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Home My WebLink About030-2003-60-200 0 7 \ W 0 / co� § g < 0 ID 7 \\$m § i >f 0 / 2 0 / / ° ± 0 \ $ % S Q Q. 2. ; § } � } } C E + § / m F \ 0 P_ _ ® = E f ° -0� CD Co C� 0 . 0 0 \ } Q j ° CD \ ( § j\ k §§° \/ k o> r) w E a § K o 8 o 2 « \ a m e « y E � ` � E «m e aj § \ § J C < 3 ® } 2 , < 8 8 E \ § C . / / G G\ n r 0 _ o a co $ 2 \ C & & 9 � � \ \ \ \ ƒ \ \ \ § \ < j a a \ o a @ C (a _ > § § / , R v q \ cn � \ k g d \ § P ° \ / N) ) E § Z � \o \2m . �& o ' 0 k \ CD ^ ƒ ) @ Lo w [ 0 cc CD / \ EL 0 \ 2 z $ / ° } P2 / / / > 0 \ J \ \ § } �% \� � / / c j ƒ % / 0 � $ ' \ \ u ; , 2 ; � \ / \ f § � \ \ Wisc sin Department of Industry SOIL AND SITE EVALUATION REPORT Pagel of 3 Labor and Human Relations ' Division of & 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 . n e St. Croix not limited to vertical and horizontal reference point (BM), direction and �, pe, scale or '�� PARCEL I.D. # 030, l dimensioned, north arrow, and location and distance to nearest road. �. 'ng �� ha REVIEWED BY DATE APPLICANT INFORMATION— PLEASE PRINT ALL INFORMION F' PROPERTY OWNER: Thomas Seim �'. OTC. 1/4 1/4,S 33 T 30 N,R 19 Xff (or) W PROPERTY OWNERS MAILING ADDRESS � ' L�T k�'- rBCOCK # AME OR CSM # � � 529 Ct Rd. E 11 CITY, STATE ZIP CODE PHONE NUMBER OWN NEAREST ROAD Hudson, WI. 54016 (715) 549 -6587 `'� S . 60th. St. (x] New Construction Use: ] Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 4 bed, gpd /ft .5 trench, gpd /ft Absorption area required 375 bed, ft2 375 trench, ft Maximum design loading rate • 4 bed, gpd /ft .5 trench, gpd/ft Recommended infiltration surface elevation(s) 91.20 ft (as referred to site plan benchmark) Additional design/ site considerations system el. based on contour line of el. 90.20' Parent material pitted glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for stem ❑ S ®U C2 S ❑ U ❑ S ® U ❑ S @ U El U ❑ S �1 U 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 Trench 1..? 1 0 -9 10 r3 3 sl 2msbk mfr cs 2f .5 .6 2 9 -19 10 r4/3 none s1 2msbk mfr r if .5 .6 Ground 3 19 -38 7.5 r4 4 none is osci mvfr Crw na .7 .8 elev. 91. ft. 4 38 -70 5 r4/4 none sicl m na na na np i Depth to limiting facttor 38" Remarks: glac till Boring # 1 0 -10 10 r3 3 none sil 2msbk mfr cs 2f .5 .6 2 10 -27 10yr4/4 none sicl 2msbk mfr gW if .4 .5 L 3 27 -35 10yr4 /4 c2p7.5yr5/6 sicl 2msbk mfr gW na .4 .5 Ground . 4 35 -55 10 r5/4 c2 7.5 r5/8 cl m na na na n np 9 .5 ft. Depth to limiting factor 27" Remarks: CST Name: -- Please Print Gary L. Steel Phone 715- 246 -6200 Address: 1554 200th. Ave., New Richmond, WI 5401.7 Signature: Date: 9 -3 -96 CST Number: mO2298 STEEL'S SOIL SERVICE 1554 200th Ave. Gary L. Steel New Richmond, WI 54017 CSTM2298 'Thomas Seim (715) 246 -6200 MPRSW 3254 Nw4NE4 s33- T3oN -R19w town of St. Joseph lot #4 -csm 1"=40' BM.= top of SW lot stake @ el. 100' a c7cd ri 1�D aC . Gary L. Steel 9 -3 -96 •. 6 ��0 2� N w�� MAR - 3 1997 'SU T. C I REC V � This instrument drafted by Michael Erickson Job No. 96-105 CERTIFIED SURVEY MAP Located in part of the NEJ of the SWj and in part of the SEJ of the NWJ, all in Section 33, T30N, R19W, Town of St. Joseph, St. Croix County, Wisconsin. LQTI \ 3 �--Nk� Corner N (Rec. as 43 9.580 C .S.M. IN N Section 33 V 4' PG 90 � :° -� a P: +�;° 1O N84 58'05 "ia 4 36.73 Z N U� O 0 lD ° 1 0 z 7.5' _ m 4- o L7 I 331 33' L o �I m 4.) CD N (n° E LI I C ' vi 7 2 L �—� W LOT 5 0oM m z M cn�I. N `O. 4.63 Acres (201,731 Sq. Ft.) -i 171 -j I = 1 N M1 F- o Z l d' � o rl LLJ LO T k m JI < O ZI :D 5 `�; 1 <1 00 Z I / t V APPROVLD / FEB 2•7 '97 i o ST. CROix r:();yt (YN � z 006103"W 460.99 M O ring an ri Parks Committee 260.75 - / If not recorded 0 3v�� 6U 3-- �. within 30 days of V �r�r� M M approval date approval shall be LOT 4 0 16� 1k null and void - 3.00 Acres (130,724 Sq. Ft.) w 0 20 �� 1S i Ana _ u7I �T iN sal ° 2 0 �j 01 _ yl Legend r , 06 Aluminum Cnnn*� ce,. }; u__..___ � 638 , 31 r 't ±'w ST. CROIX COUNTY TONING DEPARTME AS BUILT SANI'T'ARY REPORT R Owner - (' ' N 01 V 1 ? 99$ Address `� y �y ST CRC?IX Cif /SfafC �, COUNTY ~� y ZONINGOFFICE Legal Description: Lot Block Subdivision/ - '�� '�• q, Sec. -,T, TAN -R19j W, Town of PiN8 � SEPTIC TANK — DOSE CHAMBER — HOLDING TANK INFORMATION: Tank manufacturer Size STIP C,6, 2 �1 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: Type of system: Width _ Length 2� Number of Trenches Setback from: House Well PAL Vent to fresh air intake / ELEVATIONS Description of benchmark ,�" - Elevation _ Description of alternate benc ark Elevation 2,^,,2,g1 Building Sewer j, / ST/HT Inlet ST Outlet. PC Inlet PC Bottom Header/Manifold . 91,-Vs' Top of ST/PC Manhole Cover z& 4b2 Distribution Lines ( ) �� /� ( ) ( ) Bottom of System ( ) 9 ` �--f/ ( ) ( ) Final Grade Date of installation / /a Permit number State plan number Plumber's signature License number Date ///!Z/ 9 Inspector ('omplelc plot plan a • .Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM County: 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)]. 315980 P�ygyi$ rlglder'��: ❑ City ❑ Village Town of: State Plan ID No.: vUtC�:1111�C ST. JOSEPH CST BM Elev.:. Insp. BM Elev.: BM Description: Parcel Tax No.: O OCR v �rur, � 030 2003 -60 -200 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Bench ark y �,� 0 . 07b i2J Dosing .GM 3 ° OCR /aa , w Aeratiorc Bldg. Sewer V /D /.&/ Holding (9 4 Inlet 5. 100.5 TANK SETBACK INFORM ATION St /Ht Outlet j'�(d� DU• /b i TANK TO P/ L WELL BLDG. 4 take ROAD Dt Inlet Air Sep a5t-1 93 NA Dt Bottom Dosing NA Header / Man. Aeratio NA Nt. Dist. Pipe 9 �� C IN'.1:41 Holdin Bot. System lV, 95 . PUMP/ SIPHON INFORMATION Final Grade 6'S f cicl Manufacturer Demand S�• 30- Mod umber GPM 16 H Lift Fri Syestem TDH Ft oss Forcemain Length Dia. FFii Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width r Length No, Of Trenches PIT No. Of Pits Depth DIMENSIONS ��- �� DIMEN I N SETBACK SYSTEM TO P/ L BLDG WELL LAKE / STREAM EACHING Manufacturer: INFORMATION Type0 AMBER -M Number: Syste `pD 1 rZ OR UNIT DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) /' x Hole Size x Hole Spacing Vent To Air Intake Length [ n! Dia. r Length � Dia. Spacing CO s�', f•{ 11 Lr � �j � b — � Zq= 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: ST. JOSEPH 33.30.19,SE,NW 1245 54TH STREET — LOT 4 dq /o �-,� _ Plan revision required? 9 ed? o Use other side for additional information. l b / 1 /7 1 ` 4 SBD -6710 (R.3/97) Date Inspector ignature Cert. V isconsin SANITARY PERMIT APPLICATION 2 Washn�gttonnAve sion P.O. Box 7969 Department of Commerce In accord with ILHR 83. 05, Wis. Adm. Code Madison, WI 53707 - 7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 1/2 x 11 inches in size. - <� 11;�es " I • See reverse side for instructions for completing this application State Sanitary Fkr6iiii Number The information you provide may be used by other government agency programs E] Check if 4 visi n to previous a ppi.tion [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Prop" Orer a Property Location T / X 1/4 ) 1/4, S T , N, R (or Property Owner's Mailing Address Lot Number Block Number City, to Zip Code Phone Number Subdivision Namd or CSM Numbe 1A 17 ( ) a Z214 II. TYPE OF B I DING: (check one) ❑ State Owned !ty Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms Tow of 111. BUILDING USE (If building type public, check all that apply) arcelTaxNumber(s) 1 Apartment/ Condo ✓ . 3 . / *1L _.Z0 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 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure II,,r 42 ❑ Pit Privy 13 E] Seepage Pit Id X 7oZ 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./ nch) Elevation f -5;_ Feet Feet Capacit VII. TANK in Ca allons Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Exist in structed Septic Tank Tank Tanks — ❑ 1:1 1:1 1:1 11 L ift Pump Tank /Siphon Chamber ❑ 1 ❑ 1 DI ❑ 1 ❑ ❑ & � & + Vlll. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for in tall tion of a onsite sewage system shown on the attached plans. Plum r' Name P Plumb 's S j6at ps) MP/MP RSW No.: Business one Number: i P umber's Address (Strg�b Cit State, Zi ode): �K'' IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issued Issuing A t t re (No Stamps) A roved Surcharge fee) pp ❑Owner Given Initial I Adverse Determination /M.�> X. CONDITIONS OF APPROVAL / REASONS FO DISAPPROVAL: SOO.63M (ft 11/96) DISTRIBUTION: Original to County. One copy To: Safety 8 Buildings Division, Owner, plumber �'1 4 / V 1 I 8 _ a \ t� Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05 d �' .,.o. COUNTY St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in si mu n de, but not limited to vertical and horizontal reference point (BM), direction an slo $� ARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road t; "` ° : ndin APPLICANT INFORMATION- PLEASE PRINT ALL INFORM `t VIEWED BY DATE `u - PROPERTY OWNER: PROPER t AT)>�lhl�C Tom Seim OVT. LOT ` ' 1/ ' 1/4,S 33 T 30 N,R 19 CK(or) W PROPERTY OWNERS MAILING ADDRESS I L, ` NAME OR CSM # 529 Cty Trunk "E" QE ! csm pendin CITY, STATE ZIP CODE PHONE NUMBER CI E EFOWN NEAREST ROAD Hudson, WI. 54016 b15)549 -6587 St. Joseph I Co. Rd. "E" [x] New Construction Use [ x] Residential / Number of bedrooms 3 [ ] Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .7 bed, gpd /ft .8 trench, gpd /ft Absorption area required 543 bed, ft2 563 trench, ft Maximum design loading rate . bed, gpd /ft • trench, gpd /ft Recommended infiltration surface elevation(s) 95.5 alt =95.00 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem g] S ❑ U 4] S ❑ U Z] S ❑ U Ell ❑ U KI S ❑ U EIS ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD /ft Boring # Horizon in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench .................. ................. .................. ................. .................. 1 1 0 -12 10 r3 3 none 1 2msbk mmfr ?f 2 12 -27 10yr5 /4 none sicl 2msbk mfr gw if .4 .5 Ground 3 27 -84 7.5y 6 none cos osa ml na na .7 .8 elev. 9 9.5 ft. Depth to limiting factor +84" Remarks: Boring # 1 0 -9 10 r3 3 none 1 2m 2 9 -31 10 r5 4 none sici 2msbk mfr cfw if .4 i.5 Ground 3 31 -84 7.5 r4 6 none cos osci ml na na .7 .8 elev. 9 9.5 ft. Depth to limiting factor +84 Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Ave. New Richmond WI 54017 Signature: Date: 10 -3 -96 CST Number: m02298 STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Tom Seim 4SW4 S33- T30N -R19w New Richmond, WI 54017 MPRSW 3254 town of St. Joseph (715) 246 -6200 lot 0-csm y RE N 1 =40' BM.= top of mid lot survey stake C el. 100' A ) A N a? !> 2o' z 4 ary. Steel 10 -3 -96 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer bat, Mailing Address 62- f�o� &P 50A) Property Address (Verification required from Planning Department for new construction) City/State W-T- Parcel Identification Number LE GAL DESCRIPTION Property Location ' /4, NO) '/4, Sec. _33_, 'r_3_D N -R_I_q_W, Town of s�e�ti Subdivision (�_ , Lot # Certified Survey Map # J�J�D 8� Volume , Page # Z Warranty Deed # S$400 4 - ,Volume , Page # t a Spe• house O yes X no l.ot lines identifiable' yes D no SYS " EM 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 affi- 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 oumer and by a master riumber, journeyman plumber, restricted plumber or a 1 i - pumper verifying that (1) the on -site wastewater di ,posal 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 leas been maintained must be completed and returned to the St. Croix County Zoning Office within 30 0, vs of a three year expiration date. 07 /dy 4� SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the pro described above, by virtue of a warranty deed recorded in Register of Deeds Office. 6 7 1 ST NATURE 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 N r j �� 2 556085 � � is • ro This instrument drafted by Michael Erickson Job No. 96 -105 CERTIFIED SURVEY MAP Located in part of the NEI of the SWI and in part of the SEI of the NWj, all in Section 33, T30N, R19W, Town of St. Joseph, St. Croix County, Wisconsin. LO I ` �—Nk Corner \ (Rec. as 43 9.58+) C'S•M• I N :-° o Section 33 N V 4. PG. 902 :-° + t O . N84 °58'05'iW — 436.73 N 4J 4J o u �o V GO V L ] 33 + 33' o <I t. 3v Of W i g X I #A ® LOT 5 L es 2M M O� ; 4.63 Acres (201,731 Sq. Ft.) MA JI CV d' y to MHA13E, j� l�7iil�^:v^cl a°0 Via n =4 p n V / FEB 2.7 '97 ° 0 0 � z ST. CROIX COUNTY N ' 0 06 1 03"W 460.99 ping ano 260.75' Parks Committee If not recorded / within 30 days of M approval date c � QS approval shall be LOT 4 / null and void - u 5� gti� 3.00 Acres• (130,724 Sq. Ft.) + c r m ?0 4. _ Ln I _i I- CSI CI 'o JI 01 V) Ul 7 SURVEYOR'S CERTIFICATE I, Allen C. Nyhagen, registered Wisconsin Land Surveyor, hereby certify, that by the direction of Thomas Seim, I have surveyed, described and mapped the land parcel which is represented by this Certified Survey Map; that the exterior boundary of the land parcel surveyed and mapped is described as follows: A parcel of land located in part of the NS1 /4 of the SW1 /4 and in part of the SB1 /4 of the NW1 /4, all in Section 33, T30N, R19W, Town of St. Joseph, St. Croix County, Wisconsin; further described as follows: Commencing at the S1 /4 corner of said Section 33; thence N00O16 "W, along the north - south 1/.4 line of said section and the west line of Lot 1 of Certified Survey Map recorded in Volume 1, Page 125 at the St. Croix County Register of Deeds office, 2067.04 feet to the mint of bealnnina thence continuing N00O16 "W,. along said north - south 1/4 line and east line of said Lot 1, 801.21 feet, to the SE corner of Lot 1 of Certified Survey Map recorded in Volume 4, Page 902 at said office; thence N84 0 58 1 05 "W, along the south line of said Lot 1, 436.73 feet to the easterly right -of -way of a town road being a point on curve of a 511.29 foot radius curve, concave westerly, whose central angle measures 16 whose .chord bears S10 5"R and measures 147.35 feet; thence southerly, along the arc. of said curve and right - of -way, 147.87 feet; thence S02 along said easterly right of way, 144 feet,. to the point of curvature of a 359.65 foot radius curve, concave westerly, whose central angle measures 53 ", whose chord bears S24O29 "W and measures 323.66 feet; thence southwesterly along the arc of said curve and said right of way 335.72 feet; thence S51 "W, along said right of way, 82.43 feet, to the NW corner of Lot *2 of Certified Survey Map recorded in Volume 10, Page 2922 at said office; thence S71O21 "S, along the north line of said Lot 2, 638.13 feet to the point of beginning Described parcel contains 7.63 Acres (332,455 Sq. Ft.). Parcel is subject to all easements of record. I also certify that this Certified Survey Map is a correct representation to scale*. of the exterior boundary surveyed and described; that I have fully complied with current provisions of Chapter 236.34 of the Wisconsin Statutes and the Land Subdivision Ordinance of the County of St. Croix in surveying and mapping same. Each parcel shown on this map is subject to State, County and Township laws, rules and regulations (i.e., wetlands, minim= lot size, access to parcel, etc.) . Before purchasing or developing any parcel contact the St. Croix County Zoning Office and appropriate Town Board for advice. COVE DATA CURVE LOT RADITS CENTRAL CHORD CHORD ARC TANGENT TANGENT HST LL 1+Sm 8th flHARING am L= BEARING BEARING 1 -2 5 511.29' 16 0 34 1 13' 810 0 31 1 59.5 1 E 147.35' 147.87' $18 S02 3 -4 5 359.65' 34 $15 214.82' 218.14' 502 $32 4 -5 4 359.65' 18 841 117.05 117;57' $32 $51 0 14 1 06 1 1 3 -5 - 359.65' 53 () 28 1 59' S24 323.66' 335.72' S02 S510141061V