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HomeMy WebLinkAbout038-1212-00-000 ,Wisconsin4epartment of Commerce County: Safety and Building Division PRIVATE SEWAGE SYSTEM St. Croix INSPECTION REPORT Sanitary Permit No: 488272 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: city Village X Township Parcel Tax No: Wilson, Burt Star Prairie, Town of 038 - 1212 -00 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: i"' 13.31.18.1158 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark -7 cam 7 9'. Closing Alt. BM ILL r+ Aeration Bldg. Sewer q•7 7 o[ Ing St/ Ht Inlet r 9& , 7 TANK SETBACK INFORMATION t t O ' �> '710's TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet b P \ zjj 7N To Header/Man. Aeration Dist. Pipe o ing Bot. Systern 8, 95• Z � PUMP /SIPHON INFORMATION Ina race 4 anu ac urer Demanci 6t (;ov GPM •� �O m odel um er 1 1 - Itt 1 lon oss ys em Fo rceimam= I SOIL ABSORPTION SYSTEM ESED11REM"" vVTC[M U5 NU. UT rMS lllblut! Uld. JUIL4 la Uepin DIMENSIONS J 46 2 tc t INFORMATION �( CHAMBER OR Co Ram U , UNITS -1 Len th�_ Dia Length Dia S acing �rj 511 CUVEK x Pressure Systems Only xx Mound Or At -Grade Systems Only R PHI of Mulched Bed/Trench Center / / Bed/Trench Edges ` Topsoil Ye ' No Yes No COMMENTS: (incl_ code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 1331 212th Avenue Star Prairie, WI 54026 (NE 1/4 SW 1/4 13 T31 N R18W) Northgate Lot 68 Parcel / No: 13.31.18.1158 1.) Alt BM Description= �• i ��"' �` /IA^ �* ✓ 2,) Bldg sewer length = ( - amount of cover = 4-1 i P `b p t � .2 , cz� J�a� Plan revision Required? No q � .'; Yes f Use other side for additional information. -- I Date -i— nature - Cert. No: SBD -6710 (R.3/97) Safety and Buildings Division County�� 201 W. Washington Ave., P.O. Box 7162 i seonsin Madison, WI 07 — 7162 Sanitary Permit Number (to be filled in by Co.) (608) 151 "2— —7 2— Department of Commerce Sanitary Permit Applicat' State Plan I.D. r N , J " In accord with Comm 83.21, Wis. Adm. Code, personal infonnation you pr may be used for secondary purposes Privacy Law, s1 5.04(1)(m) Project Address (if different than mailing address) I. Application Information— Please Print All Information ZX1 RECE Property Owner's Name Parcel # Lot # Block # J)-" JUL 1 0 2006 Property Owner's Mailing Address Property Location l / 'd 5k O �� ST. CROIX COUNTY N, �b � 2_- ✓ � /o, .� f<, Section l City, State Zip Code I I Phnnp. Ninnher C 5 c, X S il T N; E W II. ype of Building (check all that apply) �, tt ' / � -5.)10 � ( rC E'C ' Subdivision Name CSM Number or 2 Family Dwelling — Number of Bedrooms JtIC� j o k rL ❑ Public /Commercial - Describe Use , El State Owned - Describe Use Z .5+ Cs N 5 t.✓ If 3 ❑City_❑villagE ownship o / If III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. System �L] e placement System El Treatment/Holding Tank Replacement Only El Other Modification to Existing System P�� B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. a of POWTS S stem: Check all that appl n - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑Single Pass Sand Filter El Constructed Wetland ❑ Pressurized In- ound ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter aching Chamber El Drip Line El Gravel-less Pipe [I Other (explain) r (I )Z � ed eLX221 __ 0 _& V. Dispersal/Treatment Area I formation: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed System Elevation / J VI. Tank Info Capacity in Total Number Manufacturer Prefab Site teel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing-- /�. Tanks Tanks / Septic or Holding Tank ! ✓ Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement I , the undersi n assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumbe nature MP /MPRS Number Business Phone Number �-/ - Z ?l� -at Plumber's Address (Street, City, St e, Zi e) ' O A_J 1 VIII. Coun /De artment Use Onl Sanitary Permit Fee (includes Groundwater Date Issued Issuing ent Signet (No pproved ❑ Surcharge Fee) ❑ O �.sonlot ' IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: t. Septic tank, effkwd fitter and dispersal cell must all be services maintained as per management plan provided by plumber. 2. AN ssl)tck requirements must be maiMahW es per appicole code / ordirances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) .,. ��Sk...� .in'� .nr� «� _,� ��!3u�vn !�S:�r2vR ! � .,� .� �. ; >., x c! +; ,� „r.�� &o;' �J .. � �t,te i to .. !J('6” !: "" , °So;i y�(Sr .iS's.;E+'9iM .i6 PLO PLAN PROJECT Burt Wilson DDRESS 2168 Shore Drive Somerset Wi 54025 NE 1/4 SW 1 /4S 13 /T 31 18 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 7!5/06 BEDROOM 3 CONVENTIONAL )00( IN -GROUN ESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 650 # of chambers 26 ,BENCHMARK V.R.P. To� vc pipe ASSUME ELEVATION 100 Filter BEST Filter ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark Well is to meet all setbacks required by SYSTEM ELEVATION 94.5/94.4 4.6' below qrade WDNR 212th Ave Plans Designed Using Conventional Powts Manual Version 2.0 133' B -5 B -2 50' 15'iF 30' ST 25' Pro 3 33' Bedroom B -3 401 House 2 -3' X 65' Cells with >3' Spacing Vents 138 B 50' -4 B -1 15 ' jL� Standard Biodiffuser 5' Leaching Chamber with 25.0 ft2 of Area B.M. * Alt. B.M.Top of 1" pvc 3 6 „ Grade at System Elevation pipe @ Pr 00.0' operty Line 12' 32' 161' Wisconrin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 I-abo- arnd E auman Relations Qvisire of Saf;ty & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), directio d % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to n rpkill 038- 10550 -20 APPLICANT INFORMATION– PLEASE PRINT 4� 6 RMATIOW P PROPERTY OWNER: (,'r_ " "" PROPE TY LOCATION Greenwood Enterprises, Inc. /ts ` L GOV,`- T NE 1/4 SW 1/4,S13 T 31 N,R 18 for) W fl PROPERTY OWNERS MAILING ADDRESS > LOT r` > BLOCK # SUBD. NAME OR CSM # 2141 Cty Rd. "C" 6 na i NorthGAte CITY, STATE ZIP CODE NJ ;.. }' ❑ Y ❑VILLAGE BROWN NEAREST ROAD New Richmond, WI. 54017 ( x') `,24 - Star Prarie 212 th. Ave. New Construction Use [ Residential / Numbe t6drooms �� ( ] Addition to existing building j ] Replacement [ ] Public or commercial descn Code derived daily flow 600 gpd Recommended design loading rate - 7 bed, gpd /ft — ,g_ trench, gpd /ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate _ bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s) 95.90 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem I ®S ❑ U I ®S ❑ U ®S ❑ U (RS ❑ U ® S ❑ U ❑ S CR SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr Sz. Sh . Bed Trer>ch .................. ................. 1 -10 10yr2 /2 none 1 2msbk mfr cs if .5 ( .6 1 2 0 -24 10yr4 /4 none sicl 2msbk mfr gw If .4 .5 Ground 3 4 -84 7.5yr4/6 none co s Osg ml na na .7 .8 elev. 99 . ft. Depth to C limiting factor +84 11 Remarks: Boring # 1 -11 10yr2/2 none 1 2msbk mfr cs if .5 ':. .6 2 2 1 -24 10yr4 /4 none sicl 2msbk mfr caw if .4 ':.5 3 4 -84 7.5yr4/6 none co s Osg ml na na .7 .8 Ground elev. 9 9.9 ft. L �� Depth to y limiting factor Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Aye., New Richmond WI 54017 Signature: Date: 4 - - CST Number: m02298 1 PROPERTYOWNER Greenwood Enterpris DESCRIPTION REPORT Page_�,Of 3 " PARCEL I.D. # 038 - 1055 -20 a Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourb3y Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 -10 10yr2 /2 none 1 2msbk mfr cs if .5 .6 2 0 -26 10yr4 /4 none scl i f sbk mf r gw If .2 .3 Ground 3 6 -84 7.5yr4/6 none co s Osg ml na na .7 .8 elev. 99 -6_ ft. .1 Depth to Cj limiting factor +84 Remarks: Boring # 1 -12 10yr3 /3 none 1 2msbk mfr cs if .5 .6 4 2 2 -30 10yr44/ none scl 2msbk mfr gw if .4 .5 3 0 -84 7.5yr4/6 none co s Osg ml na na .7 .8 Ground elev. 9 9.8 ft. l — Depth to vl - limiting factor LL + II Remarks: Boring # 1 -9 10yr3 /3 none 1 2msbk mfr gw if 1 .5 .6 5 2 -20 7.5yr4/4 none scl 2msbk mfr 9w if .4 .5 3 0 -84 7.5yr4/6 none co s Osg ml na na .7 1 .8 Ground elev. i 9 9.7 ft. t Depth to limiting factor +R4 Remarks: Boring # Ground elev. j ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) PROPERTIlOWNER Greenwood Enterpris %01L DESCRIPTION REPORT Page,2,of 3' PARCEL I.D. # 038 - 1055 -20 Boring # PHorizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench .kv`•....,..,..•,_'_:: -10 10yr2 /2 none 1 2msbk mfr cs if .5 .6 2' 0 -26 10yr4 /4 none scl lfsbk mfr gw if .2 .3 Ground 3 6 -84 7.5yr4/6 none co s Osg ml na na .7 .8 elev. ` - 99 �6 ft. Depth to �� 1 limiting factor +84" Remarks: Boring # 1 -12 10yr3 /3 none 1 2msbk mfr cs if .5 .6 b 4 >> 2 2 -30 10yr44/ none scl 2msbk mfr gw if .4 .5 3 0 -84 7.5yr4/6 none cos Osg ml na na .7 .8 Ground elev. 9_ ft. n S Depth to V � - limiting factor + Remarks: Boring # 1 -9 10yr3 /3 none 1 2msbk mfr gw if 1 .5 :.6 5 2 -20 7.5yr4/4 none scl 2msbk mfr gw if 1.4 �.5 3 0 -84 7.5yr4/6 none co s Osg mi na na .7 ':.8 Ground elev. I 9 9.7 ft. n Depth to limiting factor + 84, Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SRn- A��nrR n5ra�i I STEEL'S SOIL SERVICE Gary L. Steel Greenwood enterprises, Inc. 1554 200th Ave. GSTM2298 NE4SW4 S13- T31N -R18W New Richmond, WI 54017 MPRSW -3254 town of Star Prarie (715) 246 -6200 lot #68 NorthGate This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1" =40' BM.= top of 1 pvc pipe C el. 100.00 Alt. BM.= top of 1 pvc p ipe C el. 100.00 , �a z k� 3 5� � Gary L. Steel 4 -25 -99 I 'r Aggregate SAS SYSTEM ELEVATION AND SIZING CALCULATIONS Below Grade Aggregate Soil Absorption Systems Permit Number 7/18/99 Date X "x• Gravity Distribution only 1 Pressure Distribution 3 ft Suitable Soil 6 in Aggregate Depth 2 4 in Nominal Pipe Diameter 600 gpd Estimated Daily Peak Flow 0.80 gpd /ft Wastewater Infiltration Rate 750.0 ft Minimum SAS Size 95.90 Ift Proposed SAS Elevation Soil Surface Acceptable Finished Grade EL 3 (ft) Boring Grade Limitation SAS Elevation (ft) System Minimum Maximum Number Elevation (ft) Depth (in) Lowest Highest Elevation? 98.40 100.23 1 99.60 84 95.60 98.10 Yes 2 99.90 84 95.90 98.40 Yes 3 99.60 84 95.60 98.10 Yes 4 99.80 84 95.80 98.30 Yes 5 99.70 84 95.70 98.20 Yes 1. Depth of suitable soil required below the infiltrative surface for treatment. 2. Depth of aggregate below distribution pipe. 3. Based on chosen system elevation, and aggregate depth. The addition of fill for cover or the reduction of finished grade may be required to meet minimum or maximum code standards. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. SBD- 10553 -E (R.05/98) iscon in Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Haman Religtions Division of Safety & 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. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned north arrow, and location and dist ance to nearest road. 038- 1055 -10 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION R VIEWED BY DATE coo- 1 PROPERTY OWNER: PROPERTY LOCATION Greenwood Enterprises, Inc. GOVT. LOT NE4 1/4 SW 1/4,S13 T31 N,R 18 5(or) W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 1416 Third St. 68 na NorthGate CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [MOWN NEAREST ROAD Hudson, WI. 54016 (715 386 -3674 Star Prairie 212th Ave. [x] New Construction Use [ ] Residential / Number of bedrooms 4 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate • 7 bed, gpd /ft •8 trench, gpd /ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate gy bed, gpd /ft .8 trench, gpd /ft Recommended infiltration surface elevation(s) 94.80 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for system ®S El ®S ❑ U ®S ❑ U S ❑U ®S ❑U El Mu SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bax>dary Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITrench 1 0 -17 10 r 3/3 none 1 2msbk mfr gw if .5� .6 1 2 17 -24 10 r 4/4 none sicl 2msbk mfr gw if .4 .5 Ground 3 24 -30 10 r 5/4 none sil lcsbk mfi Qw na .2 .3 elev. 9$,7— ft. 4 30 -84 7.5 r 4/6 none cos 0Sq ml na na .7 .8 Depth to limiting factor +84 Remarks: Boring # 1 0 -11 10 r 3/3 none 1 2msbk mfr 9w if .5 .6 `> 2 2 11 -27 10 r 4/4 none sicl 2msbk mfr gw if .4 .5 Ground 3 27 -84 7.5 r 4 6 none cos 0SQ ml na na 1 .7 .8 elev. 9 8.7 ft. Depth to limiting fact +8411 N9 + Remarks: ON/AI i CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Ave. NewNchmondN1 W17 Signature: Date: 11 -9 -98 CST Number: m02298 PROPERTY OWNER eenw SOIL DESCRIPTION REPORT Pa ge , .2 of Gr ood Enterprises 3 PARCEL I.D. # 038 - 1055 -10 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxlary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 - 1 mfr f .5 .6 2 10 -26 10 r 4/4 none sicl 2msbk mfr gw if .4 .5 Ground 3 26- w na elev. 9 8.5 ft. 4 32 -84 7.5 r 4/6 none cos OSQ ml na na .7 .8 Depth to limiting factor +8 4" qq Remarks: Boring # 1 0 -12 10 r 3/3 none 1 2msbk mfr gw if .5 .6 4 2 12 -27 10 r 4/4 none sicl 2msbk mfr yw if .4 .5 Ground 3 27 -84 7.5 r 4/6 none cos os l m na na .7 .8 elev. 98.8ft. — Depth to limiting factor +8 4" Remarks: Boring # 1 0 -8 10 r 3 3 none 1 2msbk mfr yw if .5 .6 5 2 8 -22 10 r 4/4 none sicl lcsbk mfr 9w if .2 .3 Ground - none sil lcsbk mfr qw na .21 .3 elev. 4 33 -84 7.5 r 4/6 none cos OS9 na na .7 .8 98.7 ft. Depth to limiting factor +8 4" Remarks: Boring # ................. Ground elev. I ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) PROPERTY OWNER Greenwood Enterprises SOIL DESCRIPTION REPORT Page .2 of 3 PARCELMA 038- 1055 -10 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouxiay Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ' I 0-10 1 2msbk mfr Crw if .5 .6 3 2 10 -26 10 r 4/4 none sicl 2msbk mfr gy if .4 .5 Ground 3 26- elev. w n 9 8.5 ft. 4 32 -84 7.5 r 4 6 none cos osq ml na na .7 .8 Depth to limiting factor +8 4" qq.q Remarks: Boring # 1 0 -12 10 r 3/3 none 1 2msbk mfr 9w if .5 .6 ~" 4 2 12 -27 10 r 4/4 none sicl 2msbk mfr if .4 .5 Ground 3 27 -84 7.5 r 4/6 none cos osg ml na na .7 i .8 elev. 98.8 ft. Depth to _ limiting factor +84 Remarks: Boring # 1 0 -8 10 r 3/3 none 1 2msbk mfr yw if .5 .6 5 2 8 -22 10yr 4/4 none sici lcsbk mfr caw if .2 .3 Ground - 5/4 none sil lcsblY mfr gw na .2 .3 4 33 -84 7.5 r 4/6 none cos osg ml na na .7 .8 9 . 7 ft. Depth to limiting factor +8 4" Remarks: Boring # 3 Ground elev. ft. � Depth to limiting factor I LI Remarks: SR(LAoagn1R AS /Q9\ i ' yHi4OA '"""P" °1M11 ° '"' ' *OIL ANIJ *111 t tVALUA i IUN H&WUtt I Pap 1 of Labor and Munwn Reistiore 0f •r �` 9uildlrgs in accord with ILHR 83.05, Wis. Adm. Code Nry St. Croix Attach complete site plan on paper not Iese than 6 u2 x 11 inches in size. Plan avid include, but PARCEL I.O. a) not limited to vertical and horizontal rs%renoe point (SM), direction and %of sloe, aces or 038 10550 -20 dirrmnsioned, north arrow, and location and distance to rawest road. APPLICANT INFORMATION— PLEASE PRINT ALL INFORMATION REYIEWEDBY DATE PROPERTY OWNER: PROPERTY LOCATION Greenwood l�nt.er rises, Inc. GOVT. LOT ME 1/4 SW 11013 T 31 AR 18 Adw? PI�PERTY OWNERS MAN.ING ADDRESS L07 s BLOCK # SUBD. NAME OR CSM i 2141 Ct ltd. "C" 68 I na I NorthrAte CITY, STATE ZIP CODE PHONE NUMBER []CITY QYIt I MOWN NEAREST ROAD New Richmoctd WI. 54017 (715 Star Prarie 212 th. Ave. New Contsifpckm Use ( Residential / Number of bedreoms 2 j) Addition fo existing building O Replacement j ) Public or comments! describe Code derived d* Row 600_ gpd mw *d design Wftg rele -,.7 bed. qpdAj2_.a_MCh. gpdNP Absorplion.area relluired 858 bed, 4 7-50_ trench, f 2 Maximum design loading rale ... 7_ bed, +._. 8._ ►, f Remmmended irdUtraRon sunaoe mss} 1 95,90 R (as referred to site plan berxW^ AdlRtiorlal design / site conaderallons na Patent arateriel outvaset► Flood Plein gimbon, if applicable na ft S . &Jog lot "IBM QOW WVAX I MOUND 1VOROUND PRESSURE AT-WDE S"TGA IN FILL FIOLONQ T1WIt u- umultable for S o u cc s C.] u ®S O u ®s O u ®S O u HO S u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Corlsisimce Bourdly Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed 1 -10 10yr2/2 none 1 2msbk mfr CS if .5 .6 1 € 2 0 -24 10yr4/4 none sicl 2msbk mfr gw if .4 .5 Ground 3 4G84 7 .. 5 yr4/6 none Co s Ogg m]. na na .7 .8 9,9..& It /Zo ) /- 2e" Depth to GrtMting - faGOr . " Remarks: Boring d 1 11 10yr2/2 none 1 2msblc mfr cs If .5 ? .6 2 2 1 -24 10yr4/4 none sicl 2msbk Or gw if .4 .5 3 - 84 7.5yr4/6 nave Co S OSg ml na na .7 .8 Ground Depth elev. 99,E it. in factor _tt34"_ Remarks: CST Nar w: -Pkm Print Gary L. Steel Phone: 7 246 -5200 Addten: 1554 200th. a New WI 540V Sigaatme. Doe: 4 -25 -99 CST Number: mO2299 4 RZ==Z 41:6" STEEL'S SOIL SERVICE Gary L. Steel Greenwood Enterprises, Inc. 1554 200th Ave. CSTM2298 NE4SW4 S13- T31N - R18W New Richmond, WI 54017 MPRSW -3254 town of Star Prarie (715) 246 -6200 lot #68- NorthGate This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1 " =40' BM.= top of 1 pvc p ipe C el. 100' Alt. BM.= top of 1" pvc pipe @ el. 99.80' IV 40�4 k� 4 - J Gary L. Steel 11 -9 -98 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 filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 Y ears, 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 C ncy Plan Option . If system fails, determine cause of failure, use alternate area and install new system 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 �' �' ` 1 ' . Property Address / - 3 / /' � / Y v �- v (Verification required from Planning & Zoning Department for new construction.) City /State Parcel Identification Number 0 LEGAL DESCRIPTION Property Location � _ .% , '/4 , Sec. T N R I !U W, Town of p G� ,Lot # /\J0 Subdivision � f�' - � i Volume Page Certified Survey Map # , , : # # t J t- Warranty Deed # ,Volume , Page _— Spec house 9 no Lot lines identifiable 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 owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 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 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. I/we am/are the owner(s) of the rope described above, b virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANTS) DATE *�* Any information tion that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. P 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) —�- O ON o ^ cu 0� 46 X43 45 00 W 4 4 60,300 sq. ft. • ft 1 55 859 . ft. 58,328 s q . ft. in � U3 ac• o w v 1.282 ac. W 1.339 ac. W 1.384 ac. 6D ru v v ^ N cn O� N M v N N z N in in 0 0 - z Z z o 200.00= - -- -- -- 200.00' - - - - - - -- 209.00 = - -- - - - -- 207.47' - - - -- N 89 °11'00' W 930.96' — — — — — 812 t " - -- AVE. -S to — S 89'11'00' E 930.96' is - -- 207.00' - - -- - - -- 205.98' - - - - -- 211.99' -- 127.01 --- - N N 15' O % D v o 0o •ct O �p I N N a` 0� w iW 69 N 68 ru cu 67 �W 66 W W 61,193 sq. ft. N Ln v 1.404 ac 61,139 sq. ft. % N 63,183 sq. ft. ^ I a 62,441 sq. ft. 1.405 ac. . ?I 1.433 ac. +r N 1.451 ac. !n a N oc c S 88'50_ '52' E S 88'50'52' E N S 88'50'52' E N S 88 50 52 E O 35.00 2 70.00' 205.99' z 07. 200' z f ` ^ S 88'5l 207.01 :u 85' P® AND DRAINAGE E 0 SEMENT MAX. ELEV. 1004.0 P $ NO S ALLO ED IN EASEMENT n' 207.39' 137.0l'- - 70.00' - - - 205.99' - — — - - 212.00' - - — — 50.00' z 157.39' - S88 °50'52 "E (RECORDED AS N88'51'11'W) 2575.53' I - 3 SOUTH LINE OF THE NE 1/4 OF NTRY MEADOWS FIRST ADDITION_ ---- VOL, 6 OF PLATS, P. 12 � I ( GENERAL NOT and Township lay G (=� y[8 gg Before purchasing appropriate Town STm = Croix County Pla ST', CROIX C,, Vft . 1 red fbr Ord° ' ' 40 =-..d' 1 NA iti State Bar of Wisconsin Form 2 -2003 REGISTER H. REGISTER OF DEEDS DEEDS WARRANTY DEED ST. CROIX CO., WI RECEIVED FOR RECORD Document Number Document Name 07/06/2006 12:00P111 WARRANTY DEED EXWI # THIS DEED, made between Halle Builders, Inc., a Wisconsin Corporation ( "Grantor," whether one or more), REC FEE: 11.00 and Burton K. Wilson, a married person TRANS FEE: 102.00 COPY FEE: ( "Grantee," CC FEE: whether one or more). PAGES: I Grantor, for a valuable consideration, conveys and warrants to Grantee the following Recording Area described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is David J. EStCeen needed, please attach addendum): Lot 68, Northgate II, St. Croix County, Wisconsin. 304 Locust 5 Hudson 016 , WI 54 WI- 1(oo8 " 038 - 1212 -00 -000 _ Parcel Identification Number (PM) This is not homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated - . I / �� Halle Builders, Inc. (SEAL) ^` '' (SEAL) * *B (SEAL) (SEAL) * AUTHENTICATION ACKNOWLEDGMENT Signature(s) Halle Builders, Inc., a Wisconsin Corporation BY: STATE OF ) authenticated on I ) ss. COUNTY ) *Kristine O land Personally came before me on , TITLE: MEMBER STATE BAR OF WISCONSIN the above -named (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: * Attorney Kristina Ogland Notary Public, State of Hudson, WI 54016 My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED C 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 * Type name below signatures. INFO- PROT" Legal Forms 800 - 855 -2021 www.infoproforms.com i 1of1 I Parcel #: 038 - 1212 -00 -000 07/12/2006 03:55 PM PAGE 1 OF 1 Alt. Parcel M 13.31.18.1158 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 O - HALLE BUILDERS INC HALLE BUILDERS INC 1113 HWY 64 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ` = Primary Type Dist # Description ` 1331 212TH AVE SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 1.404 Plat: 2228 - NORTHGATE II 038/01 SEC 13 T31 N R1 8W NE SW LOT 68 NORTHGATE Block/Condo Bldg: LOT 68 I I Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13-31N-18W NE SW Notes: Parcel History: Date Doc # Vol /Page Type 06/03/2003 724279 2262/222 WD 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.404 27,800 0 27,800 NO Totals for 2006: General Property 1.404 27,800 0 27,800 Woodland 0.000 0 0 Totals for 2005: General Property 1.404 27,800 0 27,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 12/0411998 Batch M PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00