Loading...
HomeMy WebLinkAbout032-1082-10-130 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER az9~'l/ttff~ ADDRESS ~ A,, a~*4 Avy, / O"'v~ 4~ SUBDIVISION / CSM# LOT $ SECTION _TN-R-1-19-W, Town of ST. CROIX COUNTY, WISCONSIN No PLAN VIEW 33 SHOW EVERYTHING WITHIN 100 FEET 0 SYSTEM Hous,? :~O segue " o' l INDICATE FORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover- BENCHMARK: ALTERNATE BM: ~~a cc~~c1~~l~ hYc~T ^ SEPTIC TANK / PUMP CHAMBER / HOLDING-TANK INFORMATION Manufacturer: Liquid Capacity: -Z:~2z~ Setback from: Well AIZ House / Other Pump: Manufacturer Model# Size Float seperation Gallons/.cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length Number of trenches Distance & Direction to nearest prop. line:, Setback from: well: House Other 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: ~1 PLUMBER ON JOB: 1 LICENSE NUMBER: j° INSPECTOR: 3/93:jt LQQA% i0pertAP Fit `y. 28.31.19 1V E ~EWaC~ SY~TEM AVE. LO County: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division ST- CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: 1 999-93n Permit Holder's Name: ❑ City ❑ Village `X Town of: State Plan ID No.: MS ~T PRE I ev. 7Insp. BM Elev.: BM Description- Parcel Tax No.: ~i~ _ TANK INFORMATION ELEVATION DATA A9300355 /O TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Lv s Benchmark 3 lid Dosin l 14~, pj Aeration Bldg. Sewer Holding St/ Inlet S' y7 TANK SETBACK INFORMATION St/ t Outlet 3S' TANK TO P/ L WELL BLDG. Airl to ntake ROAD Dt Inlet rl Septic >JGt~J~ cO NA Dt Bottom Dosing NA Headeriddsn. 97 0/ ~ Aeration NA Dist. Pipe 1-7 d? 911,, PO Holding- Bot. System (S' 9' , ~7 PUMP/ SIPHON INFORMATION Final Grade Manufactur Demand' Model Number GPM TDH Lift I Friction S TDH Loss Forcemain Length la. Dist. To Well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenches PI No. Of Pits Inside Dia. Liquid Depth _2 ss DIMENSION DIMENSION , LEAC Ma cturer: SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM INFORMATION TypeO o CHAMB Mode er. System: IT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) e x Hole Size x Hole Spacing Vent To Air Intake Length __a~ Dia. Length S Dia. Spacing _,L SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: SOMERSET 28.31.19.394A-10, SW, SW,192TIAVE~,LLOT 2 d f ~T. _ L~ ~ /"yl, Plan revision required. ❑ Yes L No Use other side for additional information. SBD-6710 (R 05/91) Inspector's Signature Cert . No. ADDITIONAL COMMENTS AND SKETCH d SANITARY PERMIT NUMBER: DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY ~ ~.we.awv,.~w.sr STATE 4AI ERM -At tach complete plans (to the county copy only) for the system, on paper not less than ❑ / 8% x 11 inches in size. tn( to p evious application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROP OWNER PROPERTY LOCATION AS~j '/4, S , N, R E ory PRO ERTY OWNER'S AILI G ADDRESS LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME CSM NUMBER 11. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD ❑ State Owned 0 VILLAGE : .,tJp ❑ Public 0 1 or 2 Fam. Dwelling-# of bedrooms A N E 1111. BUILDING USE: (If building type is public, check all that apply) 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. [Z New 2.E] 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.) PROPOS (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 7 Feet 707,_-;?S-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 Holdin Tank Lift Pump Tank/Si hon Chamber F-1 F1 n El I Li Vlll. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installatio of the onsite sewage system shown on the attached plans. Plumber' am Print): Plumber' Sig tur (No Sta MP/MPRSW No.: Business Phone Number: Plu e ' ddre Street, City, State, Zip Code a IX. UN /DEPAR MENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date issued Issuing A nt Si No S ps) Q' Approved El Owner Given initial 1~ urcharge Fee) d / 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 S Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of rem, wal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revision-3 to this permit must be approved by the permit issuing authority. 4. Changes in owners:hip or plumber requires a Sanitary Permit Transfer/Penewai Form (:~Rn. 6395') to be submitted to !he t,o;lnty prior to installation. 5. Onsite sewo9e sys"t-ns roust be properly rr:aintained. The 't'ile tani<(s) must be pz;rr iy a licensed pumper whot:ever {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 sy.:tem 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 applj. 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 or . very new and/or exi=sti-g'tank, Dist the total t,allot cz, number of tanks and manufacturer's name. indicate pr0ab or site con=tra `;~d ano :.ank material. Go r rtJete for all septic, purnp/3iphon and holding tanks for thi6 system. Check rsxraErimee I ,~oproval only :f 'ranks -eceived experimental product approval from Dil t-i "t VIII. Responsibiiity statement. Installing plurrber ,s to fill in name ;r -t.nse nt.!nbe with as;prop,is-pie prefix (e.g. MP, etc.), address and phone number. Plumber must sign apr,';u tion form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and ' pecifications not smaller than 8% x 11 i~:. t fys must be submitted is thf, county. The plans must iti ludla t ~ roi owing: i~) pl, "tan, drawn to scale c>r xvith compl(:~':- ciceticn ofhOldlnC7 tint- t'p 3 is + ) or ather Ireatrn+3-it tanks; I )~5.:~N6r5 1J~?l`S; vd :tE'~ (?1?i! S' "s^ter service; streams and lakes; pun 1p or siphon tank-; distribuiwn boxes, _hsor,?tio,- sv~oovr , P?~+a,:e,-meat system areas; and th(, locatien of f1se building horizontal i,ical elE'va,i , Af° f?. e pc nts; C) complete specifications for pumps and (;ontrols; dose voiurr elevation d,tfere iz.e: it i air: n loss; pump performance t;urve; 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 surehames (fey„s) for a number of regulated practicez- which can effect groundwater. The monies collected through these surcharges are used for r; en;torin `4ro 'rsdwater, a ' .ar~cl water contamination investigations and establishment of standards. SBD-6398 (R.11/88) ~ ~z~ Sow>~=,~.~f 1 - ~ f sy' • flesh. MI Wets MM 9661gve"44 pipe n•~....+A~•.11 Via/ CN f. MMI•wio gsADevO i, . • Islet• , • t , • • . • = Abra 1 Coal •1 1144 1• III1N'ON•• YWd ►If• }i ' INr 0/ f.•IMIk co""' • t ' OvW Pit# 01•N11.11~, • , • ' ~ i• ~/1111.1• ~•M•1• Pli• • ►•/IW•1•• Py YN•v • C•y11• f i W wl•HMt AI i•11•w 01 if•1•w i01L F1LL' - ®OSTKIDU'T .1 1 • APPRO'IEG S'IgpiETIC COVE 2" 0f: Af, GQEGAIrt - /'1ATERI~1. OR V OF STRAM OR MARsi. ►'.&I ELEV. OF4L5. HIT, , •~b~ O~~; =8-1114010GRCCATL 'P OISTIIIbuylow Piet,TV be AT 4ChiiT IWCHCS SCLOW ORWIWAI, •:.iAOE AUU AT. I•ChSTLOIWC.KLZ OUT 1.10 IAOKC THAW yZ IWCKCS OCLOW FINAL. GItl10C MV•UA QEPT.H•0F E%CAVATIOP FROM oWWA.L'6RA ~ / WIL(- DE IuCHCS YNKIr' vm ©EFTII OF E CAVATION N O^ 0~141WAL GRAPE WILL. SC - i INCHE S $IGWCQ3i ~ ~i S•. IIC' CWSC LIUIADCII: oqT[: -~/-/7- , INDUSTRY, w ~,~Y ~JIZ M ~/1 r vVIL II.rVf~lltl~.7v HIr V - "yv DIVISION HUMAN RELATIONS tABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 76 HUMAN N WI 3707 (H63.09(1) & Chapter 145.045) LOCATION: S : MUNICI ALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: S '/Z V14 N R E I, LV / / l vfier e 000~T NER'S U 'S A : A IN SS: r ro 02 a USE DATES OBSERVATIONS MADE N0. BED CO M IPTION 5RResidence N ew ❑Replace 3 l~ /a 9 RATING: Sm Site suitable for system U. Site unsuitable for system O ~ S6,11113 CONVENTI AL: MOUND: IN-GnJ N S IN•FILLHOLDING TANK: RECD NDED SYSTEM: (optional) ®S ❑U (S DU S DUDS DU OS ®U NAu ,46n Narr0Wbej0r• frek4 'xS• X/DO' If Percolation Tests are NOT required DESIGN RATE: under s,H63 If any portion of the tested area is in the _ .09(5)(b), indicate: I Floodplain, indicate Floodplain elevation: - PROFILE DESCRIPTIONS BORING TOTAL P H T R UNDWATER-INCHES CHARACTER F SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION gSERV D TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK,) B- boo , a5' ,oo „I,DO s' a. SoB~~ le~ f 5~3,~4 $n Bose S B- a , 00 4 h.a . 0o81 % a od k, e- 6 s yae6 S B- 3 0 L5"~o vo n s;1 1,044x s'e SV B- ~l 7, vo S~o ~o g1s 1 s/0 ~n &A S ~r~, ~,ooBn Ajose B- 7. v U 1'~7, C►D , • o ' 50 m e~ s i 3.r~o~Bn ~.oa s e S B- PERCOLATION TESTS TEST DEPTH WATE_RI N HOLE TEST TIME DROP I WATER LEVEL-INCHES RAT MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. , PER INCH P• ~ rf I a ' a ~d t i P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surf ' of land P ace elevation at all borings and the direction and percent slope. !I SYSTEM ELEVATION o Ist X- - 8-1 o.o s -a 4 H. Ptrrre~yiuu-t ~ , e- if1 n sp, ~i_~ .z`~ 3 . Par , ~u~__I ~1Q ~cr_~_._pcrceI.- ' i4~ sor 1 tes a ~se~`~~1 I, the undersigned, hereby certify that the soil tests reporte on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME lpri TESTS WERE COMPLETED O ADOR S• ~n I CERTIFICATION MB PH NE NUMBERI tionaq: G I~~E ~J oaf has- s CST SIG E: 1~ DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR•SBD-6395 IR. 02182) - rtkraa '`is instru_enc drafted by Fran 8leskacek Proj. No. 39710-190 UnP1atted Lands Bearings are referenced to tie Nest line of thl SWi :f Sc:...- 28, assu.ed to bear 'ICC°1C'35n 7 7 \ 0 O H z r, v, 2C Co ® ' :N O O r I•+ ' , ~ 7 7 `J N I , A A- C:) 1d N N I e•► O O O N a t t/1 t7 w I ~ N C/f m l ~ r9 A N T APPLE RIVER LA_~E o 0 '---N00010'3511W 1332.36' e H000 10'35"W Co 'All V' V 1298.581 to road a i 1332.36' ;C r" C, right-of-way West line of the SWi of Section 28 , II CD 0 t1' 0 ~ o° 3 N n r o w e o rn~ ~ w (D W N N N o 01 tr 01 V C13 - (n CT7 (D Co Lo Co m .4, O A n r r N N o m rrr AC' Q+ -3 Cn CA C) 0 W 1 N d C o~ c N r I T I N • q N q, _ x'11 `.J 1 r'► G''~ '*1 7 •r1 7 m m.; er U3 to IV rr rt'D CC) °v i d i i (D ~i Cm Co 0 0 ~0 N Cr :E: rn r z z z O e~C'M Co O k Lo -3 cn 4i i O (D m r c w w I M 0 Cn :T7 o c p w= 1- O N to --I = Cu Cm `m N00016'15"W 666.25' _ mc i rr 0 Z o 1 r ,'G rt &r T 3Ti .861-ca CA s 1 r- O 0 m N en es ~ ~ ~ M C7 o o ~i ct i s N N l t C/1) C) %0 0' C o~ 0 (D :C7 O -c ' (A 0 cn m to p. ~M. :3 Ar "3 W -1 un CD V" 7 f h 'C7 N n o x a r r v~+ W s n m O w w = a t~ H d c~ w a a Co v ti W 0 rt 7 -n 0 1...1 - Z rt o N w ttj rt to rt o o to a o to Z ao 0 0 .r o ac x Co Co Os O O 7 10 C N o a n -n c Co o -0 ® Q. 626.591 39.73'-1 0 r L N000161154 666.32' • a~ 'M East line of the SWi of the SWi n' dt. of Section 28 rr 0 f Unplatted Lands rn SEPTIC TANK MAINTENANCE AGREE11ENT w St. Croix County OWNER/BUYER r? 5~P p ZZa r~ ROUTE /;'BOX NUMBER Fire dumber ~ CITY/STATE ~~r~~~P Ct1 ZIP rT r~ PROPERTY LOCATION:'.y"ySection TZ:LN, R _ZfW, Town of St. Croix County, Subdivision Lot numberZ , Improper use and maintenance of your septic system could result in its premature £ailure.to handle wastes.- Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a 1'ic~en's'ed' 's'ept'ip,..tank Pum er.. What you put into the system can affect thi .unction oo• the 's~ep.tic tank as a treat- ment stage in the waste disposal system. St. Croix County residents-mai'be eligible to recieve a grant for a maximum of 60% of the coat.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 's' sy t'ems agree to keep their system properly maintained. The property owner agrees to. submit to St.. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or..a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating ( ) after inspection and pumping (if nec- essary), th condition and 2 sludge and scum. 1/3 full of the septic-.tank is less than Certification form will be sent approximately 30 days prior to three year'expiration. H I/WE, the undersigned have read the above requirements and agree 0 to maintain the private sewage disposal system in accordance with the standards set forth, herein, as..set by the Wisconsin Depart- : ment of Natural Resources. Certification form must be completed CJ and returned to the St. Croix County Zoning Office within 30 days of the three year expiration.date. SIGNED DATE St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. w APPLICATION FOR SANITARY PERMIT STC-100 This application form Is to be complatod in full and signed by the owner(s) of the property being developed. Any Inadequacies will only result in delays of the pzrralt issuance. -Should this development be intended for resale by owner/contractoc,(spec houcall then a second form should be retained and completed when the property Is sold and submitted to this office with the appropriate deed recording. 0mat of property Locatlon of property ;j2~_1/4_,-,1/4, Section T-R-~,-V TovnshIp ~a t,-5e Malllnq address Address of site r- - subdivision name /U6 ~ c Lot number Previous ovnet of property C'`/ 4 r 5~ 54 `ti' Total 5120 of parcel /V Data Parcel was created Are all cotners and lot lines Ident1flable?_Yes No Is this property being developed for resale Cspee house)? as X'_ No Volume P 015__ and Page Numbar eS y _•as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION TIM FOLLOV.ING: A WARRANTY DItD which Includes a DOCUMINT I MBIR, VOLUME AND PAGI NUMBIR, and the SEAL OF THE RIOISTER OF DEEDS. In addition, a certlfled survey, it 8vallable, would be helpful so as to avoid delays of the reviewing process. It the deed description references to a Certltled Survey Map, the Certified Survey Map shall also be required. ---------------------------------------------------------7--------------------- PROPERTY OWNER CERTIFICATION I(Ve) cartlfy that all statements on this form are true to the best of my (our) knovledgel that I (we) am (ate) the owner(s) of the property described In this Information form, by virtue of a warranty d ad recorded In the office of the County Register of Deeds as Document Ho. ) and that I (We) presently own the proposed alto for the sewage dlspos 1 system (or I (we) have obtained an easement, to run with the above described property, for the construction of sold system, and the same has beend I recorded In the Office of the Y' Re star of Deeds, as Document No. 9 sl acute o, 0 8lgnaturs of Co-owner (If Applicable) ZA ~3 Data of signature Date of Signature • it I f r POCUMENT NO. I~ WARRANTY DEED iI *N !S SVAIA RESERVED FOR RUCs RnINQ DATA 464039 Ii STATE BAR OF WISCONSIN FORK '1-1B82I, iI cj _ 1► vsta~~~~~ REGISTER'S OFFICE i. ST. CROIX CO., WIC Gerald W. Cermain and Susan L. Germain, for Record _ Red husband and wife, individually and. each.... . ! J~fl it in the.i.r.-own •-right. 11 of ' 11:00 AM conveys and %%atrranta to ..Ri.chard j%. . Hartmon anCZ.. Michele M. .Hartmon,. husband.. and .wi.te,.as.......... i R"IsWofDft& marital..aurviwrship pzoDerty....... j I! - II RETVtIY TO Hugh H. twin ;I P.O. Box 106 . Hudson, WI 54016 •I the foll.Iwing described real estate in ...s.t•....CrOiX........ Counq, - - p State of Wiseonsin: _ ?niAbD Tax Parcel NQ :.Q 4 .Q L "..t nod p3Z- [eE`I-fry Part of SWI~ of SW; of Section 28 and Part of SE4 of SEh of Section 29, Township 31 North, Range 19 West, St. Croix County, i• Wisconsin described as follows: Lot 2 of a Certified Survey Map filed March 22, 1990 in Vol. 8 at Page 2193, as Document No. 456847. TRAM. ~'3~~ ►'p 1S•-not homestead property. (is) (is not) Exception to warranties: Norte Hated 'his . .........9th November day of 90 (SEAL) ~GtCI'c SF:1L) • ...G rald- W Ger. airs _ _--.(SEAL) X,,r7 r-~ L7rLQ( - (SEAT.) • • - -Susan L. Germain AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ss. N/..A.-•-•--•--- St. Croix --•-•-....-.......county. authenticated this ........day of 19...... Personally came before me this ...9t)?._..-day of Noyembe.r.._____.__- . t9.9Q_`"' jAh named . , Gerald..W ..erma.in,: ' . L Germain, husb?t: A. TITLE: 51E51BER STATE BAR OF WISCONSIN _ (If not . authorized by § 706.06, Wis. Stats.) to me kn to h h ers $ / :,Zhe forego) nstru Cn d • nowle a the same. T141S INSTRUMENT WAS DRAFTED BY Hug.h . H......Gain., C-win...Law Firm - - o Hu H. Rain 430 Second St. Hudson WI 54016 - r - NotavV puhlic St. CrOiX Coulify, Wis. (S4,natures may be authenticated or acknowled;zed. Both 31~- t'nnimis.;inn is perm:t-1CT!t.(1f net, state expiration are not necessary.) late: . *Names of persons •innina is any capacity ahm.dd be type! t,r Darr,.) 1.0- th• it .ivrht:-r-- y~►,~.~ ST. CROIX COUNTY WISCONSIN ZONING OFFICE M I N N ■ ■ time` ST.-CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road ,,,r..a~ ► _ Hudson, WI 54016-7710 (715) 386-4680 COPY. December 20, 1993 Richard & Michelle Hartmon P.O. 326 Somerset, WI 54025 Dear Mr. & Mrs. Hartmon: An inspection of the septic system for the Richard Hartmon property in Vol. 8 at page 2193, Lot 2, located in the SW, of the SW; of Section 28, T31N-R19W, Town of Somerset, was conducted on December 10, 1993. At the time of the inspection this septic system was found to be code compliant for a three bedroom home. Should you have any questions, please feel free to contact this office. • ridbrely;~ _James Thompson Assistant Zoning Administrator js it