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HomeMy WebLinkAbout026-1039-30-100 POO Croix LV p~101A f - de Goer St. g3.05,`1'j1s pdm e, 'D. , l 0°! 3pp1E gIve EH b~t SS 0"- Q` N~ aCCprd o ,p\th 1t- n m~st'rnclu or Q ~ E0 gV l°r~W nt \ \ndUStN 1his~sv ors kkn ~is P slope ~a18 REVIEW 130 ~ pepa~ Re\aUOr~ o~ ~`d d/o N F11a 7~ \~ons~~o Hyman & eai\d~n9 t \sss than a , Sated XA, .on aPer rence P° o ne r CON `oGp~\ON ti4s13~M# \an °n P ntal refs dd%s ~.,1` {0 OPEa~ 114 lqs ME OR ON p1.~- Q o ~OZ 1 # SUgp. NA NEPAEg! R complete Sit a and hor\ d location an Aha°h d to ~e~rc arrow, an pgE pe ,u C f t G gvOGK CSm n E OWN otk%M0 ed,n N na G drmens\on Fpp A QV\1~` barAdrn9 ppp~tC ANA P z 7M k, G\~ g' Pddrtron to exrsbn9 9P dltt2 R~ OWNE ' ~MgEA PAOPE PAPJ~\NC" PppPESS pN~ 613 2 trench, dltt2 Ih trench 9P pWNEA ..S Z\P GODS ~ bed, 9Pd PFOPEA~ bedrooms rate Ift2~5i S~ PEE , ,j ntoria WI 54011 esrdeniral I Nam a\ d~cr\be ded desr9n load\oadm9 m9 rate ~ d to 4. chmackl h G\ New glc P site P Ose or Mme,61 Rec°m nMa rm~mdeAl\ relerre N ctwn ~ pgb\rc h tt l ~ No~D\ c w Oonstr~ tt2 \t applicable W F\~~ Q S , \jakron, SVSTEM Ile ent trenc ele 1 aep\a~em daily flow ~9ted, tt2 1 Food Pta\n AS G,*Ds U Q S S Q code derived a j3 reolred %le~alwnls) n foots PbsorpCron area ron s~ W-~aoP \®a~SS~aE ed \nt~t\ Ite nsrderatrons o s Er 0*0 end I si aecomm MSS QO CM`Pt,0N R re CAnsrsten~ 2f pleironat des\9n CONSENT\®~ gtNct~ Sh S parent material Sp1L DE CeXtvre Gr SZ• mfg if Q , S~dablab~e ~orsses em S M G~ ~ptor 1 2mSbK S tnf ~ ~ na O , OnsDrt orn\nant ~o1or Q~ SZ' sl 2mSbk f r gw depth M\Jnse\\ none siCl r na na Nor\zon '\V\- 10 z3 / 2 none sl 2m~ mvf r # lcgbk gor\n9 0,10 1 10Yr4/4 none 50l 1 2 10,21 5Yz4/6 C2d .5Yz5/$ 3 21,3 1 ,5Y,t4/4 Ground 4 371 l~~ e\s~ • tt t7 x mfr th to ~m~ng 1 2msb mgz ta3~„ Sl 2~bK none Sicl ~c\fz vkernarks'• 10Yr3/2 1CSbX n~ .none sl mf i 12 bK• gor\n9 # 1 0~ 10'Y c4/4 none sl lcs 25 p 2 12',42 5Yr4/6 flf ~.5Yr4/6 42'62 Ground 4 1 tt. 6~pC ~ 15"246 Oepth to Fh°ne. ~j ~ Nmrbn9 6_9~ tact42~~ Date• a' Rerciatks' L 5tee1 wI540 Ga , cr nd Pteasepr~nt FEB 18 569029 ST. t~DiX UNTY CERTIFIED SURVEY MAP Located in part of the Northwest Quarter of the Northeast Quarter of Section 13, Township 30 North, Range 18 West, Town of Richmond, St. Croix County, Wisconsin. Prepared for and at the request of: o OWNER: Robert W. Krueger 836 Fairfield Road New Richmond, WI 54017 8 Drafted by. Kristi A. Eytandt NOV 1 L 2519970- 1G4THLEEN H. WALSH NORTH 114 CORNER ReDisterOfDeeds 2 SEC. 13-30-18 UNPLATTED LANDS 9 s.Croix Co.,W, (1 " I. P.) C7~ CEN 2N NORTH LINE OF THE NW 114 OF THE NE 114 160 160th Ave. 160th AVENUE 0 l j~ -------S 89'45'50" E 2651.94'--- ° _ ---S 89'45'50" E 1325.97'---- i' - ~ 2.90' - --662.99, - ~'C- -4 - - Sri 648#1325.97'-~• -S•89.45.5g~ E 1325:88---662. v:'~.I 11I I 0. W. l i i PUMP .14' i I o 160th Ave o I SHED HODS I I t-i t ` f p~ = I I M L.~ o BUILDINGS BACK I I I 100'FROM i I i Z of ~M 00 v R.O. W. LINE V I I W\ Q Q I W °I ~Z I IN W Z I i ~ 3 JI ~Lj Z. o~ 3 N LOT 1 (o ° w LOT 2 ~ 3 00! ~Z I oW~ Z ~ -U') i Z _TOTAL AREA: cNi iv TOTAL AREA: to 4 I O W O Z ° j N I 651, 929 S0. FT. a,' rn W; W I co 0 653,512 50. FT. I I Z J i \ o o i i W 14.97 ACRES i .°0 15.00 ACRES i x l o J p a-I 3 o AREA EXGLUD. R.O. W.: ° o cc- DI j i Z i i % I N AREA EXCLUD. R. D. W: N Q W 630,015 SQ. FT. , W Z I © 14.46 ACRES I 631,634 S0. FT. I i U 0 I x; O I i 14.50 ACRES Ix I p Zr ~,-21.93 f0- 14.00'-•r,, I i 661.56'--- ---661.5C--- N 10-i 89'33'26" W 1323.12'------ W O O S ii N LINPLA O S TTED LANDS 4-~ZO o C') i o00 O Q 2 RONALD F. e JOHNSON ~ L 2ZvZ \ S-tise AMERY, W W Z - SOUTH 114 CORNER •i Wis. 1~ = O W SEC. 13-30-18 a+"' Q) U C O er (ALUM. CAP MON.) LAJ Z ~Lj ~i NOTE: The parcel(s) shown on this map is/are subject to State, County and APP EO Township laws, rules and regulations ( i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix Countv Zonina Office and the nnnrnnrintra Tnwn Rnnrrl fnr 'nrkil- NOV 2 5 97 v-. r ST. CROIX COUNTY ZONING :)EPARTMFINT, AS BUILT SANITARY RE PORT L~ Owner g Address ILIS5 1,& TN e ~City/State 91&,, I.~y coy n ~0NINGOFFICE Legal Description: t Lot I Block Subdivision/CSM # tel. 12 eq. 33g2 " t/. yk XE, Sec. /L, T 3 6 N-RJI/W, Town of ~ PIN # SEPTIC TANK DOSE CHAMBER HOLDING TANK INFORMATION: Tank manufacturer Aa'"-Size ST/PCArO / Seth lck from: House Well P/L Pump manufacturer ~l Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: Width S~ Length /'d Number of Trenches Setback from: House Well P/L yG Vent to fresh air intake I/S_0 ELEVATIONS: Description of benchmark r Elevation Description of alternate benchmark Ia IL4 !/Y, C z Elevation /9.4 •z Building Sewer 107, ST/HT Inlet /0'y, S- S ST Outlet ./d % j// PC Inlet PC Bottom Header/Manifold 1 81° Top of ST/'C Manhole Cover 7 Z Distribution Lines 9/. 3 7 ( ; Bottom of System { ) ~7~ • S" / ( ) { j Final Grade 1 y, 9 7 ( l Date of installation/2 //J'/ ?7Permit number,-,;?T1/ 110 Stal a plan number - Plumber's signature License number. ?yam Date Inspector 157 3 Complete plot plan + . t r- NOTICE: Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic rank manhole cover. • Show alternate benchmark, if applicable. ♦ - 7of koo~e 4,Pc(6LJ',p0 PLAN VIEW _ }8 r Sot /mss' AL /o r /A' {J' I4e INDICATE NORTH ARROW Safetns of Commerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Buildings Division Y: INSPECTION REPORT 0, &0/ GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 2,01-11 qV Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: A" Kf, i Sir lie, -Ad A CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: role 2" T, 0 - l~ 317 o ov TANK INFORMATION ELEVATION DATA Af7005--P -7 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. e tic ~W D Benchmark 14007~ IS A& 1&.45, a. fob A@Fat+en Bldg. Sewer 60-8,5 09Ir F•1e~eFrrtg d Ht I n l et /o • TANK SETBACK INFORMATION (2>Ht outlet 0 . / -7141 TANKTO P/L WELL BLDG. ventto ROAD Dt Inlet Air Intake T e tI toot via ZV' NA Dt Bottom 909i ng-- Header/ Man. NA Dist. Pipe 37 H ~ Bot. System ,o 1AS OSl PUMP/ SIPHON INFORMATION Final Grade Gd Manufacturer D d ST M kale, 6a e 1/ 413 It/.72- Model Number GPM 41-f. t 164K Z-03 b TDH Lift Loss S stem TDH Ft Forcemain 1Length Dia. Dist. To SOIL ABSORPTION SYSTEM B TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth D M N I N 8 DIMEN I N SYSTEM TO P / L BLDG WELL LAKE / STREAM Manufacturer: SETBACK INFORMATION Type O 5©,t. CHAMBER Mode Num System 1 YG►, OR UNIT DISTRIBUTION SYSTEM Header/ Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake r Length Dia. Length [02, Dia. Spacing Sj_ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over ver a ~tthhOff eeded /Sodded x Mulched Bed /Trench Center Bed / Trench E ges soNo ❑ Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) ~'~f• ~ Top 116&Ase 4vrtwi hc14 _ 11`f•62 Z/67' 0 A- " ~ S C- &,V t ri~Ga-~f D . Plan revision required. ❑ Yes KNo Use other side for additional information. -7 / 7 SBD-6710 (R.3/97) Date Inspector's Sig ture ert. N ADDITIONAL COMMENTS AND SKETCH ' SANITARY PERMIT NUMBER: i VtIist.onsin,DepartmentofCommerce PRIVATE SEWAGE SYSTEM count Safety and Buildings Division INSPECTION REPORT y~ ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) SanitaryN51fft Personal information you provice may be used for secondary purposes [Privacy La s.15.04 (1)(m)]. P~rlriit~IQld.~619Te'MIKE & JULIE ❑ ~ ❑ Town of: State Plan ID No.: CST SM DEILev-v.: Insp. BM Elev.: BM Description: Parcel Tax No.: 100 lot 12 11 pvt 12, De- TANK INFORMATION ELEVATION DATA A9700507 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ~U Benchmark 0 C/ Dosing Alf. M 116 VS 2.o3 Aeration Bldg. sewer/(o, Holding StkW Inlet j/(o ~rf 7 oG' 1vq- S TANK SETBACK INFORMATION St*~p Outlet (16.(6 7 Z ")17. Vent TANK TO P/ L WELL BLDG. Air Ito ntake ROAD Dt Inlet Septic rrTa 2.(,c;,* na 22 NA Dt Bottom Dosing NA Header / Man. 9 /el Aeration _ NA Dist. Pipe /ot• 96 0/ 7 `1.T Z' 3 7 Holding Bot. System /a, / D. s k 9D •S/ PUMP/ SIPHON INFORMATION Final Grade 161.01 42- Ofc~ q~ Manufacturer Demand 57` (M L I/b93 Model Nu er GPM / ri ham( //G.G s l,71~ TDH LI Fri System TDH Ft Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM AfM /NRENNH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. iquid Depth DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manuf urer: SETBACK INFORMATION Type Of t ER o elNumber: System v ^ /SD ~,s0 Yl Z OR.UNIT DISTRIBUTION SYSTEM z-As7m SG Z Header / Manifold Distribution Pipe(s) + „ I x Hole ize x Hole Spacing Vent To Air Intake t Length Dia. Length Dia. Spacing ~Q SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Overepth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /TrenckrE`dges~Y Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: RICHMOND 13.30.18,NW,NE 1,455 160TH AVENUE E, l(,7 Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R.3/97) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: L7 p v, aS li /0UJ t~,rf i d i I >i Safety and Buildings SANITARY PERMIT APPLICATION 201 E. Washington, ►scons►n In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707- Department of Commerce • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 1/2 x 11 inches in size. 5r, • See reverse side for instructions for completing this application State Sanitary Plt~ mit Number The information you provide may be used by other government agency pro rams ❑ C .if it.1.'o revious application [Privacy Law, s. 15.04 (1) (m)). N55 / `n 49 f j P,,,. State Plan I.D. Number 1. APPLICATION INFORMATION - 9"S9 PRINT ALL INF RMATION Property Own Name Property Location & (Or) 1/4 n/E" 1/4,S /3 T 50 N, R E 19 Property Owner's Madin ress.,,C Lot Number Block Number ( All 3- s -7- Ci , State 7 Zip Code Phone Number Subdivision Name or CS Number / It i! SYd/ 7 (~fT 1214 ° 70/3 / Z. II. TYPE OF-BUILDING: (check one) ❑ State Owned ❑ ft~ Nearest Road . ❑ Rage Public 1 or 2 Family Dwelling - No. of bedrooms own OF O ` av"u. III. BUILDING USE: (If building type is public, check all that apply) e Parcel Tax Number(s) 1 ❑ Apartment/ Condo /3 t 0~ 1 S4 n 0,2~ ^ 16 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 Q Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1 New 2. ❑ Replacement 3, ❑ Replacement of 4, ❑ Reconnection of 5. ❑ Repair of an System System_____________Tank OnlyExisting System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 En Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 410 Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1_ Gallons Per Day 2. Absorp. Area 3. Absorp. Area Al. Loading Rate 5. Perc. Rate 6_ System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation 3-0 1 /?75' q Y ~Q. 6 Feet `/3, ~p Feet VII. TANK Capacity Site in gallons Total # of Prefab. Fiber- Plastic Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass App New Existing structed Tanks. Tanks ~ ❑ ❑ ❑ ❑ Septic Tank or Holding Tank Y(,60 f V d ❑ ❑ ❑ 1:1 11 1 1:1 11 Lift Pump Tank /Siphon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) P=er's na tur ) MP/MPRSW No.: r;s Phone Number: a Qa .17071 S - :7G7' (o 9S~ Plumb A dress (Street, City tate, Zip Code): o ~e yoo IX. COUNTY / DEPARTMEN USE ONLY Disa roved Sanitary Permit Fee (Includes Groundwater ate ssue Issuing Agent Signature (No Stamps) Pp Surcharge Fee) - Approved ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: DtSTRJBUTNIN: original to County, One copy To: Safety & Buildings Division, Owner, Plumber SBD-ewe (R.11/96) INSTRUC=TIONS t 1. A sanitary permit is valid for two (2) years. 12. 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 in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-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 and Buildings Division, 608-266-3151. To be complete and accurate this sanitary permit application must include: 1. 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 gailons, 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. VIII. Responsibility statement- Installing plumber is to fill 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 1/2 X'11' hoes musix'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 mainWwater service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systent, ; replacement syste areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete s `'cifications 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. - fro r ~rQ w ~ h oAr- 90, ~ Nw' vE`y S /37" 3a Kel rirl 600A If y I; y3~ L,3 , ~ ~g► _ _ _ . gyp' 951,x° !o i i ~9S f_ I VWsconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau bf Integrated Services in ~k appe-with s. ILHR 83.05, Wis. Adm. Code Attach complete site plan on paper not less th V? x 11 in*s in siI1 ,fal must County include, but not limited to: vertical and horiz I' ere dir'errEign r percent slope, scale or dimensions, north ar nd loc r dunce to' " est road. Parcel I.O. # APPLICANT INFORMATION - Pie rin~t a flon. Revi wed b Date Personal infonnation you provide may be used for ry purpos"JD {vw Law, s. 04 ) (m)). Props yOw~n~er Property Location NLAI 1/4,S 13 TO N,R E (or) W %Govt. Lot 1/4 IN -9 Property Owner's Mailing Address Lot # Block# Subd. Name oSM# ~ ? 9" N S-' s r- j 33 ?'Z- city State Zip Code Phone Number ❑ City ❑ iitage Town Nearest Road_ ~SVOI7 (7/: >2yG-7013 /Go Road_ ew Construction Use: 0 Residential / Number of bedrooms Addition to existing building Replacement ❑ Public or commercial - Describe: Code derived daily flow 600 gpd Recommended design loading rate y bed, gpd/f? / S trench, gpd/ft2 Absorption area required /S-00 bed, ft2 4~! -0 trench, ft 2 Maximum design loading rate L ~ bed, gpd/ft2~trench, gpd/ft2 Recommended infiltration surface elevatio js) c1Ly- ft (as referred to site plan benchmark) Additional design/site considerations / Parent material ' "e'~ Flood plain elevation, if applicable IyAr ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holdinn;U U = Unsuitable for system 29S ❑ U 45 S ❑ U U ❑ S U ❑ S Lea ❑ SSOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench e- 7 75-W2 s i /A sae AL - Z, 17/6 13-Y1116 L /r`.~~f? arm Ivy , G Ground 3 lo' 2 7, R SA, 4- /e A'e' alv . Z . 3 elev. 9~ft. q 27 3'3 4 ajv . S G Depth to y 3 7. G/ 7 Ih L. ✓ . 8' his, limiting .factor 7 L/N-in. Remarks: Boring # 1 043 _7 5 5,'/- 2,97 Mt A651 QW 111k YL 41 Ground ejev. U-IM 7, CYW11Y #1,4- Depth to limiting factor 2 7 /t.c, in. Remarks: .ln zoe.AAl dafj~ CST Name (Please Print) ignature Telephone No. LI 7✓~ Gbh ~G 13 "7 Address 71C Date CST Number 37 2 / i/e s i -k r ~"J-'W' l' /Z"&, 9,7 3 -Yo st' il "L SOIL DESCRIPTION REPORT 11.10 PROPERTY OWNER Jn&~ Page of '3 PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots VD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench s- -2- ~z9 R Li G- In AmAlyle" MA,;C,P Qil /vim • s- ; , C Grrounnd 3 9 S, cL 1 rS&e ^P? a kr . z C iS ft. q3 f T /l 614 FS~ 5~1 Ago. ec ke Depth to 5, 6%-9S 7. S-WUN `nIs /!,i • 7 limiting faZV Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. ft. ' Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor 'n' Remarks: SBD-8330 (R. 07/96) e2e kl y tic-- S 43 7-1b A//?/? ~ 7-&, /p sT Cto.; I#- -rol y ARP ,ems . t3 a ytA_ ,Ake' ' w1wansin Drpfsnmsne of lndusery. $ q w; TON REPORT page I of 2 ubif KI t*rrnen fielatioM ~ DiVision of SsteN 8 Widinps be v54 ,d pj(w~j vis. Adm. Cone / COUNTY unc~ c FawwGc sUrtlw~~ 5t. Croix . Attaeh complete site plan on paper not le, must inchAe, but ARCEL I D t not united W Vertical and hmizontal refers e7 p i 64XA41r 5 rA-V )Pe, scale or dimensioned, north arrow, and iocstion Ai proGA Rt:111EYVED BY DATE APPLICANT INFO R1AATI0N-PLEA' A- cowl,vd,.{T" 14S PROPEkI Y OWNER: FROPE' LOCATION t+- WP Jim== GOVT. LOT AHOY 1/4 NE V-013 'r30 ,,R 18 1(94w PFiOPEfl1Y OWNER'S MAIL( AbDflESS LOT 4 BLOCK BUBO. NAME OR G5M 4 fifai~rfie3el pd- 1 1 nj a cwt CITY, STATE ZIP CObI PHONE NUMBER ITY ILLAGE ®fOWN NEAflEST ROAD 160th- Ave- New RiCberand W1. 54017 1 •716 j46-261a... Dt) New Constnrodon Use (xJ ReW&-dd / Number of bedrooms 4 Addition to existing btMng f cement Public or comiereial code derived qtr (low 600 god Reeamrrtene®d design leafing rate _.4 boas 9DdNt21a_tiench, gpdM2 Absorption area required 500 bed, ft2 500 trarick hZ • Maximum demon bading rate .4`be0, gp0/R2 _ 1. Irench, gpw R@wn vwded inflltratien surface elevation(s) . J Q2.20 tt (a9 referred to site pion benchmark) Adds iorial design / site osnsidwadam na Parent material -12ittad _47 ari a i drift Ftood plein elevation. it applics le tt S - Sultable for s lent CONVENTIow MOUItID IN-GMUND PRESSURE AT GRADE SMEM IN FILL MOLDIMG TANK U; Unsubbie roF mm Q s ®u 12S 01.1 ❑ S IM i 3 s ❑ U ❑ s 2 t.1 ❑ S aw SOIL. DESCRIPTION REPORT Boring P Horizon Depth Dominant Color Mottiets Texture Structure Cor[s Boundary Roots GPD/ft in. Munsell Chu. Sz. Cont. Color Gr. Sz. Sh. Bed terldl 1 1 0-10 1 r3 2 noee si r 2 10-21 10yr4/4 none Sim 2msbk mfr gw if .4 .5 Ground 3 21-37 5yr4/6 none al 2mgr mvfr gw na .5 .6 elev. idl_2~ ft. 4 37-70 7.5yr4/4 c2d 7.5yr5/8 sci 1C8b1c nnvfr na na .2 ; .3 Depifl to fimfAng laclor 37" ' L Remarks,. Storing 1 0-12 10yr3/2 none oil 2m sbk tafr 9w 2f 6 2 12-25 10yr4/4 name sicl 2alsbk mfr gv if -4 .5 3 25-42 5yr4/6 none sl lcsbk mfr 9w na .4 .5 Gbund , . elev. 4 2-62 5yr4./6 flf 7.5yr4/6 sl lcsbk mfi na na .4 .5 112 ft. Depth to pmilirg !actor Remarks. CST Namv--P1ease Print Gary L. Steel (Phone: 715-246-6200 Address: 1554 Ave. 'New 'e n WI5A(i 7 signature i Darc: Q C n'7 CST NWt1t?Crt rtftf2248 E -d 0029+9VZ+5 L L -15515 1 AdVO HObd HdSV' 9 566 l- L Z- L L r~nc•t ainn~ PARCEL. I.D. o . GPD/ft # Horian Depth Dominant Color Qu ~ ~ moses, Color Texture tsr Sh. Bo~ddh► ~O Bed Tier~t 806 rig in. Munset ~f .5 .6 1 -10 10 r3 2 oone S3.1 2ip8bk 2ft if '4 'S 3 2 0-22 10yr4/4 none sicl 2msbk mf r 9w S1 icsb)c mfr 9w na .4 .5 3 2-40 5yr4/4 none Ground na na na np .2 ' 4 -55 5yr4/4 none sC1 M 10],=~ it Depth to rEON b17Eot Remarks: - (3chng # Ground . elev. ft. Depot tD . Irniting h~cLor NOW~ Remarks: Boring # r FT Ground elev. - tt Depm b factor now Remarks: Baring # E3 Ground elev. ft. Depth In Boom bcbr LEE 2111E] 9-d 0029+9VZ+9 l L 1331S -1 AdVS "Odd Hd6V ° 9 566 l - t Z- l l STEEL'S SOIL SERVICE Gary L. Steel CSTM2298 Robert W. Krueger 1554 200th Ave. AMPRSW 3254. NANE'J S13-T30N-R18W Now Richmond. WI 54017 tOanl of Richmond (716) 246-6200 lot #1-cm w 1'1==40' BM-= top of 2" pvC Pipe 8 el. 100' Alt. ]?In.= top of steel fQ"cR post @ ei.. 101.90, 04 9 G~ o~ . Gary L. Steel 8-6-97 S -d 0029+9VZ+5 L L 1551S 1 AdVO WOdA Wd6V ° 9 566 l- L Z- L L Wisconsin Department of Commerce SOIL AND SITE EVALUATION / Divisia; of Safety and Buildings Page r of 2- Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and • G Ir ® r x percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # 0115 t % C' t/e -~-F V-aT ! 6IJ 5q Go V /JTtt APPLICANT INFORMATION - Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Govt. Lot 1/4.. 1/4,S T N R /°f Property Owner's Mailing Address Lot # Block# Subd. Name IVI City State Zip Cfde Phone Number El City ❑ Village 0 Town Nearest Road 91 New Construction use: Residential /Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow &C0 gpd Recommended design loading rate ° T " bed, gpd/ft2&,5~ trench, gpd/ft2 Absorption area required AVO0 bed, ft2 /Zft> trench, ft2 MAximum,,design loading rate bed, gpd/ft2 L trench, gpd/ft2 Recommended infiltration surface elevation(s) To b~~~h~~ .r~ ft as referred to siteplan benchmark) Fm;, 15W Additional design/site considerations eW..t k''`' ` Parent material CIALA'o- f i WZ 9A "A-1" Flood plain elevation, if applicable 64 ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank u= unsuitable for system C9 S ❑ u CK s ❑ u KS ❑ u 01 s❑ u ❑ s C9 u ❑ s poll SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 2 $-Zt 2h~ s h Ground 3 SL vrt"' C elev. I L-7 Depth to 0S o limiting factor in. ,p f Remar . ro-b ~ ro »t GB lrr~ ~-CI r .:5 o' r f o , - JE F i t (zee'&'*~-d et . ",S/64t~r•, Boring # 6-13 t" or Or Ground 3YI' w 7 elev. © S 7 Y Depth to limiting factor in. Remarks: CST Name (Please Print) ign ure Telephone No. Est,' r,✓ Address Date ~ST Number . t CiQ~ PROPERTY OWNER ✓yGe~W SOIL DESCRIPTION REPORT Page _ of PARCEL I.D.# r G K.V; j r" Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots vpfit2 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed , Trench 3 I o --7 2 6c . b 2 7-N, s~ 2, 3> ,S ;lam Ground 3 G. rZ►~ 2 3 elev. ft. 27- os S( [w" Depth to limiting factor in. Remarks: Boring # Ground elev. ft. ' Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD-8330 (R. 07/96) l f `ta„ Qvta. 1 R R ~Iff( , u 4co w vat . c s w a to, tn,~ a 4, STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER %Ag- MAILING ADDRESS ~ i~~ 41x.,j (0 7~ S * s j~ S'vv /-7 PROPERTY ADDRESS l Ssr /60 -rf% a,-- 6•/1 9017 (location of septic system) Please obtain from the Planning Dept. CITY/STATE Q2w- PROPERTY LOCATION _ 1/4, 1/4, Section /3 ' T 36 N-R /g W TOWN OF ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER - CERTIFIEDSURVEY MAP 94- VOLUME / Z, PAGE 338 Z, LOT NUMBER,_,Z_ 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 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 for a maximum of 60% of the cost of 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 St. Croix Zoning a certification form, signed by the owner and by a mater 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. 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 stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year ex 'ration date. SIGNED: 'C..z DATE: - - St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 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 *4A- au eA-~ Location of roper y UP 1/4_1/4 , Se ion /Z , T30 N-R Io W Township Mailing address G71 N E qg T WE 6-4101-7 Address of site f7 Subdivision name Lot no. Other homes on property? Yes No Previous owner of property Total size of property Total size of parcel Date parcel was created /z- Are all corners and lot lines identifiable? Yes No Is this property being developed for ('spec house) ? Yes No Volume./?- and Page Number33 9'Z 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 AND 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. , and that I (we) presently own the proposed site for the sewage 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 the County Register of Deeds as Document No. f F / S' nature of A scant f4~ Co-Applicant - Date of Signature' Date of Signature 569029 CERTIFIED SURVEY MAP Located in part of the Northwest Quarter of the Northeast Quarter of Section 13, Township 30 North, Range 18 West, Town of Richmond, St. Croix County, Wisconsin. o Prepared for and at the request of: OWNER: Robert W. Krueger 836 Fairfield Road 8 New Richmond, WI 54017 FILED Drafted by. Kristi A. Eylandt NOV 2 5 L iY 1997 KNTHLEEN H. WASH NORTH 1 4 CORNER Register of Deeds 2 SEC. 13-30- 18 UNPLATTED LANDS Croix Co.,W1 Oj (1 N ~P) CTS CEN NORTH LINE OF THE NW 114 OF THE NE 114 160th A ve. 160th AVENUE 0 -------S 89'45'50" E 2651.94'--- - ----S 89'45'50" E - 1325.97'---- - _ - i' - - 662.98!------ t1325.97'- 150: ~ E I I I ---88 '---662 - .94 - - - - - - - _--~i - -S 89 45 ' 1325. ~o I R. O. W. / l ■ PUMP 14.00%'` l 0 0 160th A ve °o I SHED HOUSE I _ OA BlJ/LD/NG SETBACK i Co 3 V), o 100, FROM l r-Z Z Z 00 ' D 0) Zt 0) R. O. W. LINE V i I W\ 3 J l W t: LQ Z~ o~ 3 N LOT 1 ~ w LOT 2 01 i3 ~z oU <l W OR o Ci x 3 4 e O lye of Z i Z to N Z TOTAL ,AREA: N TOTAL AREA: Z V) rn Ql o i -J o N .r 651,929 S0. FT. i o 65.3, 512 50. FT. eh a l LO l 14.97 ACRES o i Q z l P o 15.00 ACRES l o O °i ~ ni (n I 3 3 °o I W AREA EXCLUD. R.O. W.: i ° AREA XCLUD. R. 0. W. ~ z W 630, 015 SO. FT. 631,634 S0. FT. I I vt W \ WV ' V 414.46 ACRES i 14.50 ACRES I l P r 21.9\ I 14.00 ---639.63 r - --647.56t--- ? r re ---661.56'--- ---661.56'--- ------N 89'33'26" W 1323.12'------ m W Z ~ i 0h aJ ~ s~ O Z) 04 UNPLATTED LANDS W 03 00 'Q' RONALD F. o o Q z Q Z LZ JOHNSON 186 Z v Z I AMERY. ~Zvs iC W Z -t-SOUTH 114 CORNER ♦ W s OVWV~ SEC. 13-30-18C~ ~0t (ALUM. CAP MON.) i♦~~,~ Q ~ ~ cwtj®#!•~d ~ NOTE: The parcel(s) shown on this map is/are subject to State, County and APPROVED Township laws, rules and regulations ( i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. NOV 2 5 '97 Croix County Zoning Office and the appropriate Town Board for advice. +f a 5992.14 a DID SJATE BAR OF WIScowin rowu 2 - 1982 WARRANTY DEED DOCUMENT NO. T, - - REGISTER'$ OFFICE Robert W. ST. CROIX CO., .WI Krueger - - - - - ROc'd fvr Wcord DEC 01 1991 t:00 P.m conveys and warrants to -Michael ,7 Mi r3d1,P-tQIL-and t t , i A _Middl€t-on_husband and -wife. _ a. t.. or ot..e. rtuS SrACE MEWED ron nEConOtNO DArA NAME AND nFWnN ADOnESS - the following described real estate in St r? AlX County, State of Wisconsin: KRISTINA OGLAND Zilz, Estreen & Ogland P.O. Box 359 Hudson, WI 54016 rAnCEL MEN11FrCAMN NUMDEn J Part of the NW1/4 of NE1/4 of Section 13, Township 30 North, Range 18 West, Town of Richmond, St- Croix County, Wisconsin, described as follows: Lot 1 of Certified Survey Map in Vol, 12 , Page 3382 , as Doc. No. 569029 a TRA,JSFERit ; -5 FEE This i q nnt- homestead property. Xk*X (is nol) w Excep:iontowarranties: Easements, restrictions and rights-of-way of record, if any. it, Dated this _ 1 0 day of ) -_._111S2Ye~er A. D, 19_41. (SL•AL) -AI) Robert W -Xz Igor (SEAL) _ (SEAL) AUTIIE•NTICATION ACKNOWLEDGMENT }(3(j}b}{ ' Signature(s) State of hT% [i. St. Croix, County. authr micatcd this da of ) ressonally came before file this _ day of ate+~e..+F+e_ 19_x_, the above earned " - a-~-* -W- Krueger- - I I I LE MUMBER SATE TSAR OF WISCONSIN (If not, t awhorized by 9706 00, Wis. Stars) to rrr 1-rwna-n to be the person r- who execlticd the foregoin%,