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HomeMy WebLinkAbout038-1048-70-100 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 488129 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information ou p rovide may be used for second p urposes [ Privacy Law, s.15.04 1 m — � Y P Y rY P P I cY O( )1 Permit Holder's Name: City Village X Township Parcel Tax No: PS Properties Star P rairie, Town of 038 - 1048 -70 -100 CST BM Elev: Insp. BM Elev: IBM Description: Section/Town /Range /Map No: O - 30 (Q /- 3 oi _ ,gam` Z 11.31.18.206b TANK INFORMATION U ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmar Z 0'D8 Dosing Alt. BM 2rlD Aeration Bldg. Sewer f a'�•90 Holding 1 0 K St/Ht Inlet b' `1"h -3s ��� TANK SETBACK INFORMATION t t utet � �.15' TANK TO P/L WELL BLL)u. V ent o Air Intake ROAD Dt In ep is y � i � � 3r 2 � Bottom osing Header/Man. - p bs r era fl on I t . ipe / �. �S was o Ing o. Sys F inal ra a 1 1 � r PUMP /SIPHON INFORMATION T�V anu urer Demand St Cover r GPM o e u l oss ys em ea � , o rcemain I Lenc in DIM NS 3' �DO•�Qa . L) INFORMATION r CHAMBER OR r UNIT � � � Pipe( 't. r Length Dia Length is Spacing G7» x Pressure Systems Only xx Mound Or At - Grade Systems Only ededtftddud Bed/Trench Center Bed/Trench Edges Topsoil F-11 Yes ] No F] Yes i No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1 I ,L, 7 0 to Inspection #2: Location: 2249 127th Street New Richmond, WI 54017 (NE 1/4 SE 1/4 11 T31 N R1 8W) NA Lot 1 Parcel No: 11.31.18.206b 1.) Alt BM Description = $ T, VOD Wk& 2.) Bldg sewer length = let amount of cover = Plan Required? Yes )4 Use other \ de for additional information. No --Bate ( ; �� ` `. _ - -- ----- tnsepcto nahrre - -- - — SBD -6710 (R.3/97) Safety and Buildings Division County 201 W. Washingto . P.O. Box 7162 7 " X MY ,��� Madison, I 537 Sanitary Permit j�[uy}ber (to be filled in by Co.) e (608 266 -3 �V��' lQ`fUu 1Z Dep �qriment of Commerc / Sanitary Per p n APR 1 , s Plan 1. D. Number m In accord with Comm 83.21, Wis. Adm. Code, pers or on you provide 200 j may be used for secondary purposes Privacy CROIX COU Address (if different than mailing address) I. Application Information - Please Print All Information Property Owner's Name Parcel # Lot # Block # Property Owner's Mailing Address / Property Location ' /.. � ' /., Section City, State Zip Code Phone Number 5 q D ' c irc on T N; R� W IL T CSM Number e of Building (check all that apply) ] or 2FamilyDwelling- NumberofBedrooms C1 Public /Commercial - Describe Use �� ❑ State Owned - Describe Use ❑City ❑Village;8kTbwnship 01 III. Type of Permit: (Check only one box on line A. Complete line B if applicable) I A. ❑ New System lacement System ❑ Treatment/Ilolding Tank Replacement Only ❑ Other Modification to Existing System B• ❑ Permit Renewal ❑ Permit Revision ❑ Change of 11 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type ofPOWTS System: Check all that a 1 on - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in, of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑Pressurized In- and ❑Holding Tank 11 Peat Filter ❑Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter mg Chain ❑Drip Li ❑Gravel -le Pipe er (expl n) Pi ��✓ V. Dispersal/Treatment Ar nformation: 2Z t — d2 ✓� S Design Flow (gpd) Design Soi�pplication i&te(gpds Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elev n VI. Tank Info Capacity in Total Number Manufacturer Prefab Site teel Fi Plastic Gallons Gallons of Units L.) —� � 1 Concrete Constructed Glass New Fasting J Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility State ent I, the unde ,assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum s Signature MPIMPRS Number Business Phone Number i CL__/ / '�) -1 � 2-Z Plumber's Address (Street, City, Sta rZiode) ► �1 VIII. Court !De artment Use Onl Approved ❑ Disa Sanitary Permit Fee (includes Groundwater Date Issued lssuin Agent Sign (No Stamps) Surcharge Fee) 11 Ow - tven Reason or nial L o IX. Conditions SYSTEM OWNER: 3) EK'S sc� Sr�lxr �2 1 Septic tank, effluent filter and dispersal cell must all be serviced /maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances Attach complete plans (to the County only) for the system on paper no than 8111 x 11 inches in size SBD -6398 (R. 01 /03) PrLOT PLAN PROJECT G .-.. ADDRESS 2249 127th St. New Richmond Wi 54017 NE 1 /4 SE 1 /4S 11 /T 3 N 18 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/12/06 BEDROOM 3 CONVENTIONAL XXX IN-GROU PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 IL BENCHMARK V.R.P. Bottom of Siding ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark Well is to meet all Plans Designed Using SYSTEM ELEVATION 95.0/94.9 4' below qrade setbacks required by Conventional Powts WDNR Manual Version 2.0 Alternate Benchmark Top of Well @ 101.3' 127th St. ✓ Scale is 1" = 40' unless otherwise D w O noted To be pumped and buried Vent ST 15' >6" Standard Biodiffuser 120' of Cover Leaching Chamber Existing 3 with 31.1 ft2 of Area 25 ° Bedroom 6' Long 11 " 50' House * B M , 3411 Grade at System Elevation 30' well Ad. B.M.'� 90' ST 55' 50' B -2 B 35' j F 35' Vents fir 35' 0% Slope 2 -3' X 69' Cells with >3' spacing Property Line ov G rC� P (bait, LOT PLAN PROJECT G ADDRESS 2249 127th St. New Richmond Wi 54017 NE 1/4 SE 1 /4S 11 IT 3 N 18 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/12/06 BEDROOM 3 CONVENTIONAL X)(X IN -GROUN PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 BENCHMARK V.R.P. Bottom of Siding ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL * H.R.P. Same as Benchmark Well is to meet all Plans Designed Using SYSTEM ELEVATION 95.0/94.9 4' below qrade setbacks required by Conventional Powts WDNR Manual Version 2.0 Alternate Benchmark Top of Well C& 101.3' 127th St. Scale is V = 40' unless otherwise D w O noted ST To be pumped and buried Vent 15' >6„ Standard Biodiffuser 120' of Cover Leaching Chamber with 31.1 ft2 of Area Existing 3 25' Bedroom 6' Long 11 " 50' House *B M 34" Grade at System Elevation 30 well AtI.B.M.'� 90' ST 55' 50' B-2 35' 35' 35' Vents 35' 0% Slope 2 -3' X 69' Cells with >3' spacing Property Line I RECEIVED WiisconsinDepar! m merce APR I §%FVA ATION REPORT Page of Division of Safety and Building a ce with Comm 85 Wi . Adm. Code OIX COUNT County , C Tp I`� Attach complete site plan on paper not than 8 1/2 x 11 inchhes 9 size. Ian must include, but not limited to: vertical and horizonta re M , dir ction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Q� 7 o-" p Please print all information. ewes by Date Re Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 13 2 Property Owner r r -� �. Property Location Govt. Lot � 1/4 1/4 S T3/ N R E (or w Property Owner's Mailing Address // Lot I Block # Name or CSM# City State, Zip Code Phone Number ❑ City ❑ village , To earest Road ❑ New Construction Use: Residential / Number of bedrooms Code derived design flow rate GPD Replacement ❑ Public or commercial - Describe: Parent material A_ TL j r z✓T_�LJ Flood Plain elevation if applicable �✓ ft. General comments and recommendations: / 0C /o ca" t 6 3d" System Type �otiyl'✓,� lC� m System Elevation 76; 0 FTI Boring # [] Boring // it Ground surface elev. ° 7 ft. Depth to limiting factor ! G� 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. 7 'Eff#1 'Eff#2 Nom✓ A Lp IT] 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD 1 30 mg/L and TSS < 30 mg& CST Name (Please Print) S' CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number - 246 -4516 1008 192nd Ave, New Richmond, WI 54017 , 715 Property Owner _ Parcel ID # Page Z of F31 Boring # Boring ❑ Pit Ground surface elev ft. Depth to limiting factor _ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence [El oundary Roots GPDIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 -I- , (' ' � a Boring # ❑ Boring ❑ pit Ground surface elev. _ ft. Depth to limiting factor in. — !To — ilApplication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 a Boring # ❑ Pit Boring ❑ Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon r)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 < 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. Sa0.8330 (RAM) Soil Test Plot Plan Project Name 01 1"4-> , 5 , 1'� Shau ird Address 2249 127th St. i New Richmond Wi 54017 CSTM #2 00 Lot 1 Subdivision - - - -- - -- Date 4/12/06 NE 1/4 SE 1/4S 11 T 31 N /R18 W Township StarPrairie ❑ Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Bottom of Siding System Elevation 95.0/94.9 *HRpSameasBenchmark Alternate Benchmark Top of Well @ 101.3' 127th St. AL Scale is 1" = 40' unless otherwise D W O noted To be pumped and buried ST 15' 120' Existing 3 25 ° Bedroom 50' House B. M. well At1.B.M. 90' 50' B -1 B -2 35' 35' _f hP r 35' 0% Slope B -3 l Property Line Maintenance and Contingency Plan for a Septic S stem Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Eff luent 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 Opt �#1. syst em fails, determine cause of failure, use alternate area and install new 0 in tested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715- 246 -4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715- 246 -5148 Shaun Bird #226900 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer , Mailing Address 2-27 j I c� h ti S lVgx c)' ( a wl 5 z D ) Property Address (Verification required from Planning & Zoning Department for new construction.) City /State Parcel Identification Number 0 3 g f C`f - - 7 6 - 1 6 ' 0 (' Zo6 O LEGAL DESCRIPTION �Q ,Q el Property Location N� 1 /4 , 5� 1 /4 , Sec. �, T 3 1 N R / U W, Town of V rte-{ Subdivision , Lot # Certified Survey Map # 575 , Volume , Page # t_ A - N D Co PjTT-A --T- # 7�539: , Volume d , Page # "( Spec house yes 67i:� Lot lines identifiable es no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the 1 owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying tha t ( ) 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 agree undersigned have read the above requirements and a ee to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtu of a warranty deed recorded in Register of Deeds Office. Number of bedrooms J SIGNATURE OF APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** I Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) 79538 U 2 8 0 5 P 4 3 7 KATHLEEN H. WALSH • State Bar of Wisconsin Form 11 -2003 REGISTER OF DEEDS LAND CONTRACT 5T. CROIX CO., VI (TO BE USED FOR NON- CONSUMER ACT TRANSACTIONS) RECEIVED FOR RECORD Document Number Document Name 05/19/2005 10 :15AN LAND CONTRACT EXEMPT # CONTRACT, by and between Roger J. Neumann and Brett R. Neumann TRANS EE: 17. 00 ( "Vendor," whether one or more), COPY FEE: and PS Properties Investment, Inc. PAGES: 4 ( "Purchaser," whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full performance of this Contract by Purchaser, the following real estate, together with the rents, profits, fixtures and other appurtenant interests ( "Property "), in Recording Area St. Croix County, State of Wisconsin: Name and mSjIMA OGLAND That part of NE r /. SE %Sec. 11- T31N -R18W described as folio :Lot 1 f ESTREEN & OGLA f� 304 Locust � Certified Survey Map recorded in Vol. 12 o f Certified Survey Maps, page `ro' Hudson, WI 540 il��� 3503 as Doc. No. 585920. St. Croix County, Wisconsin. Purchaser agrees to purchase the Property and to pay to Vendor at place Vendor 038 - 1048 - 70 -1 directs Parcel Identification Number (PIN) the sum of $ 111,000.00 in the following manner: This is not homestead property. (is) (is not) (a) $ 20,000 .00 at the execution of this Contract; and This is a purchase money mortgage. (is) (is not) (b) the balance of $ 91,000.00 , together with interest from the date hereof on the balance outstanding from time to time at the rate of 6.50 % per annum until paid in full as follows: Commencing on June 13, 2005 and on the same day of each and every month thereafter, monthly payment of principal and interest shall be paid by the Purchaser to the Vendor in the amount of $575.18, provided the entire outstanding balance shall be paid in full on or before May 13, 2007 ( "Maturity Date "). Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. CHOOSE ONE OF THE FOLLOWING OPTIONS; IF NO OPTION IS CHOSEN, OPTION A SHALL APPLY ❑ A. Any amount may be prepaid without premium or fee upon principal at any time. ❑ B. Any amount may be prepaid without premium or fee upon principal at any time after ❑ C. There may be no prepayment of principal without written permission of Vendor. CHOOSE ONE OF THE FOLLOWING OPTIONS; IF NEITHER IS CHOSEN, OPTION A SHALL APPLY ❑ A. Any prepayment shall be applied to principal in the inverse order of maturity and shall not delay the due dates or change the amount of the remaining payments until the unpaid balance of principal and interest is paid in full. ❑ B. In the event of any prepayment, this Contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal and interest (and in such case accruing interest from month to month shall State Bar Form 1 I -Page 1 ® 2003 STATE BAR OF WISCONSIN `n ti -1 r FILED 4 . �s AUG 2 7 1998 ► Z KATHLEEN H. WALM y 585920 ` " sf craxco.wl C ER TAI �Q S U VZV Y MA P Located in the Northeast quarter of the Southeast quarter of Section 11, Township 31 North, Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin. Owner: Roger J. & Laurie M. Neumann NOTE: This is a Farmland (monumented East -West 1/4 section line) Consolidation per i monumented North line of NE 1 /4 -SE 1 /4 St.Croix County Ordinances. E 1 /4 Corner i .............. _.. _.......................... i Section 11-31-18 ! 1: . I (NB7p29'�6 "WJ / 7 ! f 1" iron found. :.. - : 88' 49' 55 "E 265.69 %..... i 70' N88 °49'85 "W 1054.30' Qi LU I V I Note: Lot 1 con z' r � tains 62508 square J; ( �; N I 64624 Sq.ft. Q , East line feet (1 .435 acres) Cn I (1.484 acres) a J� of the SE excluding right -of- to f7 : LL 0 7T 1 C). 1 /4. way. o, :" I!� a Uu, West line of the �� I �;1 0 to m F ' NEl /4 -SE1 /4 •°o �o .° '1Z Z� = U) Z ' 6.77' Z 3, W 259.46' N N Bfi' 6'35 "W 266.23' ! 66 I UNPL AT TED L ANDS o z Bearings referenced to the East line of the Southeast quarter of Section 11, assumed N00 03'21 "E. LEGEND SE Corner Section 11 - Section corner monument. County mon. C 1 "X24" Iron pipe weighing 1.68 pounds per lin. foot set. • 1" Iron pipe found. ,.--.k Existing fenceline ��� � - �i (R I Previously recorded information. HARV G. l JOHNSON = �" 100' Roadway setback line. S -1 ;. 9 Note: The setback line is required to be shown by WIS the county zoning office. It does not make these �iy�< ,�„�..••'� buildings non - conforming- They existed prior to �i� N� SURJ� setback requirements and are therefore grandfath eye cf�� 1 10less .� in. SCALE IN FEET /'= /00' 0 /00 200 O This instrument drafted by 7 4982608 Vol. 12 Page 3503 e CERTIFIED SURVEY MAP 33.46' S86 023'29 " 253.43' Located in the' SE 1/4 of the NE 1/4 of 1 k-0 N13 0 05'41 "E 219.97 Section 11, T31N, R 18W , Town of Star ' 1 N� 4,69 � 53� Prairie, St. Croix County, Wisconsin 1 33' 33' �o °`' 610 $6 Surveyed for: Gary Moe ' 6 6. /z o / o 0, SCALE IN FEET (1" =100') r- �V N -l� 1m 0 100 20.0 300 ' N 1 1� / ry co LEGEND --$- SECTION CORNER MONUMENT / A I(' I b 0 1" IRON PIPE FOUND Ic I I O 1 "x24" IRON PIPE WEIGHING I I v 1.68 LBS/ LINEAR FOOT SET I� m r m (R) PREVIOUSLY RECORDED AS I° ✓ // D` Reverse For Curve Data see Existing parcel -not subject to review process, 0 I v o Q,` LOT I ? a mm 1/ 2 V) D / �� �, ° 6.3767_ ACRES - K FILED J / �y� IN(364891 SQ.FT.) ^�� G `�� INCLUDING RIGHT -OF- WqY ° m MAY 1 81984 / ® ®� - N z 1AM oo OoNNUL of p �� 00 m ��r D604 V / / =� 7.5018 AC R E S CD o� rn Cory / 0 (326 7.80 ggQp.�IF r) M 4 Q► // // N EXCLUDING RIGHTTOF- WqY i° Xz p -I0 ° '=moo mo CENTERLINE o z L / RIGHT -OF -WAY LINE 1 _ 0 m� I l I l NOTE: y m I l li LOT 2 Z r' m t 0.0825 ACRES ° (3593 SQ. FT.) 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