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HomeMy WebLinkAbout038-1061-95-200 \ c : \ } 0 ; m a) % ƒ\ � 0 % E3 ] -0 / \\ o= »J � ( \ @e= \// \ \E 2 7onm % 0 a & \ §ems 2$\ . � \ \\ \( _§ % ! i § _ ea ; r / / a m § % \ z $ : { k - § > , } $ - : G 2 r 2 & \ E § S , � 3 \ �f { \k � >k 2 \ " \ CL z \ ) 3 R Eg \ 0 \ \� yZo §3 a \ LO ) E ƒ k)k \ Q a§ k 2 / A k � \ i§ \ \ k § 0 k \ / 7 7 ® \ g G @ / § f § § \ cl) I a 3 k k } / f t» k3 ° / o o - -- I § 3 \ c ) \ » ° ` C C c \ \ § § \ \ / @ p 2 / / = G =) ® - o s \ Q {@ G m: o= . \ > t 7 S §- m t 2 ® \ ¥ § 7 r z 2 G § / ) G % \ z 2 n @ , ■ / \ . \ E 2 § k a \ / / CL / L Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM CountZt C roix Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanita 2J o.: Personal information you provice maybe used for secondary purposes [Privacy Law, x.15.04 (1)(m)). `slibi*99''"Wh ❑ Cit ❑ VgKW p Towns ip State Plan ID No.: , CST BM Elev.: Insp. BM Elev_: BM Description: Parcel 03i 1061 _95_200 o ' TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark U 1/ A l t. BM DcLj p2. Aeration Bldg. Sewer 7W Z Holdi g t Ht Inlet .33 L TANK SETBACK INFORMATION Ct) Ht outlet TANK TO P/ L WELL BLDG. Ventto Ai Intake ROAD Septic 37j / Jl - /Z/ NA NA Header / Man. 0 9G• za Aer A Dist. Pipe P Holding Bot. System PUMP/ SIPHON INFORMATION Fina -Grade �: o facturer Demand Model Number M TDH Lift Friction Syste TDH Ft Loss H ead For ain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM � r Te BED/TRENCH Width Len th , No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth D IMENSIONS -3 S L DIMEN I N SYSTEM TO P / L BLDG WELL LAKE /STREAM L CHING Manufa ur r: SETBACK H MBER INFORMATION Type O Moe Number: — r O � r S DISTRIBUTION SYSTEM Header /Manifold p Distribution Pipe(s) i x Hole Size x Hole Spacing I Vent To Air Intake Length —S— Dia. Length T3. _7 25Dia. Spacing ✓� }G o 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 InS ectio #'Q Yes / ❑ /No Ins ; ;Yon #21 No / L COMMENTS: (Include code discre ancies, persons present, etc.) Location: i 2119 Count Road �C Star Prairie WI 54026 SW 1/4 SW /4 15 T31N R18W) - 153118270D10 y -Lot 7 q),, ("e j 41i ( 1.) Alt BM Description = `�a o s-A "e-en 2.) Bldg sewer length = ± I JI r - - amount of cover =->t� 3 � a�seiv ,`I� P; pes it ,jla,lle,4 Plan revision required? ❑ Yes No Use other side for additional information. /01 !� P SBD -6710 (R.3/97) Date Inspectors ignature Cert No. k i I I I i (,3v � �� �� o ,_ �� , k �` �� ��_ d 9 a � y 13' 3A o O R'' ,— �_ �— PLO LAN PROJECT Rvan Shortess ! R 2298 Huntinaton Dr. Star Prairie Wi 54026 SW 1/4 SW 1/4S 15 / T 31 N J 8 TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 5/6/01 BEDROOM 4 CONVENTIONAL XXX IN-GROUND;/PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 500 # of chambers 30 / V.R.P. Top Of 2" Pipe ASSUME ELEVATION I00' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark Plans Designed Using Conventional Powts SYSTEM ELEVATION 94.8 Manual Version 2.0 �It.M Top of Lath @ 100.6' County Road CC k16 > 12 „ Sidewinder High of Cover Capacity Leaching Chamber 6, Long Grade at System Elevation 34" Pro 4 Vents Bedroom 5' 15' House 5% T Slope B -1 1 Alt. .M. 5' B _ 0' 45' 2 -3' X 94' Cells with >3' Spacing a a i Vents90' 0 00 843' Property Line 150' jtlz : cl 3 To t� Z 11 9 C oG,., ``r RoA. p " CC.." Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 lVise6ns 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 forte to county if not state owned.) Attach complete plans (to the county copy only) for the syst ; on p riot less an 8 -1/2 x 11 inches in size. County I State Sanitary Permit Number ❑ Check if vision to previous ippt icatj6k State Plan I. D. Number I. Application Information - Please Print all Information r ��``.av� cation: Property Owner Name 7 operty Location Ij 1J4�(,r�114, S �J T - 3/ ,N, R13 (or Property Owner's Mailing Address 4 ,e °` ` t Number Block Number City, State Zip Code >> Phon umber j Sub divisio Name or CSM Number 3 so� I) of Building: (check one) as P✓ s ❑ City 1 or 2 Family Dwelling - No. of Bedroorns : ❑ Village ❑ Public /Commercial (describe use):_ Town of ❑ State -Owned e st Road cam' �r n j� Z 3 3 I .� ' ,y,-� � O5 Parcel Tax N ber(s) _ 1D — —A III. Type of P mit: (Check only one box on line A. Check box on line B if applicable) 1 S , 31 , 6 `a r7 a D - 16 A) 1. New 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) X-- (CO ,9 0 5 5 — fi-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. Desip Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 1 7. Final Grade / Required Proposed Rate (Gals. /day /sq. R.) (Min. /inch) I Elevation �5 / - 2-- Yl 2� 1 0 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 ❑ ❑ ❑ 13 ❑ VIII. Responsibility Statement 1, the undersigned, assume responsibility for installa§on of the PO sh on the attached plans. Plumber's Name (print) Plumber's gn a stamps K. MP/MPRS No. Business Phone Number woe Plumber's Address (Str ity , State, Zi o -e) lv� �:7 � � sL l IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Iss ing Agent Si ature (No stamps) Approved ❑ Owner Given Initial Adverse 3urc ge Fee) r Determination 22 S. A ZAO X. Conditions of Approval /Reasons for Disapp ooval: � ` >� Pxl� =' Z � °" S.�,t caw, e— •�,�,z S n n is /wuu►�� as ps. s re.Cew��nti¢anOt.�ttSU SBD -6398 (R. 07/00) PLO LAN PROJECT Rvan Shortess R 2298 Huntinaton Dr. Star Prairie Wi 54026 SW' 1/4 SW 1 /4S 15 /T 3 NJ` 81 TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 / DATE 5/6/01 BEDROOM 4 CONVENTIONAL XXX IN -GROUN RESS RE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 500 # of chambers 30 ,/— "ENCHMARK V.R.P. Top Of 2" Pipe ASSUME ELEVATION L Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P Same as Benchmark Plans Designed Using Conventional Powts SYSTEM ELEVATION 94.8 Manual Version 2.0 �It. Top of Lath @ 100.6' County Road CC jL Sidewinder High Capacity Leaching Chamber Grade at System Elevation 34 Pro 4 Vents Bedroom 5' 15 House 5% T Slope B -1 Alt" .M. 5' B - 0, 45' 2 -3' X 94' Cells with >3' Spacing a B -2 a Vents 0 00 843' Property Line 150' • 4 Wisclinsin Department of Commerce SOIL EVALUATION REPORT Page _L_ of- Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Ol Attach complete site plan on paper not less than 8 1f2 x 11 inches in size. Plan must County S i r 1 � 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. 0 3 � Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). M. Property Owner Property Location r Pu a r �� ( Govt. Lot �L "J ;,)/4 S �T N R f E (oi Property wner's Mailing ddress Lot # Block # Subd. Name or CSM# City State Zip Cn8h Phone Number ❑ City ❑ Village Town Nearest Road f (S ) rcx� /ZcCl C C, New Construction User Residential f Number of bedrooms Y Code derived design flow rate GPD ❑ Replacement ❑ Publi or commercial -Describe: Parent material K_�) � Gtr — Flood Plain elevation if applicable ft. General comments and recommendations: S � s. ,,,_ l Boring # .a Boring pit Ground surface elev ► ft. Depth to limiting factor 411_ a in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 94r. 9-0' `9• Boring # ❑ Boring l7 ❑� Pit Ground surface elev e�n_ ft. Depth to limiting factor Ao in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 627 6 L kr, 2 * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 _< 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS _< 30 mg /L CST Na (Please Print) Si at a CST Number 6� 0 Address Date Evaluation Conducted Telephone Number X68 SBD -8330 (R07 /00) . . Property Owner Parcel ID # Page of Boring # Boring Pit Ground surface elev.1 2, ft. Depth to limiting factor / c/ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. C ont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 //` 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 /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ 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 /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If ou need assistance to access services or p 9 Pp tY P Y need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) } Soil Test Plot Plan Project Name Ryan Shortess Shaun Bird. j Address 2298 Huntington Dr. Star Prairie Wi 54026 CS 2 900 Lot 7 Subdivision - ------ Date 5 / 6 C 61 S W 1/4 SW 1 /4S 15 T 31 N /R W Township Star Prairie F1 Boring ()Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 2" Pipe System Elevation 94.8 *HRP Same as Benchmark Alt, BM To of Lath P @ 100.6' County Road CC 97' 98' Pro 4 99 Bedroom House 5% B- 25' Slop Alt 5, .M 0 , 3 10' 45' B -2 30' 90' 0 r, 00 843' Property Line 14- 150' 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 ear. Please note: a larger filter is being installed in Y g 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. 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 Shaun Bir #226900 ST CROIX COUNTY SEPTIC TANK MAM9NANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM I Owner/Buyer R IAn L ot it E Mailing Address . .I Property Address 2- l 1 9 C o vA�7 oq n CC (VaMostion required from Plaaming Department fbr new construction) �S city/State Parcel Identification Number MA.L DESCRIPTIOLY Pmpa%y L=IdOW :2 r /,,5 r /4, Sec. T 3/ N•R_LCLW, Town of S r Subdivision Lot # Certified Survey Map # S � S O 6 J Volume 1,3 . Page # Warranty Deed # �d L f Volume Pa e 7 . -- g # Spec house ❑ ye Lot lines identifiable yes 13 no SLUM MADMAM Improper use system could result in its premature failure to bandlo wastes. Proper maintomaace consists of pnmpiag but sire Septic task every duee years or sootier, if needed by a licensed pumper. What you put into the system can affect dw ftmedam of the Septic *A as a treatetemt stage in the waste disposal system. 1U PmP=tY Owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a Masier Plumber. Jounaeyman Plumbes~ restrictedpb=ber or a licensed pumper verifying that (1) the ou-sne waetcwater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 hell of sludge. Uwe, tike undersigned have read the above mT*ements and agree to maintain the private sewage disposal system with the stsmdards set forth,, herein. as sat by doe D%Wtmeatof Commerce sad the Department of Natural Resources, State of Wisconsin, Certification stating that your septic system has been maintakied must be completed and returned to the St. Croix County Zoning Office within 30 days of three year date. SIONATM OF APPLICANT DATE OWNER CERMICA ON I (we) certify that all staterarzits on this fora are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the pro described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGMA OF APPLICANT DATE •' « *•* Any in Ommtion that is mis- rePcasaated may result is the sanitary permit being revoked by the Zotaiag Dops►ArnIt,' 4 ' Inetude with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey neap if reference is made in the warranty deed • is yoL 1444PAGE 72 STATE BAR OF WISCONSIN FORM I - 1982 60734 9 WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS DOCUMENT NO. ST. CROIX CO., WI __ - --- _ -_ . — - - -- RECEIVED FOR RECORD Thi Deed made between YIEREGGE CONSTRUCTION 07 -23 -1999 10:00 AN COMPANY, Inc. WARRANTY DEED EXEMPT 11 Grantor, CERT COPY FEE: and _ S Shorte55 d 5111412 D2rSon COPY FEE: TRANSFER FEE: 120.00 RECORDING FEE- 10.00 PAGES: 1 Grantee, Witnesseth, That the said Grantor, for a valuabk Donsiderati I conveys to Grantee the following described real estate in I THIS SPACE RE SERVE D FOR RECORDI D AT A County State of Wisconsin: - NAME AND RETURN ADDRESS BANK OF NEW RICHMOND_ PO BOX 128 NEW RICHMOND, WI 54017 I 038 1061 95 PAgCEI IDENTIFICATION NUM BER Lot T of Certiffied Survey Map filed September 30, 1998 in Volume 13 of Certified Survey Maps, page 3512, as Document no. 588061, located in the SW1 /4 of the SW1 /4 of Section 15, and in the S81 /4 of the 881/4 of Section 16, all in Township T31N, Range 18W. Also being a part of Lot 4 of C.S.M. Volume 11, Page 3251, Town of Star Prairie, St. Croix County, Wisconsin This is not homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And j warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except EASEMENTS, RESTRICTIONS AND RIGHTS - OF - WAY OF RECORD, IF ANY. and will warrant and defend the same. Dated this 19th day of JULY lg 99 - P (SEAL) (SEAL) C. (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, lI j ss. ST CROIX County. J authenticated this day of 19_ personally came before me this 19th day of _ JU1 V 19_ 9 , the above named TITLE: MEMBER STATE BAR OF WISCONSIN (if not, authorized by 9706.06, Wis. Stars.) to me known to be the person who executed the foregoing instrum t a w(cd THIS INSTRUMENT WAS DRAFTED BY TERESE SCHACHINER FOR BANK OF NEW RICHM °- • ROSE ANN }� Notary Public, Y County, Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is 1k not, state expiration date: necessary} 8/161 -- - -- - 2- Names ons signing to any capacity should by typed or pa F - 1982 nted below their signatures. STAT BAR OF 51N r'WAftA.TYt,E�, f ' r whtaialn Lspal 9anh Co., Ina. Form No. 1 1982 INhvsukas. Wh. FILED 6 SEP301998 S ludr /0 SLCrax co, wl 588001 N CERTIFIED SURVEY MAP LOCATED IN THE SW 1/4 OF THE SW 1/4 OF SECTION 15 AND IN THE SE 1/4 OF THE SE 1/4 OF SECTION 16, T31N, RIBW, BEING PART OF LOT 4 OF C.S.M. VOLUME 11, PAGE 3252, TOWN OF STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN PREPARED FOR HOBBY FARMS, INC. x INS z NOTE: BEARINGS ARE REFERENCED TO THE EAST E 114 CORNER OF LINE OF THE S£ V4 OF SEC. AS SECTION 16, T31N, 16, (MEASURED T. y R18W. (I' IRON PIPE COORDINATE W, ST. C CO. FOUND). COORDINATE SYSTEM)• C.S.M. VOL. 10, PG. 2937 ............... ............................... I' o UNPL ATTED L ANDS 19, f 6' _ _ 0.93' N 8vov 07 6 860: 57 50. 09' 810.48' V ' NOTE: SEE ACCESS : 1 5 0301 DETAIL BELOW N 68 " 35. W. / z LOT 7 "' Qv: / � S 89 ° 06' 07 "W 316. 13' N 68 4 o- y V $4.43 LOT 6 w $ m 37.44 �" ;•� N 68 ° 20' 36 "W' / 254. 75' 103.26' Mi 20.00 : " S 87 50' 21' W 395.45' ro ; :0 G.• ' O: 2 .o n2 .41 G. ° .••j 5 6 j r- w {{ te n ''•. ]7 °•, i0 Z NIA ,rc `•. 0 a LOT AREAS 's� � / y LOT 6 2.00 ACRES (87,144 SO. FT.) .� 1. 50 AC. EXC. RiW ................... (65,30) S0, FT. ) SE CORNER OF SEC. 16, LOT 7 8. 51 ACRES T3 /N, R / 8W. (COUNTY (370,760 SO. FT. ) MONUMENT FOUND ). 8. 14 AC. EXC. RAW (354,596 SO. FT. J ET I" X 24" IRON PIPE WEIGHING / l „•)+ "1 r." PER L INEAR FOOT N C8 ° 20' 36 FOUND 1 " 1 RON PIPE 1 35.00' • 98 a N 68 84.43' © M' 63. ?0 00 r..ran , � -i.•..mip /' /9• N 68 ° 20' 36 "W o >e, >zien 20. 00' f F� ACCESS DETAIL a •d zoo 40o JAMES M� *SEB 6-1804 SHEET I OF 2 ATEDN 8 R LANDURVEYlNG 97028E THIS INSTRUMENT DRAFTED BY JIM WEBER w. 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