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HomeMy WebLinkAbout036-1094-30-100 > 4) 0 0 0 m (D Nl —0 LO 0 V z 0 Z 0 C5 C In LL 2 -0 'C C E$ CY) Cl) z z E E 0 0 ce) a. 0 z � k k 0 c 2 z'6 (D c ca E (D CO (D C m (D CL E a) CL Q) 0 .2 CDJ 0 co r I co 9L c z )'a CD < z 0 m 0) E z z C41 c E E 06 m CL (n 1 - AQ 4) IL .2 0 G IL D Q) E CD 0 l 8 N6 04 E 4 U-2) 1 --d 5 ,E -6 0) o o o E 0 00 0 IL CL IL IL CL IL E CL 0 U) Go co co z 00 00 0 00 0 $� CD (M z z 4) tt-- C14 a CD 0 0 Q LO to E CP (D 0) cn CD < z U) < 0) • W CD 75 0 c co .2 m E co -2. ? cCo O U Q) a 0 .2 Q> 0 O C r 04 U) c Ce) Z: z U) I= Z ) .2 : o) 0 1 Go) Lo ® % -0 r > 4) > CO a) E E a) E Ci CD 0 0 m 0 (n m (D 0 cn z 2 65 z cun U) AH E E m CL IL 4) L: CL 0 0 CL CD 2:1 IU CL 4-, E 5 C 5 = o 0 o 0 U) IL 0 U) Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER / " ( I�al g g TOWNSHIP 54-swi do•y-v SEC. 3& T 31 N-R -W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT ( _ LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM P y sz INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: _�Q� Proposed slope at site: Z SEPTIC TANK: Manufacturer: Liquid Capacity: /Ml_ e / Number of rings used: D Tank manhole cover elevation: /0, Tank Inlet Elevation:---f-9 0 Tank Outlet Elevation: Number of feet from nearest Road: Front,0 Side 0 Rear, O feet From nearest property line Front,O Side,0 Rear,O feet Number of feet from: well _A4 building: 1 (Include this information of the a ove plot plan)( 2 reference dimensions to septic tank) L SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Li d Capacity: Pump Model: Pump/Sip Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevat Gallons per cycle: Alarm Manufacture Alarm Switch Type: Number of fe 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: P� Width: Length: , Number of Lines: Z. Area Built � Fill depth to top of pipe: Z .• Number of feet from nearest property line: Front, O Side, Rear, It -.Z(:;p/ Number of feet from well: `o Number of feet from building: sjl (Include distances on plot plan). SEEPAGE PIT Size: Numbe of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a op box O or distribution box been used on any of the above soil absorbtio sytems? (Check one). HOLD TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet om 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: Plumber on job: License Number: 3/84:mj a DEPAPTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS BUREAU OF PDUMISION P.O.BOX 7969 MADISON,WI 53707 NW-4,NW%,S36,T31N-R17W UCONVENTIONAL ❑ALTERNATIVE Sate Plan I.D.Number: Town of Stanton El Holding Tank El In-Ground Pressure ❑Mound State Highway 64 NAME OF PERMIT HOLDER: ADDR : ESS OF PERMIT HOLDER: INSPECTION DAT y Michael Stevens 1333 Bilmar Avenue, New Richmond, WI 5 017 BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.. Name of Plumber MP/MPRSW No.. County: Sanitary Permit Number: Gary L. Steel 3254 St. Croix A0&12 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV: TANK OUTLET ELEV.'. WARNING LABEL LOCKING COVER PROryVIDED. PROVIDED 91YES ONO DYES KIVO BEDDING. VENT DIA. VENT MATL. HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING.(VENT TO fRESH �+ ALARM' FEET FROM L V AIR INLET OYES NO C' �'� ❑YES I�aO INEAREST 2Z)o 1 DOSING CHAMBER: MANUFACTURER BEDDING. LIQUID CAPACITY PUMP MODEL JIUMPISIPHON MANUFACTURER WA ING LABEL LOCKING COVER PRO ED PROVIDED: ❑YES ❑NO ❑Y ❑N ❑YES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERT BU DING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) 1:1 YES ❑NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH JDIAMETEF A or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH. LENGTH NO OF DTR.PIPE SPACING COVER I DIA -PITS LIQUID BED/TRENCH TRENCHES ( MATERIAL' PIT DEPTH DIMENSIONS 1 to .� � r}- GRAVEL DEPTH FILL DEPTH JDIITRIPI PF DISTR.PIPE DISTR.PIPE MATERIAL. NO.OIS NUMBER OF PROPE RTV WELL BUILDING VENT TO FHE$/1 qj BELOW PIPES A�BByyOVE COVER. ELEV. NLET ELE-V7.END: y r^� PIPE LINE E' G AIR INLET �1 "� Q ( ( t NEARESTOM �k0 I u v� MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. El YES ONO SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS DYES FIND ❑YES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES. DYES E)NO DYES ONO El YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH TRENCHES LATERAL SPACING JGRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL NO DISTR DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MAHKIN(; ELEV. ELEV.. DIA. ELEV.' PIPES DIA: ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS OYES 1:1 NO 1:1 YES NO COMMENTS: PERMANENT MARKERS: JOBSERVATION WELLS-. NUMBER OF PROPERTY WELL: BUILDING. FEET FROM LINE DYES ONO DYES 1:1 NO NEAREST .J 2 ­7 0A I g Sketch System on Retain in county file for audit. Reverse Side. RE'. TITLE. Zonin Administrator DILHR SBD 6710(R.01/82) g DILHR SANITARY PERMIT APPLICATION COUNTY • . In accord with ILHR 83.05,Wis.Adm.Code St. Croix ..�"�...r°........,.�:..� STATE SANIT —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. —See reverse side for instructions for completing this application. [FORIVARIANCE TION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. ❑YES X NO PROPERTY OWNER PROPERTY LOCATION Michael Stevens NW %NW %, S 36 T 31 , N, R 17 xFr(or)W PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME 1333 Bilmar Ave. n/a n/a n/a CITY,STATE ZIP CODE PHONE NUMBER CITY NEAREST ROAD,LAKE OR LANDMARK New Richmond Wi. 54017 1 (746 246-2320 ° VILLAGE : St. Hy. #64 11. TYPE OF BUILDING OR USE SERVED: Av. ©3 CQ -- /Og4l 3 a Number of Bedrooms if 1 or 2 Family 3 OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in##1. Check##2,3 or 4,if applicable) 1. a. New b.❑ Replacement c. ❑ Replacement of d.❑ Reconnection of e.❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit# 109,859 Date Issued 2-96-88 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in##1 and only one in##2) 1. a. 0 Conventional b. ❑Alternative c. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tan k V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. ❑ seepage Bed b.0 seepage Trench c. ❑ seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 15.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): 16 750 750 196.48 Feet RR Private ❑Joint ❑ Public VI. TANK CAPACITY Site in aa ons Total ##of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank Li*Pump Tank/Siphon Chamber -- ❑ ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumb r' Signature:( Stam /MPRSW No.: Business Phone Number: Gary L. Steel 3254 V15 246-6200 Plumber's Address(Street,City,State,Zi de): Name of Designer: 988 N. Shore Dr. , New Richmond, Wi. 54017 VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST## Gary L. Steel CST's ADDRESS(Street,City,State,Zip Code) Phone Number: 888 N. shore Dr. New Richmond Wi. 54017 715 246-6200 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved S nitary Permit Fee Groundwater Date Issuing Agent Signature(No Stamps) pproved El owner Given Initial 2/) S ha�rgL,e Fee Adverse Determination w'mow X. CO MENTS/REASONS FOR DISAPPROVAL: SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: 1. This 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. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 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. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description where the system is to be installed; II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; III. Purpose of application: Check only one in ##1. Complete##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. 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. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. 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; dosing or pumping chambers; 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. GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Ground ai�F included the creation of surcharges (fees) for a number of regulated practices which Wisco 4ilrS _ a can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasure is used in your building is returned to the groundwater through your soil absorption u system or the disposal site used by your holding tank pumper. The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) Michael Stevens NW4NW4S.36t.31N. R17W town of Stanton Ides �c6�cttrdm��S�.l,�.�n ga✓a ,` 8-3 ' �V 30� V � SY1v e-4- Gary L. Steel 988 N. Shore Dr. New Richmond, Wi. 54017 MPRSW 3254 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, c DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 ,HUMAN RELATIONS (H63.09(1)&Chapter 145.045) LOCATION: SECTION: TOWNSHIP/�44lRY: OT NO.:BLK.NO.: SUBDIVISION NAME: i,Q 1/4 N0/ 36 /T 31 N/R173&or)W Stanton rn/a n COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: Michael Stevens 1333 Bilmar Ave. New Richmond, Wi.a 54017 USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILED CRIPTIONS: PERCOLATION TESTS: esidence 3 n/a 5-24-88 1:1 Replace 5-24-88 5 RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional) BS ❑U � ❑U S ❑U ❑S EV ❑S 1E conventional If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.1163.09(5)(b),indicate: n/a Floodplain,indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 21 SaC2 BORINGI TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER IDEPTH W. ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- 1 6.91 99.98 none >6.91 .83bl.1. 1.58bn.s.sil. 3.00bn.s.l. 1.50bn.m.s. B_ 2 7.09 100.12 none >7.09 .75bl.1. 1.25bn.sil. 3.17bn.s.1. 1.92bn.c.s.&gr. B_ 3 7.50 100.48 none >7.50 .58bl.1. 1.67bn.sil. 4.00bn.sl. 1.25bn.m.s. B- B- for altenate system area see 115 of 12-19-36 B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P_ 1 3.50 none 30 4,1,2 4 4 .8 P_ 2 3.67 none 30 32 4 34 P- 3 4.00 none 30 2 17/8 17/8 16 P-_ P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 96.48 .�.;�_ • `fib ,_ - _ - _ _ _ �_-�-_._ � - -7� i Q0. ,g t_ j 19 i f E i mm 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(print): TESTS WERE COMPLETED ON: Gary L. Steel 5-25-88 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): 988 n. Sshore Dr. , New Richmond, Wia. 54017 2298 715-246-6200 CST SIGNA . DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — 1 INSTRUCTIONS FAR COMPLETING FORM 115 - SBD - 6595 To be a complete and accurate tail test,your refaort most include: 1. Complete legal description; 2, The use section rnust clearly indicate whether this is a residence or cornmercial project; 1 MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; a, Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANG ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; S. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations, Drawing to scale is preferred. A separate sheep may be used if desired; B. Make stare your benchmark and vertical elevation reference point are clearly shown,and are permanent; 9, Complote all appiiopriate boxes as to dates, narvtes,addresses, flood plain data, percolation test exemp- tion, if appropriate; 10. If the. information (such as flood plain,elevation) does not apply, Palace N.A. in the appropriate box; 11, akin the for n7 and place. your current address and ycaur certification Member; 12= Make legible copies and distribute as rec;uired, ALL SOIL TESTS MUST ST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS tEVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st Slone (over 10") BR - Bedrock cola Cobble {3- 10") SS - Sandstorm gr -- Gravel (under 3") LS - Limestone s - Sand HGVV - High Groundwater cs Crmrse sand Perc; Percolation Rate med s - Mediums Sand W - Well fs _ Fine Sand Bldg Building Is - Loarny Sand > - Greater Than F1 Sandy Loam Less Than 'I Loam Bra - Brower 'sil -- Slit Loam BI Black si - Silt Gy - tarry *cI -- Clay Loarn Y - Yellow scl _- Sandy Clay Loan R --- Recf sicl Silty Clay Loarn snot - IVlottles sc - Sandy Clay vv/ vFvItta sic - Silly Clay fff - few, fine, fa,int C - Clay c; - cc�rnrrr;an a ra r>e pt - Peat ntm - I`Vlany, n-lerl;ur;l rn Muck d - distinct p -- prorninent HIVL - High water level, t Six general soil textures surface water foe fiouid waste disposal BM - Bench Mark - t VRP -_ `vertical Reference Pos rlt -e TO THE OWNER: I_k soix test report is tree first step in securing a sariitrary permit. The county or trae Department naay rectuest veiilication of this soil test h) }Pr? field pr:trr to permi! issuance. A cornplete {yet of plans for the private ss ti,age ys'!"'m and <a permit aprrrcation must oe-, su`araartterf [o lh,! r.€pl3rrvfx rate focal authority in order to r,_aain , ;enlilt The monetary pet mit meant be c:Maimed and posted i for to tr.� st art of<tnv cc;€�struction. i DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MADISON,WI 53707 NW-4, NW%, S36,T31N-R17W fMCONVENTIONAL -]ALTERNATIVE IS,in,5gned)D.Nomber: Town of Stanton ❑Holding Tank ❑In-Ground Pressure ❑Mound HWY 64 NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Michael R. Stevens 890 Cedar Court, New Richmond, WI 540..7 BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN'. REF.PT.ELEV.: CST REF,PT.ELEV.. Name of Plumber'. MP/MPRSW No.: County: Sanitary Permit Number: Gary L. Steel 325' Croix 102859 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED'. DYES 0 N DYES ONO BEDDING. VENT DIA.. VENT MATL: HIGH WATER NUMBER OF ROAD: PROPERTY WELL. BUILDING. JVENTTOIPESH ALARM. FEET FROM LINE: AIR INLET ❑YES ONO -]YES ❑NO NEAREST DOSING CHAMBER: MANUFACTURER BEDDING. JLIOUIIO CAPACITY PUMP MODEL. PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: OYES ONO DYES ONO DY ES NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) DYES ONO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: LENGTH NO.OF DI STR.PIPE SPACING COVER INS(OE DIA -PITS LIQUID BED/TRENCH TRENCHES MATERIAL: PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH IDISTR PIPE DISTR.PIPE DISTR.PIPE MATERIAL. NO DISTR. NUMBER OF PROPE RTV WELL BUILDING VENT TO FRESH BELOW PIPES ABOVE COVER ELEV.INLET ELEV.END PIPES. FEET FROM LINE AIR INLET NEAREST--► MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. OYES NO SOIL COVER ITEXTURE PERMANENT MARKERS JOBSEEIVATION WE LLS ❑YES 1:1 NO OYES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES. DYES ONO DYES 1:1 NO DYES ONO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL NO DISTR DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKIN(, ELEV.' ELEV.'. DIA. ELEV. PIPES DIA: ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS ❑YES ❑NO ❑YES ❑NO COMMENTS: PERMANENT MARKERS: JOBSERVATION WELLS. NUMBER OF PROPERTY WELL. BUILDING. FEET FROM LINE ❑YES ❑NO ❑YES ❑NO NEAREST Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE. TITLE Zoning Administrator i DILHR SBD 6710(R.01/82) f SANITARY PERMIT APPLICATION COUNTY � DILHR In accord with ILHR 83.05,Wis.Adm.Code St. Croix STATE SANITARY PERMIT# /o a —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. —See reverse side for instructions for completing this application. PETITION (� 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES KN NO PROPERTY OWNER PROPERTY LOCATION Michael R. Stevens NW '/4 NW 1/4, S36 131 , N, R17 EK(br)W PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME 890 Cedar Ct. , n/a n/a n/a-0 CITY CITY,STATE ZIP CODE PHONE NUMBER 0 VILLAGE: NEAREST ROAD,LAKE OR LANDMARK New Richmodn, Wi. 54017 715 46-6825 . Staaton Hy. 464 II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family 3 OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. 9 New b.❑ Replacement c. ❑ Replacement of d.❑ Reconnection of e.❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit# Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in##1 and only one in##2) 1. a. i�g Conventional b. ❑Alternative C. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. ❑ seepage Bed b. 0 Seepage Trench c. ❑ seeDacle Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): 13 750 750 94.03 Feet 53Private ❑Joint ❑ Public VI. TANK CAPACITY Site in ga ons Total #of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete strr cted Steel glass Plastic App Tanks I Tanks Septic Tank or Holding Tank X 1000 1 Weeks Concrete Lift Pump Tank/Siphon Chambe ---- — VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installa' n of the pri s ge system sh wn on the attached plans. Plumber's Name(Print): Plumber;,; 1.re:(No t ps PRSW No.: Business Phone Number: Gary L. Steel 3254 1 246-6200 Plumber's Address(Street,City,State,Zip de): Name of Designer: 988 N. Shore Dr. New Richm and . 5017 VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST# Gary L. Steel CST's ADDRESS(Street,City,State,Zip Code) Phone Number: 988 N. shore Dr. , New Richmond, Wi. 54017 715 246-6200 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing ent Signature(No Stam s) Approved ❑ Owner Given Initial r�^w ^� S charge Fee Adverse Determination t 1 )`CM X. COMMENTS/REASONS FOR DISAPPROVVAALL: Plb,,, a##,rwj 6y 71,&v" C, kJ-0- 1J61-) SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber INFORMATION & INSTRUCTIONS FOR'COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: 1. This 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. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 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. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description where the system is to be installed; 11. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; III. Purpose of application: Check only one in #1. Complete#2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in#1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. 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. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. 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; dosing or pumping chambers; 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. GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Ground Ater included the creation of surcharges (fees) for a number of regulated practices which Wisco in. can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasure a is used in your building is returned to the groundwater through your soil absorption u system or the disposal site used by your holding tank pumper. a The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) � Y 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 C.,kA Location of Property 9W k _ � Section T N-R 1 W Township 'n-b►_vro t4 Nailing Address O C-t�DA1Z- C-OLAR;V' t c AA r-, Address of Site _ F©ct-VE Subdivision Name . Lot Number Previous Amer of Property AUL�4 E.�EN So'k4 Total Size of Parcel — Date Parcel was Created - 46-A Are all corners and lot lines identifiable? Yea No Is this property being developed for resale (spec house) ? Yes X No Volume _1=10 and Page Number 45(0 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 1 IWO co-Ati.6y that aU itatement6 on ti �orrm ahe thue to the but o6 my (out) hncwCedge; that i (we) am (ahe) the ownerc(�5 o6 the phopehty dehchi.bed in this .in4almatton 6o4m, by vixtue o6 a waA.anty deed kecokded in the 066-ice 06 the County Reg4Aten o6 Deeds ass Document No. 42•zgb4- ; and that I (we) phezentty avn I pnoposed e•e.te bon the sewage diAPOsat system (on I (we) have obtained an eaAemenrt, to hun with the above deAclri.bed pnopeAty, bon the eonstnuction o6 said system, and the same has been duty keeo4ded to the 066tce o6 the County Reg•csteA o6 Ottdd, ae Docment No. 42 2'N 5 A00,e SIGATURE Of OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED - �I .- TNIa RFACR R9*6RVLO FOR RLCOROINO RATA ' y DOCUMENT NO. � STATE BAR OF WISCONSIN FORM 1-1985 ( _ �[. �!, I WARRANTY DEED ! EI 25S i eooK 770 rapt 456 42 4 �-+GiSTERS OFFICE .." This Deed made between ..........................................Allan J. Bensen and ST. CROIX CO.r WISE Linda Bensenr„husband and wife. urviwrship•marlta..... R4c',�. ic; Pocord this 3rd f PrQPtY .............................••---..........._.._.........._..... ,,�.r „ March A.D. 19T. �: ,,.. ,.f ................. ..__._._..__...........•--•.._._......_-••••••_.... Grantor, -..•-- –' +; and.....Michael R.-•SteveOS..a>1 _.G >ih�xila�_.M,..�xa�r�nss..._.... 3:50 P husband and wifeaL...a8..s4t YiYo?C$ P... �.t.?1 .. ....... ...._... _-- -._PY9Pe.rty................................................. RsplllLr d Da/s I' ................................................................................................... Grantee, WitAesseth, That the said Grantor, for a valuable consideration..__.. One dolls nd o h tt RLTURN TO It .......................... .. .........t..�.z .x�? .ua .�a..com$.i�deraC ,om............................. conveys to Grantee the following described real estate in ........St....Graix........ I Realty World - Dowd Reliance jE County, State of Wisconsin: New Richmond, Wisconsin 540171;` �E Tax Parcel No: ........................ .. t� i` i I Part of the NW14 of Section 36-31-17 described as follows: Commencing at the NW corner of said Section 36; thence S 01°26'53” E, along the west line of said NWk, 264.22 feet to the point of beginning of this description; thence continuing S 01°26'53" E, along said west line, +. '+ 1991.63 feet; thence N 21°59'26" E 178.90 feet; thence N 76°10'3011 E I' 111,22 feet; thence N 07 020'13" E, 233.20 feet; thence N 37°46' 14" E, 50. 17 feet; thence N 63°55'47" E, 130.06 feet; thence N 81°33'09" E, �. 299.73 feet; thence N O1°26'5311 W, 1061.32 feet; thence N 12 050'19" E, i, 59$,95 feet to the southerly right-of-way of S.T.H. "6411; thence S88°16'31" W, along said right-of-way, 480.67 feet; thence S 01°26'53" E, 209.28 feet; thence N 89°06'40" W, 330.27 feet to the point of beginning. Subject to recorded easements, reservations, and rights of way. hAiY�� r This _......is not homestead property. (is) (is not) �l Together with all and singular the hereditaments and appurtenances thereunto belonging; i1 Allan J Bensen and Linda ' And. > S.W.i ... ............................. ........................•..........._......_ warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except I� 1 IL no exceptions E 11 f and will warrant and defend the same. /.i,iRCIS ....... ...... 19..87...Dated this �P.... ..___.... day of ............. .-_- _- . •... + I (SEAL) .....(SEAT,) i .................................................................. { Alla••-•••. Bensen I • .................................................................. • -- ..... ........................ E 4........................................ ...•..___....._•••-•••-•-••.(SEAL) 4.)C.�c..� ..........(SEAL), if . ........-•• ........ ....................................... * ---..._...._-Linda Bensen .... li AUTHENTICATION ACKNOWLEDGMENT !I ' Signat;:rc(s) STATE OF WISCONSIN 1 i� II .... .......... ...•. . .....-._..........._................... St. Croix ss. M ... ... 1 ......................................County. If authenticated this ,.,..day of........................... 19...... Personally came before we this ...Okm.....day of •__4'??91'ch�. , 19 AL the above_named .....,. ................................................ .......4�llan..J,...Ponitgn..811d Linda-_Bensen • ....................... ---......_....----•--......_.... ......... .._...... .._..........._..........., TITLE: MEMBER STATE BAR OF WISCONSIN (If not, ............................................................ ••-•-•--..._...__..._..........._ ........_._..... ....... - . ....... < • f{ authorized by § 708.06, Wis. Stata.) to me known to be the person ............ who executed the i foregoing instrument and acknow edge the same. THIS INSTRUMENT WAS DRAFTED BY ...:............. Eric J. Lundell, Box 157 .......... ................................ _.. ....•.._.............---•••-•---••-••- * Gerald F. Harvieux 1 New Richmond, Wisconsin 54017 .......................St Croi ............ ............................ ................................................. Notary Public ._.... ..............County, Wis. + (Signatures may be authenticated or acknowledged. Both My Commission is permanent.(If not, state expiration i+ are not necessary.) • .......May 8,- 88 I date ...........GE IALD-F,•HA•RAUX• ) I •Namr of persons signing in any capacity should be typed or printed below their signatures. Notary'Public j State of Wisconsi ;! My Commission!:xnlres u r Mill-r— BTAT@ uAirR/0F�W IS QONSIN W5���, H • G N ` y L STC - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St . Croix County z d a OWNER/BUYER MIC 1AAeL_ '5VS-VeOS ROUTE/BOX NUMBER lbcgO C.EDAe G'; • Fire Number CITY/STATE $�EW r-Hrv.oND� ZIP 56rol� PROPERTY LOCATION: NW t4, Section 1� T 3l N , R t�l W, Town of '--)T�t4TO13 St . Croix County , Subdivision Lot number 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 II 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 . y 0 I/WE, the undersigned , have read the above requirements and agree to maintain the private sewage disposal system in accordance with x the standards set forth , herein, as set by the Wisconsin Depart- b 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 Z. -ZZj 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 . TMENT�OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISION 'HUMAN RELATIONS PERCOLATION TESTS (115) MADISON All 537907 9 l53707 (H63.090)&Chapter 145.045) LOCATION: SECTION: TOWNS HIP/NW*§d��JCT&XXX OT NO.:BLK.NO.: SUBDIVISION NAME: W 3� � /T j N/R7 61)W Stanton n a n COUNTY: ER'S NAME: MAILING ADDRESS: St . Croix Michael Stevens 1333 Bilmar Ave. New R '. USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: Residence 3 n/a New ❑Replace ( 12-18-86 1219- RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND PRESSURE: SYSTEM-IN-FILLHOLDINGTANK:RECOMMENDED SYSTEM:(optional) OS ❑U OS ❑U �S ❑U ❑S f]U ❑S ❑U n/a If Percolation Tests are NOT required DESIGN RATE: 4 If any portion of the tested area is in the under s.H63.09(5)(b),indicate: n/a Floodplain,indicate Floodplain elevation: n/a decimal ' PROFILE DESCRIPTIONS Page 21 sac2 BORINGI TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER IDEPTH W. ELEVATION OBSERVED EST.IJIG HEST TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) 1 . 75 bn. s 1 . B1 7.49 99 . 80 none >7 .49 .83 bl . 1 . 1 . 33bn 1 . g_ 2 8.08 100. 30 none >8 .08 . 75 bl .l . 1 .83 bn. sil . 2.92 bn.s .l . B-3 8.25 98.09 none >8•25 . 67 bl .l . 1 . 33 bn. sil . 3 . 50 bn. s .l . . 25 bn. s .l .w/lstone part. 1 . 50 bn. c . s . B-4 8.08 97 .28 -83 bl .l . 1 .25 bn. sil . 3 .00 bn. s .l . none >8.08 3 .00 bn. c. s . &R. . 75 bl .l . 1 . 58 bn. sil . 3. 58 bn. s.l . B-5 8 . 24 97 . 33 none >8.24 83 bn B- decimal ' PERCOLATION TESTS TEST PTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER 1� AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD PER INCH P-1 3.25 no 30 P-2 3. 30 no 30 3 .0 2. 25 P 06 P-_ P .r� PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distance . scr �jFj tge hol,r,� zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings the ction arld, cen°- of land slope. �E`r? �J i�. SYSTEM ELEVATION 94.03 11$ 1ALP i 4 IL t ..__ s_°�_ _ : .__1 _.d_ 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(print): TESTS WERE COMPLETED ON: Gary L. Steel 12-19-86 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): 988 N. Shore Dr . New Richmond, Wi . 54017 2 98 15-246-6200 CST SIG RE: i._ DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) -OVER- L- r y INSTRUCTIONS FOR COMPLETING FORM 115- SBD - 695 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; 5a 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 your test locations. Drawing to scale is preferred. 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 appropriate boxes as to dates, names,addresses, flood plain data, percolation test exemp- tion,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 your certification number; 12. Make legible copi es 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 - Sandstone gr Gravel (under 3" ) LS - Limestone *s - Sand HGW - High Groundwater cs -- Coarse Sand Pere - Percolation Rate med s - Medium Sand W - Well fs Fine Sand Bldg - Building Is - Loamy Sand > --- Greater Than .sl - Sandy Loam < - Less Than *I - Loarn Bn Brovvn %I -- Silt Loarn BI - Black si - Silt Gy - Gray *cl -- Clay Loam Y Yellow scl Sandy Clay Loarn R Red sicl - Silty Clay Loam mot - Mottles sc -- Sandy Clay wl - with sic - Silty Clay fff - few, fine, faint Kc - Clay. cc; - cornmon,coarse pt - Peat warn - Many, medium m --- Murk cl distinct p — proiT ment HWL — High water level, Six general soil textures surface vrater for liquid waste disposal BM Sench Mark VRP Vertical Reference Point TO THE OWNER: tits sr,ii Ir;st report is the first step in securing a sanitary perin t.The co inty car the C?ePart rff ii may request e=�tik ,�[ i G� {; i.s soil 'test in the field pl"!oi" to [ r;rGil� 15si4c, =c. A c, rn`1„`,-� set of }iElbans or the private. �vsteln Auld a i)QrlTli1 appllcaiinn must ho sC hn)'Qe j i6o tho <aC)}3rCapo'-1i: local �atlt.h'arity in or der 1t3 „e , 1< (3Orriltt_ ti-�;� s'ar;ltaty r3@rmn tniust be UI.tctii"r:,r,l 4f r"}tj f.ost ell wilii to tlis.„tart of ativ co, trUCt(€'H ',. Michael Stevens NW4NW4 S.31 T31N R17W Stanton Township 4 \ SOW s 1 '17a ao �� 77 Gary L. Steel 988 N. Shore Dr. New Richmond, Wi. 54017 MPRSW 3254