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Parcel #: 032 - 2007 -30 -050 02/27/2006 08:34 AM
PAGE 1OF1
Alt. Parcel #: 2.30.19.490C -10 032 - TOWN OF SOMERSET
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 - STONER, DONALD W SR & CAROLINE A
DONALD W SR & CAROLINE A STONER
1793 HILLCREST DR
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): " = Primary
Type Dist # Description * 1793 HILLCREST DR
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 2.516 Plat: 4576 -CSM 17 -4576
SEC 2 T30N R19W PT NE NE LOT 2 CSM Block/Condo Bldg: LOT 02
17 -4576 (2.516AC)
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
02- 30N -19W NE NE
Notes: Parcel History:
Date Doc # Vol /Page Type
07/30/2003 732891 17/4576 CSM
05/14/2003 721389 2240/586 QC
05/14/2003 721388 2240/584 QC
297470 454/216 WD
2005 SUMMARY Bill #: Fair Market Value: Assessed with:
77507 133,100
Valuations: Last Changed: 08/09/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.510 40,200 66,900 107,100 NO
Totals for 2005:
General Property 2.510 40,200 66,900 107,100
Woodland 0.000 0 0
Totals for 2004:
General Property 2.510 5,000 66,900 71,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch #:
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
l Safety and Building Division
t INSPECTION REPORT Sanitary Permit No: 420367 0
OLNERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township Parcel Tax No:
Stoner, Don Somerset Township 032 -2007- 00
CST BM Elev: Insp. BM Elev: BM Description:
r OD' 6a f 6-
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS FS ELEV.
Septic Benchmark ffiI
j l�v 1�1n d _or i02-0 /00/
Dosing � Alt. BM ST tp -0
Aeration Bldg. Sewer
r
Holding St/Ht Inlet
3.m s. IV .as
TANK SETBACK INFORMATION St/Ht Clu tlet
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic / Dt ttom
> 7!r sZ' a ! r. F13.b 19. k;,35"
Dosing \ / fi Header/Man. 11�117 5 C4
Aeration 7 Dist. Pipe ,
Holding Bot. System !Y; S
Final Grade f
PUMP /SIPHON INFO RMATION
Manufacturer X Demand St Cover r/
GPM �5- 1� 1- 0
Model Number Tu r' r n
TDH Lift Friction Loss System Head T
13 i.q 2 .0 I ® ►fp,� `�2 .yS
Forcemain Length r Dia. r � Dist. to ' Wel �
SOIL ABSORPTION SYSTEM
BEDITRENCH Width / Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth 5/ 1 DIMENSIONS 9
SETBACK SYSTEM TO / P/Le JBLDG IWELL LAKE /STREA LEACHING Manufa
INFORMATION CHAMBER OR
Type f System: y,
�„ /O V �l / T Model Number.
DISTRIBUTION SYSTEM o`V / � CSC
Header /Manifold IlDistribution 0 x Hole Size x Hole Spacing Vent to r Intake
/ Pipe(s) f p /
Length Dia '1 Length Dia Spacing 3 -Z 5
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems OnlyM `
Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench nter Bed/Trench Edges Topsoil
Yes [W No [] Yes No
COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1:q/ / d 2i Inspection #2:
Location: 1793 Hillcrest Drive New Richmond, WI 544017 (NE 1/4 NE 1/4 2 T30N 11119W) NA Lot� Parcel No: 02.30. 9.X9
1.) Alt BM Description = ST'CvJt''Z- f�/l�'I$�rn, W"Ul� G�U�i'i 0.
2.) Bldg sewer length = Is� -f,L �Qig•,� �!/�aZl/i� / /`
- amount of cover
Plan revision Required? Yes *<O
1 p
Use other side for additional information. _ r (
SBD -6710 (R.3/97) Date Insepctor's Si ature Cert. No. �J�'
L PLAN
PROJECT Donald Stoner DDRESS 1793 Hillcrest Drive New Richmond Wi 54017
NE 1/4 NE 1/4S 2 /T 30,/ / 19 TOWN Somerset COUNTY St.Croix
MPRS Shaun Bird 226900 DATE8 102 BEDROOM 3
CONVENTIONAL IN -GROU PRESSURE CONVENTIONAL LIFT )00( HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE 630 DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30
BENCHMARK V.R.P. To of Nail in Tree
P A SSUME ELEVATION 100 Filter Zabel A -100
❑ BOREHOLE (DWELL - H.R.P. Same as Benchmark �—
SYSTEM ELEVATION 95.0/94.5
6 Aj C.BM Top of Nail in elm tree @ 100.5'
Failed Drainfield
B -4 0,
Old Tank is to be pumped and buried - !�j
0
Plans Designed Using ST 0 Huffcutt
Conventional Powts 20' Combo Tank
Manual Version 2.0
20'
Pro 3 20 , t 100'
Bedroom N
House 75'
5' 0'
` Well 30,Z B -1 Vents
> •
t�
to
x >20%
Slope
20'
B -3
2 -3' X 94' Cells with >3' spacing
10%
Vent Slope
>6 „ Standard Infiltrator l
Leaching Chamber 0, Vents
of Cover with 31.1 ft2 of Area
B.
6' Long 12"
3 4" Grade at System Elevation
30'
Property Line 50' Ad
�l.f�QUP�c -tau b�►�T -
- -� s4
' y r /f • i
,. uuwy suwa asw..++.•ar• ............ � / ",
zo> W. waab�gtom< Ave., P .O. Box 7162
' Wisco nsin p s
Mme. WI 53707 - 71 � Address
�SL`D g.q _oz �9io �
Department of Commerce
samiL7ry
P
Sanatory Permit Application �{-z. 4-
In accord w1a comm. 8321. Wn. Adm. Coda, Per90 W 60NUIR You PWVWC 0 Check if Raddon
be used f Law 915. 1 m
I. App5catka Infer - Please Priit AN Iafonnation kE G �. V D State Phu I.D. Number
Pared Number
Property ownees Name
D
property ownces MWft Address
�. S
� . CR � I FICA= 1V 'A /L 4L•S� Q N R
,;,n p ;, ice OF
�. sun Zip Code
Number Block Number
_
Name CSM Number
�J s 5qo) s _L -3dal of Bugdfug (Check IOL all that any)
Type
gamey DweSM - Number of Bedrooms
ovubp-
0 pnbliclComemccid - Descsft Use
0 Stan owned Nearest / 1
apMe 2 93'�S lure B f app&A )
IQ. Type Permit: (Check on Vne A OA=h ring scheme for vernal )-
A- Nep Roent Syateem 3 0 Replacement of 6 0 Addition to Far Comely use
1St Date Iswed
B. ❑ t2leclk if Y Permit pnwioudy band Pr�mit Nomber
III. of Pernnit: (Check AR that apply)(mmubeng s� is fir mteroal use) Con s t ructed `
- PressrrQad M.�d 210 Mound Drip L
a 47 0 Sand Filter 50 0 D I ine j nd wetland
22 0 p hi Avmd 410 Holding Tent 48 0 SW& Pass 510 rip
45 0 A 46 0 Aerobic unit 49 ❑ 3017 oa r
c -cane
V. Area Peradefion Rate FJaradon Final Grade
Area sou
Grade - Flow (gpa) Dispersal Area Di�ersal B lavation
IcqWrcd > proposed Rate(Gals./DiysISgJF .) (MmJhx:b) l /
Prefab Sine Fiber Plastic
VI. Tank info Opacity in Tatel Number M Conaren Cam Glass
Galhms canons of Tatdks
Now
Tub 13mtis
septic or Belem tank
r>osias Minaber x I •6
VII, 1, the undalk0edt assume respomd68iti for hajWktion s te m pooWTS shows an the anached
mess phone Number
plumbers Address (Stt+ea. City. SIND.)
EC7*Wftjom Use Dan Issued I:saEUg Agent Sigmnrre (No Snmp6)
0 Flee) Fee (medades Groundwater
`f
❑ offGr4w nit;at Adve rse Dcw
of App for Disapproval � S vw tas fir. sus � f.,be
Attf�4 oo�p>ete P� tlm Coaoll sow Ere stem an NPa
L PLAN
PROJ19CT Donald Stoner DDRESS 1793 Hillcrest Drive New Richmond Wi 54017
NE 1/4 NE 1 /4s 2 /T 30 / 19 TOWN Somerset COUNTY St.Croix
MPRS Shaun Bird 226900 DATE 8 BEDROOM 3
CONVENTIONAL IN -GRO6 PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE 630 DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30
BENCHMARK V.R.P. Top of Nail in Tre e ()SSUME ELEVATION 100' Filter Zabel A -100
❑ BOREHOLE O WELL - H. Same as Benchmark
SYSTEM ELEVATION 95.0/94.5
A . BM Top of Nail in elm tree @ 1 00.5'
Failed Drainfield a�
B -4 0, a �d
Old Tank is to pump and buried
Plans Designed Using
0
ST r 201 Huffcutt
N Conventional Powts 20' Combo Tara,\
Manual Version 2.0 \�
�1
Pro 3
Bedroom 100'
House 5
r ^aa'H
Well 30 5' 0'` (�Ven
' B -1
x >20%
Alt. Slope 5' S'
20'
B -3
2 -3' X 94' Cells with >3' spacing
10%
Vent Slope
ALong 9' Standard Infiltrator
Leaching Chamber 0, Vents
with 31.1 ft2 of Area
B.
34" Grade at System Elevation
30'
Property Line 50'
DOCUMENT NO.
eoox
486 f268 °°� 01"M
n�T: oe,awNO WIt' "Rw is
311156
e ray W 114 AMIA
TM nWM4TM Made by. - an REGIOURS ' OFFICt
Gaylord L. Stoner
ST. X1100( CO.. Wls.
r _ ..._....._.._. _.. -.. r.. ».._ ».. «.._...... ...._..._.._.... grantors d ay _.IT�Iry�. i.�0.1ir12
St. Croix at_� sDA »_ls`'OL
_._ _.._._..__.._.__.. County, Wisconsin, hereby quit- claims to •
Donald W. Stoner and Car oline
._... ». »_.._..._........_.._. ..._.»... Stoner, - __.,...
husband and wife as j oint tenants RETURN To I
grantee «.8., of.........St•_. Croix._.. �.._._..»......__ .._..__.._..�.._...._._.._..... '''
- •---- - - - - -- •_.._ County, Wisconsin, for the sum of I
One Dollar and other good and va}zable
------- ---- -••-•_- •- _•_ -• - -- consideration
the following tract of land in______. S t - Croix ............ _ _ ___. - . County, State of Wisconsin:
Part of the Northeast Quarter of the Northeast Quarter (NEh of NE4) of
Section 'Two (2), Township Thirty (30) North, Range Nineteen (19) West
described as follows: Commencing at the Northeast (NE) corner of said
Northeast Quarter of Northeast Quarter (NEh of NE4); thence South 495
thence West 275 feet to point of beginning; thence North ,j
the East line of said Northeast Quarter of Northeast parallel with
260 feet; thence West to East line of g 4uarter ( of NEB)
said East line 200 feet; thence East to point ofbeginningnce So on
Consideration less than $100.00,
FEE
EXEMPT
i
rase ur
SEPTIC TANK E PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS
4" Cl VENT PIPE 12" MIN. ABOVE GRADE E WEATHERPROOF
25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED
FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER
W/ PADLOCK S
FINISHED GRADE WARNING LABEL
i. "set %% --k 4 MIN.
y C.z. a iesEawdoa " "
„
INLET '
1
WATER TIGHT SEALS
GAS- ; •`
TIGHT , ijPPROVED
FILTER --= A SEAL , JOINTS WITH
APPROVED i ', ALM APPROVED PIPE
P ONTO 33' ON SOLID SOIL
SOIL PUMP OFF ELEV .5 FT. +-- OFF
D
3 APPROVED BEDDING UNDER TANK
�ONGRET�E�
SPECIFICATIONS ��s9
SEPTIC / DOSE
TANK MANUFACTURER; NUMBER DOSES PER DAY:
TANK_ SIZES SEPTIC AVP GAL. DOSE VOLUME INCLUDING
DOSE GAL. FLOw GAL
ALARM MANUFACTURER: CAPACITIES: A 7 INCHES = ya. GAL.
MODEL NUMBER: B = 2 INCHES = 7 GAL.
SWITCH TYPE: ``
Pump MANUFACTURER: C = INCHES = /Q.,S�GAL.
MODEL NUMBETJ' D = INCHES =
SWITCH TYPE:
REQUIRED DISCHARGE�RATE�O _ GPM - PUMP E ALARM WIRING AS PER ILHR 16.23 wA C
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE FEET 3
FEET
+ FEET FORCEMAIN X �•� _FT/100 FT. FRICTION FACTOR . FEET
TOTAL DYNAMIC HEAD FEET ET
INTERNAL DIMENSIONS PUMP TANK: LENGTH / '-� _W� DTH 6 DIAMETER
LIQUID Yc�
SIGNED: LICENSE NUMBER:
' /CZ_ / � DATE:
1/88
I � i1 $` W ,r l � ' �',. e T a $ YSa' � EEM lam
W I-1-71101M IY �}'�.?
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Sam [Mim" No M [ Orm
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Maintenance and Contingency Plan for a Septic System
Maintenance Plan
1. Septic Tank is to be pumped once every 3 years.
2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in
order to extend the maintenance interval of the filter.
3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of
the cells.
4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system.
5. The owner agrees to save this plan.
6. Do not plant trees nor park nor drive over system.
7. Watershed is to be diverted away from system.
8. Discharge into system is not exceed those required as per Comm. 83
Contingency Plan
1. If system fails, determine cause of failure, use alternate area and install new system or
install system at a lower elevation.
2. Replace any other failing components as needed.
Plumber: Shaun Bird 715- 246 -4516
St. Croix County Zoning 715 - 386 -4680
Pumper Tom Mondor 715 - 246 -5148
Shaun Bird #226900
SHMC TANK MAMTBI4MCE AGRBBM W
AND
OYMEPSM CAIION FORM
Owner/Buyex
D ,
pmped Adder -
(VafficafimwqWwdfiuu S D now coaskoodw* - -
�— Parcel Identification Number o a � q g o &)
�� nF,sCBIPTt
pmPedyLocatim %., y., Sac. . T_2��lW' Taws of
Subdivision . Lot #
CWrWed ftrv9 MaP # `T-- -- Volume P ap #
W=T mty Deed # -; / J . Volume e' /_ ......
Spec bow fl Lot lines ' O no
InWwpo ruwaadm oea�yaroa pficsy caoi�dr tinitspr �nLam�e�rsa .I�opar
cmdds ofpsmtping cut toe septic U& amy dmv y ac 900ue4 if medodby a fioattsedPasopec VWYO RPOtbodwsymom
am afoot dw Smc i - of toe sepdo tmk as a tt+abn=t sdV is the waste digK=t system
no pwpuW Owm " ft ssbmit is St. Quiz Zombg D a aettifiadio amm sighed by the a wm en by a
utssbaP j p uodbeg i araiioeasedPamPer �) 1as tom 113
is iapropec� slier issPedion aad pig (if aeta]►�
W% ft mbm%=dbm nefteabedasdog=to mmftkft Pftft==V s]► wl�tire
>rerei% as set &e Depactc M GECloomeraa aad do DM uhno to Nden l�ommt- t m cf Wisme� obL
aetfo�, � o�
"3^W s3�hsbeeamsiud oodmwbocoa�tedmdsek odtDtheSkChftCamty
days of tbo ftm year rain &.
` � ��, DATE
I (me) aedit�l font aU s an ties Facet O�a� I (me) am (no) &0 aids) of
toe psope y desctl" by of a unmasty
DATE
JZ T� OF ApTLIC.ANr
arsss« AM h0uwtim that is oa,bednm y m Bas ►P=ft borog by
.•s j w�l this sppBication: a camped vra�anty +� from tba of Heads aif oe
a Copy of tba and && suety map if v&mw° is made in tits w=msW dead
r
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
Count), _ S �
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must v Z J
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. Re ' wed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.14 (1) (m)). 'YL 'Z(p
Property Owner Property Location
r Govt. Lot 1/4 1/4 SpC T - N R 1 7 E (or
Property is Mailing Address Lot # Block # Subd. Name or CSM#
city tae Zip Code Phone Number ❑ City ❑ Village own Neal t R ad
New Construction Use: Residential / Number of bedrooms —— Code derived design flow rate GPD
❑ Replacement ❑ Public o commercial - Describe:
Parent material —eZ" LiQ/ Flood Plajn elevation if applicable _�� - ft.
_
General /�
and reco s
mm en nerds / p /� ✓� .8� I �. C p,1Q,�, � 1
mmdations: )-- ri
Boring # n g
Pit Ground surface elev. 1 h ft. Depth to limiting factor /C ; O in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
o -� , 1, 3�z — a
Fo� Boring # � Boring
Pit Ground surface elev. ft. Depth to limiting factor n.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff#2
Effluent #1 = BOD > 30 1 220 mg/L and TSS 1 150 mg/L ' Effluent #2 = BOD < 30 mg& and TSS < 30 mg/L
CST Name (Please Print) Signature CST Number
�s
2Z M6
Address Date Evaluation Conducted Telephone Number
Property Owner _ Parcel ID # Page of
a Boring # ❑ Boring
Pit Ground surface eley ft. Depth to limiting factor _Z rn• Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 - Eff#2
I 0 -10 Ao 3 /Z
O
r' r� 7
Qsv'
sr.2 It .2
Boring # ❑ Boring
APit Ground surface elev. �/ ' ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 - Eff#2
F-1 Boring # ❑ Pit Boring
❑ Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 - Eff#2
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777.
SOD -8310 (RA(M)
r Soil Test Plot Plan
Project Name Don Stoner Shaun
Address 1793 Hillcrest Drive
New Richmond Wi 54017 aS!W#226900
Lot ------ Subdivision - ------ Date 8/20/02
NE 1/4 NE 1/4S 2 T 30 N /R19 W Township Somerset
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 1 f t._-=? T op of Nail in Elm Tree
S m Elevation 94.5/95.0 *HRpSame as Benchmark
Alt.
�BMTop of Nail in elm tree @ 100.5
Failed Drainfield
B-4
10 '
0
ST
20'
Pro 3
Bedroom 20'
House 75' 99'
5' 30' 98
>
50'
>20%
a� Will 30' 97'
-1
�.,
x
Slope Ali S' S'
20'
B -3
50'
10%
Slope
UB-2
30'
Pro ei ty Line IF 50'