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HomeMy WebLinkAbout038-1148-60-100 i ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner 2za2 Q, 1j, u G z Property Address SL 13r1,a�r� zw, City /State Legal Description: Lo Block Subdivision/CSM # i rz-L-� S 1/4 r 1 /4, Sec. Q—, T -R,JAW, Town o S T7+7Z AL ,a PIN # — SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION n1l' Ne5s ?SerJ Tank manufacturer ir)C -Size ST/PC /k %'d Setback from: House Well PAL Pump manufacturer hivh7 c. Model Alarm location A,�. J7 (HOLDING TANKS ONLY) Setbacks: Service road Vent to air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM ,,,,�� 6? 3 r.GK Type of system: Ab u .J,p Width ` Length ,2,q ` _ Number of T shes & �iD Setback from: Hous Well P/L �,2 ,, Vent to fresh air intake & ' Ismasibr 116 ELEVATIONS 5 Description of benchmark t �Z � i Elevation dc) Description of alternate benchmark u ns -in! � � -cz Elevation_Ze Building Sewer ST/HT Inlet ST Outlet PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover Distribution Lines () () ( ) Bottom of System () () ( ) Final Grade () () ( ) Date of installation / / Permit number -53) /t State plan numbe>�`p /moo Plumber's signatur License number p�oZ �P/ l 7 Date Inspector 01;v 6, Complete plot plan � � 1 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. U �r ,r INDICATE NORTH ARROW bd Count Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No -: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. 3$3111 Permit Holder's Name: ❑ City ❑ Village W Town of: State Plan ID No.: ► Schultz, Bever v Town of Star Prairie /Sv Cr Itoi CST BM lev.:. Insp. BM Elev.: BM Description: Parcel Tax No.: I cro o 100 • e t ,n", c 4vv+- - 1148 -60 -100 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 'r Septic io Benchmark lebo Dosing �( (j Alt. BM 3•S al, C l Aeration Bldg. Sewer Holding St/ Ht Inlet �,8 y & Z TANK SETBACK INFORMATION TANKTO P/L WELL BLDG. Ventto ROAD 144 IRIQ* Air Intake Septic 8 NA Dt Bottom Dosing U ? NA Header /Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer t7' Demand St cover O fall Model Number 3 a� • GPM y y� 5, 1 0 f - . 44 lot. 6 TDH Lift L riction� ,A% Sy `� TDH 15- Ft Forcemai n Length '00 1 Dia. Dist. To Well SOIL ABSORPTION SYSTEM <ibmw Width ( Len / N0- - - - PIT No. Of Pits Inside Dia. uid Depth DIMENSIONS Df ti dt6+ &4 DIMEN I N SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LE 1 anufacturer: INFORMATION Type O r ZOD t CH odel Number: System: R 6 UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) y x Hole Size x Hole Spacing Vent To Air Intake Lengthl�� Dia u Length , Dia. 11 Spacing 3 V tt '39 if 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 N COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: / r ?f Inspec ' n #2: 011. © Location: 964j3rav Drive, Somer et, WI (SW1 /4, NE1 /4, Section 17 T31N -R18W) - 17.31.18.648 A I Plan revision required? [:]Yes No Use other side for additional information. 0 21 C6 SBD -6710 (R.3/97)e Q Z Pa Inspector's Signatu Cert. No. ,r r SANITARY PERMIT APPLIC s afety TION ofBuiigW D iv i sio n Bureau of Building Buildings Water Systems 201 E. Washington Ave. In accord with ILHR e05 P.O. Box 7969 %( Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the c*no less . aunty than 8 112 x 11 inches in size. �, =; 7 • See reverse side for instructions for completing this appli S m anitary Perit Number 7 N 353 l! l The information you provide maybe used by other government agency pro ramii w ` *k it revision to previous application [Privacy Law, s. 15.04(1)(m)]. ��( � - - "'_ g( CA '{ to Ian I.D. Number �t,/ 1. APPLICATION INFORMATION - PL S PRINT ALL r GO l B► ti T ID ProPyrtX0 ner Name ` P perty o 1 0 �7 T _3/ , N, R Property Own is M (ling Addre Lo Block Number /�✓ C State Zip Code Phone Number Subdivisi n Name or CSM Numb Z,jjj II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ Cit Nearest Road E] Public 1 or 2 Family Dwelling - No. of bedrooms Z" 4 own of r A o tw e D ot ije 111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) I7 _. - J j o� , 1 4 % . L. 4 4 1 ❑ Apartment/ Condo (D 3� l U z -- mc) 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 ❑ 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 219Mound 30 E] Specify Type 41 [] Holding Tank 12 E] Seepage Trench 22 In- Ground Pressure p ► 42 E] Pit Privy 13 [_1 Seepage Pit ' - 1 2 43 ❑ Vault Privy 14 ❑ System -In -Fill (t 1 0 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/da sq. ft.) (Min. /inch) Elevation ,2 � S ° L O e'J Feet ®3 Feet Ca acit VII. TANK in gallo s Total # of Prefab. Site Fiber- plastic Exper. INFORMATION Gallons Tanks Manufacturer's Name concrete con i E1101 steel glass App. New Existin strutt Tanks Tanks Septic Tan or Holding Tank �� J ❑ ❑ ❑ ❑ ❑ Lift Pump Tank iphon Chamber 616 ❑ ❑ 1 ❑ VTff . - 1TE ONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plu tier's am e: (Print) Plu er's Signature: ( o Stam s) P MPRSW No.: /d Business Phone Number: sal S� 3 Plum er's Address (Street, City tate, Zip Co e) 5 o .� IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved S itary Permit Fee (Includes Groundwater D ate Issued Issuin Agent Signature (No Stamps) Approved E] Owner Given Initial 6D Surcharge Fee) , Adverse Determination l X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SHD -6398 (R. 05/94) DISTRIBUTION Original Original to county, One copy To: Safety & Buildings Division, Owner, Plumber 1 Safety and Buildings 10541 N RANCH ROAD YN HAYWARD WI 54843 TDD #: (608) 264 -8777 V AA sconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary September 09, 1999 CUST ID No.227618 ATTN• POWTS INSPECTOR ZONING OFFICE TOM GUSTUM ST CROIX COUNTY SPIA N13450 937 ST 1101 CARMICHAEL RD NEW AUBURN WI 54757 HUDSON WI 54016 RE: CONDITIONAL APPROVAL Identification Numbers APPROVAL EXPIRES: 09/09/2001 Transaction ID No. 241504 Site ID No. 179183 SITE: Please refer to both identification numbers, Site ID: 179183 L above, in all correspondence with the agency. ST CROIX County, Town of STAR PRAIRIE; BRAVE DR, STAR PRAIRIE 54026 SWl /4, NE1 /4, S17, T31N, R18W Lot: 13, Subdivision: Wigwam Shores Facility: JERRY D ROBINSON BRAVE DR, STAR PRAIRIE 54026 FOR: MOUND, 300 GPD Object Type: POWT System Regulated Object ID No.: 486604 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. 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. 2. The orientation of the mound system must be such that the mound's longest dimension is perpendicular to the direction of maximum slope. 3. The area 25' below the downslope edge of the mound must remain undisturbed. 4. The "I" and "J" dimensions are both considered to be down slope edges and shall each be a minimum of 12.4'. The end slope shall be a minimum of 10.15 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 08/12/1999 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 PATRICIA L SHANDORF , POWTS PLA . VIEWER 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 WSMART code: 7633 MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET Project 2 Bedroom Mound Owner Jerry D. Robinson Address 2734 Fillmore St. NE Mpls MN 55418 612- 781 -5825 Legal Description SW NE SEC17 T31 N R18 W Township Star Prarie County St. Croix Subdivision Name N/A Lot No. N/A Parcel ID Number Plan Transaction Number I w/S Index and title sheet Page 1 Mound calculations Page 2 Mound drawings Page 3 Cl) THOMAS D. N Pres. dist. talcs. and laterals Page 4 GUST s TDH and pump tank drawing Page 5 1201 Plot Plan Page 6 °j' Pump Curve Page 7 ... idtA Designer Thomas Gustum License Number D1201 Signature Phone No. 715 -658 -1344 Date 8/10/99 Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result in disciplinary action under s. 145.10, Wis. Stats. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. SBD- 10462 -E (R.05/98) Pagel of 7 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) Replacement system? Creviced bedrock site? n (y or n) Slope 2 % Wastewater flow rate 300 gpd 1136 Lpd Depth to limiting factor 36 in 91.4 cm In situ soil infiltration rate 0.5 gpd /ft 20.4 Lpd/m Contour line elevation 100.0 ft 30.48 m Use standard fill depths? x OR Design depth? in cm Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth. Center or end manifold (c or e) Hole diameter 1 0.25 in 0.121, o o 0.25, 0.281, or r 0.3 0.313 3 inch only. Lateral spacing 3.00 It Use 0 lateral spacing for trenches. Estimated hole space 3.00 ft Not a final calculation. Number of laterals 2 Pump tank elevation 90 ft Outside bottom of tank. Forcemain length 70.0 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 5132=0.156 9M=0.281 Estimated daily flow 1 300 Igpd 1136 Lpd 3/16 = 0.188 5116=0.313 7/32 = 0.219 Absorption cell Design load rate & area 1.2 gpdW 250.0 ft 23.23 m Linear loading rate (LLR) 10.71 gpd /ft 132.8 Lpd /m Design width (A) 9.00 ft 2.74 m Cell length (B) 28.0 ft 8.53 m Depth of cell (F) 9.5 lin 1 24.1 cm Sand filter Upslope fill depth (D) zft 55. in 30.5 cm Downslope fill depth (E) in 36.1 cm Basal area required (gpd/infiltration rate) 74 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) 10.15 ft 3.09 m Up slope toe length (J) 7.90 ft 2.41 m Down slope toe length (1) 12.40 ft 3.78 m Basal adjustment made. Total mound length (L) 48.30 ft 14.72 m Total mound width (W) 29.30 ft 8.93 m Project: 2 Bedroom Mound Transaction Number: Page 2 of 7 09/03/1999 08:44 6581344 TOM GUSTUM PAGE 01 rr, K Sort g �4\,a 4a� MOUND PLAN VIEW oWs ion pipes (Wieei) J A Ax 9.00 ft 2.14m 28.0 8.53 m Ok ft 2.41 m I W m �f : L —,n l K I r 12.40 ft 3.78 L M typ. obs- pipe (anchored sewrW I = down slope dimension = absorption cell (AX J = up slope dimension = plowed area (LxM K;:= end slope dimension e' (i52) MOUND CROSS SECTION D = 12.0 in 30.5 crn topsoil subsoil cap � H E = 14.2 in 38.1 cm lateral 101.50 ft F = 9.5 in 24.1 cm invert - • - - - F G = 12.0 in 30.5 cm elev. 30.9a m . ASTM C33 H = 18.0 in 45.7 cm D Sand FBI E sys. 101.00 ft elev. 1 30.78 m I 100.00 ft contour 30.48 m elev- 2 slope D = upslope fill depth plowed layer F = downslope fill depth Nate: Absorption cell m.dia wiu consist F = absorption cell depth of aggregate and pipe wfts Mterals G = subsoil + topsoil depth at cell Wall centered wross AXS msdia- The cad H = subsoil + topsoil depth at cell center Media is covered with geotaAft Writ. Designer notes: Deep chisel plowing break u to la er Project: 2 Bedroom Mound Transaetion Number- Page 3 of 7 PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch-pounds Metric Width (A) 9 ft 1 2.74 Im Length (B) 28.0 ft 1 8.53 Im Lateral specifications Number laterals 2 Holestlateral 9 holes Lateral length (P) 25.33 ft 7.72 m Hole diameter 0.250 in 6.35 mm Lat. dis. rate 10.49 gpm 0.66 Us Sys. dis. rate 20.98 gpm 1.32 Us Hole spacing (X) 38 in 96.5 cm Lateral diameter Pipe diameter Design options Design choice Designer must 1 in (25 mm) x Place X in red X' one choice 1 1/4 in (32 mm) x box of chosen from the options 1 1/2 in (40 mm) x x diameter. provided. 2 in (50 mm) x 3 in (75 mm) I X Manifold diameter Pipe diameter Design options Design choice Designer must 1 in (25 mm) x X' one choice 1 1/4 in (32 mm) x Place X in red from the options 1 1/2 in (40 mm) x box of chosen provided. 2 in (50 mm) x x diameter 3 in (75 mm) x 4 in (100 mm) x Distribution system contains: 2 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 & B dimension Last hole drilled next to end cap a `l oap P All laterals are identical IF }( —�I Holes drilled on the bottom of the lateral 5 equally spaced Forge main connection uia tee or cross to manifold at any point. Laterals & force main of PVC soh 40 . = permanent end marker (per COMM Table 84.30 -5) Inch-pounds Metric Lateral length (P) 25.33 ft 7.72 m Lateral spacing (S) 3.00 It 0.91 m Hole spacing (X) 38 in 96.5 cm Manifold length 3.00 ft 0.91 m Hole diameter 0.250 in 6.4 mm Lateral diameter 1.50 lin 40 mm Forcemain diameter 2.00 lin 50 d mm Project: 2 Bedroom Mound Transaction Number: Page 4 of 7 TDH and Pump Tank Drawing Total Dynamic Head Operational head 2.50 ft 0.76 m Vertical lift 10.70 ft 3.26 m Are laterals the highest point in the Friction loss 0.56 ft 0.17 m system? Yes "x' here. Cx� Total dynamic head 13.76 ft 4.19 m If no what is the highest elevation Dose Volume downstream of pump? 1.....� Dose is > 10 times lateral volume Forcemain drain Lateral void volume 5.4 gal 20.4 L back to tank? ("x" one) Minimum dose 75.0 gal 283.9 L x Yes Drain back 12.2 gal 46.2 L No Dose volume 87.2 gal 330.1 L Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover with weather proof warning label and locking device grade levels junction box - -� rode levels disconnect g altern ate 4" vent pipe electric as per NEC 300 and E-- outlet Comm 16.28 WAC location W(46 cm) min. wall of pump k- — approved chamber or outlet joint combination tank A Provide 1X' weep hole or anti - alarm on siphon device as necessary pump on B Grade levels pump 90.8 ft C - pump tank manhole = 4" (10 cm) Off e lev. 27.7 m minimum above finished grade D - vent =12" (30.5 cm) minimum above finished grade IF 90.0 ft Pump tank elevation 3 " (75 mm) of bedding under tank 27.4 m bottom of tank Tank manufacturer Midwestern Pre -Cast Pump tank capacity 17 gal /in Pump tank volume 650 gal Pump manufacturer JHydromatic Inches Gallons Pump model number Josp 33 c A 25.1 426.8 'us B 2 34.0 Alarm manufacturer S&J Elec�tro 0 C 5.1 87.2 Alarm model number 1101 •5 D 6 102.0 Project: 2 Bedroom Mound Transaction Number: Page 5 of 7 i c A A N q N ra 3 1 � a � r� r o ) 7�4 ,1 0 n p� 4 V) R � ENGINEE D ETAILS • • i t I r �- Performance Data 32 Pump Characteristics PWRF / Mo tw Unit Sebwonibie Mama Mods OSP33M1 OSP33M2 24 Aatowatk Me"s 0SP33A1 OSP33A2 113 HP Nwsepwer . 1/3 ✓ to FA lead Amps 7.3 Motor Type Split -Phase i R.P.M. 1750 • Phase 0 1 Yoltaye 115 230 0 Mertz 60 0 10 20 30 40 50 e0 PACITV -U.S. G.P.M. Opentb111 lateradneat Tealpwdwe 140 °F Awbieat Total Need (foot) 4 8 12 16 20 24 25 NEMA Desip I GPM 1 1/3 NP 60 55 48 39 28 7 0 ksdntien Clas F ww wr s" Ti Nn Saw mean" $ /a- Dimensional Data "wo* s0 6n. ; 3 6- 3/4 Power Gerd 16/3, SJTW, 1a 3, SJTW s•1re 10' �I st1. 1 Al i yns: iwdo 1 -1/2 NPT 2. (WOVAM Y�IM" 4.1/4 my •1r 31/1 f"1 Materials of Construction 3. "ak`OWN" N.odo Steel r. IlWm w Wee* .4 UkkW" 019 DW$drk 011 L � S. rwwa»h0r Meter N 4 Cat Inn � "" el W ** Pw11p Caby Cat h o 1rai��saa• sw t Steel �sn Mabeakd Sad has: Cwbe11 /Cwewk I -- 12 -1/8 +— Sba t Sad SW Idy: Bras S� tololess Stool MWN kan POMP 11.314 URW 1•wM! Singh Row Id {ewhg . w" Ilm" S* t w Id bl* 1 Ms• Cat h" Fatelters Sid"s Steel PUMP OFF L AURORA /MYDROMATIC Pumps, Ins. t 1840 Roney Rood, Ashland, Ohio 44803 (419) 289.3042 Wiscons ?n Department of Industry, $OIL AND SITE EVALUATION REPORT Page 1 of 3 ,,abor.and Human Relations 'UiJision bf Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less th ches in size. Plan must include, but St. Croix not limited to vertical and horizontal refere pp) t (..tVf); tfjfiec and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location hi`diit6n to nearest'roa 038-1148-60- R EWED Y DATE APPLICANT INFORM T10 —Pa P J�,L ORMA ION PROPERTY OWNER: PROPERTY LOCATION Jerry D. Robinson __; !!(7 ! GOVT. LOT 1/4 19E 1i4,S T N,R R(or) W PROPERTY OWNERS MAILING ADDR � ��!�' LOT # BLOCK # SUBD. NAME OR CSM # 2734 Fillmore St. NE f} �, °awry 13 D Wigw Shores zon, CITY, STATE zip 0 PH VBER`. ❑CITY []VILLAGE JTOWN NEAREST ROAD Mills, MN. 55418 �� 6,11 781' -5 5 S [ New Construction Use [ ] Residential/ Num r of bedrooms 2 [ ] Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow 300 gpd Recommended design loading rate .5 bed, gpd /ft .6 trench, gpd /ft Absorption area required 250 bed, ft 250 trench, ft Maximum design loading rate .5 bed, gpd /ft .6 trench, gpd/ft Recommended infiltration surface elevation(s) 101.00 ft (as referred to site plan benchmark) Additional design / site considerations system el based on contour line of el 100,00 Parent material lake terrace Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ❑ S ® U ® S ❑ U ❑ S IR U El S CCU El S U ❑ S U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Bang+ Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. B jTre nch 1 0 -12 10yr4 /3 none sl 2mcir mvfr Cs if .5 .6 .:..>.: ' 2 12 -28 10yr4 /4 none vfs lcsbk mvfr gw if .4 .5 Ground 3 28 -47 7.5yr4/6 none ms sOg mvfr gw na .7 .8 elev. 4 1 47-80 7.5yr4/6 none fs Osg mvfr na na .5 .6 99. 7fp Depth to limiting factor +80 Remarks: Boring # 1 10 10yr4 /4 none sl 2mgr mvfr Cs if .5 .6 2 2 12 -17 10yr4 /4 none sil lcsbk mfr gw if .2 .3 ................. 3 1 17-38 10yr4 /4 none ms sOg mvfr gw if .7 .8 Ground elev. 4 38 -43 10yr5 /4 c2d 7.5yr5/6 sil M na gw if np .2 1 5 43 -82 7.5yr46/ none 1 fs Osg mvfr na na .5 .6 Depth to limiting factor 381- Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715 - 246 -6200 Address: 1554 200 ye. New Richrinind, WI 54017 Signature: Date: 6 -3 -98 CST Number: m02298 PROPERTY OWNER Jerry Robinson SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # 038 - 1148 -60 -100 Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tw& 0 -36 7.5yr4/4 none ms oscf mvfr if 2 36 -43 7.5yr4/4 none vfs lcsbk mfr gw na .4 .5 Ground 3 43 -90 7.5yr4/4 none ms Osg mvfr na na .7 .8 elev. 1 Depth to limiting factor +90 Remarks: Boring # 1 0 -45 10yr4 /4 none ms sOg mvfr gw if .7 .8 s` 2 45 -49 10yr5 /4 c2d 7.5yr4/6 sil M na gw na np :•.2 3 49 -82 7.5yr4/6 none is Osg mvfr gw na .7 .8 Ground elev. 4 82 -94 10yr5 /4 c2d 7.5ry5/8 sil M NA NA na np 1.2 99.2 %. Depth to limiting factor 45" Remarks: Boring # 1 0 -18 10yr4 /4 none sl 2mgr mfr cs if .5 .6 5 2 18 -36 7.5yr4/4 none ms Osg mvfr gw na .7 .8 3 36 -43 10yr5 /4 t2d. 7.5yr5/6 sil M na cs na np .2 Ground elev. 4 43 -60 7.5yr4/4 none ms Osg mvfr cs na .7 .8 9 9.95 ft. 5 60 -72 7.5yr4/4 c2d 7.5yr5/6 sil M na na na np �.2 Depth to limiting factor 36" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) STEELS SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Jerry D. Robinson New Richmond, WI 54017 MPRSW -3254 SWARE4 S17- T31N -R18W (715) 246 -6200 town of Star Prarie lot #13- Wigwam Shores N 1 =40' BM.= base of elec. transformer C el. 100' Alt. BM.= mounting bracket for tel. ped. @ el. 100.55' - ALL TRAFFIC TO BE ELIMINATED FROM MOUND AREA `Z �0 VC t0 3;Z o, Gary L. Steel 6 -3 -98 S -23 -1996 11 -28PM FROM GARY L STEEL 71S +246 +6200 P -1 , STEEL'S SOIL SERVICE Gary Steel 1554 200th Ave. CSTM2298 ,Terry D. Robinson New Richmond, WI 54017 MPRSW -3254 SWWA S17- T31N - -RAW (715) 246 -6200 town of Star Prarie a lot #13- Wigwam Shares N BM.= base of elec. transformer ® el. 100' Alt. BM.= mounting bracket for tel. ped. @ el. 100.55' ALL TRAFFIC TO BE ELIMINATED FROM MOUND AREA s ` m V Gary L. Steel 6 -3 -98 I I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer C ' + Mailing Address ;217,:3- 1' k, o rL-- S f 121= 1-✓� I 1'Yt -,�- SS / 8 Property Address (o q ra_ -p r, V .5 wtf r s r -� S (Verification required from Planning Department for new construction) City /State Parcel Identification Number O 3 S 1 4 a LEGAL DESCRIPTION Property Location 1 /a, ' /a, Sec. j� . T 3 N -R�W, Town of J�fia r P CO-' I �- Subdivision `w - 1 KO 11 Lot # 13 Certified Survey Map # . Volume —, . Page # Warranty Deed # _ - "-/ q� 1 '?' . Volume 3 �3 , Page # n Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 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 days of the three year expiration date. /! /9 SIGNATLTW OF AP LICANT 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 above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATU15CE 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 SEP -16 -1999 12:04 P.01i02 10125 Crosstown Circle, Suite 380 Eden Prairie, MN 55344 SWE 5 (612) 941 -0280 or (800) 328 -2324 A Division of Chicago Title Insurance Company FAX (612) 941 -5962 National Residential Title & Closing Services September 16, 1999 TO: Mary Jenkins St. Croix County Zoning Dept. FROM: Beverly Schultz (612) 656 -3328 Iii Mary, Per our conversation I am faxing the septic tank maintenance agreement and will also sign and mail the original to you after 1 receive it. I do NOT know the certified survey map number and am not sure how to answer spec house question and lot line question so could you please call me if you need this information from me so we can talk about these three items? Jerry Robinson will be coming in to your office TODAY with the check for the septic permit. THANK YOU. TOTAL NUMBER OF PAGES BEING FAXED:2 RECIPIENT'S FAX NUMBER: 715 -386 -4686 ST. CROIX COUNTY , WISCONSIN ZONING OFFICE r r r r r r r r s ST. CROIX COUNTY GOVERNMENT CENTER ■■: 1101 Carmichael Road Hudson, WI 54016 -7710 - s 715 386 -4680 September 16, 1999 Beverly Schultz 2734 Fillmore Street NE Minneapolis, MN 55418 Dear Ms. Schultz: Enclosed please find the Septic Tank Maintenance Agreement/Ownership Certification Form required by St. Croix County for the issuance of a sanitary permit. You have indicated that you will FAX us a copy of the form. We would, however, like to have the original form for our files. Please complete and mail to the Zoning Office at the above address at your earliest convenience. Providing that other issues do not prevent issuance of the permit, we will issue it with the form you FAX with the understanding that the original will be submitted by mail. Should you have any questions, please feel free to contact me at the above number during regular business hours. Sincerely, Mary J. Jenkins Assistant Zoning Administrator Enclosure C: File S ST. CROIX COUNTY WISCONSIN -�� ZONING OFFICE a a x n u u u u ST. CROIX COUNTY GOVERNMENT CENTER NNN,N 1101 Carmichael Road Hudson W154016 7710 (715) 386 -4680 September 16, 1999 Beverly Schultz 2734 Fillmore Street NE Minneapolis, MN 55418 Dear Ms. Schultz: Enclosed please find the Septic Tank Maintenance Agreement/Ownership Certification Form required by St. Croix County for the issuance of a sanitary permit. You have indicated that you will FAX us a copy of the form. We would, however, like to have the original form for our files. Please complete and mail to the Zoning Office at the above address at your earliest convenience. Providing that other issues do not prevent issuance of the permit, we will issue it with the form you FAX with the understanding that the original will be submitted by mail. Should you have any questions, please feel free to contact me at the above number during regular business hours. Sincerely, Mary J. Jenkins Assistant Zoning Administrator Enclosure C: File r .• � � r �j nn11 THIS SPACE PROVIDED FOR RECORDER'S USE: DOCUMENT N0. «'ARRANTY DEED 1I�dl��il 5 C��`1�'IC� tiame & Return Address S�. C.R ©� CO., W I Be�'erly D. Schultz 90941 fur "006rd 2734 Fillmore St. N.E. MAY 15 1998 Minneapolis, MN 55418 3:30 P. M �Sk t�,O� Re #t!f of D*ods This indenture. Made this l day of 0c_ , A.D., 1996. between Home Inc., a Corporation duly organized and existing under and by virtue of the laws of the State of Minnesota.located at 2;21 Division St.. No. St. Paul. MN 55109 party of the first par, and Beveriv D. Schultz parry of the second pan. This is NOT homestead property PIN 038 - 1143 -60 -100 Land contract has been paid in full Witnesseth. That the said party of the first pan„ for and in consideration of the sum of SIX THOUSAND ONE HUNDRED FIF'T'Y AT1D NO /100 to it paid by the said party of the second part, the receipt whereof is hereby confessed and acknowledged. has given, granted, bargained. sold. remised. released. aliened, conveyed and confirmed, and by these presents does give, grant, bargain, sell. remise, alien. convey. and confirm unto the said party of the second pan, her heirs and assicns forever, the following described real estate, situated in the COUMv of St. Croix. State of Wisconsin, to -wit: Lot Thirteen (1 Block °D ". Wigwam Shore's In the l O\,t'n of Star Pmir:e, together \vith a nonexclusive easement over Brace Dive as shown on the Plat of `v, igw am Shore's. St. Croix County, Wisconsin Together -, vith all and sinzular the hereditaments and appurtenances thereunto belonging or in any wise appertaining; and all the estate. right. title. interest, claim Or demand whatsoever. of the said part\ pl the Ilrst pan, either in law or equity, either in possession or expectancy of. in and to the above bargained premises. and their hereditamems and appurtenances. To have and to hold the said premises as above described with the hereditaments and appurtenances, unto the said pa of the second pan, and to her heirs and assigns FOREVER. And the said Home, Inc., paI-ty of the first pan, for itself and its successors, does covenant, grant, bargain and agree to and with the said party of the second part, her heirs and assigns, that at the time of the ensealing and delivery of these presents it is well seized of the premises above described. as of a good. sure, perfect. absolute and indefeasible estate of inheritance in the law, in fee si;apit. aT16 iLat the sane are free and clear from all encumbrances, whatever. LOT 14 LOT 13 \ A 1 1 0 1-011 1 � o o co ` ` ' J LU G�- \ O Lu I - I CW / V Lo 01' I � I /o / I o T Q 1 C NTEF 1 Y i lb dD oQ 9 2. 7a 55 • pp _� B N .O 0 a a 8 0 E c °05 o = N 0 o) e� 8� F o" o LC) ' N ' �Q � c- i' CV o co y .o O� � Aj� o c �o ♦ �' �' 0 6 0 a m 42.68 Z ck 4g- Z 164. ' �} N 1�° 1 •o O o O£1 0 », � 9 O 'moo m ° 133 � Qs1 S m i N °11 } it DEPARTMENT OF RE PORT ON SOIL BORINGS AN D SAFETY &BUILDINGS INDUSTRY, GG DIVISION ,HUMAN RIEDLATIONS PERCOLATION TESTS (11J) MADISON WI 53707 (ILHR 83.09(1) &Chapter 145) LOCATION: SECTION: TOWNSHIP/ T Y: LOT NO.: BLK. NO.: SUBDIVISION NAME: '/ - 4 t /T�3 N/R (or) W ��. 1 by COUNTY: OWNER NA E: G A DDRESS: j .C��� rY�Q JI f WAS USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE T NS: R A N TESTS: Residence I N114 I xNew ❑Replace I / Gj RATING: S= Site suitable for system U= Site unsuitable for system f CONVENTIONAL: M UND: IN- GROUND - PRESSURE: SYSTEM- IN- FILLHOLDING TANK: RECOMMENDE SYSTEM: (optional) D S U S DU ❑ S ICU D S IZU ❑ S IMU ��`�- , If Percolation Tests are NOT required DESIGN RATE: If an portion of the tested area is in the �/� under s. ILHR 83.09(5)(b), indicate: {Y>l " Floodplain, indicate Floodplain elevation: 0 PROFILE DESCRIPTIONS p., dl d` 11 BORING TOTAL DEPTH TO GROUNDWATER - INCHES CHARACTER OF 901L TVITH THICKNESS, CULOR, TEXTUR , AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) Q 1.0 Can I,���J� Is y B- , v R'. 'N oW E, 2 . 2- 0 -2 , Z B o .' ,T TS B- t '' B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL- INCHES RATE MINUTES N BER INCHES AFTERSWELLING INTERVAL -MIN. PERIOD PE IOD2 PERIOD 3 PER INCH - 3 v 1 2, P- 2-0 CU c': — ca P- P- P PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. In tances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surfac elevation at all rings and'the d ction and percent of land slope. SYSTEM ELEVATION G ..._ __ T • ��'-�` t- , �`�- '-SE'S C ° � ' _ ti �.._ , { I, the undersignet(, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAM rint): TESTS WERE COMPLETED ON: Z�L I " 4+ "? —2, _? -- 9 0 AD RESS: CERTIFICATION NUMBER: PHONE NUMBER�(o�ptioonal): CST f NATU E: G DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR -SBD -6395 (R. 10/83) — OVER — I ' ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE u - 911 FOURTH STREET • HUDSON, W154016 (715) 386 - 4680 Aug. 24, 1990 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Edward Klein property, located at the SW 1/4 of the NE 1/4 of Sec. 17, T31N -R18W, Town of Star Prairie, St. Croix County, revealed suitable soils at a depth of 26 inches below which seasonable high ground water was i noted. This site should be suitable for a mound. Should you have any questions, please feel free to contact this office. Sincexely, �aties K. Thompson Assistant Zoning Administrator cj w J•19C It1.4 m N t u a m v ift e °Z\ N e 'g 0 s OG44 n+ ° o i V OD CD m bO j� I 2R24.e1'- ----_. I C7 NCO 4 . I� w �w L4 " -S, N .. e 6' V .gNWNd Fm °� ? n O.M. + d� n a • 'a - m F � o:Sz� %o 6 8e ' M. 6_ � r x ' 4g1 ZO 7 n m A9 0 24 Q o w �.� y 10 ie r j0 a la yooq� 4q, N 4 0 2 3 A 0 'o. 0 0 fa i ADC 4 o w �• _ � �p 1 lT , ; vs, o ° a � o m 9 O 9 48 6' S m V° O_ ) o W _� xs• a ° o po• ©-pis 80 00'SS J pL Z /di F 2 s d- k Q d S C. o r ! G 7 ° 60 � • Iv _ J\ m SA 82e �� co ro • � " I �o w