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HomeMy WebLinkAbout006-1040-40-200St. Croix County Planning and Zoning Detail Sanitary Information Wed~resday, March 28, 2007 at 11:53:14 AM Page 1 of 1 Computer #: 006-1040-40-200 Sub/Plat: NA Section: 18 Parcel #: 18.31.16.272A10 Lot: 2 TN/RNG: T31N R16W Municipality: Cylon, Town of CSM: Vol. 14 Pg. 3915 1/4114: SW 1/4 SW 1/4 Owner: Skinner, Steve 2024 210th Avenue New Richmond, WI 54017 State Permit: 370330 Issued: 10/11/2000 POWTS Dispersal: Mound Permit: New County Permit: 0 Installed: 12129!2000 POWTS Detail: NA Bedrooms: 0 POWTS Pretreatment: NA WI Fund: No Notes IssuerJlnsoector As Built Plumber ` Other Requirements Additional Notes Monev Owed Not determined >4/1/00 -Not Required Bird, Shaun $0.00 Kevin Grabau Siur~~e=~ ~Utf: Yes Maintenance Scheduled Pump Date Pumped 1st Notification 2nd Notificatign 3rd Notification 12/29/2003 4/6/2004 04/01/2004 4/6/2007 . /* ... Wisconsin 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 ^ T n of: . Skinner, Steve Cylon Township CST BM Elev.; Insp. BM Elev.: BM Description: QO . o~ ~ ~ ~ ~ cs•~ g-'Ul . { . TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ,~ 6~ Dosing t~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. Vent to Air Intake ROAD Septic y $'0 r r NA Dosing }' Sa' ~~ 2 5 ' NA Aeration NA Holding PUMP /SIPHON INFORMATION Manufacturer ~ Demand ~.~~~ odel Number ~ 0 ~iD GPM /b. TDH Lift ~1,~~ Lriction~ ~~ Syste ~~ TDH ~,~Ft Forcemain Length Y~3 ~ Dia. Z '~ Dist. To Well SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit NO-: 370330 State Plan ID No s rp~ : 3.69 Parcel Tax No.: STATION BS HI FS ELEV. Beni ~. p/, gp ~ _O r ~~j///L (~ ,v tf r 'l~~t ..sue Q ~ l~• 2~" BIdg.Sewer a-2~ 42.S~o r St/Ht Inlet ,~ ~Z,.ZS St/Ht Outlet r-, -~ Dt Inlet Dt Bottom 3, p Qg. ~O ~ Header / Man IO~'fOS 3• (O o I, ` Dist. Pipe 'a 3.217 I, Bot. System C.A~ •`j ~ 3 - t?Ip , ~-~- Fin~~t 5 #- b BED /TRENCH width r Lengt i ~S No. Of T PIT No. Pits Inside Dia. Liquid Depth DI EN I N (D ~ I S DIMEN I N SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHING Manu adurer• SETBACK INFORMATION TYPe O • _ (1 r 8 ~ - CHAMBER o e r System: W~s~""^df is ~ OR U DISTRIB~~ON SYSTEM L--~- ~ ~ ~ sly ~ ^°~ ~.-l l ~ ~s.~. ) Header / r Distribution Pi e(s~ ~t x Hole Size x Hole Spacing Vent To Air Intake Length ~ Dia. Zt1 [ Spacing 3.0 Length ~~µ~ a. 2 3 6 r~ z y 'r r----- 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 ^ No COMMENTS' (Include code discrepancies, person~s~present, etc. Inspection #1: lD/26/o~ lnspectton #Z: -+-~-- Location: 2024 210th Avenue, New hmond, WI 540.17 (S\~ 1/4 SW 1/4 1 T31N R16W - of 2 1.) Alt BM Description = ~ ~ y'z-S5 crw•~) ~°"~~~=~2 , I p' Z -o 2.) Bldg sewer length = (S ~ ~ ~ -amount of cover = 5 36 4 ~' ~ ~~~ 3.) contour = 9q• LBp revision re uired? ^ Yes ~, No ~th~e-~r~si~de for add~i~t~ion~I in rmat~lon. ~~ 12- Z9 ~ ~ S 1~ D ~R 3/97) ~~ ~~g QDate Inspector's Signature Cert. W \ 9 /; -~ z~Zy z ra ~ ~v c ~N t,~ ~. ~~ Ssettitary Permit Ap,plicatiotl 1 Sataty ac euttaingl u~r~ssvn ' In aecard with Comm $3,21. ~l• is. A,dm. Cody ! 241 w. Washtngtott Ave. PO $ox 7342 ~~~ See rGVer6c si:1e fnr Ittstractit.ns for comykxfng this appllcatitxt you provi,.c mny be uscd far aweon~ary pUrpoSC9 Fersciai information Madtseri. 14l 33107.734.' . Daoa~srr~nt of Cetrtma~ro~ iPrivacy Law. 5 tS Jd(I;,mjj r t•,ubrtllt oorr.pleted Corm to eou +ty Ifr sttur nrnec Attach com :t:te tans (to the count ~ co _ n! ~ I'~~r the s 'stern. sn n er no: less than g -112 x i inches in slze. Sta'Iittry Permit Nw11bCt D ~'.;hrCi: ifrev~slon t.) afrvfous appliceti0l~ tyre- ~ ~ Stale Plan I. D. Number , ~ ~ O 3 ~~ _ _ ~(k ,~ I J 3 ~o ~ . ~~.~ ~.., ,.. L w 1nPo - Pkaae p it lnfortna Lacatt:an: _ _ p~Ryr RrOpEI'[;:lOWttIOR ~ 7 p" ' , S~~li ~~/7 a x/4.5 T N R W , ~ ,~ ,ipa~ e a! p A i 1 Na Got N u .~.~-- 7~ r7`"'-- fvi<yr, tact p Code i~.t-e 'dumbrr ~ Sutdivisidn Ntunc tx M Number v ~ 7 ~y ~ ~ ! ~- ~~ ~~a _ ~ ~ ~3 i! Type of $uildia8, ~Cbesk orate) d ~a~s or 2 Enmity 17weiling - No. of 8admoms:~,'~ a S p ~r S ~ry, ~ F~c P t7 C~. ~ O vll! r ~ f O PublldGvmmeroW (dasedbe use) ~_. _ ov,rt o ~ _. . . D $tetc+ownod / III'I'7Pt of Partnlt; (Check aniy'otiC bar on lin+3 A. Chsck l:~x on line 13 , ° applicabiel He«rctl ~ ~, le i Y ~l ~~ Aj 1, ,-~iGew Syeftan 2. l7 I'tepiaearacnt ti 3. C7 Reptac:mant of 4. C~ Addhum to l Pa~c.l Tax 1Vnmba{s f ~ a m Qn3~ _ 6xistin 5 seam )IS~ ~ Petmctl~iambt:r D A Baal F it was viou ;.sued ~~~,~ 9 atelRs N. TypsatPOWT$y>atota: (Check ail that tippiyj /~ 6 ~/O 0 '- ~0-a o ® . 3~. / ©fdgaltrl~glttiseed M•grottrid l ~ X ~ S) D Sand FIlter G Cuntntucted Wetland _ ® Ptpsaariaed 1n-ground O Holding Tans: D 9ingla Pass C~ Drip Line At-~~ Q Aerobic Tcrosttrnest ~ ni! O Recirculating D Omer: V Di1 il')t'rattttMt; nt w ;<nfaraatat et: 9' . 1. ,~, •par9riMsa pmrsal Aer:a a. SC ! ~~pol nation 5, Poraolaiion Matt , ,;rssam fitievat on . F nd a~~ ~ /~ Raquit+ed ~ Rreooted Rats (siais.. daylag. R? (Mia.linci~l ,~ ~ V? Tat1k ty in ` Tors; # of Mrtnufaccarer refab 5 cc Stisl Fi r- P4iatic !Clrtartwfi0o dlana ! Gslloae Tanks Con- Coa• glaaa ivew Exlstg~ gate atruaied ranks n 0 0 ~ ~ /~ f~ C D Y;U lteapuaaib~iiity 9ttteatea~t ibilitr fb•~ ~ . ! oxttu 3'C-V1+T'S sh oa elu:a d iins, t c • ` ~ Name (prtnr) Pictn6ee4 ro sta .MP n. <ngf ~ s ` ~~ ~~ 461 un>bCr ~~ ~yri ~ Y , ~ ~s . reee ,ity, to Zlp ~/ .f / Conaty/Depl~rtaiant i,h~ Only CI Olsappr4ved ~ San tsry it Fer ( uo~ ro~...rdwattt Date issued ktvlrig AaEnt patttuee tnalaps ~ [] Owner Given Initial Adverse Surchar~ F ) ~- n ~ ~~ZS.dO / z~Od ati u.. a.onata~twa ox Appt^orol rs~aasosss sotr >vttr>tppttrovst: ~ l., l hts Sc~51~t,~ ; s at'sS<`~K e~ {iv a 3 ~a~v~... ~,,,,, ~1~.~. ~r`{,,~o,~ f' Ctv~e`p.tr 1 i,,, B ~ / ~ ~ tiJ o t..~4( rt1K ~f iK ~ rwr ~ Gp„,yor<a•1.f Se~o~:G S~S~er~.., Z, ~/{~/ ~ f?~ ;aSr!t,~~e~/i+~4:w{~t:~e~ ~/r l~etm.k.{a.Cl~~cr-try Sp~~it^~`Ga_~u~..5. S9D-6398 {R, 07e~Uj 9/~ a~a f}-~ 1 _. isconsin Department of Commerce Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 wuvw.commerce.state.wi. us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October O5, 2000 CUST ID No.226900 SHAUN R BIRD 1008 192 ND AVE NEW RICHMOND WI 54017 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/05/2002 ATTN• POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Site ID: 199484, STEVE SKINNER ST CROLY County, Town of CYLON; 210TH AVE SW1/4, SW1/4, S18, T31N, R16W FOR: NEW MOUND, 450 GPD Object Type: POWT System Regulated Object ID No.: 763622 Identification Numbers Transaction lD No. 437699 Site ID No. 199484 Please refer to both identification numbers, above, in all comes 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 owner, as defined in ~'®' ~I chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. C{l1't`~t" The following conditions shall be met during construction or installation and prior to occupancy or use: ''~ 1. This plan action is subject to designer comments on the plan. ' 4' Th~° 2. The maintenance plan for this system must be given to the owner of the POWTS. S~ 3. The orientation of the mound system must be such that the longest dimension is oriented along the ~~/ surface contour per COMM 83.44(6)(a)2. 4. Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. SEc GUS 5. Maintain well and waterline set backs per COMM 83.43(8)(1). 6. The designer proposes to install an outlet filter to achieve the requirement of wastewater particle size. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the septic tank outlet filter will be required. The outlet filter shall be installed per product approval stipulations. 7. The observation pipes shall be located at opposite ends of the distribution cell at a distance of approximately equal to 1/6 the distribution cell length. 8. The changes made to this plan on 10/5/00 by this reviewer were acknowledge and approved by the system designer. 9. The management plan /users manual must contain the telephone numbers of persons to contact. Be sure to amend your plan and provide this information to the owner. 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. SHAUN R BIRD Page 2 10/5/00 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. /`~"`a DATE RECEIVED 09/14/2000 ~~ PATRICIA L SHANDO , POWTS P REVIEWER Integrated Services (715) 634-7810, FAX: (715) 634-5150 , M-F 7:45 AM - 4:30 PM PSHANDORF@COMMERCE. STATE. WLUS cc: STEVEN SKINNER FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 t 1 PLOT PLAN , PROJECT Steve Skinner DDRESS 880 E. 6th St. New Richmond Wi 54017 SW 1 / 4 SW 1 / 4 S 18 /T 31 R 16 W TOWN Cylon COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE9/10/00 BEDROOM 3 CONVENTIONAL IN-GRO PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND ~~ SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE 600 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 450 # of chambers none BENCHMARK V.R.P. Top of Lath ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL •H.R.P. Same as Benchmark ~^'$',~.~j SYSTEM ELEVATION 100.5 ~ ~ (~ ~~ ~ y _® Scale = 1 /4' = 10' 375' Prooerty Line 100' 99' System is to be installed along the contours H uffcutt Combo Tank Well is to meet all setbacks found in Comm. 83 ~~~~~ 8% Slope , Area 15' Below mound is to remain undisturbed ,,B'M' Alt. B.M. Tank is to be properly bedded and provided with approved warning labels and lockdown covers 210th Ave Designer ~V ~ ~~ ~~ a"O ~y y '11sl~s l " ~ A A i'~ Non-Woven Filter Fabric slri0utipn p;pe t ~ e; _ ~~ '~ s s 'x. Slope 6eQ Of ~~- 2 %: Forst 1~lcin ~F~lowed Drain Rock From Pump ~ Layer ' ~ ~ ~~ Crcas Section Of A Maund ~SYstem Using , ~~ 's'r ,. ~_.~. F wr.~5" A Bed For Tile Absorption AreO ' "~. G ....L ... a ~ i•t. rc„ s s ~ Ft. Y 1~ft.~ J ,~,~ Ft. .F ~k~~w~~ w~~~aFt: ~ ---- ~ 4~Observotion Pipt ----w- a ------ --- -- K E.._. _.....,..._ _ ..... ~. _ _._ _ _ _ _ _ ~_ . ~wrwrw wr. rrww~.w.wrsrwr r.. r.rrr r.. r~.rr rrrwr... +rr~ m A ~ ~ - . -° I ~ j Force Moin W N •------ -------______,. -------..--___.._._---- i° ,,,_, From Pump ~ ., p Distribution Bed 0~ ~~- 2 %_ Pipe Drain Rock Z 4~~Obiwrvt3tion PiQe Permanent Morker Pipes ar Rods P1on View Qf Mownd Utiiip A bed far Tt1t: Absorption At~o __..._ 4" Qbservatioa Pipe Perforated Below Fi1Cer Fabric ASZlt C-33 Sand -.~ ,~,,;' Topsott PhGi: Oi Ck4 a ~oaatea 0~ iaoiton-, ~! Cqualtr ;paean rtKIYT 14dLt. K~%'r 1'e fwanMC}~oA Signed: license ~8t~: • Dislribytipn Pip! l.oyottt ~ ~. ._ ~~. X h~i Y ~. , ~slche5 Hole Diameter ~,,,,,_, ch lateral •" ~Ineh(es~ Mdn i col d ~nches. Forces Mein " ,,~ inches ~ of holes/piAe~~ 2nvert Elevation of LatereTs~ 6t.~~ Perlorofed Pipe betoi! -~_ 1 r ~:.._d7 • Page Of SEPTIC TANK £ PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS 4" CI VENT PIPE 12" MIN. ABOVE GRADE E WEATHERPROOF >_ ~ FROM DOOR, WINDOW OR JUNCTION SOX APPROVED FRH AIR INTAKE WITH CONDUIT f'[ANHOLE COVER W / PAD LOCK £ FINISHED GRADE WARNING LABEL ~~ i K~.-. ~~+~" MIN ~ e" xN. 4't.z. G~f•ERw~io~t sy" ;•o• . ryPE ~ ~, ' 18"nntiw. z~LET , , ~' WATER TIGHT SEALS T GAS' ~ ', TIGHT ~ ~ PPROYEO FILTER ----+- A SEAL ~ JOINTS WIT!! APPROVED --~-- ~ , ALM APPROVED PIPE PIPE 3' -SI-.. ~ ` ON ~ S O ONTO SO1.10 IO SOII OI. SOIL. PUMP OFF ELEV.~~FT. C -~- ~ ~ OFF D 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER : ~~..b'd~ TANK SIZES: SEPTIC ~/~~ _..0 GAL. DOSE ~'GiU GAL. ALARM MANUFACTURER : ji~° Goo ~~;~,~~,! MODEL NUMBER : ~~~~ SWITCH TYPE: STnr ~6~P.rrJ~1.~ PUMP MANUFACTURER : ,• a MODEL NUMBER : .f ~ SWITCH TYPE: ~ .fir ~~..~ NUMBER DOSES PER DAY: ~% DOSE VOLUME INCLUDING ~_ J~ Ems. FL?JO3WBACK: ~" GA1~rs,. ~o~ Clw~s~ t~~ =~ INCHES = 3__~''-t' GAL. 7 ~5 x v.Y. p = 2 ZNCI'tES = .lC~ GAL. / : /.S' ~_ ~'a,l~©~ro C = ~ INCHES ! 35/4} GAL. D = C7 INCHES = _~GAL. REQUIRED DISCHARGE RATE .... SaGPH PUMP £ ALARM WIRING AS PER ILHR 16.23 WAC _._~. SEE VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIp£ ~_ FEET~~ESSV~ + MI IMUM NETWORK SUPPLY PRE SURE ..S,o~~i ~ FEET~i~}. ~.~4nJ, + c~ S"- FEET FORCEMAIN X ~FT/100~FT.~FRICTION FACTOR EET 2 TOTAL DYNAMIC HEAD = :7.~'F-~'.~FEET ~~ Z I INTERNAL DiM£NSIOAIS~F PUMP TANK: LENGTH Y- ! ; WIDTH 6~5" DIAMETER ~ v~- /~' LIQUID I'F~-~, SIGhEIi: ~/~JY,I lv LICENSE IJ~JMBER: plC~~~ DATE: y^ ~~, - ~ k/88 .- 'io-ao ~o~~~~U ~~ rum cn arast~ts oar I ~rrU MIM~it n7h ~~~ w...r~r ~ N r r r~ i ~IIM ~~ ~ ~ ~ rig 1 f X10 NKts w id n 1 ° fM ~t aN n , A i ~ 1 4~A6 {• Materials o~ Construc~'fon M«fiMltni 1 Sari 01ris Swl ` S~ 44 ~~ a"~ \°~• i ~ ~ jQ .._,_ iI 1 a tam lNrod ti~r.~ 1, IW diNwalMt !n {Mo~c for ~gNsrlpflonp~ YNl!. Z. Cs~punrnt ans ~Y vary ~ 1/6 Int . 3. tfo! iau~~ twrposo ~' unlrrt 4,17imansions ynd w~i~tts are cppraxl~nolo. S. We rot~lrrra tM t io nakr rovtsian3 to oar and d»ir spreiflcatiam wttAart nolkr. ~~~ Tpe, ~ is A !C is mWrva3 .. X14. 4 Fe' ~• f f ,. , .., .tlueiid, Ohie 4105 fd; 40 -9044 x. l 9?r -EOb W1b Stto e+ww,peMol~yump.can .. ,<r:CE'S IN AlL MA1GR ClTtES ANO [QtlNTR1flS 1 sn~G- ~~ ,`6t cC. cc~t i `?..x~ ` ~..,..;~•,\ ~,~ ow:o'::t ~7lstrihu:a ~r qkn~ s~•cuor la ~~ ~ ; . ~' `j ~ y y , ai. pabv:. ~~y i 1 ~ f tr.r~r r~~~ ap ;; sn pM.- ~-1 ; 1~ q T a ~ ! ~1 a Zs~ ~ i0 Maintenance and Contingency Plan for a Mound System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Dose Chamber is to be pumped at the same time as the septic tank. 3. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 4. Once every 3 years the at-grade is to be inspected via the inspections pipes in the at- grade. The laterals are to be inspected via the cleanouts. 5.Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 6. Pump and electrical components are to be checked at the time of the pumping. 7. The owner agrees to save this plan. Contingency Plan 1. Pump alarm goes off, call pumper and pump out dose chamber and septic tank if needed, then bypass pump float and try pump with out float. If this works, float is bad, replace float. If pump still does not work, check power at the pump with a electrical device such as a hair dryer. If no power, check breaker inside house and call a electrician. If there is power, then pump is bad and needs to be replaced by a plumber. 2. If mound fails, determine cause of failure, test another area or remove pipe and sewer rock, remove bio-mat, replace removed sand, reinstall pipe and rock, recover mound. 3. Replace any other failing components as needed. Shaun Bird #226900 ~~~~: ' 6 Wisconsin Department of Commerce SOfL EVALUATION_~~POR-F~ pag®___ cf Division of Safely and Buildings ~ . ^4~ m accoraance wan c;omm ao, ms. a+arn: e.ctc+s . : _ i- .. _ ~ C~ Attach complete ske plan on paper not less than 8 1/2 x 11 inches in size 'Piaitvrust , ` ~ '~ ' include but not tltnited tb: vertical w1d horizontal reference point {BM) r~eGNdfi and '~ ~ l I . tS , , ,~, percent slope, scale or dimensions, north arrow, and location and dista~+cat¢ nearest road: ~ ~ arce .. : '; s ', .:` ~":-• 1 Please print all lnformatlon. ~• [ewed~b Date , Personal information you provido may be used far secondary purposes (Prly • Le~r,{.9 ~ 6.04 (i~,( jj: ~() ZOU Property Owner SS pp ~~ ` P rty ~ovt._L ''~' 1I4~ =Si T~/ N R/ E( Property Owner's MalEing Address Block ubd. ~Or CSM# O~~ 1~. ~~ ~ _ r.t.~'~ City State Ip Code Phone Number o a ^'City. -.._ ~ Town Nearest R d 6 i ~ ~ r ] ~ ~ C l ~~ 7 ~~..~ New Construction Use~Residential ! Number of bedrooms Code derived design flow rate ~ SO GPO ^ Replaeement ^ nPublic olr~ m.ercial -Describe: Parent material ~f''l '~iW~l Flood Platn elevation if applicable ,K, f ~} ft. General carwner~s and reoommendatbns; ,-y, ~ ~ ~ ~ ~~ J c~.c.Nr~ a Boring # ^ Boring Q ~ _~, n 1 / u Pit Ground surface elev. ! ~ t• ft. Depth to limiting factor~/LY In, Sail ik;atlon Rate Horimn Depth Dominant Color Redox Description Texture Structure Conelstence Boundary Roots in. Mlalsell Ciu. Sz. Cont. Color Gr. Sz. Sh. "Effltl `EffJA2 .3 # ^ Boring j Bones ~ Pit Ground surface elev. ~,~" ! ft. Depth to IimiGng fades ~ ~ in. Sofl icatlon Ram Horizon Depth Dominant Coles Redox Description Texture Structure Consistence Boundary Roots GP DJfF in. Mur>sefl Qu. Sz. Cont. Color Gr. Sz. Sh. `E'fii~1 `Eff#Z o-i - j0 ~- 3~z. S <- rn c~ a . 3 - 5" emuent #1 = BoD > 30 < 220 mglL and TSS >30 < 150 mglL ' Etiluent #2 = BOD < 30 mglL and TSS _< 30 mglL CST N me (Please Print) / ~ Signatu _ CST Number ZS,~. ~- ~ _r~_ J~~rl~~ r~ 02- ~ q an Address ~j Date Evaluation Conducted Telephone Number ~ D~ ~ ` ~ ~ .~./ ~~ ~ ~,.> .c~rr~ ~ t 7 ~ S 4 d J) cJ-1 a ' tea 7i ~ ' .tip! li "~fS' Property Owner _ Borlrg # [] Boring ParceliD # r Page _ of ~-.ptt Ground surfaces elev. ! ~?~~ft- Depth to limiting factor - u~. th Dominant Color Redox Description Texture Structure Consistence Boundary Roots D H t SCI i GP ~~ ~ D/fP or zon ep in. Munsefl Qu. Sz. Cont. Color Gr. Sz. Sh. '~~1 'Eff#2 { D - I ~ .. `- .' ~! Z o ~ s l ~-- S~ ~ /rn ~ ~ ~ ~ ~ •3 ~ -~ RnrinYt # ^ Boring U a ^ Pit Ground surface elev. _~_~~. ft. Depth to Ilminng racxor ...- ~~• Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ln. h4unselt Qu. Sz. Cont. Color Gr. Sz. Sh. Soit lication Rate GPDIfF 'EfT#1 'Eff#2 Boring # ^ Soring ^ Pit Ground surtace elev. _ ~., ft. Depth to limiting factor in. Soil icatfon ~~ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots fE~GPD ~ in. Mansell Qu. Sz. Gont. Color Gr. Sz. Sh. • Effluent #1 =BODE > 30 < 220 mgJ1_ and TSS >30 < 150 mg/L 'Effluent #2 = BOD, S 30 mgJL and TSS <_ 30 mgll The Department of Commerce is an equal opportunity service provider and employer. 1f you need assistance to access services or need material in an alternate format, please contact the department at 608 26b-3151 or TTY 608-264-8777. SBD-8730 (R.tJ00) Soil Test Plot Plan Project Name Steve Skinner Shau Address 880 E. 6th St. New Richmond Wi 54017 CS Lot 2 Subdivision ------- Date 9/10/00 S W 1 i4 S W 114S 18 T 31 N/R18 W Township Cylon Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Lath System Elevation 100.5 *HRp Same as Benchmark Alt. BM Top of Lath at 99.7' Scale = 1/4' = 10' 10 0' 9 9' 9 8' -1 B- 8% Slope ,,8'M' Alt. B.M. B-2 Pro 3 Bedroom House w -v 0 c~ .. r m 210th Ave sT citarx cavlvrrx SEPTIC "T'i~1~1K. IVTATNTI~TANCE A(3R.EEMENT . ~ . ANA. OWNB$SIHIP CERTIFICATION FORM Ownt:rlBuyer Mantling Address _~~ ~ ?~~,~ ~/~ ~. Property Address _. ~~ a ~ ~~~,~"~ {Vodtloation required Sean Plaaniag Deparmrent fbr sew construction),,,,-/~~YI ~.. t~ty/StatvQi?1~~ ~- ~- Parcel IdentiFcation Number ~~,~,z ,~/~ ~+lJ --//,~- DU U Properly Loc$tion~~ y,,.5"~ y~, Sec. L~IL, T~!L.N-R W, Town of ~ l lNv Subdivssion Lot # „~,,,.. Certlned Snn-cy Map # _ ~~ ~o~ `~ f Volume ~ ---~ .-.--..,~` ,._.., paw # .3.~~~._... Warranty Detd # ~~d~~-~~ ~ Volume .~~~.~pa a ~t °~ . -- ; ~ -_. t Spx house Ca yca `~!Q _ _ Lot lines itientiffab~ yes D as ~~ ~° ~ ~ol3^our svptio aysteaa csoteld result is its prs'mature failure to beadle ~raxtea.Proper ~ can affect Rmonaat of ~ teak ~ ~° oz aooaar, if needed by a tioeased put~xx. What you put into the system teak as~ a treafazoat stage in tba waste disposal system. T~ PAY owner. agrees m aubnnit to st. c~oix Zoning Depari,ment a certiReation f master plumber, jounaeymaw, piwnber, ptutaber or a ticems,~ °~ aigaod by the owaar sad by a is is proper operating condition and/or 2 after • P~'verifyiag tbatt!) ties o~a-site waatew~tt+ard3eposal syatcm () a~apectiort and pumping (if necessary), tieo septic tank it less ihaa t/3 fait of sludge. Uwe the uedentigaed have read the above its ~ set tbtt6, ha+ettt, as eat by t6a Dot of sad We to asaiaxaia the ptf vatc sewage d;spo;al syatesa, with the atttadards stating that your aapdc syst+am has bees maiatitiaed mast be comps ~ratvru ~ mix ~ f • CertlSoat#an days of tlto tltooo yasc expirat~plets. ty sins Office w~lt~a 30 SIt~I+tAT[1RE pfrOF ~ ~1~ `.`~, ~a y o0 AtILICANT DATB QTR .C~CRTiFi['~e~rt~nav I (we) Cettifjr that e!1 stacec~s oa this fornn are true to tree beat of my (our) krtawktlge. r (we) am {$ro) the owaer(a) of the property deaoribed abave~ 6y virtue of a warranty decd recorded in Register of Deeds 4t~'ice, SIQNAT[Jltg ~_~_l~~~~-,~wV a ~p AtlLICANT / / I ~ DATB sss+r*s Aoy iit~ffonnatioA Wet is nli a~pt~aseatedmay t+esitit is the sanitary permit being revoked by We Ztsuiag Department. kWkkwk •'' Iactude with this aPPitcatfon: a :taa>laod warranty deed from the dater of Deeds ofFtco a copy of the certified survey map if reference is .made in the warranty decd 1 1.535PA~ 244 STATE BAR OF WISCONSIN FORM 2 - 1999 Document Number 1 WARRANTY DEED This Deed, made between Gary M. Halleen and Arlene L. Halleen, husband and wife, Grantor, and Steven W. Skinner and Sarah J. Skinner, husband and ..se Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Part of the S W l/4 of the SW 1/4 of Section 18, Township 31 North, Range 16 West, St. Croix County, Wisconsin, described as follows: Lot 2 of the Certified Survey Map filed July 28, 2000, in Volume 14 of Certified Survey Maps, Page 3915, as Document No. 627231. 62S3S7 KATHLEEN H. WALSH STGICROIXOCODEE~I RECEIVED fOR RECORD 08-17-2000 9:30 RN YRRRANTY DEED EXEMPT M CERT CORY FEE: COPY FEE: TRANSFER fEE: 90.00 RECORDING FEE: 10.00 PAGES: 1 Recording Area )C~.ci? Name and Return Address WESTconsin Credit Union P.O. Box 269 New Richmond, Wi. 54017 006-1040-40-000 _ Parcel Identification Number (PIN) This is not homestead property. Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this ~ ~'~' day of August __ 2000 01;) (is not) i ~~ ~' t + nary M. Halleen _ __ /,,..~ ~' 9~all,.,r.i • Arlene L. Halleen AUTHENTICATION ACKNOWLEDGMENT Signature(s) Gary M. Halleen a_nd Arlene L. Halleen, husband STATE OF WISCONSIN ) and wife, ) ss. - -- "- '- _ _ County ) authenticated this ~ d'ay of August ___,, ?~- personally came before me this _ _ day of ~- the above named Kristine Oglsad TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, _ ____.- instrwnent and acknowledged the same. authorized by § 706.06, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY • _ _ ___- - Attorney Kristine Ogland ~___. _ Notary Public, Stale of Wisconsin Hudson, WI 54016 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ~_ ') • Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 1999 trAormarwn Praerawne~s comca~r. roria a~ tie, wi eaosss•zozr ~ ~ ~~. ~r rzowA~u F. ~ _~~ 1QIiN50N e->>ee A Wt9Y~~. ~, ~ ~Ji~.r~~ra~1 ~ ~p `~~ ~e~ ; [0 S U R JN~~' e~~-~~,~ CERTIFIED SURVEY MAP Located in part of the Fractional Southwest Quarter of the Southwest Quarter of Section 18, Township 31 North, Range 16 West, Town of Cylon, St. Croix County, Wisconsin. Requested by. Steve Halleen NOTE: BUYERS OF THE LOTS HEREON Halleen Farms MAY EXPERIENCE NOISE AND SMELLS OWNER: ASSOCIATED WITH THE EXISTING FARM Gary M. and Arleen L Halleen OPERATIONS ADJOINING THESE LOTS. 1580 Timberwood Trail Woodbury, MN 55125 t)rafted by. Jason M. Gustafson a ~l ~i a a JI I DI I F-I at a 3 i~~ N O ~ m 0 w z i~ 0 o~ rn m }~ ~~-- UNPLATTED LANDS OF OWNER i = I ----- 5 89'59'07" E 750.00'----- 11 ~ "~ 375.00' ~ 375.00' \ ~ \ ~ ~ i ~ ' - ~ ~ I t LOT 1 g LOT 2 I ~ I TOTAL AREA: ~ I ~ i TOTAL AREA: I I ' 217,762 SQ.FT. w ' 217,769 SQ.FT. I rn 5.00 ACRES ~ 5.00 ACRES ~ ,~ r AREA EXCLUDING R-O-W: ~ ~ AREA EXCLUDING R-O-W: I 205,387 SQ.FT, d' I 205,394 SQ.FT. i ~ 4.72 ACRES a 4 4.72 ACRES ~ I ~ I ' .... ............................... .... .......................... .... I J z 0 F ¢~ ~~ w3 wN ~w ti~ 0 wp z J ~ --- "'a 3 w cn CE ~I o JI I ~ ~- W ~~-t N ~ dl Z ~ O o~ N3 0 o~ i R.O.W. 210TH AVENUE I t I o, ~~,. -- ---N 89'59'07" W~ 750.00'--- ----,,~ ~~ I. r ~ ~ f s ;____-- -375.00'--------_ ~ ------375.00'------__ ~~~ a ~~ %-'33.02' 375.00' M ~~-33.02' 375.00' 33.02~~ ~~ ~~~ `~ ~ ~- - ~ ---N 89'59'07" W 750.00'--- -- ~ ~ `. SOUTH LINE OF THE FRACTIONAL SW 1/4 ~~r `-'-- ------N 89'59'07" W 2941.50'------ --~J~ SOUTHWEST CORNER ~ 210TH AVENUE SEC710N 18-31-16 SOUTH QUARTER CORNER- FOUND SURVEY MARK" NA/L ~ 10 T H__A V E N U E_ SECTION 18-31-16 UNPLATTED LANDS FOUND "SURVEY MARK" NA/L NOTE: The parcels shown on this map are subject to State, County and 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 County Zoning Office and the appropriate Town Board for advice. APPROVED sT. cROlx couNTY LEGEND: Planning Zoning and Parks Committee County Section Corner Monument of Record ~ U L 2 8 2~~0 • Set 1" x 24" Iron Pipe weighing NO TH a minimum of 1.13 pounds per linear foot. If not recorded within 30 days of approval date approval shall be • • • • • Denotes 100' building setback from R-O-W Hutt and void JOB # 99042 Prepared by. A & E LAND SURVEYING & CIVIL ENGINEERING Phone No. (715) 246-4319 109 East Third Street, P.O. Box 325 New Richmond, lh" 54017 t~ 150 0 GR' SCALE IN ~ t3EARINGS ARE " FRACTIONAL RANGE 1~ Vo1.14 Paa~ Wiscopsin Department of Commerce SOIL AND SITE EVALUATION Cfivisior, o~Safe~y and ~uiklings Page of t#ur f,~ of-_+~~tt~grsfed services in accordance with Comm 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 l f L//'o percent slope, scale or dimensions, north arrow, and location and distapbe to neares road~~ parc9l LD. # .; ; . APPLICANT INFORMATION -Please print all infor-r~tron. "~' Revie 1 d by Date Personal information you provide may be used for secondary purposes (Privacy Law$ s. 15.04'(17 (m}). < rr~~ i ~f~ PropertyOwne/r'~ / Pr tion ;r-_ C,~-Gc r ~ a' <~ `~ ~ `r~ ~~'~ ~/1/4,S l ~ T ~f 'N'R `tro E (°fl:.i Property Owner's M ' ng Address ,~ tot # B o k#. '~ .Name or CSM# Ci L State Zip Code Phone Number ^ City ,~ ^ Vilia e ~ Town Ne rest Road New Construction Use: ^ Replacement residential / Number of bedrooms ~- Addition to existing building ^ Public or commercial -Describe: Code derived daily flow ~3~ gpd Recommended design loading rate ~-S bed, gpd/ft2=trench, gpd/fi2 Absorption area required _3~S"bed, ft2 ~ ~~rench, ft2 Maximum design loading rate _Zbed, gpd/ft2~_trench, gpd/ft2 Recommended infiltration surface elevation(s) _x/03 , , ft {as referred to site plan benchmark) Additional design/site considerations //~~~~ Parent material Gc-cam ~ ~ ~~ < ~ Flood plain elevation, if applicable /F`~~ ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank u = Unsuitable for system ^ s j~ u f~ s ^ u ^ s ,®u ^ s .®-u ^ s ~u ^ s H'u Boring # I Ground elev. ~~ft. Depth to limiting fact in. Boring # Ground elev. ~~ft. Depth to limiting facto5 i15~ ~~ CAII r1RCCRIPTI(1N RFPART Horizon Depth Dominant Color Mottles Structure B d R t GPD/ftz in. Munsell z. Cont. Color Qu. S Texture Gr. Sz. Sh. Consistence oun ary oo s nch Bed , Tre ~y ~ / Remarks: ~+~ ~ -~ . J Rpmarkc• CST Nam (Please Print) nature Telephone No. Addr- ~~~ ~~~~ ~G~ ~~~~~ `/ ~ ~~~ Dat~_ ~ ~ CST NumbeX S~~ PROPERTY OWNER v``' ' ~ ~~-z SOIL DESCRIPTION REPORT PARCEL I.D.# Boring # Ground elj^~ a ft. Depth to limiting fact in. Boring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. ft. 1 t ~~ ` Page _~ of _~ _-. ~-~ Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench "'~ ~B~ ~~ . ~ ~- --c- ~ f'yI ~ - T' y ~ ~ - ~ c ~ ~ ~- ~'~ ~~ /yG ~ ~!/ fir'` `' ~!°~l'¢ Remarks: Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/fl2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench Depth to limiting factor ~n' Remarks: SBD-8330 (R.9/98) Remarks: ' ~ ~ .~~ Soil Test Plot Plan Project Name Gary Halleen Byro Bird Jr. Address 1580 Tamberwood Tr. Woodbury Mn. 55125 C ' M #220527 Lot__east Subdivision _ _ Date 5/3/OU SW 1/4SW 1/4S 18 T 31 N/R16 W TownshipCylon Boring 0 Well PL Property Line County ST. CROIX ,BM or VRP Assume Elevation 100 ft top of white stake System Elevation 100.1 H.R.P. sw corner of pl and 210th ave. Alternate B.M. top of white stake 210h Alt. A'~`