Loading...
HomeMy WebLinkAbout038-1091-10-000 r Wisconsih Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix S' fety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 514962 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: Talmage, Robert & Alice I Star Prairie, Town of 038 - 1091 -10 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: V �� ,� iij V ,% f 4 f t 22.31.18.373A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic veekf l oot Benchmark —2,1 1 17 (go, Dosing I C Alt. BM �-- -- - - 4 1 AerdtW Bld . Sewer Holding 1 SUHt Inlet �. AS f2• .757 TANK SETBACK INFORMATION SUHt outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 5� S f 2 / r }z (� Dt Bottom Septic u , A J �] Dosing Header /Man. r' Aeration Dist. Pipe Y a D Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Y.Z 3- G Manufacturer Demand St Cover f • GPM �f / l 7 b Model mber TDH Lift Friction Loss System Head TDH Ft 9 l2 Forcemain Length Dia. t.To Well 8.2 fl. 6 SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenches BLDGt PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 t V Y 3 K ' f SETBACK SYSTEM TO 7 P/L WELL LAKE /STREAM LEACHING Manufacturer: //.. INFORMATION Type Of System: / h j CHAMBER OR a�Gllc MC' / 3 / t ` 1 UNIT Model Number: t IJ 0 /1: 3 DISTRIBUTION SYSTEM J l7 l7 I Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake i /' Pipe(s) Lengt Dia '7 Length Dia pa SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded Ixx Mulched Bed/Trench Center Bed/Trench Edge 0 Yes No 0 Y�[]N, COMMENTS: ( Include code discrepencies, persons present, etc.) Inspection #1: / 2 / (,� Inspection #2: / / Location: 1193 Cty Rd CNew Richmond, WI 54017 (NE 1/4 NE 1/4 22 T31N R18W) NA Lot / > Parcel No: 22.31.18..373A 1.) Alt BM Description= y l �} v Gam Y rr jV �k 2.) Bldg sewer length = '&7 r t d - amount of cover = 1 7 t/ P la n additional r1 - -- - - - - ------ -- -� revi side for information. No Ue other _^ ' _tT�. Date Inse ors Signature Cart. No. SBD -6710 (R.3/97) 44/22/06 TUE 46:30 VAL TIS 386 4686 oopll i s 241 m T swam Sanitary Yerm�t Ap �..w•��.• �. : c$. & ti2M,W.lea 4146 ton hr .0 bow'" row `c� Usk is mobs' O � .c c;,; L � MAC YM Pte' °''' a old far .rae y /! ! 3 left L pMSda]iree 2J f � � yN ct � 373 � ""M 2 - Z n" COUNTY Cam, l 1 ZONING OFFICE . g �c� �a Hirt olt Get :lf II. d�r�t�erledr .� Z1r1re Q lrDb - Di.xiitlire p O maIaf �sa.�o+w..a- n.a�e.v.° w ►i kll �!I G AA 5 ably A CIt y;urrwiw. .� rao � DrsB.ra _ [1cr..rdlb°hr >L �� oww '` inL'Iwaad 0lwurr>sdy,.p,,,,ed DNQds O Mts'"°s�i.arwtw•+� Q m 4K;R.a.�.lte. E3 HWMTa V. AM'` Io'*w'` Aee� o •� � sot va�,,.xtilrtr n swear T«s o.iaa+�+'� � ot�slONV><'s�' +M� sotueMe vfL. 8101 LiM �d ildi�eut�L�•� � /v �� "-"- YQL wit Fea Orr as 1. S eptic tank. emiknt tiger and Gp L. tmles 5 b dispersal deft must all be s ry a l mai nad as per management plan provided by plumber• l e 2 Alt se> hack ta4Wrernents must bemaintaihbd .a.r.ere�ece.a.+rrarr . 8BD4M ER 0M valid tiara 01M s 431/ ij PROJECT Robert and Alice Talmad 1193 tv Rd C New Richmond Wi 54017 NE 1/4 NE 1/4s 22 /T W OWN Star Prairie COUNTY ST. CROIX 8/20/08 BEDROOM 3 MPRS Shaun Bird 226900 DATE CONVENTIONAL XXX IN- GROUND 3 SSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 677 # of chambers 33 BENCHMARK V.R.P. bottom of siding ASSUME ELEVATION 100' Filter BEST Filter ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark Ven Well is to meet all SYSTEM ELEVATION 90.2/90.1/90.0 4'below qrade setbacks required b Quick4 Standard -W WDNR of Cover Leaching Chamber with 20.0 ft2 of Area 4' Long 12 „ 5.8ft ^2 /pair of end caps 34" Grade at System Elevation Ct Y Rd C Plans Designed Using Conventional Powts Manual Version 2.0 1000' Scale is 1" = 40' unless otherwise 200' Well 10' noted 10' Existing 3 0' Bedroom House B M rive ay 4% Slope 10' B -3 ST Weeks ST Old tank is to be 10' pumped and buried 0 , 20' 60' DW 20 40' B -1 J20 Line is to be insulated under dri veway as per good idea! B-2 Rcopy Vents 3 -3' X 46' cells with >3' spacing 431/ N PROJECT Robert and Alice Talmad 11 93 tv Rd C New Richmond Wi 54017 NE 1/4 NE 1 /4S 22 /T W OWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE8/20/08 3 BEDROOM CONVENTIONAL XXXX IN- GROUND SSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 677 # of chambers 33 BENCHMARK V.R.P. bottom of siding ASSUME ELEVATION 100' Filter BEST Filter ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark Ven Well is to meet all SYSTEM ELEVATION 90.2/90.1/90.0 4'below qrade setbacks required b >6 Quick4 Standard -W WDNR of Cover Leaching Chamber with 20.0 ft2 of Area 4' Lo 12" Long 5.8f A2 /pair of end caps 3 4'; Grade at System Elevation Ct Y R C AL Plans Designed Using Conventional Powts Manual Version 2.0 1000' Scale is 1" = 40' unless otherwise 200' Well 10' noted 10' Existing 3 0 1 Bedroom House B M rive ay 4 %Slope 10' B -3 ST Weeks ST Old tank is to be 10' pumped and buried 2 0, 0' 60' DW 20 40' B -1 U20 Line is to be insulated under dri veway as per good idea! B -2 Vents 3 -3' X 46' cells with >3' spacing RECEIVED Wisconsin Department Df Commerce SOIL EV ATION REPORT Page of Division of Safely and uilding BUG 2, 1 =dance Oth Com 85, Code County' ! • .T � � Attach complete site Ian o IM tWy8 1/2 11 inches in ' e. P mu include, but not limit to: v h refere point (BM), clio Parcel I.D. percent slope, scale tion and distan nea st r 0 .!� 8 —/ la pm) Please print all information Revi ed by Date Personal information you provide may be used for secondary purposes (Privacy Law, S. 15. 1) (m)). Properly Owner Property Location Q Govt. Lot �� 1/4 114T3� N R! V E (o W Property Owner's Mailing Address Lot # Block #d. Na or CSM# -- G� " - f'67 ad City to Zip Code Phone Number ❑ City ❑ Village Nearest Road W e New Construction LOAResidential ! Number of bedrooms Code derived design flow rate J Z2 GPD placement ❑ Public or °m - Describe: Parent material /;) 4c e__44 Flood Plain elevation if applicable Ot ft. General comments `7 [7 Be , >� � and recorrimendations: q System Type �l' it/�� System Elevation Boring # F1 Boring Pit Ground surface elev. l� Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 .1 6 'M ng c� pit Ground surface elev. ft. Depth to limiting factor _ /, 72 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 b-110 & e5/z_ - ---- -- 5;11 4 �` j 4 ZI 1 t • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 Effluent #2 = BOD 130 mg/L and TSS < 30 mg/L CST Narm (Please Print) re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 �—� �� 715 - 246 -4516 I F, Property Owner _ Parcel 115 Page of 2Boring # ❑ Boring J Ground surface elev. ft. Depth to limiting factor in. C� Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GMT in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 , 3!1, r 3 c nn t� l F-1 Boring # Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil liration Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff42 F-1 Boring # ❑ pit Boring ❑ Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/t- ' Effluent #2 = BOD < 30 mg/L and TSS 5 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. SB - 8730 (R.6=) r Property Owner _ Parcel ID # Page of ® Boring # Boring Pit Ground surface elev. 5 ft. Depth to limiting factor 14 L in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i nn ►� l a Boring # ❑Boring Ai I ❑ pit Ground surface elev. ft. Depth to limiting factor in. - 9 - o — ilApplicabon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence. Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD 130 mg& 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. SOD-8330 (RAMD) Soil Test Plot Plan Project Name Robert and Alice Talmadge sha ird Aodress 1193 Cty Rd C --/ New Richmond Wi 54017 / 11 (� 'TNf #226900 Lot --- --- Subdivision -- ------ Date 8/20/08 NE 1/4 NE 1/4S 22 T 31 N /R W Township Star Prairie Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Bottom of Siding System Elevation 90-2/90.1/90.0 * H R pSame as Benchmark CtY Rd C 1000' Scale is 1" = 40' unless otherwise 200' Well 10' noted 10' Existing 3 W Bedroom House B M . )riveN iay 10' B -3 ST % Slope 96' 20' 0 ' DW 20 -1 40' _ 95' 0' B -2 94' 840944 KATHLEEN H. WALSH State Bar of Wisconsin Form 3 -2003 REGISTER OF DEEDS ST. CROIX CO., NI QUIT CLAIM DEED RECEIVED FOR RECORD Document Number Document Name 12/19/2006 10:30AN QUIT CLAIM DEED THIS DEED, made between Robert G. Talmage, also known as Robert Talmage, EXEMPT I 16 and Alice L. Talmage, also known as Alice Talmage, husband and wife and each in REC FEE: 11.00 their own right ( "Grantor," whether one or more), COPYSFEE: and Robert G. Talmage and Alice L. Talmage as Trustees of the Talmage Joint CC FEE: Revocable Trust dated November 29, 2006 PAGES: 1 ( "Grantee," whether one or more). Grantor quit claims to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is needed, please attach Recording Area addendum): Name and Rctum Address The Southeast Quarter of the Northeast Quarter (SE 1/4 of NE 1/4) of Section two 22 , Township Thirty-one 31 North Range Eighteen 18 West' Jennifer ien, Abdo, O'Neill Twenty-two ( ) p rty- ( ) g g ( ) e l.ommcn, Abdo, Cole, King & Stageberg, P.A. 400 South Second Street, Suite 210 The Northeast Quarter of the Northeast Quarter (NE 1/4 of NE 1/4) of Section Hudson, WI 54016 Twenty-two (22), Township Thirty-one (3 1) North, Range Eighteen (18) West, EXCEPT part to Certified Survey Map in Vol. 2, Page 357 and EXCEPT part to Gerald W. and Carol J. Christensen in Vol. 874 Page 619 and EXCEPT part to St. 038 - 1091- 60 -000; 038 -1094- 80 -000; 038- 1091 -10 -000 Croix County in Vol. 993, Page 473, and EXCEPT part for utility easement in Vol. Parcel Identification Number (PIN) 1226, Page 277. This is homestead property. (is) (is not) AND, the Northwest Quarter of the Northwest Quarter (NW 1/4 of NW 1/4) of Section Twenty-three (23), Township Thirty-one (3 1) North, Range Eighteen (18) West, EXCEPT part to St. Croix County described in Volume 993, Page 473, and EXCEPT part for utility easement in Vol. 1226, Page 275. Dated November 29, 2006 (SEAL) (SEAL) * Robert G. Talmage * Alice L. Talmage (SEAL) (SEAL) * AUTHENTICATION ACKNOWLEDGMENT Signature(s) Robert G. Talmage and Alice L. Talmage STATE OF WISCONSIN ) au enh t Novi'rnber 29, 2 )Ss. COUNTY ) * e etl Personally came before me on , TITLE: MEMBER STATE BAR OF WISCONSIN the above -named (If not, authorized by Wis. Stat. § 706.06) to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: Jennifer A. O'Neill - Locomen Abdo Law Firm Hudson, Wisconsin Notary Public, State of Wisconsin My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. QUIT CLAIM DEED O 2003 STATE BAR OF WISCONSIN FORM NO. 3-2003 * Type name below signatures. 1of1 Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan Option #1. if system.fails, determine cause of failure, use alternate area and install new sy sted replacement area. ` Option #2. stall system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 71 5- 246 -4516 St. Croix County Zoning 715- 386 -4680 Pumper Tom Mondor 715- 246 -5148 Shaun Bird #226900 i i ST- CROIX COUNTY ZONING OFFICE CERTIFIC;rZION STATE'MBN'r FOR = LizATION OF AN EXISTIM SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the a / cc residence located at: IV- 5 _%, A'E see 2 2 _ , T S X, R 1 W, awn of / ] ��.�_ St. Croix County, Wisconsin. Upon inspection, I certify that I have found the tank and bafflen to be in good condition, and it appears to be functioning properly. Last time serviced Sa Ai,, Did flow back occur f rom absorption system? Yes Na z (if n4, skip next line. Approxiu:ats volume or length of tf.me: ________ gallons min�atee Capacity s Construction. Fro ao Concrete steel Ot MaaufactLt7ea (if kncr nn) Age of T (if known) n (S turn ,Name, Please Pri P2 s— - (Title) License NUmber �at��o —'D a Form to be cx*leted by iice"ed plutrber (a. 145.06, wiscon &in statute&) or licensed disposer (KR 113 Wisconsin Administrative Code) Plumber (applying for sanitary' permit) Certification: In accepting the above atasament regardiag existi septic task condition, I certify that the tank, to the Wiest of my e . will Conform to tt— requirment . of ILER 83, Was Ads:. Code (exce f r inspection opening over outlet baffle). Signature MF /MP'RS Z- r - ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREE AND ONgRSHjp CERTIFICATION FORM Owner/Buyer —D z 47a�� �,j �12_� �11_ Mailing Address property Address (�/earificati required from Planning & Zoning Department for new City /State Parcel Identification Number LEGAL DESCRIT'T CON ,�/ R �W, Town of Property Location/ 1 /a , � 1 /a ,Sec. , T N Lot # Subdivision Volume page'# Certified Survey Map # ,�- __, l CJ �l , Volume - page Warranty Deed # 9 3 `{ 13 Spec house yes Lot lines identifiable Cv no 0 0 SYSTEM MAINTENAN AND OWNER CERT1tT'YCATION PrOPer Improper use and maintenance of your septic system could result in its premature failure hand mat you put into maintenance consists of pumping out the septic tank every three years or sooner, if needed, by s Owner maintenance the system can affect the function of the septic tang as a treatment stage in the waste disposal ystem. responsibilities are specified in §Comm. 8352(1) and in Chapter 12 - St. Croix County Sanitary e- to submit to St. Croix County Planning & Zoning Department a cercfic8dm form, signed by the The p agrees y restricted plumber or a licensed pumper verifying that (1) the on -site owner and by a master plumber, journeyman P lumber, wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than W full of sludge. ee to maintain the private sewage disposal system with the e and th Uwe, the undersigned have read the above requirements and th e De paitmmt of Natural Resources, Sate of Wisconsin. standards set forth, herein, as set by the Department of Commerc Certification stating that your septic system has been maintained must be completed and returned to the St Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all 4tatements on this form are true to the best of my /our knowledge. 7/we am/are the owners) of the 7 4I GN;A by virtue o warranty deed recorded in Register, of Duds Office.. , 1 00 OF AppLYCANT(S) DATE ** *Any information that is misrepresented may result in the sanitary pe rmit being revoked by the Planning & Zoning Depa==L * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08J05) I AMMS Viewer Page 1 of 1 � I http: / /www.landinfo.co. saint - croix. wi. us / website /LRPortal /ARCIMS /MapFrame.asp ?PIN= 8/21/2008 Parcel #: 038 - 1091 -10 -000 08/21/2008 01:55 PM PAGE 1 OF 1 Alt. Parcel #: 22.31.18.373A 038 - TOWN OF STAR PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - TALMAGE, ROBERT G & ALICE L TR ROBERT G & ALICE L TR TALMAGE 1193 CTY RD C NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ` 1193 CTY RD C SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 38.780 Plat: N/A -NOT AVAILABLE SEC 22 T31 R1 8W PT NE NE EXC PT TO CSM Block/Condo Bldg: 2/357 & EXC PT TO PARCEL AS DESC IN 874/619 & EXC PT TO HWY DESC 993/473 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) EZ -UT- 1226/277 22-31N-18W Notes: Parcel History: Date Doc # Vol /Page Type 12/19/2006 840947 QC 07/23/1997 933/473 WD 2008 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/12/2008 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 12.780 1,600 0 1,600 NO 05 UNDEVELOPED G5 0.750 100 0 100 NO AGRICULTURAL FOREST G5M 23.250 58,100 0 58,100 NO OTHER G7 2.000 25,000 61,600 86,600 NO Totals for 2008: General Property 38.780 84,800 61,600 146,400 Woodland 0.000 0 0 Totals for 2007: General Property 38.780 84,700 61,600 146,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00