HomeMy WebLinkAbout032-2076-90-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM county:
Safety and Buildings Division
INSPECTION REPORT St. Croix
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.:
Personal information ou rovice may be used for second p urp oses [ Privacy Law, s.15.04 1 4
Y P Y ►Y P P [ Y () m 3532 9
Permit Holder's Name: ❑ City ❑ Village ❑ of: State Plan ID No.:
Town of Somerset rQ_-
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
11 cT0 . 100.0 Pv - R 032 - 2076 -90 -000
TANK INFORMATION U ELEVATION DATA Iq, (� ► 19 A
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark q. Io U U �� r
Dosing Alt. BM
Aeration Bldg. Sewer •, �` 8 , `� 1, 00 1 20
Holding St /Ht Inlet
TANK SETBACK INFORMATION St/ Ht Outlet
TANK TO P/ L WELL BLDG. Aiir Intake ROAD Dt Inlet
Septic I r .t, s' 5 �- ` NA Dt Bottom R1 O r
Dosing tt f NA Header / Man.
Aeration NA Dist. Pipe ` U (0 r
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade .#5
Manufacturer Demand St cover D 1D ��• o b
Model Number J;L' GPM
TDH Lift e Friction �.1� System a `S
FHi TDH V Ft
Forcemain Length t Dia. " Dist. To Welt 1. G 5,
SOIL PTION SYSTEM
NCH ) Width Length / No. f T nches PIT No. Of Pits Inside Dia. Liquid Depth
DIMEN ! S DIMENSION
SYSTEM TO P/L BLDG WELL LAKE /STREAM LE ING = cturer:
SETBACK CH MBER
INFORMATION TYpeO y ISD v �aD OR um
System : I b
DISTRIBUTI N SYSTEM
Header; I Distribution Pipe(s)I w x Hol Size x Hole Spacing Vent To Air Intake
Length Dia. Length Dia. Spacing �^
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1. 12/ If /n Inspection #2: ----'-
Location: 1531 Anderson Scout Camp Road, Houlton, WI 54082 (NW 1/4 SE 1/4 14 T30N R20W) - 14.30.20.793A
1.) Alt BM Description = tAfw- 5T. mA* Uot-r,
2.) Bldg sewer length =
- amount of cover =
3.) contour =
Plan revision required? ❑ Yes tjiL No i2
Use other side for additional information. ( a pp �--- -J j
SBD -6710 (R.3197) 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
Vi
SANITARY PERMIT APPLICATION 201 W. Washington Avenue
' sconsin P O Box 7302
Department of Commerce In accord with ILHR 83.05, Wis. A e.
Madison, WI 53707 -7302
• Attach complete plans (to the county copy only) for the syste , ,Ibaper noir less couFty )
than 8112 x 11 inches in size.
A ct
f tes nitary Permit Number
• See reverse side for instructions for completing this applica I Sta ,
Personal information you provide may be used for secondary purposes I fR': ❑ Chid if revision to previous application
[Privacy Law, s. 15.04 (1) (m)]. '� 3T CA State - Pfan I.D. Number
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I. APPLICATION INFORMATION -PLEASE PRINT ALL �IFORM&6 7 0�? o�
Property Owner Name - Prope tiger, ?
4 �'a�.S T 6, N, R2 W
Pro ert ner's Mailing Addres L ym Block Number
Ci , State / q Zip de. Phone Number Subdivision Name or CSM Number
(� V ( )
II. TYPE F BUILDING: (check one) E] State Owned 't Nearest Road
Village
Public 1 or 2 Family Dwelling - No. of bedrooms 3 Town OF
111. BUILDIN SE : (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment/ Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 0 Outdoor Recreational Facility
3 Cam round 7 Merchandise: Sales/ Repairs 11 Restaurant /Bar/ Dinin
❑ p9 ❑ p ❑ 9
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. ❑ New 2. ill 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 istribution Experimental Other
11 []Seepage Bed 1 Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 eepage Trench 22 In- Ground Pressure 42 C] Pit Privy
13 TSeepage Pit J X �'S ir 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 /s ft.) (Min. /inch) yy�'� / Elevation
�0 ,� � dJ /Ity�eet Feet
act
VII. TANK in Ca allo
g Total # of Prefab. Site Fiber- Exper.
INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App
New Existin structed
Tanks Tanks
Septic Tank or Holding Tank Q ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber EL I ❑ 1 ❑ 1 ❑ 1 ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plum er's Name: (Pant) Plu 's Sig ture: ( to MP /MPRSW No.: Busine s Phone Numbe
�. a s
A
Plumber's ddr ss(StreeUgi , State, Zip de):
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IX. COUNTY/ D ARTMENT S ONLY
E] Disapproved Sgitary Permit Fee (Includes Groundwater ate Issued Issuin Agent Signature (No Stamps)
Approved (:]Owner Given Initial Surcharge Fee)
Adverse Determination S 1 Z�
CQND�TIO NS OE
APe
ROVA / E N _R�D}APP VAL: — u.
01,4 SBD -. 6398 (R.19J97) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber
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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 Code 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.
Safety and Buildings
1340 E GREEN BAY ST STE 300
SHAWANO WI 54166
TDD #: (608) 264 -8777
isconsin www.commerce.state.wi.us
Department of Commerce Tommy G. Thompson, Governor
Brenda J. Blanchard, Secretary
November 24, 1999
CUST ID No.273148 ATTN: POWTS INSPECTOR
ZONING OFFICE
UTGARD PLUMBING & HEATING �.'' ST CROIX COUNTY SPIA
110 N KELLER AVE 1101 CARMICHAEL RD
AMERY WI 54001 ' HUDSON WI 54016
RE: CONDITIONAL APPROVAL -'
APPROVAL EXPIRES: 11/24/2101 "' _a a Identifica rs
r Transaction ID Yo. 277227
Site ID No. 18419
r ti1N� U ` Please refer to both identification numbers,
SITE:
Site ID: 184195 above, in all correspondence with the agency.
ST CROIX County, Town of SOMER 1531 ANP8<§EN SCOUT CAMP, HOULTON 54082
NW1 /4, SETA, S14, T30N, R20W
Facility: MARGARET MORTELL 1531 ANDERSEN SCOUT CAMP, HOULTON 54082
FOR:
Description: MOUND SYSTEM FOR MARGARET MORTELL
Object Type: POWT System Regulated Object ID No.: 637204
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.
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 11/10/1999
t a \ FEE REQUIRED $ 180.00
FEE RECEIVED $ 180.00
KEI H A WILKINSON, POWTS PLAN REVIEWER BALANCE DUE $ 0.00
Integrated Services
(715) 524 -3630, FAX: (715) 524 -3633 , M -F 7 AM - 3:45 PM
KWILKINSON@COMMERCE.STATE.WI.US WiSMART code: 7633
cc: MARGARET MORTELL
MOUND SYSTEM DESIGN
Residential Application
INDEX AND TITLE SHEET
Project MARGARET MORTELL
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Owner MARGRET MORTELL
�e Address 1531 ANDERSEN SCOUT CAMP RD
a6 4D
U. HOULTON, WI. 54082
Legal Description NW SE S14 T30N R 20W
Township SOMERSET County ST. CROIX
Subdivision Name Lot No.
Parcel ID Number 032 - 2076 -90 -0000
Plan Transaction Number Z�
by Index and title sheet Page 1
Mound calculations Page 2
��• Mound drawings Page 3
Pres. dist. calcs. and laterals Page 4
DEPART�tEW O g
I`,'1S10N OF SAi ETY ND Bi ILDIAiM TDH and pump tank drawing Page 5
" ' k � A � I PLOT P L A rt Page 6
PUMP Ctir '4e. Page 7
E CORRESPONDENCC
Designer BRADY UTGARD License Number 220357
Signature q Phone No. 715 - 268 -6995
Date 10 -15 -99
Notice: Tampering with this file by unauthorized persons is prohibited.
Deliberate modification will result In disciplinary action under s. 146.10, Wis. Stats.
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)i.
SBD- 10462 -E (R.05M) Pagel of 7
Nov- ,18 -99 04:21P
MOUND SYSTEM DESIGN
Complete red boxes as necessary. 1000 gpd maximum design flow.
Inch- pounds Metric
Residential or commercial? R (r or c) (y or n) 0 Replacement system?
Creviced bedrock site? Y (y or n)
Slope 3 %
Wastewater flow rate 450 gpd 1703 Lpd
Depth to limiting factor 38 in 96.5 cm
In situ soil infiltration rate 0.5 gpd1W 20.4 Lpd/m`
Contour line elevation 101.7 ft 31.006
Use standard fill depths? I OR gn pth7 In 61.0 cm
Place X in box to use standard depths (24 and A +4 Inclusive) OR specify design 6N depth.
Center or end manifold a (c or e) Hole diameter r 0.25 in 0.125, 0.156.0.188, 0.219.0.26,
Lateral spacing 0.00 A Use o lateral spacing for trenches. 0.2a1, or 0.313 inch only.
Estimated hole space 4.00 ft Not a final calculation.
Number of laterals 1 Pump tank elevation 92 ft Outside bottom of tank.
Forcemain length 50.0 ft Forcemain diameter 2.0 in 1.5, 2, 3 or 4 inch only.
2.067 in Actual I.D.
HOLE DIAMETER CONVERSIONS
1/8 =0.125 1/4=0.250
SYSTEM SOLUTIONS Inch -pounds Metric 5/32 = 0.156 9/32 = 0.281
Estimated daily flow 450 gpd 1703 Lpd 3/16=0.188 5/16=0.313
7/32 = 0.219
Absorption cell
Design load rate & area 1.2 9Pdy 375.0 ft` 34,84 m`
Linear loading rate (LLR) 6.00 gpd/ft 74.4 Lpd/m
Design width (A) 5.00 ft 1.52 m
Cell length (B) 75.0 It 22.86 m
Depth of cell (F) 1 10.0 lin 1 25.4 lcm
Sand filter
Upslope fill depth (D) 24.0 in 61.0 cm
Downslope fill depth (E) 25.8 in 65.5 cm
Basal area required (gpdrnfiltration rate) 900,0 ft 83,61 m
Supporting components
Topsoil depth 6.0 in 15.2 cm
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) 13.23 It 4.03 m
Up slope toe length (J) 10.60 ft 3.23 m
Down slope toe length (I) 13.10 ft 3.99 m
Total mound length (L) 101.46 ft 30.93
Total mound width (W) 28.70 ft 8.75 m
Project: MARGARET MORTELL
Transaction Number: Page 2 of
Nov—l8 -99 04:22P
MOUND PLAN VIEW
mservetion pipes (typical)
J
28.7 ft q A= 5.00 ft 1.52 m
8.75 m .
B = 75.0 ft 22.86 m
W B J= 10.60 ft 3.23m
I K I = 1310ft 3.99m
ie K= 13.23 ft 4.03 m
101.48 ft
L _
30.93 m typ. obs. pipe
(anchored securely)
I = down slope dimension = absorption cell (AxB)
J = up slope dimension O = plowed area (LxW)
K = end slope dimension (952 mm)
MOUND CROSS SECTION
D = 24.0 in 61.0 cm
lateral
topsoil G H subsoil cap E = 25.8 in 65.5 cm
invert 104.20 ft F = 10.0 in 25.4 cm
elev. 31.76 m F G = 12.0 in 30.5 cm
gsTM C33 H = r 18.0 in 45.7 cm
U Sand Fill E
Sys. 1 103.70 ft 'lip
elev. 1 31.611 m 101.70 ft contour
31.00 m elev. 3 % ---
slope
D = upslope fill depth plowed layer
E = downslope fill depth Note: Absorption cell media will consist
F = absorption Cell depth of aggregate and pipe with laterals
G = subsoil + topsoil depth at cell well centered across AxB media. The cell
H = subsoil + topsoil depth at cell center media is covered with geotexUle fabric.
Designer notes:
Project: MARGARET MORTELL
Transaction Number: Page 3 of 7
1Vpv -l8 -99 04:22P
PRESSURE DISTRIBUTION CALCULATIONS
Absorption cell Inch-pounds Metric
Width (A) 1 5 Ift 1 1.52 Im
Length (B) 1 75.0 Ift 1 22.86 m
Lateral specifications
Number laterals 1
Holesllateral 19 holes
Lateral length (P) 72.00 ft 21.95 m
Hole diameter 0.250 in 6.35 mm
Lat. dis. rate 22.14 gpm 1.40 Us
Sys. dis. rate 22.14 gpm 1.40 Us
Hole spacing (X) 48 in 121.9 cm
Lateral diameter Pipe diameter oesion coons Desvn dwice
Designer must 1 in (2s mm) Place X in red
"X" one choice 11/4 in (32 n „ rl ) box of chosen
from the options 1 1/2 in (40 mm) diameter.
provided 2 in (50 mm) x x
3 In (75 mm) x
Manifold diameter Pipe diameter Desion opmw Desim dmice
Designer must 1 in (25 mm)
'X" one choice 1 1/4 in (32 mm) None required.
from the options 1 in in (4o mm) No choice necessary.
provided. 2 in (50 mm)
3 in (75 mm)
4 in (100 mm)
Distribution system contains: 1 Lateral(s)
LATERAL DIAGRAM - END CONNECTION
Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area.
Laterals centered over the A to B dlrrrnsion
end cap
E P
•
Last hole dlrS*d next to end cap k X Laterals & Force main of PVC Soh 40
Holes dr"d on the bottom of the lateral (per COMM Table 84.30 -5)
*quip spaced
• t permanent end market
Inch -pounds Metric
Lateral length (P) 72.00 ft 21.95 m
Lateral spacing (S) 0.00 ft 0.00 m
Hole spacing (X) 48 in 121.9 cm
Manifold length 0 ft 0.00 m
Hole diameter 0.250 in 6.4 mm
Lateral diameter 1 2.00 lin 50 mm
Forcemain diameter 2.00 in 50 mm
Project: MARGARET MORTELL
Transaction Number: Page 4 of
Nov- .18 -99 04 :22P
TDH and Pump Tank Drawing
Total Dynamic Head
Operational head 2.50 ft 0.76 m
Vertical lift 11.50 It 3.51 m Are laterals the highest point in the
Friction loss 1.33 ft 0.41 m system? Yes "X" here. L�
Total dynamic head 15.33 ft 4.67 1 If no, what is the highest dawn ion
Dose Volume downstream of pump?
Dose is > 10 times lateral volume Forcemain drain
Lateral void volume 12.5 gal 47.3 L back to tart? ("x" one)
Minimum dose 125.0 gal 473.2 L PH Yes
Drain hack 26.1 gal 98.8 L No
Dose volume 151.1 gal 572.0 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
7lC weather Proof warning label and locking device
grade levels Iunch«t box
disconnect grje
q" vent po etedrit as per NEC 300 and :: �-
Comm 16.29 WAC W-ation 19" (46 an) min.
Well of Pump �-- apwm
chamber or a" joint combination tank
A Provide 1/4" weep hole or w&
alarm on sohon device as essay
pump on B
C Grade Iwela
Pump 92.7 ft - Pip tank manhole = 4" (10 cm)
off elev. 28.3 m minkrun above finished grade
D - vent = 12" (30.5 on) minimum
above finished grade
92.0 Ift Pump tank elevation
3 " (75 mm) of bedding under tank 28.0 m battam at tank
Tank manufacturer IDWE ER
Pump tank capacity 15.85 galln
Pump tank volume 650 gal
Pump manufacturer O LD Inches Gallons
Pump model number JEP05 c A 24.5 387.9
55 B 2 31.7
Alarm manufacturer LE EL C 9.5 151.1
Alarm model number DLV i5 D 5 79.3
Project: MARGARET MORTELL
Transaction Number: Page 5 of
Nov- l'8 -99 04 :22P
?LOT PA &E
Margaret C. Mortell
NWkSE� S14 T30N -R20W
town of Somerset
N
1
EM.= top of 1" pvc p ipe @ el. 100.00'
Alt. BM-= top of 1 pvc pipe @ el. 100.90' ,
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zk• 9 $ �`�' CP oo f
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?LkM P ClUgNf-
MODEL
DVP03 MODEL
vertical Sump Pump EPO4- •0
Submersible Pump
GOULDS a "''
n
yY
Pump Specifications
i
FEET
t /7 HP METERS
F:
,o
MODEL: 3871
Up to 40 GPM
Discharge size 1y. NPT 9 70
Solids:'/ maximum 6
Motor 25
Single phase: 115V 6 20
Materials of Construction
v 5
Brass/thermoplastic < EP05
Features and Benefits
*Top suction eliminates a ' 10
impeller clogging. 2 5
• Corrosion resistant 1
construction. °
° 1 0 201 30 40 5o USa+4
• Float actuated switch. 0 2 4 6 8 10 12 sa e.
CAPACITY
METERS FEET
7 25 Pump Specifications Features and Benefits
MODEL DVP03 I/, and HP • EPO4 impeller- semi -open design
Ca 620 Up to 60 GPM with pump out vanes to protect
5 ,5 Maximum head to 32' mechanical seal.
Z ° I j Discharge size 1'/2" NPT • EP05 impeller - enclosed design
TO Solids:' /4" maximum for improved performance.
2 j I Motor • Rugged glass - filled thermoplastic
5 5 All motors feature ball casing and base design provides
0 o bearing construction. superior strength and corrosion
0 5 10 15 20 25 30 3s 40 0.S.0PM resistance.
0 2 4 6 6 ,a m,R„ Single phase: 115V -Cast iron motor housing for
CAPACITY Materials of Construction efficient heat transfer, strength,
Cast iron and durability.
Thermoplastic
Stainless steel • Corrosion resistant threaded
stainless steel shaft.
*Available for automatic and
manual operation.
• CSA listed models available.
All Models are designed for continuous operation and feature stainless steel hardware.
r
' Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3
Labor and Human Relations
Aivision of Safety & 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
i not limited to vertical and horizontal reference point (B '%.of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance 1 2 '� � 0 &, 0
APPLICANT INFORMATION- PLEASE PRI AINF RI►4�TION R IEWEDBY DATE
12 -2�
PROPERTY OWNER: .: a r PROPERTY LOCATION
Margaret C. Mortell QI' ^ GOVT. COT NW 1/4 SE 1/4,S 14 T 30 N,R20 idqor) W
PROPERTY OWNERS MAILING ADDRESS L BLOCK # SUBD. NAME OR CSM #
1531 Andersen Scout CAmp Rd. 'ix ! N OT# ' NA na
CITY, STATE ZIP CODE f IT ❑VILLAGE DOWN NEAREST ROAD
Houlton, WI. 54082 49 -6 Somerset Andersen Scout Cm p .
[ ] New Construction Use [x] Residential / Number bf be4roomS ` [ ] Addition to existing building
] Replacement [ ] Public or commercial describe
Code derived daily flow 450 gpd Recommended design loading rate • bed, gpd /ft .5 trench, gpd /ft
Absorption area required 375 bed, ft 375 trench, ft Maximum design loading rate .4 bed, gpd /ft .5 trench, gpd /ft
Recommended infiltration surface elevation(s) 102.70 It (as referred to site plan benchmark)
Additional design / site considerations system el. based on contour line of el. 101.70'
Parent material limestone uplands Flood plain elevation, if applicable na It
S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable fors stem I ❑ S 97 U ®S ❑ U ❑ S Eku EIS k7 U ❑ S CIU ❑ S
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
..................
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tw&
.................
..................
'< 1 0 -11 10yr3 /3 none 1 2msbk mfr gw 2f .5 1.6
2 11 -24 10yr4 /4 none sicl 2msbk mfr yw 2f .4 .5
Ground 3 24 -38 7.5yr4/4 none sl 2msbk mvfr gw na .5 .6
10 4 38 -60 10yr7 /3 none fractured limestone na na np :np
Depth to
limiting
6 18 11
Remarks:
Boring # 1 0 -9 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6
>< 2 2 9 -18 10yr4 /4 none sit 2msbk mfr gw 2f .5 .�
3 18 -34 10yr4 /4 none sicl 2msbk mfr gw if .4 .5
Ground
elev. 4 34-52 .7 5ytt4/4 none co s Osg mvfr gw na .7 j .8
1 02. l ft.
5 52 -65 10ry7 /3 none frac ured lime tone na na np np
Depth to
limiting
factor
52 "
Remarks:
CST Name: -- Please Print Gary L. Steel Phone: 715 -246) -6)200
Address: 1554 200tk. Ave. NeW Rich and WI 54017
Signature: Date: 8 -10 -99 CST Number: m02298
PROPERTY OWNER Margaret Mortell SOIL DESCRIPTION REPORT Page? of 3
PARCEL I.D. #
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Gu. Sz. Cont. Color Gr. Sz. Sh. Bed ITrench
1 0 -11 10yr3 /3 none 1 2msbk mfr gw
LA 2 11-2E 10yr4 /4 none sicl 2msbk mfr gw if .4 .5
Ground 3 26-4E 7.5yr4/4 none co s Osg mvfr gw na .7 .8
elev.
10 ft. 4 48-60 10yr7 /3 none fractured limestone na na np ;np
Depth to
limiting
factor
48"
Remarks:
Boring #
13
Ground
elev.
ft.
L
Depth to j
limiting
factor
L:
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev. j
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(8.05/92)
r
A
STEEL'S SOIL SERVICE
Gary L. Steel Margaret C. Mortell 1554 200th Ave.
CSTM2298 NW4SE4 S14- T30N - R20W New Richmond, WI 54017
MPRSW -3254 town of Somerset (715) 246 -6200
1 =40' G
,( I BM. = top of 1 pvc p ipe C el. 100.00' 1
Alt. BM.= top of 1 pvc pipe @ el. 100.90' �S� a
r,w
� 1 'e IL
oo'f
0
Gary L. Steel
8 -10 -99
r
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
N c(24ALt MM
N ailing k h: -ress L5 3-1
Pi a ert �;i>l.ress )�
Y
(Verification required from Planning Department for new construction)
C /Stat,a d �, Parcel Identification Number
i ^' 1; WRIPTI ON
P olaerty [ c ration 'i4, C 1 ' /., Sec. 1" 7 , T,�ON -R 226 W, Town of r
�5 bdivis I ea i , Lot # _ - --
C: ,-rtifie(Il ;0. irvey Mali # r , Volume , Page #
,j
N arraWy 'd:.eed # q, S 7 , Volume l"��;/ _- , Page #
S; ,ec hot.�v. .3 yes)( no Lot lines identifiable Aryes ❑ no
8 ST A (1!1;.[
s n•� a is inten nceof our septic stemcould result in its premature failure to handle wastes: Properaraintenance
Ir TI . ,ser use nd na a y p y p
4 r isists of p u; riling out the s septic tank every three years or sooner, if needed by a licensed pumper. What you put int N the system
Ui r affect ilt . l auction of tre septic tank as a treatment stage in the waste disposal system.
T le nY ownf;r Br'
� :n a a to submit to St. Croix Zoning Depaitanent a certification form, signed by the owl1*,0 and by a
P
rr; ster plum journeyma?iplumber, restricted plumber or a licensed pumper verifying that (1) the on -site wasteviaterdiiy osal system
is n proper c ipi mating condition and /or (u) after inspection and pumping (if necessary), the septic tank is less than 1/3 ftr #' of sludge.
lb, e, the writ :e signed have read thu- above requirements and agree to maintain the private sewage disposal system with to standards
st - firth, hvr fl u, asset by fie Department of Commerce and the Department of Natural Resources, State of Wisconsin C,-rtification
st Ling that ) t o r septic system has been maintained must be completed and returned to the St. Croix County Zoning OfIrt i within 30
ek is of thc t an :e year expiration date.
S" 3NATU 11:; ?F APPLIC 4NT DATE��
C ;V !NEF°,_ 'J RTIFIC I
;are
I ,'� , e, ,��erttfy that all statements on this form are true to die best of my (our) knowledge. g I (we ) art { ) the : wne r( s). of
d . proper >y dl! scribed abw , e, by virtue of a warranty deed Tecorded in Register of Deeds Office.
S )NATUlt - )F APPLIC kNT DATE��
*'R"** An) iii -, oranation twat is mis- represented may result in the sanitary permit being revoked by the Zoning Deparh
I3ncludo 1 i+i:r 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:
f
569594 V0L
QUIT CLAIM DEED
Document Number
REGISTER'S OFFICE
Margaret C. Mortell, single 5T. CROIX CO., W1
............................................................................................................................... ............................... rop'C frf
R9GOrr
Grantor,
................................................................................................................................. ............................... DEC
U 8 1997
................................................................................................................................. ............................... 2:30
`` .1j. P M
Margaret C. Mortell, Trustee of the "areA. -..sk lr
quit claims to......... .............................................................................................. ............................... Re lefer of Deed*
Margaret C. Mortell Revocable Trust under reement
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
dated December 2 .x.... 1 997 ......................................................... ...............................
Recording Area
................................................................................................................................. ............................... Name and
Return Address
St.
the following described real estate in .............................. ... Cro ... i x ... .....................County, M ar y E. Shearen
4000 First Bank Place
Slate of Wisconsin: 601 Second Avenue South
Minneapolis, MN 55402 -4331
Part of NWZ of the SEZ of Section 14 -30 -20 described
as follows:
Beginning at the SW corner of said NWZ of SE 032- 2076 -90000
thence Nly along the Wly line of said NW`4 of (Parcel Identification Number)
SE a distance of 550 feet; thence Ely at right
angles to afore described line a distance of 783
feet; thence Sly to a point on the S line of said
NA of SE14, said point being 819 feet Ely from
the point of beginning; thence Wly 819 feet to F�
the point of beginning. }�
7r s
71 his.......... s .............lhomestead property. Dated [ his ...................... ?Rd. day of. ........... D2C2Iil 19.97....
(is) or (is not) 'v/Vz ^,..,
........................................................................................... ............................... ••.••.•.•......`... ... .......` ...............
...............................
Margaret C. Mortell
• ......................................................................................... ...I........................... ............................................................
. ...............................
............................................................................................ ............................... ..............................................................
............................................ ...............................
• ......................................................................................... ............................... • ............................................................
...........................................................................
AUTHENTICATION ACKNOWLEDGMENT
Signalthre( s) ....................................................................... ............................... Sl'AIEOFY63tXXJ= MINNESOTA
HENNEPIN
........................................................................................... .......................................................... . ................ I
........................................ County. Personally came
authenticated [his .............day of. .............................................. 19............... before me Ilhis. Rn ..dayof...... P2CgRtIqK 1997. theabovenamed
...................................................................................... ............................... kiagaret..._�.
sigtha: u h e ................. ................................................ ...............................
........................................................................................... ............................... ...............................................................
........................................... ...............................
type or print name
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
'(7 ?• MEMIf1;R STA7P BAR OF WISCONSIN
(i( not ................................................................................ ............................... ..................................................................
........................................ ...............................
authorized by SS 706.06, Wis. Statutes) to me known to be the Pelson..........., who executed the foregoing
i trumenl and acknowledge the s:nnc.
sign lure
Lola w.
• Names of persons signing In any capacity should be typed IYPe or print uauhe ................................... .!.............................
or printed below their signatures. Notary Public.......Henn _ Count 1b MN
4000 First Place My Commission Is, ....th ( kIlfhVtJL""&ti
.... bUl..Second-- Avenue- South ._.._..- ....................... -''.;:4 ��'� \fi NOTARY PUBLIC- MINNE80TA
7T' instrument s drafted ri he date :.... F :,e ''a� HENNEPIH(I®UNT.Y ••• •• )
. ._._. lnneapo"�'is, . _hlfl bY ((8`21- �+°3'f_)
0 : bOF M r f <UI 6a HK T L > I GGL I OT G40TULYJYJ - '
� t
vnscorrsK► ueppronanc or ewu��r,
SOIL AVIV 4 t CV/►LUA 1 JU rfr 1
Labor and human Reladort
WvWon of Safsty i euitdings in accord with ILHR 83.05, Wis. Adm. Code PFR EVIEV&O
_ t. Croy
Art h ss complete site plan on paper not le than 812 x 11 inches in size. plan rnust include, but I.D. not limited to 4ertieal an d horizontal reference poim (SM), direc$wn
and */ dimensioned, north arrow, and location and distance to nearest road. (� DATE
APPLICANT INFORMATION— PLEASE PRINT ALL INFORMATION
FO NER: PROPERTY LOCATION
C. 1�oZteil GOVT..Lt7T ]NW 1a SE 1lt,s 14 T 30 AR 20 �Qal W
NER'S MAIUNG ADDRESS LOT N BLOCK M SUED. NAME OR CSM �
e =t3en Scout CAa>p Rd. MA NA ZIP CDs: PHONE NUMBER TY [VILLAGE ®TOWN NEAREST ROAD
WI. 54082 (715) 549 -5639 Somerset Al�tlderaen Scout
F uction Use [X] Residential I Number of bedrooms 3 ( 1 Addition to existing twiltling
t ( ] Pudic or oofttnierdal describe 2 . trenClt, 450 Recommended design loading rate bed, ypti/tt ! lly Now ,_-, 9P , '
Absorption area required 375 bed, 0 375 _ trench, R Maximum design loading rate .4 bed, gpolit .5 trench, gPd111
Recommended inftalloA surface elevation(s) 102.70 R (as reterred to site plan benchmark)
Additional design I Site considerations s at:em el. based on cmttour line of el. 101.70'
Parent m aterial 1 stone MP once Flood plain elevation, if applicable
$ : Suitable for SyS�fn GONV�TtoNAL MOUND IN- GROUND PRESSURE AT.GRADE SYSTEM M FE L HOLDING TANK
U Unsuitable for stern ❑ S c u Im
5 !� u O s [�u O s O U s Ea o S LIU
$OIL DESCRIPTION REPORT
Structure GPD /f
Depth Dominant Color �!� Texture �''10e BoiA�y Roots Bed TiQrdh
Boring # Horizon in. Munsell Qu. SZ. Conk Color Gr. Sz. Sh.
1 0 - 10yr none 1 2msbk mfr gw 2f .S .6
1 2f .4 11.5
2 11 -24 10yr4 /4 none sicl 2msbis mf gal
4 none
si 2msbk ntvfr gV na .5 .6
3 2438 7.5 r4/
Ground y
lf dey. 4 38-60 10yr7/3 none fractured 1 stone as na np np
Depth to.
flmiting
38" .
Remarks:
Boring # 1 0 -9 10yr3 /3. none . 1 2msbk mfr 9V 2f . -
im 2 2 9 -18 10yr4/4 node sil 2msbk mfr gar 2f
S10011 3 18 -34 r5j- 4/4 none siCl 2nrsbk mfr 9w 2f .4 .5
Gfo 34 - 52 t4/4 none Co s Ogg ntvfr gw na .7 .8
1 :1 R, 1' one na na np np
5 52-65 7 /3 none f
b
limiting
(acts
52 "
Remarks•
CST Name. Please print Gary L. Steel Phone: 715 -246 -6200
Address. 1554 2
Ave. Ne
Rich and 'W154017
er m02298
Date: CST Numbez- -
810-99
Signature. /7 n -
1 -24 -200 10: 51 PM rHUM UAkY L- � I r=�U / I atG4btbG1UYJ
pppp�p ,Margaret i!tiprtell SOIL DESCRIPTION REPORT Page 2 of. 3.
PARCEL I.D. 4
Boring # Horizon Depth Dominant Color moww Texture Structure wsistm ftx by Roots GP
in. Munsell Du. Si. Cont Color Gr. Sz. Sh. Bed. renal
1 0 -11 10yr3 /3 none 1 r
3
2 11-24 10yr4 /4 none sicl 2msbk mfr gw if .4 .5
Ground
3 26-4f 7.5yr4/4 none co s Osg mvfr gar na - 7 -
elev
m.7 ft. 4 48 -6 10yr7/3 none f cared limestone na na nP n
NO to
limiting
factor
48'
Remarks: �r..._ ..— __ ......
nn9 # 1 0 -12 10yr3/3 none 1 2msbk mfr 2f [.5
.6
4 2 12 -33 10yr4 /4 none sicl 2msbk mfr gw if ..4 -5
3 33 -52 7.5yr4/4 none sl 2ms]Dk mvfr gw na .5 ! .6
Ground T'
4 52 - 66 10yr7/3 none fractured limstone na na np ;np
na tt to
Remarks:
Boring #
Ground
elev.
R.
NO to
tirn�ng
faces
Remarks:
Boring #
13
Ground
eler. .
Depth 10
j Nrrrrling
facto►
1 -24 -200 10 -51PM r RUM GAMY L S /I�tG4btbGlUVJ r_c
STEEL'S SOIL. SERVICE
1554
Gary L Saeel Margaret C. Mortell ,' WI 54017
0th Ave,
CSTM2298' NASE4 S14- T30N -R20w flew Richmoondnd,
MPRSW -3254 torn of Somerset (715) 246 -6200
M
BM.= top of 1" pec p ipe @ el. 100.00'
Alt. BM.= top of 1 pvc pipe ® el. 100.90' �yt
�
v' 'o�
O tt
\fit �4' 1 P ! !oo'>F
2� 9
.6-
o
'Gary L. Steel
8 -10 -99
SANITARY PERMIT APPLICATION Safety and Buildings Division
201 W. Washington Avenue
NVIscons In accord with ILHR 83.05, Wis. A zS ae " P O Box 7302
Department of Commerce Madison, WI 53707 -7302
��,, i `
• Attach complete plans (to the county copy only) for the systenA;�o�i� Sr er not_ less . cQuRty I
than 81/2 x 11 inches in size. St
• See reverse side for instructions for completing this appllcatq:l Y :! Stbf4 nitary Permit Number
r .. -30c
Personal information you provide may be used for secondary purposes 1 �- *' f^ ❑ dh f if revision to previous application
[Privacy Law, s. 15.04 (1) (m)]. �_ - - -� St ��, "¢* State n I.D. Number
I. APPLICATION INFORMATION -PLEASE PRINT ALL I F 7 a a
Property Owner Name Prope ti91
.� 4 X/a� S. T 6 , N, R 2 W
Pro a ner's Mailing Addres L m Block Number
Ci , State Zip e. Phone Number Subdivision Name or CSM Number
tA Z
II. TYPE OF BUILDING: (check one) ❑ State Owned ltd Nearest Road
VII age
Public 1 or 2 Family Dwelling - No. of bedrooms Town OF
111 BUILDIN SE: (If building type is public, check all that apply) Parcel Tax Number(s) ( . old . 1w -
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. ❑ New 2. cal 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 Pressur&eLLD Experimental Other
11 E] Seepage Bed 1 Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 eepage Trench 22 .0 In- Ground Pressure 42 E] Pit Privy
13 Seepage Pit 5 X — kS "2a& 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 q. ft.) Proposed (sq. ft.) (Gals/day / s . ft.) (Mi /inch) 03 �� Elevation
S , et Feet
Ca acit
VII. TANK in g all o ns Total # of Prefab. Site Fiber- Exper.
INFORMATION g Gallons Tanks Manufacturers Name concrete Con- Steel glass Plastic App
New Existin structed
Tanksl Tanks
Septic Tank or Holding Tank Q ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber — ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plum er's Name: (Pant) Plu s Sig ture: ( to MP/ PRSW No Busine s Phone Numbe,�q
Plumber's ddr ss (St re t i ,State, Zip de); 2&
LLL s
IX. COUNTY/ DEPARTMENT USE-ONLY
❑ Disapproved Saiaitary Permit Fee (includes Groundwater Date Issued Issuin Agent Signature (No Stamps)
Approved []Owner Given Initial ((p� Surcharge Fee)
Adverse Determination S 61D
CQN�TIO ROVA / E N�R D}*APP VAL:
� 1 t 1
SBD- 6398 (R.11 /97) DISTRIBUTION: Original to County. One copy To: Safety 6 Buildings Division, Owner, Plumber
Nov -18 -99 O4:22P
Post -its Fax Note 7671 Date - V # 1,
pages
TO � � v ► �-G� From
Co. /Dept. Co.
Phone # Phone # 2
. ✓ � � Y�S�
Margaret C. Mortell Fax # Fax#
NWkSE4 SlI T30N -R20W
tovm of Somerset
N
1 "=90'
lei. = top of 1" pvc p ipe 0 el. 100.00' 1 �1y
Alt. BM -= top of 1" pvc pipe el. 100.90',
0 r
QA gbh k
�- 9-
t 4,y
(r LI 10
r
b�
e
5 . LLL-
9' 7.. v°
f �- a 3-5
1 -24 -200 10 -50PM FROM GARY L STEEL 715 +246 +6200 P.1
,
y rap Or
nnsoorain ueps wont OT mouSap, 5UI L AN u ;611 It L v A LLI A I I V 4 K c Ir u ttl 1
Labor and Human Relations
Division of Safety. t s ultdirgs in accord with ILHR 83.05, WIS. Adm. Code C N7Y
St. Croix
Attach complete site plan on paper not less than a 112 x 11 inches in size, plan must include, but PARCEL I.D. ff
not limited to vertical and horizontal reference point (BM), direction and y6 of slope, scale or ,3� ^ 20 . 7 k ^ �
dimensioned, north arrow, and location and distance to nearest road, REVIEWED BY DATE
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION
F PROPER ERTY OWNER' PROPERTY LOCATION
Mare R* MDtCell GOVT, L.oT NW Im SE im,s 14 T 30 ,N.R 20 irQor) W
TY OWNER':S MA ILING ADDRESS LOT # BLOCK # SUSD, NAME OR CSM
31 Andersen Stout CAM Rd. � NA rla
STATE ZIP CODE PHONE NUMBED NEA
CITY LIVILLAGE KrOWN REST ROAD
Houl WI. 54082 (715)549- Somerset Andersen Scout
[) New Construction Use [x] Residential / Number of Bedrooms '3 ( ] Addition to existing Duift
] Replacement ] ] Pudic or commercial describe
Code derived daily Now 450 9Pd Recommended design loading rate -4 ^ bed, gpd/ftZ 55 Uenoh, W
Absorption area required 375 bed, R2 375_ trench, R Maximum design loading rate .4 bed, gpd/h , 5 trenafl, 9PW
Rffoomfttended infiltration surface elevation(s) 102.70 ft (as referred to site plan benchmark)
contour line of ei . 101.70'
Additional design /site considerations el. based on
Parent materiel _ 19 mestone tauT a**as Flood plain elevation, if applicable na _ ft
$ = Suitable to SyStf1 CONVENTIONAL M IN- GROUND PRESSURE AT•GRADE SYSTEM IN FILL HOLDING TANK
V i unsuitable for stem ❑ S ] u M S d u D s 12u O s �] u as Chu O S o u
SOIL. DESCRIPTION REPORT
Depth Dominant Color Mottles Structure Roots t3PD /ft
De # Horizon
Boring P Texture Consr3tence �Y
in. Munsell Qu. SZ. Cont_ Color Gr. SZ. Sh. lied Tmrrdt
as mfr car 2f 1 .5 .6
1 0 -11 10yr3 /3 none 1 2tnsDk
1 2f .4 1.5
2 11 -24 10yr4 /4 none sicl 2msbk mfr 9w
3 24-38 7.5yr4/4" none sl 211113t& bk mvfr 9W na
Ground
10 ley. 4 38 -60 10yr7/3 none frac ured 1" tone na na np np
Depth 0.
limiting
f 38 01
Remarks:
Boring # 1 0 -9 10yr3/3. none . 1 2msbk mfr 9V 2f .5 .6
2 2 9 -18 10yr4/4 none sil 2msbk mfr 9a 2f Is
: 3 18 -34 10yr4 /4 none sic 2msbk mfr 9-V if .4 .5
Ground
also. 4 34 .3.r5gt4/4 ' none co_ s Dag mvfr gtir na .7 .8
1 02. l et.
5 52 -65 10ry7 /3 none fractured limeatone na na np np
Dept to
linri1ling
factor
52 "
Remarks.
CST Name:-- Please Print Steel Phone: L. Steel 115 -246 -6200
Address: 1554 20ft. Ave. Nw Rich and 'W1 54017
SiRrrature: n 07 Date 8 - 10_99 Number: mo2298 Z.
1 -24 -200 10:51PM FROM GARY L STEEL 715 +246 +6200 P -3
Y P MEFrfy*WWFR Margaret Mortell SOIL DESCRIPTION REPORT Page __Lot. 3.
PARCEL l.0.4
Boring # Horizon Depth Dominant Color MotJtes Texture Structure consisterm 6 Foots GPD/
in_ Munsell Qu. Sz_ Cons Color W. Sz. Sh. Bed , tends
1 0 -11 10yr3/3 none 1 2wbk m f r - gW
3
2 l i _ t 1 yr /
' 4 none sioX 2msbk mfr gw if .4 .5
0 4
Ground 3 26 - 7.5yr4/4 nand co s Ogg wwfr gw na -7
EIEY-
'i .00.7 f. 4 48-60 10yr7 /3 none fractured lime3tone na na np ! np
Depth to
limiting
factor
46"
Remarks:
Boring #
1 0 - 12 10yr3 none 1 2msbk mfr 9w 2f :.5 .6
4 2 12 -33 10yr4 /4 none sicl 2msbk mfr gw if .4 i.5
.. . ...
_ -
3 33 -52 7.5yr4/4 none s1 2msbk Mvfr gw na .5 !
Ground
clew, 4 52 -66 10yr7/3 none fra tared 1 ivw na na np np
na --
Dep1h to -
fimiting
lam
Remarks: --
Boring #
Ground
elev.
ft.
Depth to
imiting
factor —
Remarks:
Boring �€
131
Ground
elQv,
ft.
Depth to -
limiting
� facie►
1 -24 -200 10 :51PM FROM GARY L STEEL 715 +246 +6200 P_2
r
STEEL'S SOIL SERVICE
I
1554 200th Ave.
Gary L. Sreel Margaret C. Martell
CSTM2298 NASE4 S14 T30N -R20w flew Richmond, W W 5
MPRSW - 3254 town of SOMerset (715) 246 -6 200
N
Bn.= top of 1" pvc p ipe @ el. 100.00' �
Alt. BM-= top Of 1" pvc pipe
Ll a el. 100-90' y�7' o�
3 4
o ,
y S
2 y� 9 � j 4 CQ I !-4 f
Ott
i
n�{
W
'Gary L. Steel
8 -10 -99
Nov- ,1'8 -99 04:22P
FL PA&E 6 a 7
Mar aret C. Mortell
NWkSEt S1I- T30N -R20W
town of Somerset
N
1 "=40' Ps�
BM. = top of 10 pvc p ipe @ el. 100.00'
Alt. BM.= top of 1" pvc pipe el. 100.90' y
IL
5
0
' �u
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
„� ■ N M ST. CROIX COUNTY GOVERNMENT CENTER
■rr: 1101 Carmichael Road
Hudson, WI 54016 -7710
" - (715) 386 -4680
NOTICE OF VIOLATION
12/9/99 NUMBER 99 -v -60
MARGARET MORTELL
1531 ANDERSON SCOUT CAMP ROAD
HOULTON, WI 54082
RE: Failing septic system at 1531 Anderson Scout Camp Road
Town of Somerset - St. Croix County, WI
Computer # 032 - 2076 -90 -000 Parcel # 14.30.20.793A
Dear Mr./Mrs. Mortell:
As required by the ST. CROIX COUNTY ZONING ORDINANCE, notice is hereby given that you are in violation of §
254.59(2) Wisconsin Statutes, COMM 83.01(2)(c) Wisconsin Administrative Code, and Article 15.03 of the St. Croix
County Zoning Ordinance. This system has failed under the definition in § 145.245(4)(c) Wisconsin Statutes (Category
I). This violation was first noted on 12/9/99.
The violation noted is sewage discharging to a zone of fractured bedrock. A soil test submitted by Gary Steele(ID#
222353) on August 13,1999 showed fractured limestone 52 inches below grade in the existing septic system area. A
plot plan submitted by Brady Utgard(ID# 220357) showed the existing system elevation to be within the fractured
limestone. An on -site inspection by this department on 12/9/99 did not reveal the septic effluent discharging to the
ground surface. If fines and or forfeitures become necessary to bring about the abatement of this violation, they will be
assessed as of 12/9/99 in accordance with Chapter 145.12(4) Wisconsin Statutes.
THE FAILING SANITARY SYSTEM ON THIS PROPERTY POSES IMMEDIATE HEALTH CONCERNS
AND NEEDS PROMPT ATTENTION.
REQUIRED ACTION: You have already contracted with a certified soil tester to have a soil evaluation conducted.
The soil evaluation determined that a mound -type system is required. You have also contracted with a licensed
plumber, who has designed the septic system and obtained a sanitary permit through this office. The septic system
must be installed no later than June 1, 2000.
If you have any questions or concerns that I can address for you in this matter, please feel free to contact me. I look
forward to working together to resolve this matter.
Sincerely,
4
Kevin Grabau
Zoning Technician
cc: file
569594 VOL 19- 81_Pr,',F 87
QUIT CLAIM DEED
Document Number
• �FiEGISTER'S�OFFIGE
Margaret C. Mortell single 5T. CROIX CO., WI
1 ............. ................................................ ............................... Ijtp'�' fCr R9cor4
.. «Grantor, D EC 0 8 1997
................................................ . .............. « .......................................... «.................... ............................... M
................................................... 2:30
Margaret C. Mortell, Trustee of the ±L ks 0- '
quit - claims to ................................................................................»..................... ............................... r of Daadti
li Margaret C. Mortell Revocable Trust under e
......................................... .
« �reemnt
...................
dated D .ember 2 9 . ... ........................ .......................
Recording Area
................................................................................................................................. ............................... Name and
Return Address
St.
the following described real estate in ............... .............
........ « .......................... County,
Croix Mary E. Shearen
4000 First Bank Place
Slate of Wisconsin: 601 Second Avenue South
Minneapolis, MN 55402 -4331
Part of NW14 of the SE1y of Section 14 -30 -20 described
as follows:
Beginning at the SW corner of said NWk of SE 032- 2076 -90000
thence Nly along the Wly line of said NW of (Parcel Identification Number)
SEZ a distance of 550 feet; thence Ely at right
angles to afore described line a distance of 783
feet; thence Sly to a point on the S line of said
NWZ of SEti, said point being 819 feet Ely from
the point of beginning; thence Wly 819 feet to / FEE
the point of beginning.
T leis ........... s .............homestead property. Dated this . ................... 2tld day of. ........... Deceftlber............... « ...... 1997...
(is) or (is not)
........................................................................................... ............................... � �..« 1: �.. �....«......« ...........................
....
Margaret C. Mortell
• ......................................................................................... ............................... • «... . ».. »»..«__....._._»._.............................
................ ...... « ..... .............................
............................................................................................ ............................... »»..»»..».«_. .............. _- .............................
.............. «.« ................ .......................
...
AUTHENTICATION ACKNOWLEDGMENT
Signalurc( s) ....................................................................... ............................... S'17ATH OF 03(X .I= MINNESOTA
HENNEPIN
........................................................................................... ............................... ....... ............................... ......................
........................County. Personally came
authenticated [his .............day of. .............................................. 19 .............. . before me lhis.�nd..dayuf..... «Decemtker 1997 the above named
....................................................................................... ............................... «........ «I'Ia.>;garet....C......Mortell
....... ............................... «...... ...............................
ttgna:we
........................................................................................... ............................... _.»_. ............ ...........................................
........................................................................
type or print name
..«._....._..........._ ............................................................................. ...............................
'17171t• MLMIJUR 917NIE BAR OF WISCONSIN
(if not ................................................................................ ............................... ..................................................................
................................«...... ...............................
authorized by SS 706.06, Wis. Statutes) to me known to be dte laa son ............ who executed the foregoing
it trumenl and acknowledge the :ante.
«« .. ........................���\�sz ........» . «... «.........................
sign lure
Lola W.....« �
' Names of person: signing in any capacity should be typed
type or print t tattle ........................... .................................
or primed below their signatures. Notary Public....._HPAR B, t, y,y MN
Mary E. Shearen •,n v•nnnn�yaiv�n^i�rnnnnnrvw� ■
4000 First Bank Place MyCommisslnn lskcrnitoWkyytrt�ttl
b111..Secand..Avenua.. South .......... . ................... . R• }rn. L t' NOTARYPUBLJC•MINNESOTA
7h' stntmeN s draft c date:.....i.:: �"
_._. t nneapo�'is....._ bY( � `4�21'- i t3°j_'t') r *%, }......HENNEPO4JOkkIiY........ )