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002-1086-80-000
Ut• Croix County Planning and Zonin Tuesday, May 03, 2005 at 4:17:12 PM Detail Sanitary Information _ Page i of 1 Computer #: 002-1086-80-000 SublPlat: 40 acres Section: 34 Parcel #: 34.29.16.501 Lot: TNIRNG: T29N R16W Municipality: Baldwin, Town of CSM: 1/4 1/4: NW 1/4 NW 1/4 Owner: Stellrecht, Jeff 2423 Hwy 12 Woodville, WI 54028 State Permit: 370209 Issued: 05/30/2000 POWTS Dispersal: Mound Permit: Replacement County Permit: 0 Installed: 06/21/2000 POWTS Detail: NA Bedrooms: 4 WI Fund: No POWTS Pretreatment: NA Notes Inspector As Built Plumber Other Requirements Additional Notes Money Owed Kevin Grabau >4/1/00 -Not Required Helgeson, Bennie $0.00 Signed Off: Yes Maintenance Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 6/21 /2003 04/01 /2005 Parcel #: 002-1086-80-000 Alt. Parcel #: 34.29.16.501 002 -TOWN OF BALDWIN Current If X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): " =Current Owner "FINGER, MICHAEL M &KRISTINE M MICHAEL M & KRISTINE M FINGER 2423 HWY 12 WOODVILLE WI 54028 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description ' 2423 HWY 12 SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 50.000 Plat: N/A-NOT AVAILABLE SEC 34 T29N R16W W 1/2 NW 1/4 N OF RR Block/Condo Bldg: R/W Tract(s): (Sec-Twn-Rng 401/4 1601/4) 34-29N-16W Notes: Parcel History: Date Doc # Vol/Page Type 08/08/2000 627835 1533/112 WD 07/23/1997 835/108 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 42695 Use Value Assessment Valuations: Last Changed: 06/28/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 27.600 3,500 0 3,500 NO UNDEVELOPED G5 12.040 4,400 0 4,400 NO PRODUCTIVE FORST LANC G6 8.000 5,600 0 5,600 NO OTHER G7 2.004 4,000 101,700 105,700 NO Totals for 2004: General Property 49.644 17,500 101,700 119,200 .Woodland 0.000 0 0 Totals for 2003: General Property 50.004 22,900 101,700 124,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch #: 510 05/03/2005 04:15 PM PAGE 1 OF 1 Specials: User Special Code 010-GARBAGE Category SPECIAL ASSESSMENT Amount 45.00 Special Assessments Special Charges Delinquent Charges Total 45.00 0.00 0.00 Wisconsin D~artment of Industry, SOIL AND SITE EVALUATION R E P O R T Labor aqd Human Relations Page 1 of 3 ------- - -- --, ~- ui ztc~uru wrtn inn oo.va, vvw• ~~~~ a OUNTY tiL~ -~''~ t in ude'~~ut PI i1 i i e 8 1/2 11 i h h i l l h l St. Croix .~ ~ es n s z . an x nc te p an on paper not ess t Attac comp ete s scal~bt ' ` ' ' e direction and % o oint (BM) rti l d h i t l f li i d pAt~CEL LD. # . ; IQ ~ , , erence p to ve ca an or zon a re not m te dimensioned, north arrow, and location and distance to nearest road ~- f Oq~-1086-800-000 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATIO Fr `~ J f _, , h~ r. ~J ~, RE ED BY DATE ,=yw PROPERTY OWNER: ~Pft~PERTY LQG11KT~fd~~ ,~ ~ ~ Jeff Stellrecht ~i'::LO~~ 1~c c~~I~~W '~ 4 T 29 ,N,R 16 f(or) W PROPERTY OWNER':S MAILING ADDRESS L # ; BLOCK # SUBD., OR CSM # ~ 2423 Hy. #12 n ! ~,~~ _ pending ~ ~_,' '~ CITY, STATE ZIP CODE PHONE NUMBER ^CITY t~1 OWN NEAREST ROAD Woodville, WI. 54028 p15) 684-3752 Baldwin St. I-IY. #12 [ ~ New Construction Use [x] Residential / Number of bedrooms 4 [ ]Addition to existing building (]Replacement [ ] Public or commeraal describe Code derived daily flow 600 gpd Recommended design loading rate • 5 bed, gpdJft2 •6 trench, gpolft2 Absorption area required 500 bed, ft2 500 trench, ft2 Maximum design loading rate . 5 bed, gpd/ft2 .6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 98.30 ft (as referred to site plan benchmark) Additional design /site considerations system el . based on contour line of el . 97.30' Parent material cxlacial drift Flood plain elevation, if applicable na ft S =Suitable for system CONVENTIONAL ^ S CCU MOUND ®S ^ U IN-GROUND PRESSURE ^ S fc7 U AT-GRADE ^ S >~7 U SYSTEM IN FILL ^ S CCU HOLDING TANK ^ S CCU U =Unsuitable for s stem SOIL DESCRIPTION REPORT Boring # .................. ................. .................. ................. .................. 1 Ground elev. 97.4 ft. Depth to limiting factor 34" Boring # 2 Ground e-ev. 97.4 ft. Depth to limiting factor 27" Depth Dominant Color Mottles T t Structure Consistence Botrtdar Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont. Color ure ex Gr. Sz. Sh. y Bed Trer>ch 1 -13 10yr3/3 none sl 2msbk mfr ~ 2f .5 .6 2 3-34 10yr4/4 none sl 2msbk mfr yw if .5 .6 3 4-55 10yr3/4 c2p 7.5yr5/8 scl 2msbk mfr na na .4 .5 Remarks: 1 -12 10yr3/3 none sl 2msbk mfr gw 2f .5 .6 2 2-27 10yr4/4 none sl 2msbk mfr gw if .5 .6 3 7-55 10yr3/4 c2p 7.5yr5/8 scl 2msbk mfr na na .4 .5 Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th. .New Richm d WI 54017 Signature: ~ Date: 5_9-2000 CST Number: m02298 PROPERTY OWNER Jeff Stellrecht SOIL DESCRIPTION REPORT PARCEL I.D. # 002-1086-80-000 Boring # ~.... -.:. :.. :<.: :>:: ;::< `; > > :: Ground elev. 95.4 ft. Depth to limiting factor 2 " Boring # 4 Ground elev. 99.6 ft. Depth to limiting factor 30" Page 2 of 3 s Depth Dominant Color Mottles Texture Structure Consistence Borrxtar Roots GPD/ft Horizon in. Munsell Qu. Sz. Cunt Color Gr. Sz. Sh. y Bed Trench 1 0-10 10 r3 3 none sl 2msbk mfr gw 2f .5 .6 2 10-24 10yr4/4 none sl 2msbk mfr gw if .5 .6 3 24-55 10yr3/4 c2p 7.5yr5/8 scl 2msbk mfr na na .4 .5 Remarks: 1 0-10 10yr3/3 none sl 2msbk mfr gw 2f .5 .6 2 10-30 10yr4/4 none sl 2msbk mfr gw if .5 .6 3 30-50 7.5yr4/4 c2p 7.5yr5/6 scl 2msbk mfr na na .4 .5 Remarks: SBD-8330(8.05/92) . . STEEL'S SOIL SERVICE Gary L. Steel Jeff Stellrecht 1554 200th Ave. CSTM2298 NW4NW4 S34-T29N-R16W New Richmond, WI 54017 MPRSW-3254 town of Baldwin (715) 246-6200 N 1"=40' BM.= top of 1" pvc pipe C el. 100.00' Alt. BM.= top of 1" pvc pipe C el. 95.60' ~~~ Gary L. Steel 5-9-2000 Wiscc;nsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. ~~ Permit Holder's Name: ^ City ^ Village ^ own of: ' ff I Baldwin Township CST BM Elev.: Insp. BM Elev.: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ ~' LpD Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. vent to Airlntake ROAD Septic ~ /dp ~ Zr `~(~' ~-- NA Dosing t'` ~` « ~ fev ~ NA Aeration NA Holding PUMP /SIPHON INFORMATION Manufacturer f ~~ Demand Model Number G~ GPM TDH Lift ~,~3r Lriction0,$2 Systema,s TDH Io~oSFt FFiie Forcemain Length ~0 Dia. z k Dist. To Well >~tlp' SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No.: 370209 State Plan ID No.: s ~'~ = 3 rb}3~ Parcel Tax No.: - 00 STATION BS HI FS ELEV. Benchmark 3, ~~ ~ ~o;,Y~ ~~ O' Alt. BM ~ ~ O . IS' Bldg. Sewer ~, /~ o3•~S' St/Ht Inlet ,~~ gB~YS~ St/ Ht Outlet ~""- ""~- l -- `"-'-- Dt In et '- Dt Bottom ~~-~ ~~.~ ~ Header /Man. 3 ,lo n2. Z3~ Dist. Pipe .s 3 - (~ r 102 , I~ Bot. System 8 I D (. S'~-` Fina- Grade ~ 5 St cover ?L ~ °"' I o (, 12 hti~( S• 3 3 I oz~ • D ED ''~R'E~MffF Width ~ Length r No. Of s PIT No. Of Pits Inside Dia. Liquid Depth D EN I N 8 a.5 y a S DIMENSI N -- " SETBACK SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEACHING ufacture INFORMATION Type O ~ >r~ ~ ~ ` CHAMBER del Num System: ~ 'r-/ /D tie's OR UNIT DISTRIBUTION SYSTEM ,~ Header /Manifold r er ~ 2 Distribution Pipe(s) ( rr ~ ~~ - ~ ~ x Hole Size r r~ x Hole Spacing r Vent To Air Intake Length ,0 Dia. ev~-' Length 30 Dia. ~ Spacing ,5,0 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes o COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: DG /r3 /o-o Inspection # off/ l~//~ Location: 2423 Hwy 12, WoodvilleZ WI 54028 (NW 1/4 Iv'W 1/4 34 T29N R16W) - 34.29.16. ZO1 ~ Z ~ 3 - ~z- 1.) Alt BM Description = ~~'~^~ 5~ a-~ ~+r, t3' t~ 2.) Bldg sewer length = ~-y r ~.s 94:~ ~, -amount of cover = 3 4 Z ~ ~ r ~ Z Cd~ 3.) contour = 99 •SD ~ Sl.~' ~ --* }~C = l 03 • `f } r~ ~.~..:P q,,a~. -40 ~o+~- vF-1 a ~. cox. o~v ~o~-~ Me...~. a.~ an revision required? ^ Yes g( No ~ ( 5, Z Use other side for additional information. o~ 2t ~ ` ~' SBD-6710 (R.3/97) Date Inspector's Signature Cert. No. Safety and Buildings Division `•ISC011S%n SANITARY PERMIT APPLICATION P o B w3o2ngton Avenue Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707-7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 tie. x 11 inches in size. ST CROIX • See reverse side for instructions for completing this application ry Permit Numb r State San i ta e ~ j ~ ~ Personal information you provide may be use r ea~o~c~a ply s ~ - ~ ~ , ^ Cneclc if ~evisio r application [Privacy Law, s. 15.04 (1) (m)]. '~ , ~• ' / \i , ' State Plan LD. Number Site ID 192214 I. APPLE ATION INFORM - P IN~' L INF RMATION Trans ID 316737 Property Owner Name '"-• ~` •1--~u.; y E Property Location JEFF STELLRECHT ~ NW ti4 NW ti4, S 34 T 29 r N, R 16 ) W Property Owner's Mailing Address - ? '~,` ter, - - ~~`~~ Lot Number Blo k Number j 2423 HWY 12 - N/A N A City, State ode NOUN 'hone Nulttb~ z ~ SubdivisN~AName or CSM Number WOODVILLE WI onntu~ ~8 ~ 5 > ~+_ 3752 11. P ILDING: (chec dne). ^ StatQ.~_~n . ~ ^ It~ ^ Vil a e Nearest Road _ Public 1 or2 Famil Dw ~ 'n ; N ,...f ~ ms ~_ g baldwin Town OF St. Hw 12 Y I11. BUILDING USE: (If building type is public, all that apply) Parcel Tax Number(s) 3c,/ a~ ~ ~ 50 002-1086-80-000 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 ne box on line A. Check box online B, if applicable) A) 1. ^ New ®Replacement 3_ ^ Replacement of 4_ ^ Reconnection of 5. ^ Repair of an ______System ______ System _____ TankOnly________ _ ExistingSystem ________ ExlstingSystem B) ^ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Press istribution Experimental Other 11 ^ Seepage Bed 21 ®Mound 30 ^ Specify Type 41 ^ Holding Tank 12 ^ Seepage Trench 22 - round Pressure r / 42 ^ Pit Privy ~~ S 13 ^ Seepage Pit _ ~ , 43 ^ Vault Privy 14 ^ System-In-Fill ~ , ~ o`Z,0 yvts~c~ VI. ABSORPTION STEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area. 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade 600 Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation 720 720 1.2 N/A 101.55 Feet 103.85 Feet VII. TANK Ca acct INFORMATION in gallons TOtal l # Of r Manufacturer s Name Prefab. Site n- C l S Fiber- Plastic Exper. N E i ti Ga lons Tanks Concrete o tee glass App ew x n s struded Tanks Tanks Septic Tank or Holding Tank 1200 1200 1 Midwestern Precas ® ^ ^ ^ ^ ^ Lift Pump Tank/Siphon Chamber 800 800 1 Midwestern PRECAS ® ^ ^ ^ ^ ^ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumb 's Signature: (No St ps) MP/MPRSW No.: Business Phone Number: BENNIE HELGESON ~ .220292 715/772-3278 Plumber's Address (Street, City, State, Zip Code): W1229 770TH AVENUE, SPRING VALLEY WI 54767 IX. COUNTY /DEPARTMENT USE ONLY ^ Disapproved nitary Permit Fee (Includes Groundwater ate ssue Issuing Agent Signature (No Stamps) Approved ^ Owner Given Initial Surchargeree) ~jo2S ~ C Adverse Determination . _ X. CONDITIONS OF APPROVAL / REASONS FO DISAPPROVAL: ~s ~ ~.e ~~ ~s~- ~ s~~ ~ ~- _ SBD- 6398 (R.11197) DISTRIBUTION: Original to County, On~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 a 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 i n ownership or plumber requires a Sanitary Permit Transfer /Renewal Form (SBD-6399) to be submitted to the county priorto 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 and Buildings Division, 608-266-3151. 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. - III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair": V. Type of system. Check appropriate-box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/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. V111. Responsibility statement. Installing plumber isto fill in name, license numberwith 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 81/2 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) soil test 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 contamination investigations and establishment of standards. ~ ~ iscons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.state.wi. us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary May 19, 2000 CUST ID No.220292 BENNIE W HELGESON N7649 HWY 128 SPRING VALLEY WI 54767 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/19/2002 ATTN.• POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Site ID: 192214, Jeff Stellrecht Residence St. Croix County, Town of Baldwin NW1/4, NW1/4, S34, T29N, R16W FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 663785 Identificatio s Transaction ID 16737 Site ID No. 19221 Please refer to both identification numbers, above, in all corres ondence with,the a enc The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. CAUTION: Wis.stats 145.135(2)(b) indicates that the approval of a sanitary permit is based on regulations in force on the date of approval. The effective date of COMM 83 revisions is expected to be July 1, 2000. Thus depending on the type of system and your design, this plan approval may not be eligible for sanitary permit approval if submitted to the issuing agency on or after July 1, 2000. Note: There is a ot~ential for a law suit that may delay the effective date of the code so this status may or may not change. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation operation. BENNIE W HELGESON Page 2 5/19/00 Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-785-9348, Mon. -Fri. 7:15 AM to 4:00 PM j swim@c ommerce. state.wi.us DATE RECEIVED 05/12/2000 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 BALANCE DUE $ 0.00 WiSMART code:, 7633 INDEX SHEET PROPERTY OWNER: JEFF STELLRECHT 2423 HWY 12 WOODVILLE WI 54028 PROJECT NAME: JEFF STELLRECHT PROJECT LOCATION: NW 1/4, NW 1/4, S 34, T29 N, R, 16 W MUNICIl'ALITY: TOWNSHIP OF BALDWIN COUNTY: ST CROIX CONTENTS: Page 1: Plot Plan Page 2: Cross Section & Plan View of Mound Page 3: Distribution Pipe Detail Page 4: Cross Section & Specifications of Septic Tank & Pump Chamber Page 5: Pump Specifications Name: Bennie Helgeson Sign Address: W 1229 770Th Avenue Spring Valley, WI 54767 Credential number: 220292 Date: May 4, 2000 Cor~~itionaily ~~v~~ pF CUMMERC ~ppRTMENI ~ `EpINGS~ Y f IVIS~OR EDGE SFE CORRESP RECEIVED MAY 12 2000 SAFETY & BLDGS DlV. Y '~ 4' Mpm~ ~.NI lod.c~c~ 0~5 t l` PUC ~ P~ c ~~P~~ ~1`~ R i ' ` ~ _ i p-~t P~Q~. nc.,~u~~e Y' ,~e-£ r~ ,~Te ~ ~ F-cc ~'~' - r`, ` ~w ?,Z~y~ Ek~~fiJi Se.P~. C ~Qh.V~ ~ 7"o b 5 ~u"`^d' ~~l •E- F,,~ to .~ p~o~os~.~Q ia~~~r~o Gu/. _ Pump ~ ~_~ ~ ~ t . ~.1"1, 1 O ~ , t S a„ ~u~- __ ~4~ ~~ ~1~--. fir{-~--- ~rc,~ Na, r- 3 9 cy r 510~~ D E Gam. ~:~-~ ` r , .. ,, _, ,.~ 4 :~ n - ~~.I~ ~k= yo' ~' ,~;, Straw, Marsh Hay, Or Synthetic Covering Medium Sand Topsoil _J ~ - 3 ...,~ Page _ Of _ Distribution Pipe D slope. ~1~i•~s Bed Of 2~- 2 %2 Force Main Aggregate From Pump Cross Section Of A Mound System Using A Bed For The Absorption Area Signed: License Number: Date: Force Main L A ~ Ft. g ~Ft. K ~(,~Ft. L ~3Q~ Ft. ~~D, Y3 Ft . T /~ Ft . w .,;3 y ~3 Ft . /~ 101, Plowed Layer D ~~ ~ Ft. E ~.2~/ Ft. F ~ 8U Ft . G _~ Ft . H /. S- Ft . ~ Observation Pipe ,~ i3 K i-- ------- _----------_ of A ~ --- -------------~ ----------------------.I w ° - ~------- -------- ~Distribution Bed Of 2~- 2'2~ Pipe Aggregate t Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Areo ParforolnA Plpe Oeloll Er Permanent End Markers Holes Located on Bottom are Equally Spaced ENo CAN-,' Lacl N.xl To End Cop Distribution Pipe Layout P ~ ~ .. .. . R i - s `~ ~~ x Y ~.Sl Signed: Hole Diameter ~_ Inch License Number: Lateral ~_ Inch (es) Dace: Manifold ~_ Inches force Main _~_ In,~[c,hes . Page . ~f- COMBINATION SEPTIC TANK/PUMP CHAMBER -- ~~" CI VcnC Pipe wiCh (No Scale) Approved Cap, +25' ,Approved Locking Man hole Cover From Buildings With Warning Label Attached roof Weath r n Approved .Warning Label p e Junction Box Vent Cap 12 Minimum - ~ . ~ mum 6" Min ~ 4" Minimum Final Grade-~ + 6" Maximum ; Quick 4" C.I. ~ Disconnect 18" Minimum Insp. Pipe ~--- ~ I 1/4" Weep ~ Hole Baffles ~ ~ r Approved Joint ~ I A t w/C,I. Pipe Extending 3' Alarm ~ B Approved Joint Onto Solid Soil On 6; ~ w/C.I. Pipe I C Extending 3' F~w yj-4,~ ' Onto Solid Soi , Off D Conc. Block 3" of Bedding Under Tank Note: Pump and Alarm Are On Separate Circuits GallonsoPeDroDay/~o{-DoseDa /SD Gallons Volume of Backflow:.......+ G•s~ Gallons ~ Total Dose Volume:........==/,Gallons Tank Manufacturer:~~c:~u~~~`~ ~' Tank Size-Septic/Pump: _/~oo~ s~©O a ons a~ Gn/. fie,-.~~~~ ~' T C -tom ~ c Fri , " dl1 On5 Alarm Manufacturer: ~~ -S Model Numbe r 1 Capacities: A/~-inches or ~~ Gallons + B~ Inches or ~~ Switch Type:• F~c r « + C inches or_~SS75'`Iallons Pump ~lanufacturer: + D i nches orf~q,~Gal l ons Model Number: inches or. allons Minimum Discharge at:e: "~,~~~ Tota1.....= ~n~~ Vertical Difference Between Pump~Off and Distribution Pipe: "7 Feet Minimum Required Supply Pressure :.................. .... +~_ F_eet Feet of Force Main x'~ps Friction Factor/100 Feet:~~+~~Feet Inch Diameter Force Matn Total Dynamic Head:...=/D.~-greet . ;4 ., I nternal Tank Dimensions: Length G~(o~~; Wi dth~~'; Li qui d Depth ~$' Signature _ ` ~ / -License Number:l~~ Date___ tits rr.l... Submersible Effluent Pump METERS FEI 8f 7 0 4 w g U ~ 5 a z }' 4 J H O 3 F- 2 11 0' i' ~ ~~~~ '3871 MODEL. SIZE: 3/4"SOLIDS. RPM:1550 H P: 0.4 o to88 Goulda Pumps, Inc. SPECIFlCATION3 ARE SUBJECT TO CHANGE WITHOUT NOTICE ;. vw ~ L ~ ~ - CAPACITY ' Wisconsin Department of Industry, SOIL AND SITE EVALUATION R E P O R T Labor and Hut~ran Relations niviciAn of Safety & Ruildines __~ ._.:.~ ~~ ~ ~~ .,., .,~ .u:_ w.a.., n,..a,. Page 1 of 3 - - ui uvvv~a~ •. nit ~u n ~ vv.vv, ••w. ....., .., vvvv COUNTY Plan must include but 8 1/2 x 11 inches in iz h l t l Att l t it th St. CroiX , an on paper no s e. ac ess an comp e e s e p not limited to vertical and horizontal reference point,(~f9kr diri3ction.and % of slope, scale or PARCEL LD. # dimensioned, north arrow, and location and distaflc~;td nearest road.'` 80-000 002-1086- `' ' APPLICANT INFORMATION-PLEASE~FMft1T ALL I,$;~ORMATI01~ c DATE ~` R VI_ E EWED BY 0 ~ ~ / l'l~ ~~ PROPERTY OWNER: ~~~ '• ', ROPERTYLOCATION GOVT. LOT 1NW 1/4 ~ 1/4,S 34 T 29 ,N,R 16 f(or) W r s, n ., PROPERTY OWNER':S MAILING ADDRESS '~ ~' LOT # BLOCK # SUBD. NAME OR CSM # 2423 Hy. #12 :~r ;€!c~x na na na CITY, STATE ZIP CODE PH ^CITY ^VILLAGE MOWN NEAREST ROAD Woodville, WI. 54028 (7 - 2 ~; ` St. H 12i [ ]New Construction Use [x ] Residential / fVu`l~hef df gedrbo' ° 4 (]Addition to existing building (~]-Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .4 bed, gpd/ft2 •5 trench, gpd/ft2 Absorption area required 500 bed, ft2 500 trench, ft2 Maximum design loading rate .4 bed, gpd/ft2 •5 trench, gpd/ft2 Recommended infiltration surface elevation(s) 101.55 ft (as referred to site plan benchmark) Additional design /site considerations system el based on contour line of el . 99.55' Parent material glacial drift Flood plain elevation, if applicable na ft S =Suitable for system U =Unsuitable for s stem CON4ENTIONAL ^ S CCU MOUND ®S ^ U IN-GROUND PRESSURE ^ S CCU AT-GRADE ^ S ~7 U SYSTEM IN FILL ^ S CCU HOLDING TANK ^ S L~U SOIL DESCRIPTION REPORT Boring # 1 Ground elev. 99.85 ft. Depth to limiting factor 12" ~~ Boring # 2 ................. Ground elev. 99.85ft. Depth to limiting factor 14_L Depth Dominant Color Mottles re T t Structure Consistence Boundar Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont. Color ex u Gr. Sz. Sh. y Bed Trench 1 -7 10yr3 3 none sl 2msbk mfr yw 2f .5 ~ .6 2 7-12 10yr4/3 none sil 2msbk mfr gw if .5 .6 3 132 7.5yr4/4 c2p 7.5yr5/6 scl 2csbk mfr gw na .4 .5 4 32-46 10yr6/4 c2p 7.5yr5/8 cl M na na na np np Remarks: 1 0-9 10yr3/3 none sl 2msbk mfr gw 2f .5 .6 2 9-14 10yr4/3 none sil 2msbk mfr gw if .5 ~ .6 3 ~25 7.5yr4/4 c2p 7.5yr5/6 scl 2msbk mfr yw na .4 .5 4 25-40 10yr6/4 c2p 7.5y5/8 cl M na na na np ~ np Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th. Ave. w Richmond WI 017 Signature: Date: CST Number: m02298 3-10-2000 PROPERTY OWNER Jeff Stellrecht PARCEL I.D. ~ 002-1086-80-000 Boring # 3 Ground elev. 98.25 ft. Depth to limiting factor 1~ Boring # Ground elev. Remarks: SOIL DESCRIPTION REPORT Pages of 3 Horizon Depth Dominant Color Mottles Texture Structure Consistence Ba.ndary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends 1 - 1 yr none ms k m r gw 2 11-17 10yr3/3 none scl 2msbk mfr gw if .4 .5 3 17-29 7.5yr4/6 c2p 7.5yr5/8 scl 2msbk mfr gw na .4 .5 4 29-4 10yr6/4 2p 7.5yr5/8 cl M na na na np i np Depth to limiting factor Boring # Ground elev. ft. Depth to limiting factor Boring # Ground elev. ft. Depth to limiting factor Remarks: emarks: Remarks: SBD-8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Jeff Stellrecht 1554 200th Ave. CSTM2298 Nw4Nw4 s34-T29N-R16w New Richmond, WI 54017 MPRSW-3254 town of Baldwin (715) 246-6200 "~"=40' /~ top of 1" pvc pipe ~ el. 100.00' ./Alt. BM.= nail in Elm tree ~ el. 102.15' ,~ ~~ ®` Gary L. Steel 3-10-2000 ~1' ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer .,~ F" ~ S ~ ~~ ~' ~ ~' Mailing Address Property Address (Verification required from Panning Department for new construction) City/State ~,lUocsd U~ ~.~ wi Parcel Identification Number ~~.-~oR~-~~D-GGG ~~ LEGAL DESCRIPTION Property Location _~ %a, ~ %a, Sec. ~~ . TAN-R /6 W, Town of _a~ch Subdivision ,Lot # Certified Survey Map # ,Volume ,Page # Warranty Deed # ~ ~I 5 g 7~ ,Volume ~J~ Page # Spec house O yes ~no Lot lines identifiable Oyes ~ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the.Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. 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 p~r/o/p~erty described above, by virtue of a warranty deed recorded in Register of Deeds Office. TURF 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 it • 1 .~Ct ~~~ P~"t ~~~ ~ - ~~Gt)~t~r~'f-140. W~~~A~TY a~~p ~, TNI• •-ACt 11Lt[wV[D •Oq RtCORDINO AaCA ,STATE BAB OF WI3~nN3IN FORM 3-lf~t 'i 1• _ - Kath J. Ofstie, attorne in-fact for ~~+~ _. ...-x----... ... Y'........ p'~bY -E.•-Kri_zan,..3~k~a--.Ruby--Krizan,...w.-...°w.------.. - .- ....__.- MAC G 6 ...... ..... ......... ._... a a:oo ~. M conveys and warrants to ._....~~-~frey-.-G-.---StellreCht-•and__- • - •--- - ._-..htancy-.-A..--.S.telly-echt,..-husbansi..ansl..-vri.~e.-.ds --______.. --- suruivorshi .-marit.ai.-.properby .................. ... i~rdaedl I ._..-_..._ ...................................... . .. ._ ...._-......---........-.....-........----------- t the following described real estate in ..-_...-.-.St.-•--Cro1X-•--•-•---•--•-Coarty, State of Wisconsin: Ts: Parcel No :.............................. All that part of the West. Half (W~) of Northwest Quar;.Ur (NWT) of Section Thirty-four (34), Tow-lship Twenty-nine North (T29N), Range Sixteen West (R16W), that lies North (N) of the right-of-way of the Chicago, St. Pavi, Minneapolis and Omaha Railway Company, as now laid out and used through said section. This deed is giver.. in fulfillment of that certain Land Contract between the above parties dated August 31, 1988, and recorded September 2, 1988, in Volume 821 of Records, at Page 552, Document No. 441103. This conveyance is made in good faith by said Attorney-in-Fac:~ pursuant Q to the terms- of that certain Durable Power of Attorney dated i cLr+- • ~ / 9 ~ r and recorded in the Office of the Register of Deeds for St.~roix County, Wisconsin on March 3. 1989 , in Vol. 835 of Records, at page 104 as Document No• 445874 whereby said Attorney-in-Fact was granted the power to transfer the above-described premises regardless of the principal's subsequent physical or mental disability, incapacity or incompetency. Said Attorney-in-Fact has no actu+l knowledge of the termination of this power because of revocation by the principal or by the-terms of the document, the principal's death, disability, or incapacity. ~S This ----_--iS-._.__.•_._-._-.. homestead property. s (is) ~4::XOtjC7C Exception to warrantii=s: Easements and restrictions of record, and exr.~pt any liens or encumbrances created or s f eyed to be created by the acts and defaults o~ the grantees, their h •r successors, or assigns. Dated tkis ~ .-..-..-. day of - - - - ~ _ . .. . .. ..... . ....._..-.., 19..89.. .. ---1- - --- ------ _ - RU E. KRI N ' by:_ ~~ S~. _-...(SEAL -- ..(SEAL) --.-......._ - - - .-._ -..__ - ---_. - ..... - -- _._---- - - - • -.-Kathy -1• -O.. tie., ta;,rnelf-.in-fact --- (SEAL) -._ ___ - ..__...... __ _... -(SEALI AUTSSNTICATION ACHNOWLED(3M8NT 3ignature(a) ---__-_--- --------------•-__-•---_-. STATE OF WISCONSIN ss. -•-------- S~-'---Crq-1X•.._._County. suthen!i:ated thia .._.__.day oL__________________________ 19.:..__ '`° ~~erslon ' y came before me this ..-~~T._.._day of ---•- --~---•---•-•----•--•--• 1989-.. the above name) ....--• ....................•---•-----•-••------•-•---•----•-••-••---•-------•--- ---K~_t11Y---J-._•_Ofstie_..---•---•--__.....---...._.__...--•--- T,TLE: 3IEMBER STATE BAR OF WISCONSIY ------•--- -•- •----- i suth+±rized by ¢ 706.06, Wis. Stats:~ ~ •' .-'~•`~ •.' to'•me known to be the person __-.--.-__.- who executed the ~ • ~• ~ ~- t~•••. foregoin m ' ent 'tcknow _ he er.+~._ .• . ,`~ I` i .- - ' - T fIS I(V STRUMENT WAS ORA'rTEOjlY ~ _1 - - .--- 'T'homas A. McCormack - - Baldwin, WI 54002 ~' .St .Croix ('ovnt.•, Wis. • - ---•------ --- ••---------- ------•-•-----------••----------.~_--•~------ • r'ota~c• Publ'ec ' Vtv ('ommission is permanent l if not Stnt~ e.piration (Signatures mwq be o:ahenticated c_ aekrowlede w' $oth • ~,ra,e of .~, , r, ,. . are no: reces_ar' .) ~ dare fl~pt2ry-°I!`C'~- ,.- 99v., 19. ) >My aNamea o! persona sitnint in any caGacitq should be :; V^'F or Lri^' •>••1""• th.,ir :~K^:-' .r.'+- WARRANTY DEED STAR bAR~ OP R~ISCOKSI\ A'i. n,n+in L~~cYI Hln•~+ 1-~.. Inn FOhP'I ;io. Z- Iv+_ ~I ~;wnn.n•-. tY •..