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HomeMy WebLinkAbout030-2102-10-200 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 569556 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Laroue, Christopher& Helen St. Joseph, Town of 030-2102-10-200 CST BM Elev Insp.BM Elev: BM Descripti�f`':� p Section/Town/Range/Map No: 110U' 0 110610 2c� I YG dYl I V 29.30.19.8306 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic //_ /� Benchmark Dosing Alt. BM T o eaV Aeration 1FL"7D Bldg.Sew/epr I p k cal-Zo 'owJ--;P1.. 11)3 ,1-7 Holding St/Ht Inlet 4_<-/p7 51- <,A,j/d TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet a� � /r. Septic J r,1 Dt Bottom IV Dosing yul Header/Man. Aeration Dist. Pipe z V7 Holding Bot.System el q7. —7/ PUMP/SIPHON INFORMATION Final Grade �� �OZ�G7 Manufacturer t DeP^and St Cover4 G Model Number TDH Lift Friction Loss stem Head TDH Ft Forcemain Length Dia. Dist.to-Well I SOIL ABSORPTION SYSTEM BED/TRENCH Width I Length 4- No.Of Tren hes PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS (a` /V- SETBACK SYSTEM TO PILIV JBLDG WELL LAKE/STREAM EACHING Man O urer � r INFORMATION Typ f System: / t HAMBER R Model Numbers (_ DIS IBUTION SYSTEM 6 BaderflAnifol Ngtribution L ��/ x Hole Size x Hole Spacing Vent to Air Intake IN a Pipe(s)� ` �„_�— IOa Length t0 Dia Length Dia Spacing_(Q_ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bedrrrench Center Bed/Trench Edges Topsoil 7�_ Yes No Yes C OMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / _ �_ Inspection#2: / / Location: 470 Highland�View Houlton,WI 54082(SE 1/4 SW 1/4 29 T30N R1 9W) NA Lot 31 _�`'C) Parcel No: 29.30.19.830B 1.)Alt BM Description= / P Fin a.,he lo—Crum _ -V Zp"awi- 2.)Bldg sewer length= V r / -amount of cover= -f�0'y✓f �/'G�'�i`d��7�A�'�� T�0'�.` "e �L�?./^ri' 1 3� �`/ Plan revision Re uired? Yes /No Use other side for additional information. L✓�_�__ ` I Date Insepctor's Signa re Cert.No. SBD-6710(R.3/97) Pg of 0 Private On-Site Wastewater Treatment System (POWTS) PLOT PLAN . PROPERTY LOCATION FILE INFORMATION Owner 1/q Section , TN,R / 7 EorW OCity, Ovillage,f4Town of Sf 05' elo � PIN# County,WI 0� f� — h � e k aret 60 — County 1 o 1 Safety and Buildings Division 3T t�Ox ` �. 201 W.Washington Ave., P.O. Box 7162 Sanitary Permit Number(to be filled in by Co.) 1 Madison,WI 53707-7162 AtHPAID nation Sanitary Permit Application N�umb`r in accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note:Application forms for state-owned POVN Ee submitted to Pro'ect Address if different than mailing address) p the Department of Safety and Professional Servies. Personal information you provide may K 1p secondary 7 /� / AID u oses in accordance with the Privac Law,s. 15.04 I m Stats. m/ ��(O I. Application Information-PI ase Print All Info ation Property Owner's Name e, �,y` ,4Y cel# �'�r I s ..L. r vv `'oM, c �5� X 30" Property Owner's Mail Iiing Addre /7),O COL Property Location g� 3 � )Oa v l Govt.Lot J City,State Zip�Code Phone Number — `c^ � y,,SW y,, Section (circle on T N; R E or b II.Type of Building(check all that apply) Lot# �� Subdivision Name Al or 2 Family Dwelling-Number of Bedrooms J 6k e-, Block# /'�/ Itily 17 ❑Public/Commercial-Describe Use 1 ❑ City of C4 VV, M Nu ber n El Village of ❑State Owned-Describe Use Town of I c..J 23 w. '62,11 III.Type of Permit: (Check only ont box online A. Complete line B if applicable) U16 l z �j Zb� A ANew System ❑ Replacement System ❑ Treatment/Ho I ding Tank Replacement Only ❑ Other Modification to Existing System(explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal C1 Permit Revision ❑ Change of Plumber ❑Permit Transfer to New Before Expiration Owner I IV.Type of POWTS S stem/Com onent/Device: Check all that apply) KNon-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound>24 in.of suitable soil ❑ Mound a 24 in.of suitable soil ❑ Holding Tank ❑Other Dispersal Component(explain)_ ❑Pretreatment Device(explain) V.Dispersal/Treat nt Area Information: Design Flow(gpd) Design Soil Application Rate(gpds Dispersal Area gyired $� Dispersal Pro pose sf) System Elevation, VI.Tank Info Capacity in To I of Manufacturer Gallons Gallons Units t j u y N New Tanks Existing Tanks - J n v o °fir ' -� it U Septic or Holding Tank Dosing Chamber VII.Responsibility Statement-I,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name(Print) Plumb; ignature MP/MPRS Number' Business Phone Number s Plumber's Address(Street,City,State,Zip Code) VIII` un /De artment Use Only Permit Fee Date Issued Issuin ent Signature Approved ❑ Disapproved $ Own n Reason enial ���'G�© 5�� IX.Condit easons for Disapproval iacQ 2t�— 4—b �12_ Pry c�✓e , 1 l3eptic tank,eNluant t1Rer tend . .dispersal*,must all be sr_es t m inls# aired as per mana""rit plan pmva klY piw"- ,F as PM'apipNcibis code! Attach to complete plans for the system and submit to the County only on paper not less than 8 rn x 11 inches in size SBD-6398(R.11/11) Pg / of Private On-Site Wastewater Treatment System (POWTS) Index and Title Sheet • Owner: C n 61 S a r C)0 e Project Name and System Type: 4D Yr /Vila/ ✓2- ra/l Location: -��9 )'`/rc/q &Z 0-/ /1 Street Address Legal Description — •a '1 d,sP1(� edi x r,� Township/County Contents: Page 1: .-47 X 9/ / t GJ+Q Page 2: P1 i94 A m Page 3: Page 4: K14er- Page 5: Page 6: r L014 6&4 Page 7: Page 8: Page 9: Oclrroly?6 Attachments: S) Plumber/Designer: — Signed: '/ �/ Credential Number: ol �� Date: cy1`1 Pg of Private On-Site Wastewater Treatment System (POWTS) PLOT PLAN FILE INFORMATION PROPERTY LOCATION Owner Gh , Section a r°vU '/a, '/d , T�N, � EorW OCity, OVillage, 14Town of S/ �G elloh PIN# S f ®r®ix County,WI N �,a W E 1� f� -Agh Vrk o ea� op e/i ,elf kA V/1 a /#'tie.,04eS a" td 1 ✓ i Soil Absorption Srj2m Cross Sectllon C Schedule 40 Final Grade PVC Vent Pipe With Vent Cap Leaching �. 3 ft Chamber ~ System Elevation ft -eft ft Soil Absorption System Plan View �ft . Leaching Trench 1 ft Chambers 4'Dia. Trench 2 • Header Vent Or Observation Pipe Trench 3 Leaching Chamber Specifications Manufacturer And Model --��I�-/T('Q ��" Q I, EISA Rating o sq ft per chamber Soil Application Rate gpd/sq ft gpd Design Flow? Soil Application Rate /9,7, EISA= ?2," Chambers ows of cv� N chambers each. 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III I IL, I II ,,VIII, IVI I li I i 11) />�Iii\ :I ',I II'll I911I�1!911 I I Il 161111111111111 l!I IIIII IIII- I ii �llf�,�_. 1 1111111 ijII'I' 1111 11IIli VIII i I I I � •d I� '�'��Illlllllllllllilil!i!ii'` �� III,�IIII ' IT I I II II' I, ! , II,IL� I I I, i 1 II II I III ll/ II_�II 111111 IIIIIIIIIiIIJ III I III!illllll III I 1 ,- II II! ill I l!. I. � I %llllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll r L / � o� / l� s° ��r�,%����it it-r�l��i� ��� �, ,;�. �� I • . . ' Page of � During power outages pump tanks may fill above normal highwater levels.-When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to j restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONEMENT: When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with ch. Comm 83.33, Wisconsin Administrative Code: •' All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN: If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ,ll3t A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. 0 A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWYS technology a holding tank may be installed as a last resort to replace the failed POWTS. O The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS: ` POWTS INSTALLER POWTS MAINTAINER Name Dennis Hewitt Name Phone 715-821-4682 715-386-8668 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Agency f n Phone Phone This document was drafted by the staffs of the Green Lake, Marquette and Waushara County Zoning and Sanitation agencies. This document meets the minimum requirements of ch. Comm 83.22(2)(b)(1)(d)&(f) and 83.5411), (2) & (3), Wisconsin Administrative Code. Use of this document does not POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Lbrt' Septic Tank Capacity j` gal ❑ NA.'IV Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units .R(NA Pump Tank Capacity al J&NA Estimated flow leverage) �(,� gal/day Pump Tank Manufacturer RNA Design flow (peak), (Estimated x 1.5) al/day Pump Manufacturer IR NA Soil Application Rate gal/day/ft' Pump Model JR NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ] NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) :5150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODS) 530 mg/L In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L At NA ❑At-Grade ❑ Mound Fecal Coliform (geometric mean) 5104 cfu/100ml ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size YB in dia. Q NA Other: ,B(NA Other: J4 NA Other: )a NA *Values typical for domestic wastewater and septic tank effluent. Other: NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑month(s) (Maximum 3 years) ❑ NA . ,I ear(s) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA Inspect dispersal cell ❑ month(s)s) At least once every: Q year(g) (Maximum 3 years) ❑ NA 13 Clean effluent filter At least once every: ❑ month(s) ❑ NA M year(s) Inspect pump, pump controls & alarm At least once every: ❑ month(s) 4 NA ❑ year(s) Flush laterals and ressure test At least once ever ' ❑ month(s) NA p y' ❑ year(s) Other: At least once every: ❑ month(s) NA ❑ year(s) Other: NA I MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cells) shall.be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components,pretreatment units, and any servicing at intervals of :512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM i Owner/Buyer Mailing Address Property Address �70 He, 4 X,.� IX-e L­, Pot— (Verification required from Planning&Zoning Depa ent for new constnrction.) City/State �i!U�� G'� Parcel Identification Number 63L )l Da- Id- LEGAL DESCRIPTION Property Location r/4 , r/4 , Sec. T 3 NR C __a_W, Town of 5'i Subdivision ,/°5 161 , Lot# . Certified Survey Map # y Z 4 f e� , Volume z , Page# 7,6 z Warranty Deed # v o Z , Volume _, Page# Spec house yes no Lot lines identifiable es no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner,if needed,by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in§Comm. 83.52(1)and in Chapter 12-St.Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning&Zoning Department a certification form,signed by the owner and by a master plumber,journeyman plumber,restricted plumber or a licensed pumper verifying that(1)the on-site wastewater disposal system is in proper operating condition and/or(2)after inspection and pumping(if necessary),the septic tank is less than 1/3 full of sludge. I/we,the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth,herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning& Zoning Department within 30 days of the three year expiration date. [/we certify that all statements on this fo are true tp the best of my/our knowledge. I/we am/are the owner(s)of the property described above, by virtue of a warrant deed recorded in Register of Deeds Office. Number bedrooms IGNATURE OF APP T(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning&Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV.08/05) DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-2003 I I I II I g1 g 1 4 5 i WARRANTY DEED TX;41 988245 THIS DEED,made between Jack G.Davis and Marilyn J.Davis,husband and BETH PABST wife("Grantor"whether one or more)conveys and warrants to Christopher J. REGISTER OF DEEDS . aroue and Helen T.Laroue,husband and wife("Grantee", per on or ST. CROIX CO., WI more),the following described real estate in ST CROIX County,State of 10/28/2013 4:42 PM Wisconsin: EXEMPT#: NA Lot 31 of Certified Survey Map filed May 2,2006,in Vol.21 of C.S.M.,pg. REC FEE: 30.00 —97 as Doc.No.824141 located in part of the SE%of the SW'/<of Section 29, TRANS FEE: 207.00 Township 30 North,Range 19 West,Town of St.Joseph,St.Croix County, PAGES: 1 Wisconsin;being part of Lot 30 of the Plat of Highland Hills Second Addition. RETURN TO St.Croix County Abstract&Title Co. Inc. 219 S.Knowles Avenue New Richmond,WI 54017 Tax Pa5aAiq,,, 030-2102-10-200 This /is not mestead property Exception to warranties: Municipal and zoning ordinances and agreements entered under them,recorded easements for the distribution of utility and municipal services,recorded building and use restrictions and covenants,and further except 2013 real estate taxes. Dated this 10th day of October,2013. , Jack d.Davis Ae �(�i✓J Marilyn J. v s AUTHENTICATION ACKNOWLEDGMENT Signatures authenticated this day of STATE OF WISCONSIN 20_ ss. COUNTY OF ST.CROIX * TITLE:MEMBER STATE BAR OF WISCONSIN (If not, Personally came before me this I Oth day of October,2013,the above named Jack G.Davis and Marilyn J.Davis,husband and authorized by§ 706.06,Wis.Slats.) wife to me known to be the person(s)who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY ra•+'.'"'�a.•. _ Robert L.Loberg/Loberg Law Office * / �� r ai,@_..••'""• ../B'i�%. Notary Public County,.Wises-V, �►N •'t'iL✓`" 1316017/asc V My Commission is permanent. ;• (Signatures may be authenticated or acknowledged. Both are If not,state expiration date: not necessary.) 7!� �''.• :'tE f l�••',yam�°•.•w*�.•••'.�,•,.: "Names ofpersons silming in any capacity should be typed or printed below their signatures. WARRANTY DEED form No.1-2003 1 of 1 �Visconsin SOIL E OR "'�' #1411 Department of Commerce in accorda m.C e Page 1 of 3 Division of Safety and Buildings Schmitt Soil Testing,Inc. c only Attach complete site plan on paper not less than 8%:x 11 inche in si . Plan must St.Croix include,but not limited to:vertical and horizontal reference poi (BM),direction and percent slope,scale or dimensions,north arrow,and location a id dis1g7IMtaOi0b&Wt.1hWff Parcel I.D. 030-2102-20-OW- Please print all information. Reviewed D Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). �C 117-7, b Property Owner Property Location Davis,Jack&Marilyn Govt.Lot SE1/4, S S29,T30N, R19W Property Owner's Mailing Address Lot# Block# Subd.Name o CS 468 Highland View Road 31 Highland Hill d Add'n City State Zip Code Phone Number City E Village Z Town Nearest Road Houlton WI 1 54082 1 715-247-6461 St.Joseph I Highland View Road ❑New Construction Use: ❑ Residential/Number of bedrooms 4 Code derived design flow rate 600 GPD ❑Replacement ❑ Public or commercial-Describe: Parent material Glacial till Flood plain elevation,if applicable NA ft. General comments and recommendations: Area is suitable for a conventional system with a 0.4 gpd/sgft rate. Possible system elevation for Area 1 is 97.60'. (3)trenches. F-11 Boring# Ground surface elev. 100.45 fl. Depth to limiting factor 96+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. •Eff" *EW2 1 0-9 10yr3/2 none sl 2mgr mvfr as 3vf .6 1.0 2 9-16 10yr4/6 none grscl 2msbk mfr gw 2vf .4 .6 3 16-28 7.5yr4/4 none grsl 2msbk mfr gw 1vf .6 1.0 4 28-50 7.5yr4/6 none sl imsbk mfi gw ------ .4 .7 5 50-96 7.5yr4/6 none sl imsbk mfr ---- ------ .4 .7 i it # ]Boring ❑ Ground surface elev. 100.85 ft. Depth to limiting factor 97+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eft#1 *Eff#2 1 0-7 10yr3/3 none sl 2mgr mvfr as 3vf .6 1.0 2 7-13 10yr4/6 none scl 2fsbk mfr gw 1vf .4 .6 3 13-19 7.5yr5/4 none grsl 2msbk mfr gw lvf .6 1.0 4 19-41 7.5yr4/6 none cbsl imsbk mfi gw ----- .4 .7 5 41-97 7.5yr4/6 none grsl 2msbk mvfr ---- ------ .6 1.0 9t t "Effluent#1 =BOD 5>30<220 mg/L and T >30<150 mg/L "Effluent#2=BOD5 s30 mg/L and TSS S30 mg/L CST Name(Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Schmitt Soil Testing,Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond,WI 54017 4/12/2006 715-247-2941 SbV4330(R.07/00) Property Owner Davis,Jack&Marilyn Parcel ID# 030-2102-20-000 Page 2 of 3 F,31 Boring# ❑ Ground surface elev. 96.05 ft. Depth to limiting factor 96+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-12 10yr3/3 none sl 2mgr mfr as 3vf .6 1.0 2 12-24 10yr4/6 none scl 2msbk mfr gw 2vf .4 .6 3 24-40 7.5yr4/6 none sl 2msbk mfr gw 1vf .6 1.0 4 40-96 7.5yr4/6 none si imsbk mfi ---- ------ .4 .7 4]F Boring# Ground surface elev. 101.50 ft. Depth to limiting factor 96+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-11 10yr3/2 none sl wfsbk mfr as 3vf .6 1.0 2 11-21 10yr5/3 none sl 2msbk mfr gs 2vf .6 1.0 3 21-30 7.5yr5/4 none grscl 2msbk mfr gs ivf .4 .6 4 30-42 7.5yr4/6 none gris lcsbk mvfr gw ------ .7 1.6 5 42-96 10yr5/4 none Is Osg ml ---- ------ .7 1.6 F-1 Boring# 0 Al 11 Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Ef1#1 *Eff#2 *Effluent#1 =BOD5>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BODS<30 mg/L and TSS<30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format,please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330(8.07/00) Schmitt Soil Testlng,Bic. Page 3 of 3 Conducted by: Conducted For: Schmitt Soil Testing, Inc. Name: Jack&Marilyn Davis Thomas I Schmitt, CST 227429 Address: 468 Highland View Road 1595 72nd St. City, State, Zip: Houlton, WI. 54082 New Richmond, Wl. 54017 Phone: 715-247-29 1 Subd.Name: Highland Hills 2nd Add'n'97 Lot No.: 31 SE1 4 SWl 4 Sec 29 T30N R19W Y Le al Descri P Township, County: St. Joseph, St. Croix ®Bench Mark El. 100.00' Top of 2"pvc pipe Alternate Bench Mark El. 94.51'top of 2"pvc pipe Slope= 14% {� Scalb 1" =40' C/ Nw Ibt�� r ` �tl 5bT s 63 � is ct..i•..;tr 824 1 4 1 c SE? - 5 2006 C f Q. cater VOL 21 PAGE 5202 q�', SUIaVE�d A 9. - z-1 - HATALMM H. , �.r REGISTER OF DEEDS �""'r'- ST. CROIX CO. ST.CRQ rovn p RECEIVED FOR tECORD Z O n 05/02/20% 09:40AN S Z`!' SURVEYOR' REGORD o N g THE SOUTH UNE OF THE SWt/4 OF SECTION r CERTIFIED SURVEY NAP 29 BEARS S89'24.09"W AS REFERENCED TO M REC FEE: 13.00 THE ST. CROIX COUNTY COORDINATE SYSTEM COPY FEE: 3.00 PAGES: 2 g m LOT-8 PLAT Oo P G`�OCG"a(>aAND HULLS / o `� ��°'4 vA _�D � v -` - --�1-,.------- J -•1 vost C S- a 1.8•f R=SO2'40'27"W 33 �' z o�z° 'O 4.22' z=a S�' v -49 nrZ 111 £ o 01 E N N KtnOp \ 11 O p N , \ P C) � _ Z m \�� m NN W( A CO 0 CA C)4-- \� ZZ I� ==n 2 _ \ I ono O I � ohm r r a c� o I�i m rn � cr tom V t�s CO rn (tlj ooh ♦ov, Nk\ 2.�•t �� co "W CA oo w n3 ac mA O� I \9 j�v ice? c OD N`O 1 g O 31 C's n.ZA rn O 2 as a 5 ct 2. ^^a Sff��j rn� a�� �Arr3 � � �� CC7t � o � � C�i � r Q � o ♦ qg6�O�O'� � g � g � Ng m =O 1 s "' m O o • � D10O �'�� o �' 'moo v_„ !2 vm 1�I I _ I yyni �N��Q`-DsA z rn 01) -a p v i es Z dl za° o 8 om - c V m c l� Cp � g 32° -43 DC m Z 1+7 N p z �,. SHEET 1 OF 2 1 of 2 Vol 21 Page 5202 , I Parcel #: 030-2102-10-200 03/13/2008 04:11 PM PAGE 1 OF 1 Alt. Parcel#: 29.30.19.83013 030-TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 06/09/2006 0 Tax Address: Owner(s): 0=Current Owner, C=Current Co-Owner 0-DAVIS, JACK G & MARILYN J JACK G &MARILYN J DAVIS 468 HIGHLAND VIEW HOULTON WI 54082 Districts: SC=School SP=Special Property Address(es): '=Primary Type Dist# Description 470 HIGHLAND VIEW SC 5432 SOMERSET SP 1700 WITC I Legal Description: Acres: 3.008 Plat: 5202-CSM 21-5202 SEC 29 T30N R19W SE SW LOT 30 HIGHLAND Block/Condo Bldg: LOT 31 HILLS 2ND ADDN NKA CSM 21-5202 LOT 31 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-30N-19W SE SW Notes: Parcel History: Date Doc# Vol/Page Type 05/02/2006 824141 CSM 02/20/2001 638867 1589/196 WD 2008 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/16/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 61,900 0 61,900 NO Totals for 2008: General Property 3.000 61,900 0 61,900 Woodland 0.000 0 0 Totals for 2007: General Property 3.000 61,900 0 61,900 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 f PROPERTyOWNER Joanne Persico SOIL DESCRIPTION REPORT Pagg 2.,0 PARCEL I.D.# Lot #31 Depth Dominant Color Mottles Texture Structure Consistence Roots GPD/ft Boring# Horizon in. Munsell Cu.Sz.Cont.Color Gr. Sz. Sh. Bed Trerrh • 3 1 0-13 10 r4/3 none sil 2msbk mfr cs 2f .5 .6 2 13-35 10yr4/4 none sici lcsbk mfr gw if .2 .3 Ground 3 35-47 7.5yr4/4 none sl 2csbk mfr gw na .5 .6 elev. 101.0 ft. 4 47-84 7.5 r4 6 none cos osg mvfr na na .7 .8 Depth to limiting factor +84" Remarks: Boring# 1 0-14 10yr3/3 none sil 2msbk mfr cs 2f .5 .6 4 2 14-36 10yr4/4 none sicl lmsbk mfr gw if .2 .3 ................ Ground 3 36-52 7.5yr4/4 none sl 2csbk mfr 9w na .5 i .6 elev. 4 52-84 7.5yr4/4 none ms osg mvfr na na .7 .8 98.7 ft. Depth to limiting factor +84" Remarks: Boring# 0-12 10 r3/3 none sil 2msbk mfr cs 2f .5 .6 >.........ii:: 2 12-30 7.5yr4/4 none sicl 2msbk mfr gw if .4 ' .5 Ground 3 30-84 7.5yr4/4 none sl 2msbk mvfr na na .5 .6 elev. 103.4 ft. Depth to limiting factor +84" Remarks: Boring# Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) -Wis in�Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 d.abbr and Human 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 not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARcrikeT,. dimensioned, north arrow,and location and distance to nearest road. g APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION R D BY DA i PROPERTY OWNER: PROPERTY LOCATION96' Joanne Persico GOVT.LOT SE 1/4 SW 1 Y 9 T 3 r CR8& 19 PROPERTY OWNERS MAILING ADDRESS LOT# BLOCK# SUBD.NA f1 ;C 400 S. Second St. 31 na Hi hla is Sfid CITY,STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE )SOWN Hudson WI. 54016 ( E" [ New Construction Use [X] Residential/Number of bedrooms 3 [ J Addition to existing building ( ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate •5 bed,gpd/ft2 •6 trench,gpd/ft2 Absorption area required 900 bed,ft2 750 trench,ft2 Maximum design loading rate •5 bed,gpd/ft2 -6 trench,gpd/ft2 Recommended infiltration surface elevation(s) 99.9-98.0-97.5-95.20 It (as referred to site plan benchmark) Additional design/site considerations trench system design Parent material pitted glacial drift Flood plain elevation,if applicable na ft S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable fors stem [R S ❑U IR S El [R S ❑U U S ❑U 19 S ❑U ❑S CXU 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 Trend'1 1 .... 1 0-9 10 r3 3 none sil 2msbk mfr cs 2f .5 .6 2 9-30 10 r4 4 none sicl lcsbk mfr 9W if .2 .3 Ground 3 30-84 7.5 r4 4 none sl 2mcfr mvfr na na .5 .6 elev. 98.dt0 Depth to limiting factor +84" Remarks: Boring# 1 0-12 10 r3 3 none sil 2msbk mfr cs 2f .5 .6 2 12-32 7.5yr4/4 none sicl lcsbk mfr gW if .2 .3 Ground 3 32-84 7.5 r4 6 none ms oSg mvfr na na .7 .8 elev. 103.4 ft. Depth to limiting factor +84 Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200 ve. New Ri mond WI 54017 Signature: Date: 11-11-96 CST Number: m02298 62LL STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Joanne Persico New Richmond, WI 54017 MPRSW 3254 SEgSwg S29—T30N—x19w (715) 246-6200 town of St. Joseph lot #31-Highland HIlls Second Addn. N 1"=40' BM.= top of SE lot stake C el. 100' elk F� h(u' Gary L. Steel 11-11-96