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Home My WebLink About018-1082-10-120Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: ^ City ^ Village ^ T n of: Halle Builders Inc., Hammond Township CST BM Elev.: Insp. BM Elev.: BM Description: JOZ-ZG 2.~ e ~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic <~ ~ c ~ ~a0 Dosing ~ S~ olding TANK SETBACK INFORMATION TANK TO P1L WELL BLDG. vent to Airlntake ROAD Septic ~ S~ Z/' ZS'~` NA Dosing ~ ~/ Z ~ ~ ~ / NA Aeration NA Hol ' PUMP /SIPHON INFORMATION Manufacturer Model Number a ~~ TDH Li ,etij Friction ~ ~ Syst L ~ H ~ Forcemain Length S ~ Dia. Z, /I SOIL ABSORPTION SYSTEM Demand TDH ~t,~ Ft Dist. To Well ELEVATION DATA County: St. Croix Sanitary Permit No.: 363927 State Plan ID No.: /~ tc : ~5 ZZo arcel Tax No.: 018-1082-10-120 STATION BS HI FS ELEV. Benchmark ~ ~ ~ ~ . Z Alt. BM ~` ~ ~'Z Z Bldg. Sewer ~ s f Ht Inlet p, a oS' Dt Bottom 3, b ~ 7~ /L Header/ Man. jc.7 ~~~ -~q ) O ~-(~~ Dist. Pipe a•~9 r p ,~ Bot<~System '3 . S~ r o 3.99 Final Grade c t~s- St cover ~` • Ste' ~d ~-- $. Z 6~•`f~ 2. Z6 NCH Width , Le__ng N Of renches PIT No. Of Pits Inside Dia. DIMEN I ~ r ~~- DIMEN I N SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHI Ma cturer: SETBACK INFORMATION TYPeO -- n r ~ ~s~ CHAMB OR IT Mode Nu System: lylo~^^~ ~ -7~ - DISTRIBUTION SYSTEM ~ ~ ~ ~° ~A' S1e("~- "j, ~°`x ~'~`o`~,N`°`"'",°` • ) Header / Mani old Distribution Pip s~ x Hole Size x H OIe Spacing Vent To Air Intake Length ~ Dia ~ u r ~ Length~2 Dia. ~ Spacing ~_ ~ u cL 1 =J rl '~-' SOIL COVER x Pressure S~rstems Only xx Mound Or At-Grade Systems Only Depth Over Depth Ovey ~ xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Tre ch Edges Topsoil ^ Yes ^ No ^ Yes No I~ COMMENTS: (Inclucode discrepancies, persons present, etc.) q5 ~°"'`3/P`°'° ter"` Ins ection #1: l7 /0 ~ Inspection #2: Og /29/oD Location: 702 159th' Stre t, Hammon/d~, WI 54015 (SE 1/4 SE 1/4 30 T29N R17W) - 302917575 Meadow Ridge -Lot 12 1.) Alt BM Description = ~y a~ to~.~~~~~-- ~~ ~> ~~QQ „~U~„~i~~ p~~~S~~`~. 2.) Bldg sewer length = 2 /' / -=amount of cover = 5s' 3.) contour = `, ~ Z~~/D 2 . ? ~~ Plan revision required? ^ Yes ,~No Use `other s'de f r add,,~it~ionJ,a)I ink Ta~tion 3 ~ (o s~ ~''"c~ ""°""^"" ~''~~~ "`~ ~ p e Inspe 'Signature Cert. No. SB 6710 (R.3 7) ~cc ~~`~/ `./SCOWS%n SANITARY PERMIT A Department of Commerce In accord with Comm 83.05~111i Attach complete plans (to the county copy only) for the s than 8112 x 11 inches in size. • See reverse side for instructions for completing this appli Personal information you provide may be used foris~econdary purposes [Privacy Law, s. 15.04 (1) (m)I• ~-0 ? /5~7 ~ ~~ p~l~~s n .IUN ,~ 0 St GROfk t~NTI 6. Y(>nllNi:~FFICE , Safety and Buildings Division 201 W. Washington Avenue P O Box 7162 Madison, W153707-7162 St#{fe nitaryPermitfdumber k if revision to previous application 1. APPLI ATI N INFORMATI N - PL A E PRINT ALL I TION - ~LLU 51'1' lll ly4ylU Property Owner Name 8 a i HALLE BUILDERS INC 4 • S 30 T 29 ~ N~ R 17 ) W Property Owner's Mailing Address Lot Number Block Number 1113 HWY 64 12 MEADOW RIDGE ADDN City, State Zip Code Phone Number Subdivision Name or CSM Number ( ) MEADOW RIDGE ADDITION I1. YPE ILDING: (check one) ^ State Owned ^ It~ Nearest Road Public 1 or 2 Famil Dwellin - No. of bedrooms ~ ~ Town OF HAM~IOND 159TH STREET III. BUILDING USE: (It building type is public, check all that apply) Parcel Tax Number(s) 018-108tE-10-120 30.29.17.575 1 ^ Apartment/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 i 5 ^ Hotel /Motel 9 ^ Office /Factory 13 ^ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box online B, if applicable) A) ~ . ®New 2_ ^ Replacement 3. ^ Replacement of 4_ ^ Reconnection of 5_ ^ Repair of an ______S~rstem ________System _____--____-~ Tank Only______________ Existing System ________ ExlstingSystem B) ^ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ^ Seepage Bed 21 ~XJ Mound 30 ^ Specify Type 41 ^ Holding Tank 12 ^ Seepage Trench 22 ^ In-Ground Pressure , 42 ^ Pit Privy 13 ^ Seepage Pit S S 43 ^ Vault Privy 14 ^ System-In-Fill p 3 ~ ~j VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Pert. Rate 6. System Elev. 7. Final Grade 450 / Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation 375 ~ 375 / 1.2 / N/A 104.00 /Feet 106.33 Feet VII TANK Capaclt . INFORMATION in allo s g Total # of Manufacturer s Name Prefab. site Con- l S Fiber- Plastic Exper. N i i f Gallons Tanks Concrete tee glass App ew n x st strutted T Wks Tank eptic Ta I 000 1000 1 MIDWESTERN PRECAS Q ^ ^ ^ ^ ^ L Pump Tan -ISipboaLlsaaa4~er 650 650 1 IvIIDWESTERN PRECAS ® ^ ^ ^ ^ ^ VIII. SPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumb 'Signature: (No Stam MP/MPRSW No.: Business Phone Number: BENNIE HELGESON 715/772-3278 Plumber's Address (Street, City, State, Zip Code): . W1229 770TH AVENUE SPKING VALLEY WI 54767 1X. COUNTY /DEPARTMENT USE ONLY ^ Disapproved Sanitary Permit Fee (Includes Groundwater ate ssue Issuing Agent Signature (No Stamps) Approved ^ Owner Given Initial surcnargeFee) S OU '~ 3 Z (' 30 ~ Adverse Determination - r y 0 ~ n. ~.,v~~ar~ ~ w~~~ yr ~rrnvvr~~.r n~r~w~~,~ rvn Iv~~r+rrnv~rr~~. ~ ~~u ~~~ ~{ Q ~ ~ s~,o~t~ t_ 5~ ~. l~ ~ r P ~ al / a~~, ~t c~.6/~ s~-~b a e k SBD-6398 (R.12199) DISTRIBUTION to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS ' ~. 1: A sanitary permit is valid for two (1~ year~~ ~~~}y-:.~ ~ ..~;~ 2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code uvill b~*~p~li~pble~ t. 3. All revisions to this permit must be approved;by the permit issuing authority. 4. Changes in ownership or plumber requires a'~anitary,Perrii~tlTransfer /Renewal Form (SBD-6399) to be submitted to the county prior to installation . r , 5. Onsite sewage systems must be properly maintair,etl. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usual ly 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 and Buildings Division, 608-266-3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to oe installed. II. Type of building being served. Check only one arid 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 on 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 for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/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 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of.holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number ofregulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. ~ ~ iscons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601-1831 7DD #: (608) 264-8777 www, comm erce.state.wi. u s Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary June 29, 2000 CUST ID No.220292 BENNIE W HELGESON N7649 HWY 128 SPRING VALLEY WI 54767 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/29/2002 ATTN: POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Site ID: 194910, Halle Builders/Scott & Lisa Lyons St. Croix County, Town of Hammond SE1/4, SE1/4, S30, T29N, R17W Subdivision: Meadow Ridge Addition -lot 12 FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 670218 Identificaf begs Transaction ID No. 325220 Site ID No. 194910 Please refer to both identification numbers, above, in all corres ondence with the a enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19,. Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. CAUTION: Wis.stats 145.135(2)(b) indicates that the approval of a sanitary permit is based on regulations in force on the date of approval. The effective date of COMM 83 revisions is expected to be July 1, 2000. Thus depending on the type of system and your design, this plan approval may not be eligible for sanitary permit approval if submitted to the issuing agency on or after July 1, 2000. Note: There is a potential for a law suit that may delay the effective date of the code so this status may or may not change. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction installation/operation. BENNIE W HELGESON Page 2 6/29/00 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, ~~ • erard M. Swim POWTS Plan Reviewer -Integrated Services (608)-785-9348, Mon. -Fri. 7:15 AM to 4:00 PM j swim@commerce. state.wi.us DATE RECEIVED 06/20/2000 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 BALANCE DUE $ 0.00 WiSMART code: 7633 ~.. MOUND SYSTEM DESIGN ~~ Residential Application INDEX AND TITLE SHEET s /~ ~~~ 9fiF N1 F4 ~~ ~~000 Project Halle Builders, Inc. ~~~ Owner Halle Builders, Inc. -- ~c ~{-~- ~ ~ I SQ, Lu o n ~ ` ~`~ O ~~ Address 1113 Hwy. 64 New Richmond, WI 54016 Legal Description SE1/4SE1/4, Sec.30, T.29N., R.17W. .la't~s Township Hammond County St. Croix Subdivision Name Meadow Ridge Lot No. 12 Parcel ID Number 30.29.17.575 Plan Transaction Number Index and title sheet Page 1' Mound calculations Page 2 Mound drawings Page 3 Pres. dist. talcs. and laterals Page 4 TDH and pump tank drawing Page 5 Pump performance curve Page 6 Site plan Page 7 Attached soil evaluation report Page 8 Designer Bennie Hetgeson License Number Signatu ~ Date 6/07/00 p? 220292 Phone No. 715-772-3278 Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result in disciplinary action under s. 145.10, Wis. Stets. Personal information you provide maybe used for secondary Purposes [Privacy Law, s.15.04 (1)(m)]. SBD-10462-E (R.05/98) Page 1 of 8 ,~-. MOUND SYSTEM DESIGN Complete red boxes as necessary. 1000 gpd maximum design flow. Inch-pounds Metric Residential or commercial? r (r or c) (y or n) ~ ..J Replacement system? Creviced bedrock site? n (y or n) Slope 5 Wastewater flow rate 450 gpd 1703 Lpd Depth to limiting factor 32 in 81.3 cm In situ soil infiltration rate 0.6 9pd~ft` 24.4 Lpd/m` Contour line elevation 103.0 ft 31.39 m Use standard fill depths? x OR Design depth? ~~in ~cm Place X in box to use standard d epths (24 a nd A+4 inclusive) OR specify design fill depth. Center or end manifold Lateral spacing Number of laterals Forcemain length B(c or e) Hole diameter 0.00 ft Use 0 lateral spacing for trenches. Estimated hole space 1 Pump tank elevation Il8:0 ft Forcemain diameter 0.25 in o.tzs, o.ts6, o.t8a, oz~s, o.2s, 0.281, or 0.313 inch only. 3.50 ft Not a final calculation. 95 ft Outside bottom of tank. 2.0 In 1.5, 2, 3 or 4 inch only. 2.067 in Actual I.D. HOLE DIAMETER CONVERSIONS 1/8 = 0.125 1/4 = 0.250 SYSTEM SOLUTIONS Inch- ounds Metric 5/32 = 0.156 9/32 = 0.281 Estimated daily flow 450 gpd 1703 Lpd 3/16 = 0.188 5/16 = 0.313 7/32 = 0.219 Absorption cell Design load rate & area 1.2 9th 375.0 ft` 34.84 m` Linear loading rate (LLR) 6.00 gpd/ft 74.4 Lpd/m Design width (A) 5.00 ft 1.52 m Cell length (B) 75.0 ft 22.86 m Depth of cell (F) 10.0 in 25.4 cm Sand filter Upslope fill depth (D) 12.0 in 30.5 cm Downslope fill depth (E) 15.0 in 38.1 cm Basal area required (gpd/infiltration rate) 750.0 ftz 69.68 m2 Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.5 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (K) 10.38 ft 3.16 m Up slope toe length (J) 7.40 ft 2.26 m Down slope toe length (I) 10.90 ft 3.32 m Total mound length (L) 95.76 ft 29.19 m Total mound width (W) 23.30 ft 7.10 m Project: Halle Builders, Inc. Transaction Number: Page 2 of 8 •. MOUND PLAN VIEW 23.3 ft 7.1 m W observation PIPS (typicaq I =down slope dimension =absorption cell (Ax6) J = up slope dimension ~ =plowed area (lxW) K =end slope dimension MOUND CROSS SECTION topsoil G H subsoil cap lateral invert 104.50 ft elev. 31.85 m :::::::::::::::::::: F ASTM C33 y Sand Fill y sys. 104.00 ft elev. 31.70 m 103.00 ft contour 31.39 m elev. 5 °to -~ slope A = 5.00 ft 1.52 m B = 75.0 ft 22.86 m J = 7.40 ft 2.26 m I = 10.90 ft 3.32 m K= 10.38ft 3.16m typ. obs. pipe (anchored securely) 6" (152 mm) D = 12.0 in 30.5 cm E = 15.0 in 38.1 cm F = 10.0 in 25.4 cm G = 12.0 in 30.5 cm H = 18.0 in 45.7 cm D = upslope fill depth plowed layer E = downslope fill depth Note: Absorption cell media will consist F =absorption Cell depth of aggregate and pipe with laterals G =subsoil + topsoil depth at cell wall centered across Ax6 media. The cell H =subsoil + topsoil depth at Cell Center media is covered with geotextile fabric. Designer notes• Project: Halle Builders, lnc. Transaction Number: Page 3 of 8 ~ _ 95.76 ft 29.19 m PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch- ounds Metric Width (A) 5 ft 1.52 m Length (B) 75.0 ft 22.86 m Lateral specifications Number laterals 1 Holes/lateral 21 holes Lateral length (P) 71.67 ft 21.85 m Hole diameter 0.250 in 6.35 mm Lat. dis. rate 24.47 gpm 1.54 Us Sys. dis. rate 24.47 gpm 1.54 Us Hole spacing (X) 43 in 109.2 cm Lateral diameter Pipe diameter Design options Design choice Designer must 1 in (25 mm) '~C" One Cho%Ce 1 1/4 in (32 mm) from the options 1 1/2 in (40 mm) provided. 2 in (5o mm) x x 3 in (75 mm) X Manifold diameter Pipe diameter Designer must 1 in (25 mm) '7C" one choice 1 1/4 in (32 mm) from the options 1 1/2 in (40 mm) provided. 2 in (5o mm) 3 in (75 mm) 4 in (100 mm) Design options Design choice dace X in red box of chosen biameter. ie required. choice necessary. Distribution system contains: 1 Lateral(s) LATERAL DIAGRAM -END CONNECTION Place correct lateral diagram by c-icking in one of the drawings at right and dragging the diagram into this area. Laterals centered ot+er the A & B dimension P Last hole drilled next to end cap IE ~ _~ Holes drilled on the bottom of the lateral equally spaded Laterals & force main of PVC Sch ~0 [per COMM Table $4.3p-5J ~ =permanent end marker Lateral length (P) Lateral spacing (S) Hole spacing (X) Manifold length Hole diameter Lateral diameter Forcemain diameter Inch- ounds Metric 'T1.6? ft 21.85 m 0.00 ft 0.00 m 43 in 109.2 cm 0 ft 0.00 m Q.250 in 6.4 mm 2.00 in 50 mm 2:00 in 50 mm Project: Halle Builders, Inc. Transaction Number: Page 4 of 8 l TDH and Pump Tank Drawing Total Dynamic Head Operational head 2.50 ft 0.76 m Vertical lift 8.50 ft D~lid 2.59 m Friction loss 0.85 ft ~ ~ 0.26 m Total dynamic head 11.85 ft 3.61 m Dose Volume Dose is > 10 times lateral volume Lateral void volume 12.5 gal 47.3 L Minimum dose 125.0 gal 473.2 L Drain back 13.9 gal 52.6 L Dose volume - 038.9 gal 525.8 L Are laterals the highest point in the system? Yes "X" here. L~ If no, what is the highest elevation downstream of pump? ~-~ Forcemain drain back to tank? ("X' one) x Yes No Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover with weather proof n , ~ warning label and locking device grade levels) ~ junction box disconnect grade levels 4" vent pipe ~ I electric as per NEC 300 and ~'I Comm 16.28 WAC wall of pump chamber or combination tank A alarm on pump on B pump 96.0 ft C off elev. 29.3 m D 3 " (75 mm) of bedding under tank Tank manufacturer Midwestern Precast 1,000/650 gal. Combi Pump tank capacity 17 gal/in Pump tank volume 650.25 gal Pump manufacturer Goulds Pump model number 3871 EP04 o A 'N B c Alarm manufacturer S.J. Electro systems ~ C Alarm model number 101 HW p D Project: Halle Builders, Inc. Transaction Number: aftemate ' ' outlet I location 18" (46 cm) min. ~_ aPPro~ ~ outlet joint _ Provide 1/4" weep hole or anti- siphon device ~ necessary Grade levels -pump tank manhole = 4" (10 cm) minimum above finished grade - vent = 12" (30.5 cm) minimum above finished grade 95.0 ft Pump tank elevation 29.0 m bottom of tank Inches Gallons 19.1 324.4 2 34.0 8.2 138.9 9 153.0 Page 5 of 8 t, All Models are designed /or continuous operation and leature stainless steel hardware. Putnp Specifications '/~ H P Up to 40 GPM Discharge size 1'/~"NPT Solids:'/s" maximum Motor Single phase: 115V Materials of Construction Brass/thermoplastic Features and Benefits •Top suction eliminates impeller clogging. • Corrosion resislan( construction. •Float actuated switch. '/~o and'/: HP •~04 impeller- semi-open design Up to 60 GPM ith pump out vanes to protect Maximum head to 32' mechanical seal. Discharge size 1'h"NPT • EP05 impeller -enclosed design Solids:'/<" maximum for improved performance. Motor •Rugged glass filled thermoplastic All motors feature ball casing and base design provides bearing construction. superior strengtl~ and corrosion Single phase: 115V resistance. Materials of Construction 'Cast iron motor Dousing for Cast iron efficient heat transfer, strength, Thermoplastic and durability. Stainless steel • Corrosion resistant threaded stainless steel shaft. •Available for automatic and manual operation. . • CSA listed models available. (y D+~~ ~~ . A A A ' ///3 /~wy, 6Sl sVOi 7 Loco.-~-cm S~s~ 5.30 -T29K,,~? ~7~., T. 5 X yf/ ~ 'il dd on " f~ ~d'e.l. '~.~o• Z9. ~7. s/61~ 30 ~A~~.b.M.:Topo4~"lo~S~dw('e= /oa.2G~ 2Blo.9y' r ~~3.0'Co.rEOU.~ ProPoSed r-1ou.nd 4.k ~~ -~ \5~ \\~~ ~~ ~~ o ~\~ s ~ ~\\ ~' ~qla s \~~~ ~~ ~ \~ ~~ ~$ ,, ~ ~~~ n ^ ti ez a3 proPos~ 3 bed!'oom res,dene2 /O= // /o t- /,2 ^ So; l 06se~ua~'c~» p,•e Itl ~~~~fwr~ ~ ~e se's ~'U- y ~„ o ~Q~~,,~r. ~-- I ~°~°f o ~ - w~ ~~ G ~-- r~ y ~~~~~ _ ~; ~ ~. nom- ~ ~ ~ ~ /e~ ~ropo5ed w2CC ~"scl. d0 /~~!C. bur/d;/~ Sewer' ~- pro posed /, ce7o /loso ~ e-P. Co.n 6, i~,t~iov~ ' o.F' ,2 ''sc~. ~l0 P. d. C, .~~~e a rna, n . ~0~,4/~ . 0 /S9~ 5-~t e . ~~s r Wisconsin DepaMlentofCommerce SOIL AND SITE EVALUATION Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Attach complete site plar~ on paper not less than 8'/: x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference pant (BM), direction and percent slope, scale or dimernsions, north arrow, and location and distance to nearest road. APPLICANT INFORMATION - please print all information. Personal information you provide maybe used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Page 1 of 3 A.C.E. Soil & Site Evaluations County Parcel I.D.# 018-1082-10-120 ID# 30.29.17.575 Reviewed By Date Property Owner Property Location Halle Builders, Inc. Govt. Lot SE 1/4 SE 1/4 S 30 T 29 N,R 17 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1113 Hi wa 64 12 Plat Of Meadow Ridge City State Zip Code PhoneNumber ~ City [] Village Town Nearest Road New Richmond WI 54017 715-246-6813 Hammond ~ 159Th Street New Construction Use: ~ Residential I Number of bedrooms 3 ^Addition to existing building Replacement ~ Public or commeraal describe Code Derived daily flow 450 gpd Recommended design loading rate •5 bed, gpd/ft2 .6 trench, gpolftZ Basal area required 900 bed, ftz 750 trench, ft2 Maximum design loading rate .5 bed, gpdfftz .6 trench, gpd/ft2 Recanmended infiltration surface elevation(s) 104.0' at 12" above 103.0' contour. ft (as referred to site plan benchmark) Additional deSlgn /site CoflSldefationS Observe change in lot lin resulting from "add on" to adjoining parcel to accomodate neighboring garage. Parent material Glacial drift over weathered sandstone bedrock Fkxxi lain elevation, if a livable nor ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ^ s ®u ®S ^ u ^ s ^ u ^ s ®u ^ s ®u ^ s ® u Still DESCRIPTION REPORT Boring# 1 Ground elev 101.01 ft Depth to limiting factor 32" Depth Dominant Color Mottles Structure nsisten C Bounda Roots GPDIft2 Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. o ry Bed Trench 1 0-9 10yr3/2 None sl 2fsbk mvfr cs 2f&m 0.5 0.6 2 9-26 10yr3/4 None sl 2msbk mfr cs 2f,lm 0.5 0.6 3 26-32 10yr4/4 None sl 2fsbk mfi cw if 0.5 0.6 4 32-50 10yr6/8 f2d7.5yr5/8 s Osg ml cw - 0.7 0.8 5 50-65 10yr8/4 m2p7.5yr5/8 s Osg ml - - 0.7 0.8 Remarks: `2 Ground elev ~n~ au a Depth to limiting factor 4A" 1 0-10 10yr3/2 None sl 2fsbk mvfr cs 2f&m 0.5 0.6 2 10-25 10yr3/4 None sl 2msbk mfr cs 2f,lm 0.5 0.6 3 25-34 10yr4/4 None sl 2fsbk mfi cw if 0.5 0.6 4 34-48 10yr6/8 f2d7.5yr5/8 s Osg ml cw if 0.7 0.8 5 48-64 10yr8/4 m2p7.5yr5/8 s Osg ml - - 0.7 0.8 6 64-70 10yr8/4 None SSBR Om - - - tip tip Remarks: CST Name (Please Print) Signat Telephone No. James K. Thompson 715-248-7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref# 340 Paulson Lake Lane, Osceol 54020 6/8/00 3602 1251 f s PROPERTY OWNER: Halle Builders Inc. PARCEL LD.# 018-1082-10-120 ID# 30.29.17.575 3 Ground elev 103.25 fl Depth to limiting factor 41" SOIL DESCRIPTION REPORT ~zst Page 2 of 3 A_C F._ Snil Rr Site Evaluations Depth Dominant Color Mottles T t Structure nsistence Bounda Roots GPDIftz Horizon in. Munsell Qu. Sz. Cont Color ure ex ~ ~ Sh ry Bed ~ Trench 1 0-12 10yr3/2 None sl 2fsbk mvfr cs 2f&m 0.5 ~ 0.6 2 12-23 10yr3/4 None sl 2msbk mfr cs 2f,lm 0.5 ~ 0.6 3 23-35 10yr4/4 None sl 2fsbk mfi cw if 0.5 j 0.6 4 35-41 10yr4/6 None lfs lmsbk mvfr cw if 0.5 0.6 5 41-70 10yr6/8 m2p7.5yr5/8 s Osg ml - - 0.7 '~ 0.8 Remarks: Ground elev Depth to limiting factor r ~' ~, 3 0~'3 Ow~¢,r~ Loca-~:N7 ' isa GLe Bu;/ala!s Tne. /oEiZ o®lQ.z~o~F'~NeQa(aw,(1 die, . ~ ///3 ~wy, Gy st<sc 5.3o T29•t;,p ~~~. T, ^ So;/06se~ua~'c» NQ ~,P,-~,~~~; ~! , a~,~,~mo~d s~. e~o;,~~; tea! P E s~oi7 • p~do. s~ 5;r yf/ ~ "il dd on " ~ i(CE. b•M.:To of'!o~ S = /oz.2G~ (, /o~ /1 io3.o~Cor~u.~ /of ~z ~ 8~ • ~,-~ ~~opo~sed mok~d X33 x 9~5~ ~ ~ '~ ~o posed S % , ~ 3 bedroor+, ~~ ~~ ~~ rtsident2 ~ ,, .\ \ \ , si ~ n i ~ ~~~ F ~; ez H 8 is~~ 5~«~ 3i3 00' 7~dC tt /'e - ,. . Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Page 1 of 3 A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must County include, but not hmded to: vertical and horizontal referengQ point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow, oFation and distance to nearest road. Parcel I.D.# ~ ~.. ' 018-1082-10-120 ID# 30.29.17.575 L;,p'tint a information. APPLICANT INFORMATION - p1 s Date d Personal information you provide may be used r 'nda r e ~vacy Law, s: X15.04 (1) (m)). _„_„_ R e - .~ ~ Property Owner Property Location Halle Builders, Inc. ~ ^ ~ ~' Gott. Lot SE 1/4 SE i/4 S 30 T 29 N,R 17 W Property Owner's Mailing Address ~~ "~X "L , # Block # Subd. Name or CSM# ~ S~fNrr ' 1113 H~hway 64 _ _.. Plat Of Meadow Ridge ! 12 _ _ __ _ City State i e i~tCE ~'~. ,~] City ~ Village Town Nearest Road New Richmond WI 5 `115-246-681 ,~, Hammond ~ 159Th Street New Construction ~ Reside ~ edrooms 3 Addition to existing building Use: [~ Replacement ^ Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate .5 bed, gpdfft2 .6 trench, gpolft2 Basal area required 900 bed, ft2 750 trench, ftz Maximum design loading rate •5 bed, gpdfft2 .6 trench, gpolft2 Recommended infiltration surface elevation(s) 104.0' at 12" above 103.0' contour. ft (as referred to site plan benchmark) Additional design I site considerations Observe change in lot lin resulting from "add on" to adjoining parcel to accomodate neighboring garage. Parent material Glacial drift over weathered sandstone bedrock Flood ain elevation, if a livable na ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ^ S ®U ®S ^ u ^ S ®u ^ S ®U ^ S ®U ^ S ® u Boring# 1 Ground elev 101.01 ft Depth to limiting factor 32" 2 Ground elev 101.68 ft Depth to limiting factor ~d" . Depth Dominant Color Mottles Structure i t d B Roots GPDlft2 Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. en s Cons oun ary Bed Trench 1 0-9 - 10yr3/2 None sl 2fsbk mvfr cs 2f&m 0.5 0.6 2 9-26 10yr3/4 None sl 2msbk mfr cs 2f,lm 0.5 0.6 / 3 26-32 ~ 10yr4/4 None sl 2fsbk mfi cw if 0.5 ~ 0.6 ~ 4 32-50 • 10yr6/8 f1d7.5yr5/8 s Osg ml cw - 0.7 0.8 J 5 50-65 > 10yr8/4 m2p7.5yr5/8 s Osg ml - - 0.7 ~ 0.8 Remafics: 1 0-10, 10yr3/2 None sl 2fsbk mvfr cs 2f&m 0.5 0.6 2 10-25. 10yr3/4 None sl 2msbk mfr cs 2f,lm 0.5 0.6 3 25-34- 10yr4/4 None sl 2fsbk mfi cw if 0.5 0.6 4 34-48- IOyr6/8 f2d7.5yr5/8 s Osg ml cw if 0.7 0.8 ~ 5 48-64 ~ 10yr8/4 m2p7.5yr5/8 s Osg ml - - 0.7 ~ 0.8 '~ 6 64-70. 10yr8/4 None SSBR Om - - - np np Remarks: ---._ CST Name (Please Print) Signatu ~ Telephone No. James K. Thompson S~ 715-248-7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, 54020 6/8/00 3602 1251 PROPERTY OWNER: Halle Builders, Inc. PARCEL I.D # 018-1082-10-120 1D~ 30 29 17 575 3 Ground elev 103.25 f Depth to limiting factor 41" SOIL DESCRIPTION REPORT ,2s~ Page 2 of 3 A t, F Coil Rc Site Evaluations Depth Dominant Color Mottles Structure i t B d Roots GPDIftZ Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. ns ence s oun ary Bed '~ Trench 1 0-12 . 10yr3/2 None sl 2fsbk mvfr cs 2f&m 0.5 0.6 / 2 12-23. 10yr3/4 None sl 2msbk mfr cs 2f,lm 0.5 ~ 0.6 / 3 23-35. 10yr4/4 None sl 2fsbk mfi cw if 0.5 ~ 0.6 4 35-41 ~ 10yr4/6 None lfs lmsbk mvfr cw if 0.5 ~ 0.6 ,/ 5 41-70 ° 10yr6/8 m2p7.5yr5/8 s Osg ml - - 0.7 ~ 0.8 ~ KemarKS: - Ground elev Depth to limiting factor Ground -- elev Depth to limiting factor Ground elev Depth to limiting factor ,. D weer: Buy /da!S Tin N . !//3 hwy. ~y svo~ 7 Loco-~i N'~ /oE/Z o~/a L~o~'/yeQ oloW,Pd~e, O.FI~ irf MOnc~ .JG. e!'O/ ~. G ; c.9 ~. 5;r y/ " "i1 old Or1 " ~ Vc/. ~ .30. Z9. /T. y61~ 30 ~o '~° ASE . a•~1.:To 04' lO~ S = /o~.2G o !o ~O~ // A ~o3.o"Cattoccr /of /.2 l 8i ~~ ' ~~ ~ ~~o(~USed /Yloccnd ,~33 ;r 9-7.5' ~~ ~ proposed ,~ S % ', \ 3 bedroc.n ~ "'°~e res,denee \ ~ ,~ \ ~- \=' •~ ~ ~ r ~~ OO ^ sz K ~, 3 0~'3 P.•f • P~dA. s~ I~ 8 ~s~ sr.«~ ~^ ? I 1L11 ST CROI~ COUNTY SFpTfC ':'ANK MA(NTF?NANCE AGREEMENT OWr,ERSHIP CEkt'I~Ii~ICATI4N FORM O~viler/Buyer ____--~~~~j U,i, ~GCQho~ yam, ~. ` R~~„/~-~ 1~;~ ~: ~~ ~v r~~~,~, Mailing Address ~_ • / ~ ~ 3 ~ ~'~ ~,w ~'~ h,.e ~ / ~D/ -~ Property Address _r Lo'~ l~~~ec~,pw ~~_ 7oa 1 S 1~~~ ----- - (Varifica;ttuu rcgairt:d frou ~ Planning Uap~rtmcnt for new constn-ction)`~~~, •,__. 5 7 ~ ._- City/State _ -nrr-y~-B~ i • , parcel Identification Ntunber 30• ~ • ~ 7, - L~GAX,, bESCIiIPTiOi~ I'rap~rty z,ocatia~ .~.-- ~/<, _..,_-- '/,, St t;. 3 D T ? ]..-fit-~_ 1 ~.W. TowrY o£ ~ __. Subdivision ~~9w~ w~ ^ _ -__ ~.... , 1Lot t~ .~.1~..~_ Certified Survey Map # ~Vat'ranty Deed # Spec b~ouse [~7 yes ~ no . 'Volu.no~.e ~, Page # .Volume Page # _-, ,._.__ L.ot Linos identifiable ~ yes O no ,~~ 1 _ .J - _ ! ~~ . ~' SYSTEM MAII~ITFI~IANCE Irnpropcr use and maiatenanceaf your sel pc tryetcm cnnld tesutt in its premature fas~ure to beadle wastes. Proper maintenance consists of ptttxlping ont the septic tank every tbr~ a years or saoatr, i£aeadodby a liconsed pumper. What you rut into the aystean raft affect flat; fuactian of the septic tank as a trra meat stage in tho waste dispasat ayat~m. The pt'operty owueT agrbee -o sub~mdt to St. Ct'Qia 7.~niag L~opartcnent a cnidfiCatiua foam, signed by the t»mer and by a masterpluaubar, joumeymanpltutrber, resttictedpl< ixnber or a llcenaedpumpen vetifyiag that (1) t}ae on-site wastewaterdisposal system is in ptoper operating conditicw and/or (2) a8er in: ~pectioa a,qd pumpiog (if zieeassary), the septic tsualc ie lass than 1/3 full of aluAge. tlwe, t}ae undersigned have read the above rcquirc~ bents and ag~rao t~~ maintain the private sewage QispO&al aystcm with the at8lldArds set forth, herein, as stt by the lle~partmettt of Coed aezce tancl the L~eparhnant of Natural Resources, Ststo of WisQOASin:. ~Ft4i.if~tion stating that your he tem ban been main ea I mtl9t be completed and raturnad to the St. Carratx County ~oniag OflF'iee ttrithin 3a days of~e a yeA,~xplration d$te. .~ . _~ ~'~/ O t7ATE OWN~It CEItT~k'fC TA I.ON . I (tve) caxtify that all stato ats on this ; -rm~ are true to the boat of my (our) iwowtedge. i (wn) am (are) the owner(s) of the pru~p ~ as t ve, a of a watra ity doed tecorde;i {n Rtgitter of heeds office. _ _ _ __. ~~f /O o GN GF APpLICA14'l' T~ATp ~•+4«.r.r y Formation that is tnis-represented rr ay roault in the sanitary permit being rcvolCOd by tb,~ Zoning Department. •••'`•• "" InctudE with tuffs application: a stamped wart irtty dotQ from tho Register of Detds gftL:c a copy of the a rtlfied stuvey reap if refrreace is ,Wade so the waN~ty deed f 06/29J00 THiT 14:13 FAA 718 388 4687 REGISTER OF DEEDS, ••. _ -• 0 002 uYL• ;+r.ea. i ~..Gw~s.•::r ~...::.~r n.re!i...o.•ti .L«... -uiw{ih+a/v~'~.ei'f.7.1.'G~i:~70a ;.4Y-`uVfii.l«.Q~ - •F,_ _ _ _ L..r'~1+~^rt ~~ ••S~w), Gv.+•~.ei . , . i~~~~ t 1i0. ~ ~ .. ~ ~. iwi9i'lS~hi7N i !' Y4a~Yr ~ ~~ ' ~ ~ ~eY' lRAR6~ 14.Z ~ ~ .: ^ . ~ ~ . ' S3''AT~ S~iS 41'P' 6i71'SCQM$f~fiT 1i'{i8~ t- a~ ae~• .. .»•~ ~Y: a .. •T ...:........:.............,.....».......»».......................................:..........._.__.... DEC 3 4192 coal~ega aad crarcantb to ~. ~ILIT,~.B9.F..~ItS:..-.~-.,t~i~~~,~t•- ...... ' ~0:3tf A. !M =glTo79'inffi da~les'lbe3~ra-1.~LO IR ,,. _.-_.--~~ w'.C~eOix• ~-..-...-.•-..Canty • ' ~~8i! Ot . $ovthe~st Qtsgster of .tsar Southeast Q>arter o[ Section 3d~-29-17 88C8P'r dsonth '~'. 12 rods a! the Sant 20 rods hereof. - .. ~ ' ~.~ ~~ TOG8I~IER Ti1ITH sad SUBJECT 1''0 reaervatiana. reBtsYctioae, easements and seta-of-stay of racard, if say. Ths ._...... ie. ibOt-~ homeste,~ F~P~7 Ora4 ~ ([s not) Esceptiea to ararrantks: . Dated tlua -----.._w `~f{... _.-.-, . -------.• day of .................~•t......... ..---•----~ 19.---~Z. ...._._ :.......................••--._..-----=-------...-----{SEAL? ---- -- .. -...__..:..._....-. .-._...........CS&AL) ' ---- -~.........-.._-------------._ ............................{ffi'LAL) I .~1~u~f.~'F`:'r•-.LSE+1L) , ~,QTSpiHTIQAgt~lr ACSNOWLSDG1K~Si4' ' ~natare{s) .._._........-,,...-..._ _....._ .............. $7,'ATlG O! WIffiOOl~FSII$" atltbaatieatea ~ _......da-I a~._-._ -. 1YG..»_ l~tt arms Ifefone me this ...1 ~ ~.~..`...d+t9 od '. ..........~&!flP~4f:..--...-.-___~ l9..92. the ai~o.,e named ~~a'[EI~EE S?A'PE IIAB 0! WI3CA uyy~, --.........».._....... -....~_._........... _~-___~_ tavR~ e3 ~ 4 7mbJOb+"/~~. ` ~.~..~ ~~ - - - -._ ~.. ..-- -------_ -~.. ..GSao~tl+ed the ~, . ' . T-t~S ~HSravMr6wr wws ~e~-rf'esf t~ ~ ~ ~ ~ ~ ~ ~f Po~Yia .__-lea.. ~T.~3.y-----------__Coltntf. Wis. { ms a mamma ar . '~ r. ~. r*t. It ~. espi +lrem~a of D+eNns ~ is w +.i~1~ .tiwN M dreii or srrmf.i 6dow q~+!! nsaa'b~ ~' , 87.123 S0. FT. ~ m C •/ I N I ;' , a~/ W ` . ~• l00 L 5 °~~ 00 N i I ~h1 h I i ~4 S89°17'24"E 338.49' ~ ' ~ ' I . ~; s ~ O ~aT II ~~~ a` 2.01' ACRES ~ I r ' ~ 0 ~~ ~ 87,440 S0. FT. ~ ~ ~. L'OT 2 N N '~- o ~ ~ _ U N ~ ~ 12~~° 2.0o ACRES ~ ~ r*t (),I 1 I tAOi- 87, 1 19 SQ. FT. ~ ~ ~_ ~ I \ 3 I .~ p~ ! ~~O E ~ w ~~ J0 Ors 14 ~0 \ 2 - ~ p, g $ ~ ~O ~~ S85°20'58"E -A ~ ` 320.48' W O N89°19'03"E '•286.94' , ~ .• ~ \` 661 ~ O i~ 1~ '~ 6 I ~ I :LOT LOT 12 ~ ' ~ ~ ' ro $ ~ 2.00 ACRES v "` _ ~ 2.00 ACRES O° O :87, 123 SO. FT. ~ O 87, 120 S0. FT. ~ ~ ~ A .__...... __..... ... ; m ~ I I -•--............._... .............. _~ ~ ~'" o g p - S 89° 58' 06"W O 662.02' - w ~ __ w - 313.00' - - ~ 66.00' - - 283.02' - - - 8 _ fZOAD ~ DEDICATED TO THE PUBLIC w LINE OF THE SE li4 ~ S89~ 58' 06 "W 662.05' w w Proposed access to Lots 1 and I2 are to be from new Publ: Bach Parcel shown on this map (plat) is subject to State, and Township laws, rules and regulations (i.e., wetlands, r lot size, access to parcel, etc.). Before purchasi developing any parcel contact the St. Croix County zoaing and appropriate Town Board for advice. p rVITH