The URL can be used to link to this page

Home My WebLink About038-1055-80-100 Wisconsin llepartment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: i (ATTACH TO PERMIT) 405025 0 GENERAL INFORMATION 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: Bentley, Nancy Star Prairie Township 038 - 1055 -80 -100 CST BM Elev: Insp. BM Elev: BM Description: /0 1166) 4n-ge� 7 vllv l ea_� TANK INFORMATION ELEVATION DATA _P TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic D '\ Be 5 loo Dosing (� Alt. _M (Jof r . L44 Aeration Bldg. Sewer Z o � 9 vS Holdin Ht Inlet d TANK SETBACK INFORMATION Std t Outlet TANK TO P/L �L BLDG. Vent to Air ntake ROAD Dt Inlet Septic 2 Af I / i / Dt Bottom j Dosing Header /Man. v I Aeration Dist. Pipe -' Z Holding Bot. System r / . S q3, 35 Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St over ' 0 Model NOmber TDH Lift _ 'Fdcti2nLosSZ System Head TDH Ft Forcemain Length Dia. ell SOIL ABSORPTION SYSTEM BED /TRENCH Width / Length ( No. Of Trenches PIT DIMENSI S No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 2 SETBACK SYSTEM TO ` P/L BLDG JWELL A / Ma HAMBER OR T nT/ r l fD INFORMATION Tyr Of System: /_ l — ' S0 / UNIT Model Number: 2j� 124 DISTRIBUTION SYSTEM 2 „� OCC4 Header /ManifoI Distribution �/ I x Hole Size x Hole Spacing Vent / Air Intake Pipe(s) l /�� 2 Length Dia Length Die Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only De Ove Depth Over xx Depth of xx Seeded /Sodded xx Mulched Be rench enter Bed/Trench Edges Topsoil ; ] Yes � ] No � � Yes ( No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / 1 / / 0 Z� Inspection #2: Location: 1330 Stardusk Drive Ric d, WI 54017 (SE 1/4 SW 1/413 T31N R18W) NA Lo 19 7 Parcel No: 13.31.18.2390 \� T I 1.) Alt BM Description = 7 L4 C..L � So 2.) Bldg sewer length - amount of cover =� — �- - - -- t l � I _ _ _ G(�i I �� Plan revision Required? [] Yes No D Use other side for additional information. Date Insepctor's Si ature Cert. No. SBD -6710 (R.3/97) Safety and Buildings Division County�- 2ol W. Washington Ave.. P.O. Box 7162 trsconsln . wi 55707 - 7162 Site Address Department of Commerce 40 G -Y'0 --0 ?-- 5; yk Sanitary Permit Application`'' Permit Num ber In accord with Comm 83.21. Wis. Adm. Code, personal information V if Revisv o2- be used for secondary purposes Phi w I. Application Information - Please Print All Informs State Plan I.D. Number ' Prnperty Owner's Nam JUN 10 2002 Pace! Number /v Property ¢: � 0 31 /o S- 3 XO — /GAS UFMIX Prope ` Owner's Address 1. N I N G OFFICE Property Location - / 4- e '4 Si; S/� T I N. B City. State Zip Code Phone Number ` k Number vis Na CSM Number Tnx of Building (check all that apply) ❑City or 2 Family Dwelling - Number of Bedrooms ❑ Public/Commercial - Describe Use ✓� ❑ State Owned a 3 � x � � w � ( b� �� Nearest Road �5 i . Cep L1�wt� Sfe d Yt G�,c t2 1 Z e l a s �� r of M. Type of Permit: (Check only one fia on lime A (numbering scheme for internal use). Complete line B if applicable) A. �1W� 2 ❑ Replacemennt System 3 ❑ Replacement of 6 ❑ Addition to For County use Tank Only aistwx system B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. of Permit: (Check all that apply)(numbering scheme is for internal me) T d• �✓t r G t ✓t r -Pressurized In- Ground 210 Mound 47 0 Sand Filter 50 ❑ Constructed wetland a J 3 (iT !S 22 ❑ Pressurized In- Ground 41 ❑ Homng Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other Z2 - �tt�r�r V. D t Area Information: Design Flow (gpd) Dispersal Area Dispersal Are Soil Application Percolation Rau de System Elevation Find Graft Repaired Proposed b� 1/ R,*Gais./Days/Sq.I�' (Min - rIch) 'V � J .- L I Elevation VL Tank Info amity in Taal Numbe: r Prefab Sit Steel Film Plastic Gallons Galles of'Tanks � /z�� (00 Concrete Constructed Glass New Ex Tacks Tads Septic or Homing Tank _ D oftChuaber VII. Responsibility Statement- 4 the undersigned, 1, far of the POWT3 shown on the attached plum. Plumber's Name (Print) Plumbers Si MP/I41PRS Number �r Business Phone Number �Ct -CLr� j l Phm►ber's /►daces: (Street, City. state, zip the Use Onl Approved ❑ Disapproved Sanitary Permit Pee (includes Groundwater Date Issued Agent Signature (No Stamps) Surcharge F6e) ❑ owner Given initial Adverse Determination �IX. Conditions of ApprovaMeasons for Disapproval (. � Yl � Y'✓►'t 1 o'T ! q h�i,-�'11Q t� - C.UT `f -- \ 120UJn� � Tmc.` rdtz Gve�zA -N.6 (75� nJ . Comm -�3. �f3�/ e AN I p/J 0ktCr 1VAL- Peg^ r A- PPLACA -no- ti 96r4 e0I -J -'J - X- ReS AQIR 44 Alto& camPlste plans (to the coumy ody) tor *e system oa paper not less eta an x 11 !echo in site I, Safety and Buildings Division �! a. s 201 W. Washington Ave., P.O. Box 7162 �• 6 r'D /� i : sconiif� Ada+dison. WI 53707 - 7162 Sine Address Dep artment of Commerce �Go t: -s o -� i.. 5' Sanitary Permit Application s°" Number S— In accord with Comm 8311, Wis. Adm. Code, personal information beKwck if ft may be used for w I. Application Information - Please Prhht AR Infosma Saco Flan I.D. Number O/A Property Owner's Name JUN 1 0 2002 Parcel Number ,. a owner': Address Property Location L/ ZONING OFFICE v� 'fit if - 5/ -3 T N B (Sty. Sane Zip Code Pbome Number t / Block Number CSM Number A 7!Q !S Type of Building (check all that apply) ocicy or 2 Firmly Dwelling - Number of Bedrooms ovillAte ❑ Public/Commercisl - Describe Use — ✓ cWe�i 0 Sao Owne � 3 / � w /1 (,, L � �� N Road -r.5 / W r� e* S GtnL dtx 7a I Z L o S ��Trt r III. Type of Permit: (Check only one 64 on One A (numbering schmhe for internal use). Complete line B if applicable) A. New 2 0 Repla<xmeat System 3 0 Replacement of 6 0 Addition to For County use Tank Only B. ❑Chock if Saniary Permit Prevmoruty Issued Permit Number Date Issued IV. of Permit: (Check all that apply)(numbaing scheme is for internal case) S �'rs r u e' i aired hi-Ground 210 Mound 47 0 Sari Filter 50 0 Cooed Walam xt 3 r15 1* Z 22 0 Pcessicized In -Grand 410 Holding Tank 48 0 Single Pass 510 Drip Iiuc 45 0 At -Grade 46 0 Aerobic Treatment Unit 49 0 Recirculating 30 0 Other a �c V. Area information: Design Fbw (8pd) Dispersal Area Dispersal Am Sod Application Percolation Rue Sysncm Eievadw Foal Grade Required Proposed &it,- Rate(Gals.mays/sq.F4.) (Mum.Jtnch) l�I � Elevation ✓ �s 6 . ��3 �� 3 Y � VL Tank Info C apacity m Gallons Gallons of Tama n1teT Prefab Site Steel Fiber Plastic Total Number !N Z� h Concre constructed Glass New > / � �� r� Tanks Taola Sepdc or Holding Tank _ VII. Responsibility Statement- I, the m Weraigaed, for Ion of t POW TS shown on the attached plans. Plumb Name (Print) Plumber's Si MP/MPRS Number Business Phone Number zz Plumber' Address (Street, City, State, Zip me t use Onl Approved ❑Disapproved wry Permit Fee (includes Groundwater Date Issued Agent Signature (No Stamps) Surcharge Fee) 0 Owner Given Ir>idal Adverse Dewrmination E Conditions of Approval/Reasons for Disapproval Cdtn�;t''✓n. t! oT ! t-r.- 1'11er'- Lv, `f — � 75 �f fy,N7 - A - //J fZeQUJ12 � j,E.T13�K FotZ IV& - 7ZAW ( S4 �Na rTla& lr 0A) 09,1Cfl qAt tT A P n0 9Ar►" EO4 -- 1 ?6 NSIIB UT7� Attach aasplete plans (to the Couno only) for the my an paper cot leas than an s u !ocher in size Soil Test and System PLOT PLAN PROJECT Nancv Bentley ESS P.O. Box 489 Somerset Wi 54025 SE 1/4 SW 1/4S 13 /T 31 N Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 6 /7/02 BEDROOM 3 CONVENTIONAL )00( IN- GROUND 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 683 # of chambe 22 BENCHMARK V.R.P. Top of Foundation ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE (DWELL * H. R. P. Same as Benchmark Vent SYSTEM ELEVATION 92.5/91.8 >6 » Standard Capacit ✓/ of Cover Leaching Chamber Plans Designed Using Conventional Powts Manual Version 2.0 �6' Long 12" 34" Grade at System Elevation Pro Property Line 1~ a� a 0 A M � tl J System elevation Set @ 2.5' Below Grade Pro 3 25' 150 , Bedroom T ►� Please note: this is a existing parcel that House 15' J is being divided into a smaller one, once 255 the final survey is done 15' Vents B -3 0' 2-3'X 69' Cells with >3' Spacing B -1 12% 50 Vents Slope 150' B -230 operty Line S WU47 YkV 5 & - 7 vl-f cuw. ICI Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code y� Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ' 1x include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. (J V — /0 Please print all information. ed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location r -t Govt. Lot v 1/4 L,)1/4 S /3T N R E (or) Property Owner's ailing Addreps Block # I Subd. Name or CSM# a3 n I� r-1 -- City State p Code Phone Number City ❑ m illage wn Nearest Roa Gt New Construction Us . idential I Number of bedrooms Code derived design flow rate -- 2 O GPD lo ❑ Replacement ❑ Public tc - Describe: Parent material Flood Plain elevation if applicable ti/ -,4 it General and commen �y Sim e / (�K ' 'Ile RECEIVED JUN M Boring # E] Boring Pit A�j ST. CROIX COU Ground surface ele . ft. Depth to limiting factor in70NING OFFI 1 ' tion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots D/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I 0 -1 1 p , 3 - z- /V) l �� k4- d Boring # Boring `� /' - Pit Ground surface ele . ft. Depth to limiting factet � in. Soil Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 1 ' Effluent #2 = BOO < 30 mg& and TSS < 30 mg/L CST (Please Print) ature _ CST Ntxnber Address Date Evaluation Conducted Telephone Number i Property Owner V +� Vlt /� Parcel ID # Page Z of Z Boring # ❑ Boring (� S � f 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 cl 3 5 - l/ i 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 i 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 I , I • 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. SOD -8330 (8.6/00) I t Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 ��a �X N*i sco"in Madison, WI 53707 - 7162 Site Address Department of Commerce 30 :5T;!kLa D 2 Sanitary Permit Application Sanitary Permit S Numbe �.S` In accord with Comm 83.21, Wis. Adm. Code, personal information you provide El Check YiRevision may be used for secondary purposes Privacy Law, s15. 1 m I. Application Information - Please Print All Information State Plan I.D. Number Property Owner's Name Parcel Number 1A A Qa 1 � 039 v ,55'� go d6 Property Owner's Mailing Address Property Location I / _ 14 .5[x ; S / T N, City, State Zip Code Phone Number Lot Ngr9lter Block Number Subdivision Name CSM Number II ror2 of B uilding (check all that apply) 3 °"S f-w icy Family Dwelling - Number of Bedrooms S �- Village ❑ Public/Commercial \ - Desgn Use CUU[ ownship / ❑ State Owned �2; Q,o Y� = CROIX COUNTY Fearest Road X(og 4c, , _ ' — ZONING OFFICE III. Type of Permit: (Check only one box on line A (numbering scheme for internal tLse). Complete Iine B if applicable) A For County use w 2 ❑ Replacement System 3 ❑Replacement of 6 ❑Addition to System Tank ON Existing stem B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued l( IV. of Permit: (Check all that apply)(numbermi g scheme is for internal use) a - l� S J�n - Pressurized In- Ground 2111 Mound Q 47 C1 Sand Filter 50 11 Constructed Wetland C,roundE 1 Holding T v 49 ❑ Single Pass 5 ❑ Drip Line_ - - 22 ❑ Pressurized In f ri (� duig � � _ _ 45 11 At Grade 46 ❑ Aerobic T nt Unit 49 ❑ Recirculating •'7 El er �• J V. Dis ersaUlYeatment Area formation: Design Flow (gpd) Dispersal Dispersal AreV Soil Application Percolation Rate Eleva 'on 4IFina Gra de Requir Proposed Rate(Gals./Days/ Q (&Iin.11nch) o -f VI. Tank Info parity in Totaf Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank �d Dosing Chamber VII. Responsibility Statement- I, the undersigned a responsibility for Installation of the POWTS shown on the attached plans. Plumber's Name Plumber's MPIWRS Number Business Phone Number 5 1'. , -7 1 Plumber's Address (Street, City, State, Zip e) JhM ITY a Ae=-:� N-J� ) VIII a artment Use Only (� X Approved Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) ❑ Owner Given Initial Adverse Determination C• IX. Conditions of pproval/Reas n for Disap rov �t vt � � j k%P I °'Y "' Aft* complete plans ( Couch m "em for the on Paper not x Inches in slat '� C � SBD 3i 98 (R. 05101) 5 f e C t � °'' r f o -f 31--3 PLOT LAN PROJECT Nancv Bent A� RESS P.O. Box 489 Somerset Wi 54025 I SE 1/4 SW 1/4S 13 /T 31 N1, W TO St Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4 /8/02 BEDROOM 3 CONVENTIONAL XXX IN- GROUND iESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 377 # of chambers 22 IL BENCHMARK V.R.P. Top of SE Lot Stake ASSUME ELEVATION loo Filter Zabel A -100 ❑ BOREHOLE O WELL IH.R.P. Same as Benchmark Vent SYSTEM ELEVATION 106.0/105.0 a� > 12" Sidewinder High a Capacity Leaching Plans Designed Using >1 of Cover Chamber Conventional Powts a Manual Version 2.0 0 6' Long 16" Grade at System Elevation 4" i Please note: these plans were submitted to the county before april 15th, if reviewed after the 15th Pro 3 please consider the chamber to be a Bedroom standard infiltrator chamber with a House ft ^2 of 31.1ft ^2 and a loading rate of .7, and a total ft ^2 of 684ft ^2 0' T 2 -3' X 69' Cells with >3' Spacing 60 B -2 72' -1 System elevation Set @ 3.5' Below Grade B -3 65 3' Vents 23 Ven 35' B -5 75' B -4 12% Slope 115' B.M. 495' Property Line I P N i ' 3 r t Wi 54025 Iders Inc. PROJECT P.C. Collova Bu P.O. Box 489 Somerse SE 1/4 SW 1/4S 13 / 3W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/8/02 BEDROOM 3 CONVENTIONAL XXX IN -GROUN PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 377 # of chambers 22 IL BENCHMARK V.R.P. Top of SE Lot Stake ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark Vent SYSTEM ELEVATION 106.0/105.0 0 > 12" Sidewinder High AL of Cover Capacity Leaching Plans Designed Using Chamber Conventional Powts � � Manual Version 2.0 6' Long 1 3411 at System Elevation 6 Please note: these plans were submitted to the county before april 15th, if reviewed after the 15th Pro 3 please consider the chamber to be a Bedroom st infiltrator chamber with a House ftX2 0 and a loading rate of .7, and a total ft ^2 of 684ft ^2 0' T 2 -3' X 69' Cells with >3' Spacing 30 -1 is Syste e `o Vents levation Set @ 3.5' Below Grade 65' �> 3 , 23' 35' B -4 12% �--^ Slope 115' 495' Property Line P N PROJECT P.C. Collova Builders Inc. �c�r ESS P.O. Box 489 Somerset Wi 54025 SE 1/4 SW 1/4S 13 / 31 / 18 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/8/02 BEDROOM 3 CONVENTIONAL XXX IN -GROUN PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 377 # of chambers 22 IL BENCHMARK V.R.P. Top of SE Lot Stake ASSUME ELEVATION loo' Filter Zabel A -100 ❑ BOREHOLE O WELL sH Same as Benchmark Vent SYSTEM ELEVATION 106.0/105.0 a� > 12" Sidewinder High .� Capacity Leaching Plans Designed Using of Cover Chamber Conventional Powts a. Manual Version 2.0 ,h 6 Long at System Elevation ~� r6 Please note: these plans were submitted to the county before april 15th, if reviewed after the 15th Pro 3 please consider the chamber to be a Bedroom st infiltrator chamber with a House ft ^2 ofd a loading rate of 7, and a total ft ^2 of 684ft ^2 0 ' T 2 -3' X 69' Cells with >3' Spacing 30 p -1 } 6�5 Ve is Syste elevation Set @ 3.5' Below Grade 65' Vents 3 dw� f 23' 35' B -4 r f 12% Slope 115' 495' Property Line i Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of _'i Labor and Human Relations, DIVISRJn of Si>Sfety & 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 St., rrinix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 038 - 1055 -80 -100 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: - PROPERTY LOCATION Nancy Bentley GOVT. LOT SE 1/4 SW 1/4,S 13 T 31 AR 18 :{(or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # I SUBD. NAME OR CSM # 831 Hi hview Dr. Apt. "A„ na na CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [TOWN NEAREST ROAD New Richmond ( Star Prairie Stardusk Dr. [� New Construction Use [ x] Residential / Number of bedrooms 4 [ ) Addition to existing building ] Replacement [ ] Public or commercial describe Code derived daily flow 600 g pd Recommended design loading rate • 7 bed, gpd /ft .8 trench, gpd/ft Absorption area required 858 bed, ft2 750 trench, ft Maximum design loading rate • 7 bed, gpd /ft •8 trench, gpd1ft Recommended infiltration surface elevation(s) 107.90 ft (as referred to site plan benchmark) Additional design / site considerations trenches spaced to code 3.50' below surface grade Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem I [3S ❑ U CX S ❑ U C8 S ❑ U Z7 S ❑ U CRS ❑ U EIS RI U SOIL DESCRIPTION REPORT u, )?,,2 ---� • Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft I Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench U S 1 0 -13 10 r 3/2 none 1 2msbk mfr "- 2 13 -26 7.5yr 4/4 none sic lcsbk mfr QW if .2 .3 AR. Ground 3 1 26-82 7.5yr 4/4 none ` elev. n 1 10.9 ft. no Depth to limiting f + - to6, Remarks: Boring # 1 0 -12 � 2 2 12 -16 7.5yr 4/4 none sl 2mgr mvfr gw if .5 .6 g -- Ground 3 16 -47 7.5yr 4/4 none cos osg ml gw na .7 .8 elev. r 11 ft. 4 47 84 7.5yr 4/6 none ms osg ml n '^ ! c f 8 Depth to E limiting factor ` G +84 11 4 - 1 1 �? 199 '- # ,�� Rem COE;fy7�. t CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 �' \ Address: 1554 200t ve. New Ric mond W 4017 ! Signature: Date: 9 -22 -97 CST Number: m02298 PROPERTY OWNER Nancy Bentley SOIL DESCRIPTION REPORT Page 2�of 3 I PARCEL I.D.# 038 - 1055 -80 -100 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench l<..3.... 1 0 -10 10 r 3/2 none sl 2m r mvfr cs 2f .5 .6 s 2 10 -21 7.5 r 4/4 none sl 2m r mvf • S" Ground 3 121-8n elev. 1 Depth to limiting factor 1 +80 3`f g - 4 - ° •Y Remarks: Boring # 1 0 -9 10 r 3/2 none 1 2 •5 2 9 -27 10 r 4/4 none sic lcsbk mfr qw if .2 .3 VIP Ground 3 27 -80 7.5 r 4/4 none ms 0SQ ml na na .7 , . 8 • r elev. 10 ft. Depth to limiting fact + 19 Remarks: Boring # _ 1 0 -18 10 r 3/3 none sl 2m r mvfr C1w 2f .5 '.6 � 2 U 18 -80 7.5 r 4/6 none ms os ml na na .7 .8 5 Ground elev. 10 ft. Depth to limiting factor +80" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Nancy Bentley 1554 200th Ave. CSTM2298 SE4SW4 S13- T31N -R18W New Richmond, WI 54017 MPRSW 3254 town of Star Prarie (715) 246 -6200 lot #19 -CSM N 111=401 ..r-- BM.= top of SE lot stake C el. 100' Alt. BM.= nail in Pine tree C el. 108.90' 1 r 5 c 13. Gary L. Steel 9 -22 -97 I 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 fitter is being installed in order to extend the maintenance interval of the fitter. 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 - 71j - -3 ( P-6 Shaun Bird #226900 FROM P C COLLOUA BURS, INC PHONE NO. : 715 549 5911 Feb. 01 2001 07 :33AM P1 . ST CROIX COUNTY t SEPTIC TANK MAINTENANCE AGREEMENT j AND OWNERSHIP CERTIFICATION FORM OwncrIBuyer _ R P.. Y 5 N'C 4n Mailing Address P go X S 9 5041F F 5 14 z / Property Address S4a �'� 5 (Verification required from Planning Department for new constructio City/State PttrccI Identification Number 3 X to SS p, ` b (*"�(,� LEGAL DESC PTIQN Property Location ��- _ r /,, t � '/,, Scc. TN -R� �' Town of _L Subdivision 1v CL Lot I . Cer0ed Survey Man 11 Page Warranty Deed # _ 54::� Z� J � . Volume # �b Spec house ❑ y/ Lot Un-- identifiab / D no STEM MAINTENANCE Improper use and maintemmcc of your se-,qic system could result in its prempare failure to Lsrdlc wastc s. Proper maintenaecc emrsists of pumping out the septic tank every three years or sooner, if needed by a licerrscd pumrer. Wbat you put into the system can affect the function of the septic tank as a treatment stage in tba waste disposal system. no property owner agrees to submit to SL Croix Zoning Department a certitzcation form, signed by the own_ and by a masterphunber, joamey ntanphuuber. restricted plumber or a licensed pumper verifying that (1) the on -site wastcwaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic task is less than 1/3 full of sludge, Vwe, the uadcrsignod have read the above requirements and agree to main tain the private sewage disposal system with the standards set forth, herein, as set by dw 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 o three year exput ' date o c 4 c - _ — SIGNA'CM OF APPLICANt DATE OwNlsn CERTI IrA3100 I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) ant (are) the ownet(s) of the p described abo by rtue o a warranty decd recorded in Register of Deeds Office. SIGNATUM OF APPLICA& DATE "eel+ Any information tlsalt is mis- represented may result in the sanitary permit being revoked by the Zoning Department. •� Include with this appilealtetss a stamped warranty dccd from the Register of Deeds office a easy of the certifted survey map if reference is made in the warranty dccd I . 1101 C�nald�aet Read. Hudson. WI St. o 0103664M -tax O ffice Fax / I From To: IJ S m: ��v �►v Fax: 2 r b 2-CM Pages: S phone: 2,t (& — Co 1 pate: ) 2 -- CC: ❑ ent ❑ For Review ❑ Please Comment ❑Please Reply ❑Please Recycle Comments: q -1 too �� S Se12JJ YIL �t►� �EUI/ll STATE BAR OF WISCON, -AN FORM 3 - 1982 QUIT CLAIM DEED DOCUMENT NO. FI ;E Allen J. Bentley AEGISTER'S 0, STCROIXCTY.,WI ►r.c�..R PRrn_ I�anc 2 0 1997 quitclaims w y L. Bentley JUN 10:00 A. M the following descrihed real estate in S L—Cmix Cou,.ty, State of Wisconsin: ' THIS SPACE RESEwED FOR RECORDING DATA NAME AND RETURN ADDRESS 109 ` 4.e PARCEL IDENTIFICATION NUMBER A parcel of land in the SE 4 of the SW ; of Section 13, Township 31 North, Range 18 West, ,7 tar Town of Star Prairie, described as Lot 1 of the Certified Survey Map filed September 28, 1988, in the Register of Deeds office for St. Croix County, Wisconsin, in Volume 7, of Certified Survey Maps on page 2029 as document no. 441791. This deed is given pursuant to the terms of a Judgment of Divorce granted in the Circuit Court for St. Croix County, Wisconsin on March 27, 1997. FEE �er This - is not (is) (is not) homestead properly. �.�+. q � Dated this / day of — �(J'Aje' 19 .L. i-0 (SEAL) (SEAL) ` • (SEAL) (SEAL) k !7 • r 777 AUTHENTICATION ACKNOWLEDGMENT Signatures) State of Wisconsin, • 1' , `l St. Croix co,utry. N. • authenticated this day f t ' Y , 19 Pe Ily came fore meLlt day of 9 the 04named At TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Seats.) to me known to be the per : _ w6q g. ' foregoing }* k instrument and acknowk g e il� —ne. � TH ;S INSTRUMENT WAS DRAFTED BY X1' Robert W Mudge MUDGE- PORTER, I LIN(IFFN A SE6111N S P Notary Public, County, Wis. (Signatures may be authenticated or acknowledged. Btxh am not My commission is permanent. (( ff not ;!ate expiratio date: M necessary) lam= 19.) Names of persons signing in any i.apaxuy should by typed or pnnied beFr thm signatures. ' STATE BAR OF WISCONSIN IVisconsn L Blank Co. Inc. QUIT CLAIM DEED Form No. 3— 1982 M IN,a Ws -s y r O CT FILED C ;� g � ; , u ry ' " r - 1997 U �� > ni i � C �1 9 0 ; KATM AM 41 C LEEN C H. W Register of Deeds SL Croix o,, Wl 516,761-5 CERTIFIED SURVEY MAF Located in part of the Southeo #t Quarter of the Southwest Quarter of Section 17 Township 31, Ran a 18_ West, Town of Star Prairie, St. Croix County, Wisconsin. Also being Lot 1 of a Certified Survey Map as recorded in Volume 7, Page 2029, Document Number 441791 recorded in St. Croix County Register of Deeds Office. 4�,, Prepared for and at the request of: ��G L NOTE: The parcels shown on this map OWNER: IV are subject to State, County, and Town - Nancy Bentley 19-7 �j ship laws, rules, and regulations (i.e. 831 Highview Drive Apt. "A" '� RONALD F. wetlands, minimum lot size, access to New Richmond, WI 54017 JOHNSON parcel, etc.). Before purchasing or Drafted by. Kristi A. Eyiandt 8-1188 developing any parcel, contact the St. S AMERY. Croix County Zoning Office and the Wis �. appropriate Town Board for advice. < k 1 0 SURJ LOT 17 NN•N \ COUNTRY MEADOWS FIR_S_T_AD I N'LY LINE CSM ------- - - - - -- R = N 88'34'10 " W 496.13' I VOL. 7 PG. 2029 33 M = S 88'34'13' E 496.06' __ ^ L O T 19 " COUNTRY MEADOWS ii � J i J l I p 175 698 FT. J ` FIRST ADDITION J ► I , c J I ----- - - - - -- �J,3 I = _ 4.03 ACRE y N ► I �` _ _ _ _ _ I I i v ELEVATION OF Z ' — -- Iii I _ �e ETLAND -90.66 ^ I 11 I P I M v1 0 I rl W I ¢j W BENCH MARK ', p M I j (D I Z I01 I M J TOP IRON PIPE W N _ i J I 1 LO 30 N; ELEV = 95.48 1 "1 I I 01 �'� I� 1M� I ��N; O "d �n l I Q 1 Z Q ° I :il 1 V� I (0� ► C'i; I I� o- ~ I Vi l 1 r.r ° n � pl di 0); I II cn I �I I u QI °I 3tai- - - - -- S 88' • '13" E 495.95 o- 3 3 �i al of I - -- 330.95'- - - -- . of vil 0 > f — — — N,N °� i r 1r v 165.00 i �r uo u� N -'I cal w co f n I T J C iA to M �I Ioo L :OT o •.20 0 1 04 1/ oro 31 W I N 1 10 58, 58, 562 S4. FT 1" I .(D C-4 I n S° I cnz 1 1.34 ACRES ••, �` ° i i N to �1 I I rk Z I _ I II II I 1 ' 1 rn. ••• I I N II I viii ai Ix i i S 88'34'12" E 330.90' _�r1 •~ .o i Z 1") o I °I vl 00i 4�c ' ��`� :LOT �J M O N 13 1 o w o Ln { V w I BM 2 i � 3 01 I I U ro I �' ' 1 ; M J I I ' D I�iA .� r-N • 21 ► ;� I to �to 'Q, 1 04Vi� >I I01 1 .0 aoo, ..•o N •J."o ........ 1 .. 1 . i aoMi �\ I ¢' I �'n n^ R.O.W. ao ca ' r- 1 CENTERLINE I Qj j N jj 210th St. M N ° i j �� p W-4 210th l Ave. (Fl 1 1 J � N -L- 1 ------ 172 0.33'- - - �� / =,'`_ M=N 88'4 W i 495 83r _ "� v -M 403.28 —�,. 330.84= ` � -165.0 N _ — -- — — — - -M - N 8834'10' W 495.84' - - -- _ — — — — — — — — — — — — — R = N 88'3410" W 496.13' — -- �-- --- --- - - - - -N 88'34'10' W 2619.45' - - - - -- 210TH AVENUE R.O.W. 210th St. LEWM TH LINE OF THE SOUTHWEST 114 S'L Y LINE CSM County Section Corner Monument UNPLATTED LANDS VOL. 7 PG 2029 of Record -- ----- - - - - -- i Set 1" x 24" Iron Pipe weighing a minimum of 1.13 pounds per AREA LOT 2f : BM #2 RECORD INFORMATION linear foot. 71,139 SO. FT. BENCH MARK FOR R.O.W. 210TH AVE: O Found Iron Pipe 1.63 ACRES TOP IRON PIPE R= N88'44'00 "W 496.10' AL Denotes Wetland AREA f&= R.O.W. ELEV = 95.21 M- Measured As 58,458 SO. FT. R= Recorded As 1.34 ACRES N TH • • • • -Building Setback Line AREA LOT 22 : 64, 675 S0. FT. (100' from R.O.W.) 1.48 ACRES JOB #97086 AW MU. R.O.W. 150 0 150 Prepared by. 58,235 SO FT. A & E 1.34 ACRES GRAPHIC SCALE LAND SURVEYING & CIVIL ENGINEERING SCALE IN FEET: 1 inch = 150 feet Phone No. (715) 246 -4319 BEARINGS ARE REFERENCED TO THE SOUTH LINE OF THE 109 East Third Street, P.O. Box 325 SW 1/4 OF SECTION 13 TOWNSHIP 31 N., RANGE 18 W. New Richmond N 54017 WHICH IS ASSUMED TO BEAR N 88'34'10" W. Sheet 1 of 2 VOLUML 12 PAGE 3373