HomeMy WebLinkAbout038-1183-10-000 Parcel #: 038 - 1183 -10 -000 04/19/2005 03:36 PM
PAGE 1 OF 1
Alt. Parcel #: 21.31.18.918 038 - TOWN OF STAR PRAIRIE
Current k ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
0
Tax Address: Owner(s): * = Current Owner
* BAKER, PAUL A & CHERYL L
PAUL A & CHERYL L BAKER
2085 COOK DR
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 2085 COOK DR
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 1.510 Plat: 0173 - CIRCLE "C" ADDITION
SEC 21 T31 N R18W SE NW LOT 1 CIRCLE "C" Block/Condo Bldg: LOT 1
ADDITION
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
21-31N-18W
Notes: Parcel History:
Date Doc # Vol /Page Type
10/28/1998 590086 1370/355 WD
08/27/1998 585946 1352/190 WD
2004 SUMMARY Bill #: Fair Market Value: Assessed with:
31110 163,800
Valuations: Last Changed: 10/13/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.510 28,600 142,400 171,000 NO
Totals for 2004:
General Property 1.510 28,600 142,400 171,000
Woodland 0.000 0 0
Totals for 2003:
General Property 1.510 16,100 92,500 108,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch #: 568
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 600
ST. CROIX COUNTY ZONING DEPARTME � 11 8 _!
AS BUILT SANITARY REPORT
Owner l
Property Address 1
City /State
Legal Description:
Lot , Block Subdivision/CSM #
� ''' /4 &A)_ '/4, Sec. V , T N Ir W, Town of PIN It
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION
Tank manufacturer ylj,`�w1 S 7'e- Size ST/PC / ?oo / Setback from: House asp Well zle P/L 1 /6
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: Tre „ e .4 Width S Length 7 S — Number of Trenches _-;z
Setback from: House ,?o ' Well x / /-5) P/L as ° Vent to fresh air intake
ELEVATIONS
Description of benchmark S'a .r e cc s' s" ,�07 ro° pd Elevation 00%
Description of alternate benchmark F6 e� A d a t °' o Elevation
Building Sewer ° S ST/HT Inlet 99 Y 5 - ST Outlet PC Inlet
PC Bottom Header/Manifold f V Top of ST/PC Manhole Cover AQ
Distribution Lines ( )
Bottom of System 7 5 ( ) ( )
Final Grade ( ) l O 0, g 9 () ( )
Date of installation / / Permit number Y1 F` l State plan number
Plumber's signature. l r /��� i �JJ o � License number a,2 — Date / /
Inspector �� /�►
Complete plot plan
y
Wiscdhsin Department of Commerce PRIVATE SEWAGE SYSTEM Count
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)]. 315881
Permit Holder's Name: I ❑ City ❑ Village Town of: State Plan ID No.:
HEINTZ, JOHN /P.C. COLLOVA BLDR STAR PRAIRIE
CST BM Elev.: Insp. BM Elev : / BM Description ^ - Parcel Tax No.:
/OU. M
TANK INFORMATION ELEVATION DATA A9800273
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic �?1 ���- � �� Benchmark & / ��j ��/
Dosi g Q
1 A mor , (. �. 9d
Aeration Bldg. Sewer
Holding St/ t Inlet
TANK SETBACK INFORMATION St/ 0f Outlet SS/' p 5'
TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
Septic / 54- NA Dt Bottom
Dosing NA Header / Man. —
n NA Dist. Pipe G•98�' s
Holding Bot. System �90� 75
PUMP / SIPHON INFORMATION Final Grade 5 1160, (o i
Manufacturer Demand
Model Number GPM
TDH Lift Friction System TDH Ft
Forcemain Length ]:Dia. Fi Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIM DIM
SETBACK
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type O �( � OR UNIT CHAMBER Mod Numb
System:
DISTRIBUTION SYSTEM
Header /Manifold Distribution Pipe(s) 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 21.31.18,SW,NW 2085 COOK DR. — CIRCLE C LOT 1
Plan revision required? ❑ Yes ❑ No
Use other side for additional information.
SBD -6710 (R.3/97) Date Inspector's Signature Cert. No-
I�
Vi sco nsin 201 E.W sgn'gtonA ` 8 "Si °"
SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969
Department of Commerce Madison, WI 53707 -7969
• Attach complete plans (to the county copy only) for the system, on paper not less County
than 8 112 x 11 inches in size. 07C
• See reverse side for instructions for completing this application State SanitaislnSto ry Permit NNuumbbeer
The information you provide may be used by other government agency programs E] Check it previous'application
[Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. r� umbe - _
I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATI N / v
Property Owner Name Property Location
Z nr r/ac .W14 w va, S,z/ T X,! , N, R e , ',p E (or)(5j�
Property Owner's Mailing Address Lot Number Block Number
Q ' Aw /V
City, State Zip Code Phone Number Subdivision Name or CSM Number
11. TYPE F BUILDING: (check one) ❑ State Owned it Nearest Road
Public 1 or 2 Family Dwelling - No. of bedrooms I Tow OF a a Yov e a -G
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. K 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 r / 42 ❑ Pit Privy
13 ❑ Seepage Pit '' J X ��� 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. /inch) Elevation
/ "o Odd . G .f/Gc- Feet a, V Feet
VII. TANK Capacity
INFORMATION in gallons Total # of Manufacturer's Name Prefab. Con- Fiber- plastic Exper-
New Existin Gallons Tanks Concrete strutted Steel glass App.
Tanks Tanks �7^�
Septic Tank n A /..?" l & ea e S ? Y,f/ 9, ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber 1 ❑ I ❑ I ❑ I ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sqwpge system shown on the attached plans.
Plumber's Name: (Print) Plumber's Signature: (No Stamps) MP! PRSW No.: Business Phone Number:
Plumber's Address (Street, City, State, Zip Code):
�o
IX. COUNTY / DEPARTMENT USE CYNLY
E] Disapproved Sanitary Permit F e (Includes Groundwater at ssue Issuing Ag t Si tur No Stamps)
�A roved ¢ Surcharge Fee)
pp Owner Given Initial 0 V 1 {
Adverse Determination O V
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
50M e)e M M0S+ be vn660 4clIivi r,� cL4- c17.913 ,f ve_ ir. c vyi � hlkN_
ba KI A q 4 `�-
SBD -6398 (R.11/96) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber
56ti �/° ' I7PiNT2 d 7 -
4
1071a -7-
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`Wisconsfn'Department of Commerce S OIL AND SITE EVALUATION
Division of Safety and Buildings — - Page of
Bureau of Integrated Services , ,m apcordaodc ith S. ILHR 83.09, Wis. Adm. Code
Attach complete site plan on paper not I s than 8
1/ in must County
include, but not limited to: vertical and ntal ref � it s (BM), �if on and
percent slope, scale or dimensions, no ow
Ph- ow, and location and distande earest road. Parcel I.D. #
;
- -! MA iSgl;
APPLICANT INFORMATION - le se prilR Drmati ` Rev ed by Date
Personal information you provide may be used y r ndaa y . 5.04 (1) (m)). �7 W
Prope Owner Property Location
Z Govt. Lot r 1/4 1 1/4,S T N,R
7 (o�
Property Owne s Mailing Address Lot # I Block I Subd. Name or CSM#
;r: 'V
City Stag Zip Code Phone Number ❑ city ❑ vile ® Town Nearest Road
New Construction Use: Residential /Number of bedrooms —�� Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
Code derived daily flow gpd Recommended design loading rate —'5' bed, gpd/ft gpd/ft
Absorption area required bed, ft 2 _7� trench, ft Maximum design loading rate ; ,'S_ bed, gpd/ft gpd/ft
Recommended infiltration surface elevation(s) 97 !22 ft (as referred to site plan benchmark)
Additional design /site considerations
Parent material J d r Flood plain elevation, if applicable ft
S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank
tem s ❑ u ®S ❑ u [�J s ❑ u s ❑ u ❑ s [Z u El N u
U = Unsuitable for sys
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
K
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Lj a:.:.� 2 1 4�24SI ,- :2 4
Ground s
elev.
.(� -eft•
Depth to
limiting ;
factor
Remarks:
Boring #
s
Ground '(
elev. _ � 7
5
Depth to
limiting
factor
2&—in. Re rks:
CST Name I e Print Signature Telephone No.
Address Date CST Number
9 7 3�
Y
�1
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer John N. Heintz / P. C. Collova Builders, Inc.
Mailing Address 9 05 C Ro ad H, N e w Richmon WI 54017
Property Address 2085 k Drive Somerset, WI 54025
(Verification required from Planning Department for new construction)
City/State S t a r Prairie, W1 - Parcel Identification Number /
LEGAL DESCRIPTION
Property Location SW %., NW r /4, Sec. 21 , T 31 N -R 18 W, Town of S t a r P r a i r i e
Subdivision Circle C Lot # 1
Certified Survey Map # . Volume . Page #
Warranty Deed # 550521 Volume 12 0 2 . Page # 234
Spec house [3 yes ❑ no Lot lines identifiable LM 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 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.
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.
- 71 Y? � 413014
GNATURE OF APPLI 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
te property described ve, by virtue of a warranty deed recorded in Register of Deeds Office.
O APP LIC DATE
info n 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 decd
• 'NOTE: FINAL DRIVES LOCATION
SHALL BE AT THE IVE ��•
DISCRETION OF THE TOWNSHIP G'
3/4" REBAR FOUND
--
STORM WATER RETENTION AREA
NO BUILDING, GRADING OR ANY
OTHER IMPROVEMENTS WITHIN THE w Q �
STORM WATER RETENTION AREA --
0
ETA
WATER RETENTION AREA SECTION 21 T31 N, R18
)IRECTION DISTANCE
01'24'58" W 60.15'
1 88'35'02" W 12.00'
1 28'57'19" W 63.29' PARCEL IN VOL. 689,
80'40'44" W 28.73' --------- - - - - --
20'21'53" W 30.80'
28'09'02" E 49.09'
1 65'16'34" E 51.24' /
01'24'58" W 20.75'
18'35'40" W 68.82' — CO —
13'53'37" E 76.98' � N 8 g �1 4
75'04'07" E 53.31'
60'06'49" E 100.34' , �� — — — 0 -
70'01'01 E 41.15' Dc�,61 6 i 23.99' RA
to
70'01'01 E 52.49' / j
27'30'43" E 54.12' Gj h 6�. / I " < 88 H.W.L.= L 2
87'38'52" W 72.83' / \ i a� L
76'44'51" W 74.20'
38'39'35" W 44.82' \
83'23'17" W 75.56' \ 4
01'24'58" W 140.01' '� o in
01'24'58" W 45.29' rn
BENCHMARK 1 n 2 3 M
01'24'58" W 62.97' USGS DATUM 1929 w w
w
ELEV. = 885.74 1.51 ACRES 1.51 ACRES - 1.51 ACRES
65,777 SQ. FT. Lo 65,777 SQ. FT. Lo 65,775 SQ. FT.
Lo
PARCEL IN N N N
0 0 0
Z Z Z tn VOL_ 909, — PG. 552 MIN. BLDG.
EL. = 883.8
O
O
179.11' 168.23'
168.09' 1 g
188.99' 188.99' 202.35'
U ? S 89'10'57" E 580.33'
00
Lo
co I
9 10 11
00 1.51 ACRES 1.51 ACRES 1.51 ACRES
65,776 SQ. FT. 65,776 SQ. FT. 65,775 SQ. FT.
PARCEL IN N
--
N
to o 00 to
VOL. 909, PC. 553 N � N cd
ST. CROIX COUNTY
WISCONSIN
~� ZONING OFFICE
IN x x " oil a ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 54016 -7710
(715) 386 -4680
October 23, 1998
REMAX Realty
Attn: Mike Germain
103 Main
Somerset, WI 54025
RE: Septic Inspection for John Heintz located at 2085 Cook Drive, Lot 1 of Circle "C"
Addition, Town of Star Prairie, St. Croix County, Wisconsin
Dear Mike:
A septic inspection of the above referenced property was conducted on July 31, 1998. This
property is located in the SW of the NW of Section 21, T31 N -R1 8W, Lot 1 of Circle "C
"Addition, Town of Star Prairie, St. Croix County, Wisconsin. At the time of the inspection,
this septic system was found to be code compliant for a four (4) bedroom home.
If you have any questions regarding this, please contact our office at (715) 386 -4680.
i cerely,
-0s- --
mes K. Thompson
Zoning Specialist
/sm