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HomeMy WebLinkAbout038-1114-10-300 Wisconsin D-partment of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and!Uwman Relations Division of safety&Buildings in accord with ILHR 83.05,Wis.Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include,but St. Croix not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCEL I.D. dimensioned, north arrow,and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMAT ON EVIEWEDBY DATE�� I A 4"4 PROPERTY OWNER: ,(J�� 769 PROPERTY LO ON'7t,J` �J�-�'� G .LOT IN?F 1/4 1/4,S 29 T 31 N,R 18 IE(or)W PROPERTY OWNER':S MAILING ADDRE S LOT# BLOCK# SUBD.NAME OajQaM# ��� U 3 n/a n/a C TY,STATE ZIP CODE PHONE NUMBER ❑VILLAGE MOWN NEAREST ROAD Somerset, VI. 54025 175 246-5884 Star Prarie 1100th.. Ste-* [x] New Construction Use [ } Residential/Number of bedrooms 3 [ ] Addition to existing building ( ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .7 bed,gpd/ft2 .8 trench,gpd/ft2 Absorption area required 643 bed,ft2 563 trench,ft2 Maximum design loading rate •7 bed,gpd/ft2 •8 trench,gpd/ft2 Recommended infiltration surface elevation(s) 95.20 ft (as referred to site plan benchmark) Additional design/site considerations for al-f. area see (115) of 12-3-92 Parent material outwash Flood plain elevation,if applicable n/a ft S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL I HOLDING TANK U=Unsuitable fors stem I ErS ❑U E36 ❑U I EM ❑U 56 ❑U ❑S EDU ❑S ❑U SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft .................. in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Bed Trench ................. .................. ................. 1 0-12 10yr2./2 none sl. 2,/m/shk mvfr c/s 2/f 5 1 _ .6 2 12-31 10yr3/4 none S 0/sg rl_ g/w 1/f_ .7 .8 Ground 3 31-7--2.1\ 10yr5/4 no S s m_1_ c/s n/a .7 .8 elev. 98.2 ft. 4 72-84 Oyr5/4 c2,0 10yr5/8 Co. S. 0/sg ml n/a n/a .7 .8 Depth to limiting factor AT bo" WV- 72" to Remarks: u Boring# 1 0-9 10yr2/2 none L. 2/m/sbk s 2/f_ .5 .6 2 2 9-25 10yr3/4 none s1. 2/m/shk mvfr ,/w 1/f. .5 .6 3 25-82 r5/4 none co.s. 0 1sg ml n/a n/a .7 .8 Ground elev. X8.2 ft. Depth to limiting fag]or >82. 01De CP Remarks: CST Name:—Please Print Cary L. Steel / one: 7 6200 Address: £ 1554 20 th.. Ave. Ile Richmond 141. 54017 Signature: Date: ?.298 CST Number: 5—?,6-93 PROPERTY OWNER Charles Rorgstrom SOIL DESCRIPTION REPORT Page, 2 of3 PARCEL I.D.# Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Bed Trench 1 0-10 10 r-2 2 none s].. 2 m Sh1c n fr c 6 2 10-29 10yr4/[} none sit. 1/f_/sh)c mfr g/w 1/f .2 .3 Ground 3 29-39 7.5yr4/4 none ]_s o/sg rLl Ow 1/f_ .7 .8 9F 95ft, 4 39-86 10yr<</4 none co.s. �01.sg m]_ n/a n/a Depth to limiting factor Remarks: Boring# Ground elev. ft. Depth to limiting factor Remarks: Boring# Ground elev. ft. Depth to limiting factor Remarks: Boring# i Ground elev. ft Depth to limiting factor Remarks: SBD-8330(8.05/92) l"� i w STEEL'S SOIL SERVICE t554 200th. Ave. Gary L. Steel C.S.T. 2298 Charles Borgstrom New Richmond, WI 54017 MPRSW-3254 hTE% � 1 7 CERTIFIED SURVEY MAP LOCATED IN THE NE V4 OF THE NE 1/4 of Section 29, T31N, R18W, Town OF STAR PRAIRIE, ST, CROIX COUNTY, WISCONSIN. LEGEND ;{-sa BEARINGS ARE REFERENCED TO ST. CROIX CO. SECTION CORNER MONITWNT THE EAST LINE OF THE NE 1/4 • FOUND 2" IRON PIPE ASSUMED TO BEAR SOO'22'27"W. NOO°12'27"E O SET I" X 24" IRON PIPE-aE0q) 4V 1.6BL8S/LIN. FT. SCALE 1 150' 41,97' //I v SD Q 150 / mn�ayo m UNPLATTED LANDS �mlco -- --Ai CITY �, �N m'�•. Pl�r,nln:J `"1 - - - . . .,628.73 — N00° 12�27"E 562.72' — 0 02 66. 0 496.72 T66.00 lz 0 WEST LINE OF THE NE 1/4 OF THE NE 1/4 Z 0, A N Irn I� W 1 r,OI O A N lni:f'C'.� q!`ii',T-Il I.? •A. rm o ;0-- (� NWW iIID�S OC W rn pp� z af 1W A n0 O Cl-- z 0 0 G)A 0 y o m 3 UI O Z \�/ ...�It z w p j I cD ti ° N000 12'27"E 560:72' 66.00' - - - - - 626,.72' - - - - - - - - - Ln O w � mo 1 _ _< �• Z A N �_�O 0 a+W A tvn A m W m f•f — N �T� 0 W_ .I s 0 w W O ln0 zz Z'> -4 0 00 D 01 O N 1 I C N fD iz 1 `�� �m 0 m 0 V) Co I �o � IZ (D to I� W �\ aye yo - ' �+ o I� rr i t > •! ,y 1 p „ y m N i a W Ul I f ID N m -a 1 I D Q } I m I-i O' 1 - --I m W -I Im v, rpm m Ip o N o ! 1 N00°17'27 E 493.81' Ir N �(- --1 112.02' 1 381.79' I u+ A N I ID In +� ID O ,Z r I N Ip m rt I 0 D m i H r1 = e — 1 = W y C O m m o rn m .A m- J y 10 U ♦ 00 Z 0 0 m N O ♦♦ m CA - 0z ...J 0 , IN A v� m Cf� m 0 m 0 N 1 — n �^I< 0 I -1 e -� a W ` `1I 66, rn rn r• W "L 1 0 M M ('+ 0 m l N O ' x rt a �. H Ill -+ 01`3 ° w m m 1i C' n " 'd P. Z I O I� 1'. 0 0 04 m C o C x B6': I N00022�27"E 556.58' (D N P. N G 0 fD 130.94'/ 425.64' V, m 7 r� h a rt v ro rt o. rt C7 1 =1 ._ o A <1 O N� n X / 2 i w 1� 0 (D =1 o } fT 7 5 N1C.l.. N* E N5. ra 7G• N p N W yc,N - � ) A y v z D A O r my-c,rt P. G W t:r m O O W *m'-T q f m p ,D I> 0 0 0 N o m o (D rt J .y U m to T 0 71 1 REC.AS 1240.95', 1240,42' A 33' 33' 1241.16 ' ' ' 318.91' 554,57 235.86' ' 66.01' k� t EAST LINE OF TH NE 14 620.58' 620.58' / S00022 27 W ,(� Wm 1.@ —�_ENTERLIN `- - z � RED °' IOOT � STREET -- Wpm -- 0 I — z-•I n z °� P_I_�1 E I C. S. M . VOL. 4-t PG_ 1014 " o° � � � ESTATES ► sheet of 2 Nm, ((� THIS INSTRUMENT DRAFTED BY DOUGLAS ZAHLER, VOLpm 9 PAGE 2607 Parcel #: 038-1114-10-300 03/31/2005 09:04 AM PAGE 1 OF 1 Alt. Parcel M 29.31.18.483D 038-TOWN OF STAR PRAIRIE Current X' ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax A Owner(s): *=Current Owner * TIM &LINDA S MAITREJEAN MAITREJEAN,TIM& LINDA S 1990 100TH STS" K0 0 l h -fC/�►^—' SOMERSET WI 54025 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 4.098 Plat: N/A-NOT AVAILABLE SEC 29 T31 N RI 8W PT NE NE BEING LOT 3 OF Block/Condo Bldg: CSM 9/2607 4.098 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-31N-18W Notes: Parcel History: Date Doc# Vol/Page Type 05/03/2002 677962 1883/431 WD 2004 SUMMARY Bill#: Fair Market Value: Assessed with: 30560 108,900 Valuations: ast Changed: 10/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.098 113,700 0 113,700 NO i Totals for 2004: General Property 4.098 113,700 0 113,700 Woodland 0.000 0 0 Totals for 2003: General Property 4.098 58,300 0 58,300 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 INDUS RY, 01 REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS ' INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISON,WI 53707 IIU AN RELATIONS . �. HR 83.09(1) & Chapter 145) LOCATION: SECTION: OWr NK ICrIlP ALITY: LOT� NO BLK.NO. SUBDIVISION NAME: 1/4 � 1/4 o y ' „7 - 000NTY: MAILING ADDRESS: 1 ✓it �..i'�/C / i/,r!' e 'el 4I'G%/,.:f J � �: /�' ��!rz l•'! 3 ;/ i f �/O 2 J DATES OBSERVATIONS MADE i'= ' / .--s w cc� NO.BEDRMS.: COMMERCIAL DESCRIPPTTIOON:��7q PROFILE S O S: A STS` �1s(Tesidenc:e � I Z New Fl /�� r�•. �;� J/�� s.�� _` RATING: S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(op ional) os ^ uTsau - s ❑u as au os �u - .. ` ��� If Pc rcol mnn Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s_ILHR 83.0915)(b),indicate: _C— I Floodplain, indicate Floodplain elevation: ��� PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST. HEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) -- — `5 5 B- !r Ti F✓r✓ j 13- B- - PERCOLATION TESTS TEST DEP H WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER I AF7ERSWELLING INTERVAL-MIN. PERT D 1 P RI 02 PER INCH p_ �- -r•--."� .,tea :s,f, Cc�' 4�/� �_ "ell P —ri- 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 J ' 1/ , f V �7 IIff J I.J s / I / I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print) , TESTS WERE COMPLETED ON: r � ADDRESS: — — CERTIFICATION NUMBER: IPHONE NUMBER(optional): CST SIGNA UR • �� DISTRIBUTION: Original and one copy to Local Author ity,Proper iy Owner and Soil Tester. DILNR SBDG395 IR 10L8�D_-_ OVER DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, C DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WBOX I 3707 HUMAN,R�ATIONS- �/- HR 83.09(1) &Chapter 145) LOCATION SECT ON: OWNSH NICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: COUNTY: MAILING ADDRESS: 'S�*/il'Y��1C Gc f'• r D� ' f/'C�l�"i �.�� /� G �Dfn' rYr i c� i � O 2 � USE DATES OBSERVATIONS MADE NO.BEDRMS : COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: ERCOLATION TESTS: [[�esidce New ❑Replace RATING:S=Site suitable for system U=Site unsuitable for system /[ZS ONVENTIONAL: MOUND: IN-GROUND PRESSURE: SYSTEM-IN-FILL TANK:RECOMMENDED SYSTEM:(op Tonal)E]U[ZS If Percolation Tests are NOT required DESIGN RATE: 9 If any portion of the tested area is in the under s. ILHR 83.09(5)(b),indicate: r � Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGHE T TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- ry B- y e� ^moo%�/s i�.� .3•�-- �' �a,3'► B- �� PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER IJVMW AFTERSWELLING INTERVAL-MIN. PERIO 1 PERIOD2 PERIOD PER INCH P P- L g P- P- P- Ap PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or dist es\b ib vv a a the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all b nos ewe!"the direc ercent of land slope. SYSTEM ELEVATION ray. a � ��, °''°t, _mow-� r � _ I E 7 e 'r -tµ _ __ lop ip ­4' 4 1h i f i t � i 1,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME(print)* , TESTS WERE COMPLETED ON: ADDRES . - CERTIFICATION NUMBER: PHONE NUMBER(optional): CST S URE. DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395(R. 10/83) —OVER — INSTRUCTIONS FOR COMPLETING FORM 115- SOD -6395 To be a complete and accurate soil test,your report must include: 1. Complete legal description; 2. The use suction 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 your test 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. I ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols W Y 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 is — Fine Sand Bldg — Building Is— Loamy Sand — Greater Than 'sl — Loamy Sand — Less Than 'I — Loam Bn — Brown 'sil — Silt Loam Bl — 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.