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~ v I O a I r~ °a I v c N ~ I C N V (/J X C p YLL c C) _CD a n p Eo z $o M U. c O I O (0-0 O C, :3 U N O E a E U N N a ~ 1 N ~ N O w' O Z y Z y y m v (L N O O Z U ~ ~ m w aUi Z ~ 11' ~ o I U) F CD z E O `o m I E cu -v N c •'v ° Q z z O N _ T z Lo m N O N n £ N d_ y E I CL G w w 2 _ O > N d i U y 2 O O G a b Y N hn a o o U) F- H c 3 U N ~+til Z ~t > d U) L O G O Z C) U CL a. CL a N g u3i ~r o N Z m rn CO -j U rn rn } wv `r = oo :3 w i cc 0 0 o c m u co N 1; a) -a a ~ r✓) m I o ° 7 w C N N N CD 3: CQ C Q H O _N o o m o rO co ai a a n A 0) o V W 0 CV N W 'f9 C EO EO N (D L C a ` (U H H W N °m° m co cn E E 0 1 O i r+ w E ce E „ I _Q a C • C y ,V ~i' (D r~~l ~ ~ i C I! C w 7 ST. CROIX COUNTY WISCONSIN ZONING OFFICE I x n u u u■ rIrrb ST. CROIX COUNTY GOVERNMENT CENTER 1101 Car{nichael Road Hudson, WI 54016-7710 (715) 386-4680 August 22, 1995 To: First Federal Savings VIA FAX: 386-9281 RE: Certification of Inspection for Deborah Garey Property located at 2369 Canary Drive, New Richmond, NI Attn: Tammy An inspection of the septic system for the above referenced address was conducted on August 17, 1995. This property is located in the SE 1/4 of the NE 1/4 of Section 4, T31N-R18W, Lot 4, in the Town of Star Prairie, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a two (2) bedroom home. If you have any questions or if we can-be of further assistance, please do not hesitate in contacting our office. rely, 7 a mes K. Thompson Assistant Zoning Administrator St. Croix County, Wisconsin db t STC - 104 AS BUILT SANITARY SYSTEM REP.O,`R'I' k OWNERS 10 t^aA-i UAiL~ . ADDRESS 073 (7 Cam c, r e ',A. r titi 'ri SUBDIVISION / CSM# LOT # SECTION ~T_N_R W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM T I'10 µ S , A 0 4, ~r / I I ~Qr A,ba 1 3 ,r 9 ~ ~bo I vs ~ ~ 1 I NDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. loz.4 gin BENCHMARK: Ta 7A ALTERNATE BM: ,s d . / r ..v+ Uw /l o uJ r SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: //Le TC Lt Liquid Capacity: ~~D ~ 6o v Setback from: Well 7 House S- Other Pump: Manufacturer Z6 elle.- Model# 9Y Size Float seperation 7. Sd- Gallons/cycle:_//2 Alarm Location IA.) `Lo ks 2. -:SOIL ABSORPTION SYSTEM ` Width: 3 Length /off 7 Number of trenches c~- Distance & Direction to nearest prop. line: Setback from: well: fib House g© / Other ELEVATIONS Building Sewer_2 7i V -ST Inlet; /10/ ST outlet PC inlet /s PC bottom 9U .b / Pump Off ~D l UORT"--r/Manifold /10 Bottom of system /02, Vo Existing Grade Final grade p b~ DATE OF INSTALLATION: 67- 17- 9J- PLUMBER ON JOB: LICENSE NUMBER: (5 0!--) INSPECTOR: jr~C 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: F Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No-: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State PI o.. GAREY, DEBORAH X rairle CST BM Elev : , Insp. BM Elev : BM Description: Parcel Tax No-: TANK INFORMATION ELEVATION DATA 17- TYPE MANUFACTURER CAPACITY STATION BS HI S ELEV. Septic Benchmark ' Dosing i✓.`~„v Aeration Bldg. Sewer Holdi St/ Inlet TANK SETBACK INFORMATION St/ Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt It}4e ~r / Air Intake QU-~ L f' Septic NA Dt Bottom Dosing NA +j4&whec./Man. ~d 3 6?1 Aeration A Dist. Pipe 07 h , Holding Bot. System .iOWNFORMATION FPM Final Grade Manufacturer Demand Model Number = i (D _si EmL ~0,~8 Friction System; DH ELI ZI Ft Head Length Dia. Dist. To We117/O~ SOIL ABSORPTION SYSTEM BED/TRENCH Width I Length, No. Of Trenches PI F No. Of Pits Inside Dia. Liquid Depth DIMEN 1 N S .2 ~ DIMEN SETBACK SYSTEM TO P/ L BLDG WELL LAKE STREAM LEA Manufacture INFORMATION Type Of OR UNIT R e Numb er: System: _a DISTRIBUTION SYSTEM 14 4 Manifold Distribution Pipe(s) Ix Hole Size x Hole Spac~iing Vent To Air Intake and= ~ Length Z- Dia. Length ~d Dia. Spacing > 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 d /Trench Center Bed'rrrench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No / COMMENTS: (Include code discrepancies, persons present, etc.) 'LOCATION: Star Prairie.4.31.18W, SE, NE, Lot 4, Canary Drive r l - 71 ^7s' f .r J Plan revisiolSrequired? ❑ Yes ❑ No Use other side for additional information. ~(O ~ SB]D-6710 (R 05,/91) / D to inspector's Signat re / Cert. No. K / iCOC~G C C lpo 6""" v d/j i f .'t 'l , (IXf ~r yyY~ r, ls~l'7 ~1~>? 9i ~P ADDITIONAL COMMENTS AND SKETCH A SANITARY PERMIT NUMBER: Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water Systems 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. gr • See reverse side for instructions for completing this application State Sanitary Permit Numb The information you provide may be used by other government agency programs ❑ Check it revision to previous appl lion [Privacy Law, s. 15.04 (1) (m)]. ~A bIINX~~/_ State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATI, Y Property Owner Name n Property Location 4 c7 ~T Ah~. 1/4 Ajif 1/4,S y T 7/ ,N,R"'P(or)W Property Owner's Mailing Address Lot I ber Block Number b eA. /ia~el. a ✓O Cit ,State ip Code Phone Number Subdivision Name or CSM tuber eKs e. 5 o l 1(713-VIIP-7110 Ve, 7 16, 10c C No 31 3 a~ 7 11 Nearest Road II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ Itye ❑ Public 1 or 2 Family Dwelling - No. of bedrooms 117- pg Town OF-r7.4 D/- III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 03 / 0 Z 6 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. ❑ New 2. jr Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an System System Tank Only 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 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In=Fill VI. ABSORPTION SYSTEM INFORMATION: 40,o,r. / AP 'X Xd' 4-96 f' 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 d vSc~u,~e,LaQ/0 ~aao-~ . j ~Qz. Feet JO7o Feet VII. TANK Capacity INFORMATION in gallons Total # of Prefab. Site Fiber- Plastic E App. Gallons. Tanks Manufacturers Name Concrete Con- Steel New Existin strutted Tanks Tanks Septic Tank or Holding Tank -/coo ,y ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber C~ ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's N me: (Print) PI _tunber's Si atu : (No St m NVMPRSW o.: Business Phone Number: i01"]~ Sw 2 r /~S! /rC ~G~ / 711 = }y7 a? • .Z 7 -T Plumber's A dress (Street, City, State, Zip Code): u c LLI , ' S'~~` c; / A IX. COUNTY/ DEPARTMENT USE ONLY (Includes Groundwater atelssue Issuing entSignature ' No a s) a ItaryPermitFee S Approved ❑ ❑ Disapproved Given Initial Surcharge Fee) Adverse Determination ICJ . CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SHD-6398 (R. 05/94) DISTRIBUTION: Original to eounly,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 systern, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. 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. Co+riplete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks receivec 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. Co -replete plan anu specifications not smaller than e 1/2 x 11 it hes s.. 10ted _ unty. The plans must 0-)Vvif'.~j A) p} cf1 ).<1ii, l~fdVi'i~ to scale of v✓101 c,--;i ,,,..ding tank(s), septic J _ •.1'ti ~(E3dL1'£:nt link, b 'idlnC, 'JVF~Il,, pump or siphon an b(j soil lion syst_ms, replace e , .I 1,ie the building served; ij? d' .r: Y U v,'r c i Nltv..' Jf. i:ireien JoIiits, C I S!JE~_ dose volume; ``ICtI~}rlI•_f,s; p,,,m.p rerfor~",`{ im-e U vol p(-Imp (Tl -tlrer, D) cross section of so_; :sorptic:~_ ,ter ~f d by :i, sizing information. GROUNDWATER SURCHARGE 1983 ` iisconsin Act 410 included the creation of surcharges (fees) for a number o rer;~,+tited p, act.ices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater -_ontarrination investigations and establishment of standards. L 60 b J /-o r J~7r - I~w N NC t 31 2 8 /9' - Ian. Y SCALE ' 6 q6, 'reS 'A PI of ztir S&/Ie. p~P = /o 0. b 13 o oN o a~ ll,: u,r e. z- /03,,2,,, Q - 13o t-- e. wel/ ~/d 3 l rn q a ~ 1 h~ ~ N ~ O .~lJja1QTe. 3,:3y Re- 1 4.~d r 4 ~ K 2 /0 C) ck /"/t,,~ rJHi'L.JY AI1C: (1 X13 L11„z'.J cow 7-a5=95~ 7/6- - y7a- a -7 3 s' S95-20472 Pa gem (1 f Straw, Marsh Hay, Or Synthetic Covering ) A u~- Distribu, on Pipe Medium Sand l~ `OZ G Topsoil F E ' 5"% Slope Trench Of 2%~ Force Main_ \ Plowed I 2 2 Loyer Aggregate (Undisturbedi D Ft. Soil E Ft. cross Section Of A Mound System Using F .7~Ft. 3 Trenches For The Absorption Area G Ft. A _ Ft. H . Ft. B Ft . Signed: C Ft. License Number: K _ o Ft. Date: 7 - o~ 1 t r _ Ft. - - J Ft. Alternate Position of Force Main I o Ft. 1~-.. W ; Ft. yq 014 K 31 C - - - Force ::lain 1' 17 W Observotion / ~t?ernreane~nt pipe s r___ L-..-. ~gx+yst~p~~,~piMil3iiS & tl~t i4l Yl GL+t l`Uistribution OFr€it~YGA~a►~ti{Lnt2;t5 r ps d 2 Pipe gote poNE)ENCE SEE - - Mound Using 3 Trenches For Absorption Area S95-20472 ar Pe;focatsd pipe Vcl^:I End Vita ~Parfor01if a -Ij Eno Cap? PVC P.pe (~l• p~s~ \ Holes LoCOted On Bottom, vV~~ //~\`~,b\\ Art Equally Spaced PVC Force main / PVC Mon 010 r':t / UiS on Alternate Position of Forct Main Pipe pe lust Ho,t Should Be~ % Nt.t To End Cop End Cop % pigtribulton Pipe Loyuut p _ Ft. I R IS- X 'Inrhee Y y~ Inches Nolo Diameter ~_Inch Signed: MaA.A, J~Lk.~i E l Pr Lateral ~ Inch(t: License Number: gff ,I 33~ Martifo.d _ Inches Date: 7- tares Main 02 Inches 77 N of holes/pipe r S 0 WM,140k%tion of Laterals/62• Ft. kt I z r'f 3 & I 7 A 7. S95 -2047 2 . wtl►Zl1Etlraoo~. NCT►o i WCK1wo~CovER i I caw►cu o1~c.o.LII►nr ~ i 4" C.T. 1Ne*atnctOPa4lw4i b" M4Y. ~ ~ t2~ N "M7.17.717777 "77177777.7 i 5 s f hfT~ Np14SuReED So►tr 24 Z.U. " yr MOW ~WtIOLE MI„M. of c-wri- - ' pox AppAQVLQ ASKBT.. S WFLES ~L Xo+ OWN :OtiNf~.'r101Ka. POW ~ baoGC .'lo od 7 r SEPTIC X16 J SSpE, lFfC6T_I 4S iy 9a ; D05E• TAIJ•KS MAIJUFAC rUkER: R ,oA DOSES: PER DAM TAIJK SIZE` GAL N DpLC VOLUME a 3 a a EL'MMOo OACKrLOw: GAu LARh M/Wl1RAGTU0.1iR. LI) A00CL WUNIEER: y f P1► T S~: AA WCacs oft GALL' awITGHrSVC: IIJCN>:s OR ALL ; ~ ; t s.ar SA E sY AF0 iof iii. l~of: ~ a PUMP MAIJUFACTURC: OQ er C• ~UL9ES OR ~76ALI MODEL ~IUMDER: /Z z ~IIJGHES-OR 'GALI .5WITCII'TIJPE: t..+' ni3!•:`" ;fbMP AM ALARM ARC TO OL , INSTALLED ON SEPARATE CIRCLMx~ MINIMUM DISCHARGE RATE GPM j~ L i G13 VERTICAL CIFFEI[[WCE OCTWCCIJ PUMP OFF AIJO D13TRIDUTIOtJ PIPE..FECT~ r w . -I- MsAIIMUM uCTWoaK SUPPLY PRti6suRE 2.5 FCtT pba" rT 100 /tFRICTiOU FACTOR. rfeT ~ ♦ FEET OF rORCC ~ II TOTAL 013%J&MIC. 14C AD rs OrO O A I ]~,91) 5 2 ~ • ~ ~ - SO IIJTERklAt_ DIMEU410Ut /.•TAUK: EAJGTN ,WIDTH ►LIQU10 OCPTH .F HEAD CAPACITY CURVE TDH N cc W #2 'E cW ! W'* C t LL } 30-11 TOTAL DYNAMIC HEADICAPACITY PER MINUTE e EFFLUENT AND DEWATERING 95 SERIES 53-55-57-59 97 137.139 163 165 28 M LTRS LTRS LTRS LTRS LTRS 90, 1.52 163 216 394 231 231 EFFLUENT AND DEWATERING 3.05 129 193 30o 231 231 26 85 4.57 72 163 242 227 227 \ SEWAGE AND DEWATERING 6.10 104 136 223 227 7.62 30 216 223 9.14 206 220 24-80' 12.19 172 206 75 ` 15.24 125 191 \ ;Y 18.29 57 161 22 \ 21.34 114 70 24.38 s3 M DE M DE Lock Valve: 19' 24.5' 26' 66' BT 20--65., TOTAL DYNAMIC HEADICAPACITY PER MINUTE \ SEWAGE AND DEWATERING 1 8 60 \ SERIES 267 266 262 264 290 M LTRS LTRS LTRS LTRS LTRS 1.52 484 484 492 681 55 \ ` f1Q 3.05 337 337 360 598 16 "~t9! 4.57. _ 189 189 238 511 50 6.10 38 38 125 401 S 7.62 28B 14-- , 9.14 - 163 292 45 10 67 227 4 12.19 174 13.72 106 12--40- - - - 15.24 45 ` MO EL Lock Valve: 21.5 21.5 26• 35• 53' 10 35, 1 30 DEL 8 - )11 _ Oa MO EL 2114 4 15 MO EL 10- 2 JMDELS OD L OD0 27,2 U.S. GALS, 10, 20 ~ LITERS 80 160 240 320 400 480 560 640 720 FLOW PER MINUTE Note: For Head Capacity on Model 112, industrial column-explosion proof pump, see FM 219. 3280 Old Millers Lane Manufacturers of . ® OC/~,f_Z7 Box 16347 Louisville, Kentucky 40216 (502) 778-2731 QUALITY PUMPS SNCE ~,93~ S95-204'72 Wis~.~~~n.,.Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Ll't: Fans Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix Attach complete site plan on paper not less than 8 1/2 x 1 s in size. Plan must include, but not limited to vertical and horizontal reference poin qif&p n % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and dis ofV pending APPLICANT INFORMATION-PLEASE f ALL I RM REVIEWED BY DATE PROPERTY OWNER: h, OPERTY LOCATION Al Lunde ( u A VT. LOT SE 1/4 NE 1/4,S4 T 31 N,R 18 2(or) W PROPERTY OWNERS MA!1_ING ADDRESS w 6 (Z^ i ^ L T # BLOCK # SUED. NAME OR CSM # Box 686 S~ na csm pending x 41 CITY, STATE ZIP CODE ON MBER CITY MVILLAGEYOOWN NEAREST ROAD St. Croix Falls, WI.. 5402 -9 Star Prarie Cana Dr. 4;;4 4 [ j New Construction Use [ Residential / Numbe 2 [ J Addition to existing building Replacement [ J Public or commercial describe Code derived daily flow 300 gpd Recommended design loading rate _2p _bed, gpd/ft2.3 trench, gpd/ft2 Absorption area required np bed, ft2 250 trench, ft2 Maximum design loading rate n_j? bed, gpd/ft2 3 trench, gpd/112 Recommended infiltration surface elevation(s) 102.05 ft (as referred to site plan benchmark) Additional design/ site considerations system el. based on contour line of 101.05' el. Parent material pitted glacial drift 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 for svstem S ® U I M ❑ U ❑ S ]IOU ❑ S QJ I ❑ S JaU ❑ S fRU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trer& 1 0-9 10yr4/2 none 1 2f 1 mfr cs 2f n .3 1 ft?~ 2 9-22 10yr4/6 none sil 2fpl mfr 5W if np .3 Ground 3 22-27 10yr4/6 none sil lfsbk mfr gw na .2 .3 elev. 4 27-45 7.5 r4/4 c2 7.5 r5/8 sl lmsbk mfr 101.85 ft, Y p Y gw na .4 .5 Depth to 5 45-60 5yr4/4 c2p 7.5yr5/8 scl M na na na np .2 limiting factor 27" Remarks: Boring # 1 0-15 10yr4/3 none 1 2msbk mfr gw if .5 .6 Ap ...y., 2 2 15-24 10yr4/4 none sil 2msbk mfr 9w if .5 .6 :i'+\-Sh\4 Tip>ti 3 24-38 7.5yr4/4 none scl 2msbk mfr yw na .4 .5 Ground elev. 4 38-55 5yr4/4 none sicl M na na na np 1.2 101.85 ft. Depth to limiting factor 38" Remarks: CST Name:-Please Print Gary L. Steel Phone. 715-246-6200 Address: 1554 th. Ave. New Richmond, WI. 54017 Signature: Date: CST Number: 5-24-95 cstm 02298 PROPERTY OWNER Al Lunde SOIL DESCRIPTION REPORT Pa".-44 f 3 PARCEL I.D. # pending Boring# Horizon) Depth DominantColor i Mottles (Texture I Structure IConsistence ~BornlarylRoots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed 1Trench 1 0-12 10yr4/3 none 1 2msbk mfr gw if .5 .6 3' 2 12-17 10yr4/4 none sil 2msbk mfr gw if .5 ~.6 i Ground 3 17-31 5yr4/4 none scl lmsbk mfr gw na .2 1.3 elev. 99.2 ft. 4 31-60 5yr4/4 flf 7.5yr5/4 scl M na na na np .2 Depth to limiting factor 31" F-T Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to } limiting factor Remarks: Boring # C3 Ground elev. ft. Depth to limiting factor f Remarks: SBD-8330(8.05/92) vi STEEL'S SOIL SERVICE Gary L. Steel Al Lunde 1554 200th Ave. CSTM2298 SE4NE4 S4-T31N-R18w New Richmond, WI 54017 MPRSW 3254 town of Star Prarie (715) 246-6200 LOT #5-exsisting house N 111=401 x: BM.= top of 111 steel pipe by SE lot stake C el. 100- Alt. BM.= bottom of siding of house C el. 103.211 Y~ o ~t 2- 17 1 Gary L. Steel 5-24-95 t~g U R1mAIrtawnt n an Relations tinS C~ V t!A N D79Pt1tt'f?^`~ L!1 Q7f f~ 6+ ~FkC'P 0'R r 4 pago 7 4' f >"~nd M , ~ 1 r~ i' 1 S I " , ~ ~i ~ f Safety Buildings Divisiono in accord with ILHR 83.05, Wis. Adm. Code w..w rt COUNTY, I Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix 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. pending APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Al Lunde GOVT. LOT SE 1/4 NE 1i4,S 4 T 31 N,R 18 2(or)W PROPERTY OWNER':S MA!i.ING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # Box 686 na csm pending.... CITY; STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD St. Croix Falls, WI.. 54024 (715 483-9265 Star Prarie Canary Dr. New Construction Use bol Residential / Number of bedrooms 2 ( J Addition to existing building Replacement ( J Public or commercial describe Code derived daily flaw 300 gpd Recommended design loading rate n _bed, gpd1ft2.3 trench, gpd/tt2 Absorption area required np bed, ft2 250 trench, ft2 Maximum design loading rate nnp bed, gpd/ft2.3 trench, gpd/ft2 Recommended infiltration surface elevation(s) 102.05 ft (as referred to site plan benchmark) Additional design/ site considerations system el. based on contour line of 101.05' el. Parent material pitted glacial drift Flood plain elevation, if applicable na It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U =Unsuitable for system ❑ S ®U IS [I U I ❑ S x©U I ❑ S Cif I ❑ S iaU I ❑ S :au SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence GPD/ft in. I Munsell I Qu. Sz. Cont Color I Gr. Sz. Sh. IB=-rby Roots Bed Tre & 1 0-9 10 r4/2 none 1 2f 1 mfr cs 2f n .3 1 2 9-22 10yr4/6 none sil 2fpl mfr gw if np .3 Ground 3 22-27 10yr4/6 none sil lfsbk mfr gw na 23 elev. 4 27-45 7.5yr4/4 c2p 7.5yr5/8 sl lmsbk mfr . 101.85 ft. gw na .4 .5 Depth to 5 45-60 5yr4/4 c2p 7.5yr5/8 scl M na na na np .2 limiting factor 27" T-7 I I Remarks: Boring # 1 0-15 10yr4/3 none 1 2msbk mfr gw if .5 .6 2 2 15-24 10yr4/4 none sil 2msbk mfr gw if .5 .6 3 24-38 7.5yr4/4 none scl 2msbk mfr gw na .4 .5 Ground elev. 4 38-55 5yr4/4 none sicl M na na na np .2 101.85 ft. Depth to limiting factor 38" Remarks: CST Name:-Please Print Gary L. Steel Phone: 715-246-6200 Address. 155406th. Ave.. New Richmond, WI. 54017 Signature: Date: CST Number: { d AfL HIPTION REPORT Page ofy IA. pending Boring # Horizon) Depth DominantColor Mottles I I Structure I Texture Consistence II Roots GPD/ft in. Munsetl Qu. Sz. Cont. Color Gr. Sz. Sh. Bed )Trerxf~ 1 0-12 10yr4/3 none 1 2msbk mfr gw if .5 .6 3 2 12-17 10yr4/4 none sil 2msbk mfr gw if .5 1.6 i I Ground 3 17-31 5yr4/4 none scl lmsbk mfr gw na .2 ~.3 elev. 99.2 ft. 4 31-60 5yr4/4 flf 7.5yr5/4 scl M na na na np.2 Depth to limiting factor 31" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. f t. Depth to limiting I i factor Remarks: 880-8330(R,05/92) t , ~'EEI~'S SOIL SERVICE Gary L. Steel Al Lunde CSTM2298 SE4NE4 S4-T31N-R18w 1554 200th Ave. MPRSW 3254 town of Star Prarie New Richmond, WI 54017 LOT #5-exsisting house (715)245-6200 N 111=40, BM.= top of 111 steel pipe by SE lot stake C el. 100- Alt. BM.= bottom of siding of house C el. 103.21, Ilk ~A A4 ~r 2171 Look* Gary L. Steel 5-24-95 07/25/1995 15:34 7152467079 REMAX:TEAMIREALTV:NR PAGE 01 Post•Ir Fax Note 7671 To Toni Co100Pr CO. FOX « qjg~ 1-7 o Fm 0 530873 ~ 9 FILED ST. CROIX COUNTY CERTIFIED SURVEY MAP NO. 19 LOCATED IN THE NE 1/4-NE 1/4 AND THE SE 1/4-NE 1/4, SLrd*c0:SECTION 4, T.31 N., R.18 W., TOWN OF STAR PRAIRIE, ST. CROIX CO., WI.. •4 a UNPL ArrED LANDS BY OWNER SCALE, /'.r ZOO' N.490000100'~-. 781.40' 0 106, Z00' J00, APPROVE LEGEND E) i~ • DENOTES 314 "X Z4 "IRON PIPE SE r, JUL S WE/GNING /./3 LOS./L N. Fr. DENOTES Sr. CRO/X co SURVEYORS b ~ a POND ` h MONO. FOUND 11 ST. CROIX COUNT'I It, DENOTES / "IRON P/PE FOUND. ~J ~co"Wahwrsive Phan' 1~ 1 Zoau►y and iZ Parks Commlttes ItwV 11 not recorded g ; ~ to ^mi 'TOo, within 30 days of gym, ~o • ~a~°vel date _ sF •1 Lo XP Ammb0 NE NE tq5 O y 'b .o Fry 696, /9 SE Nf t~~ a 2 a a T w e' t 1 15.98 AC, p lr. 7 y:* IN ?L $N POND SC 8 Ilk ~r Z c [ * CARL W. * 'a 2i z \ . a HVFELD $ w 2 Io O g m INS S-1544 N` i w, ~N w ew ST. CRQIX FALLS o :cl R Wis. avo $ ti i J%1 a ~ V p ~y~~i •srre,,c~, -Xlsnv mEwAr Y► `7 i1 \291.2f W. LOT ~ s.60 547, 7'86 SO. Fr k 1 rq~ NOTE: The parcels shown on this map are suhject 296P98 A,fire., to State, County, and Township laws, rules, and AsA,ENr J.,_ 10 regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or u'~ 6 developing any parcel, contact the St. Croix County Zoning office and the appropriat II c'+ w v Town Hoard for advice. f 90 w c 1• „ o w_ c,+ LOT 2 Al- UNPLATr£D LANDS I O 4S9 'VI .5\ 0. Fr N.o..~~ 146,144S N 'v BY OrH£RS 1v 3.36 AC 5 51 Tj - LOT `g^-ay S.BB°55'S0'E / 50ti 0 d /O/, 534 $00. FT :6 433 AC. i .t. Z46.14 5 \ 663.03 SB9°49,5B"W S,89°29SB"W. 909./7' ` p -'~~~--''-'0 t 3 Q P°04 S99~29~58"W `W/r. G10R 7,0//4 CO NER o S. B9 89SB ~Yt~ % 889°Y968 Bs/3p S.89 29SB"W. ///T.59' WEST //4 CORAIER UNPL A rTf p LANDS BY O rHERS SEC. 4, r3/N, R/BW - EAST //4 CORNER erALLS IN POND) -NDAfONU. /N PLACE SEC 4, "IN, R/BW This instrument drafted by Carl W. Hetfeld SE>~P 1 OF 3 VOL. 10 PAGE 2950 ICr 17 .I STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER C~ MAILING ADDRESS cv i s /7 PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY/STATE 4 cA- w 0i b , (mil S C o L41 t) J X011 PROPERTY LOCATION X~~ 1/4, 10C 1/4, Section, T 31 N-R_-4-9-W TOWN OF -j- T*AJ2- -P2A4 IL~ ST. CROIX COUNTY, WI ' SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP , VOLUME ~O , PAGE Igro ,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. SIGNED: A_J_~ DATE: I ~!'J St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S T C - loo 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 Location of property AA57l/41/4, Section ,T3/jt)N-R /8 W Township Mailing address y3(o~1 c'4~~ Address of site Subdivision name Lot no. other homes on property? Yes No Previous owner of property --i Total size of property /'r qg Total size of parcel Date parcel was created Are all corners and lot lines identifiable? X Yes No Is this property being developed for (spec house) ? Yes Y_No volume D and Page Number aACZ) 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. .5 30873 , 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. x.30 9 Z24,~'J-'d~ Si nature of Applicant Co-Applicant S-I/t-7-~' Date of Sianature flat,- of Cirrnatiir,- State Bar of Wisconsin Form 2 - 1982 S313 WAItRANTY DEEDD I - - i VOL 1131PAGE 26 j~ k - - DOCUMENT NO. - _ - _ : I Iio: A Ivy i. j Allen L. Lunde and Pamela E. Lunde j. ZUL 1. 8 1995 s nil and wi eli 11:20 At, t ,I conveys and warrants to Deborah Garet THIS SPACE RESERVED FOR RECORDING DATA II I - - jt i NAME AND RETURN ADDRESS /D O- I I / St I ~ ~ ~ 4 Of j he following described real estate in Croi x county, State of Wisconsin: ~I 1 (Parcel Identification Number) Part of NEWEk and part of SWEk Sec. 4-T31N-R18W described as follows: Lot 4 of Certified Survey Map recorded in Vol. 10 of Certified Survey Maps, page 2950, as Doc. No. 530873. F This i3 not homestead property. } (is not) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this 14th day of 19_95 ti t (SEAL) ` (SEAL) g A ten L. Lunde 'I - (SEAL) (SEAL) Pamela E. Lunde AUTHENTICATION ACKNOWLEDGMENT Signature(s) Allen L. Lunde, STATE OF WISCONSIN 1 y ss. Pamela E. Lunde ~1111 01 County. authenticated this day of July I9 95 PersogyJ+rca a before me this day of 19 the above named • Kristina Ostland - TITLE: MEMBER STATE BAR OF WISCONSIN ~ lYPC, (If not, authorized by §706.06, Wis. Stats.) to known to be the person who executed the JAE E ing instrument and acknowledge the same. THIS INrTRUMENT WAS DRAFTED BY OLSON Kristina Ogland Attorney at Law A~pEWof Ty blic - County. Wis. (Signatures may be authenticated or acknowledged. Both are My commission is permanent. (If not, state expirati0 dd e: necessary.) g -_L~- - • 19 1 O . ) 'Namesor persons signing in any capacity should he typed or printed helon their ignalu rcs. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co_ Inc. - FORM No. 2 - 1992 Milwaukee. Wis.