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HomeMy WebLinkAbout038-1021-30-400 Parcel #: 038 - 1021 -30 -400 05/10/2005 04:09 PM PAGE 1OF1 Alt. Parcel M 4.31.18.89D 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): * = Current Owner * MILTON, JOSHUA A & TINA R JOSHUA A & TINA R MILTON 1020 CTY RD H NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 2.940 Plat: 0662 -CSM 12/3437 SEC 4 T31 N RI 8W SW SW BEING LOT 4 CSM Block/Condo Bldg: LOT 4 12/3437 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 04 -31 N-1 8W Parcel History: ry : Date Doc # Vol /Page Type 03/08/2002 673026 1850/388 WD 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.940 36,700 233,000 269,700 NO Totals for 2005: General Property 2.940 36,700 233,000 269,700 Woodland 0.000 0 0 Totals for 2004: General Property 2.940 36,700 233,000 269,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 568 Specials: User Special Code Category Amount Special Assessments Special Charges , Delinquent Charges Total 0.00 0.00 0.00 i � Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Divwon Sanitary Permit No: INSPECTION REPORT 404953 0 GENERAL 114FORMATION (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: Milton, Josh I Star Prairie Township 038 - 1021 - 30-400 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION V 4HELTEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic a (o0 Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION /J. (o� q,2 TANK TO WIL WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic �5 � �/ I � � ^ � 1 �,..,�(• // Dt Bottom � Dosing y G i' Header /Man. 9 Aeration Dist ipe Holding Bot. S!Otein Fin I Qrad 3 /.3• 5 PUMP /SIPHON INFORMATION Manufacturer U St Cover / GPM `(,�2Q4n� W • /� Model Num TDH Lift ion Loss System Head TDH Ft Forcemain Length Dia. to well SOIL ABSORPTION SYSTEM act BED /TRENCH Width Length V No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth 3 DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM ACHING M 9ct rer/ , INFORMATION HAMBER OR Type System: - I L ; - / / > (0), / UNIT Model Number: ,�7 DISTRIBUTION SYSTEM l J hd t,Y i Header /Manifold Distribution �� I x Hole Size x Hole Spacing Vent to Air Intake I N Pipe(s) ✓�' �41 Length Dia Length Dia Spacing f SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only ua - U�nd Depth Over Depth Over xx Depth of x Seeded /Sodded X Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1:71 0� — � Inspection #2: Location: 1020 County Rd H New Richmond, WI 54017 (SW 1/4 SW 114 4 T31 N R18W)) NA Lot 4 Parcel No: 04.31.08.89D 1.) Alt BM Description= ST- ejv4 '� zr�f 2.) Bldg sewer length = 2.� "^ ` - amount of cover =� (/ Plan revision Required? Yes No Use other side for additional information. - Date Insepctor's Sig ture Cert. No. SBD -6710 (R.3/97) Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 NV i sconsin Personal information you provide may be used for second purposes p Madison, WI 53707 -7302 Department of Commerce (Submit completed form to coup if not ivacy Law, s. 15.04 1)(m)] ( i p �' -5 Z.- ew �f state owned.) Attach co pl (to the c6unty copy o nly) fa , 01he system, on paper not less than 8 -1/2 x 11 inches in size. County I, Staty i P it Number revisi application State Plan I. D. Number _ G1-o/ I. Application Information - PleasEt Print all Informatio Location: a Property Owner Name Property Location X r /OI7 �,AY 4 2 2002 fiyla, ,N,R( W Property Owner's Mailing Address COUNTY Lot Number Block Number /Q q ST. CROIX OFFICE AD ZONING City, State Zip Code one Number Subdi ision Name or CSM Number ti°4' /L�T�!'O/7L ��� �� $ O II. Type of Building: (check one) ❑ city 01 1 or 2 Family Dwelling - No. of Bedrooms ❑Village S }a r Town of ❑Public /Commercial (describe use):_ �jL� �/ ❑ State -Owned A Neazest Road ` / f ✓� d`� fTi°v� 7 Z c5 Parcel Tax Number e� III. Type of Permit: (Check only one box on line A. C heck box on line B if applicable) A) 1. R( New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing Syst $) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) Ii v < 'C;S � %?� , W// Non pressurized In - ground ound ❑ Sand Filter ❑ Constructedetl�nd .1 ❑ 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 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed , fA-' Rate (Gals. /day /s ) (Min. /inch) 1 r f Elevation vo VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed �L Tanks Tanks ❑ ❑ ❑ ❑ 1 ❑ VIII. Responsibility Statement I, the undersig as sume responsibility for installation of the POWTS shown on the attached plans. Plumb 's Name (print) t Plumbe ' ignature (no stam MP/MPRS No. Business Phone Number . t P um is Address (Street, City, State, Zip Code) 4f � AI2<°f^ Lir/! S C' cam' IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuin Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse Surcharge Fee) Determination X. Conditions of Approval /Reasons for Disapproval z � -1� /VA � , � ;,i- /"�� '�? t.��c -�i 11 a`7E�7� < / i r` �� J Z` ?i( ' � a� 7 � � r v� wtr , z . _ E-v �'' /�«� . %C.k/,� -��✓ f � - z t =� " t/ vL� - C[ A j SBD -6398 (R. 07/00) I PLOT PLAN PROJECT Josh Milton ADDRESS 2311 100th st SW 1/4 SW 1 /4S 4 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX 5 -2 -02 4 MPRS Byron Bird Jr. 2205 DATE BEDROOM CONVENTIONAL XXX At- rade CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE E3 LOAD RATE .5 ABSORPTION AREA 1200 # of chambers 39 BENCHMARK V.R.P top of pip PL ASSUME ELEVATION 00' F BOREHOLE ( DWELL - H.R.P. sameasBM �T1 -290.8 9��, Vent SYSTEM ELEVATION T- 2 T, 90.6 f Sidewinder High C Capacity Leaching Alt BM Elev. 95.6 Cave Chamber with 17.2 t ^2 per chamber Long 34 Elevation 1V1 l 200' PL 20' B Sl j ob covers 40' 20' _ B1 30 ' tJ�Cor ' 15 ' 4 1 4 bed house st 0' 45' I 15 Eli B3 garage 390' PL Driveway y Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. ���('� County Attach complete site plan on paper not less than 8 1/2 x 11 i �1 r° include, but not limited to: vertical and horizontal reference oint ( on and Parcel I.D. percent slope, scale or dimensions, north arrow, and locatio and distance to nearest r o ad. _ O Please print all information�`�, 1� L Revtdwed Da Personal information you provide may be used for secondary purpose (Privacy Law, s. 1 Property Owner (� r� Govt. Lot 1/4,01/4 S T N R ZE ( W Property Owner's Mailing Address Lot # Block # Subd. Name or C8M# �D . Cit ate Zip Code Phone Number ❑City E] Village 'Town Nearest Road New Construction Use: T, Residential / Number of bedrooms Code derived design flow rate O o GPD ❑ Replacement ❑ Public or comme cial > Descdbe: Parent material vi ce ' Flood Plain elevation if applicable General comments 7-,r, and recommendations: l •G T, - Boring # E] Boring L 1 JZ pit Ground surface elev. zv •4 ft. Depth to limiting facto ,. ,- 'd 7 � in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots I GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 _1Z11 C/211 -- - i ooa /I Boring # Boring �- �. Pit Ground surface elev. / � S ft. Depth to limiting factor /© `7� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. r *Eff#1 *Eff#2 o w * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (P ease Print) Signature CST Number Address a Evaluation Conducted Telephone Number SBD -8330 (R07 /00) I 1 Property Owner Parcel ID # Page of Boring # Boring , J Pit Ground surface elev. �T l / ft, Depth to limiting factor � �� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz i Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # ❑Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) Soil Test Plot Plan Project Name Josh Milton Byron ird Jr. Address 2311 100th st N Ri chmo n d Wi. 5 CS K #220527 Lot Subdivision ------- Date /1 /200 County SW 1 /4 1/4S T 31 N /R W Townshi Sta rPr a irie Boring Q Well PL Property Line# Alt. BM top of pipe ,BM or VRP Assume Elevation 100 ft.base of pipe at PL System Elv. T -1 =91.1 T -2 5J H.R.P. same as BM T-3=90.6 BMA B 2 q . 40 , 20' B 1 30' f 4 bed house 30' 9 B3 garage 390' PL Drivewa Co. Rd H 200' ' POWTS OWNER'S MANUAL at MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner – " a`J Septic Tank Capacity. ga l ❑ NA Permit # S Septic Tank Manufacturer.. r ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer 0 NA 0 NA Number of Bedrooms C3 NA, Effluent Fllter,Model Number of Commercial Units 13 NA Pump Tank Capacity i: Y gal ❑ NA Estimated flow (average) g .� - > al /day Pump Tank Manufacturer . ❑•NA � v � Design flow (peak), (Estimated x 1.5) gal /day Pump Manufacturer CI NA Soil Application Rate J gal/day/ft' Pump Model E3 NA L'' Influent/Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil 8z Grease (FOG) s30 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODs) s220 mg /L ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) :5150 mg /L 13 Disinfection ❑Other: ' Manufacturer Pretreated Effluent Quality ❑ NA Monthly average ** Dispersal Cell(s) Biochemical Oxygen Demand (BODs) s30 mg/L 531�1n- ground (gravity) ❑ In-ground (pressurized) Total Suspended Solids (TSS) <30 mg/L ❑ At -grade ❑ Mound, Fecal - Coliform (geometric mean) x10 cfu /100m1 1 ❑ Drip-line ❑ Other: Maximum Effluent Particle Size % inch diameter * Values typical for domestic (non - commercial) wastewater and septic tank effluent. * * Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ❑ months M- year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined. sludge ad equals one-third (1i) of tank volume Inspect dispersal cell(s) At least once every ❑ months 0 (Maximum 3 yrs.) Clean effluent ftiter At least once every ❑ months r(s) Inspect pump, pump controls 81:alarm At least once every ❑ months ❑ year(s) ❑ NA Flush laterals and pressure test At least once every ❑ months ❑ year(s) O NA Other At least once every ❑ months ❑ year(s) [3, NA Other At least once every ❑ months ❑ year(s) ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the foliowhi kin'ses" or cerdflcations: Master POWTS Maintainer; Septage Servicing Operator. Tank insoidlons Plumber; Master Plumber Restricted Sewer; POWTS Inspector, ry , must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any `crac�•or leaks,; mea the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually Inspected to check the effluent levels in the observation pipes and to check f6r`any*10fSding of effluefit-on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate nodflcadon of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (A) or more of the tank volume t entire , he contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch..NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatement componentsj'and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certifled POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. • START UP AND For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). if high concentrations are detected have the contents f System start up shall not occur when soil conditions are frozen at the infiltrative. surface. Page of _ During power outages pump tanks. may'fiii above normal highwater_levels. When power is restored the.excess,wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s)' and may result in the backup or surface discharge. of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoil t power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump'controls to' restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; 'cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; (medications; oil; paintinz products: pesticides; sanitary napkins; tampons; and water softener brine. ABANDONEMENT When the POWTS fails and /or is pennanently taken out of service the' following steps shall be taken to insure that the system is properly and safely abandoned in compliance with ch. Comm 83.33, Wisconsin Administrative Code: e All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated `and removed or their covers removed and the`void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement. soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area.' Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. 34 The site has not been evaluated to identify a suitable replacement area Upon failure of the a soil and site evaluation must be performed to locate a suitable replacement area. if no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be `reconstructed in place following removal of the biomat at the Infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OK)NSUFFiCiEN , OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDE1eANY'C1kCUMsTANCEs. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE'DIFFiCULT OR n�rpncctat.F. ADDITIONAL COMMENTS POWTS INSTALLELt POWTS MAINTAINER Name 6 Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY 6�0 Name Agency j ,arm i;CCo 2. Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 v r b Vvisconsin Madison, WI 53707 - 7162 Site Address Department of Commerce ¢✓ D z, LIZ ,- I oZA CTI� R D. Sanitary Permii Application Sanitary Permit Number 4 1a�( 0 1s`3 In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑ Check if Revision may be used for secondary ses Privacy Law, s15. 1 m I. Application Information - Please Print All Information State Plan I.D. Number Property Owner's Name RECEIVED Parcel Number to Property Owner's Mailing Address M 5q city roperr Location j ,A: S T3 I N, R City, State Zip Code PhODgt Number Block Number dC� U O ubdivision Name CSM Number l yle.g� II. Type of Building (check all that apply) °t't H- I or 2 Family Dwelling - Number of Bedrooms ' []Village ❑ Public /Commercial - Describe Use A j]Township P l ❑ State Owned N st Road (. 2,5' K 3� III. Type of Permit: (Check only one box on line A (mmtbering scheme for internal use). Complete line B if applicable) A For County use 1 ' New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to y a m Tank Onl Exis ' System B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 on- Pressurized In- Ground 2111 Mound 47 ❑ Sand Filter 50 ❑ Constricted Wetland 22 ❑ Pressurized In -Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Li \ 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other J ' , v� /�• V. Dispe rsal/TYeatme Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days /Sq.Ft-) (Min./Inch) �d /� Elevation ( 6 < Z,5� o ap, /, P a VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank L CIILt,A Dosing Chamber VII. Responsibility Statement- I, the undersigapd, assume responsibility for installation of the POWTS shown on the attached plans. Plum j r's Name (Print) Plumber' tune MP/MPRS // Number Business Phone Number (� Pl A res (Street, Ciry, State, Zip e) ., L__Q, g,,L' VIII. County /De artment Use Only V, Approved Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Su bar Fee) a p ❑ Owner Given Initial Adverse �� S- O Determination J 1X. Conditi0qn§ of A provaUReas ns for Disappr val • z Attach complete plans (to the County only) for the system on papa' not less than 81/2 1 inches in sae � \ SBD -6398 (R. 05/01) I PLOT PLAN PROJECT Josh Milton DDRESs 2311 100th St. New Richmond Wi 54017 SW i / 4 SW 1/4s 4 /T 31 N/ 18 TOWN Star Prairie COUNTY ST. CROIX —^— MPRS Shaun Bird 226900 DATE 3/11/02 BEDROOM 4 CONVENTIONAL )= IN- GROUND SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 890 # of chambers 52 BENCHMARK Y.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark ALong Vent SYSTEM ELEVATION 2.5 below grade @ Sidewinder High 10 1. 1/100.6/100.1 /99.6 Capacity Leaching \ Chamber Plans Designed Using �9 Conventional PowtsS " Manual Versio n 2.0 34" Grade at System Elevation r 4 -3' X 82' Cells with >3' spacing] a� 10' ST B- 40' 40' B -2 Pro 4 Vents Bedroom 10' House Vents Slope B -3 System elevation set at 2.5' Below grade B -4 0' -� W 20' 40' 30' 20 ' B.M. #2 ' 5' B- 10' 160' B.M. #1 120' County Road H PLOT PLAN PROJECT Josh Milton ADDRESS 2311 100th St. New Richmond Wi 54017 SW 1 SW 1 / 4 /T 31 N / ` 18 TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 3/11/02 BEDROOM 4 CONVENTIONAL XXX IN- GROUND SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 890 # of chambers 52 BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100 Filter Zabel A -100 ❑ BOREHOLE O WELL •H.R.P. Same as Benchmark SYSTEM ELEVATION 2.5' below grade @ 2 Sidewinder High 10 1. 1/100.6/100.1 /99.6 Capacity Leaching Chamber Plans Designed Using �9 Conventional Powts vS Manual Version 2.0 3 4 Grade at System Elevation r 4 -3' X 82' Cells with >3' spacing 10'ST B- 40' 40' B -2 Pro 4 ENi Vents Bedroom 10' House rn Vents % Slope System elevation set at 2.5' Below grade B-3- B -4 0' Please note: a ne soil test and 20' revision will be 40' 30' filed at a later da 20 ' B.M. #2 ' 5' B- 10' 160' B.M. #1 120' it County Road H Wisconssn Department of Industry - .. SOIL AND SIT UATION 11 Labor and Human Relations � ' I / - 5 Page l . of 3 Division of Safety and Buildin�s ,. - ,.IR °ac rdance wit k id ( I dm. Code mo Attach complete site plan dh•p0 not k�� /2 x t irtc es in i3b. Alan ;* jryy'' I 7`fI � /� �Ji-Y S fw. �..� 1,. D include, but not limited to* vertical and hof I reference poi (B �,�ttrection an t percent slope, scale or di enlionsj d I ati 'n a di tare to n rod PtM -p / ' � 9 Parcel I� D. # . i SSTC I t �, g- ioal-3b APPLICANT INFO R A O N - y rint a ' "' rm f < "'' ed � evie Date Personal information you provid sec5'�6T r�p a Privacy f 5.040ft hcIC Property Owner f `� ! . ; �sL rty.Locatibn' a (' t h . � b>i� Lot �W 1/4 5 W 1/4,S y T 3 N,R � S E (or)' Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# ;I3 I 1 I 00 om 5 +, City State Zip Code Phone Number Nearest Road ❑ City ❑Village ®Town c.4%. 9. WY 5y (-715 Q 39o3 1 6+0, v fo k 0 %..L C A . 14 H New Construction Use: ® Residential / Number of bedrooms 3 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow y gpd Recommended design loading rate o q bed, gpd/ft r — S trench, gpd/ft Absorption area required I bed, ft 9 00 trench, ft2 Maximum design loading rate bed, d/ft g g � gp �S— trench, gpd/ft Recommended infiltration surface elevation(s) 101 +'S (/ D o . 4-7) 3 4 t S (9 S. 19 ",) It (as referred to site plan benchmark) Additional design /site considerations Parent material Flood plain elevation, if applicable It S = Suitable for system Conventional Mound In- Ground Pressure I AT -Grade System in Fill Holding Tank U = Unsuitable for system EA S ❑ U �R S ❑ U t5g S ❑ U ®S ❑ U ❑ S R U ❑ S ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD /ft ex Consistence Boundary Roots Bed ,Trench in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. o -11 O M f►^ qS a F , 5 16 �1 -36 ?, SL am k Fe C w 5. b Ground 3 3`'N � I p yl ` y S �-- eat 1­ �jrC M Fr '0 Ls t. 4� yb-�$ aY �• y / 5 L 1 i1, Depth to limiting factor U _ in. 3B ( Remarks:* 5 `1 Q y y t� r r �� h-- fir► -P�, It Boring # o -1► I on 4)q - L a�VlZ Fr Iq �F 3 ,�S S`1 R f ---- -' S � a r^ $ b k M i c w I v , S , . Ground Sv SIR 4 1 b L v% S b K m F., -- 4 , s 1 e l e v. Depth to limiting q1 -�f factor q't`h 3D–in. Remarks: CST Name (Please Print) S3ature' Telephone No. Q 0 n Ss S+e. _71 -a% S Address Date CST Number X711 D 5�, - C av- et'a�r; sy bab I� -al -g7 D11 911 e.� 4 n SOIL DESCRIPTION REPORT : 3— , PROPERTY OWNER C' hr�y C fir^ Df l>,y Page a of - PARCEL I.D.# 0 35 1 aN ` 30 Boring # Horizon Depth Dominant Color Mottles Structure Ge Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench F- a a F , S • V II -a 7.5'1�yly SL oZw,SSk M Cw IF Ground 3 b -% 6401 L c�nt t- k M F,r G w IO F $; elev. 1 ba•47 y g L y .. 5 Depth to limiting f or � 99•reo , t in. 3•{ •W 4� L Remarks: r Boring # D 10 1 3 S R 4 f ---* b L. Sbk. tr�n f� Gw 1 F . 5 • b Ground q y l. 9 : 51 p `I s L r•. Sb%L r^ f -- . 4 , s Depth to limiting factor 13 —in. �� ♦� Remarks: -rh ' Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # L o1 rn (. f Q M Fr 5 Z - 3S 7.5410 '..'_"""� S � - QN 5 bk- 3 S -SO 54g _"'—' SL a)rhs bit Mfr Gu; 1JF Ground so 75 S J (Z 4 / — 5 L_ S-W mfr `I ; • s elev. d.! N. Depth to limiting factor _25-in, Remarks • S I A y 4 V—vo ` ` r 10 Boring # Ground elev. tt. Depth to limiting factor in. Remarks: SBDW -8330 (R. 08/95) ■ iir�� 'ilri�l�i�i ■I�iil�ir�ir ■ ■ ■ ■ ■ ■■ ■���'�l�l�i ■ ■■■■i■r■■ili■■■ ■r■■ ■r ■ ■r ■�i :i %�1!�1. ■iii ■ ■ ■ ■ ■„ ■ ■�1� ■■ ■�! ■.►.y ■ ■ ■�.: i��!E!'���1 ■ ■rte ■ ■ ■■■■■�� cr■■r■■■■r■r� ■■■r ■sir■ ■E.� ■r■ ■i■■ ■ ■!�' ■■■■■ ■ ■ ■ ■■■r iii■■■ ■■■■ ■� ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■�i� ■viii ■ ■ ■■ ■ ■ ■���!!�!� . ■■�■ ■ ■■ ■ ■■ ■,■■ter ►d■■r�■■r �■■■ ■s■■■ ■■r■■ ■ ■■■ ■ra�►r■■�■ ■■■�■r� ■■■■■■■■■ ■ ■�i'i ■+i!�!i ■�I'il�l■i il■liii ■ii ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■■ ■ ■ ■ ■ ■ ■ ■■ I� ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■ ■ ■ ■ ■ ■ ■'l�l�,i� ■ ■ ■ ■ ■ ■ ■■ ■■■■■■■■■■■ ■ ■iii ■ ■fli■iil�i ■ ■ ■ ■iir■ ■iii ■iii ■ii■i■■■■■i■ ■■ iii■ it ■ilf� ■ ■■■I� ■i ■ ■�I ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■■ ■■m"WN ■t■ ■iii ■■ ■lii ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ i i i � I �,� _ I { I i _ I1 I ' _ � � � � I -- -1-- -- � i � i _I - - -- �---' — � i + � i �_, 1 d i i I � --- �.____' s 1 �.�_ � _ � . � �� _ -� - - - � � -�_ ��� _ � ! �� � i �� j � - i a a I —' — i -- f _J — —� I F � i 1 I ' _J_ - -� -- -- I �, i _1 . � � �, ! Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 I �.� /0 w ,� �'6 Shaun Bird #226900 ST CROW COUNTY SEPTIC TANK MAINTENANCE AGREEMENT . AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ° S fq, i ) ��' I l Mailing Address �- �-� 1 • S } . �f .. Ill J '+ Property Address 7 - D (Verification required frod Planning Department for new constructio City/State Parcel Identification Number LEGAL DESCRIPTION 1 itl � Property Location %,, %., Sec. . T _J� Town of --� . Subdivision . Lot # - u Certified Survey Map # 5 - 7 i o I , Volume 2 . . Page # j 5 °6. Warranty Deed # _6 � - 2- �O , Volume Pag # Spec house = ANCE Lot lines identifiabl�es ❑ no SYSTEM Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a maswr plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGN 'rURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. al a7A Ax — SIG OF APPLICANT DATE « « « « «« Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. «« Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed a U_ 1850P 388 STATE BAR OF WISCONSIN FORM 2 - 1998 6 3 6 WARRANTY DEED KATHLEEN H. YALSH Document Number REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Allen G. Campeau and Cynthia J. RECEIVED FOR RECORD Campeau, husband and wife, 03- 08.2002 9:40 AN WARAPNfY DEED Grantor, and Joshua A. Milton and TIna R Milton,_ husband and wife as EXEMPT # g survivorship marital property, REC FEE: 11.00 TRANS FEE t L;I . C C COPY FEEL Grantee. CERT COPY FEE: Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: Recording Area 'I9RAPt4Ya'TBlMw OFFICES P.O. BOX 177 Part of the Southwest Quarter of the Southwest Quarter (SW 1/4 of SW 1/4) of NEW RICHMOND, WI 54017 Section Four (4), ZF uty-one (3 1) North, Range Eighteen (18) West 7 15- 246 -3422 described as follo4 Certi fied Survey Maps filed April 28, 1998, in Vol a 12 at p Document No. 578047. 038- 1021 - 30-400 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Grantee responsible for all of the 2002 teal estate taxes when due and payable. Exceptions to warranties: municipal and zoning ordinances, easements and restrictions of record. Dated this 1p ' day of March 2002 /),(1(1 � & tNtXXnA, - + « ALLEN G. CAMPEAU • r CYNTHIA J. CKWEAU AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) ST. CROIX ) ss. County. ) Personally came before me this (o day of authenticated this _ day of March 1 2002 the above named Allen G. Campeau and Cynthia J. Campeau, husband and wife, TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who a Idtlfcr egoltt� instrument and acknowled a the s ,� . authorized by § 706.06, Wis. Stats.) j THIS INSTRUMENT WAS DRAFTED BY Judith A. Remington, Remington Law Offices • 3 0 - P.O. Box 177, New Richmond WI 54017 No Public State of f �Y Wisconsl '�... (Signatures may be authenticated or acknowledged. Both are not My Commission is permanent. n expl M e: necessary.) *Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 1998 INFORMATION PROMSIONAIS COMPANY FOND DU LAC. WI 800-655-2021 r ' FILED r 578047 APR 2 8 1998 ► �.awxoo,wl CER T FIED SURVEY MAP Located in part of the Southwest Quarter of the Southwest Quarter of Section 4, Township 3 N , Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin. Prepared for and at the request of: Drafted by. Kristi A. Eylandt OWNER: JOB z (R i I LQLJ ( Allen and Cynthia Campeau 1311 100th Street _\> ��° � — I 80 1 55' I VO_L_UM_E_8 New Richmond, WI 54017 I PAGE 2132 I UNLANDS_ D N n> y m m � - -- w- - - -NO1 46'42 - E 2821.91!---- G o z o i ; - - - 1401 46'42 "E 390.50'_ — -- S01 46 '42'W� ^ 2431.41' �. I m z rn D ° o c x a N / ^ i �� 46 42 E r v Ll I 1 � SW f /� SEC 4 � 8� i � 3 ^ C �i 1 I \` 176.34 , z i 1 w Z=0 ''� �aa�C /� J R.O.W. 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Wto Wco�ro RR, c�``� o BSi�o ii C5 vi v; 't C - 1 W W W 01 W cb 2 334.20' O PON�`N ri OD N aD O O a] % II �I ��.� _ a z R I 60 \ S01 39'02 "W 390.48' - - -- � o z `' Prepared by. CA (A too w w � U, � � � I % ." COMA �-"56.28' A & E -= s - 0: 6 d � 21 �X "a'O. EAST L/NE O1F' THE SW LAND SURVEYING & CIVIL ENGINEERING 1 4 14 1i vi C o o 0 I �� 114 � THE SW 1/4 Phone No. (715) 246 -4319 -IL N N N 0 0 m �� 109 East Third Street, P.O. Box 325 N N Iq C d *2 New Richmond, WI 54017 UNPLATTED LANDS Sheet 1 of 2