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HomeMy WebLinkAbout032-2033-60-100 o - 0 03 o I` ° . c 7E (�2 g T _■ o 5 z o 2' E/ S *, « e @ ® ° / D § co > _ E (D E e 2 c c g 0 a f k ID /§ k§ E �� B t 2 .8822 C fSe O ~ / U, k \ k E £ c -4 7 / 0 y CL % $ c _ « 2 \ e 'o ID CD g aQ� \ \ 0 / $ % ) § E / 1 T kl rr "fti- \ } R I CO) CO) CO) 2 / ~ / O . k § . k� COD . . . PO § CL z / o { / "VA- ƒ � \ i 7 ■ 0 m k n = . _ \ G 9 z ¥ c C § � A � / m o r z G N z k aCD= e § 2$ƒ§ , , . D e 8 E = �2 ` 0 CD OL ! @ fco EI ;r CL \ f£ 2 # \ / $ _o �§ §� �% Parcel #: 032 - 2033 -60 -100 02/15/2005 09:53 AM PA 1OF Alt. Parcel #: 9.30.19.5996 032 - TOWN OF SOMERSET 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 * ELLINGSEN, GENE A GENE A ELLINGSEN 1698 56TH ST SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 555 170TH AVE SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 3.602 Plat: 0866 -CSM 13/3661 SEC 9 T30N R19W PT NW NE BEING LOT 2 CSM Block/Condo Bldg: LOT 2 13/3661 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 09- 30N -19W Notes: Parcel History: Date Doc # Vol /Page Type 01/28/2000 617567 1486/613 WD 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 10854 283,100 Valuations: Last Changed: 07/23/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.602 51,000 189,000 240,000 NO Totals for 2004: General Property 3.602 51,000 189,000 240,000 Woodland 0.000 0 0 Totals for 2003: General Property 3.602 51,000 189,000 240,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 12/0411998 Batch #: 521 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM County: INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit 8 X Personal information y ou rovice may be used for seconds p urp oses [ Privacy Law, s.15.04 (1)(m)]. 344518 Y P Y rY P P I Y Permit Holder's Name: ❑ Cit pp Villa e Town of: State Plan ID No.: STENZEL, LEE S�OMERSE CST BM Elev.; Insp. BM Elev.: BM Description: Parcel Tax No.: If 5E l 032- 2033 -60 -100 TANK INFORMATION ELEVATION DATA (. 31 TYPE MANUFACTURER CAPACITY ST ION BS HI FS ELEV. Septic (l �S ��Qo nch a r (­19's SS Oo Dosing cc 4"d� tn� '- 2-- 17 0 d U Aw-p tion BIdg.Sewer g a/ Ht Inlet 91KeIF TANK SETBACK INFORMATION p ed (t/ Ht Outlet TANKTO P/L WELL BLDG. Ae tt ke ROAD Dt Inlet d. Septic 710 O' > ?U 3_5 __� 1 NA Dt Bottom y, Zt Z Dosing 7 / q I q NA Header / Man. 3- I e) , Dist. Pipe Z Bot. System y' l4 PUMP/ SIPHON INFORMATION Final Grade qb Manufacturer Y Demand.F, j Model Number Q 3 �O\ GPM f - - 9 �Z TDH LiftR,1� Lrictior,. n(; SyeterTL`� TDH 0. �X H L Forcemain Length r Dia. Z r' Dist. To Well S ABSORPTION SYSTEM BE TRENCH Width f LenatL No. Of Trenches PIT No. Of Pits Inside Dia. pth - Otd F:NSIONS Z DIMEN 4 LEA Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREA INFORMATION Type O / / f OR UNIT Model Number: System DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake r I N Z S pacing .3 // U �� Length Dia- Length � Dia, p 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 Ue nter Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: SOMERSET 9.30.19.599B 555 170TH AVENUE _ b 4 e,,,— �eM.l� /001 414 54- t " c.w" `d ( a � Ft ..f -� ^ ) Plan revision required? ❑ Yes Q No Use other side for additional information. Z z b fC1 SBD -6710 (R.3/97) Date Inspector's ature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: r , s r r �m .... ... _. e %. H�� �.. .. �,.�, m.. F .. ,..a..... . >_.,... "m." ...... .......... .... �.. �.. -. ,_, my <. ,.,,. ..�. .m . a a m ®m e i mM .. } t e r = } P e a" e r 7 1 i .e. . w..... .. ... ."..a -.. E ...e" "P.- ..._. � .... _. r i r e .e.� � . E d s. "- ..,t J _ . . . . . . , } a { n , { ..,� sm®. ...':,. ,....� a i fl 1 { " r ... .. -. _ one y ... .....�..,.v. .. ..md a 3 ; } ®mm a 4 Safety and Buildings Division SANITARY PERMIT APPLICATION 2 1 B W shingtonAvenue lts Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8112 x 11 inches in size. ' • See reverse side for instructions for completing this application state Sanitary P ermit Nu Personal information you provide may be used for secondary purposes E] check if re vision (l pr' evious pep ication [Privacy Law, s. 15.04 (1) (m)]. to State Plan I.D. N ber ,,4 I. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION M z; 7o� -" Prop rty Owne ame Property Location ,e 1/4 1/4, S T , N, R (or) Property Owner's Mailing dd ss Lot Numb 6r Block Number s' J City Zip Code Phone Number Subdivision Name or CSM Nu ber f � ( ) / II. TYPE OF 6 ILDING: (check one) ❑ State Owned It earest Road Public 1 or 2 Family Dwelling - No. of bedrooms n ro w a n O t III BUILDING SE: (If building type is public, check all that apply) Parcel Tax Number(s) &O f V /3 P o `5T 2 c6 SS.. Ca. c) — wo 1 ❑ Apartment/ Condo %�� • 4541°1 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. R New 2, ❑ Replacement 3 ❑ Replacement of 4. ❑ Reconnection of S ❑ Repair of an ______System ________System _____________ Tank Only__________ - ___ Existing System ________�ExistmgSystem 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 I5 Mound 30 ❑ Specify Type 41 [:]Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 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.) (Mi inch) Elevation Feet Feet Capacit - Site VII. FORMATION in gallo Total # of Manufacturer's Name Prefab. Con steel Fiber Plastic Exper. New Existing Gallons Tanks Concrete structed glass App. Tanks Tanks eptic Tank o ding Tank ,¢ ❑ ❑ ❑ ❑ ❑ Lift Pump Tank ip oi1 Chamber ® i' - Jeto ❑ ❑ 1 ❑ 1 ❑ ❑ . RES WONSIBILITY STATEMENT I, the undersigned, assume responsibility for i allation of the onsite sewage system shown on the attached plans. :PI um be s N7m. (P t) Plum r' g S m ) MP /MPRSW NO.: Business Phone Number: Plumber's dress rr e tate, Code t, C' y, S rCC IX. COUNTY/ D PARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate I ssued Issuing gent Signature (No Stamps) O ❑ Owner Given Initial z� ` F' ' Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS r 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 Wisconsin Administrative Code will be applicable. 3. All revisions to this ermit must be approved b the permit issuing authority. P PP Y P 9 . Y 4. Changes in owner'sho'brpldmtferrequires 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) must be 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 Buildings Division, 608 - 266 - 3151. To be complete and accurate this 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 number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 81/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic 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 county; 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. r t Safety and Buildings • 15837 USH 63 HAYWARD WI 54843 -8107 TDD #: (608) 264 -8777 Visconsin wArmcommerce.statemi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary June 02, 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• • 06/02/2001 Identification Numbers Transaction ID No. 227242 Site ID No. 17 3581 SITE• Please refer to both identification numbers, Site ID: 173581 above, in all correspondence with the agency. ST CROIX County, Town of SOMERSET; 170TH AVE, SOMERSET 54025 NW 1/4, NE1 /4, Sly T30N, R19W Facility: E D ROLL�AND 170TH AVE, SOMERSET 54025 FOR: MOUND SYSTEM, 6000PD Object Type: POWT System Regulated Object ID No.: 472073 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes CO �g,l 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. A The following conditions shall be met during construction or installation and prior to occupancy or use: 1. This plan action is subject to designer comments on the plan. DI �F sd,FE 2. The orientation of the mound system must be such that the mound's longest dimension is perpendicular 1_ ; to the direction of maximum slope. SSE C,( )-,R1 ,till 3. The area 25' below the downslope edge of the mound must remain undisturbed. 4. Maintain well and waterline set backs per COMM 83.10(1) and 83.14(4)(a). 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. l Sincerely, ! DATE RECEIVED 05/14/1999 FEE REQUIRED $ 180.00 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 RESIDENTIAL MOUND DESIGN INDEX AND TITLE SHEET Project E. D. ROLLAND Owner E. D. ROLLAND Address 2322 SACIA LANE HUDSON WI. 54016 Legal Description NW- NE- SECiT30N -R19W '.T.S Township SOMERSET County ST. CROIX o nalry Subdivision Name Lot No. 2 o v JANDING Parcel ID Number Plan ID Number SPONDENCE INDEX SHEET PAGE ONE MOUND CALCULATIONS PAGE TWO MOUND DRAWINGS PAGE THREE PRES. DIST. CALCS. & LATERALS PAGE FOUR PUMP TANK DRAWINGS PAGE FIVE PUMP CURVE PAGE SIX PLOT PLAN PAGE SEVEN Designer KIM A O C NNELL License Number 5�1 Signature �/ Phone No. 715 - 755 -3145 Date 5 -11 -99 Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result in discipiinary action under s. 146.10, wfs. Stats. SBD- 10452 -E (R.04W) Page 1 of 7 RESIDENTIAL MOUND DESIGN Eight Bedroom Maximum complete informadon in red framed boons as necessary. (y or n) n Is the s stem over creviced bedrock? Slope 8 % Number of bedrooms 4 Wastewater flow rate 600 gpd 2271 Lpd Depth to limiting factor 25 in 63.5 cm In situ sal infiltration rate (code) 0.5 g 20.4 Um Contour line below the upslope edge of absorption cell 99.65 ft [HE] m Use standard fill depths? L_. x OR Designer speed depth in I cm Place X in box to use starida►d depths (1Z 24, A+4 inclusive) OR specify design fill depth. Center or end manifold (core) Estimated hole space 4 ft lot a final cakulation. Lateral spacing 3 ft Minimum dose >= 10 times void volume Use a 0 lateral spacing for trenches. Pump tank elevation 89.65 ft outside bottom of tank. Number of laterals 2 Force main diameter 2 in Force main length 101 ft Force main actual dia. 2.067 in SYSTEM SOLUTIONS Inch - pounds Metric Cell media 'x" one only. Estimated daily flow ®gpd 2271 Lpd x Aggregate and pipe µ. Chamber and pipe Absorption cell Design load rate & area 1.2 gpdW 500.0 fe 46.45 m Linear load rate 7.1 gpd/ft 88.0 Lpd/m Design width (A) 6 ft 1.83 m Cell length (B) 84.0 ft 25.60 m Depth of cell (F) 10.4 in 26.4 cm Sand filter Upslope fill depth (D) 12.0 in 30.5 cm Downslope fill depth (E) 17.8 in 45.2 cm Basal area required (gpd/infiltration rate) 1200 ft 111.48 m Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.4 cm Subsoil depth at cell wail 6.0 in 15.2 cm End slope toe length (K) 10.8 ft 3.29, m Upslope toe length (J) 6.9 ft 2.10 m Downslope toe length (1) 13.2 ft 4.02 m Total mound length (L) 105.6 ft 32.19 m Total mound width (W) 26.1 ft 27 m Project: E. D. ROLLAND Plan I. D. Page 2 of 7 l 1 ' MOUND PLAN VIEW observation pipes (typical) T EE W= 26.1 ft J A= 6.O ft 1.83 m 7.96 m B= 84 ft 25.6 m B : � J= 6.9 ft 2.10 m 1 = 13.2 ft 4.02m K= 10.8ft 3.29 m L = 105.6 ft 32.2 m typ• obs. pipe A X B refers to absorption cell width and length (anchored securely) J = upslope width I = downslope width K = end slope dimension _ a' (150 mm) MOUND CROSS SECTION D = 12.0 in 30.5 cm topsoil G H subsoil cap E = 17.8 in 45.2 cm lateral F = 10.4 in 26.4 cm invert 101 2 ft _ _ _ � elev. 30.85 m I see note 1 F G = 12.0 in 30.4 cm H= 18.0 in 45.6 cm ,J/'D E ASTM C33 Sys. 100.7 ft sand Fill eiev. 30.69 m 99.7 ft contour 8 % 30.39 m slope Note: Absorptlon cell media will D = upslope fill depth plowed layer consist of aggregate and pipe E = downslope fill depth or leaching chambers and pipe F = absorption cell depth as specified ex Aggregate G = subsoil + topsoil depth at cell wall at right. Chamber H = subsoil + topsoil depth at cell center Designer notes: If aggregate is used, it is covered with code compliant material. Project: E. D. ROLLAND Plan I. D. Page 3 of 7 PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch -pounds Metric Width (A) 6 ft 1 1.83 Im Length (B) 84.0 I ft 1 25.6 m Lateral specifications Number laterals 2 Holesilateral 21 holes Lateral length 81.7 ft 24.7 m Perforation dia. 0.25 in 6.4 mm Lat. dis. rate 24.47 gpm 1.5 Us Sys. dis. rate 48.94 Igpm 3.1 Us Hole spacing 49 lin 124.5 cm Lateral diameter Pipe diameter Design options Design choice Designer must 1 in25 mm Place X in red 'X" one choice 1 1/4n/32 mm box of chosen from the options 1 12n/4o mm diameter. provided. 2in/50 mm X X 3in175 mm X Manifold diameter Pipe diameter Design option. Design choice Designer must 1 in25 mm "X" one choice 1 1/4inr32 mm Place X in red from the options 1 12n/40 mm box of chosen provided. 2inW mm X x diameter 3in/75 mm X 4n/100 mm X EEd Distribution system contains 2 lateral(s). LATERAL DIAGRAM - END CONNECTION Place correct lateral diagram by cAlcking in one of the drawings at tight and dragging the diegrem into this area. Laterals center over the dimension Last hole driYed nett to end cap *"-0aP P AN laterals are identical iF X - ) , I Holes drilled on the bottom of the lateral s equa% spaced • Foroe main co ewtion Via toe or cross to mxrfoM at 44 point. Laterals & force main of PVC Sch 40 • = permanent end marker (per COMM Table 04.30 -5) Inch-pounds Metric Lateral length (P) 81.0 ft 24.69 m Lateral spacing (S) 3 ft 0.91 m Manifold length 3 ft 0.91 m Hole diameter 0.25 in 6.35 mm Lateral diameter 2 Vn 50 mm Number of holes per pipe 21 Invert elevation of laterals 101.2 I ft 30.74 m Project: E. D. ROLLAND Plan I D Page 4 of 7 Total dynamic head System head = 3.25 ft 0.99 m Vertical lift = 10.60 ft 3.23 m Are laterals the highest pant in the Friction loss = 4.22 It 1.29 m system? Yes 'W' here. L.-J Total dynamic head = 18.07 Ift 5.51 m If no, what is the highest elevation Dose Volume downstream of pump? C � Lateral void volume = 28.2 gal 106.7 L Force main drain Minimum dose = 282.0 gal 1067.5 L back to tank? ( "x" one) Drain back = 19.2 gal 72.7 L x �YYes Dose volume = 301.2 gal 1140.2 L No Typical Pump Chamber Layout In combination With state approved treatment tank. Tank constn.lction as per Comm 83.20(3) WAC. approved manhole cover weather proof wh aming label and padlock grade levels junction box - -Dom — T grade levels quick disconec alternate 4" vent pipe electric as per NEC 30D and E outlet Comm 16.28 WAC location 18" (46 cm) min. 1 wall of pump ut proved W chamber or combination 7 joint tank A 1/4" weep Grade levels alarm on hole as pump tank mrtwle = 4' min. above finished QWs pump on B necessary pump tank man. =100 mm min above finished grade T vat = 12' min. above finished grade C pump 90.6 ft vent = 300 mm min. above finished grade Off elev. 27.6 m D 3" (75 mm) of bedding under tank and anchor tank as necessary 89.7 ft Pump tank elevation 27.3 m bottom of tank Tank specifications: WEEKS Pump tank = 19.2 I/in Pump tank volume = 1000 gal Capacities: Inches Gallons _ A= 26.4 506.8 Pump manufacturer: IGOULDS B = 2 38.4 Pump model number: IWE051 1 H C = 15.7 301.2 D = 8 153.6 Project: E. D. ROLLAND w,�d 3 `� L Page 5 of 7 Plan I.D. 9 r U11 lul I I ICAI ILIU4 .f4&VwO1%w Curves Pumps MMR$ FEET - go 1-14 - --- - MODEL 38&5 25 - 1 1 - 7 — I — IS1 7 E 1 , 1 4" Solids T - 7 - WE15H 70 20 W110H T-- 0 WE07H J w E 06H 40 10 WEOam 30 WE03 20 N 10 1V 0 10 20 30 40 50 60 70 60 w Icc 110 120 GPM I L 0 10 2`0 50 ml/h CAPACITY Sp :'ire , PWAPS, INC. G 0 U L D MEMO FEET 120 MODEL 3885 F -T 3b SIZE 1 /4" Solids 110 -WE15HH - 100 t 25 - o 60 —T— WE05HH I 1 40 --1 — -- r - T — 10 - i 30 20 . . . ........... io OL 0 0 10 20 40 50 w 70 w 1w 110 1:9 GPM 0! 10 410 30 ml/h CAPACITY *1 "6 GOW144 pyMpa. Inc. E14GYw wry. I C)JAI �ako /y -,dam /y 5�� rJo•✓ ->ri � _- � ,�.�,�c,✓ /JI��/ ��� of S,c / i`.���k - ,mil /Gtr G ,1�ti�h.�� ,I SoJ:��s __ - - - -- — Ac' J/r aN - /DCZ' A - - --- - -- � J i � 3 Sy /4 "E �, �� I WiscorMin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION - Pleasq ifl,� m" foem4tion. Revi d by Date Personal information you provide may be used for cQ l "purposes rivacy Law,.j.- ,15.04 (1) (m)). � - CQ •� Property ner i * r � Property Location Govt. Lot � 1/4 1/4,S T N,R E (o Property Owner's Mailing Address - "f i Lot # Block# Subd. Name or CSM# / '� ::�L- �•, , nT CFA City Stat Zip C ci® '°, }1 fdtlrFfber Nearest Road �, -� ..ci ❑City ❑Village Town f� New Construction Use: Residential / edrooms Addition to existing building Replacement Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate "�"2 bed, gpd/ft gpd/ft Absorption area required 5 bed, ft 2 37S trench, ft Maximum design loading rate 1,�2 bed, gpd /fFe gpd/ft Recommended infiltration surface elevation(s) /Q 1 4 ft (as referred to site plan benchmark) Additional design /site considerations - S - - Parent materia / L�y 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 ® U W S ❑ U ❑ S f U ❑ S U ❑ S ® U ❑ S [Z U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 W , ;, in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench S Ground p ellevv.. '� ft- 4 S - Depth to limiting factor � in. Remarks: Ze Boring # J� -d Ground ' - - - Z QQ���� a ft. Depth to limiting factor R marks: CST Nam lease mt) Signature Telephone No. � s - _ Address ate I CST Number x� I I SOIL DESCRIPTION REPORT , PROPERTY OWNE - ,(��ta Page —,:2: ' PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 / in. Munsell Qu. Sz. Copt. Color Gr. Sz. Sh. Bed , Trench .., l J , i Ground elev. Depth to limiting / factor Remarks: Boring # a , 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 # ........................... 1� Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R.9/98) X 2 "If %99 t A 0 z ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Own Buyer l fal - c'l ' Mailing Address Property Address — A-z-, U-2! (Verification required from Planning Department for new construction) City /State Parcel Identification Number LEGAL DESCRIPTION Property Location '/4, W- '/4, Sec. T, j r _N -RI f W, Town of _ _1 dMc/j� Subdivision dS ned?r l -7:2Z , Lot # ._. Certified Survey Map # Q�/�'� s . Volume 3 . Page # Warranty Deed # SW 111 C/O . Volume 7� _, Page # l4 / Spec house Xyes ❑ 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 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/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 ed must be completed and returned to the St. Croix County Zoning Office within 30 days o the thre year expirati dat . e / 1V / SI OP ffPLICoft 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 owners) of the property scri ed abo a by vir of a warranty deed recorded in Register of Deeds Office. SIN O PL 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 DOCUMENT NO. WARRAWY MO i THIS arnct scat "vta PC* ateoaa Na or TA �4 STATS BARDF WISCONSIN FORM REGISTERS OFRCE ST. CROIX CO., WI& Henry Roy ....... Rac'd. for R 6th . .... .......... ....... .. ............ ---.. .. .... . day of Jan A.D. 19 8b _ .......... ....... .............. ................. ._ 4.:44 j Od conveys and warrants to ....Lee- Stenzel- - and. - Mary.- Ee - th. ........... '. W0- ...Stenzel, husband.. and. .wife- .as mar-.itaL--property, with.. rights. .of_survivorship .......... ............................... ....................................... ............................... ... ... .. ...... . ................ ............... .._. ........... .......... .. 11tTU11N TO ii I ....... ... .. ............................ . .................- ........_...: ..... ....... ..-.......... _ . the following described real estate in .......... St . ....N ._- ................County, i State of Wisconsin: I' Tax Parcel No:_ ........................... ;. The Northwest Quarter of the Northeast Quarter (NFi of h7h) , Section Nine (9) , n .mship Thirty (30 North, Range Nin eteEn (19) West, STS37 CT TO an Easement for ingress and egress over the Westerly Two (2) rods thereof for purposes of ingress and egress to the South Half of the Northeast Quarter (Sk of NEM and the Southeast Qua -ter of the lbrth- cest Quarter (SFA of NW'h) of said Section Nine (9), Township Thirty (30) North, Pange Nineteen (191, West. ^,his deed is executed solely for the purpose of fulfilling that certain land con',-act between T6iah C. Foy as Vendor and the Grantees hereof as Purchasers, dated May 16, 1977, recorded May 24 1977, in Volume "554 ", page 366, as Document No. 340234. Said Vendor's interest being zubsequently assigned to the Grantor hereof by Final Judgment in the Estate of Tsiah C. Roy, dated May 2f, 1981, recorded May 26, 1981, in Volizae "629 ", page 543, as Doc ment No. 371031. ;XITSFN3 3Y This _- is not -. -_ -. ..... ............ homestead property. (is) (is not) Exception to warranties: reservation of 50% of all ri_hc and title in and to any and all oil, gas, and other minerals in and under the property by the Federal Land Bank of Saint Paul. Dated this _ 6ti, ...... ........ _. day of ...... ..January. ..... ..... - ._.... - -- ._ -__. __.., 19 - 86 _.. (SEAL) (� _ ..._. -. ._ ....._._ . __ _. -. - _ - ......__. ___ _- .._.(SEAL) henry Roy . _... . __..._- (SEAL) _... _ ..... - --. - - ___ -.. - -- __(SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) -------- .................... ... .... . ----------- --- ......... STATE OF WISCONSIN as. .................. ..... ......................... .................... St. Croix County. ........... . .. ............. ...• -... authenticate! this ...... _day of ... ... .... ..... ............ 19...... Personally came before me this ................ day of January - - - -- - _ -_. 19..8 the above named --. ---- . . . ... .. ................... --.................. ......... Henry Ro y y - -- •- --- - - - - - -- -------- • - - - - -- - -- •.._........ ................... .-- ------ ............. •- - - - - -- -- •-- - - - - -- -- • - - - - -- - • ...... .............. --------- - -- - -- TITLE: MEMBER STATE BAR OF WISCONSIN (If not •--- ---- -- - -- .................. ................ ....... authorized by 1 706.06, Wis. Stats.) to mejvM!1!1•'t4,j,+e the person ...... who e..ecuted the fg r trartd,ackpowledge the same. T: 11 INSTRUMENT WAS U.AFTED BY •'.. ...,., -^ Reinstra a Van Dyk & Needham S.C. r ✓`�''�� _ _ -_ ._- .__._ - -_. _ --- •-- & Needham --- tforneyS ai L3w a •_ -. .. �_._ ,�. �E .... ... ........_._ _....... $ r. roxx New - �tl.chtuc�nd, .klisEO +a.in_ --- 54 -O 1.i- -Al27� ��a�,l.P t�li� -. :.. -..�• _ Countti•, Wis. (Signatures may be a ;lthe.aticated or -_:knnw!edged. Both is� Off not, state expiration are not necessary.) • f •••+ �— i 1 38 ) •Namr, of FPren r. •itning in ar; - ,,, ity 7,h,vai3 be tip,! — .a anted b ^!,- �n�ir s, Mari.,, .1 :'• „ 7t3 +a,f +ar STATP. 9.48 (:V WISCONSIN F No x - I)N Stock r'o. 130^2 _ _.�• __.. �,....,.. ,��f�a to -,,. ,�, _.._.� ._�..._m.. � r s FILED 2 JUN 0 7 j9 604523 a K 3 CERTIFIED SURVEY MAP T3 LOCATED THE NW 1/4 OF THE NE 1/ 4 OF SECTION 9 0N R 19W, TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN. z LEGEND OWNER w F LEE & BETH STENZEL N F- W w ALUMINUM COUNTY SECTION CORNER 561 170TH AVE N co MONUMENT FOUND SOMERSET, WI 54025 a 3/4" REBAR FOUND AREA LOT 2 w oo ■ z w co m PK NAIL FOUND 3.602 ACRES INC. R/W AND EASEMENT 156,899 SQ. FT. ui z 1" X 24" IRON PIPE WEIGHING f ui w w O 3.003 ACRES EXC. R/W AND EASEMENT ui F- m 1.13 LBS. PER LINEAR FOOT SET 130,829 SQ. FT. wp • ........................•• 100' ROADWAY SETBACK LINE AREA LOT 3 � 3.375 ACRES INC. EASEMENT a z ° w X EXISTING FENCELINE 146,999 SO. FT. - ' 75' BUILDING SETBACK LINE 3.003 ACRES EXC. EASEMENT Z N - " -' - - -- 130,829 SO. FT. < a UNPLATTED LANDS O BY OTHER m z oi - ' --- " — — — -- NE CORNER 170TH AVENUE SECTION 9 N1/4 CORNER S89'06'26 "E SECTI 9 _ _ _ — NORTH LINE OF THE NW1 /4 OF THE NE1 /4 y 6'26 CENTERLINE rf— 89' — ' — -- — — — — — — — — 300.0- - - - - - -- c 33.00' 267.00' c ®' — +932.49' o +li 300.0( ' ° , 99 49 ' c') FENCE CORNER IS 1.5' / WETL IDS c) ;' S89 "E 1298.49' WEST OF LOT CORNER+ q � i ... ................. .....�....a....! ...................... ............................... .................................... ............................... lf') C 33 ' i NOTE � EXISTING DRIVE -�,1 ROAD EASEMENT DATA , S ILOT 2 IS TOTALLY BUILDABLE BEARING DISTANCE a- m: ' S89 "E 66.00' ~ ° L n_�'� c °° EXCEPT SETBACKS, RIGHT -OF -WAYS, •� ono c D ° �/ETLANDS AND OTHER S00:4'3'S7"C+�''� ; 555.82' p o io ch , I ©N�9 "W 6Yfl.00' f - >- pq r � n�� N i z!RESTRICTIVE AREAS. (PN00 556.00' �� PA I uj 1 A _ r� a ; SEPTIC --�e HOUSE 75' `� Z z - �`'v c ca GARAGE CISTERN WETLANDS 75 O. 3 j W6�TLANDS o D 1 00' 267.00' ° I V SHED BARN �' - - ---- - - - - -- SHED N 9 6' ,W POLE ¢� I w 3p0.0 ' �ti © I 1 ❑SHED - - -- i.,' 4 6 -� I O SILO c z �s W t ' WETLANDS LOT 1 ti w i 4U 75 % 31.928 ACRES INC. R/W AND EASEMENT a 3 wa c / 1,390,794 SO. FT. i• tn Z v oo i. ,. �' o% C3 30.112 ACRES EXC. R/W AND EASEMENT c 3 et N Z • 1,311,661 SO. FT. o 3 C, ___ y x z NOTE LOT 3 SHADED AREA = ~ i ' L T 3 1 ACRE CONTIGUOUS BUILDAB �k' AREA ��,, o 23.7' +/- I WETLANDS z C3 3.00' 267.00' ; 75' w w , N89.06'26 "W 75 ; z z 300.00' ; H J w % ' F- _ _ w cn ~ ' w w 1°D - - -- 3 a r� IOD .C. 2 ROD EASEMENT FOR INGRE AND EGR A W ;RECO RDED IN VOLUM 729, PAGE 639 3/4' REBAR F'us�� 39'09'37 "E E -' _ 24 7' /- 0.71' FROM SET, CGi, ER J O ' _ A FENCE CORNER 0.5' +/- NORTH OF LOT C ..RNER SOUTH LINE OF THE NWI /4 OF THE NEi /4 ¢ A w UNPLATTED LANDS O WNED BY OTHERS z Z = z 1 D Cj opt SCALE IN FEET 1" = 200' ° z SEE COUNTY SURVEYOR FOR TIES 200 0 200 400 S1 /4 CORNER THIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON JOB NO. 99 -23 DATE: 5/26/99 SECTION Vol. 13 Page 3661 L99£ abed W ion +,JW p.'s c N 3 ca @ {yy� ::m a i vww Im Q Y = sad iff1+ . ylfR► P"A PUB iirtu eq Net's lenadde QWP Ienwdde yo sdeP OC ultWm PoPx)ow IOU A >oeq{ UAL*l VVed PUB Suiva:z 6ts+utaei a.us[+�� .66, 1 Nnp `AOUdd V -190Tnpg 803 g80aamoS 3o uwo.L agq pue aoT33O SuTUOZ Agutw, xroaO . qS agq 1021u03 Taoaed due BuTdOTanep a0 BuTsegoand aao3ag - ( - oga 'Teaaed oq 098002 'azTs IOT mmTuTm 'OpueTgeA '-a-T) 9uOTg2Tn68a pae saTna '8AeT dTgsuel►o,L pue A:IumZ) ' alwIS oq goe Cgns sT dem sTgg uo umOgs Toaaed goeg b6 1' 'SIM a31NYZ 9TOVS IM 'uospng W 'PStl1!}t100 ar * IS gnul ZTZ �O �� 6uTd8n2nS Puvq N 3 3 S a8 /M .1 aeTtleZ - r SeT -amts Buiddem pue SuTdaAans uT gasaamoS 3o uno.L aqg pue xToa, *:Is 3o AqunoO egq 3o aoue Tpa0 uOTsTnTpgnS puvI aqq pue sagnivIS u_FsuoasTM aqq 3 I£ - 9£Z aagdegO 3o suoTsTAoad aqq gITA peTTdmoo ATTn3 OA I g2gq = P put peAaeans Axepunoq aOTaegx8 aqg 30 8T23s oq uoTgegueseadaa goe=oo 2 sT dvw AananS P8T3TgaaO OTgg g2gg d3Tgaao osTe I -paooaa 3o sguguanoa pug suoTgoTagsea 'squamas2a aagg0 TV Pale (9nu8AY ggOLT) pgON uAO.L ao3 A'eA- 3o -gg6Ta Oq gaafgns pug gaa3 EE Isom aqg aano ssaaba pue ssaa6uT ao3 quamaslea ug oq gaaCgnS . (.. .ft Z69'V69'T) 09=3X 506 suTeguoa Teoa2a -ButuuTSeq 3o guTod aqq og gaa3 L6'00£T '1 /THN agg 3o I pigs 3 auTT 309A aqg SuOTv 'H.LS&£fi000K aouagg ::p/THAI agg 3 V /TMN PTgs 30 aeua00 1138 edggno s aqq og ga83 TT - TT£T ' Y / THN egg 3 3 /T MN PTgs 3o OUTT ggnOs aqg SuOTe 'M■£S&9T068Ai aavaQq =V /THAI agq 3 I Pies 3o aeuaoo gs2aggnos aqg og gaa3 80'L6ZT 'V /TEN agg 30 1 PTgs 3o OuTT gsta aqg SWIM 'M ■L£&60000S eouagq !t /THN aqg 30 V/ZNK pTes 3o aaui00 gs28g4aou aqq og g993 L7L'86ZT '6 uOTgoaS pTes 30 VARK aqg 30 V /TMN aqg 3o OUTT ggaou aqq SuOTE 'H„9Z.90068S aouagg !6 uoTgaaS PT 3 aeuaoo aagaena ggaom aqg - le . : BAOTTo3 Be pagTaosep !UrsuoasT 'AqunoO xToa, as 'gasaamoS 30 unos 'M6Ta 'NO£Z '6 uOTgoeS 30 V /THN aqg 30 1 , /TMN egq Padd'em Pue PePTATP 'Padanans aAeq I 'Iazua ggag pEre ewj 3o uoTgoaaTp aqg Aq gegq 'A3Tgaao Agaaeq 'aoAaeanS pueZ utsuoosTM paaagsTBa 'aeTgeZ -r seTSnoa 'I HIVOIJURNO S A UO RAIMS UteXWOt UI:U4 t4A T!D 409 0509 coot JAI a ¢, OYS�a88 -�o�: CERTIFIED SURVEY MAP Y=622M432z: 114 OF L' MON 16. LOCATED IN PART OF THE NR �T. O T CROIX E CO UNTY. �SCONSIN. T30N, Rf 9A', TOWN OF SOM b OWNER �' LEGEND N � La s BETH sTt;/t2EL Sal 170TT4 AVE °� ALUMINUM COUNTY SECTION CORNER SOMERSET, MA 84025 �\ MOlKJMETAT FOUND 1' X Z4' R PINE R rooT 0 FOOT . 11." Ias. K * * LINEA St I 0 100' ROAOMAY SETBACK LIK -ar- EXOSTING rtwxLINE WE CORNER SECTION la NI /4 CORNER sw 12 SECTION 16 _ NOTTTFt LINE OF TW NVI /4 OF THE NEI /4 .. — -- — - -- . _ _. _ T LOT 1 �• OT 2� f 10 Ac c oxf w 3o0.00• i1 p LOT 3 O T z i R J ! 4 g F TN9'1i 'V 17111I' 1 :(H LINE W T4E HV1 /4 TF THE NEI /4 n SCALE IN FEET t" 240' COUNTY SEC TY SURVEYOR FUR IILS R 0 200 400 600