HomeMy WebLinkAbout038-1071-30-030 Vlisconsi! Count St. Croix
4 fety and Building Division Sanitary Permit No:
INSPECTION REPORT 499263 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:
Germain, Stephen I Star Prairie, Town of 038 - 1071 -30 -030
CST BM Elev: Insp. BM Elev: BM Des f iption: Section/Town /Range /Map No:
/ 6b �- l n ' (/A-�- 1, 3 1 , 00.1 17.31.18.296A27
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic ,/ f _ / 5-y Benchmark 91 � /QO
Dosing ]-'t•(/ Alt. BM I V 4 7
Aeration Bldg. Sewer -30 3 SG L 7 V
Holding St/Ht Inlet
I'P -3
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet �—
Septic � D � � r!� � � b f 2 Dt Bottom � 2• � 9y. !�
Dosing Header /Man. 10 e ( 1 - 7
Aeration — Dist a- Z Sty / C S
t H I, lets 11.149
Holding Rot, Syst m 7
Lj
Final Grad
PUMP /SIP ON INFORMATION Q Uli� Sl $
Manufacturer c / o Demand St Cover
Model Number ki t-V I A
I ? 6
TDH Lift Friction or SystegHe d TD •' Ft ' __ -
Force
main Length , t Dia. Z ,, Dii to W 11 / / •G i y V B3
SOIL ABSORPTION SYSTEM 7 a �i I
BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia, Liquid Depth
DIMENSIONS /�
SETBACK SYSTEM TO l P/L BLDG WELL LAKE /STREA LEACHING Man .lure
INFORMATION CHAMBER OR
Type System: 1 o i \ .l UNI Model Number: 01 4JA,
T IBUTION SYSTEM f2 4k ob S
Head anifold Distribution LL I x Hole Size i x Hole S cing Ven to Air Inta�l e
�} / Pipe(s) y T N /
Lengt Dia Length Dia Spacing /'1
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded /Sodded 1 xx Mulched
Bed/Trench Center Bed /Trench Edges Topsoil �1 11 Yes No Yes No
COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: 7 /— Z'�33// ( I r � t Inspection #2:
Location: 2142 100th Street Star Prairie, WI 54026 (NE 1/4 SE 1/4 17 T31N R18W) Lot 2 ! :P `^ Parcelblo: 17. 1. ` 18.296A27
1.) Alt BM Description
2.) Bldg sewer length = !_ ' alt /J
- amount of cover
CtlLt�w �•
aAfy '
Plan revision Required? Yes /No •f i��
Use other side for additional information.
Date Insepctor's Signature Cert. No.
SBD -6710 (R.3/97)
,r
Safety and Buildings Division County / j,� 1
8V& 201 W. Washington Ave., P.O. Box 7162 ✓ � Madison WI 5370? - 7162 Sanitary Pemnit Nmber (to be filled in by Co.)
n (608) 266 -3151 y 9 9 Z 3
Department of Commerce Star Plan I.D. Number
Sanitary Permit Application N
In accord with Comm 83.21, Wis. Adm. Code, personal inform uion y ` E NE D ddress (if differen than mailing address)
maybe used for secondary purposes Privacy Law, s 15 (1)( .� L
T. Application Information - Please Print N 3 2 �-
property Owner's Name Pa ct l # Lot # Block #
S CROIX COUNTY — Q33
C petty Location
Property Owner's ailing ess
r /
J 1 L ✓ AS v., section /
City, State /_1p Code Phone N \
; N; I0�E l r W e �� 1 f� �� ✓
TT T pe of $uild►ng (check all that apply) orc &1 Subdivi ion Name CSM Number
2 Family Dwelling - Number of Bedrooms U 1
❑ publiclCommercial - Describe Use I "
❑ State Owned - Describe Use
OCi _ ❑villa�� hip of
ITT Type of Permit: (Check only one box on line A. Complete line B if applicable)
A. ew System [I Replacement System [I Treatment/Holding Tank Replacement Only C1 oil= Modification to Existing System
�—
List Previous Permit Numbe_
B. El Permit Renewal ❑ Permit Revision [I Change of El Permit Transfer to New /
Before Expiration Plumber Owner 2
IV. T of POWTS S stem: Check all that app _ - - -" J
on - Pressurized In- Ground [I Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade m= a S Filter 11 Constructed Wetland Pressurized
ln- ❑ - ing Tank ❑ Peat Filter ❑ Aerobic Treaunent Unit ❑ Recirculating S d "lter '�
Recirculating Synthetic Media Fil hing Chamber Drip Line ❑ Gravel -less Pipe ❑other (explain) / (]
v. Dis ersal/Treatment Area formation: Dish Arm proposed Sy Ieva ' n
Design Flow (gpd) Design Soil A Dispersal Area RI I I I:d�f) Pe
6 'Tank Info Capacity in Total Number Manufacturer Prefab Slto Steel Plastic
Gallons Gallons of Units Concrete Constructed Glass
lvew Ddsting -
TanI Tanks
Septic or Holding Tank ?�
Aerobic treanmentUnit
Dosing Chamber j(
VH. Responsibility State t- X the undersign nine responsibility for Installation of the POWTS shown on the attached plans
Plum Ws Name (Print) Plumber' azure MP/MPRS Number Business Phone Nwnber
Plumber's Address (Street, City, State, Zi
l J /
VIII. Countv/DeiDartmeut Use Onl
Sanitary Permit Fee (includes Groundwater Date Issued Issuin gent Signature
Approved ❑ pprove Surcharge Fee) 00 1 Z 7 D(p
❑ wner " en Reason o enial ' n
DL Conditions of Approval/Reasons for Disapproval 3 \ 5 . o 5 • �t
SYSTEM OWNER:
1. Septic tank, effluent finer and a v P
dispersal cell must all be services I maintained � 5 � 5 e ✓``
as per management plan provided by plumber.
2. All setback requirements must be maintained V�o (,'L° �-5 A
as per applicable code I ordinances. /
Attach complete plans (to the County only) for the system on paper not less that 81/2 x I I inches in size
SBD- 6398 (R. 01/03)
PLOT PLAN
PROJECT Stephen Germain ADDRESS 19136 Riverview Lane Somerset Wi 54025
NE 1/4 SE 1 /4S 17 / 1 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 11/28/06 BEDROOM 4
CONVENTIONAL IN-GR ND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 LIFT TANK SIZE765 DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1500 # of chambers 60
IL BENCHMARK V.R.P. top of 2" pvc pipe ASSUME ELEVATION 100 Filter BEST Filter
❑ BOREHOLE WELL *H.R.P. Same as Benchmark
Well is to meet
setbacks required by SYSTEM ELEVATION 98.5/97.5/96.5 3.5' below qrade
WDNR Vent
>6 » ARC 36 Biodiffuser
Alt. BM Top of Wood Stake @ 100.0' of Cover Leaching Chamber
with 25.0 ft2 of Area
Plans Designed Using 11 "
Conventional Powts 5' Long
Manual Version 2.0 36 Grade at System Elevation
Alt. jV
.M. �
10' *
B.M.
26 f
15'
7/ -2 Oz4#O' I'
-fo dri V W
IS . 4 Pro 3
' Bedroom
b House
15%
Slo 20'
.ve I rive 20% B -3
Slopes 100' Huffcutt Combo Tank
I�
35'
101.
3-3'X 100' Cell ith 50'
>3' spacing
IF
B -5 30' B -1 �q6.
100
175'
100th St. 0i
PLOT PLAN
PROJECT Stephen Germain ADDRESS 1913B Riverview Lane Somerset Wi 54025
NE 1/4 SE 1 /4S 17 / 6N/R 18 W TOWN Star Prairie COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 11/28/06 BEDROOM 4
CONVENTIONAL IN -GRO D PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 LIFT TANK SIZE765 DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1500 # of chambers 60
hk BENCHMARK V.R.P. t0 i
of 2" vc e
P p pi pe ASSUME ELEVATION 100' Filter BEST Filter
❑ BOREHOLE WELL * H. R. P. Same as Benchmark
Well is to meet
setbacks required by SYSTEM ELEVATION 98.5/97.5/96.5 3.5' below qrade
WDNR Vent
>6 „ ARC 36 Biodiffuser
Alt. BM Top of Wood Stake 9 100.0' of Cover with hi 0 C h ft2 of Area
Plans Designed Using 11 "
Conventional Powts 5' Long
Manual Version 2.0 3 6 „ Grade at System Elevation
Alt.
B.M.
10'
B.M.
15'
30' B -2 40 '
B -4 Pro 3
Bedroom
House
15%
Slo 20'
.ve E Irive 20% B -3 Huffcutt Combo Tank
Slope t6
I� 35'
3 -3' X 100' Cells with 50'
>3' spacing
B -5 30'
B -1 too-
100
175'
100th St.
Wisconsin Department of Commerce SOIL AND SITE EVALUATION
Division of Safety and Buildings Page _L of
Butaau of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County ,
include, but not limited to: vertical and horizontal reference point (BM), direction and <� 6w,
percent slope, scale or dimensions, north arrow, and location and.di�tance to nearest road. Parcel I. D. #
APPLICANT INFORMATION - Please print all information. R iewe Dat
Personal information you provide may be used for secondary purposes �PnvacyLaw,'s. 15.04 (1) )). i 7 ��
Property Owner Prope Location
r ".
Govt. LQt N 1/4 1 /4,S T3 ,N,R / E ( r) W
Property Owner's Mailing Address c Lot #_ Block# Subd. Name or CSM# y .
city Sg Zip Code ( ttone umber City El village Town Nest Road
I A16W)QJ 1W
r c
New Construction Use: sidential / Number of bedrooms Addition to existing building 3 ��
❑ Replacement X LJ Public or commercial - Describe:
Code derived daily flow 1/5 6 gpd Recommended design loading rate 1 bed, gpd/ft r trench, gpd/ft
Absorption area required / / - bed, ft _ trench, ft Maximum design loading rate bed, gpd/ft ' s trench, gpd/ft
Recommended infiltration surface elevation(s) 9T YL 97 0 ft (as referred to site plan benchmark)
Additional design /site considerations aaz 0'
Parent material ! Flood plain elevation, if applicable /t/ ft
S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank
U = Unsuitable for system � El ❑ S 'U ❑ U ❑ U El S ❑ S U
SOIL DESCRIPTION REPORT
Boris # Horizon Depth Dominant Color Mottles Structure GPD/ft
9 Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
': � / C
Ground �• s . �+'` /� /'r / J
elev.
Depth to G �
limiting L — ,r&
�
" 9 Remarks:
Boring #
WN
Ground
s�
Depth to
limiting
for
.�/
Z6 n. Remarks:
CST Name ( Print) Signature /� Telephone No.
. 5 1 !
Address _ Date CST Number
SOIL DESCRIPTION REPORT
PROPERTY OWNER Page of -
PARCEL I.D.#
Boring Horizon Depth Dominant Color Mottles Structure 2
g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots
Bed Trench
1
,nom l
Ground 3
e t ft
Depth to
limiting
/ factor
— / LO in.
Remarks:
Boring # X.
Ground K lev.
� ft.
Depth to
limiting
factor
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Boring # / D / ✓�_ ��
/102
Ground
Depth to
limiting
factor
2/ �?X' Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
SBD -8330 (R.9/98)
Wisconsin Department of Commerce SOIL AND SITE EVALUATION
` b6vision of Safety and Buildings Page of
Buraou of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code -3
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County s
include, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, scale or dimensions, north arrow, and location and_distance to nearest road.
_. Parcel I.D. #
APPLICANT INFORMATION - Please p� nt all infor R iew Dat
Personal information you provide may be used for secondary purposes!PhV$ey l s. 15.04 (1)
Property Owner / Pro04 Location J
Govt._ t N 1/4 5 1/4,S T� ,N,R / E (r) w
Property Owners Mailing Address : T '�it ', Lot -#. Block# Subd. Name or CSM#
> COUNTY
City Stat p Code ttige,., umber City ❑ Village Town
g Zi Cd d Nearest Road
O New Construction Use: tublic esidential / Number of bedrooms _„� Addition to existing building 3
1:1 Replacement / or commercial - Describe:
Code derived daily flow 7 �J b gpd Recommended design loading rate _bed, gpd/fi trench, gpd/ft
Absorption area required bed, ft trench, ft2 Maximum design loading rate ' bed, gpd/fl ' '5 trench, gpd /ft
Recommended infiltration surface elevation(s ) 9� 7 O 0 It (as referred to site plan benchmark)
Additional design /site considerations O. el
Parent material ! Flood plain elevation, if applicable ,N J ft
S
U = Suitable for system Conventional Mound In- Ground Pressure 1 System in Fill Holding Tank
= unsuitable for system . �5 El ❑ S T - u ❑ u U ❑ S ja::�- ❑ S —_0 U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2
in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots
Bed ,Trench
Ground - 7.
elev.
Depth to f�'`CO G
limiting G �-17t - 4,64 _f u- _&UAa
�
Remarks:
Boring #
cl 3
Ground rn
�ft.
Depth to
limiting
fa or
/ JP in. Remarks:
CST Name (Please Print) / Signature v Telephone No.
Address Date CST Number /
Soil Test Plot Plan
Project Name John L. Peterson Sha
Address 2351 110th St.
New Richmond Wi 54017 TM 4226900
Lot Subdivision Date 6/4/00
NE 1/4 SE 1/4S 17 T 31 N /13 W Township Star Prairie
n Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of 2 "pvc pipe
System Elevation 97.4/97.0/ Rep 95.0 *HRP Same as Benchmark
Alt. BM Top of Wood Stake @ 100.0'
Alt
.M.
10' *B.M.
15'
30' B -2 40'
0
B -4 Pro 3
Bedroom
50' House
15%
Slo
20% %3
� Slope
?bY
5T
10 0
B -1
� B -5 30
gq�t
100
2q6 Pty) , of
2 2 a}
100th St. e� s ? SIC g� cf
S
Soil Test Plot Plan
Project Name John L. Peterson Sha
Address
2351 110th St.
New Richmond Wi 54017 TM 4 226900
Lot Subdivision Date 6/4/00
NE 1/4 SE 1/4S 17 T 31 N/1318 W Township Star Prairie
R Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of 2 "pvc pipe
System Elevation 97.4/97.0/ Rep 95.0 *HRP Same as Benchmark
Alt. BM Top of Wood Stake @ 100.0'
Alt
.M.
10'
B.M.
15'
30' B -2 40'
B -4 Pro 3
Bedroom
50' House
15%
� Slopes
a�
20% B -3
Slope/
cza
50'
B -5
30' B -1
100
175'
100th St.
ST. CROIX COUNTY, WISCONSIN
I
�f the soils --- Continued structure; brown (7.5YR 4/4) heavy as representative of
sandy loam (132t) ; moderate medium and and the surface layE
Soil Acres Percent fine subangular blocky structure; friable; Included with thi:
common roots; about 15 percent coarse areas of Amery loa
fragments by volume; neutral; clear wavy soils. Also included
Percent slopes --- - - - - -- 7,350 1.6 boundary, silty sediment are it
percent slopes, eroded -- 3 ,150 .7 IIB22t -15 to 24 inches; reddish brown (5YR 4/4) the soil is severely er
2 percent slopes - - - - -- 7,000 1.5
6 percent slopes ------ 16,800 3,6 heav sand loam; moderate medium sub- surface layer, and
2600 6 angu ar locky structure; friable; few than 6 percent or m
to 3 percent slopes ____ 16,200 3.4 roots; about 15 percent coarse fragments Runoff is medium.
s
-- - - - - -- -- - - - - -- 1,100 .2 by volume; medium acid; clear wavy erate. Erosion has c,
Percent slopes - -_- 18,500 4.0 boundary. to 12 percent slopes, y. has reduced the con
3,250 • 7 II133 -24 to 31 inches; reddish brown (5YR 4/4) face layer in most pl,
to 6 percent slopes ----- 2,950 .6 sandy oam; weak coarse suban ular This soil is suite
to 12 percent slopes, __ blocky structure; rra e ; ew roots ; amount of corn. Co:
to - 25 percent slopes, 3,100 .7 a ou 5 percent coarse fragments by and maintaining till
----- - - - - --
_- - - - - -_ 1,300 .3 volume; few strong brown (7.5YR 5/8) important factors
5,730 1.2 sand coatings on faces of peds; slightly unit IIIe -7; woodlai
-- _ - -__ 469,760 100.0 A1D2 —Amery sai
IIC-31 to 60 inches; yellowish red (5YR 4/6) eroded. This soil is
sandy loam; massive; about 15 percent Most areas are irreg
coarse fragments by volume; friable; few 100 acres in size.
roots; slightly acid. This soil has a pr(
The solum ranges from 30 to 40 inches in thickness. representative of t1
ately drained, a few areas are suited The Ap horizon is dark grayish brown or dark brown sandy loam rather t
)ability unit IVw-3; woodland group sandy loam or loam 5 to 10 inches thick. In uncultivated Included with tU
areas the A horizon is very dark brown or very dark of Amery loams an
grayish brown and 2 to 4 inches thick. Cromwell and Emm
The B horizon is sandy loam or sandy clay loam. The areas where layers
C horizon is mainly sandy loam, but it ranges to loamy few small areas wh(
ies consists of gently sloping to steep, sand in places. The B and C horizons are 5 to 15 per- has a cobbly and g
on ground moraines, end moraines, cent coarse fragments. These soils are medium acid to small areas where
A drift. These are,loamy soils under- neutral in the B horizon and medium acid or slightly more than 25 percer
m till. Native vegetation was mainly acid in the C horizon. Runoff is rapid, a
ik, white birch, and aspen. Amery soils are near Cromwell and Santiago soils In most areas erosiol
tive profile the surface layer is dark and Jewett, sandy substratum. They lack the moderately and has reduced the
9 inches thick. The subsurface layer thick silt mantle and the loam B horizon typical of surface layer. This ;
of brown loam. The subsoil is brown Santiago soils and Jewett, sandy substratum, soils. This soil is suited
i, friable sandy loam about 19 inches Also, Amery soils lack the sandy C horizon typical of is frequently used R
itum to a de th of 60 inches y is el- Cromwell soils and Jewett, sandy substratum, soils. maintaining tilth ar
sandy loam. They contain more clay and less sand than Cromwell portant factors of €
capacity and permeability are mod- soils. VIe -4; woodland gr-
tility ranges from medium to low. A1B — Amery sandy loam, 2 to 6 percent slopes. This AmB — Amery loa
;er content of the surface layer is soil is on ridges of ground moraines or on knolls and is on ridges of grour
foot slopes of pitted glacial drift. Most areas are irregu- or irregular in shai
these soils are moderately steep or lar in shape and range from 5 to 40 acres in size. in size.
r soils are in hayland, pasture or This soil has a profile similar to the one described as In most areas thi
tly sloping and sloping soils are used representative of the series, but the subsoil is thicker one described as rep
alfalfa. and the surface layer is sandy loam rather than loam. wise the two profile,
?rofile of Amery loam, 6 to 12 per- Included with this soil in mapping are a few areas Included with thi:
, in a cultivated area, 30 yards east of deep, silty soils and a few areas of Amery loams and areas where the sur
rth of southwest corner of sec. 21, silt loams. Also included are a few small areas where cluded are a few sn
slopes are less than 2 percent or more than 6 percent. lain by sand and gr
=hes ; dark brown (10YR 3/3) loam, Runoff is slow, and the hazard of erosion is slight. slopes are slightly m
sand content; moderate medium sub- This soil is subject to soil blowing. Runoff is slow, an
lar blocky structure parting to mod- Most areas of this soil are cultivated. The soil is mod- This soil is well sr
fine and medium granular; friable; erately well suited to corn, oats, alfalfa, and most crops frequently used for c
roots; neutral; abrupt smooth commonly grown in the county. Controlling erosion and on relatively long slE
iary. soil blowing are important factors of good manage- management. Capat
inches; brown (10YR 5/3) loam, ment. Capability unit IIIe-4; woodland group 2o1. 2o1.
sand content • weak medium platy A1C2 —Amery sandy Ioam, 6 to 12 percent slopes, AmC2 —Amery to
:ure; friable; common roots; neu- eroded. This soil is on end moraines and pitted glacial This soil is on en
clear wavy boundary. drift. Most areas are irregular in shape and range from moraines. Most are,
inches; brown (10YR 5/3) 5 to 60 acres in size. from 5 to 60 acres i
loam (A2) ; weak medium pla This soil has a profile similar to the one described scribed as represent.
8 1 2 0 5 3
VOL 20 PAGE 5101
KATITESBR H. VALSH
REGISTER OF DEEDS
RE CEIVED
CERTI FI E1, SURVEY MAP 11/15,25 09:00AM
LOCATED IN PART OF THE SE1 /4 OF THE CERTIFIED SURVEY MAP
NE1 /4 AND IN PART OF THE NE1 /4 OF THE REP FEE: 13.00
COPY FEE: 3.00
SE1 /4 OF SECTION 17, T31 N, RI 8W, TOWN PAGES: 2
OF STAR PRAIRIE, ST. CROIX COUNTY,
WISCONSIN. INCLUDING LOT 1 OF C.S.M. IN
VOLUME 12, PAGE 3514.
NE CORENER OWNER
THIS THIS MAP SHOWS AN EXCHANGE OF LAND SECTION 17
BETWEEN ADJOINING LAND PARCELS I� 2144 10 TH KOBS
STR NA
OWNED BY THE SAME PARTY. �� SOMERSET, WI 4025
Property Owner aquired the original property with to
document #624643 and aquired an adjoining parcel I n�n7 SURVEYOR w
with document #646098. This ma I ,2,, Q EDWIN C FLANUM
P shows the I NORTHLAND SURVEYING, INC.
adjustment of the property line between said adjoining Z I� 856 A HWY "65" a
parcels and has been completed with this map. = NS ICS ROBERTS, wl 54023 w
M O
°o
z
ISO I� I�I�
I I�I° VAR WIDTH
N88 0 30 1 00 "W 276.15' i
L r
°0 241.56' , 34.59' C N I
�• o I� a C
W
I @J @ o ' I q j ��� c X71 I I N i t�
Gi
o
Fr' �� Imo,]O N I�I� I II I I � W U J
Ib
Cr
l ~ 1.77 ACRES INC. R/W VAR. l, ` TH ' ' m U m
m — 77,132 SO. FT. - - -- — O
E1/4 CORENER
I� � co -4 1.56 ACRES EXC. R/W m \ SECTION 17
IF 67,761 SQ. FT. CIO
I @ II N S88 °16'45" 256.43' lov 9 goo ffaG=aGD '"
225.7 ' 30.72' Z I 't3-UDW EW WQp as d0d° 0
IQ I P $ w � per° 1���� o UJ
In
d IQ I w .P ROPOSED coo— 4 i cc
l o� _ DRIVE ccA Q
LEGEND
I° I
Z SECTION CORNER POSITIONED
W FROM WITNESS MONUMENTS
J _
LOT 2 _ I I OF RECORD
g
>r 1r 1.50 ACRES Ili RNV U' ALUMINUM COUNTY SECTION
I� I D 65.361 S(F!FT. CORNER MONUMENT FOUND
NJ
J
� 1.31 ACRES EXC. R/W 1 1(4• IRON REBAR FOUND
56,930 SO. FT. w
�`$ y 234 .44' - ( [] 3/4"X 18" IRON REBAR SET
S7 8 o DO� 47 " 3O 20' m WEIGHING 1.50 LBS PER
vvie Q I i LINEAR FOOT
Du i • ® - 100' ROADWAY SETBACK LINE
CENTERLINE AS TR MASONRY NAIL FOUND
TRA �� m '
N00 °34'55
2282.35' 33' 33'
THIS INSTRUMENT DRAFTED BY KEVIN REED SCALE IN FEET 1"= 100'
JOB NO. 05 -90 DATE 9 -23 -05 REVISED 11 -07 -05 SE CORENER
SHEET 1 OF 2 SHEETS SECTION 17 100 0 100
Vol 20 Page 5101
SEPTIC 'TANK pump Ct #RMBrR CROSS
SECTifl?� A1�D S PECLF FCpTIp1�5
wrA rWRPRWF
APPROVED
HIN. ABOVE GRADE jUliCTi014 BOX FNRt3LE COIEit
CI VENT PIPE I IN1 Oie? 4R 1WiTH CONDUIT �I PP►AIACK 5
y RpH DtfflR . rj WMMING LOEL
s R£I* ".IR i�,ETAiCE
i ce, f " MIN.
FIl3 .D GRADE
IN
xY
. s
. t a
yii — !
Ii�L .. GA5
TIGHT'
WATER TIGHT SEALS � SEA : . �ttiliTS �it�1
A �' ; AL14 PRPROM PIPE
P3LTE.R. . B s ON 3' 0M
s s.ic SOIL
F
APPROVO C - FF
PI?E 31 T. ...--
p 'j$Qt1O.
SOIL
3" {iFF ELEV. -
- ING U DER TAN
BEDD
3 n AppRt3Y ED CO CRETE FAD
SPiCIP
S
PER DAY: ----
SEPTIC ! DOSEii8 O£3
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SH-DA.w s 509350 WASA VO 115 y4 13.0 1000 70 64 55 Al 32 13.8 20' 27 3.11 x 11.64 x 8.84
q%Q& iS 509 I8,R5A 4Y0 230 3!4 0 1000 70 114 55 M 32 1318 27 27 9.11 %11.64x LOA
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FLOW- LITERS/HOUR Construction
0 1000 2000 3000 Motor Housing Epoxy Coated Cast Iron
t _1_ __Impeller Material Poly Carbonate
to Impelle Closed Vane
30 — ..._..... .
Volute _.._.. ABS
7.5 Power Cord _ WW-A
2n Mechanical Shah Seal Nitrile with carbon and
ceramic faces
a 4 Fasteners Stainless Steel
10 = Shaft _ _ Stainless S
e.5 Bearin Upper Sleeve and Lower
Ball Bearings
0 TrIT 111111111 Till 1111
0 20 40 60 80
PU MP O PEREORMANCE u CURVE Little Giant Pump Co.
115 V 6oHZ - P() Box 12910 - oWs►om CSry, OK 73157
s Phonr. 415.947.2511 • Fat: 40522$.1556
1..4esi1: castomas�.louQlitdstianteem
www.LittleGiantPump.com * Forn1 996235 -07103
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 years, cells are to be inspected via the inspections pipes at the ends of
the cells.
4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system.
5. The owner agrees to save this plan.
6. Do not plant trees nor park nor drive over system.
7. Watershed is to be diverted away from system.
8. Discharge into system is not exceed those required as per Comm. 83
Con ' ncy Plan
ption #1. If ystem fails, determine cause of failure, use alternate area and install new
sy 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
— r
Mailing Address /V 13 & gj er V AeAJ
Property Address fz S7 J
(Verification required from Planning & Zoning Department for new construction.) I
1-7 City /State � r , �.r- Parcel Identification Number G f / 07 ` I I V
LEGAL DESCRIPTION p \��
Property Location A1,6' ' /a , S % , Sec. Z Z_, T �E_N F W, Town of
Subdivision
' ,Lot #
Certified Survey Map #
8 7it�5� , Volume �' , Page # S
Warranty Deed # , Volume , Page #
Spec house yes no Lot lines identifiable /!s po
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.
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
property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
1 // 'gii0 ('0
§iGNATdRE OF APPLICANTS) DATE
* ** Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * **
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)
KATHLEEN H. WALSH
State Bar of Wisconsin Form 2 -2003 REGISTER OF DEEDS
WARRANTY DEED ST. CROIX GO., VI
RECEIVED FOR RECORD
Document Number Document Name
11/21/2A06 02:30PlI
WARRANTY DEED
EXEMPT #
THIS DEED, made between Robbie L. Kobs and Tareana M. Kobs, husband and REC FEE: 11.08
wife, as survivorship marital property TRANS FEE: 129.00
( "Grantor," whether one or more), COPY FEE:
and Stephen J. Germain and Melanie A. Germain, husband and wife CC FEE:
PAGES: 1
( "Grantee," whether one or more).
Recording Area
Grantor, for a valuable consideration, conveys and warrants to Grantee the following
described real estate, together with the rents, profits, fixtures and other appurtenant
RET!)Rn! T0: -
interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is �!cTUn
needed, please attach addendum):
Lot 2, of Certified Survey Map filed November 15, 2005 in Volume 20 of Certified 8h1�� ;tHf tiuJ, lv�ti 55vill -ccll
Survey Maps, page 5101, as Document No. 812053, located in part of the SE 1/4 of 1 g J
the NE 1/4 and in part of the NE 1/4 of the SE 114 of Section 17, Township 31 File f ;J
North, Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin,
including Lot 1 of C.S.M. in Volume 12, page 3514. 038-1071 - 30 - 030 Parcel Identification Number (PIN)
This is not homestead property.
(is) (is not)
Exceptions to / warranties: Easements, restrictions and rights -of -way of record, if any.
Dated � � I (� ��'
(SEAL) (SEAL)
* *Robbie. . Kobs
(SEAL} Sl m-"L -I\tx It (SEAL)
* *Tareana M. Kobs
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) Robbie L. Kobs and Tareana M. Kobs,
husband and wife, as survivorship marital property STATE OF )
) ss.
authenticated on COUNTY )
I A� Personally came before me on ,
*Kristin O land the above -named
TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing
(If not, instrument and acknowledged the same.
authorized by Wis. Stat. § 706.06)
THIS INSTRUMENT DRAFTED BY:
Notary Public, State of
Attorney Kristina Oaland My Commission (is permanent) (expires:
Hudson, WI 54016
(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 ® 2003 STATE BAR OF WISCONSIN FORM NO. 2-2W3
* Type name below signatures. INFO - PROTM Legal Forms 800 - 855.2021 www.infbproforms.com
toff
Parcel #: 038 - 1071 -30 -030 12/07/2006 08:38 AM
PAGE 1 OF 1
Alt. Parcel #: 17.31.18.296A -27 038 - TOWN OF STAR PRAIRIE
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
03/10/2006 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
ROBBIE L & TAREANA M KOBS O - KOBS, ROBBIE L & TAREANA M
2144 100TH ST
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 2142 100TH ST
SC 5432 SOMERSET
SP 8050 SQUAW LAKE RHAB & MANAGE
SP 1700 WITC
Legal Description: Acres: 1.500 Plat: 5101 -CSM 20 -5101
SEC 17 T31 N R18W SE NE & NE NE BEING LOT Block/Condo Bldg: LOT 2
1 CSM 12/3514 NKA LOT 2 CSM 20 -5101
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
17-31N-18W
Notes: Parcel History:
Date Doc # Vol /Page Type
11/15/2005 812053 20/5101 CSM
06/12/2000 624643 1518/273 WD
06/12/2000 624641 1518/270 TD
05/23/2000 623506 1513/79 29
A .
2006 SUMMARY Bill #: Fair Market Value: Assessed with:
175202 34,400
Valuations: Last Changed: 06/27/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.770 30,400 0 30,400 NO 05
Totals for 2006:
General Property 1.770 30,400 0 30,400
Woodland 0.000 0 0
I
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
I ow,
�a
zae P
QUA 0/ LAKE -c am '
183 4l ro L.'! 9 E 114 COR
— — SEC. 17
/ I 163.58' 0
633 l
/ U4 I
p
' 163.6 Ql. v
m1634 I m 1 305 C
,� qmq 163.68' I
6490 640 3 � 638'637 \1 3 3512 N ,, °� J
rl�� uvy 636,E Ias.2o'" I 4 9 6
'
6 0 5 4 3 2 w€g8l, _ ��23�.i8.
I11' Ill' 84' 86' ' 189.90' 73.20'
BRA VE DRI VE
. o .,►� 305 B
NE 114 - SE 114
—
305 A
508.20 h
LOT I -
i I N
M C. S. M. 12 /_344_8_
1 — — — — A �„
Parcel #: 038- 1073 -90 -000 08/15/2005 10:33 AM
PAGE 1 OF 2
Alt. Parcel M 17.31.18.305C 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
RO & TA KOBS O - KOBS, ROBBIE L & TAREANA M
2144 100TH ST ! — ' ( M
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): ' = Primary
Type Dist # Description
SC 5432 SCH D OF SOMERSET
SP 8050 SQUAW LAKE RHAB & MANAGE
SP 1700 WITC
Legal Description: Acres: 2.000 Plat: N/A -NOT AVAILABLE
SEC 17 T31 N R 1 8W NE SE LYING ELY OF Block/Condo Bldg:
TEPEE TRAIL & NLY OF BRAVE DRIVE
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
17 -31 N-1 8W
Notes: Parcel History:
Date Doc # Vol /Page Type
05/22/2001 646098 1643/343 WD
07/03/2000 625738 1523/361 WD
06/12/2000 624641 1518/270 TD
05/23/2000 623508 1513/81 A W
2005 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 2.000 32,000 0 32,000 NO
Totals for 2005:
General Property 2.000 32,000 0 32,000
Woodland 0.000 0 0
Totals for 2004:
General Property 2.000 32,000 0 32,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch #:
Specials:
User Special Code Category Amount
es
Special Charges Delinquent Char
Special Assessments p g q 9
Total 0.00 0.00 0.00
FILED
Ot
S EP 0 4 1998 e 4 f
KAT R H croxco H. W 'SE9 2 3 1998
e9isterolD S
586615 st
p CO
SURVEy
C R T I E I ED S UR V E Y MA P
Located in the Southeast quarter of the Northeast quarte of Section 17,
Township 31 North, Range 18 West, Town of Star Praire, St. Croix
County, Wisconsin. w N Northeast corner
N Section 17
1 6 6' I I V 00 (2" Iron pipe set,
w I ''.. ".'.....'::.'.:. :. `.. °:.�...''. I o _I see note.)
— NP S 88'27'47 "E 314.51' 1 � - — —' — —
2 " /p o tV 269. 49 45.0 ' I Owner:
M
o n I John Luger
Z v I s 6 2721 Division St.N.
Il ®� 4 I N. St. Paul, Mn
62944 Sq. Ft. (1.45 ac.) I 55109
Including right -of -way.
1 Cn 54227 Sq. Ft. (1.25 ac.) W1 ° N `
v Excluding right -of -way.
LO
1 _ S 88' 52' 26 "E 305.03 •
— _ 263.38' T41.65 L I
a.;u)tri`1 ! i
i LOT 3 i I t� /npreiavrnsiv Eanniriy
I — Z oning and
_...
63390 Sq. Ft. (1. ac.) . — — .'.` — — .Ps ms Gwrando.
— — — I Including right - of - way. 'M o
I a riat rr9c n�i+sd
54901 Sq . Ft . (1.26 ac.) m cn -; curtain 30 dayS of
N Excluding right- of- way.Nl N °�' °'�
Im V provai shah be
Q nu4( and void
co m
- -- —I o Im
N m
° 01 S 88'52'26 "E 290.50' Iw w I
W 3 252.40' �3B./ N
1 6 ry l
O 1 � � I � � •..{ i Iti
0 •• • V W
a — — Fluq j r LL_ ®� 2 I� o CC cn
°- 'v • 59874 Sq..Ft. (1 .38 ac.)
O m Including right -of -way. oIN O N I a ° o
I z .+ 52177 Sq. Ft (1.20 ac.) NI N o �`
W N Excluding right -of -way. NI iv
° o
LU
C c
LL - V)
41 S 88'39 10 E
c W 241.57 ' 34.5 1 `*
cr
I 56840 Sq. (1.30 ac.). I d 3
�I� °. Including right -of -way. of 0 I ?
I 616' N 49890 Sq. Ft. (1.15ac N
cv Excluding right -of -way .N' N
I Oi l
S88 °25'55 "f
49/1.00` I
230.73' 1 3106' �
N 88'25'55 W 261.79'
" _
`� •.,• , I I East quarter cor. ,
West quarter cor ,
6 Section 17, (see
Berntsen monu 5
note) .
ment. found.
0
Bearings reference o the East -West quarter "N"M line, assumed N88 °25'55 "W 4972569
This instrument drafted by
VOLUME 12 PAGE 3514
{
Parcel #: 038- 1071 -30 -000 08/15/2005 10:39 AM
PAGE 1 OF 1
Alt. Parcel #: 17.31.18.296A 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
ROBBIE L & TAREANA M KOBS O - KOBS, ROBBIE L & TAREANA M
2144 1
1 100TH ST
S
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): " = Primary
Type Dist # Description * 2144 100TH ST
SC 5432 SCH D OF SOMERSET
SP 8050 SQUAW LAKE RHAB & MANAGE
SP 1700 WITC
Legal Description: Acres: 1.300 Plat: 0730 -CSM 12/3514
SEC 17 T31N R18W SE NE BEING LOT 1 CSM Block/Condo Bldg: LOT 1
12/3514
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
17 -31 N-1 8W
Notes: Parcel History:
Date Doc # Vol /Page Type
06/12/2000 624643 1518/273 WD
06/12/2000 624641 1518/270 TD
05/23/2000 623506 1513/79 QC
07/23/1997 1229/268 QC
2005 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 1.300 27,200 155,100 182,300 NO
Totals for 2005:
General Property 1.300 27,200 155,100 182,300
Woodland 0.000 0 0
Totals for 2004:
General Property 1.300 27,200 155,100 182,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch #: 529
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00