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HomeMy WebLinkAbout020-1151-10-000 -0 0 c 3 m o C 3 A 3 3 C7 3 ^r CD n fD •p • M CD a) r 3 ~n 3. F o Cn E j z O m = N O 0 CU O N O CD C O N CD 3 CD ? N d jV Fr C]/1 (b Q. ry o y w? j (O j M c0 O ,0 n co m O i* CD o A' O 3 a s CD 3 N p a cn D CD N o" of a o v W m 3 O = o w° m N CD 4 _ i O d \ co u) c7 r cn u`D cwn Can N o c g ~ ~ r v z o o 0 z o O O cn CD (D CD 5- vvv L in (~D CL S 07 y _ N N 3 6i Ill CL CD - Cn CL 7 N z CD p N C co Z rt M CD O 0' 77 a Q O N 7 CCD D CD C A ~ N CD C O ~ CD co CL Q 3 CD cn z ° z CD o N 0 A z O CL G . a D (n ~ N W M N CO O. O Z e 3 w z g (D CA) o CL 3 a CD o - CD -n N N C CD z 3 O a CD N N CD ~ N o. a a b v ft N n ~ o- N i op A .'7 CD v EA 0 ~ O C V `l O O : v Parcel 020-1151-10-000 12/15/2004 09:23 AM PAGE 1 OF 1 Alt. Parcel 29.29.19.819 Current ~ I 020 -TOWN OF HUDSON ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): Current Owner ALLAN H & SALLY K ABLEY ABLEY, ALLAN H & SALLY K 724 GLENNA DR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 724 GLENNA DR SC 2611 SCH D OF HUDSON SP 1700 W ITC Legal Description: Acres: 1.020 Plat: 2356-PRESIDENTIAL ESTATES SEC 29 T29N R19W PRESIDENTIAL ESTATES Block/Condo Bldg: LOT 10 LOT 10 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1043/371 WD 07/23/1997 1029/210 QC 07/23/1997 874/96 07/23/1997 717/295 2004 SUMMARY Bill Fair Market Value: Assessed with: 48905 202,900 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.020 27,300 129,700 157,000 NO Totals for 2004: General Property 1.020 27,300 129,700 157,000 Woodland 0.000 0 0 Totals for 2003: General Property 1.020 27,300 117,300 144,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 119 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 ST. CROIX COUNTY WISCONSIN y' ZONING OFFICE ST. CROIX COUNTY COURTHOUSE • HUDSON, WI 54016 (715) 386-4680 SEPTIC INSPECTION / WATER TEST REQUEST FORM Specify desired test(s) & remit appropriate fee with application. Outside water lines are often turned off during winter months, making access to the home necessary. Please make arrangements with this office to insure a time when entry can be Water (VOC's) $185.00 Septic $25.00 Water (Nitrate & Bacteria) $35.00 Visual inspectio Owner: E CL ~j)R Ctl,TH Requested by: NLLtJIV 4 IS y Address: !Z2!y (2L,-Aj1y y pk Address: 1&6~ City & State: 1fLlOS,, ,V City & St. /s1 f ~ __E(in s ent Zip Code: 6 Zip Code: Telephone N°: (ILS-) 3 sb_ 109 , Telephone N°: (1115:) 34 6 x.3.3 Property address (Fire N° & Street) : 7A 4 G D& Location: Sec. , T~_N, RAW, Town of 114osc,y St. Croix Co., WI. Tax ID N° Parcel ID N2 Tt}K ►'~i~C t 4- C'20 051 lC LCT i0 ~'~'t5ivc.~T<yc t.std3~ S House color: 6k. Realty firm: Nvnt Lock Box Combo: ' P Water sample tap location: Ki ; 6j4 s,Ar,L TO BE COMPLETED BY PROPERTY OWNER PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORMS Is the dwelling currently occupied? IrYes f~N lear: If vacant, date last occupied: Septic system installed by: /qI?,0 Septic tank last serviced by: UAI Date: - PL"eviOUS Owner's Name(s) /s Have any of the following been observed? ❑Y kN Slow drainage from house. ❑Y SN Sewage Back-up into dwelling. ❑Y RV Sewage discharge to ground surface, road ditch or body of water. ❑Y XN Slow drainage from the dwelling. ❑Y )4N Foul odors. Other comments relative to system operation: I certify that the above information is com ete and true to the best of my knowledge. OWNERS SIGNATURE: / DATE: OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION IN TO BE COMPLETED BY INSPECTION AGENCY System design &/or permit on file? []Yes ❑No Soil series per SCS Soil Survey: sheet # Type of soil absorption system: elow grd ❑At-Grd []Mound Approx. size 'X avity []Dose []Pressurized Ft.2 []Bed []Trench []Dry Well []Holding Tank ❑Outfall pipe OBSERVED DEFICIENCIES []Other []Unknown Septic tank Setbacks: []House []Well[]Prop. line ther Dose tank ouse []Well []Prop. line []Other Locking •cover []Warning label []Pump/Floats []Alarm []Elec. wiring Soil Absorption System • ❑House~~ []Well []Prop. line []Other Setbacks. ❑Ponding: -e5 []Discharge: &-k e- General commen s: v INSPECTORS SKETCH OF-SYSTEM LOCATION NY 7. CO. 0 F Inspector Title ST. CROIX COUNTY WISCONSIN PLANNING & DEVELOPMENT PLANNING SOLID WASTE 715-386-4674 REAL PROPERTY ZONING 715-386-4623 715-386-4677 715-386-4680 October 12, 1993 Allan & Sally Abley 1609 Pinewood Ln. Hudson, WI 54016 Dear Mr. & Mrs. Abley: An inspection of the septic system serving the home of Renee Parcheta located at 724 Glenna Dr. in Hudson, was conducted on Oct. 12, 1993. This inspection was based upon a surface inspecticn of said system and did not involve any excavating or chemical analysis. Accordingly there may be hidden defects in the system not discoverable by this inspection. A water sample was also taken at the same time. We will forward the results to you as soon as we receive them from the lab. Most septic systems consist of a septic tank which traps the solids and greases from the sewage stream and then allows the remaining liquid to seep into a subsurface drainage area. Once the liquid reaches this point it seeps away by percolating through the soil surrounding the system. Failure is caused by the soil surrounding the system becoming plugged with microscopic bacteria and sludge, among other things, which form a clogging mat. As time goes on, this clogging mat becomes progressively thicker, allowing less and less liquid to drain away from the system. When this clogging becomes severe enough, liquid sewage is trapped in the drainage area, a condition known as ponding, and results in backup of sewage into the structure or the discharge of sewage to the ground surface. At the time of inspection, this system appeared to be functioning, but not at full capacity. I noted that there was sewage effluent ponded within the drainfield area. Because a systems failure is a progressive process, I cannot predict how long this system will continue to properly dispose of sewage effluent nor how soon the system will reach complete failure. With proper care, this system could conceivably last for several years. However, I cannot guarantee or warrant that this system will function properly in the future. In an effort to prolong the system's life, I recommend that steps be taken to minimize the wastewater flow from the house which enters the system. For example, repair any leaking water fixtures and/or replace them with water conserving fixtures, reduce time spent in the shower, wash clothes and dishes only when there is a ST. CROIX COUNTY GOVERNMENT CENTER • 1 101 CARMICHAEL ROAD e HUDSON, WI 54016 full load, use a washing machine with a suds saver feature, etc. I would also recommend that you have the septic tank pumped at a minimum of once every three years. Should have any questions or concerns that I can clarify, I can be reached at this office between 8:00 am.- 5:00 pm., Monday - Friday. Sinc rely, J mes K. Thompson --Assistant Zoning Administrator cc: file COMMERCIAL TESTING LABORATORY, INC. 514Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800- 962- 5227 FAX - 715 - 962 - 4030 16&L REPORT HATE: 10/18/1-7 01 CARMICHAEL ROAD JSON. WI Renee Parcheta L.OC:ATION*+ 724 Glenna Tir, . u..., COLLECTOR; Jim Thomps(~ DATE COLLECTED: 10-1- TIME COLLECTED: I:0( SOURCE OF SAMPLE: DATE ANALYZED4110-14t TIME ANALYZED.24 # OOr COLIFORM,MFCCI 0 INTERPRETATION. Dacteri NITRATE-NS 4 pp,. Above IC ~uitrate-P!i#; ¢gest, mg 1~ 19 'ti~ 00 sr Cc 1'9$3 1 rN r Cpf~G1,V~ L.i':-. iUANICLrAW Pam Game OPPIC OF.NDEPENpfH \ Apr roved f o Lab No. 19 did. +~A Meam "LESS THAN" 74-tfcc -;,fs e I_.evr-. I Apti.I-gved. PROFESSIONAL LABORATORY SERVICES SINCE 1952 Form - S T C - 104 1 ~ r AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC. J T 1 N-RLj_W . ADDRESS' ST. CROIX COUNTY, WISCONSIN a SUBDIVISION, LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~ ~ _3 1 f 1) INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: Proposed slope at site: SEPTIC TANK: Manufacturer: Liquid Capacity: Number of rings used: iA Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,O Side,Q Rear, O feet '.From nearest property line Front,0 Side,0 Rear, O feet Number of feet from: well , building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank' SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear, Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: F Length: Number of Lines: Area Built: Fill depth to top of pipe: r e Number of feet from nearest property line: Front, O Side, O Rear,(77)IPt. Number of feet from well: i Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: - Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Plumber on job: Dated: License Number: 3/84:mj cPAr,TMLNT OF INDUSTWY, INSPECTII IN REPORT FOR SAFETY & BUILDINGS & HUMAN RELATIONS P.O.O. . BOX 7969 PRIVATE SEWAGE SYSTEMS s DIVISION MADISON, WI 03707 BUREAU OF PLUMBING n~ONVENTIONAL OALTERNATIVE s_-7p, anlD. Number ❑ Holding Tank O In-Ground Pressure O Mound of assigned) NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER- INSPECTION DATE. Bill Wilson R. R. 1, St. Joseph, WI BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. C C7i R F. PT. ELEV.: CST REF. PT. ELEV. SE SW, Section 29, T29N-R19W, Town of Hudson,Lot#10,Presidential Est. Name of Plumber. MP/MPRSW No County Samtary Per- Number. Richard Hopkins 1059 St. Croix 69643 SEPTIC TANK/HOLDING TANK: MANUFACTURER . / LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV. WARNING LABEL LOCKING COV R PROVIDED: PROVID Lr` /d~- ~ YES ONO BEDDING. VENT DIA VENT,jy1A L. HIGH WATER NUMBER OF +gOAD: PROPERTY WELL. 1111LUI~~RESH C/ ALARM FEET FROM uNE AIR - ❑ Y ES ❑ N O ❑ ~'J Y ES DOSING CHAMBER: MANUFACTURER BEDDING. LIQUID CAPACITY PUMP MODEL PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED. OYES ONO OYES ONO DYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PR OPE RTV WELL BUILDING I VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) OYES LINO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENC,TH DIAMFTER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: LENGTH NO. OF DISTR. PIPE SPACIN(,. COVER BED/TRENCH \ TREN UES INSIDE CIA 'PITS LIQUID DIMENSIONS / U / MAZEf lAU r PIT DEPTH GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL. NO. D THY NU PROPERTY WELL. BUILDING: VENT TO FRESH ABOVE COVER EL EV. INLET ELEV E PIPE Y; NUMBER OF BE LOW PIPES IR INLEr. 7 w ✓ L~'1 j~ ` j,P - FEET FROM LINE. A ' ✓ J 1 NEAREST MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- O YES O NO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS EYES ONO OYES NO DEPT:~R: VERTRNCHBED DEPTH OVER TRENCHBED DEPTH OTOPSOI LSODDED SEEDED MULCHED CENTEDGES OYES ONO OYES ONO OYES ONO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH NO.OF LATERAL SPACFGRAL EPTH BELOW PIPE FILL DEPTH ABOVE COVER TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE TERIAL. NO.DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV. ELEV.. DIA.. ELEV. PIPES DIA.: ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE: HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS OYES ONO OYES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL. BUILDING: FEET FROM uNE OYES ONO OYES ONO NEAREST i Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE. TITLE. DILHR SBD 6710 (R. 01/82) Wisconsin APPLICATION FOR SANITARY PERMIT 1~3D[LHR *0 (PLB 67) 5 7 COUNTY OEPgRTTEnT OF UNIFORM SANITARY PERMIT # {nOUSTRV, LRBOR 6 HUrr!nn RELRTIons 4 -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8Yzx 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROPE TY OWNER MAILING ADDRESS -y IJ// W1 /.Son- fit. PROPERTY LOCATION CITY: GE: S ~1/4SW1/4, S.,a , Q9, N, R 19 E (or OWN O F~ O LOT NUMBER BLOCK NUMBER JSUBDIVISIQN NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER r TYPE OF BUILDING OR USE SERVED IN 1 or 2 Family Number of Bedrooms. ❑ Public (Specify): Car~v~ ra~-~-~I JCA ' e THIS PERMIT IS FOR A: -~K New System ❑ Tank Replacement ❑ Repair ❑ Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. 4 Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank ❑ System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued - El An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity o(j(~1 Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: 1. )e.e S IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total # of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): d Q• Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Nam of Plumber (Prin Sig re: /MPRSW No.: Phone Number: G ~ , >1 S 1 ~ / _.r,1f-ti, c✓ LC> k. -•,-t F ~ D I S') 4 . , umber's Address: - Name of Designer: lF' u' U~ vr1 All ~y0/ 7 COUNTY/ DEPARTMENT USE ONLY g Agent: Fee: Date: ❑ Disapproved Approved ❑ Owner Given Initial Adverse Determination Reason for Disapproval: Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber E PART,"" =N'F OF RE OR'1" ON S" L fiiJl r AND SA 1- L I Y & 3L111._DINt;S DIVISION f.AB STBY, P.O. BOX 7969 IUMC~MAN RELATIONS PERCOLATION TESTS (115) MADISON, WI 53707 (H53.09(1) & Chapter 145.045) OCA'T 109. - T TIfJN r r- TOWNYHIY/h4Y~ANf~M~CtYT1': LOTNO.: ELK. NO.: BDIVISION NAME: << Ia`r3 r o -~,1~~a""~~ f~I W44% ~f y Nd/R ~ :COUNTY '0WNEFi'SBUY, jR'S NAME: L~~~MAILING ADDRESS: , USE _ DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCAE~~SCRIPTION; PROFILE DESCRIPTI UNS: F OLA i,NResider - L_- _~-V " New ❑ Replace (Ar 1L t / AL6 r ~ RATING: S= Site suitable for system U- Site unsuitable for system ~.ONVENTiONAL: M('17~Ut ~NG: IIV GROUND-PF~G+~iU'FtE: SYSTE(M-I~N~-}FIL (OL~Dt(VG AN~K: RECOMMENDED SYS~jEM:(o tip Hall ^tLJJS El t__i e~ Y ZS E_1V J !JUt_LJai ~t•u C ~n~is.11~(ryVSTf:,iE~l_1~t~t./tEr;f If Percolation Tests are NOT requirod DF.51GN RATE: If any portion of the tested area is in the under s.1-163.09(5)ib), indicate: L t9<.,~, Floodplain, indicate Floodplain elevation: ~••PROFILE DESCRIPTIONS t3ORINCy 'T'OT - PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH .t NUMBER Df PTH ice. ELEVATION -O65RVE,D _S IGHEST TO BEDROCK IF OBSERVED iSEE ABBRV. ON BACK.) -1-72<'AL L f vhl.zs60 --4S 6.©- ,~n^e 5w 4 ro ~t e I z.iP~ D - `7 .7 jj tit ~t_rrij S,IsL :-;i I,ACKp10L P? 6W A7 .7~ B- 7 ® iOl,i.' 0' > TO 0 -/.0 19C CA Ro-7. C) A,caJ> L'4YER-5 0-0.4' 91 SL ..13:J ~.~'r ~~tii.~~. r~ Z.9-70LA/bc~ a ?•0-G .0'n,ou~S p.4fG-U.ILaYEk', ~aufi'.c >ti , aE~ PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME D IN WATER L V HES RATE MINUTES NUMBER 4$@ftkS AFTER SWELLING INTERVAL-MIN. X144 t - p RI 02 PER INCH P i Z_a !`tit: Z ? 6 3 ~P , S;. 'LOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hon l anta! and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent ',f land slope. SYSTEM ELEVATION to Si L, it . f'''-• 7 To S. 04 9 _i Z ~ - 4t` € REPt.10cE►n e iu i'"j ~ .".I ( 7 Y 6~ g r2/z~ 56 yk i' 8-5/~' , W~---,T Lo-r Lim L 6p-l2 ~E7 71~r- # P KI /1<,-- jT-1,P. 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in thr Wisconsii, Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. "dAME +prinsl: - / TESTS WERE COMPLETED ON: 1A s1'- r 1tTai .t,:.tst lJUGUST /5 , /`J~`~ I CERTIFICATION NUMBER: PHONE NUMRERInpii r,;ll: f t t FvCi'~ ~I /~if~SC~ny t~ic11~ _Ac 7J~ 38G ~1~~ CST SIGNATURE: M S P OISTR19UT10N: Original and one co;wy In Local .Antht>iity. Prnperty Ownar and Soil Tester, t:+ !G:s)x; iR r:?'4t OVER _ r I? R 6 7 [:D l.__ o I A !1 I ~ t O ` ~ NAM _ =ICJ A E L ~ I _ _0j N, - - T CC, ~ . LiC FnSE- rp> s ,ua 43` ljy' I a~ } VIC FRI SII A:LIZ ]:NT ,"['S - AND OI3SERVAT U)N I' LVL; _ _ CP,O; S SL;C;TT0N r Approved Vent Cap j (03,1 Minimum 12" shove i 4" Cast: Iron ~II~bove Pipe Vent t,i_pe 1.1'o final Grade-- Marsh flay Or Synthetic Cove- i ii(, Min. 2" Aggrcy';, 1 Over Pipe Distri_buLion ~ Pipe 64 Aggregate _ Perfo.ra Led Pipe Below ~r ) Beneath Pipe --Coinlinq Terminating AL Ro L I nil' n Sys Lem o m CD CD CD 0 o C1 j n N° 1 / 0' 3 D "DC BCD 10 aCDDCCD ° CD CO CCD N 7 CD * M O W O- CD Z CO CD A- CD a) co 3• - A) CD CD co C1 (n A i _ 0 l< O (D -w ? p O CD O ° .n. O m a CD p n ? GU O~ W 3°c mac- M En ~ p~ Cl) f~D W p~ to O W O O Q fD C/i CO - „ CD 7 X lU 00 -p U D < CD Cn CT is CD c " 0 n1L C p c 4 aj o p 0 (1) (D CD 0 m 0 CC) m w O C= O N O W y C 1~ LU Cn W F 0 lD ~ • Z CD - °a~ = ° ° i 3 6sa Z CD c cCAD ogWco(1'3 a Cr CnCCDD ?c ~ o fl1 Q) ID) OL -r :3 ~F CDC v m M rn :3 y Cl) ° C1 CD zr m m I o n(a ~ ~~m Co n O u' ° ° "1 c C: (D 3a CD ©0 0 5 a w o 1T1 Cr G CD a 0 a OL 0 cr ° O c w S CD y. CD 0 oc ° •DCD~3 rn oca a a o n m o 0 0 0 C C: W O CD -4 CAD C CD 1~ e CD 0 pFj CL O O O v *t a CD 7 O 3 N' a o < 3 o o Y.: ST. CROIX COUNTY 't jh WISCONSIN ZONING OFFICE 796-2239 (HAMMOND) j 425-8363 (RIVER FALLS) HAMMOND, WI 54015 August 8, 1985 W. F. Wilson R. R. 3 Hudson, WI 54016 Dear Mr. Wilson: The permit application for the sanitary system located on the property in the SE14 of the SW-14 of Section 29, T29N-R19W, Town of Hudson, Lot#10, Presidential Estates, presented to this office by Richard Hopkins has been denied at this time. In order for your plumber to obtain the sanitary permit, an onsite investigation of the soils must be first conducted by this office. After such time that the Zoning Office has approved the soil suit- ability, the permit may be issued. Should you have any question regarding this subject, please feel free to contact this office. Sincerely, Thomas C. Nelson Assistant Zoning Administrator mj cc: Richard Hopkins Harvey Johnson Bill Boumeester P~rwsconsn APPLICATION FOR SANITARY PERMIT - 13ILHR OEPgRTTT1EnT•OF (PLB 67) COUNTY - InOUSTRY,LRBOR&HUMRnRELRT,OnS UNIFORM SANITARY PERMIT # -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8/2x 11 inches in size. -See. everse side for instructions for completing this application. PLEASE PRINT PROPER TY,OOjaIER~ t MAILING ADDRESS PROPERTY LOCATION CITY: C VILLAGE: 1 /4 J" 1 /4, S . T N, R y E (or) W) VVN OF: LOT NUMBER BLOCK NUMBER SUBDIVISION NAME _ NEAREST ROAD, LAKE OR LANDMARK STATE P)_,AN I.D. NUMBER RQS r TYPE OF BUILDING OR USE SERVED 1 or 2 Family Number of Bedrooms. ❑ Public (Specify: i _ THIS PERMIT IS FOR A: .K New System ❑ Tank Replacement ❑ Repair ❑ Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. N Seepage Bed ❑ Seepage Trench ❑ Seepage Pit El Holding Tank System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total # of Prefab. Site Gallons Tanks Con rete Constructed Steel Fiberglass Plastic Septic Tank Capacity ` Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total #of Prefab. Site Gallons Tanks Concrete Constructed Steel Fiberglass Plastic Septic Tank Capacity Lift Pump/Siphon Chamber ..anufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): WATER SUPPLY: I 1~ I Q~ ❑ Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Print): Signature: / MPRSW No.: Phone Number: Plum er's Address: f ri Na , of D~ gner: V COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved ❑ Owner Given Initial Approved Adverse Determination Reason for Disapproval: Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398 To be complete and accurate the permit application must include: 1 . Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.) ; 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 1 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipe(s). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. . DEPA.'TMENT OF SAFETY & OWL ! ~"S INDUSTRY, REPORT ON SOIL BORINGS AND LABOR AND PERCOLATION TESTS (115 P.q. DIV Box 1I9`~9. HUMAN RELATIONS \ MADISON, WI 3{ 17 (H63.09(1) & Chapter 145.045) p jl LOCATION, SECTION: TOWNSHIP/OT NO.:BLK. NO.: SUBDIVISION NAME: r 2'5 /T2~N/Ru~~ COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: I STAN k)ANKS USE DATES OBSERVATIONS MADE CO M RIPTION] / S Residence t/ New ❑Repirce 6 z6.0 28 29 _ 6 fr pp 4 66 Sous $oo~_' -So IL< 80 QK14 4A&-r RATING: S- Site suitable for system U- Site unsuitable for system ON EN Ml__1 S IN-G❑ S []U ~~L a SG❑~ . RECOMMENDED S ~~/EVM: toptio all it If Percolation Tests are NOT required DESIGN RATE;. If any portion of the tested area is in the A / A under s.H63.09(5)Ibl, Indicate:" ~~'S ~ _ Floodplain, indicate Floodplain elevation: /V A PROFILE DESCRIPTIONS j' BORING TOTAL DEPTH T GROUP DWATER-INCHES CHARACTER F SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH ' NUMBER DEPTH tt1, ELEVATION OBSERVED EST. HIGK TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) &Z, .9'-, 5 L 0.85-S.a CS 5.0L CL B o- 7 I 1 ~~'z 1`1016 3 ,,.►cLUS,o,~s.3-5.5 S w/ M -r 0 .7' 84 B 2 n 1 ►Jo~~~ `77 3 b 6N 7E k B- 10 B 6 • Qrf .67 /~f of {k_ 6S" n -0.e' RL SL Cad Cclr•n . o.E3 -6.5' I j G.4 >76 i.C, -3-0 Me 3.c- S ✓►se.cl I~ I! etc PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINI T S NUMBER IBS AFTERSWELLING INTERVAL-MIN. PER INCH P- _ 34 t4otA Z > 3 1, P. 2.9 1 Nc. r Z > 6 t 3 67 _Z. > _ P- i 'LOT PLAN: Shove locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate :tease or dis-r. <<.-es. Describe what are,' wori• ontal and vertical elevation reterence points and show their location on the plot plan. Show the surface elevation at all bor:;igs and the direction did rpentl )f land slope. SYSTEM ELEVATION ~o0 ~'I"5 ,'t! Z3 .37-' i t1. i ` ! I it i IDRIM!>P,Y~YS-f1.M\AkEIQ 4 1 Pj_ 1 s I, i ` h 1 I ;~i. s oT~ o LoT- t~tSTA,Y-L--S AR nn' P=Z. h V _ ,IA-r CALL N i ! I - 6$ r Q rii~ ; i o~ - I P- N fir, cif I I I kF- LAdAMF>JT z l g-4;I L , 188 ZS !nt)1_ 7 3.3 NoR2c~T~L~ the undersigned, hereby certify that the toll tests reported on this form were made by me in accord with. the procedures and methods specified In the 4Vis eosin >dministrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and b9lief. %'ANIE (print): TESTS WERE COMPLETED ON: j I Ii ADDRESS: I ~/JJ CERTIFICATION NUMBER: PHONE NUMBER(opti nal A P PT ~`i' p~ G ll i~ , , ~V t i ji t t~1 < l h . -1. 5 Ii CST SI N TURF: PINS, ')iSTRIBUTION: Original and one copy to Loc+I Authority, Property Owner and Soil Tester. I I I ;j OILHR-SRn-Ra95 1R (17/R7T rnsca i i__;_I~ jl I DEPA:(T'MENT OF SAFETY tic ~it;l!1If t;S'i INDUSTRY,'- RE~'ORT ON SOIL BORINGS AND a,V $iCJN LABOR AND PERCOLATION TESTS (115) P BO 39 9 HUMAN RELATIONS 1 / MADISON, WI 37p7 ! (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/Mi:j [OT NO.:BLK.NO.: SUBDIVISIONNAME: i.•, ~l- 1/4 I, ) Zl_~ /T-z-~N/RIA(or I dL44,~S0 A5it4AP t- ~v?~i ~ j CnUNTY: OWNER' U )R!S NAME: MAFLING ADDRESS: STAN /-SAN+e I USE DATES OBSERVATIONS MADE NO. BEDA :;COMMERCIAL 6E3`Z`iii~1 / q Residence c/ New 6 z6 ' O 28 / 2 / " 6 ~~y ESTS: h ❑Repiece O ~f NJ A AbE 6b SOILS $oc $>JQKaaadT RATING: S° Site suitable for system U- Site unsuitable for system ON EN I(~NA MOUND: iN-GROUND FILL CEDING TANK: NECOMMENDED SYSTEM:(optionall tau o s ❑u _a s au a s ❑u a s ❑u If Percolation Tests are NOT required DESIGN RATE;.-. if any portion of the tested area is in the under s.H63.09(5)1bi, indicate: R C; ~ 1 y I Floodplain indicate Floodplain elevation: A V A PROFILE DESCRIPTIONS BORING TOTAL ELEVATION -DEPTH T R U DWATER-INCHES ARA T R OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH j NUMBER DEPTH tld, OBSERV D EST. HIGPeST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) ! r o- .f35'8eN S L 0.85-S.a cS S.n-S' 3 L CL B /C~,Z7 IIAw IE 63 ,,.pct uslonis .3-5,5 S w~ ~ M -r 13- 2 _ 1 n~S 0 Fqol"s>c _17 " p-0.71 eL ` C 0,7 - l Cc ~ 74. TT _ f t•t•o w/f cab B Mz 07 7a 4-/x-:'~ L B- /o/ 3 ► a►.1 rK > -747 3. 1.v ; t ~.~-6 r,,• t-~ B Q~f•67 Ikon{E- >65~~ n-n.& $L SL coh CoPn. o.E3-(S. •S `,~,rc~ w✓`t I G.4 -S >76 ©-~•o' -5L i.o-3 c~ -?.o- S .,,e~ I. L~ec FT PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MIN T S I' NUMB°R IfO--WS AFTER SWELLING INTERVAL-MIN. _ PER INCH P_ 1-_ JA34--_ ►16 N Z 7 6 3 P 2.9 ? of c_tit E > 6 < 3 0:14 IL 'LOT PLAN: Shov. iocat3on4 of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate,ccaie or dis.::;-ces. Descrihe wha+ are vi-j hori ontal and vertical elevation reterence paints and show thalr location on the plot plan. Show the surface elevation at all borings and., he d;,-e- ion Ahd percen )f land slope. SYSTEM ELEVATION /00'oo' p~ ! I 1 i ! j :5b r~ "S$ t 3~ •3z' L ;V" f 3 I t -~1" - { - Piz ~'J c_ i I c~ I im4p-y Ys-TEM AtE/Q I ST A r k :s r i 11L~1? CALL . rV i I N frt I onl i LA41 im NIT A-7 op ' I -2~ i I n I j' 13 4I 4 i ( ~88 z5 Vie - inlll.Sl~-k~(z .3,3 9 0 2o~Tt fG_'L r - B Mi. N~~A~.cfi~ the undersigned, hereby certify that the soil :eats reported on this form were made by me in accord with. the procedures and methods specified in the Vb7sgonsin >dministrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and k>~lief. ~.AME (printl: TESTS WERE COMPLETED ON: _ ADDRESS CERTIFICATION NUMBER: PHO`aE NUMBE'R(gpti njI~: I. ;CST SIGNPTURE: )ISTRIBUTION: Original and one copy to Loc l Authority, Property Owner and Soil Tester, DILHR sfin-F395 1R 07/97Y rnrca ! 11_._, - r f; Ps Bo L 1* PA H LOT r 11 O S .S ~ E C_, r i Ix.I P R, O J E CI T f L U M I--~ f~ I NAM - _ - _ , M 1.) A E L U T fail A h - 6.~i~ ~ 153 _ z y - jqo' j .r_~. HoKf' ; f FRBSII AII? INLETS AND OBSERVATI(TPJ P IPI SECTION t__•~ Approved Vent Cap Minimum 12" Above I U ~l J i ~ ~ C~r1 rte; ~J Above Pipe _ n" Cast Iron Vent: Pipe To Final Grades----- Marsh Hay Or Synthetic Covering Min. 2" Aggr,eyir l Over Pipe , Distribution 1 Tee pipe Aggregate-__ Perforated Pipe Below Beneath Pi Susfi~~'' ~l l- Pe 4 -Coupl.i-ng Ter_mi.nating At I-0LI- om of System