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HomeMy WebLinkAbout032-1036-90-200 0 ° 2 J% q' a E 7 g ID 3 r / 2 < [ / 0 o § CD E 7 § . CD , a a \ g = ] ; 3 { % CD Su CD 0 c � f / 0 a Q a; i] G »§ 8 8 2;@ 7� g : 2 §/ 2 � a w g CL � . �. \ § � � 2 m v > ? : Et « a � = e g : \ 0 CD \ k 8 2) ) C q z f \ m; Q 2 /ƒ S S E: g E r f o m 2 s t a i 2 A - 2 z 0 0 0 o § § § § < z g o \ C4 J / \ > ° = E 2 ° 2 1A CA) 3 g } ; / z ƒ 0 > > o CL � I OIQ 2 2 -4 CO) i o « CD � ® � ■ � z $ E w M 2 & £ § z § e z 2 / z \ % : k . > CL . 0 § £ c 0 . m o � ® � J w � � ¥ i � � / � = K o @ < § \ f 0 a, � Parcel #: 032 - 1036 -90 -200 01/24/2006 08:23 AM PAGE 1 OF 1 Alt. Parcel M 13.31.19.182D 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): O = Current Owner, C = Current Co - Owner ASHELL L & MERLY E LOCKER O - LOCKER, ASHELL L & MERLY E � 2151 HWY 35 SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): ' = Prima Type Dist # Description * 2151 HWY 35 SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 3.200 Plat: 3848 -CSM 14/3848 SEC 13 T31 R1 9W PT SW NW LOT 1 CSM Block/Condo Bldg: LOT 1 14/3819 (032800) NKA LOT 1 CSM 14/3848(051000 NOTED ON 14/3848 -THIS MAP Tract(s): Sec- Twn -Rn 40 1/4 160 1/4 SUPERCEDES CSM 14/3819 EZ -UT- 1529/324 13-31N-19W SW NW Notes: Parcel History: Date Doc # Vol /Page Type 01/12/2001 636711 1575/26 WD 07/14/2000 626411 1526/419 WD 2005 SUMMARY Bill M Fair Market Value: Assessed with: 76878 218,700 Valuations Last Changed: 07/23/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.200 49,000 127,000 176,000 NO Totals for 2005: General Property 3.200 49,000 127,000 176,000 Woodland 0.000 0 0 Totals for 2004: General Property 3.200 49,000 127,000 176,000 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 032 - 1036 -90 -000 01/24/2006 08:23 AM PAGE 1 OF 1 Alt. Parcel #: 13.31.19.182B 032 - TOWN OF SOMERSET Current X I ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner M & G INC O -M &GINC 712 RIVARD ST STE 300 SOMERSET WI 54025 Property Special ._ Districts: SC = School SP = S P p Y Address ( es ) : - Primary Type Dist # Description SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 16.800 Plat: N/A -NOT AVAILABLE SEC 13 T31 N R1 9W 20A SW NW EXC N 1035' Block/Condo Bldg: OF W 842' EXC PT TO CSM 14/3819 EXC PT TO CSM 14/3848 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 13- 31N -19W SW NW Notes: Parcel History: Date Doc # Vol /Page Type 04/01/2002 675058 1864/369 QC 03/27/1998 575913 1309/388 WD 07/23/1997 904/265 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 76876 Use Value Assessment Valuations: Last Changed: 08/09/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 16.800 1,600 0 1,600 NO Totals for 2005: General Property 16.800 1,600 0 1,600 Woodland 0.000 0 0 Totals for 2004: General Property 16.800 1,900 0 1,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 600 Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count y INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No -: ST CR IX Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 338887 Perrmt wici 's Nam: ❑ City ❑ Village R Town of: State Plan ID No.: 1 i Pt l; SOMERSET '1� a /9pg� c�IZA�✓S. �4• CST BM Elev.; Insp. BM Elev.: BM Description: Parcel Tax No.: I 01D / M� 032 1036 -90 -0 TANK INFORMATION ELEVATION DATA A9900148 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV_ Septic Benchmark 5' 2 oS'• Z � • O 8 1 Dosing De 9 -5.+.Z2 O gS ZZ e, (.S6 Aeration Bldg. Sewer �' r 12 . /O Holding St /Ht Inlet �d l3•az 'To• TANK SETBACK INFORMATION St/ Ht Outlets v4. z8 83.5 ` TANK TO P/ L WELL BLDG. Ai Intake ROAD Dt Inlet I $3. 33 Septic 2-5- 34 NA Dt Bottom 9a•Q�� Ig, 16 f. ` Dosing �$ �} (a� � NA Header/ Man. .4G Aeration NA Dist. Pipe 2 � Ho Bot. System 3 •�° 9 9 -QZo ` PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand I ir �70 cD Model Number l.�- p S ] 1 1,I p 5 y\ �\ TDH Lift 20.3 Friction qfl System2• TDH , ,J.A Ft Loss Head Forcemain Length Dia. 2 11 Dist. To Well SOIL ABSORPTION SYSTEM p Width r Length r No Of s PIT No. O Pits Inside Dia. Liquid Depth MEN I N 6 (0 3 a� t 5. DIMENSI N SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHI Manufa SETBACK j INFORMATION Type O V 312- r Model Nu System: Mo"J_ 5 + � to 19 CHAMB OR IT DISTRIBUTION SYSTEM L - 4 4 . &, ^ 5 (-Pc- ',-'-- Header/Manifold Distribution Pipe(s) r � r x Hole Size x Hole Spacing Vent To Air Intake Length 3 Dia- Length Dia. (•.S Spacing 3. 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 I Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) ( S0 = - I LOCATION: SOMERSET 13 .31.19.182B,SW,NW 2151 HIGHWAY 35N - LOT 1 o Ce .,r °tS•48 C sk&4 - -+ 6• a, EFr= ]o 28 / < (( 6e- - l �" eouvw - osier _ SL *s ,.( mcd lacer 1o'e02 -- A J-, , c� pa., 1� t` w. 0 � � • � ` Plan revision required? ❑ Yes J$ No I Z Use other side for additional information. 0 0:1 SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. , 1 ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: s e E 3 . .a e �. t . E 3 �...: �. ....�...�. .� m 4e_ma e g .. m. �. e .. e , i t r 4 f i } ...q. . .. , _. ... ....... n � { c t f n i S 3 _g. f i € f r i i � x ....,.�.� .,.,... j .......�.�..._..ap .� ,..o .� .. ,,,P. b .. .. .. x � m c F � — 1 r E 4 SANITARY PERMIT APPLICATION Safet and Buildings nton Av enue n Vi sconsin 201 W. Washin P O Box 7302 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 81/2 x 11 inches in size. 61 A ' • See reverse side for instructions for completing this application State Sanitary Permit Number • 33 nS' Personal information you provide may be used for secondary purposes ❑ Check if revision to previous a 6plication (Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMA -PLEASE PRINT ALL INFORMATI N Property w er Na Property Location 1 /a 1 /4, S T3 , N, R (orb _ Zwa Property Owner's Maili ddress Lot Number Block Number I City, State Zip Code Phone Number Subdivision Name or CSM Number II. TYPE BUILDING: (check one) ❑ State Owned !t� Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms �X ❑ Town of III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo �. 3l . M. )82-s3 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. g New 2 ❑ Replacement 3 ❑ Replacement of 4_ ❑ Reconnection of 5. ❑ Repair of an __,___System _____ __System _____________Tank Only______________ Existing System ________ Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 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.) (Min. /' ch) Elevation Feet Feet Ca acct VII. TANK in cit Total # of Prefab. Fiber- Site E INFORMATION g Gallons Tanks. Manufacturers Name concrete Con Steel glass Plastic xper. New Existin strutted App Tanksl Tanks Ic ank o k law Z / �' ❑ ❑ ❑ ❑ ❑ ft Pu /Si ber S ❑ ❑ 1 ❑ 1 ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the unde signed, assume responsibility for inst tion of the onsite sewage system shown on the attached plans. Plum er' am : ( ring Plumbe "s Si a r o ps MP /MPRSW No.: Business Phone Number: Plu tier's Address (Street, City, tate, Zip Code): b IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issue Issuing Agent Signature (No Stamps) ,,� (,Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination I C161166 Surcharge '� X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL' Ja,vi. "'" J jae� k mac. /rt t.�c 5 SBD- 6398 (R.11197) S TION: O ig alto county, One copy T : Safety 8 Buildin Division, Owner, Plumber 4 ✓ f�roV4� r• Safety and Buildings 15837 USH 63 I\V' HAYWARD WI 54843 -8107 TDD #: (608) 264 -8777 Ak i, www•commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary April 15, 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: 04/15/2001 IdI o rs Transaction ID o. 219681 Site ID No. 1697 SITE: Please refer to both identification numbers, Site ID: 169744 L above, in all correspondence with the °agency. ST CROIX County, Town of SOMERSET; HWY 35, SOMERSET 54025 SW1 /4, NW1 /4, S13, T31N, R19W Facility: MIKE GERMAIN HWY 35, SOMERSET 54025 FOR: MOUND, 450 GPD Object Type: POWT System Regulated Object ID No.: 460288 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. P. C' n ll ,, Ji� 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. r V 2. The orientation of the mound system must be such that the mound's longest dimension is perpendicular A P �...4Etr to the direction of maximum slope. pN A 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 SEE GO 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 04/02/1999 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 PATRICIA L SHANDORF , P0 2S 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 MIKE GERMAIN Ovmer MIKE GERMAIN Address XXXX HWY 35 SOMERSET WI 54025 Legal Description SW-NW-SEC 13- T31N -R19W Township SOMERSET County ST. CROIX J.T.S. `ionally Subdivision Name Lot No. 1 ; ® v Parcel ID Number 032- 1036 -90 T o f Co ER FETY AN ING$ Plan ID Number RESPONDENCE INDEX SHEET PAGE ONE MOUND CALCULATIONS PAGE TWO `� U MOUND DRAWINGS PAGE THREE PRES. DIST. CALCS. & LATERALS PAGE FOUR PUMP TANK DRAWINGS PAGE FIVE PUMP CURVE PAGE SIX PAGE SEVEN -- - - - -- - - - - - - - -- - Designer KIM A Q60NNELL License Number Signature Phone No. 715 - 755 -3145 Date 3 -18-99 Ndbe: Tampering wRh this fife by unauthorized persons is proMbRed. Deliberate modification will rem* In disciplinary adion under s. 14&10, WhL State. S!313- 1002 -e (R.04/97) Page 1 of 7 RESIDENTIAL MOUND DESIGN EI ht Bedro Maximum Complete Information In red framed boxes as necessary . (y or n) n Is the em over creviced bedrock? Slope 11 % Number of bedrooms 3 Wastewater flow rate 450 g; -0 1703.3 Lpd Depth to limiting factor 28 71.1 cm In situ sal infiltration rate (code) 16.3 Um Co ntour line below the upslope edge of absorption cell 98.77 ft 30.11 m Use standard fill depths? x OR Designer speed depth in L cm Place X in box to use sondwd dspdis (19 A A+4 inclusive) OR specify design till depft Center or end manifold a (core) Estimated hole space 5 ft Not a tlnel a lm Lateral spacing eft Minimum dose >= 10 times void volume Use a o lateral spwJM for &wxhes. Pump tank elevation 76.5 ft outside bottoan of tan/c Number of laterals F W]ft Force main diameter 2 in Force main length Force main actual dia. 1 2.067 lin SYSTEM SOLUTIONS Inch- pounds Metric Cell media "x" one only. Estimated daily flow ®gpd F 1703 1 Lpd x Aggregate and pipe Chamber and pipe Absorption cell Design load rate & area 1.2 gpd/e 375.0 ft 34.84 m Linear load rate 7.1 gpd/ft 88.0 Lpd/m Design width (A) 6 ft 1.83 m Cell length (B) 63.0 Ift 1920 . m Depth of cell (F) 9.9 in 25.1 cm Sand filter Upslope fill depth (D) 12.0 in 30.5 cm Downslope fill depth (E) 19.9 in 50.5 cm Basal area mired (gpdhnfiltration rate) 1125 ft 104.52 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 wall 6.0 in 15.2 cm End slope toe length (K) 11.0 ft 3.35 m Upslope toe length (J) 6.4 ft 1.95 m Downslope toe length (1) 15.6 ft 4.75 m Total mound length (L) 85.0 ft 25.91 m Total mound width (W) 28.0 ft 8.53 m Project: MIKE GERMAIN Plan I. D. Page 2 of 7 MOUND PLAN VIEW observation pipes (Wical) T J W= 28 ft A� A= 6.Oft 1.83m 8.53 m — O B= 63 ft 19.2 m B K J= 6.4ft 1.95m I I = 15.6 ft 4.75 m K= 11.Oft 3.35m = 85.0 ft 25.9 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 T (15c mm) T MOUND CROSS SECTION T D = 12.0 in 30.5 cm lateral toll G H subsoil cap E = 19.9 in 50.5 cm invert 100.3 ft F = 9.9 in 25.1 cm _ _ _ _ elev. 130.57 see note �`F G = 12.0 in 30.4 cm E ASTM H = 18.0 in 45.6 cm D C33 sys. 99.8 ft Sand Ffl elev. 130.421m ;.8 ft contour 11 % 30.11 m slope Note: Absorption cell media vAH D = upslope fill depth plowed layer consist of aggregate and pipe E = downslope fill depth or teaching chambers and pipe F = absorption cell depth as spedned eAggregate G = subsoil + topsoil depth at cell wall at right. Chamber H = subsoil + topsoil depth at cell center Designer notes: Legate is used, it is covered with code compliant material. Project: MIKE GERMAIN Plan I. D. Page 3 of 7 PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch -pounds Metric Width (A) 1 6 Ift 1 1.83 Irn Length (B) 63.0 Ift 19.2 m Lateral specifications Number laterals 2 Holestlateral 13 holes Lateral length 60.0 ft 18.3 m Perforation dia. 0.25 in 6.4 mm Lat. dis. rate 15.15 gpm 1.0 Us Sys. dis. rate 30.30 gpm 1.9 Us Hole spacing 60 in 152.4 cm Lateral diameter Pipe diameter oedm opwm D"gn crraks Designer must 1 inr15 mm Place X in reed ")(" one Choice 1 1 /4inr32 mm bop of chosen from the options 11 rzwv4o mm X X diameter. provided. 2(n150 mm X 3in/75 mm I X Manifold diameter Pipe diameter Dew Chool Designer must 1 inr15 mm `Xw one Choice 1 imnw mm Place X In reed from the options 1 1 mn/40 mm X box of chosen provided 2in)50 mm X x diameter 3nr/5 mm X 4in/100 mm X Distribution system contains 2 lateral(s). LATERAL DIAGRAM - END CONNECTION Place correct lateral dagrem by c§cldng in one of the drawings at right and dragging the ctegrom kto this area. Laterals omtored over P Last hole drilled next to end cap ew `l eap • AN laterals are identical k- X-->I Holes &Wed on the bottom of the lateral e"* spaced S • Force main connection sia tee or cross to mar&* at any point. Laterals & force main of PVC sch 40 • = pemunent end marker (per COMM Table 84.30 -5) Inch -pounds Metric Lateral length (P) 60.0 ft 18.29 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 1.5 in 40 mm Number of holes per pipe 13 Invert elevation of laterals 100.3 ft 30.47 m Project: MIKE GERMAIN Plan I. D. Page 4 of 7 Total dynamic head System head = 3.25 ft 0.99 m Vertical lift = 22.90 ft 6.98 m Are laterals the highest point in the Friction loss = 3.16 ft 0.96 m system? Yes W here. U Total dynamic head = 29.31 8.93 m If no, what is the highest elevation Dose Volume downstream of pump? 1..� Lateral void volume = 12.7 gal 48.1 L Force main drain Minimum dose = 127.0 gal 480.7 L back totank? CY one) Drain track = 34.8 gal 131.7 L x Yes Dose volume = 161.8 al 612.5 L No Typical Pump Chamber Layout In combination with state approved treatment tank Tank constnxtion as per Comm 83.20(3) WAC. approved manhole cover weather proof w/waming label and padlo grade levels junction grade levels box —� quick disconect altw 4" vast pipe electric as per NEC 300 and :: �— outle Comm 16.28 WAC location 1S" (46 cm) min. wall of pump �- approved chamber or ouuel combination /� joint tank A 1W weep Grade levels alarm on T hole as p unp tonic menihole - 4" min. above finished grade pump on B receawy ptunplank man. -1 nun min above finished grade hrert • 17 min. above finished grads pump 77.4 ft C �/ vat . 300 mm mint. above finished grade off elev. 23.6 m D 3 " (75 mm) of bedding under tank and anchor tank as necessary 76.5 Ift Pump tank elevation 23.3 1 m bottom of tank Tank specifications: nigall Pump tank = I!n Pump tank volume = Capacities: Inches Gallons A= 23:5 447.8 Pump manufacturer: IGOULDS B = 2 38.1 Pump model number: WEO511 H C = 8.5 161.8 D = 8 152.3 Project: MIKE GERMAIN Plan I. D. Page 5 of 7 e ormance Curves Pu mp s 4 If G METERS FEET »o - -� !MODEL 3885 25 - C -r- f —JSIZE 3 /4 " Solids WE15M — — — 70 —— 20 WEt0M — — -- — — _} 15 50 WE05M - - -- — 1 10 WE03 \ I 1 WEOJI —j — -- 20 io 0 0 - 0 10 204 40 50 60 70 60 SO 1CJ 110 120 GPM j 0 10 20 30 m'/h CAPACITY OULD`) PUMPS. INC. METERS FEET 120 MODEL 3885 3-5 - — I SIZE 3 /4 " Solids. 110 WE15MM 100 - 25 _ 20 60 50 WEOSMI, 15 — --i - - 10 30 - 10 0 10 20 90 40 50 60 70 c 1,0 %Q 110 1 i0 GPM 0 10 :v 30 m'/h CAPAC i 7 Y EAKUw July. I W .s • I W8 Oou10$ Pump, inc. C 3401' -- �" Z I 3 r1 � to W '•, `fir � / "` o \ ' Z-c f wiscorisih Department of Commerce Y -.-$OIL AND SITE EVALUATION Division of Safety and Buildings Page L of Bureau of Integrated Services f Itc cordanoikWith s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper sin size. Man must County include, but not limited to: vertical (BM). dire�Pon and C / o percent slope, scale or dimensionscation and distanice'tq nearest road. parcel I.D. # 199 D 32 X036 -qO APPLICANT INFORMATIO R 'ewed by Date Personal information you provide may be l�E aria w,, 15.04 (1) (m)). — 1 Pro e � � Z � Property Location Q' ,I /l & el In a q Govt. Lot :5 W 1/4 A/W /4,S J3 T 3/ ,N,R / % E (000 Property Owner's Mailing Address Lot # I Block# Subd. Name or CSM# /.359 W. lee 1/ I City State Zip Code Phone Number ❑ City ❑Village Town Nearest Road l_/ I.C40 wi 1 S w . 3,5' R New Construction Use: ® Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 6� gpd Recommended design loading rate ° _ y bed, gpd/ft ° . trench, gpd/ft Absorption area required bed, ft trench, ft Maximum design loading rate ° 7 bed, gpd/ft • .,S trench, g;xW Recommended infiltration surface elevation(s) d �° S ft (as referred to site plan benchmark) Additional design1ssite considerations I Parent material I , fiC ©u 17 -4.rh �y, / DC D P2 C)Wteg Onar0ie Cbl►ffLeL( Flood plain elevation, if applicable /Yi¢ ft S = Suitable for system Conventional Mound In- Ground Pressure I AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S © U ®s ❑ u ❑ s Dd u ❑ s ®u ❑ s ®u ❑ s 0 U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench E 3 ! 0 -8 8) R /z /Y SL /Pop,- Cum /? L' Y S�C /r1Sb%f y � f r OL5 J/n a y s' Ground �s�8 �� � S OS /PIP a S � • • ° O p lo ss ft. y 8- S r i j Yr`' Sl 6 mfr -- — I'I . n . Depth to limiting factor Remarks: Boring # i is 0 2 51 2 msik / th .s 6 T 25 /0 j / 4. mSd-Gr as f ° / 'o b Ground 7 4 -55 7 5 YR 6 e ! F SL. 6 rn Y7► / -- — �1 ; Il . q e6sft. Depth to limiting f pr in. Remarks: CS me (Please Print) Pgriature Telephone No. lori T 'Pa �� 7 1S-0�7- 72' Address ? Q p /�? et a e J ecret UPI J T YoZ s Date CST Number !Q /e- Z y q8 ; J 3 i ' SOIL DESCRIPTION REPORT PROPERTY OWNER , ke // Ge�,�.,. �,�., � Page � of PARCEL I.D.# (93Z� ! 0 3 0 7 10 Boris # Horizon Depth Dominant Color Mottles Structure 2 Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed > L ranch 1 y 1101 Z hJSdk Marl C Gv 2 M Y . S Jr7 Sb *- /nou :, Ground 3 ro S� S CAS mL Depth to limiting ; Ftor Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # ; Ground elev. ft. Depth to limiting factor ' Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor ' Remarks: SBD -8330 (R. 07/96) - - ,` � nclf r► /kj�i t - iD� � � fie ref r Ln�- O n Y yy(yyJJ : i I , ' S %th /e cre I fi f - ' yob 5; /e tile i 1 ' I if � i , , f i I W i �EL Of III , , - ! t I : I fi t 1 r , r i t I j t I C 1 ' ; I : S - .. �: - ... • -- : - -- � , - � .. � � - t � I - � _ice. . r , ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address \-"e w N Property Address 7 `"— (Verification required from Planning cpartmcnt for new construction) City /State ns��_ j� t L Parcel Identification Number LEGAL DESCRIPTION L Property Location -75A) '/,, ' /a, Sec. T N -R 4 W, Town of Subdivision Lot # Certified Survey Map # , Volume , Page # Warranty Deed # S�� /,� , Volume , Page # 31 Spec house ;q yes ❑ no Lot lines identifiable X 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 septietank 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 wastewaterdisposal 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/-c, 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 Zonbrg Office within 30 days of the three year expiration date. _M� - k I -- a'k45 SIG'NATURA OF APPLICANT DATI? OWNER CERTIFICATION I (we) certify that all statements on (leis form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the p perty described above, by virtue of a warranty deed recorded in Register of Deeds Office. . C SIdN ATUREYOF APPLICANT DATE . « «s.• 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 F +4/26x'7.995 11.3L' 71 4T3E22. REMA}: TEAM 1 REAL` F'96E 01 04 MON 10:29 F.AS. t 715 380 6560 13 ZILZ A ESTREEN � a� VOL 09PAulss WARRANTY DEED 575 Do ument Number E MAR C E !X CC) WI + ae;; x.turn Ariarese KPLIST1NA 0GLAND 2 71998 ZiIz, Estreen & ogiand 10:00 00 A M P -D. Box 359`Ik Itudstm, W1 54016 I's ce! I.D. Nutnbar Pt of 032- lo?6.93 sad 032 - 1036.90 Edward F- Germain and .Ann Marie Germain, ILksband and wife, conveys and warrants to Michael J. Germain, a married mam, the following 4SOribW real estate in St. Croix County, State of Wisconsin: SE1 /4 ofNWI /4 of Sec. 13, EXCE€ I' the East 10 acres thoreof and SWi /4 of NW1 /4 of Sec. 13 EXCEP the North 1033' of West 942 themof, all in T3IN -Ri9W. This is not homestead property, Exception to warraimies: Fastments, restrictions and rights -of why of record, if any. rAOLI C-4 Dated this _I dap of .wpbepary, 15►?8. /z Gr ?a (SEAL) ( j S EAL) Edward E. Garmain Ann Marie Ciefinain AUTFIENTICATION Signtaure(s) Edward E. Germain and Ann Mario Germain, husband and wife, authenticated this 'I+ day cif February, 1998 Kristine 'TITLE: MEMBER STATE BAR OF IVISCONSIN T1418 INSTRUMENT WAS DWTFD BY! Attorney Kristina Qgiand Hudson, WI 54016 1934 12: v+_ 71'.Y- ,3E22 REM4X TEAT 1 REALT'r Pau'E E+1 iR :Ni ACR LAND SUFUEV LS FA::: `15- ;-aG -A719 M,r -0Bu99 Men I5:1$ PNfl6: DD CERTIFIED SURVEY MAP LbGOled In pgrl of khe SoLthrH� th -ortw of the Norlhe.ek duorter of Section 13, T- vtul+ip 31 North, RDnot 11 Wtti, loon of %growmai. Si. Croix ("ounty, tAt"noln. Prepared fo- and at the rtquaL of! `y �� 4 CF,Pt��'F<D 5i'RY MhF DWNER: Rtlallll� hl, and Aiiabad J. 6arrnaln li IUI S VUt,UML - 1 PAct ?08 13.50 0.watukee Troll 1 kudaw,. W W16 + w 1 4 '7F Sf'C naH iU rr' INS' ro � cENlErrlavf 4.SVa9'W 44 �^ T H � - 3 � '17'24'W t t� D Y � x •� K �� � i � BVILtiNVC. SEI9ACIt LINE A T FP1 CMCM D 1 > Of � I N H *CAN P 4 c► i {g$A $� JPMNSON 0-1 IY p In AM CRY SON1Z'1 E aBO.OG 1 • ! UNFLAT TEC_ L/ N4S -0 b1YVER 1 ; n� T i NOW tyt ftrllMi A E)ftndt A LAND SUR1 4& C — FyGNEERING ' r ? No ?15) ;46_4319 148 EDd third Street, P.4 Buw 325 �1 s Now Wcl —cnd. W 54017 (t1 Shmet 1 of i s r ST. CROIX COUNTY WISCONSIN ZONING OFFICE x x x h x u u a ■ „�� ST. CROIX COUNTY GOVERNMENT CENTER - 1101 Carmichael Road _ Hudson, W154016 -7710 (715) 386 -4680 Fax (715) 386 -4686 October 31, 2000 REMAX Team 1 Realty Attn: Jo Hinz 103 Main Street Somerset, WI 54025 RE: Septic Inspection for Mike Germain located at 2151 Highway 35N, (Lot 1), Somerset Township, St. Croix County, Wisconsin Dear Ms. Hinz: A septic inspection of the above referenced property was conducted on 09/06/00. This property is located in the SW 1/4 NW 1/4 of Section 13, T31 N R1 9W, (Lot 1), Somerset Township, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a three (3) bedroom home. If you have any questions regarding this, please contact our office at (715) 386 -4680. Sincerely, � nl ow Kevin Grabau Zoning Technician /sm cc: file