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Home My WebLink About038-1186-90-000 Wisco /isin Department of Commerce Count y PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 370202 Permit Holder's Name: ❑ City ❑ Village ❑ jown of: / State Plan ID No.: a Builders Star Prairie Townshi CST BM Elev.: Insp. BM Elev.: : 7M Description: rcel Tax No.: t0 o o Z " fou C_ r 038-1186-90-000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic a is. PL e / Benchmark /b 1 60 - - - -- Alt. BM Z . G (J CO3 , / 5i Aeration , ; -`- Bldg. Sewer Holding t Ht Inlet Z�p 71 TANK SETBACK INFORMATION O/ Ht Outlet ? �S TANK TO P/ L WELL BLDG. Ventto ROAD Air Intake Septic 7 3 Z Z 3 Q NA Dwsi _ — NA Header / Man. P, 9 r6 Aeration NA Dist. Pipe L t A 15' v/ 1 74. 2T - / Holding Bot. System R rz PUMP/ SIPHON INFORMATION Final Grade x SO /Op' is y nd St cover Yop Model Number GP TDH Lift Friction e TDH Ft oss remain Length Dia. Dist. To SOIL ABSORPTION SYSTEM BED / Tot Tot—NCO Widt Lengtb— No. Of Trenches P No. Of Pits Inside Dia. Liquid Depth IMEN > J S 1 7 1 DIME SYSTEM TO P / L BLDG WELL LAKE /STREAM ILEA - Manufacturer: SETBACK INFORMATION Type O / L a ®� CH BIER Model N ber: System: d 11 3 R UNIT DISTRIBUTION SYSTEM Header/manifold Distribution Pipe(s) x Hole Size x Hole Spacing I Vent To Air Intake Length —1 f Dia � Length � Da. �� Spacing �� r SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc.) InsRection / /y /nbInspection #2: Location: 1389 211th Avenue, New Richmond, WI 54017 (SE 1/4 SE 1/4 13 T31N // R18W) - 13.31. Prairie Flats -Lot 19 3l h L 4, a s l o to 1.) Alt BM Description = �0�° o 1;t,, 5,y 2.) Bldg sewer length= 2 2 f rt Q %// _r,I i i - amount of cover = / ? 3 ` `�xl 4.1 ,A Sy V Plan revision required? ❑ Yes O No X Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Si ature Cert. No. w ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: j , � e e w � e v .. E a . e ;. I N m e , , toy r`n r � a e e , , Safety and Buildings Division Vi sconsin SANITARY PERMIT APPLICATION 201 W. Washington Avenue P O Box 7162 Department of Commerce In accord with Comm 83.05, Wis. Adm. Code Madison, WI 53707 -7162 • Attach complete plans (to the county copy only) for the system, on paper not less County than 81/2 x 11 inches in size. ST a • See reverse side for instructions for completing this application State Saajnita�ry Permit Number Personal information you provide may be used for secondary purposes El Cheat if revision t�ev s application - [Privacy Law, s. 15.04 (1) (m)]. State Plan Review Transaction Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATI N Property Owner Name P N, R operty Location G , S g /4s� 1/4, S ,� T r E (Or ) Prop rty Owner's Mailing Address Lot Number Block Number 9 City, State Zip Code Phone Number Subdivision Name or CSM Number •� jgj ( II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ Cit Nearest Road '7 Villae Public 1 or 2 Family Dwelling - No. of bedrooms M Town OF ,c v ',q III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) I� 2 I �• q sO 1 ❑ Apartment/ Condo (::� d — 11 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable) A) 1. 64 New 2. ❑ Replacement 3, ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an ------ Syfstem ________System _____________ Tank Only______________ Existing System _ Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 []Holding Tank 12 WSeepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 []Seepage Pit ( / 43 ❑ Vault Privy 14 ❑ System -In -Fill a qj VI. ABSORPTION SYSTEM FORMATION: 1. Gallons Per,Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation � S .2 S via Feet G, Feet I VII TANK in Capacity llon Total # Of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existin structed Tanksl Tanks Septic Tank or Holding Tank X / /y/ �Ga✓�.J B �,�/ ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber J ❑ ❑ ❑ ❑ ❑ ❑ VI11. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) / Plumber's Signature: (No Stamps) rP PRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): / G7a cc-Al 6 IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate I ssued Issuin AgentSignat (N Stamps) (Approved [] Owner Given Initial Surcharge Fee) A dverse DeterminationS� ZS X. CONDITIONS F APPROV L / REASONS FOR DISAPPROVAL' si !�� ouC�S SBD -6398 (R.1 21W D IB ON: rigin to County. One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintaink. The septic tank(s) must.be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608 - 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. IL Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply- IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include-the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ------------------------------------------------------------------------------------=--------------- GROUNDWATER SURCHARGE 1483 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. I i V J i.. y L T I X � J OJ Wis%nsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of • Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Gille Truckin & Excavating, Inc. Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow„anfffoca11dq aAd distance to nearest road. — - -- Parcel I.D.# APPLICANT INFORMATION - J 4w 'print all inlo on. R viewed By Date Personal information you provide may be used'fo[ secondary rpop� (Pnvaby LavV s. 15.04 (1) (m)). Property Owner /R'�' �e Property Location �� Casey, Dan — � '' _ Govt. Lot SW im SE im,5 13 T 31 ,N,R 18 Property Owners Mailing Address ` F Lot# Block# Subd. Name or CSM# 323 S awmill Lane 19 Prairie Flats City State f ber / City ❑Village (Town Nearest Road New Richmond WI 7 Star Prairie Hwy 65 New Construction Use: Z R n a�lh� bedrooms 3 [Addition to existing building Replacement ( 11 Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate .7 bed, gpd/ft .8 trench, gpd/ft Absorption area required 643 bed, ft 562 trench, ft Maximum design loading rate .7 bed, gpd/ft .8 tr ench, gpd/ft Recommended infiltration surface elevations) — T4" 9 ft (as referred to site plan benchmark) Additional design / site considerations Parent material Out -wash Flood plain elevation, if applicable ft S= Suitable for system Conventional Mound In -Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system ® S❑ U M S U ❑ S U ❑ S® U ❑ S H U ❑ S® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD1ft Boring# Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench 1 1 0 -8 7.5YR2.5/1 ---- - - - - -- SIL IFA13K M VFR AW 1VF .2 .3 2 8 -26 7.5YR4/6 ---- - - - - -- CL IFABK MVFR AS 1VF .2 3 — — Ground 3 2 - 96 7.5YR5/3 ---- - - - - -- S 0 -G R ML - - -- - - -- 7 8 ele — - -- -- - —— v X4 Depth to _ limiting - - -- factor 96 in. - -- - -- - - Remarks: _ 2 1 0 -10 7.5 YR2.5/1 ---- - - - - -- SIL IFABK MVFR AW 1VF .2 .3 2 10 -27 7.5YR4/6 ---- - - - - -- C IF ABK MVFR AS IVF .2 3 — — -- - -- - - - -- Ground 3 27 -98 7.5YR5/ ---- - - - - -- S 0 -GR ML - - -- - - -- 7 8 ele -- - — - -- -- - -- 07, p i Depth to limiting - -- - -- - - -- - -- - - - - - -- -- - - - - -- - - —, factor 98 in. Remarks -- - - -- - -- -- _ ._ -_ -- CST Name (Please Print) Signat Telephone No. Dennis Giile 715 268 - 6637 Address t� t CST Number Ref # 372 140th Street Amery, WI 54001 Vr6/97 3409 107 DROFERTY OWNER: Casey Dan SOIL DESCRIPTION REPORT Page 2 of 4PAf2CEC1.D.#_— Gille Trucking & Excavating, Inc. Horizon Depth Dominant Color T Mottles Texture Structure onsistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0 -12 Z5YR2. /1 ---- - - - - -- Sul 1 FABK MVFR AW 1 VF .2 3 - ---- - - - - -- 2 12 28 7.SYR4/6 CL 1FABK MVFR AS 1VF .2 .3 Ground — 3 28 -96 7.5YR5/3 ---- - - - - -- S 0 -GR ML - - -- - - -- .7 .8 elev _ Depth to limiting -- factor 96 in. - -- - - - - -- - - -- - -- - Remarks: 4 1 0 -11 7.5YR2.5/1 ---- - - - - -- SEL 1FABK MVFR AW 1VF .2 3 2 11 -35 7.5YR4/6 ---- - - - - -- C L 1FABK MVFR AS 1VF .2 .3 Ground — elev 3 35 -96 7.5YR5/3 ---- - - - - -- S 0 -GR ML - - -- - - -- .7 .8 Depth to limiting - -- — - factor 96 in, Remarks -- — - ------ -_ - - -- - 5 1 0 -10 7.5YR2.5/1 -- - - - - -- SIL 1FABK MVFR AW 1VF .2 3 2 10 -34 7.5YR4/6 ---- - - - - -- CL 1 MVFR AS 1VF .2 .3 Ground -- - - -� -- — elev 3 34 -99 7.5Y ---- - - - - -- S 0 -GR ML - - -- - - -- .7 .8 / Ba•Gs ' Depth to limiting -- - -- fa in, Remarks: - -- -- -- - - - - -- - - - Ground - - -- - - -- — elev Depth to limiting - - - factor Remarks: _ —_— Sw S� y S /3 .n VIM-' C S 3 y of l� &71�7 4 7 � 0/0's .0 s � q0 r � I 3� LJ. 87` f i / .29 JI ha yo 5�S . 1 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND II P. C. C�LVA BU INC ION FORM MN #1073 WI #15195 OwnerMuyer (715) 549.5977 ou Mailing Address HUDSON, WISCONSIN 54016 Property Address 1 3ff �_ 71 /1 v L- 1 / (Verification required from Planning Department for new construction) City/State I ub 12 W -l - Parcel Identification Number _631' 1l ?6 IF 0 00 0 LEGAL DESCRIPTION -S S� %,, Sec. 3 . T 3/ / O Pro pert y Location G!O /,, N -R W, Town of f Subdivision P/,i4 //I (- C fi64 Lot # Certified Survey Map # Volume . Page # Warranty Deed # & O 0 Volume / �� Page # � Spec house yes O no Lot lines identifiable yes 0 no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its prematureafailure 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 masterplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 ;GNA ys a year expiration date. TU RE 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 owner(s) of the pr escribed above, by virtue of a warranty deed recorded in Register of Deeds Office. 3�11r1 Co NATURE OF APPLICANT DATE « * « * *« Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with tills 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 �t Sul 1 - Z�,U tg4t � 11J STATE BAR OF WISCONSIN FORM 11 — 1982 600661 LAND CONTRACT KATHLEEN H. WALSH Individual and Corp O ( pp orate (TO BE USED FOR ALL S kEGISTER OF DEEDS $25,000 S FIN AND IN OTHER ST. CROIX CO., WI DOCUMENT NO. ACrTwwsacnoNSl RECEIVED FOR RECORD Contract by and between Daniel J. Casey and 04 -05 -1999 9:30 AN Ratty n�0acey, hushand and wi fe aG LARD CONTRACT survivorship marital property ("Vendor", EXEMPT M whether one or more) and P_ r o l l ova Builders I ne . CERT COPY FEE: COPY FEE: TRANSFER FEE: 570.00 ( "Purchaser ", whether one or more). RECORDING FEE: 12.00 Vendor sells and agrees to convey to Purchaser, upon the prompt and full performance PAGES: 2 of this contract by Purchaser, the following property, together with the rents, profits, fixtures and other appurtenant interests (all called the "Property'), in St. Croix Count); State of Wisconsin: THIS SPACE RESERVED FOR RECORDING DATA LO t s� 9, 10, 13, 14, 15, 17, NAME AND RETURN ADDRESS 18, and 21 of Prairie Flats Addition in the Town of Star t..s Prairie, St. Croix County -3 'T S, Wisconsin. /vf- wI 038 - 1185 -80 -000, 038 - 1185 -90 -000 03R - 11R6 - 01- 00 L038— LL8 -30 -000 PARCEL IDENTIFICATION NUMBER 038 - 1186 -40 -000. 038 - 1186 -50 -000 038 - 1186 -70 -000, 038 - 1186 -80 -000 038 - 1186 -90 -000, 038 - 1187 -10 -000 This is not homestead property (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at 323 Sawmi La. New Ri chmond , WI the sum of $ 1 q0 000 00 in the following manner: (a) $ 1 n _ nnn _ (1 at the execution of this Contract; and (b) the balance of $ 180,00 , together with interest from date hereof on the balance outstanding from time to time at the rate of F i gh t. percent per annum until paid in full, as follows: Purchase price determined as follows: Lots 8, 9 and 10 $19,900.00 each; lots 13, 14, 15, 18 and 19 $18,900.00 each; lots 17 and 21 $17,900.00 each. A Warranty Deed will be given for each of these lots upon payment of the original purchase price (stated above) of each lot, plus accured interest. Provided, however, the entire outstanding balance shall be paid in full on or before the 29th day of March, 2001 19_ (the maturity date). Following any default in payment, interest shall accrue at the rate of 8 % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably anticipated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into art escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the up paid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time after �3 r C1' 3 0 , '19 99 Xvlfll XoW)6NXAXXRWdMXX 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 be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: None. Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on March 30 ' 19 99 ' Cross Out One. LAND CONTRACT - Individual and Corporate STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc orate . p Form No. tl - 1982 MiWaukee. Wis. „U`y IV ,00'99 � N CO I N M I Chi I M w I� 4 I O OI I j oo g 06 *tZC M „CZ,ZS.00 N o Z h G I I ° -- :- -• - -•— I • r N . I W I w • F-: N N N LL. I o d N a� I T- 0o u Ln O N Z rn m J LO . ,L9'6 *£ M„ £Z,ZS.00N 00'9L .S mo o' ,L9'6££ W ° 9COLS co c0 m 0 � II - �M 0 N ' °' 3 ££'S99 N I N = tD , N V) o �95. ££'OLS N u) N I N ,00'OOL M „00, N `”' OR r � I •i o W 3. 00 00.00 N N • ,00'99Z w w mw Z I I I No oa a U - zoa r Q ° 0 L I 50 cn 0 r7 � M • N 01 I C4 , N oil 0 1 I I ° ; 3 „00,00.00 N Ic i II ,00'992 J Q I 3• •. Q i = ; w ci i of cn 00 a ° L 00 n 0 O I I 00 OR O 00 I� LO ui 0 o r •O V I. — — _ w U