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HomeMy WebLinkAbout038-1004-50-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix ' Safety and Building Division INSPECTION REPORT Sanitary Permit No: 538704 0 GENERAL FORMATION (ATTACH TO PERMIT) , State Plan ID No: Persona`i 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: _ 7 Casey, Patricia Star Prairie, Town of 038 - 1004 -50 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: / Ok G S 02.31.18.713 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURE CAPACITY STATION BS HI FS ELEV. Septic Z Benchmark x; G� 6,q 100.4S ado Dosing Alt. BM /. �1� 7 Aeration / Bldcj. Sewer 5 St/Ht Inlet = TANK SETBACK INFORMATION St/Ht Outlet O W. 3 S TANK TO P/L WELL BLDG. Vent to Air Intake ROAD DtInlet Ga r JF6 . 3 ran� (a Cf Dt Bottom 136 I / � r� Header /Man. 33 4 g'U . c� 7 1-7- 51 Dist. Pipe p.. (L Bot. System 2 . 3 7 17. S 7 Final Grade '77- / PUMP /SIPHON INFORMATION Manufacturer GP Rand St 5 ver r Model Number / i / �! _ / v �3. 7 /�� 3 3 s TDH Lift I 'I Frictio /Lo6� Syste TDH Forcemain Length Dial Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of enche PIT DIMENSIONS No. Of its Inside Dia_ p th DIMENSIONS 3 �_ ILiqu \ SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION T�System: 7 /3Z � Z61s CHAMBER UNIT OR Model Number: 7 /OZ DISTRIBUTION SYSTEM ( C c Header /Manifol9 / Distribution Z / I x Hole Size z Hole Spacin� Ve Air Intake L ! Length _3(0 Dia `� Spacing f Z li '� SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Syst ems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil �`1 _ °_ Yes Efl No N*Nlyes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: 7 6 / 7 3 / �� Inspection #2: Location: 1253 Polk -St. Croix Road Star Prairie, WI 54026 (Gov't Lot 1 2 T31 R1 8W) NA Lot 3l Parcel No: 02.31.18.78 _ S c_ _FckJ1c._ Atx4L.a 3 A" So y / 1.) Alt BM Description - � �C. Plow Q 2.) Bldg sewer length = 4 - , - amount of cover = � n 6J4 Plan revision Required ? Yes �No Use other side for additional information. _ -- Date Insepctor' Signatu Cert. No. SBD -6710 (R.3/97) 1: s PAI D commet'ee.wl.goV Safety and Buildings Division County4:7J l /� M a 201 W. Washington Ave., P.O. Box 7162 �r ) S V O ■ ■ s i n Madison, WI 53707-7162 Sanitary Permit Number (to be filled in by Co.) tr epatarront of Conunerce 6 3S 76 Sanitary Permit Application State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental 6 a unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned P OWTS re Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide and p urposes in accordance with the Privacy Law, s. 15.04 I m , SWs. r I. Application Information — Please Print ormation ( �C"L"Q - � ��S �D/ . L Property Ow Name Parcel # ' 4 O 3 s� Property a 's Mailing Address Property Location 76 �ROIxGO� " 0 ! ST, -LOJ*A OFF1GE Govt. Lot__ City, State Zip Cote , i �, /,, /,, Section :54 J 3 Q / Q circle o II. Type of Building (check all that apply) Lot #1 T J N. R 1 _E V r 2 Family Dwelling - Number of Bedro Subdivision Name Block# (J ❑ Public /Commercial - Describe Use ❑ City of _ ❑ State Owned - Describe Use - -1 CSM Number ❑ Village of v -2� O Town of _ III. Type of Permit: (Check ly one box online A. Complete line B if applicable) A, ❑ New System lacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System (explain) ❑ Change of Plumber B. El Permit Renewal ❑Permit Revision g ❑ Permit Transfer to Now List Previous Permit Number and Date Issued/ Before Expiration Owner IV. Type of POWTS S stem /Com onent/Device: Check all that a t _ G ❑ Non - Pressurized In- Ground 11 Pressurized In- Ground ❑ At -Grade ound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) Pretreatment Device (explain) V. Dispersal/Treat ent Area Information: Design Flow (gpd) Desig Soil Application te(gp f) Dial Area Require Dispersal Area Pro System Elevation Cn (�8> ._ L VI. Tank Info Capacity to Total # of Manufactu Gallons Gallons Units ° o Ul Q New Tanks Existing Tanks c n g a Septic or Holding Tank Dosing Chamber VII. Responsibility Statement - I, the undersigned, a me responsibility for installation of the POWTS shown on the attached plans. P1 0/,b is Name (Prin PI 's Signature MPP /MPRS Number Business Phone Number � Plumber' As ddress (Street, City, Sta Zip Co ZZ VIII. County/ e artment Use Only _ Approved oved Permit Fee Datc Iss d Issuin nt Sig 0 iven Reaso Denial IX. Condit easons for Disapproval �•e�c , 6 1. Septic tank, effluent filter and . dispersal can must all be services / maintained as per management plan provided by plumber. J 2. AN setback requirementit must be maintained as =dal neass Attach to complete plans for the system and submitint ty unly paper notIessthsn8 i J SBD- 6398(R.01 /07) Valid thru0I /09 T�L tie, wdt t('.•� PLOT PLAN PROJECT Pat Casev ADDRESS P.O. Box 184 Star Prairie Wi 54026 P/4 1 /4S 2 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX SYSTEM ELEVATION 98.4' BEDROOM 2 CONVENTIONAL AT- GRADE CONVENTIONAL LIFT HOLDING TANK XX MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 300 # of chambers none IL BENCHMARK V.R.P. To of steel post st p ASSUME ELEVATION 100' _ Filter BEST GF10 8 ❑ BOREHOLE WELL Q H.R.P. Same as Benchmark Easement Road Polk /St.Croix County Line Road Scale = 1/4" = 10' 10 Acre Parcel B.M, *N B -2 Tank is to be properly 120' bedded and provided with lockdown Cedar Lake I cover with approved O ell uilding warning labels B-3 Sewer is ST insulated 0% Slope Existing 2 I Huffcutt Bedroom House Dose B-1 Garage Tank I Property Line ' Safety and Buildings 141 NW BARSTOW ST FL 4TH commerce WAUKESHA WI 53188 -3789 Contact Through Relay iscons n www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Aaron Olver, Secretary September 21, 2010 CUST ID No. 226900 A7TN.• POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC ST CROIX COUNTY SPIA 1008 192ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/21/2012 Identification Numbers Transaction ID No. 1858028 SITE: Site ID No. 760278 Pat Casey Please refer to bath identification numbers, 1253 Polk St Croix Rd above, in all correspondence with the Town of Star Prairie, 54026 en St Croix County Government Lot(S) 1, S2, T3 IN, R18W FOR: Description: Mound, 2 bedroom Object Type: POWTS Component Manual Regulated Object ID No.: 1281155 Maintenance required; Replacement system; 300 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, slats. 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 Private Onsite Wastewater Systems VERSION 2.0 SBD- 10691 -P .O1 /O1 and the Po Y ( ) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 /01). In the event this soil absorption system or any of its component parts malfunctions sttticli "s t7gvate A l a health hazard, the property owner must follow the contingency plan as described in the approved addition, the owner must comply with the operation, maintenance and monitoring duties as descrilt� 11 of the mound component manual. A copy of this information must be given to the own upon 66�on of the project. All holding/treatment tanks are to comply with Comm. 84.25(7)(a). S�F c� Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. 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. Slats. SHAUN R BIRD Page 2 9/21/2010 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. wrier Responsibilities: • 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). • 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 83.55 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. 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 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. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Julia Lewis- Osborne POWTS Reviewer 2, Integrated Services W1S1rIATc�de ; ? (262) 397 -6005, Fax: (608) 283 -7481 julia.lewis@wisconsin. gov Notice: Starting July 1, 2009, no person or entity may engage or offer to engage in construction business in Wisconsin unless they hold a Building Contractor Registration, or equivalent, issued by the Safety and Buildings Division of the Wisconsin Department of Commerce. "Construction business" means a trade that installs, alters or repairs any building element, component, material or device that is regulated under the commercial building code, chs. Comm 60 to 66, the uniform dwelling code, chs. Comm 20 to 25, the electrical code, ch. Comm 16, the plumbing code, chs. Comm 81 to 87, or the public swimming pools and water attractions code, ch. Comm 90. The term does not include the delivery of building supplies or materials, or the manufacture of a building product not on the building site. For further information, go to our website: www.commerce.wi. gov/ SB/ SB- BuildingContractorPrograln.html 1 ' x V Cover Page Shaun Bird Bird Plumbing Inc. RECEIVED 1008 192nd Ave SEP 16 2010 New Richmond Wi 54017 SAFETY & BUILDINGS 715- 246 -4516 Date: 09/ 13/10 Owner:Pat Casey Location:Govt Lot 1 S 2 T31 N,R18 W 1253 Polk /St.Croix Road Star Prairie System type: Mound System Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7 -8. Maintance and Contigency plan 9 -12. Soil test Shaun Bird Signature License nu er 26900 _yr q.: pF I R�SA�N G��oycs ticF PLOT PLAN PROJECT Pat Casev ADDRESS P.O. Box 184 Star Prairie Wi 54026 1/4 1 /4S 2 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX SYSTEM ELEVATION 98.4' 2 BEDROOM CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 300 # of chambers none BENCHMARK V.R.P. Top of steel post ASSUME ELEVATION 100' Filter BEST GF10 -8 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark Easement Road Polk /St.Croix County Line Road Scale = 1 /4" = 10' 10 Acre Parcel B M *N B -2 Tank is to be properly 120' bedded and provided with lockdown Cedar Lake I cover with approved Well Building warning labels ❑ O Sewer is ST B-3 insulated 0% Slope Existing 2 I Huffcutt Bedroom House Dose B-1 Garage Tank Property Line Mound System Cross Section and Plan View I2. a. • sr ar aa* Rat R,. �}A "� RR '* A' ASR �lIP �lRt �'!r . *R *r+ a++ .- n. wa ww Ted • �wr % ` _.. . * Dimension Feet i A J 1 1 B 3 1 D I 1 � E A l 1 F S N 4 °1 1 G t T • Z 1 H r 1 S 1 I , 1 J r K d L � W a K B Z L Slope % t" = Topsoil = ASTM C -33 = Clean aggregate = 4 in. sch. 40 pvc .. Cap Material sand fill '/2 to 2 % 2 in. dia. 0 observation pipe Geotextile H Fabric ` —�-- ,• F Ft D E Ft Contour Plowed Surface on GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The mound basal area (L x W) is plowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a %4 inch soil wire when a sample is rolled between the palms of the hands. ASTM C -33 quality sand is placed immediately after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot thickness to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire mound is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation pipes are slotted in the lower 6 inches and secured in place with rebar or a closet flange. 10 /07lgj Page of Pressure Lateral Layout T — �o Laterals End Manifold /1 Threaded Cleanout Lateral Turn-up – — ► Plug Manifold M t J. _ X ____� Force Main L Long Sweep 90 Bend V i Distribution Network S ec� cations Pressure System Construction Dameter In. d Diameter In. Laterals are constructed of Schedule 40 PVC Diameter 3 L In. pipe. Orifices are drilled perpendicular to rice Spacin In. the Pipe with a sharp drill b p arp it and face down. L Lateral Len h 3 6 Ft. Lateral turn -ups terminate with a threaded M Manifold Length) Ft. cleanout plug and are enclosed in a 6 -8 inch Force Main Diameter In. diameter lawn sprinkler valve box accessible Force Main Len Ft. from finished grade. 0 999• Grade 000 0•• ; 0 000••• 6-8 Inch h Lawn Sprinkler Valve Box 03/05 lgj Page ______ of — Dose Tank Cross Section And Pump Performance Specifications Tank Manufacturer H Minimum Pump Performance Required Tank Model Number p L} 'a C GPM I @ Ft TDH Total Tank Capacity Max. Bury Depth Total Dynamic Head (TDH) -Feet Elevation Head � Pump Manufacturer }-f-� , ; Distal Head 02.6 Pump Model Number Network Head Loss , g Alarm Manufacturer it a Force Main Head Loss Alarm Model Number 1, , t / . Filter Head Loss Switch Type � Total r ` jb Manhole Min. 4" Above Grade � With Locking Device Vent Min. 12" (p Weather -proof Above Grade Box Junction With Cap " .. -� •., — .. -- Finished Grade -r �• ,� aw 0"-c-, L ct Inlet "; Switch Settings and Reserve Capacity Tank Volume = GPI - - >: Dimension Inches Volume Gal. A (reserve) A Z �} g'' '' /a" (alarm) B 2 t] B Weep (dose) C Hole Off Elev. X dead D C >> Total Bottom of Tank Elev. GENERAL INSTALLATION: The dose tank is bedded and back filled in accordance with the manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the excavation and is sealed watertight. Electrical servicecomplies with NEC 300 and Comm 16.28. 10/071gj Page of A By: 14P 'La grist 9100; i 71 b bbl Bq2 / ; WAY.Q -uo CoJt W's IEh1 '+.�"ER1ES SUMP /EFF'L.UENT PUMP R ass C) 0 ma . s mad s . w o at *u ww M�1sM r� •� 00 '• 1 Bl 1i6 1� 71 IN it a Itb � �t att r11i0x1>• imam Hoof► 4M 916 m1 U X10 71 is 69 m i1 ri! 7p' K 811 r llilriM 0 om lrfe 116 7MI im 1096 74 p E6 iY 1L/ �' r♦f ik11 r ►190YtM Cawrss rr�IMM'�IMIM1Mb� rtAw- t.psos/►" p 1 t.e0�ff} L'Yt IP001 4 two iUDO 9000 CwbwAft� _n . _ ... . , A+ ew waiwet sue seat N bewN>t oarbort aatt 0 ptl 40 it1 iN1 �.w a�u.gwsnn�rre QAMUt FWMW Coy. ! a!'r w atlrer �� twhMr� . � a1Nr�t+N'1i1119.>1i11 •� M6i#.Ifl'/� t4m* . p lafrn �d- 07/0f1 • j . M1 s owrtE MANUAL a L M/gNAGEMgt4T PLAN Pte POwT ' SY'9TEM S!"ET� fF[tt.lE 1ltt=0RMA Mr om► D NA t)wr>rr Mftc tar' 0 MA, a l C piN PAtf11YE't' ` d N�4 ��x �.3 U NA t+Ul '2 a� t]eretgA ff+,vitr ( x ��7 � c?z.7 ,PttmP � � C�o.� 0 faA aa Raw r V Purnp Made[ P w► Monthly Vie` Rob U nit - a Pon Flu e• Mar trtlf�F # C,ll+sase C3 � O W M e : .�) sC & D D� NA M hTY 6 " nd sW II R � IPA+ ) BbehOMIGN[ ( ' .. mgglIL Q At- grade TO W � 8aada CnM -400 D Face! Cgfftorres racen s1t3' c ul4!?QCnI - fiords saft paon�erneeradNwafs.�rmia Ma dmutn Eft wt paftTde:tae �G tnahQiameber �t�� .� yt wr trvto� for pesfnatrQ wietewaW. l4tAlN'lH�IMiCE 9CHNRY servbe Frequency Inspect ogrWob a of tank(s) At feast once e+roey ❑ rnorton s) (tlrla7dceert+sr 3 lne•) Pump out conw tfs Of tsnta(s) When combined sludge and sc;uM equ*fs ens -lhfrd M of (ants volume tnsped drepmset 0811(s) At least once every �� © monnhs r(e) (tMlmdneuesr 3 yes.) clean ieftksard Mar At toast ones every 0 months Ks) n ,l�P c�onuofs A aaAsreea At !east brine every 0 rriOntlle s) 1:3 MA fP s) O NA Flush lri0trab and prsIWfrre tM At least case every Ci rnaeow c At twat once owwy Q mot(((to 13 Ystm(s) [] fitl4 c�eaa_ At least once! atsmy 13 monfle 0 YNIM (s) t3 MA a aM1tMANCE WS I ad the lbilowltlp Qner�ea or ftLgpSCMWW vt � and OlepMM amm shot[ ba nv4de by an ands d*W earrykW Otte ca , Mod , Liss t' Plumber; fL "ser Plumber ReeMcasd sewfir. POWTS Mspootor- PO{AITS M *NW 90000 3er1fsV opWOW. Tanis kwp000efe must iradude s visual ku peotion of the tanKe) b ldo"y saY 9 or Ih 011an WW at ear isle. rneewure the volume of combined sludge arfd MUM artd m cbW* Ibr WW bads uP c• pcndIV at lit mW an tttfa gWund aa'fam The daipersef Caff(s) shall be vbUWIY b a7hedC the a akwnt lsreb cn as Ob W a t" pipes and to duds tier an pondlrtg of effluent cut the ground strrlkoa. Tits pon*W of :!!!surf[ On 00 gtouW surfe0s tyre!► kWkNb a. fMXV canditlon and rngUkOs MO lmmesssLs n9a lawfioan of Via iocei rsgureeay mAhoft Old scum fn tattle � of til t (V Or MOM Of the VU* tOhJRf ' the vv'tffan No aambirted � a�falrrfigfs any eQ WO ah- NR wffra of the lords shad be r+er WVW by a Sefrtps Serf kIV OperaW 20 abpo dd of to af�oordanae 113, VVbOOrialrl l4MMIAMOM CodaL The Ong Of ef&mg tilers, mmpdWftW or prmurtKed PC3WM a' �OtttPfOnfffrM. PMO rrltux t9omPfrrnt ". and ally nitw rlsadtbrraf= cr rnvnkodng at In fo Of-12 months ar lens SWI be POOMOd by td OW218d pOWTr' Met MkW A s0rW* repeat sh�dtbe pfflWded fm the J cat regulaftry sufho* w0hin 10 daya Of taDrl7p!l3&n �wY 1 °G evenL START UP aim oPERA770 For now axm&Udk n, prbr to use of the POMS r km* & eftt rent tank(s) for this prase= Of p8bft PMdUCft a °dw chenA=b (het nW knpeds the fraaarnlrit pMCWW an&. Or damage the dtspwW trail(:). If high AWN too dw f7Dr*nts of ffa tank ) removed by a *epCege xan4dng aperabr Prtbr• to tree. i Page of $rtm Shalt up shad not occur wt+en sr�1'cond'zlians are frozen at th infiltrative sctCFaooe. During powr$r p tgtrtC� may fV above normal 6eghwater iev�els. When r is :estnred the Mess - win tied go the oeit(s) in one large dose, overtoald'utg the c e f(s) and may MUlt in the or tw* dlsclmtge of To avoid trig situation have the contents of the pcurtp tic removed by _*_* a S+njf9 opamilor pdorla PoW W the eMuent pump or correct a Plumber or P ldtrffiitirli w to assW ill Y ` 9 ' Imp °�' t0 restore normal levels s vi9frfn the pump tank Do not ddo or park VW* aw tWa and AWOM ! oaFts.. Do not dave or pall[ ter, Or of oWbe fth or compact, the am `r*M 15 fleet down sbpe of any motmd or at -grade sot( absorpWn ama- Redt GWQ or.d&ninadon of SM f*&W&tg from the wastewater shream may improve the perforr u=e and prolong the rte of the POMYTS: au ; fY - Me butts; condoms; cotton swabs; degrsassm dental SM df;tp W dlsirtlfec*nW. tat: foutiMWn draw (sWW pw'nP) watt§[; fruitarid vagetable peelings: 9asoffe: gnmw, Imo; meat scraps mo at pdnft produow, pas Wdes: sanitary napkins; tamporw, water softener brine. ABANDONIM Nr Vam to POWTS a& wxyor is permanently -taken out of servioe the fallowing steps shat[ W taken to ku ure that the syslam is property $std Y awned in compliance with ch_ Comm 83.33, Wisconsin Adadnh &etivie Coder • All piping to taftks and pits sha[Ibe disconnected and the abandoned pipe openings seated. The con u is of aft tat" and pfts shalJ be removed and properly disposed Of by a Septaee SMVICIng Operator. • Af w pumping, alf tanks and pits shat[ be excavated and removed or weir covers removed -and the void spebe tWed wah sok gravel ar anew Inert solid material. COWINGENCY PLAN If the POWTS !ails and cannot be repaired the followfng measures have been, or must be taken, to provide a code corapr� tat r�taerrtent systerrir O A sudable replan wrient ms has been evaluated and may be utilized for the kx afion of a replacement sorb absorption system. The repfacement area should be protected from disturbance and compaction and should not be infringed upon by requh - ed setbacks from existing and proposed structure. rot lines and yells. Failure to protect the replacement areawN tesult in the need for a new soil and siWevaluaWn W establish a suitable replacement area Replacement systems must comply with the rules 1v effect at that time- 0 A suitable repiacaeraent area is not avaitable'due to setback and/or soil limitations. Barring advances in PoWrS techndogy a holding tanicmay be hmtalled as a last resort to replace the failed POWTS. The sfe has not bean evaluated to identify a suitable replacement area. Upon failure of the POWTS a sod.and site evaluation must be performed to Locate a suitable replacement area If no replacement area is avaiiabfe a hoktir,g tank stay be installed as a last resort to replace the failed POWT"S Mound and at -grate adi absow ion systenns may be reconstructed in place fogowing removal of the bkmat at Inftative eufsoe., Bacot ions Of such systeaas roust comply with the rules in effect at that tlmee <<WARMING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY ComTAIN LETHAL. GASSES ANDIOR INSUFFICIENT OXyCAW DO NOT EMM A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT_ - RESCUE OF A PERB Nei FROM THE n MFOOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADOMONAL CON(>fiLENTS POWTS INSTALLER POWTS MAINTAINER Name as ll A,' Name J s l, Phone r = c .> Phone J o ? ;EPTAGE SERVICING OPERATOR EY LOCAL REGULATORY AUTHORITY N _ Agency v <"2 ! .' Phone o Z /y Phone �=,�� rh& dacY+rrw*cow dratEsd try. Cie ih f Of 00 Gkvm Lslre, Adam"atte and Waushim County Zoning' w d San�'ation This dAd�ta t meets fs niuimmn � of ch. C — 8 and 83.54(l). (118 (3J, wiisco assn Add Cade. Use of 0& clatxowt 6M ag oaaa+dee the pwfamgam of the POWM. GARW r 01) ST. CROIX COUNTY SEPTIC TANK MARnMiANCE AGREEMENT AND 0RTNER3HIP CERIUICATION FORM Owner/Buyer � - Mailing Address property address from Pbmimg & Zoning Deputnot for new cocoa City /State parcel Identification Number .< Location ��� a 2 T pro 3 / N Rw. Tows of property V, , Sec. �.._ - _ Subdividon Certified Survey Map # c-� , Volume Page # Warranty Deed # Volume Page 'l Spec la>� � Lot nos id s _.:s��,; :��,�,*� �"1�• - '�r CER'I"IF - - could resale = iss Funatm'e be to handle wastes. Psoper consists ofproum sad o Y'�� s edP you put into m im-up out the or som a, ifneeded. by tank as a m the waste �6em. Owner mom the system can affect the mom► of titre septic 12 - St Croix County 3anxtary Off- regx asibilities a t specified in §Conan. 83.52(1) and in Chaptcr p & Zoning D a foam, by The property owner agrees to subma�t to St. Croix Comity lanaas8 the c�itc owner and by a mxSWp Jo per. restrictadplumber or a licensed *pt (1) ), the septic. lank is wastawater &spoag *'Aem is is pa opar opetgnag camditicn and/or (2) aim less dm 1/3 fall of 904L _ and a,� to the 3a�D with tha have road the above zegtra'eraa� Static of Wysoonsia. standards set fe rt3s� by the �� of Cot=ercc and the De to Sttlx Cmtx Comvty planting Cratifioation stating that your sYs= has been mai uiwd amuse be completed Zoning DepUMMA within 30 days of dw ftm year expiration, dam. Vv,. cer ft *a all sWftm=ftcn this form are true to the best of dry lass lmowlalge- I/ae smJara t}u owsms($) of the property described above, by virtue of a waratty deed recorded m Register of Dodds Office. ex of b LICANT(S) DATE ***Any infortna ian that is misrepresented may result is the sanitary pa nit being revoked by the Pkunbg & �S ' : ** with this apps a recarded warranty deed $om the Register of Deeds Office and a copy of the certified survey MV If refa wce is mmdo in the wanwAy deed. (REV. 08/05) 2009 Real Estate Tax Summary 10/0 04:00 PM = Page 1 Of 1 Parcel #: 038 - 1004 -50 -000 TOWN OF STAR PRAIRIE Alt. Parcel #: 02.31.18.76 ST. CROIX COUNTY, WISCONSIN Tax Address: Owner(s): O = Current Owner, C = Current Co - Owner 1253 POLK ST /CROIX RD O - CASEY, PATRICIA A PATRICIA A CASEY PO BOX 184 STAR PRAIRIE WI 54026 Districts: SC = School, SP = Special Property Address(es): = Primary Type Dist # Description * 1253 POLK/ST CROIX RD SC 3962 NEW RICHMOND SP 1700 WITC SP 8050 CEDAR LAKE /N R Legal Description: Acres: 10.000 Plat: 0015 -CSM 01 -0015 038 -61 SEC 2 T31 N R1 8W PRT GOV LOT 1, EXC P7C & Block/Condo Bldg: LOT 03 7D & P7E EXC PT TO TOWN IN VOL 456 P38 LOT3 CSM 1/15 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 02 -31 N-1 8W p A Parcel History: M � VI �.I 0 �!N" Date Doc # Vol /Page Type 07/23/1997 876/365 07/23/1997 2 87/40 �� ` ( N n o �1` G, Q ° Tax Bill #: 53111 Net Mill Rate 0.014350199 Installments (� Gross Tax 4,609.81 End Date Total X School Credit 497.04 1 01/31/2010 1,936.71 Land Value 194,900 First Dollar Credit 72.93 2 07/31/2010 2,019.92 Zf"" Improve Value 91,700 Lottery Credit 1 Claim 83.21 Total Value 286,600 Ratio 1.0243 Net After 3,956.63 `) Fair Mrkt Value 279,800 Amt Due Amt Paid Balance Bal. Codes ❑ Deeded Tax 4,039.84 4,039.84 0.00 Special Assmnt 0.00 0.00 0.00 N ❑Bankruptcy Special Chrg 0.00 0.00 0.00 Delinquent Chrg 0.00 0.00 0.00 ❑ Agreement Private Forest 0.00 0.00 0.00 ❑ Foreclosure Woodland Tax 0.00 0.00 0.00 Managed Forest 0.00 0.00 0.00 Environmental Prop. Tax Interest 0.00 0.00 ❑ Spec. Tax Interest 0.00 0.00 ❑ Do Not Generate Prop. Tax Penalty 0.00 0.00 Notices Spec. Tax Penalty 0.00 0.00 Other Charges 0.00 0.00 0.00 TOTAL 4,039.84 4,039.84 0.00 Over- Payment 0.00 Notes: Payment History: (Posted Payments) Date Receipt # Source Type Amount GPT SA Int. Pen. Total 12/01/2009 C L 83.21 D N 0.00 0.00 83.21 01/28/2010 5079 M T 1,936.71 P N 0.00 0.00 1,936.71 07/28/2010 48006 C T 2,019.92 N N 0.00 0.00 2,019.92 Key: Balance Code: D - Delinquent, P - Postponed, N - No Balance Payment Source: C - County, M - Municipality Payment Type: A - Adjustment, L - Lottery, R - Redemption, T - Tax a °t Y I I ;j E s i I � f �c d a� L o a it s s s oPv- �1 V IP l �6 CL .. .c .. Y$ C 2;, V i'y ca R �u � O �1 m a> POT I ` 1 L M o � � � � � M � � -- ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK 'I'hi.s is to certify that I have inspected the septic tank presently ° the residence located at: �oU+ �0+ Section T�N, R 0 W, Town of - r JICA � Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. [..last time serviced: l�c,., o� D I 0 1"j-d flow back occur from absorption system? Yes - No (If no, skip next line) Approximate volume or length of time: x. gallons minutes apacity /&Zro Construction: Prefab Concrete Steel Other _ t (If known) ((y\Du AA ofT (If known).: Lc (Name) Please print (`Title) (license Number) , c7 n-ite Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the t of my knowledge will conform to the requirements of ILHR 83 Adm. Code (except for inspection openi over outlet baffle) Name Signatur MP /MPRS Z�o v e2 I Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code (' �, D i Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County 1 include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. , j� — Please print all i V �,ni viewed b Date Personal information you provide may be used for econd Pfv Law, s. 15 (1) (m)). Property Owner tt Pro I rty Location , - T�� 0!J Govt. Lot 1/4 1/4 s2- T 3 N R/ g E (o w Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 0 i a V,, ST. CR01 ()N�►Na Q< s- lo2S.3 P x City State Zip Code ❑ City ❑Village own h6arest Road ❑ New Construction Us esidential /Number of bedrooms 2- Code derived design flow rate 3 Q GPD Replacement Public or commercial - Describe: Parent material 3ad F199d Plain elevation if applicable 4!!� ..ft. General comments 4-U !� 4!�l/H�( lit' and recortlrnendations: Q ad q _ ,' Q,� LL System Type rc rz System Elevation / (/ FT Boring # E] Boring X Pit Ground surface elev. `1 ? , If ft. Depth to limiting factor Q �2 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 •Eff#2 2- XZ� 1514Z � � 5l 6 � F s , c -- r � �✓ _ O b ®Boring # Boring Pit Ground surface elev..�ft. Depth to limiting factor d S in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 0 r 3 71 1fY i v •- Effluent #1 = BOD > 30 1 220 mg& and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/- and TSS < 30 mg/L CST Name (Please Print) Sig_ CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 5401 ��1�. —�� 715 - 246 -4516 Property Owner _ Parcel ID # Page of ^ IN Boring g # Boring . Pit Ground surface elev. ft. Depth to limiting factor �n Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff# `Eff#2 C- 6 L,r 3 s^ - - a r 7 I I I Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate r Horizon Depth Dominant Color Rector Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Eff#1 Eff#2 F] Boring # ❑ Boring E Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 Effluent #1 = BOD > 30 1220 mg/L and TSS >30 < 150 mg/l_ ' Effluent #2 = BOD, < 30 mg/_ and TSS < 30 mg/L The Department of Commerce is an equal op portunit y service provider and employer. If you need assistance to access services or p 9 PP h' need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD -8330 (8.6/00) Property Ownef .— Parcel ID # Page of ®Boring # Boring Pit Ground surface elev. 27-111t. — ft. Depth to limiting factor in. Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G in. Munseti Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eft#1 •Eff#2 z a sG y F] " # D � ❑ Pit Ground surface elev. _ _ tt. Depth to limiting factor _ In. sa l 131101don Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Gpp fa. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'E111#2 F-1 Bodw # ❑ ❑ Pit Ground surface elev. fl. Depth to limiting factor in Horizon so A pp lic a ti on Rate '"fa 000*09 colo, Redox Deso"on. Texture Structure CoilttGstence Boundary Roots in. MunseM CJIU. Sz. Coin Color Gr. Sz. Sh. `Efl1#1 `011112 Effluent #1 = SOD > 3() 220 moll, and TSS 1-30 150 mgA. ` Effluent #2 = SOD. 130 MQ& and TSS < 30 nrglL The Departmcnt 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 -315I or TTY 608 -264 -8777. seo- a�ocrtsuoi Soil Test Plot Plan ,.Project Name Pat Casey Shaun Bi Address P.O. Box 184 X Star Prairie Wi 54026 CST 26900 Lot - - ---- Subdivision --- - - ---- Date 911310 Govt LOt 1 S2 T 3 N /R W Township StarPrairie Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of steel post System Elevation 98.4' *HRPSame as Benchmark Easement Road Polk/St.Croix County Line Road Scale = 1/4" = 10' Scale is 1" = 40' 10 Acre Parcel B M * unless otherwise noted B -2 120' Cedar Lake Well Building B-3 O Sewer is ST insulated 0% Slope Existing 2 I � Bedroom House B-1 Garage Property Line 0 4 '^ d VI 3W . LrD n s:: O x ' z 70 0: 0 Im O c CD o CO) N w N � 10 N (D s r: k 4 F , %8 �r fy�\i n a 0 ■-0 n e ® 2 E on � «■ z= E z 0 to n @§ E . g a o CA $ m w e M-4 ' \ A [ + k \ � / [ § \ E a § k § 7 § CD Cr E C G �( R g ¥ / ° E E mI § S E 2 @ z £ 2 % -0 E e o � 2 k o o /i o + \ §: � ® k 2 n ƒ § 8 {' n r ■ ■ o c ° CL . \ 0 0 0 ƒ• / § 2 2 @ ƒ § { i 7 T o \ \CD £ \CD . - ; J E 2 C 2 7 ©. _ 0): { .. § E 0 / o f 7 / / /7- « { CD i § CL } § _ -1 (A o z ■ ? / C § \ \ G # E ■ 5 z CO z % � Cl) �2+± § %\ § mm m E EE G\ g ¥/ 2 _ }§G \ CL C CD 0 5 CT E # % +< K - $ § @E o *)- k % ®& & L / 3n § «m % E E i CD 0 < ( \ e o tA \/V I 01 Wisconsin Department of Health and Sooial Servioen. Plb. #67 370 Division of Health SEPTIC TANK PERMIT APPLICATION \ ° TYPE or USE BLACK INK A. OWNER OF PROPERTY Name Address (Street, City, Zip Code) � x C' /Z % /7 L y 7 1 .�_ J ��` 1C• % i /��,: /� L f C: C i% B. LOCATION OF PROPERTY Wh-RE SYSTEM WILL BE CONSTRUCTED ALTEREL OR EXTENDED COUNTY 't / -� `•�� ✓.= Check One: CITY VILLLAGE LEGAL DESCRIPTION �� ✓�` �v� 7 TOWNSHIP C. IS LOCAL PERMIT REQUIRED FOR THIS WORK? /1 YES NO PERMIT NUMBER D. SEPTIC TANK CAPACITY /,'" -O` Gallons NEW INSTALLATION REPLACEMENT ADDITION MATERIALSs Prefab Concrete ^ Pour}�,d in place Steel Other NUMBER OF TANKS TO BE INSTALLED: V E. TYPE OF OCCUPANCY Check Ones One or Two Family Residence Commercial Industrial other Specify Number of Persons to be Accommodated >/ Number of Bedrooms 91 F. APPLIANCES, ETC: Food Waste Grinder YES x NO Automatic Clothes Washer YES '1 NO Dishwasher YES NO Automatic Potato Peeler YES_ NO Other (Specify) G. MASTLR PLUMBER MAKING INSTALLATION 7 Name: ) G r,< '' �� �� i ; L' •� Address s /� T: ! /'�? (:! % l �i� r�)i , "•�� License Number: MP Signature of Applicant: �����? <c�l'tn �� i x =�2„ HP RSK Addresss /�'%� r L -c H. To be ompieted by Issuing Agent) PP / Date of Application .j �� 7; Fee Paid $ Permit Issued (date) / /� / 7 G Permit Number 9 /' 5 T ' Agent (Name) C��1 c� _. ( ^ . �, 7'. )C'. ? <!•. l Fors Town, Village, City, County, etc. (Specify) Fete: The application cannot be considered for filing until all of the above questions are answered and the fee paid. Agents wil? for-ward application, the fee of $I.OG 'or each septic tanx and the third oopy of the permit (canary) to the Division of Health. Checks and money orders should be made payable to the Division of Health. Do not write in space below - FOR DEPARTMENT USE ONLY I. DATE RECEIVED _/ ACCEPTED BY v RETURNED t (Initials) , (Date) Sea, orres.) I FEE RECEIVED VALID. No. nl PERMIT NO* es or No REVIEWED BY APPROVED DATE (Initials) ( Yea or No COMPLETE OTHER SIDE qo 44 - 711 y y ) ��� SEPTIC TANK PERMIT NO. REPORT ON SOIL PZRC0LA7I0N ?EST U� AND SOIL BORINGS TO DIVISION OF HEALTH • PLLMBING SECTIN P.O.Box 309, Madison, Wis. 53701 + Pursuant to H 62.20, Wis. Administrative Code P E R C 0 L A T I 0 X T E S? Test Depth Character of Soil Hours Water Test Time D rop I n or Level Inches Minutes Number Inches Thickness in Inches Since Hole in Hole Interval Second to Next to Last To Fall lst Wetted overnight in Minutes Last Period Last Period Period One, Inch Example P - 0 36" ToE Soil 10" Cla 26 25 Yes or No 30 1/2 1/2 _Y2 60 RECORD DATA FROM MINIMUM OF 3 TEST HOLES Compute size of absorption area in accord with H 62.20 Wis. Administrative Code. S 0 I L B O R I N G S Minimum 36" Below reposed Absor2tion System Boring Total Depth Depth to Ground Water Depth to Bedrock Number Inches Observed Estimated Obse rvedl Estimated Character of Soil with Thiokness in Inches Example B - 0 72" 72" Black Top Soil 12" C 16 Sand 18 Gravel 24 7 �� r G 1 ��zzvt `� `` RECORD DATA FROM MINIMUM OF 3 BORE HOLES PE OF OCCUPANCYs RESIDENCES Number of Bedrooms OTHER (Specify) Number of Persons FOO WASTE GRINDERS Yes No /\ Dishwashers Yes No Automatic Clothes Washers Yes No E FFLUENT DISPOSAL SYSTEM: NEW EXTENSION ADDITION REPLACLXENT Tile Size No.Lin.Feet Trench Width Depth Number of Lines � Y Seepage Bed: Length -Z Width /-Z Depth Tile Size <, No. Lines Seepage Pits Inside Diameter Liquid Depth i I, the undersigned, hereby certify that the percolation tests reported on this forta were made by me or under my super- vision in accord with the procec.ares and method specified in Chapter H ..2.20 (13), Wisconsin Administrative Cana, and that the data recorded and location of test holes are correct to the best of my knowledge and belief. XAMEi TITLE One or Print) REGISTRATION NO. or MASTER PLUMBER LICENSE NO. / °J ADDRESS - ", DAi'E ti I SIGNATURE , } �� / t I i Parcel #: 038 - 1004 -50 -000 09/11/2006 05:14 PM PAGE 1 OF 1 .Alt. Parcel #: 2.31.18 038 - TOWN OF STAR PRAIRIE Current XI` - - -- ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner PATRICIA A PO BOX 184 CASEY O - CASEY, PATRICIA A PO BOX 184 1253 POLK/ST CROIX RD STAR PRAIRIE WI 54026 Districts: SC = School SP = Special Property Address(es): = Primary 11 Type Dist # Description * 1253 POLK/ST CROIX RD a T / N SC 3962 NEW RICHMOND SP 1700 WITC �p i SP 8055 CEDAR LAKE /N R Legal Description: Acres: 10.000 Plat: N/A -NOT AVAILABLE SEC 2 T31 N R1 8W PRT GOV LOT 1 ,EXG -P7Q & ,: Block/Condo Bldg: 7D & P7E EXC PT TO TOWN IN Va 456 P3� Tract(s): (Sec- Twn -Rng 401/4 1601/4) C 02 -31 N-1 8W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 76/ 07/23/1997 687 /M 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 c u v 1V7 2 �/� 1-J Valuations Last Changed: 10/12/2004 Description Class Acres Land prove Total State Reason RESIDENTIAL G1 0.413 135,000 91,700 226,700 NO PRODUCTIVE FORST LANDS G6 9.587 59,900 �— 59,900 NO Totals for 2006: General Property 10.000 194,900 91,700 286,600 Woodland 0.000 0 0 Totals for 2005: General Property 10.000 194,900 91,700 286,600 Woodland 0.000 0 0 Lottery Credit Claim Count: 1 Certification Date: Batch M 109 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 _ :3,k, 6atc w _._...,. T 31 i' i N - 55 cK courorr . i8 W �� she,, -„ � � � ��7 ✓ 4lsabell / / d / �h• �iv¢ d Q Q� ssB3 s z mon n h C `/c���/ Lcst� CEDAR HH w � Z ®C� m•0 � �,� 3•� v ...� v �� od � h 2 p * � �U OC 0 Fy n o>o C ' � r v C � 0 h s ooCb /.� $ ; YO �! D C l • • � � � .� bfntl • c Cj `} 9i Moc \' Cosa //4 • l p u\ / f HUNTING iuPCT �'� / / ✓Q �7 io J M fir' � .:::: 40 79 E /mew ,P.c/,a /� /�° /soil • /gLr o2 pi P /66.9/ • . o�n.� �a H F AlF l '�/ Vii • • il.. yS'1�b3. !sow c J c 4� clahn / /¢no cG 1� 'o /'7a�/ C � ?zo • �� • Bane :> ba:t ¢o s ",� 80 P,;:Vx 50 c n (7 p hn SOr/ BO � �T ocv. Dooy. • s ¢O U �� /anili_ FPam. /.zo cloe /a {t/i / /aid t Z • � y� A � 4o n 40 • /Q��i7ii70 0 � _� � 9i7dE�SOi'J • Pau /ct. Geo • 80 ✓ 'S8 W R. 6o g Gcon�e § .,� SS /anni � Q� an %un� /i'ichaid A .csb e h �.Puth� • ,Bink/7o� ■ S • o s Ne /spy /s-P /60 i. 4nd Qf /2 �� / � d � /145 30 , � � � • °s /a� 'v�d cTohn.so . 4 /mPi S / /ems Ed.-✓ do ¢o • /3s 6t2i - so�J Fi'nO'ei�i7 6 ��u o eck �� Cook \ O /vim 7]vnQ/ ao • 69 � ou.E, !AN 7932 c ^t $ y m- on 6c �3°d os �d r T/ e Q\ h �'✓o rrwo • c C F v n 41 b o Po Nan !y �i /fj BO 70 l 0 °" zo • Bd v 7s S RA �. ,\ J 4 T• Offo + • l • ■ 1Pa/ 5 . p John, 0 , /JE, /yarc /7ondoi- o � y �E /cz�ne BO \ •� p Z/O T6K1&,j o- i � h e/ ,Bernd go .Pobeiy` • c Zorn f/yaxine Pob f Cv V/ ndQ L. /°au/ • Ifo %Fan7` Lasso E /me��Lucfi fa 19sP /und � ach f' u! fis 237 ¢o Bo �1 • 6G. Bo /Y • _3 d - 7o yQ , . U WaC� Tfiom�z �e c cTOhn Q}m � Q • � ' F/�2i7CdiS omas, Po->: '9.S C ^ \ �h ,8. B7.bo eta /a J won l \ , • ei�¢ n .ZS2, y/ i1!Bss� �o Bo a QJ v 0 Canes • .:. av G /en /"l¢vy a.G� (�i�s. s ,! � cSr�e�ohe� f � • :�' 3 lei Parcel #: 038 - 1004 -60 -000 10/12/2006 12:58 PM PAGE 1 OF 1 ,Alt. Parcel M 2.31.18.7C 038 - TOWN OF STAR PRAIRIE 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 GORDON S & JOYCE A BERRES O - BERRES, GORDON S & JOYCE A 1384 SOPHIA AVE MAPLEWOOD MN 55109 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1251 POLK/ST CROIX RD SC 3962 NEW RICHMOND SP 1700 WITC SP 8055 CEDAR LAKE/N R Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 2 T31 N R1 8W PT GL 1 AS DESC AS LOT 2 Block/Condo Bldg: OF CSM IN VOL 1 PAGE 15 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 02 -31 N-1 8W Notes: Parcel History: Date Doc # Vol /Page Type 03/12/2003 712937 2169/151 QC 03/10/2003 712589 2165/457 WD 487/255 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 96,000 103,900 199,900 NO Totals for 2006: General Property 0.000 96,000 103,900 199,900 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 96,000 103,900 199,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 103 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 038 - 1004 -70 -000 10/12/2006 01:00 PM PAGE 1OF1 ,Alt. Parcel #: 2.31.18.713 038 - TOWN OF STAR PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner GENE G & A ELAINE GOVE O - GOVE, GENE G & A ELAINE PO BOX 636 HASTINGS MN 55033 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 1700 WITC SP 8055 CEDAR LAKE /N R Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 2 T31 N R18W LOT 4 CSM V 1 P15 PRT GL Block/Condo Bldg: 1 COM NE COR SEC 2, W 2580.5 FT, SLY 225 FT TO POB: SLY 80 FT, SWLY TO SHORE Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) CEDAR LAKE, NWLY TO PT S 73 DEG W POB 02 -31 N-1 8W NELY -POB Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 725/443 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 127,200 109,400 236,600 NO Totals for 2006: General Property 0.000 127,200 109,400 236,600 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 127,200 109,400 236,600 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 #: 038 - 1004 -80 -000 10/12/2006 01:00 PM PAGE 1 OF 1 ,Alt. Parcel M 2.31.18.7E 038 - TOWN OF STAR PRAIRIE Current K 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 CATHERINE A ASHLIN O - ASHLIN, CATHERINE A 527 S CRESTVIEW DR MAPLEWOOD MN 55119 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 1700 WITC SP 8055 CEDAR LAKE /N R Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 2 T31 N R1 8W PRT GL 1 DESC AS LOT 1 Block/Condo Bldg: OF CSM ON P 15 DOCUMENT #266503 EXC EASEMT FOR RDWY ON E SD LOT Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 02-31N-18W Notes: Parcel History: Date Doc # Vol /Page Type 10/31/2000 632720 1555/64 QC 07/23/1997 703/551 05/11/1991 475397 921/340 PR 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 135,000 55,100 190,100 NO Totals for 2006: General Property 0.000 135,000 55,100 190,100 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 135,000 55,100 190,100 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 r , 4iip �' 35 36 !g I �_ ` L r �`' / #t_ E ,-- - 2580.5 -- -- -- -�� - - -- , - - -- zs �- /936/ — —• 16 v . Dots Z'e /' Sec.2 52 Sec S o T,3/NR /8rV , 5.86 / S'!✓ ' X /YE NE /¢ zo � y S , � ic Z /BSS 4 g ti, ? 5 3 o* 3�'y a ° Description. 66 o.s That part of Government Lot 1, Sec. 2, zs S73 ol�f T.31 -N. R.18 -W. St. Croix' County,Wisconsin . described as follows: P �- $ Commencing at the Northeast corner of Sec.2, T.31 -N. R.18 -W. St Croix County Wisconsin, thence West along the North line 1 df said Sec.2 for 2580.5 feet to.the Place of Beginning; thence South 17 degrees 45 minutes East for 305 feet; thence South 73 degrees 45 minutes West for 170.5 feet, thence North 20 degrees West on a meander line for 360 feet; thence East on the North side of Government Lot 1 of said Sec. 2 for 193.61 feetr to the Place of Beginning. The land lying between the meander line and the waters edge of Cedar:Lake shall belong to its respective lot. Togather with a 16 foot road easement along the South side of the North line of said Sec.2 commencing at the center of the intersection of County Trunk HH and the North line of said Sec. 2; thence West along the North line of said Sec. 2 for 1940.5 feet; thence on the East side of a line bearing South 17 degrees 45 minutes East for 225 feet; thence on the North side of a line bearing North 73 degrees 45 minutes East for 16 feet; thence on the East side of a line bearing South 17 degrees 45 minutes East for 80. feet being the end of the easement. I hereby certify that I s ., Y surveyed and mapped the abov Y y pp v all in with} Section 236.34 Wisconsin Statutes. 24th Orlando Holway August/ 1261 Registe: ~ed Land Sure =P <Tor G 5 ®;3 Hudson, ^"i s co n^ g_ pOG 25 1961 St HOp � � pP► RD• s f Deady (,� CroWis.�un1Y; ~ r _ Page 15 s' ................ 1 n N H r N Z CD �7 C A = = ' t M r - a ' I a = O O � 0 west line of the NE 1/4 TI ff n N00 0 0314511W n d 1 0 9 85.72' cn = N Co D) O C W W w - - i C °° r m fTl - o m m ti m co W T \ \\ to N fD Q� \ \ n c fD ? OD to s ���° •\ z o M O r- . W O° co m o rn 0 r o -�� o o Jc rt - P, CD ^i o S83 055128 11E z M f ti` co a M 200.77 r r I o CD z T n (n m 3 N _ D I S88 0 07'33 "E rt = rt \ a o r ::E I 402.20' o m z g ST. CRGiX C.. D m m Z c = COMPREHENSIVE Pi G ;.a: PL.:,:,, a: m ` AND ZGNINC Ci 7;.;�'STTi.L m w _ o D I C, a C) 0 >< O' m N m 0 0 cn o a o D C/) 1 I c m o r— m cr _ ,a o d w I I S84 0 50 1 52 "E ' fD 285.33' C/) to N z Cn O = I C, 0o -" to I O N to N I Z a o 'T I o rt I w _- m CD t-- m (D -� o z to o+ m CD - ao m r = \ C� a r 51 rn rr _ CA o i N C O � � CD CD S 4 m t7 N o rt S88 ° 33 1 40 'E o ftNi, ? 622.75' O CD Z H 12.5' : O cc !/1 r / C-) s n rt G W > rm CD C v) O N m m m 2 51-4- z s. -4 rn C- = r m 4� . m •--1 X r N co N t 1 o cn r . V r m N F-1 H ZZ7 r = Z r M m � O cn m W m rn - C.T .H iir M .. Vol. 6 Page 1609 Company Profile: Huffcutt Concrete, Inc. Page 1 of 1 t HUFFUTT C41P1CRETE, inc NPCA Certified Plant Locally owned and operated since 1945 (715) 723 -7446 SEPTIC TANK DIMENSIONS AND WEIGHTS Home Septic Tank Size Dimensions Weight Anchor Weight (lbs) Soil Cover (in) (lbs) Commercial Buildings 5000 gal 204 L x 96 "W x 93 "H 41,400 30,850 24 3000 gal 165 "L x 92 "W x 76 "H 20,300 23,320 23 Site Amenities 2600 gal 147 "L x 90 "W x 73 "H 18,100 20,625 2 Utility & Industrial 2000 gal 162 "L x 78 "W x 64 "H 16,100 15,675 19 Products 1600 gal 145L x 78 "W x 61 "H 14,000 11,270 16 1200 gal 111 "L x 78 "W x 61 "H 11,400 9,532 17 Restroom Buildings 1000 gal Low 1201 x 67 "W x 57"H 9,500 8,705 17 Vault Toilets Profile 1000 gal Heavy 96 "L x 78 "W x 61 "H 9,200 8,945 18 Boat Planks & Recreational Duty Products 800 gal 96 "L x 67'W x 57'H 8,000 6,560 16 600 gal 78 "L x 56'W x 60 "H 6,600 3,810 14 Septic Systems 1600/1400 gal 174 L x 90 "W x 73 "H 23,000 22,410 22 1250/750 gal 162" L x 78 "W x 64 "H 16,400 15,725 19 Farm Products 1000/600 gal 145" L x 78 "W x 61 "H 14,700 12,705 17 Company Profile Contact Us Copyright 2004 -2009 Huffcutt Concrete, Inc. 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