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Home My WebLink About030-1031-50-000 (2)0 St. Croix County Planning and Zoning Detail Sanitary Information Computer #: 030-1031-50-000 Sub/Plat. NA Section: 8 Parcel #: 08.29.19.111 E Lot: 5 TN/RNG: T29N R19W Municipality: St. Joseph, Town of CSM: 1/4 114: N 112 NE 1/4 Owner: Roberts, Jeff & Susan 1085 Nelson Farm Road Hudson, WI 54016 State Permit: 10038 Issued: 04/02/1979 POWTS Dispersal: Non -Pressurized In -ground Permit: New County Permit: 34 Installed: 05/21/1979 POWTS Detail: Bed - Seepage Bedrooms: 3 W1 Fund: POWTS Pretreatment: NA ISSUenllr-,,54)�ec or As Built I•-_Ilurriber Other Reauirernents Harold Barber Yes Hopkins, Richard Tom Nelson Yes Monda.r. October 29, 2007 t1t 11:45:36.4,41 Pape. / (if I Additional Notes Money Owed 1000 gal. TMC steel tank to 12 x 52' bed - filed this $0.00 permit with the replacement permit 1992 Owner: Roberts, Jeff & Susan 1085 Nelson Farm Road Hudson, WI 54016 State Permit: 175658 Issued: 08/27/1992 POWTS Dispersal: Non -Pressurized In -ground Permit: Replacement County Permit: 0 Installed: 09/02/1992 POWTS Detail: Trench - Seepage Bedrooms: 5 WI Fund: no POWTS Pretreatment: NA Issuery1ric,hector As Built Jim Thompson Yes Jim Thompson Yes ? Scheduled Pump Da-te-F'umped 9/2/1995 10/1/2003 10/1/2006 Plumber Other Requirements Additional Notes Money Owed Boumeester, Jim This permit adds an 800 gal. Weeks tank to the S0.00 existing 1000 gal. Septic tank {TMC steel tank) then installed 2 new trenches 5'x 100'each. WI fund denied due to post-1978 installation original system Original system an existing bed that appears to have been abandoned according to as -built. The state did approve a variance that allowed the old bed to remain even though it was 2 feet from an existing garage (state letter May 1992) 8/3/05 - letter regarding house addition, no net increase in BR or DWF Notification 04/01/2005 August 3, 2005 Jeffrey Roberts 1085 Nelson Farm Road Hudson, WI 54016 ST, CROIX COUNTY WISCONSIN PLANNING &ZONING OFFICE COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54416-7710 (715) 386-4680 FAX (715) 386-4686 /992- RE: Addition to existing structure, Town of St. Joseph, St. Croix County Parcel # 030-1031-50-000 (8.29.19.11 I E) Dear Mr. Roberts: You have requested the Zoning Office review your remodeling project for compliance with the state sanitary code (COMM 83). When remodeling or adding onto a dwelling you are required to examine whether or not the planned modifications involve an increase in design wastewater flows to the existing Private On -site Wastewater Treatment System (POWTS). According to your statement, the project involves an addition for a bedroom and making 2 existing bedrooms into a single larger room. The number of occupants will remain unchanged. The septic system was designed and installed based on wastewater flow for five (5) bedrooms (750 gallons/day) with a maximum occupancy of ten (10) persons. This project will not result in an increase of the design wastewater flow. The replacement system was installed in 1992 by Jim Boumeester and was inspected by zoning staff at the time of installation. The system was found to be code compliant at that time. Inspection report, as -built, and sanitary permit documents are on file with the zoning department. Our records also indicate that the tank was pumped in 2003. To prolong the life of the POWTS, remember to have the septic tank pumped at least once every three years . A or when the tank becomes 1 /3 full of sludge and scum. The. P"d 9:1. - - ' taula .Other efforts to extend the lifespan of the system include water conservation measures such as repair or replace leaking plumbing fixtures, reducing shower time, running the dish washer only when it's full, avoid using a garbage disposal, using a wash machine with a suds saver feature, etc. The projected lifespan of your POWTS is dependent upon proper maintenance of the system. If this POWTS should fail at any time in the future, the system will be need to be inspected by a licensed plumber or POWTS maintainer to determine if it must be replaced according to state code requirements in effect at that time. The proposed remodeling project must comply with all applicable building codes. Please contact the Building Inspector for the town of St. Joseph to obtain a building permit. Should you have any questions, please contact this office. Sincerel 7; Pamela Quinn Zoning Specialist Cc: fight Farnham, Deputy Zoning Administrator Me Parcel #: 0304 031-50-000 08/02/2005 11:44 AM PAGE 1 OF 1 Alt. Parcel #: 08.29.19.111 E 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN 'Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner JEFFREY S &SUSAN ROBERTS * ROBERTS, JEFFREY S &SUSAN 1085 NELSON FARM RD HUDSON WI 54016 Districts: SC = School SP -= Special Property Address(es): * = Primary Type Dist # Description * 1085 NELSON FARM RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 0.000 Plat: NIA -NOT AVAILABLE SEC 8 T29N R19W PARCEL IN N 112 NE 114 Block/Condo Bldg: SHOWN AS #5 ON SURVEY & DESC IN 570/167 Tract(s): (Sec-Twn-Rng 40 114 160 1 /4) 08-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/07/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.240 1839200 2119500 3942700 NO Totals for 2005: General Property 5.240 183,200 211,500 394,700 Woodland 0.000 0 0 Totals for 2004: General Property 5.240 1839200 211,500 394,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 312 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r Parcel #: 030 '1031-50=000 05/06/2005 09:51 AM s PAGE 1 OF 1 Alt. Parcel #: 08.29.19,.111 E 030 - TOWN OF SAINT JOSEPH Current X-1ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * ROBERTS, JEFFREY S & SUSAN JEFFREY S & SUSAN ROBERTS 1085 NELSON FARM RD HUDSON WI 54016 Districts: SC = School SP = Special PropertyAddress(es): * = Primary Type Dist # Description * 1085 NELSON FARM RD SC 2611 SCH D OF HUDSON SP 1700 W ITC Legal Description: Acres: 0.000 Plat: NIA -NOT AVAILABLE SEC 8 T29N R19W PARCEL IN N 1/2 NE 1/4 Block/Condo Bldg: SHOWN AS #5 ON SURVEY & DESC IN 570/167 Trac#(s): (Sec-Twn-Rng 40 1/4 160 114) 08-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/07/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.240 183,200 211,500 394,700 NO Totals for 2005: General Property 5.240 183,200 211,500 394,700 Woodland 0.000 0 0 Totals for 2004: General Property 5.240 183,200 211,500 394,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 312 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT "IER 7J7 SEC. T,?lN, R W 0. Z DRESS ST. CROIX t0UNtY9 WISCONSIN. _3DIVISION LOT LOT SIZE PLAN VIEW -Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM �xAr - � P51 00 -TIC TANKS)_ MFGRO CONCRETE TEEL NO. of rings on cover C;4 Depth In DRY WELL '-'INCHES NO. of width length area i no. oAf lines width length- are dyh _.Iv to top of pipe 3".1%EGATE /S "" h i K RATE AREA REQUIRED AREA AS BUILT -%z;p ,-1-laimer: The inspection of this system by St. Croix County does not imply complete A. pliance with State Administrative Codes. There are other areas that it is not possible inspect at this point of construct ' ion. St. Croix County assumes no liability for L .I.&.em operation. However, if failure is noted the County will make every effort to -ermine cause of failure. __:ASES AND OILS SHonD NOT BE DISPOSED THROUGH THIS "INSPECTOP DATED PLUIKJER ON JOE LICE14SE NUIfBEB Z _-- ,,REP'.'mRT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM SanitaAy Pe_hmit n State S e pt-:.c y, NAME. i"vwnh� p Sit. Cttoix County Loca.t,iog %j� % Section , nrnr_r/I 'r'A ll[/ Size Zjq J) D gatton1s . Numb en o6 Compantments_ D".tance Ftcom: WeZZ it. 12 0 otc gtcea.tetc 6tope Buy.. -ding 6t. WetZand/s 6 . Nighwate,t 6t. , DISPOSAL SYSTEM Distance Ftcom: FIELD DIMENSIONS: WeZf- g 12106 on gtcea.tetc /s Zope 6t. BuiZd.ing 6t. Wet ands Ft. I Highwatetc -- 6t. i Width o6 ttcen ch12_6t. Depth o6 tco ck b etow tiZe / i .-in- Length o6 each Zin 6.t. Depth o6 tock oven tite Z .in. Numb etc o6 Zin ens ,. , Depth o6 tite b et ow 9-,Lade92,-in . TotaZ Zength o6 Zine6 0 6t. SZope o6 tkeneh tin pets 100 6t. Distance between Uners / 6t. f0 Depth to b edto ch /,/tl 6t. Tota.- ab6 otcbtion aAeaZ0 6t2 Depth to gioundwatetc _ It. Requited arcea 6,t2 Type o6 Covet: Pa.petc otc S.tnaw PIT DIMENSIONS: Numb etc o6 pitz GtcaveX, aAound pits ye/s no Outside di.am e 6t.. Depth below intet 6t. 2 Totat abz o do n atcea 6t z 2 rn Atcea tceq u.itced 6 INSPECTED B TITLE APPROVED , DATE Ul� ,�ZC,19 7 . REJECTED , DATE 197 1 _ r EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TEST LOCATION: kw14 Section TnN, R L2 E (or) W, Township or Municipality -2 Lot No. Block No. —, r- t17-Z County C3�L �f� -Subdivision Name Owner's Name Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW /-----'.—ADDITION ----REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS -:2 - 2.7—PERCOLATION TESTS. SOIL MAP SHEET SOIL TYPE A 121 d? 41 PERCOLATION TESTS TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES CHARACTER OF SOIL THICKNESS IN INCHES SINCE HOLE 1ST WETTED HOLE AFTER SWELLING INTERVAL IN MINUTES MIN/IN PERIOD 1 PERIOD 2 PERIOD 3 BER P_ 64,7 P-7 67 P _Y SOIL BORING TESTS TEST NUMBER TOTAL DEPTH INCHES DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES (DEPTH TO BEDROCK IF OBSERVED) OBSERVED ESTIMATED HIGHEST B- 17,�Z ty B-- j �7 . .... PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of -Suitable aceas,.- Indicate number square feet of abs on area needed for building type and occupancy. _S at ca I e or distances. Give horizontal and vertical reference points. Indicate slope. zq T_T_ ____T T 00, V 7) 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief. Name (print) Certification No. I Y / 3 Add ress Name of installer if known COPY A —LOCAL MU I nV11111 11 1 PLB0 6,c7 18aW'MO: State and County Permit Application for Private Domestic Sewage Systems l *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I .D. # A. OWNER OF PROPERTY Mailing Address: State Permit # County PerM4 # County '7-Te f - HdB. LOCATION: lblit, '/4 '/4, Section T N, R / '� E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village C. Township C. TYPE OF OCCUPANCY: *Commercial *Industrial "Other (specify) *Variance Single family L--' Duplex No. of Bedrooms No. of Persons ? D. SEPTIC TANK CAPACITY/ ,�^ -Z� Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete Poured -in -Place Steel Lam'~ Fiberglass Other (specify) New Installation / Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured -in -Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate r 5 Total Absorb Area sq. ft. New L-- Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: `-,tom Length- _�,2 ' ;Z- L�' g Width � � Dep Tile depth (top) No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land 42 — .2 % Distance from critical slope WATER SUPPLY: Private �9 Joint ❑ Community ❑ Municipal ❑ Owners name as Iisted on EH 115 if other than present owner: I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared by the Certified Soil Tester, NAME _ !� i c- ,�1 �� I h � C.S.T. # � � % ,,.� and other information obtained from (owner/builder). Plumber's Signature � f Phone #,-;2- �- ��.�.,� -� �� M P/M P R SW # Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. rZ' f� 1 IV Do Not Write in Spacq Beloyv - FOR COUNTY AND STATE DEPARTMENT USE ON -ICY Date of Application y _ F C. pp �' j f Fees Paid: State 'Coun,�� - Date Permit Issued/Rejected (date) -7` .� - �/ _TIssuing Agent Name 4---z- � Inspection Yes-2—(_N0 State Valid# Date Rec' 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copy) Revised Date 7/1 /78 AS BUILT SANITARY SYSTEM REPORT OWNER 6-e t TOWNSHIP 5-L---Jo-yep� SECTION 8_T Q / N—R-19 W ADDRESS 108,E NeISd10 FARI'Y\ RU ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT,,S- LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM A /*C' A� R, 0 lop, r Ll 'jg c Cz fA INDICATE NORTH ARROW BENCHMARK:Elevation and description: Alternate benchmark 1000 SEPTIC TANK :Manufacturer : N A �- ()O A i Liquid Cap. 18 � �� Rings used: Manhole cover elev: U-06inal grae ele V 9-.5 () i C-kp9 G �8 Tank inlet elev.:NkW 1�,�ATank outlet elev.: OtAi No. of feet from nearest road :Front Side_, Rear Ft. CM 26()ff From nearest,prop. line:Front Side , Rear Ft.- ?Jt No. of feet from: Well sco Building: (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: -Liquid Capacity: Pump Model: Pump/Siphon Manufact.: Pump Size Elevation of inlet: Bottom of tank elevation Pump on elev.: Pump off elev.: Gallons/cycle: Alarm: Man.: Switch Type: Location lid Distance from nearest prop. line: Front Side_, Rear Ft. Distance from: Well Building SOIL ABSORPTION SYSTEM -- y " YS t� Bed: Trench: Seepage Pit: Width: -:5 - Length 100 Number of Lines: ca Area Built /000 Exist. Grade Elev. 99, Proposed Final Grade Elev.—�I'.t� Fill depth to top of pipe: - No. feet from nearest prop. line:Front—,, Side)( Rear Ft.Q'' No. feet from well: ) )3 No. feet from building_ �jj HOLDING TANK Manufacturer: Capacity: No. of rings used: Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front Side Rear Ft. No. feet from: Well building nearest road Alarm Manufacturer: INSPECTOR: DATE: Ila 19 11 PLUMBER ON JOB: Qk' LICENSE NUMBER: -3yo V 6/90 : cj Q IWR# atne Wt of f n�ur�y�PH 8.2 9.19.111E NW NE NEL Old FARM RD . PRIVATE SEWAGE SYSTEM Labor and Human Relations INSPECTION REPORT Safety and Buildings Division 10 * f (ATTACH TO PERMIT) GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village [Town of: ROBERTS,JEFFREY S & SUSAN I ST. JOSEPH CST BM Elev.: 10 Insp. BM Elev.: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Aeration Holding TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. Ventto Air Intake ROAD Septic, NA D NA Aeration NA Holding PUMP/ SIPHON INFORMATION Man adu re Demand Model Number GPM TDH Lift Friction Ve TDH Ft L Forcemain Length Dia. I Dist. To SOIL ABSORPTION SYSTEM ELEVATION DATA County: Sanitary Permit No_: 175658 State Plan ID No.: Parcel Tax No.: 030-1031*-50--~000 A920033.5 STATION BS HI FS ELEV. Benchmark ' Bldg. Sewer St / Olt Inlet St / fi( Outlet CV/ Dt Inlet Dt Bottom Header/ Ma �,o�' 9" .Cps Dist. Pipe �,�//. 3KI Bot. System ' Final Grad 2- S ,0 � �. BED/TRENCH Width Length No. Of Trenches o. Of Pits Inside Dia. Liquid Depth I IONS 7— DI N SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manu acturer: SETBACK INFORMATION CHAMBER OR UNIT Type O i Moder: System: ZO- DISTRIBUTION SYSTEM Header / 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 Z1,573 Depth Over �� xx Depth Of xx Seeded/ Sodded xx Mulched rf Bed /Trench tenter Bed !Trench Edges 7-� Topsoil Yes ❑ ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) 5;�6 C > z Plan revision required? ❑ Yes Use other side for additional information. 9. SBD-6710 (R 05/91) Date Inspector's Signature i 13 OILHR ve%11111 ■ r+ra ■ 9-i.ri■n■ ■ Ar r a.■vr+ ■ ■v■■ COUNT r �,.� In accord with ILHR 83.05, Wis. Adm. Code - V ) --*x ' --Attach complete plans (to the county copy only) for the system, on paper not less than STATE SANITARY PERMIT # 8% x 11 inches In size. E1Ch_1k7ri; sion OV7eusapplication --See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTYX PIJOPERTY LOCATION '), T N, R J E (or) W PROPERTY OWN 'S ILIN ADDRESS (0) A LOT # S BLOCK NA 00 yw.)**^ ,. CI STATE , ZIP CODE BER SUBDIVISION NA E NUMBER \Ad3n � 11. TYPE OF BUILDING: (Check one) State Owned VILLAGE N RE T ROAD Sf - roe a� ❑ Public a, or 2 Fam. Dwelling-# of bedroom RCEL TAX NUMBER(S)III. BUILDING USE: (If building type is public, check all that apply) 030-10.31-,540 1 ❑ Apt/Condo 2 El Assembly Hall 6 El Medical Facility/Nursing Home 10 El Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 EI Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 El Hotel/Motel 9 ❑ Office/Factory 13 El Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. El New 2. Replacement 3. E]Replacement of 4. El Reconnection of 5. El Repair of an System System Tank Only Existing System Existing System B) El A Sanitary Permit was previously issued. Permit # Date Issued V. TYPE OF SYSTEM: (Check only one) Non -Pressurized Distribution Pressurized Distribution Experimental Other 11 Seepage Bed 21 El Mound 30 El Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 El In -Ground 42 El Pit Privy 13 ❑ Seepage Pit Pressure 43 El Vault Privy 14 El System -I n-Fi I I VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE $. SYSTEM ELEV. 7. FINAL GRADE N r75 0�� RE IRE�sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min inch) EEeet �� 1000 9�, Y Feet V11. TANK INFORMATION CAPACITY in gallons Total Gallons # of Tanks Manufacturer's Name Prefab. Concrete Site Con- Steel Fiber- plastic glass Exper. App. New stirs Tanks Tanks structed Septic Tank or Holdin Tank -t sLi Lift PumpTank/Siphon Chamber I El I VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name rint): Plumber's Sign a e: (No Stamps) MP/MPRSW No.: Business Phone Number: Q 1� (7),s�101 .� Plu rdt Troes (Street,Tty, te, Zip Code):00 r�\ i L � Ov f JL:::L20i IX, COUNTYIDEPARTMENT USE ONLY Disapproved Sa Surcharge Fee) ry Permit Fee (Includes Groundwater Date IssuedIssuing gent Si nature ( mpg) Approved ❑ Owner Given Initial ', 0;e;] Adverse Determination. X. CONDITIONS OF APPROVALIREASONS FOR DISAPPROVAL: SBD4M (formerly Plb-67) (R.11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1..: A sanitary permit is valid for two (2) years. 2., Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3 All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SEED 6399) to be submitted to the county" -prior to installation. 5. Onsite sewage systems must be properly` maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete ## of bedrooms if 1 or 2 Family Dwelling. Ill. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repai r. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. Vlll. Responsibility statement. Installing plumber is to filt in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8'/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) so 4 tet data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed, Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. -------------------------------------- ------- Owner of property Location of property -1/4, Section T N-R /F W Township Mailing address 10f5 AA6/5,)jv -Vo Address of site J; Subdivision name_5'_Q&�- k-- Lot no. 1-� Other homes on property? yes No Previous owner of property Total size of parcel Date parcel was created J,3 - � / Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? _ Yes No Volume 5770 - and Page Number /67 as recorded. with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, Would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. 63-1031- SZ) , and that I (we) presently own the proposed site for the sew -age disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system,, and the same has been duly recorded in the office of County Register of deeds as Document No. Si rye of applicant OP Date of Signature Co-applicaht �--- -)-.s - - � Z.- Date of Signature STATE- BAR OF WIS,( OMUFANT NO, WARRANTY DEED I Z A T 143zotOO94 i REC �!�S OFFICE Rr- c'd. i k o s to -,*Te-f frey S. conveys and warrantPoL),-r�s a,!- Roberts, 1.1is atyusly TO . l, the followirg described real estate VI StCro: State of *isconsin' A parcel of land locaLed as Par(- in the North Half of the Northv;i,,-;1- Ouart�,r of Section Tawas: hip 29 Noeth, Range �wpq ,t, Town t)f Joseph, Sr-. Croix Tax Kc- No 'County, Wis., described as follows: Commen,, '.�ig at the North Ouarter rn f (-tton Vie 8; thence Sout1i 011421 10" West (true 1kearin-, 1313.25 feet along tl ofthwest Quarter of the Nort1least said SC orLh 890JV 50" East -en 6.65 feet along the South line )t .ii,l ouarter thi� "--rtheast nuarter, t1tc e f-e,, ilollf, the ",--isL line of said ouarter of tht, North- *Dlrth 00 39' 10" East .00 L I east Quaterto the p0iaL Of thence Sotith 890 17' 50" West 642.4n t i thence "I O2' 50" East 346.64 & - North 18L the Easterly right-of-way lone of a pro --�od tc,�,n f " road; thence North 890 52' East 663..- Beet; thence South 00 22-1 in: ' aqt P6.1"i t: '')once South 890 -17' 50" West 120. 34 feet ; t. � onee South 01 31V 10" West 30.01 feet 1* ,ncy -'aid line of said Northwest Quarter of tl;( ';-,rrheast Ouartoor to the noint of 1hepinnj.-,,-. ALSO Easements and rights of ownershin as specified in Affidavit Establlshlnp Y:Isevents recorded in the office of the Repister of Deeds for St. (foix Co WIA -s. In Vol. 07, IPages, 410-412, Document 315988. SUBjECT TO recorded e,isements and restrictive covenants. TRAN I'So'F FrA.J E This homestead propert% (is) (is not) Exception to warranties: ,\T) r 4 th dav of 79 Dated this (SFAL) I= A U T H E N T I C A T 1014 Aay � f TITIA: MEMBER 'FFATF BAR ()F WISCONSIN authc"-Ized b.", 7 0 t-, 0 f) 14' This instrument w r, *crafted h,,° Katherine i1aakensol"I 4142 S. Shirlee J.ai:c St. Paul Mn. �5112 ( Signatures may or acknowledged. flotl,, % tie are not Katherine L. HaAkenson (SEAL) ACKNOWLEDGMENT M it) n e sL--i t- 0 STATE OF 10� Ra rri c>e y day of came thistore me, this the ah� ve narnf*d 1 h(- [)� rson ext,, �t—i the fore- icknowledved s,me County, W*:7 m rr O perm, Of not, State exPltat'n 19 WARP A`, ry 1)F p 1) SSA IE JiAk SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER TEFF�E�f S A-n�0 �'vsr9-r� � �8�� ADDRESS : 16"V5 -OVW450 eJ rAY21'I 40 14,DSO W FIRE NO: A�00? 4 c� LOCATION: A1111 1/4, ME 1/4, SEC. T N-R / il W, TOWN OF: ST. CROIX COUNTY SUBDIVISION: LOT NO. 14 i 1, -F 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 septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system: St. Croix County residents may be eligible to receive a grant to help with the cost of the replacement of a failing system, which was in operation prior to July 1, 1978, St Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to the St. Croix county Zoning 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 (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification from will be sent approximately 30 days prior to three year expiration* 11 I/WE, the undersigned have read the above requirements and agree to maintain the private sewage disposal system -in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification form must be completed and returned to the St. Croix County Zoning officer within 30 days of the three year expiration date. SIGNED: DATE: St, Croix County Zoning Office 911 4th St, Hudson, WI 54016 Wisconsin Department of Industry, SOIL DESCRIPTION REPORT Safety 1"X Buildings Division Labor and Human Relations P. 0. 07 9 6 9 (Attach Soil Profile Location Map - To Scale - On A Separate, Signed Sheet) Madison, W1 53707 Pit No Elevation c� 1 -1 Soil Survey Page No. -S�D Mapped as Page of Customer Name Soil - Evaluation Date Current Land Use or Vegetative Cover I Parent Mater als ?X) iz� S - _ - ., C---> [Z^ :5 S \ S 4 (3 Customer Address Estimated Shallowest Groundwater Flood Plain Elevation 1-21 1:�� S r1Kj FINN- County Tax Parcel No, System Loading Rate in Gallons Per Sq. Ft. Per Day x Lot Legal Description F S T - � Z kF� � System Geometry and Depth Slope and Aspect 4-1 1 .'E1k 9-7 STt L Horizon Depth. Dominant Color Mottles Structure Remarks: clayskins Loading I . n. Munsell gy. SZ. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Boundary_ pores, eH, and other GPD/ft.2 13--) \r3l-t�z_ � 11L S1 3-S 77 _�� lam` C� 1/40 U c- �Sz C- Q�' -t 1z %i�- C \I- YV) C' Z),Nj -1;;:�j T- S 71:E�-f L Additional Remarks: Lf ]3.PPfZ(3&2�j-L ��tt-t oF \A NAZI W-k.-i !11E F)\'u"6'y Other Site Features: Limiting Factors/Depth: CST Signature S— 1, 9 Z. Date Signed Telephone No. CST # L 01, r) r-) 07 -) o I k , n 4 "') r) \ Wisconsin Departmentof Industry, SOIL DESCRIPTION .REPORT safety &Buildings Divisior Labor and Huan Relations y P.O. Box 7969 i.�._ _�_�i n_.� __..�:..._ �n-... r" C�-,In_ (lr, A Cor»r�ta iinnPrl iF1PP1� Madison,Wl 537 Pit No. 'L Elevation Customer Name � �1-Z T S CustomerA ress County Lot Legal Description 1 .OF }.1 --"E- S(Er� C- tAttach Soil rrof1le location N1ap - o ca e - n p Sail Survey Page No. SQ) Mapped as �-Z:�1 Page Z of `-- Soi Eva nation Date Current-Lan-d use or Vegetative Cover Parent Materials Estimated Shallowest Groundwater Flooc Pain Elevation , Tax Parse No. System Loading Rate in Gallons Per Sq. Ft. Per Day S.T.. �5 System Geometry an Dept Slope an Aspect � N - Horizon Depth . Dominant Color Mottles In, Munsell gu. Sz. Cont, Color Textu Additional Remarks: I Other Site Features: Limiting Factors/Depth : CST Signature Date Signed Telephone No. CST # Wisconsin Department of Industry, SOIL DESCRIPTION REPORT saf t& Budd I ngs D I v s 4o 1e � P. Oox 7969 Labor and Human Relations (Attach Soil Profile Location Map - To Scale - On A Separate, Signed Sheet Madison, Wl 53707 Pit No Elevation cl 7 Soil Survey Page No. SO Mapped as Page of -Customer Name e 611 S 'I Evaluation Date Lan Use or Vegetative Cover Current L Parent Materials S Lq \ S Customer Address Estimated Shallowest Groundwater Flood Plain Elevation 4r j N-3 County Tax Parcel No. System Loacfin-g- Rate in Gallons Per Sq. Ft. Per Day S�T- C,�R-Z --I S - Lot Legal Description p F S T S k:P System Geometry and Depth Slope and Aspect Horizon Depth fin. Dominant Color Munsell Qu. Mottles St. Cont. Color Texture Structure Gr, Sz. Sh. Consistence Roots Boundary_ Remarks: clayskins pores, pHand other Loading GpD/ft.2 YVA \'j *3 J VtT C- C-- Z 3 -3 5 l 31 S 3 v o a I � Additional Remarks: other Site Features: Limiting Factors/Depth: CST Signature 1!0 S-)-9 Date signed Telephone No. CST # Z 8 � dz b �� a e a�n eufii # 1ST 'ON auot{da al pau IS o ,S 1ST �c.s s914 —S-z� c\01 s 11A# r1 - ttio ti u.B d �1 '.daaa A Is '4L L �( °2 L a Cam• $ ` 10 � .2r,D ra Q\ 1 S-awl VA-4 aia- Is X ♦� '1'11�M A �o aBed 7.'b b -� i ,s IS It C M 4 L'bb -1P VNI aq , P T P E C J E T 'Ek L NAMENAME J �16�� e�<. L 0 -C AT 10 N._.ji LIC.ENSE/1�...0 _._ P L 0 1" —. 1) A T E M A P X Lail N to W)l k V N (A ter, rRESH Aifi -10LETS AND OBSERVAriotj Pivi-; C1'\06'-3)S SECTION Approved Vent Cap Minimum 12" Above yz S3 Above Pipe To Final Grado Marsh lay Or Synthetic Coveri-ng Min. 2 Aggreg'01 Over Pipe Distribution., kq IT Q Pipe Aggregate r;o�q-o- T i�cncaLh Pipe Xjz .\Y 411 Cast Iron Vent Pipe I— Tee Per-forated Pipe Below —Coup].Ang Terminating Bottom of System SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL WEGERER SOIL TESTING & DESIGN PO BOX 74 RIVER FALLS WI 54022 RE: Plan Number: S92-40298 Gallons Per Day: Project Name: ROBERTS, JEFF - RESIDENCE Town of ST JOSEPH Western Regional Office 2226 Rose Street LaCrosse, Wisconsin 54603 Owner: JEFF ROBERTS 1085 NELSON FARM RD HUDSON WI 54016 Date Approved: May 19, 1992 Date Received: May 13, 1992 Location: NW,NE,8,29,19W County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved'. This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires, The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only: - REPLACEMENT PETITION NOTE: Conditionally Approved. The condition is that plans for the soil a 9 system be submitted to St. Croix County for review and approval Inquiries concerning this approval may be made by calling (608) 78 8. ter" Y CP 0 T SBD 0423 iR. I) I Ad I i ■ • ! SAFETY & BUILDINGS DIVISION t State of Wisconsin Department of Industry, Labor and Human Relations wEGERER SOIL TESTING & DESIGN Page 2 Sincerely, ERAR MISIi Section of Private Sewage Division of Safety and Buildings PPP039/0009n/42 cc: JEFF ROBERTS X. Private Sewage Consultant SBD 64231 R. 01/91 i SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, Labor and Human Relations May 18, 1992 JEFF ROBERTS 1085 NELSON FARM ROAD HUDSON WI 54016 Petition No, S92-40298-P Dear Mr. Roberts: Re: Jeff Roberts - Residence Private Sewage System NW.9 N E., 8 929,19W Town of St. Joseph, St. Croix County, WI Your petition for a variance to sections ILHR 83.10 (1) and 83.13 (6) (a), Wisconsin Administrative Code, has been reviewed. The petition has been conditionally approved. The conditions are as follows: Plans for the soil absorption system shall be submitted to St. Croix County for review and approval. The rules being petitioned require that a soil absorption system be located not less than 10 feet from an uninhabitable slab -constructed building and the top of the distribution piping shall be no more than 42 inches below the final grade. The variances requested were to allow an existing soil absorption system to remain in place 2 feet from an existing garage and to install a replacement soil absorption system with the top of the distribution piping approximately 53 inches below final grade, All of the data and statements submitted on behalf of the petitioner were considered. This variance is specific to the subject petition and cannot be used for any additional modifications. Sincerely, K, Richard Meyer, Arch it ct Director, Office of Division Codes and Application (608) 266-3080 RM:GS:1741WPP1 cc: Leroy Jansky, Private Sewage Consultant - District 6, Chippewa Falls Thomas Nelson, Zoning Administrator - St. Croix County SBD 6928 iR. 01/911 San. Permit No. H63.05 PLOT PLAN "Show: Location of building served Septic tank Building sewer Effluent system Replacement system area -Distribution boxes Pump and controls: Mfr. & model No. S 9 2 ur 4 0 2 9 Dosing chamber Vertical horizontal reference point System elevation is .-S Well Property lines w/in 50 of system Scale- = N ti =- 1a I Y' or dimensioned Vertical Lift Size Force Main Friction Loss T. D. H. Vol. Dist. PipePll- Gal. per M-in. Gal. per Cycle Place check mark in appropriate box, indicating item is shown on plot planbelow: ELL S,A/O A TH. 0 WAS. I G L4ttC1 V -r V.),, P4S.S L—:- X-I Is -r-))Q ------- �v2-4p298 t1_4Q, ScAtL�. Q 1P GR Fbk A712b p) pe XAJ \ V-7 S E-�Z C-GJkJ C�TLAZ.TJE ZOISI-R-113Q�MAJ lao'.4 IMV GAz(-YsS SELC-73r\j No SUIT L) " 1p,->\.) c S� LI tNIvvPv L-L, I � I P(--= L4 V ENT p / p � w J �/ CAP -4cr Lc-.A-ST Fj"JS40) C-J;P-ANG� WT b 14-7—s3 LL CL& OF Z'/-z "' P\ G G R-Ei (& Pi 7•z3 ST;?.,) lau-mixi Tzo P-�G L SAFETY & BUILDINGS DIVISION ct� 416. COSVE0 V L 4 co r"I 1 2 Jgta D tm eat 4flin d list. GG;b�N:pr -ZONING OFFICE? A L -:1 Wisconsin ,abor and Human Relations Mav 1 P1, an 'Umber '19'�-40298 03t�e App- I 7 J 1 1 r.y r i.-a _i...l "�imai 41,7 e R�i1 � it . I STDENC L o IV ame w n t H Cot .. nr,y j fo rl S t n av e W -equ 1 rements T h i • Z�nc JC1 I uric e code i tD a r' I #- n T h p' ans a r ie 3 u s and the Wisconsin. Administrati,v- Co( -In I r .-:4 jn!!, e t r'.. 7 a^;) J-d r 3 ve., d This appr,val r, ccinp �A &.1 ..n the plans. Al i items ti a a r t, LTust be c-'r.-incted A-11 rm T, s 'eq:: ., clunt, bbeobt- a -j ned the c i ty v i I I age t rl.w n s h it p or - D r to C c) n s t ru c 11: 1 UI . The 'licensed plumber responsiblit-Eal F nsta e P 6 4.. - I 1-i t he -),,;; - - , h e o pians wit' to - ! �:i department's apprcy a t c. n s, 1-0 r u c t, -i 0 I'l S1 i_�=. :he installer shall; notify the appropr4at- 1 -Ispector when p %e, c 10 n ,: z-, -.an bi-= m a re e T f a sanitary ,os approva". W, -e two years from the date approved c,r permit is obta�necl. 1'*L' W4111 expire the day the initial sani-La-ir-y permit expires. T_ system (-de The Sewage has reviewed these plans Or pr.�2r_e sewage sys requiremc..A.nts only. '111-1,ese plans have not been reviewed for T.11'-,e code requirements forth in Section . se TLHR 821 for general plumbing or in chapters 50-64 of the i_ Wisconsin Administrative code. T hiss approval i S -jr 4--he following components onlv: - REPLACEMENT PETIT -ION NOTE: Conditionally Approved. The condition is that plans for the soil absorption system be submitted to St. Croix County for review and approval. Inquiries concerning this approval may be made by calling (6040-1) 785-9348. SAD 6423 R IWIlli y.. • 1 + SAFETY & BUILDINGS DIVISION s r � State of Wisconsin' Department of Industry, Labor and Human Relations W G'FRER SOIL TESiIN"i cS ;�.�;�� C .s 1 t P;t? Sincerely, Ce"ImM. lyll ( Section of Private C.Rvisil-n of. Safety PPP01�9009n/42 �EP� ROBERTS S t.� . -x �r ' C mew . +�}?u t� SOD Mzs 1R. UIN11 * � t SAFETY & BUILDINGS DIVISION ti 201 E. Washington Avenue ` P.O. Bo: 7969 Madison, Wisconsin 53707 Mate of Wisconsin Department of Indusctry, Labor and Duman Relations May 18, 1992 JEFF ROBERTS 1085 NELSON FARM ROAD HUDSON WI 54016 Petition No, S92-4029E--P Dear Mr. Roberts: Re: Jeff Roberts - Residence Private Sewage System Nw,NE,8,29,19W Town of St. Joseph, St. Croix County, W1 Your petition for a variance to sections ILHR 83 .l 0 (1) and 83.13 (6)(a), Wisconsin Administrative Code, has been reviewed. The petition has been conditionally approved. The conditions are as follows: P1 ans for the soil absorption system shall be submitted to St. Croix County for review and approval, The rules being petitioned require that a soil absorption system be located not less than 10 feet from an uninhabitable slab -constructed building and the top of the distribution piping shall be no more than 42 inches below the final grade, The variances requested were to allow an existing soil absorption system to remain in place 2 feet from an existing garage and to install a replacement soil absorption system with the top of the distribution piping approximately 53 inches below final grade. All of the data and statements submitted on behalf of the petitioner were considered, This variance is specific to the subject petition and cannot be used for any additional modifications, Sincerely, Richard Meyer, Archit t Director, Office of Division Codes and Application (608) 266-3080 RM:GS:1741 WPPI cc: Leroy Jansky, Private Sewage Consultant - District 6, Chippewa Falls Thomas Nelson, Zoning Administrator - St, Croix County Se0 sM iR. ouvi, vs SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, 1,abor and Human Relations Ilay 18 , 1 " , -- PETITION FOR VARIANCE: Sections TLHR 83.10 (1 and .13 (6) (a) his, Adm. Code* PETITION NLHBER: S92-40298-P PETITIONER, JEFF ROBERTS 1085 NELSON FARM ROAD HUDSON WI 54016 BUILDING OR PROJECT: Residence/Onsite Sewage System NWqNEq8j029tl91-J Town of St. Joseph, St. Croix County, WT CODE REQUIREMENT: A soil absorption system be located not less than 10 feet from, an uninhabitable slab-constri,,icted building and the top of the distribution piping shall be no more than 42 inches below the final qrade,, VARIANCE REQUESTED: The petitioner requests to allow an existing soil absorption system to remain in place 2 feet fron an existing garage and to install a replacement soil absorption system with the top of the distribution piping approximately 53 inches below final grade. PETITIONER'S STATEIIENTS,o 1. Due to the elevation of the existing septic tank, and building sewer, the distribution jai pes will be 47 inches to 53 inches below grade, 2. The existing drain field is about 2 feet from the existing garage. 3* A trench type system will be installed with a distribution box placed between the septic tank and the existing drain field in order to utilize it in the future. The nature of the soi I being sandy loam and sand/gravel has a low bulk density arid will not hold water. Thi s fact and the trench design should pose no concern with possible crushing of the distribution pipes. T h e 0, well is located, 80 feet from, the existing drain field and about 140 feet from the proposed trenches. All other setback requirements are met except (2) above . SRD squiR. ovvii A I " I 1 9 1k SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, Labor and Human Relations 4. It is requested that the existing drain field, may remain in place for- future use. It has been in place for 12 to 13 years with no apparent adverse effects. Its failure at this time is likely due to overloading. There are eight people In this family and the r1rain field has only 624 square feet of absorption area, COMi'4ENTS: I . No n, ottl i ng i s present therefore groundwater wit l not be a probl en, . 2. In reviewing the petition, It was noted that request was similar to other petitions accepted I- v this department, 3o Based on the precedence established by the previous petitions, this petition for variance is being processed as Permitted by Wisconsin Statute, Section 10i,.02 (6)(g)& RECOMMENDATION: Conditional Approval , The conditions are as f ol 1 ows: Plans for the soil absorption system shall be submitted to St. Croix County for review and approval. Prepared by: Gerard t1, Swim 6 DEPARTMENT ACTION, 4(4 Signature: t"J( e ad Mey_&-,_DTt4e_ctor_ Office. of Division Codes and Application D ate 5/4 s®D $928 (R. 011VI i