Loading...
HomeMy WebLinkAbout030-1057-90-000 t t STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER f(C. q1vj iD h,-ffihrN ADDRESS SUBDIVISION / CSM# LOT # 7~ SECTION. a3 T34 N-R_,4P_W, Town of ST. CROIX COUNTY, WISCONSIN PLAN qb' SHO EVERYT ING WIT HI z`r100 FEET OF SYSTEM r ~ a Ic Q PQ r ~ _ INDICA NORTH ARR Provide setback and e evation information on reverse of this f rm. Provide 2 dimensi ns to center of septic tank manhole cov r. BENCHMARK: hlc~l live, 1r` GI ~U'~ ALTERNATE BM: I C'Q„we.,► Kam'- ~ • SEPTIC TANK / PUMP CHAMBER / Manufacturer: Liquid Capacity;XX Setback from: We119_ House?' 1$'0' Other PumP•ManufacturerModel# W Size Float seperation 0 Gallons/cycle: Alarm Location u0 SOIL ABSORPTION SYSTEM r Width:_ Length .5-0 Number of trenches 3 Distance & Direction to nearest prop. line: Setback from: well: House-QA~ftOther i ELEVATIONS q , 3 Building S2wer 7 6, ST Inlet: r6,,.5? ST outlet PC inlet d PC bottom 7,~ , Pump Off 23 Header/Manifold 97,S Bottom of system_9G~ Existing Grade 0C) Final grade DATE OF INSTALLATION: (0 / _ PLUMBER ON-~:'`` LICENSE NUMBER: INSPECTOR: 3/93:jt ~T,~T LtiQ~c~i'~'ic~ artn `r of ' }y PH 23 . 30 . ~R~IV?A E~A~'SY51 IN CO. RDCounty: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION -1 R Permit Holder's Name: ❑ City ❑ Village r1.Town of: State Plan ID No.: Ml T T") C9 M T. - KT ev.: nsp. M v.: BM escription: / Parcel Tax No.: 00 - - - /W' 421 / , C~ d Y,P o S Cam- 030 TANK INFORMATION ELEVATION DATA A9300118 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic /I Benchmark Dosing lr , q~% l02`~0 Bldg. Sewer Aeration- adz . .ate TANK SETBACK INFORMATION G3 Holding oHeade ROAD Ventto ld ,TANK TO P L WELL BLDG. Air Intake o3. 3 Septic NA J7 Dosing ZF/ NA ~9 9~v~ ~o2,dj Aera i NA Dist. Pipe lJ. r i Holding Bot. System 9 , PUMP / SIPHON INFORMATION yg Goy 30,50 / Final Grade T, Manufacturer Demand l~ Ij „ 1 73. fd / Model Number G P TDH Lift ;FFrictionSstem TDH T dForce"Iriiain Lengh/~d Dia. 3" Dist. ToWel 3 SOIL ABSORPTION SYSTEM BED / Width , Leng h i No. Of Trenches PDI' No. Of Pits gjQ DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE LEACHING SETBACK CHAMBER INFORMATION Type O o 5C OR UNIT System: Cc y~ Lc~./CY~ DISTRIBUTION SYSTEM x Hole Spacin Vent To Air in e rgLength er / Distribution Pipe(s)/ x Hole Size ~r Length Y7 Dia. Spacing r Dia. o~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over „ N Depth Over „ xx Depth Of xx Seeded xx Mulched Bed/ Tjwch Edges o Topsoil es E] No ❑ No Bed / T.c~ch Center 6 7 ~ A" COMMENTS: (Include code discrepancies, persons present, etc.) C ~ , LOCATION: ST. JOSEPH 23.30'.19.202B,SE NW 2, CO. RD. I i D, 141,10, / Ls~ U Plan revision required? ❑ Yes No Use other side for additional information. ~j SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ?SQ~cA~Ti artn `d~of PH 23.30.~RIA?A1EyFUAGE'S4STEM, CO. RD County: Labor and Human Relations INSPECTION REPORT Saf.ety and Buildings Division ST- CROTX (ATTACH TO PERMIT) SanitaryPermitNo.: GENERAL INFORMATION 19*14158 Permit Holder's Name: ❑ City ❑ Village ❑Vown of: State Plan ID No.: Re 9.: nsp. M v.: BM escription: / Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9300118 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic jv, Per/ LGytC? ldc~. / Benchmark Dosing Y Aeration- Bldg. Sewer lpL. Holding St/ Inlet 35 . a3 TANK SETBACK INFORMATION St/ Outlet 2 3,/10 2/ TANKTO P/L WELL BLDG. Ae Intake ROAD Dt Inlet 93 16~ 3 's Septic NA Dt Bottom .2.17 Dosing >61-1-5 3 Z_% Z F/ NA Header Q64an. 9T_0 ' 102,1 Aera ' NA Dist. Pipe p/9 ,Sv Holding Bot. System 9 / PUMP / SIPHON INFORMATION y8 C,(oro 30"5,0 Final Grade Manufacturer Demand ~7 7: r1'q Model Number u GP " 73, 7d TDH Lift Friction System TDH 6' Ft T, (J 9S 3,q4 1 Loss Head Forcd!`nain Length/,~d Dia.Dist. ToWel 3 SOIL ABSORPTION SYSTEM BED / Width Length i No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS Sd DIM SYSTEM TO P/ L BLDG WELL LAKE -F~RffkA/I LEACHING cturer: SETBACK CHAMBER M er: INFORMATION Type O o `e 0 OR UNIT System: Cc" > tr~~ (J. DISTRIBUTION SYSTEM Header / Distribution Pipe(s)/ , x Hole Size x Hole Spacing Vent To Air In e Length _Z~! Dia. Length Y/7 Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over It Depth Over i xx Depth Of xx Seeded xx Mulched Bed /T,~ch Center Bed/ Irwch Edges ~ Topsoil es ❑ No ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) /5'~ait LOCATION: ST. JOSEPH 23.30.19./202B,,SE~,NW2, CO. RD. I Plan revision required? ❑ Yes No Use other side for additional information. Gj SBD-6710 (R 05/91) 7. a' - ~r Date Inspector's Signature Cert . No Vic, I ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: , 7 DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑1 q"?e-1 6V 8% x 11 inches in size. Check if r`vision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPS TY OWNER PROPERTY LOCATION % a .t., Q1► 546 Y4 )VF Y4, S 0 ?_3 30, N, R 8(or) W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 3 LJ.N-sf- ~w rte. t'. n1 r CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER _5ftv,%.crs-vt W1 5 YOA5 W II. TYPE OF BUILDING: Check one) CITY NEAREST ROAD ( ❑ State Owned V TOWN OF: ILLAGE $-egk] 9!S ❑ Public 4N1 or 2 Fam. Dwelling-# of bedrooms *3 PARCEL AX N BE III. BUILDING USE: (If building type is public, check all that apply) 3 .-.143-7 g~ 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 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1.0 New 2. Replacement 3. ❑ Replacement of 4.E] Reconnection of 5.0 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 (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 4.5c) Feet Feet VII. TANK CAPACITY Site in gallons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name oncret Con- Steel glass Plastic App [Tanks Tanks 42 . strutted -7- El F1 Septic Tank or Holdin Tank co Lift Pump Tank/Siphon Chamber $D (J✓"+ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Business Phone Number: Plumber's Name (Print): Plumber's Signatur Stamps) NWMPRSW No.: PlMo Address (Street, State, Zip Code): 6}iL~~Z O is J-37,?p7 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sarrruuutttaaary Permit Fee (Includes Groundwater ate Issue Issuing A ent Sf nature (No Surcharge Fee) O Approved ❑ Owner Given Initial Adverse Determination ! X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber r r i INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. `~ouY senik~arj Hermit 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 piumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be subrnitttV to the county prior to installation. 5. Ong±€'sehe systems musfbe propery'fnaintaiieci "treSti tank(s)'rriri5trkreurrrped by`a licensed puml,cr. whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your drisite sewage system,contact ydur 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: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system 'is to •be"installed. - II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use, If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending can system type. VI. Absorpti.^.n system information. Provide all information requestec? in ##1--7. VII. Tank intorn,ation. Fill in the eapar.ity of every new and/or e:xist'nc, tank, iist the total gaii,.ns,, number of tanks and manufacturer's prance. iodicaie prefab or ;site constructed and tank material:, rc>rr)i for all septic, pump/siphon and holding tanks for this systE!m. Check r xrrerimental approval only if tanks received experimrr'.al product approval from DILL-09. VM Responsibdity statement. Installing plumber is to fill in name, license number with a.ppropliate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only, X. County/Department Use Ortly. Complete r,lans and specif;r, 0 iris not smaller than 8'% x 11 inchr;s -tints>t be submitted to the county: The plans must i.icl.ud lii,. ' it cwk-ig: A) plot plan, drawn to scalc; nr with. mnpiete dimensions. !acatirn of hc, ir, tank(s), septic ~t o) c:- ether treatment tacks; b;ti Jrnq r., >vvers; weli::,; water main.--i~.va±er service; streams and lakes, purnp or -ziphon tanks; disIt ibiition boxes; so:l =-bsorption systerrrs; reoia,.ement system areas. and the locatsc;n of t_ney building serried F) hcrizontal air d' rtical elevation reference points; C) complete specii cat;ons for pumps and cono-ois; dose volume; elevation differences; friction oss; pump performance curve; pump model and pump manufa(.turer; 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 lncluded the creation of surcharges (feis) for a number of regulated practices fan effect groundwater. Rie monies collected through these surchargws a ):sec 'or =-.to,,'tc;rir gro' rydwiter, ground- . , Water+contamrnation ;nve . igafinns and establishn,<' -,i r s s'rar larcts. SBD-6398 (R.11/88) I I I I ~ I I i I I ~ ~ I ~ ~ I! ' i I I I f I ~ I ~ I I I , i , , t I I I I ' I I I f ' I f I 1 J I I i I I~ L_ ~ I r I ! . I . - - - - I - ! -j - - t- I I I I I I I ~ I , I I I , ~ I I- I I I I' ~ ~ I!' ~ I r I I r { ~ I ~ I ~ ~ I I ~ _ I I I ! I ' ~ ! -~-T i-- r ; ' I ~ ~ I I I ~ I ! t - - 16 i I i L , I II II ; I _ r II I ~ i ~ I II 4 I l 1.. L t I I I r f I I I ~ I I I I I I I ~ I I i I I I r-- r- i I I I I I ~ I I I L 1 I I ' j I i I i I I II I I -T----I- i i I I ~ I , I i I i ~ I ~ I r - ~ I I I I ' ~ ' I 1 - - t - --I i ' I ,I ~ I - I I I . ' I I ' ~ I I I ~ L I r I I' I r Y I I + I f 1 I 'I I ~ + II I ~ I ~ I I : iii------ ~ 1. 1- ' ~ - ~ - - - - 1-- - ~ - • 1. - Y f I I I' ~ i - , ! I I a i I I i I i I i ~ i i ~ ~ ~ I I I i I I I ' I I I i II I _ ~ I I i I I t I ~ i ~ i C r v S S t C~ 1 t)• f-1 0 13 e A S L! 0 1 0~3-T30-- ?G3 fresh Alr 1111111% And ODeltiollon Plpe 12- Ale 1~ Approvld Van, Cap cs`~',I r vlG+f ~ W'~. Syba,~ .MiMmun~ c, Final Crod. 20 42' Aleva Plpp _ 4' Cost iron To final orada V.nl Pipe - warn May Or SrnlMlk Ca.alne Isar. 2' Appraeala Ovot Plpa - 01111I1V110n Plpa a o TaE e 1 AIPs jole naalis Plpa ° P.rlerolae Plpa Galan o ~Ce.gtine T..nslnaltne At - nations of Sr.lans PrIoPo)tD rIAa.l q~hclt SOIL FILL DISTRIBUTIOt.I PIPE cl 7's" Y a APPROVED S`UJYNETIC COVCIt 2u Of: AGOREGATE -"--MATEUt. Olt 4" OF 5TR!\W OR MARS" K4k%j ELEV. OF tiL FEET, t:Of=AGGRCGATE DIS'1'11I5UTIOm PIPE T() BC A7 LEAST ' AUK AT LEAST LO IWCHES BUT 1.10 MORC THAM `12EIMCHES BELOW FIMAL GRADE, MAXIMUM DEPtH OF F,XCAVATIO0 ROM ORIGWAL 69ADa WILL BE ~.1? _ 11JCHES 7' OMUM CKPr11 of EXCAVATION r-AO 1 0~144JAL 6PPE WILL B[ _oT irucHCs SIGUCO: , LIGCIJSC LJUfABEH: ' DATE : /-3 STEEL'S SOIL SERVICE Gary L. Steel 1554 200th ' C.S.T. 2298 Michael Britton New Richmond, WI 54017 MPRSW-3254 SE rIF , 523-T30N-R19W (715) 246-6200 town of St. Joseph J L V^ b t')16 J J v? ti - _l 40 Ito GOUL S ..SUBMERSIBLE ' f SEWAGE AND EFFLUENT PUMPS I s r EP0311 LIST' DISC. { a pOUPFP0311 192 EP0311 - 1/3 HP 115 V Effluent F~al>n 1/2" solids 256.80 172.10 4 ; Qa>+ti :•{°`~Submersible x Effluent. Pump MODEL EP0311 1.1ETeR6FElT SIZE 383 SOLIDS T x 25 7• 1 at }1 _ RA. 4 )z 10 K 0 1.{ 2 r a( ~ o, 00 4 6 12 16 20 24 28 32 36 40 1 - , , GPM 0 2.5 5.0 7.5 m'/h CAPACITY T ) t j Performance 3885 Curve rc{4':"~' _ METERS FEET • 1 MODEL 3885 25 SIZE'/4"Solid 1 m F'1 , x 20 wE0?H p L 00 aA, b WLasls - a' . A, > w ~ wi • 1. . WCOX 10 1 t s 10 - N t~ + T7 Q[ a T 0 10 70 00 - +0 60 t0)0 EO EO 100 110 120 GPM 0. 10 20 30 1W1% a. CAPACITY y LIST DISC. ir*ti7/i r GOON E03111, 142 WE0311L 1/3 HP 115 V LOW H 3/4' solids 491.55 329.35 l~a~f r) O~IJPAE0311M 142 'WE0311M 1/3 HP 115 V Mod H 3/4" solids 491.55 329.35 fi~ti { QOIJRriO51Li 142 WEOSIIH 1/2 1P 115 V High H 3/4" solids 704.25 del 8S r 90UFi,E07121i 142 iT0712H 3/4 HP 230 V High H3. 3/4" solids 843.65 565.25 ' Y L^ a 1 7 1A*~*SFE'.F0LLCWING PAGE FCR PEPJrCF04N= AND SPECIFICATICUS. k ryg `i t; 10/68 DEFT 30 PAGE Vu I' PAGE OF a1 `Q. P C1~ IJMP CN AMBER CROSS SECTION AND SPECIFICATIONS i ~f176 3 Wza~t sh a-L t)-. -G. IL.)r S a.3S VCNT CAP 5t ~Ose + 'i"C.I. VEtdT PIPE WEATHER PROOF APPROVED LOCKING ~ 25' FROM DOOR, JUNCTION BOX MANHOLE COVER WINDOW OR FRESH 12"MIU. AIR INTAKE GRADE I Y"MIN, L-- 8"MI CONDUIT to"MIN. - 11~ . . IA11..E1' PROVIDE I AIRTIGHT SEAL I III APPROVED JOINT A I I i I APPROVED JOIN1 W/C.I. PIPS: I I I W/C.I. PIPE CXTENDIAIC- 3' I II EXTENDING 3' OL1T0 SOLID SG:;. ALARM 8 I I ONTO SOLID SOIL I I C i j ow OFF !I PUMP T CONCRETE BLOCRISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL SPECIFICATIONS SEPTIC AND r DOSE TANKS MANUFACTURER: w --VLAA-'~ NUMBER OF DOSES: PER I)AM TANK SIZE: GALLONS DOSE VOLUME its ALARM MANUFACTURER: S T ~t'7}ko SwS m INCLUD!!;" :AC;;FLOW: - GALLONS MODEL NUMBER: CAPACITIES: A=__ a3 INCHES OR 0~~ALLONS SWITCH TtIPC• y C B=- INCHES O 5~7 • R GALLON ~ S PUMP MANUFACTURER: l'~A(AIa s C=~INCNES OR tU_)lq GALLOIJS MODEL NUMBER: A14 p, D- dif INCHES OR -319,±o GALLONS ~ SWITCH TYPE: NOTE: PUMP AND ALARM ARE TO BE PUMP DISCHARGE RATE o6 GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE Bi'1: iWIZCU PUMP OFF AMC) DISTRIBUTIOM PIPE.. -0_ FEET -I- MINIMUM NETWORK SUPPLY PRESSURE , - , , , - - . . . • 2.5 FEET 1735 1 ct F T __"e FEET OF FORCE MAIN X ' 1 /oofrFRlcTlou FACTOR.. FEET _ TOTAL DYNAMIC HEAD = FEET ' INTERNAL, RIMEWSIONG OF TANK: LENGTH 01 ;WIDTH ;LIQUID DEPTH 31GkiE D: LICENSE HUMBER: 1. 10 3 DATE: -117- . I' 030- Wisconsin . bor Dbpartmentof Labor and Human Relations SOIL AND SITE EVALUATION REPORT Page 1 of 3 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 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 Pticllael Britton GOVT. LOT SE 114 TE 1/4,s23 T30 N,R 19 aE (or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 763 1,1est Shore Dr. n/a n a n/a CITY, STATE ZIP CODE PHONE NUMBER ❑CITY [:]VILLAGE SOWN NEAREST ROAD Somerset, WT. 54025 (715 549-68S6 St. Jose h 1•1. Shore Dr. [ ] New Construction Use Residential / Number of bedrooms 3 [ ] Addition to existing building ]xkReplacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .5 bed, gpd/ft2 .6 trench, gpd/ft2 Absorption area required 900 bed, ft2 750 trench, ft2 Maximum design loading rate • 5 bed, gpd/112 .6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 96.40 ft (as referred to site plan benchmark) Additional design / site considerations n/a Parent material stream terrace Flood plain elevation, if applicable „/a It, S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK Liu RU U =Unsuitable for system {S El UUS ❑ U S ❑ [JaS ❑ U ❑ S ❑ S 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 0-11 10 r3 3 none sl. 2/m/gr mvfr w 2.1f .5 i6 2 11-43 10yr4/6 none fls 0/sg ml g/w 1/f .5 .6 Ground 3 43-84 10yr4/4 none S. 0/sg ml n/a na/ .7 .8 elev. 1.00_._40 it. Depth to limiting factor >8 1' Remarks: Boring # . -4 10yr3/2 none sl. 2 m g1w -9 i -6 2::' 2 4-22 10yr4/4 none sT, 2/m/sbk mfr g/w 1/f .5 [.6 22- 3 43 10yr4/6 none fl s. 0/s9 mvfr gw 1/f / .5 .6 Ground elev. 4 43-84 10yr4/4 none f.S. 0/sg m-1 na/ /a .5 L6 100.30t. Depth to limiting factor Remarks: CST Name:-Please Print Phone: Gary L. Steel 175-246-6200 address: 1.554 200th. Ave,. New Richmond WI. 54017 Date: CST Number: Y ~l L ~~6-5-93 2298 'PROPERTYOWNER M.cf.-rael Britton SOIL DESCRIPTION REPORT PARCEL I.D. # Page ,2 of~ Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Baxxiary Roots y° 1 0-11 10yr4/3 none sl. Bed Tren 1/f./8r mvfr g/w 1/m .5 .6 - - ? 11-44 10yr4/4 none f].s. 0/s8 mvf_r g/w 1/f_ .5 .6 Ground 3 44-80 10yr4/4 none S. 0/sg mJ na/ /a 7 .£i elev. .7 99, AD-- it. Depth to limiting factor - i > 8/1, Remarks: Boring # Ground elev. ft. f i Depth to limiting factor Remarks: Boring # 13 Ground elev. ft. ' Depth to limiting factor Remarks: Boring # Ground , elev. ft Depth to limiting factor Remarks: 449465 CERTIFIED SURVEY MAP Located in Part of the SE 1/4 of the XW 1/4 of Section 23, T30N, R 19W , Town of St. Joseph, St. Croix County, Wisconsin Surveyed for: Bruce Penman @ 2 Pine Tree Ridge Rt. 2 M NP I- ATTED _ IAbLQS _ Somerset, Wi. 1 1 s N 48.92 42.0 "E 383 46' u j2 MO rye/ 42. ry 47.23 45. 00 Z o 4 0% N N lL E0 r Ir W too. a 91986 U 2 . I ~ IfO ~ fir, yMi~ o `d " ,ZO' 201; Lot 1 O M co 3 r t to O N I30;~ h 10 0 0 C9, on S )a ZI ml'S • 78°23's n 0 5 2 E U JI ~ ' = z %,,-T.'5 0 n'~ E &a,6af• ' i Z, ~Q U~ DI Q 44 14 PM N,1 Z° 5$ 0 GAR LEGEND J M S70031 i f) 3 E Section Corner Monument Z. 3 ~ 6'1s Berntsen Cap n; 1" iron pipe found 0 1"x24" round iron pipe weighing 1.68# per foot set / NW Corner 4 01 Section 23 h o' o ,2Q Q i., v _ 0• 0 0 0~ O ~O / ORIQI ~ NA LINE OfV10f tl a N / N8 W LOTS -T /N W 1/4 Corner Section 23 0, T30N, R 19W C11 3 G, 0 ti N/ V~ ° ,``'a, N89027117' r 0 J, 32s4, 40.76, _AV 2387.791 POINT OF / i O BEGINNING N 7 •3~ .18 18&-03 z \ 268.23. 6.0p 1 / UNPLATTEp_~AlLQS + *2 eQ ' Lot 1 Area Lot 2 Area M ' 33,349 Sq. Ft.) including roadway 82,820 Sq. Ft.) including a 0,766, acres ) 1.901 acres ) roadway SW Corner 25,897 Sq. Ft. ) excluding 68,709 Sq. Ft. )excluding Section 23 0.595 acres ) roadway 1.577 acres ) roadway SCALE IN FEET f1°=80') O' 20' 40' 80' 160, Volume 6 Page 1745 486-1052 DESCRIPTION A parcel of land located in part of the SE1 /4 of the NW 1 /4 of Section 23,E T30N, R 19W, Town of St, Joseph, St. Croix County, Wisconsin, described as m follows: Commencing at the W 1/4 corner of said Section 23; thence N0132143"W (bearings referenced to the West line of the SW 1 /4 of Section 23, assumed S0032143"E) 678.17' along the West line of the SW 1/4 of said Section 23; thence N89o27' 17"E 2387.79' to the point of beginning; thence N33028155"E 278.05' to an existing I" iron pipe; thence N 10046' 13"W 287.98' to an existing 1" iron pipe; thence S84o42109"E 183.46' to the meander line of Bass Lake; thence S25045125"E 180.47' along said meander line; thence S14055'29"W 4.10.29' continuing along said meander line; thence N76031' 18"W 268.23' to the point of beginning, containing 116169 square feet (2.667 acres), more or less, and being subject to all easements, resti.-ictious and covenants of record. I, lames E. Rusch, registered Wisconsin Land Surveyor, hereby certify that I have surveyed and mapped the above described property; that such plat is a trur and correct representation of the exterior boundaries of the land surveyed; and that I have fully complied with the provisions of Section 236.34 of the Wisconsin Statutes, the St. Croix County Subdivision Ordinance, and the City of Hudson Subevision Ordinance to the best .of.my professional knowledge, understanding and belief. J mes E. Rusch 2 rJl.~~~~5 professional Surveyor 1 RUSCH 407 Second Street S-1376 Hudson, WI 54016 Hudson, tj~ r,,t CURVE DATA TABLE Curve Lot Radius Central Arc Chord Chord Tangent No. No. Angle Length Length Bearing Bearing 1 1 74.50' 35012'08" 45.77' 45.06' N6042'57"E 2 1 114.50' 35012'08" 70.35' 69.25' N6042'5711E 2 146.16' 22042'42" 57,94' 57.56' N0028' 14"E N l 1049'35"E 4 2 18u .161 35024'54" 115.07' 113.24' N6049'20"E SURVEYOR'S NOTE: It is my understanding of the ordinance that Town Board approval of this map is not required because this is a re-division of existing parcels, thereby not creating any new lots, but merely rearranging.a lot line of record. Volume 6 Page 1745 ~ II aQ P t. J a 3 STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER M -t\ \ O a ROUTE/BOX NUMBER 76-> 3 WR•yk Ste,-,. FIRE NO. CITY/STATE 5dk?rse 'r L,_) a-5 PROPERTY LOCATION: _1/4 lVe 1/4, Section, T-30 N, R-A-W, Town of St. Croix County, Subdivision A- , Lot No. . Improper use and maintenance of you 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 for a MAXIMUM of $3000 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 systems properly maintained. The property owner agrees to submit to 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 form 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 Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. SIGNED DATE s _ ~3 St. Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 (715) 796-2239 or (715) 425-8363 Sign, Date, and Return to above address APPLICATION FOR SANITARY PERMIT STC-100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the. appropriate deed recording. Owner of property 1 \is Ny 4.~e,1 171-►,1 v~ Location of property SLR= 1/4 I_C1/9, Section o? -3 , T D N-R 4 W Township 5 y ~6 4L6 Mailing address `7(3 L-, i Skovre. L4-4 ~rrr e r srt W~ ~ ~~s Address of site S4 OA-C. , Subdivision name N, Lot number c4 Previous owner of property 13AkkC.R, Total size of parcel (9 4 a C V, Date parcel was created 81-0-0 7 y Are all corners and lot lines Identifiable? es No Is this property being developed for resale (spec house)? es No Volume g/1 and Page Number %791 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the Office of the County Register of Deeds as Document No. , _ 4437SO 3 ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County Registe of Deeds, Document No. Signature of owner Signature of Co-Owner (If Applicable) Date of Signature Date of Signature DOCUNIENT No. STATE BAR OF WISCONSIN FORA 1-1982 THIS SIACS RESERVED FOR RECORDING DATA WARRANTY DEED 43".'503 eoK 81i IIu REGISTER'S OFFICE This Deed, made between ST. CRCIX CO., W1 Bruc.e__D._Penman ...and..Cher- yl..A..__Penman,............ I. Recd for {?Il husband. and.. wi.£e---- _ - u (,QQ - raptor. Q 1988 B-rittoYi aril LeaYi-~F'is'cYier-Brit;t~n, Mi`chael MAY 19 and hu_sbarld~ arid-•rvi-fe. ..as survivor-sYiip--marital pro per y of 11.00 AM - , Grantee, W1tneS et-P That the said Gr tor, f a valu le consideration...... Repl~~a of Caeds Bruce enman and ~ lle A. Penman - St -iX RETURN TO conveys to Grantee the following described real estate in • ~ro County, State of Wisconsin: Tax Parcel No:......... Part of the SEk of the NWk of Section 23, Township 30 North, Range 19 West, Town of St. Josepi,, St. Croix County, Wisconsin, described as follows: Lots 1 and 2, Certified Survey Map, recorded November 19, 1986, in Vol. 6, page 1745 as Doc. No. 419465• This deed is given to correct the previous deed between the above-mentioned parties, such deed recorded in the Office of the Register of Deeds for St. Croix County on August 25, 1987 in Vol. 789, page 196 as Document No. 429512. F'Er E This ...i_S._..-- homestead property. (is) (is not) Together with all and mgular the he edi ments an app rtenances thereunto belonging; And-..-.Bruce D. f~enman and leryl ~A. penman - - - - _ - _ . warrants that the title is good, indefeasible in fee simple and tree and clear of encumbrances except easements, restrictions and rights-of-way of record, if any. and will warrant and defend itth•+e same. - . day of - Dated this - - 0- - U.May 19.88... (SEAL) Bruce D. Penman Cheryl A. Penman ._.(SEAL) (SEALt - - - AUTHENTICATION ACKNOWLEDGMENT Signature(:t) STATE OF WISCONSIN 53. St. Croix. ' - ...County. , authenticated this day of_______________________ 19 Personal! t5 y came before me His ~ E.~..day of May 19.._..- the .hove named - - erlice D. -Penman, Cheryl -A. TITLE: NIF.)IBER STATE BAR OF WISCONSIN Penman (If not, - - authorized by $ 70h.06, Wis. Stats.) to me ,;vn to h. ti:e 1 -r4oft t ~rhrr executed thr f(ir+.-_m ~ mn trumc.tlt :1-r,) arknowlc'.i-v, Ox su~~nc. THIS riTRI1M ^1T `rJAS CR 1Fi ED RY ._itristina..._Ogland._ Lundeen ha!.ler ALicP~J Fleisc~~~''~ .attorney at Law t ro < - ant IL!u f'~umrc, R'I (Si,_,natumc may he authenticated ~r wknow1ed(_,e:1. Roth ~T'' d' Ali-jinn rr•rnu:nr",~ nor, snir,t;•'•, are not nu rs=ary.) June 11 ALiCEJ. FLE1SdHAUER,,, P q Notary Pub0c State of Wisconsin WARRANTY DEED STATI' Itkdt n}' %I~rv)1 I,: i. N-~< 1'11211 Ao. 1 - 1142 June 14, 1993 First Fed. Savings Bank of LaCrosse 201 So. Second St. Hudson, WI 54016 To Whom It May Concern: An inspection of the recently installed septic system, which serves the Michael Britton dwelling, located in the SE1/4 of the NW1/4 of Section 23, T30N-R19W, Town of St. Joseph, was conducted on June 14, 1992. This system was designed and installed for a three bedroom home. Enclosed is a copy of the inspection report should you need one. I At the time of the inspection this septic system was found to have been installed in accordance with the requirements set forth in the Wisconsin Administrative Code. i Should you have any questions, please feel free to contact this off I e. Sinc rely, /-dames K. Thompson Assistant Zoning Administrator COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800- 962- 5227 FAX-715-962-4030 9~ 93 q3 8T. CROIX ZONING REPORT NO.: 41234/01 PAGE 1 ST. CROIX COUNTY REPORT DATE: 5/17/93 COLRTHOt1SE DATE RECEIVED: 5/12/93 HUDSON, WI 54016 ATTN: THOMAS C. NELSON OWNER: Michael Britton LOCATION: 763 West Shore Drive, Somerset COLLECTOR: M. Jenkins DATE COLLECTED: 5-10-93 TIME COLLECTED: 2:45pm SOURCE OF SAMPLE: Kitchen faucet DATE ANALYZED25-12-93 TIME ANALYZED:2:00pm COLIFORM: 0 /100 mi INTEfi'PRETATION: Bacteriologically SAFE NITRATE-N: 6 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. Coliform 11acteria/100 ml p, 10 Nitrate-Nitrogen, mg/L .69 ~.\NO6VFNOfNr S LAB TECHNICIAN: Pam Gane cF 0 4s° ~ v WI Approved Lab No. 19 ~A deans "LESS THAN" Detectable Level Approved by: ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 Con RFC~FST. CROIX COUNTY, Il WISCONSIN aR 0 1993 N ZONING OFFICE f. .i• i J ST. CROIX COUNTY COURTHOUSE '•°7 1- OFD{~JOF CE 11 FOURTH STREET • HUDSON, WI 54016 9 7~ t 11 (715) 386-4680 SEPTIC INSPECTION / WATER TEST REQUEST FORM Specify desired test(s) & remit appropriate fee with application. utside water lines are often turned off during winter months, making access to the home necessary. Please make arrangements with _ this office to insure a time when entry can be gained. ❑ Water (VOC's) $185.00 1% Septic $25.00 Water (Nitrate & Bacteria) $35.00 (Visual inspection) aa~ 141;eX.el o0r/ee^ Requested by: Address: mi Address: ;b l ? L1 rsfSror e Priu e l City & State: ~o.~+~rsc~ City & St. 'Alc.otsQr►, G.~'• , F ~,/OI !o D Zip Code: Zip Code: Telephone N4: (71S) 8 Sr_ Telephone N4: ( 1S ) 3810- 9 234 ~ Property address (Fire N° & Street) • 763 N"_-l S~•~~ \ Location: SW NF N, Sec. T. 30 N, R 19 W, Town of 7bs St. Croix Co., WI. Tax ID N4 Parcel ID N, House color: "wit Realty firm: Cd;sct Lock Box Combo: Water sample tap location: Kife (eA ufa TO BE COMPLETED BY PROPERTY OWNER PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORMS Is the dwelling currently occupied? ~k Yes ❑ No If vacant, date last occupied: Septic system installed by: Year: Septic tank last serviced by: wt ~af 9V- Date: Previous Owner's Name(s) : N?f}' 64 Ce- Have any of the following been observed? ❑Y ON Slow drainage from house. ❑Y ON Sewage Back-up into dwelling. ❑Y RR Sewage discharge to ground surface, road ditch or body of water. ❑Y fi Slow drainage from the dwelling. ❑Y [~N Foul odors. Other comments relative to system operation: I certify that the above information is comp et a ue to the best of my knowledge. 3 OWNERS SIGNATURE: ATE..7'~6 4/93 Am OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION f K TO BE COMPLETED BY INSPECTION AGENCY 4100, System design &/or permit on file? ❑Yes ❑No Soil series per SCS Soil Survey: sheet # Type of soil absorption system: ❑Below grd ❑At-Grd ❑Mound Approx. size 'X ❑Gravity ❑Dose ❑Pressurized Ft.2 ❑Bed ❑Trench ❑Dry Well ❑Holding Tank ❑Outfall pipe OBSERVED DEFICIENCIES ❑Other ❑Unknown Septic tank Setbacks: ❑House ❑Well ❑Prop. line ❑Other Dose tank Setbacks: ❑House ❑Well ❑Prop. line ❑Other ❑Locking cover ❑Warning label ❑Pump/Floats ❑Alarm ❑Elec. wiring Soil Absorption System Setbacks: ❑House ❑Well'"W- ❑Prop. line ❑Other ❑Ponding yL6~ ❑Discharge: yLc3~t . General comments: Lt1a v 1, i~ A . q _ r INSPECTORS SKETCH OF SYSTEM LOCATION N Inspector Title ST. CROIX COUNTY ar WISCONSIN to a r ~ I llli_ , y~ ,ad~s. f ZONING OFFICE µ4,•.i,. f... 1 ri.~. ,~'i'~P ~ I s ST. CROIX COUNTY COURTHOUSE ` 911 FOURTH STREET 0 HUDSON, WI 54016 (715) 386-4680 May 14, 1993 Jim Dahlby Edina Realty 700 - 2nd St. Hudson, WI 54016 Dear Mr. Dahlby: An inspection of the septic system on the property of Michael Britton, located at 763 West Shore Dr., Town of St. Joseph, St. Croix County, Wisconsin was conducted on May 10, 1993. This system was identified as a failing system due to seasonal high ground water during the Diagnostic and Feasibility Study done for Bass lake in August, 1992. At the time of the inspection as water sample was obtained for testing. The results of that testing will be sent to you as soon as we receive them back from the laboratory. Should you have any questions regarding this matter, please feel free to contact this office. Sincerely, - j, Mary J. Jenkins Assistant Zoning Administrator cj 1 ' l MOMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 FAX - 715 - 962 - 4030 ST. CROIX ZONING REPORT NO*** 40952/01 PAGE 1 ST. CROIX COUNTY REPORT DATE. 5/10/93 COURTHOUSE DATE RECEIVERS 5/06/93 HUDSON, WI 54016 ATTNS THOMAS C. NELSON OWNERS Gary Nippolot Sr. LOCATIONS 960 Daily Rd, Hudson COLLECTORS M. Jenkins DATE COLLECTODS 5-05-93 TIME COLLECTEDS 11S00am SOURCE OF SAMPLES Outside faucet DATE ANALYZEDS5-06-93 TIME ANALYZEDS2S00pm COLIFORMIS 0 /100 ml INTERPRETATION: Bacteriologically SAFE NITRATE--NS 8 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. Coliform Bacteria/100 ml 12 Nitrate-Nitrogen, mg/L CPJ Rip 11AY 1 3 1393 S7 CROIA COUNTY ZONINGOff1CE LAB TECHNICIANS Pam Gane /9 yOF.\NOECEppEHl. t, WI Approved Lab No. 19 Q Means "LESS THAN" Detectable Level. Approved byt PROFESSIONAL LABORATORY SERVICES SINCE 1952 5 010~2 Rf ST. CROIX COUNTY CE,VED WISCONSIN AY D 4 1993+ ZONING OFFICE =ryyfa S) CR01'k ST. CROIX COUNTY COURTHOUSE zohtt 0~CE ,mow 11 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 9 V.- SEPTIC INSPECTION / WATER TEST REQUEST FORM 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 a time when entry can be gained. ❑ Water (VOC's) $185.00 ❑ Septic $25.00 ❑ Water (Nitrate & Bacteria) $35.00 (Visual inspection) Owner: CAR Y N (,PP 4-,0 i .5- 1,4 Requested by: G,4a 1/ tii /~~°u<qT-SQ, Address: 9(0 11li- V ( Address: 96" ~0/ z_ V Q,5;1 City & State: Hv 0,S a r✓ , cc. o City & St. 1,14, 0 S a W 4--/ , Zip Code: gVo /4 Zip Code: S- yo lp Telephone N°: (21y) 3j?G- 9of(, Telephone N°: (2/,E) 32G -.9 uA, 56111 oi/E t1omrz /h 091V1,-c ~ Property address (Fire N2 & Street) : 9 © 0 A L V F Location: S£ , , A/C , , Sec. 0 , T zc_N, R__LI_W, Town of NU AS oA-11 St. Croix Co., WI. Tax ID N4o2oto9/3c Parcel ID N2 19,,29 CC0te3w£1-(. ~ggVr,'fr, House color: '40 Realty firm: tss~.r°:`E are"rs'Lock Box Combo: Water sample tap location: our s iflc Is-Av mat't' TO BE COMPLETED BY PROPERTY OWNER *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORMS Is the dwelling currently occupied? W'Yes ❑ No If vacant, date last occupied: ~y Septic system installed by: Year. Septic tank last serviced by: 10)1010 SA"I inrf °,v Date: / 99 Z. Previous Owner's Name(s): Have any of the following been observed? ❑Y RN Slow drainage from house. ❑Y BN Sewage Back-up into dwelling. ❑Y ON Sewage discharge to ground surface, road ditch or body of water. ❑Y M Slow drainage from the dwelling. ❑Y PN Foul odors. Other comments relative to system operation: I certify that the above information is complete and true to the best of my knowledge. pp ~~/o/rj OWNERS SIGNATURE: 7~5.. DATE: ' I OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION t IN TO BE COMPLETED BY INSPECTION AGENCY System design &/or permit on file? ❑Yes ❑No soil series per SCS Soil Survey: sheet # Type of soil absorption system: ❑Below grd ❑At-Grd ❑Mound Approx. size 'X ❑Gravity ❑Dose ❑Pressurized Ft.2 ❑Bed ❑Trench ❑Dry Well ❑Holding Tank ❑Outfall pipe OBSERVED DEFICIENCIES ❑Other ❑Unknown Septic tank Setbacks: ❑House a ❑Well),S-b ❑Prop. line"❑Other Dose tank Setbacks: ❑Hous ❑Well ❑Prop. line ❑Other ❑Locking cov ❑Warning label ❑Pump/Floats ❑Alarm Elec. wiring Soil Absor tion S stem Setbacks: Mouse f'50 ❑Wellt 7,5 ❑Prop. line []Other ❑Ponding: /Yt -Y\,# __A []Discharge: ;i~vj General comments: INSPECTORS SKETCH OF SYSTEM LOCATION N Inspector Title_ G`b r1 ` ST. CROIX COUNTY k WISCONSIN r t ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET 0 HUDSON, WI 54016 - (715) 386-4680 May 6, 1993 Gary Nippoldt Sr. 960 Daily Rd. Hudson, WI 54016 Dear Mr. Nippoldt: An inspection of the septic system on the property of Gary Nippoldt Sr., located at 960 Daily Rd., Hudson, WI was conducted on May 5, 1993. At the same time a water sample was obtained for testing. The results of that testing will be sent to you as soon as we receive them back from the laboratory. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. Should you have any questions, please contact his office. Si cerely, ~ Mary J. Jenkins Assistant Zoning Administrator cj NOTE: Vent cover should be replaced on vent pipe. VAseonsA 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 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 I-fichael Britton GOVT. LOT SE 1/ I* 1/4,S23 T30 N,R 19 1(or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 763 West Shore Pr. n/a n/a n/a CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE )E&4WN NEAREST ROAD Somerset, WI. 54025 (715 549-6886 St. Joseph W. Shore Pr. [ ] New Construction Use ;x] Residential / Number of bedrooms 3 [ ] Addition to existing building L,ckReplacement ( ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .5 bed, gpd/ft2 .6 trench, gpd/ft2 Absorption area required 900 bed, ft2 750 trench, ft2 Maximum design loading rate • 5 bed, gpd/ft2 .6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 96.40 ft (as referred to site plan benchmark) Additional design / site considerations n/a Parent material stream terrace 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 iaS ❑ U fR S ❑ U as ❑ U {aS ❑ U ❑ S ❑ S 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 Trerrh :f'...1.... 1 0-11 10 r3 3 nonp sl. 2/m/gr mvfr gr/w 2, f .5 .6 2 11-43 10yr4/6 none fls 0/sg rill g/w 1/f .5 .6 Ground 3 43-84 10yr4/4 none S. 0/sg ml n/a na/ .7 .8 elev. 100,_, /LQ ft. Depth to limiting factor >8 1, Remarks: Boring # 1 0-4 10yr3/2 none sl. 2/m/gr myfr gZw 21m -5 -6 2 2 4-2.2 10yr4/4 none ST, 2.,/m/shk mfr g/w 1/f .5 .6 3 22-43 10yr4/6 none .fls. 0/sg mvfr g/w 1/f .5 .6 Ground elev. 4 43-84 10yr4/4 none f.S. 0/sg m-- na/ n/a .5 .6 AUM~ 100.30t. o Depth to limiting AV factor FF ~i V~ >8411 Remarks: 4e: V %t~ CS T Name:-Please Print (aar.y L. Steel175-246-6200 Address: 1554 00th.. Ave,,, T w Richmond 0~ Signature: 4 Date: CST Number: -5-93 2298 t PROPERTYOWNER Michael Britton SOIL DESCRIPTION REPORT Page 2-e of PARCELLD.# Boundary Roots GPD/ft Depth Dominant Color Mottles Texture Structure Consistence Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-11 10yr4/3 none s)_. 1/f_/gr mvfr g/w 1/m .5 .6 11-44 10yr4/4 none f1s. (?/sa mvf_r g/w 1./f .5 .6 Ground 3 144-80 10yr4/4 none S. 0/s¢ ml na/ /a .7 .8 elev. 99.40 _ ft. Depth to limiting factor >£t Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # i Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) s i x L STEEL'S SOIL SERVICE 1554 2PAtl=t. Gary L. Steel C.S.T. 2298 Michael Britton New Richmond, WI 54017 MPRSW-3254 SE--', NE% S23-T30N-R1QW (715) 246-6200 town of St. Joseph 1 ~ ~b m e~n4l on ~-c6 Orr iva ~ i n 1 tip` Y /00" Y-yt 1 1 ~ i / Parcel 030-1057-90-000 03/23/2005 09:05 AM PAGE 1 OF 2 Alt. Parcel 23.30.19.202B 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * LAWSON, RITA M RITA M LAWSON 1917 CTY RD I SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 763 W SHORE DR SC 5432 SCH D OF SOMERSET SP 8040 BASS LAKE REHAB DIST SP 1700 WITC Legal Description: Acres: 2.667 Plat: N/A-NOT AVAILABLE SEC 23 T30N R19W PT SE NW COM W 1/4 COR Block/Condo Bldg: SEC 23, TH N 0 DEG W 678.17' ALONG W LN OF SW 1/4 OF SAID SEC 23; TH N 89 DEG E Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 2387.79' TO POB; TH N 33 DEG E 278.05' 23-30N-19W TO A EXISTING 1" IRON PIPE; TH N 10 DEG W 287.98' TO AN EXISTING 1" PIPE; TH S more... Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1021/16 QC 07/23/1997 841/413 07/23/1997 811/176 07/23/1997 789/196 2004 SUMMARY Bill M Fair Market Value: Assessed with: 5218 395,500 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.667 214,800 174,300 389,100 NO Totals for 2004: General Property 2.667 214,800 174,300 389,100 Woodland 0.000 0 0 Totals for 2003: General Property 2.667 147,600 136,400 284,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount 040-OTHER ASSM'T SPECIAL ASSESSMENT 609.75 Special Assessments Special Charges Delinquent Charges Total 609.75 0.00 0.00 03/23/2005 09:05 AM Parcel 030-1057-90-000 PAGE 2 OF 2 Legal Description: cont. 84 DEG E 183.46' TO THE MEANDER LINE OF BASS LAKE; TH S 25 DEG E 180.47' ALONG SAID MEANDER LINE; TH S 14 DEG W 410.29' CONTINUING ALONG SAID MEANDER LINE; TH N 76 DEG W 268.23' TO POB 2.667AC ~ r~\ tYf1 V CERTIFIED SURVEY MAP Located in Part of the S:E 1/4 of theXW 1/4 of Section 23, T30N, R19W, 'down ` of St. Joseph, St. Croix County, Wisconsin Surveyed for: Bruce Penman @ 2 Pine Tree Ridge Rt. 2 UNPiATT~p t ~SSomerset, Wi. S 42.0 Cn 48.92 42.. ' o5.00 t a c QV U~ I ry (U d No ~ w ld r 2 20' 1 Lot 1 o to M y 3 a~ -b ko NI s ~ a R1 0 2 e mad o+ ° ` S7$O25r52n 41 OquE 65;86x E tZ P » JI t0 ' Z ?\2 -r6. I v Of ' 40.23 N? 20 9$ GAR I (0 W, q4 LEGEND q.2FZ t i J 4 JI in i S70o3110.9 E Section Corner Monument Zi 3 I I 38,181 Berntsen Cap Z; 1" iron pipe found M 1 9 0 1"x24" round iron pipe weighing ! I 1.68 Per foot set 5 J ~U O O NW Corner Nl Section 23 ~ tV ti 0O O ~ I Q k 3 °R/G/NqtLlot IN 2 O U Dl I I E DIVIDING N lij W 1 /4 Corner /5Y V, -ill Section 23 04 ~Q IF T30N, R 19W IA, 0y a 1 Ile 0 00 / N890271 17"E r a N 32.64r 40.78 r/2 ~ ;I Cl) i. O 387 • 791 POINT OF 1= 'I 7 p ! BEGINNING N 6 188 i ~.'1Qn 83 ~ it , 1 I Z \ 26e 2 r 6.00 UNPLATTEp LAKQ$~ 3 ` I -j6 Lot 1 Area I' Lot 2 Area M ' 33,349 Sq. Ft.) including roadway 82 , 820 Sq. Ft.) including a 0,766 acres ) 1.901 acres ) roadway SW Corner Z5,897 S Ft excluding 68,709 SF Section 23 q. ) q. t.► )excluding 0.595 acres ) roadway 1.5Z7 acres ) roadway e25 E (I" = 80' 0' 20' 40' 80' 160' Volume 6 PaZ;.e 17115 486-1052