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HomeMy WebLinkAbout038-1056-30-010 0 C A . k % k r FF 7 � co 7// U ® A E > \ k } m m k - c m Q\ ®& @ G B 7 K k ; i ` (D' + Q $ } C ; @ o G E . ; } f>f % g \ 0 CL f 4 2 % o ® k \ C ! / k k© n r C 2 { 0 0 0 (D " - 2 s § § % CO) CA CO) { & §0 $/ J % S . , C, � ` - gam ;o ' K & cp ro 2 #2./ CL z P SN z \ / § / U { . -4 ƒ } r % ( 0 \ 3 o / z 2 k a (A o E � Z ■ 0 En 5 i z g / CL / R Co ; w T M § w 2 . . CL % . $ 2 . / z 2 » , 0 2 ' . > . $ z ° 3 , \ . � . $ E � � k � \ £ \ { \ _o � � §i a,) Parcel #: 038 - 1056 -30 -010 08/11/2005 10:41 AM PAGE 1 OF 1 Alt. Parcel #: 13.31.18.243A -10 038 - TOWN OF STAR PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner PRAIRIEVIEW COVENANT CHURCH O - COVENANT CHURCH, PRAIRIEVIEW 1396 210TH AVE PO 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: 6.780 Plat: N/A -NOT AVAILABLE SEC 13 T31 N RI 8W PT SE SE BEING LOT 1 Block/Condo Bldg: CSM 9/2442 7 ACRES EXC PT /HWY PROJ 8936 -06 -21 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 13 -31 N-1 8W Notes: Parcel History: Date Doc # Vol /Page Type 09/12/2001 656434 1717/586 D 07/23/1997 1166/20 WD 07/23/1997 932/223 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/10/1997 Description Class Acres Land Improve Total State Reason OTHER X4 6.780 0 0 0 NO Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Industry Labor and F;aman Relations SOIL L AND SITE EVALUATION REPORT Pag of — DAsion of Safety & Buildings in a cord with 1LHR 83.05, Wis. Adm. Code COUNTY Attach compleWsite y plan on pap'6i,not less than 811 x 11 inches in size. Plan must include, but `� 5 4- C x not limited to vertical and horizpntat'refomnce point{t3M), direction and % of slope, scale or / PARCEL I.D. # dimensioned, north arrow; -and location and distanc® to nearest road. APPLICANT INFORMATION=- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWN! PROPERTY LOCATION GOVT. LOT5,E 114,5,e 1 /4 /3T 31 N,R P E( C6 PROP TY 0 NER:.R ADDR _ LOT # BLOCK # I SUBD. NAME OR CSM # -- ^' °TOZF F /' ,ZIP CODE PHONE NumKF ❑CITY ❑VILLAGE OWN N ROAD / Q� New Construction Use [ ] Residential ! Number of bedrooms [ ] Addition to existing building j ] Replacement �^f Public or commercial describe lei Code derived daily flow q37 S gpd Recommended design loading rate 7 bed, gpd /ft trench, gpd /ft Absorption area required 13� 8 bed, ft trench, ft Maximum design loading rate ? bed, gpd /ft . 3 trench, gpd/ft Recommended infiltration surface elevation(;) Jam- Jam' ft (as referred to site plan be Additional desig /site considerations 5 Parent material © Flood plain elevation, if applicable /(// ft S = Suitable for system CO VENTIONAL ND I ROUND PRESSURE T-GRADE SYSTEM �y FILL HOLDING TANK U= Unsuitable fors stem S❑ U S❑ U NS' ❑ U S❑ U El l] U ❑ S U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench T / 0'2 02 o'Z A.tS1 -o_ S% 7e f' �- 4 Ground 3 y �O r s / -7 -Y v. ft. Depth to limiting facto 1-131 1 Remarks: Boring # 0 '�1 I ra i K /7 C2 101 a 5 1 .sd k m-r�' 4/// 5 Ground ev g Tft. Depth to limiting factor, _ Remarks: CST Name:— Please Print j O r j ( Phone: // 1 Address: % .G Signature: Date CS er: -fit -g n p 1 PROPERTY OWNER 540L T"f�i r - t , COUPn IL DESCRIPTION REPORT Pagp_of PARCEL I.D. # Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench � Ground -3 (� /j -7 . ev aft. Depth to limiting fact H� Remarks: Boring # t :::::....:....., 3 - lour- ff r Ground ev . ft. Depth to limiting 7 c Remarks: Boring # yw o �,, S Ground Depth to limiting -- Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) Soil Test Plot Plan Project Name Star Prairie Convenent Byron Bird Jr. Address Box 44 Star Prairie Wi 54026 CSTM #3479 Lot ----- Subdivision ------ Date 9/ 21/94 SE 1 /4 SE 1 /4S13 T 31 N /R W Townshi ar Prairie Boring ()Well PL Property Line Count POLK IL BM or VRP Assume Elevation 100 ft .Base o f W hit e S t a ke Red Ribbon System Elevation 95.5 * H R P Same as Benchmark 150' 406' Pro a Line 0 00 B -4 r 0 0' 20'X 100' Rep A 5' fD -1 B -5 35' B- Pri A 0' X �. 50 140' pro 125 People 20'X 100' Church rn 35' B -2 2 County Road C i i DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, C DIVISION LABOR AND PERCOLATION TESTS (115) MADISON W BOX 76 I 537 9 53707 HUMAN RELATIONS (ILHR 83.09(1) &Chapter 145) LOCATION: SECTION: OWrCSHII /MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: COUNT • _ , I MAILING ADDRESS: f GY0 �11C !^ U l�ct �/ 4 ' C/� � 9 USE DATES OBSERVATIONS MADE,-,? V� 7/ NO. BEDRMS.: 1COMMERCIAL DESCRIPTION: PROFILED S RIPTIONS: ER OLATION TESTS: Residence ^� �Vew ❑Replace G / � c�4 9 - elf- RATING: S= Site suitable for system U= Site unsuitable for system �cY`r T �!G ONVENTIONAL: MOUND: IN- GROUND - PRESSURE: SYSTEM- IN- FILLHO DING ANK: RECOMMENDED SYSTEM: (optional) ES ❑U ®S ❑U ®S ❑U OS ®U DS &U - 7 If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the ndicate: under s. ILHR 83.09(5)(b), i � J� Floodplain, indicate F l o o dp lain elevation: I7 PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. I HEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) �Z S /,3 - ;Z B- 1 oo. B- /� �• d < 5 a ©. a- 1 PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER IWDS AFTERSWELLING INTERVAL -MIN. PERIOD 1 PERIOD 2 P E R PER INCH P P- _ 3- P_ P_ _ P_ PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate 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 slope. SYSTEM ELEVATION or7 e A _e ��'• 7 , d: 0 O LT � 'fd a._ 7 `'f` f V ..� Q 4 • C._J�'YY.. '4 ___ _. O �. o^� E <p ,c^- r ro C I, the undersigned, hereby certify that the soil tests re or od k s gere made in accord with the procedures and methods specified in the Wis nsin " '� r o Administrative Code, and that the data recorded and the av bf the tes��are co r e qE {,, e best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: i I ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): t O 6 rl�C`. DO K'J �V / CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority Property Owner and Soil Tester. DILHR -SBD -6395 (R. 10/83) — OVER — 1 INSTRUCTIONS FOR COMPLETING FORM IIS - SOD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use soction must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing scale is prefered. A separate sheet may be used if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all apropriate boxes as to dates, names, addresses, flood plain data, percolation test exemption, if appropriate: 10. if the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and yur certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st — Stone (over 10 ") BR — Bedrock cob — Cobble (3 - 10 ") SS — Standstone gr — Gravel (under 3 ") LS — Limestone 's — Sand HGW — High Groundwater cs — Coarse Sand Perc — Precolation Rate med s — Medium Sand W — Well Is — Fine Sand Bldg — Building Is— Loamy Sand > — Greater Than 'sl — Loamy Sand *- — Less Than 'I — Loam Bn — Brown 'sil — Silt Loam BI — Black Si — Slit Gy — Gray cl — Clay Loam Y — Yellow SO — Sandy Clay Loam R — Red sicl — Silty Clay Loam mot — Mottles sc — Sandy Clay w/ — with sic — Silty Clay fff — few, fine, faint 'c — Clay cc — common, coarse pt — Peat mm — Many, Medium m — Muck d — distinct p — prominent HWL — High water level, surface water Six general soil textures BM — Bench Mark for liquid waste disposal VRP — Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete Set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. Wisconsin ,DeparlmentofCommerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division St. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanital,p�KryLNo.: Personal information you provice may be used for secondary purposes [Privacy Law, .15.04 (1)(m)j. 3Stof3�y�`FF! � erntit,Holder's me: E] City ❑ Town State Plan ID No.: rairieviewleovenantChurch, 1 96WNatrie ° I f owns ip CST BM Elev.:- Insp. BM Elev.: BM Description: rceldit- 4 056-30 -010 • D I CD- o f ha i tk cs r t3 A4 TANK INFORMATION ELEVATION DATA � -` r 02 C/64/ TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 2, (00 0 t. , E) Dosing 2 • SY 1 00. 0t ' Aeration Bldg. Sewer (o. 32 Zg Q�• St/ Ht Inlet �• �b 4 S 70 / TANK SETBACK INFORMATION St/ Ht Outlet - 33 ctq.ej- TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic '• /ao ' NA Dt Bottom Dosin 1 lO A Header / Man. Aeration NA Dist. PipeQ g f f y /� Bot- System PUMP / S N INFORMATION Final Grade Man facturer -- Demand S rr t 6e. 29 Model er M 5. Sb t }• ID' TDH ift Friction System TDH (o • 1 46 •`{S SS F remain Length Dia. H Dist. To well S� Q��Ifl SOIL ABSORPTION SYSTEM 2 $IC-0 ENCH Width Length r o. ,Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth IMEN I r l 3 DIMEN I N SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING T;-.4 urer: SETBACK CHAMBER �_ � _ r: INFORMATION Type 0 [� r .� Y r (a'Dr OR UNIT Mo ,Te, l Nu qb System: Ct DISTRIBUTLO SYSTEM Header / M ni ti Distribution Pip s ) x Hole Size x Hole Spacing Vent To Air Intake Length ia. L ia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over 4 . z " Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil p Yes No .Yes No C OMMENTS : (Include code discrepancies, persons present, etc.) 0 01 . Location: 1396 210th Avenue, Star Prairie, WI 54026 (SE 1/4 SE 1/4 13 T31N R18W -1331 43A10 - �'� Lot 1 a �a` s - 5 S `r 1.) Alt BM Description_ (T, l I , 2.) Bldg sewer length - `I<t• `1. - amount of cover = `f'E•o � 18 " ;o, 11) Q2 $ -SU • Plan revision required? ❑ Yes M No Use other side for additional iAformation. off 2 `f SBD 6710 (R.3197) Date Inspector's Signature Cert No. 139 '2[ Sanitary Permit Application Safety & Buil tngs Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 14 SCOnsin Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if not state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size. County State Sanitary Pe Number ❑ Check if revision to previous application State Plan L D. Number I. Application Information - Please Print all Informa Location: Property Owner Name n Property Location �! LJ ) ��� l� ✓,6 1/4� 1/4, S d T ,N, `E (0 w Property Owner's Mailing Address Lot Number Block Numb S C)X- -Z-G —�— — City, State Zip Code Phone Number Subdivision Name or CSM Number II. Type of Building: (check one) ❑ Cit ❑ 1 or 2 Family Dwelling -No. of Bedrooms: ❑ Village Public /Commercial (describe use):_ P4 own of � ❑ State -Owned D ✓ a' ✓ l /Q� Nearest Road '3 3 HS-4f ` ,, ,, Q Q r Parcel a Number(s) 111. Type of P rmit: (Check only one box on line A. Check box on line B if applicable) A) 1. 5ELNew 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System $) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) A— [Otj . on- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required I f S(v Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks - � o ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersigne assume resp onsibility for ins lation of the POWTS shown on the attached plans. Plumber's Name (print) Plumbe s S' t re (no stamps): MP/MPRS No. Business Phone Number Plumber's Address (Street, City , Sta , Zip C / IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse Su azge Fee) - Determination TP 22 s. 2S2MI X. Conditions of Approval /Reasons for Disapproval: AX( fir. S � S�s1 .. C �.�,�i,�,et,e,�•�., - ,,,, {,d �.,9 o� 6 "J C a a Y S; �. •b t t c0 4 �,.� { �p-C, e oQ t C&` - mo, s syy� 7 C� T. Ebou- E &Z r SBD -6398 (R. 07/00) -� �if el µws� 1 �X2t, Al ,kq l ao ptr M&wcka�s rew"I".v dYs i YVlecanw Depeltmeat of Commerce c SOIL EVALUATION REPORT Page of Division of Safety and Buildings ah$ence'with Comm 85, We. Adm. Code County Attach oomplets Bite 09 cn POPOr r ess then $ 112 x'1 t inches in size. Plan must Muds, but not limited to: veWeai ,er dlu;sfzot>+et *ref sF'o° paint (BM), direction and Parcel I.D. percant slope, sow* or dlntana�s, optrtli s>!"w.,and location and distance to nearest road. b 3d w: _ - Reviewed by Pete Please print ail Information, Parronat Wonrotlon you provldo may be used for sscondorfr purposes (Privacy taw. S. 1 S.D4 ( 1 ) (m)) , L Property Location 1 P �.� I P,r ,?.c i� 0 �: � Govt. lot S� V4 55�1/a s / 3 T 3/ N R f E c Property Owner's Mailing Address Lot it Block N Subd. Name or CSMk x y� 1/0 / y' swe Mp Phone Number Clty ❑ w Town Nearest Road "16 -ya / 4! j New Cartstructlon Usti, ❑ Residential ! Number of bedrooms �___.- _ Code derived design flow rate ? �.G 0 Replawnsrn public or commardal - Descrloe: �2. e e..._ Parent mrte W Flood Plain elevation if applicable ft- Generel o0rnmer" s �� aand recornMertdStIOns: ❑ lino pit Ground surface elaw � 14. Depth to limiting factor in, son Horizon Depth DW*WACOW Redox Descripflon Texture Structure Consistence Boundary Roots GPM in. Munsell Qu. Sz, Corn. Color car. Sz. Sh. •Ef #1 •Eflfl2 � Z wig alk qz -so L`l•6 o ® BoAng �► © Boring ® Pit Ground surface 9W, Depth to limiting tctov 2 — In. g ApplImOm Rob }brlyon Depth 1 Dominant Redox Desoription Texture Structure Consistenoe Bourldery Roots On& In. Mums tau. Sz. Cont. Color tar. Sz. Sh. •EfMk1 •EW2 c ,�- > - 3 s iv , . r �8 • EO MN 01 ■ BW > 30 1 220 mWL and TSS >30 s 150 mglL ' Effluent #2 = SOD 30 m91L and TSS 1 CST oG n C3T NWrbW Date Evaltabon caxk %d Tekptwne Number Ads • — a s=,z 6- y.�/ -6 r - Property Owner r Parcel ID # Page of F 3 - 1 Boring # ❑Boring ® pit Ground surface elev. _ft. Depth to limiting factor � fr,, ,, SoA ication 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 3 Ds A �� l .2 Boring # ❑ Boring Pit Ground surface eiev. „ 9! ' Depth to limiting factor � in. Soil A pplication Rate Horizon Depth Dominant Color : Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Ca. Sz. Cont. Color Gr• Sz. Sh. 'Eff#1 I 'Eff#2 tr -y a7 t 1 -�� Boring # El so” / / Pit Ground surface elev.,�� � Jet. Depth to limiting factor / 3� ir►, Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 f Z f'YI .�- ' /M s ; G' C? s Ds �� �� 2 " Effluent #1 BOD > 30 IM ftV& and TSS >30 < 150 mgll- ' Effluent #2 = B00 130 mg& and TSS <_ 30 mglL 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 -9330 (R.N00) �. Soil Test Plot Plan Star Prairie Covenant Church Project Name Sh Bird Address P.O. Box 44 Star Prairie Wi 54026 CSTM #226900 Lot 1 Subdivision - - ----- Date 3/29/01 SE 1/4 SE 1 /4S 13 T 31 N /1318 W Township Star Prairie E] Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of nail in Power Pole System Elevation 92.5 *HRP Same as Benchmark Alt. BM Top of Yellow Survey Post @ 102.2' 517' Property Line Scale = 1 /4" = 15' Additional borings done c5 due to size of system Site does not have B -2 B -4 0, 13 a slope, thus no contour lines were o drawn = w B❑-3 0) Sizing of Church 4 Floor Drains 2 employees cn 250 Seats (see note) rn Total GPD B.M. 1389 0 C3 Church -°a B -1 B - Alt. B.M. m '- Church 5 m Note: Church's kitchen can only handle serving 100 people per day, system is being sized for a 100 seating church with kitchen, and a 150 seating church with no kitchen 21 0th Ave PLOT PLAN _uJECT Prairieview Coventant Ch DRESS Box 200 Star Prairie � 54026 SE 1/4 SE 1/4S 13 /T W TOWN Star Prairie COUNTY St. Croix MPRS Shaun Bird 226900 DATE3 / 30/01 GPD 1389 CONVENTIONAL )00C IN -GROUN CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 3000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 1186 # of'chambers 69 BENCHMARK V.R.P. Top of Nail in Power Pole ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE WELL s H.R.p NE corner of property Ve. SYSTEM ELEVATION 92.5' > 12" Sidewinder High of Cover Capacity Leaching Plans Designed Using Chamber Conventional Powts 6' Long 16" Manual Version 2.0 Grade at System Elevation 517' Property Line Scale = 1 /4" = 15' Additional borings done due to size of system Site does not have B - B - ° 1.3 El a slope, thus no P contour lines w e r e Grease interceptor is to be ° drawn installed, designs for this system are to be done by a Tank is to be properly engineer .� bedded and provided with B-3 lockdown covers with approved warning labels System is to be tested as per maintance plan Sizing of Church 4 Floor Drains 0 2 employees rn 250 Seats (see note) 6�H�ffcur(t L3 B.M. ro Total GPD 0 1389 Ch urc B -1 B -5 Alt. B m Grease interceptor Church � .S. 1 Well is to Vents and V „.. ? 7 ) observation a scE Note: Church's kitchen can only handle serving meet all are to G e �L�iNGs 100 people per day, system is being sized for a setbacks pipes 100 seating church with kitchen, and a 150 found in be installed • seating hurch with no kitchen Comm. 83 according to ONDENCE 9 the manual 210th Ave i 4 J 1 Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 isconsin w www.commerc .wis c ons vvw.wisonssn.gov Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary April 17, 2001 CUST ID No.226900 ATTN: POWTS Inspector ZONING OFFICE SHAUN R BIRD ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/17/2003 Identification Numbers Transaction ED No. 634150 Site ID No. 628081 SITE• Please refer to both identification numbers, SITE ID: 628081, PRAIRIE VIEW COVENANT CHURCH above, in all correspondence with the agency. ST CROIX COUNTY, TOWN OF STAR PRAIRIE; 210TH AVE SETA, SE114, S13, T3 IN, RI 8W FOR: DESCRIPTION: NONPRESSURIZED IN- GROUND DWF =1389 GPD. OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 787067 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: Correspondence Notes: • This plan action is subject to designer comments on the plan. A coat/ of the auuroved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerel DATE RECEIVED 04/02/2001 FEE REQUIRED S 175.00 �,� t 7 FEE RECEIVED S 175.00 co t ;r THOMAS E DEVEREAUX BALANCE DUE S 0.00 PLUMBING / POWTS REVIEWER II, INTEGRATED SERVICES Y (715)634-3026, 7:45 AM - 4:45 PM MON. - FRI. TDEVEREAUX @COMMERCE.STATE.WI.US WiSMART code: 7633 DI OF St; cc: BIRD PLUMBING SHAUN BIRD c GR E C PRAIRIE VIEW COVENANT CHURCH PLOT PLAN PROJECT Prairieview Coventant Church DRESS Box 200 Star Prairie Wi 54026 SE 114 SE 1/4S 13 /T 31 N/ 1 W TOWN Star Prairie COUNTY St. Croix MPRS Shaun Bird 226900 DATE 3/30/01 GPD 1389 CONVENTIONAL )00( IN- GROUIG S U E CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 3000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 1 186 # of chambers 69 BENCHMARK V.R.P. Top of Nail in Power Pole ASSUME ELEVATION loo' Filter Zabel A -100 ❑ BOREHOLE (P WELL *H. R. p. NE corner of property Ve SYSTEM ELEVATION 92.5' > 12" Sidewinder High of Cover Capacity Leaching Plans Designed Using Chamber Conventional Powts 6' Long 16" Manual Version 2.0 Grade at System Elevation 517' Property Line Scale = 1 /4" = 15' Additional borings done due to size of system Site does not have B -2 B -4 ° ❑ p a slope, thus no contour lines were Grease interceptor is to be ° drawn installed, designs for this X system are to be done by a = Tank is to be properly engineer bedded and provided with B-3 0) lockdown covers with System is to be tested as per maintance plan approved warning labels Sizing of Church 4 Floor Drains c„ 2 employees rn 250 Seats (see note) Huffcutt B.M. Total GPD ❑ -°a 1389 Church B -1 g -5 Alt. B CD Grease interceptor Church rr CD �`l' Well is to Vents and Note: Church's kitchen can only handle serving meet all observation aniRL�E 100 people per day, system is being sized for a setbacks pipes are to iNGS 100 seating church with kitchen, and a 150 found in be installed seating church with no kitchen Comm. 83 according to JNDENCE the manual 21 0th Ave 9 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. Check effluent of System to see if the effluent is classified as high strength waste, this check should be done one a year. 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. 3. If the effluent is found to be high strength waste, install a pretreament system in the septic tank or install a additional treatment tank. Plumber: Shaun Bird 715 - 246 -4516 Pumper: Chuck Nutzmann 715 - 248 -3735 St. Croix County oning: 715 - 386 -4680 X ' Shaun Bird #226900 3/30/01 ST CROIX COUN'T'Y SEPTIC TANK MA114MANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address _1R oX Property Address (Wdfleation required from Planning Department for new construction) City/State Parcel Identification Number — / vim 6 — D/ D hEG� I�1�PTrn� / �. 3 l . 1 •2 A -/a Property Location y4, %,, Sec. / T N - R /f W, Town of fi���� Subdivision CertiQed Survey Map # �, 62, _ . Volume Page # 0 y� Warranty Deed # /2 L Z Volume Page # ��� Spec house ❑ yes✓ Lot lines identifiable yes E3 no / ImPram use sad =*h49 n 2 neaOf Y +aPtk sYstaxn could resuh in its premature failure to hacdle wast~ea. Proper maiabena = Of can fi O sag Ow the septic Unk evoy 9nee yus or maser if needed by a licon-Ad pumper, What boa the you put into the sy:tvm aeptto taielc as a traatoaaent :tage in flee waste disposal syabem. 2 The PW arty owner agtaea to submit to St. (Sroix Zoning Department a certification f master plumber.JO�ymast Plumber, xestdc"dplumber or a licenised e * signed by the owaor and by a is is proper operating oon�dition sadlor after' P�'verifying that (I) the oa -site w�tewaterdLposal system () inlimtson and pumping (if necessary), the septic tacit is less than 1/3 full of sludge. Uwe, the m4udgoed bav4 n*4 the above is Id &+tth, he=14 as sot by the D of � to rusiutsin the private sewage disposal system with the madards stating that your Mdc system has been aaaiatained meat be Department of Natmal Resources, Satte of Wiaooasin. C�loation days of the three yeas mWiratim dsto.) completed and reu=cd to the St. 0MIX CeUMty Z=ft6 Office wdtlein 30 SI4NAT'tJRLe OF APPLICANT ytiJ DATE the I (we) colt!* that all statements on dds form are true to flee best of my (our) i owledge, I (we) am (are) the owner(&) of 8 scribed abov by of a warranty deed recorded in Register of Deeds Office, ` S1axATUR$ OF APPLICANT DATE «sa «« Any informutioa that is mis repeesetttadmay restdt is the "nitaty rmit be' revoked . +Asa Pe m8 by the Zottiag Dopattmem. «• Include with this application: a stamped wammy deed from the Register of Deeds oflece A copy of the certified survey nup if reference is made in the warranty deed &OCUMI =NT NO i WARRANTY VEER :( N[9CFV(D i l I STATE FAR OF WISCONSIN FORM 2 —ifl8$ II it 4 78470 <<-= y3n►cE ' I � - - -- _ - - -- - - -- - - - - -- - - -- i REGISTER'S Ot =�tCE , Daniel J. Casey and Betty D. Casey, husband and wife, an $T. CROIX Co., W survivorship marital property Recd for Record JAN 2 e, 1y;)d conveys and warrants to Star Prairie Cov enant Churc' 9 A. M Re�isle of�pewh� ohe foiloivinI: lescr: bed real estat- in St. Croix County, - State of W tseonsin: Tax Parcel No: .. ........ ........ .... ....... Part of the Southeast Quarter of the Southeast Quarter (SE} of SEV of Section Thirteen (13), Township Thirty -on( North, of Range Eighteen(18) West, described as follows: Lot of Certified Survey Map, fi_2d January 17, 1992 in Volum "9" of Certified Survey Mars, pa ge 2442, as Document No. 478053. i';,, is not t.,�x <t +ad prnc�rt}. 0 ) 27th dj.% January tt+ 92 Daniel J. Casey Betty D. Casey AUTHENTICATION ACXNOW LEDGMENT Sit naturelsl ST:XTE OF R St. Croix Coantc. :thenticnted tk:; day of 19 _ Pvr- unai!y came me t!r.s 27th January- IJ 92 the 31)OVC nan:c,i Daniel.J. Casey and Betty D. Casey TITLE: MEMBER STATF. B•XR nF WISCONSIN (I i not, authorized: b:. 76i'o i, t'a'i;. hats.) to wo knwan to he tho tn•t -on s �wh ut6d the ur...^ Ali w0 rrnvrnt l :tci:nowh� -' 1c'rD PV �7.1 �- i • J l Reinstra, Van Dyk 6 Needham, S.C. 201 South i' *.owles Avenue, Box 127 Ruth A. Johnsdri .; �'y -.:_ Q New Richmond, WI 54017 N.,t,, 170 St. Croix (Sit;natnn•s nay he NT t i.iru -iun I' not. sfnto, c:.p rat rr are not necess.rp.) d: te; 12/18/94 10 1 WARRANTY Of ED ST do ^ 1T 1 , n nAu nF' w i,�nl9i V w,t+� its, tH!M{ - l +•': 1 4 '78053 CERTIFIED SURVEY MAP Located in part of SE4 of the SE4 of Section 13, T31N, R18W, Town of Star Prairie, St. Croix County, Wisconsin. ti 00 LEGEND p 1 z 1992 r IP- at Aluminum County Section Monument Found N Cyr., � 4 o m OS ® Section Corner Monumented With Masonry Nail Found QcCb�Co• S +' 0 1" x 24 Iron Pipe .Set, Weighing 1.68 Lbs. Per Linear Foot o v . ........................ Roadway Setback Line d Yl A Q Corner of v M Section 13 d 0 iu v W W N N 01 C 4- N N L W N- 10 W Uj M Ln O O O m H N O O co AM OV�D Vl vh'`r n -�i Ttv `HNv1 I 6' S90 0 00'00 "E 517.06' JO � y 11 � 76� 484.06' 33.00' T . CRM COUNTY co I - da: sivr, pfane�ing� 2' Zanip and I ° r�srlcs•Catar�ictav -iI LOT 1 Ln OVAN1t�,deW CD 7.00 Acres Inc. R/W 100 ,,, � ' trr►sr+ai3ifklaft F �I 3 In 305,065 Sq. Ft. NI WI �I r1 �Ii N 6.18 Acres Exc. R /WT N o �I .-aaii &��lilt� JI � 269,288 Sq. Ft. C ` N L { EI o I 'n -m —I o .._ ...................... o ., o z - of W M `� J I 2111.16' N89 484 .08' N90 0 o 0 , 00 „ W N 0 0 ' 00 "W 517.06' — IL S} Corner of L South line of the 210TH .AVENU SE} E 66' ESE Corner of Section 13 E I�-- Section 13 I I �1 ^1 nTT r -'r" L N J1vf �H -� { �� ��i �.S .. OWNERS y nt 7 SCALE IN FEET Daniel Betty Casey , r 323 Sawmill Lane ' S� 1.E�! �• �> a. 0 100 200 300 New Richmond, WI 54017 VOLUME 9 PAGE 2442 �,'.� kb '0. s . ,• ' r This instrument drafted by Fran Bleskacek Proj. No. 91 -28