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CD p 7 O p 7 1 n N a O O1 M '0 00 x a CL 0 N m am x ti p .. p b CD 'm A. o 0 o 0 e 0 0 : C) v' a Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division' `` INSPECTION REPORT Sanitary Permit No: 81 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: McVitt , Roger I Star Prairie Township 038- 1007 -50 -100 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: /(1Q„� I d rc� e 02.31.18.22A TANK INFORMATION tLEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic U; � � Benchmark �, r 7g t',J 1n wrar� ?t�t1T��'— Alt. BM J Iyidg �3 Bldg. Sewer P a g Aeration i. a� ^ _ St/Ht Inlet ' TANK SETBACK INFORMATION St/ Outlet 'V76 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 9 as �. 3 Septic 7�� J , i DtBottom Z JZ. — 8 -z5 85, Dosing ,Zc I / � � /4/ i Header /Man. Aeration Dist. Pipe Holding Bot. System PUMP /SIPHON INFORMATION Final Grade Manufacturer ` errand St Cover q I GPM v .b$ !1. 3 Model Number `9 G hL 15 TDH LifI . Friction L og System I< TDH Ft Forcemain Lengt U i I Dia. Z i ! Dist. to Well rt SOIL ABSORPTION SYSTEM T BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS %%. \ SETBACK SYSTEM TO t P/ BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: ,� / UNIT /v Mode{ Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) \ =i � l L Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over ` De th Over xx De t of xx Seeded /So ed 1 xx Mulch d Bed/Trench Center /�g Bed/Trench Edges Topsoil `` o� Yes [f No Yes [J No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: D / / Inspection #2: / / Location: 1232 Cty. Rd A New Richmond, Wl 54017 (NE 1/4 SW 1/4 2 T3 R1 8W) NA Lo 9 Parcel No: 02.31.18.22A / 1.) Alt BM Description = � 6OJ' 4- \ G�, , , 6 d-- L 2. 9 9 Bldg sewer length = Z� . ' . � - amount of cover = / � Plan revision Required kination. j No T 's pv -- - � Q 3 Use other side for additi L_ L_ Sig SBD -6710 (R.3/97) Date Insepct s re Cart. No. I - County Sanitary Permit Application ST. CROIX COUNTY WISCONSIN In accord with 15.04 St. Croix County Sanitary Ordinance ZONING OFFICE Personal information you provide may be used for secondary purposes ST. CROIX COUNTY GOVERNMENT CENTER (Privacy Law. S. 15.04(1)(m)] 1101 Carmichael Road Hudson, WI 54016 -7710 (715)386 -4680 Fax (715)386686 Attach complete plans for the system on paper not less than 8 -1/2 x 11 inches in size. County S it # ❑ Check if revision to previous application I. Application Information - Please Print all Information Location: 44.7_ � Property Owner Name / �t✓� 1/4 ,s(�1 /4, Sec Z le T 3J N, E (20U Property Owner's Mailing Addre s Lot Number Block Number 2 2- 3 omlry e- 7 If A---- ity, State Zip Code Phone 4umer Subdivision Name or CSM Number Ncu elco>zw s'fo t �js a 4 �� ° 7� 2 4a �� ��� �R Type of Bla 4— /.c n 11 Building: (check one) amity ❑ Village own of mJ _ 1 or 2 Family Dwelling - No. of Bedrooms: ! -yy Public/Commercial (describe use): r! /L ��A' /� / ❑ State -owned lei Nearest Road 11. Type of Permit: (Check only one box on line A. Check box on line B if applicable) C?l Parcel Tax Number(s) 1 1.13 Repair 1 2. Reconnection 3. ❑Non - plumbing . ❑Rejuvenation 3� 06-7 �\ Sanitation D Z , B) Permit Number Date Issued p State Sanitary Permit was previously issued of POWT System: (Check all that app Zed 2 �4 �Filter Non - pressurized In-ground [0] M n ❑ ❑ Constructed Wetland ❑ Pressurized In-ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other V . Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application Rate 5. Percolation Rate 6. System Elevation 7. Final Grade Required P roposed (Gals. /day /sq.ft.) (Min.lnch) Elevation . Tank information Capaicty in Gallons Total # of Manufactu r Prefab Site Con- Steel Fiber- Plastic New sting ions Tanks n , Concrete structed glass Tanks Tanks OUO / ovo / E5 ❑ ❑ ❑ 13 ❑ ❑ ❑ ❑ ❑ L Responsibility Statement i, the undersigned, assume responsibility for repair/ reconnenction /rejuvenationMstallation of non- plumbing for the POWTS shown on the attached plans. A license is riot required for terralift repair or the installation of non - plumbing sanitation system. Pknnbers Name (p ' t) Plumbers Signat (no tamps): MP /MPRS No. Business Phone Number ODD C . i NZ Sez- WIL - 136 L(h ( -7) < 3.S — Z(. VCK Pkmrbers Address (Street, City, State, Zip e) E S( 0 9 0 ��(/OmtiR�i E G �sr I ll. County Only Disapproved Sanitary Permit Fee D to Issued Is gent Signatur o stamps) APPS Owner Given Initial Adverse �� /� Y �Gl�yWt Determination IX Conditions of Approval /Reasons for Disapproval: SYSTEM( OWNER: 1 Septic tank, effluent filter and dispe rsal cell must all be serviced / main tained as per management plan provided b V Y p lumber. �l 2 All setback requirements must be maintained /� �Lo T rl_ Vic uuN r, `j � � ZONING OFr =10E G y 0 F '1" E�-F. L,;NE -10 sy5fs rA rj q y Pv c . / GAG e Mi C)v � a 5E 1 " ) 4a • 1 1 `1 A�� 'S k o,-l•• 8 • ( -1 E� Xj RMVQK "tjw. 89. PM e5. L14 1-0 pa4, SyS�Fm 9Z 3 MAA DO�( IL IOD- x,1116 0/,/4� 1 06/13/2002' 11:57 6087359330 SAFETY AND BLDGS PAGE 01 Page of PUMP CHAMBER CRO55 SECTION M n L Vent i pc wfCr Ca p Z Icr From door. window Vent Gap or fresh air inCakc .---�' Weather Frove ,jur,otion box Apprerwed ioe -Wx%g masS4sile Final cover w/ warning L3bei . 1c" 4J,4N + I1 4 MIN l 1 i 18' MIN 18" MIN Irnle•G J Provide i Approved � 11 Alrti9ht5eal y I I Ajoirmsd ,jntrrG A i f U> \ II U C Pump 4ff`F PIrZV, fr ELEV, f it iQ �r i J Go<+crete E51ock i ' 1t t 4? =v 4' 3' approved bP.ddiru3 "AATerial Unger tank SPECIFICATIONS Note: Pump and alarm are on Separate N�.'mber Df DasPS: Per Day circuits as per ILHR 16,�'3'V�tis. Adm. Code Gz, Qns Per Day j# of Doses: "1S_ Gallons 2s volume of Sackflow: �Z Gallons Tank M anufacturer: W4 ��o etE Total Dose Volume: ` — 19 _ GalioRS. Tank Size: _ Gallons Capacities: Alarm Manufacturer: � E���'c�S ties A — 3D inches or 3�C7 Gallen$ g 2 inches or Model Number. C Inches or — Ga15rm inches or pump Manufacturer: i i p _7 S Gati'�,7s ` c - Total,....... =. fi g inches or 6 ModeJ Numbers � GalScrns Mimic - um Discharge Rate.: GPM Vertical Difference Between Pump Off and [Distribution Pipe - •- •- • - -•--- : 7 i t. 1 Pressure:.... + O Ft. Arlir�imum Required S UpPy ............. ............................... Q Ft. of Force Main x 1, 39 Friction Factor /100 Ft. ................. - I - / Ft. Q Total Dynamic Head Tank Dirnen5ions: Len _gth - 5 Width S Depth to inlet y i Pump ' Signature: License Number _ Date N „r+Wilr i' 4 9EH SERIES SUMP /EFFLUENT RLIMR _ .. t t .tab -• __ ....,...__... 8.86 C7 Specifications MQOlI CAL 30Cf03 3LtE iniNNtli9 PS11fORMANCE FPM � Rut) SHU19fF PWR, C119. WEIGHS ofNfNS501iS T lfaalG HP VOLTS 1 PST (Ft.) 01.) IN x I. i W) 11C. �,. {dA.lal AMP4/WATTi 6' 1Q' 18' 1P I►t, 4fH -CIM 509330 UUCSA 4110 115 Y4 13.0 1000 71 88 60 49 32 19.8 20' 27 g. t x 1164 x 8 94 9EN - 01M 509340 UUCSA 4/10 290 3✓4 6.6 1000 71 68 60 49 32 13.8 20' 27 9 11 x 1 1.64 x 8.94 9EH•CIA-RFS 509350 UUCSA 4,10 116 3/4 13.0 1000 71 68 60 40 32 1318 20' 27 9.11 x 11.84 x 8.94 H, H-CIA RFS 609369 U40 4"10 230 W4 6.5 1000 71 55 t10 48 32 1 3.8 20' 27 911 x i 1.O FL OW- ! ITERS /1-Ulk Construction.. u 1000 2990 3000 Wtor !lousing linoxy Coated C ,9.i1 Iron 1. Impellcr Material Pot+Carbon I !rn cller „'Tpe C losed `Tana Volute ABS _.... • ., Power Card _ _ _•. SJTW -A - 4 �u ! Mechanical Shaft Sett! Nitrilt with cartxn and S brl fa ces g Stainless Ste Fas teners --- 1u ._ Shaft .Stainless St�c:1 _ Bearings U�Rer 5lecvc and Lower 13&.11 Bearings 0 20 40 6 L ail FLOW GA1, r 0NS /MINUTE FUME PFRF CURVE 11'SV 60HZ Little Giant PUMP CO- P O Sox Phu: 405.947.2511 O Okla, City , 0 ()K 1'314 ?� F 405.951.367 WWW. L1t0eQiantPuntp.com ISO 9001 CERTIFIED t' Form 99523'5 — 01100 L/l abed `WdIZ E ZO - n 0 N `• LZ88 Z99 9EL 1 `•00LF �8rJeSe. dH �Ltolj i i IJE�.� � �tp2►�1 (s i � l� CD � z T z N Z 9 m ;y r" ; v w O m ' o N `" 0 X x p A T -A -i 5 t 4 b �� i m � • Cl) 0 J md� � m• J n < 0 Ln 03 m O o� r � - -n X v —�I c r lot Z = c s -I C7 (,) m D 0 N '` m Z 00 m C m CD Z A Z Z D Z v C M/ W O 4 �° m v W c 0 c n z < 1 - I 0 Z b n n m o ' ZZ m Z N �© ��■ m .0-3 g v 3 .2 A m z o m� m m co D 8 .,,�, m g� a @a o gm 0 . c m J ' _ o - 1 a X N a j N 7 D � c o � CA � Q m .-.0,73 d a 3 o f � if IL m o ? ID Z p a cz Is 0 Nis c w ��i 9 m� m ZC Z N 0 a Z "� m .�. c z z 4) Z ;u d Buildings Division Cotmty J ✓ . 1 2 glon Ave., P.O. Box 7162 a, W I 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) ® � 266-3151 Depar tment of Commerce Sanitary Permit App a ti %pr state Plan I.D. Number In accord with Comm 83.21, Wis. Aden Code, peisonal 'on you " i0 ` may be used for secondary purposes Privacy sl5.04(d1(�a) Project Address (if t than mailing address) I. Application Information - Please Print All Information ST 1 // CRp Owner's Name NG OFF /(E y Parcel # Lot # Black # � � c Property s Mailing Address Property Location a3a NIV, stoy, Rio City, State Zip Code Phone N umber KW lY�� I ¢� (circle o IYJ T � N; R 6 E Yin ll�./ of Building (check all that apply) ^ L�1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name CSM Number ❑ Public/Commercial - Descr Use ❑ Stack Owed - Describe Use ❑City ❑village Wownship of 111. Type of Permit: (Check only one box on line A. Complete line B If applicable) ` ❑ New System ❑ Replacement System ❑ Trmtment/Holdmg Tank Replacement Only Other Modificat to Dusting System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New list Previous Permit Number and Date Issued Before Expiration Plumber Owner 1V. Type of POWTS stem: Check all that appl ❑ Non - Pressurized In-Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized ln- round ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ - Recirculating S thetic Media Filter ❑ Iraching C]mamber ❑ Drip line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (st) Dispersal Area Proposed (af) System Elevation VI. Tank Info Capacity in Total Number Manufscdaer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass Now I Existing Tattles Tan Septic or ileldtg-Ten t Aerobic Treatment Unit Dosing Chamber Vll. Responsibili Statement - 1, the undersigned, am. sMty for installation of the POWTS shown on the attached plans. Pltm�}asr's Name Plumber's Si RS Number Business Phone Number taro �� z Plumber's Address (Street, City, State, lip Code) ��ocxi - 7d�� P�� M"ol IF_ w. VIM County/Department Use Onl C1 Approved ❑Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) 5urcberge Fee) ❑ Owner Given Reason for Denial IX. Conditions of Approval/Reasons for Disapproval Attach complete phu s (to the Cotmty only) for the syshts on paper not less than 81 n x I I lathes In sin SBD -6398 (R. 01/03) 10/05/ TUE 09:32 FAX 715 386 4686 Z002 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the 2 3 2 (may . R'/ 0-/ residence located at: �l E '/, _;LL� /4, Section 2 , Town _3 l N, Range 11 W, Town of St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84 and it (t hey) appear(s) to be functioning properly._ C 1- & 464 Most recent date of service Did flow back occur from absorption system? Yes No (if no, skip next line.) Approximate volume or length of time: gallons minutes Capacity: /oU 4 Construction: Prefab Concrete L-/ Steel Other Manufacturer (if known): Age of Tank (if known): /9 9 �/ -Sty i (Li cens um er i e) (Print Name) (Title) (License Number) MP/MPRS (Date) Form to be completed by licensed plumber (s. 145,06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the / Z 3 2 C Z , /Za / / residence located at: t! 6 1 /4, - 1 /4, Section 2 , Town 3 / N, Range If W, Town Of eC q -11e1( , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of service Did flow back occur from absorption system? Yes No (if no, skip next line.) Approximate volume or length of time: gallons minutes Capacity: /Ol) 6 Construction: Prefab Concrete !/ Steel Other Manufacturer (if known): _ Age of Tank (if known): 7 - en D (Licensed Plumber Signature) (Print Name) / 3 � �� 2 (Title) (License Number) MP/MPRS (Date) Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer c - 27k Mailing Address / Z 3 Z (2 Y Property Address (Verification required from Planning Department for new construction.) Day . 164 7- - /0 City/State &a,�Z L ( M.117 Parcel Identification Number D Z 27 LEGAL DESCRIPTION Property Location /V '/< , sW '/. , Sec. Z , T 3 1 N R ! 7 W, Town of ��tf /E . Subdivision , Lot # �. Certified Survey Map # - 7'7 1 , Volume 12— , Page # 3 3 �o Warranty Deed # 59 Z q2, - :5 , Volume /39 Page # S� Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE M deb, 3 9/2 4 , ;2 Afijy K/� ?w 6 &"6' ° ' n /sr 11'dat1 Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in § Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, 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 Dep ent within 30 days of the three year expiration date. l(Ll S 11 S OF SCANT DATE OWNER CERTIFICA Uwe certify that all statemen on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the pr rty described a ove, by virtue of a warranty deed recorded in Register of Deeds Office r _ SIGNAT OF APPLICANT DATE * * * * ** Any information that is misrepresented 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 and a copy of the certified survey map if reference is made in the warranty deed. Y r • • v � � � - fi r• • � � ��... h �� \ {, , i < ' � � . , e .. � , � �- ....�.... � _._ V �s Parcel . #: 038 - 1007 -50 -100 09/30/2004 04:32 PM PAGE 1 OF 1 Alt. Parcel #: 038 - TOWN OF STAR PRAIRIE Current [Xi ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): ` = Current Owner ROGER D MCVITTY ' MCVITTY, ROGER D 1232 CTY RD H NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description * 1232 CTY RD H '84- SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 4.550 Plat: 0595 -CSM 12/3362 SEC 2 T31 N R18W PT NE SE BEING LOT 9 CSM Block/Condo Bldg: LOT 9 12/3362 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 02 -31 N-1 8W Notes: Parcel History: Date Doc # Vol /Page Type 12/02/1998 592923 1383/54 WD 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 85,200 Valuations Last Changed: 07/01/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.550 22,600 36,500 59,100 NO Totals for 2004: General Property 4.550 22,600 36,500 59,100 Woodland 0.000 0 0 All 4.550 22,600 36,500 59,100 Totals for 2003: General Property 4.550 22,600 36,500 59,100 Woodland 0.000 0 0 Total 4.550 22,600 36,500 59,100 Lotter redit: � Claim Count: 1 Certification Date: Batch #: 214 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 0 y 0 0 co 0 C T o c y c d o Q 9 * N, m A v 1 c - 1 Z v z O cn co Cl) n' 0 o N u 0 n :r v v c _ a-D --4 CD a > 0 0 w CO = O c0 CO im N O CD 0 N CD o w o0 0 >>° O O 7 N N N N N 7 y C y C W 0 D CD a m Z CD cn CL CD m = 00 ro c o o Z 1 N w , 00 0 c rn ° o c 00 = P� CD o o CD n r to 4 H A A= u, cn p Cl) O C Z 3 .. 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N m O C a 7. a 0 0 0 w a p CD o N a ' N O 7 (n d N 3 -O 7 m N O (D 6 Vl f/1 N O (D a c C 7 0 O ? o 3 ( I O D 0 ° 3 Nomm 3o'�cnv °yF°vom�' ym ( CD N a 0 ti 0 a S CD j. a O n c N 'b 3� o a 9 R 3 w- co m m m ° - 3 ?°� ° Nov, m 0 3 °•s� m ° O•N3 �v �o.y Q a CD ID kj CD CD CD -0 C mN ya (D =3 oa 3m A m: Uo`N o m >> > CD j o 0 0• a CD v 3� o m w m CL N �a m o m b � m (~n o o CL A L iZ pnsin Departrnent of Industry, SOIL AND SITE EVALUATION REPORT Page of • "labor and Human F lelations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but Cror PARCEL I.D. # co�•P � ro .. . not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. O 39 — 1 0 D 7 — J APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION ar (yl D r C GOVT. LOT N E 1/4 Sv,/ 1 /4,S a T 31 N,R ] Q E (or PROPERTY OWNER':S MAILING ADDRESS LOT # I BLOCK # I SUBD. NAME OR CSM # I a 3 c.T IRfl CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [MOWN NEAREST ROAD sy ol (715)ay - ar ,r .,, 1 . [ ] New Construction Use [�•] Residential / Number of bedrooms o1 [yQ Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 3 Dp gpd Recommended design loading rate 7 ed, gpd/ft trench, gpd1ft Absorption area required 5f aq bed, ft 3 - 7 S trench, ft Maximum design loading rate L_ bed, gpd /ft trench, gpd /ft Recommended infiltration surface elevation(s) qy . S q ft (as referred to site plan benchmark) Additional design / site considerations Parent material ( IPM)D) Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL I VND IN- 0LIND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem Ed`S El S ❑ U S ❑ U EdS El El 21 El [;W SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmrch d- b y N o c L 5 - c. ' >t` a 1 s -39 3 l F j . g Ground 3 39 -7 _SYR s `--� O - 5 wr L — • 7 .8 elev. g1,yj ft. Depth to limiting facto , Remarks: Boring # :,,: : ` Ground elev. A C �° U, 7 1 9p ft. tD STJ CWAX Depth to limiting 1., factor Remarks: CST N95:—Please Print Phone: Date: CST Number: PROPERTY OWNER SOIL DESCRIPTION REPORT Page_ Qt, PARCEL I.D. # Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bour>dary ff.. Bed Trer& Q} �C• �:.ti.ti.}w. Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # k' Ground elev. ft. Depth to limiting factor Remarks: Boring # •.Q •. Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) <l { I SO -- += ' COX • 44,11 2 CON w+ m : o �� i R 1 1 �o — - I i f i ' _ I y lr s w+ 4 1caa'�' ► o r• t - — — +— I I , I i I , M I i v I , I L ' 'h I I I : I 1 I ' I I � ; I ' I r I ; I r - I I r i • E I I _ j L , • -_- ti T -L r I r�� Form - S T C - 104 O ct ; AS B T S � S REPORT N OWNER YP, YU T OWNSHIP R pRa , l I (.SE T N -R W rZ ADDRESS 1` ST. CROIX COUNTY, WISCONSIN NP U) I 1 r G 1'(� 0 Y V� lt,'I . 5 C� f `7 SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 i SHOW EVERYTHING.WITHIN 100 FEET OF SYSTEM i ' i 0 0 r q 1 3 r o r INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used (Lwe Elevation of vertical reference point: Proposed slope at site: SEPTIC TANK: Manufacturer: W I e J K Liquid Capacity: © Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,O Side,© Rear, O l`r� `i feet From nearest-property line - ont,O Side, ORear,® 3 feet Number of feet from: well building: 3 & (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE /l�� rjtfw�� • ' \ � C '� view � -'.. _ ? •- ,r� � - VJ6� /t907 ;SO cz c l/ Ol 039 FILED DAB D07 0 22d ,L+� /0 OCT 1 0 1997 ► _3 51r66'�'7 s �� H.walst+ - t" . WSW 01 Deady $,Cro1xC CERTIFIED SURVEY MAP P Located in part of the Northeast Quarter of the Southwest Quarter and p of the Northwest Qu h Southeast Quarter. of SecTlon 2, Township 31 North, Range 18 West, Town f Star Prairie, St. Croix Coun , Wisconsin. Also being part of Lot 3 of Certified Survey Wap Volume 4 Page 1130 Document No. 374398 as recorded in the St. Croix County Register of Deeds Office. Prepared for and at the request of: OWNER: Kenneth and Molly Birch . AREA "A" IN NORTH 1�4 CORNER /� : FND ALUM. CO. MON. 1232 C.T.H. "H" SEC. 2 =31 -18 „ SURVEYORS � N38'56 37 E 57.21 New Richmond, WI 54017 REPORT (F 1 /.P.) Drafted by. Kristl A. Eylandt FROM LEGAL CENTER NOTE: N 89'48'15" E R =S89'14'06 "E O SECTION SEE SHEET 2 OF 3 FOR 75.44'\ M= S89'13'36 "E DETAIL, CURVE DATA 3 .•- _ - 337.40'---- COUNTY ZONING NOTE. (RPG�S� S8 5 "W _ 2 ------ --* 20 �'' I ti b� i� EAST- -WEST LEGAL CENTER I NE p r � /f L4I I o� Z c� 1/4 L /NE I E NTER E R I 5 2: Ii °•� o �� OF SECTION W . 1 P N Iii 6� J� G`�N%PGE: l2l LOT 8 �� N 5 I P ,LSO a 128,767 SQ. FT. I 2.96 ACRES N . 0 0 0 . �I I o M LOT 10 z y d�� u: ' WETLAND ELEV =76.81 I .N M 3 105,231 SQ. FT. 2.42 ACRES Fos y`L�' '�' �''• ,� : o 011 O r � p ; JIL 0 �_ 1 O z M 1 �� o ,�� LOT 9. 75 0 : LOT 2 CIV O n• 198,142 SO. FT. CS z � p N 4.55 ACRES �` AL : l VOL_ 4 PG. 1130 II . , cV L1 SHED* SHAD rn V- •w TRAILER m Ti `Z ` WE ® SHED �c \ 11 A I ?o DETA /L —SEE Go �s���� L � O .y \ �� `` - -• 85.53' -- • =, \ — 294.13'- BENCH MARK: R NALD F. '' `.By \ M N8 5 33 TOP IRON PIPE 7 3W JOHNS 294.08' r'I"l J ELEV =79.55 AMERY. g 1MiS• G BENCH MARK: LOT 2 :+• Q_ �s� TOP IRON PIPE CSM . •'"• -l �� ELEV =8773 N i SURJ t� VOL_ 4 PG. 1130 � a 90 ;Ij SOUTH 114 CORNER LEGEND � � SEC. 2 - 31 - 18 '. County Section Corner Monument (ALUM. CO. MON.) of Record • Set 1" x 24" Iron Pipe weighing LINE DIRECTION DISTANCE a minimum of 1.13 pounds per L1 N 20'03'27, , =•E 30.00 linear foot. L2 S 69'56 33 E 36.00 O Found 1" Iron Pipe .lL Denotes Wetland LOT 8 AND LOT 10 WILL M- Measured As HAVE A JOINT DRIVEWAY, TO R= Recorded As COUNTY STANDARDS, FROM N 7H i • • • • -Building Setback Line C.T.H. H „ TO THE RIGHT— OF—WAY, WHERE THE DRIVE — JOB #97089 WAYS WILL SPLIT OFF TO 200 0 200 Prepared by. JEACH LOT. A fit: E GRAPHIC SCALE LAND SURVEYING & CIVIL ENGINEERING SCALE IN FEET: 1 inch = 200 feet Phone No. 715 246 -4319 BEARINGS ARE REFERENCED TO THE NORTH —SOUTH 1/4 109 East Third Street, P.O. Box 325 LINE OF SECTION � TOWNSHIP 31 N., RANGE 18 W. New Richmond, WI 54017 WHICH IS ASSUMED TO BEAR N 00'37'51” E. Sheet 1 of 3 Vol.12 Page 3362 CERTIFIED SURVEY MAP Located in part of the Northeast Quarter of the Southwest Quarter and part of the Northwest Quarter of the Southeast Quarter of Section 2, Township 31 North, Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin. Also being part of Lot 3 of Certified Survey Map Volume 4 Page 1130 Document No. 374398 as recorded in the St. Croix County Register of Deeds Office. Prepared for and at the request of: OWNER: Kenneth and Molly Btrch 1232 C.T.H. "H" New Richmond, WI 54017 Drafted by Kristl A. Eyiandt CURVE DATA TABLE: ARC CHORD CHORD CENTRAL TANGENT CURVE RADIUS LENGTH LENGTH BEARING ANGLE BEARINGS A —B 1670.16 309.11 308.67 N 53'55'49.5" W 10'36 15 N 59'14 57 W N 48'38 42 W B1 —C 1670.16 133,19 133.15 N 63'49 47.5 W 04',34'09 N 66'06 52 W N 61 W B —B1 1670.16 66.93 66.93 N 60'23 50 W 02'17 46 N 59'14 57 W N 61'32 43 W A —C 1670.16 509.23 507.26 N 57'22 47 W 17*28 O N 66 W N 48'38 42 W NOTE: The parcel(s) shown on this map is /are subject to State, County and Township laws, rules and regulations ( i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office and the appropriate Town Board for advice. .— NORTH 114 CORNER SEC. 2 -31 -18 1 � I 1 I I I I I ' I I i I essssKS, BENCH MARK:' TOP IRON PIPE SG QMS� ��i ELEV =76.81 - AL N RONALD F. s LOT 8 ,,L g e JOHNSON AL I S — ' I s6 A i WETLAND ELEV =76.81 AMf~RY, i WIS. �� W NO ���Ieeq�NN� 8 IL AL AL z AL AREA "B" IN j SURVEYOR LOT 9 'S REPORT i I BENCH MARK: II F� �\ TOP IRON PIPE Count Section Corner Monument \ \ Q _ ELEV =79.55 of Record x 24 • Set 1 " Iron Pipe weighing `294.13t­-7 \ \ — 294513'- - C sN87 3533 "W linear minimum of 1.13 pounds per 'c,� �R x : ` \,x8,60' O Found 1" Iron Pipe �7 \ l I .lL Denotes Wetland °o M- Measured As 9 to I R= Recorded As T : 1 � 1 • • • • -Building Setback Line ; -SOUTH 114 CORNER JOB #97089 ' ► / SEC. 2 -31 -18 Prepared by. 1 (ALUM. CO. MON.) A & E LAND SURVEYING & CIVIL ENGINEERING Phone No. (715) 246 -4319 DETAIL 109 East Third Street P.O. Box 325 New Riehmend, —WI 54012 NOT TO SCALE Sheet 2 of 3 Vol. 12 Page 3362 L Am r` �;- 21 � Form - S T C - 104 AS B T S 9`�s S REPORT N J OWNER i(\3 OWNSHIP t f 1 C11 1 1 �.6EC . T N -RW ADDRESS 8' z ST. CROIX COUNTY, WISCONSIN W U) � ► can m Q ,t V Ujj 5 w - 7 SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I1HR 83 r SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I �N , � -- � 40 �� GG Y qq Y c i a CC r rti, r INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: i ®� Proposed slope at site: SEPTIC TANK: Manufacturer: _ W ��' S e K _ Liquid Capacity: Number of rings used: 0 Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front 1 0 Side, ®Rear, O feet From nearest property line Front ,OSide,ORear,® 4 3 feet Number of feet from: well ' , building: �lJ dude 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 inlet: Bottom of tank elevation: i Pump off switch elevation: Gallons per cycle: i Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear, 0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: 13 Width: Ienjth: i Number of Lines: Area Built: (� 4 -Fill deptk to top of pipe: 3 Number of feet from nearest property line: Front, Side, O Rear,O Ft. 1Cs'y Number of feet from well: 7 & Number of feet from building: (Include distances on plot plan). SEEPAGE PIT n ' Size: 1 v Number of pits: Diameter: Liquid depth:. Bottom of seepage pit elevation: Area Built: Has ether a drop box O or distribution box O been used on any of the above soil absorbtion ;sytems? (Check one). ti HOLDING TANK Manufacturer:' Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: t Number of feet from nearest property line: Front, O Side, n Rear, OFt. Number of feet from w�l: `✓ ✓ a Number of feet from building: Number of.feet from nearest road: Alarm Manufacturer: Inspector• T© Dated: Plumber on job: License Number: I I 3/84:mj DEPARTMENT OF INDUSTRY INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR',& RUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION / P.O. BOX 7969 BUREAU OF PLUMBING � MADISON, WI 53707 CONVENTIONAL ❑ALTERNATIVE State Plan l.D.Number: (if assigned) ❑ Holding Tank El In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPEC IO TE: Ken &Ach R R. 2, New Richmond, W1 Q _$ — ° ,3Q BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN REF. PT. ELEV. CST REF. PT. ELEV.: NE SW Section 2, T31N -R18W, Town ob Stan, Pna Aie, Lot #3 Name of Plumber: MP /MPRSW No County Sanitary Permit Number: Michael Wit6on 6388 St. Croix 58877 SEPTIC TANK /HOLDING TANK: MANUFAC RER: LIQUID CAPACITY: TANK INLET LEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COV pt ( - /- P V DED: PROVIDE - Y a/, /0 YES ❑NO ❑YE`s ❑NO BEDDING: j VrNf ' ohit l VENT MAT L. HIGH WATER NUMBER O ROAD: PROPERTY WELL: BUIL ING: VENT TO FRESH ALARM: LINE , 4 AIR INLET. . FEET FROM ❑YES NO ? ❑YES ❑NO NEAREST DOSING CHAMBER: MANUFACTURER: BEDDING: LIOUID CAPACITY. PUMP MODEL. PUMP /. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO SIPHON NUF CTURER ❑YES ❑ NO DYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL JUM6�, �, �F PROPERTY I WELL: BUILDING. JVENTTOFRESH (DIFFERENCE BETWEEN FRID LI AIR I NLET. PUMP ON AND OFF) ❑YES El NO AR EST' SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LE GTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until ORGE the soil is dry enough to continue.) AIN CONVENTIONAL SYSTEM: WIDTH: / LEN TH NO. OF DISTR. PIPE SPACING J INSIDE CIA .: *PITS. LIQUID TRENCH r fvtlf( RI PIT DEPTH: TRENC GRAVEL DEPTH FILL DEPTH DIS A. PIPE DISTR. PIPE DISTR. PIPE MA RIAL: NO. I " 0 I". PROPERTY WELL: I BUIL ING: VENT T f E FESI BELOW Pp ES � ABOV C ER. ELEV.:�F�7 ELEV. END. 7 � PIPES MOUND SYSTEM: . F FROM LINE„ AIR JN IT: R (/ l7 N Mound site plowed perpendicular to slope heck the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: and systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- DYES NO me s the criteria for medium sand. TIONS MEASURED. ❑ SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS. 1:1 YES El NO ❑YES 0 N DEPTH OVER TRENCH /BED DEPTH OVER TRENCH /BED DEPTH OF TOPSO SODDED. SEEDED. MULCHED. CENTER: EDGES. DYES ❑NO 1:1 YES 1:1 NO ❑YES 1 NO PRESSURIZED DISTRIBUTION SYSTEM: ',,' . WIDTH. LENGTH. NO.OF LATERAL SPACIN - GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER. �ITk7Ityty..1 TRENCHES: MANIFOLD PUMP MANIFOLD DISTR. PIPE M. NO. ISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV.: ELEV.. DIA.. ELEV.: PIPES. DI A. �tW�lt HOLE SIZE HOLE SPACING DRILLED CORRECTLY C R MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVE[ PLANS. 1:1 YES ❑NO ❑YES 0 N COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: ,N��", "a PROPERTY WELL: BUILDING: LINE: ❑ YES ❑ NO ❑ YES ❑ N fiIE�1►R1~[ , - Sketch System on Retain in co ty Ile for audit. Reverse Side. /� (� l SIGNATURE: TITLE: DILHR SBD 6710 (R. 01/82) V r I wls`onslr; APPLICATION FOR SANITARY PERMIT DIL H 3 (PLB 67) +d, COUNTY DEPRRTTEnT ov UNIFORM SANITARY PERMIT # InDUSTRY, LRBOR 6 MUTRn RELRTIOnS -o.-Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8' /2x 11 inches in size. —See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILING ADDRESS C C ., 13 . °r 6, R a tv G 4 w. o ' L c S y e L 7 PROPERTY LOCATION CITY: VILLAGE: 1/4 1/4, S , T , N, R �� E (or )A LOT NUMBER I BLOCK NUMBER I SUBDIVISION NAME E , LAKE OR LANDMARK STATE PLAN I.D. NUMBER 3 w A n/ / 14 C TYPE OF BUILDING OR USE SERVED 0,3 — f —4:50 &11 or 2 Family Number of Bedrooms: 3 EI Public (Specify): A I THIS PERMIT IS FOR A: .F?!4 New System ❑ Tank Replacement ❑ Repair ❑ Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank ❑ System -In -Fill ❑ In- Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity O Lift Pump Tank /Siphon Chamber Holding Tank capacity Manufacturer: rr IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In Ground Pressure Total *of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump /Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): O � � 9 'I S 9160" Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Print): Signature: /MPRSW No.: Phone Number: Plumber's Address: Name of Designer: S' ,- '-r c Yo o / 1 hJ 4 i' COUNTY /DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved fo 0 p ❑ Owner Given Initial C Approved Adverse Determination Reason for Disapproval: Alternate course(s) of Action Available: DILHR -SBD -6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber r INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398 To be complete and accurate the permit application must include: ' 1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.); 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67 -T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipe(s). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. i TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. • APPLICATION FOR SANITARY PERMIT • S T C - 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. Owner of Property �k h y �l� t��k� - Location of Property �4 ', Section , T 3 N - R ` W Township �5A �v Mailing Address Subdivision Name Lot Number Previous Owner of Property 1 q, W 1 <�, 6 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 - 1 No volume A and Page Number (q I as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: 1. Warranty Deed 2. Land Contract 3. Other recordings filed with the Register of Deeds Office 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 the Certified Survey Map shall also be required. PROPFRTV OWNER CERTIFICATION I (We) cexii y that att statements on thin 4onm ate true to the beat 04 my (OUA) knowledge; that I (we) am (are) the owner (s ) o b the pro putty des ch i.bed in this inbonmati.on bonm, by vi tue ob a waAAanty deed neconded in the Obbice ob the County Reg-csten. ob Deeds as Document No. and that I (we) pees entt y own the proposed site bon the s ewag epos�s ys tem (0& 1 (we) have obtained an easement, to nun with the above dmcAi.bed pnopeAty, bon the constAuction o said system, and the same has been duty neconded in the Obb.ice ob the County Regis t ob Deeds, Document No. 1• SIGNATURE OF OWNER SIGNATURE WF CO -OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED H cn ST C- 105 r y SEPTIC TANK MAINTENANCE AGREEMENT o 5 St. Croix County z c7 9 0WN,ER /BUYER " \f Nn` C,� \ �6 g C 20 1 QQ_► 1 �" ROUTE /BOX NUMBER � Fire Number C I T Y/ STATE 1 ytuo (\ \ (h (�c� f� , t _L zip 5 'I 6 1 1 PROPERTY LOCATION: _ , CJ Z. Section_, T N, R N W, 7 St. Croix Count Town of J�t - \�T. � ht'a &� �Q y. Subdivision Lot number Improper use - and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists 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 treat- ment stage in the waste disposal system. St. Croix.County residents may be eligible to receive a grant for a maximum of 60% 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 veri- fying that (1) the on -site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), 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. - 0 n have read the above requirements and agree N I /WE, the undersigned, to maintain the private sewage disposal system in accordance with x H the standards set forth, herein, as set by the Wisconsin Depart - 10 ment of Natural Resources. Certification form must be completed and returned to,the St. Croix County Zonin Off' wi iii 3A days of the three year expiration date. e,j� �l SICNED �6_�_Q_u DATE�e � `I St. Croix County Zoning Office P.O. Box 98. Hammond, WI 54015 715- 796 -2239 or 715 - 425 -8363 Sign, date and return to above address. I y o m s � N N N N > C c ^ '3 O �Q ,C O c O W N K Z O 5� 3 a c�D m �. O A g C a p A W p p 0 cp o r �A3a o� °m Om� �oa)or° W 0 co ?>> W c 3 ° c `� c c ,..► .. N N.. am O N O m �N Q c o Q C Q O D C A n - 11/ �g w3w V°.��o'� O o.. rr a �m �= m� CA �c - • w m F � A to m m Z a m (OD 3 W N m m a D N C 0 S V M Q� '�'� > m a m CL CO v; m ,. a c E '� 3 v���'3''i a7 Oi c� p a m �' •"S 0 _ d � � 0 O fA p . — . m 7 -Ci n NO fA m 3 CL CL 0 f N a a 7 C G w "_w". m W 3• „W,. m m Q N Q 7 w a? N m n C �tp 7 C N n m 0 a 0 7 00 d c CL a3 ° o � 3 e am O O' y, DEPARTMENT OF - REPORT ON $OIL. BORINGS AND SAFETY & BUILDINGS Y' INDUSTR, DLATIONS CC DIVISION -HUMAN RE PERCOLATION TESTS (��J) MADISON WI 53707 LOCATION: SECTION: TOWNSHIP /MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: 450/4 1T3i N ( /R18 or( Sit PR ,�eIE 3 COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: S CR OIx T{o5 M. /43 R� z m 5 10 USE DATES OBSERVATIONS MADE NO. BEDRMS.: 1COMMERCIAL DESCR PTION: S: R A STS: Residence . New ❑Replace �_ /Z f MAZE RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN- GROUND - PTEM- IN- FILLHOLDING TANK: SYSTEM: (optional) ©s ❑u Pqs au ®sou RESSURE: S S Is []U ❑s ©u RECOMMENDED VE-A1 7 joA/AL If Percolation Tests are NOT required D SIGN RATE: SYST M I If any portion of the lot is in the under s.H63.09(5)(b), indicate: QtAss 976 Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED E T. HEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- �. 7Z �� , �-7 �/ _ 71 B- 2 Z „ — 26- 72 Am AvzirA 0 " B- 3 ' B- 4-1 V2 " 9.2 E > 7w '' - 7a VRA B- Z „ 6-� _ — F B - 2 N 70?'' 0- R1 7' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P- P- P- P P- P- PLAN VIEW: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. ndicete 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 slop. �� O SYSTEM ELEVATION b -nibs av I�,�e✓ ��+. ®N �vr E: 15T @ � e. . z.. .. e �E Q j tN l z7a- F r lb wp E y.�n.9ov.o ��# /mil f ,.„ ...... «......_ ......,.�._....., jjj # [ /�� Y J yL.,•'� S Ii I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsin Admimistrative 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: TE F L 0 GK ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER optional): 0. Box 9z /,UeK 64853 CST SIGN 2X57 E: ITION: Original -Local Authority, 2nd page - Bureau of Plumbing, 3rd page - Property Owner, 4th page -Soil Tester. D -6395 (N. 03/81) %/7' �y o� o_ 1a N o " n�t s+ a � b J H O N n O -14 are 3� C3 -�! Y O - �� F o h 14 Q ti C S ♦ � y w O OQ or� H - - -- 1 lu tv (A All Q n W., 7 - " M Jim Soft OPML_M* 111 1 1 0. gaft ISMORM�A'MA Nam JIM JA 4 bLAQNM of =_90- W1 OW&I ftm tim to tbw =rap, at the rate Of M J t2 -A M SoUow: A of $700.00 is to be ..�R 11 - t TAW V�dutft_ PdMilut Wd Intemst shall be paystAm 4MOD pw moth . bq ivd ort&,= 1, 1983, pmvtdod 7 V� meow Ad U*O*S1St dult fullY paid within 5 yam frm pW%4L_M m * Pam IL Rao M- za r 6 5M. W%ft ftm "MOSISC M dw I I avow ftr the favowft we". "M A" oft" a Wboonow, (W ArVOMW "A 7 Van twther ow"....-that ...... . Par. When due 0104- 6901MOMMd Ork"oden Owsbovedoscribed p"misessince theist d&yotyanua A.P. ry ton— cc Is"" therma. or upon the interest of said PqLrt Y--... W the ran Pgr4to, $dd. "M " " MW W bftftftW Messed Of WVIOd M&MIUM MY nMtSW Whi MW I A" M 11W MM " , —sc the 1041010 secured by such Mffvtgl4P. Of &SMM'g the Interest in am ponAips *6010 ft " P"OOM during the term Of tl3JS COGUMt. and I �o'411' 1 Odo SM S Md C U Of UW PWt LRA.- of the "Cond port In said reM ftftt*. "W W va " It IWO 00211010t sold red 09900. daring the can of this CWtrM, "n 45 lllsillclmbmfd VOMI dstste. find shall be 111" by the 17 ANWASbUsfollso"ordoduct PW8bW doll be fully paid. in the manarr abo" 4 "�g atwy_c,, �� aq'�� , �i�ia•w �Me��wr��� � '� � •�► �. ����af111i11rs i1f • Triad d «wi�l�l` , r . � M � � �► Vat - ar1.1t11�trr�r �., M ar rMIM�I�I tMd 1.1rMMM� pNlilld aa>yl f111agK �Irf �IIM � . r P • and calla •� J11a11t t#ar ba 6m1WW dwdlL I qa� blM w lttf O�wt�af tat�r att1�11 II dw _1 d �Ilt� 4m#O . MM die R M �GM cif *1r1 & ��M� �IIr r11�D M�:N= M i 1111/ O M � x ' �rlllll Ill bul 11fwt11 Mw aw rrm M i bw11Me •FiM aN � � t1rllf; w fw • ttabtthla aallMrlttlillt chants �s �t1lr 1lt t11e aatlnMb• s 1• WM WAN NO& ' N %mom wammR, tillsb>y1i•rmlrtlt Iwistllasanus�aM t11Y af_...�i1�t. ' f- SIR Of •ldta• � ataltar M �� w � , ; k ; , . 2 , u .ir... •••�.............E.� .�.....�� . rLa 2 sw `S drab m �' iials M u � p�1 1#0 eveg 1ted the . c O C'' ^ a. L err C . my I re CORlO"IM ACKMWL DOM&a i �iulty ot� �1•t••tR wlaaaa�y as. F1lraorlapy am b*m aas thin. _._ _ _ d y d.._ _ . _ ...._......_......_...... � - •-•. — - - PKaiduk and.........._..._ —............._.. ' NW �� � to nsa known > o'bs'i�+d��psna,::nd offiars who ememed the i«�ris �ivamu �i1e":ewlenhq�:� illt as allow by its authority. =and Pwpaw tlterem oonc.;ned. • .._...._..._......._ .............. .... ... ......... .........» . ._.........._.�.w•- +M. « ...�..r i Notary Public. ....... _ ... • .. .. .................. .. ........ .�. » ....... 11:1111W. fAm mm on � My Coissi expires .. .. ............................... ._.... » ..M.. k Wetlw N tl (11 of the wltewdq Satwtt tti+.w. that ON instrimmas to be aearded dra haw /+half �nllty �► tlrywnttrt thtlq t11t wtt11Y Of *4 pwora atwoft wunsttts my mtatri, f Age job Ion o IUD • s # E• Q e s Vl S i i OG sw ul a Ito = s: '. ice.:: {; ..� =M1 �t.��rj•�.. ... - t.i t+ ••♦ w... ~t• r �� ; 3. �_.. T •w!+F_+.++4.r.•e�•�_.�..� -�.... ....... . ..,,....,__ ,.- .. -.. .. ..`9ss. .., -ice ,.. a ll , E: F A j k t F " ewtw at, Bectim 2 add Off' R $ ?i -04•- " W, U*7.42 feat' to Ott ` aed a antral =4400 " o. S 1 feet along tlee 5i8' =53.5 W, 5.86 feet, said arc alsek 5 M 1- 49!,Z�"' Y45" ft 6nr; i4• -QS'• !�, 4fl0.0� bo � ase+wc 4 n6 tfieefros t3fe ,, M1 2:. at 'tart a otter of Sm:tJ 2; tdiur +e . S 2-04•x ' 4, _ 44 PAIP 2130, Ce:tlfLd . , 106 i h ' x, 112.12 feet; the S 54- 14 E slag the Wry' a 2 the point of beginArg. t 2 at the oant+tr of Section 2; theme N 89- 14'--06" W, 3 W �. f ` $ - 82 feet to the a begimirg of this cobtWift S 6L 31' -55" W, 218.64 feet, thence S 1-09 Point of curwett a►f a curve concaved to the Southwest and ' ♦ I w : of 5- 32.' -Q1" ant i °'= ius of 1670.16 feet; thence Soutieasterlly the s re ,Ot the ctakver the chord of which bears S 68-53'-38-5" B, alaoybeirg the aforesaid Northerly R/W line of C.T.H. 'it"; dl ffi W,, 393.20 feet; theme N 62- 31' -55" E, 52.18 feet; them N feet 't to Crtie point_ of ryg. Said parcel recorded in Sur 'Jolude 5 tified Survey Maps, St County, Wi. 9 .- x 3 - r# ftnoencirg at t`ne center of Section 2; thence N 89 -14' -05 W, 400.00 1 nt of beginning of this description: thence S 62- 31' -55" W, 366.88 �Y ' -27" E, 2:0.00 feet; therece N 62- 31' -55" E, 366.82 feet; thegC�R,. y W. 200.00 feet to the point of beginning. Said parcel beium recor+d�ed ##r g51 � M1 FW 2222, Certified Survey Mega, St_. Croix Canty, Wi. t �, Said Lot 3, ndnus the exception contains 9.99E acres and is subject to a easemmt and driveway restrictions 3hoMn on the Certified Survey Map send air €; easewe nts or restrictions of record. � k Y - :� { `s k .q e yk .. . i r > ;3 State of Wisconsin County of St. Croix I hereby oqtify that this instrument is a full, troe and aorred copy of the document an fib acid of record in my office and has been aonwared by me. ' ,o Oct. 9 , 19 84 James O'Connell Dare" G ind Boom of Dwdr .... Deputy I ' i I �� ��L,JI/ ��t %GIL� i �!%�CIL� � �� �� ��'°�`' �� � %�✓�e.. �. G�.�'� -w �� 1 3 74 96 ST. CRO /X COUNTY CERTIFIED SURVEY MAP LOCATED IN PART OF E 1/2 OF THE SW 1/4 & THE SE 1/4 OF SECTION 2, T. 31 N., R. IS W., TOWN OF STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN _4VLP48TTEQ LANDS opffW QY QTHERS OWNER 8 PLATTER S. 89° 14' os" E. 400.00 ROUTE T2 M. WILSON ��►E�� �50'PR/VATE ROAD EASEMENT NEW RICHMOND, WISCONSIN • ... 0 • • \- CENTER OF B� 4 $5•�` - - o 54017 O p SECT /GW 2-3/-/E 01A 5/ Q l P G'f `'- y E' - - s ° 0 i 6 3� yPR�'(E R o \mo - INC, T m �110 LOT 3 �I yl 6 768,969 SQ. FT. ( 17.653 ACRES) TOTAL N O' W 737, 296 SO. FT. ( 16.926 ACRES) a Oi EXCLUDING EASEMENT a PRIVATE ROAD ( 0 O z M ti O� N QI 2• _ � 3 W ti ZI 3�h o N (Aj O � 2 0 SEE DETA /L TO LEFT ° N I Ri�y • .. C � � fn ��jyct. o U�TY _CURVE 3-4 o = 29 41' 31 ", R=1670.16', L= 865.51', C= N. 56 48'53.5" W. 855.86' N �T,Qq ?'-ir \ CURVE 5 - 4 : a = 23 00' 13 " R = 1670.16', L = 670.55 , LEGEND C= N. 60 09' 32.5" W. 666.06' 0 I " X 24" IRON PIPE SET WEIGHING 1.68 LBS. /LIN. FT. ��-5- 0 294.08' 0 2"X30" IRON PIPE SET N. 87 35' 33" W WEIGHING 3.65 LBS. /LIN. FT. =y -- 0 1" IRON PIPE FOUND JOINT DRIVEWAY ACCESS O 1 -3/8" IRON PIPE FOUND t+�, O FOR LOTS 2 & 3 FENCE LINE THE NORTH LINE OF THE SE I/4 OF SECTION 2 -31-18 IS ASSUMED TO SCALE: ONE INCH EQUALS TWO HUNDRED FEET BEAR` S. 89 14' 06" E. W E 100' 0 l00' 200' 300' 400' 500' S 2 APPROVED FFUED J � � ► O V11 1981 un ALIEYY C w�l Of Id1'HAGEN `-` bokt� DWELL �� NOV 09 �9$� Y � N od s ,�', -1407; �.r'tY, 51. CROI X �►' C0.1Na zONIN� PARKS PL N NIN C C 'OM AITTEE q sus SIGNED Q )0/04/at ALLEN C. NYHA EN R.L.S. 1407 REVISED 11 /11/81 JOINT DRIVEWAY SHEET 2 OF 2 VOLUME PAG 1130 CERTIFIED SURVEY MAPS Pit E -1 � 0 C� NNext Co eds OJ ST. CROIX COUNTY CERTIF IED SURVEY MAP LOCATED IN PART OF E. 112 OF THE SW 1/4 a THE SE 1/4 OF SECTION 2, T. 31 N., R. 18 W., TOWN OF STAR PRAIRIE ST CROIX 0 X COUNTY, WISCONSIN PIPE* LIES 7 sovrH CENTER OF [JNPLATr_ -p L,4ND,$ OWNED BY OT/_�ERS I FENCE E //4 CORNER SECT /ON 2 3/ /8 l SECT /ON 2 -3/ -/6 , . J' S. So° 89 14' 0 6" E. TH 06 824 89, EC 7ON 2-31 0 E. POST ..... /" IRON pi'PE FC PIPE LIES 3 SOUTH, U`' FENCE S. 89 14'06" N �50' PRIVATE ROAD R� EASEMENT w 10 tL 4 �! L 1 LEGEND LL 0 oc a• \ w O )"X24' IRON PIPE SET LLj z g 1 WEIGHING 1.68 LBS. /LIN. FT. M w U) �� O 1" X 30" IRON PIPE SET = Q 1 m WEIGHING 1.68 LBS. /LIN. FT. M H w cu • m LL Co _ 0 2"X30" IRON PIPE SET i0 (D 1-v N WEIGHING 3.65 LBS. /LIN. FT. Q $ z_ N �' • l" IRON PIPE FOUND. )L LOW LYING LAND `t _ a co N o 7� 1N — ' — ' — MEANDER LINE u 0 Z fn N O s w w o Q - o LOT 2 0 p I- co m W N 980, 896 SQ. FT, ( 22.518 ACRES ) J ' Z WITHIN MEANDER LINE I 1.0 OWNER 8 PLATTER � - \ 979, 367 SQ. FT. (22.483 ACRES ) W E y WITHIN MEANDER LINE & if/ 1 ROSETTA M. WILSON S EXCLUDING EASEMENT ROUTE 2 11 1 L NEW RICHMOND, WISCONSIN APPROVED 1 54017 NOV 09 1981 4r y M • � ?F© ST. CROIX COUNTY `-'� 1 0 S. 87° 35' 33" E. Iu COMP•2EtJENSIVf PARKS PLANNING \1 N 'A ' • . 2 9 4' 0$' AND ZONING COMMITTEE 1 CURVE 3-5 0= 6 41 18", R= 1670.16 p� , \\ N�° RQ �F'• L= 194.96', C= N. 45 18' 47" W. 194.85' 9 3� \3ON" `Oa N \ I 3 'o 03 194 050'45.5" 2 0 �2 ��05° 41' 23" 0h�p36 ! �u� ' • \�0 ORi. 'S J N. 89 35'32" E. 1017.78' 49.49' 2 THE NORTH L/N _ 30.00 Q S S �� ! 183° 07 E OF THE SW1 /4 SE1 /4 0 52 5 ! Tt !y ��� CURVE3 = 0=66 R = 1942.86', `9p S/6 L= 211.93', C = N. 38 50' 38" W. 211.83' 42 ' �� /64.,83, w LOT / 41„ g�f / ' " 30 07 1� V3 / �� "•'' ,�,, ��. y i 322, 623 SO. FT. ( 7.406 ACRES ) .����y,�v: "f�!' I ��i •may i), WITHIN MEANDER LINE ' . 10� + � .a ALLEN C . , r : \�� � 2 0 � ,, ,,; .._. / ° / ar •► �u�. ` 234.5" , W WHAGEN �. ,. SEE DE S - AIL BELOW ` '/ - 1407 ; y � �ti N. 88° 43'48" W. 6 9 10.14' �' 't • o �: R_€_ S1 g_ FIU�, t � CE T /F/ D S RV Y PAG //03 FLAGlPOLE Via• ' V U R bA I I' WOODEN 2' 2.44' I_ _ 60' FENCE _ 177.85' — N. 88 43' 48" W. 612.59' SIGNED C. DATED 10/061 8( �( RECORDED AS: N. 89 14' 06" W. 612.63' ) ALLEN C. NYHA EN R.L.S. 1407 /'//2 IRON PIPE FOUND SHEET / OF 2 VOLUME 4 PAGE 113G CERTIFIED SURVEY MAPS I FILED OCT '' pp ✓YI-', �Q 11 tia r.2 ��j i� JAUS 0' ONNELL ►-' 380 1,`24 m � % City "u ST. CROIX COUNTY CERTIFIED SURVEY MAP LOCATED IN PART OF GOVERNMENT LOT 2, SECTION 2, T 31 N, R 18 W, TOWN OF STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN; ALSO BEING PART OF LOT 3 AS DESCRIBED IN VOLUME 4, N. 89 14' 06" w. N. 89 14' 06" W. PAGE 1130 OF CERTIFIED SURVEY MAPS, �N 400.00 NORTH LINE OF SE ST. CROIX COUNTY, WISCONSIN 1 %5 1 5 QUARTER a3 62 6 8 CENTER OF E I/4 CORNER 5 6 SECT /ON 2 - 31 - /8 SECT /ON 2 - 3/ - /8 /" IRON PIPE FOUND N 6a g2�0 LEGEND o O 1" X 24 IRON PIPE SET RI �/PT� ' N r 0 WEIGHING 1.68 LBS. / LIN. FT. c o 6 t 20 P O N 2" IRON PIPE FOUND 0' E xls • 1 " IRON PIPE FOUND 5 ly e (F) 1 - 3/8" IRON PIPE FOUND 00 .b FENCE LINE O �, :� i THE NORTH LINE OF THE SE 1/4 OF 0 V W I SECTION 2 - 31 -18 IS ASSUMED TO tt\ BEAR N..89 14' 06" W. N o rJ $ W E -n ID � S SCALE ONE INCH EQUALS SIXTY FEET ,O z g,L0 5 E O 50' 100' 200' Z 0 o 3\ g 2 ' 0 r Q N 6 o O N 0 OWNER 6; PLATTER y y I z c ROSETTA M. WILSON J y N p m ROUTE 2 Chi NEW RICHMOND, WISCONSIN 10 54017 r O - NOTE- ALL LOTS ARE RESTRICTED Q" m - o v y TO SALE TO THEIR RESPECTIVE N I� m = c ADJOINING LOT OWNERS cn D N C ° m A w I 1 o o a) N (n O �3 W 0 N r O r . (D ('S m L 4 0 W Z o I� m m co a W j cn cn n 0) 0 0) O OD CD o o 0 CD w o �� q' �! z ALLEN C., : rn m m 0 >•+ NYHAGEN m� a z = S -1407 o iv = o HUGSON, i #% A WI_ A z c ��. w y 0 C ��'C1 C O O O = rn ��ESFQui�!�Yj N N 0 0 0 W -1 mD �"" oy � m C) SIGNED O-U.. - DATED 10/ I s Z cu \ W G) ALLEN C. NYHAG R. L. S. 1407 0 - N \ c TRG N.f- \ rn m VOLU CERT IFIED uRV S PAGE M 122 Sr !'ROIX COUNTY, WICrnm -w