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HomeMy WebLinkAbout020-1288-50-000 © o PA ca bo h ~ O O N C I N V O) ii I 0 v o i V ~r r C y a Z c c 0-0 LL _ o - a> o c o v Q J X 3 M v ~ z N rn z c T O z r N d N w a m N f- fn C C7 O Z dt u G~ Z -e p N C fA F- a- O N c E (6 CU N N Q O O 0 C O O U) C) • a -C N N ON O O O O O N a o N N Z co z Z 0 0 o r~,~,~ ~ aci rn E O L W c. ' w c W n ~ N L Lo D ~ o. L Lo _ (n U) (n E o a 2 = N N }ice 7 p to N i (1) N J L) rn rn } o o Ir~„v T o ~ _ ~ °o °o _ N N a) r~ 00 O O _ V n S r- O m V m a) O r` FN a N w O O N 0 o c ° c 0 0 0 E ° 0 a~ a n n ooi °0 0 ~V` N N ~ w` N E E m v v r` N O N 00 2E L L U o N F- F- N m E E yri' O N 2 J O -7 UJ O r~r r V ~ L cy M a EL ` a r CL 4) 4) a E ` c c _1 Q V a m o y V t FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT ~~lZ ~C L Ui~D ~ ZC- OWIJER TOWNSHIP SECTION 1 T-)-9 N-R_ag ADDRESS_,eox Or>, / ST. CROIX COUNTY, WISCONSIN ~u~'jDv1 Gt/ s-50/4 SUBDIVISION /~/C`~ rQ/yam f ~h LOT_ZtLLOT SIZE -2 0 PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~zr 10: L" t Jig loo a ~ , ,a 5s7 ,-of p LQ 5 ~OL61, L°y~O INDICATE NORTH ARROW 0 BENCIiMARK:Elevation and description: L~yp.~Go~x~~ I.`t{o7 E~- wooer Alternate benchmark 4~d)oaa;L SEPTIC TANK: Hanufacturer: qj!-,c-r Liquid Cap. 4,A L Rings used: Z Manhole cover elev: qel Final grade elev: Tank inlet elev.: o Tank outlet elev.: 7, 7'L No. of feet from rTbarest road:FrontZ_, Side Rear Ft. IBS/ From nearest prop. line:Front Side , RearX Ft. 0 No. of feet from: Well &-51 , Building: a (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE 1 i I PUMP CHAMBER Manufacturer: Liquid Capacity. Pump Model: Pump/Siphon Manufact.: Pump Size I~ Elevation of inlet: Bottom of tank elevation Pump on elev.: Pump off elev.: Gallons/cycle: Alarm: Man.: Switch Type: Location Distance from nearest prop. line: Front, Side_, Rear-Ft. Distance from: Well Building SOIL ABSORPTION SYSTEM Bed: C my;~ti Trench: Seepage Pit: - Width: Length #D Number of Lines: 3 Area Bui1020Sg7 Exist. Grade Elev. J~7 0 Proposed Final Grade Elev.-.5. 70 Fill depth to top of pipe:- ~(z No. feet from nearest prop. line:Front , Sidey , Rear Ft.SS i No. feet from well: No. feet from building Z HOLDING TANK Manufacturer: Capacity: No. of rings used: Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front , Side Rear Ft. No. feet from: Well , building , nearest road Alarm Manufacturer: INSPECTOR: DATE: PLUMBER ON JOB: LICENSE NUMBER: ~I 5 3l 6/90:cj iConTZ~epartmentDo#c'inc~ustry,1.29.19,SP4IVAWSEA~iSYEMEY CIRCL ounty: .Labor and Human Relations INSPECTION REPORT Safety and Buildings Division all, (ATTACH TO PERMIT) Sanitary ermit o.: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No. LUNDELL MILLER HUDSON CST BM Elev.: Insp BM Elev.: BM Description: ,G Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9200249 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 00 Benchmark ac) ' D f Z3r W.elo 01 Aeration Bldg. Sewer Holding St/ t inlet 27' TANK SETBACK INFORMATION St/ Outlet z/ TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic 6Q 7 NA Dt Bottom Dosi NA HeaderLA4v-o*-- Aeration NA Dist. Pipe '17 (o/ Holding Bot. System 19,02-1 i PUMP/ SIPHON INFORMATION Final Grade s,-7d 27,93 S, -r. , Ma cturer Demand 41,6 Model Number GPM l?- c` 9j TDH Lift Friction tem TDH Ft ' Forcemain Length Dia. SOIL ABSORPTION SYSTEM BED / TRENCH Width • Length No. Of Tr nches PIT Pits Inside Dia. Liquid Depth DIMENSIONS I- DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHI Manufacturer: SETBACK _ System: CHAMBER INFORMATION Type O 0 (!oZ' OR UNIT el Num er: DISTRIBUTION SYSTEM Header/ V157" Distribution Pipe(s) s / x Hole Size x Hole Spacing Vent To Air Intake Length 3 Dia. Length _~Z Dia. Spacing 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.) At&-l <1 r Plan revision required? ❑ Yes Use other side for additional information. Ills I SBD-6710 (R 05/91) Date Inspe or's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: j DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY ~~Rv STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 8'/z x 11 inches in size. ❑ ch k if Fe ision to re ous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER / PROPERTY LOCATION /X'~Z dry rr" LI.cN ~ SE '/a e14, S •z~ T a9, N, R E (or(p PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # ,60 2 L- 45- CITY, STATT ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER II. TYPE OF BUILDING: (Check one) CITY /NEAREST ROAD ❑ State Owned V ILLAGE cs4 Sd Z~,~ s G it ~.'d t Id. TOWN QF: ❑ Public M 1 or 2 Fam. Dwelling-# of bedrooms 3 PARCEL TAX NU B ( ) III. BUILDING USE: (If building type is public, check all that apply) D 1 Q 1 ❑ Apt/Condo d` 2 ❑ Assembly Hall 60 Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 80 Mobile Home Park 120 Service Station/Car Wash 50 Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ® New 2. ❑ Replacement 3. ❑ Replacement of 4.0 Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION ySo 210 50'r 20 S f t U. 1 2 3- 3 9SD0 Feet 98.20 Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank D d (,r/m i W I El Lift Pump Tank/Si hon Chamber El I F1 F1 F1 I Ll VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumb s Signature: (No Stam ) MP/MPRSW No.: Business Phone Number: DouS?rokb"o t'5'~137 ZAl7 3Z 3 3 Plumbs Address (Street, City, State, ip Code): T 4- / Je w e- 4 /07 ~ w /'s ~ a 17 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved ary Permit Fee (Includes Groundwater ate Issued EZ)t Signature (No Sta Surcharge Fee) Approved ❑ Owner Given Initial ~v 7 / p~ Adverse Determination ! Q(J 7 X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: Lcc hde cL~::~. 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 oy 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. ll. 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 `anks 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 3% 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; close volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. - - - - - - - - - - - - - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are usec! for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) 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,(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. ~,r 1 c.- . k ale/( Owner of property Location of property S E 1/4 # 0t 1/4 , Section 7-1 , T 't-9 N-R W Township _Hu 1S o pq Mailing address r 0. /JD1C /.S~ /U, ; c h. o ,5,4/6 / 7 Address of site 1,✓,oAs 4ck"'Z /.'-y (S Subdivision name W-t.-//S ~.~ra o Lot no. / other homes on property? yes X No Previous owner of property -Z2A Total size of parcel Z.zo 4C. Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? X Yes No Volume and Page Number & a- 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 n the office of the County Register of Deeds as Document No. 6 / , and that I (we) presently own the proposed site for the sewage disposal system or I (w e) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly reco in the office of County Register of deeds as Document N 8' O G Signatur of applicant Co-applicant ~ / z- g /9 Z- Date of Signature Date of Signature DOCUMENT NO. STATE BAR OF WISCONSIN FORM 3-1982 THIS SPACE RESERVED FOR RECORDING DATA QUIT CLAIM DEED 431.061. VOL 941►x.. 24 REGISTER'$ OFFICE sr. CROix Co, wi John---A...... -1be-i:.t------- Reed for Record quit-claims to Eric J. Lundell at i - J - MAR X9 2 Register of Deeds the following described real estate in S t. Croix County, - State of Wisconsin: RETURN TO Eric J. Lundell New Richmond Z.__. Tax Parcel No:.-••...-•• I l All that part of the NEk of the NWk lying Sly of the I Railroad right of way; The SEk of the NW14; The E~ of the SW14, EXCEPT: part to Alfred L. Ekblad in Volume 498, page 484; part to Leslie L. Swenson in Volume 498, page 504; part to Donald F. Johnson in Volume 500, page 525; and part to Donald L. Jordan in Volume 580, page 354, ALL in Section 21-29-19. ~j I' ~i' M n ( I `M- I ( This a-.s_--no_t....... homestead property. (is) (is not) Dated this 3.x.5 day of ------......Dec a • 19..91... I I• .............•----••-••-----(SEAL) (SEAL) John A: Elbert - (SEAL) (SEAL) I AUTHENTICATION ACKNOWLEDGMENT Signature (s) STATE OF WISCONSIN ss. St. Croix ......................County. I authenticated this day of 19...... Personally came before me this ....day of December 19...91. the above named ...:John E_l-- er t TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) to me known to be the person __who iosescuted the forego! g instrum rid ac l e, the savo.\ THIS INSTRUMENT WAS DRAFTED BY r ~~j'• r~ Donald Gillen Susan P.. Gars; f i New Richmond, WI 54017 S__t . C:rAi, x 1 T 3 - Notary Public ountAT (Signatures may be authenticated or acknowledged. Both My Commission is perman0>t~(If',net,4sb atio are not necessary.) January 24 date : - s V~r 'Names of persons signing in any capacity should be typed or printed below their signatures. ti STATE. BAR OF WISCONSIN - - F H.GMiI`IerCompany~ FORM No. - 1982 Stock IV o. 13003 S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER 7° Of/ A f f ADDRESS 0 I'r l FIRE NUMBER CITY/STATE /"S &k--) ZIP S~4Ot -7 PROPERTY LOCATION: -S E 1/4,1/4, SECTION Z'I , T ZI N-R~ TOWN OF d so a , St. Croix County, SUBDIVISION !~/a I~S ~a ✓ , LOT NUMBER. 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 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a. certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying 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. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Cro' Co. Zo in Officer within 30 days of the three year expiratio date. SIGNED. / c DATE: Z ( Z"' St. Croix co. Zoning office 911 4th St. Hudson, WI 54016 i DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, C DIVISION 4ABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 539069 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: NSHIP/ UNICIPALITY: LOT NO.IBLK. NO.: SUBDIVISION _NAME: k6 0-!S1,4. E 1/ ndw1/a z /T~ N/R1 y E(or)WTOW l-4 1~ ~w LjL"Ls A C NfTY: OWN S/BUYER'S NAME: MAI LING ADDRESS: 115-1 ` in t1dY~ M /L LL-4, USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: P OFI E D CRIPTIONS: PER TIO TESTS: AlResidence 4New ❑Replace ! ZZ 9~ 23 i/Z~ ` ~JC -~5 3~ G,IL5 lQ_ ►LiC7 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIO❑NU. M7S.Ou IN-GROUND S P J O RE: SYS"53 I S l TEM-IN❑-FILLHO❑LDING~K: REC ~MENDED~uSY~1M:/(gottionpA)t~ QESIN RATE: ~J If f Per Percolation Tests are NOT required D~ I If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: j~J~~j Floodplain, indicate Floodplain elevation: L' ' PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH *f, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- f LLTS i3" &Lti , . &,S!_ 8A'j P, B- 2 G.1-7 1t6 U B- IG 5~ I /for L > / z"~zs ~'i~s,,,S;L z~"B~Nc-a~S~G~ 6"'03.,~~isci►2 B- 5 /t^~,QZ r~)(~N' ? %o QZ i7"$cc75 !$'>~aRnJS L ga",MS-lf 6k B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER -TAI~I~'48,P AFTERS WELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P_ Z P~ L~4 3 >2 5 Z > <~s P y _3 >2 , 2 ' < P- P_ LET RC 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 surface elevation at 11 borings and the direction and percent of land slope. SYSTEM ELEVATIONS ~b 9 8 pirr I C t c~ ~ ~ Z~' I , : i , E Li i IN r - 3 Sc,a~c r m~ , os e ! i 444-A 3 3 3 e 3 ' I, the undersigned, hereby certify that the soil tests reported on this form were made by mein accord wit rocedures 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 rint►: TESTS WERE COMPLETED ON: A.~ 14 IQ 'j ADDRE S: CERTIFICATION NUMBER: PHONE N,UMBER(optional): SIU Wl ` 4p i 3b-4O~ts CST SIG RE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - I '*'T"'"-,TIONS FOR COMPLETING Fn" 1 - SBD - 5595 To be a cratta:. ; ,rate Soil t=esA, you z' repoll n1u. . 1 . Complete leaf 2. The use section n., ;indicate =ais is a 1s 3 0!, comnierCial plojec;t; 3. MAXM,,1t. %1 numb 3orns or c. r- r=1 use Sri; 4. a r-,evv or 5, G -I~t.c: the su;°<.- A SITE ifs' ' FOR A 4-3", " ANK ONLY IF ALL OTTER SYSTEM, lT ERASED ON S C NDITIONS; S. PLEASE use the abbe ~ -re for vvritil - c ~'escriptions and completing the plot plan; 7. MAKE A LEGIBLE ~ iy locatirry yo iocations. D},iwing to scale is preferred. A separate sheet may bi 8# Make sure your bcnc4.ro I elevation poira are, clearly shown, and are permanent, 9. Complete all appr opr o dates, names, 1re_,ses, flood plain data, percolation test exemp- tion, if appropriate; 10. If the info matibn ( t. (°h in, } tir es !rot'-~'Ply, :°-l Elie appropriate box; 11 Ski- the form and place ~ cur 16 your Cer(iiiC nr 12. M e legible rc )ig <anr,3 r c. ALL SOIL TE 3 z " BE FILED WITH THE U L : Y WITH ' 30 DAYS 0 1. 1-TION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Symbols st - Stour; lover 10") BR Bedrock Sandstone cob Cobble (3 _ 10") yr- - Gravel (Gautier 3") Lirm, ton m High .;ter. Sand I e r i =m s arld !f sand I - Loarny Sand I n 1 Sandy Loam a 'l{ m o sic; t:y clay ; ( few, f rM, fa ? t - ~.iay _ common, r - . pt Peat Many, me m Muck d distinct: P Prorrainer ! I-ItC' Hiz1h vv vs 1, I t; Banc P Y point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and pasted prior to the start of any construction. ~tl ' y \a J dub M Y 1 J Y f~ rJ V ~ d n Q- ~ ' O M \ / ~ \ l c o'er / - f~ a O NJ ~ ~ \ n o yt 1 m Z ~ • ~n ~ ~ d J ''~%S M I T m N b s o 4-• J 0 Ln Z ~ 1 ° V a v V) f4- .1 ro - .gym - - - ~ c 'rte I II da rn a' a tl r it i!I i lI~ ~ li i ~ I _p o 1 11 ~ j ! I l T m '0 ~i i 1 ,y I! 11 1 { CA fit; -AS ~ ~ e I,! , m p 41-1 x -PY o ~ rri v ~ rn Z O 0 A~ n I JS j Z in t, -3;1 CN 0 o REPT131 HUDSON ST. CROIX COUNTY ZONING PAGE 1 08/17/92 16:06 REQUESTS FOR INSPECTION WORK SHEETS FOR: 8/18/92 AREA: JT Activity: A9200249 8/18/92 Type: CONVSEPT Status: PENDING Constr: Address: HUDSON 21.29.19,SE,NW,LOT 15, ZANE GREY CIRCLE Parcel: 020-1288-50-000 Occ: Use: Description: 171485 Applicant: LUNDELL/MILLER Phone: Owner: LUNDELL/MILLER Phone: Contractor: STROHBEEN, DOUG Phone: Inspection Request Information..... Requestor: STROHBEEN, DOUG Phone: Req Time: 13:08 Comments: Items requested to be Inspected... Action Comments Time Exp 00012 FINAL INSPECTION Inspection History..... Item: 00012 FINAL INSPECTION