HomeMy WebLinkAbout651340Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM
Safety and Building Division
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)],
Permit Holder's Name:
City Village Township
Eric Fischer
TOWN OF SOMERSET
CST BM Elev:
Insp. BM Elev:
BM Description:
TANK INFORMATION
TYPE
MANUFACTURER
CAPACITY
I
Septic
r
I CA �W( I � (f r
QOQ
Dosing
4w M', ;vt w;se,
2- C-?
er tion
F
ding
TANK SETBACK INFORMATION Oev pk. in�
TANK TO
P/L
WELL
BLDG.
Vent to Air Intake
ROAD
Septic-2
1cp
o �ng
A r ion
Ho ing
PULP/SIPHON INFORMATION :3� Z(;Pe,�
Manufactu,, er
De and
GPM
Model Number
TDH
r
rFriction:LLoss
System Head
TDH Ft
Forcemain
Length
Dia.
Dist. to Well
SOIL ABSORPTION SYSTEM
ELEVATION DATA
County: St. Croix
Sanitary Permit No:
651340
State Plan ID No:
Parcel Tax No:
032-1007-30-500
Section/Town/Range/Map No:
03.31.19.45A-50
STATION
BS
HI
FS
ELEV.
Benchmark A1i 9M
2 A
�4� ✓' y
0
Alt.
Bldg. Sewer
C
St/Ht Inlet
St/Ht Outlet
Dt Inlet
Dt Bot
Header/Man.
Dist. Pipe
Bot. System
Final Grade
St Cover �Q� Tank
q C CJV`�
I 2�
voilvf.
�.Z
Ys. 6 3
BED/TRENCH
DIMENSIONS
Width
Length
� 0J'�,
No. Of Trenches
PIT DIMEN NS
No. Of Pits
Inside Dia.
Liquid Depth
SETBACK
INFORMATION
SYSTEM TO
P/L
BLDG
WELL
LAKE/STREAM
LEACHING
CHAMBER OR
UNIT
Manufacturer: - I
�nf i `� cG�OI
Type Of System:
1 AcL�
�c,�ve� U
�r`7
b
nn
�J�
�?](�
nnV J
�J
Model Number:
� V C�
DISTRIBUTION SYSTEM
Header/Manifold
Distribution
x Hol Size
x Hole Spacing
Vent to Air Intake
Pipe(s)
Length Dia
Length Dia Spacing
SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only
Depth Over 11'
D pth a er
x e
xx Seeded/Sodded
xx Mulched
Bed/Trench Center 2
e re ch g
op i
es
�'°° "es No
COMMENTS: (Include code discrepencies, persons present, etc.)
Location: 2352 CTY RD
Inspection #1: Inspection #2:
1.) Alt BM Description = Qra 5y �ee fruno oil �4 cePhc,k {-w- v(xive
2.) Bldg sewer length =
- amou er =
Plan revision Required? ❑ Yes No
Use other side for additional information.
SBD-6710 (R.3/97) Date Insepctor's Signature
(5S G
Cert. No
I - _.
Services Division
4X21 MadisoTi Yards Way ON
&L d ison, %V1 53705 iW)cr bc filled In by Co.)
Sanitary Permit Nu
S (M
11.0. kt)x 7162
N-Li.di-solly W1 53707-716ti 30q 0
f2
Sanitary Permit Apphalt'1011
State Transaction Nurnber
I p ncor&T WCwitli SPS 383.21(2), Wi.s. Adill, COCIC, SUbmission of this rOMI I(L) i1ir, appToprialc governmental wilt
----------
I 'roject Address than mail Ing address)
k rt(I L] i I C %J prior to obt ai n ing a sari i tary per ni it. N � 1 1 e " A p 1) 1 i t:al i 011 Fo ri ii s for stat c -4 1 w ned PO WTS are s t i. b m it t ed I o
11Q I )C[)LLr( nicilt of Safety and Pro 6essio-nal Scr-v iQcs, ticrsornil 111 k �r i i iation yotj provide may be used for secondary
L�1'1);,N�S i i I L,� i:ordaiicc with [lie 1'r ivacy Law, 15.04 (1 )(nI), SjL 1.,.
I. Application Information —Please Print All Inform ation
11n,,)per1y Owner's Mime
.5
1'roperty Locatillon 7- 3
Property Owner's Mall Address
"1 A 7r
.2 > 1�
Ovt, Lot
� I
14, seGtl()n
,tate
Zip Code
Phone N u m be- r
0
R F w
11. Fype of Building check all that apply)
I'm #
Subdiviz sion Name
Or 2 Family Dwelling — Number M_Redroorn,;
;Ablic/Conimercial — IX-,scribc Use
Block 4
11J.'Ity of
17, 1
CSM Nitnibe 2 09
I
1,11. Type of PONVUS Ilerrii it: (Check rather "New" or- "'Replactilivrit" -Mid other al.)pkable ou line A. Check uric box oil I ill C 13. UO III I) I C t L' Ii T I Q C i I
a 1)1) ica 1) 1 C.)
7NIew System Re lacement Systeill%Aklibonai Preirca,miciv Uilit (cxplatn)
Other Modi ication to Ixisting Systeni (explain)
[71 folding Tank O-G round L��t -G rade Mound Indivk!oifl Sirs f ((' ;lgn tier Type (explain) (Conventional
0 Renewal Before Revision hange of Plumber A 'Cr to New Owner List PrevioLis Permit Nunik-r and Datc k�m�d
Expiration Elran, 67V2= Ob
IV. J'jj,, I Treat m en t A rea -Ind T.-ink Inforniatioll., (7- 3 K7 +ret0o ig w-M-1p. z
'�er�al A
'Sign Soil Appi k:'Linoii Required (so Di rea Proposed (sO Sy-�!�:7n 11
[)is crsal AreL
.0�
Total 'N of an,
(%1j)JGL(Y LEI M lu achlrer
Gallon's Units
-nation Mbn MAJ
N
M env "ranks I-Alsting Tauks
32.0 s:r.- iz
Septic or Flo[dkig Tank ell
Dosliig Ctiarnber.
V. Res 1) o nsib ilia y Statent L n)o-o-+ ill c undersigned, fissti 1-11 C I' q -ibility for installation of (lie PONN"t'S shown on the attached phins.
NLHUbC S Name (Prinl� Phiniher's Life NIP/MPRS Mmibcr Business Phone NL:mbt�i
_70
Phli b r's Address I, State. ZI Code)
"o,
-2-
V1. COL111ty/Del)�Irtrilent U'w Only
Pumnit Fee Date Issued ISSUIrig Agent Signattire
A pprl wL!d
26
ner C1 ivC11 RLn)
C(O % N I
V — %
�JajVe Lk;�� +tAduz Er OL
SYSTE-M "_)"VVN'ER'
6d�
1. scpk ta- n1 et 71 r qd -'isp-rsai cell
m U S I bs a ry I c le. d ail n I --i in E-A ai,(,; per
mana,memeni 0,1'.n by plurnbei".
?.All setback reqiijirew�nir; musk he main kin ed
as per apphca5le C.Ode / Ordinances,
ATMIJI to Complete plans for this syslein and suhnilt IQ the Cou,111y oilly oil pgpel, not less, th-A i 1 8 1 x I I i Tl e 11 eS i TI site
S BD-6398 W
r,oA �c-.e - IAJ 1,43 /. t, I,
v
U
la 1
i
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond wi 54017
715-245-451 6
Date: 10/26/2023
owner; E ric Fischer
Location N E 1 /4 S E 1 /4 S 3 T31 N= R 10w 2352 county Road l Somerset
Used; In -ground absorbtion system (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. Chamber s Section
4-6. Faint ce d Contigen Ian
7. Filter Cr s on
Signature
License n er #226900
-Az
`,
,oA :--e - IAJ t,
la 1
i
Cross Section of Infiltrator Quick 4 Leaching Chamber
Typical cross section for 2 of 2 cells
Quick 4 Standard Leaching Chamber
with 20.0 ft2 of Area per Chamber
6.6ftA 2 pair of end plates
Typical Installation
Vent � Grade
3' 4" 3'
&-;`30/34 Septic Tank
» S' Long 5'
36 Grade at System Elevation
spacing 5'
System elevations:
A 83. o'
B 82.5'
To be > 1 ' above grade
Finish grade elevation
88.5'
Nent
r, 1 73
5' Lon g
-i ,,\ Grade at System Elevation
2-3' X 90' Cells
Same on other end Observation tubeNent
At end of cell
A
B
22 chambers per cell
POWTS OWNER'S MANUAL & MANAGEMENT PLAN
age
FILE INFORMATION
SYSTEM SPECIFICATIONS
Owner
4
Sep6c Tank capacity
al 11 NA
Permit
Sept.ic Tank Manufacturer
A
DESIGN PARAMETERS
Effluent Filter Manufacturer
Numt)er of E3edrooms
ILI Q NA
Effluent Filter Model
NA
Number of Commercial Unit's
;6NA
pump Tank Capacity
al M NA
Estimated
EsUmated flow (average)
rgavday
Pump Tank Manufacturer
M NA
DesIgn flaw (peak), (Esfimated x 1.5)
aVdqy
Pump Manufacturer
N A
NA
: I
Soll Application Rate
qaVdaylftl
pump Model
P NA
InfluenVEffluent Quality
Morithly average*
Pretreatment Unit
0 Sand/GMvel Filter
NA
El Peat Filter
rats,ail & Grease (FOG)
:�30 mg/L
El Mechanical Aeration
0 Wedand
Biochemical Oxygen Demand (Bs)
-�220 mg/L
173, 0[sinfection
El Other.
Total Suspended Solids (TSS)
'�l 60 E2L
Manufacturer
Pretfeated Effluent Quality 0 NA
Monthly average"
D' persal Cell(s)
Biochemical Oxygen Dernand (130D:5)
15,30 mg1L
.;Win -ground (gravity)
F1 In -ground (pressurized)
11 Mound
Total Suspended Solids (TSS)
0 rnglL
11 At -grade
EJ Drip-iine
L-1 Other.
Fecal Coliform (geometnc mean)
1041 CfU/1 OOM I
r,laximurn Effluent Parbcle Size I
Y, inch diameter
M Values typir -n t, dal) wastowater snd
affordof stic(non-commer
septic tank effluent.
vajues typic �aj for pretreateti
wastewater,
MAINTENANCE- SCHEDULF -
F Service Event
I respect condition of tan k(s)
Pump out contents of tark(s)
Inspect dispersal celi(s)
Clean -effluent filter
Service Frequeficy
0 months (Maximum 3 yrs.)
At least once every
when combined sludge and scum equals one-third (y of ;tank volume
At least once every0Trnonths yiL,-ar(s) (maximum 3 yrs.)
At least once every
Inspect pump, pump wntrols & ala;-M At least once every
[Mush lati3rals and pfeSSUre test
Mer
At least once every
At, least once every
At least once every
El months year(s)
Cj rnonths 0 year(s) El NA
El months El year(s) El NA
0 months [I year(s) E NA
0 months [71 year(s) El NA
MAINTENANCE INSTRUCTIONS
InspecOons of tanks and dispersal cells shall be made by an IndNidual carrying one of the following licenses or
certificabon s- Master Plumber: WSW Plurnb-er Restricted Sewer. POWTS Inspector. pOWTS Maintainer; SeptagO
Servicing Operator. Tank inspections must III(-.[Ljde a visual Inspection of the tank(s) to identify any missing or broken
hardware, Identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up
or ponding of effluent on the ground surface. Ttie dispersal cell(s) shall be visually inspected to check the effluent levels
in the abservabon pipes arid to check for any pc�,,Tiding of effluent on the aground surface- The ponding of efftuent or the
of tlie local requlatory authO�tY-
ground surface way indicate a fal Ing CondItIon Lind requires the Immediate notl urne, the
When. the combined accurnulation of sludge and scum In any tank equals one-third (Y) more of the to Vol
.) or [R
roved by a. Septage Servicing operator end of i VAM Ch. N
entire contents of the tank shall be rem d diIn accor
1131 Wisconsirl Admltiistrative Code.
Theservicing of effluent filters, rnech4nical or pressurized POWFS components, pretreattment components, and art
other maintenance or monitoring at Aer als of 12 months or less shall be performed by a certfied POWTS MaintainCIr-
A sere report stiall be provided to the local regulatory authority wlitfiin 10 days of com*-A'On Of any setvice cwc nt.
START UP AND OPERATION (S) for the presence of painting prodLJCtS of Other
For now construction, pnior to use of the POWTS check treatment tank if high concentratiorls are,
chernIcals that may impede the treatment process and/or damage the dispersal cell(s)-
detected have the contents of tile tank(s) removed by a Sept Servicing operator prior to use.
START UP AND OPERATION I t tank() f0f the pfesence of painting products or other chernir"'als thF't
For new constructon, pnc)r to use of the pOWTS Gheck treatmen
s
may impede the treatment rotes and/or damage the dispersal cell(s). if high concentratons are detected have the contents ofthD,
I
tank(s) removed by a septsge serAd rig 0 Pe ratOr Pry Or t0 u se
System start up shall not cccur when soil condibons are frozen at the InfilimfiVe surface. tef '11 by
per outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewa v'
burin pow d may result in the backup or surface discharge of effluent
is al celli(s) in one large dose, ovedoading the cell(s) an e
discharged to the d ts of the pump tank removed by a Septage Servicing Operator Prior to, restoring power 'to th
To avoid this situ an have the conten tainer to assist in manuatly opersUng the pump controls to re,5ibre normal levels
effluent pump or contnct a Plumber or POVVTS Main
within the pump tank. ive or park over, or otherwise disturb ()r c�Dmpact, the area withln
Do not drive or pa(k yehicles over tanks and ditsperual cells. Do not dr
15 feet down slope of any mound or at -grade soil aWrption area.
lloyAng from the wastewater stream may improve the performance and prolong the Iffe of the POWTS'
fat- foundation draW
Reducion or e5minabon of the fo bs; degreasers; dental flogs' diaPers; disilnfectant$'� I QdUC�S;
gamite butts; condoms-, notton swa - tjonS4 oil; *r1fing pr
antlbloUcs; baby wipes; ci elingsq gasollne; grease; herbicides; meat scrap s. rnedico
(sump pump) water; fruit and vegetabler pe I
pesticides; sanitary napkinsh, tampons, and water softener brine.
ABANDONMENT rvoe vAg teps &hall be taken to insure that the SWem is propetly
When the POWTS Tails andlov is permanently taken out of seithe follons
ichapfer Comm 83.33, Wls=sin Administrafive Code:
and safety abandoned In oom;�iance with
o All piping to tanks and plits shall be disconnected and the abandoned pipe openings sealed.
0 The contents of all tanks and pits shall be removed, and properly disposed of by a Septage Servicing Operator.
0
After pumping, all ks and pits shall be excavated and removed or their covers removed and the void space filled vAth s011.
gravel or another inert solid matei=ial.
CONTINGENCY PLAN W de a code comPlhilnt
It the PovyrTS falls and cannot be repaired the folion g measures have been, or must be taken, to provi
replacement system:
I r-ki it a h r1rnflo S MOM.
[3 A sultable replacement area has been evaluated and may be utl ized for the 100a On OT h' rep acme
The replacement area should be protected from di turban and compaction and should not be infringed upion by requliled
and wells. Failure to prated 11he repl=ement Sma will result in the Bled
seftbacks from 0xisfing and proposed structure, lot lines
for a new soil and site evajLjaton to establish a suitable replacement area. RepISOBMW systems must comply with therulev, in
effed at that time. itaflons. Barring advanoes in POVVTS technologV a
13 A -suitable replacement area is not available due to setback and/or soil lim
Iding tank may b-6 'installed as a last resort to replacO the failed POWTS. Upon failure of the PoffrS a soil and site evaluab0l_
The sfte has not been evaluated to identify a sultabie replacement area.
met be performed to locate a suitable replacement aria. if no replacement am is available a holding tank may be insWled ar
a last resort to replace the failed POWTS. y be reran -strummed in plplatefollovoing removal of the biomal at the infiltmliv(
0 Mound and at -grade soil absorption in
s ma
surface, Reconstructions of such systems must comply Wth the rules in effed at that time.
<<WARNING>> N LETHAL GASSES ANWOR INSUFFICIENT OXYGENO�
. Do 1407
PUMP AND THER T OREATMENT TANKS MAY CONTAd
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT, RESCUE SEPTIC,
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE
ADDITIONAL COMMENTS
POWTS INSTALLER
Na
Phone
SEPTAGE SERVICING OPERATOR U6lJMP&a
Na
Phone
POWTS MAINTAINER—,"
Name
Phcqne
LOCAL REGULATORY AUTHOR17EY
Name
mon P ph(
he
r,A.f i i tq i& f Wsco nsin Adtin istrat five C OdO.
Thi3 document was drafted in compliance with the ptUT ZWb 40,5- ZZk4ALIA IRIJ11XVi In., 1 1 4
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=ST. C R 0 1 11Y.-N-f - Y SANITARY SYSTEM
OWNERSHIPADDRESS FORU
File
File #-.
Office Use Otily
Crea red i212 02
I I
Corn unit Devel0plinerat Department VVill UtiliZe this information to provide the property owner with
information regarding operatiori and (11aintenance of your new or replacei-nent sanitary system! This
information �,-%ejfl be provided as part of CUr ongoing efforts to protoct public health, your well, groundwater,
surface water, [Dr-OlDertyValues, and county rescurces. Once approved, thiornE)lted form and educational
information �-vlll be sent to you by email, If you %,�voujcj like to view your issued sanitary permit offlijj�C,, yC,j Cqr'�
doso by using the ELQaffU--E!Ls Scorin-e-� weblink- 01 1
OWNER/BUYER INFORMATION
Ov-,ner/Buyer
Mailing Address �
C i ty/S t C-e/Z i p r I
Phone Number (required) 2Lr--�
Email Address (requ ffed
Parcel Identification Number
(found on the property tax bill) Z729 7,
NEW SYSTEM: LEGAL DESCRIPTION
i'operty Locatjorv.� /4 Sec,
T N R/4 VV, To n
Subdivision Plat,- Lot 11
Certified Survey Map IN09 q Volume— Page 4i—!Zl-
Warranty Deed # 2006)Volurne Page it
Number of bedrooms
Spec house 11 yesj-4-"*r10 Lot linen ldentifiiable%Ges El no
OFFICE USE ONLY
Nev� operty Address
(Ver I f 1 ca I lo n of nuvv oddness required. from corT)rrj4,,rjity Devefopment Department for new canstruc:tion,)
,'S!L�ff Initials)
rh is forth Inuit be subm it ted 01 C711 PrjV(7 te 017site Wof r Trea 0'7�en t Syate m (PO WTS) applic(7tjons.
New SYstcln: 117clude Wtth this form o recorded Worranty deed from the Registerof Deeds Cffice a copy ft�,?
map
survey m�f reference is made in the warran,ty deed.
cj
715 -3 8 6 -4680 Community Development Department — Land Use Division
St. Croix County Government Center 715-245-4250
aw2lg-clw I �-V I 101 Carmichael Roa,,-), I-Judsonr Wl 5-40 16 WVA. LmLvi g Q V
C'�O'X COUNTY ZONING op, p:rCj,
CMRTIVTCATF-TON STAT EMENT
UTILIZATION C)pl AN EXlSrl.'-TNG SEPTIC 1VAt%Tv-
to c;ertj-fyit,,,t ec
V ng the
e s
Preselit jy
eeo
C Z ence I resid
Secti,,,
ILI
it1spect 0wh r)
",ink and baffles tc) be Certify that I have
In good U L 11)
-'"'ncJ 1-iroperly. candl, tlorlr and it
I L
d
absorpt
No ioll systell,71
1 (17F 110 / sk'
A pp i vOlume or lerlqt-h of time* nc--�XLt line),
L t Y 19e�
Prefab COncrete
Steel
0,- h
f a c t L, r c-� r- :
known) qp
n k
2,0
ignature)
Avg,-
E-%
rne)
(L3-cense
Number)
Mk
b e by I
StatUtes) c.) r, L 0
I I CellsE!d pjujjjj-)er,
Code) ceilsed DisPoser (NR 113 (s-1d5.ot;, w i S, c
L u I,, 11) er aPPI y n CJ f or sa
Permit) Cert-.'
(Nall p 9 tile dbove
C1 -L t I ru n regajcjijj
4-he
tank to
'-�Onfor*ln the r t 11 e b
1-11Spect-,,.jj)n ape lreDie-nts Of ILHR 8-11 W,
over Outlet baffle
N
L
_�p-L-jC tf C .111 J(
rily kr)aWledcje w � 1 .1
CC]dc� (OXcept
M P/
41.0 -
State Bar of Wisconsin Form 2-2003
WARRANTY DEED
Document Number I Document Name
THIS DEED, made between Brian E. Crotty and Cindy M.
Crotty* husband and wife ("Grantor,' whether one or
more), and Eric A. Fischer and Erika E. Schwendeman,
husband and wife as survivorship marital property
("Grantee," whether one or more).
Grantor, for a valuable consideration, conveys to Grantee the
following described real estate, together with the rents, profits,
fixtures and other appurtenant interests, in Saint Croix
County, State of Wisconsin ("Property") (if more space is
needed, please attach addendum)
See Exhibit A
* AKA Cynthia M . Crotty
Exceptions to warranties: None
Dated August 31, 2018
— 16' � �'6 , 11 _ SEAL)
Brian E. Crotty
AUTHENTICATION
Signature(s)
authenticated on
TITLE: MEMBER STATE BAR OF WISCONSIN
(if not,
authorized by Wis. Stat . § 706.06
1070851
BETH PABST
REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIVED FOR RECORD
09/06/2018 01:35 PM
EXEMPT#:
REC FEE 30.00
TRANS FEE 1,293.00
PAGES: 2
**The above recording information
verifies that this document has
been electronically recorded
& returned to the submitter
Recording Area
Name and Return Address
Partners Title, LLC
3555 Willow Lake Blvd, Suite 290
Vadnais Heights, MN 55110
032-1007-30-300
Parcel Identification Number (PIN)
This is homestead property.
(is) (is not)
--" SEAL)
Cindy otty, AKA Cynthia M. Crotty
i.
ACKNOWLEDGEMENT
State of Wisconsin
ss.
County of St. Croix
Personally came before me on August 31, 2018, the above
named Brian E. Crotty and Cin . Crotty to me known to be
the person(s) wh foregoing and acknowledged
the same.
THIS INSTRUMENT DRAFTED BY: .- -\ ''
Attorney Arne Skatrud *Lorne Strec.4
P.O. B � �4RR�E � ��R�CK�R
Box 36 Notory Public Notary Rid6ic, State of 11Visconsin
New Richmond, WI 54017 state of w#scons,n My Cgrllmission Expires: 3120/20
(signatures may be authenticated or acknowled ed. Both are not necessary.)
NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIO3 THIS FORM SHOULD BE CLEARLY IDENTIFIED.
WARRANTY DEED STATE BAR OF WISCONSIN FORM NO.2-2003
Type name below signatures.
File No.: W149030
St, Croix County 1070851 Page 1 of 2
Page 1 of 1
EXHIBIT A
Lot 5 of Certified Survey Map No. 6536 recorded on August 9, 2018 in Volume 29, Page 6536, as Document No.1069487,
being a part of the Northeast Quarter of the Southeast Quarter (NE1/4 of SE114) of Section Three (3), Township Thirty -One
(31) North, Range Nineteen (19) West Town of Somerset, St Croix County, Wisconsin, being Lot 3 Certified Survey Map,
Volume 14, Page 3930, Document Number 628139 and Lot 3, Certified Survey Map No. Volume 15 at Page 4126,
Document No. 651361.
Together with and subject to that access easement for ingress and egress across Lots 1 and 3 as shown on said Certified
Survey Map recorded in Volume 15 at Page 4126.
St. Croix County, Wisconsin.
St. Croix County 1070851 Page 2 of 2
1069487
BETH PABST
REGISTER OF DEEDS
CERTIFIED SURVEY MAP ST. CROIX CO... WI
RECEIVED FOR RECORD
LOCATED IN PART OF THE NORTHEAST QUARTER OF THE 08/09/2018 04:35 PM
SOUTHEAST QUARTER, SECTION 3, TOWNSHIP 31 NORTH, RANGE 19 CERTIFIED SURVEY MAP
9
2
WEST, TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN, BEING PAGE: VOLUME: E:
LOT 3, CERTIFIED SURVEY MAP, VOLUME 14, PAGE 3930, REC FEE: 30.00
DOCUMENT NUMBER 628139 AND LOT 3, CERTIFIED SURVEY MAP, PAGES: 2
VOLUME 15, PAGE 4126, DOCUMENT NUMBER 651361,
l EAST QUARTER CORNER
SECTION 3, (S89°15'47"E 426.38'i �NORTH, RANGE 9SHIP WESTI 66'
589'16'03"E 428,42' FOUND 1" M.A.G. NAIL
v ACCE �:. E. tk`:E' %1;}—'� ;'SM I5- ,'26----------- ---------------,40 -------------�-
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LOT 5 in
0 268,219 So. F�1-t a , "r-------�--------_-------- --------------------J `n
0 6.16 ACRES to o " EXISTING, ACC; SS' ,
EASEMENT FOR LO 2 CSM
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-- ,w ,+:nr` n `�,b� 15-4126, R�CO_RD €� �y`— —
.�Cn_ _ -
iv a °Q 0 v) VOLUME 116811, PACE 630in
CID N'
51360
N N U <� �G
z z �, IN89°41'S6'.E) NO2'12'35"E ,
N89 D7 53 W "k89008'49"W 887 01'! 66.D1' J:a i3
2 7.15
a _---_---436.68S89007'53"E 887.12' -
cn � 40.00' 859.97' (4�3 29'1 �144 03' m
�' ;� ,�� 859 84' (493 7Z'} "100.03' 4
Z �+ r,'.
o z LOT 6 f �/ 493.28'
`� v CO 333,700 SCE. FT. �f � � � -- N89'08'29•"W 520.72' '
�* ... 7.66 ACRES '� f - (S89°08'1.9"E 52.0 75') 6 0
INCLUDING ROW ��; � Lo (S89°41'56"w) ;;
o " ' 331,893 So. FT. �'� « a0ca � S02'12'36"W
o - � '' 7.62 ACRES N N , 65.99'
�- t CD
EXCLUDING ROW {!? "' ' ' 2 7.44 i `n %
.27 46' �Cn
N 89'01 '07"W 803. 84' �Q) ,�O {
a. �, , .C,� (S89°49 14 W 80 IYJ
,
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.a en i \, SOUTHEAST CORNER
C ;� E r C) �� SECTION 3, TOWNSHIP 31
rr a LEGEND NORTH, RANGE 19 WEST
o Z FOUND 1" M,A.G, NAIL
I.....__Government Corner (As Noted)
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OWNER/PREPARED FOR:
CHRISTOPHER A. CROTTY
COUNTY TRUNK HIGHWAY "I"
SOMERSET, WISCONSIN 54025
Dustin J. LaBlonde, PI.S Note- The parcel shown on this map is subject to State, County, and Town
Cedar Corporation laws, rules and regulations (i e , wetlands, minimum lot size, access to
604 Wilson Avenue parcels, etc.) Before purchasing or developing any parcel(s), contact the
Menomonie, Wisconsin 54751 S1, Croix County Planning & Zoning Department and the Town for advice
scory
aUSTIPJ J.
LaBLOr4DE
S ?096
MENDIVIONiE
�'9•., W1
o ..........Set 1" O.D. x 18" iron Pipe Weighing
1.13 Pounds/Lineal Foot
i ..........Found 1" Iron Pipe
c ..........Found 3/4" Iron Rebar
..........Existing Septic Bent
" ..........Existing Well
.:...........Existing Septic Tanis
...........Existing Building
} ..........Recorded As Data
SCALE: 1" = 250'
0250` 500,
07/03/18 COMPLETION DATE of FIELD WORK
SHEET 1 OF 2 SHEETS
A q-03b
St, Croix County 1069487 Page 1 of 2
Wisconsl n Dope fte6t of Com me
SOIL EVALUATION REPORT
Page Of
Division of Safety and Buildings
in somiJanoe with Comm 85, Ws. Adrn, code
county
I
Attach oompl eta site plan on paper not Wss ffun 6 112 x 11 Inches In size. Man must
I,Wudo, NA not finxited to: venal and hoftontal refers rKe point (13M), diredon mid
I
Pa=4 W.
pen)wl sic pe, scal e or dim en on s, north arrow, and I
istarice to nearest road.
im q
- 3o
Phase print all h
2!
-0
RFAW by
Date
n you provWe may be u
pw enai 1nfofm*aoW rim
avla Iii "4 (1) (M)).
Poper
Location
Qymes Maifing Addrvr,.s 14)r
?
Block # Subd- KWM CSM#
City -6-616 Zip Code
0 Rage (3Town
wr�r �y 03
NearesrPxad
:0mr- epLs.-j J--
O-NewCacstruchon Use. 0kesident /N 0
AV
s CAxle derived design ftw rate
OF
�5 00 GPD
C3 Replaoemnt 13 Pubfic cc conurmercial -
I
--
Parent matedal r, e� o co. r-- tA--ar4
Fkx>d Plain elevaton 9 applicable
General oDnvmnts FrArd"*Q�r aret. sysoe^ -ocl 9'3�6
and recomffwndaton s-,
2 n"19 -7121
So,eng # 80 90
pit Ground suftoe elev. 0 0 ft. Depth to WAng factor in. I ��icafiw FZate
Horton
Depth
In.
Ekxnlrant
Munsell
Redox Descilptlon
Qu.Sz. Cont.Cdor
Texhre
StrucWm
Gr. Sz Sh.-
Consistence
ndary,
Roots
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-7
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I T
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Boiing #
Boring C110
E] pit G round surface elev.
H=on
Depth
P"
Dominant Coilor
Redox Descrioon
k In.
Munsell
Qu. Sz- C,40M Color
2 r]
oo"
3
7 -W
AV4
CkjpM to Jim" factor,
Texture
'krOr.
Comistenoe Ekxjndary Roots
Sz. Sh.
c
Af
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577"M•-1 in, 31
Effluerd #2 a BOD AL 30 ffg& and TSS < 30 mg
CST NumbW
-211,3
Date Ev-aJuabm C4n*x;Wd TeWWm Nwbv
0
�A
Pmpefty Ownef er Pa"I ID N
Bcong 0 Wng
pit Ground Surfage elev. Y 6 ft. Depth W knWn fac�x In
Page ;� 3
� of
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man
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■
# Wng
-t pGround surfam elev. 7
I ft. Depth to inviting fay �� 112 in.
Fkwbw
Depth
in.
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Rodox Desaoon
Ou. Sz. Cont for
Textum
Stuckwe
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Comsistence
Bcxjrdary
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014 0001
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Effluert #1 a DOD > 30 < 220 nv& aM TSS >30,i 150 mG& Effluont. #2 r- E300a:5 30 Mgt arwJ TSS 5 30, nigAL
I -w-
The Depa=ent of Commerce is an equal opportunity service provider and employer. If you, necd assistance to access sere iccs or
ncrA material in an altermitc format, please contact the department at 608-266-3151 cr TTY 608-264..8777.
OWNER.
.Name - go 4&4- Cry
Address-- -/ ja - q-? 40'- -re,
e tot ry 0 ts."
TOP Z93. 913
Benchmark 1 o4 MJ tot-Se&4e !!F
Benchmark 2 =TDV_ _fee.&�-r jv*iO i-o Ajj 1-0 o-
0
Soil Boring
Suitable Area
F) 40' Scale Z
Page 3 of 3
Brian Parnell
CST 231314
Date IE - 0
- ---------
.. . ......... - -----
Y `yam
- -- -------
. . ....... ..
.. . . . ......
.. ...........
■
. . ... .. . . ........ . - ------- .... .. . ......
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM
Safety irgo Building Division
INSPECTION REPORT
GENERAL INFORWATIOI4 (ATTACH TO PERMIT)
it
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)[m)],
Permit Holder's Name:
City Village X Township
Cro , Brian
I Somerset, Town of
CST BM Elev:
13
Insp. BM Elev:
3. Z
BM Description:
e�
STr gm+_t�
TANK INFORMATION
TYPE
MANUFACTURER
��•Z�jp
A ACITY
Septic
Dosing
Aeration
Holding
TANK SETBACK INFORMATION
EVA
EVA
SIPHON
INFORMATION
ELEVATION DATA
County: St. Croix
Sanitary Permit No:
488167 0
State Plan ID No:
Parcel Tax No:
032-1007-30-300
Sectionl'rown/Range/Map No:
03.3 1.1 9.45A30
STATION
BS
HI
FS
ELEV.
Benchmark
Z,.3 r
Alt
Bldg. Sewer
4?7 r �
tlHt Inlet
�
t t Outlet
jig
4?
Dt Inlet
-Dt-Rottom
Header/Man.
11
e3
o. sern
L3.
Final ra e
12. -30
�?+
St Cover
74" OJ
aA
Pipe(s)
Length Dia Len Space
x Pressure Systems only xx Mound Or At -Grade Systems only
BedlTrenc'h Center
Bed/Trench Edges
Topsoil
o ENTS: (I ncl de co a iscr pencies, pe sons p es nt, etc.) Inspection #1
oca ion: 2352 County Road I Somerset, TE54025 (NE 1/4 SE 1 f4 3 T31 N R19W) NA Lot 3
1.) Alt BM Description
2.) Bldg sewer length - 5�2
I
- amount of cover = 42 .- #f fir-.
_� Yes ` No ; Yes No
-i '>
y " inspection #2:
Plan revision Required?>'': Yes ] No VIA
JUD
Use other side for additional in rmati
ate_. _, - nsepct a re-..
SBD-6710 (R.3197)
4e
Parcel No: 03.31.19.45A30
M
Y f
33031
C.�oix COUNTY NO. .........
OWNER F ic 'Fis. ...................................GN_ER
r.
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oil
2�2L76D
WN "" f-1
Sr-jU 3�, Nq �M
�s
tj " do"N % J% C
AND/ xx -LIJ.-I 5 -TB L e
Vvs, L2.`}@— &5316
ofAUTHORIZED
. . . . . . . . . ....... . . . . . . . . ...... .
. .. M:JSr � r r
SBD-06499 (RI 1/20)
CHAPTER 145.135 (2) WISCONSIN STATUTES
(a) The purpose of the sanitary permit is to allow installation
of the private sewage system described in the permit.
(b) The approval of the sanitary permit is based on
regulations in force on the date of approval..
c The sanitary permit is valid and may be renewed for a
�� YP Y
specified period.
(d) Changed regulations will not impair the validity of a
sanitary permit.
(e) Renewal of the sanitary permit will be based on
regulations in force at the time renewal is sought, and that
changed regulations may impede renewal.
(f) The sanitary permit is transferable.
History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314
Note: 1f you wish to renew the permit, or transfer ownership of
# ca authority.
t e erm�t lease contact he uu h
permit, P tY
lb
'rSSUING OFFICER — DATE
Eli
. .. . .. ......... . .... . ... .. .............
. ... ... . ...