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HomeMy WebLinkAbout038-1132-19-200 M p °9 C C 1 n O N N 3 m o c_ N N O w co +� U) N E c o c N � � I /1 o E z s E p O N C z Q N 7 m Y N LL c n O p O c N C 6 C N ° N B O 'X O E Q co o — V N O W 4+ O Z L O a m M F- U) C O I O z t c v o to H I T a) z c m E - a y� N cl Cy • Ar1 CL r c c O � o 0 d it � Z H Z p LO E N C � 0 C LO LO CL c 2 (n O N N L 0 0 a) 1 E C G (L aU) N N O O d m O O O 3 0 0 0 z •ry zaaa m �t s o ° ° w *i. o o N 0 rn rn o ~ rl- 00 C O O r. E 0 Lo �'= 0., N I C N 5 O d' N O o °_ 3 .2 c Cl c m o � o u E c 0 0 N rO O � J O) fa 'D N N N O Y C E C N M O w �2 N N O - O k O N G" M I N H O 0 W C N o0 O c `n 6 m E o .m cci 0 • L' o m in I I, m m O o_ C/) cq m a as EL L: a w • cl a E L w' A U a 2 O� cc U 1 • " COlIIERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 "AS 715- 962 -3121 800 - 962 - 5227 ST, CROIX ZONING REPORT N0.', 05666/01 PAGE 1 ST. CROIX COUNTY REPORT DATE: 5/31/90 COURTHOUSE DATE RECEIVED+ 5/30/90 HUDSON, WI 54016 E lqq ATTN', THOMAS C. NELSON o / Ll J /0 ) v 3o3o 03� ! 3 OWNER', Steve Lewis LOCATION', Rt. 4, Box 194, New Richmond COLLECTOR: M. Jenkins SOURCE OF SAMPLE', Kitchen faucet COLIFORM'# 0 /100 ml INTERPRETATION'# Bacteriologically SAFE NITRATE -N', 2 ppm Under 10 ppm is safe for human consumption. Coliform Bacteria /100 ml Nitrate - Nitrogen, mg /L LAB TECHNICIAN. Pam Gane WI Approved Lab No. 19 OFA DEVE#j O < Means "LESS THAN" Detectable Level Approved by', ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 05/31/90 16:15 W15 962 4030 COMM. TEST LAB S.C. CO CRTHOUSE 0002 COMMERCIAL TESTING LABORATORY, INC. 51d.IVtaitr Street P.O. BO 526 Colfax; Wisconsin 54730 715.962= 3121 800.962 - 5227 O ST. CROIX SING iE"T pia.: 056W0 PAGE 1 ST. CROIX COWN ROW DATE: 5/31/90 C"Tiaim DATE RECEIM: 5/30/90 HLMSONe WI 54016 ATm; THOMAS C. M=ESON OW+ER: Steve Lewis LOCATION: Rt. 4s Sax 194p New Richeand COLLECTOR: N. Jenk SOURCE OF SAKPLE: Kitchen faucet COLIFORM 0 /100 at r INTERPRETATION! Bacterialagica EWE N ITRATE -K*. 2 PPa U -r 10 ppa is safe for hujmn consumtian. Lifori Bacteria /100 At trete- �litra9en: a9�. V , Y'.'. LAB TECHNICIANI Pas Game WI Approved Lab No. 19 t deans "LESS THAN" DetKtabie Level Ap We PROFESSIONAL LABORATORY SERVICES SINCE 1952 AV c�u ST. CROIX COUNTY ZONING OFFICE St. Croix County Courthouse 911 4th Street !J Hudson, WI 54016 t) 5� Telephone - (715)386 - 468 0 The St. Croix County Zoning Office offers the service of septic and water inspections to Lending Institutions, Realty Firms, and private individuals. Completion of this form is essential so that the property can be located. Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING--------- ------------ - - - - -- -FEE: $ 25.00 X_ (For nitrates and coliform bacteria) FEE: $127.00 WATER TESTING (For VOC'S) SEPTIC SYSTEM INSPECTION --------- --- - - -' -FEE: $25.00 X (Determines if system is properly functioning at time of inspection) S Property owner's name St Lewis Property owner's address Route 4 Box 194 New Richmond WI 54017 Legal Description SW 1/4 of the SW 1/4 of Section 32 , T 31 N -R 18W Town of Star Prairie Lot Number Subdivision Name FIRE NUMBER V� LOCK BOX NUMBER Color of house yellow Realty sign by house? no If so, list firm: PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be. conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: Bank of;New Richmond Telephone Number 715- 246 -2265 REPORT TO BE SENT TO: Bank of New Richmond 355 S Knowles Ave., New Richmond, WT 54017 Closing da 06 0 0 , Signature 01 - 1 10P , Am to I s O O o n 8 © s m ox - 1 _ . POLHI000NTY %vx/ Ili taax ao. _ 2400 • i,t F F DR cro" 1 uxr I 4.. ! ! 4 3 2 M 1 C + O !� . i 2300 i IO H >i T ( , r y oae wl(( II 1__STAR PRAIRIE M i � _ LARK O 110rM AY[. Avg. f i 110TH Arc. ' i - 110TH - Avt. a 2200 111TH x 00081L la R $ CC IS �s Rla1n � AK. IT � 4 04. 14 13 C C 110TH AY[. � l lot" [IO A c 32100 ITN tof rn nt P w NO t9 20 21 22 » 23 21 D C cc - ROOT" Avg. _ 2000 ►q r 30 w 29 - N( M1t= tI ' 26 i IIeTH Ii. ' O _ o E Y ` H1H0 Avg. IT 28 i 23 i F _ i NIT //((O [IOM A4 a0. Y k LAa( 1900 lr� CC 1 r 31 ' 32 1 ! Y C • +d 33 w I M Av w N 33 H 38 N[NO4[ 1 f 2 f 1 NEW IIOTH AV[. - - i RICHMOND 1800 30MERSET TWN. I RICHMOND TWN. A — /A �, GTN5r Ames Road E2 80th Street 1A -F 180th Avenue F4 Asp Lane A3 84th Street 1A 182nd Avenue FI Asplund Road D4 85th Street 1A 185th Avenue F4 i Brave Drive C2 90th Street le -E 190th n Aveue it ! Cabin Lane 82 93rd Street 2E 192nd Avenue E2.4 Canary Drive A3 94th Street 2D 195th Avenue 14.5 Cardinal Drive A4 95th Street 28 200th Avenue D4.6 Cook Drive 03 100th Street 2A -F 205th Avenue 01 Goose Lake Road B4, C4 104th Street 3C 208th Avenue DC Huntington Drive A5 110th Street 3A, 3D -F 210th Avenue C1.4, 6 [stand Drive C2 114th Street 40 214th Avenue C2 Nighthawk Drive D2, E2 115th Street 4E -F 217th Avenue C2 rO ' 0 Dalmer Road F2 Old Mill Road 64.5 117th Street 4A 220th Avenue 81, 3, 5.6 --> Rd 118th Street 40 221st Avenue 02 Potk /St. Croix Road AI -3, 5.6 120th Street 4F Raleigh Road F1 122nd Street 58•C River View Lane E1 124th Street 50 Shore Drive C2 127th Street 56 17 3 T Sicard Lane E1 132nd Street 6C IS South Cedar Drive AS 135th Street 68 14 13 e b B thrush Drive 82 Vest Cedar Drive A4 10 20 9 I 18 Vest River View Lane E1 19 11 12 12 4 2 STAR PRAIRIE 18 ST. CROIX COUNTY k WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386 -4680 May 29, 1990 Marilyn Voeltz Bank of New Richmond 355 S. Knowles Ave. New Richmond, WI 54017 Dear Ms. Voeltz: An inspection of the septic system of the Steve Lewis property, located at Rt. 4, Box 194, Section 32, Town of Star Prairie, New Richmond, WI, was conducted on May 29, 1990. At the same time I also obtained a water sample for testing. The results of that testing will be sent to you as soon as we receive them back from the laboratory. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system is totally dependent upon proper maintenance of the system. Should you have any questions regarding this subject, please feel free to contact this office. Sincerely, • e- Mary Jenkins Assistant Zoning Administrator cj ST. CROIX COUNTY TONING DEPARTMEN� AS BUILT SANI'T'ARY REPORT RECEIVED Owner All gzil- Address sr C•ROx City /State r =s ,, COUNTY `ZCA1NC0FFIc Y Legal Description: Lot Block Subdivision/CSM # `--- '/, Sec. TN -R !j[W, Town of rbfrhi IN # .. ®o SEPTIC TANK —DOSE CHAMBER — HOLDING TANK INFORMATION: Tank �� �� g Tank manufacturer ���P ��_ Size ST/PC 041 Setback from: House V Well P/L Pump manufacturer Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Meter location Water Line Alarm location SOIL ABSORPTION / SYSTEM Type of 1" yp system: 7r - - e-, , W 4 Width .5 Length ! � Number of Trenches OZ Setback from: House _ ! �C Well .SM P/L Vent to fresh air intake ELEVATIONS: Description of benchmark o �, Description of alternate benchmark Elevation Elevation Building Sewer —IL ST/HT Inlet ST Outlet PC Inlet PC Bottom Header/Manifold �� , 3S" Top of ST/PC Manhole Cover Distribution Lines Q) Bottom of System( Final Grade Date of installation /�9/ ermit number . 7 /�� State plan number Plumber's signature License number -S 6 Date Inspector 6 0 N Complete plot plan 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)]. 315939 NartIAN & LORRI !,tl V g el IE n of: State Plan ID N o.: CST BM Eiev.:. Insp. BM Elev.: BM Description: K� Parcel Tax No.: 16D 10 1 1 1 1 038- 1132 -30 -000 TANK INFORMATION ELEVATIO DATA A9800327 TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. peptic ' V C.--c c> -. _, avo Benchm k /'• 11 /0/.a Dosing A c t. 6 z,- Aeration Bldg. Sewer 7s1 Holding - 2 TANK SETBACK INFORMATION ! ►mss ��i`ar St / Ht Inlet n St/ Ht Outlet X77 q3- TANK TO P/ L WELL BLDG. rtts ROAD Dt Inlet Air lntake Septic r NA Dt Bottom Dosing Header / Man. Aeratio Dist. Pipe �' Holding Bot. Systerr> -7-1 /0-05- .s7 p• PUMP/ SIPHON INFORMATION_ _ Final Grade 6 ufacturer De ('4 0 ModeLNumber GPM TDH Lift L nc ion System TDH Ft hie Forcemain Length Dia. Dist. To well SOIL ABSORPTION SYSTEM BE idth Length o. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DI I N 1 DIMENSION SETBACK SYSTEM TO P/ L WELL LAKE/STREAM LEACHING Man urer: INFORMATION Typ _r C BER umber: Sys a (� �� OR U NIT DISTRIBUTION SYSTEM Header / Manifold rr Distribution Pi e(s) r I Hole Size x Hole Spacing Vent To Air Intake Length Dia Lengt J Bta Spacing k c 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 E] No El Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: STAR PRARIE 32 . 3 1.18.541B,SW,SW 1816 WINDING TRAIL ROAD siwh tozf�uls„c� d�' C, il Plan revision required. rYes o Use other side for additional information. �3 �j�5 '7 SBD -6710 (R.3/97) Date Inspector' Signature < `C6 . N A scons i n SANITARY PERMIT Safety and Buildings Division APPLICATION 201 E. Washington Ave. Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 vi x 11 inches in size. n {� r , 1A • See reverse side for instructions for completing this application State Sanitary j Permit l Number Q The information you provide may be used by other government agency programs / I S -[ / ` [Privacy Law, s. 15.04 (1) (11 ❑ Check if revision to previous application 1. APPLICATION INFORM TION -PLEASE PRINT ALL INF RMATI N State Plan I.D. Number Property Owner Nam Pr Location aS 5l"l S� / S 3 a T , N, R r E (o W Property OwnersMaifngAddress Lot Number Block Number City, State ' Zip Code Phone Number Subdivision Name or CSM Number �--- ll. TYPE OF BUILDING: (check one) ❑ State Owned ° Ci a e Nearest Road _ Public or 2 Family Dwelling - No. of bedrooms own of w2 Fr LAY Ill. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) J 1 ❑ Apartment / Condo 3 3' / 13 o 30 X060 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 ❑ S New ystem 2.,.g Replacement 3. . ❑ Replacement of 4 E] Reconnection of 5 Repair of an _--- ___Y___ __stem ------- - - - - -- 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 1 A44Seepage 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 �j ReS 3sq. ft.) Proposed (sq. ft.) (Gal day /sq. ft.) (Min. /inch) tion VII. TANK Capacity �] (( // /�• i Feet ;ion 0 Feet INFORMATION in gallons Total # of Prefab. Site Fiber- Ex p er. New Existing Gallons Tanks Manufact Name concrete Con Steel glass Plastic A p p Tanks Tanks strutted Septic Tank or Holding Tank i Un ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plum be 's Name: ( -a (Print) Plumber's ig ure: (No St ps MP/MPRSW No.: Business Phone Number: aa-6 ��o i 6�e- l� Plumber's Address( re Cl t t Zip de): IX. CO TY / DEPARTMENT USE ONLY _."i ❑ Disapproved Sani ry Permit (IndudesGroundwater Tatelssu e�pirl Signatur m Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination /a X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD -636 (RA IM) DKTRIBUTION: original to county. One copy To: Safety a Buildings Division, Owner, Plumber PLOT PLAN PROJECT Brian and Lori Bonkoski ADDRESS 1816 Windina Trail Rd. New Richmond Wi 54017 SW 1/4 SW 1/4s 32 /T 31 / 18 W OWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 7/26/98 3 DATE BEDROOM CONVENTIONAL )= IN- GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .8 ABSORPTION AREA 572 # of chambers 18 IL BENCHMARK V.R.P. Top of Well ASSUME ELEVATION 100' ❑ BOREHOLE O WELL "H. R. P. Same as Benchmark SYSTEM ELEVATION 90.8 Alt. BM Base of Siding @ 97.5 Prope Line 2- 34" X 56' Vent Infiltrator Leaching CD >12" Sidewinder High Chambers 250' of Cover Capacity Leaching Vents Chamber with 31.8 B -3 30' 6' Long 16" ft ^2 per chamber 6°10 34" Grade at System Elevation Slope B- Well * 50' B.NS • 0' Alt. 10' 0' Existing 3 - Bedroom g 5' , 15 ' o Garage 15 House 6' Spacing cD 5 , Between r , Trenches' c� -1 T Old Septic Driveway Tank to be Famed pumped and System buried Winding-Trail Road *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 �D , U0 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # 3 ?- 113 - 30 - ODD APPLICANT INFORMATION - Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location IC2 r�.f �b (� r Ov Govt. Lot 1/40.1 /4,S� T3 ,N,R E (o Property Ow ner's Mailing / Address Lot # Block# Subd. Name or CSM# City to Zip 06de Phone Number 10 City El Village, JRr Town Nearest Road l cJ� 5� 0 1 -7 ( .5 W 735 54ox- Pc fi ❑ New Construction Use: Ksesidential / Number of bedrooms Addition to existing building Replacement ❑ Public or commercial - Describe: o Code derived daily flow –± Recommended design loading rate — bed, gpd/ft a trench, gpd/ft Absorption area required 6 3 bed, ft trench, ft Maximum design loading rate 7 bed, gpd/ft = ,, trench, gpd/ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design /site considerations Parent material Flood plain elevation, if applicable S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding U = Unsuitable for system ,E .S ❑ U aS ❑ U as ❑ U I qs ❑ U I [- U ❑ S SOIL DESCRIPTION REPORT Boren # Horizon Depth Dominant Color Mottles Structure GPD/ft g Texture Consistence Boundary Roots I in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench I I s z� J ti Ground ?ev. � ft . Depth to limiting factor in. Remarks: Boring # J Ground ft. Depth to limiting facto in. Remarks: CST Name (Please Print) Si ature Telephone No. �/ — 60'�E'JITJ Address / � c � , , � �� Date r �� CST Number Soil Test Plot Plan Project Name Brian and Lori Bonkoski Shaun Address 1816 Winding Trail Rd. New Richmond Wi 54017 TM #3922 Lot _ Subdivision ----- -- Date 7/24/98 SW 1 /4 1 /45 T 31 N /R W Township Star Prairie Boring ()Well PL Property Line County S T. C ROIX BM or VRP Assume Elevation 100 ft. Top of Well System Elevation 90. * H R P Same as Benchmark Alt. BM Base of Siding @ 97.5 Property Line 0 c� r 50' B -3 30' lop 6% Slope B- Well 50' 4�� 0' Alt. 10' B -2 Existing 3 0 Bedroom Garage 51 15' o 5 ' r c� T Driveway Failed System Winding Trail Road ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer / . a .✓ 7 1 Mailing Address Property Address (Verification required from nning Department for new construction) _ —S City/State its j�t'v u Parcel Identification Number LE GAL DESCRIPTION Property Location' /4, Sec T - N -R �`J W, Town of - Subdivision , Lot # Certified Survey Map # . Volume ,Page # �/ 4 L Warranty Deed # T� 0 , Volume G � ,Page # Spec house ❑ yesE� Lot lines identifiable dyes ❑ 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. 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 days of the three year expiration date. ._�� 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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE 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