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HomeMy WebLinkAbout026-1049-20-000 ~ 0. 0 n o I 0 N y I ~ I ~ II I I c v z° c _ LL a LL C O 'O Q I 3 M z H co z o a d CY) z a m C o z v !I c 0 1 w m 2 d ° c o H ~ W ~ M Q1 N O co ~ O (D a d U) O N O z co z w w z N I L W E C N (V CD (9 v N O. « w U c O ~ ~ O D d o N LAO M Fes- Fy- Fy- O a 0 0 0 a z o • ►iy is 3 a M a a z g C0 Cl) in J U -aa rn rn o cD } o W O N w Cc) CD .T+ `D CD N O O E O C O V ~ O N p N Q > LO 7 N O O c t N C o ~n 3 0. o a E a- 0) U o f S y N N O E - O N 0 CO (o co :3 U G N O ~ U • O r r O N Z 2 (n ~II e d I L: CL u r_ E ` 'c c `~1 A a IL M 0 N V Wiscc,,sin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 - abor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY - - IV%- Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Joseph Grtzbicli GOVT. LOT SF 1/4 T?g 1i4,S 17 T 30 N,R 1i fir) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # Q01. VT. Piver Dr. n/a n/a n/a CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEAREST ROAD New Ricbmond, WI. 54017 (713 246-2460 Pichmond Co. Rc? . #A [ .New Construction Use [ Residential / Number of bedrooms 3 [ ]Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow 4 50 gpd Recommended design loading rate • 7 bed, gpd/ft2 •81 trench, gpd/ft2 Absorption area required 643 bed, ft2 563 trench, ft2 Maximum design loading rate • 7 bed, gpd/ft2 • f! trench, gpd/ft2 Recommended infiltration surface elevation(s) 06-6-0 ft (as referred to site plan benchmark) Additional design / site considerations n/a Parent material outwash Flood plain elevation, if applicable n/a ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE 7AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem L 5 ❑ U MS ❑ U M ❑ U ❑ U ❑ S ]U ❑ S f: 1U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-12 1 3/1. none L. 1/f/pl mfr c/w 2/f n/p n/p 2 12..-19 10yr4/4 none si.l. 2/m/s>,t; mfr g/w 1/f .5 .6 Ground 3 19-32 10yr4/6 none is. 0/sg rivfr g/w 1/f .7 .8 elev. gg,FQ_ft. 4 32.-60 10yr3/4 none co.s. 0/sg r>l g/w n/a .7 .8 Depth to 5 60-80 10yr4/4 none co.s. 0/sp M1 n/a n/a .7 f limiting factor >80 Remarks: Boring # 1 0-'? 10yr3/1 none L. 2/m/sbk mfr c/i 2/f .5 .6 €'"2 € 2 S-1" 10yr4/ none ;il. 1/f/sbk mfr g/w 1/f .2.. .3 c; Lt 3 18-30 7.5yr4/6 none is. 0/sg mvfr g/w 1/f .7 .0 Ground elev. [r 30-10IOyr4/4 none co.s. 0./sg IT11 na/ n/a .7 .8 101.01• Depth to limiting factor >100 Remarks: CST Name:-Please Print Phone: Gary L. steel 71.5-246-6200 Address: 15 54 , th Ave. 1Te ^ Ri chmond , 1-71. 54017 Signature: 1 Date: CST Number: c_ ! 5-15-93 22918 PROPERTYOWNER_,Ioseph. Gri bich SOIL DESCRIPTION REPORT Page2 9f 3 T PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-1.6 1 r3/1 none L. 1/f/pl mfr c/i ./f_ n/p n./p 2 16-23 10yr4/4 none sil. 1/f./shk mfr g/w 1/f .2 .3 Ground 3 23-30 7.5yr4/4 none 1_s. 0.sg mvfr g/w n/a .7 .8 elev. 100.45ft. 4 30-84 10yr5/4 none co.s. 0/sg ml /a /a .7 .g Depth to limiting factor >84 Remarks: Boring # 1 0-10 10yr3/1. none L. 2/m/sbk mvfr c/i /f .5 .6 4 2 10-19 10yr4/4 none sil. 1/f_/shk mfr g/w 1/f ,2 .3 3 19-34 7.5yr/4 none is. 0/sg riLl g/w n/a .7 .F Ground elev. 4 .4-02 10yr4/4 100.95 ft. none co.s. 01sg ml_ n/a /a .7 .R . Depth to limiting factor _2I Remarks: Boring # 1 0-7 10yr3/1 none L. 1/f/pi mfr c/s 2/f n/p n/p >5 2 7-13 10yr4/4 none sil 2/m/sbk mfr g/w 11f .5 .6 3 13-21 7.5yr4/4 none Is. 0/sg mvfr g/w na/ .7 .8 Ground elev. 4 21-80 10yr5/4 none co.s. 0/ sg ml n/a n/a .7 .£i 99-L--5- ft. Depth to limiting factor me Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) r T t V STEEL'S SOIL SERVICE 1554200th. Awn. Gary L. Steel C.S.T. 2298 Joseph Grubich, etal. New Richmond, WI 54017 MPRSW-3254 SV'-'TT',!, S17-T301T-T?IPW (715) 246-6200 town of Ri cl-n.ond r wN Ii71vp~/i~ Sff, fi 17r7f fie- Y-,~6 s 15,26) (~p , )2d f1 . I O &A) 11 36/'0 ~,lc 5 STC - 10 4 AS BUILT SANITARY SYSTEM REPORT OWNER 2 V V` ~YJ IL ADDRESS _VUa?!:2 a~-cam (.J~ ~"fi6 SUBDIVISION / CSM# / LOT # SECTION J 7 T ~N-R~~W, Town of ~ 1 ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM INDICATE NORTH ARROW Provide setback and elevation information on reverse of this -form. Provide 2 dimensions to center of septic tank manhole cover. r r s lG l BENCHMARK: ALTERNATE BM: SEPTIC TANK N Manufacturer: Q.) I S-Qn. Liquid Capacity: Setback from: Well X_ House Other Pump: Manufacturer 4ZA Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: / Z Length S Number of trenches Distance & Direction to nearest prop. line: 1-1 Setback from: well: ,xQ House Other q ELEVATIONS cy Building Sewer / ST Inlet; 90,a ) ST outlet 17 ~3 PC inlet GU PC bottom Pump Off Jl1 Header/Manifold CO, 7 Bottom of system Existing Grade 101, Final grade 161 DATE OF INSTALLATION: o~L PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:7jt Lull` i~artrr+~t~ 17.30.18pi?IVATE SEW~►,~M RD. A County: Labor and Human Relations Safety and Buildings Division INSPECTION REPORT (ATTACH TO PERMIT) Sanitary Permit No-: GENERAL INFORMATION 193453 Permit Holder's Name: ❑ City ❑ Village ❑XTown of: State Plan ID No.: RICHMOND' lev.: Insp. M Elev.: M Description: Parcel Tax No.: DO. l1 160, 6) BM 1~~ ~ .ah_ 026-1049-20- TANK TANK INFORMATION ELEVATION DATA A9300113 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / Benchmark g d , Dosing Aeration Bldg. Sewer y,q Jg Holding St/ Ht Inlet qg a 3 TANK SETBACK INFORMATION St / Ht Outlet S ~1 g T79 3 Vent ir Ito ntake ROAD Dt Inlet TANK TO P/ L WELL BLDG. A Septic >SO 5 0 -a ` >/7 NA Dt Bottom Dosing NA Header / Man. "11 q F7q Aeration NA Dist. Pipe 3 97, qq Holding Bot. System 7 q 6, 6 / PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft Head Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED / TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ;I DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK ► ~7 j g OR UNIT CHAMBER Model Number: INFORMATION Type O Cup, ),50 System: d DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe 1 , I x Hole Size I x Hole Spacing I Vent To Air Intake Length Dia- I Length_ Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over EP Depth Over 4;~t xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center t Bed /Trench Edges Topsoil E] Yes ❑ No E] Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) L CATION: RICHMOND 17.30.18.247B.250b,SE,NE,CO. RD. A t Gt , 6t ~O,l Plan revision required? ❑ Yes ❑ No Use other side for additional information. 1-7 SBD-6710 (R 05191) Date spector's Signature Cert. No. T ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ` IIrHR SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05, Wis. Adm. Code STATE SA ITARY P RMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. ❑ C ec visio to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PR RTY OW ER PROPERTY LOCATION t55 -e G V1 (A b t GIN 5,0 '/4 NO 1/4, S Tad, N, R If 16(or) W PROPERTY % WNEE,R~'S FAILING ADDIjE j LOT # BLOCK # / ll~• r CITY, ST TE ZIP CODE PHONE NUMBER SUBDIVISION NA OR CSM NUMBER o~S/6-J yG0 $ yb I) 1(-71-q- AdA 11. TYPE OF BUILDING: (Check one) CITY L NEAREST ROAD ❑ State Owned VILLAGE ~ /G~1 & ~ ❑ Public UQ 1 or 2 Fam. Dwelling-# of bedrooms 3 PAR III. BUILDING USE: (If building type is public, check all that apply) (p b 9 - 070 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ® 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 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ 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 AREA ft.) (Gals/day/sq. ft.) (Min./i/~ch) O ELEVATION -qso G S~3 6 ye "09 /v *1 96- b Feet Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank Gd0 ¢/S a Lift Pump Tank/Si hon Chamber El I El El I EJ~ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Pr Plumber's Signatu : (No Stamps) MPRSW No.: Business Phone Number: /vf<h wep~~ Ag~ Plumber's Address (Street, City, State, Zip Code): SY~v7 1~16 5;1 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issue Issuing Agent Signature (No Stamps) Approved ❑ Owner Given Initial Adverse Det rmination ) Surcharge Fee) ~p - X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety 8, Buildings Division, Owner, Plumber r r INSTRUCTIONS 1ti, A,spnit5iry Permit is valid for two (2) years. 2 Yodr'sapit ry 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. Chang.-es in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be subrrgltvd to the county prior,to instailatl'op. 5. Onsite sew., e systems' must b& properly'maintai i d. The sepi : tank(s) must be pumped by a licensed' pumper,` whenever necessary, usually every 2 to 3 years. 6. If you have questions concernin * 1 y g your onsite sewage system, contact your local code adn;inis')r fdor or the State of Wisconsin, Safety. & ,Buildings Division, 608-2p6-3815. To be complete and accurate this sanita{x permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is_tobq'i*t4Ijed. 11. 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 request` ~l in ##1-7. VII. Tank information. Fill in the capacity r..' every t-iew and/oi e < ,s. !ark, list the total yw,'•_ ~s. number of tanks and manufacturer's name. Indicaio prefab or rite constru,;'+ d and tank material. rnp eta for all septic, pump/siphon and holding tanks for this system. Check r:- rperimental approval only it tanks eceived experim `:tai product approval from Di€_HR. VIII Responsibility statement. Installing plumb~ir is to fill in name, ;c-ense number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign app!;n_-!ion form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not sr tiller than 8'h x 11 inches must be submitted to the county. The pans must i i(,lude the following: A) pl. +;::an, drawn to scaiw, r>r ,•1St ; coiiiple;= (e:i 1 c_ ns, ; a t;cn of holding tank(s), septic tank(s) or other r 1at;3tr9Pnt tanks, buildr, rs, wel;- wa'er service; streams and lakes; pump or siphon iarlks; distribution boxes; S~ , ar, urption sjst:erns, repia=.ement system areas; and the location of the build~rg Ord; B) horizonta . ` o, itical e.leva"ion reference ;points; C) complete specifications for pumps and controls; dose volume; elevation Jifferences; fricticn loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if rgquired by they.ic ; unty; E) Wiltest data on a 11!, form- and F) all sizingjnformation. - - - - - - - - - - - - - - - - - - GROUNMWA:*iI SURCHARGE ' 1983 Wisconsin Act 410 included the creation o,' surcharges (fees) for nrtmb:~r 0 regulatecd practices wl'~iO, can effect ground`uvatk,r. - f The-Aignies-coi.lected thr q_h ~Z~,,e ~.i~a ,,,ed for `non a riF~ s:6r Ewa-;>r, .1: n Water contamination ir,ves0gaii-nS are; P,stablish:'i . to standards. SBD-6398 (R.11/88) STC-loo This application form is to be completed the In fu octir~cr sof the 11 and signed b Property being develo e ill only result p d. 1~ny inadequacies zn delays o of the permit issuance. Should this development be intended for resale by owneactor,spec house), then a second form should be ret inedrand ncompleted`when the property is sold and submitted to this office with the appropriate deed recording. Owner of property of G/z u arc y r Di~'NN/ S G L14 ocation of property 1 4 NE 17 / 1/4 , Section -,eV- , T ,3 o N-R Township CHMDN (l Hailing address 9oi IN. R/✓EA D R, N, 'w R / CH/H on/ n w l • S-Y a / 7 Address of site t5' 7 D G o d V T /ioq NfIN c y/+T v N 0, wi. Subdivision name PA'gC a-z No . o• V24.' l079 -_Z,0 other homes on property? X ____.yes- No Previous owner of property CIA !'►/A L G //V lr .4 Total size of parcel 37 A cR_F /At o Rc' o ~ G Ess Date parcel was created Are all corners and lot lines identifiable? X Yes No Is this property being developed for (spec house)? Yes No Volume 74/ and Page Number -YjE- of Deeds. as recorded. with the Register I14CLUDE WITH THIS APPLICATION THE rOLLOWING: A WARRAITY DLED which includes a DOCUMENT NURDER, VOLUME AND PAGE. HURB R & THE SEAL OF THE REGISTLI OF DEEDS. certified survey, if available; ;would be helpful I o asdtofovoid delays of the reviewing process. If the deed description references to a certified survey Map, the certified survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(we) certify that all statements on this form are true to best of my (our) knowledge that I (we) am the the property described in this information f (are) th orm by e virtue virtue s) of owner( warranty deed recorded ' ~ the office of the Count of a Deed; as Document No. y Register of own the proposed site for the sewage, and that I system presently obtained an easement to system or I (we) run the the construction of said system, aande thdrt, for en -same cribed haso been duly recorded in the office of County Register of deeds as Document No. Signature of ap~llcant Co~ppl cant r Date of Signature Date of 8 g_n at ure r~ t ?tA~.~~}~ r'M:'M:~ >r: la.~iF~-a~-,>tk IYd:.'C.~.i.':J~4filx~'u14rd11Lit'ik"• .r.~..~..•.......~--'."_--'<._.._.._ -+13~c4. it C(1RUtN0 DATA ON AE Y SrPVCU f A[ SPACE THIS r ' DOCUMENT NO. ' WARRANTY DEED ~ STATE BAR OF WISCONSIN FORM 2-198211 r xECsiSTWS OFHU 419779 aeo c 61 ME - 3 ST. CROIX 00., WIS. i Jack V. Wallinga,...individua~ly as personal ! Roc'd. kx Re=d this 2Jrh re resentatLve of the estate of Marie Stern Nov. D. Wa11inga a/k/a--n'-..ie Walinga.A.... Mar..e•-S „ day of 7AD. 1 _ ! '30 Alf~ Walling f anc....as. sole hei ...of._her.,e.st te. conveys and warrants to Dennis...J.,...Grubic.ktf ! husband.-and•.wife.•as...jcnt...te.na.llt.S... a.s...tA...!%......... undi.videci,.one.-haI f...intere st.;...and..Joseph...Gz: ub.ich I - _ •_and., MarY.. Grub.:~. hu.Sba.lid...ared...wxf.e...ds...jo.in,G....... ..te.nants.-a_q ...to...ar)...11nd.i.vide.d..one.-half...................... 'u" To Northwest Federal 1I i ~ P.O. Box Richmond160, WI S ! . - - • .-.0 1 St CrolX .....................County. - the following described real estate in ! State of Wisconsin: .,Tax Parcel No: i See attached description. i~ This deed is given in full satisfaction of a certain land contract between Jack V. Wallinga as Guardian for Marie Stern Wallinga a/k/a Marie Wallinga a/k/a Marie S. Wallinga (Vendor) and Dennis J. Grubich and Kathryn A. Grubich, husband and wife as joint tenants as to an undivided one-half interest; and Joseph Grubich and Mary Grubich, husband and wife as joint tenants as to an undivided207e-half (Purchaser) as Doc. No.. dated July 9, 1982 and recorded in Vol. 649 at 378669. Vendor's interest in said land contract was assigned by Jack V. Wallinga• as personal representative of the estate of Marie Stern Wallinga a/k/a Marie Wallinga a/k/a Marie S. Wallinga to Jack Vrecorded Wallinga by assignment of land contract dated July 3, 1986 and in Vol. 746 at page 312 as Doc. No. 414249. y Sf'19fl 'I This 1S ..nom.. homestead property. FM i I (is) (is not) Exception to warranties: municipal and zoning ordinances, easements, restric- tions of record and any lien caused by acts or defaults of Grantee. N o vember 19. 88. 6 Dated this • ..........(SEAL) .......................(SEAL) dack V. Wallinga (SEAL) ................(SEAL) . t AUTHENTICATION ACKNOWLEDGMENT STATE OF * N4 Signature(a) MINNESOTA e- ......County. sa. authenticated this day of 19 Personally came before me this ..1 ......day of hLOVembeS 19 86.. the above named Jack V IN 1 g-. i • ' TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized 'y 706.06, Wis. SLatsJ to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Judith A. Remington -••••RLII gtr -Darn•-DPfices c- .J.......,.............................................. Notary Public it. ..............county, Wrs. MN •....Ne.w..Richmand,.. k1l..._ 5.4.Q1.7........ . i (Signatures may be authenticated or acknowledged. Both My Commission is perm/anent.(Ir not, state expir tion are not necessary.) date : ~I.../,J 19.~~...) MAAAAAAAIII~ M (({p►,,~~,,~~ii )OIOAES A1. SULLNAN •N.mr. of persona xi`n!ns in >ny c.n..•ity xhould br •,RY7, t•r;pj?n1~~C"PS ' VV I.IY COMM. E PIKSS APR. ID y N SC T/$14 P•i+ naln L.TCxI I:,na 1'.., WARRANTY DEXEI In, i(`C{~ YYYYYY~~•.• ~I. x xr l4 iT . ..n..e..:a:-..ru..a~r*-srrr.JY.w^r.^xbg•r*"!gppy'.~. k!'!rA:f4l•9te.. • .,.J„.jy l•L5•~~•~ r •1 f 1 M ' `•1v v t~ •ir.N ~ TY~ ~ Y t^ R 1 {,xy s~,,,.. , . rs.v. a.U+~.: ..-..c ...vK .~.r• h :,`.5r' ;+..,~y,~eF ~.•.~,.....w~,m_.ai~i..~+avw~r.•;:.a.., 4,s..~dc~~ • ,S:~ti¢f9•f!k3't. .._u.1 ^iW Lw.i. k- D60! •if 1ME 43 Commencing at the Southeast corner of the Northeast Quarter (NE 1/4) of Section Seventeen (17), Township Thirty (30) North, Range Eighteen (18) West; thence West along the Quarter line, 660 feet; thence North 500 feet; thence West 130 feet, more or less, to the center of Anderson Creek; thence Northerly along the center of Anderson Creek to its intersection with the Willow River; thence along the center of the Willow River to the North line of said Northeast Quarter (NE 1/4); thence East to the Northeast corner of said Northeast Quarter (NE 1/4); thence South along the section line to the Point of Beginning, SUBJECT to the reservation of the VENDOR, for his ward, her heirs, assigns and personal representatives, of an Easement for inqress and egress over the Southerly Sixty-six (66) feet thereof. SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ,JO,' GRUS)C H y' D I NN/S Co /i U,© /G' H ADDRESS:/5'7D C-.7 Y ft. R FIRE NO: LOCATION. l 4, Aim* 1/4, SEC._ /30 N-R W,_ TOWN OF:_ l~I G y/yJ o /V Q sT. • CROIX COUNTY PARcGL SUBDIVISION: 1b*T NO. O.X4-/0-*9•-49> 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 a 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 to help with the cost of the 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 the St. Croix County zoning a certification form, signed by the owner and by a master 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. Certification from will be sent approximately 30 days prior to three year expiration. 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 form must be completed and returned to the St. Croix county zoning officer within 30 days of the three year expiration date. SIGNED: Aig aot I. DATE: St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1. of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but t. Croix: not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Jnsepli Grtihi.ch GOVT. LOT Sr 1/4 T•?E 1/4,S 1.7 T 30 N,R 1< kjor) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # (101. 11. Piver Dr. n/a n/a n/a CITY, STATE ZIP CODE PHONE NUMBER OCITY VILLAGE MOWN NEAREST ROAD New RiChmondt ill. 5401-7 ( 71.5 246-21t60 Ri.clhmondl Co.t?di. #A [ Pew Construction Use [xi. Residential / Number of bedrooms 3 [ J Addition to existing building [ J Replacement [ J Public or commercial describe Code derived daily flow 4 50 gpd Recommended design loading rate • 7 bed, gpd/ft2 • P trench, gpo1ft2 Absorption area required 643 bed, ft2 563 trench, f12 Maximum design loading rate • 7 bed, gpd/ft2 • S trench, gpolft2 Recommended infiltration surface elevation(s) 06.60 ft (as referred to site plan benchmark) Additional design / site considerations n /a Parent material outwasll Flood plain elevation, if applicable n/a ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem Q's ❑ U as ❑ U IN ❑ U )R S ❑ U ❑ S U U ❑ S u u SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence BoLxtc!<uy Roots Bed Trtx 1. 0-12 J.0 r_3 1. none L. 1/f/ mfr c/w 2/£ n/p n/p 2 1.2-19 10yr4/4 none s:t_1. 2/m/...hk mfr g/w 1/f .5 6 Ground 3 19-32 10yr4/6 none Is. 0/sr, rtvfr g/w 1/f .7 .8 elev. • yct -6Q ft, 4 32-60 10yr3/4 none Co. S. ~~/~n rtl. g/w n/a .7 Depth to 5 60-^0 1.0yr_4/4 none co.S. /s}? Ml n/a n/a .7 .t limiting factor >80 - Remarks: Boring # 1 0-8 10yr3/1 none 11. 2hri/shk mfr c/i 2./f .5 .h 2 2 8-1f 10yr4/4 1,1017)e si1.. 1/f/s1A rnfr. F, /W 1./f .2 .3 3 18-30 7.5yr4/6 none 1_s. 0/sf, invfr. Ow 1/f .7 .f; Ground elev. [r 3n-10 10yr4/4 none c0. s. 0. /sc; I'll na/ n/a .7 .t, Yi ,.QQ1. Depth to limiting factor >100 Remarks: CST Name:-Please Print Gary L. steel_ Phone: 7155-2,46-6200 Address: 1- 5 54 Avo. rleti R i. cl,rnon(4. [dT. 501.7 a n.,, r^T *!?nber PROPERT NO IdER_,Jo,5ap11-Gnl}?]_r`1 SOIL DESCRIPTION REPORT Page of i PARCEL I.D. GPD/ft Depth Dominant Color Mottles Structure Bed Ire Boring # Horizon Texture Consistence Bamclary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends 0-1.6 1OVr3/1 none - L. 1/f/.1_ mfr. c/i /f n/ n/l.r <3 . 16-23 .3 1/f .2 0 n none si.].. 1/f/shk mfr /w / 0 1 r Y4 4 Ground 3 23-30 7.5yr4/4 none I.S. 0.s° nvfr g/w n/a .7 .R elev. 0/ra, ml. n /a /a .7 1.00.4511. 4 30-84 1.0yr5/4 none co..>. Depth to limiting factor >t`4 Remarks: Boring # lr 1 0-1.0 10r3/1. none L. 2./m/sh rrvfr c/i /f .5 Y >LF. 2 10-19 10yr4/4 none sit, 1/f/shk mfr /w .3 x==:: 1 s. 0/s P,/w n/a .7 3 19-34 7.5yr/4 none F Ground -P elev. 10yr4/4 none co.s. 0/sp ml. n/a /a .7 1.00.05 ft. Depth to limiting factor Remarks: Boring # L 1/f/r1 mfr c/s 2/f n/P n/p 1 0-7 10yr3/1 none L. . 1./f 2 7-13 10yr/ /fr none sit 2/m/sbk -ifr. t;/w .5 h >5 R w na .7 3 13-21 7.5yr4/4 none ].s. 0/st; mv;'r / / •'j Ground elev. 4 21-80 10yr5/4 none co.s. 0/s;; ml n/a n/a .7 .B 99. S> - tt. Depth to limiting factor mn Remarks: Boring # Ground elev. f t. Depth to limiting factor - STEEL'S SOIL SERVICE 1554 200th. Avg . Gary L. Steel 1@13&`"11UWt C.S.T. 2298 Joseph rxuhi.cl~, etal.. New Richmond, WI 54017 MPRSW-3254 S17-T30N-R1PF) (715) 246-6200 town of Ri chmon0 j .I. P, 0-- n, C/o if I I i • I I I I I I I i I I 7- 7X, ll I 10/ 1 ' I 1 I ~ i I ~ , ' I - I r I I , I I ~ I I , I I I ! i I , ' ~ I 1 I I I ' r I 1 lob I I ~ I I ~ I I I I I f ~ I I ; I I I I I I I , I i ~ I i ~ i 1 i 1- I I I I I I I i I ( I i I i i I ' I i ! I i I I I- ~ t I ~ ~ ~ i I I I I ~ i v~ I I I I ~4- ~ ~t ( ' ~ I r ~ t I i- I i , I 1 F I I ! i ~ ~ i ~ I ~ I I r- i I I f l I',,"`^~g.,~! ' - !`•~d~- ;5%_ r -_ari,~_ 3 7_Qic~y I f ,3 r-- I i i I I I + ~ I , I I J I I 1 I I I , I I i i I ~ I 1 ~ I , I I I I ~ r r I _ ~ i - - I 1 - I I I I 1I I ! I I I I I ' I I - I I I I Iii L I I I ~ II I I ~ I I I ~ II' j j t ~ I r I I I I I I I I I I ' - - - - _ - 1 i I I I I I I I I I l j l , ~ I I I i ~ I I I I I I I I i { _ _ I I I } ~ I II 1 i ~ i I L I i ~ I i t I ~ I r I I I , I 1 I ~ I I ~ t I ~ I t I { i I l l~ i I I , 1.--_, _ _ _ , I - I - I I I I ~ I jI I I I { i , i ! , I V I I I ~ ~ I ~ I I t - i I 1 I i j I I t I I , -r T 1 t I T ! I ! ' ~ i j ~ ~ I I t- I I I I ' f I ~ I I I I 1 , I I - . T I I I I I I 1 r , 1 , 1 I ' I I ~ I 1-- i - - - - i r - j L- t - - { - - I ' ~ ' I rt I I i ~ j I I i ~ I I I I I I I Gw~b~,rl, CrvSS S~c~'IUr, o~ ~ ~el~ S~ste~-~ golr uerRd Frd►A Air In.loie Arid Obtervallon Pipe !v 1 QTR r 5 017 ( Y Approrid Vant Cap Wlnlmum 12~ Abore flnol Erode 20- 42' Afore Plpp -1' Cael Iron To final Orede Venl Pipe wrrn How Or Swnl Mlk Corvlny Lin 2* A901e0019 Over Pip♦ DI UrID,rllon ' Plpe o 0 0 - Tao Apprepolo Bensela Pipe o Perloraled Plpe belor o -Co,plnp Te,minaling Al Bottom 01 Swrlem I ~~cJ..~ lorl SOIL FILL DI5TRIBUT101.1 PIPE 'T APPROVED S4)JTHETIC COVCR ° /1 AT RIM oR 9" OF sTRA,/ 2" OF ^GGREGAIE OR MARSN HAS 56 ELEV. OF-~IGL_ EE l~ OF 1Z-2~/z AGGRCGATE (OF T - 3 r- D15TRIFj~JTIUIJ PIPE TO BE AT LEAST ~y INCHES BELOW ORIGIFJAL GRADE AuU AT LEAST LO I►JCHES BUT 1,10 MORE TH)\1,J 42 IIJCHES 15ELOW FI►JAL GRAOC MAXUIUM pEQtli OF F-X(AVATl00 FROM OR16WAL OF Ai)F- WILL BE INCHES ruWmvM prpr-H OF EYCAVATIC1J FROM. ellkI(,ItIAL_ (3RAPF. WILL BE INCHES S I G IJ E D: rdde4A . LIGEUSE AIUMBEI2: IS6-3 DATE: 6 ~3~/