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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3
Labor and Human Relations
Divert »f nfety & Buildings in accord with 1LHR 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. 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.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
Steven DeCosse GOVT. LOT NW 1/4 SE 1/4,S 33 T 31 N,R 18 xe:(or) W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM #
2335 Stewart Ave. N. na na csm
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE JgOWN NEAREST ROAD
St. Paul, M. 55116 (612) 698-7604 Star Prarie 110th. St.
[xJ New Construction Use Ic J Residential / Number of bedrooms 2 (J Addition to existing building
j J Replacement [ J Public or commercial describe
Code derived daily flow 300 gpd Recommended design loading rate . 5 bed, gpd/ft2 - 6 trench, gpd/ft2
Absorption area required 600 bed, ft2 500 trench, ft2 Maximum design loading rate • -5 bed, gpd/ft2 .6 trench, gpolft2
Recenmended in iiiiation surface eleiation(si 97.60 N ` .e referred to site plan hcnchmark)
Additional design I site considerations na
Parent material glacial drift Flood plain elevation, if applicable na ft
S = Suitable for system I CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable for svstem Ell, ❑ U CAS ❑ U l3S ❑ U EIS ❑ U ❑ S : U ❑ S IOU
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence Bourcby Roots GPD/ft
Boring # Horizon in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed Trertdl
ox:m
>a:.:<::: gw 2f .5 .6
1 1 0-9 10 r3 3 NONE sl 2msbk mfr 2 -82 7.5yr4/4 none sl 2msbk mfr na Ina .5 .6
Ground
elev.
100.6 ft.
Depth to
limiting
factor
+82"
Remarks:
Boring #
1 -12 10yr3/3 none sl 2msbk mfr CfW 2f 1.5 1.6
OQ 2 2 2-24 10yr4/3 none s1 2msbk mfr if .5 '.6
3 4-80 7.5yr4/4 none sl 2msbk mfr na .5 .6
Ground
elev.
100.8 ft,
Depth to
t
limiting ce t I
factor
+80" Sr
Remarks:
~NG
CST Name _Please Print Gary L. Steel Phone: 715-246- wv'' "
Addrsss: 1554 200th. Ave., New Richmond, WI. 54017
Signature: Date: CST Number:
11-1-94 cstm 02298
16-
PROPERTY OWNER Steven DeCosse SOIL DESCRIPTION REPORT .Paget of 3
PARCEL I.D. it
Boring # Horizon Depth I Dominant Color Mottles Texture
I Structure Consistence I ~r~ I Roots Bed GPD/ft iTna~
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh.
1 0-10 10yr3/3 none sl 2msbk mfr gw 2f .5 ;.6
3
€:M 2 10-23 10yr4/4 none sl 2msbk mfr 9w if .5 I .6
Ground 3 3-82 7.5yr4/4 none sl 2msbk mvfr na na .5 .6
elev.
101.49t.
Depth to
limiting -
factor
+82"
Remarks:
Boring #
1 0-11 10yr3/3 none sl 2nisbk mfr gw 2f .5 .6
4 2 11-23 10yr4/4 none sl 2msbk mfr gw if .5 .6
3 23-84 7.5yr4/4 none sl 2msbk mvfr na na .5 .6 r
Ground
elev.
101.9 ft.
Depth to
limiting
factor
+84"
Remarks:
Boring #
1 0-12 10yr3/3 none 1 2msbk mfr gw 2f .5 .6
li: 5 2 12-28 10yr4/4 none sl 2msbk mfr gw if .5 .6
3 28-83 7.5yr4/4 none sl 2msbk mfr na na .5 .6
Ground
elev.
101.4 ft.
Depth to
limiting
factor
+83"
Remarks:
Boring #
Ground
elev.
ft
Depth to
limiting
factor
Remarks:
SBD-8330(R.05/92)
STEEL'S SOIL SERVICE
Gary L. Steel Steven DeCosse 1554 200th Ave.
CSTM2298 Nw4SE4 S33-T31N-R18w New Richmond, WI 54017
MPRSW 3254 town of Star Prarie (715) 246-6200
t
N
1"=40'
BM.= top of 1" steel post by SE corner post at el. 100'
Alt. BM.= top of corner SE corner post at el. 104.60
~ ~dlo
to
2
Gary L. Steel
11-1-94
. 01,
R~NALD F. . m L a
JOHNSON
9-1 1 set FILED r o
AW14. Q1 AUG 2 6 1999 ► 9
TM H.WALSH ST. CROIx COUNTY
Registerof Dees OR SRp
♦R N0 SupF t SL CMLX Co.. 4 ~
~~eAasaea»r~ C E R T I R V E Y M A P
Located in part of the Northeast Quarter a --thee' utheast Quarter of Section 33, Township 31 North, Range 18
West, Town of Star Prairie, St. Croix County, Wisconsin; being Lot 1 of a Mop as described and
recorded in Volume 8 page 2113 Doc. No. 449087 at the St. Croix Count a Pf eds Office.
Prepared for and at the request of: `wr3. 1
OWNER: (ZD
Brad Lehrke a z 1 y y
1846 110th Street - 64 E ' 0mI ) Lj
New Richmond, WI 54017 ---N7__ ED LANDS IPW I j \
Drafted by. Kristl A. Eylandt CAN - I
{,t, i
33'1
WEST LINE OF THE NE n
_ 114 OF 7HE SE 114 - N00'01'27"W 329.08'
JOB
Prepared by y. (Stot) 296.05'
A & E 33.00'- ' 133'
LAND SURVEYING do CIVIL ENGINEERING I
Phone No. (715) 246-4319 i ro I
109 East Third Street, P.O. Box 325 i w I r I
New Richmond, WI 54017 i i rni I a
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C: :r (ALUM. CO. MAN.) t t t w 33'1 j t-b T~4
l~~l
m EAST LINE OF
? (nn THE SE 114 '1'. S UTH 296.05`
r- NORTH 2257.33' R..w. 11on St.
- /I
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Z
- -n - ------SOUTH 2586.38'------
~ M = CENTERLINE 110th St. 11 0 T H S T R E E T
Sheet 1 of 2 UNPLATTEO LANDS
Vol.13 Page 3710
W
FILED ~ rAPR 0 b Rh1AR 1 0 1995 KATHLEEN H. WALSH 11995 Register of Deeds
St. Croix Co., WI 5266. ~O9 IN 'S RECORD
CERTIFIED SURVEY MAP
LOCATED IN THE NW 1/4 OF THE SEI/4 OF SECTION 33, T31N, R18W, TOWN OF
STAR PRAIRIE, ST.CROIX COUNTY, WI
PREPARED FOR: MIKE CODY
N 1/4 CORNER OF SECTION 33.
( 3 " X 6' 1 RON CORNER POST FOUND).
b NOTE: BEARINGS AREREFERENCED
TO THE E-W QUARTER LINE.
OI ( RECORD BEARING).
:O
'b
•N
~ W.
W
W.
m 0:.
ro T E r-.
N
o S
• N • S QUARTER L I NE
0 Lj .UNPLATTED LANDS
Y/ NORTH LINE OF THE NW- SE EXISTING
EASEMENT
POWER LINE
S890 13`43"E 1323. 98
- 12 57. 9 Q'
N, 66. 00' I--, Q _
A-0 ~66'WIDE ROADWAY 1
Q, N EA SEMENT.
J, ~ v N °p•
W. 3 L 0 T I W
M 13. 4 3 AC R E S k V N ern N:
1-. - (585, 107 SO.FT.) C_ OI o N u.
Q, N 12.76 AC. EXC. ROAOEASEMENT
a: O ( 555, 936 SO. FT.) mI
0 0
O
Z I (nom:
33'33
a.
1257. 82' 66.00'
N89013 43"W 1323.82' fO
J. N.
O• b•
U N PLATTED LANDS
to •
v
EAST LINE OF THE NW-SE
3 C zf:~ . -
of .
~b or SET 1"X 24" IRON PIPE WEIGHING
N. - I. 13 LOS. PER LINEAR FOOT
I" IRON PIPE FOUND.
O
2
S 1/4 CORNER OF SECTION 33. ~a'A, °'%3g~~"~
( COUNTY MONUMENT FOUND)
e' : A'' r S P,9. Yl
S IG04
- -1 ~ SPRI;JC. VALLEY 1 9.1
01
,t ~tlti G,F y, y;W
0 ` 100' 200' 400 - -
JAMES M. WEBER S -18 0 4
NELSEN- WEBER SURVEYING
DATED IAt49J
Tim .a~-n '3 - g- ~ 5
SHEET I OF 2
95 - II THIS INSTRUMENT DRAFTED BY JIM WEBER
VOL. 10 PAGE 2890
k0`Ioo
16
r
STC - 104 - j i.<<fa v
AS BUILT SANITARY SYSTEM REPORT
N
JA, 412
3 _7µ
OWNER
~1r~dJ' ,?O~.K
ADDRESS Ave `tz
SUBDIVISION / CSM# LOT #
SECTION - 2<~ T ~LN-RAW, Town of ~ n ,RO~r
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
1/a~G ~O j
S
/U, to
NDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
f
f ~
BENCHMARK'a ~0,A
,
ALTERNATE BM: 4L
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer'
_j Liquid Capacity: llnw
Setback from: Well House /l other
Pump: Manufacturer Model# Size
Float seperation Gallons/cycle:
Alarm Location
SOIL ABSORPTION SYSTEM
Width: Length Number of trenches
Distance & Direction to nearest prop. line:_ ~e-
Setback from: well:- House Other
ELEVATIONS
Building Sewer ST Inlet. ST outlet
PC inlet PC bottom Pump Off
Header/Manifold Bottom of system_
Existing Grade Final grade DATE OF INSTALLATION:
PLUMBER ON JOB:
62
LICENSE NUMBER:
INSPECTOR: lov=f)
3/93:jt
flid
i
lam''
99'
O
.sLS ,
1 plf$ossio
susii S
p
Wiscorysin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT ST. CROIX
Safety and Buildings Division
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-:
Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State PI
KOLBECK, DAVID/PAULA RIXMANN X
CST BM Elev.: A Insp. BM Elev.: BM Description: JStar PZd.L_j_j.= ~ Parcel Tax No.:
TANK INFORMATION ELEVATION DATA / o
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic CtJ S y~~ , c Benchmark Sly 6ACa I
Dosi L~ , i► Soo" /6-5 2 i
Aeration Bldg. Sewer
H - Ing St/ 10 Inlet gam' /oa, 3S
TANK SETBACK INFORMATION St / 6iC Outlet /7~
TANK TO P/ L WELL BLDG. Airl to ntake ROAD Dt Inlet
Air l
Septic >SQ 3 a NA Dt Bottom
Dosing NA Headed d,ls
Aeration N Dist. Pipe -~5r p
q ,
Ho Bot. System 30 /Sld 99 CPO,
PUMP/ SIPHON INFORMATION Final Grade
Manu turer Demand L,%o a{ -5 T, G ( , 5 ' 16.3. J'5
Model Number PM
TDH Lift F ' on System TDH Ft
Forc_ex In Length Dia. Fi Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length / No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS a to DIMEN 1
SYSTEM TO P/ L BLDG WELL LAKE / STREAM LEACHI Ma urer:
SETBACK CHAD
INFORMATION Type of W IT e Num umber:
System: bk~! :ode, d NIT
DISTRIBUTION SYSTEM
Header/Manifold ,r Distribution Pipe(s) 7 x Hole Size x Hole Ing Vent To Air In
Length _bZ Dia- Length ~ Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grad ystem I
Depth Over Depth Over xx Depth Of xx Seeded/ Sodded x ched
Bed/ Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes o
COMMENTS: (Include code discrepancies, persons present, etc.)*/-45 ,C~ cw s~
LOCATION: Star Prairie.33.31.18W, NW, SE, Lo 1, 185th Avenue
f
1Z 0
X l®Y7
Plan revision required? ❑ Yes [-No
Use other side for additional information. ey Sr
14 1A
SBD-6710 (R 05191) Date Inspector's Signatur Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
rw:° Safety and Buildings Division
~~C~'■~I I~ SANITARY PERMIT APPLICATION Bureau of Building Water System:
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 8112 x 11 inches in size.
• See reverse side for instructions for completing this application State Sanitary Pef n t Nu ~ber
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)I.
State Plan I.D. Number
1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION
Pro y Owner a Property Location (
"1/4_5,i- 1 /4, S T , N, R
-.)F- 0_- I , ~Iv 4.4~
Prope Owner's Mailing ,A ess Lot Number Block Number
Cit , tate Zip Code Phone Number Subdivi n Name or CS~LI u ber
( ) ' -
I. TYP F BUILDING: (chec one) ❑ State Owned ❑ City ]Nearest Road
❑ Village f
Public J?j 1 or 2 Family Dwelling - No. of bedrooms % Town OF
III. BUILDING USE: (if building type is public, check all that apply) Parcel Tax rN~umber(s)
1 ❑ Apartment/Condo 0'3d - //3l~,p
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. jN New 2. ❑ 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
110 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:
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/ ft.) (Min inch) Elevation
/ y
99 Feet Feet
VII. TANK Ca
in gaclt
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 - 14 Z ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, th undersigned, assume responsibility or in al f the nsit sewage system shown on the attached plans.
Plu s Na t) Plum r' gna ( amps MP/MPRSW No.: Business Phone Number:
r -
Plumber s Address (Street, , Sta , Zip C
t
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing Agent Signature (No Stamps)
Surcharge Fee)
ImApproved ❑ Owner Given Initial
Adverse Determination /oa
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD-6398 (R. 05/94) DISTRIBUTION: original to County, One copy To: Safety & Ruildings 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 orthe State of
Wisconsin, Safety and Buildings Division, 608-266-3815.
To be complete and.accurate this sanitary permit application must include:
I_ Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the
system is to be installed.
II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is public, check all appropriate boxes that apply.
IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested for numbers 1 through 7.
VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and
manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and
holding tanks for this system. Check experimental approval only if tanks received experimental product approval from
DILHR.
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.
Wisconsin Department oflndustry, SOIL AND SITE EVALUATION REPORT Page _L 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 8 112 x 11 inches in size. Plan must include, but - . k/
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I. . f
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWN R: PROPERTY LOCATION
GOVT. LOT 1/4 T,_?/ N,R (or)4;~
PROPERTY OWNERS MA IN ADD ESS LOT( I BL # SUBD NAME OR fW
CITY STATE'' ZIP CODE PHONE NUMBER ❑CITY VILLAG ®TOWN -j IN EAREST ROAD
New Construction Use ])(J Residential / Number of bedrooms [ ] Addition to existing building
Replacement [ ] Public or commercial describe
Code derived daily flow gpd Recommended design loading rate _,._V bed, gpd/ft2 .S~ trench, gpd/ft2
Absorption area required.- bed, ft2 9 trench, ft2 Maximum design loading rate gy bed, gpd/0, S trench, gpd/ft2
Recommended infiltration surface elevation(s) 9;9' S ft (as referred to site plan benchmark)
Additional design / site co iderations
Parent material 77- Flood plain elevation, if applicable ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable fors stem S ❑ U IE S ❑ U 121 S El U N S ❑ U ❑ S ® U ❑ S ~ U
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
Boring # Horizon in. Munsell Qu. Sz. Co t. Color Gr. Sz. Sh. Bed Trench
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
- 1 s
41 L.)
Z
91? <7e
Ground
elev.
ft.
Depth to
limiting
factor
> 9'?
Remarks:
CST Name:-Please Print Phone:
Address: 36 l
Signature: Date: CST Numbe :
L,,
PROPERTY OWNER - SOIL DESCRIPTION REPORT 'Page,,-2 of ,
PARCEL I.D. #
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundwy Roots GPD/ft
in. Munsell Qu. Sz. nt. Color Gr. Sz. Sh. Bed Trench
i ~:y /`7 :}•:4
I
VA- 72 7
Ground S
elev. S
/ fA ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
AIJ
4 O/
~~o sur.E
(,Id 7
`3 ~ gay '4
0
1 o-, c,4
9y
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,UIL ANU 511 t CVALUA 1 IUN Mtl'UM 1 rage 1 of 3
Labs; and Human Relation`s
DiAsion of SPL ty & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
St. Croix
Attach complete site plan on paper not less than 81/2,X!' inches in size. P116A, ust include, but
not limited to vertical and horizontal reference point %',directi v and % of e, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distan o ea etrott
~~5S~, APPLICANT INFORMATION-PLEASE PRI L IMP iMI T REVIEWED BY DATE
l~~ll
PROPERTY OWNER: „ PRO LOCATION
0 T NW 114 SE 1/4,S33 T 31 N,R 18 Wor) W
Jim & Mary Wold c- Z
PROPERTY OWNERS MAILING ADDRESS tt~s BLOCK # SUBD. N E OR CSM it
Box 75 r na csm IV(~{c~ d)clu C. 5 141.
CITY, STATE ~p CODE PHONE F)j CITY VILLAGE QrOWN NEAREST ROAD
New Richmond, WI. 54017 (611 2 Star Prarie 110th. St.
J New Construction Use [ j Residential I Number of bedrooms 4 Addition to existing building
j J Replacement (j Public or commercial describe
Code derived daily flow 600 gpd Recommended design loading rate . _5 bed, gpdm2 .6 trench, gpd/ft2
Absorption area required 1200 tom, tt2 1000 trench, ft2 Maximum design loading rate • _5 bed, gpd/ft2 - 6 trench, gpdm2
Recommended infiltration surface elevation(s) _ 105.75 ft (as referred to site plan benchmark)
Additional design / site considerations na
Parent material pitted glacial drift Flood plain elevation, if applicable na It
S = Suitable for system I CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable fors stem ®S D U ®S E3 U ®S O U ®S O U EIS ®U 0S E] U
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence Roots GPD/ft
Boring # Horizon in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed le(&
1 0-15 10yr3/3 none 1 2msbk mfr cs 2f .5 .6
if .2 .3
2 15-31 10yr5/4 none sil lfsbk mfr 9w
Ground 3 31-88 7.5yr4/6 none 1 fs Osg mvfr na na .5 .6
elev.
109.8 ft.
Depth to
limiting
factor
+88"
Remarks:
Boring #
1 0-9 10yr3/3 none 1 2mgr mfr cs 2f 1.5 .6
2 2 9-19 10yr4/4 none sil lfgr mfr gw if .2 .3
i VGA~4.3 19-33 7.5yr4/6 none sl lmsbk mfr 9w if .4 .5
Ground
elev. 4 33-80 7.5yr4/6 none 1 fs Osg mvfr na na .5 .6
108.5 ft.
Depth to
limiting
factor
+80"
Remarks:
CST Name:-Please Print Gary L. Steel Phone' 715-246-6200
Address: 1554 20 h. Ave. , Ne Richmond, WI. 54017
CSSignature: 10-27-(~Te: cstm 02298T Number:
PROPERTY OWNER J. & M. Wold SOIL DESCRIPTION REPORT Page 2_of'3
PARCEL I.D. #F ,
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary RootsGPD/ft
_ in. Munsell Du. Sz. Cont Color I Gr. Sz. Sh.
Bed ITrenc~
1 0-11 10yr4/3 none sl 2mgr mvfr gw 2f .5 .6
F: 3
2 11-36 10yr4/4 none sl 2mgr mvfr gw if .5 I.6
Ground 3 36-96 7.5yr4/ 6 none 1 fs Osg mvfr na na .5 ~.6
elev.
109.8 ft.
Depth to
limiting -
factor
+96"
Remarks:
Boring #
1 10-16 110yr3/3 none 1 2msbk mfr gw 2f .5 .6
4 2 16-30 10yr5/4 none sil 2mgr mvfr gw if .5 .6
3 0-82 7.5yr4/6 none 1 fs Osg mvfr na na .5 .6 t
Ground
elev.
108.1 ft.
Depth to
limiting
factor
+82"
Remarks:
Boring #
1 0-16 10yr3/3 none sl 2mgr mvfr gw 2f .5 .6
5 a<. 2 16-22 10yr4/4 none s i l 2mgr mvf r gw if .5 .6
3 22-80 7.5yr4/6 none 1 fs Osg mvfr na na .5 .6
Ground
elev.
107.5 ft.
Depth to
limiting
factor
+80"
Remarks:
Boring #
K:}iiv;
Ground
elev.
ft.
f
Depth to
limiting
i
factor
Remarks:
SBD-8330(8.05/92)
• ti
STEEL'S SOIL SERVICE
Gary L. Steel Jim & Mary Wold 1554 200th Ave.
CSTM2298 Nw4 SE4 S33-T31N-R18w New Richmond, WI 54017
MPRSSW 3254 town of Star Prarie (715) 246-6200
I
N
1"=40'
BM.= top of 3/4" pipe at el. 100' by power pole #75032264
Alt. BM.= top of corner post 4' west of orig. BM. at el. 104.78
~
n1 C ~2
o
oo'~ 3 I 32 ' p 20
QM
1?7'
2
Gary L. Steel
10-27-94
FILED
MAR 1 0 1995 k, 9
KATHLEEN H. WALSH
Register of Deeds
St. Croix Co., WI
526639
CERTIFIED RVEY MAP
LOCATED IN THE NW 1/4 OF THE SEI/4 OF SECTION 33, T31N, R18W, TOWN OF
STAR PRAIRIE, ST.CROIX COUNTY, WI.
PREPARED FOR: MIKE CODY
N 1/4 CORNER OF SECTION 33.
( 3 X 6 1 RON CORNER POST FOUND).
Io NOTE: BEARINGS ARE REFERENCED
TO THE E-W QUARTER LINE.
f RECORD BEARING).
:O
.O
N '
1-'
W.
~tu W.
oI E
M (n.
N S
O
• N- S QUARTER LINE E-'
UNPLATTEO LANDS..
NORTH LINE OF THE NW- SE EXISTING
EASEMENT
POWER LINE S89o 1343"E 1323. 98
-!V 1257.98 M 66. 00' oaf o
/t/ol
Z• 0 66-WIDE ROADWAY
Q N EA SEMEN T.
~y N O
J, tt
al .
J,
Cf O.W:
WI O
c: 3 L 0 T I ° W
FW.. M 1 3. 4 3 ACRES N t o f4)
F _ (585, 107 S0.FT.) OI v N u
Q N 1 2.76 AC. EXC. ROAD EASEMENT • _
J C) f 5 55, 936 SO. FT.) of O
O
Z: o
~ . a.
12 57. 82' 66. 00' 133133
N89°13'4 3 W 1323.82 0D'
O•
U N PLATTED LANDS
U•
3 ^ EAST LINE OF THE NW-SE
O
01 '
•M
roZp Or SET I"X 24" IRON PIPE WEIGHING
1. 13 LB S. PER LINEAR F0.0T...t-, 4 k
O' 1" IRON PIPE FOUND. s u
O
2
1~1 1 u"95 S 1/4 CORNER OF SECTION 33 'w~ise
( COUNTY MONUMENT FOUND) `
® -`~1 by 4 JAMES y
S 1804
rnd . SPRING VALLEY
4 / IMS. s
S
s «I a t+ . ~ eN► r
S C A L E I_ 200,
Y it .ar)~+ s .;i .a•awa+•°••~®o~
Y b~Y t(~Mm
0 ' 100' 2 00 400' a~ JAMES M. WEBER S-1804
NELSEN- WEBER SURVEYING
D A T E D 1A ,.oati IgQti-
SHEET I OF 2
95 - II THIS INSTRUMENT DRAFTED BY JIM WEBER .
VOL. 10 PAGE 2890
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNERBUYERa uefl e c ~a a., 7~ , tC- n 1 a
MAILING ADDRESS 205 Sgt' S4. K, Cc--I<c(a_L ) 1IU SSIa
PROPERTY ADDRESS ~6 A v
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE &e_e.y R C' m V_-r r e~ Gc1 /
PROPERTY LOCATION _ 1/4, ~ E_ 1/4, Section Z& T_f ~_N-R F W
TOWN OF C~a r ~ra H 't, ST. CROIX COUNTY, WI
SUBDIVISION LOT NUMBER
CERTIFIEDSURVEY MAP VOLUME ELL, 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 ye expiration date Z.
SIGNED: 0
DATE:
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
i
i
I
i
i
i
f
Iii
• y
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.
-------------------------------------------------7-----------------
& ( a-- ~ 1, y-
m h
Owner of property 'bA ye K D e c k 5
rty N (.J 1/4 SF_ 1/4, Section 33 , T 3 I N-R__L _W
Location of prope
Township t~->4av- T rg r i Mailing address '1 b g(, f3-
Address ss ~
of sit "`#F l' ``6 cf-4-- x' s h~aYt G( w/
Subdivision name A)/ P' Lot no.
Other homes on property? Yes_ No
Previous owner of property (vAav (,moo(
Total size of property
Total size of parcel
Date parcel was created
Are all corners and lot lines identifiable? Yes No
Is this property being developed for (spec house) ? Yes _ L No
Volume 1~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. 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.
Signature of Applicant Co-Appli nt
Date of Signature Date of Signature
• D`JCUMEN'T NO. State Bar of Wisconsin Form 2-1962
WARRANTY DEED REGISTEh S OFFICE
_ ST cROIx co.,
d
535359 :
1~5PAG: 5C~ = w'd for Record
OCT 2 5 :993
James A. Wold and Mary T. Wold husband and wife conveys and iA ~ 11: 0o A. M ,
warrants to David S. Kolbeck and Paula J. Rixmatm, as joint teams AL,-A.
and not as tenants-in-common the following described real estate ~1 Remoter Of Doom
in St. Croix County, Wisconsin:
THIS SPACE RESERVED MR
RECORD1Na DATA
NAME AND RETURN ADDRESS
(Parcel Identification Number)
Part of the Northwest Quarter of the Southeast Quarter of Sec6m 33-31-18 described as follows. Lot l
of Certified Survey Map filed March 10, 1995 in Volume 10, page 2890.
TOGETHER WITH and SUBJECT to roadway easement as shown on said Certified Survey Map.
t
This is not homestead property.
Exception to warranties: municipal and zoning ordinances, easements and restrictions of record
Dated this` -1-- day of October, 1995
J A Wild
E Mary
s
{
AUTHENTICATION ACKMq/LEDGME r
l Sites) STATE OF WLSCONSIN ) _
ilk
authenticated this _ day of ) ss.
1991. ST. CRUX COUNTY )
Persoaay came before me this ~ day a
Ocaobw 1tM Elbe above named lames T. Wold and
Mary T_ and wife to me known to be
TITI E: MEMBER STATE BAR OF WISCONSIN the writrD a ed the foregoing instrument and
(authorized by Sec. 706.06, Wis. States) same. I,
y.
THIS DOCUMENT DRAFTED BY: ,r
Remington Law Offices St
+ 126. S. Knowles Ave. ~E J. s.
New Richmond, WI 54017 Myao®si~~° ""°S~ I Iot,st sexpirafon
data (Signatures may be authenticated or acknowledged / ti • s
Both are not ~1
necessary.)
f ti4~r
7