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HomeMy WebLinkAbout008-1088-40-300 n N O 3 v o o c m o "a m C <D - ^ 3 3 'II x~ ~ \ 1 O • n o m v o Nw c m cn ° `C 3 o c iD o° c N ~.y cJ, ° z a v cn N• i o C CD co w a sD m m ao ` ll C, C) M (D O O 0 C c) W 7 N I j C N N W O r~ ~1 O fD W a a p co > ~C/ = y co _ 0 1 C O o o l\~ 1 ` W \ n z O (L C4 X CL ic a O O O n Y <wz CD CT C) 10 C-n 0 -4- ID C) i dr O N m C ~1 N 7i n N m z CL :3 O m c (D m r; w n Z CD Z c o - n A z 0 CL N1 9 S, O1 v C/) -1 w oov co ~a z 0 3 A ~t o y 3 z 1 CD Li w F I = n D o o s a uCi 3 c) cD=x (n O = T S FD 41 C 7 ~ o a a 7 N N N N O_ 00 W A 01 1. f7 A O A cn I A O i 'p N G CD O O V CL A I N I O7 ~ ~ (D O to O y Q 0. ti a Parcel 008-1088-40-300 01/23i2007 11:11 PAGE 1 OF 1 F 1 Alt. Parcel M 31.28.16.468C 008 - TOWN OF EAU GALLE 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 - SWATZINA, MICHAEL & WENDY MICHAEL & WENDY SWATZINA 2130 PIERCE ST CROIX RD BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 2130 PIERCE/ST CRX RD SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 2.020 Plat: N/A-NOT AVAILABLE SEC 31 T28N R1 6W 2.02AC PT S1/2 SW FRL Block/Condo Bldg: BEING LOT 3 OF CSM 9/2492 EZ-UT-1503/420 EZ-UT-1505/116 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 31-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 09/05/2006 833794 WD 09/13/2004 774194 2655/70 GD 09/13/2004 774141 2654/501 ORDER 07/23/1997 1139/29 CC more 2006 SUMMARY Bill Fair Market Value: Assessed with: 171445 302,400 Valuations: Last Changed: 07/19/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.020 27,000 172,500 199,500 NO Totals for 2006: General Property 2.020 27,000 172,500 199,500 Woodland 0.000 0 0 Totals for 2005: General Property 2.020 27,000 172,500 199,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 12102/2005 Batch 05-56 Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSMENT 192.00 Special Assessments Special Charges Delinquent Charges Total 192.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT t OWNER TOWNSHIP SEC tl / nZih -R14_W ADDRESS_-[_ ST. CROIX COUNTY, WISCONSIN. SUBDIVISION LOT LOT SIZE yQ PLAN VIEW Distances and dimensions to meet requirements of H63 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM fi Ir di at N r h rr w r, BENCHMARK: (Permanent reference Point) Describe: Elevation of vertical reference point: -Slope at site: SEPTIC TANK: Manufacturer: Nfilt( s Liquid Capacity: //)00 Number of rings on cover Tank manhole cover elevation: Tank Inlet Elevation: 'l'ank Outlet Elevation: PUMP CHAMBER ManufacturerNumber of gallons Number of gal. pump set for a cycle- gallons; Total capacity of distribution lines _ gallon: size of pump _ head; gallon per minute horsepower- ;brand name of pump and model number Type of warning device ` HOLDING TANK: Manufacturer Number of gallons Elevation of manhole cover Type of warning device _ SEEPAGE PIT SIZE; _ Number of pits feet diameter feet liquid depth seepage pit inlet pipe-elevation bottom of seepage pit elevation feet. SEEPAGE BED SIZE: number of lines width length tile depth SEEPAGE TRENCH: width length PERCOLATION RATE AREA REQUIRED AREA AS BUILT INSPECTOR DATED a PLUMBER ON JOB LICENSE NUMBER r, DEPARTjgENT OF INDUSTRY, INSPECTION REPORT FOR 'C~ /ISAFETY & BUILDINGS _ASOR F, HUMAN RELATIONS C PRIVATE SEWAGE SYSTEMS' DIVISION P.O.OX 7969 16 _BO N 96I 53707 BUREAU OF PLUMBING l~1CONVENTIONAL ❑ALTERNATIVE i S(atePlan I.D Number ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound \ (If a-geed) NAME OF PERMIT HOLDER . AD HESS OF PERMIT HOLDER: I + INSPECTI N DA E r 1 I I- 3 4LttL fir BENCH MARK (Permanent reference poem) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: C REF. PL ELEV W G I Ali ► t.~! C,k~ N ~mr PI fiber MP/MPRSW Nu County' San nary Permit Number_ SEPTIC TANK/HOLDING TANK: MANUFACTURER Cr LIQUID TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL r Ry OF _ 1 YES O ALARM >1 NO ES %❑NO BEDDING VENT DIA.. VENT MATL I (;H WATER NUMBER OF ROAD: PROPERT WELL. BUILDING TO FRESH LIE Y Ryv~~E OYES f, NO DYE l_I c IFEET FR NEAR_ES_TOM f ~ ' { N IAVlENT DOSING CH f `f AMBER: Q11 TURFR BEDDING. LIQUID CAPACITY PUMP MODEL PUMP IPHONMANUFACTORER Mt~ WARNING LABEL LOCKING COVER L' PROVIDED. PROVIDED: YES ONO OYES ONO DYES ONO GALLONS PER CYC E: PUMP AND CONTROLS OPERATIONAL NUMBER OF P'YOPFHTY WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM NE IAIR INLET PUMP ON AND OFF) ES _❑_NO _ _NEAREST /L DD SOIL ABSORPTION SYSTEM. Check the soil moisture at rliedepth of plowing RCE "TE H NIATERIAI AND MARKING Or excavation. (If soil can be rolled into a wire, construction shall cease until f soil is dry enough to continue.) MAIN the ___`O CONVENTIONAL SYSTEM: l~ WIDTH LENGTH NO. OF UISTH PIPE SPA('Ir )VFI2 BED/TRENCH fZ / THENC "AT H tislDF DIA -Firs DEPT 4 LIQU DIMENSIONS IAI: PIT DEPTH ( i +VF I. DI ' f~l F 11 L DF PTH I)ISTH PIP[ UISTR PIPF DISTR. PIPE MATERIAL HI I ( W PITT S ABOVE COVER I I F V INIt I LLE NI PI R NUMBER OF PH OP ER TV WELL BUILDING VENT TO FR ESH ,r P FEET FROM NE AIH NL T ~!'J l! 1../ NEAREST--~1__ / D 0 MOUND SYSTEM: 5 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- YES NO meets the criteria for medium sand. TIONS MEASURED. D O SOIL COVER TF-x1uRE PERMANENT MARKERS OBSERVATION WELLS urP TTrrvEH rRENCII BED DYES ONO DYES LINO UEP1H pVf H lHENC:H HEU DEPTH OF TOPSOIL SODDED SEEUFD MULCHED CF ti I EH ED(;ES EYES ONO OYES ONO OYES ONO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH ` WID1 H LFNG TII - NO. OF LAT EHVL SPACING GRAVEL DEPTH BELOW PIPE EILL DEPTH ABOVE COVFH TRENCHES DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR_PIPE MAN" OLD MA7EHIAL NO DISTR DISTR PIPF DISTHIBUIION PIPE MATERIAL &IVIAHKIN(L F LFV Et EV DIA ELEV.' PIPES DIA ELEVATION AND DISTRIBUTION INFORMATION HOLE slcE HOLE sPACIN` DRILLED CORRECTLY covER MATERIAL VERTICAL LIFT CORHESPONDS TO APPROVED PLANS _YES ONO COMMENTS: PERMANENT MARKERSO YES LINO NATION WELLS JANEGNET BER OF PROP O ERTY rELL. BUILDING. FROM a"EiYES NO YES NO EAREST- ; Sketch System on eta in county tile for audit. Reverse Side. IGN TU E TITLE _ D I L H R S B D 6710 (R. 01/82) i DEPARtKENT OF APPLICATION Y SAFETY & BUILDINGS INDUSTRY, FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PL13 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8'/2 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. The owners copy or a legible reproduction of the soil test report must be included. Pro erty Owner: Mailing Address: Property Location: City, Village or Townshio _ County: N.S 3 ~T,,2'~ NCR 1 0 W - T', (op Lot Number: Blk No.: Subdivision Name: 'Nearest Road, Lake or Landmark: State Plan I.D. Number: (If assigned) TYPE OF BUILDING Number of ❑ Public* ❑ Variance* ❑ Other (specify)*,_- AL Bedrooms: 1 or 2 Family *State Approval Required. 7i 3 TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY IC?®® ' HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): New ❑ Replacement ❑ Experimental ❑ Seepage Bed ❑ Seepage Pit qr) ❑ Alternative (specify) .K Seepage Trench Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibili for installation of the private sewage system shown on the attached plans. Name of Plumber: nature: P MPRSW No.: Phone Number: T-t (7~5 ) 135 73 Plumber's Address: Name of Designer: c >v) cJrin c~ COUNTY/DEPARTMENT USE ONLY Sig ature of,lssying Agent:, Fee: Date: VED 91.APPRO itary Permit Number: y l l /l wit F~ 7 ❑ DISAPPROVED TSa~ Reason 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, Golden rod-Pl umber DILHR-SBD-6398 (N.03/81) RTMENT OF REPORT ON SOIL fl BORINGS A SAFE & BUILDINGS NDUS T RY, " RFPF!I/F f l DIVISION 7969 LAPOR 3707 HUMAN ANRcD LATIONS \ PERCOLATION TESTS (115 ~ OCT Cy 123 ~IADI StNO•, WI BOX 53707 HUMAN ;a IONINIG # LOCATION: SECTION: TOWNSHIPt : LOT NO.: . 0.: SUSPfKIFiION NAM 1/ l i /T, A/R !J .(or) W COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: , USE DATES OBSERVATIONS MADE NO. BEDRMS.: ICOMMERC IAL DESCRIPTION: I ONS ROFILE 1PERCOLATION TESTS: DESCRIPTI ❑Residence y ❑New ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) DS 1:1u as ❑u OS ❑u ❑S au OS au If Percolation Tests are NOT required DESIGN RATE: SYSTEM EL V. I If any portion of the lot is in the under s.H63.09(5)(b), indicate: LFloodplain, 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.) i O 3 V ~ 4 r y 7' F1 41 -1_ B- f 7 5 S "r, B - - PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD PER INCH o P i P- 5 P- P- P- PLAN VIEW: 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 slop. SYSTEM ELEVATION' F ~~B3T n i 1~l~ern4~L P3 t7, y, T _ 17 ..F. 32: `s Lam' t r r r n I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsin Admimistrative 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: ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER optional): CST SIGNATURE: DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DILHR SBD-6395 (N. 03%f31) a y T7-7 -7 I ♦I 4 4 i i/q , ' • ~ , ~ ;ten ~ x lu ~~WF V f7 ~rj 1 . ,J J 3 s " j J ggg° w " 9 8 i i V 9 NJi OF I REPORT ON SOIL BORINGS AND ~AF€ Y & BUILDINGS INDUSTRY, , RECFf~/rt, DIVISION i f.' 'T c 1_,-D1-,1 ; P.O. BOX 7969 HUMAN AND. PERCOLATION TESTS (11 HUMAN RELATIONS 1 MAQISON, WI 53707 ZQNING - LOCATION: SECTION: ITIWNSHIP/MUNICIPAL+TY: LOT NO. NO.: ISION NAME: 1/ 1/a /T > N/R E (or) W COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROF[ ONS: ER A ON TESTS: ❑Residence ❑New ❑Replace J RATING: S= Site suitable for system U= Site unsuitable for system LCON❑VENTIO~NAL: MOaUND: IN-G ND URE: SYSTEM IaUL F{~ SG TANK: RECOMMENDED SYSTEM: (optional) LIS 11U ) If Percolation Tests are NOT required DI If any portion of the lot is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL ELEVATION -DEPTH TO GROUNDWATER INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B B- P /,7 r B- _ /J ws B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES l NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH P- _ P- P- P- P- P- PLAN VIEW: 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 slop, SYSTEM ELEVATION t . I - a. e- 41 , . t i S s' a a # I s 3 . Is , a x { .S, s.e=......~ .F....,.,_. .,,,..y., ,..,....tee, r s i ` 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsin Admimistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. AME (print): TESTS WERE COMPLETED ON: ESS: CERTIFICATION NUMBER: PHONE NUMBER optional): CST SIGNATURE: riginal-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. t zR11 3 m c 0 3 m ~ ro •B xv • a: Q ( w m m CO c w o y r 1 s o o co o(D c N co O ~ 4 Q Q<~ Ul p ~ CD N co co a) co 91 O_ O 'U A lp, (D CY) A C < (T cr Op l U in O (D CD :3 CO O O 7 t/~ O O w (f) CD O O { T (c a D , t►A (D CD Q m Z' c c_ m o o ^`}VV a o o C~ CD OD OD X n r O w N U) r O = . 0 0 0 W ~1 • o (D y < w z °+(n (D e o D (D = v o q o y m m -O cn o N (D y = N CD ° N _N (D N O. 7 D W O 4 0 O o- c r+y • o (3D (D ( n N (D w (D (D C (D (D w ~ p- O' 'w -j cp Z (D o c 4.- z o I~ (n -i Cl) co_ (D (D a z 3 C (D w ~ _0 (D M ?(D o > M co 0 m O N O (D (~D O C" T 27 3 'Cu = Q O N~ 7 O (D cn O O. N O - O ti CD Q N lU _ O O Q S v 6 0 m W (D O O p O O 'O (D O 7 G C)30 Dc Cn < (D p (D 7 c O CD CD O N N N N C7 ~ 0 N (n CD CL a O O r O Ja CD 'Le) 0 O O 4t O (D AS BUILT SANITARY SYSTEM REPORT OWNER /X ~t.) ( ~S/!( TOWNSHIP- u (7-A~LC SEC LT~ V-R& W ADDRESS ST. CROIX COUNTY, WISCONSIN. SUBDIVISION L0T_ LOT SIZE yQ PLAN VIEW Distances and dimensions to meet requirements of H63 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Oil NJ \A, 1^ 174 I' +ild at N r h rw BENCHMARK: (Permanent reference Point) Describe: Elevation of vertical reference point: Slope at site: SEPTIC TANK: Manufacturer: 41-dwg~t Liquid Capacity :_~Q ~ O Number of rings on cover _ _ Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: PUMP CHAMBER Manufacturer: Number of gallons _ Z f Number of gal. pump set for a cycle gallons; Total capacity of distribution lines-,-_-_-- gallon: size of pump---- head; gallon per minute horsepower -----;brand name of pump and model number Type of warning device HOLDING TANK: Manufacturer _ Number of gallons Elevation of manhole cover ; Type of warning device SEEPAGE PIT SIZE; Number of pits feet diameter feet liquid depth seepage pit inlet pipe-elevation bottom of seepage pit elevation feet. SEEPAGE BED SIZE: number of lines width length tile depth SEEPAGE TRENCH: width- length PERCOLATION RATE AREA REQUIRED AREA AS BUILT INSPECTOR DATED PLUMBER O JOB LICENSE NUMBER UIL-HH n„ in accord with ILItn 83,05, WiS. Adnt. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 1 1 inches in size. Plan must include, but pr (f ice _ not limited to vertical and horizontal reference point (BM). direction and % of slope, scale or PARCEL LD. M dimensioned, north arrow, and location and distance to nearest road, cji >-M'5 w lto APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE f C3Rf RRRT IN p TAT t t PROPER IY LOCATION ',l / Y`.a. J ~eSg I GOVT. LOT SW 1/4 S W 1/4.S31 T !-c- N,R ~.(o(k@y PROPERTY OWNER'S MAILING ADDRESS L ~ T BLOCK N SUBP~v ~IJR S CITY, STATE ZIP CODE PHONE NUMBER ~iuCITY ❑VILLAGE i OWN NEAREST ROA ( ) o D F, A New Construction Use Residential / Number of bedrooms 6f v C j) Replacement ( j Public er a~mmeraa describe _ _ - Code derived daily flow gpd Retbmmended design loading rate bed, gpd/ft~- trench, gpd/ft2 Absorption area required bnd, ft2 _ trench, ft2 Maximum design loading rate bed, gpd/It2 -bench, gpc±/ft? Recommended infttratfon surface elevations One Foa+ t - h ou_rc( ft (as referred to site plan benchmark) Additional design / site considerations Parent material _ L o r-ss -Flood plain elevation, if applicable No tt S = Suitable for system CONVENTIONAL WUND INGROUNDPRESSURE AT-GRADE SYSTFJd iN 1LL HOl 01NG TANK U= Unsuitable fors stem ❑ S U WS ❑ U ❑ S U ❑ S XU ❑ S U ❑ S U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles GPD/ft Loring 44 Horizo Structure Texture Consistence gar, Roots in. Munsell Qu. Sz. Cont Cofor „,,rv>vv Gr. Sz. Sh. Bed ITrand < 7-~ 7.5YK 312 v' 0,5 2 VF 3 f uF- e ound 2G-q3 (0 YR t' t c~~,~ i~l r tJ r ~ C~, A.9r. 43-0 I YR 50 r ~ s C i I? k (vim o • 2 Depth to I) Yk A~ 9,5YQ 6 1 v~ limiting _ _ SCI _ I ar w 0 2 factor At -6 ~6-~~ 1~'°"(~ ~ 7•SY,t' ~ m Boring # _ 3 r_35 ---IoYR 5l6 C Ground ~ elev. 3 - p ► o YR 5-/ 5 `f6-~2 ioY~ - - _ O r~) v Depth to N)' limiting )O Yp _ a ~t; - S F factor Remarks: CST Name:-Please Print h ii tit Q ►'of P h P a1 a` Pr° (9) 30 9 0 S~nature DaW CS Nu or. 02 t~, nn SOIL DESCRIPTION REPORT Boring # Horizon ID Dominant Color Mottles Structure Munsell Texture Consistence BCx.rcU Roots ,.-..GPD/fCF Qu. Sz. Cont. Color Gr. Sz. Sh. y 3 0-10 9,5 ~'R kd b 5 t ,d w - - - tM C tv 1 Ground'{ dry ; ~~Depth to ! 0 U R ~G f 2 iI 9, 5R~ limiting rn I ©.7 factor 50 ~ l?emarkc : Boring # - Y 1 C H/ O~ C r 4.1 1 x;p D t'{ 5 t e w ~ 9 31' 1t~ O YR Ground 40-5.5- yrfe2 ~6 3 YR f 8 ' 1 2 S ~ abk m V ~r w Depm to 5 5~"6 1 o YR' 514 SYR e I © ► v i - - P limiting factor Remarks: Boring # 9,5 (Ai N f J~ n r yr, I CW io F Ground 31-37 o 51 elev. / 5 r pp I Depth to i Jr 15?-67 10 YR 516 _ 51 P") rY O, V limiting facto ~ o T I'rcE-, t, > r C t,I • v o. a°~ ~ a':, x d 1►; a f Ce F3-M1 ..9. if .w ?'C~C/~'I C4'T V Remarks: Boring # r a eta,' ` v 5 i3 , '~~F4 7 ) M Ground _ elev. F ~ev r/tar, ~r`~ 98,6 _ Depth to a t«n. ~17 q(, 00 _ factor Remarks:_ - - ~~e_v_ce Count COuvliY ~.1v,e R.Oq~ It"ror ✓ne tlyr d 160' to cow^~; C.e R" S ' }~cl t Hn~13o. r4) F1 ~ Jer c ~i4raieTr ,t of elo+,r~t~'l•'"' 1✓ ~ve,( ~C LILiOri On1S1 lob, R ReFevfr>re- tAcA ~oD• 0 \ y oig)neie, P05t 1 Top Post f I~ grton loo. 1.3 3 QQpvo x;a-Prlli- t' a 80' ro vS E3 Q3 f MOUND Rr4crRED v l q Cp(Q~ivnS for zov;t.a Kent Rddasell r ' Sv/yyoF SV~/i4oF sPc31 i" -r 9.8N R t6 W 5 ' Pau Colls Town;RlP CI 1 1 5 Ear} Wc„51-- p i - 2 Q7 l i ~ I~ HR EVALUATION REPORT D~ I' in accord with 11-1-11 7183-05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. 9 dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE FgOPERTYCWNEFt PROPERTY LOCATION ✓ GOVT. LOT 1/4 1/4,S i T AR /6 ) W PROPERTY C7vVNER:'S MAILING ADDRESS LOT BLOCK # SUED. NAME OR CSM CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [9TOWN NEAREST ROAD New Construction Use ( ] Residential / Number of bedrooms j ] Replacement ( ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed, gpd$ trench, gpdAP Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/112 trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND INGROUNDPRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem El S El U ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ft in. Munsell Qu. Sz. Cont Color Consistence Bou dory Roots Gr. Sz. Sh. ....'.„z<= Bed ~ Trerxt C:? I Ground elev. r' Depth to limiting . factor Remarks: Boring # Ground elev. Depth to limiting factor I Remarks: CST Name:----Please Print Phone: Address: Signature: Date: CST Number: i3oring Horizor Depth Dominant Color Mottles Structure GPO/ft Texture Consislence C ary Roots in. Munsell Qu. Sz. ('onl. Color Gr. Sz. Sh. Bed Trerx Wk. C-1 i r Ground 6" ~J y s< <<r - - let r?/fief elev. r ~ n , s 6 o s c - Depth to limiting factor r e So v7v ~ Y ~ ~a iYsl'f~*45 ll ~.Z )001,, 1 /ory~ All- C~,f ~w l Remark: t y vt' I std %r 7 w IIMO~ 'Mi to Ground C'r -~41. - l Lam- /C% I t`~ elevlt.~~ oil l~' IA - Depth to _ "'r Ntu~f~ ~M ~r~6 c.<<c~r ; cols - s _ d- lirniting ~ - - - faclor i S h Oti CG'IG~c t~dlrS vJk ~ t r rks: - f~rf [lam} _ - ~ l 6k 5 y ~ N 1 l'1 Ground elev. yC- G _ r,alElr;~ Depth to ~0r limiting -{a k-- - factor t ~•IIS ~CF~~r~ COt'Ye( Mb~~ ~h L io, RU i ll~L~h1~+St- Rernark (.6,/WSoring It _ - Ground ICS 1 - - elev. L~~ S~) f ~1 r 1~~U 1 Jttl At Depth to limiting factor _►~,a ~1.r_~ d~ r', _1~+rs--►,o(v on---jul 25 o Rernarks:._,-4_Y_,!! RS SOIL DESCRIPTION Rr-POnT Depth Dominant Color Boring # I-torizor Mottles Structure p in. M a ns ell Qu- Sz. Cont. Color Texture Cyr. Sz. Sh. Consistence, pa-frl:ly Roots -GPDl1(-- T, t ` Bed nx f ~Y< - f - - - tv- d u /J Uoun I rlpY j- - _ 1.1 l t},~[_~ cis i~ tat+!t tt. y le, y r ~o T 7 L - - Depth to limiting factor rte I. - - i - - -L _4rt_ Y±►t VP~ ^~w S" - 6'• t lv Wee v Poring - - - -M - - - F. T-; Ground - --tt•-- elev. ( N .ttt to irni(irtq - Ground elev. - - it. Depth t0 - IInlltlrlg factor Rernarks-__ _ Boring # _ Ground - elev. - Depot to _ limiting factor - d ST. CROIX COUNTY yJ~ ~ <J WISCONSIN ~xfl~ Irv ZONING OFFICE ST. CROIX COUNTY COURTHOUSE f 911 FOURTH STREET a HUDSON, WI 54016 1:715) 386-4680 July 31, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: A second onsite investigation of the Kent Rudesill property, located in the SW1/4 of the SW1/4, Sec.31, T28N, R16W, Town of Eau Galle, St. Croix County, WI., has been conducted with the assistance of Bruce Webster, CST# 1902. This onsite revealed suitable soil for onsite sewage disposal to a depth of 28" while meeting the requirments of the A + 4" rule. This site should be suitable for a replacement mound. septic system having 12" of sand fill. Should you have any questions, please feel free to contact this office. Sy, S Thompson Assistant Zoning Administrator cc: file DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION P.O. BOX 7969 LABOR AND Preliminary PERCOLATION TESTS (115) MADISON, WI 53707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: T0WNSHIP/Mb4"Sff99R_4~Y: LOT NO.:BLK. NO.: SUBDIVISION NAME: SW 1/4 SW ~/4 31 /T 28 N/R 16 Eau Galle - - NA COUNTY: MAILING ADDRESS: St. Croix Kent Rudesill RR, Baldwin, WI 54002 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: I❑Residence 2-3 NA QNew ❑Replace 5/12/92 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) S ❑ U ❑ S ❑ U ES ❑ U ❑ S [flu ❑ S X❑ U mound, at-grade, in-ground possible si e If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: NA Floodplain, indicate Floodplain elevation: NA 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 77 - No 40 see attached p 2 2 70 - No 34 3 B- 3 74 - No 33 4 B- 4 80 - No 80 5 B- B-5 76 - No 71 6 B 6 78 - No 54 7 PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH P- P_ NA P- P- P- P- 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 preliminary work done for land sale indicates that B-1 - B-3 will take a mound system while B-4 - B-6 will take an in-ground pressure w/ a chance for a conventional system; multiple banding & texture changes at depth suggest that a pressurized mound or, at-grade might be the best for these sites ,no~~:ti S~w~a~. er • _ i _ P._ • i co L - N &L a I n .,.~1r, 3•L t3- 3 e CZo.~ 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 thg.t is ore, the best of my knowledge and belief. NAME (print): l TESTS WERE COMPLETED ON: Henry F. Grote 5/12/92 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): PO Box 57, Knapp, WI 54749-0057 ~1f {J 3065 665-2681 t ST jy'- I CST SIGNAT R M "ti DISTRIBUTION: Original and one copy to Local Authority, Pro rtv er an' 60 4e~1 page 1 of 7 DILHR-SBD-6395 (R. 10/83) L ti INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing scale is prefered. A separate sheet may be used if desired; 6. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all apropriate boxes as to dates, names, addresses, flood plain data, percolation test exemption, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and yur certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 10") BR - Bedrock cob - Cobble (3 - 10") SS - Standstone gr - Gravel (under 3") LS - Limestone 's - Sand HGW - High Groundwater cs - Coarse Sand Perc - Precolation Rate med s - Medium Sand W - Well is - Fine Sand Bldg - Building Is- Loamy Sand > - Greater Than 'sl - Loamy Sand - Less Than 'I - Loam Bn - Brown sil - Silt Loam BI - Black si - Slit Gy - Gray cl - Clay Loam Y - Yellow scl - Sandy Clay Loam R - Red sicl - Silty Clay Loam mot - Mottles sc - Sandy Clay w/ - with sic - Silty Clay fff - few, fine, faint 'c - Clay cc common, coarse pt - Peat mm - Many, Medium M - Muck d - distinct p - prominent HWL - High water level, surface water Six general soil textures BM - Bench Mark for liquid waste disposal VRP - Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit The sanitary permit must be obtained and posted prior to the start of any construction ` T C O 0 N cn f-4 Zk C U ,n > . Q 0 F- t\ 0 4' ° V .n C>' O d \o \o ~o co -T co M J O O O O O O O O" V1 7 Q~i CT1 U) m t\ 1D T x C CL C7 CC) 0 0 C L p m.~ 4-) co a C: N O C _o co co p (0 (T 0 a) U (n c~ V+ dG /0 C H r-I 4~ m E .a > v 10 O E O N a Q • . _ -N \ C t1\ w N H T 0 " A C Z Q Y N U C7 ~D Z cr) > 41 01 a A E Q! 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