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Home My WebLink About032-2161-40-000 o d f 3 d 0 d c _ - 0 3 H. D CD -0 • v ?� m va I m � O Cy�j C O 0 O O O' D O cn N W • C , � n 3 t ~ CD , 7 a CD y O (7 CCD N � CD N ►.y v A m N O (D CD CD (O O_ O O 0. m Q 9 Cn DG w O n W j CD w CD O 0 C) O co CT CD C a O = N W N O 0 U, CO CD CL O M (V O. I w (n z rD C .. _ CD W o N) A 3 CL C O O V 0 C) 0 CD O O N rn V Cn N N N to N N N 0 C Q I D 3 � (D I O O O o trl W 0 41 3 fn cncn 3 a cn a- �vvCO � i v d cp 7 y RL — � CD N I CT zwz p D — ' O I O o c !r. Cn N (� li fD N CD 3 a CD c D o a? 0 I v � z 0 . CL AZo O I •• �° m j N I ? 3 p z I o " m I z CD w CD A I °' c a0 Q CL CL 5-r'> > n o =r rn�u� Z a �man • o N N CS N Cn O I C D 3 � 0 0 :3 fi N v 2- I m .m0 CD Q l . o a co 2 Q O 0 2 CD o o ti f o I fD +i rn O o ° a o 0 v Wisconsin Departmant of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 405166 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information ou provide may be used for seconds purposes [Privacy Law, s.15.04 (1)(m) � Y P Y ry P rP I Y Permit Holder's Name: City Village x Township Parcel Tax No: P.C. Collova Builders, Inc. I Somerset Town 032 -1934=40 =b00 CST BM Elev: Insp. BM Elev: BM Description: �/ /_ I — "') T Z "P� csT �# / V TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic s Benchmark �� / 2•`F Dosing Alt. BM z , 95 Aeration Bldg. Sewer Holding SVHt Inlet r St/Ht Outlet TANK SETBACK INFORMATION S • 1 _ 7-1 r TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ' � ✓ � � c Dt Bottom Dosing 7C Header /Man. 6 • t R6•�s Aeration Dist. Pipe (o tiv 4S.8a !v •0 6 . o Holding Bot. System 944 Final Grade PUMP /SIPHON INFORMATION Manufacturer mand St Cover t GP !' 13L Qt<J .S9 Model Nu er TDH Lift Fric oss System Head TDH Ft Forcem n Length Dia. well SOIL SORPTION SYSTEM (( -trett mim*rKENCk'�Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIM 3 f /og � l 2- SETBACK SYSTEM TO /L IBCDG WELL LAKE /STREAM LEACHING Manufa to INFORMATION CHAMBER OR T l't: a- Type O f System: t I UNIT Model Num r DISTRIBUTION SYSTEM Header /Manifold 4 Distribution _ x Hole x acing Vent to Air Intake l� Pip ) ! Length Dia L Length Spacing 7 Ob 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 Dilf No Do Yes p, No OMJUIENT (Inclyde o discr encifys, pe s present, etc.) Inspection #1G1 a�O�� Inspection #2: ` T r Lob 523 220th A WI 54025 (SE 1/4 SW 1/412 T31N R19W) Wild Turkey RR Lot 24 Parcel No: 12.31.19.1 �� 2 1.) Alt BM Description = `roP C°�+o�r►"'�` (ee..eq� Pa,� an a-�`5� �Oaa �Q �,�C 33 2.) Bldg sewer length - amount of cover S 5• to SP �.� L� tsS o9s '-� So a l S-�2c� 0..q, -- - Plan revision Required? ! Yes No Z U SSS�� Q , 4r e f r ad ditio fo ti 0 97. L u ate / �In�sepct ► ors Signature ( � Cert. No. � �WtltISVI (t t 56i( Ot)�Wb¢d $ Mew�bL; p0)fPa. R Q 9 0 r� Q ll// �U _ � o ,' \�� Safety and Buildings Division F Sanitu y 201 W. Washington Ave., P.O. Box 7162 1scons n Madison, WI 53707 - 7162 e artment of Commerce - 5 3 � 5 L& �� Sanitary Permit Application Permit Number In accord with Comm 83.21. Wis. Adm. Code. personal information you provide 0 Check if Revision may be used for secondary purposes privacy I.Aw, s15. 1 m I. Application Information - Please Print All Information State Plan I.D. Number Property is Name D Parcel Number Properly+ Owner's Marling Address Property Location "' SUN 1 1 2002 u . S T- N. E City, State Zip Code Phone N,� 000N Numbe Block Number / ST ON N OF S '� LQ A l l� ZO Stitbdivision amt I Number II. Type of Building (check all that apply) � /°-� Oc ity �- ✓!� on or •Famrly Dwelling - Number of Bedrooms [IV rllap ❑ Public/Commercial - Describe Use 0 State Owned 2 (0 R ` X 3 ` � ? ( � Nearest Road 13 M. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A - ew 2 0 Replacement System 3 0 Replacement of 6 0 Addition to For County Use seem Tait Only Existing Sy!�' >: B. 0 Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. of Permit: (Check all that apply)(numbering scheme is for interval ) Z Z �' Chow 44 Pressurized In -Ground 210 Monad 47 0 Sand Filar 50 0 Constructed wetland S� 22 0 Pressurized hi- Grcual 410 Holding Tank 48 0 Single Pass 510 Drip Line 45 0 At -Grade 46 0 Aerobic Treatment Unit 49 0 Re ircolatimg 30 0 Other V. Area Information: T Design Flow Dispersal Area Dispersal Area Sort Application Percolation Rate System Final Grade Required Proposed ✓ Rate(Gads./Days/Sq.Ft) (Min./Inch) Elevation VI. Tank info Capacity in Total Number Manufacturer Prefab Site Steel I Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New .4 --'��v l Tanks Tanks Sepnc or HoWn Teak _ f � Dosing tuba VII. Responsibility Statement- I, the responatbility for hits hOw of the POWTS shown on the attached plans. Plumber' Name (Feint) Plumber's MP1MPRS Number Business Phone Number Plumber's Address (SffizL City. State, ) R ua /De ent Use Only Approved 0 Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Agent Signature o Stamps) SuW1WV Fee) ❑ Owner Given Initial Adverse 5 � 7 ' � -71, � - Determination IX. Coaditions of ApprovWVReasons for Disapproval .l > �-(�r� P�v'� R S. A S. > �i n� � '(c- /act o z. ft P.�, 83. � 1 3 -1 f{ AN 011P oppo 06X) AttacblcanapW plans (to ody) for aye on paper less man x 11 iaebes fa size ,.',, •�/ eP ' r PLOT P AN PROJECT P.C. Collova Bldrs. Inc. SS P.O. Box 489 Somerset Wi 54025 SE 1/4 SW 1/4S 12 /T 31 W N Somerset COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 6/8/02 BEDROOM 3 CONVENTIONAL )00( IN -GRO RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1 000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 IL BENCHMARK V.R.P. Top of 2" Pipe ASSUME ELEVATION (1 Filter Zabel A -100 ❑ BOREHOLE O WELL .H.R.P. Same as Benchmark SYSTEM ELEVATION 95.5/95.0 Alt. BM Top of @' Pipe @ 98.5' Vent Plans Designed Using >6 » Standard Infiltrator Conventional Powts of Cover Leaching Chamber / Manual Version 2.0 with 31.1 ft2 of Area ✓ a� 6' Long 12" 3 4' Grade at System Elevation a. B -1 Vents W) -t C,o 0'� 6% Slope ' T 2 , Pro 3 Alt Bedroom 3 House M ' 5' B -3 70' 10' B.M. �2 -3' X 69' C lls with >3' Spacing Vents 300 B -2 Please note: soils get poorer as y go east and down slope, install Please note: This is the first system for this parcel, the system as far upslope as possible parcel will be surveyed and approved at a later date. The permit is using the subdivision name for future reference only. The parcel size is 1320' X 1320' and is 40 acres in size. Any future permits will require a apprMw sou rT- 220th Ave Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must County ' r Di 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. p 3'2-- /b 3 4 7 0 _dQ d Please A rint all information Z evie d by Date y 3/ S �� Personal information you provide may be used for secondary purposes Law, s. 15.04 (1) (m)).� Property Owner Property Location ��r1 C 110 G� �. G 1/4�j,�1/4 S )/— T N R E(o W Property Owner's Mailing Address Lot s # Block # Subd. Name or CSM# r 0, g T �1) 74 k City State Zip Code Phone Number [] City ❑ Village Town Nearest Road Ply 1 0Lr1 Pig )slp-!D 1 New Construction Use. Residential / Number of bedrooms Code derived design flow rate � � � — (� GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable /i// ft. General comments U V and recommendations: �-�' EB SUN 1 7 ?00 C F11 Boring # ❑ Boring G O FF /CE y Pit Ground surface elev. 1 + ft. Depth to limiting factor �in. Soil Application ate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 - mss" -&,M, (S _7q q Boring # Boring Pit Ground surface elev. � � � � � ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 - ry /vii ' r ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 rr / 'Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) n CST Number Address Date Evaluation Conducted Telephone Number SBD -8330 (R07 /00) Property Owner Parcel ID # Page Z of Boring # ❑ Boring pit Ground surface elev. IbD,O ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 2 - ---- -- J!7 f- IS S.D Boring F] Boring # ❑ ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft, Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /W 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. SBD -8330 (R.07 100) Soil Test Plot Plan Project Name P.C. Collova Bldrs. Inc Shaun Address P.O. Box 489 Somerset Wi 54025 #226900 Lot 24 Subdivision Wild Turkey Date 6/7/02 SE 1/4 SW 1/4S 1 2 T 31 N /R19 W Township Somerset ❑ Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 2" Pipe System Elevation 95.5/95.0 *HRpSame as Benchmark Alt. BM Top of @' Pipe @ 98.5' a� a a 101' 100' 102' B -1 %° 5 1 6% Slope Alt. 3 M. 5 0 B -3 70' 10' 35' .M. 300 -2 Please note: soils get poorer as you go east and down slope, install Please note: This is the first system for this parcel, the system as far upslope as possible parcel will be surveyed and approved at a later date. The permit is using the subdivision name for future reference only. The parcel size is 1320' X 1320' and is 40 acres in size. Any future permits will require a approved survey. 220th Ave SEPTIC TANK MAINTENANCB AGREBMLWF AND OWNS tSffiP CERTIFICATION FORM OwnerBuyer o L l p ✓,� '91 Mailing Address 01 3 r? 2 1 4 $ L Jo 1.1 W} S - q 0-- s' Property Address 1 7 5 o a b f (Verification required from Planning Department for new coon) City/State Parcel Identification Number 0 3,? - l o 3 o 3 z - io 3 5° -- 76 -- & , PJ _ LEGAL DESCRIPTION Property Location 5 F- %., �� %•, Sec. j �- , T 3 I N -RU—W, Town of Subdivision Lot # ° Certified Survey Map # U- . Volume . Page # Ka i Warranty Deed # f� /r - 7 � � , V Page # Spec houselef yes ❑ no Lot lines idcnMabl es ❑ no �T>?:1VI MAINTENANCE Ingrop�er use and mawtmaaoeof your septic systrneould result is its premature failure to handiewastes. Propa'maintenanoe dw system consists of pmupk g cart are septic temk every three rs m ree ye sooner if needed by a licensed pumper: What you, put into can affect the fuiction of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Corm Zoning Department a ceitific aftm form, signed by rhea owner and by a masberph.g, jomneynmp pkmA= or a licensodp wnW vcdbft that (I) the on- itewaomateedisposal system is iur proper opetatmg condition and/or (2) after inspection and pumping (if Y), die septic took is less dm 113 hill of sludge. V*e, tine un ders gned have read the above requireguents and agree to maintain the private sewage disposal system w J& the standards set fort,. herein, as set by the Departm at of Commerce and the Department of Natand Resources, State of VNrsoonsin. Cl"cntion gist your Septic system beenmaintainedmast be completed and retm=d m the St. Croix County Zoning Officewitbin 30 the year lion date. 1 1� _ SIGNATURE OF APPLICANT DATE Q AO R CERTII+'ICATION I (we) certify that all statements on this form are true to fi. best of my Office. kno wledge . I (we,) am (am) the own ers) of $� 'bed above, by virtue of a warranty deed recorded in Register of Deeds 6 1 &�, 0 -- A� TURK OF APPLICANT DATE t revoked the « * « * «« Any information that is mis- zepresented may result in the sanitary pemoi being Y �g fi «* Include with this application: a stamped warranty deed form the Register of Deeds office a copy of the certified survey map if rafmoce is mach in the warranty deed J 7� maintenance wd Contingency PlOn for a Septic Sys" maintenance Plan 1. Septic Tank is to be pumped once every 3 years. ANY 2. Eftentfilter is to be caned once a y ear PIB'ase note: a largerfilter is being ink in order to extend the maintenance interval of the fiker. 3. Once every 3 years, als are to be ingmcted via the in ons Pipes at the end of c the ceRs. 4. Owner agrees to limit greases, fie, and water w kfioner discharge Into the sysfiem. 5. The owner agrees to save this plan. 6. Do not pbnt tn3es 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 f ails, w cause of idlure, use abmate area and insW new system or install system at a borer elevation. 2. Replace any other failing components as needed. Plumber. Shaun Bird 71 5- 246 -4516 �I r l 2 Q-IC , k/ q '__36V,6 �6 Shaun Bird #226900 a l � � l S �'g. . r,-6 / g 5� �� 1868P 279 67x661 STATE BAR OF WISCONSIN FORM 2 -1999 KATHLEEN H. YALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., NI This Deed, made between Shannon Dinan Quinn, C olin Quinn, RECEIVED FOR RECORD Kelly Quinn, D evin Quinn an d Fole Quinn, — 04 -08 -2002 11:20 AN — — '— — WARRANTY DEED -- EXEMPT t Grantor, and P. C. Collova Builders, Inc., a Minnesota Corporation, — — — —" -- — — REC FEE: 11.00 _ — _ —.. - -- -- — — — — — — TRANS FIE: 1440.00 COPY FEE: -- - - -- CERT COPY FEE: Grantee. -- —_— PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the / followin g described real estate in St. Croix County, i State of Wisconsin (if more space is needed, please attach addendum): E 1/2 of S W IA of Section 12, Township 31 North, Range 19 West, St. Croix Recordiag Area County, Wisconsin. - ,,,, Name and Return Address r.�p GMJ F c - v 3�� 19 032 - 1034 -40 -000 &.0 1034 -70 -0 00 Parcei Identification Number (PIN) This is no t__ — homestead property. 04) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. D Dated this day of March - -_, 2002 /J / +. hannon Dinan Quinn • Kelly � t Q � uiina, by Colin Quinn, attorney -in -fact . Co m uinn — -- - -- • Devin Quinn -- — - -..— — — — - -- - AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) Shannon Dinan Quinn; Colin Quinn, individually ) an as attorney -in -fact f Ke lly Q uinn; Devin Quinn and Foley County ) authenticated this�l day of March — 2002 Personally came before me this day of — the above named • Kristina Ogland -- TITLE: MEMBER STATE BAR OF WISCONSIN C me known to be the person(s) who executed the foregoing (I f not, _,— _ _ -- instrument and acknowledged the same. authorized by § 706.06, Wis. Stats.) — THIS INSTRUMENT WAS DRAFTED BY • —. —. - - -- -- Attorney K ristina Ogland — -- — ..— .. —, -- Notary Public, State of Wisconsin Hudson, W 54016 _ My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) - - -. - -- — -- ' — — wio radon Professionals Company, Fond du L W • Names of persons signing in any capacity must be typed or printed below their signature. ac, SODessso21 STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 2 -1999