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HomeMy WebLinkAbout036-1081-20-100 0 co 00 o y �r a I 0 I O d y o f c O@ I I O O E— ~ O N E€ M { O N N L' a O O O � O MO y a C N O N w r o a r 8 0 1 ti r o s co o f 0 w f0 E (n � o NUS+ CD 0 Lau) N oco ° U �U m 0 DLO co 2 `� C 3 0 `� O m� C N y O O N N O Z _m�cg o Z N�cc o Z U o — 0) o ' 0 o W o �.�c o my� I a o I 0 — _ 3 > �w Eve. -2' a EEQ. N 3 0 l0 O N N E 1 I ¢ E ¢ g CL I m N —CL � � a Z u► I � m I W E E E �z o I Y 0 o co MiNZ a am am I o I oza ° c c « _ w I o w I w o I U) IZ- E E UO o 0 0 o Cl) N • � C. •c N 1 •c C N LO y H (? C CL O a� m zmz I z �zz `•` N I I z l m c d I d c I C N N l6 Y fC l0 E J N E •7 C a s % o a m a .` U u� o c a E c 0 a a u G a a ' @@ N Z N> O a m 0 n. m a s U O E 000 L 0 0 0 I-6 0 0 0 z • mil R �a.aa °aaa oaaa CL j 3 I E W J V Z N Z O N } 3 00 } �- �- '\� � Zo 0o I j N N .-. >` O N Y — 0 N O N 3 0 0 U0 L o o '0 o o 'a � C O rn ml N c m) y c m m) c CD a M = d Q in �n v m ¢ r in L v d Q z in m O1 LO H 0 I- 0 0 = a 0 0 v O Q y C 1 O y C M N c Q E W O O O O ' 2 O E co O N O V t U C 1 U C C 1 U C C C a N CS 0 N O N f0 f� 0 O tq f/1 tA •C Vi c ID R N v ry Q a0 C O C m N ` N N W CC G O C C f0 Ca H a� o Z Z Z ci o y CD v CO r- '4) M 00 cb Cl? m m ro i . °.2 E N .. E E , .. 7 Cl) N cD O O U O O O O N O O O O O O p O U O Cl) fn r r 2 co = F - �- O Z F' k - m M O Z Z O V c% m a E L: CL maw I maw c 0 c a cc i 0 3 00 3 ' 'o I 'o �1 A l u o t U) 0 0U)0 U)8 K 1 V AS BUILT SANITARY SYSTEM REPORT dLe eilw-d- ACe5 NaJ YAIF kri if OWNER TOWNSHIP Sj SEC.TN -R /7W ADDRESS ST. CROIX COUNTY, WISCONSIN. SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H63 THING WITHIN 100 FEET OF SYSTEM fi - t e 4 1 0,11 ��. o s r k Idiae othArrow SC L BENCHMARK: (Permanent reference Point) Describe: Td EcJ�.sT s inc ®ov Elevation of vertical refer nce point: zoo Slope at site: av SEPTIC TANK: Manufacturer: _� Liquid Capacity: r Number of rings on cover :I / an manhole cover elevation Tank Inlet Elevation: — �� -G, Tank Outlet Elevation: PUMP CHAMBAR I� Manufacturer: I Number of,gallons Number of gal. pump set or a cyc a gallons; total capacity o distribution lines gallon: size oT pump head; gallon per minute ; horsepower branT name of pump and model number Type of warning devi HOLDING TANK: Manufacturer Number of gallons Elevation of manhole Goysar Type of warning device SEEPAGE PIT SIZE:: umber ot pits f eet diameter feet liquid depth — seepage pit in eI t pipe elevation bottom of seepage pit e evat on feet. SEEPAGE BED SIZE: number of lines t length tile depth 9i b SEEPAGE TRENCH: width lengt PERCOLATION RATE -f1Q ° -Y8 -yd AREA REQVI ED1 BUILTZ INSPECTOR DATED ' "'� t V�� PLUMBER O N JOB LICENSE NUMBER 3. ZO5 REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM Sanitary Permit g� State Septic 4f4?/J"' NAME TOWNSHIP Croix County LOCATION Section*34t Lot # Subdivision SEPTIC TANK Siz gallons Number of compartments Distance from: Well Building 12% slope Highwater PUMPING CHAMBER Size Pump Manufacturer _Model Number H OLD INC T ANK Size gallons Number of Compartments_____ Pumper Alarm System__ __ Distance from: Well Building _ _ _ _ 12% slope__ Highwater —_ A SITE Bed Trench Distance from: Well Building ________ 12% slope � 2 Highwater �3 ABSORPTION SITE D �-�' q � Width of trench ( ft Required area G d ft. Length of each line Depth of rock below tile in. Number of lines _ Depth of rock over tile Total length of lines :2 7(� ft Depth of tile below grade__ _ in. Distance between lines Slope of trench —1 per 100 ft. Total absortption area ft Type of Cover: PIT DIM ENSIONS Number of pits Gravel around pits_ yes____ no Outside diameter ft Depth below inlet Total absorption area _ ft Area required —__ ft INSPECTED BY TITLE _ APPROVED DATE 198 -_ Q REJECTED DATF. 198 -- -- REASON FOR REJECTIO -- - - -_ - - - -- -� V 1 i ' r PLB 67 State and County State Perm' # Permit Application County P mit # for Private Domestic Sewage Systems County * DENOTES STATE APPROVAL REQUIRED q 2 Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: - -C aaw �&L-Sdq B. LOCATION: - AW ' / ' /a, Section 2Z, TaL N, R J2 E (or) Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township S7AWr&?A1 C. TYPE OF OCCUPANCY: * Commercial *Industrial *Other (specify) Variance Single family_ Duplex No. of Bedrooms No. of Person D. SEPTIC TANK CAPACITY f kOO Total gallons No. of tanks / HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete � Poured -in -Place Steel Fiberglass Other (specify) New Installation Replacement x Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured -in -Place Other (Specify) E, EFFLUENT DISPOSAL SYSTEM: Percolation Rate otal Absorb Area sq. ft. New Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top No. of Trenches Seepage Bed: _X Length Fl.' Width Id Depth 11 depth (top) �' No. of Line Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits. Percent slope of land /% Distance from critical slope WATER SUPPLY: Private IX' Joint El Community ❑ Municipal El Owners name as listed on EH 115 if other tha present o w ne r: 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 # �J��9 and other information obtained from wn uilder). Plumber's Signature MP /MPRSW# 3 0.x" Phone # 241 - Plumber's Address n/+�./J.sT 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. _P. rom F s € , , m_ , a ..� i s c , 3 k i 9 3 � f , z , t , { 3 , Do Not Write in Spa Below - FOR COUNTY AND STATE DEPARTMEN USE ONLY � n n Date of Application - ��� Fees Paid: State /9 Coun o2 e 7 d� Permit Issued /R jeeted (date) Issuing Agent Nam Inspection Yes 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 _I 5 S E;H 115 Rev.9 /7B • REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES O � - ti n'7 CA P.O. BOX 309, MADISON, WISCONSIN 53701 _ � ( C` n r ca /� /�s t co C::3 LOCATIONS/ "" x s /a, Sectio l N,RIIV(or)aownship or Municipality r Lot No. ,Block No. , County s . rvlsion ame Owner's /Buyers Name: S' Mailing Address: A TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT X ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS 7!:L5! -- PERCOLATION TESTS SOIL MAP SHEET ZO NAME OF SOIL MAP UNIT PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN /IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- le 2 r2 .dt 14 0 O 3 O P- .Sew M1 1, P- P_ P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COL ft TEXTURE, MOTTLING AND DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B f/ i. ? G y ry Q 5 B i/ c/ M n tI B- B- B- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on th pl n he joati an and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy '� I "cote or distances. Give horizontal and vertical reference p 'nts. I dicate slope. 0 y , f 1 } 1 6 V 1 / 11 7 1 1 1 A V /4 oh ago !�_._...,-_...i F, i t 6 } t F 3 i �� N �� i F 3 e 3 _ 6 , E "'ice 5 �.®.. e,. m.. �. e.« a»- .3.-- «�,»..3,»— ._....va»�..�«.. .:....mm.�..,m.._..,, . m....-. e...« ...- tw, �..:....&--»-. «, w....... ..m..,..,...- ..a.�,...�,,,.s... .._«.2.- ..-,.. w.u- .�:.._.. e... �.r. `....� I, the undersigend, hereby certify that 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 knowledge and belief. d Name (print)' s 1 l✓_ Certification No. Address e w e X I Name of installer if known Copy A —Local Authority CST Signature i - �_ _� .. .. ., � } Y y t �. + � n �, -. . t' . F. � � - �' �, .. �L .. + �. t , � >. `A 1 .. k a. y.- - � ; ._ -l_.. �. .. .. T S i _. 3 y y _�� * ` �` t �.. ,.� w T. ..� .`°� . � '- µ. � .. s 1 .:. 1 .. ... ,� ' - � h �� .. .. _ �' .. „ , � '. •. •, .. - 1 i f lobs Bcv ( she- <SeoAle- .V tUt°L4 i c _ 1 . . IYIY (V ,gcs/r pow C rY.r �'j U& r lid /' - I?r w. Wisconsin Department'of Industry, Labor & Human Relations E ' - PL$�1`Y, �' INSPECTION REPORT safety & Buildings Divi sion Bureau of Plumb in , Platting & Fi Protection N ame of remises Date FlaA ML Ro. O f 30- � Stree ; 1 y oun y Sanitary ermit N=om, +, 3� /N 17k% '�;TAKrnr'3 'Ceai /68/ as er urn er & Firm Name Aaaress VIJ f ourneyman Plumb er Address Owner d ress v C f_ is AN CUB P � U 10-F. i EL A r i d !` Y -� i } 1 I w A' U IS . Cussed with 1gn re , ( )See Attached. ILHR- SBD= 6192(N.09/80) 'gna ure o s um ing n a as pe ite Inspector Yellow-,Local Inspector Pink - Plumber or Responsible arty Green- Owner ,........,, .. _.. r b, «... _ rte..._ 5 _ r , • • t � . • :•. ) ti� �.; �.,` it Parcel #: 036- 1081 -20 -100 01/11/2007 04:03 PM PAGE 1 OF 1 Alt. Parcel #: 32.31.17.497A 036 - TOWN OF STANTON Current ! 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 ERIC R & CATHERINE A BURKE O - BURKE, ERIC R & CATHERINE A 1555 HWY 64 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ` 1555 HWY 64 SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 3.350 Plat: N/A -NOT AVAILABLE SEC 32 T31 R1 7W PT NW NE FORMERLY LOT 1 Block/Condo Bldg: OF CSM 9/2491 N /K/A LOT 2 OF CSM 9/2617 3.35 ACRES Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 32 -31 N-1 7W Notes: Parcel History: Date Doc # Vol /Page Type 08123/2000 628653 1536/636 WD 07/23/1997 1026/583 WD 07/23/1997 958/456 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 166969 258,400 Valuations: Last Changed: 05/06/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.350 27,000 190,500 217,500 NO Totals for 2006: General Property 3.350 27,000 190,500 217,500 Woodland 0.000 0 0 Totals for 2005: General Property 3.350 27,000 190,500 217,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 133 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 J L/ 4848 CERTIFIED SURVEY MAP LOCATED IN THE NW 1/4 OF THE NE 1/4 OF SECTION 32, T 31 N, R 17 W, TOWN OF STANTON, ST. CROIX COUNTY, WI N UNPLATTED LANDS N 114 CORNER SECTION 32 'C. S T H. r �s4 I' ........ IRON PIPE FOUND) L - - ••• NE CORNER SECTION 32 - — N89.50'4 (COUNTY MON. FOUND) ' "E 2848.78 '� 102.98' N89 "E 669.16' / N89 E 184.87 $ b ............. O DRIVEWAY -r4... IGHWAY .... . SETBACK . - I 0 Q SILO BARN y 2 , �O HOUSE 0. Q. o . 01 ko J. m a , S EPTIC VENT MOBI _ HOME ^ �,• / ri 0 . W • 3 SHED W I— . a a W ~ LOT 1 �� o �• J' d • Z 13.86 ACRES y J; _: (603,732 SO. FT. ) � Z; :•..•t;i~ > ;, ' S89 °50 46 "W 854.00 CID AWED UNPLATTED LANDS FILED S JUN 1 8199 2a , - 11 NOTE: BEARINGS ARE REFERENCED TO JAMES O'C�NNELL T. CROIX COtINI Y THE NORTH LINE OF THE wim OF SECTION 32 (ASSUMED BEAR)NG). RegisixO UUOdS �omPrehensive Planning SL Croix Co., WI Zoning and Parks CommitteA o -SET 1 „ �,2RONPIE•W�lc(ND N K not record ���9REaaSQlittP within 30 da s of VOLUME 9 PAGE 2491 approval d "i7QrOYaR ShaN be FARM CREDIT SERVICES NORTHWEST JAMES M. �►Clp Void HWY. "35" NORTH YJEi3EITI RIVER FALLS, WI' 54022 « S•1804 SPRING VALLEY 1 co WIS. 1 1 •....�• 0 SCALE 1".-200' o 9���� 0 100 200' 400' SHEET 1 OF 2 �`` JAMES M. WEBER S-)804 92-43 THIS INSTRUMENT DRAFTED BY J. W. 0 ATEO I L L 9Z SDbd 6 SHMOA �� - Fs 'M'f ' .l8 031JV80 1N3V4nHJLSN1 SIHI Z .40 1 133HS ,009 l oot , l oot ,001 ,0 4 b b� s,� •��d.ad 0 31 V 0� � 0081-$ a383M 'W S3 1 002 = „ I ; 3"1VJS ..�... j qep IVAOIdd! �o sllap 0£ W816% peplonbiloum 00 I A3I1 V 1 ! IddS j< Pue d�ri+pZ a0s I S td *hj"4%jd=1,) d3 3rd `( ►nrx - ) 1C�>d� 'IS a ro n o d 3 d l d N o a l ,. 1 :• �d� V Q' o� Y 10Od VV3Nl1 aid S8'1 £1'1 � wn t �y JNIH912M 3d Id NOa1 „0e X „I 13S = O \' a3noaddV ('JNINV38 O 3N 3H1 d0 3N11 H1a0N 3HI 1'ld'0S 101`001) 01 030N3a3d3a 36V SE)NIUV38 :31ON '1N3W3SV3'0X3 '0V IQ•£ I'ld'OS I SL` @bl) S380V 9VIL . SV38 V 2 10'1 ' IS SONVI a31.LV1dNn 1 ,00'058 M „9t ,OS 0 68 S /v C N 1N3W3SV3'0.X3'0V 80'01 Owi 0 z O Ild'OS S.W4941 t00 C S380 V I S'01 r o £ 101 ? z :m ,00L 20 1 M „00,4b m D - N 39nOH O c0 Nave a w z O M N O w o o -? 101 0 °'- � .2 "3N 17 . �H0V813S ON10'11n8 fTl C� O0 .... m ; - 11 V130 aaS 4- � ,481 00'L20 '1WS3 SS3 *0v.•A,• 3 „O0,0o68N 1 91'699 3 „00,4, N • � ,OB'Zi � ,86'201. IONnO.4 NOW '00 1 0+ B1'S48Z 3 „Bb,OS.6 @N at N01103S p IONnod 3d)d 140411 „11 y � _ _ _ _ ?J3N2100 3N t£ N01103S y .9 • N ” 1' S'L_.. d3NtJ00 b /1N b /13N 3H1 d0 3N1'1 H1a0N U U 1 0 0 68 N o 0 4 bb'£ ,00'EEq o (D Iff . w w 1 Co- '1602 '9d '6 ­10A dVW A a 01 l— ° A3A8ns 031-411H30 3H1 d0 1 .10 d0 �'_;$ o oi NOI.SIA108nS V SI dVW P x^ SIHI 1 .00'£4 .00'£Q 3 „00 ,4t o GO N HO181n 30r -11130 1N3W3SV3 993001 NISNOOSIM 1 . k1Nf100 XIOaO '1S c N01NV.LS d0 NM01 `MI.18 `NI£1 'Z£ N01133S 't 3N 3H1 d0 t,/1 MN 3H1 NI 031VOO - i ddw UAh 031311833 n) J cnr ( ��lfJ �� .��,�IX Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Buildipg Division Sanit Permit No: INSPECTION REPORT ry 399406 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: Burke, Eric I Stanton Township 036- 1081 -20 -100 CST BM Elev: Insp. BM Elev: BM Des tion: 16U TANK INFORMATION EL VATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark •- ..Sly v 3, y 103. 0 Dosing Alt. BM Aeration --- - - - - -. Bldg. Sewer `e Holding;_ - S t Inlet r- 3 St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic °t Botto ` 13.32' O. z > /G G � � -+6-' r �� ( 4- � 1 Dosing i 3 Header /Man. 3 . 63 / y7 Dist. Pipe Hold— Bot. System PUMP /SIPHON INFORMATION 3 S final Grade Manufacturer Demand St Cover t� GPM / S"� Model Number JAI 'O S"� � �5'3 / 0'60 14 0 TDH Lift -11 Friction Lo System Head TDH Ft 7T Forcemain I Length Dia. Dist. to well �0 i SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside ' . Liquid DIMENSIONS 1 / / _ / SETBACK SYSTEM TO P/L cv B IWELL LAKEISTREAM LE G facturer: INFORMATION BER OR Type Of System: le >/d'd UNIT Model Number: DISTRIBUTION SYSTEM ole Size x Hole Spacing Vent to Air Intake Lengt Header /Manifold stribution It x H 7-n I P D i i pe(. Oia Lengt Dia / / Spacing V 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 COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: f / a s Inspection #2: /0 / CC ((/ 0 Location: 1555 Highway 64 New Richmond, WI 54017 (NW 1/4 NE 114 32 T28N RI 5W) NA Lot 2 Parcel No: 32.31.1�l.�i97A 1.) Alt BM Description = s:�¢�i� S y, s �{•,r, rls -"` '� a 2.) Bldg sewer length =� - amount of cover 3. Contour S. I revision Requ ri ed? [ ] Yes - ( No Use other side for additional information SBD -6710 (R.3197) Date Insepct ignature Cert. No. - 1 0 , q, • - Sant Pen nit Application sera &dMWV Div IW Ia a000td wide I Wis. Adler. Code 201 W. Whoa Ave. oo S My ase side _ � � PO Box 7M t Wtttiaaat fiaNaaa:e� " a000<1dQ7 Pt�eae8 /�,` •- I.IadL80tt. WI 53707-7302 3. l"•'•^"'• amp Awm to ammy if as , 4 � state owned. sat : i f m I. A tiosi- Lstoermatba • Please Prin IA metion: RMPOrty Owner its i't"Uty Laced" Aw:gam 00 � ter' vOtx�Y Nwta N� s3' r3 R � w fir. State +gyp Cede 9eb�iaoa Ns nee or cSt l ,� 6 Q`. � 0 1 ` ryr r N d' Aorw Tjppe or Buildhag: (check sale O t I a 2 D - Na, of Hodroesas vMw (describe uw):_ �l`Iowaof O State-Owned r `Naad w !v Tar _ III. T Of Penuit: Check adv one boat on tine A. Chan box on lino D if icable) 3 A) I. EJ New to S Tent 8) 0 e®s IV. Type of POW System: (Ciot alt tbst eMy) — � � o d O Soled Filter O Co Wedand O At 0 A T Utk O Pan 0 a Drip Lint V. tmwa€ Area Inbrmation• t. 34 IGe4ahed I'eopoeed Rala seJ @(inJfadi) e%n, Slaved" :7 - D 7Sd 7.� (.o N +. /°° 99.5` x ,01 ' VII;, V ank i'apad jr in Taal tl of � t sine soon ► Aube �: �� isdermatlan o aoaa ranks Car cost- doss Teats Tanks z fAw ` 1500 ( wZ` r3 -too 1 K 0 O 0 0 on i+ ty Statsmeat (bC� i the assuata ter allatian of Mae PGWTS r as do ateteltod PbNL P6.6aft A4as (Street. !W Zip tads) Ica e" Av U . RL oc M COsvn byeartmmst use 034 O Lf#appored be Rift" a tare sfyst.aa tae atarapa) Yl Pproved 0 owlearcNOn In W Ad . I ff 3 2- x, ondltlwnt of A o v b a e Rs t r "'� p i 1. Effluent fi er to be costae an mom a rtnanufacturer's recommendations. r 2. All setbacks to system and residential structure must meet applicable code requirements. �. Existing septic system shall be abandoned per code requirements. r Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264-8777 Visconsin www.commerce.statemi.us/sb www.wisconsin.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Acting Secretary September 14, 2001 CUST ID No.285102 ATTN: POWTS Inspector ZONING OFFICE CALVIN POWERS JR ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMIC14AEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/14/2003 Identifica Numbers ' Transaction ID No. 673708 SITE: Site ID No. 635466 ERIC BURKE Please refer to both identification numbers, 1555 HWY 64 above, in all correspondence with the agency. TOWN OF STANTON ST CROIX COUNTY NW 1/4, NE 1/4, S32, T31N, RI7W FOR: DESCRIPTION: FIVE BEDROOM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 810329 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: I • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD - 10573 -P (8.6/99). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the Mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • The changes made to this plan on 9/14/01 by this reviewer were acknowledged and approved by-the system designer. • The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. • Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance information inust be given to the owner of the tank explaining that periodic cleaning of the litter is required • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. CALVIN POWERS JR Page 2 9/14/01 • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan'under s. Comm 83.54(1). In addition, the owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of e construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. FEE RE UIRED Sincerely, 175.00 y Q FEE RECEIVED $ 1700 BALANCE DUE $ 0..00 J Charles L Bratz POWTS Plan reviewer 11- Integrated Services WiSMART code: 7633 (608) 789 -7893, Mon. -Fri. 7:45 AM to 4:30 PM cbratz @commerce.state.wi.us cc: ERIC BURKE TITLE SHEET PAGE OF MOUND SYSTEM FOR A_ BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound. Component Manual SBD- 10572 -P and the Pressure Distribution Manual SBD- 10573 -P. CR. 6/99) (CR- 6194) LOCATED IN THE X 114 OF THE 1/4 OF SECTION !a ,T i N, RAW, TOWN OF , ST. CROIX COUNTY, WISCONSIN. INDEX PAGE 1 OF 11 TITLE SHEET PAGES 2 -5 OF 11 WORK SI I�� X PAGE 6 OF 11 PLOT PLAN PAGE 7 OF 11 pLANVIEW CROSS SECTION PAGE 8 OF 11 DISTRLBUTION PIPE LAYOUT PAGE 9 OF 11 PUMP CHAMBER CROSS SECTION PAGE 10 OF 11 SYSTEM MANAGEMENT PLAN PAGE I 1 OF 11 PUMP CURVE PREPAR FOR PRE BY -# ,tea S 3 1 POWERS EXCAVATING INC. Y�tS_p 1969 185 AVE. NEW RICHMOND, WIS. 54017 PHONE: 715 -246 -5135 FAX: 715- 246 -5135 APPROVED ojjM1CtMEi�tTOF � CtJKRES�' Step 7. DISTRIBUTION SYSTEM 7A) SIZE DISTRIBUTION SYSTEM 1) Hole size = Yi in. 2) Hole spacing ■ , in. 3) Distribution pipe length: 4) Distribution pipe diameter = in. 5) Spacing between distribution pipes = _�0 in. 6) Distance from sidewail to distribution piped /5 in. 78) DISTRIBUTION PIPE DISCIIARGE RATE ft. 1) Number of holes per pipe 73a �° %�/ / 2 2) Flow per pi pe = e l " ' - - -- - � p GPM 7C) SIZE MANIFOLD 1) Manifold is central / end 2) Manifold length = ft. 3) Number of distribution lines a 4) Manifold diameter = � in. 7D) SIZE FORCE MAIN I 1 ,541 1) Minimum dosing rate = X _ GPM 2) Force main diameter =. ?in. 3) Friction loss = .9'� /jars 5: x / 3 G ft. 7E) TOTA DYNAMIC HEAD 1) Vertical lift = ft. f'Sn 2) Friction loss = - 8o47x S x IJ 3) System head- Lik ,_ �'S ft. 4) Total dynamic head 40 ft. i n: - Uicerge: c J 7F) PUMP SELECTION 1) Pump selected will discharge �S GPM at /� ft. total dynamic head. 2) Pump model and manufacturer !1d M 7G) DOSE VOLUME 1) times void vol of distribution li es kK gal. /cycle lox aril x • ° W = /g 4 15,b 2) Daily wastewater volume Z. doses /24 hrs. _ �Sa gal. /cycle A ft - 7 510 � 75 a/y = tom. Jr 3) M`n mum dose volume gal. /cycle 7H) DOSE CHAMBER 1) Minimum capacity required = - v C)W gal, s u f 2 r. S - 7. � / Sign: i,ieenz;e ::u: Date: �T A.L, O/ �.r5►C� t13w`��{ N F Y a rc, N ® tt e �c�c «n. o$c' Sc1 � ►rp � � � IOD �� to rvt .Ss,_ C�w��ar> fz�b.� I w .`. 7.5 X 1ov A*A G 9f.5 4c 4k a � f o !a s � a � Roal r `r 1.i nd 1 1 I ...�,` ��... Page 2- of !I • � r Synthetic Covering 57t'1- G33 Distribution Pipe Medium Sand s Topsoil 3 � E p r - % Slope Bed Of 2 Force Main Plowed Aggregate Layer 1) _� Ft. Cross Section Of A Mound System Using E ,15 Ft. • A Bed For The Absorption Area F . Q.3 Ft. G Ft. A 5_ Ft. H 7• /OFt. .inear ..oadin- ,ate= ?T Desdgn woad rig RaL te= BPD /:iQ FT 8 /Oa Ft. K- ' Ft. 7 L 1144, Ft. 1/ 7 `/3 g . Ft. of Position I / /f5 Ft. Force Main_ Ft, Observation Pipe K A •..r w �- �• • ► \iii .� - _,` --7 C Distribution 0 f 2�— 2 % 2 Pipe.. Aggregate Observation Pipe , 4AChOr ,Se ly Plan View Of Mound Using A Bed For The Absorption Area D istrlbutioa Pipe Layout p # g e of Plaoe the holes at the bottom of the diatribution pipes at equal spacing. Remove all burrs from the pipe and holes. Exsead ttae and of each h� � � � me of Iea� eeua ar 43• $Wing ao a pc� wit6m sic e�alfiee; at*e Sort Fade. Teams dorm ON& of *e bMWh wM a vulva,-'ftg@ ed cW at P Pmvi&OMM gaet &W Fade for &e VROV, stereraftd a p earhwded phq. ACS S's IFKA 7� *VC p ,4c ,rvG LAWN ti+*su��ew F��Cff ++ins - .ALL._ FL. Hal! Oiametsr y e Inch 5 _ Ft. '-� �' " Lateral X . A ik . fndes gtnifold ' �.._ Tnd" .$ �» Foes !!tier Z Indies a !of holes /pipe` Invert Veeration of Latersls Da. Ft. .- - -� •��^ • v.. v Y Y V Jr V 1 1 V ! \ 1 1 Y V I L V i. ► Y•. i i V t\ V ,4" CI VENT PIPE 12" MIN. ABOVE GRADE £ WEATHER PROOF > r > 2S FROM.DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER 4" Cl RISER W/ PADLOCK S 6" MIN. - I n ARNING LABEL ---- ABOVE G ADE - 4" MIN. 18" 'MIN 14LET to WATER TIGHT SEALS GAS- ` ; TIGHT 1 A, A SEAL # APPROVED -I PIPE *� -A_ # ALM JOINTS W/ CI i' ONTO B ON � PIPE 3' ONTO SOLID �� i SOLID SOIL }OIL PUMP OFF ELEV . 1FT. •- - -- i tJ p F 't RISER EXIT D PERMITTED ONLY IF. TANK . MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS ;EPTIC / DOSE 'ANK MANUFACTURER: j>,Sw t NUMBER - DOSES PER DAY: S LANK S_ IZES SEPTIC I 50 0 GAL. DOSE VOLUME INCLUDING DOSE C) GAL. FLOWBAClC: /7S GAL. %LARM MANUFACTURER: CAPACITIES: A = a0 INCHES = S"0 GAL. MODEL NUMBER: w SWITCH TYPE: -V\atiy B = 2 INCHES = 5 GAL. 'UMP MANUFACTURER: Gj s C = �_ INCHES = �� GAL. MODEL NUMBER: ��` �,,� SWITCH TYPE: -t- D = 40 INCHES = GAL. tEQUIRED DISCHARGE RATE $ GPM PUMP & ALARM WIRING AS PER ILHR 16.23 WAC IERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE FEET F MINIMUM NETWORK SUPPLY PRESSURE . . 5-+P :-5r FEET ISM' FEET FORCEMAIN X FT /100 FT. . FRICTION FACTOR . FEET - 7- 5 TOTAL DYNAMIC HEAD = FEET 3 .6) NTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH ; DIAMETER ;is t LIQUID DEPTH l 6` Mound System Management Phan p age f Pursuant to Comm 83.54, Wis. Adm. Code TM* ThO setsk lank shaa to nod by an wx viduN certWkw io wwviw sopft tanks urAW s. 281.48. Staa . The COMN is Of tM weft tank sflaN be 4espomf of M OCCWdWwm vv M NR 113, Wks. Adm. Coda. The *Warg condition of to septic fink and oufMt Ala ihOit bs NOWSOed at het offt ewrY 3 yaarM by m pwxiort. The oufMt tiller 3W bs cleaned se- neoasMary to a WAM WOW opWlton. The OW caerlridba VWX W not be rsmoveo +anise p avisiora are rmrN to retain SOk k In the kwA that msy shouGh 00 ft ftw when rarwnd iron its ww1asum. if the MW to vAlh an afam . the Mor shaN be sorwk*d d 00 @Remo► is aid a mllrwou*ti ink MW alarms tt - 11, 1 anger ftwx or an knpatt N COftW%wA &tine-. The septic tenk sh 0 hem its con*ft MMOtrsd when the vokffm of Suap. and Mt. in flee tarok *goseti: 11/3 10 MW uoauns of *4 tank. If flue OX tths of trier lack are not maovW at the 6" of a biartftiat asassmwa. vwO d-w c p " advice the owner of when #0 mirth service needs lobs pwIWrotad to Nbftk hiss Ow ffaodmum atom Mnd sludge scuAwAftn in the tank. r" addlMat G( Oioiopicel ar aturtical adt*+ss m eahanos soft a* parforetan" is geraagr rw* regt*l. "00* r. P naroh products era uaad VW shad be smoved for septtc lank use by the Departw* of Obwamme. SOMY srICS O+wston. f m T�k The puwV tdoSkV tank *W be irwpecesd at *W orm* every 3 yeem. Aft i+Nftfts. atsrnw. and pwnps Swint be teed to W yr Pmw op is 8601 an SOLWd limo is insuftd wohm the t nit It shah be' 'I e anti serviced as r+seeaary. No htuas Or shFUbs lfrotltd be PwarttMd on ft mawd. P%v*n9s they be rrtads around the rswund's porwwmr, and the mound SW be 91166d Mnd a uW*d a neo wevy to pnvwtt erosion end to prawkfa sane► proleown from frost pw wrisort. Traftic (COW trim fa WSPAINVO MOMINWOOV) o „ e„ a mound is not ranart .MN*d ainca MW ea ion rrury rt r%W ovellon of 11w kdbwve vim= the ntww wo snow Cwwattlon in vo whow wa wom6b kw parasadw Cain we~ klidn"S ( - FSbnmv) dioaa VW u* mound be:IIsWAIV mtrkftd !or ft$t protraction. b ^Wd quditY unto 00 rtrotand systan► ►nay not earned 220 moll SM5. 150 mp/L TSS. And 30 mall- FOG. In kasnt flow may not eatce'd ma*"Wn desipr► tt w apecifled in go pernUVT for Ous W444oWn. Ttw praastars "#%duce- "SUM is PMVW*d wmM s kish" point at fr+s *W of ewh Iowa#, and N is rroorrt wAod that aaat At" be of accunwANN soNds at #fast once every 16 ntonM& When a pressure tM is pwfaan V4 d should be oonapa *d to So VAN ktst when to Mysore vas #ruled to ds/ermm d a ate doa tp has occurred ant if ordlos OWWWO a ns%*w! b mal r t n "UM uason Wilft tote d*persal Wt Owarva *m ideas ***1 sea cell shall be crocked tar a lkwa portdkp. P+D Wq levels shah be reported to the ownw, wW =V levels above t trtoltes cartttiafensd s: an im4taittNnp rty0raulic fire rsaauYinp atidtbortat. o+aora frsquMat moo>+IO1iIq. �sya>ISn n shah be ofawralsd in accordbtes *,Rh Comas 92-64 win. Atkin. Code. and shah makookod In aoowdenae wish iw QwM=W t marwmi .10572 -P (R fft)l and kx* or staae non pwMkft to sysbm mWnbrarwe ant ntaw**Unoe . No cote aAouid ever error a GMft or pump tank once deresroun pow may to poem* that c oWd cwA& dealt. Septic and PUM IW* abamdomrosttrtt meant b& in seoordanp with Comm 63.33, Wb. Adm. Code whin Vw tanks are no boost WGd as POWTS aw0011 res_ Sbtlk: or PfV tarn "w"w a risers, access IISM aruf covers **uld be mapeasd for welts tiW*ws and sour*ws A Aces GPonkW %00 tar asrvtca and eaasaresnt stab be $6810d wsarYght upon +kite aornWAn of sWvkie. Any opatinp darned unsooartd, dokoolhva, at surest la fat M r %XI be MOtaoe& Exposed acom apleronos araaer aw &4nches in therms shelf tae secuead by an of c" ioclanp drtvke b PMVW4 aDtkdentb ofwwdwizod entry oft a IW* ur oornparte d rdmmn� I • bt� if any of its can0ona UN become dafactrw to tenet yr crpwent st&J be repatreuf or rplaced ro keep stn "Me., in piopw oparalinp condkiom l the dralpn 1 tank pump, pump eontroiC atom or r wirkp become detective Vw defective wnpww t shell be Nnrata —= roP"W or raphtad with a cowoorott* of the sane or *qua performance. N fits tit and oorbOowl fact b SCGNA WOWWSW or begins to weaweler to the ground swbw it will be m M and a m l>taad b IW PN @w koftn by kIaeft basal aria t toe %WMO oaass or by reavvft bWogkWy doOpsd odwPl oo widdIspersMawdle aPwS condIllon.. and tt0 re4sted pipin6, artd reptaeinp +aid as deemed negsgiry to twang 11te taysleeri hrtlor prttpa Questions on the operation or maintenance of this system should be di rected to the County Zoning office at `1! >_�86_ 468o or to the licensed plumber who Installed the system. Goulds Qa Submw Effluent Pump 3885 AAPLICATlONS . : • Overload protection m smooth operation Silicon can be operated continuously Specifically designed for the be provided in starter unit bronze #mpellu mrJ90 as without dames. following uses: Shaft: threaded, 400 series an option, ■ Bearings: Upper and • homes stainless steel. in Farms • Bearings: ball hearings w Casing- fit Iron volute lower heavy duty bag bearing type for maximum efficiency. construction. • Traffer courts • Four lower. oo# 2 NPT discharge adaptable ■ power Gable. Severe duty • Motels for slide rod systems. rated, oil and water resistant. • Ho spitals optional Ho ■ Mechanical Seat: SILXON Epoxy seal on motor end • spitals a Single p hase., CARBIDE VS. SIUCON provides secondary moisture • Effluent systems • K and % HP —1613 SJTo CARBIDE seams faes, barrier in case of outer jacket with 115 V or 230 V three Stainless steel meld parts, damage and to prevent ON prong plug. BUNA -H efastomers. wring: SPECIFICATIONS •'K-1 % HP —1413 STO wfth i� ant ■ 0-dog: Assures positive Pump bare leads. stainless steel. Threaded sealing against contaminants • Solids handling capabilities: Three phase: design. Locknut on three and off leakage. VV maximum. • %-1 HP —1414 STO phase models to guard • Discharge size: 2' NPT. with bare leads, On CSA against component damage AGENCY LISTINGS • Capacities: up to 128 GPM. listed models — 20 foot an accidental reverse rotation. • Total heads up to 123 feet length SJTW and STW ■ Motor: Fully submerged In QRMN srlmda*llt dWWn TDH. are standard high -grade furbine oil for • Mechanical seal: silicon lubrication and efficient heat unaaWhM eaeoramrin carbide -rotary seatlswcon FEATURES transfer. carbide - stationary seat, 300 ■ Designed far Continuous open, stainless steel metal G elder. Cast Iron, semi- ers Pump. ratings are parts, BUNA -N elastomer& o non - clog with pump - out vanes for mechanical seal wdhln the momr marwfacfur Xs • Temperature: 104 °F (40 cofatinuous pin. Salaried for recommended working limits, 140°F (60°C) intermittent. • Fasteners: 300 series s° 0 stainless steel. sEMs:3aas • Capable of running dry, so SIZE. W SOLOS without damage to - 5 G _ Pd1 components. m ` ntEY s Motor Single phase: _ so • ,� HP. 115 V. 200 V. 230 V, ° 50 i 60 Hz. 1750 RPM; h HP, is 115 V, 60 Hz. 3500 RPM; i %HP -1%HP, 23OV, 60 Hz. 3500 RPM, 8 sa 30 • Built-in overload with ~ ' auton?atic reset 5 20 _ • Class 8 insulation. Three phase: 'o • h HP — VhHP 2001230/ 0 0 460 V, 60 Hz. 3500 RPM.. o 10 20 30 4a s0 r e4 m eo 90 100 »0 120 130GPM • Class B insulation. I s , 0 10 20 30 m3lh CAPACITY to 1995 Goulft Pumps EBeCdve May, 1995 0166a Wmansb SOIL EVALUATION REPORT i �► Comm as. wrt. nd. t� lll,,y 1 11 Atoch INFININ S" pqn an psper not lmost m a w2 x t1 kwhes inske. Pion mat Paoe� ) p� Include. but net VA N tx vMicel and a p�restdgp., ache« dnmadons .n*Manew. aid locaAfon anddslamelo "o�d by pate Teaser pdat au t nftOwL pel@NW M/e Im p 4 m" bou dforsOomld.ry v (P kvr s 15-04 ( 00. tiMe�et Pis apertytraton Qout Lot W) V 1Ft 83a T [ N R 7 C W a * .�,tbd Nerve ar Pr oPeetlownet')t lit W � CRY 0~ Tam NaelreN tioad , t4a ;� d7 P o se: "Iu� NMCmututwn U PAdd N wafbsdnooms . � Cade derFred design lbw cabs PAPIONamt Pubic or commaidd - Deeaiber A3 /f► tti 1 c�. • Hood plsln e1s+r�on d ePP neealaonww" � ..�. 5 r•ee t��^^R- . nt e d .and ED 8 *Q 8 C�ound suriaoe ebv 9 $• � R Depth to � UAW - h Sd Me Hodson Depth Domw neat T"we Stiue#rre 8°"� Boats tiedoacDaeaiipion ' '�1 EW2 In ax el CAL SL COL color C.Y SL Sh CS �4 , si' rti t+n �,e sj .� Mfg• .,— . � . , 7.5* r G go" R W � QFQund wftw .le 1. Vii_- A Depth a ti ing actor H mn Depth oonibek ure a � a � Text � �.,� tea, a'� � S C S 0 < 1 3p HIOL mW TSS 30 n4oL • EMuent *t - 000 > 30:S 220 n & and'TSS ?3D b50 mpll {s' Number AA Data , Telephone « a =2� ■ �ja ► r. ♦. r f seq. �Va� +bve� Pa` N E V s 3 ai' 3 f N R T �i sin &r - Sz 0- ro . x y �SS 3`Fw� Ln4 tf w stg�r� x tAy IV o o N r f 306 Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 "\ Vhsconsin www.commer .wis nsin.gov Department of Commerce www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Ac ' Wry 7 " September 14, 2001 CUST ID No.285102 AM. POWTS Inspector " ZONING OFFICE cp CALVIN POWERS JR ST CROIX COUNTY SPIA " 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 79/14/2003 Identification Numbers Transaction ID No. 673 708 SITE: Site ID No. 635466 ERIC BURKE Please refer to both identification numbers, 1555 HWY 64 above, in all correspondence with the agency. TOWN OF STANTON ST CROIX COUNTY NWI /4, NE1 /4, S32, T3 IN, R17W FOR: DESCRIPTION: FIVE BEDROOM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 810329 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD - 10573 -P (R.6/99). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the Mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • The changes made to this plan on 9/14/01 by this reviewer were acknowledged and approved by system designer. • The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. • Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. I ~ CALVIN POWERS JR Page 2 9/14101 • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). In addition, the owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of o e construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 ` Charles L Bratz POWTS Plan reviewer II- Integrated Services WiSMART code: 7633 (608) 789 -7893, Mon. -Fri. 7:45 AM to 4:30 PM cbratz @commerce.state.wi.us cc: ERIC BURKE i i of Corrinieroe SOIL N REPORT Pop _L or in accordance County • Attach complete site plan an paper not less tM 8112 1 in tridude, but not waked to vertical and tiorlrordal (B Parcel LD 26 - 0 Peru slope. scale or ckrnensions, north arrow. and and distance to nearest roo' Please print all Info n. S E j 200f J R q /C! d Prrs=W k m aWn roa wovift may be raid for seow4w t + 8 dt3Ee'i ttil trt+i) Owner' Govt 1MA X 114 S3a T 31 N R J 7 F.V* w •s Addness� p Subd Nome or Propert C � � N` �s qty N� Q Q Village Town Neatest Road ❑ New Construction use: Residential / Number of bedrooms Code derived desW lbw rate ' PQ Repleceawnt ❑ PtNc or commercw - Descrew AI / fl ft. Par end rruterlal _ Q eS i �l e�rw �h Flood PWn elevation N appkabie Gener81aon1iSbfdS &A and reoornrrnerrdations: rn a w•. d , .S !fit Cam, - i-o�- °1 8. 5 Sa Ground surface elev. 9 S r fac�or ft. Depth to h. Fl Sow Apploslon Rate Horbon Depth Dorninard Wor Radox Des "orl Texture Strucbre Consistence Bou *y Roots GPM- IM Murarell (XL SL Cord. Cow Gr. SL Sh `Ml 'Eftfk2 s;J y r P 5 � ' - M51 sJ /►�l Mfg r • b Q ❑ D 0 � t3ratmd sur�Ce slay. ��►� ft. ► to ,�— Sol Appkaftn PA9 Horimn Depth Don�riard Redox Desaiption Texture Strur re Corrstdenoe Bo dwy Roots GPM In. mule" ChL SL Cont. Wor Gr. sr Sh L *Ml S, k w�Jr CS 2"4 r 5 LEA , ' EMuend t1= BM 30 =0 not and =40 150 nw& ' E #2 N Bqp 30 n A. and TSS _< 30 mglL CST Number Addr Date Evaluaon Teleptwne Number ess S -! 7 - O ► 7/ 5 I Properly Owner � C- RO i r Pant ro f'S 36 - / $ - Page of U �"° # ° �e Pit Ground surface etev. 9 8.7 tt. Depith to Wnft a factor Sol AAftwon Rate Hortaon Depth Donrktarrt CoWr Redox Desaiptlon Textue Sbuc"e Cwwwarrce Bouriffary Roots GPDAIt h Munsep Qu. Sz. Cont. Color Gr. Sy- Sh. 'Eff#1 I 'Effff2 / O- 7/ r 414 rnf►- S 21 i . g -� 7, .� r S y , r , - — / , - Y r 2- Syr S/ am sA ,— IS Bodtv (_`_( # 0 t � ❑ pit Gmund surface elegy►. R Depth to Iknift factor in. Sol Appkation Rate Henson Depth Doaukuant Color Redox Description Texhxe Struu;lure Caalisterrce Boundary Roots GPDRI! fn. Munsd Qu. SL Cont. Color Gr. SL Sh. 'Effff!1 'EM ❑ Boring # ❑ p Grocxud a elav, f t Depth to 8 factor ku rl-SUM Rate Horizon Depth Domkrertt Redox Description. Texture Stnx dxe Car ice Boundary Roots MIN h. Munsd Qu court. color Gr. SL Sh. 'E802 Effkm t #1= BOD. > 30 220 nVIL and TSS >30 1150 nVIL ' Efpuent #2 = BOD S 30 nV& and TSS 1 30 wdL 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. So. 1 Eva&�'� %0V, P'e p Pa 3 . 3 Er:L 3�� e /V w� N E Vf s 3 X731 lu R I tW I 5ss�.,� (o �! Sa��ti. - sT Cro ► }� eou h ( R`� n�,wi S�ci� LoT a es►,� ({ C7 5'tg'h� K cda Gi y Nam aao 7 c I A co � alb q / o S� / R t 3� �.. _...�...� ...! � .__ _L .G ._.� ___ _..__.. � ___ _ _. r .. �.. 3' 6.e `!~ ;, a. � .. ` ` i a � � *e_ r ; `�{ n t • t �0 � ➢ fe a Y� Y .. ' r i :t.. ' _ ,. w' .' i.; .. $ � � ._.:...._._.,:... e � ';. � ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND aa OWNERSHIP CERTIFICATION FORM Owner/Buyer r % Mailing Address ASS A w v lo?a kg Vo 17 Property Address (Verification required from Planning Department for new construction) City /State Parcel Identification Number 0 A&, i n9 f a-0 LEGAL DESCRIPTION Property Location 00 '' /s, NC %,, Sec. , T 3L N -R -12W, Town of Subdivision , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # to L, S:2 , Volume Page # _�,3 (a_. Spec house ❑ yes f o no Lot lines identifiable 16 yes ❑ no SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal 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 Zoning Office within 30 days of the three year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. CoAkA" r _ / SIGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 1536436 ' 62SF�53 SrATE BAR OF WISCONS(N FORM 2 - 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED ST. CRO O IX CO., DE EDS RECEIVED FOR RECORD This Deed, made between Joseph A Ulrich and 08- 23-2000 10:00 AM Elizabeth M Ulrich husband and wife YARRANTY DEED Grantor EXEMPT and Eric R Burke & Catherine A. Burke, husband CERT COPY FEE: COPY FEE: and wife as survivorship marital Property TRANSFER F6E: 717.00 RECORDING FEE: 10.00 Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St Croix County, State of Wisconsin: (if more space is needed, please attach addendum): Part of the NW 1/4 of NE 1/4 of section 32, Township 31 N., Range 17 W., described as follows: Lot 2 of Certified Survey Map filed May 11,1993 in Recording Area Vol. 9, Page 2617, Doc. No. 498884 Name and Retum Address Exceptions to warranties: EAGLE VALLEY BANK, N.A. easements, roadways and restrictions of record 1301 Coulee Rd., Unit Hudson, WI 54016 036- 1081-20 -100 Dated thi s \`" day of Parcel Identification Number (PIN) This is homestead property. (is) (is not) * seyh A, Ulrich • "Eledaboth M Ulrich AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. St. Croix County. ) authenticated this day of Personally came before me this day of the above named Joseph A Ulrich and Elizabeth M Ulrich TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person who executed authorized by § 706.06, Wis. Stats.) the a 6n in d a know) dged the same. 'rjuS INsTRUMENi WAS DRAFTED BY " Michael H Forecki Attorney [votary Pu tic, State of Wiswnsin Ea Cl aire, Wisconsin My Commission is p anent. Of not, state expiration date: (Signatures may be authenticated or acknowledged. Both are �,- not necessary.) Tracy L. TUmer *Names of persons signing in am capacity must be typed or printed Mow their signature. State m 1N1SCO c STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 2 -1999 Produced wM Z1pFonn" by RE Format lst, LLC 1aa25 FRwn Wis Road. C6won TownaNp Mchipm 48098, (aW) 38:-9805 Aurt Cy MLcMd H F—Cki 1830 nr U" Aw, l:au ClAx a7 UM14627 Ph—:(715)133-30 Fa: (715)&35.4112 498884 CERTIFIED SURVEY MAP LOCATED IN THE NW 1/4 OF THE NE A SECTION 32, T31 N, R ITW, TOWN OF STANTON , ACCESS EASEMENT ST. CROIX COUNTY, WISCONSIN PREPARED FOR: DETAIL JOE ULRICH N 89 45' 00" E 1 33.00 ' 33,00* _ NOTE: THIS MAP IS A SUBDIVISION W to o $;;r OF LOT I OF THE CERTIFIED SURVEY d• io p MAP VOL.. 9, PG, 2491. y I to go a)t o> 0 I � . t O 0 8�,�.00 44 NN89 ° 4 5 '00 "E y NI /4 CORNER S T. H . "6 NORTH LINE OF THE NEI 14 � SECTION 32 �-� NE CORNER II" IRON PIPE FOUND) $ SECTION st N8 "E 264 5.78' a ( CO. MON. FOUND) 102.98 - 2542.80' N89 ° 45'00 "E 669.16' N'89 °45b0"E 242.16 ACCESS ESMT. 427.00 't 184.87 a' _SEE DETAIL c 't _o � 3 0 .�. 0 � W O ............. OO . ... .. - BONE ING SETBACK Z o o COT 2: o N 4 a o o J . o C M Z K1 0 6 BARN Z. C CCD HOUSE 0) J H septic o S89 . 427.00 0. Q Q i I L�— �_` � ��� ; Get' ,' v2C) v tD� '� <':%'' ., ��, ✓,�.�..� �''' `" „ f .� / i 498884 ell CERTIFIED SURVEY MAP LOCATED IN THE NW 1/4 OF THE NE V4, SECTION 32, T31N, RI7W, TOWN OF STANTON, ACCESS EASEMENT ST. CROIX COUNTY, WISCONSIN PREPARED FOR DETAIL JOE ULRICH N 89 45'00"E 1 33.00' 33.00', NOTE: THIS MAP IS A SUBDIVISION w 10 O o" OF LOT I OF THE CERTIFIED SURVEY `j 10 0 01-1 MAP VOL. 9, PG. 2491. Of i 0_ 3, In �i O 00 63'.044_60 ch N89 '00" E y NI 14 CORNER S T H . 0 64 11 NORTH LINE OF THE NEI /4 SECTION 32 —�= – NE CORNER lI" IRON PIPE FOUNOI io ' r SECTION 32 N8 "E 264 5.78' eb ( CO. MON. FOUNOI 102.98' ..... - ... 2542.80' cb ... N 89 00 " E 669.16 N 89 ° 45'00" E 242.16 , "ACCESS ESMT. 427.00 184.87' -. j-SEE DETAIL o . W + Op BUILDING SETBACK O LINE. . J; 10 M LOT 2: � O n o o 0 c0 Z HOUSE M N BARN O Q 0 H sopti 6 fNblJ 01 _ J. W S89 �-- ' 42 7.00' uj z : L OT 3 0 _ _ ' C) u 10.51 ACRES 0 a O O 1 457,979 SO. FT.) O Z; 0 M 10.48 AC. EX'C. EASEMENT 0 z (458,329. SO, FT.) x. S 89 50' 46" W 854.00' K` ` ��(�'�►' L All UNPLATTED LANDS Ij LOT 2 AREAS 3.35 ACRES (145,751 SO• FL ) 3.3) AC. EXC, EASEMENT. NOTE: BEARINGS ARE REFERENCED TO (144,101 SO. FT.) THY-NORTH LINE OF THE NE 1/4. (RECORD BEARING) APPROVED .s MY 0 e SET I "X 24" IRON PIPE WEIGHING MY I , r � 1.13 L BS PER LINEAR FOOT., a S M. • c 1 " IRON PIPE FOUND. ST. Ci RtNk �rVV EA '• Comprehensive Pit Zoning and ,+ VALLEY Parks Comr1 ittIO s. IV it not recorded oo t, within 30 days of °o �peea LG1�' SCALE , I " = 200' approval da aWOVOI ah8{l Ems_ E8 E R 9-1804 r4& vo id DATED _ V'01! ­ 'a, 0,93 0' 100' 200' 400' 600' SHEET I OF 2 93-45 THIS INSTRUMENT DRAFTED BY •J.W. VOLUME 9 PAGE 2617 r ' V of 7 4� iI t ,e i 7 z 'elvd /l,- 4 s�s CERTIFIED SURVEY MAP LOCATED IN THE NW 1/4 OF THE NE 1/4 OF SECTION 32, T 31 N, R 17 W, TOWN OF STANTON, ST. CROIX COUNTY, WI N UNPLATTED LANDS N 1/4 CORNER SECTION 32 - ..7. H. " 64 1 ...... p ( RON PIPE FOUND) �'-- NE CORNER SECTION 32 _ — (COUNTY MON. FOUND) 1 N89•b0'4 "E 2843.7 a 102.98' 2542.90' l� CD NB9 °45'00'�E N89 "E 669.16' / ' 184.87 � g �a ........ �... 00p .... DRIVEWAY -►I... `• • IGHWAY .... . �n too SETBACK Z SILO BARN 2 • � 01 �' SEPTIC J i . ; VENT ) MOBILE HOME W • 3 SHED W W. LOT 1 J' 0 o Q iL • O 13.86 ACRES nn O j _: 2 (603,732 S0. FT "� N Z. :...tc;, S89 ° 50 46 "W 854.00 00 1�ED r UNPLATTED • LANDS � FILED S JUN 1 8 19920. 11 NOTE: BEARINGS ARE REFERENCED TO JAMES O'CONNELI 8T • CROIX CCbNTY SECTION 32 (ASSUMED BEARING). OF Regi" 000dS f �Qmwehensive Planning SL Croix CO., WI Zoning, \and Parks Committal o !SET 1 ", rRaIV IPE ?WE14H)N,o W N T. tf 44ki14lTQq, ,,ail 30 da of VOLUME 9 PAGE 2491 �s C, Gl�/ aPProval d 4N{3rOVal s ha# b e FARM CREDIT SERVICES NORTHWEST 4•� JAMES fVl. quill von HWY. "33" NORTH WESER RIVER FALLS, WI 54022 m S. 1804 « SPRING VALLEY I c o WIS. t 1 t Q' SCALE 1":200' # 9�� 0' 100 200 400' SHEET 1 O F 2 JAMES M. WEBER 9 -1804 92-43 THIS INSTRUMENT GRAFTED BY J. W, DATED \°,-Z c D S 0 f c om n+ o b �1 ! �o �1. T (D A m 0 - + y L Z Z O w M Z (n N W I n y O O O O_ O C O O O O N N y = a cD ` 3 3 C o OD w r ll O C' f O N W OOi N N N? j O ► � + � CD _ _ W _ M o �y n N N O. f7D V! n O 00 N C O O N R 0 0 O O O CD v Q O c o w m cn D A� o P 3 m rr � a o v, o m o 0 rn cn y o p N c w m n D �' a j N v a 2 I m c� _ c I m C: _ cn CL 0 N 3 O o c a l o o O` O Z fD O I N N -< I ti O O .ZI m O 00 CD rT C lV Z OOO a 000 O Z gg N Z a 3 N (A � c CA ca � o < a o D o� CD cD vv_a I Q Tv_v, o o" 0017 O A 3 m 3 °�' � N 3 CL Z N M 0 0 I =- O D D o O D o . a = ""a ig w N m m m c ry,� m C C N C I co a w m cD m Z ? m A I v I a f .. 0 ZZ w W 'fl W � < co N C 3 o Z 3 M 3 z cn H w z m oo (D a I � I D 3 m =r D m n (D 3 3 o a 0 0 o m a n S. E y m c C) O Z C. 7 N N OZ d 0 i m O CD N N cn -OC Pr � K j (n y I I ?1 n m y C/) 3 y N � o m q ' A Z O I I _ v 6 3 N fD o O (D CD 0 0 N t0 H �O 0 C b O n O n ti Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ,(/ ��� /��L%T/ /�i91^/J� TOWNSHIP SEC. : _aLN -R ADDRESS CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE WA ,-- PLAN VIEW Distances and dimensions to meet requirements of IIHR 83 SHOW EVERYTHING.WITHIN 100 FEET OF SYSTEM �a r 41 2 t IN INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: l Proposed slope at site: �U SEPTIC TANK: Manufacturer C`l S Liquid Capacity: zf1�9c9f? 70 Number of rings used: Tank manhole cover elevation: Gf(� Tank Inlet Elevation: �� Tank Outlet Elevation: Number of feet from nearest Road: Frontf�-Side 0 Rear, O C�W/ feet From nearest property line Front Side, O Rear, O p? 8/` feet r Number of feet from: well , building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump /Siphon Manufacturer: Pump Size Elevation of ' et: Bottom of tank elevation: Pump off witch elevation: Gallons per cycle: Ala Manufacturer: Alarm Switch Type: umber of feet from nearest property line: Front, O Side, O Rear, Ft. rf Number of feet from well: Number of feet from building: ` (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: ,� ' Lenith: Z�). Number of Lines: Area Built Fill depth to top of pipe: Number of feet from nearest property line: Front, Side, O Rear,O Ft o� Number of feet from well: Number of feet from building: �02 (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built* Has eithe a drop box O or distribution box O been used on any of the above soil absorb ion sytems? (Check one). HO ING TANK Manufacturer: / Capacity: Nu/on1me Elevation of bottom of tank: El Nuearest property line: Front, O Side, O Rear, O Ft. ber of feet from well: of feet from building: Number of feet from nearest road: Alarm Manufacturer: 77 Inspector• Dated: ay ' Plumber on job: License Number G( � 3 � S� i 3/84:mj DEPARTMENT OF INDUSTRY INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.G. BOX 7JJ69 BUREAU OF PLUMBING MADISON, WI 53707 Npl %,NE%,S32,T31N -R17W , U CONVENTIONAL ❑ALTERNATIVE SltassP9nedID.Number To o� Stant ❑ Holding Tank ❑ In- Ground Pressure ❑ Mound State Hic j hway 64 NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE. r Lee Macchiauti Route 3, New Richmond W1 54017 G^ ZU kl; - (A) F. BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN REF. PT. ELEV.: CST RE PT. ELEV.. Name of Plumber: MP /MPRSW Nu.. Cnunly Sanitary Permit Number: GoAy L. Steet 3254 St. Choix 1127804 SEPTIC TANK /HOLDING TANK: MANUFACTURER: LIQUID CAPACITY TANK INLET ELEV. TANK OUTLET ELEV.. I WARNING LABEL LOCKING COVER //,, P�, Q4 PR DED. PROVIDED. _..�. c '� '�4JV "{ �:� I L74. YES ONO DYES RNO BEDDING: VENT DIA.. VENT MATT HIGH WATER NUMBER OF ' RDAD. PROPERTY WELL. BUILDING: VENT TO FRESH Cj J AIARM LINE M AIR INLET. FEET ❑ YES NNO + ❑ YES NO NEAREST M �� DOSING CHAMBER: MANUFACTURER 71NG� LIQUID CAPA(:ITV PUMP M(1DEL PUMP;SIP1111N MANUI ACTD11111 WA ING LABEL LOCKING OVER PROVIDED. ❑NO YE NO ❑YES El NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER O'.F < PHOPE V WELL 1 LDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET. PUMP ON AND OFF) ❑YES NO NEAREST --^ �i► SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing I t E N(,TH 1 111AMIT1 11 j NIA ANp AHKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN` CONVENTIONAL SYSTEM: WIDTH LENGTH NO. OF 1 1111TH PIPE SPACIN(, COVER J INII01 DIA 'PITS LIQUID BED /TRENCH 1 Q0 HE N�WHES 61 MATEHIA� PIT pEPTH: DIMENSIONS RAVEL DEPTH - FILL DEPTH j ')I!SE1V H PIPE DISTH PIPE DISTR PIPE MATERIAL NO pl� H NUMBER OF PROPERTY WELL. BUILDING: VENT TO FRESH BELOW PIPES ABOVE COVER E I f ELEV. END r^+, ^� PIP, S FEET FROM LINE 4 AIR INLET: Q r Jd c�� �J` i NEAREST ----�— "f __j MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- OYES ONO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER ITEXTURE PE HMANE NF NIAHKE HS V ATION WELLS _ DYES ❑ D NO YES ❑NO DEPTH OVER TRENCH BED DE D DEPTH OF PTH OVER TRENCH BE TOPSOIL SDIJDf D SEEDED MULCHED CENTER EDGES ❑YES. 1:1 NO 1:1 YES ONO El YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH NO. OF LATERAL SPACING ()RAVEL DEPTH BELOW PIPI- FILL DEPTH ABOVE COVER BEDITRENCFF TRENCHES. DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE J MANIIOLD MATERIAL NO DISTH DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV. ELEV. DIA ELEV. PIPES DIA ELEVATION AND DSTBU TION RI I D I ST R BUTION HOLE SIZE HOLE SPACING DRILLED COHHFCI LV COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED �+ PLANS 1:1 YES ONO DY ES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS. NUMBER OF PROPERTY WELL: BUILDING: FEET FROM - LINE. r �jt[ ❑YES ONO L1 YES ENO NEAREST U J Sketch System on Retain in county file for audit. Reverse Side. { . , SIG TITLE. Zoning AdYll.(..VI�(iSt atot DILHR SBD 6710 IR. 01/82) , ILHR SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05, Wis. Adm. Code St. Croix STATE SANITARY P # // ; s 4 —Attach complete plans (to the county copy only) for the system, on paper not less than STATE PLAN I.D. NUMBER 8% x 11 inches in size. —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION — PLEASE PRINT ALL INFORMATION FOR VARIANCE ❑ YES ® NO PROPERTY OWNER PROPERTY LOCATION Lee Macchiaroli NW N4 NE Y4, S 32 T 31, N, R (or) W PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME R.R.0 n/a n a n a CITY, STATE ZIP CODE 1PHONENUMBER 0 CITY NEAREST ROAD, LAKE OR LANDMARK New Richmond, Wi. 54107 715 46 -2996 R VILLAGE: Stanton St. Hy. #64 TOWN OF II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family 2 OR ❑ Public (Specify): Ill. PURPOSE OF APPLICATION: (Check only one in #1. Check # 2,3 or 4, if applicable) 1. a. ® Neml b. ❑ Replacement c. ❑ Replacement of d. ❑ Reconnection of e. ❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. A Sanitary Permit was previously issued. Permit ❑ Y P Y # Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner /building. Attach Common Ownership Agreement to County Copy. r IV. TYPE OF SYSTEM: (Check only one in #1 and only one in #2) 1. a. RgConventional b. ❑ Alternative C. ❑ Experimental 2. a. ❑ System- b. ❑ Holding C. ❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In -Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. ❑ Seepage Bed b. Ea seepage Trench c. ❑ seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet) : PROPOSED (Square Feet): 40 600 600 92.62 Feet U Private ❑.joint ❑ Public VI. TANK CAPACITY Site in oa Ions Total # of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank x 1000 1 Weeks C.P. Lift Pump Tank/Siphon Chamber ---- - VII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name (Print): Plumb ignature: (No mps) KQMPRSW No.: Business Phone Number: Gary L. Steel 3254 715 46 -6200 Plumber's Address (Street, City, State, Z" C e): Name of Designer: 988 N. Shaore Dr. New Richmond Wi. 5401 7 Vlll. SOIL TE INFORMATION Certified Soil Tester (CST) Name CST # Gary L.xlkt Steel 2298 CST's ADDRESS (Street, City, State, Zip Code) Phone Number: 988 N. Shore DR., New Richmond, Wi. 54017 715 246 -6200 IX. COUNTY /DEPARTMENT USE ONLY El Disapproved S itary Permit Fee Groundwater ate Issuing Agent Signature (No Stamps) Approved ❑ Su ar ge Fee Owner Given /'1�� rT�. - ^'1 t ..8 Adverse Determination - X. COMMENTS /REASONS FOR DISAPPROVAL: SBD -6398 (formerly Plb -67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber r INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION a TO THE APPLICANT: 1. This sanitary permit is valid for two (2) years; 2. Your sanitary permit may be renewed before the expiration date and y p y p , a at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable; 3. All revisions to this permit must be approved by the permit issuing authority. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 4. Changes in ownership or plumber requires a Sanitary Permit Transfer /Renewal Form (SBD 6399) to be submitted to the county prior to installation; 5. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608 -266 -3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description where the system is to be installed; II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; III. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair, IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1 -6; VI. Tank information: Fill in the capacity of every new and /or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift /siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. Responsibility statement: Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County /Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains /water service; streams and lakes; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement• system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form. GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Ground at9f included the creation of surcharges (fees) for a number of regulated practices which Wisco fnl; can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that burie retlst� e! is used in your building is returned to the roundwater through our soil absorption 9 9 Y o system or the disposal site used by your holding tank pumper. a The monies collected h surcharges r it t e ted t row h these are credited ed o the groundwater fund adminis - i 9 9 tered by the Department of Natural Resources. These funds are used for monitoring ground- water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD -6398 (R.03/86) APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner /contractor,(spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. --------------------------------- lff '2L'al ------------------------------------------ - - - - -- Owner of property 4S L hi W ✓U /" Location of property � 1/4 O N �__ 1/4, Section Township 7-x'1 Mailing address 0_ Address of site ��'✓� Subdivision name l)' � Lot number Previous owner of property A s , Total size of parcel Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house)? Yes _ No Volume ! and Page Number 6 as recorded with the Register of Deeds. ------------------------------------------------------------------------------- INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. ------------------------------------------------------------------------------- PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the Office of the County Register of Deeds as Document No. D 4 ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County Register of Deeds, as Document No. ). Si a re of Owner % Signature of Co -Owner (If Applicable) Date of 3 gnatur Date of Signature i� DOCUMENT NO. STA7%!3AR OF WISCONSIN FORM A — 1988, ` ! + s+ rAGE RESERVED FOR RECORDING DATA { WA DEED V1 ML 1 viz PAGE 629 1 ltGlS7ERS OFFICE This Deed made between .... J ?hil- _9 :... Walsh____________________ ___ ST. CROIX CO., WIS. Rec'd. for Record this 10th ............................................................... day of A,�1 A.D. 1985 � -------------------------- ••-- - - - - -- -------- •------------ - - - - -- Grantorr, 4:15 P and -------- L_ee__NaJr- chiaroli - -- - 1 K Door .............. ------ - - - - -- ------•------------------- •------- - - -• -- ---- • - -• -- .................. Grantee, Witnesseth That the said Grantor, for a valuable consideration_._.__ _ - -- _ . RETURN TO conveys to Grantee the following described real estate in ..St . -_ CroiX i County, State of Wisconsin: North one -half (1/2) of Section Thirty -Two -(32) , Tax Parcel No: .................... �I Township Thirty -One (31) North, Range Seventeen (17) West. ' I I i i I i I i i y1 I This A -- homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And .... John - __E, Walsh - - - - -- warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except Easements of record. and will warrant and defend,#e same. D -- --- -_- - -- 31._.x. -• --° --- - -- - -- day of -•--- --- --- -- - -- -•- December ......----- --- --- ............19__84-- - -- - - -- -•- (SEAL) (SEAL John..E..__. + 1 - al. sh--------------------------- - - - - -- ` ------•---------------------------------------------------------- ---- -- -- ---- --- - - - -- -- (SEAL) ._ - - - -- --------------•-----.... ..._...- •---- ----- ---- --- • - - -•- ....(SEAL AUTHENTICATION ACKNOWLEDGMENT Signature(s) _____________________________ _________________________ _ _ _ _ __ STATE OFUk9t70mMU MINNES TA Washin ton ss. --••--------------------------------------------------•-_----------------------- �fXX�XX�( .......... County. authenticated this -------- day of .... J)eJr_P_MbP_S_., 198A. Personally came before me this _.. _day of - December __ - - , 19.84__ the above named ..............•....__...------------------------------------------------- - - -• -• John E. Walsh -•--------------------•----------------......---. .._....._......- •- ._..._•••• -•- TITLE: MEMBER STATE BAR OF WISCONSIN (If not, ...... ........................ -•-----•-----•-....-----•----•---...--• .............•-- authorized by § 706.06. Wis. Stats.) to me known to be the person ------------ who executed the foregoing instrurnent nd acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Hrian __ D. • - - -A1 ion,._.A.t< ...................... race K. Wakel i ng G -- _ - - - -- _River - -- Falls, - _WI 54022 ---- ------- ---- ------------ -- -- -- -- Notary Public --------- �I17SA_7)''.�tJJJ3_'....__ -. - -- County, Ms. (Signatures may be authenticated or acknowledged. Both My Commi GRACE K iexpiration are not necessary.) K. date ---NAr-ARY-PMACr -- MINH6sww - - -, 19--- ......) WASHINGTON COUNTY *Names of persona signing in any capacity should be typed or printed below their signatures My commission expires July 31 1991 H.CM11lsrCompsny S TAT E FORM No. WI -1982 Stock No. 13001 STC - 105 i SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER /BUYER ROUTE /BOX NUMBER -3 FIRE NO. CITY /STATE (,w / W • ZIP 7 PROPERTY LOCATION: A)w 1/4 N 1/4, Section _3 ' 7 , T N, R __L7_ W1 Town of ( , St. Croix County, Subdivision L 2 4 : , Lot No. �- 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 SEPTIC TANK PUMPER. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning 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 (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I /WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natu Resources. Certification form must be completed and returned to the St.Cro'x` County Zon Of ice within 30 days of the three year expiration date. SIGNED I DATE 9 2 'Z St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386 -4680 Sign, Date, and Return to above address DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115 MADISON WI 53707 HUMAN RELATIONS (H63.0911) &Chapter 145.045) LOCATION: �� SECTION: TOWNSHIP /I I TY: LOT NO.:BLK. NO.: SUBDIVISION NAME: NW ��4 NN14 32 Al N/R 17L w Stanton n a n a n a COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: St. Croix Lee Macchiaroli R.R.0, New Richmond, Wi. 54017 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROF LE DES IPTI NS: A ION TESTS: 5-6 sesidence 2 n/a �v ew ❑ReQlace 110 -18 -87 10 -19 -87 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN- GROUND - PRESSURE: S STEM -IN -FILL OLDING TANK: RECOMMENDED SYSTEM: (optional) GS ❑U CAS LAS []U ❑ S EA El S [ conventional If Percolation Tests are NOT required DESIGN RATE: Q If any portion of the tested area is in the under s.H63.09(5)(b), indicate: n/a, Floodplain, indicat Fl elevation: n/a decimal' PROFILE DESCRIPTIONS page 20SaB BORING TOTAL DEPTH TO GROUNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH 6 ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 6.67 96.54 none >6.67 1.17bl.1. .58bn.sil. 4.92bn.s.1. B_ 2 7.00 96.2= none >7.00 .17bl.1. 1.25bn.sil. 4.58 bn.s.l. B- 3 7.00 96.16 none >7.00 1.00bl.l. .83bn.sil. 5.17bn.s.1. B- 4 7.08 96.20 none >7.08 1.25bl.1. .50bn.sil. 5.33bn.sl. B- 5 7.00 95.75 none >7.00 1.25bl.1. .92bn.sil. 4.83bn.s.l. B- PERCOLATION TESTS dprim I' TEST DEPTH I WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER I AFTER SWELLING INTERVAL -MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH P -1 3.50 none 30 14 1 1 30 P - 2 3.05 none P, none 2 P -_ P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 92.62 1 I � i E r° - I = E 6 1 ( �. i IF I I F — � 0 i - E Zt I 3 F- — .,.. .... .. ° 7 _. .. ... ..,........_ .J -i-TJ F E i r i E I, the undersigned, hereby certify that 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 the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 9 -2 8 -88 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 988 N. Shore Dr., New Richmondm, Wi. 54017 2298 715 - 246 -6200 CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR -SBD -6395 (R. 02/82) — OVER — ` � INSTRUCTIONS FOR COMPLETING FORM 115'SBD 6395 � � To be complete and accurate soil zo# report must include: 1. Complete |e0"} description; � 2 The use section mum clearly indiooe whether this is reoidenuoor mnmmr,ria| pnijmx; 3, MAX/MUM number of badmomvmcmmmeoiad use �, eL is this o new or ep|mucment symem; 5. Comp|ot* WeouitnbiUty rating boxes. At SITE |SSU|TABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use fhombbmviations shown here for writing pn`fi|odescriptions und completing the plot plan; 7, MAKE 4 LEG|8LE diomom accurately |umuing your test locations, Dmvving to am|e is preferred, A sepa,atm sheet may be used i+de»imd; 8� Make uureyour benchmark and vnboai a|evmtiun / oh vnnuepointa,edendyshmmx O. ComV|eze all app/oprim* boxes as todatws namoy.addroao4 Hood p|ain dam, po/oo|a/ion test exemp- tion, ifmppropriaz, YO M/hn information ouch as food p|min.e!eva iu^)doeo riot apply, place WAinrh*anpm/viiwebox; I Sign the formand I youi curient addwSs and you,nertifinark0nnumbor; 12. rvlake |ogib!o oovioo ond disttibvte as muuired, ALL SOIL TESTS MUST 8E FILED VV|TH THE LOCAL AUTHOR TY VV|TH\N 30 DAYS OF COMPLETION, ' ABBREVIATIONS FOR CERTIFIED SOIL TESTERS 3ni|'3epmraie* and Textures D, a,Symb*b st — Ston* (over lU'') BR — Dod,ock cob — Cobble (3 7O^) 5S — Smduonn g, — G,a"e| (unde,3^) LS — Limegone ° — Sand H G VV — High Grom`dmote' m Sand Prm — Popco|mbon Re!m maio — Met= 8mnd VV — W& R Fine Sand Bldg — Bui|ding Is — Loamy Sand — G,mazo/Than °d — Sondy Lomm / — Les Than °| — Loem On — B/nwn °m| — 3UtLoam 8| — B|ark A — Sill Gy — Gray °c| — Clay Loam Y — YoUms ov| — Sa"dyC|oy Loam R — Rod oin| — Si|n/C|ny Loam mro — W1ou|rs »c — SWAY Clay w/ — wirh dc — 8i|tv C|oy fM — few fine 1ai"t ° — (lay no — rmnmon oaoa ' p' — Poo! mm — kXany m — Muck d — diuinn| p — nromin:n/ HVVL — High wetorlevel, ° Six gon,n^/ soil tax'uno ' surfacnwatCr ' for hvuid waste disposal 8K8 — Bondh 0mrh ` VRp — Vouioa| Rufunmo- Point � ' To THE OWNER: ` � Thi« soil test epol is the first step in s=Hrkq a sanitary permit, The count or the Department ulayri-ClUeSI mu,ifica6on of this spi| uw in Hie fic\d pho, to permit isyuannx � 4 comu!etu rer of p|ans for the private � mo/cm and m pxmH aqiioatb»n muA he oubmdwd to thm mpprzrvime !ooa! aucho,kv in order to m&aino pn,mi/. Txn s^itary po,mA muot be Wined and pogod priorto :he mart of any connuuion, . . Lee Macchiaroli NW4NE4 S.32 T31N. R17W Stanton Township /9 S cl ( r " c - rq 4 t fee FEE rn E L-4 e I Pj ,51,o -b o�oD r P-), 4-V A-� / 00 ' 7 A d) /,C oe �z Gary L. Steel 988 N. Shore Dr. New Richmond, Wi. 54017 MPRSW 3254 Parcel #: 036- 1081 -20 -100 07/11/2006 02:11 PM PAGE 1 OF 1 Alt. Parcel #: 32.31.17.497A 036 - TOWN OF STANTON Current jX_' 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 ERIC R & CATHERINE A BURKE O - BURKE, ERIC R & CATHERINE A 1555 HWY 64 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 1555 HWY 64 SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 3.350 Plat: N/A -NOT AVAILABLE SEC 32 T31 R1 7W PT NW NE FORMERLY LOT 1 Block/Condo Bldg: OF CSM 9/2491 N /K/A LOT 2 OF CSM 9/2617 3.35 ACRES Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 32-31N-17W Notes: Parcel History: q v Date Doc # Vol /Page Type l 08/23/2000 628653 1536/636 WD 07/23/1997 WD 07/23/1997 9 58/456 S 2006 SUMMARY Bill #: Fair Market Value: Assessed with: /0 do 36 - 2- 0 Valuations: Last Changed: 05/06/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.350 27,000 190,500 217,500 NO Totals for 2006: General Property 3.350 27,000 190,500 217,500 Woodland 0.000 0 0 Totals for 2005: General Property 3.350 27,000 190,500 217,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 133 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 036- 1081 -20 -000 07/11/2006 02:11 PM PAGE 1 OF 1 Alt. Parcel #: 32.31.17.497 036 - TOWN OF STANTON Current X', ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 05/2612004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner ANNEXED WALDROFF O - WALDROFF, ANNEXED Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 24.330 Plat: N/A -NOT AVAILABLE SEC 32 T31 N R1 7W NW NE EXC PT TO (Snn Block/Condo Bldg: EXC P 662 T TO PARCEL DESC 7 NEXE RxC261= 1283- 02--+a Tract(s): (Sec- Twn -Rng 401/4 1601/4) 32-31N-17W NW NE Notes: Parcel History: Date Doc # Vol /Page Type 05/26/2004 763915 ANNEX 07/23/1997 1000/349 WD 07/23/1997 999/517 WD 07/23/1997 more ... 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/06/2005 Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 036- 1081 -10 -000 07/11/2006 02:11 PM PAGE 1 OF 1 Alt. Parcel #: 32.31.17.496 036 - TOWN OF STANTON Current X'' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 05/26/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner ANNEXED WALDROFF O - WALDROFF, ANNEXED Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A -NOT AVAILABLE SEC 32 T31N R17W 40A NE NE NKA Block/Condo Bldg: 261 - 1283 -01 (661) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 32 -31 N-1 7W Notes: Parcel History: Date Doc # Vol /Page Type 05/26/2004 763915 25811414— ANNEX 07/23/1997 C 1000/349 WD 07/23/1997 07/23/1997 727/429 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/06/2005 Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 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 I Y e uc.7/e :::::::::!:: "' 65 BS39 POLK COUNTY /ese 46 F/osen O Fa mS e si - Snc. i ti O 1 el S. y. I.b �' Jacobsor7 �' C coix. cTarncs S V N • e1n h� 70. zs k tl 0 sr6.44 d j ua b 4a 7e rohnson o y y y y 9799 � I tl E ,. tM.vharn Af m 0 EFo GM �C a. N jw� flr7der ao *16,9 tl a HIV en° 1' F7nca m Leo /r erne C °�F :E. u ' • • l Y ¢ y z:ey /ei- Wi / /am a �• Av . rss.e9 9 °tO Hamrn tl �` a ti� F/ dR.t R I nnis eo �bc�s y Bad7e C� w cT ° °n C Wi /d� e sh s i/arn es eS 4 O '" �'� L.o a Mcze Q p h C :: uehm <�eo SfwrP- �S'ery Lawrence tl 0 Fouks Fay U o C B he zJ9/ Ids z.'B /6 117.61 S `'O vv Croe c a nSeodare9 Hawa ds � � v� /60 cTames 3' Sue,e. M¢ are? Dou /as J ayne e O 7o KennicFc Ss /e • Ku -9er- /0-' RO /Ph £ • O Wean C. r /e 40 40 3 C 4 W a v y M Hansen • 455 �o C`r C7's ,7 T WF ¢o N 3uv 62 Ba /mer /60 U S:q Bo zto tlaR y Steven gCAI `'Gerd/da r W / /sdho na eo /6 0 /56 31 f s AKR J U es> oe F¢rm Inc L. Denn/s b 2 7. _ s roux I iSi / .., �� /sB Leo a d F /`� r:e/ ='±4o C 9s 1 Vac bse.> Q '�! A o� in, ova /d F o n 7 , 40 _ pf'/L�itf r¢ / • • iPesour'c 156.94 d' •U 3 °293 /70 .B4 Marvin F K,Qoh/ > Kober /M C q A Done GO Me Marbrie 240 ° /ee v fLeon¢ f R s • O tl 6594 CiO1.y S ela/ v m Bache, P Jerome 4 I: x , °JK efbR • N 213-7 Ha / /een c9 76 -W Je s CQ ¢� C h � ` 4 ° 'r Ma /ys 70 ob 23752 . Haeens rs4.6 tl ��� /f. K PP Tb ,mg q p /20 Larso "� si4 ter/ �• - Wi /ham7/ 2 rn/ee, /zo /Bo n 6799 am ,� • W / /islj re t £ E /¢ /ne n �µ 1Sa✓a Ma 1' v r r{ Sehm.dt v W ui h =� vo ZI Todd H V /¢ 'tl 0 794 fKath /een h'ammes .� ro a,e. /o 4 `�� �?je, vy, 69B V O S ievenG 7 JQmas Jarchow zs9 H wor 4 M 16o zo h �2 r e pa 175/2 /7°o9hee cSt Phe. rho ��,y/ CToh"liv, ty a �` Uro /a atL • B cr x eO 2sg � W .kn ce a& 66 Kun3e ® • Av'/ /er y y hnson Fermi /yy .P.fcz a ^ s �n;r s� G ' .F y • • AY 4O JK Andersen P iN f Dois m 5 _na7e s �h0 t s err, Gar 40 40 L t o .3 Saf1e Q NeomGa C Fi a / /een, fuohrhson /60 a y ✓ 6we�so17 16o A s6.s ela/ f7 Eary 21 /s0 Ch isdho n v v tl ') tl /56 22 hehrs p ��, Fi /f3 C //6.SB arms m v C l C " R 29B Edv✓ard /20 65 F i day x o� E r �7ay /e Tos. echa� �aY f ec > "-17 w,- °.Een- L..r h c ,rrar., f!j /ea�sor> �e /bert a aJYlon tl d l q Fra r>,E houser "caN r y P e Lyr>atz rN wA� u' a Slee/ V�Y Mcrvamara BOlin • T .u " 5998 v v4o • 16o fhnslon rho r6a z4° Etcher7 Lri.. -�9 E 2903 ice ti Ci no • s 'RSR 20 sO , /Go 0 7997 ' �5 /moos ate' Me /6 1 tl y.l'U /t. P bo en ao • C/`A f x N Il Ea / a a & • tl B° • F /arence LOpel 8elh 6a B5 20 u� g g Uam¢ a �> � lea/ x v a /5957 7 324 . e7 yB3.3 246.6 JJ a o ,I. u. s q olt b La G q • v. E. n i a es es �+ N { ed S 4 U hn 9. 17— f //[> rr< 9ven� i o a r L. a° LYard Eben o p v f f3¢rb. , Emma A. 240 ao� v _/` Gr anon C p K �..>,m y • G: / /is go ea s /si .6 ' tl F ` /Ihnc c Bo Lorner',S B 5 - ,.�. • Q4 a 8 ti 1 � o w 8o Q N 2 69 B4 a A,—,$ lean F 1S7 /ie0e Krumm maF nevieve Peaerson L. s rn �(�/ f • ames . -PO O c� y r,cos r20 y V V ,eo9c B0 �oberf Win, Ar n 3 O n z p r>7 h,aro/ u d eta/ v a � ohnson We //s NE RICH OND� �� r cTames W SO � tS /ever/ Bo s f ... V Y n/anc o /SR04 9 /,..s /bo p`�'I 4 f C/--o- E. Cr 3 ui :ch �. cody Da/f0/7 O K w w C /ne. W• 202.92 /BS v 1 //ar B Fre ai �'v �C/e E a" er 8a Pet rc: Ch 1st sen y �� - '14 oy --40 Da/f E. :o Ca /vri7 fliiv /vn 2 x 6E.� sr ve / -o ¢ a V ti q q z' y 12a r u/ PowengJr;' u V N/. / /iam etux "9 vi 7aerH sr Josef7h A/ /se Char s ,B Fb /fus r 3 GOOS Tra /ser' "117,13 Bo �YL ©/99/ R cQ,E- ra" Maw 6 /s I c. • I - � izo • 0 SEE -- 4o O 1400 1500 1600 SEE PAGE 4,5 tSt � t`J. mss. fp 1700 1800 1900 2000 SKOGLUND GAS & OIL rst American Bank "ro °" ' ' CO. . BRFMER 1 riafr� A FULL Wisconsin SERVICE Dealers in gJ1,tr Nn,w SALON Bulk F Dl f Member Bremer Financial Form Delivery o r nancial Corporation CINE [ N7ER yy Gas — Fuel Oil — Diesel f Fuel & L. P. Gas Products L. P. Gas (Propane) f ` (715) 246 -6080 New Richmond: 246 324 North Knowles Avenue -4767 Amery: Deer Park: New Richmond, Wisconsin 54017 Somerset: 247 -3332 L 268 -7161 269 -5161 .01N0 LENDER ip Ter y, Parcel #: 261 - 1283 -02 -000 07/11/2006 02:30 PM PAGE 1 OF 1 Alt. Parcel #: 32.31.17.662 261 - CITY OF NEW RICHMOND Current X', ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 05/26/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner DAVID J & JULIE A WALDROFF O - WALDROFF, DAVID J & JULIE A 398 RIVER RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 24.330 Plat: N/A -NOT AVAILABLE SEC 32 T31 R1 7W NW NE EXC P O CSM Block/Condo Bldg: 9/2491 & EXC PT TO PARCEL DE C 999/517 ANNEXED ('04) FKA 036- 1081 -20 97) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 32- 31N -17W NW NE Notes: Parcel History: Date Doc # Vol /Page Type 05/26/2004 763915 2581/411 ANNEX 07/23/1997 WD 07/23/1997 999/517 WD 07/23/1997 934/348 more 2006 SUMMARY Bill M Fair Market Value: Use Value Assessment Valuations: Last Changed: 05/25/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 23.000 3,800 0 3,800 NO UNDEVELOPED G5 1.330 800 0 800 NO Totals for 2006: General Property 24.330 4,600 0 4,600 Woodland 0.000 0 0 Totals for 2005: General Property 24.330 4,600 0 4,600 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 II