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HomeMy WebLinkAbout036-1047-90-100 (2) Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety andbullding Division Sanitary Permit No: INSPECTION REPORT 506167 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: Andersen, Walter I Stanton, Town of 036- 1047 -90 -100 CST BM Elev: Insp. BM El v: BM Description: Section/Town /Range /Map No: D65 O �D �' b Mn Srawr. 6 20.31.17.298A TANK INFORMATION ELtVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic n dA Benchmark D. 0L Dosing Alt. BM—. ✓hGVh c v c Aeration Bl Sewer Holding &t I� nlet / t S � 1 c 4 10 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG Vent to Air Intake ROAD Dt Inlet / Septic ' L �I I Ol Dt Bottom / Dosing n w,A Header /Man. 93 / Y ! Aeration Dist. Pipe "ji-4 13 . Bot. Sys m 1 Holding �..� 8• � 72-3 PUMP /SIPHON INFO MATION Final de ��- 3 Manufacturer Demand St Cover �� Q �- Model Number GPM _( TDH Lift Friction Loss ead TDH Ft Forcemain Length ia. Dist. to Well SOIL ABSO SYSTEM BED /TRENCH Width � Length No. Of Trenc PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth � DIMENSIONS o t / SETBACK SYSTEM TO P/L D W LAKE /STREAM L&Ae1iM Man t r: INFORMATION GMAMBf:R OR Typ f System: ` _ � y � � • _ � / UNIT Model Number: DIST IBUTION SYSTEM Head anifold Distribution x Hole Size x Hole Spacing Vent t Air Intake i Pipe(s) _ 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 D pth ench Center �i Bed Trench Edges Topsoil Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 2075 150th Street New Richmond, WI 5440,1,7, (SW ' 1/4 NW 1/4 20 T31N R17W) >352 cres Lot 2 Parcel No: 20.31.17.298A 1.) Alt BM Description YK� , �'�'v 2.) Bldg sewer length = 1 2 �, ) � L `� "" /��C& �lJ/ � "..� � & " - amount of cover = . I' G . f+ , A , n V WV`c� WW F �� _ -_.. ____ -__ r - - T - __ Plan revision Required? ❑ Yes�NO /l Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Sign ture Cert. No. Generated by PDFKit.NET Evaluation ` L e: wi.goV Safety and Buildings Division ounty 201 W. Washington Ave., P.O. Box 7162 SAINT CROIX S1n Madison, WI 53707 - 7162 amtary �nNumber to a ille in y o mmerce Sanitary Permit Application State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to ropriate governmental unit is required prior to obtaining a sanitary permit. Note: fo or state -owned Project A event m uig POWTS are submitted to the Department of Commerce. Perso 4 rovide ay be used for seconds purposes in accordance with the Privacy La �etbts, 2075 150th St L Application Information - Please Print All I form n 0� Parcel # P roperty Owner's Name 9361B4Q ("'I - O q� Walter Andersen MP Ov Govt. tyLocation �CJ P roperty net's Mailing Address S � 2075150th St SW %., NW '/4, section 20 C ity, State Zip a one Number (circle one) EorW New Richmond Wisc 54017 715- 246 -5187 T 31 N, R 17 II. Type of Building (check all that apply) Lot # Subdivision Nam 3 /� (e 1 or 2 Family Dwelling - Number of Bedrooms 3 � ,J� {I V �.( Block # _ C Public/Commercial - Describe Use C City ( State Owned - Describe Use CSM Number C� C Village Stanton 7 (0 Township of III. T ype o Permit: (Check only one box on line A. Complete line B i applicable) A. (^ New System (i Replacement System (^ Treatment/Bolding Tank Replacement Only (^ Other Modification to Existing System B. r Permit Renewal r Permit Revision Change of r Permit Transfer to New List Previous Permit Number and Date Issued p Before Expiration Plumber Owner ,l 5 7 S 3 — 90 IV. Type of POWTS System: (Check all that apply) 9 Non - Pressurized In -Ground r Pressurized In -Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil r Mound < 24 in. of suitable soil F Holding Tank . r Other Dispersal Component(explain) r Preqvinment De ice (explain) GL/ V. DispersaUTreatment Area Information: —}' Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 450.00 0.70 642.86 700.00 r/ 92.50 VI. Tank Info Capacity in Total Number Manufacturer Gallons Gallons of Units w ' U N ew Existing Tanks Tanks a U O1 COD w Septic - Holding Tank 1 1000 11000 1 Wieser Concrete Products © ❑ r r r —T-1 ! Dosing Chamber W / e f4l ut-"-j r r r r VII. Responsibility Statement - 1, the undersigned, a me poustbility for installation of the P OWTS shown on the attached plans. Plumber's Name (Print) PI bar's Sign MP/MPRS Number Business Phone Number Calvin Powers 220537 (715)781 -5154 Plumber's Address (Street, C ity, S iireZip ode) 1969 185th ave, New Richmond, Wi 54017 VIH.jCoun ty/Department Use Only Sanitary Pemrit Fee (includes tmdwater Da ssued I g Ag Signature amps) Approved (� Disapproved Sure e Fee /�/ - ) ❑Owner Given Reason for Denial ) / D 5 0 / IX. Conditions of Approval/Reasons for Disapproval /, r F3 SYSTEM OWNER: A an jdyl- � GUZ � d' 1 Septic tank, effluent filter and Cr' /�S� ✓L .�� 4 dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County oily) for the system on paper not less than 8112 x Il inches in size Click MIS 6098r(►Zldid,l9QlAlicNEnT01 /09 Generated by PDFKit.NET Evaluation P Port l o co - To ` @ E' eta 5 oo '4o a9� d Owner. alter Andersen Bench Mark Description BENCHMARK A Address: 2075 150th St top of foundation BACKHOE PIT p Ciity,State2ip: New Richmond, Wi 54017 AUG BORING o Drawn By: Calvin Powers ELEVATION A Address: 1969185th ave 0 OBS PIPE o City,State,Zip: New Richmond, Wi 54017 VENT PIPE • Phone: 715 -246 -5135 SCALE: - V = WELL 0 Glick here to unlock PDFKit.NET Generated by PDFKit.NET Evaluation POWTS INDEX (Private On -Site Waste Treatment System Index) Project t Owner Name & Address Parcel ID Number Walter Andersen 036104770 2075 150th St County New Richmond, Wi 54017 SAINT CROIX Project Street Location Legal Description E 150TH & 210th ave SW 1/4 NW 1/4 Sec. 20 T 31 R 17 W (1 u mitten E] Block Request: Call For Pickup ] Return By E -Mail Subdivision �� I -5 , ` `� Type of System & Component Manual Utilized: � Mound (version 2) SBD- 10691 -P & SBD- 10706 -P (N. 01/01) (9 Town Holding Tanks SBD 10571 -P (R. 06199) In -Ground (version 2) SBD 10705 -P (N. 01101) C City to Y-, E] At -Grade SBD 10570 -P (R. 6199) Other Petition for Variance & Individual She Design Village CONTENTS For oftial use on Page# Description 1 INDEX 2 Plan Design 3 Cross Sections 4 Site and Soil Evaluation 5 User's Manual n/a Vicinity Map Attachment: SBD -6398 Attachment.* STMA (if requimd) Designer/Plumber: 1 the undersigned, hereby certify that the plans end specifications submitted herewith were prepared under my Calvin Powers direction and control. 1969185th ave SIGNE d� �: 1969185th ave, New Richmond, Wi 54017 C �,.-..r \1 Calvin Powers Drawn By: 1969185th ave New Richmond, Wi 54017 Click here to unlock PDFKit.NET Generated by PDFKit.NET Evaluation P a P1 O T ctrl s a 3h ,n. o.s b3 C ,a Owner: alter Andersen Bench Mark Description BENCHMARK A Address: 2075 150th St top of foundation BACKHOE PIT p City,State,Zip: New Richmond, Wi 54017 AUG BORING a Drawn By: Calvin Powers ELEVATION a Address: 1969185th ave 0 OBS PIPE o VENT PIPE • City,State,Zip: New Richmond, Wi 54017 WELL O Phone: 715 -246 -5135 SCALE: 1"= Click here to unlock PDFKit.NET z c L ~ W /�� 0 OO J W N V to c cam.. ^ -cm d Ln W a ° p N 0^ J V LA O fn N fr1 o ° 3 a�i a T CL W C ate+ LLI v v .. O f V >_ Y 1 i f L 3 Q �+ N Z a z I - i.i l� y O L N W a ^. C LD -� $T - > w OQU LL �v F ° 3 N y a 3 _ o -0 > a � O CL 0 ° # I Y Lij U!) M L L 0 F- CL W 3 O r CL a- L z m J I- � o � N F- v O = " �o O z n V z � N _ Z O a J %— z - V Ln S O th U uj O / z LL! y! c .0 v O (n 1i oboe 1— Q Ui- -1 a (L o LL ' 0 co U T $ W J = z LN _ $ c O lj a 3 0 o O Ln o � 6 3 z wv LLI Q y O M Ln LLI o ,, 3 s £ •- a x no Y o z �o rn a LL LL \� k, V Z n p 0 W = 0. Z WW U 1 C c d ao 5,- I- + — m mN ID o Ohc (D o¢Ua d U C) U Generated by PDFKit.NET Evaluation ST. CROIX COUNTY PLANNING & ZONING Dear Homeowner: If you own property that is served by a private on -site wastewater treatment system you are required to provide proper maintenance on this system as per 145.245(3) Wisconsin State Statutes and Chapter 12.7 of the St. Croix County Ordinance. Proper maintenance will help to ensure the longevity of your private sewage system and avoid premature failure. Code Administration 715 -386 -4680 This maintenance program requires inspection of or pumping of the private sewage system at least once every three years at the owner's expense. Inspections may be conducted by a licensed master plumber, licensed journeyman plumber, licensed Land Information & restricted plumber, licensed POWTS maintainer or licensed septic tank pumper. Planning The inspection shall certify that the system is in proper operating condition and the 715- 386 -4674 septic tank is less than 1/3 full of sludge and scum. If the inspection reveals sludge and scum volume to be greater than 1/3 volume of the tank, a licensed septic tank Real Property pumper shall service the tank. The St. Croix County Planning and Zoning 715- 386 -4677 Department is required to track maintenance reporting so your cooperation is greatly appreciated. Recycling 715- 386 -4675 Please return the information below to: St. Croix County Planning & Zoning Department, 1101 Carmichael Road, Hudson, WI 54016. --------------------------------------------------------------------------------------------------------------- ST. CROIX COUNTY SANITARY MAINTENANCE CERTIFICATION FORM System was installed in The private sewage disposal system is in proper operating condition. The septic tank was recently pumped by a licensed septic tank pumper, or it was inspected and is less than 1/3 full of sludge and scum. The effluent filter has been inspected and /or cleaned. All septic systems approved after July 1, 2000 were required to have an effluent filter installed in the septic tank. If your system was approved before this date, you are not required to install a filter, but it is usually recommended. Describe any other maintenance that may have been performed. Signed by: k Title: M V R 5 0 License Number: �� Q S 37 . Date: 'a 7 - 7 Signed by Owner: V�A'l 9 te: I f 7 Parcel ID Number 036104770 Property Address or any changes 2075 150th St Click here to unlock PDFKit.NET St. Croix County Government Center Generated by PDFKit.NET Evaluation pout j CONVENTIONAL SYSTEM USER'S MANUAL PROJECT: 2075 150th St SYSTEM START -UP For new construction, prior to the use of the POWTS, check the treatment tank(s) for the presence of painting products, chemicals or other foreign objects not being a part of the POWTS that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected, have the contents removed by a septage servicing operator prior to use. Additionally, system start-up shall not occur when soil conditions are frozen at the infiltrative surface. SYSTEM OPERATION A conventional in- ground septic system consists of a septic tank and a subsurface soil absorption cell (see plot plan). In the septic tank, solids settle out of the waste stream and anaerobic bacteria facilitate the partial breakdown of organic matter (primary treatment). Clarified effluent from the septic tank discharges via gravity flow through an effluent filter to the soil absorption cell. The soil absorption cell removes pathogens, organic matter, and suspended solids from the septic tank effluent via physical filtration, biological reduction of contaminants by aerobic microorganisms, and ion bonding to negatively charged clay particles (secondary treatment). The soil serves as a fixed porous medium on which beneficial microorganisms grow. These organisms feed on organic matter present in the wastewater and help eliminate pathogens. Three feet of suitable soil between the distribution cell and bedrock or high groundwater is sufficient to protect public health and groundwater quality. This system type requires about five feet of suitable native soil. The conventional system is a passive system that relies on gravity flow. The flow volume entering the septic tank controls the volume discharged to the soil absorption cell. The effectiveness of a conventional system depends on the type and permeability of native soils and the slope and drainage pattern of the site. The septic tank requires periodic pumping as determined by State and County Code, as well as inspection of the soil absorption cell. the effluent filter component also requires periodic maintenance. MANAGEMENT & CONTINGENCY PLAN This Private Onshe Wastewater Treatment System ( POWTS) has been designed, and is to be installed and maintained according to Comm 83, WI Admin. Code, the Conventional Soil Absorption Component Manual for ( POWTS SBD- 10706 -P; Jan 30 2001) (, and the POWTS owner's County Private Sewage System Ordinance. This POWTS has been designed to accommodate a maximum daily flow of 450.0 gallons of domestic waste per day. The quality of influent discharged into the POWTS treatment or dispersal component shall be equal to or less than all of the following: ** a monthly average of 30 mg/L fats, oil and grease ** a monthly average of 220 mg/L BOD(5) ** a monthly average of 150 mg/L TSS Wastewater shall not be discharged to the POWTS in quantities or qualities that exceed these limits or that result in exceeding the enforcement standards and preventative action limits specified in ch.NR140 Tables 1 & 2 at a point standards application, except as provided in Comm 83.03(4), WI Admin. Code. The owner of this POWTS is responsible for system operation and maintenance. The following maintenance shall occur within three (3) years of the date of installation and at least once every three years thereafter. 1) The septic tank(s) (and pump chamber if applicable) shall be pumped by a certified septage servicing operator, licensed under s.281.48, WI Stats, unless inspection by a licensed master plumber or person authorized to make such inspection, finds less than one -third (1/3) of the tank volume occupied by sludge and scum. More frequent pumping may be necessary to prevent solids from exceeding 1/3 of the volume of the tank. Wastes shall be disposed of by the pumper in accordance with ch. NR113, WI Admin. Code. At each pumping, the pumper must visually inspect the condition of the tank, baffles, risers and manhole cover and verify that any required locks are present. Please note that owner must provide septage servicing operator with reasonable access to tank(s). This may include (but is not limited to) construction of a designated drive or servicing pad to within 150 horizontal feet and /or to within 15 vertical feet to bottom of the tank(s), foot traffic over and through property, or vehicle traffic over and through property. 2) The soil absorption component(s) shall be visually inspected by a licensed master plumber, certified septage servicing operator or POWTS inspector. Inspection shall check for evidence of discharge of sewage to the ground surface and for ponding of effluent in the distribution cell(s). 3) The tank filter(s) shall be inspected and cleaned to remove any accumulated solids according to the manufacturer's specifications. The filter cartridge shall not be removed unless provisions are made to retain solids in the tank. Cleaning of the filter at more frequent intervals may be necessary. 4) Any pump, alarm or related electrical connections shall be visually inspected for defects and tested to confirm that they Click here to unlock PDFKit.NET I Generated by PDFKit.NET Evaluation P° 5 are operating properly. (if applicable) 5) Reports for all system maintenance shall be submitted to the County Government in which the POWTS is located in accordance with Comm 83.55 WI Admin. Code and the County's Private Sewage Systems Ordinance. No one should enter a septic or other treatment tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within these tanks may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. No product for chemical or physical restoration or chemical procedures for POWTS may not be used unless approved by the Department of Commerce in accordance with Comm 84, WI Admin. Code. In the event that this POWTS or a component of this POWTS fails and cannot be repaired, replacement of the POWTS or the component shall occur in accordance with WI Admin. Code and the County's Private Sewage Systems Ordinance that is in affect at the time of the failure. If this POWTS is replaced and its use discontinued, it shall be abandoned in accordance with Comm 83, W1 Admin. Code. Any component failure, defects, or malfunctions identified during maintenance described on the previous pages shall be repaired in conformance with Comm 83, WI Admin. Code, and the County's Private Sewage Systems Ordinance. Below, in addition to the regulating agency, is a list of names and telephone numbers of the properly licensed individual(s) to contact for such repairs. County Office: SAINT CROIX REGULATORY AGENCY: Address: 1101 Camnichael Rd. City St Zip Hudson, WI 54016 Phone. 715 - 386-4680 Name: Calvin Powers INSTALLER: Address: 1969185th ave City St Zip New Richmond, Wi 54017 Phone: (715)781 -5154 Name Calvin Powers POWTS DESIGNER: Address: 1969185th ave City St Zip New Richmond, Wit 54017 Phone: 715 - 246-0135 Name: Wieser Concrete Products TANK MANUFACTURER: Address: 2815 Riley Road City St Zip Portage, W153901 Phone: 800- 362 -7220 Name: EZ -Flow ABSORPTION CELL MFR.: Address: 65 Industrial Park City St Zip Oakland, TN 38060 Phone: 800 - 649 -0253 Name: PoMok, Inc. EFFLUENT FILTER MFR.: Address: 4003 Capital Drive City St Zip Wallingford, CT 06492 Phone: (203) 265 -6340 Click here to unlock PDFKit.NET ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND ` OWNERSHIP CERTIFICATION FORM Owner/Buyer �� ; r L t, Mailing Address a (� 7S 1 -5�� U1 Ch yrrl t� yl c� ,1 `'�V Q/ > Property Address SC,t, Yr\Q (Verification required from Planning & Zoning Department for new construction.) City /State Parcel Identification umber Q3 00V 210— gyp (l LEGAL DESCRIPTION /. WA ) \ Property Location '/4 , _ Q '/4 o , Sec. 0 , T �N R_L: W, Town of n a r\ Subdivision W f� , Lot # / Certified Survey Map # 7 49 54 3 , Volume _ j - , Page # _ Warranty Deed # �� 7� 5 , Volume :Z Page # Spec house yes 4F) Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. I/we amlare the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms 3 SIGNATURE OF APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** 1 Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) Generated by PDFKit.NET Evaluation 3 Wisconsin Department of Commerce SOIL EVALUATION REPORT P 1 of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County SAINT CROIX Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), directio 40' n nd rcel I.D. 03610 percent slope, scale or dimensions, north arrow, and location and distance ne st l road. 10 Revi b Date Please print al information. Personal information you provide may be used for se Law, . 15.04 (1 Property Owner roperty Location C (9, Walter Andersen 200 ovt. Lot SW 1/4 NW 114 s 20 T 31 N R 17 E (or) W Property Owner's Mailing Address t # Block # Subd. Name or CSM# 2075 150th 1X COUr1TY City State Zip Code Ph Number City (' Village (e Town Nearest Road New Richmond Wi 54017 -5187 - � j = r n 150TH & 210th ave (� New Construction Use:(*' Residential / Number of bedrooms 3 Code derived design flow rate 450.00 GPD Replacement C Public or commercial - Describe: Parent material outwash Flood Plain elevation If applicable n/a ift. General comments and recommendations: system el 92.5 1 (� Boring ❑ Boring # Ground surface elev. 9 6.50 ft Depth to limiting factor 96 in � pit Soil Appflcation Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-14 10YR2 /2 I 2msbk mfr as 2f 0.6 0.8 2 14-34 10YR4 /6 sil 2fsbk mfr as if 0.6 0.8 3 34-45 10YR5/8 s Omsg ml aw 0.7 1.6 4 45 10YR6 /6 s Omsg ml 0.7 1.6 Comments: 2 Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/t6 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-18 1OYR2/2 I 2msbk mfr as 2f 0.6 0.8 2 18-35 1 OYR414 sil 2fsbk mfr as 1 f 0.6 0.8 3 35-51 10YR5 /8 s Omsg ml aw 0.7 1.6 4 51-96 1 OYR6 /6 s Omsg ml 0.7 1.6 Comments: * Effluent #1 = BOD ,> 30 < 220 mg/L and TSS >30 < 150 mglL * Effluent #2 = BOD ,< 30 mg/L and TSS < 30 mg/L CST Name (Please Print) — --- , pignat4lre CST Number Calvin Powers 220537 Address Date Evaluation Conducted Telephone Number 1969 185th ave, New Richmond, Wi 54017 4/27/07 715- 246 -5135 ClicR ne re to unloCK IL)MILNE I SBD-8330 (R07/00 Generated by PDFKit.NET Evaluation Property Owner Walter Andersen Parcel ID # 036104770 Page 2 of 3 Boring # Boring pif Ground surface elev. ft. Depth to limiting factor 100 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ft2 in. Munseil Qu. Sz. Cart. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10YR412 sl 1 msbk mfr as 2f 0.4 0.7 2 8-16 10YR4 16 sl 2msbk mfr as If 0.6 1 3 16-35 10YR516 s Omsg ml aw 0.7 1.6 4 35-100 10YR6/6 s Omsg ml 0.7 1.6 Comments: F-1 Boring # r Boring C 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/ft2 in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Comments: F-1 Boring # Boring ( pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Sfircture Consistence Boundary Roots GPD/ft: in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Effi#2 Comments: * Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD 5< 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. SB"330Test (807/00) Click here to unlock PDFKit.NET l Generated by PDFKit.NET Evaluation 1 o �p� lid ` 1 Ow er. Walter Andersen Bench Mark Description BENCHMARK A Address: 2075 150th top of foundation sw corner of house BACKHOE PIT p Ciity,State,Zip: New Richmond, Wi 54017 AUG BORING o Drawn By. Calvin Powers ELEVATION A Address: 1969185th ave 0 OBS PIPE o City,State,Zip: New Richmond, Wi 54017 VENT PIPE • WELL Phone: 715- 246 -5135 SCAL O Click here to unlock PDFKit.NET Parcel #: 036- 1047 -90 -100 05/02/2007 12:44 PM PAGE 1 OF 1 Alt. Parcel #: 20.31.17.298A 036 - TOWN OF STANTON 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 - ANDERSEN, WALTER E & RITA M WALTER E & RITA M ANDERSEN 2075 150TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 2075 150TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 39.980 Plat: 4675 -CSM 18 -4675 SEC 20 T31 N R1 7W PT NW NW; NE NW & SW Block/Condo Bldg: LOT 02 NW; LOT 2 CSM 18 -4675 (39.980 AC) Tract(s): (Sec- Twn -Rng 401!4 1601/4) 20-31N-17W NW NW Notes: Parcel History: Date Doc # Vol /Page Type 12/19/2003 749543 18/4675 CSM 07/23/1997 759/148 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/16/2007 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 37.980 6,800 0 6,800 NO OTHER G7 2.000 15,000 126,100 141,100 NO Totals for 2007: General Property 39.980 21,800 126,100 147,900 Woodland 0.000 0 0 Totals for 2006: General Property 39.980 15,900 126,100 142,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 C7 p 0 w O I s T n � _ > > n 3 Cn :g -I 2 v z N 2 n: o N O C7 w O S11 v, � 'P N w O N to '3 Cn C p� O W °C • Z a Z a 5 m m co co co x v A O ^ N N Q. a N p) v+ y w CP m - N v r.0 O 00 ` O CD m p 3 � n .Zl• � O O O O O n G = D l� 3 CD ° ep N 3 ° u 0 a o O O p y N ON y ...� !•r CD ' CD y G c" CD Cn C L C 2 _ — N 3 2 O O j. 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S'!`AIS "Z or WItCU=M V0JW 1-- Mi Ties o�i►aa sassavm .ea sesea.eRS sNTA - •AAAAUff ONO v bee�nell LaQaras S. xarastas sad �i CRW 00 WI& .. itt ,t. ac► sastas . ....... ... as { R�►c'd for Raoord Mlb 3rd .. . .14 ....P!!!! In a ................................ .... ............................... , I ol! Nov. �Q 14 �. +wt. !!# . :..!4dlrl..44nd..x,M, Anderiiea;'' Qnatar, �� 3:2 "— - lI NL.Il..!!t Na.. N!l..l uavivorahip,'arCal ............. +� } ..........R> Tf.? ............. ............................... . ................................. ........ Witn6880tN That the said Grantor, for a valuable consideration. Skit._ 5�41f..l iA$.. 4fRex_ .gi4b�4..cgnade ;at4t!........_. __ :_- — -- - ---- - k eoaveya to Grantee the following ng described real estate in ...... ,gt.e.. Crl<0 ......._. R To Ceanty, State of Wisconsin: Eric J. Lundell, Box 157 New Richmond, Wisconsin 540171 Tax Pared No: .......................... . ....... (� 1i TV"S i I The NWh of Section 29- 31 -17. i }t Subject to recorded easements, reservations, and rights of way. i E I EI �i �1 iI is This ....... ..................... homestead property. (is) (is not) Together with all and singular the heree taments and appurtenances thereunto belonging; An& ........... 1AV - Me. S._. Ra. �� _tea._asst_.�tty._�.ou_xarastes warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except !' no exceptions i and will warrant and defend the same. 3rd November 86 Dated this _.. day of ............... • ......................... , 19....__... ................................ (SEAL) �D /l Ai.U..tr�. S..h� . .. .... . ..... .......(SEAL) LaVerne S. Rarastes •• ............. ............................... (SEAL) D /. -- .. (SEAL) B ty Lou Rarastes AUTHIINTICATION ACENOWLEDGURNT �se(e) LaVerae Xatastea and . ........ ... STATE OF WISCONSIN _�Eetty_Lou xarastes w. .. anther ' 3rd avembe 1y 86 ---County. . • - - - - -- Personall Y came before me this ... ............. da y of i $ 19 -------- the above named e Eric J. L dell --• .............................. ....................... • ....•. ----- ---- -• ---- -- - • . ...................---•--..............------•--• • ••----- •• •...... ••....._.. TITLE: MEMBER STA E BAR OF WISCONSIN ...... -• . .. ... ................. •-----..•. ....-- -..........._.........•.. • -• • -• - (If ae4+ .............................. .............................. •.... ......................... •- •••- •- ••--- -- •-•............. •--- •• - -• -- snthoriaed by 1706.06. Wis. Stets.) to me known to he the person ............ who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAT TED BY EricJ. Lundell, Box 157 •--•--------- ------------------------- - - - - -- --- - - - - -- -- ----- -- ............... ................................ . ...... _................................... � New Richmond, Wisconsin 54017 • ...... ............................... ......................... ............. ------------------------- ------------------------------------- ...... ........ •-- -•-- •----- ••- --- ---- Notary Public ----------- My Commission is pe sta County, t i (Signatures may be authenticated or acknowledged. Both permanent. (i1 not, state expiration are not necessary.) i s date: ...... .................................................. 19.........) exsass K Pam AmiNg is su7 euPseit7 sbmld be t7D.d or Printed below their slsnaWns. ii /TATS SAa OF WISCONSIN ram No. t – is" Stock No . 1 3001 s 749�•G 3 VOL 18 PAGE 4675 KATHLEEN H. VA' IF REGISTER OF DEEDS RECEIVED R CERTIFIED SURVEY MAP 1 2 /19/2003 98 :99 Located In port of the Southwest Quarter of the Northwest Quarter, part of the Northwest Quarter of the Northwest Quarter and part of the Northeast Quarter of the SURVEY MAP Northwest Quarter, all in Section 20, Township 31 North, Range 17 West, Town of REC FEE: 13.00 Stanton, St. -Croix County, Wisconsin. COPY FEE: 3.00 BEARINGS ARE REFERENCED TO THE NORTii LINE Of THE PAGES : 2 NW 1 OF SECTION 20, TOWNSHIP 31 N., RANGE 17 W. NEST 114 CORNER WHICH IS ASSUMED TO BEAR N89'40'09 "E. SEr_ 20= -31 -17 UIJPLA rrED LANDS NoRnmrST CORNER (SET GEAR HEAD SPIKE FROM AES� 5Q S SEG 20 -31 -17 N 00'39' 21 " W 26 40.61' (FOUND SURVEY MARK NA/L) -' ---- ---, —N 00'39'21 " W -- -- 1577.76— -- =— -- (A 1 N00'39'21 "W 1543.42 C 150th 5t. Z t1) w x WEST LINE OF THE NW V4 bo �.. $ �...�..... SD ................................... ............................... 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