Loading...
HomeMy WebLinkAbout030-2095-80-000 C o m C) �o O C) r o M g � I a o I o I M C h 0 Z a a Z c _ LL m LL c _O v Q O Z y E N Z = 0 z € " ► W a m I o z N Z c r C E 3 N a C c Lo ►� O O O 0zz zZo W w I E E ..� Y }� Q - v c o p p d a � o U r'N U °° O a O • oaaa CL 3 O (/� O W O N N 2 o m to J U o N N r 'ft1 \ M Z O N w r O 00 -O N ml T 2 a N ,a rn � � N W m 00 'O Q n Cn f6 O U) Iq O O 3 N Vi C Cl) I- O > c a u a o C) o L O Q U (/1 € N R N N N v y� Q N y j c0 - O V` y O M N C: N O O N N O C C N CO W Lo • ^1 O N (/) f/1 M O Z N Z • ce a m :2 a� a 4` `�1 A 0a. 0w0 Wis ntiin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safe�i andBuildings Division 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)1. 353278 Permit Holder's Name: ❑City ❑\[] Village � Town of: & n ID No.: Town of St. Joseph WPM Elev.: ' Insp. BM Elev.: BM Description: el Tax No.: 1 t7 c 030- 2095 -80 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic sS D Benchmark g,q0 Q,. D - 1a)006 f Dosing Alt. BM ..Z d 102 .10' Aeration Bldg. Sewer .18 1 [ Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. ventto ROAD Dt Inlet ' Air Intake 3 -Z S• 3`l Septic ?�' 1 �6 Z ' �- NA Dt Bottom 1 7 , 2 0 Dosing �5 �, 4370 NA Header/ Man. 7 -q 10. Aeration NA Dist. Pipe - t } 101.43 Holding Bot. System ,'� D ( CO.�s' PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand St cover �'SS 00 Model Number 3i1 GPM alb Friction Z S stem °• TDH Lift �.� L `Io ,Z,5- TDH &2, Ft Force main Lengths"' Dia. .2 Dist. To Well 175- SOIL ABSORPTION WSTEM 4;=E- kBE D1 Width // Le gt r No. f PIT No. Of Pits Inside Dia. quid Depth b7M I N b 7 Tr nch s DIMEN SYSTEM TO P/1-1 BLDG WELL LAKE /STREAM LEACHIN nu acturer: SETBACK INFORMATION Type Of CHAMBE a Num er: System: �I ^' �� ti f 2G OR UNIT DISTRIBUTION SYSTEM Header/Manifold V � Distribution Pipe(s) i r x Hole Size x Hole Spacing Vent To Air Intake Length 3•D Dia. 2 Length O Dia. 1Z Spacing 2• 1& h $ � SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over 78ed/Trench h Over xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc.) Inspection #1: a /30 /OP Inspection #2: — f--,�- Location: 1480 24th Stre tA �VI 54082 (F1 /�J.NW4 /�,$4 T30N R20W) - 24.30.20.801 1.) Alt BM Description = r o e h ce 4 i (N' � q 1, S p , 4- f 4 --? S- 2.) Bldg sewer length = 2 6. 0 ., __ 740 - amount of cover = 12 � Gil r 3.) contour= C& CIVi•SO r aG� 9.-( of ft =I-A ) A ti(i ° � x.� o, p•j Plan revision required? ❑ Yes W t S Use other side for additional information. 1 0's 0 Date Inspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH Y SANITARY PERMIT NUMBER: r ........... ------ E 7(§ s i F I p } z , gg r q 3 9 E r 1 / Safety and Buildings Division �.•. SANITARY PERMIT APPLICATIO � 201 W. Washington Avenue N * 6 � ons i n � P O Box 7302 Department of Commerce In accord with Comm 83.05 Wis. Adm. Code 1-7—(-14f_� Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper t less, County than 81/2 x 11 inches in size. '29 • See reverse side for instructions for completing this application ST ate Sanir c ermit Number N e 3�3 ;.� Personal information you provide may be used for secondary purposes Z C] Ch k r ision to previous application [Privacy Law, s. 15.04 (1) (m)]. •,I' sfa e I I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INFORM ' 85 Propefty Owner Name Property Location 1/4 V 114, T , N, E (or 6/ Property Owner's MailingAdcliess Lot Number Block Number City, ate Zip Code Phone Number Subdivisi Nam or CSM Number II. YPE n F BUILDING: (check one) ❑ State Owned it Nearest Road ❑ Village s / Public 1 or 2 Fam Dwelling - No. of bedrooms _� TTown OF,: f Ill. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) ' �� • .� t - � O f 1 ❑ Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. jA New 2. ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5. ❑ Repair of an ------ System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 IN Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure � � 42 ❑ Pit Privy 13 ❑ Seepage Pit / t �c6a� 9�• sa 43 C] Vault Privy 14 E] System -In -Fill (� X6 3 —� VI. ABSORPTION SYSTE NFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /i ch) Elevation /n:2 X Feet 7 Feet VII. TANK Capacity in gallons Total # Of , Prefab. Site Fiber- plastic Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass App. New Existin structed Tanks Tanksl Tanks Septic Tank or Holding Tank ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber — I Ago I Z 12 1 ❑ Cl 1 ❑ 1 ❑ ❑ VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for inst lation of the onsite sewage system shown on the attached plans. Plumber' Na : (Priltt) Plumber' Sig a ( S1ra MP /MPRSW No.: Business Phone Number: Plumber' Address (Street, Cit State, Z ode): Z IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sa 'tary Permit Fee (includes Groundwater D ate Iss ue Issuing Agent Signatur (No Stamps) Approved E] Owner Given Initial Surcharge Fee) // Adverse Determination /L X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: I I SBD -6398 (R. 4199) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber I INSTRUCTIONS a 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsii .Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership ar plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems" must be properly maintained. The septic tank(s) mustbe pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety -and $ uildings -vision•, - 266 - 3151. - To be complete and.accurate thi"s sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed "" II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone numb.&. Piumgef rpuat�ign application form. IX. County / Department Use Only. { .. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the follciWirig'. - A) plot plan, drawn to scal or with complete dimensions, location of holding tank(s), 's6l tic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks, distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the codnPy; E) soil test data on a 115 form; and F) , all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 \ Visconsin www.commerce.state.wi.us Department Of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary December 17, 1999 CUST ID No.224263 ATTN.• POWTS INSPECTOR ZONING OFFICE KIM A O'CONNELL ST CROIX COUNTY SPIA 504 3RD AVE 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 12/17/2001 Ide ntifica ' n s b ' Transaction ID No 285530 Site ID No. 185332 SITE: Please refer to both identification numbers, Site ID: 185332 above, in all correspondence with the agency. ST CROIX County, Town of SAINT JOSEPH; 24TH ST, SAINT JOSEPH 54082 SETA, NW1 /4, S24, T30N, R20W Facility: VERNELL & STEPHEN SKOGLUND 24TH ST, SAINT JOSEPH 54082 FOR: MOUND, 450 GPD Object Type: POWT System Regulated Object ID No.: 641482 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. pF,t', [ 0 The following conditions shall be met during construction or installation and prior to occupancy or use: 1 � 1 t4 �F s tD u 1. This plan action is subject to designer comments on the plan. // ��,, �� %(i ✓_ 2. The orientation of the mound system must be such that the mound's longest dimension is perpendicular to the direction of maximum slope. 3. The area 25' below the downslope edge of the mound must remain undisturbed. A copy of the approved plans, specifications and this letter shall be on -site during construction. and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 12/14/1999 FEE REQUIRED $ 180.00 l FEE RECEIVED $ 180.00 PATRICIA L SHANDORF , POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (715) 634 -7810, FAX: (715) 634-5150, M -F 7:45 AM - 4:30 PM PSHANDORF @COMMERCE.STATE.WI.US WiSMART code: 7633 I MOUND SYSTEM DESIGN INDEX AND TITLE SHEET Project VERNELL— STEPHEN SKOGLUND Owner VERNELL— STEPHEN SKOGLUND Address 149 HIGH ST. NEW RICHMOND WI 54017 Legal Description SE –NW --SEC 24- T30N -R20W Township ST. JOSEPH County ST CROIX r Subdivision Name COUNTRYSIDE ESTATES Lot No. #f#W. ` � � Parcel I D Nu ER f s tuber 030 - 2095 - 80-000 G�M PN Plan Transaction Number j ' SpO N pE Index and title sheet Page 1 Mound calculations Page 2 Mound drawings Page 3 j Pres, dist. calcs. and laterals Page 4 TDH and pump tank drawing Page 5 PUMP CURVES Page 6 PLOT PLAN Page 7 Designer KIM QC019N License Number 224263 Signature Phone No. 715-755 -3145 Date 11 -31 -99 Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. SBD- 10482 -E (R.05A38) Page 1 of MOUND SYSTEM DESIGN Inch-pounds Metric Residential or commercial? R (r or c) (y or n) n Replacement system? Creviced bedrock site? n (y or n) Slope 6 % Wastewater flow rate 450 gpd 1703 Lpd Depth to limiting factor 25 in 63.5 cm In situ soil infiltration rate 0.5 gpd/ft 20.4 Lpd/m Contour line elevation 99.5 ft 30.33 m Use standard fill depths? x Design depth? in cm Center or end manifold a (c or e) Hole diameter 0.25 in Lateral spacing 3.00 it Estimated hole space 4.00 ft Number of laterals 2 Pump tank elevation 89 ft Forcemain length 75.0 ft Forcemain diameter 2.0 in 2.067 in Actual I.D. 1/8 =0.125 1/4=0.250 SYSTEM SOLUTIONS Inch -pounds Metric 5M2 = 0.158 s = 0. 281 Estimated daily flow � 5/16=0.313 32 gpd 1703 Lpd 3/16 = 0.188 7/32 = 0.219 Absorption cell Design load rate & area 1.2 gpwe 375.0 ife 34.84 m Linear loading rate (LLR) 1 7.14 gpd/ft 88.5 Lpd/m Design width (A) 6.00 ft 1.83 m Cell length (B) 63.0 ft 19.20 m Depth of cell (F) 9.5 in 24.1 cm Sand filter Upslope fill depth (D) 12.0 in 30.5 cm Downslope fill depth (E) 16.3 in 41.4 cm Basal area required (gpdfinfiltration rate} 900.0 ft 83.61 m Supporting components Topsoil depth 6.0 in 15.2 crn Subsoil depth at center 12.0 in 30.5 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (K) 10.41 ft 3.17 m Up slope toe length (J) 7.10 ft 2.16 m Down slope toe length (1) 11.50 ft 3.51 m Total mound length (L) 83.82 ft 25.55 m Total mound width (W) 24.60 ft 7.50 m Project: VERNELL -- STEPHEN SKOGLUND Transaction Number: Page 2 of 7 MOUND PLAN VIEW observation pipes (typical) J 24.6 ft q A= 6.00 ft 1.83 m �L - 7.5 m B - 63.0 ft 15.20 m W B J= 7.10 ft 2.16 m I K I= 11.50 ft 3.51 m K = 10.41 ft 3.17 m L _ 83.82 ft 25.55 m typ. obs. pipe (anchored securely) I = down slope dimension = absorption cell (AxB) J = up slope dimension plowed area (LxW) K = end slope dimension 1W e° (152 mm) T MOUND CROSS SECTION subsoil ca p D = 12.0 in 30.5 cm lateral topsoil G H E = 16.3 in 41.4 cm invert 101.00 ft _ F= 8.5 in 24.1 cm elev. 30.78 m - - - - F G = 12.0 in 30.5 Cm ASTM C33 H = 18.0 in 45.7 cm D Sand Fill E SyS. 100.50 ft y elev. 1 30.63 m 99.50 ft contour 30.33 m elev. 6 % —� slope D = upslope fill depth plowed layer E = downslope fill depth F = absorption cell depth G = subsoil + topsoil depth at cell wall H = subsoil + topsoil depth at cell center Designer notes: Project: VERNELL --- STEPHEN SKOGLUND Transaction Number: Page 3 of 7 PRESSURE DISTRIBUTION CALCULATIONS Absorption cell inch -pounds Metric Width (A) 1 6 Ift 1.83 Im Length (B) 63.0 ft 1 19.2 im Lateral specifications Number laterals 2 Holes/lateral 16 holes Lateral length (P) 60.00 ft 18.29 m Hole diameter 0.250 in 6.35 mm Lat. dis. rate gpm 1.18 Us Sys. dis. rate gpm 2.35 Us Hole spacing (X) 48 in 121.9 cm Lateral diameter Pipe diameter Design options Damon choice Designer must 1 in (25 mm) V one Choice 1 1/4 in (32 mm) from the options 1 12 in (40 mm) x X provided. 2 in (50 mm) x 3 in (75 mm) x Manifold diameter Pipe diameter Dssiyn options Dssion choice Designer must 1 in (25 mm) "X" one choice 1 1/4 in (32 mm) from the options 1 1r2 in (40 mm) x provided. 2 in (50 mm) x X 3 in (75 mm) x 4 in (100 mm) x LATERAL DIAGRAM - END CONNECTION Laterals centered over the A & E3 dimension Last hole drilled next to end cap e Q P .I PFF11 ais are klentical IF X— I Holes drilled on the bottom of the lateral equally spaced 3 • main conn ection Via too or cross to manvoid at any point_ Laterals & force main of PVC Sch 40 • = permanent end marker (per Ct7MM Table 84.30 -5) Inch -pounds Metric Lateral length (P) 60.00 ft 18.29 m Lateral spacing (S) 3.00 ft 0.91 m Hole spacing (X) 48 in 121.9 cm Manifold length 3.00 ft 0.91 m Hole diameter 0.250 in 6.4 mm Lateral diameter 1.50 lin 40 mm Foncemain diameter 2.00 lin 50 mm Project: VERNELL --- STEPHEN SKOGLUND Transaction Number: Page 4 of '7 TDH and Pump Tank Drawing Total Dynamic Head Operational head 2.50 ft 0.76 m Vertical lift 11.10 ft 3.38 m Are laterals the highest point in the Friction loss 1.74 ft 0.53 m system? Yes ")C' here. x Total dynamic head 15.34 4.68 m If no, what is the highest elevation Dose Volume downstream of pump? Dose is > 10 times lateral volume Lateral void volume 12.7 gal 48.1 I L Minimum dose 127.0 gal 480.7 L x Yes Drain track 13.1 gal 49.6 L No Dose volume 140.1 al 530.3 L Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover with weather prof warning label and locking device grade levels junction box —� disconnect gr� levels aate 4' vent Pipe electric as per NEC 300 and F— Comm 16.28 WAC location 18" (45 cm) min. wail of pump &:-- approved chamber or a outlet joint combination tank A Provide 114* weep hole or anti - alarm on siphon device as necessary pump on B C Grade levels pump 89.9 ft - pump tank manhole = 4' (10 cm) off elev. 27.4 m minimum above finished grade D - vent =12" (30.5 cm) minimum above finished grade 89.0 ft Pump tank elevation 3 " (75 mm) of bedding under tank 27.1 im bottom of tank Tank manufacturer WEEKS Pump tank capacity 19.04 gal /in Pump tank volume 800 gal Pump manufacturer GOULDS Inches Gallons Pump model number WEO311 L s A 24.7 469.5 '01 B 2 38.1 Alarm manufacturer S.J.ELECTRO INC E C 7.4 140.1 Alarm model number H.W. 101 i5 D 8 152.3 Project: VERNELL— STEPHEN SKOGLUND Transaction Number: Page 5 of 7 ��ry�5 ~. Pumps �0�( McT9A& F9cT go I"A i) D E L 3665 ss —� r " Solids 1 - ;SIZE �,� WEts r i S ri. 10 Wt4JM 0 to 20 00 Q 50 60 ]G W W 1:w 110 12U GPM 1 _ - --- -- 0 10 :10 m 31.?t �Qw.. CAPACIrY 'A; r 1' 'r• . �e �. . �A"'t'. •1 ') , �fN � M � t.. ��� a, i .. •. ,t � / -� ... �. OLJLD` PUMPS. INC. �J 'ally •�..'. �tiv rl.♦ �.�.. METER$ F9V �� N'ODE� 3355 S T ? Solids 11 , WEISnH ILA) o I - T t so WEOsMH 40 7'1 JV t0 v 1_ l :_L OL O=_ -- 0 10 20 90 00 $0 7G w 'J 110 IW GPM 0 ,0 CAP r 01"6 Ovwa Pwnpo. Inc. Lam �'"►' 1 C)In• to ON L-F z z Wiscgnsin Department of Commerce §DA- MD SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in acCot'd �nc Vv{�h Sn,,ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inchepfr5ize. Plan must County include, but not limited to: vertical and horizontal reference,pbirat , direction and percent slope, scale or dimensions, north arrow, and location and dista ?Pei to nearest road. parcel I.D. # ✓Y � _ t _ Oil 9 � APPLICANT INFORMATION - Please print all inf Zion. Reviewed by Date .., Personal information you provide ma be for secondary - used o s da u os Y P Y 0 rY P rP g�.„LR�±E��r S. 15':E14 (1) (m))� Z. ft Prop rt y Owner .Property Location u Govt. Lot 1/4 1/41i T--?O ,N,R E (or& Property Owner's Mailing Address Lot # Bloc Subd. Name or CSM# -519 s �2 City State Zip Code Phone Number ty ❑ Village Nearest Road Town ❑ city LX New Construction Use: ;Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate — bed, gpd /ft , 4/ ` trench, gpd /ft Absorption area required 37$ bed, ft S trench, ft Maximum design loading rate " ,5 bed, gpd /ft �_ trench, gpd /ft Recommended infiltration surface elevation(s) /CS©, :5 ft (as referred to site plan benchmark) Additional design /site c 'ons Parent material Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S C9 U L� S ❑ U ❑ S Z U ❑ S X U ❑ S Z U ❑ S__0 U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground elev. 2- Lft• Depth to limiting factor i Remarks: Boring # 1 Al Z Ground elev. /G� -eft• ' Depth to limiting factor ,7.6-in. Remarks: CST Name (Pleas Print) Signature Telephone No. Address Date CST Number If I I � )6Q DESCRIPTION REPORT PROPERTY OWNER � '� +� f ��'TD Page of PARCEL I.D.# Ai ,yg5 �D Boren # Horizon Depth Dominant Color Mottles Structure 2 Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench tJ . C Ground _ elev. ft. Depth to limiting factor in. Remarks: Boring # ........................... Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) � v YY L7 So. / SCJBgC,� s j r i 8` }'lp / �a ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer - _ Mailing Address -� - Property Address (Verification required from Planning Department for new construction) City /State Parcel Identification Number LFGA DESCRIPTION Property Location , _ '' /4, .db ' /q, See., N -R-- 7 W, Town of Subdivision ��,, _, ��� ��,�s ,Lot # Certified Survey Map # , Volume , Page # Warrant) Deed # 3 < �/7 , Volume „L-� %3 ,Page # Spec house JX yes ❑ no I.ot lines identifiable j3 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 master plumber, 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. I /wc, the undersigned have read the above requirements and al;rce 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 th, t your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days t three year expira on date. I:f K �' 1___7 / / SIGNAT F. OF APPLICAN DATE OWNER CERTIFICATION ' e) 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 propert described A v irtue of a ran ced recorded in Register of Deeds Office. SIGNA" R OF APPLICA T 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 t MENEM 7t �"il 7 VOL Pace 076 ` Docrtment Number WARRANTY DEED Wisconsin Department of Transport, a tiur. Exempt om fee: s.77.25120 Wis. Stars. _ RE 300 1096 C �.� nr THIS DEED, made by Vernell A. Skoglund and Stephen S koglund__ GRANTOR, ronveys and w ants the property described below to the State cf Wisconsin, Department of Transportation, GRANTEE, for the sum of Two Hundred Thirty One Tho Nine Hund Eighteen and N O 100 9: 30 A ;y+ e Dollars (8231,918.00) Any person named in this deed may make an appeal from the amount of corripensauor, thin six months after the date of receding of this deed as set forth in s. 32.05(2x) Wisconsin Statutes. For the purpose of any such appeal, the amount of c,- npensation stated on thr deed shall be treat «d as the award, and the date the This space is reserved for rt:cording data deed is recorded shall be treated as the date of taking and the date of evaluation. Return to: Wisconsin Department of Transportation Other pert ons having an interest or record in the property: None 718 W Clairemont Ave. Eau Claire, WI 54701 This is not homestead property: Parcel Identification Number /Tax Key Number 030 034'0 -200, 030 2034 -50 -300, 030 - '034 -50 -400, 030. 2095 -E0, 030- 2C95 -70, C32 2073 -70, 030 - 2095 -80, 030 - 2095 -90 LEGAL DESCRIPTION IS ATTACHED HERETO AND MADE A PART HEREOF BY REFERENCE. -- - March 25, 1998 — iS�ynatvrel i0atel a �1 Vernell A. Skoglund sy' vial r J State of Wiscons ss. Stephen L. Sko4•und _ St Croix Ceunty (Print Nexnei On the abo•.�•, dat?, this instruml- it was aclnowledged before me by il-e named per -ont ,P—t N—ei - -- (S�yneaue, Notary Public. State of Wlacooslnl Lou Ann Chartier (S,gnat,;rei (Print or Type Name, Notary Public. State of Wisco,,—) Sep 13, 1998 iPnnt Nan 1 ioate Commission Expires) Project I.D. 1550 - 00-21 This instrument was drafted by the Wisconsin Department of Transportation. Parcel No. 24 _ VIL III `3PAU077 LEGAL DESCRIPTION FEE Title in and to the fo1u_ tract of land in SL Croix County, described as all that part of Lots 2 and 3, C.S.M. Vol. 10, Page 2799, of the NE'/. - NW /6 and Lots 6, 7 and 8, of the Plat of Country Side Estates as recorded in Vol. 6, Page 32, of the NE'h - NW 1* anr+ part of the SE'/6 - NM /., all in Section 24, T30N, R20W, a:: Described in the St. Croix County Deed Registry, tying within the following lescnbed traverse: Commencing at the N'/4 confer of said Section 24, and the point of beginning, Thence S 88°3023' E 1,154.609 feet, Thence S 01 0 12'22" W 36.027 feet, Thence S 74 0 40'00" W 421.551 feet, Thence S 74 °'0'00' W 134.514 feet, Thence S 74 °40'00" W 754.593 feet, Thence S 42 0 28'24' W 432.796 feet. Thence S 75°0T41' E 443.461 feet, Thence S 19°41'50' E 148.628 feet, Them N 76 0 40'53' W 454.045 feet, i hence S 63 W 161.033 feet, Thence S 24 W 226.387 feet. Thence N 34 °5645' W 194.012 feet, Thence S 44 °18'24' W 1200.272 feet, Thence N 19 539.563 feet, Thence N 09 E 242.027 feet, Thence S 88 E 34.606 feet, Thence S 65°11'42' E 88.297 feet. Thence N 44 °56'11' E 1,213.911 feet, Thence N 44 1 54'52" W 132.425 feet„ Thence N 71 ° 18'07' W 679.754 feet, Thence N 01 °28'32' E 5.482 feet, Thence S 88°3128' E 1,100.869 feet to the point of beginning. ALSO FEE Title in and to the following tracts of land in St. Croix County, described as Lot 4, C.S.M. Vol. 10, Page 2799, and Lot 9, of the Plat of Country Side Estates, as recorded in Vol. 6, Page 32, in the NE'!. - NW16 of Section 24, T30N, R20W, both as described in the St. Croix County Deed Registry. ALSO FEE Title in and to the following tract of rand in St. Croix County, described as all that part of the SW'1. - SE'/O of Section 13, T30K R20W, exc+ - pt that part lying southerly and easterly of STH 64 and 35. AN bearings contained in the above dezcabed traverse are Grid Bearings oriented to the Wisconsin Coordinate System, Central Zone. Said parcel contains 35.63 acres, more or less. continued... ID 1550 -00.21 2 Parcel 024 Date: 02 -06-98 Rev: 03 -24-98 LAC s ::13 S f continued from page 2. ' ALSO AN existing, future or potential common law or statutory easements or riots of access be�we *n the right of- way of the highway, currently designates! as S.T.H. 64135, and all of the abimin Tema' ' real r 9 �9 I P operty cf the owner, whether acquired by separate conveyance or otherwise, where the iolbwing described real estate abuts on the said highway. Lot 3 of C.S.M. Vol. 10, Page 2799, in the Ne /. - NW ti of Section 24, T30N, R20W, as described in bhe St. Croix County Deed Registry. ALSO Al existing, future or potential conunon law or statutory easements or rights of access between the rod -of- way of the highway, currently designated as 150TH Ave., and all of the abuttirg remaining real property of the owner, whether acquired by separate conveyance or o!,arwise, in the easterly 65.00 feet of Lot 3 of C.S.M. Vol. 10, Page 2799, in the NEW - NW h of Section 24, T30N, R20W, as described in the St. Croix County Deed Registry. A ID 1550 - 00-21 3 Pan el 024 Date: 02 -06-98 Rev: 03 -24 -98 LAC I I, I Utki1Ly LaaegueW b a., V ublic bodies and private serve the area. is subject to s and O lot size, .asinq or Croix County -ard for t / o C7�/ tK� It r 4 - \ P � :LOT 8 ; 1 3.68 ACRES 160,188 SO. FT. �b. s ° ' o o o(p N i -s o I N 1 7 D_o 0 532.50, a M LOT 7 i / 3.00 ACRES 130,679 so. FT. " rER I I I- co S - - - - -- ;`� NW43'58 "W 664.47' ' ` r 0 \ % ' ( 0 L LOT 6 i 3.38 ACRES 8 . g 147,460 SO. FT N 0 nj N tp • N N i I 0 ?� 0 1 Z i O r r,, CD ER I "r V I N89'43' 58 "W 664.00' c0 „ v I i b 036 _. ;L0 33' 133' ' M Nt Li ► C�, ROAD DEDICA' � o M (LOT 5 -- - � 1 5.73 ACRES W a 249,555 SO. FT. }• % % / -!) N / z d EL= 921.0 CERTIFIED SURVEY MAP LOCATED IN PART OF THE NE 1/4 OF THE NW 1/4 AND IN PART OF THE SE 1 /4 OF THE NW 1 /4 OF SECTION 24, T30N, R20 W, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN, BEING A PART OF LOTS 6, 7 AND 8 OF THE PLAT OF COUNTRY SIDE ESTATES. NORTH LINE OF THE NW1 /4 N1 /4 CORNER N NW CORNER SECTION 24 � SECTION 24 S89'53'01 "W � —ti - -- —/ — S00'16'03 "W 2601.70' / 45.75' ` J 0 � V) 5z � 0 0` v� 0 O c _ o i LOT _ 1 u Z w z a I V, 7 , PG. 2072 / P 2 ' / � S1 /4 CORNER w I -------------- - - - - -- w J SECTION 24 ui F- of 0 ° VAR. R /W a � z � O i / b� ��;' LT_ 10 c, Z F Q /' 4t 0 �4� e i�VAR. R/W O / S�P� co a� / Gj,/ 4/ / �, m w0.4' to h o vpL -- - LOT . 0 , 2.295 ACRES 6 G�J 0 / ^ � I __ 11 99',973 SQ. FT. o LOT tYi / M � - - - -- - -- o' J S6 w -------- - - - - -- w 401..80, %D x LOT 7 3 I L0T-_ p_ C) 2.072 ACRES M C.S_M._ IN ` 90,250 SO. FT. :n ° CO m o V V, 10, PG. 2748 - - - -- - - -- ----- - - - - -- -- 0 oNi -- S89'43'58 "E 595.84' a' o ° G N to I �� I Of LOT 6 0 ----- - - - - -- ° 3.326 ACRES cu 66' W ' n 144,891 SQ. FT. / 4 t . • I LOT__ 1 In 0 v z % C) N89 664.00' I V._ 8, PG. 2374 N z i I _ - I COUNTRY___SIDE__ES_T_ATES I ~ LOT_ 5 WEST LINE OF THE SEI /4 OF THE NWI /4 CURVE DATA NUMBER RADIUS CENTRAL ANGLE CHORD BEARING CHORD LENGTH ARC LENGTH TANGENT TANGENT 01 267.00' 35'41'51" S17 "E 163.67' 166.35' S35 S00 SCALE IN FEET 1" = 200' LEGEND ALUMINUM COUNTY SECTION CORNER MONUMENT FOUND 0 200 400 600 • 1" IRON PIPE FOUND 1" X 24" IRON PIPE SET WEIGHING OWNER 0 1.68 LBS. PER LINEAR FOOT VERNELL A. SKOGLUND 149 HIGH STREET NEW RICHMOND, WI 54017 ............ • • • • • 100' ROADWAY SETBACK LINE