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CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT a Owner 101L 1 � 61 C , 19;1 Property Address G- City/State Legal Description: Lot S Block Subdivision/CS # ' /a /4, SecTN -RAW, Town of ct/ o`�c�r/ G PIN # e 3ts� / /d / S��' - � SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: ale Tank manufacturer 2&1,e � �S Size ST/PC/ i _ Setback from: House � Well P/L Pump manufacturer Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM �����rS Type of systen1;"'/ / Width _ Length --5;: 3-77 7 - Number of Trenches Setback from: House � Well �P/L Vent to fresh air intake ELEVATIONS Description of benchmark ©�� Elevation Description of alternate benchmark a Elevation Building Sewer ST/HT Inlet's ST Outlet PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover Distribution Lines q) Bottom of System (�) A / , - r Le t ,0 Final Grade 00 t r - ^D Date of installation 7 ermit number State plan number Plumber's signature r License number os� Date 7 Inspector Complete plot plan or s e 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. PLAN VIEW V 6' INDICATE N TH ARROW Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count y INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No -: IX Personal information you provice may be used for secondary purposes [Privacy Law s.15.04 (1)(m)]. 338976 Permit Holder's Name: ❑ City ❑ Villa e Town of: State Plan ID No.: GERAGHTY, MICHAEL STAR g PRAIRIE CST BM Pew: Insp. BM Elev.: BM Description: Parcel Tax No.: �d Me) y; TANK INFORMATION Z q ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Q (» Benchmark Dosing Aeration Bldg. Sewer Z Holding �/ Ht Inlet v. 3 Z TANK SETBACK INFORMATION j' Ht Outlet 3 f , OI TANK TO P/ L WELL BLDG. Ae tt ke ROAD Septic YV f NA D om Dosing NA Header / Man. Aeration Dist. Pipe L L rl /o'�� - Holdin Bot. System Z Z .Z PUMP/ SIPHON INFORMATION Final Grade Manuf N urer Demand MwAa Model Nu r GPM TDH tion S stem Ft L oss Forcemain Length Dia. Dist. To well SOIL ABSORPTION SYSTEM f l S BED / Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIM J�� Z DIMENSION SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING M n u tur r: SETBACK CHAMBER INFORMATION System. Gam, 3�c + 3s 4/ A44 OR UNIT el ber. DISTRIBUTION SYSTEM Header /Manifold f � Distribution Pipe(s) / f x Hole 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.) LOCATION STAR PRAIRIE 25 . 31.18 , SW NW 1951 COUNTY ROAD CC — LOT 3 �' "t�� '�► `: �h^('vCtt SAY s e fd 6o� cAveu ft% Plan revision required? Yes No Use other side for additional information. Fe7l 41] (L 4 SBD -6710 (R.3/97) Date nspector's Signat re Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: " a a m, r e g t 1 e..:. a € € 3 z 4 � a " < 3 e a , 1 ".a "' " "rs ®.. 9 E { y e e a a S " ".. ... .. F e a § 6 5 a € P a i e � � r , S m a � a a € t � } F e� "ae E F § E $ 1 a_ P aaa_..e ...... ... ..... Mw. .... ...�... a ._.......,,.,, n.� .,..be e .... .v. „. �.. .a ., e� s. _., .. � .. .. § .n... � F SANITARY PERMIT APPLICATION S afety and Washington Division Vi scons i n 201 W. Washin ton Avenue 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 8 112 x 11 inches in size. -5;1- G • See reverse side for instructions for completing this application state Sanitary Permit Number Personal information you provide may be used for secondary purposes E] Check if ievisfonvious plicacion [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Property Owner Name i Propertj location t /4f 1 /4, S Tj� , N, R ,Vf Property Owner's M iling Address Lot Number Block Number City, S t r ip Code Phone Number Subdivision Name or CSM Number �C� Ica �b�• II. TYPE OF BUILDING: (check one) 171 State Owned ❑ it Neare ❑ Vil age .e, �' r Public 1 or 2 Family Dwelling - No. of bedrooms own of III BUILDING USE (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 ❑ 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 Rf New 2. E] Replacement 3_ E3 Replacementof 4 E) Reconnection of 5. ❑ Repair of an !_`'_System ________ System____ _________TankOnly______________ Existing ________ Existing 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 E] Mound 30 E] Specify Type 41 ❑ Holding Tank 12 eepage Trench 22 E] In-Ground Pressure 42 ❑ Pit Privy 1 Seepage Pit �wG`i lklrt C •Z 43 ❑ Vault Privy 14 ❑System -In -Fill ti a ��wlt - 41 ,g V ABSORPT SYS EM IN ORM ION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. Syste,Iev 7. Final Grade Required (sq_ ft.) Proposed (sq. ft.) (Gals/day /s . ft.) (Min. /inch) '73`D� Elevatiort�/7 .�7� -� Feet Feet Cap acit y VII. TANK in Ca g allo ns Total # of Prefab. Site Fiber- Ex p er- INFORMATION New Existin Gallons Tanks Manufacturers Name Concrete strutted steel glass Plastic A p p Tanks Tanks nk ing an t C ( .9 ❑ ❑ ❑ ❑ ❑ Li ump Tank /Siphon Chamber 1:1 11 1:1 1:1 ❑ El Vill. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber' ame: (Print) Plumb s gnature: (No ps) MP /MPRSW No.: Business Phone Number: Plumber' d s (Street, City, State, ZTp Code): IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater D ate Issued Issuing A nt Signatur (No Stamps) Approved E] Owner Given Initial Surcharge Fee) Adverse Determination �S `� X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: /= � > dwe/lr SBD- 6398 (R.11/97) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, plumber �� , / e PI - P T PLAN PROJECT A � G f? ms, Q A DDRESS Gy� 1/4 ) &�/1 /4S /T N/R L!G(' W TOWNS r COUNTY MPRS Byron Bird Jr 220527 DATE BEDROOM CONVENTIONAL )0OC IN-GROUbePRESSURE CONVENTIONAL LIFT HOLDING TANK 7`"-- MOUND SEPTIC TANK SIZE fir LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE + ABSORPTION AREA3, # of chambers , BENCHMARK V.R.P �O? LszC ' E ELEVATION 100' ❑ BOREHOLE O WELL Vent SYSTEM ELEVATION A6'Long Sidewinder High Capacity Leaching Chamber with 31.8 ft ^2 per chamber " 34 „ 10 Grade at System Elevation �3 �- �o Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and / ✓��� percent slope, scale or dimensions n arrow, and location and distance to earest road. Parcel I.D. I se prin APPLICANT INFORMATION - P /ea all information. Rev wed by / D to Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). % / Property Owner Property Location / Govt. Lot 1/4 l,,A /4,S "T N,R /�E (o Property Owner's Mailing Address Lot # Block# Subd. Name or GSM# L'Ily State Zip Code Ph Number City El Village Mown Nearest Road _ one um ❑ New Construction Use: '& Residential / Number of bedrooms Addition to existing building Replacement ❑ Public or commercial - Describe: �t Code derived daily flow 45y gpd Recommended design loading rate - bed, gpd/ft U trench, gpd /ft Absorption area required _ bed, ft trench, ft15; 22 s Maximum design loading rate _ bed, gpd /ft trench, gpd /ft Recommended infiltration surface elevation(s) `b • Cy ft (as referred to site plan benchmark) Additional design /site considerations Parent material Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank I U = Unsuitable for system tgS ❑ U aS ❑ U J�S E:] U 1 ,9 S 1:1 U ❑ S �U ❑ S a u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ,7 Ground _ a ,'a��r� Depth to limiting factor S in. 5 emarks: Boring # Ground o ' .i Depth to � limiting factor JS Na a (Please Print) Signature Telephone A� Address/ Date r ��� �/ U�'� � f SOIL DESCRIPTION REPORT PROPERTY OWNER Page of PARCEL I.D.# E Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground v pit: Depth to limiting factor y, Re arks: Boring # Ground Depth to limiting factor ;7 in. Remarks: Horizon Depth Dominant Color Mottles Structure GPD /ft 5 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh: Consistence Boundary Roots Bed ,Trench Boring # l" oZ r9 �� : "w� �� �'- •S *� �/ Q� (%� � � 9� Lam.. -- ✓ / •% f' � /"f I` ' L- ^ / ,y/ - r �j�' Ground qj j•ft. / Depth to limiting factor ' >6 - ". Remarks: Boring # Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) Soil Test Plot Plan Project Name f da e-/�epr /, f Byrn Bird Jr. Address Lot -9--- Subdivision -- --- - --- -- Date 3 —2 1 /4 /4SaLT N /R1W Township Boring Q Well PL Property Line County BM or VRP Assume Elevation 100 ft <<�� ,� /� Tj�� <�` 6L ZL System Elevation * H R P Same as Benchmark , 4 o W � 3 V ` 1 �0 6 40 �prt A �- W4 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND / OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address 5�1a Property Address A (Verification required f r m Planning Department for new construction) City/State `������ Y Parcel Identification Number C ✓� — ' /lC'� �S = C�4 LE GAL DESCRIPTION Property Locatiory, ' / <, 1 AI., Sec. �45 T ,&N -R <W, Town of � e i' Z- re e . .-+i Subdivision -"' , Lot #. Certified Survey Map # t C J 7 j , Volume / , Page # Warranty Deed # �} 3� 5 % �7 , Volume , Page # 5 Spec house ❑ yes 9 no Lot lines identifiable t4 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 licensedpumperverifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 day907* lion da SI NATURE O APPLIC 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 ro city es 'be abov E vi by of a warranty deed recorded in Register of Deeds Office. / 1 SIGNATURE O APPLICA DATE * * * * * * Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed DOCUMENT NO. STATE BAR (`F WISCONSIN FORM 1--19*1 THIS SPACL a:SKAYta roN RecolwlNG DATA A WARRANTY DEED 43 T�3�J ail rA .: ?L t �. iN Daniel J. Case REGISTER ' OFFICE This Deed wad, between .__ .. __........- ........ y_... - ST. CkOt CO., W1 _. ..... Reed for Record and Michael J. Geraghty and Linda L. Grantor, MAY 20198 Geraghty, husband and wife, 4s C 8:30 AM survivorship marital property_.- 0 - _ . _ . _ ..... Grantee, Witnesseth That the said Grantor, for a valuable consideratio-l_ ftoowof 0"do One dollar and other valuable consideration . x .- conre;• sto Grantee the following described real estate %n _St - - C r - oi "`TUR � Century 21, Iudianhead County, State of Wisconsin: New Richmond, WI 54017 Tax Parcel No:... •.- .•- ...:_- •..- -•----.....•... The South 890 feet of the West 1,030 feet of the NA of Section 25- 31 -18. FM This i_s a correction deed only. This warranty deed # corrects the spelling of the Grantees last name in EXEWr the warranty deed recorded in Volume 807, page 237. This i3 riot_ _, homestead property. (is) (is not) Together with all and singular the hereditamenta and appurtenances thereunto belonging; And Daniel J. Casey..._. - ........ warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except no exceptions and will warrant and defend the same. QQ r Dated this f U day of May 1988 ;SEAL) (SEAL) Daniel Case 7y `F.AL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) ...... _. ------ - -- ------ --------- ----- ----- .. -.... STATE OF WISCONSIN - St Croix . S S9. -- -- -�.. _.County. pp T authenticated this .-- ..._day of-- _.---- .. -._. - -. -- i - 9._.- Personally came before me this /& of MaY.._..-- ... , 19 _8.8. the above namc. -- - - -- ---- - - ---- ------ - - -- ---- -- ------ -- - - --- ...__......__ Daniel J. Case •... ------ - - - - -- - - - - - -- ------ - - - - -- - - - -- _ -. _ _ __.. _. ....... TITLE! ME51BER. STATE BAR OF WISl ONS(N (If not, __. -... _ authorized by 1 709.0 =', Wis. Stats.) to me known to he the person exec the forr,oing 'nstr ant and a. ^knowledge t.e e. THIS. IN WAS CRAFTED FAY Eric J. Lundell, Box 157 j ohn D. Walsh �O�•S '�.,, '� New Richmond, Wisconsin 54017 T p TA, ... _ _ _. _. N itary Pub St Cro lic �� (Signature: may he authnntic.cted or arknowledhc Ruth %Iv Unnlmi.lion is perm n arl I it o • 'tae exlr ratwn are nnt ntc(�ssarc.) date: December 10 , 14 19 8 1 1 �►ru��� •Nsmn, nr p—on. eiRnin; in eoy h.da a' th— ,,—o e. -, r. � 8'1A FE 6AR OF WISr'ONMN 4 t � ,,'♦ N.GMdIerC.r>.rp.�y/ry71 FPRN No. 1 —l332 Stot �tb, 13001 7 G03573 CERTIFIED SURVEY MAP Located in part of the Southwest Quarter of the Northwest Quarter, Section 25, Township 31 North, Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin. Prepared for and at the request of: LEGEND OWNER: LOT 2 Michael J. and Linda L. Geraghty I County Section Corner Monument N8 8'52'0 1 "E $ of Record 1957 C.T.H. CC W 1 58.76' — 1 3 • Set 1" x 24" Iron Pipe weighing New Richmond,Wl. 54017 o N1 - a minimum of 1.13 pounds per Drafted by. Kristi A. EyIandt "CD o ° N linear foot. 0 0 �Q o Building Setback Line (100' to - NORTHWEST CORNER z I I N ° o • • • • • • .from R.O.W.) i SEC. 25 -31 -18 -41.26'-1- - TOTAL AREA LOT 2: j (ALUM. CO. MON.) S88'52'01 "W 100.02' i I I 61,742 SQ. FT. / 1.42 ACRES LOT 3 i - ( AREA EXCLUDING R.O.W.: i o N JOINT DRNEWAY DETAIL 56,223 SQ. FT. / 1.29 ACRES o NOT TO SCALE I o ° 1^ TOTAL AREA LOT 3: N •- 61,748 SO. FT. / 1.42 ACRES UNP ---- LANDS AREA EXCLUDING R.O.W.: 1 50' �� S89'36'34 "E 1030.01' 56,230 SO. FT. 1.29 ACRES w � \� ` 0 988.76' SHED 7.4-*��� �. W�II� �'� g � • _Z= E I ' _ • JuN k D:UQ Z? MAY 2 �� I• 1 0 WAN L O L yam 1999 POLE BARN ► p� Ii 1 H. WAL N 1' 000 V R�lyoiSH TOTAL AREA: Cro jx . � 793,219 SO. FT. V) � I o N 1N w SHED 18.21 ACRES 0� 0 10) 1 a l o 'c AREA EXCLUDING R.O.W.: Z z I P 1 o� o 1 0 767,544 SQ. FT. J Z w 0 17.62 ACRES �I I Z CENTERLINE o DRIVEWAY 3 �� I Ito zi i 1P i HOUSE FENCE, TYPICAL 0 iii a $ � -,SEPTIC VENT /� o ZI O i V i I Z j I N87'21'0® 444.29' x N 403.00' - in UI N LOT 2 o ° o 0) 1 M (M 6886' JOINT DRIVEWAY N S'52'01 "W 443.89' 3 EAST 114 CORNER F-1 i 402.63' a SEC. 25 -31 -18 N �� I o m EAST -WEST 114 LINE (ALUM. CO. MON.) = X41.26 LOT 3 P OF SECTON 25 1_ - - ---443.79'--- - (n N89'36 34 'W 402.54'- 586.22' _4278.31 ��� \\\,I �+ - -- - - - - - -- 988.76'-- - - - - -- - -- %' -- ---- A- N89'36'34 "W 1030.01'-- - - - - -- N FENCELINE 2.5' SOUTH' -------- N89'36'34 "W 5308.32 - - - - -- OF PROPERTY)INE' 1 50' 50' 1 ��41.25' LOT 1 RECORDED AS: S88'21'20 "E 1 r CERTIFIED 5VRVEY _MAP I UNPLATTED LANDS gGO/y 1 i VOLUME 2 PAGE 387 RONALD F. ? ' )OHNSON ~N � AMF - Y. Wis. r NOTE: The parcels shown on this map are subject to State, County and �< "_.." -to �� Township laws, rules and regulations (i.e. wetlands, minimum lot size, access �j� SJJP`iE to parcel, etc.). Before purchasing or developing any parcel, contact the St. Nfs < Croix County Zoning Office and the appropriate Town Board for advice. JOB #99020 (Sta1) 200 0 200 NO TH Prepared by. A & E GRAPHIC SCALE LAND SURVEYING & CIVIL ENGINEERING SCALE IN FEET: 1 inch = 200 feet Phone No. (715) 246 -4319 BEARINGS ARE REFERENCED TO THE WEST LINE OF THE 109 East Third Street, P.O. Box 325 NW 1/4 OF SECTION 25, TOWNSHIP 31 N., RANGE 18 W. New Richmond, N 54017 WHICH IS ASSUMED TO BEAR N00'06'04 "E. Sheet 1 of 3 VOLUME 13 PAGE 3645