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HomeMy WebLinkAbout018-1004-60-020 2 ` N o o . 0 u). Q ~ a~ I ~ I o i o H I rC b N i O o Z U c o 3 C lL C r III ~ = O Q w I I 3 Cl) Z y Z O Z a N 4) H U) ° o N O Z d U w O m z fA F- I,' N (D z y E p ~ O v M O N • N N p C Z> Z Z z N c 4; E O N N ~ lC CL C m i a) _ O N d i Q) co O 'i o'ooa _8 E z(n>°II`~ 'T U) E - 333 1co o 0 0 0 z • rv ro ~ a a a a 3 ' (y O N co M M P~ fA J U m Oi OO CD O i 0) co r- N 4) _O O N ~ O O =E7 ~ (O O O -0 V1 41 m a N 0 CA a) (V Q Q O N N N O O C ~ VI C O r.+ O O p c co N O O o m m aa)i c N a o0 (5 oo 0 1^ N -p 'y a 70 N Q N N V O O C C E a) (O _ CO O_ r O N N N O 3 c ) (D r O u') N N Cl) NO rcn f6 E U • y?,~' o 0= CO O Z N M UJ v ~ E a, m a EL a CL y m c t`i..i E 'c c S Parcel 018-1004-60-020 08/18/2006 01:08 PAGE 1 OF 1 F 1 Alt. Parcel 02.29.17.27B-02 018 - TOWN OF HAMMOND Current XI ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 12/19/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - BERENDS, DARYL J & JOANN I DARYL J & JOANN I BERENDS 1122 192ND ST BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC I Legal Description: Acres: 8.600 Plat: 4961-CSM 19-4961 SEC 02 T29N R1 7W PT SW SW FKA LOT 1 OF Block/Condo Bldg: LOT 5 CSM 9/2611 16.416 ACRES NKA CSM 19-4961 LOT 6 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 02-29N-17W SW SW Notes: Parcel History: Date Doc # Vol/Page Type 03/31/2005 791027 n992/1 CSM 07/23/1997 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/06/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 52,000 186,600 238,600 NO 05 PRODUCTIVE FORST LANDS G6 6.600 19,800 0 19,800 NO 05 Totals for 2006: General Property 8.600 71,800 186,600 258,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 SOIL ND SITE EVALUATION REPORT Page 01 i accord with ILHR 83.05, Wis. Adm. Code NLHR COUNTY 1 :--r Attach complete site plan on paper not less than 1/2 x 11 inches in size. Plan must include, but PARCEL I.D. # not limited to vertical and horizontal reference M (BM), direction and yo of slope, scale or 1 l~ b~ dimensioned, north arrow, and location and dist a to nearest road. O L Qu 8 - APPLICANT INFORMATION-PLEASE PRI T ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION N S P\ kj'C> X125 U N GOVT. LOT SbJ 1/4 SbJ 1/4.S Z T Z q N,R \-j E (0@- PROPERTY OWNER.'S MAILING ADDRESS LOT # TK62~-# SUBD. NAME OR CSM # 10-) C1 Ttt sTtZ~E \01 C) CITY, STATE ZIP CODE HONE NUMBER ❑CITY QVILLAGE E70WN NEAREST ROAD W1 ►~1 ~J\ SgoOZ )s) `1146- Ssg(, F, \"1✓1 \otZ11 ST. New Construction Use Residential / umber of bedrooms 3 ( I Addition to existing building j ] Replacement Public or com rcial describe Code derived daily flow X150 gpd Recommended design loading rate R bed, gpol(t2 0. 3 trench, gpd/ t2 Absorption area required 3-1 S bed, ft2 111 ~ trench, 1112 Maximum design loading rate h. bed, gpd/tt2 0.6 trench, gpd/itt2 Recommended infiltration surface elevation(s) \ Q) d - Z ' ft (as referred to site plan benchmaM Additional design / site considerations v !v c-=- V t_ mac` Q V yLet) . < Zyv To EST. 11 GL j Parent material %t o~ C,L t L Flood plain elevation, i( applicable N R . It S =Suitable for system c0 D N-GROUND PRESSURE AT-C"E SYSTEM IN Flu I•IOLDING TANK U= Unsuitable for system O S tau S O U ❑ S ®U O S ®U ❑ S [U ❑ S (all SOIL DESCRIPTION REPORT 3oring # Horizon Depth Dominant Color Mottles Texture Structure Cortsister= Botndary Roots GPD/ft in. Munsell Qu. Sz. Con. Color Gr. Sz. Sh. Bed t>3ndt ~ o -~3 ~o~ Cc 313 - s 1,1 Z'~Sblr~ m a..s n- s o. 6 Z 8- R3 l0'~ Q 31~ - S j Z FS Om Yvjc, s o-5 n.6 ;rotuld \3-lS LoyQ 3111° 5'112 Y/6 St Sbk 1n1'Fh CS N•>?_ N•p. Nev. \r)49- q6-8 tl 1S-7-1 Ll~~l1Z S!Z C~ Z,ln~-b1t Yn`~t~ ~5 N.P.N•p. Depth to S ZZ - 3 3 \ O `1 R- 9) limiting factor At S" Remarks: Boring # 1 0- a \O~'t~ 313 - S Z `FS b1-t ~n~ `F a S - 5 B. L DRUM Z Z 1 ~ o `1 Q /3 S 11 Z'F S 1~k ~n 'E'~ a, S 13 . 5 a L Ground 3 ~y-lb 1°`11\2 X113 S~tR V/6 sil Z`~3~k 1x`FG Cs Np elev. 1b~O Lo s/Z C` Owe h~'~; tv P_ V-'. P. Cl b. a It Depth to limiting ,,ng `W I( Rt 6" Remarks: CST Name--Please PMt I,iSS G @12t`~~i Se1L`jCS~l1u6 !;SIGN St RU1CE - 80K W, ~lU ALL S W 1 Syo zZ Signature- Daw CST Number: 'vP -ss- g2_1S8-z~y-9Z 571 PROPERTYOWNER "ELS ~V~ SIGN SOIL DESCRIPTION REPORT Page -L 01 3+ y PAACEL I.D. tt Boring # Horizon Depth Dominant Color Mottles Texture structure corr- i, GPD/ft in. Munsell Qu. Sz. Cont• Color Gr. Sz. Sh. tance Y Roots Bed rft2 •5i~AS'G4'•;~` 1 0-8 toy R 313 s 2 Sb1z `^ti-~ l a s 0.5 0.6 Z ~3 lc~-LjQ y13 - S Z'FSI~k Nm, a- S o. s o 6 Ground 3 t1-[S "3 LM V13 S y 2 y/4. S L Z~' S ~k ►A ` 6 c S 1v. h. %a. P. elev. q n. lS-ZI ~O`9R~113 ~r sc~ Zm abh m`F►-, eS u.~. n,.v. Depth to S Z J -30 S a V/1, - `oti 1 O `Fi M P_ IU.P. limiting lam „ Rt S" Remarks: Boring # 1 ~-v 1~`1 Q 3J3 _ s 1 z~fs~k m~~ a.S o.s ~ 0.6 2 8-~3 1uKQ 316 - ' s> Z'~sbk m~►~ a-s as o•L Ground 3 X3-15 lL~ `'t tZ 316 s ~R y/ifl S 1 Z F S~k yy~ GS rv.~ . Q.P. elev. 4 ~S- l9 7 . S YR ~~6 " 1 Zvn bk f!^ c s oQ--b ft Depth to S 19 - 3 2 ~ o ~-t ~ v l 3 " C ~ o '14 inviting bCtDr a Ay- S" Remarks: Boring # 13 QV4 I'rb 1~i i 1J11'~ ' y LW L "g O w $1Z Z)U G 1I`1 Ground C 3U ' L SUl elev. S I I'7 l t_ - ` 1 ft U l~ l> J G Depth to L 3 i- inviting Pdm Remarks: Boring # ~Cijd 9NIN07_ G -ft f! to fBCkx r ~ Re MLI~ -59- PROPERTYOWNER BLS ~pV~L1ZSl1N SOIL DESCRIPTION REPORT Page -L 01 PAX EL I.D. # Borin # Horizon Depth Dominant Color Moft Structure GPD/ft g in. Munsell OuZ. Cont. Color Texture Gr. Sz. Sh. Cons'stenoe BUTUY Roots Bed W 1 8 ~~ti. ~ 3 t 3 s' Z S b~c `^~'Fh o., s o. s a 6 4~l3 S )i Z'Fsbh o<, s o, s o• 6 Ground 3 t3 -l S l0 `12 y( G 3 7 _ Q y1. S L ~ S ~k ~ `r1~ C S N. ►.i. P. elev. q n. lS-ZI `tV - V13 s c ~ Zm a.bk m`F►~ e S ~•P. ~i.P. Depth to S -2) -30 S V/6 - s limiting O N R K). P. lam \Z._ Rt S" Remarks: Boring # 1 10`'l1~ 3!3 S1 Z`FS~Iz -Vj a-s 0. S. 0 6 El 2 ~'-~3 10`1Q31to - st I Z`~sbk m~►- a-s QS. =o•t. ~Z Ground 3 13-15 ltd ct 3~6 ~-!5z Yl6 S 1 I Z F s~k m'~►. ~s . ; Q.p. °I~b ft. y 1S-19 7, S YR SFIb C,1 Zvr1 ~bk `M FI•. c S P. to, P. S t9-32 a ~rav/4# Depth to '14`~I• ;?,a. 1? smiting Ay- S" Remarks: Boring # E3 1Jt,-[L y l P~ilb b ~n L li~: (SI t/ s-e TJU G ) Kj Ground 30 L Sul LZ-~- elev. IL S t r~ t t_ U' w t t~ 1 G Depth to s + smiting factor i Remarks: Boring # Owosso . OK- 40-1 1 11.0 71, rr-, ~~I~d ~IJiNG! G fins . to CQ~ \ limit jjjd factor IV- I - ---T- Re -59- *s . • PLOT PLAN Page 3 of 3 SCALE 1"= 30 ' ?Ns SI-WW N V Ct-IFrN.1u~ PSzo~hL \-LeeZ) lb oto ~Iti I 2 \ So 0.i 3 N lob qu L1.. 1~11.p one ~~~3~~ wood Ste, w /LkTW d/ II \ ~c 3 wood 511t. e)e vs j) u 6 Ce&v7iivlZ 3 \ /~-trTN . Lit... 9 8.Z ` ) C3o'rmm or- `T12 ►C4 S Zx e o~Z-l~ IELO ~c,~. .a 173 I~fT tbp.Z' ~.i -0 v 0 OR1UL, wooer -lF _a M t\O T A kve. .Z 9- q Z (-11 s) ZS- 0165 s~ to CST Signature ate Signed Telephone No. CST # i► Wiscoasin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 'Labor and Human Relations _ Division of Safety A Buildings in acc0 with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must Include, but 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 earest road. APPLICANT INFORMATION-PLEASE PRINT AL INFORMATION REVIEWED BY DATE PROPERTY OWNE PROPERTY LOCATION GOVT. LOT 1/4 Jt/4,S L T N,R 17,0 PROPERTY OW ER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # D ' CITY, STATE ZIP CODE PHONE UMBER ❑CITY ❑VILLAGE 2FOWIT NEAR ROAD C bedrooms o Addition to existing building [ ew Construction Use [ eddential / Number tscribe j) Replacement [ ] Public or commercial Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/ft2 Absorption area required bed, ft2 tren , 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 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 ❑S U ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U SOI DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. S:. Cont. Color Gr. Sz. Sh. Bed TmrK:h x}:.}:rxc}•~1• • Ground l~ l c__ c 2 G S; f 2 ro 6 elev. ft. L tvt Y)a Depth to _3p i~ e 3 C /ss; 5 limiting 0- ble factor Remarks: Boring # vt..y}}t h`Y}}}y Z r.4 1.. Ground elev. ft. Depth to , limiting. factor Remarks: CST Name: Please Print Phone: Address: Signature: Date: CST Number: PROPERTY OWNER SOIL DESCRIPTION REPORT Page_oj r" PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bax Lary Roots GPDJft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trer& Ground elev. ft. Depth to limiting factor Remarks: Boring # MM Ground elev. h. Depth to limiting factor Remarks: Boring # 4~{{'.-. •'4~~ti:•:i Ground elev. II I , G ft. i Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: -.80-9330(R.05192) ST. CROIX COUNTY 1 WISCONSIN f~ 4 Y ft~y h ZONING OFFICE igye4n , v . ST. CROIX COUNTY COURTHOUSE .0 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 Aug. 4, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern An onsite soil investigation of the Nels Anderson property, located in the SW1/4 of the SW /4, Sec.2, T29N, R17W, Town of Hammond, St. Croix County, WI., has been conducted with the assistance of Art Wegerer, CST# 576. This onsite revealed suitable soil for onsite sewage disposal to a depth of 13" while meeting the requirments of the A + 4" rule. This site should be suitable! for new construction using a mound septic system having 23" of send fill. Should you have any questions, please feel free to contact this office. Sinc rely, c~ Ames K. Thompson Assistant Zoning Admin strator cc: file I STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER c~. ~C eli`E ,rro! s ADDRESS ~~27i lgc SjI; f 1M., 5-bd Z. SUBDIVISION / CSM#/dill LOT # SECTION____2,,_T ZA N-R_n_W, Town of . 90 Qj ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I ` '&v °y~ G QA1 6C INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: '412- A'0( '6141 eeE Mee" de ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: ~~//es~ /✓Y`~ao-s~ Liquid Capacity: lZ'O U Setback from: Well 'Q House Other Pump: Manufacturer Z ohX e-y Model#_~Zr Size Float seperation Gallons/cycle: SG Alarm Location Ala e--3 -r- .SOIL ABSORPTION SYSTEM (S per' s7`a-?~ e J~ila.:6►' Width: Length Number of trenches / Distance & Direction to nearest prop. line: fed Setback from: well: SQ w4- House .53 r Other i 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: LICENSE NUMBER: . INSPECTOR: 3/93:jt L00h% rtK&MKQW&ry02.29.17. /AMOVA FAUEM County: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) Sanitar unit GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State PI X 3WMA1 ""']'%sp.BMEIev.: BM Description: Parcel Tax No.: /0//91L z S /0 0±8 i004 60 TANK INFORMATION ELEVATION DATA A9300184 2 3-~,~y TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. (l 001, Septic t~> S • ~j% Benchmark Dosing r" Aeratiorr- Bldg. Sewer Holding St/Ht Inlet 3Wz-_ 917, TANK SETRACK INFORMATION St/ Ht Outlet 9 Vent ir Ito ntake ROAD Dt Inlet TANK TO P/ L WELL BLDG. A Air Septic NA Dt Bottoms Dosing J5 V,~ NA +WdR[ / Man. j9 Aeration NA Dist. Pipe ow DO Holding Bot. System PUMP / NFORMATION Final Grade Manufacturer p~ Demand 7-c,/6 ° n s'~ k Model Number S~ ? GPM Friction 5ystem Forcemain Length W Dia. I~,11 Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width r Length No. Of Trenches PIT its Inside Dia. Liquid Depth DIMENSIONS S DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING acturer: SETBACK INFORMATION Type O tie,, -5- r er System: vy~ce/C~f, J 3 c ( OR UNIT- DISTRIBUTION SYSTEM tt2ade ,/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length 4~iia. Length 3T ~v~ Dia. Spacing GtJ 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 9@4-FTrench Center eeeHTrench Edges/c~ Topsoil O_Yes_ ❑ No m ❑ No Iv, COMMENTS: (Include code discrepancies, persons present, etc.) (/ILOCATION: HAMMOND 02.29.17.27B 090TH STREET) lJ if ' ~~I `~~~/'tC:.~~~1 /~~~~.~~g~F' //i~• ~r,. c c v4L,:. ec1... .c l at Plan revision required? ❑ Yes e-4-0 Use other side for additional information SOD-6710(R 05/91)/ ' Date Inspector's Signature Cert. No. - AS ~ ADDITIONAL; COMMENTS. AND: SKETCH . , SANITARY PERMIT NUMBER: ILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY .d,. ,•..v,....,..._,,,~ ST ee-1) STATES ITARY PER # -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. ❑ Chec if revision to p vious application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION a) Y4-Tz J Y4, S T N, R / E (or) PROPER OWNER'S MAILING ADDRESS LOT # BLOCK # d a r' 1,4 a4 y.e~ CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER II. TYPE OF BUILDING: (Check one) 1:1 State Owned VILLLLAGE : NEAREST ROAD . a hillad ~Ald s~ ❑ Public R1 1 or 2 Fam. Dwelling- # of bedrooms 3 PARCE1 T UM ( ) III. BUILDING USE: (If building type is public, check all that apply) Q l - /Qa c( -a a 1 ❑ Apt/Condo U 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. TYPPE11 OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. II~J~ 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 - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 X Mound 30 El Specify Type 41 [:1 Holding Tank 12 El Seepage Trench 22 In-Ground 42 ❑ 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 yS~ 975- 7S ~'3 It/10- Feet Feet VII. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name oncrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank Q l / !a>! Lift Pump Tank/Si hon Chamber, 7 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 Signature: (No Stamps) MPRSW No.: Business Phone Number: i Q 4 /n.e Y Plumber's Address (Street, City, State, Zip Code): / d c !A1 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary ermit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No Stamps Surcharge Fee) Approved ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/86) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber i 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 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 or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one 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. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/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 p!ans and specifications not smaller than 8% 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, Arelis; water mains/4kater 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 c;o!lected through these surcharge=s are used for monitoring groundwater, ground- watFaf contamination investigations and estahNshmesnt of standards. SBD-6398 (R.11/88) SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL Western Regional Office 2226 Rose Street. LaCrosse, Wisconsin 54603 WEGER.ER SOIL TESTING & DESIGN P O BOX 74 RIVER. FALLS WI 54022 RE: Plan Number: S93-40369 Date Approved: June 7, 1993 Gallons Per Day: 450 Date Received: June 3, 1993 Project. Name: BER.ENDS, DARYL ~..JOANN Location: SW,SW,2,29,17W Town of HAMMOND County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved'. This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR. 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only: - NEW MOUND Inquiries concerning this approval may be made by calling (608) 785-9348, Sincerely, a w A J N ` GER.AR.D M. SWIM C Section of Private Sewage Division of Safety and Buildings t) 010 PPP039/0009n/50 m si; - cc: Private Sewage Consultant. SBD.64231R.01/811 Z v Page of 6 MOUND SYSTEM FOR A -S BEDROOM RESIDENCE LOCATED IN THE SW 1/4 OF THE SW 1/4 OF SECTION Z , T Zi N, R 17 W, TOWN OF P\ lwl6mt , ST• C.ZAlS( COUNTY, WISCONSIN. INDEX PAGE l 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE a PREPARED FOR b act2 4 L d Sb k~J zE? R E D S --)qo MR-PCE ST. w S(4ooZ PREPARED BY e!®g0K®tN Vol PIP 1 ot" 0 WEC-sEF~ER SOIL TESTING ° °'3 DES = GNNDSIE=RV I CE : ARTHUR L. 0.975 P ~ EILSWURTH, F.O. 801 74 421 K. KAIK ST_ o i was. RIVEP FAUS. MI 54022 ®o , 715-4-0165 ®~~i~~~ S I G hai~oaaa s-t4_g3 JOB NO _ 9 3 3 PLOT PLAN • Page of 6 Scale 1 30 ' S t r% x O`21u1~►tCy_I 1 ~ 1 L% dv bty o L a or<~ • °1v►sw~► EN'S - SEE y ti 30 ~ of y°Pv '34~. ' 14 s.3 b5 OF ~.°PUC ~ FoR~6 r•,hthz 9~, 8. ~zs J Lk--%tE1.k- TO pE RT L"ST S& FiL64 MOOQNn' AVY UMST -?-S, r-11" -rvvvks. +-A" 3T L1 U t O F 1 D fC• $ P P MCEL / NOTES: > ZO 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( 2 required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. Septic tank to be X000 gallon capacity manufactured by ~ ~ ~w~s~tiv Pt2L'chST, c, 5. Bench Mark ~L. Lop.O' o~ 6`( y*jc" 3~eD/q puc ptpF !ti/~RYt-cs~ tl8ouE) _ 6. Divert surface water around mound to prevent ponding at the uphill side. Page 2S Of Approved Synthetic Covering Distribution Pipe Medium Sand _ H ~G Topsoil F Elev-. a9•o 3 E , ~ b IfZ% Slope Bed Of -2'-2'2 Force Main Plowed Aggregate From Pump Layer (undisturbed D Ft. Soil E 1• y Ft. Cross Section Of A Mound System Using F O • Ft. I Trench For The Absorption Area G 1.0 Ft. A S Ft. H 1.5 Ft. B "1S Ft. I \S Ft. E- to Linear Loading Rate= 6.0 GPD/LN FT 7 Ft. Design Loading Rate= 030GPD/SQ FT K ~1 Ft. L 9-1 Ft. W Z-1 Ft. L Force B K Main A PrT oppos i" END W Distribution Trench Of 2 2 Pipe Aggregate . I 1 Observation Permanent Markers or Ssecurely) { y Willy SOIi & N€! ~n ~OilMiing I Trench For Absorption Area XZ4 rRy, NGS ENCE .i Page Of Parforated Pipe Detail 0 I End View )Perforated End CopI PVC Pipe as` S9,340269 Install permanent-marker at end of each lateral I • Holes Located On Bottom, Are Equopr Spaced Q End Cap P £'1. * ti PVC Force Main i Distribution Pipe Last Hole Should Be Next To End Cap Distribution Pipe Layout P 34-~ Ft. ; U4AGE SYSTEM X _y Inches Y 6S/ Inches Hole Diameter /5( Inch Lateral Inch(es) 4. Manifold Inches DEPT. OF MIDUSTRY, LABOR ELATIONS t►1VISION OF SAFETY AND WJ Force Main " 2Inches t # of holes/pipe 7 SEE C0 )EIICE Invert Elevation of Laterals qq• S Ft. Place 1st hole 37?-yfrom tee with succeeding holes at by'( intervals. Last hole to be next to the end cap. PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS PAGE S OF ~ VEWT CAP 4"C.I. VENT PIPC WEATHER PROOF APPROVED LOCKING MANHOLE JUUCTIOU BOX 10 -FROM DOOR, COVER WITH WARNING LABEL WIMOOW OR FRESH I2 Ml►I« I AIR INTAKE I C 3 GRADE 6 9 LL 48.5 * j 40 MIIJ. MIN. COIJDUIT-- 18"1rll A1. PROVIDE I lAILET {_,y ~;YSTE'd1 AIRTIGHT SEAL I III . ,1 III APPROVED JOIfJT A Tank c4y0imWtion shall comply I I ( APPROVED JOINTS with approved with R 83«and ILHR 83.20 I III pipe extending II ALARM 'ti1~iiS 3 feet onto solid soil. 7n ~1, j ~atZl~ S~'` s' I I oIJ Both sides of tank. tit, CLEV. aD' S$ FT. L GC UMP OFF + s~E CpRRFS LL 8 9. S O CONCRETE BLOCK 3" ApPR~Ep RISER EXIT PERMI1fED OIJLU IF TANK MANUFACTURI~R HAS SUCH APPROVAL. BEO~ING SPECIFICATIOAIS DOSE 'M L~Gt1 ESTM-) 1R fi3Ti)AX- 3 •~I •TA K MAIJUFACTURCR« . NUMBER OF DOSES: PER DAy TANK 51ZL : 750 GALLONS DOSE VOLUME ALARM MMJUFACTURER: r LeL.MD s`iST s INCLUDING, DACKFLOW: 1Z6"8 GALLONS MODEL NUMBER: LOl NL J CAPACITIES: A= 16 INCHES OR 31~-'D GALLOWS SWITCH TYPE: B = Z INCHES OR WLOIJS ZO Ct,MtAk PUMP MANUFACTURER: C s 1/7 INCHES OR ""'S CALLOUS MODEL NUMBER: S~ D- 16 INCHES OR 31z, O GALLONS SWITCH TYPE' ~L1Z'~1R MOTE: PUMP AND ALARM ARE TO DE MINIMUM DISCHARGE RATE 16-11 GPM INSTALLED OLI SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEM PUMP OFF AIJD.DISTRIBUTIOIJ PIPE.. 8.21 FEET t MINIMUM NETWORK SUPPLY PRESSUR~E~.... 2.50 FEET + 65 FEET OF FORCE MAIM X ~'SZ FlooFxFRICTIOU FACTOR. C" If FEET TOTAL DtAJAMIC. HEAD = N1,-1b FEET DIAMETER M IMTERLIAL DIIALWSMIUJ OF TANK: LENGTH b'I"_n2_;WIDTH S"' T°P ;LIQUID DEPTH L ? S' 4 ~~2" 3oT 5 Y" @ or. BOTTOM AREA 231'= - GAL/INCH AS PER MANUFACTURER = 19.S GAL/INCH - 6 0 r- 6 to Cr W HEAD CAPACITY CURVE ' s'/• 6'53-55" SERIES 4% 25 e TOTAL DYNAMIC HEAD/ I 4'/e FLOW PER MINUTE EFFLUENT AND DEWATERING o CAPACITY + 20 HEAD UNITS/MIN -1'/z - a 6 FEET METER GAL LTRS 6 111/2 NPT = 5 1.52 43 163 e V 10 3.05 34 129 15 4.57 19 72 a 15 19.25 5.87 0 0 Z 4 D J 10 I O 16•s8 ~ 2 I 5 9'5/,6 0 US 10 20 30 .40 50 33/32 GALLONS LITERS 0 80 160 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Piggyback Mercury Float Switches • Available with special cord lengths of 15', available. 251,35' and 50'. • Variable level long cycle systems • Alarm systems available. available. • Duplex systems available. Standard cord length - automatic 9 ft. Standard cord length - non-automatic 15 ft. SELECTION GUIDE M53/55 SERIES Control Selection 1. Integral float operated mechanical switch. no external control required. Model Volts-Ph Mode Am Sim lex Duplex 2 Singlepiggyback wide angle mercuryfloat switch or double piggyback mercury float M53/55 115 1 Auto 8.0 1 or 1 & 7 switch. Refer to FMO477. N53/55 .115 1 Non 8.0 2 or 2 & 6 3 or 4 & 5 3. Mechanical alternator 10-0072 or 10.0075. D53/55 230 1 Auto 4.0 1 or 1 & 7 4. See FM-712 for correct model of Electrical Alternator, "E-Pak" E53/55 230 1 Non 4.0 2 or 2 & 6 3 or 4 & 5 5. Sensor mercury float switch 10-0225 used as a control activator, with E-Pak (3) or (4) float system. 53 Series - Wt. 23 lbs. -.3 H.P. 55 Series - Wt. 25 l bs. -.3 H.P. 6. Four (4) hole "J-Pak", junction box, for watertight connection or wired-in simplex or duplex operation. P/N 10. MM 7. Two (2) hole "J-Pak", junction box, for watertight connection or splice. P/N 10-0003. For information on additional Zoeller products refer to catalog on Combination Starter, FMO514; CAUTION Piggyback Mercury Float Switches, FMO477; Electrical Alternator, FM04M Mechanical Alterna- All installation of controls, protection devices and wiring should be done by a qualified nator, FMO495: Alarm Package, FMO513; Sump/Sewage Basins, FM0487; and Simplex Control licensed electrician. All electrical and safety codes should be followed in addition to the Box, FMO732 most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. / 3280 Old Millers Lane Manufacturers of . P.O. Box 16347 a Louisville, Kentucky. 40216 „ Z27IL-Miff 9. (502)Z 778-2731 a FAX (502) 774-3624 ~u turr PUMPS 91iVCE /839 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Layor 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 81/2 x 11 inches in size. Plan must include, but Ste. CZO t 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- LEA E PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: C X3Ub *NZS PROPERTY LOCATION OPClZ.4 L So f~>vtV 13L12L /Q S GOVT. LOT SK J1/4 Sal/4,S -2-T Z<1 N,R 17 E (ore PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # L4 O w► I L sl-. - e s CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD 53►~~~wzN WI SVoo?- (nS) 6B5/-3182 01Aj 1q 2, h1k ST, [SQ New Construction Use [xj Residential / Number of bedrooms 3 [ ] Additipp to eAsting building j ] Replacement [ ] Public or commercial describe Code derived daily flow LAS O gpd Recommended design loading rate - bed, gpolft2 0310 trench, gpd/112 Absorption area required 31 S bed, ft2 37'S trench, ft2 kvimum design loading rate O- S bed, gpd o. 6 trench, gpdflt2 Recommended infiltration surface elevation(s) cv -a' ft (as referred to site plan benchmark) Additional design / site considerations `114Q)%- w/ S' x --N S' T2L-~.rcN m ury • 1 I or S t\fuD Ft 1_1 . Parent material -YN ` Flood plain elevation, if applicable ►'j - 1\ . ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for system ❑ S ®U ® S ❑ U ❑ S [$U ❑ S @U ❑ S INU ❑ S o U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure Consistence BoundRy GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Roots Bed Tench p_ b 10 ~l z-I Z - s I I Z 'F h Yn U `F M a-S ` o- S o• 6 I. Z 6-31 ►o~c_ y!y S f z ~s~~ ►>1U ~h S o.s o.6 Ground 3 3)-6o W ~c~~/y ~(~~SY2s/13 S~~ Icsbk ooh ~a s cS elev. qb S ft. 6a-66 ~.syR s/(e 'Fs owe >nv~r 14 Depth to limiting factor 31 Remarks: Boring # 1 0-b 1o~CzilZ - stI Z~q~ vnUf►-. a-S 2 . ` Z 6-Zfo to ytL Y/y - st 1 Z~s~k tin vjh 0-S 3 2b-4S 1011tZ 3/(, sbk ~h Ground elev. cotiv rv S 101Q 6/ S tr►v~ ~okl'S qs. S ft. Depth to " CKj CcVv s t y 01= '901L - Prt,-9 ~.'.ou1 S Sjbr-h W r b N limiting n Remarks: TName:-Please Print Arthur L. We erer Phone. 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number: o~ ~Z- ?#33 B yi 1992 M00576 PROPERTY OWNER SOIL DESCRIPTION REPORT Page Z. 4f 3 PARCEL I.D. # Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends o _b boy\i Z!Z - si I Z ~91~ rri v`F~. o~S ~.S o.6 Z 6-Z$ 1b`12 y/y S 1 I Z f s bk ►n V44- S o~ s o. l h wt.v :w Ground 3 z8-0 ►oyR y/y C 1 cS~k w► Tj ~S o• Z 0.3 elev. q4•. ft. yb-S3 1•SLfM3/y - 6rS CS~Ic w,U'V~ Cy o <j o• S CZ ~,S `t25/~, Depth to 5 S3-J's 7• S y R Sly 6a s 1 c s hk v 'F►, c S _ limiting ti s/ ez 7S 3/ _ o~ YR Y factor ~i L &S-68 1vyR 6/1 4 1oV12- 6/3 c~►~ >"u C-dv rv S tz Z S rttiU "FATS Remarks: Boring # .:c Ground elev. ft. Depth to limiting factor Remarks: Boring # r7 Ground elev. ft. Depth to limiting factor Remarks: Boring # w Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) PLOT PLAN Page 3 of 3 ' SCALE 1"='30 LLA) -0 w N L3h - e:L, Wrl-b WO 6 IG.Ij pub 1PIE W/ Lt)1TI • B•3 QL 99 S J 11 S B Z 8nutD U t!Ugs s °h 98.0 J ~ i XL 96 5 _ 99,p N NI W 7 -t- oo "G r c.on Phc-T OR Zoe ~2f~1N1~ G E W 'K~f y~ S CR opt i-A ~4UuSE CD ~E RT Le`ft' 25~ F OM M0WX4. WL.L n1 SO ~~LFi'Ll-a d , Woo» i - ~~o ~►t Aug?, g _ z_z83 B Iq9 Z (71 ) 423-0169 M00576 CST Signature Date Signed Telephone No. CST # I.. • I • i 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 dill 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 ~t,he property is sold and submitted to this office with the appropriate deed recording. 1_ Owner of, property bo,, yL Z ~E ~pS Location of property 'S1n/1/4 !2--W/ 1/4, Section Z- , T 2-9 N-RV7_W Township, Aftmnrrols Mailing address Address of site Subdivision name Lot no. Other homes; on property? yes- 7~--No Previous owner of property Total size.of parcel 16. 4-1 ip N 5 Date parcelL was created 4 -2-93 Are all corners and lot lines identifiable? _yeS No is this property being developed for (spec house)? Yes No volume_ and Page Number Zbl~ as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A'WARRANTY bEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & 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' I (we ) ce;rti'fy 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 County Register of deeds as Document No 1-10 A, Si~gnat e of applicant -applicant I,n-zory3 7~ -C13 Date of Signature Date of Signature I ' I OLD REPUBLIC National Title Insurance Company hereby certifies that the foregoing abstract, consisting of Entries No. 31 to 34 , both inclusive, is a correct abstract of title since November 19, 1992 at 8:00 A.M. of lands described in the Caption at No. 31 hereof. THAT, FOR THE PERIOD COVERED BY THIS CERTIFICATE, SAID ABSTRACT CORRECTLY SHOWS: 1. All maters affecting or relating to the said title which are recorded or filed for record in the Office of the Register of Deeds for said County, including Federal Tax Liens (for the past 6 years and 30 days) filed therein against the parties listed below. 2. EXCEPT as shown in this abstract, there are no unsatisfied construction liens affecting title to such lands docketed in the Office of the Clerk of Courts in said County for the past 2 years. 3. EXCEPT as shown in this abstract, there are no unsatisfied judgments, including delinguent Income Taxes, docketed in the Office of the Clerk of Courts in said County within the past 10years, as and against the following named persons which affects the title to the real estate above described to wit: Nels Anderson Norma Anderson Daryl J. Berends JoAnn I. Berends 4. EXCEPT as shown below, we certify that according to the tax records in the office of the County Treasurer for St. Croix County, there are no delinquent taxes or special assessments affecting said land: (Such examination as to real estate taxes and special assessments covers up to and including the year 19 92 Tax No. 018-1004-60 5. This examination does not include the following: (a) Special assessments against the premises above described for public inprovements instituted or completed, or deferred payments thereon, not shown on the County Treasurer's records. (b) Laws, zoning and other ordinances unrecorded, regulating and restricting use of said land. (c) Insanity and guardianship proceedings impounded by the State of Wisconsin. (d) Checking of maps for any proposed road shown on any city, village or town map or official map. (e) Circuit Court and County Court proceedings unless a lis pendens or other notice has been filed in the Register of Deeds office calling attention to the proceedings. THIS PARAGRAPH APPLIES ONLY IF THIS IS A 60 YEAR ABSTRACT. This abstract shows all interest of Railroad Corporations and Public Service Corporations, as defined by s. 184.01 or any trustees or receivers of either, and all interest of the State or any Political Subdivision or Municipal Corporation thereof, and there are no further easements than those shown on the abstract. We assume no liability to any part other than this continuation containing the original signatures of an officer of this company. That for the period covered by this certificate, all instruments appearing in this abstract contain the necessary numbers of witnessess and acknowledgements unless otherwise noted. That this certificate and annexed abstract and also any prior certificates, if any, made by the undersigned, covering the same land, are furnished for the use and benefit of any and all owners of the land described in said caption and their successors in title, including mortgages and guarantors of title. Dated at Hudson, Wisconsin this 23rd day of February 1993 at 8:00 o'clock in the A. M. OLD REPUBLIC National Title Insurance Company BY , s N. Kass Authorized Signature Abstract Officer TIM 3532 Io E. i I I i. II I ~ S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER A2 J, Jc~ ~ i2 EiJt,S I ADDRESS! +140 MPtLE St FIRE NUMBER CITY/STATE ~~~our ~S Wi ZIP_ Sy-O©Z PROPERTY, LOCATION: SW 1/4, SL) 1/4, SECTION Z , T 2-9 N-R 1-7 W i TOWN OF iP"rcNp,:1 \---z , St. Croix County, SUBDIVISION LOT NUMBER I~ „I Improper use and maintenance of your septic system could I~Iesult in', its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sboner, if needed by a licensed septic tank pumper. What you put'into the system can affect the function of the septic tank a's a tre'at'ment stage in the waste disposal system. St,. Croix County residents may be eligible to receive a grant f'or' 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 t'h'at (1) the on-site wastewater disposal system is in proper ope,~ating 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 Co. Zoning officer within 30 days; of,the three year expiration date. SIGNED: DATE • 3 St. Croix co. Zoning office ,911 4th St Hudson,i WI 54016 I ST. CROIX COUNTY 1 r WISCONSIN 4 y~ ~ l' .S~ t f ry ZONING OFFICE ~c ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 -1 . - (715) 386-4680 January 18, 1993 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of the Nels Anderson property, located in the SW1/4 of the SW1/4, Sec. 2, T29N, R17W, Town of Hammond, St. Croix County, WI., has been conducted with the assistance of Art Wegerer, CST# 576. This onsite revealed suitable soil for onsite sewage disposal to a depth of 31" while meeting the requirements of the A + 4" rule. This site should be suitable for new construction utilizing a mound septic system having 12" of sand fill. Should you have any questions, please feel free to contact me at this office. Since ely, r ames K. Thompson Assistant Zoning Administrator cc: file ~LF.D 498266 APR 3 01993m JAMES 0100NNELL Register of Deeds CERT/F/ED SURVEY MA P No. .a 1~ . VOLUME _.q, PAGE 2611 LOCATED IN THE ,SOUTHWES l QUARTER OF THE SOUTHWEST QUARTER OF SECT/ON 2, TOWNSHIP 29 NORTH, RANGE 17 WEST, TOWN OF HAMMOND, sr CRO/X COUNTY, W/SCONS/N. NOTE; EACH PARCEL SHOWN ON THIS MAP /S SUB✓ECT TO STATE NORTH QUARTER COR. AND COUNrY LAWS, RULES 8 RE61ILAT/9111514. WErLANOS, SECT/ON 2,T. 29N.,R.17W. MIN/MUM LOT SIZE, ACCESS TO PARCEL,ETC.J BEFORE PURCHASING OR DEVELOPING ANY PARCEL CONTACT THE Sr. CRO1X COUNTY 20N/NG OFFICE FOR ADVICE. ~ (FOUND 7 P. / 0 _ WEST OUARTER CORNER h EAST QUARTER COR. SECTION 2, T. 29 N., R. 17W SECTION 2, - -7 (FALLS IN POND S£r W/TNESSI NORTH LINE SW/14 r.29N.,R. 17W. ----2624.44'.-- ••••S89°48'33"E 5267.43•••• P.,1 . ~ ^ 1~V' WP of r , ~1 O 3 11 . ~I N W [ ,i' r 2 I l~ i \ i 313' ~3-T O / SOUTH LINE C. S. M. 788 -7 WEST 575.18' 8630' 23 74' ` `.,;..397.85' \ . • 646.40•... S89 4037'£ /04425N sW//asWi/ SEl/4 SW//4 ° 789'- ^ KE, COR _ - t NOR TH L /NE NORTH L/NE SW//4 SWI/4a 33.00 iWS T 231.00 p LOT 715 ....z3/.ol ,086SDFr. 16.4/6°40'37"E•.• I N 554,800 SO. Fr. 12.736ACJ 264.0/ (LESS WATER A R/W) I I LO AO S 8903237 „E 800.00' h W ::14ZSlZj . '---.380.95 ...1 \"'.-171.5,5 o d 1 cM I'O ¢ i APR 16 V Q~q ~ N I b~ hro p•Oh ST. CROfr COUtM Q) a I I °j W , '100Prehmewe Planting ~i N~ Wi w ZoninganrJ N I~ mmlltels j; I p J e 2 / LOT 2 --S89 °32 37"E 50573 I I po Q~ Parks c0 Ip m Q; ( 740, 520 S0. FT. 17.000AC: • • 472.73 1 , Z !:l if not recorded N (541,232 SO.Fr. 12.425AC.) 33.00 ~I J (`L ESS WATER 6 R/W J I vl{id& 30 'dxpk ad s 1 - -75' BOIL DING SETBACK FROM ~b Ion NORMAL HIGH WATER O ~D ~ppFawa4is~ ICO'HIGHWAr_ al SETBACK 82700 /96.93' g M sOUTH.OUART£RCOR. S8 9°40 00' £ Nd8°00 00 E • 1304.32' SECT/ON 2, 417 , T. 29N., R,/7W 247.50: _ _ • •/056.82'_.._ //07H AV 33 S 89 032 37 E - 2608.64 • T L -SOUTHWEST CORNER L 501/rH L /NE SW//4 SECT/ON 2, T. 29N,R.17W. UNPLArrED LANDS SCALE 300 If LEGEND 10 3110 6 O Q5FOUND BERNTSEN ALUMINUM (UNLESS NOTED) JEROIH$~'~ BEARINGS ARE REFERENCED TO WEST CAP LINE OF THE SOUTHWEST QUARTER OF • FOUND 314 " REROD TOOK + C SECT/ON 2, T. 29 N., R. 17W. 0 SET / "x24" IRON PIPE = ^ S-1810 ' RECORDED AS N00°22'5/' W. NEIGHING 1/3 LBS./L.F. • \ RIVER FALLS PREPARED FOR' DARYL Q ✓OANN BERENOS 1000' q',,r. 0 BAL DW/N, W/ 54002 se ti0 -A 00 DRAFTED BY: ✓.C. W/rrsrOCK VOLUME 9 PAGE 2611 h~ ~ A% SHEET I OF 2