The URL can be used to link to this page

Home My WebLink About040-1140-30-000 n f~n , O f c v 0 d o o rw `r1 a 3 o 3 r. m -u 3 z= z o w cn rn °A ~C. o m m o rn cn o 0 n V] x F- a o m N O ~ O P3 N G1 m n y n h C) CD CC) m o w ` 1 (D b O rt G 5' v o w o 0 J (D C 1 C o o. O o V O C) cn 7 0 O r• tl O (D s rt H (D P, r{ cn z D m ~ 0 z F ON rt O N c %lo (-n ,d Fi ri o_ CD N O A~ rt cn c4 (D In F P• a r• z co co m o r N O o Co w~ N o c N v F O O O T a -p 3 aQ m cn cn cn 00 rn 3 0 v o v N d m m N .o L m m o Q N N C H 77 c~ H (n m N S N N N 00 zz Zco Z o O ~ O D C 3 H O CD N l~l n N y O rt (a N CD CD a r co b~ O O CD C6 ::t -j cp W C - ;u a z 5, CL ? N W M CD co n. " ' z 3 A X c z O m z m a' o ~ m co o cn m n acn3CDc f7 0 0 =1 S. 2 p N T Fn' 0 ' m c o m z a z m ~ a o m 6.7 CDE ~cn n , NN-,• Q N V ~ N y C) CD A N o Q to w 7 c C~l ~N-° o w a ° a s 7 v A A a- W~ 3 C ~N C-) CD O N yA C) o G 3 p O T a C 7 Q 0 A N OQ A p A ti w fA y O N ►1 o Q. ti Parcel 276-1043-35-134 01/24/2006 04:37 PM PAGE 1 OF 1 Alt. Parcel 36.28.19.322E-34 276 - CITY OF RIVER FALLS Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - SSG CORPORATION SSG CORPORATION PO BOX 1000 HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 1184 N MAIN SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 78-690 Pat: N/A-NOT AVAILABLE SEC 36 T28N R19W PT SE NE BEG 841'N OF lock/Condo Bldg: INTER/WHWY 35&SLN SE NE, THE 300', TH N = R/W 100', TH W 300', TH S Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) ALG R/W TO POB ASSESSED 36-28N-19W W/276-1043-35-130 FORMERLY 040-1140-30 (563Q) Notes: Parcel History: Date Doc # Vol/Page Type 10/10/2003 743381 2433/593 EZ-U 07/23/1997 715/442 07/23/1997 419/401 2005 SUMMARY Bill Fair Market Value: Assessed with: 133116 255,400 Valuations: Last Changed: 10/30/2001 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 0.000 134,100 68,600 202,700 NO Totals for 2005: General Property 0.000 134,100 68,600 202,700 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 134,100 68,600 202,700 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 01/24/2006 04:37 PM Parcel 276-1043-35-130 PAGE 1 OF 1 Alt. Parcel 36.28.19.322E-30 276 - CITY OF RIVER FALLS ST. CROIX COUNTY, WISCONSIN Current X Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - SSG CORPORATION SSG CORPORATION PO BOX 1000 HUDSON WI 54016 SC = School SP = Special Property Address(es): Primary Districts: Type Dist # Description " 1184 N MAIN SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 1.500 Plat: N/A-NOT AVAILABLE SEC 36 T28N R19W PT SE NE BEG E R/W HWY Block/Condo Bldg: 35, 691' N OF S LN, TH E 405', TH N 150', TH W 405', TH S 150'TO POB Tract(s): . Sec-Twn-Rng 40 1/4 160 1/4) ASSESSMENT INC 040-1140-30 FORMERLY 36-28N-19W 040-1139-95 (563N) Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 715/08 2005 SUMMARY Bill Fair Market Value: Assessed with: 133114 575,700 Last Changed: 10/30/2001 Valuations: Class Acres Land Improve Total State Reason Description COMMERCIAL G2 0.000 164,500 292,400 456,900 NO Totals for 2005: General Property 0.000 164,500 292,400 456,900 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 164,500 292,400 456,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: Category Amount User Special Code 1,382.87 013-SEWER&WATER SPECIAL ASSESSMENT Special Assessments Special Charges Delinquent Charges 00 Total 1,382.87 0.00 01/24/2006 04:35 PM Parcel 040-1140-30-0_00 PAGE 1 OF 1 Alt. Parcel 31,28 .563Q 040 - TOWN OF TROY i ST. CROIX COUNTY, WISCONSIN Current X Creation Date Historica a Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - SSG CORPORATION SSG CORPORATION * =Primary Districts: SC = School SP = Special Property Address(es): Type Dist It Description SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.690 Plat: N/A-NOT AVAILABLE SEC 36 T28N R19W.69A IN SE NE BEG 841 Block/Condo Bldg: FT N OF INT E R/W HWY 35 & S LN SE NE, TH E 300 FT, N = R/W 100 FT, W 300 FT Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) , TH S ALG R/W TO POB ASSESS W/040-1140-30 36-28N-19W (563Q) FORMERLY 040-1140-30 (563Q)_ Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 715/442 07/23/1997 419/401 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Last Changed: 08/04/1986 Valuations: Description Class Acres Land Improve Total State Reason Totals for 2005: 0 0 p General Property 0.000 0 0 Woodland 0.000 Totals for 2004: 0 0 0 General Property 0.000 0 Woodland 0.000 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: Category Amount User Special Code Special Assessments Special Charges Delinquent Charges 00 0.00 0.00 Total Parcel 040-1139-95'5-000 01/24/2006 04:35 PM PAGE 1 OF 1 Alt. Parcel 36.28.19.563N 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner SSG CORPORATION O - SSG CORPORATION ANNEXED 95 RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 1.500 Plat: N/A-NOT AVAILABLE SEC 36 T28N R19W PARCEL IN SE NE BEG E Block/Condo Bldg: R/W HWY 35, 691 FT N OF S LN, TH E 405 FT, N 150 FT, W 405 FT S 150 FT TO POB Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) INCLUDES P563Q 040-1139-95 ANNEXED RF 36-28N-19W '95 #526829 - Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 715/08 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/07/1995 Description Class Acres Land Improve Total State Reason Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 0 0 0 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 s Parcel 276-1043-35-102 02/01/2006 12:04 PM PAGE 1 OF 1 Alt. Parcel 36.28.19.322G-2 276 - CITY OF RIVER FALLS Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - NATURAL GAS INC, ST CROIX VALLEY ST CROIX VALLEY NATURAL GAS INC 212 N MAIN ST RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1393 N QUARRY CT SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.037 Plat: 1592-CSM 6/1592 SEC 36 T28N R19W PT NE NE BEING LOT 1 Block/Condo Bldg: CSM 6/1592 FORMERLY 040-1136-30 (560C) ADD'L HIST 718/387 729/102 EZ-U-1499/285 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 36-28N-19W NE NE Notes: Parcel History: Date Doc # Vol/Page Type 10/07/2002 692996 2002/037 PLE 09/08/1997 1262/448 WD 07/23/1997 1096/420 LC 07/23/1997 1067/308 QC more 2005 SUMMARY Bill Fair Market Value: Assessed with: 133101 0 Valuations: Last Changed: 06/24/1996 Description Class Acres Land Improve Total State Reason OTHER X4 0.000 0 0 0 NO Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount 013-SEWER&WATER SPECIAL ASSESSMENT 1,382.87 Special Assessments Special Charges Delinquent Charges Total 1,382.87 0.00 0.00 DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS P.O. BOX 7969 PRIVATE SEWAGE SYSTEMS DIVISION MADISON, WI 53707 BUREAU OF PLUMBING FCONVENTIONAL El ALTERNATIVE SratePI nl_D Number_ (lf assign erl) E Holding Tank ❑ In-Ground Pressure ❑ Mound 85-04596 NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER: INSPECTION DATE. Burt Nordstrand SSG Co 1207 Coule Road Hudson WI 'J -5' _3=3 d BENCH MARK (Permanent reference P-0 DESCRIBE IF DIFFEHENT FROM PLAN REF. PT. ELEV. : CST REF. PT. ELEV SE-', of the NE,',, Section 36, T28N-R19W, Town of Troy Na-, of Plumber. MP/MPRSW N,>. Cnumy Sa n,la•y Permit Number Jack A. Bowman 5875 St. Croix 69625 SEPTIC TANK/HOLDING TANK: MANUFACTURER LIQUID CAPACITY TANK INLET E LEV TANK OUTLET ELEV. WARNING LABEL LOCKING COVER PROVIDED PROVIDED. _ LJYES LINO EYES ENO BEDDING. VENT DIA_. VENT 11 A71 HIGH WA7EH NUMBER OF ROAD. PHOPERTV WELL BUILDINGVENT TO FRESH A LAHM FEET FROM LINE AIR INLET. EYES ENO YES ENO EST- DOSING CHAMBER: (MANUFACTURER JEED~DG LIQUID f.liPl1 (.I I v PUMP n,~f1UE L I~.9P S: F()N WARNING LABEL LOCKING COVER PROVIDEDPROVIDEDYES ENO EYES ENO DYES ENO rGA LLONSPER CYCLE: PMP ANO ON rqo LS OPERATIONAL T UMBER OF wELL BuILDm, VE NLET ESH FFERENCE BETWEEN aIR I MP ON AND OFF) EET FROM EYES L_NO EA REST- SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowmg TL H MATE HIAI AND MAHKIN(, or excavation. (If soil can he rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH LE4TH NO OE DIS'T'. PIPE SP,~[:IN c:~vhlr LIOUID BED/TRENCH N7T niA -Mrs THE NC'.tiFS T,1:~T I. HI,'1l' PIT DEPTH DIMENSIONS G gAVEL DEPTH FILL DEPTH DIST H PIPE DISTPIPE MATERIAL NO DISTR NUMBER OF POPERTY WBUILDING VENT TO FRESH 3E LOWPIPES ABOVE COVER FIEf.NU PIPES LINE I FEET FROM AIR INLET L NEARES_T_► 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- E YES ENO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TExTuRF PE HIMANI NT MAge,A H S OBSERVATION WE ALS _ EYES NO EYES NO DEPTH OVER T RENCH BED DEPTH OVE H TRENCH BFI) UL PTH"I "'PSDIL St)UDFI1 SEE DID JMULCHED 1CENTER (EDGES EYES ENO EYES NO EYES ENO (PRESSURIZED DISTRIBUTION SYSTEM: BI ECJ/1fRENCH wIOTH LENGTH o of niEHnL scS INC cony i DEPTH HE Dw I'[ N Pl FILL DEPTH ABOVE aTVFH TRENCHES. DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATEHIAL NO DISTR DISTH PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEVATION AND EI EV. ELEV. DIA ELEV. PIPES DIA. E DISTRIBUTION _ i INFORMATION HOLE SIZE HOLE SPACING L'HILLED(: r)RHFC IIY COVER MATE HIAL VERTICAL LIFT CORRESPONDS TO APPROV ED PLA(\IS EYES ENO EYES ENO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS NUMBER OF PROPERTY WELL: BUILDING. NE' FEET FROM EYES NO L YLS ENO NEAREST- - - - - Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE. TITLE. DILHR SBD 6710 (R. 01/82) DEPARTMENT OF APPLICATION SAFETY & BUILDINGS INDUSTRY, FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8'/z x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. A legible reproduction of the soil test report or the owner's copy must be included. Property Owner: Mailing Address: BuAt Nond tAand e 1207 Coutey Road Hu.dzon, W1 54016 Property Location: City, Village o ownsh w County: SE '/a NE '/4S 36/T 28 NCR 19 E (or) W TAay St. C&0,4x Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number: N/A N/A N/A H(US/ 35 (If assi TYPE OF BUILDING -5, R~ Number of Public 11 Variance ❑ Other (specify)* Bedrooms: ❑ 1 or 2 Family *State Approval Required. TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): XNew ❑ Replacement ❑ Experimental ❑ Seepage Bed ❑ Seepage Pit ❑ Alternative (specify) ❑ Seepage Trench Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): Q~ Private 1:1 Joint ❑ Public Al I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Signature: MP/MPRSW No.: Phone Number: Jack A. Bowman 5875 (715) 235-4634 Plumber's Address: Name of Designer: 2819 Knapp Skeet Meno, ee, W1 54751 COUNTY/DEPARTMENT USE ONLY g to of Iss ing A t: F e:~ Dat~gppROVED Sanitary Permit Number: "v 5 DISAPPROVED ~lr eason for Disapproval: Alternate course(s) of Action Available: Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in- stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber DILHR-SBD-6398 (R.07/81) H U) H 9 ST C- 105 r r 9 H SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County z d 9 OWNER/BUYER S56 GD,e~ ROUTE/BOX NUMBER 1_~07 COw41ee JZQ, Fire Number fQ ZIP 5-eeOl5o CITY/STATE 44~ PROPERTY LOCATION:~~ 14, Section T_,Z'rN, R / _W, Town of St. Croix County, Subdivision Lot number. Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix.County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. 'A 0 E I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x H the standards set forth, herein, as set by the Wisconsin Depart- ro ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNED "~2ZAZ C,9,4 DATE A2- St. 8~_ Croix County Zoning Office P.O. Box 98. Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,("spec house"), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property 5. 5 ~y rLQ~ 2.9 >~P> Location of Property Section, T N - R W Township ~~•d Mailing Address (.,,a Subdivision Name Lot Number Previous Owner of Property Total Size of Parcel PT' Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resal~ey (spec house) ? Yes No Volume JC7 and Page Number as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: 1. Warranty Deed 2. Land Contract 3.• Other recordings filed with the Register of Deeds Office In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the the Certified Survey Map shall also be required. PROPERTV OWNER CERTIFICATION I (We) eenti6y that att a.ta.tementa on .this 6ohm ane t&ue to the be,6-t o6 my (ou,%) knowledge; that 1 (we) am (ane) the ownen(a ) o6 the ptopen,ty desc ibed in ,th.i,.a .in6o4matti.on 6onm, by vi4tue o6 a wa4.a.nty deed %eco4ded in the 066.ice o6 the County Regi,& teA o6 Deeds as Document No. 6b~ :~L, r~ ; and that I (we) pneaentty own the proposed site Jon the sewage posa.f-system (on I (we) have obtained an e.aAement, to n.u.n with the above desen.ibed pnopeAty, bon the con,6tAucti.on o6 aaid ays.tem, and the name has been duty uco ed in the 066.ice o6 the County Reg.i,a.ten o6 Deeda, as Document No. G. SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) ep - g" g; DATE SIGNED DATE SIGNED v r N x ~ s m N C e w s w CD c N3 0 V y CD (D p n A (D :E CD CC -N =r c co co 'c o m C ' 3 ? (D -0 a (D (D ° 0 ? tr D O CD ap n lD N N D w o m ~ co w~ m N a N? ° 3 a o 0 m m w w ° m cp ? =r c 0 w oc° w ' ° w c° C 3oc Zco <c- 3c_ 'N ocoa 3 s 0 -c~Q (CD p> w N C: =r O p N m O N - co " a D ]7(D w A (~D ~-9 n"' Q• CD N Co' N D (p Q A c ~ C: - 2) C) ) ~a afQi~~w o°amo~ p .-cD~ Qm w N m o O n w N N N (D w co U,. New 0 Q D j fD (p (D w aCND0 36 ,CODM?a -1 CD , 0 p ,Y N co w A D ~C a ww r0 ~g m cr U) CD = a N to W a v 30° CCD0)W--- a ~~TI m CD C? 0 n= m M N (D N (D N n ° o CL n 21 m a ~.o o_~~_ D w " j CD 'Q n (n N (h S w3w aaam0~ m a ° Q3'f ac C O co ?r' ElF CD N CD n C G) 7 0 uj CD f~D O O a o 7 o (D a C N - 7 ~Oa ~cvw n CL C:3 00° p o° ~a aCD wa' 3 3 v o < CO O (DD Z 0 PLAN APPROVAL Safety and Buildings Division D' Bureau of Plumbing P.O Box 7%9 1~ General Plumbing Plans Madison, WI 53707 ❑ Private Sewage Plans Telephone: (608)266-3815 OFFICE USE ONLY Plan Identification No. O,~iy.~ C allons Per Day 40 7 ~~Jg PRIORITY PLAN REVIEW ONLY Plan Review Petition For Modification $ Project Name Project Location - Street No. or Legal Description ounty ❑ City ❑ Village ❑ Town of: The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped "conditionally approved". This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. ❑ FOR GENERAL PLUMBING PLANS: This approval will expire two years from the date approved below. If construction has not commenced before the expiration date, new plan approval must be obtained. ❑ FOR PRIVATE SEWAGE PLANS: This approval will expire two years from the date approved below or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. Comments: By:/ James Sargent Bureau Director If Questions Plans Approved By: Date Approved: Contact cc: ❑ OWS ❑ DPS ❑ H&R & Rec. San. Section ❑ County ❑ Local PI ❑ Facilities Need Analysis Section ❑ UW-SSWMP ❑ Plumber ❑ Department of Agriculture DILHR-SBD-6099 (R. 01/84) ❑ Owner ❑ Other WENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS R!~DUSTRY - DIVISION MA AND PERCOLATION TESTS (115) MADISP.O. BOX 76 ON WI 3707 H UMAN RELATIONS S (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSHIP/ftAHNW4-RRL4T-Il: LOT NO.: BLK. NO. IVISION NAME: SE1/4 N0/ 36 /T N/R E (or) W Ttco y N/A N/A: SUBD N/A COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: St. CtLoix S.S.G CotLpoA tion 1207 Coutee Road Hudson, W1 54016 USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: t ❑Residence N/A Retail Stone RiNew ❑Replace Juty 16, 1985 Juty 17, 1985 `RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND PRESSURE:SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) E] J- S ❑U ES ❑U ❑ S ❑U ES ❑U ❑ S X❑U Convention, DESIGN RATE: If Percolation Tests are NOT required If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.` B- 1 74 99.6' None 74" 8"Bt t s, 24" Be ts, 42" Bn sand 9 g,cave e B- 2 72 100.0' None 72" 10" BZ t ts, 20" B.2 Ls, 42" Bn sand 9 gtcave e. B- 3 72 99.8' None 2 8" BZ t z, 12" B.2 tz, 52" Bn sand 9 gtcave e B_ 4 72 100.4' None 72" 8" B.2 t ~s, 18" Bt tz, 46" bn 5and 8 gtcavee B- 5 72 100.2' None 72" 10" Bt t .6, 12" bt tz, 50" Bn sand 8 g=vet B- 6 72 100,4' None 72" 10" Bt t 12" Bt .Pz 50" Bn land 8 tcavee. PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH P_ 1 30 None ] 0 1 3 4 1% 1% Cza,&s 11 P- 2 36 None 10 2 72 1 7/8 PeAc Rate P- 3 34 None 10 1% 1 P- P- P_ * NOTE Tuts tcun t< outc houty,. PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION l7. To If C~r'•rtr-~C o•~ S k~:rj ~•i .mss/ if•/r_r _ TN -T+ - its < car, >q 'F ez"e ~7Q I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Jack A. Bowman d/b/a Bowman',s Ptumbing July 17, 1985 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 2819 Knapp St.eet Menomonie, W1 54751 C/S/T # 2538 1775-235-4634 CST SIGNA RFr / r DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - _ 40 111 A Me wow !¥i . a 1006 ,}9-°-, it 'fP"'' . r qua, t .Ns t''.vu a. ".y.,t__1° h A i" Siaf_ V .U V.,P,m.Kh P P ..x £Iti~C OK pp ' t W€_f._ 3 ~.r~,,,, ~t a..,E, s~ A tS~ _ m a, ,t „3-'.' i'e£ ew= _ w .,.U a Waving : aclc"-0a G A„r, 540, "f.€ 00 id to Fj q„. n,: z2 Z'S. k 4 I- 3,.P, X-'.rd.t . 00 '}:'...W Q OE ,F .r t, v 00Y n and 10i<..f3:,°Y;... 1 ,'-s ,2 in Met r Mil ii. „_,_F £WI Lev', Sf. ,n tx .w : nno Q€£:T ,Ju}-!', 1 £ WS S a0- „an M 1. £ ca -t..il,.:Vd oc;.'. } ;,,,.o.1 not as M£; :att=' .t :it:s Y£ ,1S.t.,fa: , 1 . a?{,? i' T_E BA An, 0: 23 S"d F Cowie Sao-! C "o Wwwal An F = Foe Sand WOM"q i Skint, Lown, K% OW, L on r, 3"Mn a t GY Gov i May Warn ` o! 1 1 1._ s f ~ it boa" 4100, ' _ TO THE OWNER: This sod test report is the fiat step W ec€.i1 hy) a sanitary iv hn € he M)mty or the De;)artrnent cryay re.; UeSt vuHication of this sail tent in the f £:ir' o for to P iinit issu?n ea A tonni-Ante sat of plans for the private sewage system and a pernOt appiic;WWn runs he submitted to the appropriate local 231_€th arky W order to obta€n a ynernt€t, the sarAwy permit mum be Wa;ind and posted twim to the qaQ of any constwction, I r { J r Q t L ( 8 f C I v 5 :C 9 ~ ,tGY~✓~ it fi 1 , I fsl 1 I ~ 5 ~ 9 L~.__ 4 i / ~ , (j. ~l ~ ~ f ~ , ~ ~ - - ~ Yom. ~ ~ T~ t ! L I 8 d 8 -j 4 , 3 I , fi/o d9e s r .r 2 1 j REVISIONS SYM ZONE C 1 9 SC *I P T O Q NS OATt WE D 49b C ~J r C D TOLERANCES UNLESS MATERIAL DATE OTHERWISE SPECIFIED DRAWN DECIMAL ± ,005 FRACTIONAL t 1/64 TRACED ANGULAR * 1/2' 4 CHECKED SCALE 3 i .z -727 tC~ B A PRINTS TO UNIVERSITY OF WISCONSIN-STOUT MENOMONIE, WISCONSIN DEPT. NO SHT.__ COURSE OF~._~