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HomeMy WebLinkAbout034-1051-10-000 Wisconsin Department of Commerce I V UA R—� A Page 1 of 4 Division of Safety and Buildings _ In accordanc ith Corn 85,\ WED Attach complete site plan on paper not less than 8'/2 x I I inches in Plan Canty St. Croix Include but not limited to:vertical and horizontal reference point(B direct>�d c' 5 P cel I.D. 034-1051-10-000 Percent slope,scale or dimensions,north arrow,and BM referenced t Barest road. ST.CROIX COUNTY Please print all information �' ed by Date Personal information you provide may be used for secondary purposes(Privac)UA&M, I ICE ( Qs- Property Owner --B^ Property Location Marie Mahone A.,, -.4 4 WVn Govt.Lot NE 'i< NE '/, s 23 T 29 N R 15 w Property Owner's Mailing A dress (' Lot# Block# Subd.,Name 3177 County Road E -- ACA4.Q iIte4 City State Zip Code Phone ❑City ❑Villa'ge 0 Town Nearest Road Glenwood City WI 54013 715-265-4882 1 Springfield Co. Hwy. E ❑New Construction Use: 0 Residential/Number of Bedrooms_Code derived design flow rate 450 GPD 0 Replacement ❑Public or Commercial—Describe: -74C ale _ �.,AO 5 Parent Material Loess over Glacial till Flood Plain elevation if applicable NA ft. General comments and recommendations: ]Z/1 2/o S- a Boring# ❑Boring 0 Pit Ground Surface Elevation 104.2 ft. Depth to Limiting factor 16 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 iL 1 0-8 10YR3/2 None SIL 2-f-sbk mfr cs 2f 0.6 0.8 2 8-12 10YR3/2 None SIL 1-m-pl ds cs 1f 0.4 0.6 p,I f 3 12-16 10YR5/3 None L 2-m-pi dsh gs 1 f 0.0 0.2 4 16-24+ 10YR4/4 f-1-f 7.5YR4/6 SL 2-co-pl dsh - 1f 0.0 0.2 Boring# ❑Boring OPit Ground Surface Elevation 104.2 ft. Depth to Limiting factor 15 —in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-8 10YR3/2 None SL 2-f-gr dsh as 3f 0.6 1.0 2 8-11 10YR3/2 None SIL 2-f-sbk mfr cs 2f 0.6 0.8 3 11-15 10YR4/3 None L 1-m-sbk dsh cs 1 f 0.4 0.6 4 15-24+ 10YR4/3 f-1-f 10YR5/6 GRSL 1-f-sbk dsh - 1f 0.2 0.6 *Effluent#1=BOD5>30!5 220 mg/L and TSS>30:S 150 mg/L *Effluent 42=BOD5<_30 mg/L and TSS<_30 mg/L CST Name(Please Print) Signature CST Number Mark Iverson 46672 Address Date Evaluation Conducted Telephone Number P.O. Box 155 Hammond, WI 54015 September 15, 2005 71 5-796-5664 Property Owner Marie Mahoney Parcel ID# 034-1051-10-000 Page 2 of 3 11 Boring 3 Boring# QPit Ground Surface Elevation 101.3 ft. Depth to Limiting factor 14 in. P Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 Pr 1 0-7 10YR3/3 None SIL 1-f-sbk mfr cs 2f 0.4 0.6 3 2 7-10 10YR4/3 None SIL 2-m-sbk ds gs 1f 0.6 0.8 y 3 10-14 10YR5/3 None GRSL 2-m-sbk dsh gs 1f 0.6 1.0 4 14-23+ 10YR4/4 f-1-d10YR4/6&5/2 *SL 2-m-sbk dsh - 1f 0.6 1.0 ❑Boring * GRV TO STV ❑Boring# Qpit Ground Surface Elevation ft. Depth to Limiting factor in. Soil AvOication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 I *Eff#2 ❑Boring Boring# Qpit Ground Surface Elevation ft. Depth to Limiting factor in. Soil ADolication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 I *Eff#2 *Effluent#1=BODs>30<_220 mg/L and TSS>30<_150 mg/L *Effluent#2=BODs<30 mg/L and TSS_<30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or Need material in an alternate format,please contact the department at 608-266-3151 or TTY 608-264-8777. e Site Location Section 23 0 ft. 30 ft. 50 ft. 100 ft. Co.Rd.E X N place system Page 3 on the 104.2' of 3 a contour U HODS ST -____---- - Approximate Dischrage eM? Shed Location ToOOt 7, pAVC 102' A;pe 103' 106' 104 1 5' 1 1' B- 10a /O B-3 1 jo 01 0 oaf B-2 r 2*10 1 ;oe All property are greater than 100 feet four the proposed system location ST= Septic Tank 13M#&Description = Bench Mark &1 - Boring Location&Elevation Elevation tar - 9 © =Well Location Owner: Marie Mahoney Site Information: Completed By: Mark Iverson, PSS#197 3177 County Rd. E NE 1/4, NE 1/4, S23, T29N, R15W 680 Larcom Street Glenwood City, WI 54013 Town of Springfield Hammond, WI 54015 St. Croix County 715-796-5664 Phone: 715-265-4882 CST#46672 ST CRD�x cOUNTY ,AA March 31, 2008 Brian Ma one Y et al .� 875 325th Street Glenwood City, WI 54013 Code Administration 715-386-4680 RE: Parcel #034-1051-10-000 - Computer#23.29.15.353 Land Information FT 3177 Cty. Rd. E residence Planning 715-386-4674 Dear Mr. Mahoney: Real Property The above parcel currently has a Soil and Site Evaluation Report on file with the 715-386-4677 Planning and Zoning Department that indicated the need for a replacement of the existing Private On-site Wastewater Treatment System (POWTS). Enclosed is a copy Recycling 715-386-4675 of the report for your review. The soil report was completed for Marie Mahoney on 9/15/2005 by Certified Soil Tester Mark Iverson, but as yet no permit has been issued for a replacement POWTS. Department staff will be conducting a site visit this spring to determine if there is any visible indication of a POWTS failure, such as surface discharge of wastewater, on your property. We will notify you of any findings of POWTS failure, which will be documented as a violation of Sanitary Code 12.1.F.4.d & e. Please feel free to contact us if you have concerns regarding POWTS maintenance or how to proceed with replacement of the POWTS servicing this dwelling. Si re y, � Z'/��' /�O� a V6- Pamela Quinn Zoning Specialist Enc. ST.CROIX COUNTY GOVERNMENT CENTER 110 1 CARMICHAEL ROAD,HUDSON, W1 54016 715-386-4686 FAX L 0 to o 3 T 0 o o d 1 3 CD T (D 3 m m a� Q O 0 N O Cn Z Z m Z � � � W W `C • h gi O O N O 0) O � '• N ? 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SEE NPAGE 23a 'SA Croix co-, W$ W1L SON ELEVATOR CO,, KOOIMAN MOTOR SPORTS PHONE: WILSON 772-4764 VALLEY ELEVATOR Suzuki Snowmobiles PHONE: 778-5734 Feeds - Seeds PHONE: 684-2615 and Blackhawk Fertilizer ® BALDWIN, WIS. 54002