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HomeMy WebLinkAbout038-1221-23-000 of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix lision INSPECTION REPORT Sanitary Permit No: 479313 0 DRMATION (ATTACH TO PERMIT) State Plan ID No: IF : ou provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. City Village X Township Parcel Tax No: r 'L'tA,vvc Builders, Inc. Star Prairie, Town of 038- 1221 -23 -000 CST BM Elev: Imp. BM Elev: BM Description: Section/Town /Range /Map No: 0. D 31.31.18.1223 TANK INFORMATION OELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 6 f Benchmark t o l• /M_6 Dosing � V O Alt. BM Aeration ✓ Bldg. Sewer) ! Holding St/Ht Inlet e O � TANK SETBACK INFORMATION St/HtOutlet 5 a /p / b 0 Vv- 3 TANK TO C/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet /--. ri Septic Dt Bottom Dosing Heade Man. Aeration Dist. Pipe G J Holding Botot. S ystern _ 1 • Final Grade PUMP /SIPHON INFORMATION —"" 47.3 Manufacturer Demand St Cover ( 2 7 /•d r yI• Model Number TDH Lift Friction Lo System Hea Ft Forcemain Leng Dia. Dist. to Well SOIL ABS SYSTEM /5_X BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS (f SETBACK SYSTEM TO P/L BLDG W LAKE /STREAM LEACHING Ma a Im I F �' INFORMATION CHAMBE v[1 Typ f System: ` / �� Model Number r \ S r. fLen _ IBUTION SYSTEM t eader / a ��d Distribution x Hole S izex Hole Spacing ent to Air Intake P 9 e p � th Dia Length ngth th Dia S acin g 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 L] No r] Yes LJ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /Z�! 65' A Inspection #2: / / Location: 908 189th Avenue Star Prairie, WI 54026 (SE 114 NE 1/4 31 T41 N R18W) ' Prairie Pond Breaks Lot 23 (l Parcel No: 31.31.18.1223 1.) Alt BM Description = / "� cJ�, WtiVr p S• �`'� 1 2.) Bldg sewer length - amount of cover = � � t j • �, ( /��� � �'�� /�, �/,�� s� Plan revision Required? J�e] Yes ("0 T U other side for additional information. Se Date Insepctor's Signal a Cert. No. S (R.3/97) Safety and Buildings Division Counry� ro 1 7� 201 W. Washington Ave., P.O. Box 7162 AW All Madison, WI 53707 - 7] 62 Sanitary Permit Number (to be filled in by LO.) �sCOnsjn (608) 266 - 3151 �79 f3 ae0artment of Commerce State Plan I.D. Number Sanitary Permit Application N project (if different than mailing address) 1n accord with Comm 83.21, Wis. Adm- ores sonal w s (Tort) provide may be used for secondary pure I Application Information - Please print All Inform Block # Par 1 Lot Property0 Name I {.�� 8 2005 6V ��� U.11-) U.11-) wn 3 ' 0 S y p Lo Lo n Prope Owner's Mailing Address ZONING OF 2 Q q 5 r i,,,., section . J ` U / Zip Code Phone Number irc on Z City, State T 3 1 N. R � E. �• 1 II. r pe of Building (check all that apply) Subdivision Name SM Number Family Dwelling -Number ofBedroomS ~f []City [1Villa ship of El Public/Commercial - Describe � ❑ State owned - Descriue Use III Type f Permit: (Check only one box on line A. Complete line B if applicable) Other Modification to Existing System A. ew System ❑ Replacement System [] TreatrnentJilolding Tank Replacement Only List Previous permit Number [I Change of L1 Permit Transfer to New and Dare Issued ]a. ❑ permit Renewal ❑ Permit Revision plumber Owner Before Expiration 1 1V, a of POVVTS S stem: (Check 211 that apply) ❑ Si Pass Sand Filter ❑ on- Press [I Mound >_ 24 in. of suitable soil E3 oil Mound < 24 in. of s urized In - Ground ❑ At- Crrade Sl ❑ Constructed Wetland [I Pressurized In- and ❑ Holding Tank ❑Peat Filter ❑Aerobic Treatment (enxplain) Reci rculat ing <2 Sand r ter 0 Drip Line [I Gravel-less Pipe Synthetic Media Filter in Chamber P Recirculating Syn V. Dis ersalrfreatment Ar nfornration: Dispersa r p s ystem Elevati at Disersal AreaPfoPosed (sf1 S l Area Requu ( Design Flow (gpd) Design Soil Applicion Rate(gpdsf) � ✓ (� Prefab Site feel Fiber Plastic f7D 0. Number Manufacturer Glass Capacity in Totai Concrete Constructed Tank Into Gallons Gallons of Units New Existing 0. Ili Tanks Tanks / Septic or Holding Tank Aerobic Treannent Unit Dosing Chamber for installation of the pOVV 1 S shown on the a p ility p 3ne Number V11. Responsibility Statement I, the undersi assume responsibi Plumb 's Name (Print) Plumbe nature Mp/MPRS Number DJ j (/ Plumber's Address (Street„C t�> e) r/ vV V Da 1ss issui gent Si S gn e VIII. Coun /De artment Us e On Sanitary permit Fee (includes Groundwater Approved ❑ Di prov Surcharge Fee) 50 7 �� 0 5 � G Reason for Denial Conditions of Approval/Reasons for Disapproval ^ 0A - rnlJ j� 5` `� 6 t,J�� � n� OWNER: � SYSTEM � �-- 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. Attach complete plans (to the County only) for the system on Pap. not loss than 812 x 11 inches in sin SBD -6398 (R.. 01/03) I OT PLAN PROJECT P.C. Collova Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025 SE 1,14 NE 1 /4S 31 /T 31 N/R 8 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 7/7/05 BEDROOM 3 CONVENTIONAL XXX IN -GROU RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANKS E 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 l_ S ,► BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL * H R P • Same as Benchmark SYSTEM ELEVATION 88.5/88.0 5' below qrade Vent Alt. BM Top of 2" Pipe C& 100.2' >6 „ Standard Biodiffuser of Cover Leaching Chamber 287' with 31.1 ft2 of Area Well is to meet all 6' Long 11 setbacks WDNR required by 34„ Grade at System Elevation Plans Designed Using Alt, Conventional Powts 2 -3' X 69' Cells with } 3 B. Manual Version 2.0 >3' Spacing 30 -1 100' B.M. 35' B -3 6% Slope ST y v Al 343' � 10' Pro ° Bedro m \ House 189th Ave 317' C 0 ■ OT PLAN PROJECT P.C. Collova Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025 ,SE 1/4 NE 1 /4S 31 /T 31 N/R 8 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE7/7/05 BEDROOM 3 CONVENTIONAL XXX IN -GROUN RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANKS E 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 WELL * H. R. P. Same as Benchmark SYSTEM ELEVATION 88.5/88.0 5 below qrade Vent Alt. BM Top of 2" Pipe CC 100.2' > 6" Standard Biodiffuser ?6'L fg 287' Leaching Chamber with 3 1. 1 ft2 of Area Well is to meet all " s etbacks required by Grade at System Elevation WDNR 130' Plans Designed Using � Alt Conventional Powts 2 -3' X 69' Cells with B. Manual Version 2.0 >3' Spacing 1 100' B.M. 35' B -3 0' 6% Slope B -2 0' ST 343' 10' i Pro 3 Bedroom House 189th Ave 317' 7 s yylsoonsln p orGorrarwW SO�L EVALUATION REPQRT Page _d _ omsionorsaWandf3u � a000ndanoe wfll► C�Ittl>!� illiis. ' A�dnr: _Coda _. n_ . Ansch complete sfle plan on paper not less anon 8112 X 11 i v*m in sbce. Plan Must f 1 include, but tat limited to: vertical and hoiUcintai reference pout (BM). daacbm and Parcel W. peroent slops. stele ordimermions. north snow. and locedon and dista nos to nearest me& Please print aN bnia7n #NL by !fie i+.rsoeel iedomaaou you Ptwrde may be undfr MCMdoy PWPOM (>' —W L—. a 15.03 ( M)- j I . 12 I zArt 1 PropertIOW79 Location Gv� /Or�v G Cam. 114/&P/4 j N R/ e( w PMPertyOrener'slAeftAddress Loth Doha) ck# Name City side Phone 0 � ❑ Torrn Road e ei Gr� New Constnnclion / Number d bedrooms _ _ Code derived design flow rate ''�J O GPD OReplaceinent ❑ Pubic or coaunerdal- Describe Parent rrneI Rood Plain If appk*)b N //} R General oaranenls e le vc , n, S. ED Bour g # 0 U �, 5L pit Ground surface R Depth g>sdor -.�- -- Sop A Rats Hodson Depth pardneit Color Redact Description Texture, structure Consistence Boundary Roots in. t LZu. SL Cont. Color Gr. SL Sh. 'EWI 3 -- D�a J N1 - �, z p - i aIL Bo ft # prd Ground sulaoe elev :' R Depth to irrriting lector SollApplicallort Rate Horton Depth Doninart Radon Descdpdo n Tina" Sbucture cawmance Bourrdery Roots GPOW fl in. Munq Qtr. Sz. Cat Color Q. SL Sh. -EW - Et>lXZ -! r. 3/ s L 2 >r 5 y ki 1 5' 5L rnfr w 15 -'� EtAuert E1= B� > 30 < 220 MAR. and TSS >30 < 1 - EMuwt 02 = BOD < 3D mgiL and TSS S 30 mWL as 1�V . DaAs Evakat6on caducted Taleptnane Number C ; Property Owner Parcel ID # Page of S=v# ❑ &MV Pit Gmundser8aceetev R Depth so anft factor ir. Sol Rate Fiorirorr Depth Dortdnard Cokx Redact Description Texture Siuciae consistence Boundary Roots GPDVIF ir. Munsell Qtr. Sz Conk Color Gr. Sz Sh •gw1 ®- to 3 /Z --- L c 5 Z , .9 3 t+ r 9 v S p ty o f ❑ ❑ Pitt Mound ice etev. fk Depth to kwQ WIM in, s� Horizon Depth Domlnertoob Redox Description Texture Strucan Consistence Boundary Roots GPDV(f In. Mrruell Qu. ft Cord. Color Gr Sz Sh •M1 VIM Ground surface stay. R (] pt Depth to In ft i> sal Application Rabe Horizon Depth Dominsit Color RedUK Desorption. Texture Siursrrri Consistence Boundary Rods irL Munsel Qu. SL Conk Color Gr. St Sh. THM +M • Elluerd #1= BOD > 3Ei _< 2� mall and TSS >30 < 150 mglL • Ettirerd lK1= BpD < 30 mglL and TSS < 30 mglL The Deparemeat of Commence is an equal OMMUMV semce provider and employer. If you nftd assismanoz to access services or need material in an ahernate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. SOWW OOLUM Soil Test Plot Plan Project Name P.C.Collova Mrs. Inc. Sha rd Address P.O. Box 489 Somerset Wi 54025 C M #226900 Lot 23 Subdivision Prairie Pond Breaks Date 4/9/03 E 1/2 NE 1/4S 31 T 31 N/1318 W Township Star Prairie N W 1/4 W 32 Boring Q Well PL Property Line County ST. CROIX C k� B or VRP Assume Elevation 100 ft.-- Top of Survey Iron System Elevation 88.5/87.1 *HRpSame as Benchmark Alt. BM ; Top of 2" Pipe @ 100.2' 287' I? 9V 93' M. ? 30' B-L 100' 3' B -3 0' 6% Slo B2 343' 317' Pro Town Ro ST CRO I X U CO N TY 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 C; r. *'-**, /- (Verification required from Planning Department for new construction) City /State New Richmond WI parcel Identification Number W? — ) Q 011 — a ,3 no LEGAL DESCRIPTION Property Location SE '' /,, NE V,, Sec. 31 . T 31 N -R 18 W, Town of 3 ,r Subdivision Prairie Pond Breaks Lot # Certified Survey Map # Volume . Page # 695417 2021 27 Warranty Deed # 695419 . Volume 2021 Page # _ 29 Spec house P yes ❑ no Lot lines identifiable 4 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 masterplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 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 SL Croix County Zoning Office within 30 ddvs of the three year expiration date. Z ` ,, 1 Q� Q P. C. COLLOVA SUI .TIERS, INC. / t (715)247- "17A- Z SIGNATURE OF APPLICANT P.D. Box 489- DATE SOMERS c f, WISCONSIN 54025 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 e property described above, by virtue of a warranty deed accorded in Register of Deeds Office. &" 0 U � SIGNATURE OF APPLICANT DATE Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** «* Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ency Plan for a Septic System Maintenance and Conting Maintenance Plan pumped once every 3 years. 1. Septic Tank is to be pump 11 in ' note: a larger filter is being costa 2. Effluent filter is t o be cleaned once a year. Please order to extend the maintenance interval of the filter: the ins actions pipes at the ends of _ 3. Once every 3 years, cells are to be inspected via P the cells. 4.Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this pi an. 6 Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discha r e into system is not exceed those required as per Comm. 83 n9 y Plan is determine cause off ailure, use a`ernate P .# >ra and install new O system falls, in tested replacement area. Option #2. install sys tem at a tower elevation, by removing chambers, removing biomat, and install new system. adequate area is suitable for replacement area, and system elevation Option#3. No ell cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as need Plumber: Shaun Bird 715 - 246 Zoning 715-386 St. Croix County Z 9 Pumper Tom Mondor 715- 246 - Shaun Bird #226900 cD / �•d 127,964 sq. ft. 1 91.18 2.94 acres I 1 LOT 22 'r .� � 86,749 sq. ft. ft• 1 99 acres 2 acres , co . ! ,.ONT DRIVE 4j 02.19 / $ / EASEMENT t ry Nj S82 E 15.41 LO — 50'�- ° 83,919 sq. ft. E 237.94' `` 1.93 acres ° Z " W 235 .25' s� LOT 24 AREA ti �A �9- 94,961 sq. ft. RETENn°N�� RSA °' 2.18 acres wA O > >• °s $ E. �L . w 3 Lori 74,518 sq. ft. 3 �, • / Gem 1.71 acres L.B.O. 892.0 i Z.0 co 97.6 203.12' "3!f 09 405.30' 3 . \ LOT m o ro L�T j�0�"'„" 77,243 sq. ft. O co 70,096 sq. ft. .0 N r V std *A r \ . � � � 1.77 acres v N 1.61 acres R r�� \ rt ' ► L.B.O. 892.0 Co EKE. ��E'.e � L.B.O. 892.0 sroyQ 9.$ H.. W E 403.28 1318.33' ` p LM OF x �- -� �'✓4 OF SEC. 32 NDS U 2021P 029 STATE BAR OF WISCONSIN FORM 2. 1999 6 9 M 1 9 Document Number WARRANTY DEED RE ST OF DEEDDS ST. CROIX Co., MI This Deed, made between Cecil Brighton and Cleo Brighton, RECEIVED FOR RECORD husband and wife, 1 0 - 23 -2002 11:00 AM VARWKrY DEED Grantor, and P. C. Collova Builders, Inc. EXERT # REC FEE: 11.00 TRANS FEE: 720.00 COPY FEE: CERT COPY FEE: Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): ACA 1 ,0(£ po J a �+ �, i A S Recording Area NW 1/4 of NW 1/4 of Section 32, Township 31 North, Range 1S West, St. Name and Return Address Croix County, Wisconsin. A� 038-1131-60 Parcel Identification Number (PIN) This is not homestead property. N) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of September 2002 } ' Cecil Brighton Cleo Brighton AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ss. St. Croix County ) authenticated this day of Personally came before me this day of ' September 2002 the above named ' Cecil Brighton and Cleo Brighton, husband and wife, TITLE: MEMBER STATE BAR OF WISCONSIN F v'��c (If not, to me kn to be a on(s) who executed the foregoing authorized by § 706.06, Wis. Stats.) instru d 1e ed the same. THIS INSTRUMENT WAS DRAFTED BY r , Attorney Kristina Ogland Notary Public, State of Wisconsin Hudson, WI 54016 M Commiss' n is permanent (If not, state exWion (Signatures may be authenticated or acknowledged. Both are not necessary.) ' Names of persons signing in any capacity must be typed or printed below their siediure. Information Professionals company. Fond du Lae, %M WARRANTY DEED STATE BAR OF WISCONSIN $00455 -V21 FORM No. 2 - 1999 U 2021P 027 STATE BAR OF WISCONSIN FORM 2- 1999 6 9 5 4 1 7. WARRANTY DEED KATHLEEN H. WALSH .Document Number REGISTER OF DEEDS �f ST. CROIX Co., kI This Deed, made between Douglas A. Strohbeen and Eileen RECEIVED FOR RECORD Strohbeen, husband and wife, 1 0 - 23 -2002 11:00 Ali WARRAVTY DEED Grantor, and P. C. Collova Builders, Inc. EXEMPT # REC FEE: 11.00 TRANS FEE: 1260.00 COPY FEE: Grantee. CERT COPY FEE: 1 Grantor, for a valuable consideration, conveys to Grantee the PAGES: following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Part of the NE1 /4 ofNEl /4 and part of SE1 /4 of NE1 /4 of Section 31, Name and Return Address Township 31 North, Range 18 West, St. Croix County, Wisconsin, described as follows: Lot 1 of Certified Survey Map filed September 17, 1993, in Vol. 9, Page 2686, Doc. No. 505678, St. Croix County, Wisconsin. 038 - 1125 -10 -100 & 038 - 1127 -70 -000 Parcel Identification Number (PIN) This is homestead property. Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this y of September 2002 * * Douglas A. Strohbeen * * Eileen Strohbeen AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. St. Croix County ) authenticated this day of • ?'! 3'i Personally came before me this & of September 2002 the above named { Douglas A. Strohbeen and Eileen Strohbeen, husband and wife, • =s �G TITLE: MEMBER STATE BAR 0 ($� (If not, to me known to be the rson(s) who executed the foregoing authorized by § 706.06, Wis. Stats. OF instru nd a ged the same. THIS INSTRUMENT WAS DRAiN3l1 _" * �' ' Attorney Kristine Ogland Notary Public, State of Wisconsin Hudson, WI 54016 ommission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) , �D •) • Names of persons signing in any capacity must be typed or printed below their sigK ture. Information Proteaalonals Company Fond du Lac, WI STATE BAR OF WISCONSIN aoo-s55 -2021 WARRANTY DEED FORM No. 2 - 1999 Parcel #: 038 - 1221 -23 -000 07/12/2005 04:23 PM PAGE 1 OF 1 Aft. Parcel #: 32.31.18.1223 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): * = Current Owner * P C COLLOVA BUILDERS INC P C COLLOVA BUILDERS INC PO BOX 489 SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 908 189TH AVE SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 1.930 Plat: 2346 - PRAIRIE POND BREAKS 3/37 '03 SEC 32 T31 N R1 8W PT NW NW PRAIRIE POND Block/Condo Bldg: LOT 23 BREAKS LOT 23 (1.930AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 32-31N-18W NW NW Notes: Parcel History: Date Doc # Vol /Page Type 08/14/2003 735549 9/80 PLAT 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.930 31,100 0 31,100 NO Totals for 2005: General Property 1.930 31,100 0 31,100 Woodland 0.000 0 0 Totals for 2004: General Property 1.930 31,100 0 31,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Cert ifi ca tion Date Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00