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Home My WebLink About006-1088-60-000St. Croix County Planning and Zonin Monday, February 14, 2005 at 3:25:37 PM Detail Sanitary Information Page 1 of 1 Computer #: 006-1088-60-000 Sub/Plat: Village Plat of Cylon Section: 33 Parcel #: 33.31.16.587 Lot: 6 TN/RNG: T31 N R16W Municipality: Cylon, Town of CSM: 1/4 1/4: SE 1/4 SW 1/4 Owner: Wallin, Marty 1814 Cty. Rd. O New Richmond, WI 54017 State Permit: 463092 Issued: 10/08/2004 POWTS Dispersal: Holding Tank Permit: Replacement County Permit: 0 Installed: 10/08/2004 POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Notes Inspector As Built Plumber Other Requirements Additional Notes Money Owed Ryan Yarrington NA Bird, Shaun lots 4, 5, 6 & 9 of Block 3 Village of Cylon Plat $0.00 Signed Off: Yes (1897) owned by Marty Wallin, but Hotel/baron lot 6 tanks for bar and apartment with approved state plans Increased capacity to 2 -2600 gallon tanks= 5200 total for 491 gpd DWF Maintenance Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 10/8/2007 Wises ~ 'n Department of Commerce Saet ar d Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)1• Permit Holder's Name: City Village X Township Wallin, Ma C Ion Townshi CST BM Elev: Insp. BM Elev: BM Description: N w TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic J ~G~.l~-- Z Co Dosing Aeration s t~r'S Holding TANK SETBACK INFORMATION c.,~'e;' TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ d ~. ~ 3C~ i I S /5 - ~- / ~ ~ - Aeration Holding '° PUMP/SIPHON INFORMATION Manufacturer Demand G M Model N er TDH Cift Friction Loss System Hea TDH Ft Forcemain Length ta. Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. CI'OIX Sanitary Permit No: 463092 0 State Plan ID No: Parcel Tax No: 006-1088-60-000 SectionlTown/Range/Map No: 33.31.16.587 STATION BS HI FS ELEV. Be~G`14~ Ot" rj,~; ~t I,Ito rb~,)(~ ~~ Alt. BM Bldg. Sewer / tp ~ ~ ~7 G J -/ `~ Olt SUHt Inlet ~ ~ 1 9`) .v Co SUHt Outlet Dt Inlet 7. ~~~~ Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover BED/TRENC DIMENSIO S idth h No. Of Trenches PIT DIMEN NS r No. Of Pits nside Dia. Liquid Depth SETBACK INFORMATION 1CSTEM TO P!L BL WELL LAKE/BYRE LEACHING C Manufacturer: Type O tem: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size __ kleleSpaciny Vent to Air Intake Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over ----- - ~_____ ___ . _. ___. xx Mulched Bed/Trench Center -- nc dges Topsoil ?~c Yes ~ No ~ Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1 I Inspection #2: / / Location: 1814 Cty. Rd. O New Richmond, WI 54017 (SE 1/4 SW 1/4 33 T31N R16W) NA Lot 3 Parcel No: 33.31.16.587 1. Alt BM Descri tion = ~ '~ /~ v ~ ~ ~ ~~ ~ 2.) Bldg sewer length = ~ 5 CN,~,,,~ f /b E~r`a~-; C~J~.~ ~ ~ ~' -amount of cover= /~ /i ~ ~vl~.,~ ,'~~ ~ 0.~~ CcJ~ ~e~, Plan revision Required? ~ Yes ~No ~~ ~ ~ ~ ~ 3 7 Use other side for additional information. ~ ~ __ Date Inse tor's Sig ure Cert. No. SBD-6710 (R.3/97) • Safety and Buildings Division 201 w washltlgton Ava, P o. Box 7162 ~ County ~ ~~ ~ ~fl / '~ Madison, WI 53702 - 7162 S:nitsry P«mit Naaiba loo be filial in 6y cb (608) 266-3151 I ~~O~~I ~ ~ 3 D Z De artment of Commerce State Plan I.D. Number Sanitary Permit Application d e In accord with Comm 83.21. Wis. Adm. Code, pusoaal information you pnovt ~~ A~~ t diH'etent than mailing address) taay be used foe aooodaty ptttposex Privary Law, s15.04(ixm) 1G Application Information -Please Plat All Information ~~ property Owae~s Natoc r Parcel Lot #~ Block ~ property ow>t~: t>~ 06 (o ~D~ ~ / / ~ ~~ ~. setxiott - CStY. State Tap Codc Phone Nun~Fra ~Q ~/ ~)~ . 50 J ~a j~ ~ ~K.N ~ y T~`.-N. ~~ II. Type of Building (check all that apply) ~ , , j1 ~~,(~.eG CAM Numbs Subdivislo~ / f~edrootas ~ 1 to 2 Family Dwraling - Ntrmtrcx o ~ ~ / ~ ~ ~Publicl~Cototoerdal- Destxibe U _ ~i . l aty_ ~ ~ star oa~aoa- Desaibe use III. Type o[ Permit: (Chedr oily one boz on line A. Complete line B ff applicable) . A- New System Systtan TtatraatdFToldittg Tank Replacement Only Other Modificstiou to Existittb System List Previotu Permit Number and Dace Lssoed B. Permit Renewal Pumit Revision Qiaoge of pertnit Transfer to New . Before Expiration Plumber Ownet . IV. a of POWTS S (Check all that a 1 of suitable soil Mound <24 in i At-Grade Singte Pass Sand Frier . t, Non -Pressadzed In~~sottnd Mwmd ~ ~ ~ of leso nk Filter Aerobic Treatment Unit Recittvlatiag Sand Fiber T a tyooswotod Weiland Pressurized in • S Medra FilOer Chamber 'Litre Gravel-kxs Pi Other v D' tmcnt Area Information: Area Rerlaired (sf). . Dispa>;al Ara Proposed (st) System Hevation dsf) Dispersal / t ( R a e gp Design t~rny (apd) . Design Soil ApplicaGoa ~_ .^ Tatilc Info Gpa«ty ~ Total Number ManaEaeNrer VI prefab Site Steel Fiber Plastic ~~~ Glass ~~ . Gallons Gallons of Ulna New Fsistiag Tanks Tanks alc T ldi a a` Scpfic err fio Aacbic Tantaeat Unit . Dosing t3arabx risibility for installation of the I'OWIS sbosn on the VII. Res oasibili Statement- I. the trod - MPtMPRS Number Btrsrttrss Phone Number Plumbers ~"'°b`~~"°e`~~ ~ zG~'96~ _ ~~~ ~ J ~..- ~ (stroet, city, state. ) ,' pp , Gam// ~, t Use Onl Saattaty Permit Fee Cmclodes Groundwater Dace Approv proved Sotr]targe Fee) ~~ Owner Given Reason for Dental ` IX. Conditions of ApprovaVReuons for Disapproval /~ ~ _ ) '/~ j~-~~`~~~ N~e~~ l G~~H~ /Z.Y.~ij-~ . ~ ~~ ~ . ~~ ~, ~ ~a~~~~~ z 3 ~~~ VYIU ~ ti1 d~ ... ` d~ , Attach complete plans (W the Couah OOty) ro m oa papa' not less than t12 x it incises is PLOT PLAN PROJECT Martv's Cvlon Junction ADDRESS 1814 Ctv SE 1/4 SW 1/4S 33 /T 31 N/R 16 W TOWN SYSTEM ELEVATION none //~A CONVENTIONAL AT-GRADE CONVEN'~'1 New Richmond Wi 54017 ~ COUNT ST. CROIX ~~'~~'o GPD 491 IFT HOLDING TANK XXX MOUND SEPTI SIZE LIFT TANK SIZE HOLDING TANK SI 2-2600 LOAD RATE ABSORPTION AREA BENCHMARK V.R.P. ell ^ BOREHOLE O WELL * H. R. P . Same as Benchmark # of chambers .-~ _, ASSUME ELEVATION 100' Filter - Cty Rd 0 Bar See Calcs. below 25' X 25' patron area with 2 bedroom apartment HT Huffcutt o W e l l B.M. 3rd St 3rd St. is to act as a service road Property Line Property Line ~ Tank is to be properly bedded and provided with {ockdown covers with approved warning labels Please note : a visual inspection of the bar showed no flow drains in the entire place, hot water heater and furnace discharge in a sump basket in basement Calcs. for bar Bar is to serve no food 25' X 25' = 625ft~2 of area X 1 patron/10ft~2 X 4 gpd/patron = 252gpd 3 employees X 13 gpd/employee = 39 gpd 2 bedroom apartment X 100 gpd/bedroom = 200 gpd total gpd = 491 gpd peak flow does not apply tank size required is 491 gpd X 5 days = 2455 gallon tank, using a 3000 gallon tank DOSE TANK SIZE Scale = 1 /4" = 10' St. Croix County Zoning Detail Sanitary Information Friday, October 08, 2004 at 9:29:16 AM Page 1 of l Computer #: Sub/Plat: NA Section: 20 Parcel #: 20.29.18. Lot: 1 TN/RNG: T29N R18W Municipality: Warren Township CSM: Vol. 18 Pg. 4700 1/4 1/4: SE 1/4 SE 1/4 Owner: Badlands Golf Course 1030 80th Ave. Roberts, WI 54023 State Permit: 463095 Issued: 10/08/2004 POWTS Dispersal: Mound less than 24" suitable s Permit: Replacement County Permit: 0 Installed: POWTS Detail: Bed Bedrooms: 4 WI Fund: POWTS Pretreatment: Unknown Notes Inspector As Built Plumber Other Requirements Additional Notes Monev Owed Not determined NA Sinz, Todd demolishing existing home and constructing a 4 $0.00 Signed Off: No BR house on property. Land Contract held by Richard Scherer, purchaser is Badlands Goif Corp. STS GKnIY COUNTY ~ ENO. ~~ 463092 STATE SANITARY PERMIT ^TRA EWAL OWNER W kc.~~.J PREVIOU /~~ PLUMBERSK~}tlJ~ ~/fib TOWN OF C C.O~ ,~.$EC 33 .T ~ 1 N. R / E ya~i~/rr T~IK uo. U~VGbw~ - ~ ~, C 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit le to allow installation of the private:ewage system described in the pennk. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The:anffary permR le valid and maybe renewed for a :pacified period. (d) Changed regulations will not impair the validity of a anitary pennic (e) Renewal of the sanitary permit will be based on regulations in force at the time renewwl le sought, and that changed regulations may impede renewal. (f) The sanitary permit le transferable. ' AND/O R LOT BLOCK 3 History: 1977 c.188;1979 c. 34,221;,98, c. 314 Note: H you wi:h to renew the permit, or transfer ownerehip of the G ~. ~ SUBDIVISION ~~~ please wntactthe county authority. • AUTHORIZED ISSUING OFFICER -DATE /D THIS PERMIT EXPIRES LIC.# 226 Ob UNLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R.8/00) (1 \ ~ l 1 Safety and Building ' 'o 201 W. Washington Ave., anry ~` p ~~~ (..-p + ~IO Madison, WI 53707 16 itsry Permit Nnmba (bo be filled in by Co.; I ~7COI ~ (608) 266-3151 /~ 3 D Z (Y De artment of Commerce - Sanitary Permit Applicatio AEG S Plan 1.°' Number id In accord with Comm 83.21, Wis. Adm. Code, Personal information u prov e O $ 2~ maybe used for secondary Purposes Privary Law, s15.04(lx) QL~ ~~ ddress i diH'ercnt than mailing address) -~Y I. Application Llformatioa ~ Please Print All Information S~ . GR NG OFF Property Owner's Name ~ ~ ~ I~ /~ Parcel lo<#i Bta~ ~ ~~ O Property owner ~ 06 fo . /d~ ~ / ~ ~ ~ s~ City. State / T.rp Code Phone Number . 5~ ~ II. Type of Building (check all that apply) ~ ~ onu ~ ~' ed f b N snbdvisio~ M Number ro er o um 1 or 2 Family Dwelling - ~ ~Atblic/Cotnrnetcial- Dcsaibe Us~x~"`~ City_ of Star Owtred - Desaibe Use - - - III.T ype of Permit: (Check Daly one boz online A. Complete line B if applicable) A' New System Iaceaurrc System TreaurrerttlHolding Tank Replaoem«rt flhily Odmr Modification ro Existitrs System List Previous Permit Number and Dace Issued B. Permit Renewal Pcrnnt Revision age of Petnut Transfer to New . Before Expiration Plumber Owner IV. T e of POVVTS S (Check all that a 1 Noa -Prasariud In-t3round Mound _> 7A in. of ksori\ Mound < 24 in. of suitable soil At-Grade Single Pass Said Filter CoastNaed Weiland Pressurized In-Gro Tank Filter Aerobic Treatment Unit Recir+arlating Sand Filter Rairculating Synthetic Media Filter Chamber ihi Line Gravel-kas Pi 08-er ( ~) V. Di ersaVl'reatmentAreu Information: Area Proposed (st) System Hevation Design Plrny (gpd) Design Soil A~lication Rate(gpdsf) Dispersal Area Regnirod (sf) Disposal ~ ~_ To1at Number Mano[actneer Prefab Sits Steel Frber Plastic act to Coac:ete Constmcted G~ VI. TsWc Info ~ ~ Gallons of Units Csll New Fsiseng Tanks Tacks Sep6a a Holding Taok '~ Aavbic Tnataimt Unit DOSIng t,~alOhEf - VII. Res onaibili Statement- I, Ure and asibiIIty for lastallation o[ the FOW1S slwvu on the Busutess Phone Number MPlMPRS Number ' / _ s Plumber's ame ) ~ Plumber Plumber's ~ ~ ~, state, tip ~ ~ G9 , /~ S ~, rtmeat Use Onl Sigtraw Sanitary Permit Fee urcludes Groundwater Stamps) Approved ~PPro~ Surcharge Fee) ~ l~ r~~ 0 ~~ Owricr Given Reason for Denial ~ ~ ~ ~ ~ ` ~~ ~= /~ t , /~~~ ~/b~ IIC. Conditions of App Joy for Disapproval ~ ~/~ ` 0~~"-- ~~ .~ r 2 _ ~~z~,GcJ' ~~~~~ ~ I l 1nfi,4 tM ~J~ (/~ IJ b~ ~ _ ,, _- i .4 _~ :,~/ AJl iJ~vl~,,~ a~~ V~ww ..- - - - -- y v wr.-..-- ~ - Attach complete pleas (to the County only) [o m oa paper nOt less than ~I /I x tt tRCI1tf IA PLOT PLAN PROJECT Martv's Cvlon Junction ADDRESS 1814 Ctv SE 1/4 SW 1/4S 33 /T 31 N/R 16 W TOWN SYSTEM ELEVATION none 1 CONVENTIONAL AT-GRADE /.1 New R ichmond Wi 54017 COUNT ST. CROIX ~ ~~'~''o GPD 491 HOLDING TANK XXX MOUND SEPTI SIZE LIFT ~i`ANK SIZE DOSE TANK SIZE HOLDING TANK SI 2-2600 LOAD RATE ABSORPTION AREA # of chambers BENCHMARK V.R.P. ell ASSUME ELEVATION 100' Fiilter-~6 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark Cty Rd 0 Bar See Calcs. below 25' X 25' patron area with 2 bedroom apartment HT Huffcutt o W e l l B.M. 3rd St 3rd St. is to act as a service road Property Line Property Line Tank is to be properly bedded and provided with lockdown covers with approved warning labels Scale = 1 /4" = 10' Please note : a visual inspection of the bar showed no flow drains in the entire place, hot water heater and furnace discharge in a sump basket in basement Calcs. for bar Bar is to serve no food 25' X 25' = 625ft^2 of area X 1 patron/10ft~2 X 4 gpd/patron = 252gpd 3 employees X 13 gpd/employee = 39 gpd 2 bedroom apartment X 100 gpd/bedroom = 200 gpd total gpd = 491 gpd peak flow does not apply tank size required is 491 gpd X 5 days = 2455 gallon tank, using a 3000 gallon tank Y ~ ~ commerce.wi.gov . ~ isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi. gov/sb/ www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary October O5, 2004 CUST ID No.226900 ATTN: POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/05/2006 Identification Numbers Transaction ID No. 1065863 SITE• Site ID No. 690261 Marty's Cylon Junction Please refer to both identification numbers, 1814 County Hwy O above, in all corres ondence with the a enc Town of Cylon, St Croix County SE1/4, SW1/4, S33, T31N, R16W FOR: Description: Commercial (Bar/2 Bedroom Apt.) Holding Tank System Object Type: POWTS Component Manual Regulated Object ID No.: 983786 Maintenance required; 491 GPD Flow rate; System: Holding Tank Component Manual, SBD-10571-P (r.6/99) 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 chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, COjtl~ll stats. The following conditions shall be met during construction or installation and prior to occupancy or use: ~~~ General Approval Requirements: C~DE ARTMENTf M OF ~ E • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Holding Tank Component Manual for Private Onsite Wastewater Systems" SBD-10571-P (R.6/99). SEE CORRE: _____, • A notarized Holding Tank Agreement between the local governmental unit/Municipality and the properly owner is required prior to the issuance of a sanitary permit. A Holding Tank Servicing Contract may also be required if no other service provider for the holding tank has been identified. • A service drive or road is to be provided to the service access opening or pump out port. The minimum measured distance required is 25 feet. • The well must be a minimum of 25 feet from any POWTS tank. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat SHAUN R BIRD Page 2 10/5/2004 • Comm 83.22(7) A cogy 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. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce. state. wi.us Fee Required $ 60.00 Fee Received $ "60.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715-246-4516 Cover Page Date: 9/22/04 Owner: Marty's Cylon Junction Location: 1814 Cty Rd O Cylon SE1/4 SW1/4 S33 T31 N,R16W System type: Holding Tank Manuals Used: Holding Tank Component Manual Page# 1. Cover Page 2. Holding Tank Plot Plan 3. Holding Tank Cross Section 4.Tankanchoringc :~~~~y 5. Maintance and tingency Plan ~ ~ ~. jw' rp 'F C0~(,~ERC~ Signature Y ING License nu er 226900 'P~N'~ENC PLOT PLAN P3tOJEC~ Martv's Cvlon Junction ADDRESS 1814 Ctv Rd O New Richmond Wi 54017 SE 1/4 SW 1/4S 33 /T 31 N/R 16 W TOWN Cylon COUNTY ST.CROIX SYSTEM ELEVATION none GPD 491 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK XXX MOUND SEPTIC TANK SIZE LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE 3000 gallon LOAD RATE ABSORPTION AREA # of chambers BENCHMARK V.R.P. W211 ASSUME ELEVATION 100' Filter ~~-~Oa ^ BOREHOLE O WELL *H.R.P. Same as Benchmark Cty Rd 0 3rd Bar See Calcs. below 25' X 25' patron area with 2 bedroom apartment ~ Property Line o Well Huffcutt B•M• 3rd St. is to act as a service road St Property Line Tank is to be properly bedded and provided with lockdown covers with approved warning labels Scale = 1 /4" = 10' Please note : a visual inspection of the bar showed no floesrains in the entire place, hot water heater and furnace discharge in a sump basket in basement Calcs. for bar Bar is to serve no food 25' X 25' = 625ft^2 of area X 1 patron/10ft^2 X 4 gpd/patron = 252gpd 3 employees X 13 gpd/employee = 39 gpd 2 bedroom apartment X 100 gpd/bedroom = 200 gpd total gpd = 491 gpd peak flow does not apply tank size required is 491 gpd X 5 days = 2455 gallon tank, using a 3000 gallon tank ~~ °Ap~roved . -Vent Cap MOLDING TANK CROSS-SECTION Weather Proof Jurcti on .Box Vent Pipe Minimum 12" Final Grade ., -- Approved Joint. ~_ Water Tight-°` Seal ~ High ~~~"~.~~ ~ Al ~:~ S~~ ~~"~r ~ SPECIFICATIONS proved Locking Manhole Cover th Warning Label Attached 4" Minimum TANK New ~ -.Exis in Manu of cturer• Blind C.I. Tank Size: a lops Ping ALARM Manufacturer: G ,,,moo Model N~~~~~er: Switch Type :. r NUMBER OF BEDROOhiS : O GALLONS PER DAY ~~'~.. ~ G l 3" of Bedding Under Tank Owner's Name: ~~ °,r' Address: Legal Discripti ~ - Township/Municipal ty• ~ County: S,l ~.~.~/X. PLUMBERJDESIGNER Signature: License Number: ~ Z_ ~ Date: --2~ ~ 1vj21~ ~ 18" Minimum 1 Approved Joir w/ C.I. Pipe Extending 3" Onto Solid Sc 09!10!2004 11:23 17157237111 1 ~; PAGE 02 89/98%2084 14:19 X097959338 SAFETY AND &-DGS ~ • PAt3E t1Z Tank Aiaelwocind: Per Comm 83.43{Sxg), Wis. Adrn. Code, atl tsnlc(s) rust be ^nchored whomever they at,r s< risk for being iastalted zn an arse where they nosy be located iri suttraeed conditaaas ailbert of the year. Usiztg soil as the ancbvr has become rn axeptable altauative to concrete, ~ Ffetatiaa potential is the dasp]acer:u~t of the taonlc cakulaud by its vohmlE isf cubic foec. Luce A: Calcttlata cubic !«t of taNc 2 ~q y 7 inches lai~f, x ~Z„tnahes wide, x~inchea loog, = 7 ~ cubic iIICites. Divide this number by 1'128 to e9ual ~/~ bic fee. ' Line B: Convet't the diaphu.dneIIt to the weitght of water. GI?.Z. (~ li:ee A) cable feet x 62.4 (weight of 1 cubic foot of watecj x !.S (safety factor) . ~rlbs. of tilt poteatiat: Llae C: Catcalste a-aigM needed to counter buoyaacy_ 39,9 ~. cDisplace~at weight tt+om flee s.j - ~"~bs. (weis6t oftank pet noattufactnns) =tbs. of soil Hooded to aacltor taak~~ lbs, Line D: Weight of the soft media it~lttdittg safety factor needed over the tank to aaebor the tank ~aegvarety. . Tamp covsr widW ~inehea x folk cov length ~Ziaches, divided by 144 • Q Z square lea x 0.083 (1 inch in foot dertimmal) =7,~cnbic feet (volume of l inch of space over the tack cover). Line E: Cstcutatai weigt-t of i inch of space wer entire cover. 7~ cnb~c feet of opatx (fcarom tine D) x 1~ tbs./~ie foot of =7, ~ Ibs.~inch apnea above • cover, Liao )H: Calculate inches of sod needed to evunterbuayaacy . ZD 9 Z lbs. (From line C) divided by tbs. pet inch of soil (from line lr) =inches nod over cover. Z•d dOT :t+0 t•0 60 daS - 2 Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in accordance with Comm 85. Wis. Adm. Code 1343 Page 1 of 2 Steel Soil Service County Attach rromplete site plan on paper not less than 8'/: x 11 inches in s¢e. Plan must St. Croix indude, but not limited to: vertical and horizontal reference point (BM), direction and parcel I D percent slope, scale or dimensions, north arrow, and location and distance to nearest road. . . 06-1088-40-000 Please print all information, R iewe y Dat Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). I ~~~' ' ~ D 1/ Property Owner Property Location Brown's Creek, Inc - DBA Marty's Cylon Junct Govt. Lot na SE 1/4 SW 1k1 S 33 T 31 N R 16 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSi~lh# 1814 Cty Rd O 4-5-6-9 na CSM City State Zip Code Phone Number ~ City J Village ~ Town Nearest Road New Richmond ~ WI 54017 715-246-3678 Cylon Cty Rd 0 ~ New Construction Use: ~ Residential / Number of bedrooms 2 ~ Replacement ~f Public or commercial - Describe:Bar, no meals Parent material outwash plains and stream terraces bpa General comments and recommendations: Holding Tank Only, 5000 Gallon capacity or larger Code derived d i one e o O o „nir+ , ah Flood plain elevation, if app ica €om AEG .~ 1 2003 not corcec witrlu . 93 GPD ~ e na Borin # Boring 9 fR Pit Ground Surface elev. na ft. Depth to limiting factor n ~n prov al 0 in. e Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Stnrcture Consistence Boundary Roots GP D/ttt in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-15 10yr3/1 f1f 7.5yr5/6 sil 2msbk mfr cs 1vf .5 .8 2 15-34 10yr4/4 c1 d7.5yr5/6 sicl 2msbk mfr cs na .4 .6 3 34-48 5yr4/4 c2d7.5yr5/6 scl 2msbk mfr na na .4 .6 Boring # .~ Boring Pit Ground Surface elev. na ft. Depth to limiting factor ~ 2 in. Soil Application Rate Horzon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont Color Texture Stricture Gr. Sz. Sh. Consistence Boundary Roots GP *Eff#1 D/ft *Effilk2 1 0-12 10yr3/1 none sil 2msbk mfr gw 1vf .5 .8 2 12-34 10yr4/4 c2d7.5yr5/6 sicl 2msbk mfr gw na .4 .6 3 34-78 5yr4/4 c2d7.5yr5/6 scl om mvfr na na .0 .0 Water seepage at 55". * Effluent #1 = BODS> 30 <_ 220 mg/L and TSS >30 < 150 mg/ * Effluent #2 =GODS < 30 mglL and T55 < 30 mgiL. CST Name (Please Print) Sign e: CST Number David J. Steel 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 8/1/2003 715-246-5085 Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 1564 Cty Rd GG CST-POWTSM Brown's Creek Inc. New Richmond,WI 54017 Lic. #248956 SE1/4,SW1/4,S33,T31N,R16W Bus.(715) 246-6200 Town of Cylon, St.Croix Co. Fax (715) 246-9372 3 ,~ ~ O . /~' ~ J ~~ / I ~ ~. 6 ~o~s 4i~~ ~ 1 .,~ .~ S~ ,f' E T ,,. ~ .. .,g _ ~ , , , ~ DJ"t ~ / i'I GY ~ / ~J~Vf'151 9~ ~, . ~ _ ~ _ 4 ,r,:~ <- Inn • , = ~ y/~ h 9 Po ~~z --~~ ~ - /odd o . ~ ~ low -~ y ~~ ~ ~ . ~-~~ .. y ~ ~ ~~y ~ . ~~ ~_ - ~ I ~;'_ ~r ~ s I ~~Q ~g 5 i 1y i ~ ~ ~ ' ~~ 5~G I ~~7 jp 1` ' -"7"_-_.~' 4 l I pis c - ( .. • ~ • ~ < HOLDING TANK SERVICING CONTRACT ConU'aci Dais ~DD~ D ~-TlsiscontraGiismadebetweenihe ----T'~-_----_---~-______ tioldng ank s} Nam (s} +a'~ I ape's ~~ r ,~ Y/1'1 T~/ /~ I,c/~Lc.l ih'e acknowledge the installation of {a} holding tank(s) on the fo;lowing property: (Prov~cte legal desenpUons:) t. The owner agrees to file, a copy of this contract with the local govemmentai unit that has signed the pumping agreement required in Ch. ILd-iR t33.t8(4) (b},1Nis.Adm. Code and with the County cf 2. The awner agrees to have the holdng tank(s) serviced by the pumper and guarantees to permit the Isumper to have access and t~a enter upon the property for the purpose gf servicing the holding tank(s). The owner :?grace to maintain the access road or dove so chat the pumper can service the holding tanks} with the pumping equipment. The owner iwrther agrees to pay the pumper for ail charges incurred in servicng the holding dank{s} as mufuaE;y agreed upon by the owner and pumper. The pumper egraes to submit to'the local gavernmental unit which has signed tttie pumping agreement required by s. {t_!iR 89.7 B (4} (b}, 1Nis. Adm. Code, and to the County, 3 repast for the servicing of the holding tanks} an. a semiannual basis. The pumper further agrees to include the following in the serniannval report: a. The name and acdress cf the person responsible for servicing the holding tank; b, The name of the owner of the halting tank; c. Tire tocat[on of the property on wldch the holding tank is installed; d. The sanitary permit number issv~ for the holding tank; e. The dates on which the holding t~r~tc was serviced; !. The volumes in gallons of the consents pumped from the holding tank for each servicing; g. The dispose! sites to which the consents from the holding tank wens delivered. This agreement will remain in effect uzsd the owner or purrtper terminates this contract. In the event of a change in this contract, the awner agrees to file a capy of any chastges to tftis service contract or a copy of a new service contract with the local gavemmentai unit and the Caunty narl~d above within ten (10) business days from the date of change to this service caniract. tTrA~er(s) Name(s) (Prins} ~ Owners Sigrsature(s} I~A~~T`~'~-,~1~1~,~~v; ~~ t r t r t ~.~ roe. l,,~a..5s~ l ~ us t'urrspers Registration Number d~-) ~~ Subscribed arxi swam tp me ofl S1'lis date: ~~D ~ d ~ Todays Hate Notary Public Signature ~ (~ 3 ~ a~ Commissie iration ^ ::~; CRAIG P. WALLIN ?~ `~; NOTARY PUBUGMINNESOTA ",..r~.' MY COMMISSION EXPIRES 1.31-2005 Drained by ' --- T •d dEQ r>r0 bt] ~0 X00 HOLDING TANK MANAGEMENT Pi,AN ,This Private Onsite Wastewater Treatment System (POWYS) has been designed, and is to be installed and maintained according to Com ~ 83, Wis. Admin. Code, the Holding Tank Component Manuat (SBi~-10571-P 6/11h 998), ,and the County Sanitary Ordinance. -~I! IG 1. This POWYS is designed to accommodate an estimated domestic wastewater flow of ~ gpd" 2. The owner of this POWYS is responsible for system operation and main#enance, including all provisions in the attached Holding Tank Servicing Contract and Maintenance Agreements. 3. Each time the wastewater in the second tank reaches a level of 12" below the inlet invert (at which time the alarm will activate), the pumper fisted in the current Servicing Contract must be called to empty the tank's contents and dispose of them in accordance with NR 113, Wis. Adm. Code. 4. At each service even#, the service provider should visually inspect the condition of the tank, risers and manhole cover(s) and verify that the alarm system #unctions and manhole locking devices are present. Discrepancies are reported to the owner in a timely manner for corrective action. All corrective actions shall comply with the county sanitary ordinance and Comm 83 and 84 Wis. Adm. Code. 5. Ail service events. or inspections of this POWYS shall be reported to the county within 10 business days. 8. The owner may not remove any of the wastes from the holding tank(s), ar cause such wastes to be removed by any person not authorized to do so under Ch. 281, Wis. Statutes. The discharge of wastes from this holding tank to the ground surface, including intentional discharges and discharges caused by neglect, constitutes a failing POWYS and may result in issuance of correction orders or a citation by the county or state. 7. No one should enter a holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within these tanks may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. 8. In the event that this POWYS fails and cannot be repaired, a code compliant replacement holding tank may be installed in the same location (a new sanitary permit is required for such a replacement). Connection to municipal services would also be considered at this time i# they are deemed available to the property. 8. It this POWYS is replaced, or its use discontinued, components no longer in use it shall be abandoned in accordance with Comm 83.33 Wis. Adm. Coda 10. l# there is a problem with, or question about this installation, following persons shout ~ contacted; ~/~ Phone: /~ -' ~ -' a. Installer ............................S~~u,,.~ b. Service Provider ................ ~- i Phone: ~~~~~~ c. County Zoning or Health Dept~.~~~~ ~ Phone:/; - a' -' 11. Project: Transaction Number. U 2Q15P 22], STATE BAR OF WISCONSIN FORM 3 - 1998 QUIT CLAIM DEED Document Number _..- ... This Deed, made between ~~~i~ ~ L~r~ fLrN tI ____ ~JuNt~ ~. G RLLIn! -- _ Crantor. and ~- G < <.....~_-~~ _, Grantee. Grantor quit claims to Grantee the following described real estate in `J-i• . ~'QP.I k .County, State of Wisconsin: ~~ r. ~ r<ci 7C ~p 1.~.~ Parcel IdentAication Num er (PIN) Th1s ,____~, homestead property . (is) (IS no[) Together with ali appurtenant rights, title and interests. Dated this 1 ~ day of ~~~ ~~"~ Z e,~ ' ~ ~~~~~~ ~ N (SEAL) ~ ~ _ (SEAL) • /7 _- AUTHENTICATION Signature (s) authenticated this day of i 6 9 4 6 3 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO.. MTI RECEIVED FOR RECORD 18-18-2002 11:45 Ati t]LJIT CLRIM ",EEU ~fIFMR' p y REC FEE: 11.00 TRANS FEE: COPY FEE: CERT COPY FEE: PAGES: 1 Nrco S 1~~a Name and Ratum Address Ve r2 iiV ~3~ --+e WALE t iJ rlLUa ~ ~.~, rn~ s~~-ag~ 1l ~x~~ _ io~~`=gyp -c~d~;~~E• -~~~N-~--~ee~ ACKNOWLEDGMENT (SEAL} (SEAL) State of Wisconsin, n ss. ~~ ~Yt ~ 1 ~ Couruy /r-~ Ptersor~ Y ca~ before the this ~ ~ t I~ day of c ~ 2.L~~ ,the above named ,r 1~ C~ ,' ~YLp ~t ~1~.'/1 --- ~ __ TITLE: MEMBER STATE BAR OF WISCONSIN ' "" LO (If not, ~ SH ~~;;' me known to be the person~_ who executed the foregoing authorized by §706.06, Wis. Stats.) ;~ ` y ~ ~y'f ••'~'~•) t-~.~ Utstrument an}d~anckDnowiedge [he same/. //~~ /A INSTRUMENT WAS DRAFTED BY x 'Q ~ ...) • ; ~~•'-I ' ""'- u~ ~ ~ [~" °r "'~ ~ - r',F~-!~ ~..1 • ~~i4'C ~ r N ~-'~•. ~ ° - : ~: , >~ 7`~i /Y~'j lea l s ~j -- ~~ // ~'~ .. _, .. •'~ ~ .w°IVotary Pubilc, Stale of Wisconsin ~-> C' ~~ Z•~ '~ L)~ j (*~~:~;,~ My commission is permanent. (If not, state expiration date: ( natures maX eau[ enticated or acknowledged. Both are not•"'~~ ~ ~'~ ~~ D ~r •) necessary.) • Narrsezot persons signing In any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN Wrsconsm Legal Blank Co.. Inc. QUIT CLASM DEED FORM No. 3 - 1998 Milwaukee. wis. Parcel #: 006-1088-60-000 10/08/2004 08:25 AM • PAGE 1 OF 1 Alt. Parcel #: 33.31.16.587 006 - TOW N OF CYLON Current 0 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): " =Current Owner "WALLIN, MARTY A MARTY A WALLIN 1814CTYRDO NEW RICHMOND WI 54017 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description " 1814 CTY RD O & APT SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE LOT 6 BLK 3 VIL CYLON Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 33-31 N-16W Notes: Parcel History: Date Doc # Vol/Page Type 10/18/2002 694673 2015/221 QC 10/03/2002 692718 1997/423 QC 12/11 /2001 664877 1787/595 W D 01 /26/2000 617371 1486/066 W D more... 9(l~ld CI IMMARV Bill #: Fair Market Value: Assessed with: 72,500 Valuations: Last Changed: 09/09/2004 Description Ciass Acres Land Improve Total State Reason COMMERCIAL G2 0.000 7,500 68,100 75,600 NO Totals for 2004: General Property 0.000 7,500 68,100 75,600 Woodland 0.000 0 0 All 0.000 7,500 68,100 75,600 Totals for 2003: General Property 0.000 5,000 52,700 57,700 Woodland 0.000 0 0 Total 0.000 5,000 52,700 57,700 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch #: 516 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 s~~~ :.oai~~t eo o..~. r.,.i.. f~~7 fje~6~ ' L ~w~~V~° V~' a G~ a A ,°~ ~ "" ev~~ .~ RT H w FO U - KT. ;; ~ 4' ._ 7 ..z 6 ~ z S 7- f- s s - ~ -- ~ - ~ 4 [3 f' - '~ 9 - ~} ~0 3 ~ 3 10 - ~ r) 2 ~ 1T ' c n r f2 ~ x gTHIR ~ ST. a L: ~ ~ `~ a 9 ~ O z ~ 2 Q s7 .- ~- ~ ~ ~ l ~ 1 '>a Q ' • 4 ~ ~ . " _ - - W = • L/ 2 _ cc _~'i,ST _ ~f C r. S T . ~~~ -~ ~_ .I i..ni e> s- ® ~ ~ 1 .•.. N C i-d ds~~eo so so qa~ v .r~: - .