HomeMy WebLinkAbout032-2106-60-000 ST. CROIX COUNTY ZONING DEPARTMENT
AS BUILT SANITARY REPORT
Owner t r
Property Address d
City /State
Legal D! on:
Lot & Block Subdivision/CSM #
/4" /4, Sec. L� , TAN -R A-0W, Town of PIN # e5l &?
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION
Tank manufacturer Ze,149-e 6FL Size ST/PC Setback from: House 6, We11 11 P/L,
Pump manufacturer Model
Alarm location
(HOLDING TANKS ONLY)
Setbacks: Service road Vent to fresh air intake Water Line
Meter location
Alarm location
SOIL ABSORPTION SYSTEM
Type of system: era Width Length _ S Number of Trenches -Z _
Setback from: House Well 1'/L , � 2 Vent to fresh air intake
ELEVATIONS
Description of benchmark �� ,�i�d4� Elevation °
Description of alternate benchmark a Elevation
Building Sewer - ST/HT Inlet ST Outlet PC Inlet
PC Bottom Header/Manifold Top of ST/PC Manhole Cover
Distribution Lines (l)
Bottom of System fj�
�
Final Grade f)
Date of installation (1/ ermit number State plan number
Plumber's si nature License number CS�o7� Date
Inspector Z M, Complete plot plan
J
NOTICE: Please provide the following:
• A plan view sketch showing everything within 100 feet of the system.
• Two horizontal reference points to center of septic tank manhole cover.
• Show alternate benchmark, if applicable.
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INDICATE NORTH ARROWb
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Wisconsin Department of Commerce
Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count y
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.:
Personal information you provice may be used for secondary purposes [Privacy La s.15.04 (1)(m)]. "��^'"
Per rnjt�H„Ql�gr f�$me: GARY ❑ City Town of: State Plan ID No.:
CST B Elev.: / O11VV Insp. BM Elev.:� BM Description: OM K Parcel Tax No.:
o �. a 032 - 210x -60 -Oft
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic (,J 5 Benchmark 6. 1$ 100, / lot. 'O
r
Dosing )W_ A04 6 -v2 9 3. n
Aeration Bldg. Sewer 7.51 Cie. 6 0 r
Holding St /Ht Inlet 9 . 2 -� ,g5/
TANK SETBACK INFORMATION St/ Ht Outlet a. s4 Rl b y
TANK TO P/ L WELL BLDG. Air I to ntake ROAD 'B+ lile�-
ir
Septic ).� I ` _ NA Dt'1307fo
Dosing NA Header / Man. /d. `f2
Aeration NA Dist. Pipe
Holding Bot. System 32-
PUMP / SIP N INFORMATION Final Grade �,� g. o 9 2.1 V
Manufacturer Demand lj�G�t�/ G . y 1 7 3.2
Model Number GPM
TDH Li L riction System T Ft
ead
Forcemain Length Dia. Fi Dist. To well
SOIL ABSORPTION SYSTEM Z 3'
K* Width Length No. f renches PIT No. Of Pits de Dia. Liqui epth
DIMENSIONS • 2-5' 2 DIMENSION
SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING Manuf tur r:
SETBACK _ CHAMBER :r �, „r C '"`
INFORMATION Type O r Mo e ymber
System: C�' 5a 'j b 4- OR UNIT
DISTRIBUTION SYSTEM
Header/Manifold u I Distribution Pipe(s) rr r x Hole Size x Hole Spacing Vent To Air Intake
Length - I Dia. Length `-� Dia. Spacing J .- — O z
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.)
LOCATION: SOMERSET 12.30.19,SW,NW B12 165TS j1VE N. BASS LAKE LOT 6
�+ cam/
11 � Avwl
Plan revision required? ❑Yes ❑ No
Use other side for additional information.
SBD -6710 (R.3/97) Date Inspector's Signature Cert. No.
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ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
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Safety and Buildings Division
SANITARY PERMIT APPLICATION 201 Bo Washington Avenue
Visconsin In accord with ILHR 83.05, Wis. Adm. Code
Department of Commerce Madison, WI 53707 -7302
• Attach complete plans (to the county copy only) for the system, on paper not less County /
than 8 112 x 11 inches in size. :� -
• See reverse side for instructions for completing this application State sanitary Permit Number
338'�
O ca—
Personal information you provide may be used for secondary purposes ❑ Check if revision to previous application
{Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number
I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION
Property Owner Name Property Location
A /4 1 1A,S T N, R/ E
Property Owner's MailirKfAddress Lot Number < Block Number
City State Zip Coe J - Phone Number Subdivision . r CSM Number
II. TYPE OF BUILDING: (check one) ' ❑ State Owned It 'S
Village � Nearest Ro
Lj Public 1 or 2 Family Dwelling - No. of bedrooms �' Town OF
k-
111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 62 2 f ZI 0(O — —
1 ❑Apartment/Condo 143
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. 0 New 2 ❑ Replacement 3, ❑ Replacement of 4_ ❑ Reconnection of 5_ ❑ Repair of an
------ System System Tank Only 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 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 Seepage Trench 22 ❑ In- Ground Pressure 1 1 42 ❑ Pit Privy
13 E] Seepage Pit J �J X S� • 2 S 43 ❑ Vault Privy
14 ❑ System -In -Fill i� ��_
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. S stem Elev. 7. Final Grade
_ Requir (sq. ft.) Proposed (sq. ft.) (Gals/day /s . ft.) (M / i nc h) r �/ Elil i _
`Z Z 97.9 Feet Feet
Ca acit
VII. TANK in allo Total # of Site
INFORMATION g Manufacturer's Name Prefab. Con- Steel Fiber- plastic App.
New Existing Tanks Concrete glass App.
strutted
Tanks Tanks
e .c Tank - / �ic�C ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ 1 ❑ ❑
VIII. RESPONSIBILITY STATEMENT
1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumb ' ame: (Print) Plumb I ature: (No Stamps) MP /MPRSW No.: Business Phone Number:
Plumb s ss (Street, City, State Zip Code):
IX. COUNTY/ DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate I ssued Issuing A Signature (No Stamps)
A roved Surcharge Fee)
pp []Owner Given Initial �aYCC>
Adverse Determination ,l `!
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD- 6398 (R.11197) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
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 Lode will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or 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) 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 8 1/2 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.
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PROJECT - ... Clre ADDRESS
J.c /YYeI`i /4 S/a /T3p N /R/ W " TOWN o 7� COU TY
MPRS Byron Bird Jr. 3318 DA ?E
BEDROOM_ CLASS PERC NTIONALZIN -GR' ND PRESSURE
CONVENTIONAL LIFT MOUND HOLDING TANK
SEPTIC TANK SIZE LIFT TANK SIZE
DOSE TANK SIZE HOLDING TANK SIZE
ABSORPTION AREA °�� PERC RATE BED SIZE T fi«� 3Xs3�
► Benchmark V.R.P. Assume Elevation 100'
Location of Benchmark T p4
* H.R.P.
C7 Borehole Q Well Scale Feet
0 Per Hole System Elevation T — g�
G�,c�GcG ca �iio
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Wisconsin Department of Commerce SOIL AND SITE EVALUATION
Division of Safety and Buildings Page of
Bur4au of Integrated Services in accordance with S. ILHR 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. #
a _a O
APPLICANT INFORMATION - Please print all information. Revievypd by pp�J
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location U UY
r Govt. Lot 1/0& T ,N,R E ( W
Property Owner's Mailing Addr s Lot # Block# Subd. Name or CSM#
o / , /,17 / R ss ��
City tate — Zip Code Phone Number El Ci ty ❑ Village ;& Town Nearest Roa 4 ,�
/ 0 1g; ^j
:New Construction Use: 23 / Number of bedrooms Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
Code derived daily flow �� --��!' gpd Recommended design loading rate - 7 gp
. 7 bed, d /ft trench, d /ft
Absorption area required _ ) S _ bed, ft 2 trench, ft2 Maximum loading design
�� �� c�� g g rate
7 bed, gpd /ft 2 �___Z_ trench, gpd /ft
Recommended infiltration surface elevation(s) �l = $ � 0 ft (as referred to site plan benchmark)
Additional design /site considerations _ 5 • / _
Parent material Q �� -- G Flood plain elevation, if applicable ft
S = Suitable for system Conventional Mound In- Ground Pressure I AT -Grade System in Fill Holding Tank
U = Unsuitable for system "aS ❑ U ❑ U �HS ❑ U LW'_S ❑ U ❑ S IR-U ❑ S �9,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
r ,
Ground l t� 4
eev. ,
�
Depth to
limiting
factor
Remarks:
Zing #
Ground
elev�
DeptFi to
limiting
factor
S
_ f Z� l in. Remarks:
CST Name (Please Print) Signature Telephone No.
Address Date CST Number
PROPERTY OWNER �- " t SOIL DESCRIPTION REPORT Page of
PARCEL I.D.#
Boris # Horizon Depth Dominant Color Mottles Structure 2
Boring Texture Consistence Boundary Roots
(d in. Munselll Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Ground
Ground
elev
Depth to
limiting <
factor
3 S Remarks:
Boring #
�' ��� L- c ��- ♦ �j�
7
Ground
elev.
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
Depth to
limiting
factor
min. Remarks:
Bring #
Ground
elev.
ft. '
Depth to
limiting
factor
in. Remarks:
SBD -8330 (R. 07/96)
• Soil Test Plot Plan
Project Name -!50 ,.,1 Byron Bird Jr.
Address
T M F� Sad 2
Lot --- - -- Subdivision --------- -- Date �i � �-
1 /4 /4S T N /FY q W Township _:�; e,; e ,����
[� Boring ()Well PL Property Line County
BM or VRP Assume Elevation 100 ft.
System Elevation T� _ $� * H R P Same as nchmark
r�
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Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3
Labor and Human Relations
Division of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road. 0 3 Z ' `Z- V j —� a
APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
Gerald J. Smith GOVT. LOT SW 114 NIA / /4,S 12 T 30 N,R 19 Ror) W
PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
11160 190th, Ave, N.W"
6
na N, P Fgtatps
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE RROWN NEAREST ROAD
Elk River MN 5 ( - 8888 S 89t-h_ sc;ta I
i ] New Construction Use [x] Residential / Number of bedrooms R [ ] Addition to existing building
I ] Replacement [ ] Public or commercial describe
Code derived daily flow 450 gpd Recommended design loading rate .7 bed, gpd /ft trench, gpd /ft
Absorption area required 643 bed, ft 563 trench, ft Maximum design loading rate ___L bed, gpd /ft trench, gpd 1ft
Recommended infiltration surface elevation(s) 85.20 ft (as referred to site plan benchmark)
Additional design/ site considerations alt Site ,Vgi e1 - 8 4-70 1
Parent material nuf--Wasb Flood plain elevation, if applicabl ft
S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable fors stem N S ❑ U Ns ❑ U N S ❑ U 12 S❑ U ® S ❑ U ❑ S au
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
-'...._.1..' 1 0 -8 10 r3 3 none 1 2msbk mfr cs 2f .5 .6
....°......,... 2 8 -15 10yr4 /4 none sicl 2msbk mfr qw if 1 .4 .5
Ground 3 15 -21 7.5 r4 4 none sl 2m r mvfr Cfw na .5 .6
elev.
8 9.2 ft. non M1 na na .7 .8
Depth to
limiting
factor
+Ra
Remarks:
Boring #
1 none sil 2msbk mfr cs 2f .5 .6
2 2 11 -27 7.5 r4 4 none sicl 2msbk mfr 9W if .4 `:.5
Ground 127-84 ml na na 1 .7 .8
elev. 4 �,
88.6 ft. ���- 1
Depth to O
limiting
factor
+84 rn o
Remarks:
CST Name: -- Please Print Gary L. Steel Phone: 715 - 246 -62
Address: 1554 200th. New Richm d WI 54017 <'
Signature: Date: inn a 298
4 -16 -97
PROPERTYOWNER Gerald J. Sn;i -.h SOIL DESCRIPTION REPORT Page -- � - of4
I
PARCEL I.D.# D a
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bax * Roots GPD /ft
in. Munsell Qu. S z. Cont. Color Gr. Sz. Sh. Bed Trench
in
sil 2mqbk mfr r1q 9f -S -6
3 <`
Ground 3 24 -84 7.5 r4 6
elev.
88 ft.
Depth to
limiting
factor
+84
Remarks:
Boring #
2 7 -21 7.5 r4 4 none sici lfsbk mfr C1w if .4 .5
Ground 21
elev.
8 7.6 ft.
Depth to
limiting
factor
+R4
Remarks:
Boring #
5
Ground 3 26 -84 7.5 r4 4 none Cos osa mi na n .7 .8
elev.
87.1 ft.
Depth to
limiting
factor
+84"
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(8.05/92)
y .
STEEL'S SOIL SERVICE
Gary L. Steel Gerald Smith 1554 200th Ave.
CSTM229$ swl 4 s12- T30N -x19w New Richmond, WI 54017
MPRSW 3254 toff Somerset (715) 246 -6200
lot #6 -N: Bass Lake Estates
N
1' =top of NW lot stake C el. 100'
Alt. BM.= top of 2 pvc pipe C el. 92.10' �D
�0
b' t�
60 pxo
qy'
O
a� Z
�A
Gary L. Steel
4 -16 -97
ST CROIX COUN'FY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
t,�.- ;2 , q 7- 337
Owner/Buyer
Mailing Address 14S Pk W i 2� & 0//7
Prgperty Address _ J
(Verification required from Planning Department for new construction)
City /State ` ��� ���� �' ��'��Parcel Identification Number l>
LEGAL DESCRIPTION
Property Location _Sc&/ '/4, IW ' /4, Sec. N -R /"/"W, Town of
I
Subdivision Lot #
# /`'° ,Volume ,Page #
Warranty Deed # , Volume , Page #
Spec house ❑ yes no Lot lines identifiable�M 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 licensedpumper 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 the St. Croix County Zoning Office within 30
da s of the three year expiration date. �--
SIG NA ' PAE OF APPLICANT DATE
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the property described abov by vi�eof a warranty deed recorded in Register of Deeds Office.
A - SI N 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
1 304 l�
WARRANTY DEED 601914
KATHLEEN H. WALSH
REGISTER OF DEEDS
Document Number ST. CROIX CO., WI
RECEIVED FOR RECORD
04 -23 -1999 10:00 AM
WARRANTY DEED
Return Address EXEMPT M
CERT COPY FEE:
COPY FEE:
6�6 TRANSFER FEE: 89.70
RECORDING FEE: 10.00
w,1, S�fO PAGES: 1
Parcel I.D. Number: 032 - 2106 -60
Forest Oaks Condos Inc. conveys and warrants to Gary R. Peterson and
Suzanne K. Peterson, husband and wife, as survivorship marital rp operty,
the following described real estate in St. Croix County, State of Wisconsin:
Lot 6, North Bass Lake Estates in the Town of Somerset, St. Croix County, Wisconsin.
This is not homestead property.
Exception to warranties: Easements, restrictions and rights -of -way of record, if any.
Dated this . 2,0 4-4— day of April, 1999.
Forest Oaks Condos, Inc.
By (SEAL)
Ver l it , President
AUTHENTICATION
Signature(s) Forest Oaks Condos, Inc., by Gerald J. Smith,
President, authenticated this 20'" day of April, 1999.
Kristina Og d
TITLE: MEMBER STATE BAR OF WISCONSIN
THIS INSTRUMENT WAS DRAFTED BY:
Attorney Kristina Ogland
Hudson, WI 54016
uu i u uo w 16'45' 10" N 7T47'30" E y
t StME,NT LOT 8 383 .00' 100.53' 100.24' S 77'56' 10" E 15'02'20" S 85'27'20" S 85'27'20" E E
LOT 7 383.00' 201.02' 198.72' S 55'22'50" E 30'04'20" S 70'25'00" E S 70'25'00 E
LOT 8 383.00' 212.51 ' 209.80' S 86' 18'45" E S 40'20'40" E
OVERALL CURVE 383.00' 413.54' 393.74' S 71'16'35" E 61'51'50" N 7T47'30" E S 70'25'00" E
EASEMENT LOT 17 317.00' 39.09' 39.07' N S 40'20'40"
EASEMENT LOT 17 317.00' 45.19' 45.15' N 88'56'28'5 ° E 08'0'03" N 84'51'26" E N 84'51'26" E
EASEMENT LOT 17 317.00' 74.74' 74.57' S 86'58'31" E
LOT 18 317.00' 183.25' 1 80.71' S 56'54'19 " E 33•ps 18 S 86'58'31" E S 73'27'55' E
LOT 17 317.00' 159.02' 157.36' S 8750' 14" E 28'44'32" N 77'47'30" E S 73'27 E
OVERALL CURVE 317.00' 342.27' 389' S 71'16'35" E 61'51'50" N 7T47'30" E
S 40'20'40" E
-<K DATUM = ST. CROIX COUNTY GLOBAL POSITIONING � 4ciez
SYSTEM NETWORK MONUMENTS.
?KS: All elevations shown are TOP
IPE unless indicated otherwise.
� 5� /97
of Top of Iron Pipe shown as: 900.00 RONALD F
JOHNSON
MERY
WIS.
�. y ,.
UNPLA_TTED (,gNDS �Iq'y0
H E1
LINE OF THE SOUTHWEST 1/4 OF FNHW
y %steel 04 04, 90.0
NORTHWEST 1/4 OF SECT /O N 12 HWE
0±
-- - - - - - -N 89'51'46" E 1488.22'---- - - - - ---
656.34'
905.40 169.90�t _ •oo
� r-
75 ' B ILDING
\ \ 7 SET CK
\ 133,547 SQ. FT. I i w
3.06 ACRES - i 07 3' 04
W =o ob
z
N
LA
h
143,037 SQ. FT. s N
,\ 3.28 ACRES A6" ° s' 1\ \ N
G \ c o F 43 56 w j
931.61 \ Z� L'
ay b s$i
;�/ / \ • \ o �� �\ \ 1 / 5 908.59
141,024 SQ. FT.
3.24 ACRES
30,935 SQ. FT.
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�: Standard Erosion Control Plan
or 1 & 2 Family Dwellin Construction Sites -
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Accordtn to. Cha tern ILHR 20 & 21 of the' Wtsconstn Untfortti'Dwellut Cade, a soil erosion convol plan
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needs to be.submitted and approved prior to the issuance o:E buildin permits for 1 & 2. family dwelltn ututs to
those jurisdictions where'the soil erosion c,onfro 1 ro,i stops of theLTniform Dwelling Code are enforced Thts
Standard Erosion Control Plan is provided to assist.ia meeting this requirement
:; Building inspectors have auth' to .i- equest .erosion control measures not spe ifically, required by Code when
such measures are deemed necessary to �rteet the Code s'oyerall 'performance standard of keeping so[I on site
Corstructtoa prolects that disturb more than S acres, or are part of a development that disturbs more than S
acres,: are also required ; to ,obtain a :construction s[te storm water discharge perms from the Wisconsin
Department of Natural Resources
Applicant Pal ayrl =337;
Name Daytime telephone number
Street address, city, zip 6de
Landowner.
Name Daytime telephone number
Street address, city, zip code
Location of the building site (complete as appropriate):
� Sk►w quarter of Section ( 2- , Town �C7 N., Range E.
I �A
Lot Block -
Street address
I
Instructions:
1. Complete this plan by filling in requested information, marking appropriate boxes, and completing the site diagram -
2. In completing the site diagram, give consideration to potential erosion that may occur before, during, and after grading.
Water runoff patterns can change significantly as a site is reshaped.
3. Chapters ILHR 20 & 21 of the Wisconsin Uniform Dwelling Code, the DNR frisconsin Construction Site Best Management
Handbook, and UW - Extension publication Erosion Control for Home Builders can be referred to for assistance in
completing this plan. The Wisconsin Uniform Dwelling Code and the lisconsin Construction Site Best Management
Handbook are available through State of Wisconsin Document Sales, 608266 -3358. Erosion Control for Home Builders
(GWO001) can be ordered through Cooperative Extension Publications, 608262 -3346.
d. Submit this plan at the time of building permit application.
-r
- Standard Erosion Control. an 'r. r
I ' 1 2 Family Dwellin -- on Sites Constructi - -.
for & y g _ ..
According to Chapters ILHR 20& 21 of the Wisconsin Uniform Dwelling Code, soil erosion control informa-
tion needs to be included on the plot plan which is submitted and approved prior to the issuance of building
permits for 1 & 2 family dwelling units in those jurisdictions where the soil erosion control provisions of the
Uniform Dwelling Code are enforced. This Standard Erosion Control Plan is provided to assist in meeting
this requirement.
istructions:
Complete this plan by filling in requested information, completing the site diagram and marking (,/) appropriate boxes
on the inside of this form.
In completing the site diagram, give consideration to potential erosion that may occur before, during, and after grading.
Water runoff patterns can change significantly as a site is reshaped.
Submit this plan at the time of building permit application.
Site Diagram Scale: 1 inch = feet
EROSION
CONTROLPLAN
LEGEND
PROPERTY
LINE
_ EXISTING
— OnAINAGE
TO TEMPonARY
DIVEnSION
FINISHED
DnAINAGE
LIMITS OF
_ — — GRADING
�— SILT
�—" FENCE
-- /f STnAw
BALES
GRAVEL
;z Y O VEGETATION
SPECIFICATION
TREE
PRESERVATION
STOCKPILED
SOIL
t +
` Please indicate north
by completing the
arrow below.
AJ
I
InOJECT LOCATION
IUILDER OWNER -
VORKSHEET COMPLETED BY DATE
'. '` `_! .1 - .. ,- '� ` .L� F UO` e�G7f:t �•R.1 - ` ..
management strate by cbccldn
gY g (.� the appropriate bow _
Management Strateeies
- ❑ Temporary stabilization of disturbed arras.
Note: Although not specifically required by Code, it is reconrmended that disturbed areas
v e for extended eas and soil i1
ac p eriods o r,' p es left
p f me be stabtl�ed by seeding (between Ap ril 1st and September
other eov P 15th or
b
y er, such P ),
as to
in or m
t ar pin mu lchi ng .
Permanent stabilization of site by re- vegetation or other means as soon as possible.
❑ Use of downspout and/or sump pump outlet extensions.
Note: Although not specifically required by Code, it is recommended that ow one
Pump outlets be routed to stable areas such as established sod or pavennt fr downspouts and sump
O Trapping sediment during dewatering operations.
Note: Although not specifically required by Code, it is recommended that sediment -laden discharge water from
Pumping operations be ponded behind a sediment barrier until most of the sediment settles out
Proper disposal of building material waste so that pollutants and debris are not carried old site.
Maintenance of erosion control practices.
• ,Sediment will be removed from behind sediment fences and barriers before it reaches .a depth
that is equal to half the barrier's height.
• Breaks and gaps in sediment fences and barriers will be repaired immediately. Decomposing
straw bales will be replaced (typical bale life is three months).
• All sediment that moves off- site . due to construction activity will be cleaned up before the end
of the same workday.
• All sediment that moves off -site due to storm events will be cleaned up before the end of the
next workday.
• GraveI access drives will be maintained throughout construction.
• All installed erosion control practices will be maintained until the disturbed areas they
protect are stabilized.
Agreement,
I hereby certify that :I understand the construction site' erosion control rovisioiis of the '.
ellrn Co onsin :Uniform
Dwde and that L accept res nsibili, for ca p
ty rr}nn out the above erosion control plan as approved, by`<
; code eh6r' cc inei t on
Y .
Stsnature applicant
•
. D
Ate
S
}
{
A publication of the University of iG 'iscon.sin•E• rtension, Ron Struss, WEX Water Quality Education Specialist (12193).
s publication may be freely duplicated , :dl- .fio�i .1 copies are available thrnuoli tt,, r1lury r..,,:.,,.....__.,., n__
aPPropriate boxes below, and c omplete the site diagram with necessary information:
a
tyP °� Site Characteristic
North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways.
Location of existing drainageways, streams, rivers, lakes, wetlands or wells.
❑ Location of storm sewer Inlets.
❑ The gradient and direction of slopes before grading operations.
❑ The gradient and direction of slopes after final grading operations.
❑ Location of existing and proposed buildings a n d paved LrE :s.
.�3t._ ❑. Overland runoff (sheet flow) coming onto the site from adjacent areas.
Erosion Control Practices
❑ Location of temporary soil storage piles.
Note. Although not specifically required by Code, it is recommended that soil storage piles be placed
behind a sediment fence or more than 25 feet from any downslope road or drainageway.
Location of gravel access drive(s).
Note: Pecom 'mended gravel drive design is 2 to 3 inch aggregate stone laid at least 7 feet wide and 6
inches thick Drives should extend from the roadway SO feet or to the house foundation (which
ever is less).
❑ Location of sediment fences (filter fabric fence, straw bale fence) or vegetative strips that will prevent eroded
soil from leaving the site.
❑ IX Location of sediment barriers around on -site storm sewer inlets.
7 �... Location of diversions.
Note: Although not specifically required by Code, it is recommended that concentrated flow
(drainageways� be diverted (re- directed) around disturbed areas. Overland runoff (sheet flow)
from adjacent areas greater than 10,000 sq. fr. should also be diverted around disturbed areas.
Location of practices that will be applied to control erosion on steep slopes (greater than 129o' grade).
Note: Such practices include maintaining existing vegetation, placement of additional sediment fences,
diversions, and re- vegetation by sodding or by seeding with use of erosion control mats.
l Location of practices that will control erosion in areas of concentrated runoff flow.
Note: Unstabilized drainageways, ditches, diversions, and inlets should be protected from erosion through
use of such practices as in• channel fabric or straw bale barriers, erosion control neats, staked sod,
and rock rip -rap. Ken used, a given in- channel barrier should not receive drainage from more
than two acres of unpaved area, or one acre of paved area. In- channel practices should not be
installed in perennial streams.
Location of other planned practices not already noted.
TOWN OF SOMERSET
SOMERSET, WISCONSIN
54025
April 14, 1999
St. Croix County Zoning Office
Rod Eslinger
1101 Carmichael Road
Hudson, WI 54016
Re: Lot Number for Michael and Patricia Helgeson/N. Bass Lake Estates
The lot number for the Helgeson's is #16 of the North Bass Lake Estates.
The Board approved their erosion control plan on April 7, 1999.
The Board also approved Gary Peterson, lot #6 and William Bassamore, lot
42 - along with their erosion control plans.
If you have any questions, please call me at 247-3519.
Sincerely,
Jeri Koester,
Clerk
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S O R
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\ COUNTY
\ ZON!NG OFFICE. `N
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