Loading...
HomeMy WebLinkAbout036-1050-30-000 n p l g v n Lo~ _y C7 m o 3 cy 3 m ID D CD CD 3 'j m - m 3 - ° O a~ z o No ! U) "-A. eG CO n W A Q- 'O" 5? In O O ~ O M N= O O ? v n W N Q M 3 3 -0 -0 -0 0 O O O O ✓ o C) O C 0 m O O C'1 7 D O 0 3 7 7 O O f O O ~1 CA N O w CA (A c I N j SU Cn ~ D fD O . m CD N CL W~ ~ N W S I C A o A ° ` I~ 0 I V N 3 (D CD (D 41 "%WA C) CL ID O co m ~J 0, or- C A A 'll r _0 0 a O O O Q !III • W -p ~ ~ ~ C 3 /yam tZ (n w N C (D 1„/!h~q 3 -0 m CO 6 O cn N l~~i Q. ~ N A o m -0 0- i N z O = J j O D z_ z W z o D `D ° 0' ° p 7 v n ! ter. I 0 c m m ~r CD N Tl -O N C tD O N" C D I ~U llII W (D 3 CD -i cn z p Z p z O o z W ~ CL , , z ,3 ~A~ O = N m ~ A O i (.J N i (D ~ f~2 CD < _ O I d J I < (D ~ ~ ' W N CD \^\y , a d 'V O fi . I I 1 II ~ V I , I `o CD o ST. CROIX COUNTY WISCONSIN ZONING OFFICE M N M N rrr■ ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 Post,# Fax Note 7671 Date 9 pa°es~ To ? From Co./ ept Co. Phone # Phone #-IS 7LT Fax April 29, 1994 # Fax # TO WHOM IT MAY CONCERN: RE: Septic Inspection for Ralph Reed Dear Sir/Madam: An inspection of the septic system for the Ralph Reed property, known as Parcel No. 036-1050-30-000, was conducted on April 28, 1994. This property is located in the NW; of the NE; of Section 21, T31N-R17W, Town of Stanton, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a three bedroom home. Should you have any questions, please feel free to contact this office. S' erely, Mary J. Jenkins Assistant Zoning Administrator mz STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER L! ADDRESS SUBDIVISION / CSM# LOT # SECTION~TN-RW, Town of V 7- ST. CROIX COUNTY, WISCONSIN o ~ 'O/ PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM IN 10 /p l F7p ~ lfCy/ INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: el tpe ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity: Setback from: Well House ;95' Other 42 Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: / Length 75'~ Number of trenches Distance & Direction to nearest prop. line:>,Sa-ar / Setback from: well: J!U / House Other v~S' moo ELEVATIONS Building Sewer ST Inlet, ` ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Z, " 3 ~S Existing Grade 9 _e6 Final grade DATE OF INSTALLATION: C PLUMBER ON JOB: LICENSE NUMBER :j INSPECTOR: 3/93:jt 'i ATs n LrAWWNP - 31.17W `PMAT E AMAY? a County: f Labor and Human Relations INSPECTION REPORT Safety and Buildings Division ' (ATTACH TO PERMIT) Sanitary Permit No.: ' GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: CST B Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: D loo TANK INFORMATION ELEVATION DATA A9400082 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ,,.;dq Benchmarks Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Airinta to ke ROAD Dt Inlet Ar I Septic >50 ' a S"" ya 5 NA Dt Bottom Dosing NA Header / Man. 9 q 3,-7 Aeration NA Dist. Pipe a off' q3, Holding Bot. System NFORMATION=' Y Final Grade PUMP/ SIPHON INFORMATION--—— Manufacturer Demand Model Number GPM TDH Lift Lrict' n Syestem TDH Ft Forcemai n Length Dia. FFii Dist. To Well SOIL ABSORPTI N SYSTEM BED/TRENCH width Length No. f Trenches PIT No. Of Pits Inside Dia. Liquid Depth /;X DIMENSIONS DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type Of r Model Number: System: 7' Old J IIJ 4 OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing 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 Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed/ Trench Edges .)i Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.)' LOCATION: Stant/an.21.31.17W; NW., NE, 210th Avenue j 4- Plan revision required? ❑ Yes dNo Use other side for additional information. 14 IL SBD-6710 (R 05/91) Date 1 Insp ' or's Signature Cert. No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: Di~, SANITARY PERMIT APPLICATION 7' LHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY 13H STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than b 8% X 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PRO ERTY LOCATION Y,~2 10A O-Z A_ 'h %a,S& _T2Z ,N,R Z~Z E(o PROPERTY OWNE 'S MAI,,cNG ADDRESS LOT # BLOCK # C , STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSp4.NUMBER El TY _ CI VILLAGE U n NEAREST dROAD 11. TYPE OF BUILDING: (Check one) ❑ State Owned : RION QE* ❑ Public 1 or 2 Fam. Dwelling of bedrooms A ) 111. BUILDING USE: (If building type is public, check all that apply) t7 3 6 ca yea -p 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 80 Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 90 Office/Factory 13 ❑ Other: Specify IV. TYPE ( OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. t_1 New 2. Id Replacement 3. ❑ Replacement of 4.0 Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # - 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 1:1 In-Ground 42 1:1 Pit Privy 13 ❑ Seepage Pit Pressure 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/sq. ft.) (Min./inch) ELEVATION Z 5© 6 z 6 Feet Feet ' VII. TANK CAPACITY Site INFORMATION in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. New lExisting Gallons Tanks Concrete structed glass App' Tanks Tanks __TT Q Septic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Si Lure: (No Stamps) MP/MPRSW No.: Business Phone Number: t `Plumb s Address (Street, City, State, Zip Code): IX. COUNTY/DEPARTMENT USE ONLY /ool Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing I tur S ) ❑ Approved El Surcharge Fee) Owner Given Initial Adverse Determination X. CONDITIONS ,9F APPROVAL/ E~SONS FOR DISAPPROVAL: SBD-6398 (formerly Pib-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renew, al any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to !his permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a .Sanitary Permit 71 tansfer/Penowal Form (S130 6399) to be submitted to the ~,o _rnty prior to• installation, 5. Onsite sewage systems must be properly maintai red. The'(` tank(s) rnr,st be f uri ; erf''=y a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local co~lw a.r:r?r)r,istrator or-the State of Wisconsin, Safety & Buildings Division, 608-266-381 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 nk.mber(s) of where the system is to be installed. 14. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family '3welling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in 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. Absorntion sy-stern information. Provide a9 information request:r°r in #41 7. VII. Tank in*F-rr;,aticn. Fill in the capacity of ev:~ry new ;:~nd/or ex t~c ~ik,'ist tl-,e total of tanks anl; " .arti-facturer's name. IfidiCi prefab or site consr,u:it:d en,,' tank materrni; f,~lft;l(:"rd for all septic, r p!siphor, and holding t .nl{y t. this system. Check e ;*Nr e I ~I :approval r :f Ani(s received e}t;.r r. a-r;.a? product approval frr,:-rt Di('hR, Vlli- espo!!`4! bihty statement. Installing pltrrn.')«r is to fill in name, !+r er!sF? nt! nber with approp,i.)te prefix (e.g. MAP, e1c.), address and phone number. Plumber must sign appl (;al on term IX. County/Department Use Only. X. County/Department Use Only. ,,on.Pk,'e !fans and sperif;,ations not smaller than 8'/2 x 11 ir,cw, uct bf submit' -oi.nty. The p!arr_ -jst include the follcw.,r;g_ a.) plot plan, drawn to seals :e din rr `rn of hoio nu ~ w;s), septic tank(s) -,r -.rher treatment tanks, h+. h s xn iF- service; strea14-~ - -(j 4aKes; purnp or siph,sn wanks; dlstributl-)n syster, 1~lE r t system areas. -4nd the location of the bu ...:nq served; B) riorrzonta! Is .t' ,r ,f, r=, r ;!nts, C) complete specifications for pumps and controls; Jose volume, : FsJ3': ors u.tferenca.; ioss; pump performanr:e curve; pump model and pump manufacturer; D) cross ecticn of the soil abseriition 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 ,f su cha:-'e~; (lees) for rrr mb, r 0, regulated p,.ic' ,^es 'r•h~c:h (;an ifcct g,=ouridwater, The riiOrnes ca -,!:ected thr'oj l; these S= rcha ;xis =?r _spd for water Contamination aiio estab!ishnlenlof Aardards. a SBD-6398 (R.11/88) AN PROJECT ADDRESS 1/41141S 21/T,,q/ N/R l~tl TOWN un COUNTYSi~G~ic spa/7 MPRS Syron Bird Jr. 3318 DATE O BEDROOM_ CLASS PERC_ CONVENT! ALX IN-GROUND PRESSURE CbNVENTIONAL LIFT_ MOUND_ HOLD G T IK SEPTIC TANK SIZE MK SIZE 11 41 ' , DOSE TANK SIZE HOLDIr, TANK SIZE ABSORPTION AREA PERC RATE BED SIZE ► Benchmark V.R.P. Assume Elevation 100' Location of Benchmark * H.R.P. -S 5 O Borehole Q Well Scale Feet 0 Perc Hole System. Eleva or l T - Uent 12" Grade TYPAR COVERING 2" 12" 3' 4 6' O 3' I Sewer Rock - ~j i 6 1.2 ' ~r 0-- i - - 3 17 p I fl~~ IV ` ~-e 124, a i STC-105 SEPTIC TANK MAINTENANCE AGREEMENT / St Croix County OVVNER/BUYER ? 44 --z MAILING ADDRESS lG d,3 021e 25h7- ' !V~ lee C,4,OWL Ct !l~ 5 v /7 PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION 1/4, Div 1- 1/4, Section e;21 T_ N-R_Z,7-_W TOWN OF ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP 'r , VOLUME,. `S3~PAGE LOT NUMBER Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: J DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 STCloo This application form is to be completed in full and si9ne the Oc~ner(s) of the property being developed. An ina d by will only result in delays of the y dequacies development be intended for resale by ownco issuance. Should this House), then a second form should be ret inedrand nc mpleted`when the property is sold and submitted to this office with the appropriate deed recording. owner of property A a"4 Location of property/A&1/4/ ~ 1/4, Section a/ T=:LZN-R /,~,ZW Township Nailing address 6 oZ/Q Address of site Subdivision name Lot no. Other homes on property? yes---Z NO Previous owner of property n~Total size of parcel Date parcel was created 6 Are all corners and lot lines identifiable? X Yes No Is this property being developed for (spec house)?_Yes X No Volumea- and Page Number of Deeds. l- 3.- as recorded. with the Register INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRMITY DEED which includes a DOCUMENT NUILaER, VOLUME AND PAGE. NUMBER & THE sE-AL Or THE REGISTtR OF DEEDS. certified survey, if available; ;would be helpful so asdtoiovoid delays of the reviewing process. If the deed description references to a certified survey Map, the certified Survey Ma shall also be required. p 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 the property described in this information form, b e virtue (s) of warranty deed recorded y of bee 'n the office o a d~ as Do of the Co cument No. County Register of own the proposed site for the sewage disposal and t system orr I e(we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recor ed in the office of County Register of deeds as Document No. signs re ap~licant Co-appl cant Z 6 Date f Signature Date J. ssinature iL STATE BAR OF WISCONSIN- FORM 2 DOCUMENT NO. waRRaN1,► DEED 33249C TMIS SPACE RESERVED FOR RECORDING DATA r Vol 536 FA' E '137 REGISTER'S OFFICE, e - S7. CROIX CO., WIR. BY THIS DEED Dennis D. Schultz and Nancy G. R" M IN RgWd Mk '11 6th j1 Schultz, us and & w e AD Rap Reed an a r c a Grantor conveys and warrants to Records Reed, as o n enan s IA7 zu~ Grantee- RaNg d DladL for a valuable consideratign o $1.00 an other va ua e R TU N TO cons i erat on 1~tEINSTRA & VAN DYK 201 South Knowles Avenue. the following describzd real estate inR County. State of Wisconsin: New Richmond WI 54017 Tax Key K k g~- This is homestead property. The NW 1/4 of NE 1/4 of Section 21, Township 31, Range 17. `EXCEPT the S 264 feet thereof. F:. TR t $1 -0 Iw A FEB } r ,tee-y'FF- C/a,pWllQO/1A~•--i~s~~ New Richmond, Wisconsin this 14th day of_April 19 76 { Executed at _ I IVQ..twtic~ SIGNED AND SEALED IN P ESENCE OF SEAL) f Dennis D. Sc ltz j ✓ (SEAL) 1t ✓J.R.fiaasc x Nanc G. Schultz i (SEAL) " (SEAL) Siguaturea oE' I~ authClt~ day of 1 - % a~ • :E` r . ? Title: Member State Bar of Wisconsin or Other Party, . :C1 Authorized under Sec. 706.06 via. 0F WISCONSIN } ss. Personally came before me, this County. J 14 day APRIL 1976. I T. 5C Hc7U~,~t r1 AYD NANCY G~+ TTT rat rf 1 TZ ~T. ~VuU111[~ i the above named DENNI S D { to me known to be the person- who executed the foregoing instrument and acknowledged same. I! This instrument was drafted by T<7N~ M k e it ST CROIX County, Win. REINSTRA & VAN DYK Notary Public Attorneys at Law My Commission (Expires) (Id) TtjT ~7 - Q7Q The use of witnesses is optional. Names of persons signing in any capacity should be typed or printed below their signatures... Kcatiwea.wM® - " WARRANTY DEED-STATE HAR OF WISCONSIN. FORM NO. ? - 3971 Win Department of Industry, SOIL AND SITE EVALUATION REPORT Page _ of Lattioor _and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code. COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but lir~or 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 ,e GOVT. LOT tl 1/~~' 1/4,W/ T N,R Z E (o(fV PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # CI ,ETA E~ , ZIP CODE PHONE NUMBER o ❑CITY ❑VILLAGE OWN NEAREST ROAD r New Construction Use ~ Residential / Number of bedrooms ~ [ ] Addition to existing building Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate ed, gpd/0_trench, gpd/ft2 Absorption area required 6 5L bed, ft2 trench, ft2 Maximum design loading rate ~ -bed, gpd/ft2_ trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations Parent material J 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 ~I S ❑ U ❑ S [RU IBS ❑ U ❑ S JZ U ❑ S aU ❑ S U 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 Trench "!2 - Za "ye 27/7 I n r < 3~ G , A-4 a Ground 1,2 ~k y Y 5 elev. ft. G 1 40 g 1 ' Depth to limiting ac~%~ ~ • f mi y- oZ ~ Remarks: ti Boring # ; ' ; / __/_0'22t lam/ /L . y~ s,^ - •n ~f7~." Ground ft. ZWK Depth to limiting factor Remarks: CST Name:-Please Prin / r Phone: Address: - Signature: Date: CST Number: cs' rl'~ PROPERTY OWNER /i~~e, l/ SOIL DESCRIPTION REPORT Page .aM PARCEL I.D. # Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground dam` ,11 elev. ~ft. Depth to limiting -factor Remarks: Boring # 01 Ground elev. ft. Depth to limiting factor F-F Remarks: Boring # Ground elev. ft. Depth to limiting factor FT Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) Soil Test Plot Plan Byron Bird Jr Property Owner G~ a~ 896 68th Ave. Address Amery Wi 54001 1 /4/Sa/ /Tf/N/RZ,~VV CST #3479 Township ff~~ Date County C3 Boreing k Benchmark * H.R.P. System Elevations m wt// k~s 5Z. -I- /ate / ~ -y~~- A V r ~ ~ v y IL Z* Ole-, o~Y Aysoe4 ~ ~ oa February 14, 1994 Ms. Donna Satterlund REMAX Team 1 Realty 708 Somerset Road New Richmond, Wisconsin 54017 ~2,) • -7 RE: Water/Septic Inspection for Ralph and Pat Reed Wap Address: 1663 210th Avenue, New Richmond, WI Dear Ms. Satterlund: Enclosed is the original inspection test results from Commercial Testing Laboratory, Inc. for water and septic of the above property. If you have any questions with regard to said report, please let me know. Sincerely, /s/ James K. Thompson James K. Thompson Assistant Zoning Administrator St. Croix County, Wisconsin mz 0 0 lip .I 0j G ~,P S~~N y26 G~P~~~o pox g~o~8~oga eV' co lqck a~n S •~S,On t 962 .962 X15 Of 41~- CA'L'' we. , ep7° A Foy ~ ~ a. C~'1 P~Z~~' Qpga ®ex~~'~a~a< e CIO 1~i~. 19 vQ'let tE°' ab~e p<°~ed dab o S~PJ~ a ~p,0 ' PL ~oEQENDENT.4e , \O_` 04 Ov G5~ POF _ - P o N J ~6 ~ ~ / . ~ .Z..~ . ERCIAL TESTING LABORATORY, INC. ain Street, P.O. Box 526 Wisconsin 54730 962 -3121 962- 5227 715 - 962 - 4030 ST. CROIX COUNTY ZONING OFFICE REPORT NO.. 57008/07. PAGE 1 ST.CROIX CTY GOV.CTR REPORT DATE** 2/11/94 1101 CARMICHAEL ROAD DATE RECEIVED! 2/09/94 HUDSONt WI 514016 ATTNI THOMAS C. NELSON OWNER+ Ralph Reed LOCATIONS 1663 2101h Ave., New Richmond COLLECTORS Jim Thompson DATE COLLECTED: 2-07-94 TIME COLLECTED'# 4:45pm SOURCE OF SAMPLES Kitchen faucet DATE ANALYZED442-09-94 TIME_ANALYZEDS2200pm COLIFORM,MFCCS 0 /100 ml INTERPRETATION'. Bacteriologically SAFE NITRATE-NS 6 Ppm i Above 10 ppm exceeds the recommended Public Drinking Water Standard. ~ k Apr * Coliform Bacteria/100 ml i'/ re Nitrate-Nitrogen, mg/L i Cr CAJ 11'yCsf trice LAB TELMICIAW Pam Gann OF.\NOEVFNOpN1. so WI Approved Lab No. 19 O ° V D Zjb3 vA < Means "LESS THAN" Detectable Level. Approved by! PROFESSIONAL LABORATORY SERVICES SINCE 1952 9y h y r~? ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST OIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 s % SEPTIC INSPECTION WAVER TEST REQUEST FORM Please specify desired test(s) & remit appropriate fee with application. Outside water lines are often turned off during winter months, making access to the home necessary. Please make arrangements with this office to insure that entry can be gained. ❑ Water (VOC's) $185.00 )<Septic $50.00 Water•,(Nitrate & Bacteria) 45.00 ❑ Nitrate & Bacteria retest $15.00 Owner: _ Requested y: DomL ~C? ~L(Y1~ (iv Address: ~A Address: ECMAX `Fe ea -Aa 'ZIP 7yk5orheise~/ld. _ ZI17 Telephone W:( ) Telephone NQ: (71S-) e~ ICh~Gn Wr 51 Y fo --7 !a Property address Fire N2 & Street) e ,'c wt04C11 &2-= 4 Location: NO ;,P Sec. Al , T_,~N, RjL_W, Town of r +tr1 Realty firm: 6in4X Lock Box Combo: Closing Date: TO BE COMPLETED BY PROPERTY OWNER *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORM* Water sample tap location: tC n S, h W Is the dwelling currently occupied? Cy Yes ❑ No If vacant, date last occupied: Age of septic system: Septic tank last pumped by: C Dater Previous Owner's Name(s): Have any of the following been observed? ❑Y N Slow drainage from house. ❑Y Sewage Back-up into dwelling. ❑Y Sewage discharge to ground surface or road ditch. ❑Y Foul odors. Other comments relative to system operation: ~ nQ I certify that the above information is complete and true to the best of my knowledge. OWNERS SIGNATURE: - DATE:;),-A^ 1/94 ~.~~wo y ~6A I &n " J~-~ a K OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION t ~ I , tic, able. ~ TO BE COMPLETED BY INSPECTION AGENCY System design &/or permit on file? ❑Yes ONo Soil series per SCS Soil Survey: sheet # Type of soil absorption system: [Below grd OAt-Grd ❑Mound Approx. size 'X cavity ODos~e/ ❑Pressurized Ft .2 OBed OTrench Cary Well OHolding Tank ❑outfall pipe OBSERVED DEFICIENCIES ❑Other ❑Unknown Septic tank Setbacks: B Ouse Me 11 041rop. line [96ther Dose tank Setba~s: OHouse OWell ❑Prop. line ❑0ther ❑Locking cover. OWarning label ❑Pump/Floats OAlarm ❑Elec. wiring Soil Absorption S stem Se acks: ouse Cell p. line Bother' onding: ❑Discharge: General comments: J), Lo, t{i 'P INSPECTORS SKETCH OF SYSTEM LOCATION a~ i F. : t ~ o Inspector Title e ST. CROIX COUNTY WISCONSIN ZONING OFFICE r N N ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road w - - s Hudson, WI 54016-7710 (715) 386-4680 February 8, 1994 Donna Satterlund Remax Team 1 Realty 708 Somerset Rd. New Richmond, WI 54017 I Dear Ms. Satterlund: An inspection of the septic system serving the home of Ralph and Pat Reed, located at 1663 210th Ave. in Stanton township, was conducted on Feb. 7, 1994. This inspection was based upon a surface inspection of said system and did not involve any excavating or chemical analysis. Accordingly there may be hidden defects in the system not discoverable by this inspection. A water sample was also taken at the same time. We will forward the lab results to you as soon as we receive them. Most septic systems consist of a septic tank which traps the solids and greases from the sewage stream and then allows the remaining liquid to seep into a subsurface drainage area. Once the liquid reaches this point it seeps away by percolating through the soil surrounding the system. Failure is caused by the soil surrounding the system becoming plugged with microscopic bacteria and sludge, among other things, which form a clogging mat. As time goes on, this clogging mat becomes progressively thicker, allowing less and less liquid to drain away from the system. When this clogging becomes severe enough, liquid sewage is trapped in the drainage area, a condition known as ponding, and results in backup of sewage into the structure or the discharge of sewage to the ground surface. At the time of inspection, this system appeared to be functioning, but not at full capacity. I noted that there was 761' of sewage effluent ponded within one of the drywells and 60" within the other. This indicates that the lower 5' & 6.5' of these drywells are no longer able to dispose of sewage effluent and that both drywells are probably close to completey failing. I cannot predict how long this system will continue to properly dispose of sewage effluent nor how soon the system will reach complete failure. With proper care, it could conceivably last for a few more years. Again, however, I cannot guarantee or warrant that this system will function properly in the future. In an effort to prolong the system's life, I recommend that steps be taken to minimize the wastewater flow from the house which r enters the system. For example, repair any leaking water fixtures and/or replace them with water conserving fixtures, reduce time spent in the shower, wash clothes and dishes only when there is a full load, use a washing machine with a suds saver feature, etc. I would also recommend that the septic tank be pumped at a minimum of once every three years. Please feel free to share this report with any other individuals who may have an interest in its contents. Should there be any questions or concerns that I can clarify, I can be reached at this office between 8:00 am.- 5:00 pm., Monday - Friday. Sincerely, --James K. Thompson Assistant Zoning Administrator cc: file I a n o uI C> '0 0 o ° o M a O O ~ fn U ~ 2 :.7 N N 3 °o coC h ce) a m f6 ~v E a o m o 0 CD CL "t o o ai rn co v mo c _ L M X C O O v 3 a~ m M Q II L5 U "p U a) a C y N O y ! a) t 75 y O O 'O U-p a Z N a a Z N fn o LL C o.a LL c c a O U- y y (p y :!t Q) co 'p yM C °O ~Y Q CA E Q >22 .0+ y V i d ~ N M ~ M I Z y ~ f!1 W Z O ; O v T o £ o Z a a IL m a m M > N H Z III O O co co O Z c c U m 2 d c o c o fn H r O N Z Y) a) Z c E "2 c E -o -O O) _2 M M N O. O N ps O -~V 7 d U 7 n y (n y 0 I~V1 L ~ _O (n L O C _ N CL Q) d U O N Z F- Z Z Z co z Z y m '2 d o c r £ L N E N 7 y U y lot O L LO a C _ (a r C _ C ' a m 2 ca 21) Cc 4) .0 U) ~ooIL ~ c ~ U, coa" am ~ I c H H H ~ H H H 3~ w I ~~ww 0333 n = z a3~3 ° C0 z •rV a a a o a a a a g cr- L U y <n U Z 0) 1- Z 3 a) 0) } n ~•V > N Z N N N > ~O p E 0,> p m m y d M N a y o ,s> N a m N ? N ~i M a Q Z Q0 N ° a d Q GJ iv d jp L7 N N l0 'V 0 O O (n c cD VI C i.+ 9 C ! O 'O E M (D O E (D O n O CC Q c U a) Cx O r O O 0) o 0 3 c y. E EL (D c c a 0 o rn l Cil L O' fh H O y Co E N y N C N N N C C CO Fj :3 N_ p C y N C 7 N- N co C t ,s"„',- j O a y w.. 3 E Z, •C L M O (n p N s •'Vl ? M U N N f9 O U N p 00 y,, O N (n (n O) O Z- S Z (n N O Z- I- U) cOc ~ I T^ r _ i.: m d a a EL L: IL L: IL • c a~ 2 d m c d w c E 'c II c c `~1 A c~~a~ll!,Oinc~i oinci Wisconsin Department of Health and Sooi:.l Services Plb. #67 3/70 Division of Health SEPTIC TANK PERMIT APPLICATION r(PE or USE BLACK INK 310A A. OWNER OF PROPERTY Name Address (Street, City, Zip Code) 3 Z a•f/1,8o /0G//?) a In B. LOCATION OF PROPERTY W`UIE SYSTEM WILL BE CONSTRUCTED ALTERED OR EXTENDED COUNTY VC/ • 1. Check Ones CITY Y::LLAGE LEGAL DESCRIPTION X TOWNSHIP C. IS LOCAL PERMIT REQUIRED FOR THIS WORK? ~ YES NO PERMIT NUMBEF. D. SEPTIC TANK CAPACITY % '_''f ( Gallons. NEW INSTALLATION I( REPLACEMENT ADDITION ` MATERIALS: Prefab Concrete X Poured in Place_ Steel Other I NUMBER OF TANKS TO BE 'INSTALLED: f E. TYPE OF OCCUPANCY Cheek Ones One or Two Family Residence Commercial Industrial Other Specify) Number of Persons to be Accommodated ' Number of Bedrooms F. APPLIANCES, ETC; Food Waste Grinder YES t NO Automatic Clothes Washer Y>S NO Dishwasher YES _.Y NO Automatlo Potato Peeler YES NO Other (Specify) G. MASTER PLUMPER MAKING INSTALLATION 7 ~ l Name: ;r t•/•_ t~l 'i, j Address= License Numbers 1 r'll7MP Signature of Applicant: MP RSW A" n `L C - f" 7' ' ~j Address: u, (To be Completed by Issuing Agent) Date of Application' Fee Paid Zf Permit Issued (date), -7 i' Permit Number Agent (Name) /112 Fort Tenn, Village, City, County, etc. (Specify) Note: The application cannot be considered for filing until all of the above questions are answered and the fee paid. Agents will forward application, the fee of $1.00 for each septie tarot and the third dopy ' of the permit (oanary~ to the Division of Health. Checks and money orders should be made payable to the Division of Health. Do not write in space below - DEPARTMENT USE ONLY 1. DATE RECEIVED 7 o ACCEPTED BY RETURNED (Initials) (Date) _Co~ne~.) FEE RECEIVED VALID. No. PERMIT NO. ~a' i / es or No REVIEWED BY APPROVED DATE (Initials) (Yes or No COMPLETE OTHER SIDE - SEPTIC TANK PERMIT NO, R E P J R T 0 K S O I L P E R C O L A T I O N T E S T A N D. 3 0 I L B 0 R I N G S TO DIVISION OF HEALTH PLUMBING SECTI6N P.O.Box 309, Madison, Wis. 53701 Pursuant to H 62.20, Wis. Administrative Code P E R C O L A T I O N T Z S T Test Depth Charaoter of Soil Hours Water Test Time Dro p Im or Level Inches utes Number Inohes Thialnsess in Inches Sines Hole in Halo Interval Second to Next to Last To Fall lot Wetted Overni5ht in Minutes Last Period Last Period Period Cs Inch Example P - 0 3611 To Soil 10" Cla 26" 25 Yes or No 30 1 2 12 2[ 1 2 60 J'I . RECORD DATA FROM MINIMUM OF 3 TEST NOT-IFS Compute size of absorption area in accord with H 62.20 Wis. Administrative Code. S 0 I L B O R I N G S- Minimum 36« Below Pro)osed Absorption S stain Boring Total Depth Depth to Ground Water Depth to Bedrock Number Inches Observed Estimated Observed Estimated -Character of Soil with Thiokness in Inches B _ 0 7211 Black To Soil 121t C 18" Sand 1811• Gravel 241.1 2-' RECORD DATA FROM MINIMUM OF 3 BORE HOLES PE OF OCCUPANCY: RESIDENCE: Number of Bedro,xas OTHER: (Specify) Number of Persons FOOD WASTE GRDtDER: Yes No nishwashert Yes No Automatic Clothes Washer: Yes f' NC .EFFLUENT DISPOSAL SYSTEMt NEW ~r..~.._ EXTENSION ADDITION REP Lk EiEN T Tile Size rr No.Lin.Feet , Trench Width Depth-? 67 Number of Lines - Seepag Bed: Length Width Depth _ Tile Size No. Lines Seepage Pitt Inside Diameter Liquid Depth Ie the undersigned, hereby certify that the percolation tests reported on this form were made by me or under ray super- vision in accord with the procedures and method specified in Chapter H 62.20 (13), Wisconsin Administrative Code, and that the data recorded and location f test holes are correct to the best of my knowledge and belief.. NAME / 'q, / !A t1 r f4 //4:. TITLE 6' ) x1/--- < Type or Print. REGISTRATION NO. or MASTER PLUMBER LICENSE NO. ADDRESS P DATE SIGNATUREt . (L. ~L tom' s~~ k Parcel 036-1050-30-000 06/27/2007 03:35 PM PAGE 1 OF 1 Alt. Parcel 21.31.17.310A 036 - TOWN OF STANTON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - MARTY, DAVID C JR & DORITA R DAVID C JR & DORITA R MARTY 1663 210TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 1663 210TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 32.000 Plat: N/A-NOT AVAILABLE SEC 21 T31N R1 7W 32A NW NE EXC S 264' Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 21-31N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1076/232 WD 2007 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/16/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 20,000 169,700 189,700 NO AGRICULTURAL G4 12.000 2,100 0 2,100 NO UNDEVELOPED G5 18.000 15,000 0 15,000 NO Totals for 2007: General Property 32.000 37,100 169,700 206,800 Woodland 0.000 0 0 Totals for 2006: General Property 32.000 33,300 169,700 203,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 220 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00