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HomeMy WebLinkAbout040-1222-30-000 ST. CROIX COUNTY ZONING DEPARTMEIt • ` ,,, `� AS BUILT SANITARY REPORT PLUE; Owner Address 3 �� � t - °, Sr coax • � COUNTY City /State Legal Description: Lot -�k. Block ];�Z_ Subdivision/CSM # L '/ dlL Sec. _Z T_N -RAW, Town of PIN # - Ib.-�R. tog SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer Size ST/PC / _ Setback from: Hous Well 23 P/L 7Q` Pump manufacture_ r. 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 47_ Length 5 2 Number of Trenches Setback from: House . -2 Well 9 -1 P/L ,—_;92_ Vent to fresh air intake ELEVATIONS Description of benchmark Elevation /ten Description of alternate benchmark Elevation Building Sewer ST/HT Inlet �'� .� ST Outlet 9 71 PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover 99 Distribution Lines ( ) _ _ g r 36- O ( ) Bottom of System( Final Grade () 9 r - 7-T - () ( ) Date of installation S S2/ /A Pe mit num er /S 7 State plan number Plumber's signature License number Date 21 Inspector complete plot plan Wiscon„in Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Buildings Division ST . CROI INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary315837 Personal information you provice maybe used for secondary purposes [Privacy Law Cit PEICHEL, TED V Vill s.15.04 (1)(m)]. Permit Holder's Name: ❑ age Town of: State Plan ID No.: T CST BM Elev. : - Insp. BM Elev.: BM Description: Parcel Tax No.: 100 1 l0?___> I &M :11 040 - 1222 -30 -000 TANK INFORMATION ELEVATION DATA A9800226 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. eptic � W, 10 LDo Bench 9 , ' /03•/ lno Dosing r9 L�� ��1 ,?•S3 l0 0 •57 Aeration Bldg. Sewer Holding S /Inlet `(•�� TANK SETBACK INFORMATION St Outlet 3V. 17 (o TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake eptic '70' r 25 ` Z NA Dt Bottom Dosi NA Header/ Man. ration Dist. Pipe�S' Holding Bot. System g' $$ 3• S Z PUMP / SIPHON INFORMATION Final Grade S5" � -55-- Manufact De d 5 plot,, ho r- 64 ve - •!� I Y Mo el Number GPM TD Lift Friction m TDH Ft Loss e Forcemain engt Dia. Dist. To well SOIL ABSORPTION SYSTEM W D D EN RENN H Width Length 5 . 6 , No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth S 10 DIMENSION SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Ty o �I 7�r b I OR UMBER Mo Number: S t 77 DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe s) x Hole Size x Hole Spacing Vent To Air Intake Length _a Dia. � Length j Dia. _q�_ Spacing (O I 1 { 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 E] Yes E] No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: TROY 16.28.19,SW,NE 358 SOUTH PACIFIC ROAD m �15 Plan revision required? E] Y s No ) Use other side for additional information. �G� > SBD -6710 (R.3/97) Date Inspe is Signature Cert. No Safety and Buildings Division Os SANITARY PERMIT APPLICATION 2 01 W, Washington Avenue n In accord with ILHR 83.05, Wis. Adm. Code P O Box 7302 Department of Commerce 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. • See reverse side for instructions for completing this application State sanitary Permit Number Personal information you provide may be used for secondary purposes ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATI N Propert wrier N Property Location J v4 1i4, 5 T , N, R (Or Property Owner's M ling ddress Lot Number Block Num r City, Stgte 7- Zip Code Phone Number Subdivisio me or CSM N m'er CP II. TYPE F BUILDING: (check one) ❑ State Owned 0 C !t Nearest Roa C] Public 1 or 2 Family Dwelling - No. of bedrooms To OF 'e 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. ja 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 [gSeepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 []Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fi VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 1 7. Final Grade Required (sq_ ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /i ch) Elevation Feet Feet Cap VII• T ANK NFORMATION in ga llons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. New Existin Gallons Tanks Concrete strutted glass App. Tanks Tanks Septic Tank or Holding Tank — ,� ❑ ❑ 1 ❑ 1 ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ I ❑ I ❑ I ❑ 1 ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the 4ndersigned, assume responsibility for insfallation of the onsite sewage system shown on the attached plans. Plumb is ame (Pri t) Plumb is atu r � r Y a m MP/MPRSW No.: Business Phone Number. Plumber's Address (Street, qky, State, Zip ode): � IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater D ate Issued Ilssuing Agent Signature (No Stamps) [� Approved []Owner Given Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber .� .�,� ��, � ��/'P�� P �� - � yea ✓�3�w � -�'��� m G;- fdiJGR G' p c 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 81/2 x 11 inches in size. Plan must Cou include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION - Please P, ' fi+brat� „� Review by Data Personal information you provide may be used for `� (Pri Law. S. i 0 1) P Owner `' L P Location Lot - 1/4 1 /4,S T ,N,R ,e(or Yi Property Owners Mailing Address +, fRg1 Lot Block# Subd. Name or CSM# S7 r q My Stat Zip Code FICE City El village Town Nearest Road �� ` �J - cc New Construction Use: EffResidential / Number of bedrooms ^� Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow -' gpd Recommended design loading rate —, _ Z — bed, gpd* gpd* Absorption area required bed, ft /_s trench, ft2 Maximum design loading rate 1 �-- bed, gpd* L— trench, goo? Recommended infiltration surface elevation(s) 65. -5 It (as referred to site plan benchmark) Additional design/site nsiderations Parent material 19 - Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In -Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system R S ❑ U O S ❑ u 0 S u ®s El ❑ s® U 0s 0 u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 13 ' n� zn5f&6 ' Al /1,1011 "2"') co:Z_ �j ' �7 in. Munsell Qu. Sz. t. Color Gr. Sz. Sh. Bed , Trench 2 ? ' r> > Ground v elev. Depth to limiting factor Remarks: Boring # ,� �� a e JJ & Ground elev. A- Depth to limiting factor min. R marks: CST Nam (P se P ' t) Signature Telephone No. Address 1 Date CST Number ,'2 -; �/' JpcvS%ec✓ �`, c,�.c�� So��- ,j/.�.��/- sec�� /�JG� i /11 /. 1 ,W J�wi+ i Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page `1 of i:abor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but GV.sJ I x not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCELI.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION 0- -M • B`i E f bp1 1S Sc_ UL Z GOVT.LOT SLV 1/4 NtF 1/4,S/ T 2 -$ .,N,R 19 E(oil& PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # __7 tO tV. �"l t}LK3 5T - L) 6tDl R sl'"r0j 3V4 1'r�Dt1P0N CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE C9TOWN NEAREST ROAD 'F-tvV�!iZ, L-S W 1 54%2, 2. (7 15) q? 3 - SljC) I Sov`ntA'm i�'gcwFtc [4 New Construction Use Residential / Number of bedrooms 3 (] AddiiliiQn to existing building j J Replacement [ ] Public or commercial describe Code derived daily flow tLS gpd Recommended design loading rate o -, bed, gpd/9 - trench, gpd/ft Absorption area required 6 q"5 bed, ft 563 trench, ft Maximum design loading rate c� -`l bed, gpd/ft 0.8 trench, gpd/ft Recommended infiltration surface elevation(s) 3�W ►vole w Dot Ge y ft (as referred to site plan benchmark) Additional design/ site considerations S�Te ►xjTt 10 w s Tfit Lft_ ode► Pftc tJ % J C PyM t' Reo u t R-C• Parent material S eb t neUT W ft SAO Er C tZ /t-u Flood plain elevation, if applicable N A ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN R HOLDING TANK U= Unsuitable for stem N S El us ❑ U 0S [] U OS ❑ U aS ❑ U ❑ S 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 Tmnch WI go J 1 t� - c ° 7 `O`12 313 — St Z FSb `�'1'F CS tub Ground 3 1 1 4 -10 - - ).SL12 3!y — Gy s SbIZ MU--y' o•S elev. — ft. 2,o -'4 lu`1 R X116 — S O S°y yv c $ — o o.$ Depth to S U) -q S 10`2 R Y ` _ 0, Z limiting fact N 1�� \_e' 0 O + Sov 01= v S - IJOT S N W p <_ Remarks: Boring # ; 1 o -L4 �o`11z z-iZ — S 1 lc sbk YO Ufh 4 2.0 f r o•S � � Z 1y -33 102 3/3 � �S � S9 I'►'tl c•S � o•�u•3' •ten '3 33 -g8 10`22 Y/6 — Ground S O S9 v - o•� o. elev. q - S � Depth to limiting factor Remarks: T Name: - Please Print Phone: Arthur L. We erer 715- 425 -0165 g rer Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022 Signadue: - 3 _ V Date: CST Number: 5 - - M00576 PROPENTYOWNER E SCr1 L' - 'Z SOIL DESCRIPTION REPORT Page 3 of PARCEL CD. # � 8 Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence. Botxtdary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ranch r o -8 tioH2 3 — S� `e "b k u �Ir a-S 1v u•�l u.S k Z -3D 1o`f 2 V/6 — \S o sO) ►+1 I c s - n.7 8 Ground - )•S`tlZ y/6 — S ©S ►r) cS _ o• u elev. lO -a ft. y S8 -Iby 1v`1R y! Depth to limiting factor , � tOLl Remarks: Boring # �.:,.. E ' 0 - Uj a.7; �•8 8 Z 8 -Z 7•Sy2 y /� — S o sg w► 1 c s 0 -7 0•� 3 y.a9 104 lZ y — S c> S5 w► 1 Ground elev. ft. Depth to limiting factor Remarks: Boring # :v . KK Ground elev. ft. Depth to limiting factor Remarks: Boring # A Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) ' PLOT PLAN Pa g of �— qo LoT �8 I F9 p� p 33 q. S X500 _ �o G Lo �,� �0►v�5 i�v � �, I 1 S liul�ltl �N� 't em s `'� Sew► s , �"�'��TL s = s -� � 1 11tft- " I'D g .1y R . SQ" i' �D gy r-...� �B•b� 1 o \oo l v \ B•2 � � ��. - �C'V .100.0 Cuu 3 /V�alrC Alps I.vIL 49 Ape' k,1Lh77./ ttbtj sic ' � �"•� Lu G / 8 u v T� cv t= S�-1 s Rs►� C3 � � so mt" N - pi uPSwP�, _@'DtS�, 1'1��i . `LO bpsLP RT �: t7�w�►SLOP�; �G� . S`i3 �LLV Tu l�E � 2w� ►u��A OvZ truG COk►S�1Z.c1Crw. a� lS t2..eli) u L R l SauT't'�t7 . D�= g1�0 �U 81, lti S'PC►�+b `c-�olZtzpry o` � I� Wisconsin Department of Industr SOIL AND SITE EVALUATION REPORT Page � of Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL,I.D. # dimensioned, north arrow, qnd location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION 0• M • 4t DESN 1 S SC_ U Qt Z GOVT_ LOT S W 1/4 IJ f; 1 /4,S /F, T .,N,R t9 E (oAW PROPERTY OWNER'S MAILING ADDRESS LOT # I BLOCK # I SUBD. NAME OR CSM # 7 t O 1J- ►"L ?rL&3 9T - y $ - &LOl CITY, STATE ZIP CODE PHONE NUMBER DCITY []VILLAGE MOWN NEAREST.ROAD ��u b=Prt LS W 1 5q%*LZ. (715) LILS - 8/b1 [)d New Construction Use [?(( Residential! Number of bedrooms 3 [) Addikn to eAsting.building [ I Replacement [ ] Public or commercial describe Code derived dairy flow LLS gpd Recommended design loading rate o -, bed, 9pd/Ft - trench, 9PdM Absorption area required 6 \.L'25 bed, ft2 s - 5 trench, ft Ma)dmurn design Wrig rate o ,1 bed, gpd/Ft 0.8 trench, gpolft Recommended infiltration surface elevation(s) SST KJoNe O u (lR Ge Y It (as referred to site plan benchmark) Additional design/ site considef ons S�-_e L bTf To w S T4L%J%L OPJ Prc e "i C 'most Pyti P RM yt R� Parent material S'eo► KIT owft SYCNO 9 (Sww lit Rood plain elevation, 'If applicable N. A It S = Suitable for system cONVwnmk MOUND "RIALM PRESS<1RE I AT-WDE SMITH IN FILL HOLDING TANK U= Unsdi1table for system RS ❑ U IRS ❑1J I O S ❑ U 0S ❑ U MS ❑ U D S I U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Moftfes Texture Structure C � b Bornd3y Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rertch Ell o -S �O`'lR 313 st ZfSb w►'Fh cS tuf O -S o -L Z W -ly 10 �Q 316 - s� Z`FS b► m �k- cs lu i o.S a 6 Ground 2) ly - P•S 4Q 3/y — Gr �I `�Sb>z M ��>^ cS o-q o -S elev. 4 _ It. w -1 17 tu`'l 2 5f l6 S lZ� S9 Yvl c S - °' 7 o•$ Depth to S U1 -1 S 1 O 1 1 IZ Y St O V V\ wt `F h o- - t limiting facto w vz�t W ` o + Stav OF- S y S r" S m W p L Remarks: Boring # ; 1 o -t4 �o�Q zlZ s lcsbk wt a.�v iv o•�[ o•S 2 l y -33 1z)-m- S S9 4n S E l 3 33 -58 V134 v- Y /(, — S O S9 w► � - o•� o. � Gmund elev. g -S fL Depth to limiting factor Remarks: CST Name: - Please Print Arthur L. We erer � 715 - 425 -0165 egerer Soil Testing & Design Service P.O. Box 74 River Falls,WI 54022 Sgneture: Date: CST Number: � M00576 PROPERTY OWNER "84E- Se!}V B'I'Z SOIL DESCRIPTION REPORT Page 3 of `PARCEL I.D. # Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Bouxl3y Roots in. Munsell Qu. Sz. Cont Cola Gr. Sz. Sh. Bed Tench 7 UV ) 0 - 8 tiu`1.231Z — S� �eS "bk U' a �u u•L( u•S Ground 3 30- S8 �. S `112 y/6 — S O $ y { cS o• 7 V $ elev. ►o -% ft. y Sg_Ioy to`-iR Y/ S OS w, � - o•� �•� Depth to limiting factor , 10 L1 Remarks: Boring # 0 - - S lZ — S O sq S Iu`F ar•'? 0. I C Z O –1 7• S`{ R Y/4 S O Y9 w, Ground _ elev. X -7 ft. Depth to tlmiting f - 7 D191 7- F F7 Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) PLOT PLAN Page 4 of •— sc�L� 1 ► � = 1�0 L% �a tt2 R/C P o pp ` 334 2s S ®zn \ Sop' TO 1 G t tj ' \ZO A, 1 N�1Z kl, s s a � � �5u0�'• ' R���� � sv• •• 9•� e s '� S a31 '� �. 11v01 \ - L , 100.0 Ohl 3 /V v PVQ Alps W� • \ • s s ►y� 44 � a 3 \ \ �� - L=tt�, . `18.22' ntv 3, r✓ ' 'I�uc Aiak, a \ w1�k� v► S ��.�T 1'0 s En • ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer y ` Akfif Z E�- Mailing Address /.) � 42a ez - 1.4& t d ),* 4 ,I el lAfA) Property Address --?S (V rifi Cit Parcel Identification Number cation required from Planning Department for new construction) ) N-- r LE GAL DESCR Property Location 54)_ ' /4, A) F ' /a, Sec. ��, T , N -R I \ . Town of ° Subdivision (LO VE IQ, c37-A-77D� 3'� /- � .�,� � - -",� , Lot # 4_A& Certified Survey Map # Volume , Page # Warranty Deed # /q Volume , Page Spe house ❑ yesXLno Lot lines identifiable ,Oyes ❑ no SYS " EM MAINTENANCE Improper use and maintenanceof 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 nlumber, journeyman plumber, restricted plumber or a 1 i - zense�l 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. 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 d�vs of the three year expiration date. SI ATURE 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. 1I NA 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 SOSO 250 2W 612 736 6864 01/19/98 09:52 :02/02 NO:508 Assumi TO TH, LINE E i N y► I • I • �A L O' ru �v *,4 ti / 0 05 * 03 96' N 269.97' `� 4* ` �► � /�� � � .T Ab a (n Cl) C t N A W \ , 07 '43'300 w w LO vs CA s Tj Y . ` ��• + r _ l a 0 • 1I Oa !�� �• *%Vr r iA i�f ..^.*- .-fie -- lO' ��s. �� ,•. � �� p '�b M tn` Cor t j -- -- ; I I w � r N f� a Ul - r r lw IC L) O n � nA � ST. CROIX COUNTY WISCONSIN ZONING OFFICE r r r r a w ST. CROIX COUNTY GOVERNMENT CENTER �■� 1101 Carmichael Road _ Hudson, WI 54016 -7710 (715) 386 -4680 September 25, 1998 Hartman Homes Inc. Attn: Becky Somerset, WI 54025 RE: Septic Inspection for Ted Peichel located at 358 Southern Pacific Road, Lot 48 of Glover Station Third Addition,Town of Troy, St. Croix County, Wisconsin Dear Becky: A septic inspection of the above referenced property was conducted on August 19, 1998. This property is located in the SW %4 of the NE' /4 of Section 16, T28N -R19W, Lot 48 for Glover Station Third Addition, Town of Troy, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a three (3) bedroom home. If you have any questions regarding this, please contact our office at (715) 386 -4680. Singqely, 60 t Rod Eslinger Assistant Zoning Administrator /sm