Loading...
HomeMy WebLinkAbout038-1075-30-100 Visconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count y Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)l. 363822 Permit Holder's Name: ❑ City ❑ Village ❑ Vwn of: State Plan ID No.: So per, Gerald C. Star Prairie Township s GD = 301-IN 3 ) CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: CV . o t aci . a z CS�C �- 038- 1075 -30 -100 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic (JaQ GD-O Benchmark , 9 3 09. Dosi ng �, Alt. BM (a - 4 10 1 03. 23 ` Aeration Bldg. Sewer ' q 3. Holding St /Ht Inlet c(I TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ai Intake ROAD Dt Inlet 3 t 10 • (V 7- Septic > ��� �r ' NA Dt Bottom 22 ` 4k. 0( Dosing 1 > (� ' r L 6 r NA Header / Man. q• q S `(q • 98 Aeration NA Dist. Pipe `t 9S � c l8 Holding Bot. System X0'100 9cj_ 3 PU IPHON INFORMATION Final Grade S " sk Manufacturer Demand St cover Model Number D 3� L 3� GPM /Ob rForcemain D H Lift `' Z5 Lengt L oss rictin, H k System2 T 11r DH •°S'Ft h I L o r Dia. a 4 Dist. To well 1T r SOIL ABSORPTION SYSTEM BE / Width Length No. Of s PIT No. O Inside Dia. Liqui DIMENSIONS ' ( DIMENSION SETBACK SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEACHING Ma er: INFORMATION Type Of CHAMBE Mode Number: System: �`f0 'L D � 1 dD OR IT DISTRIBUTION SYSTEM Header / Mani old Distribution Pipe(s) , / u x Hole Size x Hole Spacing Vent To Air Intake Length �' Dia. Length y Dia. k I Z Spacing : � � ' 1 Q U 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.) Inspection #1: Jo / 13/CD Inspection #2: —4--f- Location: 855 220th Avenue, Star Prairie., I 4026 (NE 1/4 NE 1 4 18 T31N R18W) - 18.31.18.309C10 -Lot 2 1.) Alt BM Description= r-pt 5�° �"°'+� 2. Bldg sewer length = .o - amount of cove = � *9 ti C"a 3.) contour = 9B • 3 3 ed" tl •lam ` = a�• `( 3 / Y 4f F� �'� �•� wow ,;,-U I a� t S "Sre cam✓ over r� � � w � o� Plan revision required? ❑ Yes K No � 2_ Use other side for additional information. 1 0Z 1 1 7 -1 0 SBD -6710 (R.3/97) Date Inspector's Signature Cert No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: g } M t o F i F e € € � } j d } i F . ...... .. E ' i i e e � m.Am t } r , eel. E F � e t.. 3 o i a r € i S t S e r a € E ............. E i a } . E a E j i r E f . ---- +. v q d. s € } S i d ew ` S 1 t t } i ... ,..�... .�v .e. .�..... ......v �__— ...... ,......,. :,.. .... _.vim. ... w.___. _e ... ....,�, __ .... .. .. ... ...... } .. t i � 4 € € i 1 � } w .a ice...... A..,.. a.< ... ............... .....„m_ Safety and Buildings Division ViSANITARY SC011S%/1 PERMIT APPLICATION 2 1 Box Washington Avenue Department of Commerce In accord with Comm 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number 3 6 Vo Z2 Personal information you provide may be used for secondary purposes ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION 30 IDS Property Owner Name Property Location Alk 114 1/4, S T y , N, R i(or Property Owner's Mailing Address Lot Number Block Number City, St a Zip Code Phone Number Sub ivi ion Name or CS r 4 / ( ) - 99 79' II. TYPE jult DING: (check one) ❑ State Owned it Nearest Road Public 1 or 2 Family Dwelling - No_ of bedrooms Tow OF III. BUILDIN USE: (If building type is public, check all that apply) Parcel Tax Number(s) J$• 31. I$. 30 9G —1 o 1 ❑ Apartment/ Condo '-__? 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 j New 2. ❑ Replacement 3 ❑ Replacement of 4 ❑ Reconnection of 5 ❑ Repair of an ______System System Tank _ _________ ___y System -______ __ Existing y _________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 C] Specify Type 41 ❑ Holding Tank 12 [] Seepage Trench 22 [] In- Ground Pressure i 42 ❑ Pit Privy 13 E] Seepage Pit 1 43 ❑ Vault Privy 14 ❑ System -In -Fill Q, VI. ABSORPTION EM INFORMATION: 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. /i h) Elevation Feet 5JZ Feet Cap acit y VII. TANK in allo s Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing structed Tanks Tank Septic Tank or Holding Tank — p ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber / ❑ 1 ❑ 1 ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for in allation of the onsite sewage system shown on the attached plans. Plum er' ame� Prin Plumb is Si re: N,p S MP /MPRSW No.: Business Phone Number: Plu ber's ddress (Str eet, Cit , State, Zi ode): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Ja nitary Permit Fee (Includes Groundwater D ate Issued Issuing Agent Signature (No Stamps) $Approved ❑ Owner Given initial < Surcharge Fee) / Adverse Determination 1 4 —W X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD -6398 (R. 4199) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, plumber i INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe 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 maintained. The septic tank(s) must be pumped by alicensed 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 -9151. 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 instarled. II. 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 folIowirig'. A) plot prah, 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 1983 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. Safety and Buildings + PO BOX 7162 MADISON WI 53707 -7162 _ TDD #: (608) 264 -8777 visc onsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary April 13, 2000 CUST ID No.224263 ATTN: POWTS INSPECTOR ZONING OFFICE KIM A O'CONNELL ST CROIX COUNTY SPIA 504 3RD AVE 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/13/2002 Identific ers Transaction ID No. Site ID No. 189587 SITE: Please refer to both identification numbers, Site ID: 189587, GERALD SOPER above, in all correspondence with the agency. ST CROIX County, Town of STAR PRAIRIE; 220TH AVE, NEW RICHMOND 54017 NE 1/4, NE 1/4, 518, T3 IN, RI 8W FOR: Object Type: POWT System Regulated Object ID No.: 656597 MOUND / DWELLING 450 GPD The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: p' : W . Condith A copy of the approved plans, specifications and this letter shall be on -site during construction and open to APPR( inspection by authorized representatives of the Department, which may include local inspectors. All permits OVA TMENT OF required by the state or the local municipality shall be obtained prior to commencement of p 10 OF SAFETY construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address S E RRES on this letterhead. Sincerely, DATE RECEIVED 04/04/2000 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 ROBERT KANTER , POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (608)261-7735, 8:OOAM - 4:30PM, MON -FRI RKANTER @COMMERCE.STATE.WI.US WiSMART code: 7633' cc: GERALD SOPER MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET Project GERALD SOPER Omer GERALD SOPER Address P. O. BOX 102 STAR PRAIRIE WI 54026 Legal Description NE - NE - SEC 18- T31N - R18W Township STAR PRAIRIE County ST. CROIX Subdivision Name Lot No. #### Parcel ID Number 038- 1075 - 30-100 Plan Transaction Number Index and title sheet Page 1 T.S. Mound calculations Page 2 ll Mound drawings Page 3 ma y Pres. dist. calcs. and laterals Page 4 ED TDH and pump tank drawing Page 5 PUMP CURVES Page 6 COMMER PLOT PLAN Page 7 AN G8 PONDENCE Designer KIM A. OCONNELL License Number 224263 Signature Phone No. 715- 755 -3145 Date 3 -25-00 Notice: Tampering with this file by urdipth i orized persons is prohibited. Deliberate modification vNli result in disciplinary action under s. 145.10, Wis. Stats. Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)l. SBD- 10482 -E (R.05188) Page 1 of 7 i MOUND SYSTEM DESIGN Complete red boxes as necessary. 1000 gpd maximum design flow. I Metric Residential or commercial? R (r or c) (y or n) J -! Replacement system? Creviced bedrock site? n (y or n) Slope 8 % Wastewater flow rate 460 gpd 1703 Lpd Depth to limiting factor 28 in 71.1 cm In situ soil infiltration rate 0.4 gpd/ft 16.3 Lpd/m Contour line elevation 98.4 ft 29.99 m Use standard fill depths? x OR Design depth? in cm Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth. Center Or end manifold a cc or el Hole diameter 0.2 6 in 0.125, 0.156, 0.188, 0.219.0.25, 0.281 or 0.313 inch onI . v Lateral spacing 3.00 R Use 0 lateral spacing for trenches. Estimated hale space 4.00 ft Not a final calculation. Number of laterals 2 Pump tank elevation 91 ft Outside bottom of tank Forremain length 36.0 ft Fomemain diameter 2.0 in 1.5, 2 3 or 4 inch only. 2.067 in Actual I. D. HOLE DIAMETER CONVERSIONS IM =0.125 1/4=0.250 SYSTEM SOLUTIONS Inch-pou Metric 5W = 0.158 9= = 0.2B1 Estimated daily flow �gpd 1703 Lpd 3/16 =0.188 5t16 =0.313 W32 = 0219 Absorption call Design load rate & area 1.2 gpwe 375.0 ft 34.84 m Linear loading rate (LLR) 7.14 gpd/ft 88.5 Lpd/m Design width (A) 6.00 ft 1.83 m Cell length (B) 63.0 ft 19.20 m Depth of call (F) 9.5 in 24.1 cm Sand filter Upslope fill depth (D) Z12.0 in 30.5 cm Downslope fill depth (E) in 45.2 cm Basal area required (gpd/infiltration rate) ft 104.52 m Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.5 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (K) 10.60 ft 3.23 m Up slope toe length (J) 6.80 ft 2.07 m Down slope toe length (1) 12.90 Ift 3.93 m Total mound length (L) 84.20 Ift 25.66 m Total mot" width (W) 25.70 Ift 7.83 m Project: GERALD SOPER Transaction Number: Page 2 of 7 MOUND PLAN VIEW observation pipes (typical) J 25.7 I ft q A= 6.00 ft 1.83 m 7.83 B = 63.0 ft 19.20 m W r B J= 6.80 ft 2.07 m I K i= 12.90 ft 3.93 m K = 10.60 ft 3.23 L _ 84.20 ft 25.66 m typ. obs. pipe (anchored securely) I = down slope dimension = absorption cell (AxB) J = up slope dimension Q = plowed area (LxW) K = end slope dimension LH e' (152 mm) T MOUND CROSS SECTION D= 12.0 in 30.5 cm lateral topsoil G 11 subsoil cap E = 17.8 in 45.2 cm invert ft .. .... F = 9.5 in 24.1 cm elev. 30 ' m � tFF G = 12.0 in 30.5 cm ASTM C33 H = 18-0- 45.7 cm Sand Fill y sys. 99.40 ft elev. 30.30 m 98.40 ft contour 29.99 m elev. slope D = upslope fill depth plowed layer E = downslope fill depth Note: Absorption cell media will consist F = a bsorpti on cell depth of aggregate and pipe with laterals G = subsoil + topsoil depth at Cell wall centered across AxB media. The cell H = subsoil + topsoil depth at cell center media is covered with geoteAiie fabric. Designer notes: Project: GERALD SOPER Transaction Number: Page 3 of 7 PRESSURE DISTRIBUTION CALCULATIONS Absorption cell P7 .0 unds Metric Width (A) ft 1.83 m Length (B) ft 19.2 m LaWal speci€ cations Number laterals 2 Holes/lateral 16 holes Lateral length (P) 60.00 ft 18.29 m Hole diameter 0.250 in 6.35 mm Lat. dis. rate 18.64 gpm 1.18 Us Sys. dis, rate 37.28 gpm 2.35 Us Hole spacing (X) 48 in =cm Lateral diameter Pipe d iamet er neew comm omw dwice Designer must 1 in (25 mm) Place X in red r?Crr one choice 1 1!4 m (32 mm) box of chosen from the options 1 1a in (4o mm) x X diameter. provided. 2 in (5D mm) X 3 in (75 mm) X Manifold diameter Pipe diameter nee, q*wn oe: ch-- Designer must 1 in (25 mm) - ')Ce one choice 1 v4 i mm) Place X in red frorrr the options 1 12 in (40 mm) x box of chosen provided. 2 in (50 mm) X X diameter 3 in (75 mm) X 4 in (100 mm) X Distribution system contains: 2 Lateral(s) LATERAL DIAGRAM - END CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. Laterals centwed over the A & E3 dimension Last h e 40"d next to end cap en `l eap P All laterals are identical lF X I Holes drilled on the bottom of the lateral $ equaft spaced • Force ttFxt conrapoikm Vii teQ or oross to mar0ald at 'any PQk'L Laterals & force main of PVC 60h 40 a e peemarrent end marker (per COMM Table 84.30 -5) Inch- pounds Metric Lateral length (P) 60.00 ft 18.29 m Lateral spacing (S) 3.00 ft 0.91 m Hole spacing (X) 48 in 121.9 cm Manifold length 3.00 ft 0.91 m Hole diameter 0.250 in 1 6.4 Imm Lateral diameter 1.50 in 1 40 Imm Forcemain diameter 2.00 iin s0 mm Project: GERALD SOPER Transaction Number: Page 4 of 7 TDH and Pump Tank Drawing Total Dynamic Head Operational head 2.50 ft 0.76 m Vertical lift 8.00 ft 2.44 m Are laterals the highest point in the Friction loss 0.83 ft 0.25 m system? Yes "x' here. Total dynamic head 11.33 3.45 m If no. what is the highest elevation Dose Volume downstream of pump? Dose is > 10 times lateral volume Forcemain drain Lateral void volume 12.7 gal 48.1 L back to tank? CW' one) Minimum dose 127.0 gal 480.7 L L_.._. Drain hack 6.3 gal 23.8 L No Dose volume 133.3 gal 504.6 L Typical Pump Chamber Layout In combination with state approved treatment tank Tank construction as per Comm 83.20(3) WAC. approved manhole cover with weather proof warning label and locking device grade levels junction box - grade levels isconnect alternate 4" vent Pipe electric as per NEC 300 and 4 outlet Comm 16.28 WAC kxoation 1S" (45 cm) min. wall of pump A approved chamber or outlet joint combination tank A Provide 1 /4" weep hole or anti - alarm on d siphon device as necessary pump on B C Grade levels Pump 91.9 ft - pump tank manhole = 4" (10 cm) off elev. 28.0 m minimum above finished grade D - vent =12" (30.5 cm) minimum above finished grade 91.0 I ft Pump tank elevation 3 " (75 mm) of bedding under tank 27.7 1 m bottom of tank Tank manufacturer WEEKS CONCRETE PRODUCTS Pump tank capacity 19. gallln Pump tank volume 800 gal Pump manufacturer IGOULDS Inches Gallons Pump model number WE0311 L o A 24.4 472.7 7 B 2 38.8 Alarm manufacturer 1 S.1 ELECTO SYSTEMS E C 6.9 133.3 Alarm model number JHW 101 p D 8 155.2 Project: GERALD SOPER Transaction Number. Page 5 of 7 I urv P umps Men" ncT DEL 3305 w _W1110" � I � r wEp7►i - I I ..1 i - — 10 . wtoam WE0.11 _ 0 10 ao 00 so 6J lG w w — I;,v 1 1 J 1 :v GP cAPAcm �; '�1� q�. i.►• i ;'�Y �'�� i ' �'� �`��,� . >� .. � � '� .�JU�Uti P���1�5. 1�1�.. METEAj fECt — _ r-i-r 0DEL 3385 - SI s�ild S ►o i— '1­1 , T . _ _ 7 . r 7-7 p p 10 50 I,q ! v ✓J . v 11� 1;_%) G P M p 10 70 I p 0 CAP�CI'1 r • 1 WO OGNIG� Nonot, Ins. «i�t� wrrr. I lrN � 11�' /sm �. J / �,E� �i_`� sE / -� - T3 / -e /8 !�J / /Y1, SM SAC w /Da a 0 Ga�cK g 1 p ;,sco D epartme nt of In d ustry, Pa ge 1 of 3 n �Departme nd ry, SOIL AND SITE EVALUATION REPORT 9 bor aril Human Relations vision of Safety & 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), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance neaFestTQad. 038- 1075 -30 APPLICANT INFORMATION- PLEASE PP li q,LL 100RM QN RE EWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Jason &Wend Erickson OVT. LOT NE 1/4 NE 1i4,S 18 T 31 N,R lg (or) W PROPERTY OWNER':S MAILING ADDRESS T # BLOCK # SUBD. NAME OR CSM # 889 220th. Av. e ''? eta na csm pending CITY, STATE ZIP CODE PHONE_iZ A CITY (]VILLAGE ENOWN NEAREST ROAD Somerset, WI. 54025 (71$' 9 Star Prarie 220th. Ave. [ New Construction Use [x] Residentiat/Number,of bedrooms `• 4 [ ] Addition to existing building j ] Replacement [ ] Public or commi6Tdat.d0sbrlb0 - -' Code derived daily flow 600 gpd Recommended design loading rate • 4 bed, gpd /ft trench, gpd /ft Absorption area required 500 bed, ft2 500 trench, ft Maximum design loading rate • 4 bed, gpd /ft2 - 5 trench, gpd /ft Recommended infiltration surface elevation(s) 99.35 ft (a referred to site plan benchmark) Additional design / site considerations system el based on contour of el. 98,35 Parent material glacial drift 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 fors stem ❑ S Jg ®S ❑ U 1 ❑ S CWU 1 ❑ S IK7 U EIS CR ❑ S CRU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench .................. 1 0 -11 10yr4 /3 none 1 2msbk mfr gw 2f .5 .6 2 11 -22 10yr4 /4 none sil 2msbk mfr gw if .5 .6 Ground 3 22 -55 5yr4/4 none scl It sbk mfr na na ,2 elev. 9 Depth to limiting factor + Remarks: Boring # 1 0 -11 10yr3 /3 none l 2msbk mfr gw 2f .5 .6 LU ` "- 2 11 -24 10yr4 /3 none sil 2csbk mfr gw if .5 .6 3 24 -34 7.5yr44/ none sl lcsbk mfr gw if .4 .5 Ground elev. 4 34 -60 5yr4/4 flf 7.5yr5/6 scl lcsbk mfr na na .2 .3 9 Depth to limiting factor 34 Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Avg., New Richmowl, WI 54017 Signature: Date: 9 -4 -98 CST Number: mO2298 PROPERTY OWNER Jason Erickson SOIL DESCRIPTION REPORT Page? . of 3 PARCEL I.D. # 038- 1075 -30 k Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed ITmrch 1 0 -10 10yr3 /3 none 1 2csbk mfr gw 2f .5 .6 2 10 -22 7.5yr4/4 none sici 2msbk mfr gw if .4 .5 Ground 3 22 -28 7.5yr4/4 none scl 2csbk mfr gw if .4 .5 elev. 28 -65 5 r4/4 c2d 7.5 r5/6 scl lcsbk mfr na na .2 .3 97 5 ft. y y Depth to limiting facto �8 ,, Remarks: Boring # Ground elev. ft. i Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) r STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Jason & Wendy Erickson New Richmond, WI 54017 MPRSW -3254 NE4NE4 S18- T32N -R18W (715).246-6200 town of Star Prarie tzN , /I--=40 1 top of 1 steel pipe C el. 100' t. BM.= top of 2 pvc pipe @ el. 96.35' c� i t � �. 5 14- W 14, Z s� �'S � g� F 0 o� Gary L. Steel 9 -4 -98 1 - - ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Lc, a ,�2 S',mo t e Mailing Address I, L _ �L Property Address (Verification required from Planning Department for new construction) 99I L'l City /State , G Parcel Identification Number 12275 _ E LEGAL DESCRIPTION Property Location ' /., , /_ '/4, Sec. l f� , T -R Town of Subdivision , Lot # C::� . Certified Survey Map # 979 , Volume ,/3 , Page # Warranty Deed # 91© , Volume z Page # S' Spec house ❑ yes IN no Lot lines identifiable W yes ❑ no SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a mastcrplumber, journeyman plumber, restrictedplumber 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. Uwe, 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 days f the a year expira ti on date. SIGNATURE OF APP CANT 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 rope d cribed above, by virtue of a warranty deed recorded in Register of Deeds Office. cxd SIGNATURE OF APPLIC DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this 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 1471PA STATE BAIL OF WISCONSIN FORM 2. 19" CS, IL 3960 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI Erickson, husband and wife This Deed, made between Jason C. Erickson and Wendy S RECEIVED FOR RECORD 11-16 -1999 4 :00 PM VARRANTY DEED Grantor, conveys and warrants to EXEMPT I Gerald C. Super. single person, CERT COPY FEE: COPY FEE: TRANSFER FEE: 135,00 RECORDING FEE: 10.00 PAGES: ! Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (The "Property "); Recording Area Name and Return Address CO ( K il AohTll rf-r( tfo0 S. 2cud WV 038.1075 -30-100 Parcel Idemification Number (PIN) This Is nut homestead property. Lot Two (2) of Certified Survey Map recorded October 14, 1998, in Volume 13, Page 3534, as Doc. No. 588978, being pan of the NEl /4 of the NEl /4 and part of that lot as shown on Certified Survey Map tiled in Volume 4, Page 1136, all in Section 18, Township 31 North, Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin. Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this � 7-OA day of July, 1999. * * J n C. Erickson n w * Wendy S. Eri son AUTHENTICATION ACKNOWLEDGMENT Signature(s) Jason C. Erickson and Wendy S Erickson STATE OF WISCONSIN ) husband and wife ) SS. County ) authenticated this � day of July, 1999. Personally came before me this day of June , 1999, the above named to me known to be the * Kristin Ogland person(s) who executed the foregoing instrument and acknowledge the same. TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) Notary Public, State of Wisconsin THIS INSTRUMENT WAS DRAFTED BY My Commission is permanent. (If not, state expiration date: Attorney Kristin Ogland _ ) Hudson, WI 54016 (Signanves may be authenticated or acknowledged. Both are not necessary.) *Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 -19" INFORMATION PROFESSIONALS COMPANY FOND OU LAC, WI Boo -655 -2071 y a e s (O 1 e.p� • FILED e OCT 1 4 1998 ► 8 KATHLEEN H. WALSH Register of Deeds 88pr�� St. Croix Co.,WI CERTIFIED SUR VEY MAP Located in the NE '/4 of the NE V 4 of Section 18, T3 IN, RI 8W, Town of Star Prairie, St. Croix County, Wisconsin; being that lot as shown on Certified Survey Map filed in Volume 4, Page 1136 in the St. Croix County Register of Deeds. OWNER /SUBDIVIDERS Bearings referenced to the North line of JASON & WENDY ERICKSON the NE %, of Section 18, assumed to be 889 220 Avenue and recorded as S90 "W ( West ). Somerset, WI. 54025 UNPLATTED LANDS North line of the NE1 /4 NE Comer Section 18 (R WEST) ( R WEST 782.81') ( Alum cap. fnd. — �, 220TH ) — — — — — I s90W00'vv N so° oo� oo" a 782.70 AVENUE w °'- 1 33.56 591.55 1850.89' _ _ g' 0 184.44 ° — — — — 565.26 — — — — -13333.1 N 11 Comer ; N 90° 00' 00" E 749.70 ° ( R 749.81) _ N I p Section 18, T31 N, R1 8W cv w o I (1 "i.p. fnd.) 100 ... .. LOT. 1. .. . BUI�DIN.G..... �I - I? W8 o 217,836 square feet( .001 acres) N including R. -O. -W. I 192,345 square feet ( 4.416 acres) r 00 �+ garage exduding R. -O. -W. : > 159J• Q 0O ° X w I � cn I C I CV cJ r` Z fA O Z Z a o a septi c vent o �1 (Wr3� w C14 00 a) `° a ti,�, dwelling D well X19) y�6�. -4 'I ° n A 2+ p5 �' I m I M CV) ° m o septic vent �g9 m N w i WI ° ! ULi C Zw�F CI N I I� 00 J I �. O --4 W I i �\ 348,144 square a .992 acres) Z I I U including R. -O. -W. m I 1y 325,028 square feet ( 7.462 acres) zt excluding R. -O. -W. 1;0 Iml 'Z irn ....750.04.... : I w I'yI ( R 744.73') o 744.38' 5.66 N 89° 59 04" W , 783.05 ( R N89°5901 "E 783.39') 1 Cn CERTIFIED SURVEY MAP I ° VOLUME 5, PAGE 1237. SCALE IN FEET I"= 150' m ' co " 0' 75' IS' 300' 450' E1/4 Comer Section 18 (Alum. cap LEGEND The parcels shown hereon are subject - indicates section corner monument to utility easement as described in ( as noted) Vol. 641, Pg 57 -58 in the St. Croix • - indicates 1 t/4 " iron pipe found County Register of Deeds. o - Indicates 1" X 24" iron pipe weighing 1.131bs. / lin. Ft. set. —- - Indicates fence ( R l - Indicates previously recorded information GRANBERG SURVEYING 1239 C.T.H- "E" New Richmond, WI. 54017 " : Joseph W. Granber Phone ( 715 ) 246-7529 This instrument drafted b y p $ Job No. 98 -034 SHEET 1 OF 2 i Vol. 13 Page 3534 WisconsimDepartment of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 I,oabor and Human Relations Division of Safety s 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 distance to nearest road. 038 - 1075 -30 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE Rod PROPERTY OWNER: PROPERTY LOCATION Jason & Wendy Erickson GOVT. LOT NE 1/4 NE 1/4,S 18 T 31 N,R 18 X (or) W PROPERTY OWNER':S MAILING ADDRESS LOT # I BLOCK # r I1BD NA E nR CSM # 889 220th. Av. e /6 f - / na na csm / 3 - 3 ! 3 CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE EAREST ROAD Somerset, WI. 54025 (715 248 -7829 Star Prarie I 220th. Ave. [xJ New Construction Use [ Residential / Number of bedrooms 4 [ ] Addition to existing building J Replacement [ J Public or commercial describe Code derived daily flow 600 g pd Recommended design loading rate • 4 bed, gpd /ft2 . 5 trench, gpd /ft Absorption area required 500 bed, ft 500 trench, ft Maximum design loading rate • 4 bed, gpd /ft . 5 trench, gpd 1ft Recommended infiltration surface elevation(s) 100.90 It (as referred to site plan benchmark) Additional design/ site considerations system el based on contour line of el. 99.90 , Parent material glacial drift Flood plain elevation, if applicable na It S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem El ®U KI S ❑U ❑S ®U El ®U ❑S ®U ❑S ®U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmnch 1 0 -10 10yr3 /3 none sl 2mgr mfr cs 2f .5 .6 2 10 -31 10yr4 /4 none sl 2mgr mfr gw if .5 .6 Ground 3 31 -39 5yr4/4 c2d 7.5yr5/6 scl lcsbk mfr gw na .2 .3 elev. 4 39 -50 7.5yr4/4 c2d 7.5yr5/6 sicl M na na na np :.2 1 Depth to limiting factor 31 " Remarks: Boring # 1 0 -14 10yr3 /3 none sl 2mgr mfr gw 2f .5 2 14 -33 10 r4 3 none sl 2msbk mfr yw if .5 .6 3 33-55 7.5yr4/4 c2d 7.5yr5/6 scl lcsbk m f r na na .2 Ground p A , L Depth to t limiting r factor 33" COUNTY Remarks: ^ ., ZONING CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -620 �,� Address: 1554 20009. Ave. New Rich and W 54017 Signature: Date: 9 - - CST Number: m02298 PROPERTY OWNER Jason Erickson SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # 038- 1075 -30 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 -10 10yr3 /3 none sl 2mgr mvfr gw 2f .5 .6 2 0 -21 10yr4 /3 none sl lcsbk mfr gw if .4 .5 Ground 3 1 -27 7.5ry4/4 none scl lcsbk mfr gw if .2 .3 -elev. 4 7 -37 7.5yr4/4 c2d 7.5yr5/6 sicl lcsbk mfr gw na .2 .3 Depth to 5 7 -55 5yr4/4 c2d 7.5yr5/6 scl lcsbk mfr na na .2 .3 limiting fac or Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Jason &Wendy Erickson New Richmond, WI 54017 MPRSW -3254 � 4�' 4 s18 T31N -x18w (715) 246 -6200 town of star Prarie t N 1 =40' BM.= top of 2 pvc pipe C el. 100' Alt. BM.= top fof 1" steel pipe C el. 100.10' , � '00 �o 0 73' s d 1 �eoa��► L° owv►.�.vl, � 0 S�' Gary L. Steel 9 -1 -98