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HomeMy WebLinkAbout042-1007-40-000 o C, 'e, 0 p °v~ O v> o a r y N N I' « CL 0) ry O a (D (D N ° np°a c ~ rn ti at c E x ° ci v iv co o d E> ~ I ~ I 2 .2 to 0_ L 2 0 CCU I 3 'c m ~ " cw=' °y' m a i w m a CL -o N C U CO d O O U v Z 2 oto m Z 0 -6 m ES"OO m m E LL CO -p y e- C LL O ?i y a ono c C D o~ . (D E ¢ v M co C N E I ~ E I o z ° v z € d (D 4) HU W i 0. am v I o z c V ° 2 N m z c ° 4) 1 CD E E _ I N ~ I d II fN/1 N O 0 0 O d N L 1 :3 C t U N O w o C y Oy O Q Q 0 'IT O Z m z 2 Z z z o Ali O C N v m M M I C c z w m a i 3 CL m a ai o a 0 m U N o G a 0 0 0 a m O O O d z •N 4) Naas a Q I ~ 1 M M 7 C U) L O W (D O O O N N 00 N O° 00 U O _ Q E _N N a) CD O _ Q 7 CL 0) ca 4) co ¢rsn 5) W I~~ m ¢0)in o L H y co to v7 O y C v w y C v o°> c0 LO L ° Q 3 d c° CD c H u a rn 00 0 0 G n0 00 ~ g c m y t (n m 0 O = C C C a H c_ a°i o o rn ° (D N v Z U ~N> y z 00 ~ N N >O O co to O W M E N 0Oj O CA E E U 4i E :E E r , V d € a m a r EL m L: 0. u 0. o V c c° c «d ~1 A Ua2 1iOw 5 oaic°~ r s Parcel 042-1007-40-000 10/17/2012 10:56 AM PAGE 1 OF 1 Alt. Parcel M 04.29.18.52A 042 - TOWN OF WARREN Current ❑ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - BOHLKEN, DA ID & PAMELA DAVID & PAMELA BOHLKEN 1185 118TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1185 118TH AVE SC 2422 SCH D ST CROIX CENTRAL SP 1700 WITC l s- - Z y Legal Description: Acres: 11.550 Plat: 0743-CSM 03-0743 042-78 SEC 4 T29N R18W IN SE NE LOT 1 CSM VOL Block/Condo Bldg: LOT 01 3-743 ORD EXC PT TO PARCEL DESC 948/333 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 04-29N-18W SE NE Notes: Parcel History: Date Doc # Vol/Page Type 0/02/ 861547 WD Gar, A5533368 -7 1138/347 WD 05/01/1992 482775 94 33 QC 07/23/1991 4tl 1b8 U0 3 WD 2012 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/07/2012 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 11.550 86,000 142,300 228,300 NO 10 Totals for 2012: General Property 11.550 86,000 142,300 228,300 Woodland 0.000 0 0 Totals for 2011: General Property 11.550 90,300 142,300 232,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 523 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 STC - 104 AS BUILT SANITARY SYSTEM REPORT rf OWNER ADDRES J/0 SUBDIVISION / CSM# LOT SECTION. T N-R_f { W, Town of J ~ 5 2q ST. CROIX COUN Y,2WI ONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM o %SIC a ~ ~ i^u NONE' ~'~'d INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. 6 -!QV /lc BENCHMARK: ~ ~ c? „ d L? J ALTERNATE BM: -a G SEPTIC TANK / PUMP CHAMBER / HOLDING..TANK INFORMATION ~lr Manufacturer: , Liquid Capacity: / Q Q PU -m d e-e t Pr ~P7 cJ Setback from: Well y♦ House 3~< < Other c Pump: Manufacturer Model V- Size Float seperation 7i S A,ri44allons/cycle: Alarm Location ,c.~n e/ /Lr3^8 ~,c d~;SOIL ABSORPTION SYSTEM Width: 3 Length Number of trenches r Distance & Direction to nearest prop. line:_ Setback from: well: House /Other C%,,eA ~ .4f ELEVATIONS Building Sewer ST Inlet; ST outlet PC inlet 9 1. PC bottom 9?Vi /7 Pump Off Header/Manifold /L Bottom of system Ing Existing Grade Final grade DATE OF INSTALLATION: , Z - 3 PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt Lo Ad&T(MoarNA ius#*29.18.52APRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT Safety andoBuildings Division (ATTACH TO PERMIT) sanitar rmit GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State PI EI I p. BM Descriptio rcel '16j, , T _7_~ A~Z /K~ - - Tax No.: -s 19 4 2-9 A 07 TANK INFORMATION ELEVATION DATA A9300238 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark i, Dosing Aeratio Bldg. Sewer Holding /,19 Inlet TANK SETBACK INFORMATION St/ Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet 7 Air Intake NA Dt Bottom Septi > ti 3U 47 Dosing >1, z >/d NA fir/Man. 0/, loS Aeration NA Dist. Pipe /v/, Holding Bot. System, PUMP S"iObWNFORMATION Final Grade Manufacturer P /o eA nZI Model Number 'n TDH Lift Lriction Systems - TDH Ft Forcemain Length,-)& ~ Di a. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length / No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMEN I N L Manufacturer, SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM INFORMATION TypeO r,/c- , i CHAMBER o e u System: 1` OR UNIT DISTRIBUTION SYSTEM Manifold Distribution Pipe(s)/ x Hole Size v x Hole Spacing Vent To Air jtake Length Dia. Length -9!J Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over /i Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed/Tlpwh Center Bed/Tvpw*Edges a ~g Topsoil to [41ies E] No es ❑ No 11 COMMENTS: (Include code discrepancies, persons present, etc.) Id/,G7 LOCATION: WARREN 4.,29.18.52A r~ Y Plan revision required? ❑ Yes q other side for additional information. 8 T Use 7 93 5~"' SBD-6710 (R 05/91) Date Inspector's Signatur Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: 0 e~ w , DIL R SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY ,.e, STATE SANI Fjy P , -Attach complete plans (to the county copy only) for the system, on paper not less than ` 8% x 11 inches in size. ❑ Chet k i revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OW ER PROPERTY LOCATION /11 ~1/4 t/4, S T 70, N, R E (or) W t)a Ij-= - 4 /8 PROPERTY O NER'S MAILING APPRESS LOT # BLOCK # CI ST TE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER Errs Gu Ymy~,aiy8 0 A9 II. TYPE OF BUILDING: (Check one) CITY NEAR EST ROA ❑ State Owned O LAGE ❑ Public LJ 1 or 2 Fam. Dwelling--# of bedrooms ~ PARCEL TAX MB R( ) III. BUILDING USE: (If building type is public, check all that apply) -/0-0-7 qO 1 ❑ Apt/Condo 20 Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 90 Office/Factory 1130 Other: Specify IV. TYPE OF PERMIT: (Check oonnly one in line A. Check line B if applicable) A) 1. ❑ New 2. P Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.E] 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 L- 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) /0" 0" ELEVATION 1 r p Feet 103.30 Feet x VII. TANK CAPACWY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App structed Tanks Tanks JAM Septic Tank or Holdin Tank Lift Pump Tank/Si hon ChamberQ VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamp M PRSW N Business Phone Number: Aff . Al A., lV e~i,ui~~-~ I ~s r S 7y9 ~s~3~2 Plum lfr?Addrift (Street, City, State, Zip Code): ~ s /f' Nom, e ~.s IX. COUNTY/DEPART ENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater 175 ssue Surcharge Fee) Approved ❑ Owner Given Initial ~o - f 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 INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8'f x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. 1 GROUNDWATE4 SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) S,93 0 27 0 4 PROJECT INDEX SH'-,,FT OWNER: 114 7i-,~-- 2 9`6 -31 yT ADDRESS : //k$ ST 1?04,LR TS w/ S. s yo Z 3 SITE LOCATION: Nc~ ~Er St c.l'-// 72i , R I (.v Taws, of wt%Rf- Q c7~ o~ x couA.:) ry PROJECT DESCRIPTION: ~iP~`1~'c~Fi' Al4-rx!5~,D G- y whsT~- roe,, - 00 4S . r l - SiCry 1 d A IDW G- `k A-T ` - ~'t' S So a A,1 5~-o(2~TEt~ AT 27 sus r~~ ~s p,eopos~~ - PAGE 1. PLOT PLAN VIEWS PAGE 2. MOUND CROSS SECTION & SYSTEM PLAN VTEWS PAGE 3. PIPE LATERAL LAYOUT .PAGE 4. DOSING OR SIPHON CHAMBER CROSS SECTIONS PAGE 5. PUMP PERFORMANC" SPECS OR SIPHON SPECS PLUMBER: DESIGNER uo wn~¢gs , FBI u►~{~ DATE: D11E0 SIGNATURE: y3HU b► 8193-027 04 G~ SYS S CASE : i - yo Rw a~E s~ . ripll~ col%d RE 5 ~ 11.011' 's 9 q3 RF / ~ vvDisrv,Pl3E ~ $~pl1 at Sp ®EN 99. ~ s set GoRRE ?33 7 7. 73 ' all CL. 6-4 77E 13-E 7oP or T,t'A~S~o~pvE.e p9 ys /iox = O' SuG(rESTEO EttrV/~Tlp~J of i ~ 25 ~ ~ i Sy STEM s~rNo ~o r ' 1 i00 132 New Sao 4~ . z3 7/t or= ~ ` Pv~ P G . J 0 I . lI ~ T oit°iG/N9L /~D'!E" DGVU~iP sr/.v 6- P~ECrtST SEPr7G ?,~,uk is ~E~oTrG ?.qAvk I~ /200 ,VoTF VE~rf y s'7,E N O vR/.Ulr /i~/Sfi//A-y-r ov SIC s 11041.,1 B U/j L U~tTF O 2 5 I /!o - c oD Ca~~~ ~9 ucf 7'0 ~E vs E- /'T • /j/oME 8L C E~iJE- zF /vim c6sS~~ y c. r +o ~-u i H v -t a F 12-00 ADD Z.v~dC T~1~k st_RiES wjf~\A_) 30' ©F 157 g Gv f ~-s f~iQG t~ v e rs /'S'EC// s 7° Selo 77 C SF' NEB ✓ED /N S~/I!l c5 OO s~ • 1 N W7 or ELEU~Ti'O~ S 770P OF ROCK Of S Page -rOp of {AT•EP6LS /6/. boy S 93.0 2'7 04 Synthetic Covering Distribution Pipe Medium Sand s y STEM Topsoil EtoVATI*JV 3 E D % 3 ~ Slope uNR Fst© Bed Of Force Main Plowed 9 q~ ys Aggregate Lays,. U~V~~~P.N Tom' uNE D 0 Ft'.' 7, 7 Ft. • 5,,Iokss Section Of A Mound System Using E P,Ole l' A Bed For The Absorption Area F • ~d Ft. P~ SEN ally G / 0 Ft . d~,ti,ori A 9 _ Ft. H Ft. Vo ~p ®r' X90 B G3 Ft. tyS 12- gbh h e~~t~ K Ft. •t,~' ~s~ aF~r L Ft. S Ft. GORE POT /e Ft. ~pRCE E w 3 3 Ft. Alf L Observation Pipe K ~o Distribution Bed Of i Pipe Ac-gregate Obs*rvotion Pipe Permanent Markers l~ Pl/G G/tP/Eli STEEL ~►'~O~S _ y Plan View Of Mound Using A Bed For The Absorption Area 2,EQ~i,p~"D f3~jS,4L ~~PE~ = DA~~. y 1r~~95TE F/akJ ~v00 50i i /A~'~i /T/i itTi•G'E ~e~ /f'C~ ~y • • ..5 r.4 13, o 50. A 77 ~.PoPos~LO ~/ts.~-L AREIf- S/011iN~ $•'TE~ ,Q X t I) . y- -5-0 jr- 77 Page 3 Of S ~i v v o /vti, E fob ~S F' °r Z ~Uc FoRcF - I I f1 Ce /4S r ~QIE Perforated Pipe Detall upl-C.tir rote VA(plE w.._ , S,193 ' 027 04 e- VAC v j i %PA.) 0 End Vier )Perforated End Cop) PVC Pipe 1 . ,ore • °~~•~°~'c Holes Located On Bottom. ~Y Are Equally Spaced R PVC ( Manifold Pipe Distribution Isr~ Pipe ' Hole Should Be Next To End Distribution Pipe Layout P O Ft. P,Puv~DE L R G~ nv Si D~.r~/S Fo~PCt' ~''JAii✓ ~r 1141c, X Inches Z PEE - Inches sP 1al ly- t We Diameter Inrl-. 4 Q 11 ~ oladi ~q Lateral Inch(es) ~i✓ N~MP~ ~S Manifold " Z Inches Force Main " Z- Inches A►. us~~• aE'ti~~ N of s # of': hol es/pipe 3 `S ESIP Invert Elevation of Laterals Ft. • Di5TTtiL-J>0 rio#,N I)1SCHA.IR6E RITE foR EA;C H L/'4TER AL 1 I"Air ©TiS Z-7 y~ Z . ~ ~ MiN• • TOT A L .-Di S-'RIQo0T'I o xN -tS G HARG E RATE FO P, . NeTwo k.K 3 D- - ~ Mi►J ~ :2 - 5 A-t ~ AJ IM UM l~t £~t D ~S i(T-^ FOR M(Aj ►'-1►U M r1'SGtA RQ&E 'RATE Sg3 -027 04 PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS pf} E I of S VENT CAP 4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING JUNCTION BOX MANHOLE COVER 2S' FROM DOOR, l✓/ [/i~/(,c~toGi ~A/3EI WINDOW OR FRESH 12"Mill. AIR INTAKE A~~ ~~~^T~D/V I GRADE I _r 'i" MIIJ. IB"MIN. COIJDUIT \ r~ \ ~IEV,4 fi' Oti 11 INLET PROVIDE - ` L AIRTIG 5~€ S 7, 35 5 UE pp11~pJE • • t®ball APPROVED JOINTS APPROVED JOINT ~N /R~IZ l I W/C.I. PIPE ZXTENPIPE r(0 M I A EXTENDING 3' EXTENDING 3' 0,, 1 ~ba~ ONTO SOLID SOIL ONTO SOLID SOIL B ~J. f t~ NU 0 6 3 lI c •O~NeFS~f'~ I ELEV. 9 FT. I I P OFF r~pp Ola 83 GpRaEs k DAD 1 BLOCK (N 1EvAfioA1 1 RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL SEPTIC E SPEC, IFfCATIOki S DOSE LtJ~ E/f~~ C/(,,IJGt~~-~ WMBER OF DOSES: PER DA5 TANKS MANUFACTURER: 150 TANK SIZE: POO "P GALLONS DOSE VOLUME 154 GALLOWS LFUj~f 4/f1-12/~'t lCT INCLUOItJG 6ACKFLOW: ALARM MANUFACTURER: - MODEL NUMBER: CAPACITIES: A=« 'S INCHES OR y~ GALLONS iVI - HES OR G E2cyR f ~ r _~_INc B- SWITCH TYPE: l ALLONs PUMP MANUFACTURER: ZOO III"(Z C= /71- INCHES OR -~~5~ f,.LLO'.a MODEL NUMBER: q 1 21 ~ (IOU G=1~1.-M CHES OR GALLONS SWITCH TyPE:Tfc ask N1 (~~rJRI `~a~r NOTE: PUMP AND ALARM ARE TO BE INSTALLED ON SEPARATE CIRCUITS MINIMUM DISCHARGE RATE~GPM (o. PUMP OFF AND DISTRIBUTION PIPE.. FEET -~'AA)1`!~ • VERTICAL DIFFERENCE 6ETWEEN S fGS + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . 2.5 FEET EAC(A,, I, 0; J{ P r"~ 1 2.(~5 T S 5 + FEET OF FORCE MAIN X F/o FLFRICTIOAI FACTOR.. FEET "oA) 1' _ I TOTAL Dy1JAMIC HEAD FEET r i 0 uuD 3 Q 3 IAITERNAL DIMEWS I _S~._•--~•L4WD DEPTH H ~•WID TN IONS OF TANK: LEIJGT . ~ I' r S93-02704-- CA f2o HEAD CAPACITY CURVE 3 7/8 6 1/4 MODEL "9€3" 4 5/8 3 5/8 = 6 m + 4 3/16 4 6 10 a 1 1/2-11 1 /2 NPT 2 5 0 U.S. G&LONS 10 20 30 40 _ 50 60 70 80 LITERS 80 160 240 0 FLOW PER MINUTE ' ~J TOTAL DYNAMIC HEADIFLOW PER MINUTE EFFLUENT AND DEWATERING 12 CAPACITY HEAD UNITS/MIN , I FEET METERS GALS LTRS 5 1.52 72 273 I 10 3.05 61 231 31 15 4.57 45 170 20 6.10 25 95 3 5/16 Lock Valve 23' L CONSULT FACTORY FOR SPECIAL APPLICATIONS Electrical alternators, for duplex systems, are available and • Mercury float switches are available for controlling single and supplied with an alarm. three phase systems. - Mechanical alternators, for duplex systems, are available with or • Double piggyback mercury float switches are available for without alarm switches. variable level long cycle controls. SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required. Standard all models - Weiht 39 lbs. - '/z H.P. 2. Single piggyback mercury float switch or double piggyback mercury, float 98 Series Control Selection switch. Refer to FM0477. Model Volts-Ph Mode Amps Simplex Duplex 3. Mechanical alternator 10-0072 or 10-0075. r M98 115 1 Auto 9.0 1 or 1 & 7 - 4. See FM0712, for correct model of clactrical Alternator, "E-Pak". N98 115 1 Non 9.0 2 or 2 & 6 3 or 4 & 5 5. Mercury sensor float switch 10-0225 Used as a control activator, specify D98 230 1 Auto 4.5 1 or 1 & 7 _ duplex (3) or (4) float system. 6. Four (4) hole "J-Pak", junction box, for watenJght connection or wired-in sum- "E98 . 230 / Non 4.5 2 or 2 & 6 3 or 4 & 5 plex or duplex operation, 10-0002. 7. Two (2) hole "J-Pak", for watertight connection or splice. TCAUTION For Information on additional Zoeller products refer to catalog on Combination Starter, FM0514; All installation of controls, protection devices and wiring should be done by a quali- Piggyback Mercury Switches, FM0477; Electrical Alternator, FM0486; Mechanical Alternator, fied licensed electrician. All electrical and safety codes should be followed includ- FM0495; Alarm Package, FM0513; Sump/Sewage Basins, FM0487; and Simplex Control Box, Ing the most recent National Electric Code (NEC) and the Occupational Safety and FMg732. Health Act (OSHA). RESERVE POWE ft ED DESIGN For unusual conditions a reserve safety factor 's engineered into the design of every Zoeller pump. MArL T0: P.U. BOX 16347 Loaw,.%3280 0256-0341 Manufacturers of... 0 SHIP TO 3280 U%:' Millers Lane u ~ ~ Looisvii/e, KY 40216 ,Q1/AL/7Y AS /ACE (502) 778-2731 111 FAX (502) 774-3624 . SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations August 30, 1993 201 East Washington Avenue P. 0. Box 7969 Madison WI 53707 ULBRICHT & ASSOCIATES ROBERT ULBRICHT 655 O'NEILL ROAD HUDSON WI 54016 RE: PLAN S93-02704 FEE RECEIVED: 180.00 VALE, CHARLES NE,NE,4,29,18W TOWN OF WARREN COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. incerely, Ken th Stiemke Plan Reviewer Section of Private Sewage (608) 266-8230 7:00 to 3:45 Mon. thu Fri SBD 79071 R. 01/11 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY s~, G~'Di X Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. a . dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION //,f 4E GOVT. LOT /Ue' 1/4 NE 1/4,S T. Z4 / N.R l E (or) PROPERTY OWNERS MAILING ADDRESS LOT #t BLOCK # SUBD. NAME OR CSM 8 7 //b' ~t- - CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE EJOWN JN T R AD BPD EA'T'S Lys-a1 yfi wgR~PEv ~J [ ] New Construction Use [X ] Residential/ Number of bedrooms y Additim to existing building PQ Replacement [ ] Public or commercial describe Code derived daily flow 00 and Recommended design loading rate ° s bed, gpddt2 L trench, gpftl Absorption area required 500 bed, ft2 So D trench, ft2 Maximum design loading rate --L y bed, %02 tr Recommended infiltration surface elevations -e-e ~ g S 3 fl (as referred to site plan benchmark) Additional design/ site considerations Sv i•7" /:57 o v / f ae • Parent material ScS S/ 5'f.v7-1%rdD - SzT 5~ or=yF~ Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK U =Unsuitable fors stem ❑ S ®U 2S ❑ u 7 ❑ S ®u ❑ S FJ U ❑ S Z U ❑ S MU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouxgry Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed fends 4- Z,f, Shk "M77 S =T S. G 1/3 P"R of R C's Z i Ground tl- /o 3/4/ - 511 2,f, shl~t 1W of /Z es elev. 13 /S-3 51! of S7 C' Depth to 3 33-s3 /a y S/4 s yR s/y s G/~ 5 D f; 9~ -1 i C S A) Ip j ru P limiting factor 57YX L Remarks: /f~,pi zou `63 i S ~u~,f KAY Gott-~TzZ~ s'~ u0 Sf~N~ /3• -Sq~D) Boring # 57hk e _5- 2f- /0 31Y 511 2 -F k -2-+ Ground /.)-.2-7 /o y/< S,/ 3 , h,E- ` ~'X,. 'r ; elev. 1, e cj y ft. C ? i60 S yR 5 yR 5/f Sy/r 4/1- S/>/~ fie , Depth to limiting factor 27 ra=N't Remarks: ~t'~ZD~~ C `s vii 7- 4 T CST Name:-Please Print &6M ZtL,BR 1e- Ai 7 Phone: Address: CoSS ~EiL kD /fal>So.J ~/S SyOs~ S- 9- y3 L'sr,~'1 2y~a- Sgnature: Date: CST Number: IVOTL5 /fE G-Jj9,P/ A) SorlS ftp> pf i3 l Z S~;vc~ ~7 2 f?o/t'i2d vs O.c1 [Y S~ 'rte- 10US T 6't,e'E v//l C' ~i is~ / p/otv~o ~ ~ ~~p ~ o~ tit~;v, ~a✓t'f ,,v o~~~~ c f UGfv/r? ~S T b~ i ;r f v~ OFF/v im T /09 ",q/ fi/3i !i b r~ wiS€ tea:/s 13,3 PROPERTY OWNER 1'M SOIL DESCF TION REPORT Pape 2-o,3 PARCEL I.D. ff Depth Dominant Color Mottles Texture Structure Consistence Y Roots Gp -2 Boring # Horizon in Munsell Chu. Sz. Cont. Color Gr. Sz. Sh. Bed wick a_ /p 3 Sam/ 2,f, $bk v +e S 3 f - S C. El 3 f - S - G Ground ~e~ %/2 y16 3.,,.,.,, hk M^~i` ~S f • s elev. -7 , 73 J, shk 411~ f,~ S s/ /,f, S.bk nM f ►2 . Y € S Deem to L'i V_ GO s yR factor S /R G/2 llvT5 3:2 01/i Remarks: / zo v C kJ,+S Pc2e y k;& T 4 T YO ~c O Boring # i i 13 Ground elev. ft Depth to , Gmi6ng I factor ; Remarks: Boring # I l Ground j elev. fL Depth to limiting I factor Remarks: Boring # i Ground elev. -ft Depth to limiting factor Remarks: 00M OOOA,C Ar KWA 4y07£S eavTi.UveD 12 (U,e?.f rL y CE~l tiT S/9'U S'ha,vE- 4U ~if>/',C76 . / s S~ ~ ~ c1 ~t/.f//y k~ T OBE- S SDr'/ /f'f 57X° l /DLJ yo • = R V-elloa - ,arts' GE!/iP T/49A 3/ 99.93 ~z 99.65 3 77, 73 ' uro~F~,~.y. yk'~FVE' E6EV~tr<a,~ of r(rST/N(>- SGYI 2/vOER ~ROPOSe-D j - - I3. •N. CL. °~'fil~EGritTE Q'FD ! ! y~ ~ ~ 7°/~ of ,"",P.I,vS{~RHt~ W SuGIrESTEO E1 t: V~tTlp~ ar f o9 77 SY STEM wt't<-, z~ 71 .01 ~O5 B r ~fti/~;Vy SyS%fH b t/EVT 0 ..PER CovvERJ.tT,o,v k, rt(ti. J NoTF 35 O ve/:U(r ~NS~.►//,Ni ow m1~ kJidZ /41,$',06-4 r1av FOR W fir'/ CODS CO.c~P/~AucE 70 92- * ,V TO /NGR°EftS~' cr~~kc,'ry_+o Mr;~rhuti mF 12.00 Oa Z l /40D 2. +q "'k (A7 $~QiES wt1-±eN 30' ©F ISr rAPl< - /NSti</ BOO li~E£.f-S f~ipol~vc7-S ~~PEttST sEi~ c T-~. =F .vEAED ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the ~Vjl y, s ad, It- residence located at: N 1/4, 1/41 Sec. T,9 N, R /,9 W Town of Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced -9 Did flow back occur from absorption system? Yes No!/ (if no, skip next line) Approximate volume or length of time: gallons minutes Capacity: 1200 Construction: Prefab Concrete Steel Other Manufacurer (if known) : (,vim A, , Age of Tank (if known): 1 7 si ( gnat re) (NName) Please Print e-- 0 (Title) q (License Number) G - 9 (Date) Form to be completed by licensed plumber (x.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge will conform to the requirements of ILHR-83, Wis. Adm. Code (except for inspection opening over outlet baffle). Name v0~4^k ~ GCUGf~~ Signature gn= ~11e" MP MPRS 5/88 STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER BUYER C Get e~ y ROUTE/BOX NUMBER 11 et~ FIRE NO. CITY/STATE _ L( J7__ ZIP S */'0 %Z3 PROPERTY LOCATION: Al F-1/4 IV E 1/41 Section , T~ N, R_~I_W, Town of Ud , St. Croix County, Subdivision , Lot No. 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 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 - 3 St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, pec house), thena second form should be retained and completed when the property` is sold and submitted to t office with the appropriate deed recording. owner of property Location of property/y F-l/4 N6114, Section , T N-R Q W Township Mailing address / f g f / Sal. Address of site subdivision name Lot no. Other homes on property? yes No Previous owner of property i Total size of parcel 1 Date parcel-was created Are all corners and lot lines identifiable? / YeS No Is this property being developed for (spec house)? Yes No Volume and Page Number 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 & 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. and that I (we) (we) own the proposed site for the sewage disposal system orrIe obtained an easement, to run the above described property, (we) the construction of said system, and the same has been duly recorded in the office of County Register of deeds as Document No. C-f1 Signature of applicant Co-applicant Date of Signature Date of Signature i I'~ THIS SPACE RESERVED FOR RECORDING DATA I~ F P UOCUMEPIT NO WARRANTY DEED b STATE BAR OF WISCONSIN FORM 2-1982i' I 471758 • 4 REGISTER'S OFFICE Myren R. Cowles and Deborah L. Cowles, Recd for Record hiisbarid and wife as marital survivorship prope~~ Y JUL 2 3 1991 ;i at 8:30 A. M . C.:- wifeDavid a sVale and Carolyn M.... conk J's and warrants . - - . to .....-..d.. torofDee& . dal.-marital survivors p e husband an l Regis - . . I RETURN TO the _ ---St.,....(iY'O~ X ..........County, the following described real estate in Tax Parcel No i State of Wisconsin: Part of the SE% of NEB, of Section 4, Township 29 North, Range 18 West, St. Croix County, Wisconsin 4escribed as follows: Lot 1 of Certified Survey Map filed December 5, 1978 in Vol. "3", Page 743, Doc. No. 353715, EXCEPTING THEREFROM the following described property: T29N, of Section 4 A parcel of' land located in the SE'k of the h NE14 onsin described~as follows: R18W, Town of Warren, St. Croix County, thence S e 00' 00"E (bearings Commencing at the NE corner of Section 4, the 4, assumed SOO 00100"E) referenced to the East line of the8N9EktooftSec Poi of Beginning; iont thence ; thence S89 08'3411W W hence S89 04'30"W 32.00' ; thence NOO 10'01"E nccee 50052 03 W 1 1253.92 , thence N89 08'34"E 47.33' to - the Point of Beginning, 1253.59'3 containing 49716. square feet (1.141 acres) more or less. *TOGETHER WITH roadway easement as shown on said Certified Survey r'•ap• PEE is homestead property. This - (is) (is not) easements, restrictions and rights-of-way o Exception to warranties: record, if any. . July . 19..91 Dated this day of SEAL) . . --(SEAL) v l Deborah L. Cowles . Myren R. Cowles . ' - (SEAL) -(SEA ) • ACKNOWLEDGMENT AUTHENTICATION STATE OF WISCONSIN Z 55. Signature(s) - ; County. ~.ersonally came before me this day of authentieated the /.'..----.-day of ~ • 19- P . ly-....--. the above named - ~J, ' TITLE: MEMBER STATE BAR OF WISCONSIN - - (If au who executed the not, 20 known to be the person authorized authorized by § 706.06, Wis. Stats.) . foregoing instrument and acknowledge the same. THIS INaTRUMENT WAS DRAFTED BY Ato at La -.-Lunde-ca Atto_. at Law ° Notary Public cunt}. ,s. MY Commission is permanent (If not, state expiration (Signatures may be authenticated or acknowledged- Both 19-.-- date . are not necessary.) - - .Names of persons signing in any capacity shuald be tyr+l :r.nt,d bel.,w thrir signatures. vrnnsin L.xnl Hla~~ti t'... In: STATE BAIL OF W'ISCON11N t M•i1l%V!,. WARRANTY DEED i•ORNI No. I-- Un: - - nL5- SURVEYOR'S RECORD 353715 CERTIFIED SURVEY MAP C0W APPR-0 \1=.~ _ TL DARYL COWLES, ET AL W C. COR. SEC. 978 ♦ T 29N, R/8 W ( F0UN0 SPIKE) T o. ST. lr i /3 Z3.2 2' N89°08'3 4"E neap zc~rtt:d.~ ( i ROAD /D' £ASr 43' 9 441.07' 441.0 ko'441. , of N E• CORNER ) q- ROAVW 4Y-47 •oe 33' 'J4 V6 tofa, W' S6M H1T / a I V DB TAt o O LOT l o LOT 2 a L07-S ~V h ~DO Z h SON'' 0 j e O M p O h I O p. /2.7 o N /2.7 O N /2.7 I ACRES Z • ACRES ACRES I N - a. OR SU DIVISION I APPR VAL Of THIS MINAPPRO AL FOR q DOE NOt MEAN 9 42 B SEPTIC :Y TEM. 31t ING SIT;OR ors. I 33. oS ~ 0. 30,, 11, SCALE : 300' 32' $$442.30.' REF 0442.30' 44 2.30' ROAD EAST o Indicates 1 " x 24'r OF S. E. CORNER °04 30 W iron pipe stake S89 weighing 1.13 #/ft. 1326.90 DESCRIPTION : The Southeast 1/4 of the Northeast 1/4 of Section 4, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin, subject to easement for Town Road purposes over the East 33 feet thereof and subject to easement over the following described tract within the above described parcel for roadway purposes; Beginning at the Northeast corner of the above described parcel, thence go S 890 08' 34" W along the North line thereof 882.14 feet; thence along a curve concave Easterly having a radius of 80.00 feet and chord earing S 110 16' 25" E 156.85 feet; thence N 670 20' 29" E 237.70 feet; `\``\~~~1111411NIH1 1111// N. E. CORNER LOT Z ,4.41. o7 44 i .07 LIN JAMS L. , lti % 1 I ebuue L T Z 5t's l►J. NilJR PHY ✓f ' I. CNORD 8EAR106 S//•/G"2S"E /90•TZ' 5 0 4 2 /S N89 08 34 E a. 0' ~ RIVER FALLS, ao' cl~~ Wisc. oLrNr •~I ?'ZO• ZQr ~AS~ME1dT DGTA\L. WAID T 3 e (easement description continued). thence N 890 08' 34" E to the East line of the above,,described parcel; thence 1 N 000 00' 00" E along said East line a distance of 66.00 feet to the Point of N Beginning. Vol. 3 Page 743 Certified Survey Maps St. Croix County, Wis. (See reverse for Certification) COMMERG.1,AL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 ST, CROIX ZONING REPORT NO.: 06394/01 PAGE 1 ST. CROIX COMITY REPORT DATE; 6/13/91 C"THOUSE DATE RECEIVED: 6/12/91 HUDSON, WI 54016 AM THOMAS C. NELSON 1 ~ ©~.eb - OWNER: Myron Cowles L10 T LOCATION: 1185--118th Ave. Roberts 7J COLLECTOR: M. Jenkins SOURCE OF SAMPLE: Outside faucet CO.IFORM: 0 /100 at INTERPRETATION: Bacteriologically SAFE NITRATE-N: 3 ppa►, Above 10 ppm exceeds the recommended Public Drinking Water Standard. Cotiform Bacteria/100 at Nitrate-Nitrogen, mg/L L K; 4 LAB TECHNICIAN: Pam Gane WI Approved Lab No. 19 yOgAviv EVENpFryl V j t Means "LESS THAN" Detectable Level Approved by: o PROFESSIONAL LABORATORY SERVICES SINCE 1952 ' 3-ql 7 ST. CROIX COUNTY ZONING OFFICE St. Croix County Courthouse 911 4th Street Hudson, WI 54016 yo~ f~ Telephone - (715)386-4680 The St. Croix County Zoning Office offers the service of septic and water inspections to Lending Institutions, Realty Firms, and private individuals. Completion of this form is essential so that the property can be located. Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING----------------------------FEE: $ 25.00 C D (For nitrates and coliform bacteria) WATER TESTING FEE: $127.00 (For VOC' S ) Q SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 Sr (Determines if system is properly functioning at time of inspection) . Property owner's name 424-AA Cantat&~ Property owner's address 1/85 / 11 Legal Descr.ption 1/4 of the 1/4 of Section , T~N-R ~O Town of 4tl Lot Number jubdivision Name FIRE NUMBER ) t~ ~ / 25 LOCK BOX NUMBER A ' (2~ Color of house Ahjkj- Realty sign house? If so, list firm: r.. PLEASE INCLUDE, IF AT ALL POSSIBLE, A NAP,i.e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be g ined. Firm or individual requestingJ s vices: Telephone Number_ V 2 3 I REPORT TO BE SE T TO: (o Closing date Signature WAR,_'R E N T29N• P.18W J E - SEE PAGE 43 Ga.xe ~¢je6tr' ~ ..f~RE ' y CA2rence P. ° n Ribhard r • E C 'tlctrh il. ose Un/...,fed /~Or/r7S A/j'ES J %~6, r ~9 rr c. h 7av Robert 6S GeraC Mucller w~ 76 c. s/o co Uj . b cZ • Toh/7 C. rs9.ze /sr..f ~IY/t ron rn, LN; Derrick Dan 27.rs 'ic,Fedsar7 J V _ sb. r aF ~ahra •7 Louis f tl C 1 ' /s49 ~a - s Tenn Lee e • z60. 27 \M zr4 /Ylurp/i , Kd'/f' 0 v r . y nP /~ernors M J Q Nancy AS 'G~ efa/ 41} m C Wes. j Ne,/CS0.7 Mar o P~n h 40 140 U nn H Tho/nas W v; tM Via. ~fe 6~ 0.y fRenayy ~ ~ R eo C ~ Fiede~c ~/7 2to _ 1 W F Fink W4 BrvesE Maloney • • W~ cst./6 N ~Jh iC. /3643 • .M da.dpp °4 2874 AYE. O 7flu C nfhf L tTohn _Da/e r. O J nnEF/tz//c/ • '4 S zx 107 ed 1 N oik'J Lehartr,Fi~rx°ey ® F ade/vc,E• R/vK Forn7 .Trx - ` 0 80 qp rTohn~ Friedrich Wi///~7 ®o p /b m y cJ p' Inn T f Dome/a F aan~ 147Z Wes. l Ma y M¢ i. yb5 h ~Q~ Kurkoruskr• ive"Ok e / Fiederich 470 - i! 70 41 I b B. p S95B RobertA DOixQ/o! s ,q .N o f .Ibr/"s Gordon Y Heal cth R.Hre. ® B. H! • 1 Luci//e /Pu~snztrawns, U S, t7 - • ~ ' z/~ Me/% - Er/e~ ~M¢~iyn FrcderrcA. Form, o N s O /bo /s/ 9B /rUGSdi// Zoa /bo /s7.r SnC. ® kkn Beek J ao - • /S/.B9 . /&0 O I • .bs) 16/4 V D4N f O • b Diane G✓o./tEr` O i 151 Cra/x l/a/ley L 'Ky • •nrb / /henna. "v ~ Nechvi//e (air/ kscout ~ d lee '-14 . s ~ 7B..f /2T Camp, Inc. h C h rsa m 11 160 bO$ zaz ~ $ y Brv~e'an~nocym~n /b 8..3 ,r Nenr1/ . RichhTi' htlC ~ `0: ie U Nec/xw//e. zaf.z V 4 3 v c Comi/k U y //d5 Dap/d _ 'a.. ,°q, r vibe Euyene Famed cj ,c tlp 5 f27/one /K C v Ear/ F Y'io/a cSChu/te e/5vx ° //o/deny v 3 p c a George t Eve/ s. Te e U enna z 9 P ~ v c E o Duane D tin r. tt Marti Fied sDe/o~ea v W yw L /x757 5S~ 0 /'/a//. T U M . /er ~ • h R - f,T Boom /s>: 9s zoo cSOhu%tc ~ ~ ..re o o a~ aNAtt:::: • W Z ~a . oh Tftne7.4; ; The/ a 'fi r, x h e1 ^ 2E ,T ^ v U m r X. 97 4 V• 0 lC n Nr . ' .xs 4°P 0~~E`i 3' ^ Tom CtlV H N Huse e. 0 Daryl /60 Rj V M /6 0 eta/ T rxs, 8N. Rode o 's Z : fbf fj /o Furlo?q tl l7 2/9/2 tl efa.J• 4, i B. 33 Q' q~ g tla\ ~il Q ~AR, s /3904 3C9 ~ er f Sandra AV ,(58.42 David f j ri W~ Q~ zaa I, /9/b .U v d' Newel C7R/'diisan n n 16 0 W ti Carol a V vonea Cir'aha~7 • v V LU s: E d eve snn,~o Coyer ~ C p s/o Ear•/F ( u v 11 y x Qb Isle. ~s /59.ze qp~~ Marx D. Pech-man • 9Vtl ro ~a C' 4iri~'s h.'rb~.c r4B o 0. 'Nam/'n l'• ~ n m~tl 1; V 5~~v Fa.r•m, I 9 gipo. e . a a OBE T ~7 107e O SS 5 • N 9 5• e0 • •D~ TT Phi%/' n!/h~on g5 ' P N 634 as/7eny 3 b a~ 0 4 Gea rTames /2696 S f Pe9.9.f na a u q Davrdf 'C J O c C,k ~ Sta.n,~~trC tvo/a, r ~,9e t' .?~fh ee burn a ti v 2 ~oo ,Y o cow eH, -9 IJan /d a m a a a o y M///er bn s6 40 240 Rnde on BO `7~ _ x/07 Q9 3068/ /Mark /bo Hammer// e tl David3 Z7arre//5 Ham/ir7 ,Bradley o Carol Darlene fa n • p h 'o~ Couer Fiderson+s. _ ° f(ES 1 c 65 Crre ! 9 99/G O/a v t 0/au Rosen eiy p 3~ ✓ 6/ 40 6tJ / `~s fl7iane EQr/F f vu/~a N~V y 3 h Rc and spy ' fe. i s ha ° ~s : th Pechu~na 7 C°& f f/aukenes Lexrt 1317 ~a i irle - .DOr/s G/ori2 L Con ~ ~ ~ ~ f ' ` } , yt 6 KrriO~r y n /bo Isle. ,r Anderson /b o • De/a~e • _ sA/ c b • //O . 70 e. e r ~odn ~L u • E. 45. 4' - • • ~ • ufa Gan /i f .+3 /°.-exe a/ Dris / n ~ebord .r '~'Iek"9IRh 5 C 99. 43 Q ® *e C/a a F Dorwe's WY/am c.S C/a4,:_ 94 87 Pes.lcan rV Farms 40 P/~ K.hf .R. J P9x 7Q N. ,Tam«s N V R. s. wn tSchwa/en /bo C O 2377 )7n. 193. B8 Y Q' \ F, ~n ' ro r]3 t(f y~. ~ - ~j 0 4 4 n $a ®ro ~6 O ♦ /moo v ~ ~ .Ba:icJ a.,.es .DeOn Crai u r, do /o7 ZS .9es,Eau • • r°es.En f Z ~$,aiv O' • G/end a a/7 h f7//an r Ner- • .Po9el 67 5 &C / b r KirAV7Nhre%n Ann F _ f crewe/7` [T- z;s Da.win n IDli~ " Leo H ~ xn Z N a r, Manage- Fogerty Fo Gr Z Ne 90~ ,y o n F /U Ties/ . r 'y' I xrt3 ° menf C°. rs9. s 9 J2 n{x.on ^ - P atj /94 r r ~.l o ~'9 a X9.84 Sb .of roq A /99/Roa,~ dMaPP.r /s,r ~ SEE PAGE •n tSt Cr°rx Count / 900 1000 1100 1200 1300 1400 1500 Dependable Hybrids From BE A . 4- H Dependable People Richard H. Kamm 1382 - 100th Avenue TM Roberts, Wisconsin CUBA-GEIGY Call: 749-3332 Seed Division * v ,,rr . ~q. ~9 a.,:•. -d? ~ der d ° ~ { ~r g tt ~ ~i ~ ~ 5b~ xp=' i s ST. CROIX COUNTY WISCONSIN f ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 June 12, 1991 Judy Steiner Edina Realty 700 2nd St. Hudson, WI 54016 Dear Ms. Steiner: An inspection of the septic system on the property of Myren Cowles, located at 1185 118th Ave., Roberts, WI was conducted on June 11, 1991. 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. erely, P Mar kins Assistant Zoning Administrator cj TOWNSHIP 6vi) SEC. TN, R7_W Wye ADDRESS ST. CROI COUNTY, WISCONSIN. '3DIVISION LOT LOT SIZE PLAN VIEW -Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM - -TIC TANK(S) MFGR. A/ t CONCRETE 4-_'STEEL N of rings on cover Depth 2_"' DRY WELL .INCHES NO. of width lengt area 1 no. of lines width length ~D area~_e/ ^de th to top of pipe,___ 'REGATE_ RATE AREA f REQUIRED ~ p a AREA AS BUILT ,claimer: The inspection of this system by St. Croix County does not imply complete _pliance with State Administrative Codes. There are other areas that it is not possible j inspect at this point of construction. St. Croix County assumes no liability for _tem operation. However, if failure is noted the County will make.,, every effort to --ermine cause of failure. fes. " ]ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEYXv • ~ INSPECTO DATED PLUMBER ON JOB LICENSE MIBER _.S. J R"PORT OF IT]SPECTIO?I--I:JDIJIDUAL SEWAGE DISPOSAL, SYSTEM Sanitary Permit ,O State Septic TOWNSHIP t. Croii County SEPTIC TA'?S~ ' Size gallons. `umber of Compartments Distance Front: We 11 __/Cg Z1 ft, 12% or greater slope ft. Building` ft. Wetlands f: I1ighwa.ter ft. DISPOSAT. SYSTE:1 Tile Field or Seepage Pit(s) Distance From: tell ft. 12% or greater stone ft Building ft. Wetlands FIELD .hwater ft. Total length of lines 9 ft. Number of lines Length of each line - ft, Distance between lines ( `ft, Width of the L trench Z t. Total absorption area C. C) sq. ft. Depth of rock below rile lk,in. DP_pth of rock over tile Z in.. Cover -aver. rock,, AeV64 Depth of tide below grade S Z~ in. dope of . " trench in per 100 ft. Depth to Bedrock ft. Depth to ground water ft. PITS Number of pits Outside d' m ft. Depth below inlet ft. Gravel around pit: no. "Total absorption area sq. ft. "Square feet of seepage trench bottom area required :square feet o£ "eppage i area required Inspected by: X~q C "'r Title': Approved Date / 197 Rejected Date 197 EH 115 • WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 _ MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION:'/a, '/o, Section _1, TgnN, R &E (or) W, Township or Municipality Wo r~ Lot No. Block No. County - 5r S bdivision Name Owner's Name: Mailing Address: W i4 TYPE OF OCCUPANCY: Residence L- No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT 7 DATES OBSERVATIONS MADE: SOIL BORINGS -40 - A b - 7 S PERCO TION TE TS Zb - .2-0 SOIL MAP SHEET SOIL TYPE PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER.LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 & 1_3 SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) B--Z--- 7 7 7 7 - - S 3 B 17, 3 7~ - 9A • 7 7;7- 13 5)7 - S Xfl -S 'A S-5 PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square fe t of suitable areas. Indicat nu ber of square feet of absorption area needed for building type and occupancy. 'A D -t* Indicate scale or distances. Give horizontal and vertical reference poi s. ndicat slope. -1111V E tN r ~ I, the undersigned, hereby certify that the soil tests reported 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 location of test holes are correct to the best of my knowledge and belief. Name (print)/~ "40 / A s _ Certification No. ~ y Address 5~ • i e A Jh o n Name of installer if known , CST Signature ~~4 ~ COPY A -LOCAL AUTHORITY . State and County State Permit # ` U O PLB67 Permit Application County Perm? - for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPE TY Mailing ress: 1~i" 61" B. LOCATI ~'/4 E Section , T~ N, R E (or) W Lot# City _ jP: Subdivision Name, nearest road, lake or landmark Blk# Village Township C. TYPE OF OCCUPANCY: Commercial *Industrial *Other (specify) *Variance Single family Duplex o. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher L Y-ES NO Food Waste Grinder YES (/NO # of Bathrooms Automatic Washer C--YES NO Other (specify) E. SEPTIC TANK CAPACITY -Total gallons No. of tanks D-s,. *Holding tank capacity Total gallons No. of tanks New Installation Addition Replacement _ Prefab Concrete *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) Total Absorb Area 5/lJ sq. ft. New "Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length 7,0 rWidth Depth 3G„Tile Depth No. of Lines `Z--- .r Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land A5 %a Distance from critical slope I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that 1 have sized the effluent disposal system from the EH-115 prepared by the Certifiej Soil Tester, r NAME C.S.T. # and other information obtained from (owner/builder). Plumber's Signature MP/MPRSW# Phone #~yL_ SYA7 - Oa Plumber's Address 7f, 9 , -,Uzi PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). Al C/\ 160 Do Not Write in Spa a Below Flpt DEPARTMENT USE ONLY C7 2 Date of Application 7-0 - s _ d Fees~j aid: State C unty Date ~J O Permit Issued/herd (date) Issuing Agent Name Inspection Yes_4_No Valid# Date Recd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copy) Revised Date 6/1/76 ST. CROIX COUNir w` WISCOMSI H Z O N I N G O F F I C E 386-5581 Ex. 49 & 56 # COURTHOUSE HUDSON 54016 i Y November 7, 1978 Mr. Duane Strausman Division of Health Plumbing & Related Services P. O. Box 309 Madison, Wisconsin 53703 Dear Sir: I am very disappointed in the attitude NewRichmond, Wisconsin. a master plumber-restricted sewer, Mr. Hopkins came into our office with theS~e necessary iforms for a sanitary permit for Mr. Myren Cowles permit number 18066 was filled out by our office but was not released to Mr. Hopkins because the proposed subdivision had not yet meet the standards of the subdivision ordinance. Mr. Hopkins was told that once the required road was built, the survey for the subdivision would be released, and at that time, we would send him the permits so that he could work. Instead of waiting, Mr. Hopkins went ahead anyway and installed the system without the necessary permits hoping that once the subdivision was approved, he could obtain the permits and callus for an inspection. It is my feeling that this action of his was in defiance ofwthe y sanitary code of the State Statutes. If he i to continue rking within St. Croix County,he will need to comply with the rules and regulations of the Statutes. ji Sincerely, HAROLD C. BARBER Zoning Administrator HCB:jh cc: Richard Hopkins F 4 ,