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Wisconsin Department of Commerce
Safety and Buildings Division PRIVATE SEWAGE SYSTEM Coun% Croix
• INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanit� U 55
tNo.:
Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 2255�j
Permit Holder's Name: ❑ City []Vill a e ❑ own of: State Plan ID No.:
roppo, Donald St. Yoseph Township
CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Ta o
03 "099 -30 -300
TANK INFORMATION ELE ATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV.
Septic �P S / 00 b Benchmark 1. 3'�_ I 11, 3s 1 U
Dosing d D Alt. BM
L ,5..�
era ' Bldg. Sewer /� S _ ZS
Holdin`g S't Ht Inlet 1 Q o
TANK SETBACK INFORMATION 4/ Ht Outlet Q
TANK TO P/ L WELL BLDG. Ai to ROAD Dt Inlet /
Air Intake � , Id (,
Septic _76- NA Dt Bottom /00 O
Dosing y 5 3 3 ' NA Header / Man.
Avr aff Ion NA Dist. Pipe
Holding Bot. System S. y9 G
PUMP/ SIPHON INFORMATION pp ' Final Grade
Manufacturer ✓- Demand St cover
Model Number % L 31 ? GPM Z 57 �S
TDH Lift IO _ Friction Syesternz TDH I�.?,Ft
L oss Forcemain Length " Dia. Z " Dist. To well
SOIL ABSORPTION SYSTEM
B / TRENCH Width Len th No. Of Trenches No. Of Pits ia. Liqui th
IMEN I N & 3 Z_ DIMENSION
SYSTEM TO P / L BLDG WELL LAKE/STREAM ACHIN Manufacturer:
SETBACK CHAMBER
INFORMATION Type O / Model Nu
System: "�, 7 �S OR UNIT
DISTRIBUTION SYSTEM dwQ %�ay�
Header/Manifold Distribution Pipes) x Hole Size x Hole Spacing I Vent To Air Intake
Length 3 / Dia Z r/ Length � Dia. LA Spacing 3 I 4 `'
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 ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, personspresent, etc.) Ins ection #1: / /v Ins ection #2: od
Location: 1284 60th Street, Hudson, WI 54016 (NE 1/4 NE 1/4 33 T30N R19W) - 33.30.19.356F -Lot 3
1.) Alt BM Description = 0- IreW /t
2.) Bldg sewer length = 1 /
- amount of cover
3.) contour = �.1 "= / ()'
iks�are�
Plan revision required? ❑ Yes No ,r ---- ---°°—
Use other side for additional inform ti on. „L A� &
SBD -6710 (R.3/97) a e nspector's Sig na a Cert No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
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Safety and Buildings Division
SANITARY PERMIT APPLICATION 201 W. Washington Avenue
Wisconsin P O Box 7302
Department of Commerce In accord with Comm r83 ! ' Madison, WI 53707 -7302
• Attach complete plans (to the county copy only) for the Sys t less county than 8 112 x 11 inches in size. ; �'` • See reverse side for instructions for
completing this appli State Sanitary Permit Nu
7 36
Personal information you provide may be used for secondary pur oses `'d E] p CheF w k if revision to preo Ion
[Privacy Law, s. 15.04 (1) (m)]. i? "' St @te lan LD. Number
I. APPLI ATI N INFORMATION - PLEASE PRINT AL off- SBZ: ,
Pro pert Owner a e Property Loco:
T , N, R E (or6
Pro eft Own is Mailing A dre ss & r L Block Number
City, S e Zip Cod Phone Number Su vi on Name or CSM Number
( )
II. YPE F B ILDING: (check one) ❑ State Owned ❑ !t Nearest Road
❑ Village
Public 13 1 or 2 Family Dwelling - No. of bedrooms Town OF
111 BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(
s�, w 0 • 11.
1 ❑ Apartment / Condo D D — _3Z) — 3m 1D
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining
4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash
5 ❑ Hotel /Motel 9 ❑ Office/ Factory 13 ❑ Other: specify
IV. TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable)
A) 1. 4 New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
------ System ________ System_____________ Tank Only______________ Existing System ________ Existing System
B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non - Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 f3Mound 30 pecify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In- Ground Pressure r / 42 ❑ Pit Privy
13 []Seepage Pit r K 43 ❑ Vault Privy
14 E] System- In -Fil '-d / 7, D
VI. ABSORPTI YSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /iyfch) Elevation
3 Feet Feet
Capacit
VII. TANK in Ca allo Total # of Prefab. Site Fiber- Exper.
INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App
New Existing structed
Tanks Tanks
Septic Tank or Holding Tank ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber — I gm 1 ❑ ❑ ❑ I ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the un ersigned, assume responsibility for inst Ilation of the onsite sewage system shown on the attached plans.
Plumber's Na :;( int) Plumber` Si tur o S s MP /MPRSW No.: Business Phone Number:
Plumber's Ad ress (Stre ,City, S te, Zip Co
e
IX. COUNTY / DEPARTMENT E
US ONLY
O
❑ Disapproved nitary Permit Fee (Includes Groundwater ate Issued Issui g Agent Signature (No Stamps)
Approved []Owner Given Initial Surcharge Fee)
Adverse Determination :, S- — Z�
X. CONDITIONS OF APPROVAL /_REASONS FOR DISAPPROVAL:
0 141,1 sew i -S ,,_►� C.S �. lwllllrj-Pe—
SBD -6398 (R. 4/99) DISTRIBUTION: Original to county, One copy To: Safety & Buildings Division, Owner, Plumber
a
INSTRUCTIONS
w
1. A sanitary permit is valid for two (2) years.
2. Your sanitary.perm - it may be renewed before the expiration date, and at a time of renewal any new criteria in the
Wisconsin AdminislTptive Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4, ,Changes in ownership pr'plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the
county prior to installation
5. Onsite sewage systems must be properly maintained: The septic tank(s) must be pumped by a litenwed Vump €r Wtien - ever
necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of
Wisconsin, Safety and Buildings - Division-, 608 - 2663151. -- -
To be complete.and accurate this sanitary permit application must include:
I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the
system is to be installed.
II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
111. Building use. If building type is public, check all appropriate boxes that apply.
IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested for numbers 1 through 7.
VII. Tank information- Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and
manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and
holding tanks for this system. Check experimental approval only if tanks received experimental product approval from
DILHR.
VIII- Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.),
address and phone number, Plumber must sign application form.
IX. County/ Department Use Only.
X. County/ Department Use Only.
Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must
include the following plot plea, drawn to scale "or with complete dimensions, location of holding tank(s), septic
tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon
tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served;
B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume;
elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section
of the soil absorption system if required bythe county; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SU9C`HARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can
effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
Safety and Buildings
PO BOX 7162
MADISON WI 53707 -7162
Mir TDD #: (608) 264 -8777
isconsin www.commerce.state.wi.us
Department of Commerce Tommy G. Thompson, Governor
Brenda J. Blanchard, Secretary
April 13, 2000
CUST ID No.224263 ATTN. POWTS INSPECTOR
ZONING OFFICE
KIM A O'CONNELL ST CROIX COUNTY SPIA
504 3RD AVE 1101 CARMICHAEL RD
OSCEOLA WI 54020 HUDSON WI 54016
RE: CONDITIONAL APPROVAL
Identification Numbers
PLAN APPROVAL EXPIRES: 04/13/2002
Transaction ID No. 307882
Site ID No. 189595
SITE: Please refer to both identification numbers,
Site ID: 189595, DONALD DROPPO above, in all correspondence with the agency.
ST CROIX County, Town of SAINT JOSEPH; 60TH ST, HUDSON 54016
NE1 /4, NE1 /4, S33, T30N, R19W
FOR:
Object Type: POWT System Regulated Object ID No.: 656619
MOUND/ DWELLING 450 GPD
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use:
i
P.0.V1.'
A copy of the approved plans, specifications and this letter shall be on -site during construction and open to Condit o
inspection by authorized representatives of the Department, which may include local inspectors. All permits PP
required by the state or the local municipality shall be obtained prior to commencement of
construction /installation/operation. DE PA JET
Divislo OF
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
SEF GORRES7(
Sincerely, DATE RECEIVED 04/05/2000
FEE REQUIRED $ 180.00
FEE RECEIVED $ 180.00
ROBERT KANTER , POWTS PLAN REVIEWER BALANCE DUE $ 0.00
Integrated Services
(608)261-7735, 8:OOAM - 4:30PM, MON -FRI
RKANTER @COMMERCE.STATE.WI.US WSMART code: 7633
cc: DONALD DROPPO
MOUND SYSTEM DESIGN
Residential Application
INDEX AND TITLE SHEET
Project DONALD J DROPPO
Owner DONALD J DROPPO
Address 240 PENDRYN HILL BAY
WOODBURY MN 55125
Legal Description NE -NE- SEC33- T30N -R19W
Township ST. JOSEPH County ST. CROIX
Subdivision Name Lot No. ####
Parcel ID Number
Plan Transaction Number
Index and title sheet Page 1
Mound calculations Page 2 r. S.
Mound drawings Page 3 11
PrM dist. calcs, and laterals Page 4 f1a y
TDH and pump tank drawing Page 5
PUMP CURVES Page 6 ��
PLOT PLAN Page 7
+U l GS
Designer KIM A. OCONNELL License Number 224263
Signature Phone No. 715 - 755 -3145
Date 3 -25-00
Notice: Tampering with this rile by unauthorized persons is prohibited.
Deliberate modification will result In disciplinary action under s. 145.10, Ms. Stats.
Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)).
SBD- 10482 -E (8.05198) Page 1 of 7
MOUND SYSTEM DESIGN
Complete red boxes as necessary. 1000 gpd maximum design flow.
Inch- pounds Metric
Residential or commercial? R (r or c) (y or n) Replacement system?
Creviced bedrock site? n (y or n)
Slope 9 %
Wastewater flow rate 450 gpd 1703 Lpd
Depth to limiting factor 31 in 78.7 cm
In situ soil infiltration rate 0.4 gpd/fe 16.3 Lpd/m
Contour line elevation 109.0 ft 33.22 m
Use standard fill depths? I x OR Design depth? in cm
Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth.
Center or end manifold a (c or e) Hole diameter 0.25 in 0.126, 0.156, 0.1418, 0.219, 0.25,
0.281, or 0.313 inch ordy.
Lateral spacing 3.00 ft Use 0 lateral spacing for trenches.
Estimated hole space 4.00 ft Not a final calculation.
Number of laterals 2 Pump tank elevation 101.5 ft Outside bottom of tank
Forcemain length 25.0 ft Forcemain diameter 2.0 in 1.5, 2,3 or 4 inch only.
2.067 in Actual I. D.
HOLE DIAMETER CONVERSIONS
IM =0.125 1/4 =0.250
SYSTEM SOLUTIONS Inc Inds Metric 5/32=0.158 QW = 0.281
Estimated daily flow 450 gpd 1703 lLpd 3tl8 = 0.188 5M8=0.313
7132 = 0.219
Absorption cell
Design load rate & area 1.2 gpwe 375.0 ft 34.84 m
Linear loading rate (LLR) 7.14 gpd/ft 88.5 Lpd/m
Design width (A) 6.00 ft 1.83 m
Cell length (B) 63.0 ft 19.20 m
Depth of cell (F) 9.5 in 1 24.1 lcm
Sand filter
Upslope fill depth (D) aff In 30.5 cm
Downsiope fill depth (E) in 47.0 cm
Basal area required (gpd/infiltration rate) 104.52 m
Supporting components
Topsoil depth 6.0 in 15.2 cm
Subsoil depth at center 12.0 in 30.5 cm
Subsoil depth at cell wall 6.0 in 15.2 cm
End slope toe length (K) 10.69 ft 3.26 m
Up slope toe length (J) 6.60 2.01 in
Down slope toe length (1) 13,70 ft 4.18 m
Total mound length (L) 84.38 ft 25.72 m
Total mound width (W) 26.30 ft 8.02 m
Project: DONALD J DROPPO
Transaction Number: Page 2 of 7
MOUND PLAN VIEW
observatm pipes (typical)
J
26.3 ft :: A A= 6.00 ft 1.83 m
8.021 m B - 63.0 ft 19.20 m
W B J= 6.60 ft 2.01 m
i K t= 13.70 ft 4.18 m
K = 10.69 ft 3.26 m
L L — 1 84.38 ft
25.72 m typ. obs. pipe
(anchored securely)
I = down slope dimension = absorption cell (AxB)
J = up slope dimension C) = plowed area (LxW) �
K = e nd slope dimension 6" (152 mm)
T
MOUND CROSS SECTION
subsoil cap D 12.0 i 30.5 cm
lateral topsoil G H E = 18.5 in 47.0 cm
invert 110 50 ft _ _ _ F = 9.5 in 24.1 cm
elev. 33.68 m saa F G = 12.0 in 30.5 cm
A ASTM C33 H = 18.0 in 45.7 cm
13 Sand Fill E
Sys. 110.00 ft
elev. 1 33.53 m 109.00 c ardour
33.22 m elev. 9 %
slope
D = upslope fill depth plowed layer
E = downslope fill depth Note: Absorption cell media will consist
F = absorption cell depth of aggregate and pipe with laterals
G = subsoil + topsoil depth at cell wall centered across AxB media. The cell
H = subsoil + topsoil depth at cell center media is covered with geotextile fabric.
Designer notes:
Project: DONALD J DROPPO
Transaction Number: Page 3 of 7
PRESSURE DISTRIBUTION CALCULATIONS
Absorption cell Inch - pounds Metric
Wdth (A) 6 ft 1 1.83 Im
Length (B) 63.0 ft 1 19.2 Im
Lateral specifications
Number laterals 2
Holes/lateral 16 holes
Lateral length (P) 60.00 ft 18.29 m
Hole diameter 0.250 in 6.35 mm
Lat. dis. rate 18.64 gpm 1.18 Us
Sys. dis. rate 7. gpm 2.35 Us
Hole spacing (X) in 121.9 cm
Lateral diameter Pipe diameter Design optlam Deslm choice
Designer must 1 in (25 mm) Place X in red
"X" one choice 1 1/4 in (32 mm) box of chosen
from the options 112 in (40 mm) X X diameter.
provided. 2 in (50 mm) x
3 in (75 mm) X
Manifold diameter Pipe diameter DoeW opft- DasW choice
Designer m u st 1 in (25 mm)
'7Ce one choice 1 1 /4 in (32 mm) Place X in red
from the options 1 12 in (40 mm) x box of chosen
pr ovided 2 in (50 mm) x X diameter
3 in (75 mm) x
4 in (100 mm) x
Distribution system contains: 2 Lateral(s)
LATERAL, DIAGRAM - END CONNECTION
Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area.
L aterals cent ered over the A & E3 dimension Last hole drilled next to end cap a `)
P -�
Ail erals are identical IF X--3oI Holes drilled on the bottom of the lateral
equally spaced 5
•
main ooruteotion via tee or cross to manifold at any point- Laterals & force main of PVC Soh 40
• = permanent end marker (per C 3KW Table "-30 -5)
Inch ands Metric
Lateral length (P) 60.00 ft 18.29 m
Lateral spacing (S) ft 0.91 m
Hole spacing (X) in 121.9 cm
Manifold length ft 0.91 m
Hole diameter in 6.4 mm
Lateral diameter in 40 mm
Forcemain diameter in 50 mm
Project: DONALD J DROPPO
Transaction Number. Page 4 of 7
TDH and Pump Tank Drawing
Total Dynamic Head
Operational head 2.50 ft 0.76 m
Vertical lift 8.10 ft 7 , 2.47 m Are Dais the highest point in the
Friction loss 0.58 ft S ! l oc 0.18 m system? Yes ")' here. 0
Total dynamic head 11.18 3.41JIM If no, Mist is the highest etevation
Dose Volume downstream of pump?
Dose is > 10 times lateral volume Forcemain drain
Lateral void volume 12.7 gal 48.1 L back to tank? C'x ' one)
Minimum dose 127.0 gal 480.7 L F= 3o, es
Drain back 4.4 gal 16.7 L
Dose volume 131.4 al 497.4 L
Typical Pump Chamber Layout
In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC.
approved manhole cover with
weather proof warning label and locking device
grade le.ms junction box
disconnect grade levels
aa�r�e
4' vent pipe electric as per NEC 300 and c outlet
Comm 16.28 WAC location 18" (46 cm) min.
1
wall of pump &r - approved
chamber or outlet joint
combination tank
A Provide 114" weep hole or artl-
alarm on siphon deice as necessary
pump on B
Grade levels
pump 102.4 ft C - pump tank manhole = 4 (10 cm)
off elev. 31.2 m III minimum above finished grade
D - vent =12" (30.5 cm) minimum
above finished grade
101.5 I ft Pump tank elevation
3" (75 mm) of bedding under tank 30.9 m bottom of tank
Tank manufacturer WEEKS CONCRETE PRODUCTS
Pump tank capacity 19.41galAn
Pump tank volume 800 gal
Pump manufacturer IGOULDS Inches Gallons
Pump model number 1WE0311L � A 24.5 474.6
"as B 2 38.8
Alarm manufacturer JSJ. ELECTO SYSTEMS E C 6.8. 131.4
_„ --
Alarm model number 1HW` 101 p D a 155.2
Project: DONALD J DROPPO
Transaction Number: Page 5 of 7
Pu
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sconsin Department of Industry, 1 r
Wi
Labor and Human Relations SOIL AND SITE EVALUATION REPORT Page_
Division of Safety & Buildings in accord with ILHR 83.05, 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 St. Croix
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road. ozo 0 f9 ^ d
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION VIEWED Y DATE
/ -z
PROPERTY OWNER: PROPERTY LOCATION
Thomas Seim GOVT. LOT PTF 1/411F 1/033 T 30 N,R lq (or) W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # I SUBD. NAME OR CSM #
529 Co. Rd. #E n/a I n/a n/a
CITY, STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE RJOWN NEAREST ROAD
Hudson, tdI. 54016 (715) 549-6587 St. Jose h 60th. St.
kj New Construction Use [xjc Residential / Number of bedrooms Nr Addition to existing building
(] Replacement ( ] Public or commercial describe
Code derived daily flow �' 3 •z )" 9f Recommended design loading rate .4 bed, gpd /ft 5 trench, gpd /ft
0
Absorption area required +74 be ft� trench, ft Maximum design loading rate .4 bed, gpd /ft .5 trench, gpd /ft
Recommended infiltration surface elevation(s) 110.00 ft (as referred to site plan benchmark)
Additional design / site considerations n/a
Parent material :PjftP�� � °C'iar a1 r1ri ft Flood plain elevation, if applicable n/a It
S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable fors stem I EIS RIU )MS ❑ U [IS KiU ❑ S x I ❑ S xiaU ❑ S Z�U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bolxldal)r Roots GPD /ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trertd�
l fi 1 0 -8 1 r4 3 none L. 2 m shk rtfr w 2 f .5 .6
2 8 -18 10yr4 /4 none scl 2/m /shk mfr g/w 1 /f- .4 .5
Ground 3 18 -32 7.5yr4/4 none sl. 1 2/n/sbl -, mfr g/w 1/f .5 .6
elev.
109 - 5-0 ft. 4 3 - ,0 10yr4 /<< f2d 5yr5/8 sl 2/m /shk mvfr na/ na/ .5 1 6
Depth to
limiting
32" factor
Remarks:
Boring #
1 0 -8 10yr4/3 none L. 2/m /shk mfr g/w ./f .5 .6
U 2 8 -17 10yr4/4 none scl 2/m /shk i�tfr
/f .4 .5
3 17 -31 7.5yr4/4 none sl. 2/m /6bk m �� w f .5 .6
Ground
elev. 4 3 50 10yr5/4 c2p 5yr5/8 sil. 1 ftna � /a .2
10
Depth to ry tf N
limiting S;
factor ur; ry
31 "
c
Remarks:
CST Name: — Please Print pphh e:
Gary L. Steel 715 -146200
Address: 155 0th. Ave. w Richmond, WI. 54071 M..
Signature: Date: CST Number:
—21 -93 cstm22g8
1
PROPERTY OWNER Thomas Seim SOIL DESCRIPTION REPORT Page 2, of 3
PARCEL I.D.# Q30
Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. rBe Tre nch
1 0 -15 1 2, 3 4 none L. m ¢r 2 15 -2.2 10, 3/4 none sil. 2 /ms /bk mfr g/w 1/f .6
Ground 3 22 -36 7.5yr4/4 none sl. 2 /m /sbk mfr 8/w na/ .5 .6
e lev. 70 4 3 -69 7.5 c2 7.5 5/8 sl. rf n/a a/ n/a n/p .2
10Fi . 70 ft. S p �
Depth to
limiting
factor
36
Remarks:
Boring #
kv:
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
...........
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(R.05/92)
STEEL'S SOIL SERVICE
Gary L. Steel
C.S.T. 2298 Thomas Seam New Richmond, WI 54017
MPRSW -3254 NF %lam% S33- T30N -R1-q T (715) 246 -6200
town of St. Josen'.
/ P- 5 '
z �o
6 ` `xqO
� ®�
2 �a
0 -3
Gary L. Steel
7 -21 -
041 11:32 612— "r'.''3 -9220 HAMEMANN LISA PA 'GE 01
ST CROIX COUNTY
SL?TIC 'I A,'NK MAINTENANCE AGREEMENT
AND -
OWNERSHIP CERTIFICATION FORM
Owner /Buyer 5k u ' DV - 0
Mailing ' tQ 'x-- I 1- � Vr{l _
Property Address
(Verifteanon required from Planning Department for new construction)
City'Staie , '�1. 5 - 1 4Parcei IdenOF-cation Number C) • 1
LFC,-A i SCR_ [PT Q
Property Location 1�I� ' /., '/., Sec. �� , T, -R W, Town of
Subdivision Lo! 0
Certlfled Survey Map # �����a Volume iL� ,Pogo # a7•4
Warranty Deed # _ Volurne Page p
Spec house C yes Q no Lot lines identifiable C yes O no
SYSTEM MA(NTF A;�CF
Improper use and matatenanceof your septic system could result in its premature failure to handle wastes. Proper mainteilar.
consists of Pumping out the septic tank every three years or sooner, if needed by a licensed pumper. what you put into the syste,
can affect the function of tha septic tank as a treatment stage to the waste disposal system.
The property owner agrees to submit to St. C;otx Zoning Department a certification form, signed by the owner and by
rnas!c t+lurrber,aoumcynian plunibcr, resu,c +,d +IUntllt r Or a 11 ccnscd pumper verifying that (i) !hc oresire waste water dispossl oyster
rc m rroper operatu ?g condittun an,t,or (2) �!Ier , non and pumping lrf necessary), the septic tarok is less than 1/3 full of sludge
Uwe, the undcrstgned have read the above requirements and agree to maintain the private sewage disposal system with the standard
set terth, herein, as set by th* Department of Commerce and the Department of !Natural Resources, State of Wisconsin Centf,cat.o
;tatin�, their y our aePt+C system has hire maitri 4a1 muse tic rumplctcal arts *c!urned to the St (.'rmx County Zoning Office wuh,r �
days of the three year cxp)rattori date.
La L P �
Si /
CrNq OF APPLICANT DATE
Q- W_NER 9RTiF CATION,
1 (we) certiry that al! statements on (hl' form. are tnic to the best of rnf (our) knowledge. 1 (we) am (are) the 0' .LT.rr' o
the property desCribod above, by virtue of a wr;rar.ty deed recorded in Register of Deeds Mice
SIGNAM OF APPLICANT DATE
""" Any information that is mis•represcrtcd may result in the sanitary permit being evoked by the Zoning Departmcm
'• inetutle with this app licaripn ! s1:,d w1rranty dc-d frOm Uuo !register of Oceds offil v
a copy of ttry ceruFM survey r+ap if reference is rnadc in the war, iinty deed
R
1_0FAGE 494 6,22126
KATHLEEN H. WALSH
WARRANTY DEED REGISTER OF DEEDS
ST. CROIX CO., WI
DOCUMENT N0.
RECEIVED FOR RECORD
05 -01 -2000 10:00 AM
WARRANTY DEED
This Deed made between GERALD L. VAN DAM and JODENE EXEMPT #
CERT COPY FEE:
R. VAN DAM, husband and wife and each in their own right TRANSFER FEE 195.00
Grantors and DONALD J. DROPPO and SHELLY A RECORDING FEE: 10.00
DROPPO, husband and wife as survivorship marital property, PAGES: 1
Grantees,
Witnesseth, That the said Grantors convey to Grantees the RETURN TO:
following described real estate in St. Croix County, State of
D. Peter Seguin
Wisconsin: iu'dson, UDGE, ER ET AL. �b � 1 g r ]
cond St, PO Box 469 Part of the NE 1/4 of NE 1/4 of Section 33, Township 30 North, WI 54016 041^,W 54 Dib
Range 19 West, St. Croix County, Wisconsin described as follows:
Lot erti fied Surve ap filed June 1, 1994 in Vol. 10, Page Tax 1D# 030- 1099 -30 -300
2770, Doc. No. 517318. AND
A parcel of land located in part of the NE 1/4 of NE 1/4 of Section 33, Township 30 North, Range 19
West, Town of St. Joseph, St. Croix County, Wisconsin further described as follows: Commencing at
the NE corner of said Section 33, thence S00 °53'37 "W along the East line of the NE 1/4 of said Section,
593.10 feet; thence S88 °53'04 "W along the Sly line of Lot 2 of Certified Survey Map in Vol. 9, Page
2546 at the St. Croix County Register of Deeds office, 485.22 feet to the point of beginning; thence
continuing S88 °53'04 "W along said South line, 424.23 feet; thence S35 °3439 "E, 214.72 feet; thence
S84 146 " E, 332.18 feet to the Wly line of Lot 3 of Certified Survey Map in Vol. 10, Page 2770 at said
office; thence N08 °12'50 "W along said Wly line, 218.73 feet to the point of beginning. AND
A parcel of land located in part of the NE 1/4 of NE 1/4 of Section 33, Township 30 North, Range 19
West, Town of St. Joseph, St. Croix County, Wisconsin further described as follows: Commencing at
the NE corner of said Section 33, thence S00 °53'37 "W along the East line of the NE 1/4 of said Section
593.10 feet; thence S88 °53'04 "W along the Sly line of Lot 2 of Certified Survey Map in Vol. 9, Page
2546 at the St. Croix County Register of Deeds office, 485.22 feet; thence S08 °12'50 "E along the Wly
line of Lot 3 of Certified Survey Map in Vol. 10, Page 2770 at said office, 358.63 feet to the point of
beginning; thence continuing S08 °12'50 "E, 45.98 feet; thence N78 °07'42 "E, 8.58 feet to the point of
curvature of a 1120.54 foot radius curve, concave Sly, whose central angle measures 15 °50'54 ", whose
chord bears N86 °03'09 "E and measures 308.96 feet; thence Ely along the arc of said curve, 309.95 feet
to the point of tangency and the Wly right -of -way of the town road (60t Street); thence N86 °01'24 "W
along the Sly line of said Lot 3, 323.98 feet to the point of beginning.
This is not homestead property.
Together with all and singular the hereditaments and appurtenances thereunto belonging;
and Gerald L. Van Dam and Jodene R. Van Dam warrant that the title is good, indefeasible in fee simple
and free and clear of encumbrances except easements, restrictions and reservations, if any, of record.
Dated this +h day of �rt l , 2000.
(SEAL) �EAL)
Gerald L. Van Dam dene R. Van Dam
AUTHENTICATION ACKNOWLEDGMENT
Signatures of Gerald L. Van Dam and Jodene R. Van Dam STATE OF WISCONSIN )
authenticated this day of ) SS
2000. ST. CROIX COUNTY )
TITLE: MEMBER STATE BAR OF WISCONSIN Personally came before me this J * day of
2000, the above named Gerald L. Van Dam and Jodene R. Van
(Signatures may be authenticated or acknowledged. Both are not Da nown to be the persons who executed the foregoing
necessary) in strum and ackno I d the same.
THIS INSTRUMENT DRAFTED BY:
D. Peter Seguin t Pu ic, State of Wisconsin
MUDGE, PORTER, LUNDEEN & SEGUIN, S.C. my cs�Oegires):
110 Second Street, Post Office Box 469 aC
Hudson, Wisconsin 54016
_ _ O
FILED
$ JUN 119940- 2
JAMES O'CONNELL
Register of Deeds 3
51.7318 L St. Cmk Co., WI
CERTIFIED SURVEY MAP
Located in part of the NEa of the NE4 of Section 33, T30N, R19W,
Town of St. Joseph, St. Croix County, Wisconsin.
• �K`ed e s
ALL �
4 ' *' P
�.� -
YHAGE +' CO 0 Ln
S -1407 ° o
HUDSON, W z A
d N
J <
Scale in Feet e.� 0 SU�� �� NE Corner of 9- o 0
`� ®$ lot Section 33 H
3 a, -4 N
C 14 N
0 50 100 200 b
O r0 N
M 10 Cn
ul rh m N d M
O
T L Coo "�
LV
VOL. 7 PG. 25 T6 3 6 3 33' I
S88 473.28' 0 Q
440.141 33.141- 88053104 11W
11.94'
w ,
c ► Col
r
N
co LOT 3
N r of t� rf )r
Il v, ' JI G'� _j
— 1 0 _, i ( 01
r^ °' 3.60 Acres Inc. R/W I , >l
lLJ W , 0 156,738 Sq. Ft. '
�
I I �l
0 1 3.30 Acres Exc. R/W r IJI
143,746 Sq. Ft. r CL'1 z
� r r I -1
►CJ L
1( � : � + Tl c � l F"
NI ° 3 COI 0 C/) i Pn l
57 59 0nE Q O W Ji L)i "PRO
16 2-54 1 323.981 --
S86001124 11E 161.441 N130 n
357.46 � 51 -96 , II E MAY C b ���
LrgFLi� I I ELF L �1%gS 33.481—
r 33 ' CROIX COUNTY
C, Jrzprehensive 11 - mwdr
Ln 7 and
o co OI1Kig
O M L
LEGEND
N N 1 a Committee
Aluminum County Section Monument Found not recorded
• 1" Iron Pipe Found E} Corner of within 30 days of
0 1" x 24 Iron Pipe Set, weighing 1.68 lbs. Section 33 aWovaldate
per linear foot "wovalshal be
OWNER —a a vem
........ 100 Roadway Setback Line
Tom Seim
—- Existing Fenceline 529 County Trunk "E"
VOLUM 10 PAGE 2770 Hudson, WI 54016
This instrument drafted by Michael Erickson Proj. No. 83 -16 -194
80072
° 18 4 S P 21 KATHLEEN H. WALSH
REGISTER OF DEEDS
Document Number Ooowtterd TMIe
ST. CROIX CO., NI
RECEIVED FOR RECORD
St. Croix County 07/19/2005 10:45AN
Occupancy Affidavit AFFIDAVIT
EXIM #
REC FEE • 11.00
�aQLO TRANS FEE:
Owner Typed or printed COPY FEE
Name —
(Owner) Yp p CC FEE:
being duly sworn , states, under oath, that: PAGES: 1
1. Helshe is the owner /part owner of the following parcel of land located in St.
Croix County, Wisconsin, recorded in Volume 15CG Page q Document
Number /oZz) St. Croix County Register of Deeds Office: Recoaft.4rea
and Address
A parcel of land located in the NE Y, of the KE y of Section 3 3 ,J 1. M
T 30 N — P, 11 W, Town of _8T. =S E R , St. Croix
County, Wisconsin, being duly described as follows (include lot no. and �Z$� S T
rocSc
subdivisiodCSM or detailed legal descri lion):
#• • to
030 0
S 31 � �. Z'��o� i_vT 3 4 0 30D
Parcel Ider0cedon Number 1�"
As owner of the above described property I acknowledge that the septic system serving this residence is sized for a
bedroom home, or a design flow of
35'0 pd. The design flow is calculated by assuming 150 go for 2
Individuals per bedroom. There are currently f oocupants living in this residettoe; J2_ occupants are permitted
based on the design flow. Therefore the septic system serving this residence Is code compliant. However. l
understand that if there are intentions to exceed the number of permitted occupants, the system WIN need to be
modified to aocomodate any increased wastewater flows and/or contaminant loads. I also acknowledge that I will make
this Information available to any future parties interested in purchasing this property.
Dew this _�� day of - J L '( zo (
*
AUTHENTICATION ACKNOWLEDGMENT
Signatures) STATE OF WISCONSIN )
outhenItcated this days I cfil4doix qty. /
GE dame before me this day
� � • • above
•.
TITLE: MEMBER STATE BAR OF WISCONSIN = Z
(It not, * to me kr w4to Ice the person(s) who a the foregoing
acknowletip the so
-
at*wdzed by § 706.06, Wis. Slats.)
THIS wSTRUMENr WAS DRAFTED BY sl• !
•
Notary Public.411ale of Wtownsin
(Signatures may be sudwnticatW or acknowledged. Both are not My is permanent ff not, state expiration date:
necessary.) Dat
"TIM PAGE IS PART OF THIS LEGAL DOCUMENT — DO NOT REMOVE"
TNs k* m don nwsr be oonyMed by su6 nNw: domnent narrre 6 return and ffd pf M WrodJ. ouwk*ffn on such as the
grantk ' orawa, bagW desaogm efom any be placed on drls *W papa d do damned ed or may be placed on addlI brralpagw of ft
doour mt Ugam, We or Mb ooverpepe adds one peps so your dooamarrt and 5100 to the amrrilen lee. Nlfaoorrskr SYaartes. 517.
r�
80� 762
1 8 4 8 P 2 1 REGISTER OF DEEDS
ST. CROIX CO., NI
Document Number Document n"
RECEIVED FOR RECORD
.St. Croix County 07/19/2005 10:45AM
Occupancy Affidavit AFFIEXEVMIT 11
REC FEE: 11.00
TRANS FEE:
COPY FEE:
Name — (Owner) Typed or printed CC FEE:
being duly sworn , states, under oath, that: PAGES: 1
1. He/she is the owner /part owner of the following parcel of land located in St.
Croix County, Wisconsin, recorded in Volume 15CG Page _?41 Document
Number (*u) Z(o St. Croix County Register of Deeds Office: Recordino Area
Na Re R m Address
A parcel of land located in the NE K of the NE %. of Section
�lc� �1 ��y W
T 30 N — R _9 W, Town of ST• =S6 R , St Croix 12
County, Wisconsin, being duly described as follows (include lot no. and
subdivisionlCSM or detailed legal descn lion):
C5� /O �,
2,-? 70) Lol 3 030 og°I o- 3oD
Parcel 1der0cation Number (MN)
As owner of the above described property �I acknowledge that the septic system serving this residence is sized for a
bedroom home, or a design flow of 'T pd. The design flow is calculated by assuming 150 gpd for 2
individuals per bedroom. There are currently occupants living in this residence: _L occupants are permitted
based on the design flow. Therefore the septic system serving this residence Is code compliant. However, I
understand that if there are intentions to exceed the number of permitted occupants, the system will need to be
modified to accomodate any increased wastewater flows and/or contaminant bads. I also acknowledge that I will make
this information available to any future parties interested in purchasing this property.
Dated this Y day of 'TJ L
* *
AUTHENTICATION ACKNOwt.EOGMENT
Signature(s) STATE OF "SCONSIN )
aullwAcated this day of , j I I I I fih Croix County.
G 11 "'rr ly came before me On! / day otv u
above Warned r 0 v
o
TITLE: MEMBER STATE BAR OF WISCONSIN = _ '
(if rot. * to me knowito be the person(s) who ex ed the foregoing
authorized by § 706.06, Wis. Stats.) t
THIS INSTRUMENT WAS DRAFTED BY ��ii S� ' ug` • •`
OF U
rrr ►rUnide ,,, eu,� �
Notary public, to of Wisconsin
(Signatures may be authenticated or adoxmiedgW. Both are not My Cortu�ission is pemrma e . Ir not, state exQiratlon date:
necessary.) Dat r.P� `�,__! _.
"THIS pA03E IS PART OF THIS LEGAL DOCUMENT — 00 NOT REMOVE"
This Wonnstion axed be completed by subrWer dymneig & Istum and f I (if requk". Other kdametlon such as ft
ytant W causes, leegd descr*Wlon. etm may be placed on this hat pope of Nre docament or may be placed on addMonal Paper of the
document. dg Use or this cover papa adds one page to your docnmeW and SZ0 fo the Mggddlao tee. v4&=nsin Statutes. 59.517.