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Home My WebLink About038-1221-04-000 Wisoondin Jepartment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430609 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: P.C. Collova Builders, Inc. I Star Prairie Township � CST BM Elev: J I Insp. BM Elev: , BM Description: Section/Town /Range/Map No: vD . c) Dn 3p r do Q 1 ,urn 31.31.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark / Dosing Alt. - Aeration Bldg. Sewer , ZC> t Holding 7 St/Ht Inlet L TANK SETBACK INFORMATION St/Ht outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic > DtBottom Dosing 7"c) b Header /Man. Aeration Dist. Pipe Holding Bot. System 3 $ • c �� Final Grade PUMP /SIPHON INFORMATION 3 ,70 1L 31b � Manufacturer Demand I St Cover GPM a.( • CS0 f Model Number TDH Lift Fr oss System Head TDH Ft Forcemain 1 L 16th Dia. Dist. to Well SOI RPTION SYSTE t RENCH idth Length - No. Of Trenc es PIT DIMENSIONS No. Of Pits In Dia. Liquid Depth DI 3, (98 Tra 2 -� L SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Ma � ctur gt� INFORMATION CHAMBER OR Type Of System: 36 UNIT ��• �_ Model Number: DISTRIBUTI N SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing TAir Intake L 4 p� / . Length ' Dia Leng Dia Spacing o 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 [7] No Yes 5 No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: Inspection #2: -- 7 '•� 7 � Location: 1888 90th Street Star Prairie, WI 54026 (SE 1/4 NE 1/t-1 431 TT33f1 /N R18W) Prair'e Pond Breaks Lot 4 Parcel No� J 1.31 18. 1.) Alt BM Description = 5• / � J �� A* '& 2.) Bldg sewer length= 2 �, Ll {t�.MM �• - amount of cover = X r. 3 ,rer� w ook- P n revision Required? Yes No 1 Use other side for additional information. (!� SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. Saf and 'A'P O. Box 7082 Couary� I )Q 201 W W hin on Ye.. N u b Smitary P _ it er (to be filled in by Co.) A. Ma son, W { 53707 — 7082 '!� O �seonsln ( 608 5 # 2 00 3 State P Number pepartment of Commerce Sanitary Permit Apph a`m° R Ix 0UNTl in accord with Comm 83.21. Wis. Adm- Code+ personal o $� F ICE project Address (if different than mailing )dress) may be used for secondary Purposes Privacy L s15.04 tV(.G\ I I'll ), Application Information — Please Print Alt Informat o n Parce #. Lot Block # Property Own 's Name s C• �1 Property Location Pro er Mailing Address l F V /., Section Phone Number Zip Code Ci / (tir City, State S D T� N; `J / __�__E IL Type of Bullding (check all that apply) I Su ' 'son Name CSM amber 1 or 2 Family Dwelling — Number of Bedrooms _ .r Sr ❑PnbliQtConuMcisl DescribeU ❑City ❑Villa ownship f ❑ State Owned — Descnbe Use a K IIL Type f Permit: (Check only one box on line A. Complete line B if applicable) A, ❑ Treaunent/Holding Tank Replacement Only ❑ Other Modification to Existing System New Systatn ❑ Rep)seement System ❑ ❑ Permit Transfer to New List Previous Permit Number and Date Issued B. (] Permit Renewal ❑ Permit Revision change of plumber Owner Before Expiration IV, a of POWT3 S stem: Check all that a I itable soil ❑ At Grade ❑Single Pass Sand — Pressurized in-Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of su Noa ❑ Constructed Wrd ❑pressurized In round [j Holding Tank C3 Peat Filter Q Aerobic Treatment Uni[ Q Recirculating Sand Filter i Other ( pl Recirculating Synthetic Media Filter hing Chamb ❑ Drip Line C1 Gravel -less Pipe V. Din eraaVTreatm Ares In orr : Required (sf) Dis Area Proposed (s ystem El tion Des Desi Flow (gpd) Design Soil Application Rate(gpds 1]tsP f � Tank Info Gallons Gallons of Units v Q ' umber Manufaerurer Prefab Site Steel Fiber Plastic Total N Constructed Glass 1rI. capacity to Concrete New Existing Tanks Tanks Septic a Holding Tank Aerobic Treatment Una posing Chamber VIL Responsibill Statement 1, the undersigned, respousibill r installation of the POWTS shown on the attached plans Plumber's Si MP/MPRS Number Business Phone Number p'a Name (Print) Plumber's Address (Street, City, State, Zip C / d9,y VIII. Coun /Il srtment Use Onl Smit=y Permit Fee (• eludes Groundwater Date Issued Issuing ignature s) A AP proved ❑ Disapproved Surcharge Fee) 2 4M �►-- .' ❑ Owner Given Reason for Denial IX. Conditions of ApprovaURessons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. ouaty only) for the system oa paper not less than f 1/2 x 11 inches in size Much tompkk pleas (to the C SBD -b398 (R+ 08102) PLO7 PLAN PROJECT P.C. Collova Bldrs. Inc. ' / #DDRESS P.O. Box 489 Somerset Wi 54025 SE 1/4 NE 1/4s 31 /T 31 f w- N Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 ,, -�� DATE 12/6/03 BEDROOM 3 CONVENTIONAL )= IN- GROUND 4' ESSUR CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 BENCHMARK V.R.P Top of Survey Iron _' ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O ELL •H.R.P. Same as Benchmark SYSTEM ELEVATION 96.2/96.1 4' below grade Alt. BM Top of steel fence post @ 104.2' 195' B. Plans Designed Using Conventional Powts r B -2 5 , Manual Version 2.0 Standard Biodiffuser Leaching Chamber C tL with 31.1 ft2 of Area Vents 130 3 4 Grade at System Elevation � f� 2 -3' X 69' Cells with >3' t S�acing 50' M. B -3 ,� 30' ? Vents n� `o 20 T 1� Pro 3 Bedroom House No 37' G OP 90th ST. PLOT PLAN PROJECT P.C. Collova Bldrs. Inc. DDRESS P.O. Box 489 Somerset Wi 54025 SE 1/4 NE 1/4s 31 /T 31 W N Star Prairie COUNTY ST. CROIX f MPRS Shaun Bird 226900 DATE 12 /6/03 3 BEDROOM CONVENTIONAL )00C IN- GROUND 4 RESSUR CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 BENCHMARK V.R.P Top of SUrvey Iron _ ASSUME ELEVATION 12 - E Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 96.2/96.1 4' below grade Alt. BM Top of steel fence post @ 104.2' 195' B. Plans Designed Using Conventional Powts Vent Manual Version 2.0 >697 Standard Biodiffuser Leaching Chamber C t a i of Cover with 3 1. 1 ft2 of Area Vents 130 5 B -2 , 6' Long il 34' Grade at System Elevation G f 2 -3' X 69' Cells with >3' t, Spacing 50' M. B -3 � 5 30' ? Vents T 20 Vj Pro 3 Bedroom House 37' 90th ST. vftwnsin Depawntofcommeme SOIL EVALUATION REPORT Page Division of Saw and Bongs in a000rclo a wdh Conran 85. Wis. Adm. code Attach wnpleb site pun on paper not Iess then 8112 x 11 inches in sire. Plan mud include. but not I it to: vertical and horizantai reface point (Btu. difection and Pacoel 1 percent slope. scale or om% north arrow and location and distance to n mad . by Date please print ap Mforma _�_.._ -__ _ _ _ Parma" kgor yo u w mr be used for i ) lmib ` C- � � S 3 s _/ 1l4/y 14 S T N R j E( W In Prop? ,s Ad&gss a ' Lot #1 � Block # sued. Name a t Location tai Ta Neanut Road CRY stag code .- ,._ �. ` ws 2 sa ers� wf Sy c � �' New Constiuc lim Number of bedrooms,.. _ Code derived design Sow rate '�J r? GPD O Replemnent O Pubk or oom avial - Desorlim - - - Parst material Flood Pl / abn if app6coble I GenwM comments -5- ED pit Ground surface eiev. '� S . R to m Sop Rabe Norbwn Depth Docr*wt Color Redc)x Desaiplion Teaclue Sbuctcxe Corsistence eocrndery Rants GPOW Munsell {hn. Sz. Cori. Color Gr. SL Sh. •Eff#1 - U- b •L .2 ,2 Bcolng Boring # Grotrrtd surface elev. � "—;fL DepSr b Whiling f�tor sn Sol Rate Horizon Depth Domk nt ReclaK Description Texture �ur�ure Con stenos Bacutdary Rawls GPM in Mus�l Qu. Sz. Cont. color Gr. Sz. Sh. `Eif#1 •Eft �j -/ to r 3/2. _ 2 m N, f �' L,rn /,0" y y 3 j , I D • r �,��, '- J d 5� � t �1 �- � • Effluent #1= BM > 30 ;S 220 - mnd i'SS >3p < 1 : ` Effluent #2 = BOD ^ 30 MOL and TSS c 30 mglt. umber CUr csr ( P" f 19 6 1. Date Er Conducted Telephone Number Address - i _a 3 Soil Test Plot Plan Project Name P.C.Collova Bldrs. Inc. Sha i Address P.O. Box 489 Somerset Wi 54025 M #226900 Lot 4 Subdivision Prairie Pond Breaks Date 4/9/03 E 1/2 NE 1/43 31 T 31 N /R18 W Township Star Prairie N W 1/4 W 32 R Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey iron System Elevation X96. Z �� i *HRPSame as Benchmark Alt. BM Top of steel fence post @ 104.2' 195' J B.M. not enough slope to establish contours 130' B -2 5 , 0% Slope ``fit' 50' .M. B -3 � 5' 15' B -1 37' Pro Town Road i Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the fifter. 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 C OED If system fails, determine cause of failure, use alternate area and install new system in tested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option #3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715- 246 -4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715- 246 -5148 Shaun Bird #226900 j - dss =zo eo si �aa I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer P. C. Collova Builders, Inc Mailing Address P O Box 489 Somerset, WI 54025 Property Address 1 '3 g g 9& 5� (Verification required from Planning Department for new construction) City /State New Richmond WI ty Parcel Identification Number LEGAL DESCRIPTION Property Location SE y4, NE y4, Sec. 31 . T 31 N -R 18 W, Town of Sftkr Subdivision Prairie Pond Breaks Lot # q_. Certified Survey Map # r Volume , Page # x ---- -- 695417 2021 27 Warranty Deed # 695419 Volume 2021 Page # _ 29 Spec house ❑ yes ❑ no Lot lines identifiable ❑ 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 Ste Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restricted plumber or a licensedpumper verifying that (1) the on -situ wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 o the ee Uiration date. P. C. COLLOVA BUILDERS, INC. (715) 247 -2742 SIGNA OF APPLICANT P.O. Box 489 SOMERSET, WISCONSIN 54025 DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of )desc; above, by virtue of a warranty deed recorded in Register of Deeds Office. P. C. COLLOVA BUILDERS (715) 247 -2742 , INC' 2 / / 6 SIGNATURt OF APPLICANT SOMERSET P.O. Box 489 DATE WISCONSIN 54025 • * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed U 2021P 027 STATE BAR OF WISCONSIN FORM 2 .1999 6 `� S 4 1 - 7. Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX Co., WI This Deed, made between Douglas A. Strohbeen and Eileen RECEIVED FOR RECORD Strohbeen, husband and wife, 1 0 - 23 -2002. 11:00 AN WARRANTY DEED Grantor, and P. C. Collova Builders, Inc. EXEMPT # REC FEE: 11.00 TRANS FEE: 1260.00 COPY FEE: Grantee. CERT COPY FEE: Grantor, for a valuable consideration, conveys to Grantee the PAGES: 1 following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Part of the NE 1/4 of NE 1/4 and part of SE 1/4 of NE 1/4 of Section 31, Name and Return Address Township 31 North, Range 18 West, St. Croix County, Wisconsin, described as follows: Lot 1 of Certified Survey Map filed September 17, 1993, in Vol. 9, Page 2686, Doc. No. 505678, St. Croix County, Wisconsin. 038 - 1125 -10 -100 & 038 - 1127 -70 -000 Parcel identification Number (PIN) This is homestead property. (is) XXOO Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this ' y of September 2002 • Douglas A. Strohbeen • • Eileen Strohbeen AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. St. Croix County ) authenticated this day of i Personally came before me this y of September 2002 the above named f Douglas A. Strohbeen and Eileen Strohbeen, husband and wife, 0 ` 1 91M ID TITLE: MEMBER STATE BAR OF VI to me known to be the rson(s) who executed the foregoing (If not, instru nd a ged the same. authorized by § 706.06, W is. Stats. OF C - ' . THIS INSTRUMENT WAS DRAFT915 ' • �f� Attorney Kristina Ogland Notary Public, State of Wisconsin Hudson, WI 54016 l Ommission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) 6 .) • Names of persons signing in any capacity must be typed or printed below their sigmture. information P Company. Fond du lac. WI STATE BAR OF WISCONSIN OW- 665.2021 WARRANTY DEED FORM No. 2- 1999 U 2021P 029 STATE BAR OF WISCONSIN FORM 2- 1999 6 9 5 4 1 9 Document Number WARRANTY DEED REGIS OF DEEDS ST. CROIX Co., YI This Deed, made between Cecil Brighton and Cleo Brighton, RECEIVED FOR RECORD husband and wife, 1 0 - 23 -2002 11:00 AM WARRANTY DEED Grantor, and P. C. Collova Builders, Inc. EXEMPT # TRANS 720000 COPY FEE: Grantee. CERT COPY FEE: Grantor, for a valuable consideration, conveys to Grantee the PAGES: 1 following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area NW 1/4 of NW I/4 of Section 32, Township 31 North, Range 18 West, St. Name and Return Address Croix County, Wisconsin. A� 038- 1131 -60 Parcel Identification Number (PIN) This is not homestead property. Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. pK) (is not) Dated this day of September 2002 • • Cecil Brighton V • C Brighton AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. St. Croix County ) authenticated this day of r yi, �� Yk Personally came before me this day of September 2002 the above named Cecil Brighton and Cleo Brighton, husband and wife, I h OF V11SG�,� TITLE: MEMBER STATE BAR OF WISCONSIN. ;..��' (If not, to me kn to be a on(s) who executed the foregoing authorized by § 706.06, Wis. Stats.) Anstr d le ed the same. THIS INSTRUMENT WAS DRAFTED BY , Attorney Kristine Ogland Notary Public, State of Wisconsin Hudson, WI 54016 Mly Comm n is permanent (If not, state expir ion date: (Signatures may be authenticated or acknowledged. Both are not necessary.) • Names of persons signing in any capacity must be typed or printed below their si Lure. Irdormellon Prc(miomis Company. FwW du tae. WI WARRANTY DEED STATE.BAR OF WISCONSIN 8004W I,021 FORM No. 2 - 1999 W� ItrAof o'A CORNER G I 9,M 32 -31 -18 �� (F OUM I q � C� �. MONUMENT) _ "' N 89°36'01" E 238.94' 33.00 �� — • C 396.28' 2 . - �� 89 6'ot N89'38'SS =E ENO 33 00' W 3 f6.00' -- 205.91' /-- -100' - � LOT ip n \ s I 'Ci ° � i ° : 110,168 sq. ft. o"' to \ �` \ w . y° 2.53 acres o .. z ,... /.. yol L.B.O. 886.3 I . g0 S1 31.,1. S RM WA TE R 53 ro 98,408 sq. ft. I `'.r. \ '• N 89 °54'40" E 322.74' \ m y / 2.26 acres L.B.O. 886.3 �' 52 94 \ 3 , \ rn " . E N 322.0 Lora �, M di 65,341 sq. ft. 1.50 acres 06 N J 50' — N I: N89'54'40 "E I LOT 21 M 47 336.61 W It 76,093 sq. ft. ? "' $ 1.75 acres I : 0 ✓ O ° I : ................ .... /.. / EASE o LOT4 . $••�- �i cn '1 ' g • $ rn 65, q. ft. °' L / > X15.41' _ _ - 222.53' 1.51 acres I $ 88'42'41" E 237.94' O I N89'54'40 "E 7.5 -50 Q 336.61' vl 00 N 88'42'41" W 236.25' L. ......................... qi b —0 E I O LOT 5 ° I ' A R. I rn N AR W40 Qn ff Sri