HomeMy WebLinkAbout026-1135-26-000 / �
Wisconsin Department Commerce PRIVATE SEWAGE SYSTEM
Safety and Buildings Division County:
INSPECTION REPORT St. Croix
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.:
Personal information you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. 374956
Permit Holder's Name: ❑ City ❑ Village ❑ Tjown of: State Plan ID No
P.C. Collova Builders, Richmo Township
CST BM Ele . ( Insp. BM Elev.: BM Description: Parcel Tax No.:
C5 g Ot # 2- e 4_x
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic �� Benc 1 Z 75
Dosing - S'O 9 O$
r
Aeration - Bldg. Sewer �(Z q• (� 6
Holding St/ Ht Inlet S .ZO 81- 39 '
TANK SE ACK INFORMATION St/ Ht Outlet
TANK TO P / L WELL BLDG. Air i to ntake ROAD Dt Inlet
Air
Septic sD� 3 I `�— NA Dt Bottom �j0 gS , -
Dosing �� ti23 NA Header /Man. (�,I`( It. 4 Y
Aeration NA Dist. Pipe
Holding Bot. System
PUMP/ SIPHON INFORMATION qA ,)t Fin I Grade
Manufacturer h mand J 3 -61
Model Number �Q GPM
TDH LiftLh•b� Lrictior 3 30 System TDH?.J( Ft
oss mead
r Forcemain Length Dia. Z It Dist. To Well
SOIL BWRPTION SYSTEM J O � L;;
BECri Width i Leng h No. f Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIME 3 (D8 DIMENSION
SYSTEM TO P/ L I BLDG WELL LAKE / STREAM LEACHING Manu acturer:
SETBACK ; �)ew r
INFORMATION Type O I CHAMBER
Mo a Number:
System: D .1 '' S OR UNIT r O et t
DISTRIBUTION SYSTEM
Header / anifold t t Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. Leng Dia. Spacing ? 5 - 6
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil ❑ Y>ss [] No []Yes E] No
COMMENTS (Include code discrepancies, persons present, etc.) Inspection #1: (34 ' 0 / OD Inspection #2:
Location: 1402 143rd Street New Richmo d WI 4 17 (SE 1/4 SW 1/4 24 T30N R18W) - Evergreen Outlook -Lot 26
1.) Alt BM Description =
2.) Bldg sewer length= 3 • p '
- amount of cover = .�- Z
3) 0�4.�r�r W4-f Y4
Plan revision required?
r�
Use other side for additio nfo mation. 3
SBD -6710 (R.3l97)
LMA r S Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
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' � : At t}0 2. t S-t : Sanitary Permit Application Safety & Buildings Division
In accord with Comm 83.21. Wis. Adm. Code 201 W. Washington Ave.
See reverse side for instructions for completing this application PO Box 7302
Personal information you provide may be used for secondary purposes Madison. WI 53707 -730.
NV Isconsin
`Department of Commerce (Submit completed o county if r
(Privacy Law, s. 15.04(l )(m)) it omlted f t cou
state ovine:
Attach com fete plans (to the county copy only) fo s n plEpetnot less than 8 -1/2 x i I inches in size,
County State Sanitary Perm Number evision ib, 3o'prtv plication State Plan 1. D. Number
f ti .4..
1. Application information - Please Print all Informatio ''"� r" �'` , Location:
Property Owner Name Property Location
t
°t 1 /4, S .2Y T3d N, R tor
Property Owner's Mailing Address ST Lot Number Bloch Number
de,4 zl: 1�_q_
City, State Zip Code
AjLf umber Subdivision Name or CSM Number
II Type of Building: (check one) �/ ❑ City
D 1 or 2 Family Dwelling— No. of Bedrooms: O Village
0 Public/Commercial (describe use): ,B(Town of
Q State -owned S, • 4 e -u®L
III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road
A) 1. J% New System 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Number(s)
system Tank Onl Existing S ystem pen'L
$) Permit Number ate Issued
13 A Sani Permit was p reviously issued
IV. Type of POWT System: (Check ail that apply) 2M T / 40
. Non-pressurized In- ground ❑ Mound ❑ Sand Filter 0 Constructed Wetland
❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line
❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other:
2 - S x &8.4 -s -{ ,� Q� 135 ' ab'a�
V Dis ersal/Treatment Area Information: d.2 �.�F•' /��.� c A.A6e ;-s - /
1. Design Flow (gpd) 2. DispersalAres 3. Disp ea 4. Soil Application S, Percolatio to 6. System Elevation 7. Final Grade
Required Propose 3 ` ,Ratte j,_�d* ) (Minfinch) �� Elevation
�SU G y3 Y (1 _ . 7 �9 ys : v
VI Tank Capacity in Total * of Manufacturer Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing crete structed
Tanks Tanks
S'e x lODp / .' �` 13 ❑ C3 ❑
r
❑ ❑ ❑ ❑ ❑
VII Responsibility Statement
the undersl ed assume res on ibility for installation of the POWTS shown n the attached 2lans.
Plumber's Name (print) Plumber's Signature (no stamps); PRS No. Business Phone Number
Plumber's Address (Street, City, State, Zip Code)
1d7d Sc g, - VT o
VIII County/Department Use Only
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date issued issuing Agent Signature (No stamps)
K,Approved ❑ Owner Given Initial Adverse Sur arge Fee)
Determination zz
IX. Conditions of Approval t /Reasons for Disapproval:
AZL
ii7 V ow +w 4S i+tt.6wt�s_
SBD -6398 (R. 07100)
• � � Colli.U�- ,Gw.` s-s S��<f.�'Cc>� • s � y T3ri' G? /�` � T ow.J pF�'�G n.o.� a! _ _ ,_
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Wisconsin Department of commerce SOIL AND SITE EVALUATION 3
Division of Safety and Buildings Page of
Bureau of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and C�(�
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. #
h ft � @f1�.
APPLICANT INFORMATION - Please ri >i< Reviewed by Date o� a
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.64 (1) (m)). `
Property Owner t��, I ^-,4 Property Location
?a '� Govf: Lot E 1/4 �IKS 2 �� T 3p ,N,R lff E (or) Ott
Property Owner's Mailing Address r 1 } Lot # ! Block# Subd. Name or CSM#
C ���.� Zip v
erg e Over{
City 1 ^,
State Code r hhone Nut�N?� ❑,1✓ity Village Town Nearest Road
1 t U i � L6 1 ,3A 6 i U\ "� .fi� / K c �t rv� o r� e !�Y! a
N,
�.
New Construction Use: gResidential / Nun'Ibetldi r s g g
3 _� Addition to existin buildin
Replacement ❑ Public or commercial - Describe:
Code derived daily flow CJd gpd Recommended design loading rate 7 bed, gpd/ft _ trench, gpd/ft
Absorption area required bed, ft 2 _ _ tt rench, ft Maximum design loading rate ' bed, gpd/ft trench, gpd/ft
Recommended infiltration surface elevation(s) i /
qZ / yQ ft (as referred to site plan benchmark)
Additional design/site considerations < /' 7 o
Parent material l9 r) 4 ,1 _cit "A Flood plain elevation, if applicable 11_� 1 ft
S = Suitable for system Conventional Mound T Gound Pressure AT -Grade System in Fill Holding Tank
U = unsuitable for system ops C3 U s ❑ u s ❑ u Ep El u 1 ❑ S U U ❑ s
SOIL DESCRIPTION REPORT
Boring Horizon Depth Dominant Color Mottles Structure GPD/ft
g in. Munseil Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed , Trench
:1 d -it iN 3I Z- 5 Zmabk m r CS 1 ; S (0 5
Ground 3 2$ Ito D r lt�o MS t] YY) I C 5 _ —► . $
elev.
,
Depth to
limiting
f ctor
�_in.
Remarks:
Boring #
1 D -lo 10 r3 )Z 2_rY)obK rAr cs v •S
f
2 2 1 ( -.11 — Cs iYiS
Ground
elev.
4 ro ft,
at 0
Depth to Z
limiting
factor
C( in. Remark
CST Name (Please Print) Si Telephone No.
,q ,ja SchJrYrLke►''
Address Date CST Number
Co — t y--DU
SOIL DESCRIPTION REPORT
PROPERTY OWNER `— Page Z of .
PARCEL I.D.# �t� Z
Boring # Horizon Depth Dominant Color Mottles Structure 2
Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
-
Z i 3`I j L5 1 m S trrr C
Ground 3 V-99 rn
elev.
q `l. )b ft.
Depth to
limiting '
fac
in. 'mGo
Remarks:
Boring #
mA- `
LS
3 -
Ground
elev.
9 3,% ft.
Depth to
limiting
factor
gin.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots P /
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Boring # ( -13 j 2 5 2► - n - Q - LS ) 4 >
5 R Z 3- 1 I-S I m5 f T 1T7 CS — . `I ' S
ms CS �' }
Ground
elev.
Depth to $
limiting
factor
T _in. Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting IL
factor
in. Remarks:
SBD -8330 (R.9/98)
PAGE 3 OF_
NAME r o l (pt }u LOT# � LO LEGAL DESCRIPTION 54CI4Sy' /4,S_71 T3 a ,N,R 48 E (odV
SCALE: I"=
BM 1 ELEVATION
BM 1 DESCRIPTION h j ee, �f ( i,✓�t'(_�
BM 2 ELEVATION q �7 / 6, Z y
BM 2 DESCRIPTION e o �'� �c 0 ; " tj ri,
SYSTEM ELEVATION
ALTERNATE ELEVATION
CONTOUR ELEVATION
v
It I
41 L
'J
^^
'1
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t
SIGNATURE � DATE ���
i
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 (POWTS) 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-
10567-P (R.6/99).
Table 1: System Design Specifications
Sanitary Permit Number RS
Number of Bedrooms
Design Flow - Peak (gpd) 4SV
Estimated Flow - Average (gpd)
Septic Tank Capacity (gal) �p
Soil Absorption Component Size (ft2) z
Type of Wastewater Domestic
Table 2: Soil Absorption Component - Limits of Reliable Operation
Septic Tank Component Soil Absorption Component
Design Flow - Peak (gpd) L WO
Maximum Influent Particle Size (in) 0 1/8
Maximum BOD (mg /L) 220
Maximum TSS (mg /L) 150
Table 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 septic tank and outlet filter shall be assessed at least
once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure
proper operation. The filter cartridge should not be removed unless provisions are made to
retain solids in the tank that may slough off the filter when removed from its enclosure. If the
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 may be 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
• Management Plan for a Septic Tank and Soil Absorption Component
Plantings of deep- rooted trees and shrubs directly over or within ten feet of the
component should be avoided since root intrusion into the component may obstruct wastewater
flow.
3
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer p, c bH oVA
Mailing Address - 70, Ou . I? d. .
Property Address
(Verification required from Planning Department for new construction)
City /State Parcel Identification Number � V1'4601�
1
LEGAL DESCRIPTION
Property Location /,
P �Y �E ' , 5ij ' /,, Sec. Z` , T o N -R Fs' W, Town of /CHi�'loWD .
Subdivision 'FyEX��RL— /1/ O I/Q'�oDK Lat # 2 6
Certirted Survey Ma//p # Volume , Page #
Warranty Deed # k':a 3 C / S� Volume S� , Page #
Spec house �es ❑ no Lot lines identifiable es ❑ 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, journeyman plumber, restricted plumber or a ticensedpumper verifying that (1) the on -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 the three year expiration date.
SIGNATURE OF APPLICANT DATE
I
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledgE. I (we) am (are) the owner(s) of
e roperty describ iy virtue of a warranty deed recorded in Register of Deeds Office.
�, S o d
IGNATURE O APPLICANT DATE
* *' * ** Information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.******
** 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
W05, TUE 11:33 FAX. 715 366 4657 REGISTER OF DEEDS 0 001
15iZpxE242
STATE BAR OF WISCONSIN ROkM 2. BODY
'WA1UULNTY DIET)
pocmaeatNueber �� C4•�
Tbia DeW, made bomah Steven d Dfrrle y� "� d00p�
6rdnt °r. and P.C. Colima Bui dens, Inc., a A91aacwta Car
poratiwr SEE• 2• pp
go
Grantee,
Cirentor, for a valuable cauidcndon, radveys to Grarttee the
following dtscrlbsd teal state in SL Croix County.
Stale of Wisconsin ()f mom apace k needed, pleaie alloob addendum)!
Recording Arcs,
The Southeast Quarter of the Southwest Quarter (SE 'A of SW 'l.) Of ieedon Namc Carom - �
24 end that iwrt o f the N % of Satin 25, ly)a; Nordwly cf 140th Avemic +pQ S C ' 11
ALL in Tbwtvitip 50N, Rainga 16 West, $t. Crobr Cotmty, Wiswnsln. "g n � o rs{ 0 t IP
EXCEPT pert of N'h or Section 23 dncrhlhod as foltows; Commencing at N '
u corner of acid Section 25; thence North 64 degrees Ob minutes West on
North i)as of mid 8e0tien U. 603 frost, Blanca South 01 dqm 23 minutes
Want 1353 feet; thence Soatll 84 degre" 06 mbwlee East 1200 f*4 thence 26. 1071404)00 d; 24 -1072. 70-
North I degree 23 minutos 6 i353 fact to Said North line, thane Nord. 69 Pored IdaULAm hen Nomber 0119
dagrm D6 minim West on said N fine 697 feat to Plou of Bogissing. St. TL:s Is sot hootetmd powly.
Croix County, Wisconsin. 31) W act)
Excoptioas tr wumtiew psaemerro. reatricdoris and righgryf -way of rv=11. irony.
Dated this }
day of AUY,. 8tft10
a a '. Dn9t
AUTHENTICATION ACKNOWLEDGMENT
Signaw.ee(s) Ste>,'en A Derrick STATE OF WISCONSIN )
aaWasti ...,.......... �.. �. __,
County )
Oaead Ib C day of MAY 3004
Aereocrlty coma bsfar3 me ihb . ,_day of
the above named
a Krlrt"Oalaod p
u sae y ) 'r and �now lcd16ed tilt eam a ` aeeufcd the !'one`u;ng
TITLE- MEMBER STATE BAR OF WISCONSIN
f
euiLOrlaaJ b W6.06, w.� scars.
71il$ INSTRUMENT WAS 19IL4F'!'W BY
Aelorwy Krirlias staid Nowy Public, State Of Wisconsin
0 16 WYMS My Corrmarianipt i3 parmamit. (If not state expiration date;
(S p may be Ahalosn l—j or scUMW14A Both ran not um;uy.) )
a Nam et perms& signV4 N hmy capm*y and be typed or pr6ud below dov sigsaser, rre rrr+�arw.r c. wr r. r.a a�r.�ve
WARRANTY OECD 67ATRSAN0FW>B94tN r
FORM Ns, 2 • I$"
Goulds mss- er-
Submersible
Effluent Pump
s EPO4
EP05
APPLICATIONS • Fasteners: 300 series Fully submerged in high ■ Motor Housing: Cast iron
Specifically designed for the stainless steel. ....grade turbine oil for for :efficient heat transfer,
following uses: ' Capable of running lubrication and efficient strcngih, and durability.
• Effluentsystems dry without damage to - heat transfer. ■ Motoi Cover Thermoplas-
•Homes
components. Available for automatic and tic coverwith integral handle
Motor. and float switch attachment
• Farms ? manual operation. Automatic points.
• Heavy duty sump • EPO4 Single phase: 0.4 HP, models include Mechanical
• Water transfer 115 or 230 V, 60 Hz, 1550 Float Switch assembled and ■ Power Cable: Severe duty
• Dewatering RPM, built in overload with rated oil and water resistant
' automatic reset Preset at the factory.
Sin Hz, phase: 0.5 HP, ■Bearings: Upper and lower
• EP05 S
SPECIFICATIONS 115 V, in
60 Hz, h 550 RPM, FEATURES heavy duty ball bearing
construction.
Pump: E built in overload with ■ EPO4 Impeller. Thermo-
PO4
• Solids handling capability: automatic reset. plastic Semi -open design AGENCY LISTING
e /i maximum. • Power cord: 10 foot with pump out vanes for
• Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. I& Cwmr=V=da&ASS0C1ftn
• Total heads: up to 24 feet. with three prong grounding EP05 Impeller. Thermo-
• Discharge size: 1 1 /2' NPT. plug. Optional 20 foot (CSA fisted model numbers
• Mechanical seal: carton length, 1613 SJTW with plastic enclosed design for end in "F" or "AC ".)
rotary/ceramic�stationary, three prong grounding plug improved performance.
BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged
• Temperature: thermoplastic design provides
104OF (40°C) continuous superior strength and
14ff (60°C) intermittent corrosion resistance.
• Fasteners. 300 series METERS FEET
stainless steel. 10
• Capable of running
dry without damage to s 30
components.`
Pump: EP05 8
• Solids handling capability: c 25
/4 ma)dmum. w
• Capacities: up to 60 GPM. X: s
• Total heads: up to 31 feet
•
Discharge siize:1 W NPT. - z 5
• Mechanical seal: carbon- fl 15
rotary /ceramic - stationary,
BUNA -N elastomers. 0 9
• Temperature: �'�' s 10
104'F (40°C) continuous V
140°F (60°C) intermittent. 2
5
. 1
' o 00 10 20 30 40 50 GPIA
0 r. 4 . .w" 6 8 • 'Alm0 12 R*Vh
A f
Wk
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
" Boor ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
�.,. Hudson, WI 54016 -7710
(715) 386 -4680 FAX (715) 386 -4686
May 17, 2001
P.C.CollovaBuilders
Attn: Laurie
705 County Trunk E
Hudson, WI 54016
RE: Septic Inspection for P.C. Collova Builders located at 1402 143rd
Street, Evergreen Overlook (Lot 26), Richmond Township, St. Croix
County, Wisconsin
Dear. Laurie:
A septic inspection of the above referenced property was conducted on 12/07/2000. This
property is located in the SE 1/4 SW 1/4 of Section 24, T30N R18W, Evergreen Outlook
(Lot 26), Richmond Township, St. Croix County, Wisconsin. At the time of the inspection,
this septic system was found to be code compliant for a three (3) bedroom home.
-4 .
� lease contact our office at 715 680
If you have any questions regarding this, p ( ) 386
i ja�
Kevin Grabau
Zoning Technician
/gm
cc: file
I