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HomeMy WebLinkAbout040-1262-40-000 Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count y INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 374935 Permit Holder's Name: ❑ City ❑ Village ❑ T6wn of: State Plan ID No.: Miller, Sam Troy Township CST BM Elev. - Insp. BM Elev.: BM Description: Parcel Tax No.: v ' IUD- v ' NE )off t..,/ Ga = c (3 na� 040 - 1262 -40 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark (, 1( p� ,�(0 1 Dosing Alt. BM $( 16 1. - 4-q , Aeration Bldg. Sewer w (� w ( 1. 0 0' v w r Holding St /Ht Inlet v.2 94•s3� TANK SETBACK INFORMATION St/ Ht Outlet 16. "f TANK TO P/ L WELL BLDG. Air I ntake ROAD Dt Inlet Air Septic �(fp ` a3 f NA Dt Bottom Dosing NA Header /Man. l ' S � 45.21 Aeration A Dist. Pipe Holdin Bot. S stem IZ •�� ' 9 Y 9`f. PUMP/ SIPHON INFORMATION Final Grade go ] vv. ` (" M acturer and St cover 5" p . 22' Model Number GPM TDH I Lift L oss riction Syste TDH Ft F rcemain Length Dia. Fi Dist. To Well SOIL ABSORPTION SYSTEM I 5 SM / ENCH Width c Le th ( PIT No. Of Pits Inside Dia. Liquid Depth I DIM EN N 3•�� No. Tenches DIMENSION SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING M nu actu e SETBACK CHAMBER ` INFORMATION Type O r M el Number: System: Covi` oL 1 3� `' OR UNIT i DISTRIBUTION SYSTEM Header / Manifold � Distribution Pipes) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Leng 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.) Inspection #1 : Z 1 / Zc / Inspection #2: / / Location: 546 Tulgren Street, Hudson, WI 54016 (NE 1/4 SW 1/4 5 T28N R.19W) - 0528191412 Frontier -Lot 4 1.) Alt BM Description= 1 oa � ` a NE -7 2.) Bldg sewer length= a3.0 6 / - amount of cover = 3G 5e, ceu°l aL 3) o� ut ,M Z � r.�s� e -4ziue �^s�e,�DIA . Plan revision required? ❑Yes $� No Use her side fora itional 'n o mati 10 (R.3/9 c� ?) pp S �Y� " Date Inspector's Signature Cert. No SB w U�vvrR� o�n`�1P��'` ' ? P i✓l,K. � a.Hn, L 1 ADDITIONAL COMMENTS AND SKETCH . SANITARY PERMIT NUMBER: a ... �,� m_w... t __M � I t s a 3 s F IF e j F { 1 g F E _ d r Sanitary Permit Application Safety &Buildings Division 201 W. Washington Ave. In accord with Comm 83.21, Wis. Adm. Code PO Box 7302 NV Per See reverse side for instructions for completing this application Madison, WI 53707 -7302 Personal information you provide may be used for secondary purposes Submit completed form to if not Department of Commerce (p . 15.04(1)(m)] ( p county state owned. Attach complete plans to the ~O on fhft em, on paper not less than 8 -1/2 x 11 inches in size. Coun umbel ❑ Ch if re ion to previous application State Plan I. D. Number Sta I. Application Information - Please Prin nfor !!' 4 Location: Namee / -�. f 2� r Prop Location Property Owner �Ownees�M�ai l /4 4 /4,S T - E W Propng Address F' �� G t Lot Number Block Number City, State Zip Code ' ' P r Subdivision Name or CSM Number ❑ City II Type of Building: (check one) �/ ❑ Village 1 or 2 Family Dwelling -No. of Bedrooms : `Town of ❑ Public/Commercial (describe use):_ T2 Q State -Owned Nearest Road (� 3 X9 �s•C H r4 / � '( $� 2 Parcel TaxNumber(s)O O 2( O- 00 III. T Ype of Permit: Check only one box on line A. Check box on line B if applicable) '5- 9-V t9 1`tl �— A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank 0nl Existing System Permit Number Date Issued B) ❑ A Sanitary Permit was previously issued iG.,q e A PAC IV. Type of POWT System: (Check all that apply) 36" C /' ❑Sand Filter ❑Constructed Wetland KNon- pressurized In- ground LF&P ❑Mound ❑ Pressurized In -gro � � p ❑ Holding Tank ❑Single Pass ❑Drip Line ❑ At-grade A — ( Co - R t ❑ Aerobic Treatment Unit ❑ Recirculatin ❑ Other: V. Dis ersal/Treat ent Area Information: 1. Design Flow (gp(l) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation Elevation rade Required Proposed Rate (Galslday /sq. R.) (Min�Jiinch) �1 Q 4 7 VII. Tank Capacity in Total # of Manufacturer Pre S Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks ❑ ❑ ❑ ❑ Z,413 F_ o0 F VIII. Responsibility Statement I, the undersi ed, assume responsibility for installation of the POWTS shown on the attached plans. b Plumber's Name (print) Pluntbe�'s Signature (no stamps): MP/MPRS No. Business Phone Numer �M�_ 9? Plumber's Address (Street, City, State, Zip Code) /0 7 J 4 jN'r, J P.0 �� so IX. County /Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ; Issued Issuing Agent Signature (No stamps) , ❑ Owner Given Initial Adverse rclrarge Fee) ` Determination oZoZ s� CC) 29 X. Conditions of Approval /Reasons for Disapproval: I / rl_ f • 9z Tfl*v% a e�, S T+4KE � /1'► /i'1 /CL A2_ ,-Ra /VT FfL LO T EI 9t,.5? 5y "I`ULdo2FA/ ST /ZFE7`" p /N't co z{o .12, ( 2 - yo -doo S tf s wA F) �, Sd �L� Sc A LE 11v ' /O 4,ACXiC.E _ ' N''J tL 20 � yo/, Is a 0 l 2 v G 4L / LT s_ a At z Ti2r #qE S \A-) .` s •c H 19 it 1S.F 3 -TOTO � IoO.oa Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page I of 3 Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County Include, but not limited W. vertical and horizontal n*mw;e (BK, direction and St. Croix permit slope, scale or dimensions, north "Ion*4distance to nearest road. Parcel LDJ B Date Prt of 040-1021-90 APPLICANT INFORMATION - prin all itifo rm' qdon, ed be.2�.i6r W a. 15.04 (1) (m)). Personal information you provide may or secr" (privacy Property Owner Property Location Miller, Sam - , n I -- Govt. Lot NE 1/4 SW 1/4 S 5 T 28 N,R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# ST GROM 4 Plat Of Frontier P.O. Box 151 riCll INTY 4 CRY SQte , TIP ( q*Nl?110T"ftbe'1 ❑ city ❑ Village MTown Nearest Road Hudson W)k --54 , 01 - 6 (715) 9 Troy Tower Road. New Construction Use: ffke��al of bedrooms 4 ❑Addition to existing building r ] Replacement ❑ Public or commercial describe Code Derived daily flow 600 gpd Recommended design loading rate -. gpd/ft2 -8 trench, gpd/11 Absorption area required 857 bed, W 750 trench, W Maximum design loading rate •7 bed, gpdffl •8 trench, gpdff Recommended infiltration surface elevation(s) 94.50' ft (as referred to site plan benchmark) Additional design i site considerations Install trenches using high capactEinfiftoW. Increase trench length if silt inclusion is found while installing Parent material Glacial outwash systern. Flood plain elevation, if applicable ft U IS for sysilem Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ZS ED U M S 01,1 z S El U 1 . 0 S E) ❑ S Mll ❑ S Z 11 SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure tructure ce Boundary Roots GPD/ft2 Texture Boring# H in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh . �Consisten -- 6�: Trench 1 0-15 10yr3/2 None sl 2msbk mvft as 2f 0.5 0.6 2 15-26 10yr4/4 None sl 2msbk mvfr aw if 0.5 0.6 Ground 3 26-40 1 Oyr4/6 None Is Osg ml cw 0.7 0.8 elev - 99.8T ft 4 40-82 10yr5/4 None s Osg dl gs 0.7 0.8 Depth to 5 82-124 10yr6/4 None s Osg dl 0.7 0.8 limiting Sift inclusion observed a!:N[Wcomer of soil pit in horizon #4. m2d7.5yr5/8 redox features observed at interface d sift Inclusion and surrounding send factor qc(• IV resulting from greater metric potential of sit. Redox features are not indicative of groundwater. >124' job. YY Remarks: 1 0-13 10yr3/2 None sl 2msbk mvft as 2f 0.5 0.6 2 2 13-30 10yr3/3 None sl 2msbk mvfr aw if 0.5 0.6 Ground 3 30-36 1 Oyr4/6 None Is Osg dl cW I f j07 0.8 elev - - 99.91 ft 4 36-78 10yr5/4 None s Osg dl gs 0.7 - .8 Depth to 5 78-121 1 Oyr6/4 None s Osg dl 0.7 0.8 limiting factor >121' Remarks: CST Name (Please Print) Signatunii: Telephone No. 715-248-7767 James K. Thompson Address A.C.E. Soil & Site Evaluations Date CST Number Ref# 340 Paulson Lake Lane, Osceola, *�I54020 12/31/1999 3602 1152 PROPERTY OWNER: Miller, Sam SOIL DESCRIPTION REPORT X152 Page 2 of 3 1- A.C.E. Soil tit Site Evaluations i PARCELLD.# rrtofoaalo2 90 Horizon Depth Dominant Color Mottles Texture Structure sislenoe Boundary Roots GPDIft2 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 3 1 0 -14 10yr3 /2 None sl 2msbk mvfr as 2f 0.5 0.6 2 14 -30 10yr4/4 None is Osg ml cw if 0.7 0.8 Ground elev 3 30 -51 10yr5/6 None gr. s Osg dl cw - 0.7 0.8 100.13 ft 4 51 - 86 10yr5/4 None s Osg dl gs - 0.7 0.8 Depth to 5 86 - 121 10yr6 /4 None s Osg dl - - 0.7 0.8 limiting factor Silt inclusion observed from 36" -70" on east side of sal pit. m2d7.5yr5/8 redox features observed at interface of sift inclusion and surrounding sand >121• resulting from grater matdc potential of sift. Redox features are not indicative of groundwater. t y C3 sb jr (�.vw Remarks: 4 1 0 -7 10yr3/2 None A 2msbk mvfr as 2f 0.5 0.6 2 7 -31 10yr4/4 None sil 2msbk mvfr aw 1 f 0.5 0.6 Ground elev 3 31 -39 1Oyr4/6 None Is Osg dl cw if 0.7 0.8 99.12' ft 4 39 -75 10yr5/4 None s Osg dl gs - 0.7 0.8 Depth to 5 75 -115 1 Oyr6 /4 None s Osg dl - - 0.7 0.8 limiting factor >1 Remarks: 5 1 0 -13 10yr3/2 None A 2msbk mvfr as 2f 0.5 0.6 2 13 -31 10yr5/4 None sil 2msbk mvfr aw if 0.5 0.6 Ground elev 3 31 -37 10yr5/4 None is Osg dl cw if 0.7 0.8 99•7T It 4 37 -81 10yr5 /4 None s Osg dl gs - 0.7 0.8 Depth to - 81 -118 10yr6/4 None s Osg dl - 0.7 0.8 limiting factor >118' Remarks: Ground elev Depth to limiting factor Remarks: f ✓ P 0�3 z- ■ 50;1 06s¢r�Q•�:on ps•� ■ Ele rla4j'on t 8y ■ �Ile P. 0 . ACT /S/ Es t- ca.£ 3 coy `�,O/' °�°• ,o lazy off' sloe cJ�. , i5 � s Pg '� ■ i \ o N. c'omu- (.oe -56 S",nzd a /e(A = /v. AropoSed &wn roar( IYl I lC. "T IF L-C) T' N � vn 23 biz 'r"c,T74 �z �•� "a z sa 3L if fuser S cif icatlons , BioI) - F r. = y s 5�s J 76" I � p r — = O D D C� D r—n D O o� O � Q D ©0 0l� Chamber Height L Chamber Height End View 34' 4" Knockout Universal End Cap Available Sizes - - Y t 4 a � � a ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 5r!'1 Ill LLFZ, Mailing Address _/?0 k ' / S Property Address S I (a 7-4.4 L 62f N SV-f 1 r (Verification required from Planning Department for new construction) City/State /J y,LS O N W Parcel Identification Number d yO - 2 LEGAL DESCRIPTION Property Location NE— ' /.,5 O ' /4, Sec. S� , T 2 V N -R )IYQ Town of 9 a / subdivision dodo N / /)ek , Lot # Certified Survey Map # to 0 , Volume Page # Warranty Deed # �00 (off `� � , Volume I L4 Y Z , Page # 4 L— 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 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 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. Certification stating that your septic system has been maintained must be completed and returned to St. Croix County Zoning Office within 30 days of the three year im ' n date. SIGNATURE APPLICANT DATE CERTIFICATION i.' 1' 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 described above, by, virtue of a warranty deed recorded in Register of Deeds Office. `� /// 00 W V Si i..�; 19 O ' LI NT 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 v Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number 31073 S" Number of Bedrooms Design Flow - Peak (gpd) Estimated Flow - Average (gpd) Septic Tank Capacity (gal) 2 SD Soil Absorption Component Size (ft') Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) I Z.Sa 5� �- Maximum Influent Particle Size (in) 0 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the r , Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 AF Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. 3 144 ?_ 4? a Vitt PAGE STATE 13AR OF WISCONSIN FOW%12. 1998 606841 WARRANTY DEFI) KATHLEEN H. WALSH r REGISTER This- Deed, made between Kathryn B. Tulercn, and Ferris S. CROIX Co., WI -- R Ti Ramon wi f Qd htasabarad RECEMED FOR RECORD Grantor, conveys and warrants to 07 - 11 - 1999 11:Oo 3R Sam E. Miller, a s'aete person. Y mmy DEEI EXEIFT 1 Grantee. CERT COPY FEE: Grantor, for a valuable consideration, conveys and warrants to Grantee Copy FEE: the following described real estate in rRAI15FER FEE: 2223.10 i St. Croix County, State of RECORDING FEE: 12.00 Wisconsin (The "Property'): PAGES: 2 Recording Area Name and Return Address 040-1022-10:001022-30; 010- 1021.90: 040- 1029-20. 040-1028-70 Parcel Identification Number (PK Thu Is not honrstesd property. (See Attached Exhibit 'A") Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any Dated this 13th day of July, 1949. • • Kathryn B. ulgrcn 7 l_il mil" ,n, "Ferris R. Tu1sren AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) Is. authenticated this _ day of St. Croix County ) Personally came before me tilt J 3 day • _ of July, 1999, the above named Kathryn B. Tultren, TITLE: MEMBER STATE DAR OF WISCONSIN and Ferris a. Eren,, wife arty � (If ro ra t, me ven ( the per s) who eaecwed the foregoing audariud by 1 706.06. Wis. Stan) instru and ackno t ,die de same. ' TINS INSTRUMENT WAS URA13TED BY Attorney Kristlara Oglnod Iludson, WI 54016 N blic, State of Wisconsin (SI`naruret nuy be authemicatcd or acknowledged. Both are tot My Cummiuio is xe U nenl. If not, stale expiration date: rccca,ary.) Breads Poulin �! ! r /dOC& Notary Public 7— State of Wisconsin •Names of person sigrdng In any capaciry slsould be typed at printed below their aignoua wAaaArrtv ratty aAn aAA or wtscomcax FORM M . I - 1"m Nr0aalAr)0W /Fl0FI! a 0" t Q0WAMY FQW W UC. wl 6074aa.7021 1442 43 EXIUBIT "A„ That certain parr- of land located f the NE' /� o LL n Township 28 North, Range 9 '/4 Wiscon more sin fully described as t0110WS: of SW '/4 and t he NE St Cr�vX Coun Section � lion 5; thence N87 °51'08 "E West, Town of Troy, Beginning at the West quarter comer of said Sec (recorded bearing on the East -West quarter line of said Section 5) a dista 8 0 feet to a /, thence along said East id N line, the 2342.24 feet; thence S00 °13'24 "E, 654.00 feet; thence N87 °51'0 , point on the East line of said /• c S 466.08 feet to the SE corner of said NE I/ of SW' /•; thence along S00 °13'24 'E' aid NE' /• o 170 f SW % and the South line of said NW 1/4 of SW % South line of s .48 feet; thence S8 7°54 ' 54 s aid S-87954-54 2372.41 feet; thence N00 °30'28'E, he 2.41 fe ented West line of said NW' /4 of S W %-, thence along 273,91 feet to t.30'28&E recorded as N01 °32'36 "E), 941.26 feet; thence N00 ( 458.40 feet to the North line of said NE '�• West line, N88 °20'13 "E (recorded as N64 °57'47 "W (recorded as N63 5 g said North line, to the Point of ce along 25 �/. rods) of SE ' /• of Section 6; t 416.69 feet (recorded as S88 9 and N89-24 Beginning. i ' a� : Y ' 1 • Ys p ��� ' NORDIC HEIGHTS- ApQMON ��# P � �{ Io 1° rr � M /3A ' 1 � 7 - YwrwAd Well Me d IAe IIw I sw 1/4 SKlien (k� Swre�r'f Mel IQIm (`'' ii' (R N 01'!J'JP t ip L" 1F' i I r^ N n•,a '98" 1 941.96' i 1 vy 1 ^+ \ L+1 , ry N0'JO'2A 1/0 4w .. i i i • ` \ 100• io 1 If N il lei L91 ki Mo 5.,. _ ---•1 1 N 1 . Mi ,R 5 7'Orw l zj .13 jr w( r�•f bt ! N 7 7 R NN ET e 1 S ... ............ ... -... ift al"i, r p'� 4• � �.�~ anti I . t °,° >v r / /� / ,�• A li{ 70O +�' ^. ' 4 � y t e jQ (� r ��� � � °1T I v I IF I IY CO'0T11f I)ISA6_' .UdtineNNl /, A! 511 treG,n 5 r• _ p g� wz c ' A ► • • St`I f �+� �'' .'. I•yiyp•F 1 � � iC �a nril9p 'r I ,b N044WW - T F 4 r,- ik� a �\$R �R �� ',�•I a ...fd �`'rj i 1 � �� � � � � 19' � t y •• � 1F I � � Q A i �` :`'� y y �� �•s � a I I 19 ' wicA IL PC 257.10, l I t° I 'M oor y \ r 1°1 ° I �. �Ir- 1101 Carmichael Road Hudson, WI 54016 Phone: (715) 386 -4680 St. Croix County Fax: (715) 386-4686 Zoning Department Fax To: Tammi From: Shawna Moe Fax: 386 -5000 Date: April 25, 2001 Phone: 386 -9281 Pages: 2 Re: Septic Verification Letter — Frontier Lot 4 CC: ❑ Urgent x For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle ST. CROIX COUNTY �� f WISCONSIN ZONING OFFICE � ST. CROIX COUNTY GOVERNMENT CENTER � nnuniRnnM 1101 Carmichael Road Hudson, WI 54016 -7710 - - (715) 386 -4680 Fax (715) 381 -4686 April 25, 2001 First Federal Attn: Tammi 201 S. Second Street Hudson, WI 54016 RE: Septic Inspection for Sam Miller located at 546 Tulgren Street, Frontier (Lot 4), Troy Township, St. Croix County, Wisconsin Dear Tammi: A septic inspection of the above referenced property was conducted on 11/21/2000. This property is located in the NE 1/4 SW 1/4 of Section 5, T28N R1 9W, Frontier (Lot 4), Troy Township, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a four (4) bedroom home. If you have any questions regarding this, please contact our office at (715) 386 -4680. Sincerely, Kevin Grabau Zoning Technician cc: file