Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
038-1082-30-000
o N O c c m c o, a 0 3 t+q CD v M `° CD 3 A 3 3 z _L 5 O N CO cn z O? W cn N O H • O j 3 O co 7' N N W O W � CD cn U3 W M CP CD 7 O ` A T ro O O O W W N N W O a). Cc O O 3 En O n CD y O O V {' O O Z O oo 3 O O p z 1 0 n 3 CD O 3 N O j O C !'r N W . d m d d CD U, z D a N ro q v D a �•�► c!, O V) Q O (D (; A w G O 0 0 < 3 ° < o co w z N N S co O C co cn y O O cn '.. (�/� O C C � W D (" (" 0 0 0 0 c ¢ O O O cn '= N • M M _v g�� <�z aQ D m a O 3 z7 d 0 o _ CD o o A F i N N d tQ S fl1 _ Cp _ T l0 - W D o D o o 0 N O O CD ro m �+ • - I � cn 'wr CD c �_ CD ro. a a m. o. m = 3 -� CD cn I � a' � cn `p Z co m G n D O A 7 C `p Z O CL a I .. O 3 I .. z w o 00 •o ao v m co m (D z o ? 3 a o o .. z Eo 3 3 m N N CD A fi t' O W < W N z CD ro CT = D 3 CL CD CD N 7 O p� ¢ (D O. G ¢ CD O T CD C Q O T ',.. N 4 3 j C 3 0 L M r ( m Z a 0. >> z a 3 m o 0 o n(D v m CD o cn � ro a _ - N CD ro o CD 3 .N� 77 m c a °j o p (Jl N CD Q N _ _ 0 0 �0 ro (1 �� _3 _ N { < N N CD CD O 3 � Cn O W O { Sl1 O� C O c� �O¢Cn a 3 O S 3 Ng O ! W cr (n 1 CS . U1 (a (D "O ¢ O- CD CD iD Op V p 60 0 sa 0 O N p C O ' p O. O I i ;Niscensin Department of C <mmerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 463416 0 GENERAL INFORMATION 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: Bell, Thomas I Star Prairie, Town of 038 - 1082 -30 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: / . Wr �- 20.31.18.341 C TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic / , Benchmark d /137 Dosing Alt J` I l7 +r -k 13 . bt 115 !�- 160 Bldg. Sewer � 4,8 Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet 7� 545 JJ3 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet VIA 77 - 79 Septic G„ " ' /M ' 1 Dt Bottom ' �,' q I • f Dosing "7 56 + lW It i Header /Man. 165 Aeration Dist. Pipe 6 Holding Bot. System A/ • 5 PUMP /SIPHON INFORMATION Final Grade • l �� 7 ' 3 Manufacturer z r ( Demand St Cover GPM 0 ? j. M // Model Number OW - 3 5 —f L A ' 3' b • / ? 1 7� V � ! J TDH Lif� Friction Loss Syste Head TDH ' Ft .a , Forcemain Length Dia. 7 11 I Dist.toWell 7 AV i SOIL ABSORPTION SYSTEM BEDITRENCH Width / Length / 7 No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 I Iz•S+ 1 Z_ ` 1 1�°� `` `_ SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: n INFORMATION CHAMBER OR J916 J Type Of System: UNIT Model Number: 11 4 DISTRIBUTION SYSTEM = 3 � Header /Manifold �� Distribution x Hole Size x Hole Spacing Veyt to Air Intake Pipe(s) I — Length ��/ Dia T Length Dia Spacing_ \ SOIL COVER x Pressure Systems Only x Moun Or At -Grade Systems Only v..� Depth Over i Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center 2 Bed/Trench Edges Topsoil \ cJ l 'Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 981 210th Avenue Richmond, WI 54017 (NE 1/4 NE 1/4 20 T31N R18W) NA Lot 1 Parcel No: 20.31.18.3410 U 1.) Alt BM Description = � ` OCA— —z' J �� 2.) Bldg sewer length = 3 0 - amount of cover = `! - 7 =-Ir- o4 C� Plan revision Use other side for q �j additional in Yes �� �G $s formation. Date Insepctor's Signat re Cert. No. SBD -6710 (R.3/97) Safety and Buildin s Division County N visconsin 201 W. Washington A O. Box 7162 — 5. , c e o Madis I 7 Sanitary Permit Number (to be filled in by Co.) Department of Commerce O8) 2 G� Sanitary Permit Appli ation tate Plan 1. Number In accord with Comm 83.21, Wis. Adm. Code, personal i crmati provide / I/ maybe used for secondary purposes Privacy La , sl5.04(� ( ? 2 0Q Project Address (if different than mailing address) I. Application Information— Please Print All Information I 2 pr ? lX COUNTY l ( b a Propert� ner's Name Parcel # Lot # ' Block # 1 orn &L, _ .391 \ J 1 Property Owner's Mailing Address Property Location 1) T M Aw' A) C '/ <, ) '/<, Section ;� o City, State ` Zip Code Phone Number r // 6 0 {7 p( $� T 5 �0�5� 1J�" %l0 —�0 T N; R �O c EorW II. Type of Building (check all that apply) 6 k 4p �J 4/ 1 or 2 Family Dwelling — Number of Bedrooms 3 r Subdiv // ion Name (� CSM Number El Public /Commercial — Describe Use VD P $�- 3 1 ❑ State Owned — Describe Use ❑City, ❑Village KTownship of SiNl� AP/ at/ III. Ty a of Permit: c ox o Complete line B if applicable) A. Ne stem eplacement System ❑ reatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. El Permit Renewal El Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl X Non — Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter 51 Leaching Chamber ❑ D ip Line G vel -less Pipe ❑ Other (explain V. Dispersal/Treat ment Area Information: 1 J� Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation o Ds y a� /� �.'7 /n y. s' VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 000 / o OO / v(J E s G Aerobic Treatment Unit Z . 6 A SL 4 /o Dosing Chamber DO 1 60 1 C C )v . 1 C. x VII. Responsibility Statement- I, the undersigned assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number J #,4j 56Y/n , /7 ZD 376 O 1 7 15 -, :T cl 6s / Plumber's Address (Street, City, State, Zi ode) &,16 / tse T VIII. County/ De artment Use Onl ) Approved = > v.n Sanitary Permit Fee (includes Groundwater Dat Issu Issuin ent Sign r o Surcharge Fee) � , / Z ` Rea for Denial 0 0 ` IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 3) Se ti v ent filta_r a� dispersal cell must all be serviced /maintained i-- a s pep anacxemen vided by plumb 2. All setback requirements must be maintained as per applicable code /ordinances. 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) l'o`ssc cXiS ® iJU6 W61 1> lam �°,° 0 1000 G q4 � Iv t � J Al r gnu ® 33 — ---� Ik &L. 100-00' 7-c).P i Z'' PVc ©P, l ♦ 4L% B Z. /6 TUP o` 2-;' _ r J - 3 X 117.T S1c -0,+= u,5cJ� Teeruc 4n,df�es � copy l V3 11/.76 J/c iegA), j4 (/6 Cagrn,�t-l2 s Bm � t'ce A w/Av� � l Z 7 H f v u c 2 m -- - - -4-o — - - _1Q0 - -� -- __ nn J - i Jr__ f z Tcp b z Pvc 10 la L0P16 4L B m 0 '- _ev __. 1 3 X / /7. /©D)►- t - uSc � T'e'1vC1 / - 1 c HA 7 cAj _ %f ( nge /2s - !S- 1326 WiisconsinDepartment ofCommerce SOIL EVALUATION REPORT Page t of 2 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Attach complete site plan on paper not less than 8 %x 11 inches In size. ounty e. flan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or d'anemsions, north arrow, and location and distance to nearest road. Parcel I.D. Please print aN information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law. s. 15.04 (1) (m)). Property Owner Property Location Bell, Tom Govt. Lot NE 19 NE 19 S 20 T 31 N R 18 W Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM# 98121 Oth Av. NA 9 Acre Parcel City State Zip Code Phone Number City _f Village � Town Nearest Road Somerset I WI 1 54025 715 - 246 -6008 Star Prairie 1 210Th Ave _j✓ New Construction Use: 01 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD I Replacement . I Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a conventional system with a 0.4 gpd/sgft rate. Possible system elevation for Area 1 is 104.5'. A lift pump will be needed. Boring # _i Boring j Pit Ground Surface elev. 106.55 ft. Depth to limiting factor 90+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' 'Eff#1 'Eft#2 1 0-6 10yr3/4 none sl 2mgr mvfr gw 2f,2vf .6 1.0 2 6 -15 7.5yr4/6 none sl 2fsbk mfr gw 1vf .6 1.0 3 15-40 7.5yr4/4 none sl 2msbk mfr gw ---- .6 1.0 4 40 - 90 7.5yr4/4 none sl 1 csbk mfi — --- -- .4 .7 Boring # J Boring iri Pit Ground Surface elev. 106.80 ft. Depth to limiting factor 91+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF 'Eff#1 I - Eff#2 1 0 -8 10yr3/3 none 51 2mgr mvfr gw 2f,1vf .6 1.0 2 8 -27 7.5yr4/4 none grsl 2fsbk mvfr gw 1vf .6 1.0 3 27-47 7.5yr4/4 none sl 2msbk mfr gw ---- -- .6 1.0 4 47 -91 7.5yr4/6 none sl 1 csbk mfr — ----- .4 .7 • Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS <S0 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt ` -ucs. 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, W154017 4/18/05 715- 247 -2941 property Owner BeR, Tom Parcel ID # Page 2 of 2 3 ] Boring # Boring Pit Ground Surface elev. 104.34 ft. Depth to limiting factor 87+ in. Sal gppfica ion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GED 'Etf#1 'Eff#2 1 0 -9 10yr3/3 none sl 2msbk mvfr gw 2f,1vf .6 1.0 2 9 -19 7.5yr4/6 none grsi 2fsbk mvfr gw 1vf .6 1.0 3 19-48 7.5yr4/4 none grsi 2msbk mfr gw .6 1.0 4 48 -87 7.5yr4/4 none sl 1csbk mfr — .4 .7 I F-I Boring # Boring j Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP 'Eff#1 'Eff#2 i ,I I 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 GPDR 'Eat 'Eff#2 0 * Effluent #1 = BOD y > 30 < 220 mglt. and TSS >30 < 150 mg/L ' Effluent #2 = BOD mgA- and TSS <_.�0 mg/L =. The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608-264 -9777. i Page 3 of 3 Conducted by: Conducted For: Cchmitt Soil Testing Inc Name: Tom and Debi Bell Thomas J. Schmitt, CST 227429 Address: 98121 Oth Ave. 1595 72nd St. City, State, Zip: Somerset, WI. 54025 New Richmond, WI. 54017 Phone: 715 -247 -2 41 Subd.Name: 9Acre parcel Lot No.: NA Legal Description: NE 1 /4 NE 1 /4 S20 T31 N R 18 W Township of Star Prairie, St. Croix County Soil Boring ,6 Bench Mark E1.100.00' Top of 2" pvc pipe Alternate Bench Mark El. 103.95' Top of 2" pvc pipe 0 Gr ✓�' C Scale 1" = 40' NI y r BIODIFFUSER CROSS SECTION 4 "PVC Inspection + Vent Pipe n Approximate Grade a L K ) , I I El . = I- • , - _ I I I I 17 I IT I E1.= /�y�50 I - -� -_ _ IE1• - /�y•J A ve+oge Open Afoo Wafth Ave Qne� Areo w'om PAC r 4 Of 6 PUMP CmNmbCR CROSS SCCT:ou Amo SPCcir - i lb VCWT GAP 4 V6MT VJPC WCATACK rROOF APPROVED KtRlfi .Iu*JCTIOIJ &O>< �'ptAUIHOL f: Go ftR • Poo' t MA lui(►p f1`Mi ►/• I 011#j U11 i Kfr�11 I Aik IUITAKC GRADE 1 K" Mill. f 4 1e•' 1u. COWOUIT Ia'MIIJ. 1 PROVIDE JOULCT .,_� AIRT1G14T $CAL I ! 1 APPROLD 40IM71 APPROVED Jowl I I ( W /C. •, fitE W/ G.Z. PI IL 1 1 I A"KA O Tr aw 3 KTLNIUMCP 3' I ONTO wuo m c 1 OQY0 60610 %OIL- 21.76 Gal./Inch I I " I I ow � 1 i 1 Off a l CONCRETE UDCK , 1 , 1 3" APPiM fitSCR E:X17 PCRMITTEG tWLy iR TANK MArJUfAGTURCR HAS SUCH A1'PR.OvAL gCDpt� 8f:PTfG 5PECIF1CAT)a#JS_ Do 5 � M�►�tJFwCTURCR : We..- -ek..1 s C . P �_ uur►bea of Dat,cs: +or -5 PER DAV T"K LIZtE : .... -..r. 8 - - rrAt.Lows DOSE VOLUMt g7 . 04 LA M�MWFALTURCR: S Tankmate +NCLUDIQl q aACKF40W: CAutloms MOOCL WUMOCR: TM -1 CAPACITIES. A ■ 19 IMCNE3 Oft 44 0ALLONA 4 iwiTGH' TyPC: _. Mercury �--- 13 u 2 IWCNEt Oft ._3 5 LUMP AMUFACTURCC Zoeller C • 4 _.11jLNES OR 87 • 0 6A1,.60US A%ODCL. WUP416LR: 53 oft 12 — MIGNES OR2 1.2 GALLOUG SWITCH Twpr. *. Mechanical ajr- PUMP ANO ALARM AR[ TO 8C MtIJIfNtIM DIiCt�p►itGC RATG NA 1115TAs.LEG OW SEPAiaATC CIRCUITS + -GPM VERTICAL D1FfEILEM" OETWCCUf PUMP OFF AiJD.D*MbUTIOW PIPE.. 10.0 FCEr + Mtri.Ilf%Uf4 5UPP1.tl P6LE6SURC NA FGET + 5 Ft ET OF FORCG MMW X 2 FX FAtYoa.. FELT TOTAL D''dIJAMIC HLAD c 11 ' 0 - FLET IajTLRuAI. 0IMfLiJ61GNt OF TAWK: 4,ENC,TK ---.__ ;WIDTH- j%.IQUID DEPTN 3.1 ..... �tGIJtC: L.ICCUSE WUAbrrRs DATE:_. . • _p ®[Yrifl�m�"r..i.iLi® .° , ' �' dYSe ,,,km�r.i:Yl ®� ®� Z® Jd.: ►��� '��� ��� ® 9® LAla" • • _C;G+C ® ,■ __ V__ �_ 3[/ a�di_i t_1 5�g�gy- !q�!tqqq-'``�,{{_.,+w.N ®�d..��•✓ ■,. • �' -ii4Yfl-a_kx.FY��m.i- 9 ® A..m mH ® 1 ■ ®� •, Lm3^rs��ankx3�d MENNEN WIMERNMEMMEME MEMO . ■�����������MENEM EXEMEMEM MEMO mmommomm In ONE MEN =H \ \11\ mom EMMEMEM b4h, offiko DOMINOES! MEMO ',,■"1,■,■■■■■■■■■ & %R � 0 1 1 Ll R I N 0 OMEN NW I N IM \� MEME 0 w3b., aok an IMMOR REMEMEME SERI 11oll WEN \\EEMEME \ISU\V 1111\ ■M\ \� NEON 0 b1►\I1 ■ \0 0 so EMEMININCURNME In MEN ���11►� 1► � �� No !-IN11 34, \MEME ► \NONE HK\ \I 0 WIN, ■\ �0 ■►\MP�110I ►01► \AMENNEN 1 . . . .. 1 :. •. .. 1 . 4.1 . .. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Tom Bell Septic Tank Capacity 1000 a l ❑ NA Permit # Septic Tank Manufacturer Week' s C . P . ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer Zabel ❑ NA Number of Bedrooms 3 3 ❑ NA Effluent Filter Model A -100 (3 NA Number of Public Facility Units ■ NA Pump Tank Capacity 800 a l ❑ NA Estimated flow (average) 300 gal/day Pump Tank Manufacturer Week's C. P. ❑ NA Design flow (peak), (Estimated x 1.5) 450 gal/day Pump Manufacturer Zoeller ❑ NA Soil Application Rate 0.4 al /da /ft2 Pump Model 53 ❑ NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ■ NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cells) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L ■ In- Ground (gravity) 0 In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510` cfu /100m1 ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA • Values tYP� 'cal for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency ❑ month(s) (Maximum 3 years) ❑ NA Inspect condition of tank(s) At least once every: 3 • year(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA ❑ monthls) (Maximum 3 years) ❑ NA Inspect dispersal cell(s) At least once every: 3 ■ year(s) ❑ month(s) ❑ NA Clean effluent filter At least once every: 1.1 ! year(s) ❑ month(s) ❑ NA Inspect pump, pump controls &alarm At least once every: 1 ■ year(s) ❑ month(s) ■ NA Flush laterals and pressure test At least once every: ❑ year(s) ❑ month(s) Ia NA Other: At least once every: ❑ year(s) Other. Cl NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks,, .,•". measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the! immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire M_ contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer.;r. t A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Pape of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the uestmant process and/or damage the dispersal coll(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prioLjp;use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power Is restored the excess wastewater will be discharged to the dispersal call(s) In one large dose, overloading the call(:) and may *result in the backup or surface discharge of . effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do.not drive or park over, or otherwise disturb or compact, the area within 16 feet down slope of any mound or at - grade soil absorption area. 'Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the pOWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned In compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator, � Ali • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN if the POWTS fails and cannot be repaired the following measures have been, or. must be taken, to provide a code compliant replacement system: ■ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement. area will result In the need for a now soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. _ O A suitable replacement area is not available due to ' setback and /or soil limitations. Barring advances in POWTS" technology a holding tank may be installed as a last resort to replace the failed POWTS. O The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. if no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. O Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the Infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP dFt OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS pOWTS INSTALLER POWTS MAINTAINER NCO n Schtif�tt Name Owners choice Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name hnice Name St . Croix Ct . Zonin Phone Phone ( 7 15) 386-4680 t This document was drafted in compliance with chapter Comm 83.22(211b1(1)(d) &(fl and 83.6401, (2) & (3). Wisconsin Administrative Code. I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer & FLL Mailing Address 9 z1 o2r - .-1 vc Property Address S 74 ill r f:.$ rho y (Verification required from Planning Department for new construction) City/State Parcel Identification Number - t3 - 7-C-- Id 81 - 36 — 0 0 0 LEGAL DESCRIPTION Property Location %., ` %,, Sec. 2 0 T_JLN -R_� 9 W, Town of _S7 e peg E Subdivision _ . Lot # Certified Survey Map # 3S1 7 —S 2 — , Volume . .Page # /Z:34 Warranty Deed # 7 . Volume /3 . Page # y9 7 Spec house ❑ yes no Lot lines identifiable F1 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 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. 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 30 stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning days of the three year expiration date. / Z9 /O SIGNATURE O APPLICANT DATE OWNER CERTIFICATION the owner(s) of I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. 2 SIGN � ATUR�OA � PPLICA�NT DATE « « « « «« A Formation 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 Page 3 of 3 Conducted by: Conducted For: Schmitt Soil Testing Inc Name: Tom and Debi Bell Thomas J. Schmitt, CST 227429 Address: 98121 Oth Ave. 1595 72nd St. City, State, Zip: Somerset, Wl. 54025 New Richmond, Wl. 54017 Phone: 715- 247 -2941 Subd.Name: 9Acre parcel Lit No NA _ Legal Description: NE1/4 NEl /4 S20 T31N R18W Township o£ Star Prairie, St. Croix County Soil Boring ® Bench Mark El. 100.00' Top of 2" pvc pipe Q Alternate Bench Mark EL 103.95' Top of 2" pvc pipe 0 1 cue Scale 1 "' = 40' IN _ � 1 f � gar 77 �����v Wisconsin Department of Comrtr ` ALUATtON REPORT 1326 Pa 1 of 2 Division of Safety and Buildings A " 'PP '2tj C i Adm. Code Tom Schmitt Attach complete site plan on per not less than 8% x 11 inches in siz PI a U County St. Croix include, but not limited to: verb at andWrv@F*M( (BM), irection Parcel I.D. percent slope, scale or direr ions, nor Mm and dis nce to rim 0 3 r� — lb < 3 Z — 30 Please print all in orma o Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Bell, Tom Govt. Lot NE 19 NE 114 S 20 T 31 N R 18 W Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM# 98121 Dth Av. NA 9 Acre Parcel City State Zip Code Phone Number City Village ✓, Town Nearest Road Somerset I Wl 1 54025 1 715 - 246 - 6008 Star Prairie 210Th Ave 1r New Construction Use: ✓' Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD _a Replacement _ Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: A uitable for a conventional system with 0.4 d/sgft rate. Possible system elevation for Area 1 is 045. lift pump will be needed. r ti Boring # _. Boring Pit Ground Surface elev. 106.55 ft. Depth to limiting factor 90 + in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft *Eff ll ff#2 1 0 -6 10yr3/4 none sl 2mgr mvfr gw 2f,2vf .6 1.0 2 6 -15 7.5yr4/6 none sl 2fsbk mfr gw lvf .6 1.0 3 15 -40 7.5yr4/4 none sl 2msbk mfr gw ---- .6 1.0 4 40 -90 7.5yr4/4 none sl 1 csbk mfi - - -- — -- .4 .7 a Boring # __ Boring ff Pit Ground Surface elev. 106.80 ft. Depth to limiting factor 91 + in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft *Eff#1 *Eff#2 1 0 -8 10yr3 /3 none $l 2mgr mvfr gw 2f,1vf .6 1.0 2 8 -27 7.5yr4/4 none grsl 2fsbk mvfr gw 1vf .6 1.0 3 27-47 7.5yr4/4 none sl 2msbk mfr gw ---- -- .6 1.0 4 47 -91 7.5yr4/6 none sl 1 csbk mfr - - -- - -- .4 .7 * Effluent 01 = BOD 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <_30 mg/L and TSS < mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 4/18/05 715- 247 -2941 Property Owner Bell, Tom Parcel ID # Page 2 of 2 a Boring # Boring se Pit Ground Surface elev. 104.34 ft. Depth to limiting factor 87+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0 -9 10yr3/3 none sl 2msbk mvfr gw 2f,1vf .6 1.0 2 9 -19 7.5yr4/6 none grsl 2fsbk mvfr gw 1vf .6 1.0 3 19-48 7.5yr4/4 none grsl 2msbk mfr gw - - -- .6 1.0 4 48 -87 7.5yr4/4 none sl 1csbk mfr --- --- .4 .7 ❑Boring # Boring t Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QP *Eff#i *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 *Eff#1 *Eff#2 * Effluent #1 = BOD 5 > 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 you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. OOCUMENT N6. WARRANTY DEED THIS s.AC.E RESERVED ran REo ORD.NQ DATA STATE; BAR OF WISCONSIN FORM 2 -1982 473085 VOL 9 13FAU 497 REGISTER'S OFFICE ST. CROIX CO., WI Patricia M. Farrell a single . ner . son and Recd for Retort' Oeborah L a Blanchrd, a single person .. , ..... HUu'3 J 1991 ct 10:45 A. ... . _. .. _._ . .... . .. conveys and warrants to .: - Thomas N Be.l.) and Debra. Bel.1, husband aced w1Fe. as mar! tol...sur..v.iv.ars.h1p ReglslarafDeed! R['operay..__ .. ...... _... ---- . - -.... . .. _ .... -- ... ..... .... ........ .... .......... ... .... RETURN TO the following described real estate in --- ......St- ..-- DcOi x ................. County, State of Wisconsin: Tax Parcel No: Part of the NEi of NE o Section 20, Township 31 North, Range 15 West, St. Croix County, Wisconsin described as follows: Lot 1 of Certified Survey Map filed November 24, 1982 in Vol. 11 Page 1234, f Doc. No. 381282. I i i i i I T; :is 19 .. -- --.---- homestead property. (is) (is not) j Exception to warranties: easements, restrictions and rights -of -way I of record, if any. Ilatcd this _ ... -.. day: of August `�_�� 1991 1 I (SEAL) Patricia M. Farrell Deborah L. Blanchard - - (SEAL) (SEAL, AUTHENTICATION ACKNOWLEDGMENT Signature(s) . - P. atr- LC1 a ... M--- .Earr_e- 11- • ........... STATE OF WISCONSIN Deborah L. Blanchardss. ...................................................... ------------------ St. Croix •••.... T if I ---- -- -- --- - - - ---• ---- -- -- - - -- County. authenticated this . -. - -.. -day of ---- Auqus.t.- , -. - - -- 19.31 P,;rsonally came before me this jV ; ----Augus-t -- ... .. -. .._ .., 19.91. -- aa4d Patricia. M.. Farrell: -and • Krist land Lundeen - ina 0 ---------------- - -g - -� - -- - - - -•- - - - -- ..... .- ..AebQrah .L.. Blanchard - -- - - -- - - -- - - - TITLE: MEMBER STATE BAR OF WISCONSIN - - F ca �L w - - ----- - - (If not, --- -----��• authorized by § 706.06, Wis. Stays.) / Q to me known to be the per on S...- who �xeju ed the foregoi�g instrument and ackitowl dge the same. r THIS INSTRUMENT WAS DRAFTED BY � Kristina Ogland Lundeen ---- At'torney -------------------- -- ---- ... -- - -- ...... .--------- -- - - ---- - -------•- ------- - -- ..--------- - --- Notary Public Sta_CrOZX . - _ - County. WS. : (Sia;ratures may be authenticated or acknowledged. Both MY Commission ;,-permanent. + ( If not,'state expiration are not necessary.) date: _. -- ___ iebruary..9__......:_ , 19.92.. -.) Names of Deroons signing in any oapacity should be t,je j -,r ; :inL'd I)rlaw their - igimuit _ WARRANTY DEED STATE HAR OF WISCONSIN — Wrscons.n Legal Blank Co Inc +' FORM No. 2.— 1v - Mdwaukpe. Wisconsin n24 LL 3 qc/o CERTIFIED SURVEY MAP \ q678 v LOCATED IN THE NE 1/4 OF THE .NE 1/4 OF SECTION 20, T31 N, R IS W, TOWN OF STAR PRAIRIE, ST. CROI X COUNTY, WISCONSIN OWNED BY WILFRED C ARLSON 3221 ELLIOT AVE SOUTH, MINNEAPOL7S�ITVf NESOTA 55407 I, Arthur L. Wegerer, registered land surveyor, hereby certify: That in full compliance with the provisions of Chapter 236.34 of the Wisconsin Statutes and the provisions.of the St. Croix County Subdivision Ordinance .;and under the direction of Wilfred Carlson, owner of said land, I have . .surveyed, divided, and mapped said parcel of land, that such plat correctly represents all exterior boundaries and the subdivision of the:-'' land surveyed; and that this land is located in the NE4 of the.NEJ of Section 20, T31N, R18W, Town of Star Prairie, St. Croix County, Wisconsin, to -wit: Commencing at the NE Corner of Section 20; thence West along the North line of section 20 also being the centerline of Sand Hill Road a distance of 950.22t to the point of beginning; thence S0•37150 11 E 226 .45 1 ; thence 59'15 "E 215.06 thence S1'26 645.901 thence S88 °33 1 21 "W 367.11 t.o the West line of the NE4 of the NE4 of said section 20; thence N2'2lt47 "W . a]:ong said forty line 1094.5$' to the North line of section 20; thence `• East along said line 35$.76 to the point of beginning. Contains 9.19 Acres of. land subject to existing Town Road right -of -way. The above described parcel contains a parcel of land recorded in Volume 504, Page 240, St.Croix County Register of Deeds Office. Dated this Z3' - day of 1982. Arthur L. Wegerer Wis. R.L.S. No. S -963 ,U,NPLATTED LANDS, 1 EAST 358.76 "' WES 950.22' ' — — — — — — — 35zSCt_ — — — P — — — NE CORNER L 1/ W. r SEC.20,T3 IN, R18W • N 4 CORNER 2� NORTH — — LINE OF SEC.20 (ALUM. MONUMENT FD.) SEC,20,T31N,R18W M T31N, RIBW (ALUM. MONUMENT Fa) tto o" APPROVED WIC W NOV 2 41982 WEMM cc�o s.�a *= 'n� ST. CROiX CO Ji Y 04 CO1v�P i£HENStYE PARKS PLANNL'40 % �� -� LOT 1 N �: i owrlc co,uaurr •� • z.. M 9.19 ACRES TOTAL Z. Q auR �w (400,155 SQ. FT.) f Q ' 8.92 ACRES TO R.QW. Q ' "J (388,333 SO. FT.) J. 3 o T L /c, E m v S N W. 0 to SCALE 1 =200' 1 -. 2 W. 1- • L. • 0' 100' 200' 400' Q w : ti. _J EXISTING HOUSE m Q a to � NO 7 E: . ' Z' N a BEARINGS ARE REFERENCED To THE NORTH LINE OF SEC.20, T31N,R 18W (ASSUMED EAST) c' =SET 1 "X24" IRON PIPE WEIGHING 1.13 LBS. PER LINEAL FOOT. WEST LINE OF THE NEI 14 NE I/4 SEC 20, 73 /N, R 18W S88 21 W 367.11 U N I- ED LANDS . 82 -147 Volume 5 Pace 123h Parcel #: 038- 1082 -30 -000 04/20/2005 04:39 PM PAGE 1 OF 1 Alt. Parcel M 20.31.18.341C 038 - TOWN OF STAR PRAIRIE Current IX-1 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): " = Current Owner THOMAS N & DEBRA M BELL BELL, THOMAS N & DEBRA M 981 210TH AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description 98121 OTH AVE SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 9.190 Plat: N/A -NOT AVAILABLE SEC 20 T31 R1 8W PT NE NE 9.19AC LOT 1 Block/Condo Bldg: OF CSM V 5/1234 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 20 -31 N-1 8W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 913/497 07/23/1997 801/549 2004 SUMMARY Bill M Fair Market Value: Assessed with: 30230 240,800 Valuations: Last Changed: 10/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 25,000 175,200 200,200 NO PRODUCTIVE FORST LANC G6 8.190 51,200 0 51,200 NO Totals for 2004: General Property 9.190 76,200 175,200 251,400 Woodland 0.000 0 0 Totals for 2003: General Property 9.190 26,800 137,500 164,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 124 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisco gin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 268530 Permit Holder's Name: ❑ City ❑ Village ff Town of: State Plan ID No.: BELL, THOMAS S'T'AR PRAIRIE CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A920 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St /Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P / L WELL BLDG. Air Intake ROAD Dt Inlet Air Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP / SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft H Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSION SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Typeoi CHAMBER Model Number: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing 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.) LOCATION: Star Prairie.20.31.18W, NE, NE, 210th Avenue Plan revision required? ❑ Yes ❑ No Use other side for additional information. I FF1 I I SBD- 6710 (R 05/91) Date Inspector's Signature Cert. No ADDITIONAL COMMENTS AND SKETCH t SANITARY PERMIT NUMBER: t i Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water System: 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less Count than 8112 x 11 inches in size. ry • See reverse side for instructions for completing this application State Sanitary Permit Number The information you provide may be used by other government agency programs ❑ Check it revision to previous application 1Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATI N Pro rty Owner Nam Property Location E 11 114, S Z® T 3/ , N, R E (or)9 P0 ert , y Owner's Mailing Address Lot Number Block Number 7- City, State Code F Number Subdivision Name r CSM Number /G! U 7 / S 7 S�� – r i ( S 00. AP,3 II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ C it NearestRo ❑ Village !S El Public bg 1 or 2 Family Dwelling - No. of bedrooms ,3 jEr Town OF 111 BUILDING USE (If building type is public, check all that apply) Parcel Tax Numbers) 1 ❑ Apartment / Condo t " /40 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor ecreational 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. ❑ New 2, I] Replacement 3. ❑ Replacement of 4. ❑ Reconnection of System - System - - - - -- Tank Only Existing System V�QXeG� 0-S B) * ❑ A Sanitary Permit was previously issued. Permit Number Date Iss V. TYPE OF SYSTEM: (Check only one) (C ^` Non- Pressurized Distribution Pressurized Distribution Experimental ( ��ZC ` r 11 aSeepage Bed 21 ❑ Mound 30 ❑ Specify Type 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 13 ❑ Seepage Pit 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absor . Area 3. Absor . Area 4. Loading Rate 5. Perc. Rate 1 + p p 9 Required (sq- ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) VII. TANK in ga Total # of Prefab. INFORMATION Gallons Tanks Manufacturer's Name concrete ' New Existin str Tanks Tanks Septic Tank or Holding Tank Lift Pump Tank /Siphon Chamber I ❑ VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for instaAatioQ of the onsite sewage system shown c `]f `✓`�, t ep's Name: (Print) r'sS at r ( Stamps) MP /MPRSW No.: Plumbers Address (Stree , Ci , State, Zip Code): al S IX. COUNTY! DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issued Issuing Age Signa ure (No St ps Surcharge Fee) pproved E] Owner Given Initial ' /Q�) � Adverse Determination /v`� X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD -6398 (R. 05194) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS L ' , 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 1 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 a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608 - 266 -3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. ll. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. 111. 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. V!1. 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 isto fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County / Department Use Only. X. County / Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains /water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption systerrvif 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. i ' Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of Latxlr and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code ' COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but 5 not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # , �..p .... • , dimensioned, north arrow, and location and distance to nearest road. a Q APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION h GOVT. LOT N E 1/4 F 1 /4,SQID T 3 N,R I g E (or)® e. PROPERTY OWNER':S4I�ILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # Ib ck JC• - CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD �nra 69 01 - 7 (71s) - 8 4i` a emit... a a [ ] New Construction Use[ ] Residential / Number of bedrooms [ ] Addition to existing building [ J Replacement [ ] Public or commercial describe Code derived daily flow Lj 5 Q gpd Recommended design loading rate ._ bed, gpd/ft Q trench, gpd/ft Absorption area required 1.y3 bed, ft - 1 SO trench, ft Maximum design loading rate _ bed, gpd /ft trench, gpd/ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND I PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitablefors stem ❑S ❑U [IS ❑U ❑U [IS ❑U ❑S ❑U ❑S ❑U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bw Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench I o-ly j JU S L If G r M F r cw F -V `f vsh 5 1" of s bx re, F IF .5 j Ground ) y- a b k r� r c 'v • y S elev. t;lt. `1 ;t4-5 - 7. 5 *R 4 /9 SL Qmt, r^ Fr IVE Depth to 5 3b- 111`5 7. S`f R S J9 1. .78 limiting factor u w 4 .6- 7-5 `JJ4 - S M _ g - 75 inF:I4 ate:o Remarks: v t e e. ..t 1l 9 20 lzc C 7/4t 9 Boring # v.:. . x:. :.v. I Ground elev. ft. Depth to y. L limiting factor Remar CST N l?lea a Print Phone: y T Address: , 2 to oo W � S Syoa(e Signatu Date: CST Number: J PROPERTY OWNER SOIL DESCRIPTION REPORT Page q PARCEL I.D. # _ Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon p Texture Consistence Bax>dary Roots g in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trerch Ground elev. ft. Depth to limiting factor I Remarks: I Boring # ` .v Ground elev. ft. Depth to limiting factor Remarks: Boring # ri< v Ground elev. ft. Depth to limiting factor Remarks: Boring # :.t Ground elev. ft. Depth to limiting factor Remarks: sB6- 8330(8.05/92) i --r —'- ' I o I i I i I � — a — i - i ! , { 1 i ALJ ir AF lam —\A j L i- 1 T j r -- " F ---- - ! � ! - + _-- "-- -- ---- -.._:_ --�-- -- - -- �- ---i - -i � �. -: - .r______. -� .... - --- --- -- f- ---- .__ -�- -- i. L__-- .___�_G______� —_ i __��_� i ,. � 1 _.�.._______— _.___._ ___— __.__._, �.._._. ._..__.. _.— _ —._._ _._.. _, ....._ —_ —�. _._�_ �_�.. —_— � __.._ e � ' 1 1 - -'_- _ ___- __.._.- _-- ___- _____.. - -.___ ...__.._.._.____- .- �_._.._____ __- `_.___..._.�___�__.. __._ � i T -_ i., � i _.__..�_._ _...__.__— .__1..___._ i � � - -_ —. __ �. ._.__ _�. —___ i —_ __ _ ___. __� _, _______ —_� —._ _ _— � _�_� � � I i � I — � • '. ! 1 f j I -.T _. _. i' I -- - -- - � - - - - -- _.----- - - -- -� :---------- �_��__- _.___.___4 - _ _--- - - -�-- - ___ - -_ - -- -- - - -- -- _i__ - -- ..,- - - -- -- �- --- �.___..__�_,_.__,.�. ._ _ -i i -, �_T-_ _- -_ __ - - -- - _..__ .�__.�.�_.- I � -..__ - - -T-- - - * - t-t �;� - - - = -- I - -_ - i - c- _.._._._.___--- ' ---__ _....�._._ --_.__.__ _. r ---- -'- ----� -- �- li ; -- ', I � I i � '. � _. � �' I _.. _�__..�_. I �, � 1 i � — —_ ! i � STC -105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER r c 1 MAILING ADDRESS PC) 9 Z— PROPERTY ADDRESS / I Z 0 & (location of septic system) Please obtain from the Planning Dept. CITY /STATE 1\ )p �,.: A W: -!�; I D I J PROPERTY LOCATION _ 1/4, _ 1/4, Section C ) T TOWN OF y ckf f�,'��.�.� ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP ' 6 c00% L VOLUME � , PAGE 12 3 LOT NUMBE 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the year expiration date. ED: SIGN la -- �A - &U_ St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 5TC —loo This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/ contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. ------------------------------------------------------------------- Owner of property :22i - X- Location of property l/4 /lJs-_ /4, Section 7_ 0 , ,�Z LN - R _IK W Township Mailingaddress 7b 3c)X Z Address of site .�P� �� oZ 1Q Ac fl�t�,J Subdivision name Lod ,off . /a3 Lot no. Other homes on property? Yes _X_ No Previous owner of property, r --t- Total -t- Total size of property Total size of parcel Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes —((V No Volume q/3 and Page Number 9 7 as recorded with the Register of Deeds. ------------------------------------------------------------------- INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the ffice of the County. Register of Deeds as Document No. _y ._�We , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in Y the office of the Count Register of Deeds as Document No. i Signature of A&lAcant Co- Applicant q — /yam Date of Signature Date of Signature ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the /�O/r /1 P 11 residence located at: /f/ U, jgj":�_ Sec. T R Zy W, Town of � ,r 2' 1 St. Croix County, Wisconsin. Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced Did flow back occur from absorption system? Yes No,� (if no, skip next line. Approximate volume or length of time: gallons minutes Capacity: Z��Cl<z) c Construction: Prefab Concrete Steel Other Manufacturer (if known) : 4J Age of Tank (if known) : Gt��a 4L2�.� Q. ( nat e (Name) Please Pri t (Title) (License Number) (Dat e)`F��1 Co Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) , - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank, to the best of my knowledge, will conform to the requirements of ILHR 83, Wis. Adm. Code (ex c t for inspection opening over outlet baffle) . Name �Q�S p Signature MP /MPRS �� -- + I I 1 I Y L 19 a C� e I j 0 I I i I i I I I I I I Q , a I I I -- r 1 i I i I 1 i I i i ' I � I i i I i ! '• { I i I � ' i I r I J— P I ' Or . 0 � I D IVCIki'I!As Ids , i I zm Ja - --r— ;- -� I I - ! i I 1 � , d I 4 DOCUMENT NO. WARRA! f DEED TH!$ SPACE RE ERVED FOR RE' ORO,NG DATA STATE BAR OF SYiS += `s_Iti FORS[ 2 -1982 4'73 V% 49`7 rEcisTEr�s O FF IC E ST. CROIX CO., WI Patricia M. Farrell, a single =e-__n and _ Recd for Record' Deborah L. Blanchal J, a single c -a :)n _ _ ituiI`301991 at 10.45 A M convey, and warrants to - -- Lhomas. - N.. Be.11 -� �- bra M..- Bel husband and .wiFe. as mar- _; = urv.ivcr.s.hiA Register of Deeds ' pI,operlty.._... - : the following described real estate in .- SG.• - ��7x - -- County, State of Wi,eonsin: Tax Parcel No: ........................ Part of the NEa of NE% o Secti ?D, Township 31 North, Range 15 West, St. Croix County, Wiscon>i- _escribed as Follows: Lot 1 of Certified Survey Map Filed NOve - =er 24, 1982 in Vol. 11 Page 1234, Doc. No. 381282. 330a" This 1 s hon e;tead prohert_:. (is) (is not) Exception to warranties: easements, = s_rictions and rights -oF -way OF record, any. IlIatul this 2-9 day u: August I Patricia M. Farrell Deborah L. Blanchard (SEAL. AUTHENTICATION ACKNOWLEDGMENT Signature(s) _ F' atr..iai - a_. - _Farre_ll -- -- __ - - -. STATE OF WISCONSIN Deborah L. Blanchard / • - - } 3 - - - - -- St. Croix } S3 -- ------ -- -- -__.. - County. N authenticated this ..- .. - - -da , of -. AU U.s.t._ - - -. -. 19. Personally came beinre me this I } - - -- �� `I...�arre]lgand - „..� Kristina 0 a Lundeen •.• Ltd - - L . lnd I.� � - - - - -g - - ------------ - - - - --- - - - - -- - - -- AebQZ ah_1,_.. �lan� hard O • - TITLE: ME tBER STATE BAR OF WISCONSI`i .----- ,- - -_... .... -. -- . N 1is. (If not. .. - --- --- - --- -- - --- --- _ -. _ .. ._ by � 706.06, Lu Stats.) to me known to he the peron S. _. ._ who cTxcd the .ore,oiag instrument and acknowledge the same. THIS INSTRUMENT AS DRAFTED BY Kristina Ogland Lundeen attorney at t aw - Virginia R -.. - Gartman - ......... - ------ - - ---- -- Notary Puhiic St._ Croix County, Wifz. (Signatures may be authenticated or acknowledged. E :'� �`>” Commission a perm rtnent.(Ir not, ,fate espira ion are not necessary.) date: _February. 9 -- _.. _ 19 •) •dames ( ,f Denons aiRninR in er.y � opacity sh —ld be 0;P 1 WARRANTY DEED STAS% ?.CC ._.T WISCONSIN V ' .consin Legal N!gnk CO Inc. FIAIX 'La 2— "1 "2 M, waukee. Wisconsin 3 COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715- 962 -3121 800 - 962 - 5227 ST. CROIX ZONING REPORT NO.: 09321/01 RAGE 1. ST. CROIX COUNTY REPORT DATE'* 8/15/91 COURTHOUSE DATE RECEIVED'+ 8/13/91 HUDSON, WI 54016 ATTN*# THOMAS C. NELSON 031 - OWNER: Pat Farrell 2t)' 3/• /. ` 3 q C I LOCATION: 981 -210th Ave., Town of Star Prairip COLLECTOR. M. Jenkins SOURCE OF SAMPLE*# Outside faucet COLIFORM*# 0 /100 ml INTERPRETATION: Bacteriologically SAFE NITRATE -N: ( 1 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. Coliform Bacteria /100 ml Nitrate- Nitrogen, mg /L LAB TECHNICIAN'+ Pam Gane WI Approved Lab No. 19 OF .INDEPFiyO fN V Means "LESS THAN" Detectable Levei. Approved by: y* �`'� ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 y _ -._.. _ ... .. _ .. :. 4 : , 1 ... . . �:.� .'iii: � I _ _ _ �. r ST. CROIX COUNTY ZONING OFFICE St. Croix County Courthouse 911 4th Street Hudson, WI 54016 / Telephone - (715)386 -4680 �j The St. Croix County Zoning Office offers the service of septic V and water inspections to Lending Institutions, Realty Firms, and private individuals. Completion of this form is essential so that the property can be located. Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING - - - - -- -FEE: $ 25.00 (For nitrates and coliform bacteria) WATER TESTING FEE: $127.00 (For VOC'S) SEPTIC SYSTEM INSPECTION---------- - - - - -- -FEE: $25.00 (Determines if system is properly functioning at time of inspection) Property owner's name Property owner's address 0 1 -f ,q QC Legal Description N4- 1/4 of the Vf- 1/4 of Section AO , T 3l N- Town of STAF- 2P -Vr?- C Lot Number Subdivision Name FIRE NUMBER q I LOCK BOX NUMBER /JU 0 �- Color of house Realty sign by house ? - g If so, list firm: F- Nrn t�� PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. I Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: CIS '< 7�54i ( rZE4 -Q Telephone Number 715-- p2,q)- S 90C-> REPORT TO BE SENT TO: R01"11 103 /�.9i•� % cam Closing date 9/ _ Signatu — STAR PRAIRIE T31 N: - R18 W. 55 J I POCK -57 fgo /X IL POLKI COUNTY Lester F S •. �'�� �• ® Q� /3.B r d — a4R T' R o Luu //e N ,„ Wn�' oR. R h w 0 e ,ese 65 _Z7ouy /as !1 a �e`vwt�0 s � c. e� rm7 0 b �� tl' C R°nda// J R ✓ar'd M J r crs 1 0.` b9 9 e/ a C h v c F q FMa /E. Rv� N CEDAR L. M �u ''P� � �0 ' fan j Gr n Scot /✓e.(son ,Quss.R /2d d C'd �'ay vh v 1 a °, rc 3 ° c,v i 9q �x 3 n 9 J (� cSfr -ohb en ® U J y 5 a 0 5 `u U`0 /67/ U °O ¢o Rodnc D y C. /SB "7 S \ ♦ Scm <Ca ev M�yacy 'vv poselia Y a£ k� boaJT� o o C y�cne FJ /va q •x O t o r� • La ✓aun ^ Susa/i a Qadv� /24.62 R •- •y q N HUN Mzes a1 P a C C 4o a. a GO o c 67926 off^ � ° 7hn a o �a� f F X 5 ' a H R I I •�� 5 C p Larson RIE ... tl�i NmrcB wick v L.NBS � J m3.� � � Co s.,4 .Vga Jhnf die ne f f /9 ]9 Ff �3as V Y o 11Y • S �� h ti. . ••/ f55 s h� ° eis- ,vi meson D¢ ,e /,E' he% aryeon n a0 '� %ie - .9h /Hess • u mo eta/ 4 9 � �7 � � [Hies n, P �\ U 40 e h Ka / cc`utl �� CC ao GayR 4o a 5� Ec h �:F 'c CYN d O rbo t7essei 7/7 �p EG.n tl ce d✓inf M - e/ an g / ed r'el, gR e. tlU ✓. oH BfaS . v, `� ,. c. e 7 q K h • , KasrS 9937 f oe Sc4an 2 d Ed t7 ae C V y' Eme!- . TF(': Vo %k t O V 6F. b: W. eas- •� L° stn ocu UV Edih (59p� le Knuison 96 s7 40 • ,/e qp SP7 :1 SY.: N ', •SKr 4a � i 43 9/ 40 O C7arnes m L. c a ` v • 'O W7 /ard .. N $� 'e rPichaed O O oer s J G b ^�i i S ' 3 r�af d8 �� t.9 Hansen � � V 6ne 00, s9 N Nemeth 0 f7nder's on a C/•iSd F 'W '� N oc rzo ! • /OB , L /an,- �d� ^ a� � 67 h� .,,7 n4 Hone L. B. 96 MCr-!an so Y,... 40 i +Geor Fa/ynS, �CTa/I7'a °J .0 • y G SC OIt ✓ W �L MQ/' D �e • SMQ �I =/IC. .8e / /f: °n K ✓ 4o ro�a: ,s MarYf'e ;a �.c3 s +o Coun /e/ ER q L�scde/ `� /20 ° j 1679 l3 v • Ba ndt ✓ i , T//om¢s Ku't a. f /32.98 a tJ ` y/_ s f • ..... -' v, �y�• oberf 4O � QI 6f/a /!cr' f q,—,f bmaS, � �p ao , 1 17 t, h OT�y f /GFaemer' eta/ '� .rr//o Ri o tv a Lar'so y Qr.O� hrs °n /U hre / 40 W .e p L ci //e C/a ronce u; 0 64 � J c b� nee L Dennis 4 Davie F W Do.,s � Lean¢ 7o TS � C m ti nsfix ' � Emf� c y � � ema! .9a / /ar- � �,� ,✓cumann eo ! 'on �y ° h � K /eme ruck CI � �� W BeN DCascy Q Q / eon a o 1, CS Y ¢¢ � s :N 40 ro o " t � 99 99 ¢ban dy "'�'� • � � Gr ma 'l �i `F me son Toe �'t1 a �� e - hr� 575 a 00 W t /c yS f , ° va b iAS • f • AV y,� W N W W v a s/ MaY efn f Everrefr 0 �� y 0 ,PobQ y f ,� nsf /P c �¢/ - r e i • e U F 0 Hwa • ucc ✓ F C tl 0 W h "'ybQ eTb � C/o te. i tl 'Lacs on rOi' ✓ 4TH 5. 9 �c U `F y E ers°n �utl vpUp �f 77 S 3- E3 C n AVE. AVE. 40 s" s ° o 7 Germain mot, n/ - C .., rRu / ° h Asp/ d yg T D ." rf op - �h✓ `� ��' 0 //S./6 yne5 eTames Gera/d U '' ✓ames,u Marlt� ePi 2 e DQ /shack, Neumann • ,ger - nd, ,Pob er't oY /een K /cmasZ C /ouhcr' • Rosene t Mary k - /ph /nda t, � e i ✓ar'd � -Tr 92 cs S L7 F N/axine 40 BO e 79 4 aronn 76. c,3 ✓O /0/.77 ,S"y' B //oLEeF1 40 fMay H4 /ve�san s/ OF 2 �fi• a,� f7S P cC ERovE�tZ ' /e ,' � Woh /e/"S FGu /5269 ?LE Q BO Wain Bo cf / ° Ta T:rc 77 ci /v.ESS�ras ''- C era /d.R � �y55 Gene v.e✓r. 7//�mas, : �or tom «.- - r /yarce //a �h ,� bEr/` £,Do '.: HAW OR /v -i /7037 LSackcs Z 0 5 z Thomas L F ancor�s' Dan e/ .:. B76 fa • �o /•7a /tr 'eon 778 '� ,B � °,,,, s .Casey 6S Reo w - M 20 /d5 asa. f 972 • csrs +es e yes a rbw RI HWND;' 2-33.7 TRS U 5TH V.E J� e � yp a • � �` S e`� (�, `f0 uh b ¢ S `O afy C 5 .c y arnes Av Abeen Base /• 3/enn •( 4 'O r raY t� f/idne M ers w a c �W� '� � : 5+�� `J- ���g .d ✓�nre ° Bo rzo FcTanet eta/ %T y 38.0 '6 C ed 3P✓o 9 1 02.46' C � W u .a Mao @ .8 . • h des '4 C ~~� foe t ° taro R /ex C7r•eee c p oufde C �� c� aauAne Cyr 9 99 4o Q U 0 /6o S�Gount� 6I t! Ruse // L l • Fay an a 0 ,u- 7rn p a y 'C 6z ° e ti P Mary /andr/�k, ° qn. rUe X ° _ • 29/24 A c Prvaed a q�� etux 757 KK2 B. L' ':;MK ohn K ew Az ` /B AVE +; �ci /d a �® r, r ,�B4 .S[P� ' O.9 v 7B ; • er � ° 9769 B /75 �'✓� b lr 1 S/7c /( ✓ .t¢_ Uy� a -�� HE' ber f aces Wayne � r a. La�rra ��•? ��1 �. 6S O Bo `v • .9244 :�R YC7 r . �4e ' y : .: :: ©/99/ /Poch May 6 s Frc. 6I I /eorH ". ^oo. SE£ r PAGE 43 AV . c51 C nf,.y 6✓s. SEE PAGE 53 800 900 1000 1100 1200 1300 1400 UTGAARD'S HATCHERY r\ _ Year Round Poultry Service POULTRY FEED - EQUIPMENT - REMEDIES RUSSELL'S SPORT'N BIKE Live Bait Wholesale & Retail POULTRY BUSINESS Raleigh and Ross Bicycle Sales - Repair of All Make Bicycles - Indoor Archery Range SINCE 1901 Complete Line of Archery Supplies - Featuring Golden Eagle & Browning Bows ® New & Used Guns and Wide Range of Ammunition Phone: 248 -3200 or 248 -3209 Fishing Tackle and Trophies STAR PRAIRIE, WISCONSIN ■ 248 -3644 STAR PRAIRIE, WISCONSIN 54026 GARRY & GLORIA RUSSELL, Owners OO . 1 SECLUDED AND SPACIOUS - 10 ACRES $ 117,900 .1981 210TH Ave, Somerset ,Wi. %Tnis large split entry home located approx. 4 miles NE of Somerset .features: very spacious rooms, kitchen breakfast area with seperate dining room combined with living. Three bedrooms on the main level with a walk -thru bath to the master bedroom. A fancy lower level family room with a woodstove very tastefully done, and large 4th bedroom with 3/4 bath on the lower level. New hot water oil furnace in 1990. Landscaped and very secluded 10 acres. This home shows very well and is tastefully decorated. LOCATION DIMENSIONS MECHANICS North of Somerset on LR: 15.6 x 16.9 Heat: Hot water oil Hyw 35 to 210th turn; R DR: 9.L x ?^ Exterior: wood go 2.2 miles, home on Kit: 10.4 x 10.5 Taxes: $1998 (90) the right. FR: 14.6 x 23 Age: 1975 MBR: 15.5 x 12.1 Heat costs: $700 /yr. FINANCING BR: 12.1 x 9.8 Included:stove,fridge This home will qualify BR: 11.3 x 10.4 Lot: 10 acres - woods for all conventional & BR; 11.2 x 19.1 Schools: Somerset V.A. , F.H.A. Baths: 1 3/4 Legal: Lot 1 C.S.M. Garage: 2 Att. Vol. 5 page 1234 Deck: yes Sq. Ft.: 1497 main lv PRESENTED BY RE /MAX with 2800 Sq.Ft.total team 1 realty SOMERSET ( 715) 247 -5900 //�� I/MW teams realty 11 103 Main St., Box 68 Somerset, Wisconsin 54025 (715) 247 -5900, 246 -7125 Each Office Independently Owned and Operated of e, I U LiJ.JH T d11 f ti M ti- ST PRA IRIE x:31 N7R.18W. 55 J � POLK COUNTY voLK sr Pox _ JI — J AR CED � c. - — i a, Ne /soq� s h� 12B 1671 .v.. T Ri✓a�d Q6 v �bHC� @0Cp s. c �� O /aS SUJan a /J. i� �` y J9/d V V d Ix s C hGa =•.: F> /tea n •d -tcoh� •La✓auni �)1 2 n/e /son 39 v/ o � ` Te/slud 'adh �! ,� HUNJ �y ao `2 F GO o H RAIRIE c3hm • k - Z- tiPi J ;` "UJ :coo 'a ., u c J $ Baas l �$ ✓� i a� r ,� 1 • J -,�i/ i �, _, rN dt �� h� ,•s7 �/ _ � _ � It _ A vE o nos SQUAW L. elux J � B a 9.G MCIYoIS o- VE. • F hb S . Y ° ` 4 �� �, — �I. ir- – — / SE 000 C/¢/I]CS •+'I�H 1 6/P f (JO Cf tl tl v Tj / R 1/ _ 3 .f r/ / n 1&6 s v ,e >-f r Patrick f' J iss``O Pat J �/ 70 n L¢�so/7 S _ w > Jr k U ea/ 160 �� � �; � _ w `. rs.c e a J r i .. ...._. 57 TIC FS i �a B RG lq .N d S j /i.r_ N AVE t >J /C ✓a/Q 2 /f / >e / /ba iR Fi /f J / > f " 0 4a -� s' lc+ox C'>e�ma /i�� `°ot ,v w�o� z /s - �3`�.^-RA/VO l ''JJ�� A 1 0 V es lTames Gerald . v •� .z / n n, _y � Jomcs, / x e� 79 0 r ;ate �Le!! ne. s! n 02 fie 1� ASSptt. Ra/PhSMn �tlm� _. l � � AV F' C Q- <� - r h •n ^ ' i t lrlo� n_ ,/ [ < 4.537 v� ' r � P LE Mo P , o � ` r • N /GHT'HAW ORB rm I C 7 Q�st /7037 f1 �ck.rs ` 5 65� .. /RI(�HMOND'; Z33 7 5rN 2s F f �aW) J r ST. CROIX COUNTY WISCONSIN . ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, W154016 h : (715) 386.4680 Aug. 13, 1991 Re /Max Team 1 Realty 103 Main St., Box 68 Somerset, WI 54025 To Whom It May Concern: An inspection of the septic system on the property of Pat Farrell located at 981 210th Ave. was conducted on Aug. 12, 1991. At the same time a water sample was obtained for testing. The results of that testing will be sent to you as soon as we receive them back from the laboratory. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. Eely, P Jen J kins Assistant Zoning Administrator cj