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Home My WebLink About020-1016-40-1004 0 ~ °° h ti 0 ~ I o ~ ~ h w a" ~ tl h O N ti C 3 ~~ I I y v _ I ~ ° v y I i p a I j ~ Z p '~ ti m c n 1 ~ 0 0 '" ° ' I v ~ti I ~ Q ~ I M ~ ~_ `- Z in rn I E ti ~ ~ o ? I z E ~ U ~ N ~ `m m O. m a 7 I H d ~ ~ C S I o Z f0 ~ c a ° Z Q o` ~ a~ o a i ~ m~ ~ rn~ m z c ~ c ~ v I . N . ~ ~ U U n ~ ~ ~ C t7d f6 a~ a ~t ~ O.Xy N B C 3 ~~ a y 3 c ~ a Y L ~t Z V I c t a O ~ 2 Z ~ z I y ~ I aci c N C ~ o N ~ ~o ~ I _ m ~ y ,~ ~ m ~ d ~ c c as N ,D ~ ~ O ' E CO~ a~ o 33 0 0 0 0 „ z ~ ~ a a a ~ w _ v • N a ~ 3 y I ~ o h fA J (.) c O O ~ z I N N N ~~o ~ ~ ~ I N 2 ~ rn ~ ~ 0 ~ - o o 0 ~ c v ~' ' a U 'p d Q /~ to N O ~ N H N C E O E M m O ~ O ~ O O C S a o r \ 'S" t~D ~~ C C ~p N N ~ y C f y ° 2 ~ f ~ °' I ~ ~ o N N ~ ~ C ~ ~ n p C y .~ _ • ~ o ~ 2 Y o'~ o O C Z_ -~ ~ cq I O I `/ r/1 ~ y ' ~ ~ 0°1 ' ~ Q ~ . a ~ ` • ~ a d . ~ a r t A c°~a~ Oaic) , Parcel #: 020-1016-40-100 01/1212005 07:45 AM PAGE10F1 Alt. Parcel #: 12.29.19.72D-10 020 -TOWN OF HUDSON Current OX ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * =Current Owner 'KING, RONALD A RONALD A KING 1013 ARCTIC TR ROBERTS WI 54023 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description C T RL ' 1013 ARC TI SC 2611 SCH D OF HUDSON ( I ~ SP 1700 W ITC ~~(~~' " , " '- ~ ~~ ~~~/`'`/~ p p ~ ~ 7 r ~~ Legal Description: Acres: 5.310 Plat: N/A-NOT AVAILABLE SEC 12 T29N R19W PT SE SE COM SE COR; TH ' Block/Condo Bldg: N ALNG E LN 809.75FT TO POB; TH S 89 W 462.OOFT; TH N 500.40FT; TH N 89' E Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 462.OOFT;TH S 502.69 FT TO POB 12-29N-19W SE SE EZ-U-1512/381 Notes: Parcel History: Date Doc # Vol/Page Type 08/03/1999 608002 1446/524 WD 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 47695 308,400 Valuations: Description Class RESIDENTIAL G1 Totals for 2004: General Property Woodland Totals for 2003: General Property Woodland Last Changed: 06/05/2003 Land Improve Total State Reason 34,200 204,400 238,600 NO Acres 5.310 5.310 34,200 204,400 238,600 0.000 0 0 5.310 34,200 204,400 238,600 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 Batch #: PRGRM Specials: User Special Code 018-RECYCLING 001-WATER Category SPECIAL ASSESSMENT SPECIAL ASSESSMENT Amount 27.00 0.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 Wisconsin Department of Commerce Division of Sa#ety and Buildings SOIL EVALUATION REPORT n ~e+niwle..ro wiFh f^rvnm R~. Wic Atlm C`rvlG 1436 page 1 of 3 AC.E. Soil & SRe Evaluations ~~ Attach com to site Ian on not less th~ 8%: x 11 inches in size. Plan must pth . , p PePa St. Crone indude, but not hmrted to: vergcal and horizontal reference point (BM), dlredion and Par, I D percent slope, scale a dimemsiats, north arrow, and location and distance to nearest road. 1DSw ,~, tD~12.29.19.72D-10 Please print all lnfonnation. R Personal information You provide may be used for secondary purposes (Pnvacy Law, s. 15.04 (t) (m)). 1•~ 1, ~ I property Owner' Property Location Ron King __ __ 19 W Govt. NE 1/4 SE 1/4 S 12 T 29 N R Property Qwrter's Mating Address Lat # ~7 C Block # Subd. Name CSNfIf ~ ~ ~ [ r ~ ~L ~~ ~ 1013 Arctic Trail ~ 1 1 f/ Lx X/.~ LQ !- `2 Gity State Zrp Code Phone Number ~ .City ~ Vtlage ~ Town Nearest Roed Hudson ~ WI 54016 ~ Hudson Aim"~ ~~' New Construction Use: ~ Residential / Number of bedrooms `: ; -_ __ 4 _ Code derived design fkrw rate 600 GPD "_] Replacement J Public or cornmercial -Describe: Parent material Glacial outwash _ Flood plain elevation, ff applicable nor Gen ral comment ~ ~ ~~: e s and re~ornrrtertdatio ns: Replacement area requires At-Grade system. ~ ~~ ' . ~`~ ~ ~ ~~ . i. _T~t -:° 1 t3ari # -- ~ ~~ -... > 130" i t~ PR Ground Surface elev. 98.70 R. Depth to n. 1aruting factor Soil Applica~n Rate Horizon Depth Dominant Cola Redox Description Texture Struchue Catsistence Boundary Roots GP DIft' `Eff#1 *E 1 0-10 10yr4/2 none sil 2f5bk ds as 2f,1m 0.5 0.8 2 10-16 10yr4/3 none sl 2msbk ds cw 2f,1m 0.5 0.9 3 16-40 10yr4/3 none scl 2msbk mft gw 1fm 0.4 0.6 4 40-50 10yr4/6 f2d 7.5yr5/8 scUsl 2msbk mfi aw 1 f 0.4 0.6 5 50-130 10yr5/6 none s Osg ml - - 0.7 1.2 Comm. 85. 3)2 applied to discount the presence of redox concerrtr~ions described in hl#4. a Boring # ~~ ,f..,.)/ Pit Ground Surface elev. 102.20 ft. Depth to litrdting factor > 156" in. Sa- Application Rate Horizon Depth Dominant Cofer Redox Description Texture Stnuture Consistence Boundary Roots GP Dfft~ *Eff#1 *E 1 0-12 10yr4/2 none sil 2fsbk ds as 2f,1 m 0.5 0.8 2 12-20 10yr4/3 none sl 2msbk ds cw 2f,im 0.5 0.9 3 20-42 10yr4/3 none scl 2msbk mfr gw 1im 0.4 0.6 4 42-59 10yr4/6 f2d 7.5yr5/8 scUsl 2msbk mfi aw 1f 0.4 0.6 5 59-156 10yr5/6 none s Osg ml - - 0.7 1.2 Carron. 85. 3)2 appl~i~t iscou tt~e presence of r~edo~c-concentrations de ces ribed in H#4. * Effluent #1 = BOD s 30 < ?20 mg/L acrd TSS < 150 mg/l uent = BOD <_30 rrg/L and TSS <~0 mg/l. CST Name (Please Print) Sg re: CST Number James K. Thompson `~s 3602 Address A.C.E. Sal & She Evaluations Die EvaluMior- Conducted Telephora3 Number 340 Paulson Lake lane. Osceola. Wl 54112 7!12101 715-248-7767___ property OMrrrer Ron King p~ tD # 020-1016-40-000, ID# Pa®e 2 of 3 ~~ # ~ Boring ~/~ Pit Ground Surfaxx3 elev. 100.98 ft. Depth to limiting factor > 141° in. ~ gppli~ian Rate Horizon Depth Dominant Color Redox Description Texture Stnrcture Consistence Boundary Roots "Eff#1 'Eff#2 1 0-12 10yr4/2 none sil 2fsbk ds as 2f,1m 0.5 0.8 2 12-18 10yr4/3 none sl 2msbk ds cw 2f,1m 0.5 0.9 3 180 10yr4/3 none sG 2msbk mfr gw 1fm 0.4 0.6 4 40-54 10yr4/6 f2d 7.5yr5/8 scUsl 2msbk mfi aw 1 f 0.4 0.6 5 54-141 10yr5/6 none s Osg ml - - 0.7 1.2 Comm. 85.30(3)2 applied to discount the presence of redox. concentrations described in Fpf4. o ~~ # ~~ !~"f Pit Ground Surface elev. 106.30 ft. Depth to limiting factor 49° in. ~ APPS Rate Horizon Depth Dominant Cdor Redox Description Texture Structure Consisterus; Boundary Roots : *Eff#'I `EfF#2 1 0-12 10yr3/3 none sl 2fsbk ds as 2f,1m 0.5 0.9 2 12-18 10yr4/3 none Is 1 fsbk ds cw 2f,1 m 0.7 1.2 3 18-22 10yr4/4 none sl 2fsbk mfr gw 1fm 0.5 0.9 4 22-32 10yr4l4 none sl 2msbk mfi gw 1f 0.5 0.9 5 32-49 10yr4/4 none scl 2msbk mfi gw - 0.4 0.6 6 49-65 7.5yr4/4 f2d 7.5yr5/8 scl 1 csbk mfi - - 0.2 0.3 Comm. 85.30(3)2 applied to discount the presence of redox. concentrations described in H#4. ^ ~~ # ~ Bonng Pit Ground Surface elev. 101.23 ft. Depth to limiting factor 50" in. Soil Application Rate Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots "Eff#1 *Eff#2 1 0-15 10yr3/3 none sl 2fsbk ds as 2f,1m 0.5 0.9 2 15-20 10yr4/3 none Is 1fsbk ds cw 2f,1m 0.7 1.2 3 20-32 10yr4/4 none sl 2fsbk mfr gw 1 fm 0.5 0.9 4 32-44 10yr4/4 none sl 2msbk mfi gw 1f 0.5 0.9 5 44-50 10yr4/4 none set 2msbk mfi gw - 0.4 0.6 6 50-68 7.5yr4/4 f2d 7.5yr5/8 scl 1 csbk mfi - - 0.2 0.3 Comm. 85.30(3)2 applied to discount the presence of redoac dons described in Fl1J`4. * Effluent #1 = BOD y> 30 < 220 mglL and TSS >30 < 150 mg/L • Effluent fC2 = BODb <30 mglt. and TSS <~0 mgll. The Department of Commerce is an equal opportunity service provider and empbyer. If yon need assistance m acxx;ss services or need material ar an ahemate format, please contact the department at 608-2b6-3I5I or TTY 648 2b4-8777. pity Owner Ron King .Parcel (D #.., 020-1016-40-0~, ID# __ _ --------- Page - 3 -- a- 3-- a# J~~ Pit Ground Surface elev. 105.85 ft. Depth to limfing factor >89" in. ~ Apps Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rods "Eff#1 "Eff#2 t 0-12 10yr4/2 none sii 2fsbk ds as 2f,1mc 0.5 0.8 2 12-18 10yr4/3 none sl 2msbk ds cw 2f,1mc 0.5 0.9 3 18-66 10yr4/3 none scl 2msbk mfr gw 1fm 0.4 0.6 4 66-76 10yr4/6 f2d 7.5yr5/8 scUsl 2msbk mfi aw 1f 0.4 0.6 5 76-89 10yr5/6 none s Osg mi - - 0.7 1.2 Comm. 85.30(3)2 applied to discourrt the presence of redox corx~errtrations described in ftd4. ^ Baring # Boring ~ Pit Ground Surface elect ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boun~ry Rods 'Eff#1 *Eff#~2 ~~ # ~ ~n9 Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Cdor Redox Description Texture Structure Consistence Bound~y Rods `Eff#'1 *Eff#,2 Effluent #1= BOD 5> 30 < 220 mg/L and T5S >30 < 150 mglL * Effluent #2 =BOOS <_30 rrglL. and TSS <,~0 mglL 'fhe Department of Commerce is an equal opportunity service provider and empbyer. if you need assistance to access setvioes or need material in an alternate format, please contact the deoarlment at 608-2b6-31 Sl or 1TY 608 264-8777. ~~ ~~~' ~ i ~~ ^ so~% OaSe~~~i PE'E' ~ e : / :' yD ~~~~-~ Ta~% a~ ^ ay ^af goo o , ~~, m a,. d5 ^ ^ ^ y SY1~~ 8~ '¢~'ea ~o~ o~ 0 ' /nAO,C~~CnD~iC eyjo-n ~0% ~' vim'. Assumed e/. _ /00. ~. ~/ev` o.~ ~o~ o { S. T. o u f le ~ = 95~ 3a{3 ~~ ~7-i7 -~f Wisconsin Department of Commerce Division of Saferi and Buildings SOIL EVALUATION REPORT ...,.. .~~.,..d ,..ati r....,... a~ ~nr~ e.im (`.rvio 1436 Page 1 of 3 AC.E. Soil 8 Site Evaluations -- - .:. _ ..._ . __ County Attach complete site plan On paper not less 8h x 11 inches in size. -Plan must St. Croix include, but not limited to: vertical and h reference Point (BM), direction and p~ l D percent slope, scale or dimemsiais, n , and~nd distance to`nearest road. . . 020-1016-40-000, tD#12.29.19.72D-10 Please prl all in ~ fo `, ;: ~ 04 (1) (m)) 1$ P ' 1 ew s Reviewed By Dade or se Personal informatlon you provide may . ~ , . . co ses ( property Owner ---t , '~ ,~ ~ P[operty Location R r Ki ~ ~ n ~~ Govt: Lot NE 1/4 SE 114 S 12 T 29 N R 19 W , Ron n Property Owrva"s AAailing Address ~~.., N~C~ Lik# Btodc # Subd. Name or CSlufll 1013 Arctic Trail ~ -rd~°' City State Zp ; Pfwne. Wumber ~' ` ~ City J vNage ~ Town Nearest Raad , Hudson ~ WI 54016 ~ ='' Hudson Arctic Trail /~ New Construction Use: ~ Residential / Number of bedrooms 4 Code derived design flow rye 600 GPD J Replac~rrtent Public ar commercial -Describe: Parent material Glacial outwash Fkxxi plan elevation, if applicable na General corru'r~ents and recommendations: Replacement area requires At-Grade system. 1 7 I Being # .,.~ Borin9 L,__J i/ Pit Ground Surface elev. 98.70 ft. pepth to limiting factor > 130" in. Sail Appf~on Rate Horizon th De Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots GP Dfft2 p 'Eff#1 'Eff#2 1 0-10 10yr4/2 none sil 2fsbk ds as 2f,1m 0.5 0.8 2 10-16 10yr4/3 none sl 2msbk ds cw 2f,1m 0.5 0.9 3 160 10yr4/3 none scl 2msbk mfr gw 1fm 0.4 0.6 4 40-58 10yr4/6 f2d 7.5yr5/8 scUsl 2msbk mfi aw 1 f 0.4 0.6 5 58-130 10yr5/6 none s Osg ml - - 0.7 1.2 Comm. 85. 3)2 applied to discount the presence of nedcx. conrentr~ions described in HAf4. o~~# ~~ Ii Pit Ground Surface elev. 102.36 ft. pepth to limitng factor > 136° in. Sod Applicatiai Rata Horizon Depth Dominant Color Redox Descrption Texture Stricture Consistence Boundary Roots GP *Efl#1 OIft~ ' 1 0-12 10yr4/2 none sil 2fsbk ds as 2f,1m 0.5 0.8 2 12-20 10yr4/3 none sl 2msbk ds cw 2f,1m 0.5 0.9 3 20-42 10yr4/3 none scl 2msbk mfr gw 1fm 0.4 0.6 4 42-59 10yr4/6 f2d 7.5yr5/8 scl/sf 2msbk mfi aw 1 f 0.4 0.6 5 59-136 10yr5/6 none s Osg m{ - - 0.7 1.2 Comm. 85.30(3)2 applie isc Y"` the presence of rector. concentrations described in ' Effluent #1 = BOD ~ 30 < 220 mglL and TSS 30 < 150 #2 = BODS < 30 mg/L and TSS <~30 mg/L CST Name (P~e Print) S' ure: CST Number James K. Thompson 3602 Address AC.E. Sal & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulsor- lake t.ar>e. Osceola, WI 54020 7/12/01___ 715-248-7767 property p,M~ Ron King p~ lp ~ 020-1016-40-0, ID# Page 2 of 3 ~n9 3 ~~ ~ 100.98 ft. Depth to luniting fader > 138" in. Pit Ground Surface elev. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Stucture Consistence Boundary Roots `Eff#1 'Eff#2 1 0-12 10yr4/2 none sil 2fsbk ds as 2f,1m 0.5 0.8 2 12-18 10yr4/3 none sl 2msbk ds cw 2f,1m 0.5 0.9 3 18-40 10yr4/3 none scl 2msbk mfr gw 1fm 0.4 0.6 4 40-54 10yr4/6 f2d 7.5yr5/8 scUsl 2msbk mfi aw 1f 0.4 0.6 5 54-138 10yr5/6 none s Osg ml - - 0.7 1.2 Comm. 85.30(3)2 applied to discount the presence of redooc concentrations descn'bed in Ffli4. a Borng # -~ ~~ Pd Ground Surface elev. 106.30 ft. Depth to limiting factor 49" in. ~ APPd Rate Horizon De th Dominant Color Redox Descri tion Texture Structure Consistence Boundary Roots p p •Eft#1 'Et7#2 1 0-12 10yr3/3 none sl 2fsbk ds as 2f,1m 0.5 0.9 2 12-18 10yr4/3 none Is 1 fsbk ds cw 2f,1 m 0.7 1.2 3 18-22 10yr4/4 none sl 2fsbk mfr gw 1fm 0.5 0.9 4 22-32 10yr4/4 none sl 2msbk mfi gw 1f 0.5 0.9 5 329 10yr4/4 none sci 2msbk mfi gw - 0.4 0.6 6 49-65 7.5yr4/4 f2d 7.5yr5/8 scl 1 csbk mfi - - 0.2 0.3 Comm. 85.30(3)2 applied to discount the presence of redox concentrations described in H#4. Boring # -~ ~~ ~Y'' Pit Ground Surface elev. 101.23 ft. Depth to limiting factor 50" in. ~,gppr~n Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 'Eff#1 *Eff#2 1 0-15 10yr3/3 none sl 2fsbk ds as 2f,1m 0.5 0.9 2 15-20 10yr4/3 none Is 1fsbk ds cw 2f,1m 0.7 1.2 3 20-32 10yr4/4 none sl 2fsbk mfr gw 1fm 0.5 0.9 4 32-44 10yr4/4 none sl 2msbk mfi gw 1 f 0.5 0.9 5 44-50 10yr4/4 none scl 2msbk mfi gw - 0.4 0.6 6 50-68 7.5yr4/4 f2d 7.5yr5/8 scl 1 csbk mfi - - 0.2 0.3 Camm. 85.30(3)2 applied to discount the presence of redauc concentrations descn'bed in H#4. " Effluent #1 = BOD 5> 30 < 220 mglL and tSS >30 < 150 mglL * Effluent #2 = GODS a 30 mglL and TSS <330 mgll_ The Department of Commerce is an equal opportunity service provider and empk-yer. If you need assistance to access services or need mMerial in an altemabe format, vlease onntact the department at 608 2b6-31 S 1 or TTY 608-264.5777. Y ~ property Ow-ter Ron_Kut4- ___ - ____-- -----. _. Parcel ID #...020-1016-40-000,, ID#._. _. __------ Page __3___ d .._3 .~ Boring s ~~ # ~ Pit Ground Surface elev. 105.85 ft. Depth to limiting factor >89" in. Soil AppNcation Rate Horizon Depth Dominant Cda Redox Description Texture Structure Carsisterxe Boundary Roots *Eff#1 *Eff#2 1 0-12 10yr4/2 none sil 2fsbk ds as 2f,1mc 0.5 0.8 2 12-18 10yr4/3 none sl 2msbk ds cw 2f,1mc 0.5 0.9 3 18-66 10yr4/3 none sct 2msbk mfr gw 1 fm 0.4 0.6 4 66-76 10yr4/6 f2d 7.5yr5/8 scUsl 2msbk mfi aw 1f 0.4 0.6 5 76-89 10yr5/6 none s Osg ml - - 0.7 1.2 Comm. 85.30(3)2 applied to discount the presence of redox. concentrations described in H#4. ^ goring # J Baring Pit Ground Surface elev. ft. Depth to Nmiting factor in. ~ gppNcation Rate Horizon Depth Dominant Cokx Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 Boring # e;j Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. ~ ppp Rate Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots *Eff/t1 *Eff#2 * Effluent #1= BOp ~ 30 < 220 rrxyL and TSS >30 < 150 mglL * Effluent #2 =GODS <30 mgll. and TSS a~0 mgll. The Deparnnent of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need mater~i in an alternate format: vl+e~ contact the department at 608 266-3151 or TTY 608-2645777. .. ^ So;/ Oase~r,~a~a. . p,•~ ac ^ ~~~~~G ay Ta,% ^ ^ io6 c • ioo. p , bl ~ ~ Bo, na-~~ ~. : Tjo o{Sfee ~ . ~ ~'ence~Do.S~~. Eler/: _ /08,8$; ,• // ~A or ^So,o~'c ma-n !to% eov~'. AssunleC~ e/. = /DO. ~. ~/ev`Q~z~~ o{S. T. oufle~ = 9S.Sb,~ p~. 3 d{3 /'~ Wiscansi~Depa Safet~P and Build GENERA Personal inforrna Permit Holder King, Ron CST BM Efev.: County: St. Croix Sanitary Permit No.: 383998 State Plan ID No.: Parcel Tax No.: 020-1016-40-000 rtment of commerce PRIVATE SEWAGE SYSTEM ings Division INSPECTION REPORT L INFORMATION (ATTACH TO PERMIT) lion you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)J. 's Name: ^ City ^ Village Town of: TANK INFORMATION Hudson Township Fi FveTl[)N DATA TYPE MANUFACTURER CAPACITY Septic ~ ~ ZUU Dosing i C~ ~~ Aerate on Hold' TANK SETBACK INFORMATION ,.___/ _ _ TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic > j 0 ~ / NA Dosing > ' `>~ ~ ~ NA NA PUMP /SIPHON INFORMATION . Manufacturer Demand Model Number ! GPM TDH Lifty,'~ Friction System TDH Ft Forcemain Length ~ ~ / Dia. Z +' Dist. To wee) STATION BS HI FS ELEV. Benchmark ~ , ~ ~ ® O Alt. BM ., ~ ~S~ j . Bldg. Sewer/ d 2. p ~' , Ht Inlet Z, ~ ~. ~ S / Ht Outlet Dt Inlet j , ~ ~ `/-.~~ Dt Bottom . 3 ,~ Header /Man. (~- (,,(7 ~,j ~" Oist. Pipe ~ ;:.~ ~,~ Qs o QS;, j` Bot. System t L ~ c/. ~ ~ qy, ~ S~ Final Grade ~ ~ l over U- ~ ~Jtr v ~t ~ ((' / ~A11 A4ZnDDTIntU CVCTCI-A ! ~ /~ / 1" rv.r - .. ..~.- .. _..--. 1 .~ ~ _ i th id De Li BED TRENC IM I width Len th No. Of Trenches ,3 ' 3; ~- ~ ~ SYSTEM TO P / L BLDG WELL PIT IMEN I N LAKE /STREAM No. Of Pits L p qu a. Inside D Manu acturer: ^ SETBACK HAMBER er: N M INFORMATION Type System: E-3 9 r ~ >r '~ ~-~ OR IT um e 5 ~1~f`Tf1~f1~ ~T~A~~ !-VtTC~I 1 Q~ ai~.r .......v .....~ r .... ~ Header / Mani otd r~ t/ ... Distribution Pipe(s) ~ ~ / / x Hole Size x Hole Spacing ~ Vent To Air Intake ~ .. ~ Length ~ ~ Dia. r Length Dia. / Spacing / •~ ~O cnll ~nvFR Y Pracci~rP SvctPmc Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No ..~:.... •li•l. !I I /i../ In~r,n i-tin ~f'~• / COMMENTS: (Include code discrepancies, persons present,ett."' -_.._...... _.._r_________ Location: 1013 Arctic Trail, H son, WI 54016 (SE 1/4 ~E 1/4 12 T29~ 19W) -12291972D10 1.) Alt BM Description =~~ ~~r ~y ~/Q6ev~ Co,., c r~~~ rrl(a.- Y-~ G p' ~~i11 ~ ,.,5 // 2.) Bldg sewer length = ~'0' ~.~ ~ y s {Y,r~. ~o ~,~~ ~~,a,,lyk~ k c~% -amount of cover = ~; L( ~z 1 P''' P ~~ p(I~~~ ~ sa I -oaf ~ w~ ~yol 3.,ObsG/V~i'~ vG~S' /i~~~G'~' (ihsw~a~ce~ ipelOC lw~~~t,jls.~~ L~7- -~ S~ ~ hG~ (p~~' pl~r~.. I'~,.~ 2'~ ~,,,,~,~,, ~,,~,~. ~L.el. ~ ~-) ~~.d [>f w~~ p Gtt~rJC p x-seG Plan revision required? (~ Yes ^ No Use other side for additional information. Date Inspector's Signature Cert No. SBD-6710 (R.3/97) ~ •~ yip IN G L I ~-~> ~ ' .~,.~ ~ ~~ ~~ ~, 'y • !l ~~j p ~^ ~° ~~ ~ ~~ ~~ / J~ ~~ ~ S ~~ ~~~ ,^ ~~ ~~ ~• ~ ~~ ~( ~ ~~ 1 <~ /~ IJl ~~ ~~ ' /l~ : ~ 7.395' ~ 3 ~-R, ~-1 ~ ~ ~ 1 L Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. ~SCOns~n See reverse side for instructions for completing this application o PO Box 7302 WI 53707-7302 Madison Department of Commerce Personal information you provide may be Used ~r eC u u oses ~ ~ ~ [Privacy Laws 15„Q~4(1)(in)) , (Submit Completed form to county if not ., Y state owned.) Attach complete plans (to the county copy only) for`tlte system, a not less th 8 -1/2 x 11 inches in size. County State Sanitary pa^^~t Number ^ heck if re , us applicatio State Plan I. D. Number . I. Application Information -Please Print all Information ~ °- ... ;~ ;~; ~ ~ ~ ~ Location: PropertyQwnerName '" ,~}. I ~~ Property Location JJ f ~Y ,,. _ Cr'1'~ („w-~.~ ~ ~ ~~ FVG~ ~ ~ ' S ~ 1/4 ~~1/4, S T~ `,N, (o W Propert y Owner's Mailing Address ti -- ., ''~ Lot Number Block Number ) f City, State ip Code Phone ubdivision Name or CSM Number II. Type of Building: (check one) as pe.~ s ~ ^ city V ~llage _ (~yK , 1 or 2 Family Dwelling - No. of Bedrooms : ~`fown of ^ Public/Commercial (describe use):_ ^ ^ State-Owned - - 2 ~ 3 k (0 8• ~"~ S Nearest Road ~, ` - C ~~ .~ ~' / _ ~ ~~L-J'_"L ~,'l.t-~ ~~: ° ParNumber(s) - - C~ III. Type of Permit: (Check only one box on line A. Check box on line B if applicable ) a , R A) 1. New 2. ^ Replacement 3. ^ Replacement of 4. 5. 6. ^ Addition to stem System Tank Only Existing System B) Permit Number Date Issued ^ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) .,~ Non-pressurized In-ground ^ Mound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other: V. Dispersal/Treatment Area Information: ~ ~ - / ~ ~,,c.r. ;~,~.~; 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade - Required Proposed Rate (Gals./day/sq. ft.) (Min./inch) ~ ~ Elevation / r, 5 ~~ ~ .~ t i VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks ^ ^ ^ ^ ^ VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS show n the attached plans. Plumber's Name (print) Plumber' ~gnatur (nos s): '~ ~f / j _ o. M /MPRS N _ _ Business Phone Number ^ L' ~., ' ' Plumber's Address (Street, City, State, ip C~de) IX. County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved ^ Owner Given Initial Adverse Surch ge Fee) ~ ~ Determination 225. ~ ~ Z~U X. Conditions of Approval /Reasons for Disappr oval: n n /~ t1- n ~1.~ ~ vv~~~' ~ r~a~~ttki~ 100 (~a...~ ~ ~ C o 2 C ~ -~o ~ocoC,~ S, ~-- ~ ~~ ~ II n a ' n ' ~` ~ rwx.S"F st.~~t_ ~~.e*'~ '~• ~ -f`4+~.~ .I~'~(~,Q,~ ~ ('~-~ l S CJ1~.~/Wlt'tll~~ c`° ~ ~ s r~e.c~w~¢~a.~-+sHs. SBD-6398 (R. 07/00) ~ ~; ~ I `~ ~° ~~~ ~=~ iG ~c~ ~ .~ ~~~- L -~ /, ~- -i~~~; ~ ~-~~-~--~ y~ ~; ~ , ~.~ n ~,,~ ~ i~'~` ~- a ~-~' ~~ ~ ~ti~ ~ X c~ ~ ~~ ~~~ C ,~, l /~~ , ,~.~ ~ > > 7 ~~ li i D t f C ~ 3 f N „ons n epartmen o ommerce s y1 Vi _ Page _1-_ o SOIL AND SITE EVALUATIO - Uivisic;n of Safety and Buildings Wis. Adm. Code in accord with Comm 83.05 , A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8'/z x 11 inches in size. Ptan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow, and loc~•di~tance to nearest road. - - _ -- - Parcel LD # ~,,. ~, i fQ .` APPLICANT INFORMATION - Plea ,,~~a ati® ~~ ~~~ ~. purposes rivacy'LaW,-s. 5.04 (1) (m)). Personal Information you provide may tie used for cti~ti . 020-1016-40 ---- ---- - Y -- - - --- ----- ---- 'ewed B Date ~~ . ~'y"" µ~,,~ ' Property Owner .,,~;> D ~ ~,a:~y/~ ertyLocation Barbara Flahrety pp~`"` ;' ~ d n f ~ ~° Lot SE 1/4 SE 1/4 S 12 T 29 N,R 19 W Property Owner's Mailing Address d _..~ °' f ,'~ ~D~~ `J qt I Block # ~ Subd. Name or CSM# 4144 Coronado Lane ---- --------- ~` - sr c - RQtx - - _ `~' -___ 1 ~- _ _-_ _- City State f;tide fa16~r ~~ ~ _ City ~ ~ Village ~x~Town Nearest Road 100Th A Oshkosh WI 5 ~ 9~5~7 , . ve. - Hudson New Construction ~ Resi ~ ~ti~l L~fUWrftl~erj• ~ ms 3 [_ _]Addifion to existing building L] Use: Replacement [ ~ Public or co scribe Code Derived daily flow 450 gpd Recommended design loading rate .7 bed, gpolftz .8 trench, gpolft' Absorption area required 643 bed, ft2 562 trench, it' Maximum design loading rate .7 bed, gpolft~ .8 trench, gpolttZ Recommended infiltration surface elevation(s) 88.0' ft (as referred to site plan benchmark) Additional design !site Considerations Install trenches using high capacity infiltrators. Parent material outwash s 8c gr. Flood lain elevation, if a liable NA ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ~ S~ ~ u G~ S [_i u ~~ S [_:) u (~~ S^ U [__~ S ~~ U U S Gil U - SOIL DESCRIPTIO N REPORT ~ -~ ~ Boring# Horizon Depth Dominant Color Mottles Texture Structure Sh Consistenc Boundary Roots -_ GPDIftz ed in. Munsell Qu. Sz. Cont. Color Gr. Sz. . B ;Trench 1 1 0-14 10yr4/2 None sl 2fcr mvfr gs 3f,lm 0 5 0.6 • S 2 14-28 1Oyr4/2 None sl lfsbk mvfr cs 2f,lm 0.4 0.5 ~ ', Ground elev 3 ___-- - 28-39 _____-- 10yr4/3 -_.___ _ _ _ -_ None is 0 sg ml aw 2f 0.7 ~ 0.8 _ -_- _ 93.38' ft_ 4 39-48 l 0yr4/6 None ]s & gr. 0 sg ml cw 1 f 0.7 0.8 , Depth to 5 48-7.~ l 0yr4/6 None s 0 sg ml gs - 0.7 ~ 0.8 limiting -- - - - _. -- --- --- T-- --- factor 6 ___ - _ 70-118 - 10yr5/6 --- -._ -- - -- - - None - _ s _-__ 0 sg __ _ -_ ml __ __ ~ ___ _ - _____ 0.7 0 8 _ ___ > 118" ~~r~. ~ 1 1 T +2 Remarks: --- __ -_----_---__ 1 0-18 10yr3/3 None sl 2fcr mvfr gs 3f,lm 0.5 ~ 0.6 2 18-24 10yr4/3 None sl 2fsbk mvfr cs 2f,lm 0.5 ~ 0.6 3 24-33 7.Syr4/6 None sl 2msbk mfr cs 2f 0.5 0.6 4 33-42 7.Syr4/6 None is & gr. 0 sg ml cw 1 f 0.7 0.8 5 42-68 7.Syr4/6 None s 0 sg ml gs - 0.7 ~ 0.8 6 68-121 10yr5/6 None s 0 sg ml - - 0.7 0.8 .~ .~ .j .'~ .~ .~ Ground elev 93.29' ft Depth to limiting factor >121" Remarks: CST Name (Please Print) Signature: \ Telephone No. James K. Thompson 715-248-7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, WI 54020 7/15/99 3602 1069 y PARTY OWNER: Barbara F~a~___ __ _ _ _ ____ SOIL DESCRIPTION REPORT ` PARCEL LD.~ 020-1016-40 3 Ground elev 93.63' ft Depth to limiting factor > 120" toes Page _2 _ of 3 _ A.C.E- Soil & Site Evaluations H ri Depth Dominant Color Mottles Structure nsistence Bounda Roots GPDIftz -- o zon Texture ry - -- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ;Trench 1 ------- 0-ll ------- 10yr4/2 ----- - ------ ---- None _.___ _____.. _._...__.. sl ___. 2fcr ._._~__ -___._._- __. mvfr __.__. .-._._..--- gs ._-.__-_. _ 3f,lm .---------- 0.5 0.6 r--------~--------- 2 18-24 10yr4/3 None sl lfsbk mvfr cs 2f,lm 0.4 0.5 3 24-38 10yr4/4 None scl 2msbk mfi aw 2f 0.4 0.5 4 38-45 7.Syr4/6 f2d7.5yr5/8 gr. sicl 0 m ml cw if N.P. 0.2pre 5 45-70 7.Syr4/6 None s 0 sg ml gs - ~ 0.7 ~ 0.8 6 70-120 10yr5/6 None s 0 sg ml - - 0.7 ~ 0.8 KemarKS: rceaox. natures aesscnoea to nor~zon n4 are due to greater matnc potennai of massive sici. i ~° rule appuea to a~smiss monies as -------------------------------------------------------------------------------------- I~unrtint: factor. 4 Ground elev 95.22' ft Depth to limiting factor >123" 1 0-32 10yr3/2 None sl 2fcr mvfr gs 3f,lm 0.5 ~ 0.6 2 32-41 10yr3/3 None sl 2fsbk mvfr cs 2f,lm 0.5 0.6 3 41-SO 7.Syr4/4 None sl 2msbk mfr cw 2f 0.5 ~ 0.6 4 50-59 7.Syr4/6 None Ifs Icsbk mvfr cw if 0.5 0.6 5 59-88 7.Syr4/6 None s 0 sg ml gs - 0.7 ~ 0.8 6 88-123 10yr4/6 None s 0 sg ml - - 0.7 0.8 ,, .~ . , .~ r<ernarKS: rJ Ground elev 95.65' it Depth to limiting factor >119" 1 0-19 10yr3/2 None sl 2fcr mvfr gs 3f,lm 0.5 0.6 2 3 4 19-30 30-51 51-70 10yr3/3 7.Syr4/6 7.Syr4/6 None None None sl s! gr. is 2fsbk 2msbk 0 sg mvft mfi ml cs aw cw 2f,lm 2f if 0.5 0.6 0.5 ~ 0.6 0.7 0.8 5 6 70-92 92-119 7.Syr4/6 10yr4/6 None None s s 0 sg 0 sg ml ml gs - - - 0.7 0.8 0.7 ~ 0.8 Remarks: Ground elev limiting __._.__-_-- --_--- ----__-;- factor - - - - -- Remarks: .~ ~~Z . L • ~ ~+r"1 1 NI w, ~d P:n2. ~~ ~c ^ ~~~~~ ~~ ~ ~ J 3 `r ti has 3a4' ^ 50; / 06s¢~ /ou ~; E • El~eda ~i or? I~ ~ ,, o, _ a, in H <e. W e~. r'a.a/e of bu; W i.~ ~e = 9S. ~: oW nGr•: Qar~arci )= Ca.~re~ ~ ~` y/~y earor~ado (~. psh,~~~ ~ 1. s~9o~ Lo ca.~r'an: SEyS/ SEYy S.IC. /,2, T. ,2q/~(.~ R. ~ 9 cJ., 7 K . off' /~u~olsan, yGz , ^ Iv-rmQ ~,0~.- ~/~ s/~ `,~ , '' . Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: System Design Specifications Sanitary Permit Number Number of Bedrooms ~~ Design Flow -Peak (gpd) ~ C,~ Estimated Flow -Average (gpd) 3 a~O Septic Tank Capacity (gal) /G~C~C~ Soil Absorption Component Size (ftz) ~~7 - _ 3 Type of Wastewater Domestic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow -Peak (gpd) app t- Maximum Influent Particle Size (in) ~ 1/8 Maximum BODS (mg/L) 220 Maximum TSS (mg/L) 150 Tab le 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the se tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filte ~hafl be cleaned as necessary to ensure proper operation. The filter cartridge shout not be removed unless provisions are made to re ai los inre ds-in~he tank that may slough off the filter when removed from its enclosure. If the ~ ,~-Z ~ f, ~~ ~ ~ Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank maybe difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Apr-27-O1 09=43A PAGE 4 ALTERNATE SYSTEM AREA~A~ S S~HOWEN ON SOIL TEST, MUST BE LEFT UNDIST~tBED. cQ «t-tuw~ IF ALTERNATE AREA IS~9-STER$ED, REPLACEMENT AREA MAY NOT 8E FOUND. ANY QUESTIONS PLEASE CALL BRADY UTGARD ...........................(715)268-Fi995 OR ST. CROIX COUNTY ZONING..........(715)386~680 P_02 ' ST CROIX COUNTY ' SEPTIC TANK MAINTENANCE AGREEMENT AND ® i?OWNERSHIP CERTIFICATION FORM OwnerBuyer ~O'v /~ ~ w Mailing Address /O / v .S~ ~ e f a/Dt f ~' N O Property Address /D / 3 g re I'/C / r`~ r (Verification required from Planning Department for new construction) ,.~21 ~/, City/State ~v~so ~ Parcel Identification Number O~rJ " /G'/G -- yG LEGAL DESCRIPTION Property Location ~~ '/., SE y., Sec. /~ , TAY N-R~W, Town of f~~o~Sd~ Subdivision Lot # ~~~ c .l Certified Survey Map # ~F >~3 - D 7 ,Volume ,Page # Warranty Deed # G o8a~~ Volume ~ yy~ ,Page # .~~ ~~ . Spec house ^ yes 3' no Lot lines identifiable yes ^ no SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, joumeymaa plumber, restricted plumber or a licensed pumper verifying that (1) the oa-site wastewaterdisposal 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. Uwe, 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 Zoning Office within 30 days of a three year expiration date. ~ Y /30/01 SIGNATURE OF PLICANT DATE OWNER CERTIFICATION I (we) certify that aU statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the pro rty descri d above, by virtue of a warranty deed recorded in Register of Deeds Office. `l 1.30' i v/ SIGNATURE OF LICANT DATE «***** Any information that is rots-represented may result in the sanitary permit being revoked by the Zoning Department. *sss«s ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed • `: r.\l'1. 14.111 OF WISCONSIN r~(lltt`1 ! It1Rl ~ 60.'BOO2 WArtItAN~I~Y DI?t'D Ii KATHLEEN H, WALSH REGISTER OF DEE ~ocl~Mrrrr rio. q,q ~~?+ YCI+ ~~`tUPAGE 524 WI 5T. CROIX CO. ! .. • RECEIVED FOR RECORD ;~ - Barbara A. Flaherty, a married person ~ 08-03-1999 4:00 PM - -- ~ ~ ~ - ~ YARRANTY DEED - ;, EXEMPT N '--~-,-- - .... -... .-_- - ------ - - ~.-- -- -- --..~. .._ ____ CERT CDPY FEE: +. rl,In•cys aNd war(anls (Il -.... T a single _._-Ronald A. King, -_._ ....... ._ person COPY FEE: - _ ~ TRANSFER FEE: 225.00 .-~ _-..-..- --- -__-- __..._...... _ _ __. _.._.. - - - ~--- - --~ - RECORDING FEE: 10.00 ------- - -- - - _____ . -_ •' PAGES: 1 ~' • ! Ails srncr nrsrravro ro(! nFCOROINa onTn ~: --.-...._._._._-_- ----..-_. ....._ Ih,• InNrnvin}; dl•.rritnd rral cslal!• in _....__....St . Croix ~1 N/1MF. ANh I,FiI ttIN ngDRESS ._ Cl,nm~; i` Atty . Hugh H . Gwin til.llt• .,I ~~ IS!•t,I,Sln. Gwin Law Firm, S . C . • ;~ 430 Second St '' 2 `C Hudson, Wi 54016 ~ 5 ~ S. '~ ~ o cum , .. 020 1016 40 -~15O /~ ~~ ~~.. ,~l/p ,. 11M~~ _ Pnlll:(L IUF.NII(It:AI,fIN NUM[JFH ~ ~ t 2.2q. ~q . ~'zA -~o Part of SE~a of SE4 of Section 12-29-19 described as follows: Commencing at the Southeast corner of sai d Section 12; thence North along the East line of Section 12, 809.75 feet to the POINT OF BE~INNING; thence S89g58'W 462.00 feet; thence North 500.40 feet; thence N89 41'E 462.00 feet; thence South 502.69 feet to the POINT OF BEGINNING. Also an easement for an access road and for installation of utilities, all utility lines to be so located as to not interfere with the use of said area as a road over and across a strip of land 66 feet in width lying North of the Town Road and bounded on the East by the West boundary line of the above described parcel and the Southerly extension thereof to the North: line of the Town Road. This easement is not exclusive. • phis __ 1S nOt . __ .,_ h/anhsl!•,1,1 Int,ln•ny. ~I~I cis""'~- TOGETHER WITH AND SUBJECT TO any other easements, I~x~rl,litm In ~rarr;,mics: covenants, reservations or restrictions of record, if any, but this shall not be deemed to extend anv such other recorded encumbrances beyond the term established by law therefor. rty n;ll,•tllllis......-..-__>~~.._.•-'..__.----..... ,I:1~~t~r July ._.__-___,nh„r9_99...... _.. _-.. __._. ... .._~-...----.._..._... ICI.\I1 •C~"" d~~l~c/lA-~i •"C V^'KA~ __... _ .._. ~ ------_. _._ .. _- . r srn~> .... Barbara A. Flaherty .__....__ . 1 ~;I ,~I t AU'1-ittN't~l(~A t~l~~N anllu•nrn':ucd Ihis --_ cla~• t,l -.._ ..-_ ..__' I'~ -. rl rl t nicntnrli ~ r;~~rr: Il~~lt Or• ~~•I ;,.~, ,rl,,lrt __ _._- .--.. ACKNt)~1'1.1'DG~4LN"I' Sialc of Wisconsin, ss. I'crctnrllh• t•:unr Ix•f~nr n)(• Ihis -- -- ...~ day of ___-.. July -------,---.._. 19-89 .the ahrn•e name) -- --- ~.. 51M ~ ---- - - Barbar-a ~.--Fli~'i ••• `' Y'. $••. ..~~,.,~~~~~~ voNa~uiiv~n ~~ wnnidr~~ SOIL AND SITE EVALUATION Di~vl:~'on of Safety and Buildings 3urbau of Integrated Servk:es in accordance with s. ILHR 83.09, Wis. Adm. Code ,,. Attach complete site plan on paper not less than 8 t/2 x 11 Inches in size. Plan must Cotmly include, twt not limited to: vertical and horizontal reference point (BM), direction and S.~ , (7 ,.,~, percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel I.D. # ~ v APPLICANT INFORMATION -Please print all ' Personal intonnetion You p may be used for secondary ~~ ~ ~ ~~ Properly Owner 4/ • ~ , R~c~~°sE0 Property Ownets Mailing Address t~ ~~/ G'e ~orQdo l..a n ~ J U ~~ ~ 4 X999 ~Y State Zip Code one Nur~etER ~- viewed by ". _ cmu• arty Location Block# Subd. Name or CSM# I Io~oPoaed c~srt-t ^ village [~~wn Nearest Road Page ~ of Date 7// ~/y ~~ constn,ction use: C~ idential / N F df n +~n ^ Replacement ^ Public or commercial - Describe• Addition to existing buikling Code derived daily flow I S"O 9Pd ~ydr,x, Recommended design loading rate o •S bed, gpd/ft~ O~~trench, gpd/ft2 Absorption area required 3~0 bed, ft2 2~ trench, ft2~bdrm• Maximum design loading rate ~ •S bed, 9Pd/ft2 D` trench, 9pd/ft2 Recommended Infiltration surface elevation(s) L~!- I.z~ 3 = 99. G2~~ io% du~oc-E ~.Z y+ ~ ~ ft (as referred to site plan benchmark) Additional design/site considerations inS•La.eQ 'Ei^6vrc~6~T u.5 ~ng ~.;t~ ~~,~ ~, ;yr~'; ~f~-S SiLe ~,renc,~/s 45.Gt.,i we5£ gipd Parent material t'2tNE'wGtS-~ 5 F'bod plain elevation, if applicable ~aa ft S Suihable for system Conventional Mound In-Ground Pressure AT-Grade System in FII Holding Ta u = unsuitable for system Ca s ^ v C~]-s" ^ u Q~ ^ u C~ ^ u ^ s p-l~ ^ s C cntt nCe/~ororrn~r orr~r.r,T Boring # Ground io~si~. Depth to limiting factor }1~in. Boring # 2 Ground elev. 03 . Depth to limiting factor >~tn. Remarks: Name (Please Print) Address - ----~ Horizon Depth in Dominant Color Munsell Mottles Q S C Texture Structure Consistence Boundary Roots GPD/ft2 . u. z. ont. Color Gr. Sz. Sh. Bed ,Trench ~ 0-8 /o ,p tine 51 M ~ n~ ~•~~ as 2~ o.s • o. Z ~-/ /d ~ ~anP . s! ,2 t+.Sb rnf~ CS ! b.S ' o. ~ S -yl' 0 io s none 5 s 4~s ~s d 1 d, ~ - - 0.7 •O.g 0.7 :o.~ Remarks: ~`l /° Q 2 SI 2rnC,!` rnd ~ QS 2 i D.5"'O, //-.ZZ / ~ r2 51 ~ m56/( m~~ CS 1 •t^ O.S ; o, .3 _3y ,5 ~ 5 ICsbt' m~•Fr Cc..~ 1~ t9.s ~ d.6 S s6 / /o s >7 ~ ml - - o.~ .0.8 Telephone No. Date CST Number ~/. syo,2a ~!/i 9 kr9 t srr,•t acs _~~ o~ PROPERTY OWNER ~(Rfte~,~y. ~G~ra ,Q ,SOIL DESCRIPTION REPORT PARCEL I.D.te .FrOYrt OAS-/d~ti -S/~3-r~ Boring # 3 Ground ele~-. / O.Z.d.~it. Depth to limiting factor ~// in. Boring # Ground elev. i iz ft. Depth in limiting factor ~/L~in- Boring # S Ground elev. /aS.B/~ Depth to limiting factor y.~ZLin. Boring # Ground elev. ft. Depth to limiting factor in. i. Page 2 of ~~ Horizon Depth in. Dominant Cobr MunseU Mottles Qu. Sz. Cont. Color Texture Sure Gr. Sz. Sh. Consistence Boundary Roots 2 Bed . Trench l 2 3 ~-/6 /(,-s.S~ -s S>'~ /o yZ /~ ~. s 7,5 R YlanF 1 S- SCI ID'S zMSb~ tr,sb ~-KsbK I t'_Sbk mV{'~ rn~r rn.~r der srs s ~ ~ C w zd' 2~i-+~ If - o.s • o,~ o.s.06 o. s, o.~ O.S• O.~ Remarks: l 0-9 ~o R rl S r 1-+15~iK r-~ CS 2~ v.S'0.6 2 3 -~ z -3 o Q . s k do s f Scl 2-~SbK -nsit' M r ~ 5 et,~ I~'8 N1 p.5 p, ~ .s- ~ a S O -CS CS1K dt:r C-LJ - O.S. O• S - / i o. ~ 5 ,P1 d I - o, ~ o. 8' Remarks: Horizon Depth in Dominant Cobr M ll Mottles Texture Structure Consistence Boundary Roots . unse (au. Sz. Cont. Color Gr. Sz. Sh. Bed . Trerxh 2 7.5 Q y -'1 , s1 2h•s b~C rn-Fr ~..~ C )>K O.s's.~ 3 2 . s yb Is ~' n1~ ~, o. ; o.~ s SZ- o S, n~ ~ s ~, -- - o.~ : o ~ Remarks: Remarks: SBD-8330 (R. 07/96) r ~' •~# ~.~ r - ..,_ - ~ . o~ ~ So~C. abse~va+ i 3~'± 8'U ~ ~.S ~ ^ y/61 ~~~ r',•;,~ ~s ~oP~ e^ , y ys~c ~ ~~-z ~ ~ ~r ~4 ~9 0 ~op~ ^ p-3 ~tncti -xar~: Topo~'1~y~=~ rc ba-. Ass c~,-~ e(e~` = ic~o.co; tom. t~a,C .n (~¢dA-ne tree. ECeu!• = /o~. c0: 3~~ viz •: Lei ~ aF orgoo•~ L' S.rt D~n¢r': ~ubara ~4. ~~e!~ yi y~ ~,~o.~Qdo ~c Qs !~ ~C/o.s~, u7/. s yo~9 /-.o ca~`~r un ,c.Q~ z o~ ,o~~s•~r ~s'''~, SEl~aSEy~~ ice . /•?, %. 29/l., Q. /9c~•, T . ovr /~udxn, r Aggregate SAS ~t3t.~. ~ (~~~, ,~ , ii a_ SYSTEM ELEVATION AND SIZING CALCULATIONS Below Grade Aggregate Soil Absorption Systems X wX ~ only 1 3 'ft 6 in 4 in Permit Number Gravity Distribution Pressure Distribution 7/18/99 Date 600 gpd 0.60 gpd/ft 1000.0 ft 99.00 ft Suitable Soil ~ Aggregate Depth z Nominal Pipe Diameter Estimated Daily Peak Flow Wastewater Infiltration Rate Minimum SAS Size Proposed SAS Elevation Soil Surface Acceptable Finished Grade EL s (ft) Boring Grade Limitation SAS Elevation (ft) System Minimum Maximum Number Elevation (ft) Depth (in) Lowest Highest Elevation? 101.50 103.33 1 102.50 112 96.17 101.00 Yes 2 103.47 117 96.72 101.97 Yes Cut required 3 102.42 113 96.00 100.92 Yes 1. Depth of suitable soil required below the infiltrative surtace for treatment. 2. Depth of aggregate below distribution pipe. 3. Based on chosen system elevation, and aggregate depth. The addition of fill for cover or the reduction of finished grade may be required to meet minimum or maximum code standards. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1xm)]. SBD-10553-E (R.05/98) ~- Aggregate SAS ~,~~ ~l_ ,/~~ SYSTEM ELEVATION AND SIZING CALCULATIONS Below Grade Aggregate Soil Absorption Systems X wX ~ only 1 3 ft 6 in 4 in 600 gpd 0.60 gpd/ft 1000.0 ft2 101.00 ft Permit Number Gravity Distribution Pressure Distribution Suitable Soil ~ Aggregate Depth z Nominal Pipe Diameter Estimated Daily Peak Flow Wastewater Infiltration Rate Minimum SAS Size Proposed SAS Elevation 7/18/99 Date Soil Surface Acceptable Finished Grade EL 3 (ft) Boring Grade Limitation SAS Elevation (ft) System Minimum Maximum Number Elevation (ft) Depth (in) Lowest Highest Elevation? 103.50 105.33 Z 103.47 117 96.72 101.97 Yes F[II required 106.12 116 99.45 104.62 Yes Cut required a 105.81 121 98.73 104.31 Yes Cut required 1. Depth of suitable soil required below the infiltrative surface for treatment. 2. Depth of aggregate below distribution pipe. 3. Based on chosen system elevation, and aggregate depth. The addition of fill for cover or the reduction of finished grade may be required to meet minimum or maximum code standards. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.1}4 (1)(m)]. SBD-10553-E (R.05/98) I ~~~~~~••`~~~~~•• •: t~ittlo.ff ' engineering cor~n~ui•iy . CIVIL' RNSINREpINA • LANG ~IIRVEYINO BUIl.OINA OESION • • • • ~ . ' ' lro u CNir• oJ•d Riror Folly, Wl~con~in • ~ . , . nl.,,,. ....:~ 11 .. . AdS1rYq ':J I:.~•ItU ~ .•:a.lif 21:.'~• i~ • ~ Daalptlon • ' ' . ' ~ ~ + ` 89°411E ~ 462.00 --~ ~~ • '- - = 9 ~ ~~ 1 ~.5 I , p 1 ~ ~ . .~ % • ~ . ~ ' ~ • .' ' . . ,•• •. I ~. •1, { ' 1 o ~ PARCEL 11811 ' j O ~v . 1 ~ ~ •FT. 231,71.1 SQ. • ~1 . , • i , . 1,1 • E S .. , 5.319 ~.CR ... ~ ; ;..• • , . • ;; ,, • 1 F-- x z ~ S E I/4 - SE I/4 SEC., 12 ~ i ~ • ~ ' N • I Q ~ .. ~ . • 1 w 1 1 ~ ti . I I X90 I o~~ 0 O~ I ' I ~°~ . 3 S89° 88 W a62D0 • ~ ti 1 ci PARCEL IIAII ~' . ~ I ~ ~ ~ _ • i '~~ , --- • J . .. 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