curren ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): Current Owner * SHAW, DANIEL P & JEAN R DANIEL P & JEAN R SHAW 3332 LOWER BRUSH VLY RD CENTRE HALL PA 16828 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 W ITC Legal Description: Acres: 35.500 Plat: N/A-NOT AVAILABLE SEC 6 T28N R1 8W NW SE EXC PT TO CSM Block/Condo Bldg: 11/2977 EXC PARCEL AS DESC 1163/372 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 06-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1163/372 WD 07/23/1997 860/388 07/23/1997 497/05 2004 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: st Changed: 06/11/2003 Description Class Acres Land mprove Total State Reason AGRICULTURAL G4 34.500 4,900 0 4,900 NO UNDEVELOPED G5 1.000 100 0 100 NO Totals for 2004: General Property 35.500 5,000 0 5,000 Woodland 0.000 0 0 Totals for 2003: General Property 35.500 5,000 0 5,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 *IPARTM)=NT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX F969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION "1VW 9NSC.45,7 ec.6,T28-R18 (If State Plan I.D. Number: ❑ CONVENTIONAL ❑ ALTERATIVE assigned) Town of Kinnickinf-1d _ Tower Rd. ~ Holding Tank ❑ In-Ground Pressure Mound ADDRESS OF PERMIT HOLDER: INSPECTION DATE: o, t NAME OF PERMIT HOLDER: o/ l~ 'ose h Bazdell Rt.l, Box 127, Hudson, WI 54016 ?1~1,190 /01 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF;PT. ELEV.: CST REF. PT. EL o o ' 7 . ~s cos Name of Plumber: MP/MPRSW No(./ County: Sanitary Permit Number: Bennie Hel eson 3215 St. CrOIX/ -it 13.5481 SEPTIC TANK/HOLDING TANK• ; -t~_oJo /►'l-~6 rtr= rss D 6w ; ~D, ANK OUTLET ARNING LABEL LOCKING COVE MANUFACTURER: LIQUID CAPACITY: TANK INLET Ei!7EV7 i PROVIDED: PROVIDED: C d/a e ~ /''re ca,<,6 GJU . `•Q ~~I7C~ ~I~ S3 YES ❑ NO ❑ YES NO BEDDING: VeMl-DIA.: MATL.: HIGH WATER ~NEAREST UMBER OF ROAD: PROPERTY WELL: BUILDING: VENT O FRESH C,d, C ALARM: EET FROM LINE: i AIR IN E ❑ YES NO 4 C6~S ❑ YES NO - 0>5~ 160 - -?I- DOSING CHAMBER- o o 6 = = MANUFACTURER: BE I 'LIQUID CAPACITY: PUMP MODEL: PUMP/ FACTUR R: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: - ~ _~zo sA s. w~6A ~OGc YES ❑ NO YES ❑ NO W ❑ YES NO ~ GALLONS PER CYCLE: / rt PUMP AND CONTROLS OPERATIONAL: PROPERTY WELL: BUILDING: VENT TO FRESH NUMBEROF (DIFFERENCE BETWEEN/ FEET FROM LINE: I /,C AIR INLET: / PUMP ON AND OFF) 0 /G L~/S El IN NEAREST ~ yew S " " SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of PIOWIn LENGTH: DIAMETER: M TERIpp,,Lgqpp~ID KjZ g FORCE G'~a~ laFf.( V or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN !y~' i2 the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WIDTH: NO. OF DISTR. PIPE SPACING: COVER LE IA.: # PITS: L ID BED/TRENCH g: MATERIAL: PIT PTH: DIMENSI GR EPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE - NO. DISTR. NUMBER OF PERTY WELL: BUILDIN ENT TO FRESH W PIPES: ABOVE COVER: ELEV. INLET: ELEV. END: ROM E: AIR INLET- N 9"15 MOUND SYSTEM: yr-, ~tsS = Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. ,~j{en,o,•y~C SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ~c YES ❑ NO CO'YES ❑ NO DEPTH OVER TRENCH/ BED DEPTH O R TRENCH/ BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: 1, / /F ❑ YES NO YES ❑ NO YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM es- WIDTH: LENGTH: / NO. OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: 174- DIMENSIONS ~S (,p K MANIFOLD PUMP O MANIFOLD DISTR. MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEV.: a ELEV.: / DIA.: ELEV.' PIPES: DIA.: _ O „ ELEVATION AND 07 $ % , D 'op d y a Ck~, M/C l DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION p APPROVED PLANS Y 3~0 ES ❑NO ro,r? ❑YES ❑NO PERMANENT MARKERS - OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE: I / ES ❑ NO Eii~S El NO NEAREST 75"" ~D o~4"C5S5 ~azc~=.G~ y~lS Y' ~/P = 7/c ~_x<, 9731,3 tain in county file for audit. Sketch System on Reverse Side. - SIGN LIFE: TITLE: SBD-6710 (R. 06/88) ®ILHR SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05, Wis. Adm. Code St.. cRoix STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 1:1 / 8% x 11 inches in size. chec 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. S 90-00625 PROPERTY OWNER PROPERTY LOCATION Joseph Bazdell NW Y4 SE '/4, S 6 T 28 , N, R 18 or) W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # Rt. 1, Box 127 N/A N/A CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER Hudson, WI 54016 1(715 425-6543 N/A CITY NEAREST ROAD 11 II. TYPE OF BUILDING: Check one) ( F-1 State Owned ❑ VILLAGE Kinnickinnic Tower Road ❑ Public © 1 or 2 Fam. Dwelling of bedrooms -3-- PARCEL TAX NUMB R() QoZo~ _ 0/( ` /-0 ,-000 Ill. BUILDING USE: (If building type is public, check all that apply) 6.28.18.89 6.28.18.94 & 6.28.18.95 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ❑ New 2. 0 Replacement 3. ❑ Replacement of 4.E] 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 ❑x Seepage Bed 21 ❑x 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 I 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) ELEVATION 450 375 375 1.2 40 97.65 Feet 99.9 Feet VII. TANK CAPACITY Site in atlons Total #of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank 00 1 Midwestern Precast M El F1 I El LiftPump Tank/Siphon Chamber 5 1 Midwestern Precast_ x VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Sta ps) MP/MPRSW No.: Business Phone Number: Bennie Helgeson ` 3215 715 778-4425 Plumber's Address (Street, City, State, Zip Code Rt. 2, Spring Valley, WI 54767 IX. COUNTY/DEPARTMENT USE ONLY Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issui Agent Signature (No Stamps) Approved El Owner Given initial Surcharge Fee) Adverse Determination 4 (4 , F,.,~ 4 ! (O V4 ),.C X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Pib-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership`or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 6D8-266-3815. 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 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, 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) t. 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 Joseph P. Bazdell Location of Property NE 34 SW 14, Section 6 , T 28 N-R' 18 W Township Kinnickinnic Mailing Address 951 Tower Road Hudson, WI 54016 Address of Site 951 Tower Road Hudson, WI 54016 Subdivision Name Lot Number Previous Owner of Property Leonard E. Triebold Total Size of Parcel 120 Acres Date Parcel was Created June 12, 1855 Are all corners and lot lines identifiable? X Yes No Is this property being developed for resale (spec house) ? Yes X No Volume 860 w- and Page Number 388 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) centtl.by that a t Atatemenxis on this bouii ahe .tAue to the best ob my (ou/0 knowtedg e; that I (we) am (ahe) the owner (.s) o6 the pico pen t y de s ch i,b ed in this .inbohmazi.on bonm, by vixtue ob a wa4Aanty deed necanded in the Ob ice oh the County Reg.us.ten o6 Deeds a3 Document No. 454795 and that I lWe) pus entCy own the pro pob ed site bon the sewage d us poZ .6y6em (o& 1 (we) have obtained an easement, to nun with the above da cxc bed pnopen ty, on the conztAuc ti.on ob Aaid O 4 stem, and the name hoe been duty necanded .tn the ~6ice ab the County R¢9.Le.teA o6 Deed6,0 Document No. 1. ONAT66 OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED ~r,~~?gl,~yy~ ~ 5 .army x`' t`om'' ~ ftd 6 ~'a` f P ask • r; 'j-A ~r. r S T C - 105 r' SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County z c OWNER/BUYER Joseph P. Bazdell 951 Tower Road New address) Number 951 ROUTE/BOX NUMBER R R #1 Box 128(01d address) Fire CITY/STATE Hudson WI Z IP 54016 PROPERTY LOCATION: NE Z, SW It, Section 6 T 28 N, R 18 Town of Kinnickinnic St. Croix County, Subdivision Lot number 1 Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into the system can affect the function 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 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their 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. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Depart- ment of Natural Resources. Certification form most be completed and returned to the St. Croix County Zoning Office within 30 days i of the three year expiration date. SIGNED -M r i) ATE 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. QEPARTM,ENTOF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGr ,NDUSTRY, DIVISION -ABOR,AND ELATIONS \ PERCOLATION TESTS (115) P.°. BOX 796` -iU#A~4d"FtE / MADISON, WI 53707 . (ILHR 83.09(1) & Chapter 145) TOWNSHIP/~: OT NO.: BLK. NO.: SUB I VISION NAM : LO CA I SECTION: M~/ SE I/ 6 /Ta N/R I$ E (or , C-~ -h r I A PD COUNTY: MA LIN ESS: :1oSe BC L7- o/ JSE DATES OBSERVATIONS MADE NO.BEDRMS.: COMM R AL DESCRIPTION: ,,,,//Residence ~ A- ❑ New 9?R.place DESCRIPTIONS: PERCOLATI TESTS: ~ ? o iATING: S' Site suitable for system U- Site unsuitable for system RZ 7~ SQ t ~ 1 a- 5t I f 1 pauYN- -ONVENTI NA MOUNV IN-GROUND PRESS E: S STEM-IN-FI OLDI G TANK: RECOMMENDED SYSTEM: (optional) ❑sC Du DS BU DScLHSDu M~oj, It Percolation 'rests are NOT required DESIGN RATE: It any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: ~Floodplain, indicate Floodplain elevation: /V A PROFILE DESCRIPTIONS BORING TOTAL P H T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, 75-0 VAION OBSERVED EST. HIGWST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) f o " r3l 5; I fs pk 8r, s; Mst B- sn on e, t -3" a~' ~h s « ZA& s.l rIFD org.Mc IU`~ rat S,I T5 341-DO 1,11 4.'111) t- 6:" 4f. 15 '4 E~\ --rzeL ~Alk P etRI-1 o-61 sc l Ts 13" f3r, s,'I %,-I;v o Nlo~-, M.~-- <3 44-cc 3" RI 140 f. t ~,..gl Sr173 t0"O~a„s;l S'1 F d1fg~ t, a( s,lrs pk 8~ 5~ p cam. Mo+ B- LK 9S, $o ► 3 Io"0 3t. L-I' r~o o 13,; 9~. 5; Br~Si lc~" O gri ScL B- S2 9y. ` ` P a o W- ° PERCOLATION TESTS DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCH= RATE MINUT INCH E NUMBER INCHES, AFTERSWELLING INTERVAL-MIN. PERIOD 1 P. o O P- I I t P- t ' p- P- P. 'LOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hor ontal and vertical elevation reference points and show their location on tke plot plan. Show the surface elevation at all borings and the direction and percer >f land slope. m t i1 :_L** S~ h Lk.hdt e SYSTEM ELEVATION 97,E o-S -ko,k T~,j 7~, n 8" 91 6 - fis ' I 3 r iij kk--O~ Azla., 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 pri TESTS WER COMPLETED ON: I 9 f° A R CERTI CATIO NUMBER: PHONE NUMBER (optional : P(A L c-, 2 -jo 2 b? CST SIGN URE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHRSBD-6395 (R. 10/83) - OVER - l _ i State of Wisconsin ` Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL SAFETY & BUILDINGS DIVISION Office of Division Codes and Application 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 BENNIE HELGESON Owner: JOSEPH BAZDELL RT. 2 RT. 1, BOX 127 SPRING VALLEY, WI 54767 HUDSON, WI 54016 RE: Plan Number: S90-00625 Date Approved: April 30, 1990 Gallons Per Day: 450 Date Received: April 24, 1990 Project Name: BAZDELL, JOSEPH Location: NW,SE,SEC.6,28,18W Town of KINNICKINNIC County: ST CROIX Fees Received (Priority Review): 260.00 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 PETITION - REPLACEMENT MOUND Inquiries concerning this approval may be made by calling (608) 266-3937. SBD-6423 (R. 08/88) 7ouoe`c oclA 3-CIO I~gS a 'Nlowncl~ 5 ot°..~ S f~~Q ~r•v~Q. ~ .a" Pic, tA:°3] ~c~t~ ,N1o-~h 'leas 13.M + \),R.P , 100. 00 TO of y(" C© r h-e k- ©s ! 9711 Proposed ,nro~~~, gc'c~ y" pu L `760 ~,.,1 Home- PI©p~set O SITE SEWAG SYSTEM coob Gwl. w DEPARTNIEI T C;' k~ fir' ;.z N ©1`~-et Iss c ee- For YY\ J . ~Ox V\ t:ct,&i Pro e.ri' ~ ih Z t s (0(06"Eclr.~ ~ ~ M ssE c~aR~ c `~,E APR 6 in9n OFFICE rrn~o 6-0 ~ pv (2 -2 j4p-I 1 Page Of Cross Section Of A Mound Using A Trench For The Absorption Area H elev. 97.65 Medium Sand Fill F -6" Topsoil 3 E D Trench Of 21~" Aggregate, Plowed Layer 6" Below Pipe, Covered With D Ft. Straw, Marsh Hay Or Synthetic Fabric E 11~ Ft, G I Ft. F --77 Ft. H Ft. Plan View Of Mound Using A Trench For The Absorption Area Force Main Distribution Pipe RPrrnanen"t~MaFkgr Observation Pipe i .r s B K drench Of h" - 2;." Aggregate ~ t-At✓~ (~K~%rv~-~1.-s-?' R P Q-1 -F= N G- -E L - A '7 t. I Ft. K Ft. W ..2g,,:)2 Ft. B -76- Ft. J f0,35 Ft, L 101 Ft. License B ; 11 k7 Signed: Number: Dat.; r-9 0 PC nr, c;?7g0 ryh's7: o ( f Via., GE O~ P=R-roRf.-TE'M P!PS a--?V` ~1PE ~ 3r'~ 0-1~~'T►~LL ~EtZ.HA1JE~J i }7~~'.~"~.'-,"~' AT EUD OF EncH Lj,TLl. T:uD tAP. Q Z+ci I.ES LO CA i wa 0&3 -aJT7D M cr t ~'F ORCE H R ! N . ~ pRA1.1 TAU ►'1 P 'PVC- LATcT7/~LS P~.hc~. UtST ltOL~ TJEXT Z'O Eu~ C.RP D~S~R\$uT7~iJ: PIPE lYt%IOUT 4. Y o~~iN. t~ b 4. . qg~ a(r~ ALE U1Rn~resz_._.. ~N C..Ac .J4 0,00 ;E 2 qg, 11JV, ELEV.OF IAT'E?_AL S q pLF~cE ! sT HULE f ~`u FRor1 TEE J4.)1?N Su CC-EZb1/J G HOLD LAcs-r HALE ,JExT' TD -ThE 4. e L ~ {4, 1. jla p e, rys,a~ 'ti PA(-,I ;r PUt-\P CHAME,_R CROSS SEC-!C!J AMC, SPECIFICA71011-c VEUT CAP ' _ 4"C.I. VENT PIPE WEATHERPROOF APPROVED LOCKIMG JUAJCTIOU BOX MAIJHOLE COVER ~fA zD =;zo!,A DOOR, WQV►n~n {~4~It WaJDOW OR FRESH 12"MIU. I g AIR IAITAKE I GRADE 4" MIN. 41 I 18" N:I Al. co►JOUIT 18"MIN. • INLET PROVIDE I ~ ~^AIRTIGY~f,,SEAI. I III V ~ I III APPROVED JOIAIT A I APPROVED JCu W/C.l. PIPE EXTENDING, 3' p ~b ` i _ I III EXTEMOMC, 3' rFFlATION I I ALARM OfJTO SOLID SC 01JT0 SOLID SOIL JS DEPA ilh.L,U f}IVJ51%iJ OF a,' °f A, D 'I I ELEV $ ~ FT. SEE CORRESPONDED y OFF D CONCRETE BLOCK as RISER EXIT PERMI7TED OQLy I TA AZaFACTURER HAS SUCH APPROVAL ( 00(0 Gal $ cp~ I c SEAT SPE GIFICATIOAJS 75U,,,DOSE r I TANKS MANUFACTURER: ~Ic~r~leC?o, YrP"Zt-NL CUMBER OF DOSES: PER DAy TAWK SIZE: _:Zl~« GALLONS DOSE VOLUME ALARM MANUFACTURER: -5C-T I ecdl IAICLUDING 6ACKFLOW: 160 GALLON MODEL QUMBEK: COL• H(,) CAPACITIES: A=IUCNES OF. GALLOu SWITCH T`JPE: _ g a IUCHES OR J ~.2~GALLOU PUMP MAUUFACTURER: C s IAlGHES OR -l1GSLL)GALLOA MODEL NUMBER: W FLQ ?,M D=lam ACHES OR .2S2•3G,ALL01.1 SWITCH TYPE: M EY`Cu.rU 'FtO*,-k - IJOTE: PUMP AMD ALARM ARE TO BE. MIUIMUM DISCHARGE RATE--.,3() GPM ))~~INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEN PUMP OFF AND DISTRIEUT10N PIPE.. FEET E;` A + M~~IAJ~IIMUM NETWORK SUPPLY PRESSURE//. . . , , . . . . FEET ♦ FEET OF FORCE MAIN X /DS F/ooFLFRICTIOU FACTOR.FEET APR 6 1990 TOTAL D`.iNAMIC. HEAD = FEET I' I" El, R V nrnro IUTERUAL. DIMEWSIOWS OF TA►JK: LEA]GTH ;~(IQlj ;LIQUID DEPTH %x K) f4 6 SIG►JED: LICEiLISE AIUMBER:4~~ ~ DATE: ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 April 2, 1990 Division of. Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Joseph Bazdell property, located in the NWk of the SEk of Section 6, T28N-R18W, Town of Kinnickinnic, St. Croix County, revealed suitable soils at the depth of 13 inches, with an additional 11 inches of fill below which seasonable high ground water was noted. This site should be suitable for a mound. Should you have any questions, please feel free to contact this office. Sincerely, Thomas C. Nelson Zoning Administrator cj H&GESON 'RUCKING INC. Spring Valley, Wl 54767 April 23, 1990 Mr. James Quinlan Section of Private Sewage Division of Safety and Buildings P. 0. Box 7969 Madison, WI 53707 RE: PLAN NUMBER 590-00625 JOSEPH BAZDELL NW,SE, Sec. 6, 28, 18W Dear Mr. Quinlan: As per our telephone conversation of today, I have enclosed a corrected copy of the 115 Form. There was an error on the form previously submitted, there is 4 inches of unmottled soil in the B Horizon as shown on this form. Thank you for your prompt processing of these forms. Sincerely, Bennie Helgeson MPRS 3215 BH:cz Enc, cc: St. Croix County Zoning I ~a t I v firy. 4 r f State of Wisconsin ` Department of Industry, Labor and Human Relations PQ i Ulf Sj~MlOGIF Ni AN :OUP,,.C}'VAi SAFETY & BUILDINGS DIVISION tt? f ' {19 t l:{r, jii~ alt. t' lUit MW pa wavi1 w'h - 1 1 . ,;i i R ; Plan Number; §90 U+:J6t! ~ t't o t `i< p, - , M r t .,tiytt at ^ f w R t,. C~ 6 v 1 hr Is r num i ng pion a w r-I t , t , r' n ~ . w o t w % I ;1llp . ,,t lidl , P "a , , :!W! °lv0d ill% :1Pv1 . , r 1. 1M inn , only, , t;tm, W! 7! •Ld lt.t ,3C hi`j M:-4.i. .i to" ?i(%, i 60 _ i L' M p.."ris k Si (I i lop , f, 15 sq, iva W IS std' nk ti .;~t,~Iry l t bp M '4('•i or lot in ( 10_nh t K" t11 k. `•l y.9, ti'? O. 1 i' , ro 4i!Q. 04 on Nil , ! 1x_ at ;o v r :ir pi VIVO? 1, i ti., 01 '1i+•r ,Jt f q0 ) . tt" 0011, Yt t1'., fill. AlwakhAlor 4:Vti' o. A. i . , I ni If . + f M V N ! M 3! W ! SBD-6423 R. 08/88) ON i State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION t Jim ~~i t C R L}~ ,•.rya.ttlt' 7''6'.,•.i t.sa;?. % :-fit; ti,~s;' tf3r-: 3t ,i; ..r ! d ~~'.s'. l ( I 4 Z j SBD-6423 (R. 08/88) State of Wisconsin ` Department of Industry, Labor and Human Relations 3 SAFETY & BUILDINGS DIVISION a 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 T.ril 27, -;9 Jcascr•" ~axc?ell Route 1, `soy Pl ar I . Co. S90-r U l -P bear "r. U, a Z (I c, 11 n. `ce. Joseph zcaEl l - ~.c s~ ciericP lnsite elrat!' `yster !<innicOnnic, 3t... Croix County, 1.11 r= Your rjetition for varian-c to section ILM ^3.23 (1)(u), ±-isConsin .c`r°,iristrat;ive Code, has ':=eur( reviet><ec'. The rulo bcin(j petitior;F requir(,s a. r,':ounc system-, site to riave a nir,iMUM of ti i ric: i(?S of sui tabl c natural soil. The v,riance recuestec; wa-s to install a ;:iound syster^ on a site v1th 1.' ir&es of suitable natural soil. The feliowirr corCients v-,c-re rac-.e in the 13otition analysis: 1. In -eviewir)c t'-'C- T>et:ition, it vas noteu that the rertuest Via-, sinilar to otli--r petitions accepted u.y this ciepartrr:ent under petition nur fibers ano ('s72. 1. `ray,:c on trie (rrec;e(ent estii ;ji site; by tke previ or s j)Cti ti WIS, thi 5 petition for vari an(.*e is bci nc procr ssc,6 as perr1 t;te(l. by WA sconsi n Statute Section 101.11'12 (C)(ca). SBD-6928 (R. 10/87) - - - imp, %oir, State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 i Page i' April 27, 1990, Pepartuent?l Action; Approval. This :apprc.val is crani:eu with tre iinderstandin that all of the petitioner's stater,.-•nts aric' ar,y cons itions of approval citeu above will be carries; out. Wrzt er i'y J A's Quinlan ' ~1 ,t Lxar ~ nor ,isite Sewage Section (606) 260-307 Neviewoo by: Tom RAWN16r, PE , UK Environmental Engineer - u ervis r, . nsi to )i'.i:se P1 cif P i at Red, bepartrental rl{`rd=.tr1rE; } cltt': /2 /'U <per~,r~litcct Arector,•GtiicE of Givicion ;ores and Application ,11:0141c Eric . cc; Leroy Jansky, Private Sewage Consultant - bist.rict 6, Chip1peWd I=alls. y T1h11as''ielsbn, 72'.iiing A£:it;ihistrator - 51. + rt,ix !:uunty I I SBD-6928 (R. 10/87)