HomeMy WebLinkAbout038-1118-30-300 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
430483 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j.
Permit Holder's Name: City Village X Township Parcel Tax No:
Sauer, Chett I Star Prairie Township 038 - 1118 -30 -300
CST BM Elev: Insp. BM Elev: BM Description: Sectionrrown /Range /Map No:
00 � �aO, 2. t-V r Jl�3JY1 J 29.31.18.490D30
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV.
Septic Benchmar
1. GLAD r 0o0 1.5d) l `7 low tv loo • o
Dosing ---� - , Alt. BM
Aeration Bldg. Sewer
Holding St/Ht Inlet
- 7 , 7y
TANK SETBACK INFORMATION St/Ht Outlet y - V
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic f Mai Not Dt Bottom
G 1'} f K tit
Dosing ' ` Header /Man. 7.Z
Aeration
® Nor Alt 1 3
Holding -- Bo f. System :aC Li T 03
PUMP /SIPHON inal Grade
ON INFORMATION 9 , /
Manufacturer De St Cover
G PM J , D /
,A ✓
Model Nu er
TDH Lift ,� tion Loss SystemAAead TDH Ft
For 7 6ain Length Dia to well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT MMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 3 m . , t o w -- --- I---
SETBACK SYSTE / M TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: �
INFORMATION Type Of System: u T CHAMBER OR */ `1 . - L �- L
L {�� � UNIT Model Number:
l colfL
1i 1
DISTRIBUTION SYSTEM
Header /Manifold Distribution x Hole Size lVent to A Intake
I/ q N Pipe(s) .....
Length Dia L Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over I Depth Over jxx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench C enter _... - --- soil
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: It 1 0 '7 1 0, i ea rIfflon _
Location: 1949 93rd Street Star Prairie, WI 54026 (NE 1/4 SW 1/4 29 T31N R18W) NA Lot 6 ' " DDPm Parcel No: 29.31.18.490D30
1.) Alt BM Description= fj� (I L G tWl VV vA �- Gl t1 .
2.) Bldg sewer length = l � 5 d lI-$ /�pV� ,r+�, „ r �
- amount of cover = if L " v
0 4 �2 ` olmfi e, t A Plan revision Required? [] Yes , No Use other side for additional information. ` 0 - 1 1
SBD -6710 (R.3/97) Date I epctor's Signature ert. No.
,
Safety and Buildings Division County
201 W. Washington Ave., P.O. Box 7082 0/,
iseons�n Madison, WI 53707-7082 Sanitary Permit Nu ber (to be filled in by Co.)
Department of Commerce (608) 261-6546 �0
Sanitary Permit Application State Ian LD. Number
In accord with Comm 8j.21, Wis. Adm. Code, personal information you provide
may be used for secondary purposes Privacy Law, sI5.04(I)(m) Project Address (if different than mailing address)
I. Application Information — Please Print All Iv forma E
Property er' Na e P c el # t Block #
Property Owner's Mailing Address K Property Location
3 / �/y Section
City, State 7 a;? e /
h one Num
5� lOJ 1 - ( 0 -� / irclepAf)
T J/ N; R E o($(J
II. Type of Building (check all that apply) f oo �S
or 2 Family Dwelling — Number of Bedrooms 3 Subdivision Name CqM Num
❑ Public/Commercial — Describe Use 6 15 0 l �o �/3/)
❑ State Owned — Describe Use r ❑Villa own of P
III. Type of Permit: (Check onl one box online A. Complete line B if applicable) 30 3LV 0 30 )
A. Ai New S tem
ys ❑Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑Permit Transfer to New List Previous Permit Number and Date Issued
Bf. fore Expiration Plumber Owner
IV. !XPe of POWTS System: Check all that appl
❑ Ncn - 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 ffLeaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain)
V. Disp ersal/Treatment Area Information:
Design Flow (gpd) Design Soil Application Rate(gpdst) Dispersal Area Required (sf) I Dispersal Area Proposed (so System Elevation
1 < 3 6S3 11 7
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 �� �d d0 C
Aerobic Treatment Unit
Dosing Chamber
VII. Responsibility Statement- I, the undersigned, assume responsibility fo IgV411atfon of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber's 'goer re PRS Number Business Phone Number
Y I & P
Plumber's Address (Street, City, State, Zip
I . Coun /De artment Use Onl
Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued s ' g Agent Signaturwo Stamps)
Surcharge Fee) j �� (o / / 3
❑Owner Given Reason for Denial ` 0
IX. Conditions of Approval/Reasons for Disapproval rr SYSTEM OWNER: 3) �c -K I
1 Septic tank, effluent filter and
dispersal cell must all be servic del maintained
as per management plan provided by plumber.
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 31/2 x 11 Inches In sin
SBD -6398 (R. 08/02)
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1063
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3
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. Plan must County St. Croix
include, but not limited to: vertical and horizontal reference point (BM), direction and
perced slope, scale or d"mmrrsions, north arrow, and location and distance to nearest road. Parcel I.D.
Please print all information. R iewed By Dale
Personal kdommatim you provide may be Law s. 15.04 (1) (m)). %,
Property Owner roperty Location
Saver , Chett Lot NE 19 SW 114 S 29 T 31 N R 18 W
Property Owner's Mailing Address MAY 0 5 2003 of # Block # Subd. Name or CSM#
1974 93rd St. 6 CSMF
City State ip Gott .f t *0�"TY City Village ✓ Town Nearest Road
Somerset I WI � 0 I Star Prairie I 93Rd St.
✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
Replacement Public or commercial - Describe:
Parent material Outwash Plain Flood plain elevation, if applicable na
General comments
and recommendations: Area is suitable for a conventional system with a 0.7 gpd/sqft rating. Possible system elevation is 96.58'.
❑ Boring # Boring
✓ Pit Ground Surface elev. 99.55 ft. Depth to limiting factor >136 in. Sol Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD&
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-11 10yr3/2 none sl 2mgr mvfr cs 2f .5 .9
2 11 -22 1Oyr3/4 none grsl 2fsbk mvfr gw 1f .5 .9
3 22 -39 1 Oyr4 /3 none gricos 1 msbk mvfr gvv --- .7 1.4
4 39 -89 1Oyr5/4 none grcos Osg ml cs --- - -- .7 1.6
5 89-136 10yr5/6 none ms Osg ml — — - .7 1.2
Boring # Boring
✓ Pit Ground Surface elev. 99.55 ft. Depth to limiting factor >156 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAtz
in. Munsell Qu. Sz. Co Color Gr. Sz. Sh. I *Eff#1 *Eff#2
1 0 10yr3/2 none sl 2mgr mvfr cs 2f .5 .9
2 12 -21 1Oyr3/4 none grcos lmsbk mvfr gw 1f .7 1.4
3 21 -72 10yr5/4 none grcos Osg ml cs - -- .7 1.6
4 72 -98 10yr5/6 none ms Osg ml gw - -- .7 1.2
5 98 -156 1Oyr514 none grcos Osg ml - -- - -- .7 1.6
* 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
CST Name (Please Print) Signature:�� CST Number
Thomas J. Schmitt 227429
Address Tom Schmitt Date Evaluation Conducted Telephone Number
1595 72nd St., New Richmond, W154017 4/22/03 715 247 - 2941
Property Owner Saver , Chett Parcel ID # Page 2 of 3
3� F Boring # Boring
be Pit Ground Surface elev. 99.16 ft. Depth to limiting factor >134 in. Sod Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0 -10 10yr3/2 none sl 2mgr mvfr cs 2f .5 .9
2 10 -21 10yr3/4 none grsl 2fsbk mvfr gw 1f .5 .9
3 21 -36 10yr4/4 none grlcos 1msbk mvfr gw .7 1.4
4 36-67 10yr5/4 none grcos Osg ml cs -- .7 1.6
5 67 -134 10yr5/6 none ms Osg ml — - -- .7 1.2
S �6'
F4 1 Boring # Boring
✓ Pit Ground Surface elev. 100.07 ft. Depth to limiting factor > 132 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-12 10yr3/1 none sl 2csbk mvfr cs 2f .5 .9
2 12 -23 7.5yr4/4 none Is 1 csbk mvfr gw 2f .7 1.2
3 23-44 7.5yr4/6 none grls osg ml gw — .7 1.2
4 44 10yr5/4 none grcos osg ml cs - ---- .7 1.6
5 86-132 10yr5/6 none ms osg ml -- ---- .7 1.2
on 9Z g
F-1 Boring # Boring
Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
i
i
i
*
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
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POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pa of
T
=ILE INFORMATION SYSTEM SPECIFICATIONS
Owner Septic Tank Capacity al ❑`NA
Permit # f..2 Septic Tank Manufacturer 0 NA
DESIGN PARAMETERS Effluent Filter Manufacturer r ❑ NA
Number of Bedrooms 3 ❑ NA Effluent Filter Model —!�} ❑ NA
Number of Public Facility Units A Pump Tank Capacity al JYNA
Estimated flow (average) 3 040 g al/day Pump Tank Manufacturer A
Design flow (peak), (Estimated x 1.5) g al/day Pump Manufacturer 12NA
Soil Application Rate 7 gal/day/ft' Pump Model q
Standard Influent /Effluent Quality Monthly average* Pretreatment Unit A
Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel,.Filter, ❑ Peat Filter
Biochemical Oxygen Deend (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection O,Other.
Pretreated Effluent Quality Monthly average Dispersal Cell(s) O NA
Biochemical Oxygen Demand BOD 530 m /L
Y9 l )
g In-Ground ravit ❑ - r
In G u d (pre
s n (gravity)., o n ( ssuri
� Y P
Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At- Grade. ❑ Mound
Fecal Coliform (geometric mean) 510' cfu /100ml ❑ Drip -Line ❑ Other:
Maximum Effluent Particle Size Y in dia. ❑ NA Other. " NA
Other:
❑ NA Other: �,NA
"Values typical for domestic wastewater and septic tank effluent. Other: E3?L4A
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank ❑ month(s) s) At least once every: ear(s) (Maximum 3 years) ❑ NA
Pump out contents of tank(s) When combined sludge--and scum equals one -third (Y of tank volume ❑ NA
Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 ears) ❑ NA f
, 0 year(s)
y
Clean effluent filter At least once every: ❑ month(s) ❑ NA
y ear(s)
Inspect pump, pump controls & alarm At least once every: ❑ month(s► : _ NA
❑ year(s)
Flush laterals and pressure test At least once every: ❑ month(s) NA
E3 year(s)
Other: ❑ month(s)
At least once every: ❑ year(s) NA
Other:
;R:NA
MAINTENANCE INSTRUCTIONS
10 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 n missing or broken hardware identify an cracks r Y Y 9 Y Y o 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
contents of the tank shall beremoved by a Septage Servicing Operator and dispoged of in accordance w ith chafer NR_ 11 3,
Page ?, of
Z
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 treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents
of the tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During ower outages pump tanks may fill above normal hi hwater levels. When power is restored the excess wastewater will be
9 9 P Y 9 P
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) 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 15 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.
•
• 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 pr osed structure, lot lines and wells. Failure to protect the replacement area will
result in the need for a new soil and evaluation to establish a suitable replacement area. Replacement systems must
comply with the rules in effect at that time.
❑ 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.
T
�r
(V alua ' a o mg tank
✓ t�NS7"R(lC�LOr�!
❑ 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 OR 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
Name C4 r6-14 1-14 Name
Phone Phone
EPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Name S C (7 2,241 �J
Phone Phone
This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code.
FROM : SAUERS PROFFESIONAL PAINTING C FAX NO. : 7152474569+ +7152474+ Dec. 05 2002 09:30AM P1
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
J OWNERSHIP CERT[FrCATION 'FORM
thvneriBuvar ( � 4
Mailing Address � � �t 2;
Property Address l y 4-- ,
(Ve required from Panning D". rtmcnt for new construction)
City /State JnYK AA ?A t - L\-) I- Parcel Identification Number
LEGAL DESCRY ON 0 3 8 — Ill 1?- 30 - 3 aD �• `I' lO� — 30)
Property Location L , , -5W V., scc. � T__]Z�N -R -QW, Town of S I
Subdivision _ Lot #.
Certified Survey Map # .� �� e Volume Page # - „,E3 3,,
Warrsety Deed # 3 P Volume �t� 5 Page -#
Spec house 0 yes ❑ no Lot lines identifiable El yes 0 no
SYSTEM ._ NANCE
Improper ussc oad mamtmacaeof your septic system could result in its premawre- allure to handle wutts. Propermaiamnancc
consists of Pumping out the septic tame every three years or sooner, if needed by a licensed pumper. What yon put into the system
can affect the function of d o s_ptic taak as a fta=cut stage is the waste disposal system.
The property owner agrees to submit to St: Croix Zoning Dgnrtooznt a certification f murk signed by the owner and by a
zaaster plumber, joumeymu plumber, restrictedpltunberor a liccasedpanver verifying that(1) the on -site wastearuterdiRMW ayatem
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 U of sludge.
I/we, the undersigned have read the above rega=ments and agree to maintain the private sewage disposal system with tba standards
set forth, herein, as set by the Department of Commerce and the Deputatont of Natural Resoamcs, State of W isconSln. Certificatio
stating that your septic system has been mainm i ced dust be completed and returned to the St. Croix County Zoning Office within 30
ciayt3 o�L' nation dace.
SIGNATURE OF APPLICANT DATE
QW NER C D- FICATION
I (we) certify that 24 statements on this farts are true to the best of ray (our) knowledge. I (we) am (are) the owner( of
the pr PC. des 'bcd above, by virtue of a warranty dead recorded in Register of Deeds Office.
• t 4
SIGNAIVA GF APPLICANT DATE
++ ".t Airy info -=' iou that is mis- sepresentedmay result in the sanitary permit being revoked by the Zoning Departzuent. + " "•
" Include with this Application: a stamped wumnty deed from the Register of Drcds otTr :e
a copy of the certified survey ;nap if reheat is made in the warranty deed
FROM SRUERS PROFFESIONAL PAINTING C FAX NO. 7152474569++7152474+ Dec. 05 2002 09:32AM P3
I A 11 BAR OF WISCONSIN FORM 2,199 4 — Ar
9 1-4 H. 44'11
1)ncnm�'ni Number WARRANTY DEED ' F, F, YL 0 F 1)[. 7 L. D
This Deed, made between Louis W. Sell and Mary L. Schaar, RECEIVED FOR RECORD
husband and wife,
9ARRANTY DEED
Grantor, and Chet( W. Saver E' XEMPT #
CERT COPY FEE:
COPY FEE:
TRANSFER FEE- 1 131.00
RECORDING FEE.- ID.00
PPGES-. I
Grantee.
Grantor, for a valuable consideration, conveys to Grantee the
followine described real estate in St. Croix
County,
State of Wisconsin (if more space is needed, Please attach addendum):
Recofilin Area
Part of the SEI/4 of NWI/4 and part of the NEI/4 of SWI/4 of Section 29, Name and Return Address
Township 31 North, Rar. L IS West, St. Croix -ounty, Wisconsin, described
as follows: Lots 4, 5 6 nd 7 of Certified Survey Map filed July 24, 2001,
in Vol. 15, Page 4 ,Oc. No. 652003. %
;7 %;1 �
D38- 11 -30 & 038-1119-60
Parcel Identification Number (PIN)
This is homestead propeny
Exceptions to warranties; Easements, restrictions and rights-of-way of record, if any.
Dated this CO day of Jtdr 2001
a L. Sch r
AUTHENTICATION AC NOWLEDGMENT
Signature(s) Louis W. Schmar and Mary L Sclimar, husband STATE OF WISCONSIN
and wife, )ss.
County
authenticated this �t of JUIF— 2001
!�� o!gq
— T — -- Personally came befo m e this day of
the above named
Kristina 0 land . . ......
TITLE: MEMBER STATF BAR OF WISCONSIN
(if a0t, to me known to be the ptrson(s) who executed the foregoing
authorized by § 706.06 Wis. Stars.) . .. ... instrument and acknowledged the same.
THIS INSTRU'j\4E.\7 WAS DRAFTED BY
Attorney KrIstina Ogland Notary Public, State of Wisconsin
Hudson W1 54016
My Commission is permanent- (if not, state expiration date:
(Signaruras may be authenticated or ackno%0i;dgcd. Botli are not necessary.)
Names of persons signing in any capaciftf must be typed or Printed blow their signature. U&M%wen Profess — Canpany. Ford d. - to f. vM
WARRANTY DFUD STATE BAR OF WISCONSIN 800
FORM No. 2 -1999
r � � IY 14 1~ = t
JUL 2 4 20 �► = s 2�n1 _ �j
' CL�idt IAN GO�3
iAAQI��♦l�� ' .. Yll S1Gv ^
ERTI " "F "'t "` D SURVEY MAP
t oc in port of the Southeast QUar r of
le the Northwest Quarter and port of the Northeast Dubrter
of the Southwest Quarter of Section 29, Township 31 North, Range 18 West, Town of Star Prairie,
beir+q Lots 2 and 3 of o Certified Survey Mop recorded In Volume 10 Page 2780 in the Register of Deeds
Office (or St. Croix County. Wisconsin. UNPLA_TTED LANDS MISSY LINE OF 714E
WEST LINE OF THE 66',KXNT DR/WWA-Y ---- SE 1/4 of NE NW 1/4
NE 1/4 OF TIaE SW 1/4 CASEMENT FG4 JMT DRIWWAY
L015 6 d• 7 CASWAlf FOR
n 0 N00'44' "W AM � LOTS s & 5
------------
140 44'4 430.8 w �,
o ! 1400'44 37 -W 127.4 - 27.68' -
�+ T 213.81' I W I - RIG7�/T - -or WAY
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NOTE: EXISTING DRIVEWAY FOR LOT 7 '� ! V ' • .' I i ,R� i� fg J' ii i z
TO BE MOVED TO PROVIDE 200 t� ° ° v i o f
SEPERATION TO DRIVE WITH DRIVE TO 10
SOUTH. tC ° �+�. / � _.' r O g 7
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Prepared for and at the request of.
Mike Germain APP v b L! A r�r� 6 600 - N �- c
_
1359 Awotukee Troi1 ST.CR XCOIi `� _a � ° o w
Hudson , WI. 54016 Pr► r O s
OWNER- Mary Scharr Plann;n�Zr)Nrr I ?a+ - E A -0 �'� -1 of
Urafted by Jim Hatsn
JUL Y 2001 u!_PU__TTt o �`-'P
6ENCHMA,RK - A ": LANDS - -- �� o r te s ° W o s
TOP OR IRON PIPE ELEVATIONI O3"g*ded wino 3U dayST.T p g a
approval date approval Shall tie x m JO a i°
BENCHMARK 'q': null end void 1 n z r1 a 03
TOP OR IRON PIPE ELEVATION 862.47 r > r r D r � y z � r - ;0 O V ' �v
pr�iO -1m-1 u >9 > - n ID rn 1 0 a s A o
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rn 171 LEGEND: On 0000 13or+l to A x < ii 1 j
{b Section Corner Monument r- p r r- r oC 7 n a O °° N
of Record D�ADQ m2 sD motto
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r.:. 1063
Wisconsin Department of Commerce SOIL EVALUATION REPORT _ 'pa 1 of 3
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code °i Tom Schmitt
County •~ °,•,_'
Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must I St. Croix
include, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. arcel I.D.
Please print all information. d B ., D e D3 /
Personal information you provide may be used for secondary purposes (Privacy Lax, s. 15.04 (1) (m)). ~� 1�
S
Property Owner _ - / - Property Location r"
M & G � -✓�� IN KS b Govt. Lot NE 1/4 �Af1//4 S "29. TAI NR 18 W
Pr eriy Owner's Mailing Ad ress Lot # Block # Subd. Named
1359 Awatukee Trail 6 CSM
City State Zip Code Phone Number City �j Village Id Town Nearest Road
Hudson WI 1 54016 1 715 - 549 - 5971 Star Prairie 93Rd St.
O New Construction Use: id Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
_f Replacement ; Public or commercial -Describe:
Parent material Outwash Plain Flood plain elevation, if applicable na
General comments
and recommendations: Area is suitable for a conventional system with a 0.7 gpd /sgft rating. Possible system elevation is 96.58'.
Boring #
M 16 Boring CDC ad U F-6%. 2zo
Pit Ground Surface elev. 99.55 ft. Depth to limiting factor >136 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft'
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2
1 0 -11 1Oyr3/2 none sl 2mgr mvfr cs 2f .5 .9 ,
2 11 -22 1Oyr3/4 none grsl 2fsbk mvfr gw 1f .5 .9 S.
3 22 -39 1 Oyr4 /3 none grlcos 1 msbk mvfr gw - - - - -- .7 1.4
4 39 -89 1Oyr5/4 none grcos Osg ml cs - - - - -- .7 1.6 q-
5 89 -136 1Oyr5/6 none ms Osg ml - - -- - - - - -- .7 1.2
F il Boring # -j Boring
Pit Ground Surface elev. 99.55 ft. Depth to limiting factor 156 in. Soil Application Rate
P 9 P
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft'
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 *Eff#2
1 0 -12 1Oyr3/2 none sl 2mgr mvfr cs 2f .5 .9 4,
2 12 -21 1Oyr3/4 none grlcos 1msbk mvfr gw 1f .7 1.4
3 21 -72 1Oyr5/4 none grcos Osg ml cs - - - - -- .7 1.6
4 72 -98 10 r5/6 none ms Os ml w - - - - -- .7 1.2
Y 9 9
5 98 -156 1Oyr5/4 none grcos Osg ml - - -- - - - - -- .7 1.6
Effluent #1 = BOD? 30 < 220 mg /L and TSS >30 < 150 mg /L Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L
CST Name (Please Print) Signature: CST Number
Thomas J. Schmitt 227429
Address Tom Schmitt Date Evaluation Conducted Telephone Number
586 Valley View Trail, Somerset, WI 54025 6/12/01 715 -549 -6651
Property Owner M & G Inc Parcel ID # Page 2 of 3
3] Boring # J Boring
Pit Ground Surface elev. 99.16 ft. Depth to limiting factor > 134 in. FSoil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0 -10 10yr3/2 none sl 2mgr mvfr cs 2f .5 .9 (
2 10 -21 10yr3/4 none grsl 2fsbk mvfr gw 1f .5 .9
3 21 -36 10yr4/4 none grlcos 1msbk mvfr gw - - - - -- .7 1.4
4 36 -67 10yr5/4 none grcos Osg ml cs - - - - -- .7 1.6
5 67 -134 10yr5/6 none ms Osg ml - - -- - - - - -- .7 1.2
9 . S5r
3 4 l�ro.9G
F-1 Boring #
Boring ,
f Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD :
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
F-1 Boring # I Boring
j Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Description th Dominant Color Redox Texture Structure Consistence Boundary Roots GP
Depth
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
* Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD <30 mg /L and TSS < 30 mg /L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
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CONCEPT MAP
Located in part of the Southeast Quarter of the Northwest Quarter and part of the Northeast Quarter of the
Southwest Quarter all In Section 29, Township 31 North, Range 18 West, Town of Star Prairie, being Lots 2
and 3 of a Certified Survey Map recorded in Volume xx Page XXXX in the Register of Deeds Office for St. Croix
County, Wisconsin.
Prepared for and at the request of:
Mike Germain EXISTING DRIVEWAY LOCATION
1359 Awatukee Trail TO BE MOVED'
Hudson, IM 54016 NEW ACCESS POINT TO ACCESS POINT TO
OWNER: Mary Schaar PROVIDE 200' SEPERATION PROVIDE 200' SEPERAPON
Drafted by. Ty R. Dodge WITH + NEAREST DRIVE TO SOUTH WITH NEAREST DRIVE TO NORTH
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L In part Of the Southe Quarter
ast Quarter of the Northwest Quarter and part of the Northeast
Of the Southwest quarter of Section 29, Township 31 North, Range 1s West, Town of Star Prairie,
being Lots 2 and 3 of a Certified Survey Map recorded in Volume 10 Page 2780 in the Register of Deeds
Office for St. Croix County, Wisconsin.
UNPLATTED LANDS WEST LINE OF THE
WEST UNE OF THE 66' .AOY __ NT OR %Vf Wi1 Y SE 1/4 OF THE NW 1/4
NE 1/4 OF THE SW 1/4 EASEMENT FOR ,KJYNTOR/V£WAY
z en I LOTS 6 & 7 EASEMENT FOR
t� 7 d•
NOO 7`W _
I _��_ _ LO75 4 5
CENTERLINE
NO 44 43o.aa• w_
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27.68'
m o � NOO'44'37"W � _ 127.49_ _. 99= I
1221.90' T • 213.81 I 30`0. — - 1 N IPYGHT -A� '� WAY
m i -� — SOO 55'07'E 513.81' -�
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NOTE: EXISTING DRIVEWAY FOR LOT 7 '� a ^', y " V �4� 3i° i9 f .• -, z
TO BE MOVED TO PROVIDE 200' z o °° 0 0 i
SEPERATION TO DRIVE WITH DRIVE TO %o f M ' x ° '
SOUTH. C = o = ,� ��� n n
,t°/ 0 0-651
yto S g r ni • a te/ I FI OOD " %A « ° n
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Prep PV
1359 Awatukee ared for and at the request of, 1-0 ��, i O,p -� �p n
Mike Germain APP V E) �� _ ! m 2 c,
Trail . i - e, n
Hudson , WI. 54016 ST. CR(!9jX �XCOIi __� {� ps a o
OWNER. Mary Schoor Planning ZoninG fgd Parks "'
Qrrmi W0'40 . 12 "E / jP �.�� s o
a
Drafted by. Jim Hohn c � N I 168.92' / / a� i p` 5 m c
�+ e
JUL 4 2001 �N_PL_A_T r E_D_ : : VN"' ° a � �
BENCHMARK `A ": LANDS i 1 o m u, n o c
TOP OR IRON PIPE ELEVATIONf eSNO gdad witnln 30 dayeTOT j '' rn n `d
approval date approval shall lis m z M ' S v' H
BENCHMARK "B': 3
null and vold 1
TOP OR IRON PIPE ELEVATION 862.47 r o o o a > g y z v a ="�
--r rn --! --1 rn -1 ur �; -"
v > a, cn In f'
LEGEND o 6norn � � c xz� cs� �a r ex
Section Corner Monument r o '- r o� rn n n 03 -
of Record >P� >P� mT2 s� z tn =`<
rn. rn m v II m �g ma �.o •
• Set 1" x 24" Iron Pipe weighing y �^ > y a a ° y
1.13 pounds per linear foot m r ci, H y M 8 c e
O Found Iron Pipe -1 o �� C) ? �o rn n n 3
- - - -- ---- -Bullding Setback Line (100' from Right of Way) O °i �" i , z z a` x rL ,i y, a
(75' from navigable waters) n c/) n p N rnrl V) n
rn 0 n n n
JOB # 057SU22
Prepared by. H- IM N hfi " -- FE 2 Z -mt in W
I,,'. n u, D 1 — O
JED CONSUL TING GROUP INC. to > a po c; i
Phone No. (715) 246 -4319 0 N r N
109 East Third Street, P.O. Box 325 m (n N C z
New Richmond, WI 54017 FAF I+ rn
Sheet 1 of 2 p
VOLUME 15 PAGE 4131
Parcel #: 038 - 1118 -30 -300 04/07/2008 11:39 AM
PAGE 1 OF 1
Alt. Parcel #: 29.31.18.490D -30 038 - 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): 0 = Current Owner, C = Current Co -Owner
O - WELLS FARGO FINANCIAL BANK
WELLS FARGO FINANCIAL BANK
4119 121ST ST
URBANDALE IA 50323
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description ' 1949 93RD ST
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 2.000 Plat: 4131 -CSM 15 -4131
SEC 29 T31 N R1 8W SE NW &NE SW BEING LOT 6 Block/Condo Bldg: LOT 6
CSM 15/4131
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
29-31N-18W
i
Notes: Parcel History:
Date Doc # Vol /Page Type
03/06/2008 870165 SD
08/07/2001 653207 1695/269 WD
04/08/1998 576678 1312/599 WD
07/23/1997 1085/420 WD
2008 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 06/27/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 32,000 16,100 48,100 NO
Totals for 2008:
General Property 2.000 32,000 16,100 48,100
Woodland 0.000 0 0
Totals for 2007:
General Property 2.000 32,000 16,100 48,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch #: 516
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00