HomeMy WebLinkAbout038-1132-95-200
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
I-abor aria Human Relations INSPECTION REPORT ST. CROIX
Zafety and Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION 299008
Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.:
DUIS, ROBERT & CAROL STAR PRAIRIE
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
00
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
ZGD Benchmark Y ~ 95-
Septic (~k S ,
Dosing 0
M. 0.
Aeration Bldg. Sewer'
'
Holding St/ Inlet 76 9G, 71
TAN SETBACK INFORMATION St/ I Outlet
Vent
TANK TO P / L WELL BLDG. Air Ito ntake ROAD Dt Inlet j] 9tj 5,
Air
Septic J~- NA Dt Bottom" 9a,
jmEker /Man. D S~ P>
~ Dosing s0 /g~ NA
Aeration NA Dist. Pipe 1~d'
Holding Bot. System
PUMP /-%PMM INFORMATION Final Grade
Manufacturer C Demand _6Z ( „-r D.OS gu/,
Model Number GPM
TDH Liftl/,W Friction ,3/ Systema 0 TDH IS,I dFt
Forcemain Length Dia..HH Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS ~3 DIMENSIONS
LEACHI Manua er:
SYSTEM TO P / L BLDG WELL LAKE /STREAM
SETBACK
INFORMATION -Type Of r12ur , CHAMBER lode Number:
System: Y1/lw. cl ~s~ 5~~ OR UNIT
DISTRIBUTION SYSTEM
H+eaderltManifPId Distribution Pipe(s) x Hole Size x Hole S acing Vent To Air Intake
/ }
Length `fig Dia- ~ Length ~ Dia. ~ Spacing ~F
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Q Depth Over , xx Depth Of xx Seeded/ Sodded xx Mulched
Bed /Trench Center ~ 0 Bed /Trench Edges Z Topsoil (o es ❑ No 13-res ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
C"s i 33oe
LOCATION: STAR PRAIRIE 32.31.18 SE SW 946 HWY 4 y
~
''v0_-L,,,Z 6'i4 ~-.I -
C~ ~`,a-r. a.~, IQCt c~c='` ~✓viniLed= a.l-t. %%Q
~(lutoIP 0-11
Plan revision required? ❑ Yes o
Use other side for additional information. /d 07 97 4AIP
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
- I
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER: •
At
I,
1*6consin Safety and Buildings Division
SANITARY PERMIT APPLICATION 201 E. Washington Ave.
In accord with ILHR 83.05, Wis. Adm: Code P.O. Box 7969
Department of Commerce Madison, WI 53707-7969
• Attach complete plans (to the county copy only) for the system, on paper not less County S CPO u X
than 81/2 x 11 inches in size.
• See reverse side for instructions for completing this application State Sanitary Permit Number
ag9oo~
The information you provide may be used by other government agency programs ❑ Check if revision to previous application
[Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number
1. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION
Prope Owner N me Property Location
r fi av'o tti S S [r 1/4 S Lj 1/4, S 32 T 31 AR R 19 Qr) W
Property Ow er' Mailing Address Lot Number Block Number
w z
City, State t Zip Code Phone Number Subdivision Name or CSM Number GSM 561 2,-7
ot~ W~ y 01 ch~5) y -59y
II. TYPE F B I DIN : (check one) ❑ State Owned ❑ !t Nearest Road G
Public 1 or 2 Family Dwelling - No. of bedrooms # 11 rowan OF 1 ~ r r Z. III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s)
N
1 ❑ Apartment/ Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station /.Car Wash
5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify
IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable)
A) 1. flew 2. ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5_ ❑ Repair of an
System ___System_----- __TankOnly Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21.'Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22E] In-Ground Pressure 42 ❑ Pit Privy
13E] Seepage Pit 43E] Vault Privy
14 ❑ System-in-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading,Rate 5. Perc. Rate 6. System Elev. 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation 56 (0 00 L 50 c1 .,q 103. Feet Feet
VII. TANK Capacity
gallons Total # of Prefab. Site Fiber- Exper.
INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App
New Existing structed
Tanks Tanks
Septic Tank or Holding Tank 11100 12-00 1 We0-V-5 E ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber Off? 900 1 LL1 C e -K3 [9 ❑ ❑ El- I ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
u Number:
Pl ber's Name: (Print) Plu er's Signat : (No S ) MP/MPRSW No.: Business Phone
ga u ~ s 2 -7/ 3` 7- 7 - 3? 3_3
Plumber' dress (Str t, City, State, Zip Code):
6 O Z Z 1~ P 4' ~~idh D/
IX. COUNTY/ DEPARTMENT USE ONLY
E] Disapproved Sanitary Permit Fee (includes Groundwater ate Issued Issuing Agent Signature (No Stamps)
Ni / Surcharge Fee)
Approved ❑ Owner Given initial `_b(Q
Adverse Determination
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD-6396 (R.11/96) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at 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 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.
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 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.
SAFETY & BUILDINGS DIVISION
201 E. Washington Avenue
P.O. Box 7969
Madison, Wisconsin 53707
State of Wisconsin
Department of Industry, Labor and Human Relations
August 11, 1997 1340 East Green Bay Street
SUITE 300
Shawano WI 54166
STRHBEEN EXCAVATING
1929 RALIEGH RD
NEW RICHMOND WI 54017
RE: PLAN S97-30963 FEE RECEIVED: 180.00
DUIS JOHN R
SE,SW,32,31,18W
TOWN OF STAR PRARIE COUNTY OF ST CROIX
MOUND SYSTEM
The Department has reviewed the above-referenced submittal.
Conditional approval is hereby granted for the system plan submittal. All
noted items must be corrected. The review and approval of the system is based
on chapter 145, Wisconsin Statutes, and chapters Comm 83 and 84, Wisconsin
Administrative Code, and is contingent upon compliance with any stipulations
shown on the plans. This system has not been reviewed for the code
requirements set forth in chapter Comm 82 or in chapters ILHR 50-64, Wisconsin
Administrative Code.
This plan submittal approval will expire two years from the approval date, or
if a sanitary permit is obtained, plan approval will expire on the day the
initial sanitary permit expires. The licensed plumber responsible for this
installation shall keep one set of plans with the Department's stamp of
approval at the construction site. The installer shall notify the appropriate
inspector when inspections can be made.
All permits required by the city, village, township or county shall be
obtained prior to installation.
Inquiries should be directed to me at the number listed below. Please refer
to the plan number shown above.
Sincerely,
Ross J. Fugill
Wastewater Specialist
(715) 524-3626 7:45am - 4:30pm s
SUDA-6928 (R. 18/94)
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P.O.W.T.S.
Conditionally
APPROVED s97-30965
DEPARTMENT OF COMMERCE
DIVISION OF SAFETY BUILDINGS
SEE R ESPONDENCF -
3 Vn'~
to S Page - Of _
Straw, Marsh Hay, Or
Synthetic Covering
Distribution Pipe
Medium Sand
H G
Topsoil F
3 E D
u
11.5 % Slope
P.O.W. I.S. Bed Of 2M- 2 t Force Main Plowed
Conditionally Aggregate Layer
APPROVED
D t Ft.
DEPARTMENT Of COMMERCE
Wsiow of wETy An Ica E . 0 Ft.
Cross Section Of A Mound System Using
F .75 Ft.
SEE COR SPONDENCE A Bed For The Absorption Area G , p Ft.
A Ft. H I.5 Ft.
Signed: B Ft.
License Number: 'Ay- 3 K _ Ft-
Date: L Ft
~ ~ f 7
Ft.
Alternate Position x Ft.L-
of
Force Main W'3 j _ Ft.
L
Observation Pipe--,,,,
6 K
A ----------------------•I Force Main
W ° --f
Distribution Bed Of 2M- 2 %2
Pipe. Aggregate
Observation Pipe Permanent Markers
597-30963
Plan View Of Mound Using A Bed For The Absorption Area
t@ ~4 Y A l0 a' f J
N
Page _ Of _
Perforated Pipe Detail
0
End Visw
)Perforated
End Cap ~d PVC Pipe
v~6 e
J~~b~ot`o Holes Located On Bottom,
Are Equally Spaced
R
P
PVC Force Main
.7
PVC
Manifold Pipe
Alternate Position Of
Distribution
Pipe Force Main
Last Hole Should Be
Next To End Cap
End Cap Distribution Pipe Layout P~ Ft.
R~
S
X LIS Inches
Y LI S Inches
Signed: Hole Diameter Inch
3 y Lateral Inch(es)
License Number: Manifold Inches
Date: Force Main " 2 Inches
# of holes/pipe g ✓
P.0.W.T.S. Invert Elevation of Laterals104.15 Ft.
Conditionally
APPROVED' i
DEPARTMENT OF COMMERCE
DIVISION OF SAFETY AN tLDINGS S97e>a v,
SEE CORRESPONDENCE
V ~n 1 S PAGE OF
PUMP CHAMBER CROSS SECTION AMD SPECIFICATIONS' e
VENT CAP
`i'C.I. VENT PIPC
WEATHER PROOF APPROVED LOCKING
25' FROM DOOR, JUNCTION BOX MANHOLE COVER
~
WINDOW OR FRESH IYMIU. I
AIR INTAKE I
GRADE I
4' MIN.
IB' Mlu.
CONDUIT-- -
Ib'MIN. \vt~ -
\ 11O
r PROVIDE I
. INLE T AIRTIGHT SEAL
APPROVED JOINT A P.O W.T.S. I I APPROVED JOINTS
W/C.I. PIPE Conditionally I III W/C.=. PIPE
EXTENDINb 3' I 11 ALARM ONTO SOLID 3'
ONTO SOLID SOIL B - AP P ROVED SOIL
DEPARTMENT OF COMMEKI ( ON
C OMS10 OF SAFETY LOW" I
CLEV. FT. SEE C RESPONDENCE PUMP--, OFF
D
CONCRETE BLOCK
~nw. 3 INCw
• RISCR EXIT PERMITTED OWL'S IF TANK MANUFACTURCR HAS SUCH APPROVAL , ..PPRavf-D
,Q i t~CMly
SEPTIC E I ~_00 5 SPEC.IFICATIOUS
DOSE $oo
TANK MANUFACTU0.ER: C K S NUMBER OF DOSES: PER DAU
TANK 51ZE: dd GALLOWS DOSE VOLUME
ALARM MANUFACTURER: S J I e C r 0 INCLUDING BACKFLOW: GALLONS
MODEL NUMBER: ~ I W CAPACITIES: A= ~ ? INCHES OR 45S GALLONS
SWITCH TYPE: 8 INCHES OR
1 ~ IN 3 GALLOAIS
PUMP MANUFACTURER: C-_.~ Q INCHES OR GALLOMtV
MODEL NUMBER: £ Du~INCHESOR 1 3.(~ GALLONG
SWITCH TYPE: s MOTE: PUMP. AND ALARM ARE TO OL
MINIMUM DISCHARGE RATE 31 ~y y GPM✓ INSTALLED ON SEPARATE CIRCUITS
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. 112 FEET
♦ MINIMUM NETWORK SUPPLY PRESSURE 2 5 FEET
♦ y s FEET OF FORCE MAIN X a'7~ f oo fxFKICTION FACTOR.. ` 1 FEET -30963
TOTAL DYNAMIC HEAD FEE ' J~~-7
~I
INTERAIAL DIMEIJSIONS OF TAWK: LENGTH ;WIDTH _.;LIQUID DEPTH 4-
SIGNED: 00 dt~_ jz~l~ LICEMSE WUMBERA `'Ff 32 DATE: D~ ~g~
x
ka
~ar'~Q~~1 i`t~ f~~',Ar~a~(7 i8iir';±3'J`~~
5:
3. PUMP SELECTIOW
Every centritucpl pi,mtc 11.`1r; ,c imi( ue S-1 EP 2:
performance c;r_ir vr~~. 1 hi'; cm Vfv iilristrak.~s With the pump selected ir. Step 1, check
the relationship (A il(n,,1 ((;I'll l) IO pressure performance curve(s) to see.that it passes
(10TAL HEAD) gat ;mv p(mil 11!,,, pimip above or through the design condition.
will operate at ariy fic,,ird ~clc5nca ttri'(;
performance curve.
!='urn a cii is llaf~rcalr~~~, t~ SOLIDS HANDLING
p capacity he flow the. SOLIDS HANDLING requirements may be
pump will generate, al tarry ~;L~ec;i[ir; pressure.
The object is to select ;i piri p Nmliose determined by local codes and/or by the
performance curve, asses c? 1hor thror.rgh type of application and types of solids
or close to the desidr)-(:mitlit ic7rr, anticipated. Unless otherwise stated by
preferably above. codes, a sewage pump should have the
STEP 1: capability of handling spherical solids of
at least 2" in diameter in installations
Start with the s►rrallc ;t tsrnirra horsepower involving water closets, and at least'/z" in
size that will pass they rc (icrhr(d solid size. installations without water closets
if the solid size is not rectnu ed ()r mentioned, (effluent pumps).
go to Step 2 nrad cheek, 1r(k)rrimnce.
FIGURE 3
f MANC,F CU V E_-
S' l l,l l MUIM F-I._OW' RATE PIPE (21 (-,-PM)
i
MIIvJIMF_JM F-I_C)W RA i-E 3" PIPE (46 GPM)
_1 J_
1 ~ t4Fr1 l
16E[A
r ,
d` I I ~k~
L7 ,
r- - qS 10E -
- 14S 16S
Z 2 \
L
I_v IS - - -
1
T, --l-tt-
U?~~ 100 150 200 250
(_i11V_.-i-_I-JNS PER MINUTE (GPM)
. ;ll
4
"Wiscoti in Department of Industry, SOIL AND SITE EVALUATION REPORT Page I of '
Labor and Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St-, - rrrji 3r
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road. 038-1139-70
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
Bob Duis GOVT. LOT SE 1/4 SW 1/4,S 32 T 31 AR 18 IkRor) W
PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
Q64 H., 64 na na na
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY [:]VILLAGE DOWN NEAREST ROAD
New Richmond ( ) 247__-,q44 Star Prarie St. H #65
I , WI. 54017 _j
.ic ] New Construction Use [x] Residential / Number of bedrooms 3 [ ] Addition to existing building
I ] Replacement [ ] Public or commercial describe
Code derived daily flow 450 gpd Recommended design loading rate Abed, gpd/ft2__5_trench, gpd/ft2
Absorption area required 375 bed, ft2 375 trench, ft2 Maximum design loading rate _.4 bed, gpd/015_trench, gpd/ft2
Recommended infiltration surface elevation(s) 103.65 ft (as referred to site plan benchmark)
Additional design / site considerations system based on contours line of e1 102 65 ,
Parent material glacial deft Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable fors stem El S [RU ® S E] U El S Giu El S ElU El S ERU ❑ S 1E7 IISOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
1 0-in 10yr 3/2 none S1 2mar mfr CM 9m -9 -6
2 0-40 10 r 4 4 none sl 2m r mfr crw lm .5 .6
Ground LO-72
elev. 7, 5yr 4/6)
103.45t. Randprl
Depth to
limiting
factor
40"
Remarks:
Boring #
2
Ground
elev. 9
103.4$
Depth to
.-A I
limiting
'
factor
Remarks:
CST Name:--Please Print Gary L. Steel Phone: 715-246-6200
Address: 1554 200th. Av . New Richmonh, WI 54017
Signature: Date: CST Number: m02298
• 6-25-97
PROPERTY OWNER Rnh rn~;c SOIL DESCRIPTION REPORT Page 2eIL-3--
PARCEL I.D. # 038-1132-70
Depth Dominant Color Mottles Texture Structure Consistence Bojldary Roots GPD/ft
Boring # Horizon in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Mfr
3 -
2 6-42 10 r 4/4 none S1 2m r mfr aw .5 .6
Ground
elev.
99.73t.
Depth to
limiting
factor
491,
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
L
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
STEEL'S SOIL SERVICE
Gary L. Steel 1554 200th Ave.
CSTM2298 Bob Du i s New Richmond WI 54017
MPRSW3254 SE4SW4 s32-T31N-R18w
P town of Star Prarie (715) 246-6200
1
N
1"=40'
BM. = top of 12" pvc pipe C el. 100'
Alt. BM.= nail in Aspen tree C el. 100.95'
10/0
Z51 Wo
CFA AP d 231
i
v ~t,►1,b
AYA 38
Oro ZZ' 266'
p . 2-
Gary L. Steel
6-25-97
562749 U~
01 1
CERTIFIE 11AP
Located in Part of the Southeast Quarter of th*Souwest Quarter of Section 32, Township 31 North,
Range 18 West, Town of $r, r Prairie, St. Croix County, Wisconsin.
Prepared for and at the ruest of: NORTH 114 CORNER
OWNER: SEC. 32-31-18 J. Robert and Carol Dula (ALUM. CO. MON.) 6
964 Highway 64 UNPLATTED LANDS
New Richmond, WI 54017
NORTH LINE OF THE SE 114 OF
Drafted by. Kristl A. E&ndt THE SW 114 OF SEC. 32-31-18 M
JOB #97038 s 1
S 89'42'23' E 658.08' 7 1{
M- Measured As - - - - -x-x 2 5199
R= Recorded As ~x 17 Jul' NWi
c3 I r,Kt~pe94s 1
M WEST LINE OF THE EAST i dxCo"Yn 1
1/2 OF THE SE 1/4 OF
UNPLATTED LANDS W
M THE SW 114 OF SEC. 32 Q I _
~ I I ti
P R=N 87'46'00" W
°o -r-M- N 88'52'11" W W
Z 40.25' 2 I
LOT 2 W I I
I tG ~ I
WEST LINE OF THE EAST --0 I w 575,641 SO. FT. I I \ I
112 OF THE SE 114 OF o, n 1 21 ACRES I I O I
THE SW 114 OF SEC. 32 oi~ ad O
ko. to
3 z~
LOT 1 W1 _1J\ ~GONSjwwy-- I C4
_ /~'F 9 -Y I <r JI
V CERTIFIED SURVEY MAP o • a
° I!q RONALD F.
D_OC_._N_0_._35_0244_ '4 • oo ~ 3 0 I
VOLUME 3 PAGE 633 iv Q JOHNSON W
0 0 V AMERY, Vs W al
Z I 0 W WIS. of
l°~~•, C5 g i o
! ~0*5 NO S U R `f -
M - N 8855'44" W 550.09' Ir-
R
= N 88'56' W 550.7' DEED
TED LANDS VOLUME 1203 PAGE 286 o
.W
DOC._NO._550764
I NOTE- FND 314 P, IS IZI in a W
SOUTHWEST CORNER I I S 02 02'46" W 7.84'
SEC. 32-31-18
CO. MOH) FROM SET 1" I.P. [(ALUM.
221
CENTERLINE S T.H. 64 ROW S. T.H. 64 75.00'
CIO)
N88'5~'23-W
- - - -------S 89'53'07" E 2620.19'-- 'r-:-VARIABLE WlD TH
S_T_N_ !ow _y_F --t--
UNPLATTED LA:~~ SOUTH 1/4 CORNER
SOUTH LINE OF THE SW 114 OF SEC. 32 SEC, 32-31-18
NOTE: The parcel(s) shown on this map is/are subject to State, County and (ALUM. CO. MON.)
Township laws, rules and regulations ( Le. wetlands, minimum lot size, access
CERTIFIED SURVEY MAP
Located in Part of the Southeast Quarter of the Southwest Quarter of Section 32, Township 31 North,
Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin.
SURVEYOR'S CERTIFICATE
I, Ronald F. Johnson, a Registered Wisconsin Land Surveyor, hereby
certify that by the direction of J. Robert Duis, I have
surveyed, divided and mapped a part of the Southeast Quarter of the
Southwest Quarter in Section 32, Township 31 North, Range 18 West,
Town of Star Prairie, St. Croix County, Wisconsin described as
follows:
Commencing at the South Quarter Corner of said Section 32; thence,
on an assumed bearing along the east line of.the Southeast Quarter
of the Southwest Quarter of said Section 32, North 00 degrees 15
minutes 34 seconds East a distance of 85.00 feet to the point of
beginning of the parcel to be described, this being on the
northerly right-of-way of State Highway Number 64; thence, along
said right-of-way, North 88 degrees 52 minutes 23 seconds West a
distance of 75.00 feet to the easterly line of that property
described in Deed.Volume 1203, page 286, recorded in the Register
of Deeds Office in said County; thence, along last said east line,
North 00 degrees 15 minutes 34 seconds East a distance of 340.00
feet to the north line of last said property; thence, along last:
said north line, North 88 degrees 55 minutes 44 seconds West a
distance of 550.09 feet to the southeast corner of Lot 1 of a
Certified Survey Map, Document Number,350244, recorded in the
Register of Deeds Office in said County; thence, along the east
line of said Lot 1, North 01 degrees 08 minutes 32 seconds East a
distance of 518.75 feet to the northeast corner of said Lot 1;
thence, along the north line of said Lot 1, North 88 degrees 52
minutes 11 seconds West a distance of 40.25 feet to the west line
of the East Half of the Southeast Quarter of the Southwest Quarter
of said Section 32; thence, along the last said west line, North 00
degrees 07 minutes 31 seconds East a distance of 342.10 feet to the
north line of the Southeast Quarter of the Southwest Quarter of
said Section 32; thence, along last said north line, South 89
degrees 42 minutes 23 seconds East a distance of 658.08 feet to tho
east line of the Southeast Quarter of-the Southwest Quarter of said
Section 32; thence, along last said east line, South 00 degrees 15
minutes 34 seconds West a distance of 1209.93 feet to the point of
beginning. Containing 575,641 square feet (13.21 acres). Subject to
all easements, restrictions and covenants of record.
I also certify that this Certified Survey Map is a correct
representation to scale of the exterior boundaries surveyed and
described; that I have complied with the provisions of Chapter
236.34 of the Wisconsin Statutes and the Subdivision Ordinance of
the County of St. Croix and the Town of Star Prairie in surveying
and mapping the same.
R nald F. J~obnson Reg. No. 1186 Dat
• T r " - M-11 _ _L Y 1171 r% 7 A C- A 9 1 n
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 -b ,i~ 10ors,4Zq- 'OC44S CA40t, S, u I
Location of property _5 & 1/4 50 1/4, Section 3Z T 31 N-R i8 W
Townships 5i4LeQeA i.2tE Mailing address R6`- F(w1I &4
0 ~w Iii c " i
Address of site 9 446 H-w I & ~ N (2t cc ~
Subdivision name Lot no.
other homes on property? Yes No
Previous owner of property 2~A SS CL -A-,,'O 2 s c Lc
Total size of property -F -7 3 • A
Total size of parcel 13, 21 A
Date parcel was created -7123 lq 7
Are all corners and lot lines identifiable? X Yes No
Is this property being developed for (spec house) ? X Yes No
Volume 1Z and Page Number 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. S6 27 ~9 , 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.
Signa ure of Applicant Co-Applicant
°7130/q
Date of Signature Date of Signature
. i
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNERIBUYER (2-0 2.) ~R T [ ii1 S
MAILING ADDRESS 67 (oq H-w y 6c4 ~ 12 L c i, o r, D
PROPERTY ADDRESS 47" [+L,-/ 1O L~
~
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE I W -T
PROPERTY LOCATION 5 1/4, SL'~ 1/4, Section 3 Z, T 3 N-R 1 0 W
TOWN OF & ST. CROIX COUNTY, WI
SUBDIVISION LOT NUMBER
CERTIFIEDSURVEY MRP 5b~7 VOLUME I ,PAGE LOT NUMBER
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 expiration date
2
SIGNED:
DATE: 7L /1"1 7
St. Croix County Zoning Office
Government Center
1101 Carmichael Road 11/93
Hudson, WI 54016