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HomeMy WebLinkAbout036-1047-10-000 Wisconsin'Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix • Safety and Building Division INSPECTION REPORT Sanitary Permit No: 515209 0 GENERAL 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: Yin, Ho Siv I Stanton, Town of 036- 1047 -10 -000 CST BM Elev: Insp. BM Elev: I BM Description: Section/Town /Range /Map No: C11)e_1 20.31.17.293A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER r`nt5 CAPACITY STATION BS HI I FS ELEV. Septic /y+ //� y,,. a Benchmark Dosing � J Alt. BM F:t Aeration Bldg. Sewer Holding St/Ht Inlet �. -7 - 75 TANK SETBACK INFORMATION St/Ht Outlet Y s5 ?• 5J TANK TO P/L WELL BLDG. Vent to Air Intake ROAD DtInlet Septic / 2 ZI � / Dt Bottom to c� � Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System PUMP /SIPHON INFORMATION Final Grade Manufacturer Dema St Cover Z Model Number TDH Lift Frictio Loss System TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS —� SETBACK SYSTEM TO �� �j c BLDG WELL LAKE /STREAM LEACHING Ma4wf@1 leFer: INFORMATION CHAMBER OR Type Of System: UNIT Mcdok4 mrbec DISTRIBUTION SYSTEM <, c /4-79 Header /Manifold Distribution f x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) S F t Length Dia Length Dia Spacing "� 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 discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 1589 210th Avenue New Richmond, WI 54017 (NE 1/4 NE 1/4 20 T31 N R1 6W) NA Lot 1 Parcel No: 20.31.17.293A 1.) Alt BM Description = �� d 2.) Bldg sewer length = n n 4 - amount of cover � YKG.�. 6��• "�� v ga�l�;�. Se� C Ek•;s�; � a �� �too�� I o� �� - e �,. Plan revision Required. ❑ Yes 0 No r Use other side for additional information. ` { j D _ __- SBD -6710 (R.3/97) Date Insepc 's Sig re Cert. No. ,. Safety and Buildings Division County isconsin 201 W. Washington Ave., P.O. Box 7162 voopwrionerit Madison, WI 53707 -7162 Sanitary Permit Nu ber (to A 5/ 20 D Sanitary Permit Application State Transaction IEC 1 � 200 In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are Project dtfferr�t p i1 CGU ) submitted to the Department of Commerce. Personal information you provide tray be used for secondary + s' PLA s in accordance with the Privacy Law, a. I S. 1 m , State. I Nl G FFICE I. Annuestion Information - Please Print All Information Property Owner's Name Parcel # Property Property owner's Mailing Address Location (i 253 4 kGevt�t - City, State Zip Code Phone lumber 't., Section i - eo ' 5( / Di 1 T J�. N; R E U. T ype of Building (check all that apply) Lot # r subdivisio Name ! or 2 Family Dwelling - Number of Bedrooms I "> jg p Block # ( J ❑ Public/Commercial - Describe Use ❑ City of CSM Number Cl Village of ❑ State Owned - Describe Use ✓G )� wn of (Ciri �`�A �T M. Type of Permlt: (Check only one box on line A. Complete line applicable) A. ❑ New System ❑ Replacement System AreatmezitlHolding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Data Isspe p B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of plumber ❑ Permit Transfer to New Before Expiration Owner 7 OO IV, of POWTS stem/Com nentMevice: Check all that a 1 on- Pressurized In -Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound ? 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis reatment Area Information: Dis Area Proposed (sf) System Elevation Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Vi. Tank Info Capacity in J Total # of Manufacturer Gallons Gallons Units a, New Tanks 13xisdng Tanks � �� ���yt, U rn ii c7 Septio or Holding'1 ank Dosing Chamber VII, RM88 nsfblli Statement -1, the undersigned, amm&CIvaponsibility for instaIIation of the POWTS shown on the attached phtas.! Plumber' Name (Print) Plum ffypsture T MP/MPRS Nu Business Phone Number GZ•ti Plumber's Address (Street, City, State, Zip C qje Conn /De ent Uae Onl ent Si tare A ved ❑ Permit Pee Date Issued Issuing gnu eAppro $ I"► Zc ,z1rsfdq � ❑ Reason for Denial (� IX. Con di p �n for DMpproval 3� b! cJ t L cs 6 a 1. Septic tank, effluent filter and n �. dispersal cell must all be services /maintained Y • ► as per management plan provided by plumber. 2. All setback requirements must be maintained �j t as per e system and submit to the County my on paper so Mang ll2 x 11 hakes In silo A So►`l �{'e,M 199 j Ao P ow: ^7 Cs � P l,..►�..�,�_ e ve. �oloJ- p /ar..- ! SBD -6399 (P- 01107) Valid thru 01/09 ' PLOT PLAN PROJECT Sin Yan Ho ADDRESS 1 N N Knowles Ave New Richmond Wi 54017 NE 1/4 NE 1 /4S 20 /T 31 N/R 17 W OWN Stanton COUNTY ST. CROIX SYSTEM ELEVATION Existing o0 p r�XlI BEDROOM CONVENTIONAL XXX � AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE ABSORPTION AREA # of cham s BENCHMARK V.R.P. Bottom of siding ASSUME ELEVATION 100' Filt BEST I ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark 210th Ave 30' 0' 100' 60' 12' X 52' Drainfield Vent Dry at time of inspection Old steel tank is 35' to be removed and replaced with ST a huffcutt 1000 gallon tank 61' 15' 30' Existing 3 30' bedroom house 10' 30' Driveway Well Property Line ]COPY f PLOT PLAN PROJECT Sin Yan Ho ADDRESS 12fA Knowles Ave New Richmond Wi 54017 NE 1/4 NE 1 /4S 20 /T 31 N/R 17 W OWN Stanton COUNTY ST. CROIX SYSTEM ELEVATION Existinq 4),%qv0 au i n BEDROOM CONVENTIONAL XXX AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE ABSORPTION AREA # of chambers IL BENCHMARK V.R.P. Bottom of siding ASSUME ELEVATION 100° Filter BEST GF10 -8 ❑ BOREHOLE • WELL * Same as Benchmark O H. R. P. 210th Ave 3 0' 0' 100' 60' 12' X 52' Drainfield Vent Dry at time of inspection Old steel tank is 35' to be removed and replaced with ST a huffcutt 1000 15' gallon tank 61' � ' Existing 3 30 bedroom house 1 0 i 30' Driveway Well Property Line ST. CROIX COUNTY SEPTIC TANK MA]TI MWCE AGREEMW AND OWNERSHIP CERTIFICATION FORM Mdung Aaacw I a S >J k A o rJ �-�.J N -may D I Property ,address � � � d� p & Zoning D fm � .) (V _ Parcel City /State Pel identification Number � ` 6 i/4 , Sot �/ T 2N R ? W, Town of Property Location l — 74 e , . Lot #_,�. Subdivisim y� Certed Survey Map # —, Volume Page # Warranty Deed # Volume _+ �/ . '� = p� # ' Spec lum Yu no Lot HMO Wend yR/ ao �x �•� �R •xsNCE AND ^ ""' 1D CT` Q T 6- 10 — N faflm to >se wastes. PI%M Improper un and maiabm MM of yM � y d am , by a Howled P=qm WbA yon put ids uminbManoc cons of p mrt t1e septic in the waste sYSm tie systm can affect ft fawran of the sn tic tank as a - bil W arc m, §C'* = 83.52(1) and in C�aPter 12 - St Croix C•otmty Sonito ' Os • mpond Pla=iug & zoning s et g' a fo by the lu PMPWty owner to sabmcdt to st Croat Can3ty Oe a licensed p tint (1) tine on -eiee is owner and by a masWphu* o ) � � and y mpia8 cif ). *0 =k arastewater &%,Ng sY�n J OBS than 113 fQU of slndSa; with the 1/we, the � bxm lead the above requacmenb and agm to Maia�of x� R , of Wisconsin. anandLvds aft f eft imseirs, as set by the D oYConte and 60 Departau� Cethficatmn statia8 * Ym lgq *c syabm bas beam wed mMA be complftd and rP, tm w 4 to tax St. QN& CoudY Pb "ft & Zoning Deparonent wig 30 days of*e three year mpirsdan dM Uwe c u fy bait all sui is on tlxis ffomn are true to ft best of my£ �� I/we aminu+e tie owners) of ft proptity described above, by virtue of a vvaaauty deed recorded m RegYSW N . , ?f b L DATE GNAT IRE OF APPLICANTS) : :.ma inforsnaxinxn that is ma remit to the sanitary permit big revoked by the Planning & Zoanag Dcpartm=t . *: a racardad Y dwd fn *a R�stw of Deeds Office and a copy cf &a eert&d Y MP f Iy�inde vvitlz this applicxtioaa . refesmos is nuts in tore wmanty dead. 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 C Cy Plan ��. Option #1 Wsystem fails, determine cause of failure, use alternate area and install new system in tested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. 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 . 634952 � SPECIAL WARRANTY DEED KATHLEEN H. WALSH REO/LN# 38678/0101863884 REGISTER OF DEEDS Document Number ST. CROIX Co., W I This Deed, made between Deutsche Bank National Trust Company. as RECEIVED FOR RECORD Trustee ofAmeriguest Mortgage Securities, Inc. Asset Backed Pass Through 09/20/2006 10:30AK Certificates, Series 2005 -R1, under the Pooling and Servicing Agreement dated as February 1. 2005 Grantor, and Ho Siv Yin, a married person Grantee. WARRANTY DEED Grantor, for a valuable consideration, conveys to Grantee the following EXEMPT * described real estate in St. Croix County, State of Wisconsin (the "Property") (if REC FEE: 11.00 more space is needed, please attach addendum): TRANS FEE: 360.00 COY Lot 1 of Certified Survey Map recorded in Vol. 1 I on Page 3144 as Document CC FEE No. 548377; Located in the NE 1/4 of the NE 1/4, Section 20, Township 31 PAGES: 1 North, Range 17 West, Town of Stanton, St. Croix County, Wisconsin Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible in fee Recording Area simple and free and clear of encumbrances, arising by, through or under Grantor, Name and Return Address except HO SIV YIN 134 SOUTH 16 STREET BAYFIELD, WI 54814 036 - 1047 -10 Parcel Identification Number (PIN) This is not homestead property. Dated this 292 day of Augus t, 2006 DEUTSCHE BANK NATIONAL TRUST CO., AS TRUSTEE OF AMERIQUEST MORTGAGE SECURITIES, INC. ASSET * BACKED PASS THROUGH CERTIFICATES, SERIES 2005 -111, UNDER THE POOLING AND SERVICING AGREEMENT DATED AS OF FEBRUARY 1, 2005 by AMC Mortgage Services, + Inc., atto ey in fact. AUTHENTICATION by * icon Vicet Signature(s) authenticated this day of , * Jessica Marsh, Escrow Officer * ACKNOWLEDGMENT TITLE: MEMBER STATE BAR OF STATE OF Illinois } (If not, authorized by § 706.06, Wis. Stats.) ) ss. Cook County ) THIS INSTRUMENT WAS DRAFTED BY MARVIN RIPP Personally came before me this 29' day of Angus 2006 the above named Aarm Robison and Jessica Marsh to me known to (Signatures may be authenticated or acknowledged. Boni are not necessary.) be the person s who ecuted the be instrument and a wled s e. "OFFICIAL SE>";L' � TABATHA JOHNSON NOTARY PUBLIC, STATE OF ILLI�! _ abatha 3ohnso MY COMMISSION EXPIRES 5 ?2 /, ^:;_: Notary Public, Sta f Illinois ^� �� My Commission is permanent. (If not, state expiration date: MU 12 , 2006. 'Names of persons signing in any capacity must be typed or printed below their signature. 1of1 r j r / 54837 7 CERTIFIED SURVEY MAC' Located in Part of the Northeast Quarter of the Northeast Quarter of Section 20, Township 31 North, Range 17 West, Town of Stanton, St. Croix County, Wisconsin. (p BEARINGS ARE REFERENCED TO THE NORTH LINE OF THE NE 1/4 OF NE 1/4 SECTION 20 TOWNSHIP 31 N., RANGE 17 W. FILED WHICH IS ASSUMED TO BEAR S 89'25'55" E AUG 2 0 1996 ► 9 U N_P LATTED _LANDS WHLM H. WALSH Pag 1 NORTH LINE OF THE 10 2 th AVENUE SL THE NE 1/4 SEC. 20 --- - - - - -- -- - - -° ,, -- - - - - -- - 2633.05' - - -- CL 210th AVENUE - ----- - - - - -- S 89'25'55" E - _ -- _ �. 1liK S 89'25 55 E 337..00 - -- N 89'25'55" W _.. fi —.. —.. 1 - '. —..— 1929.87' - - -ice 366.18 33:00'_ S_89'2_5 E 337.00' N 1 4 CORNER 1 NE 1/4 CORNER SECTION 20 HIGHWAY — i SECTION 20 R.O.W. I o CENTERL O DRIVEWAY I i DRAIN i i SEPTIC �' --- -J ' ............................ 9..... ...i........................... i I i I HIGHWAY cn HOUSE of N , SETBACK i of ZI WELL UJ o o a 3 of � �i Z to S LOT 1 o Z I �� b , M APPROVED Z CORN CRIB CD i TOTAL .9REs1 i AUG 20 1 %] 752, 460 S0. cT. of W1s J50 ACRE , ST. CRQtX C A, y AREA EXCLUL)M R.O.I!! Coaiplr " Plat DOUGLAS J- r41, 3.39 so FT - MW ZcAft CO) S 2 E * ` �' Y24 ACRES i * `� ' Panto 06~t 6 H D S N• N 89.25 - 55' W 3 37.00' UNPLATTED_LANDS w4wh 30 Q� 4911100 appco>I d't1l "be Prepared for and at the, request of: 4"M OWNER: Douglas & Jean Hansen NOTE: 1559 C.T.H. "H" THIS LOT IS BEING, CC�,REATED UNDER THE Star Prairie, WI 54026 FARMLAND CONSOLIDATION' ORDINANCE. Drafted by: Kristi A. Eylandt Legend: County Section Corner Monument of Record • Set 1" x 24" Iron Pipe weighing NO TH a minimum of 1.13 pounds per linear foot. JOB # 96057 Q ,�Qo _ 2Q0 A & E LAND SURVEYING GRAPHIC SCALE PHONE # (715) 246 -4319 SCALE IN FEET: 1 inch = 100 feet P.O. BOX 325 109 EAST 3RD STREET NEW RICHMOND, Wl 54017 NOTE: The parcel shown on this map is subject to State, County and Township laws, rules and regulations ( i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County S4; QOt 1 .,f '7--,n- Offi ane +h mmronria}e Tnwn Rnnrd fnr advice_ — y 41 Z99d 11 '10A Z }o Z }aa4s `NosanN � Sti68 -S � = a3lHtl1 ti o 'PS 00 Z uoua of m9 xo ��► L LOtS IMP 4 d N SZ� 8 '0 'd 0 6, 1 { 40 61CV -9tZ (g L/-) 'alai 6u1A9n mS pua­l 3 V d a}qa S 'ON '6ed IW r nl6noa •awos ayl 6uiddacu puo burrfaA.rns ui uo.luo�S jo uMol ayl puo xro.rj lS jo Iluno,? ac/l jo asuou1p.r0 uorsrn /pgnS ayl pun saln�ol,S uisuoosM aqa jo *f .10ldoy0 jo suoismoid aq, twm paudwoo aAoy / loyl `paquosap puo paVfaAans sariopunoq aorralxa ayl jo a/oos Ol uorlvl uasa.rda.r 109.1./00 o sr do" A9A_1nS p6y /laa0 srtfl layl rfj /.lJao os /o / a `r plooal Jo sluouanoo puo suol1su4saa `sluauasoa //o o.l loalgns puo anuoA y gloje }o Abm _jo —1 y6ia of loafgnS •(saaOo OS y) laaj a ionbs 09f `ZSl buluro�uo0 •buruurboq jo .lurod laaj 00'Lf'f JO aouotslp n lso3 spuooas q salnuuu ,r,7 saaabap 68 ylnoS `aur/ yl.lou pros lso/ buo /o `aouatg `aui/ yl.You pios lso/ of laa� 0t, Zsl, )o aouo.lslp n lso3 spuOOas SO salnuiw pf saa.lbap O0 tl JON aouayl `laaJ 00'Lfr JO aouolsrp o lsaM spuooas SS salnu1w r,7 s,9,9-jbap 1 ¢'8 WJON aouaW 'laa� 0P, Z9l, JO aouolsrp o �saM spuooas S0 salnuiw pF saaabap 00 ylnoS aouayl .`bu1uu1b9q jo luiod ac/l of laaj 86'99£ jo gouolsrp o lso3 spuooas ss sa.lnurw SZ saaa6ap 69 WJON '-lal.lo00 lsoayl ON ayl Jo au11 yljou ayl buo /o burupaq pawnsso uo uo aouayl `0Z `uol 0a5 pros 10 aauaoj lsoaWaON aye to buiouauowoa aM o/ /off so p gq!josap .`uisuoosrM X) uno0 xio rj -�S 'uO�uo�S JO uMOl `lsaM Ll abuo2/ ` -10N if drysuMOl '0,,7 uggOGS Jo .ra.lJon0 , lsoatl .JON ayl J0 19�jono lsoaylJON a yl Jo l.1od o paddaw puo papin /p par(anans ahoy / `uasuoy uoap .7p so/bnop jo uggoaarp ayl Xq �Dq� Ippeo lgaaay '.1oA(aAjnS Pu ursuoosM pa1,9 5!49& `ja /yoZ r so/bnop `/ 3iVOLAUl 130 s,�Jo).,]n�jns uisuoosM 'Ajunoo xioao ' }S 'uo}uD }S }O urnol '}saM LL a6UDd '4 1aoN [£ diysuMOl 'OZ uoi }aas }o Ja }JDno }soa4PON 944 jo japonb }sDa4}JON 8 44 ;o }JDd ui pa}D001 +dbW J ANns 03I -ALL830 1 7 1 71C HOW t i �'IOA . . . o I 0 C � • o n % k k @■ I E z I r' @ 0 2 O f } % § & $ g A s w C,3 - > CL - z E ® p � a • » © ) o \ j § . \§ k kkk \ g ( a o Q ƒ r- § (D (a (D C� -� cD �® k = o § y ` � CD * $ £ n r ■ CD 4 ) ■ ■ o a ft & +� E 14. j \ 0 0 0 § > » ƒ ƒ % % \ z \ 3 q v CO) \; > 0 e m & . -4 CD w. e � k r t z Z ° \ \ ¢ CD 2 = . c CD C CL f \ - � ■ � \ CL 9 { ■ T m § E § z � § � ® E � / k 2 CD R a \ \ ƒ Z 2 \ � C 0 � � $ . � ] f � 2 � � 2 � I ■ w � - 5 @ CL « Parcel #: 036- 1047 -10 -000 11/22/2006 02:13 PM PAGE 1 OF 1 Alt. Parcel #: 20.31.17.293A 036 - TOWN OF STANTON Current I 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 HO SIV YIN O - YIN, HO SIV 134 S 10TH ST BAYFIELD WI 54814 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description " 1589 210TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 3.500 Plat: N/A -NOT AVAILABLE SEC 20 T31 N RI 7W PT NE NE BEING LOT 1 Block/Condo Bldg: CSM 11/3144 3.50AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 20 -31 N-1 7W Notes: Parcel History: Date Doc # Vol /Page Type 09/20/2006 834952 WD 02/10/2006 818340 SD 11/15/2001 662078 17621146 WD 1 11/15/2001 662077 1762/144 WD more ... 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/05/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.500 22,000 129,000 151,000 NO Totals for 2006: General Property 3.500 22,000 129,000 151,000 Woodland 0.000 0 0 Totals for 2005: General Property 3.500 22,000 129,000 151,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 124 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 STANTON T31N.-R.17W 57 POLK COUNTY 4a zB 00 19�e,7 -1- 73 4/.5 WeLL T. • 7 rj 4 /&Cr U C g, RA M Z _ iz 6 � /y AICR L. Ij F JqQ Z,5'4- _j 42 U. 5-7 -5, 41,6e ari L ars on 16 160 '7 7,P &aje`121cew F Cher y / 0 0 p 61 6 i� 6 A OorxA� "—re Ali ge/ 7,5t -27,2/�- -V 140 A56- '60 ' 21 `q z IOU' -V A-e- wche— Y -02 7 w/--- 4 tq A6, McNamara IIALL 1 .LU h- - McNamara BB 77 do 1119 /6,o B /oB 7 45 3 14 - • — Hatch Forehan 'C La ✓o Re 1, 14 Gr.11i 15 ' h %7 Iveal F 64 1,57 L • 79 r C-"/ 0 Lf.,A/la N E RICH 'a N D a�- /s/ Z4.. 3 3 1-11'i ?17 — t9B 4 ckz� J. F )i11F1/— 240 4. bad. go 160 0 r _ OSE dD194'a — PAGE 45 SEE PAGE 43 RICHARTZ IMPLEMENT tl COMPANY 2010 Stout Road ... Menomonie, Wisconsin 54751 715 - 235-5589 Dan Gibson - Jerry Richartz & Bill Richartz Salesmen 1486 Tractor AUG 2 6 1996 548377 Sr. C IX c0urvrr SURVEYO, R' R€COR D CERTIFIED SURVEY M� Located in Part of the Northeast Quarter of the Northeast Quarter of Section 20, Township 31 North, Range 17 West, Town of Stanton, St. Croix County, Wisconsin. (p BEARINGS ARE REFERENCED TO THE NORTH LINE OF THE NE 1/4 OF NE 1/4 SECTION 20 TOWNSHIP 31 N., RANGE 17 W. FILED WHICH IS ASSUMED TO BEAR S 89'25'55" E r F AUG 2 0 1996 ► :� UNPLATTED LANDS KATHLEEN H.WALSH -- ------ - - - - --- Register of Doeds NORTH LINE OF THE 210th AVENUE St.Cr01XC0.,Wl 1p THE NE 1/4 SEC. 20 --- - -' - -- - " "-- " "' - " -" r _ Mnl ----- -- CL 210th AVENUE -- - - - - -- - 89'25'55" E - - -- " S 89'25'55" E 337.00' I - N 89'25'55" W - 1 2991 299 87' - / -------------- . . rn 33.00' S 89 E 337.00' 33.00' - 366.18' -- - -- - - - - - -- — -- T N 1/4 CORNER I NE 1/4 CORNER SECTION 20 � HIGHWAY i SECTION 20 R.O.W. o CENTERLINE - O DRIVEWAY i - DRAIN FIELD ' ' � SEPTIC L_____J I I : ..... .......................Q....... I I � I HIGHWAY HOUSE i v Ln of to I SETBACK i cj o Z I ® Z Z i gl I WELL a i I L i w 3 0I I � rn z1 p S LOT 1 `in a Z b APP=ROVED CORN CRIB I ° Z AUG 2 TOTAL AREA. � Q 7p� 752,460 s0 FT. Qtr 0 .3.50 ACRES ST. CROIX COUNT#' A. y AREA £XCLUOhVO R O. W.: Conwehensive Plan(* 1.'T. DOUGLAS I 141, 3.39 s0 FT. v� ZAHLER Z 324 ACRES / Zon6V and * S'2145 * Parks Com w4ttee H � N 89'25'55" W 337.00' If 1wt treoeded q ti q1 UNPLATTED - LANDS wk' rii 30 4ws of --- - - - - -- - - - -- ausx�ava�(datr approval lhailif be Prepared for and at the request of: nuA t V OW OWNER: Douglas & Jean Hansen NOTE: 1559 C.T.H. "H" THIS LOT IS BEING. CREATED UNDER THE Star Prairie, WI 54026 FARMLAND CONSOLI[SATION' ORDINANCE. Drafted by. Kristi A. Eylandt Leg end: County Section Corner Monumeht of Record • Set 1" x 24' Iron Pipe weighing NO TH a minimum of 1.13 pounds per linear foot. O JOB # 96057 q 1?0 2?0 / A & E: LAND SURVEYING GRAPHIC SCALE PHONE # (715) 245 -4319 SCALE IN FEET: 1 Inch : 100 feet UJ P.O. BOX 325 , .,,` .109 EAST 3RD STREET as RICHMOND, WI 54017 NOTE: The parcel shown on this map is subject to State, County and Township laws, rules and regulations ( i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County �•.� Sheet 1 of 2 Zoning Office and the appropriate Town Board for advice. VOLUME 11 PAGE 3144 '. a AS BUILT PLAN SANITARY SYSTEM 6V X igM COUNTY z PTIC TANK PEMIXT # Ott►NER . - �CF1.(G ,,. J u- ...» ...moo ADDRESS �� 1L.' ._n LOCATION OF SYSTEM:, 'Y„II�G '/, of Section c2 pTownd IN, RANG Gov. Lot ,( -`- ! Lot # ' r - - _ r _ - r w - r P LAN ... VIEW .......... Distances &;Dimensions to meet Requirements of I162.20(1)(d)(2) SHOW EVERYTHING WITHIN 100 FEET OF SYSTE14 ----- ----------- - �v AL , f �a i ........... .. ... .r..r.. _ - ... - - - w - - - - - - - - - - ' - - - - SEPTIC TANK: Concrete Steel Mfpr. f ,/l' ; �__ Depth to manhole ABSORPTION SYSTE14: Drywell Depth Inside Dia.� Depth Below inlet TRENCHES No. of Width Lenpth Area Depth to Pipe BED, No. of Lines f- Widthb LenRthS ` Area Depth to Pipe �,�� AGGREGATE, In Inches Area Require ` AREA AS BUilt DISCLAIMER: The inspection of this system by Polk County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. Polk County assumes no labil- ity for system operation. However, if failure is noted, the county will make every effort to determine cause of failure. GREASES AND OILS SHOULD NOT BE DIS- POSED OF THROUGH THI4 fi PLUMBER ON JO z , e _ - LICENSE INSPECTOR_ - - - ..--- - - - - - - DAT 6_-1_9 I Z -.. REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM ^+ San.i.taAy Penm.i-t/-7.__ S t ate NAME (awns hip .� St. CAa ix County Location 4 '� Section 61 SEPTIC TANK , Size gattons. Numbea o6 CompaAtmen.tz Distance FAom: Wett_ 6t. 12% oA gteateA scope ^' {-t Bu.itd.ing it. Wettand,6 N.ighwaten a _6t. DISPOSAL SYSTEM D.iatance FAom: WeZ�� 12% on gheaten ztope jt. Buitd.ing _B G!e Zands F t. H ig 6•t. FIELD DIMENSIONS: W iRh o trench L ' St. Depth o j Jo ck b eZow t.i.Le n. Length o6 each tine � it. Depth ob Aock, oven Cite Z i n. Numb e& o6 Z in es �' Depth o f tiZe b eZow gAade t in. TotaZ .length o6 Zine.6 it. Slope o6 trench 'mftftft - in pen 100 it. Distance between Una i t. Depth to bedrock. it. Totat ab .6oAbt.ion arzea Depth to gAoundwateA fit. 2 Type o CaveA: Got Straw Requ�.Aed area it yp j PTT DIMENSIONS: Number os p.it.b Aavet aAound p.itz ye..s�_no Outside d.LameteA it Depth below ,inQet� St. 2 Total absoA on it Area Ae .fined it2 INSPECTED BY TITLE APPROVED ,DATE 7 / lol 197 . REJECTED ,DATE 191_ I � EIS .115 ` WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH • P.O. BOX 309 ft MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION:' /o, '/4, Sectiona;?j0-, TJtN, R47S (or) W, Township or MEMO ��Ato Lot No. , Block No. County Subdivision Name Owner's Name: $ Mailing Address: 0 TYPE OF OCCUPANCY: Residence �� No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS N TEST SOIL MAP SHEET is SOI L TYPE i PERCOLATION TESTS TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL NUM- INCHES THICKNESS IN INCHES MIN /IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 n SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) ZZ B—e 7.7 ,, PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy. 4/6' tv Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. IAI J Z t N VM i 1 S� I, the undersigned, hereby certify th 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 location of test holes are correct to the best of my knoVgedge and belief. C ru Name (print) d Ia Cer ' ' do No. Z z Address / Name of installer if known CST Signature ' COPY A —LOCAL AUTHQRITY State and County State Permit 'PL 6 p County Per Permit Application for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailin ddress: 9 Z ,, - , " /../ , -&:: , &.- , , t: z, 7j B. LOCATION: '/4 ' /4, Section ZO, Tp , R J7= (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village 1 r a �Q Township 1 p� C. TYPE OF OCCUPANC . * Commercial * Industrial * Other (specify) Variance Single family Duplex No. of Bedrooms 3 No. of Persons Z D. SEPTIC TANK CAPACITY Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete Poured -in -Place Steel i. Fiberglass Other (specify) New Installation Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured -in -Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Perc lation Rate Total Absorb Area sq. ft. New Replacement Alternate (Specify) Seepage Trench: —No. No. of Lineal Ft. Width Depth Tile depth (to ► No. of Trenches 3 Seepage Bed:_ "Length 12 ' Width --> 1 6epth Tile depth (top of Line Z— Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land 2 Distance from critical slope WATER SUPPLY: Private Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than p owner: I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH -115 prepared by the Certified Soil Tester, NAME C.S.T. # �, Z Cf R and other information obtained from b caner/ ilder ). Plumber's Signature MP /MPRSW# 10 S 9 Phone # , , ;?Y,4 — S'y1f Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. am `y a M. S € a E` i t m 9 a e Y bE� 3 , .,.. _ m. M _ � E P. Do Not Write in Space elow FpR COUNTY AND STATE DEPARTMENT USE QNLY X' Date of Application 7 Fees Paid: State �, �-' County Date S Permit Issued /Rejec date) Issuing Agent Name 1 ? Inspection Yes _�/No _ State Valid# Date Recd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copy) Revised Date 7 /1/78