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HomeMy WebLinkAbout026-1067-50-000 ~C o 3 0 a p " of N a o a ~ I N I y ' N =O M ~ t V .y1' I C i Q Q>_ GL V g m 3 to ~ v I wUO1 Z ~U) a U o m O V LL c 0 ~p C CO O aD ~ E Q N C U N O CL a a) a 0~0 W G 0 z a , Cl) N f- co O O z :t ~ Z fq FZ- ~ N E 'O N co 7 II N N • ~ O C ~ s O ~ I C O O V~ ~zz z E C N 04 a c d U c a' in m a~ o °o p _'c c a a ~N j h N N E w e Z N> a c z° o • q E a a CL ~.l ~l Q U) ! R N C a) r 0 N J V rn! Z to O 0 O N ~ a) C p _ o U) N p O $ d Q r N O RS QO CO H -Oi C u d Off O F„ L? tOp N O co 06 V N c E a€ c v O E N N ~I O M L ltd N L P_ M 0 16 L) cO O N O' fn O Z O Z (A a ~a • ee a 'm .2 d c E c w r A Uo O J) Ci ' 1 Parcel 026-1067-50-000 08/12/2005 09:32 AM PAGE 1 OF 1 Alt. Parcel 22.30.18.343B 026 - TOWN OF RICHMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - STANEK, FRANK & VIRGINIA R FRANK & VIRGINIA R STANEK 23906 DEWEY LAKE ST DOWAGIAC MI 49047 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1420 HWY 65 SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.770 Plat: N/A NOT AVAILABLE SEC 22 T30N R19W PT SE SE BEING LOT 2 OF Block/Condo Bldg: CSM 9/2474 1.77 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 22-30N-18W Notes: Parcel History: Date Doc # Vol/Page Type 11/18/2002 698923 2051/150 QC 03/24/2000 620131 1497/613 QC 07/23/1997 1012/01 WD 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/27/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.770 37,400 71,900 109,300 NO Totals for 2005: General Property 1.770 37,400 71,900 109,300 Woodland 0.000 0 0 Totals for 2004: General Property 1.770 37,400 71,900 109,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch 135 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 D, /DG 1 ~ R O.u /D6 7 $V 3yi8 ~c,c, 2L T9tf A'+ ~flt Lr. P1.~Id 07~ ~s' ~'S~r~J 9~~yry t 482212 CERTIFIED SURVEY MAP Located in part of the SE4 of the SE4 of Section 22, T30N, R18W, Town of Richmond, St. Croix County, Wisconsin. 3 OWNER o John E. Schommer Q Corner of N c z 239 Monroe Street N., Section,,.WV Hudson, WI 54016 39 y _ 1 I • LOT AREAS M ro o to T W 4a L I IJNIPLAT nTTED r1 LANDS e M c Lot 1 Including R/W: Co 1.59 Acres o y North line of the SEJ of the SE} - 69,261 Sq. Ft. N89056'05"W 334.64 65' 50' ' N 299.99' Lot 1 Excluding R/W: a' 34.65 - 1.43 Acres a~ o L 33 40' 62,196 Sq. Ft. 100' lot 2 Including R/W: y o _ _ 1.77 Acres c w N I o c 77,144 Sq. Ft. _4 N _ ` (1 71 ro N ° c N- U) Lot 2 Excluding R/W: QI 00 []1 1.52 Acres r- 21 66,215 Sq. Ft. 'f Q1 L-4 < ( I N _J1 rj 34 _60' - 3 ~ -J I L71 309.67' W l1Jl 3 N8905610511W 344.27' N 3 L LtJI E-- I Ln 4- <I _J1 _J1 ~I N - Wello CD ,J 1 0 2 House C) H I F, o ^ z W 1 01 N N89047118111E N 47.00' _ N - ED 00' N ° A. 1 o' 80' 40' o ^ ° 273.14' i 81.55' S89056'05"E 354.69' 1'•`• it. 1INPI ATT~~ LA~v~s ► (n { $T Calf CtP1WUY LEGEND 9 1'0 3 Lowrq MW Masonry Nail Found at Section Corner Pwks C nwittm 0 11' Iron Pipe Set, weighing 1.68 lbs. per linear foot. -r ant a► o, 1f +~ot• r~e:orded - Existing Fenceline %vithin39dws0V _ spprovat. "0 Roadway Setback Line . ~ _ _ appsavetabal►bs Existing Drive \01 rxvoi~ t~ 4Section SE Corner of 22 r~~ i FILED' c , I Wt Z 0199 ' 0 SCALE IN FEET •~•Y,:-,~, : _,~(►MES O'erwNEIL . of Deeds 0 50 100 2000bcCaM~ VOLUME 9 PAGE 2474 This instrument drafted by Fran Bleskacek Proj. No. 92-10 w AS BUILT SANITARY SYSTEM REPORT OWNER U6}- A O--n Ynt r, TOWNSHIP R / e-h m. pn SECTION__ 22~__T 3 O ~N-R~ 'W ADDRESS 141-3 574 Ore, jLL5f ST. CROIX COUNTY, WISCONSIN ud sc n l,~ r 5 5~0/ ~ SUBDIVISION ~fA LOTA,JO-- LOT SIZE ADIA PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM (~S t J S~ aa=~ /y INDICATE NORTH ARROW low BENCHKARR: Elevation and description: Alternate benchmark SEPTIC TANK: Manufacturer: I'e wcrs& „Liquid Cap. ~ Rings used:_.5,_Manhole cover elev: 97a Final grade elev: 97-.5 Tank inlet elev.: 9o?,41 Tank outlet elev.: qa r D No. of feet from nearest road:Front X , Side , Rear Ft.L2'0 From nearest prop. line:Front , Side.,, Rear Ft. ~.S No. of feet from: Well Q7 , Building: S/ (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE ~ n w e. ..3 "n PUMP CHAMBER Manufacturer: 4c*er3 Pfc. Liquid Capacity: ~ 815 Pump Model:Pump/Siphon Manufact.: CnAuS~ Pump size Elevation of inlet: 501 Bottom of tank elevation Pump on elev.: Pump off elev.: dogs Gallons/cycle: I~~y9 Alarm: Man.:.5 ,7 ~ h - Switch Type: &,er.. Location / Qu e Distance from nearest prop. line: Front, Side, Rear-Ft, Distance from: Well Building }D 1 SOIL ABSORPTION SYSTEM ►'Yl b U~ V Bed: Trench: Seepage Pit: i Width: ---I/-:-Length 9 3. ~S1Number of Lines:--Z--Area Built, Exist. Grade Elev. Proposed Final Grade Elev. /0Q,1 Fill depth to top of pipe: lFe " No. feet from nearest prop. line:Front , Side `Z Rear Ft. No. feet from well:-W--No. feet from building 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: 6/90:cj IL ~ CoTIgNartRl oKPND 22.30.18.343 SE SE, HWY. 65 Count Later and Human Relations PRIVATE ~EWAGE SYSTEM County: Safety and Buildings Division INSPECTION REPORT ST. C OI X ' (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 171521 Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: SCHOMMER JOHN & BARBARA A RICHMOND CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: jot 1 ~ 54b) !.s `,S ~cl 026-1067-30-000 TANK INFORMATION ELEVATION DATA A9200287 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 6 D Benchmark 1~3 3 Apo , Dosing d0 Aeration Bldg. Sewer Holding St/Ht Inlet 0 5 ga,1U TANK SETBACK INFORMATION St/ Ht Outlet.; TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet q i- q6 ,y Air Intake Septic / -7 ' S-/r >S,' NA Dt Bottom fL,y Dosing 5 ' q0, > t/() ' NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System a,75 100,57 PUMP/ SIPHON INFORMATION Final Grade )0 Manufacturer Afl- Demand 5~ Css o ~i 01 Model Number ~ ~p GPM TDH Lift Friction' System " TDH a ,61t°Ft ss mead Ili") -A- Forcemain Length a,p[)' Dia. 3 4` Dist. To Well 1!;b SOIL ABSORPTION SYSTEM BED/TRENCH Width Length % No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION DIMENSIONS LEACHING manufacturer: SYSTEM TO P /L BLDG WELL LAKE /STREAM SETBACK INFORMATION Type O /Q} l CHAMBER Model Number: r' ti~~ OR UNIT System: yyj6jk4,Q DISTRIBUTION SYSTEM Header / Manifold Distribution Pipes)/ x Hole Size x Hole Spacing Venn To Air Intake Length Dia. Length `I) Dia. I Spacing I/4 i' 11 1 70 LA SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over ( Depth Over t xx Depth Of _ xx Seeded/ Sodded xx Mulched Bed /Trench Center D Bed/ Trench Edges J t Topsoil ~y [f Yes ❑ No Ja Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) f4 .5 7- o Plan revision required? ❑ Yes ❑ No Use other side for additional information. /31 - A`] A* I SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: 'T s DILHR SANITARY PERMIT APPLICATION COON In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than 1:1 /`rJ~ 8%x 11 inches in size. c ,e i ev onto eviousapplication -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPER WNER PROPERTY LOCATION t- % S15'%4, S a,a T , N, R (o PROPS TY OWNER'S MAILING ADDRESS LOT # fB~LOCK # ~0 13 sr, ro", ST ~ CITY, STATE ZIP ODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER O / 7I5 N II. TYPE OF BUILDING: (Check one CITY NEAREST ROAD ) ❑ State Owned ❑ VILLAGE ; k 11 1 ❑ Public ®1 or 2 Fam. Dwelling-# of bedrooms R EL AX NUMBER(S) III. BUILDING USE. (If building type is public, check all that apply) ©ol r _ - (u 1 ❑ Apt/Condo 0110 f 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recre Tonal Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car-Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ❑ New 2. tA Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ® Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (s . ft.) (Gals/day/sq. ft.) (Min./inch) I ELEVATION 3 75 1 , 10C)._55 Feet , Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name oncret Con- Steel glass Plastic App Tanks Tanks strutted Septic Tank or Holding Tank Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name t): Plu is Sig atur (No Stamps) MP/MPRSW No.: Business Phone Number: S'(3S QIC-C ~ 1 7 S -715 Plumber's Address (Street, City, State, Zip Code): IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved 14 nitary Permit Fee (Includes Groundwater ate Issued i ng Agent Signatur o Stamps) Approved E] Owner Given Initial Surcharge Fee) 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. Now sanitarylpermit 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 6e 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 gallops, 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% 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 x.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 used for monitoring groundwater, ground- water contamination investiga_U6_nsand establishment of standards. - SBD-6398 (R.11/88) bEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS 115 P.O. BOX.7969 HUMAN RELATIONS MADISON, WI 53707 (H63.0911) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/N)LIM 4MLITY: OT NO.: BLK. NO.: SUBDIVISION NAME: SE V~;B 1/4 22 /T30 N/W8 iE)(,,) W Richmond n/a n/a n/a St. NCroix John Schomer MAILING ADDRESS: 1013 St. Croix St., Hudson, Wi. 54016 USE _ _ DATES OBSERVATIONS MADE T. BEDRMS : CUMMERMALT)~CMMoo- I1~OTEF'r)WRIPflt51 . TESTS: ~)WResidence 3 T n/a LINew OReplace l 3-25-92 , IFFITMATION 3-26-92 (RATING: S- Site suitable for system U- Site unsuitable for system 1111 6NVENTI0ffF MOUND: [iNEIS -GI iUt1Nlif iM`tTi9ij9VW ~T 1-FILL IDING T%INK: FCOMMfN1)E1) SY.ItI FM:loptional) EISQU ®SCJU QU }EIS®UI,DSHU fllOUnd If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the (under s.1-163.0915)(b), indicate: I n/a I FloodPlain, Indicate Flooriplain elevatinn: na/ decimal' PROFILE DESCRIPTIONS page 36 JsB E30RING TOTAL DEPTH T GROUP DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH t ELEVATION BSERVED (aH TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 1.83,10yr3 2, 1,,1.83,10yr4+ s 1.08, 7.5yr- B-1 7.74 99.55 4.74 11.74 0 r4 4 s. w water e-2 4.42 99.55 none 3.09. •92, 10yr3/3, 1., 1.17, 10yr4/4 sil., 1.007.5yr - s.l. 1.33 5 r3 4 mot. s.l. massive B-3 5.41 98.50 none 3.66 .83 10yr3[2, 1.1 1.75, 7.5yr 3/4, sil, 1.33, 5yr /3 s.~. 1.770, 5 r3mot. s.1. B• B- B- decimal' PERCOLATION TESTS TEST DEPTH , WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER MK=S AFTERSWELLING INTERVAL-MIN. - Tt5 PER INCH P. 1 2.00 none 30 2-~ 34 P.2 2.00 none 3 778 P. none 1.- 1 1 30 P-. 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 surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 100.55 Ey~.,~5 a pr :a _P9 d n St c of C un Y_ on ng On.-site . _ I . ~I E~~ lIJP ~ Ohl- ~ ~ln _ . _ a ~Ol. i_ ~ ~ 1:5 i 1, 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 the location of the tests are correct to the best of my knowledge and belief. NAME print : TESTS WERE COMPLETED ON: Gary L. Steel 3-26-92 ADDRESS: CERTIFICATION NUMBER: PRUNE NUMBER (optional): 1554 200th. ave., New Richmond, Wi. 54017 229 715-;246-62W CST SIGN RE: DISTRIBUTION: Oripinal and one copy to Loral Authority, Property Owner and Soil Tester. I'll llra.^nr~ r, Ina lit rl?!t'~) Ovrn i SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL Western Regional Office 2226 Rose Street LaCrosse, Wisconsin 54603 CALVIN POWERS JR Owner: JOHN SCHOMMER 1969 185TH AVE 1013 ST CROIX ST NEW RICHMOND WI 54017 HUDSON WI 54016 RE: Plan Number: S92-40390 Date Approved: June 8, 1992 Gallons Per Day: 450 Date Received: June 2, 1992 Project Name: SCHOMMER, JOHN Location: SE,SE,22,30,18W Town of RICHMOND County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved'. This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only: - REPLACEMENT MOUND Inquiries concerning this approval may be made by calling (608) 785-9348. Sincerely, CMDADn M. SWIM Section of Private Sewage Division of Safety and Buildings PPP039/0009n/41 cc: JOHN SCHOMMER X Private Sewage Consultant i sen 64234R. 0"10 ~ J Wisconsin Department of Industry, ONSITE SEWAGE SYSTEMS Office of Division Codes and Application Labor and Human Relations Onsite Sewage Section Safety and Buildings Division 201 E. Washington Ave., Rm. 141 PLAN APPROVAL APPLICATION P.O. Box 7969, Madison, WI 53707 (608) 266-3815 INSTRUCTIONS: Please fill in all applicable data and submit this form with plans. Plans will not be reviewed until all fees are received. The reverse side of this form describes most of the required plan information. Further requirements may be contained in the Wisconsin Plumbing Code, which can be purchased from the Department of Administration, Document Sales and Distribution, 202 South Thornton Ave., P.O. Box 7840, Madison, WI 53707, Telephone (608) 266-3358. Plan Number Previously Assigned ,r 1. PROJECT INFORMATION (Type or print clearly) N e of Subrpitti , arty (plans returned to same) Project Name a v n w ~rS c M Street Address, P.O. Box # or Rural oute Project Address or Legal Description 1,96 Of AeKe'k A-c>-~ Sf S.4e,2~L 73olu-e w U3 City or Vill ge State Zip Code City ❑ County W17 3-dI1517 Village ❑ of S?C)L -^-4 Telephone No. (include area code) / --S/ Town CK Designer Name of Owner d S c- »'I YY1.p./~1 Telephone No. (in ude area code) Telephone No. (include area code) Street Address, P.O. Box # or Rural Route Street Address, P.O. Box # or Rural Route lo/ S_°• C"_x sf City or Village State Zip Code Ot or Village State Zip Code s~jlO~~o LOT- 2. APPLICATION FOR: ❑ Experimental Mound System ❑ Holding Tank ❑ New Construction ❑ Large System ❑ Conventional Gravity System ❑ Groundwater Monitoring Replacement ❑ At-Grade ❑ System in Fill " ❑ Petition For Variance ❑ Revision ❑ Pressurized System ❑ System in Flood Plain (attach SBD-6698) ❑ Other Alternatives 3. FEE COMPUTATIONS (include existing tanks) FEE SUBMITTED FOR OFFICE USE MAKE ALL CHECKS PAYABLE TO SAFETY & BUILDINGS DIVISION. a. 750- 1,500 gallon septic tank S 50.00 b. 1,501- 2,500 gallon septic tank $ 60.00 C. 2,501- 5,000 gallon septic tank $ 80.00 d. 5,001- 9,000 gallon septic tank $100.00 e. 9,001- 15,000 gallon septic tank $150.00 f. Over 15,000 gallon septic tank $250.00 g. 500- 1,000 gallon dose chamber $ 30.00 h. 1,001- 2,000 gallon dose chamber $ 50.00 i. 2,001- 4,000 gallon dose chamber $ 70.00 j. 4,001- 8,000 gallon dose chamber $ 90.00 k. 8,001- 12,000 gallon dose chamber $110.00 1. Over 12,000 gallon dose chamber $150.00 M. 500- 5,000 gallon holding tank $ 30.00 n. 5,001- 10,000 gallon holding tank $ 55.00 o. Over 10,000 gallon holding tank $100.00 p. Revisions $ 20.00 q. Groundwater Monitoring - Per Site S 32.00 (other than a proposed subdivision) r. Petition For Variance: Setback $ 25.00 Site Evaluation $ 50.00 Subtotal: s. Priority Plan Review: Enter same amount as Subtotal G Total Fee: D SBD-6748 (R. 04/88) NOTE:Fees are pursuant to Wis. Adm. Code, Chapter Ind. 69, and OVER ST. CROIX COUNTY WISCONSIN 46012 ZONING OFFICE ST. CROIX COUNTY COURTHOUSE r, 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 Apr. 10, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To Whom It May Concern: An onsite investigation of the John Schommer property, located in the SE 1/4 of the SE 1/4 of Sec. 22, T30N-R18W, Town of Richmond, St. Croix County. This onsite revealed suitable soils at a depth of 32" which requires 12" of sand fill. This site should be suitable for a mound septic system. Should you have any questions, please feel free to contact this office. in erely, James K. Thompson Assistant Zoning Administrator cj SE-SE- Sty 7-3arU1- 1'7Lj b}\YN Sc~ommeH /013 5-4 . WORKSHEET - MOUND SYSTEM DESIGN FALL son W L 5'Yoi b PROBLEM: Design a mound system for a -3 hl~~ I off, The site characteristics are: Depth to groundwater or bedrock y~ 73/ **I Landslope -ja % . Percolation rate 3 min./in. Distance from dose chamber to distribution system oo ft. Elevation difference between Dump and distribution system ft. Step 1. WASTEWATER LOAD = /So ~a~/Bec~raz-Y.X 3 st) gal Step 2. SIZE THE ABSORPTION AREA A) Area required X150 ~ ldaV , 373 sq. ft. B) Bed or trench length (B) _ 93.7sft. r= C) Bed or trench width (A) ft. r' D) Trench spacing (C) _ Wastewa er load .24 coal/ft2/day B = I VIA ft• tre~c e• es Step 3. MOUND HEIGHT A) Fill depth (D) ft. B) Fill depth (E) = D + slope (A)+P) ft. tCQC~J = I- as C) Bed or trench depth (F) _ ,83 it. D) Cap and topsoil depth (G) = f, ft. E) 'Cap and topsoil depth•(H) _ ,~5 ft. L-icanue ~-o h.n S~ h m m m e r. • p sir / i~/3 5 f c'~ox sf~ Step 4. MOUND LENGTH A End lone (K) E) + + + x ft. 42f-/, B) Total mound gth (L) o~ = B + 2(K) z 1~~ ft. Step 5. MOUND WIDTH Al) Upslope correction factor z A2) Upslope width (J) - (D + F + G)(3)(factor) _ ft. &t•93-t- 1)3 x q~ 9Ssr, B1) Downslope correction factor = /,d 6 B2) Downslope width (I) _ (E + F + G)(3)(factor) = gj~ 5 ft. /•D$"t~ $3t1~X3X J•Dlo = 9;~5 Cl) Total mound width (W) for bed = J + A + I ft. C2) Total mound width (W) for trenches J + + no. trenches -1)(c) + A + I S ft. Step 6. BASAL AREA A) Infiltrative capacity of natural soil r y.. gal./ft2/day B) Basal area required = wastewater flow <o natural soi~l~ oTl~ dtive acity` 9 sq. ft. so ;Z ' ~ Cl) Basal area available for bed for sloping sites = B x (A + I) _ /IY sq. ft. C2) Bas are avail le for trench for sloping sites = B W--~J+A1= sq.ft. $J Y3,~5 x 7,~S-Cgs A 5 •/19/~ C3) Basal area available for trench or bed for level sites = B x W = sq. ft. Sign: Licanse Date:_ G~~k St, 3 51 Step 7. DISTRIBUTION SYSTEM ~u J5 Ljs $ y° Ib _ 7A) SIZE DISTRIBUTION SYSTEM 1) Hole size = in. 2) Hole spacing in. 3) Distribution pipe length y5 to 4) Distribution pipe diameter in. 5) Spacing between distribution pipes = O in. 6) Distance from sidewall to distribution pipe in. 7B) DISTRIBUTION PIPE DISCHARGE RATE ft. 1) Number of holes per pipe = _o? 3 2) Flow per pipe GPM 1C) SIZE MANIFOLD 1) Manifold is X _ central/ end 2) Manifold length Q __0 _ ft. 3) Number of distribution lines a a 4) Manifold diameter 3 in. 70 SIZE FORCE MAIN 1) Minimum dosing rate _ GPM 2) Force main diameter 3 in. 3) Friction loss ft. 7E) TOTAL DYNAMIC HEAD 1) Vertical lift a. ft. 2) Friction loss ft. 3) System head 2.5 ft. ft. 4) ;Total dynamic head ft. Licer,ge : Date _ S-o 1013 3A6roi~ 5t IgLL6 0r\1 W l Sycv b 7F) PUMP SELECTION 1) Pump selected will discharge G_ GPM at ft. total dynamic head. 2) Pump model and manufacturer 7G) DOSE VOLUME 1) 10 times void volume of distribution lines gal./cycle 2) Daily wastewater volume : 4 doses/24 hrs. gal./cycle 3) Minimum dose volume yso~d %J4""'~-- / gal./cycle 112-5 r-(2,oc, x .3(08 = 1F~6.[ C~4LS 188.49 G4 L. i~aaPOSED 7H) DOSE CHAMBER 1) Minimum capacity required = 400 gal. Is n License Date: rnA CT .55 s,E , a a i30N 1 s t )u V.1 I ~ ~ i ;5 I f ! 1A ,j k pj~ ;Qom _ aQ -q G • ; A)t~k : : LIO ! ! . s'e2~r p d c i ; 78 iS-Prat ,80~ Ulf ' i,, luP~'fN~ F ~0 3 75r r . ; SEA cnA~ ! a 04- ~ t j i Y j i ! ~ , t I i t ! j } y Of/lJ \m - Sc h o m (n t- r Page S rt G C, x s t IqudS~l 4) 1 5y' o~d Straw, Marsh Hay, Or - - Synthetic Covering Distribution Pipe Medium Sand jWI Topsoil - . 2. % Slope Bed Of 2 Force Main Plowed 2 2 Aggregate Layer D Ft. . Cross Section Of A Mound System Using E /69 Ft F x,53 Ft. A -Bed For The Absorption Area G Ft. A ~ Ft. H Ft. Signed: i g U~,Ft. License Number: _/56 K )l0, i Ft. Date: LFt. d Ft. Alternate Position #s Ft. of Force Main W Ft. (Zi •25 Mtw.~ L_ II Observation Pipe--,, J ~ B I ~ I< j - - j SEWAGE SYSTEM \ Force Mai., W pNJ1TE Distribution p t e~ Of 2 Pipe to roft R WJ50 Observati pe' Y or~Cte LAOeAND N OF DGPARjMC`~7 r tNDtESTR , SEE C0 Plan View Of Mound Using A Bed For The Absorption Area I, . j.. ' ~ 'I A. ~ y Y ~y, w, • pdgo~ 0;'/U ~udSan W-, 54/0/1, Perforated Pipe Detail n End View )Perforated End Cop y PVC Pipe o'`O N oe Holes Located On Bottom, Are Equally Spaced r ONSITE SEWAGE SYSTEM a'~x APPRO VED.>=r\~'11, rns ribrtiarJ DEPARTMENT OF INDUSTRY; LABOR ARP N RELA710NS iViSiON. 0 FC AND ILDI- GSA, 1 Lost Hole Sha e- d - SEE CORA Neat To End Cop Distribution Pipe Layout P 5 Ft. R MIA. S X 9_ Inches Y Inches Signed: Pelt K'`, -j tr Hole Diameter . Inch Lateral inch(:,-) License Number: 45 &3 Manifold Inches Date: S JO •-y~ Force Main Inch0; # of holes/pipe Invert Elevation of Laterals/ej6s Ft. 1 fr . A a fD ' 10 7 ~ A ~ a o 1 J V\ n Vt . N 777~~~ ~ N A rt N• o Q 0 M N rt. K (D C N 1 ~ G rt m Yo Ln --o= - cr N f7' w 0 o. i-• r I-P _ - r - C M lfl w H ~y «l - N ~ n m r tit :3 w ~ a tr A ~ X ONSiTE SEWAGE SYSTENV 12-id 1 tt a tio APPROvED INDUSTRY, LABOR AND AN RELATIONS DEPARTMENT ETY AND!2j2tL-,_", ON •a • w a PAGE OF L_ _~PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS -~b t1 h SAOM r,,:., Ciro i lr ' VENT CAP -5 /4 '1"C. I. VENT PIPE 7i t 5y~1 ~ WEATHER PROOF APPROVED LOCKWG 25 FROM DOOR, JUNCTION BOX MANHOLE COVER WINDOW OR FRESH 12"MIU. AIR INTAKE GRADE I I I y"MIN. i "MIu CONDUIT 10"MIN, - 11~ . . IAIL.F:I NAGE qjjj-IC.HT SEAL ONSITE SE1 I I I i I - - - r; V APPROVED JOINT A ICI w/C.I. PIPE conji r~ ~O APPROVED JOI CXTENDIMC. 3' III ~//C.I. PIPE dab, on& RAF-% ONTO SO1.10 SC:;• a mv I II ALARM EXTENDI►JG 3 e I j• ONTO SOLID S APIJ MAN REiAT104 Om r LABOR AN EPARTMcN OF INDi1STRYr ND iL iNGS• I i DNiSim I'll I PUMP -$f OFF OFF D SEE COR CONCRETE BLOCK RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL SPECIFICATIOUS SEPTIC AND DOSE TA MKS MAWLIFACTURER: IJUMBER OF DOSES: PER pAy TANK JIZE:_ G.D(') GALLONS DOSE VOLUME l86.I ALARM MAMUFACTURER: -S INCLUL!!;C ZAC!;FLOW:-_~Vi GALLON MODEL IJUMBER:_llli rfty 301•40 CAPACITIES: A= _ INCHES OR GALLOu SWITCH TtIPG: llO 7in.a /1/~ rC sw ~c~ A=Z4uFp►~ U =INCHES OR -2V yU GALLOAJ PUMP MANUFACTURER:_ Gr.,,l.c I~-4p~ MODEL NUMBER: 3~fiS' (,J r i C~ 15'4 C=iIJCHES OR T_ GAlld►J ~Li ~/l N N P D Z_ INCHES OR ly :i GALLON n SWITCH TYPE: - P r-L NOTE: PUMP AUD ALARM ARE TO BE PUMP DIS CHAR` E KATE -g3--f INSTALLED ON SEPARATE CIRCUITS L .'L C~?M emtK ~ I VERTICAL DIFFERENCE 5Z-jl-WfEA1 PUMP OFF AUD DISTRIBUTION PIPE.. ~ FEET + MINIMUM NETWORK SUPPLY PRESSURE , _ 2.3 FEET 'f S2 FEET OF FORCE MAIN X '.9U-F~ / 100ILFRIC7101J FACTOR.._/~/ (y FEET I~ TOTAL DYNAMIC. HEAD FEET (a0'~ INTERNAL RIME}JSIGNC OF TA►JK. •-~;LIQUID DEPTH 7 SIGUED:~_R-r~~ LICENSE IJUMBER: /-2 DAT E: -117- Cf yJ RSIBL.E Tj GtJLDS.SUDMIE 5: .51 SEWAGE 'AND' EFFLUENT PUMPS M i. q r EP0311 z~r LIST DISC. t } GOWEP0311 142 EP0311 1/] HP 115 V Effluent PuTp 1/2" solldb I 256.801 172.10 ~t ka r,r, 1 , i <rs 1 t .s , t~a crostt ra ray e-Submersible h MODEL EP0311 r = ' Effluent., Pump ►1EreRS Feel SIZE W SOLIDS zs i b w tt;^I O 10 71 r`` r 4 iYy+' i y <i.w:QY. t < t r ;•c:: s o °0 4 b 12 16 2p 24 20 JY 38 .o. ' GPM • 0 2.5 5. 7.5 m'M CAPACITY t fr . ! y i- Performance 3885 Curve V lq;r 90 MODEL 3885 ~??~i,11~~ ~a 25 SIZE 3/4" Solids f~~ti ;J'~.;4 t3. To 20 _Zz rii lx'. WfoTl- s~'jyy~ tyt # L ! ypp'KG"tit~ Wt(AH . t0 00 wt r W t 01l _ 90 A/l~it MYL N ` 1. 4-T OR.y,':%:.,. 1. a 4 YI' 0 00 10 70 30 - ' b ' 'b to 'TO' 00 DO 100 110. 170 OPY 30 0 to 20 t t, CAPACITY ' LIST DISC. ►t (i0 .55 329.35 t {iy`Ep+`rY fly, m;E03111, 142 WM311L 1/3 HP 115 V Lw H 1/4' solids 191 }r~• C1JLR,E031U4 142 'WE0311M 1/3 HP 115 V Mid H 3/4" solids 491.55 329.35 115 V Hlgh H 3/4" ei,llds 704.25 411.85 ,^rt. OxiPKi0511H 142 WE0511H 1/2 lip > a' 1 , ay c Ups:E07121i 142 WE071:1i 3/4 HP 230 V High M. 3/4" solids N47.65 $65.25 4 }Ih r ~ r yfA ! y 9141 ~,1"y~1~w~Yr? 4•~~SEE,F~LLX7ING PAGE FM PEi1FOHT~V,N= Atd) SPE)rIFICATICt1S. d i PAGE D7u si 7 myr 30 10/88 * • ~ SAFETY & BUILDINGS INDUSNDUS Tiv1TRY,ENT OF REPORT ON SOIL BORINGS AND DIVISION P.O. BOX •7969 LABOR AND PERCOLATION TESTS (115) MADISON, WI 53707 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION: FEE OO:TOWNSHIP/~LITY: LOT NO: BLKNU.: SUBDIVISION NAME: SE E 1/~j30 N~W8 E)For) W Richmond n/a n/a n/a COUNTY: RS BXl?C&Aa6TV-: MA NG AUUR SS: x n Schommer 1013 St. Croix St., Hudson, Wi. 54016 DATES OBSERVATIONS MADE USE - 'I5R5FFE9_)E UMI5fIj5 1POTMIATION TS: NO.BEURMS.: COMM~R~1ALbESCR~PTIOI~: 3_26_92 "Residence 3 n/a ❑New MReplace 3-25-92 RATING: S- Site suitable for system U= Site unsuitable for system - M NDT'~t[ SY?iT~vii-TN-Ff LL HOLDING TANK: RECOMMI:NOEll SYS--I FM:luptional) CUNV1 NTI(SRnLi CIS QU ® S ou 0s -7U , S ®U _Ia S ..Hu Illound If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the na/ s.H63.09(5)(b), indicate: n/a Floodplain, indicate Floodplain elevation: decimal' PROFILE DESCRIPTIONS page 36 JsB BORING TOTAL P H TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH I ELEVATION OBSERVED E HE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 1.II3,10yr3 1., yr si 1.Oa, 7.5yr-,11 B-1 7.74 99.55 4.74 4.74 0__^__10 r4 4 s . w water _ 2 4.42 99.55 none 3.09 .92, 10yr3/1., 1.17, 10yr4/4 sil., 1.007.5yr4/1 B- s.l. 1.33 5 r3 4 mot. s.l. massive .B3 10Y1.5 r3//2, 1., 1.75, 7.5yr 3/4, sil, 1.33, 5yr /3 B-3 5.41 9£3.50 none 3.66 S,i, 0, 5 r3/3, mot. s.l. B- B- B- PERCOLATION TESTS decimal' URUP IN WATER LEVEL-INCHES RATE MINUTES TEST DEPTH WATER IN HOLE TERT TIME R5 PER INCH NUMBER iS AFTER SWELLING INlE30AL•MIN. 213j.0Ut ~ O -~-15 P.1 2.00 none 3 --r/F~--- P- 2 2.00 none 1 1 30 P- none 1 P-. P- 2W 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 all borings and the direction and percent of land slope. 1 ~,5 - -y SYSTEM ELEVATION 100.55 M .01 a01 r_6t vu DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, c DIVISION LABOR AND P.O. BOX 76 HUMAN RELATIONS PERCOLATION TESTS (115) MADISON WI 53707 (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/M LITY: OT NO.:BLK. NO.: SUBDIVISION NAME: SE 143E 1/4 22 /DO H/W8 rpf.r) W Richmond n/a n/a n/a COUNTY: OWNER'S ROEEF 6 NAME: MAILING ADDRESS: St. Croix John Schomer 1013 St. Croix St., Hudson, Wi. 54016 USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTIO PROFILEDESCRIPTIONS: PERCOLATION ESTS: Residence 3 n/a ❑New Replace I 3-25-92 3-26-92 -7 RATING: S= Site suitable for system U= Site unsuitable for system ONVE TIONnNAL: MOUND: IN-GROUND -PRESSURE: ISYSTEM-1 -FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ❑ L U ® S❑ U ❑ S E]U ❑ S ®U ❑ S ®U mound If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: n/a Floodplain, indicate Floodplain elevation: na/ decimal' PROFILE DESCRIPTIONS page 36 JsB BORING TOTAL DEPTH T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-1 7.74 99.55 4.74 4.74 1.83,10yr3 2, 1., ,1 si 1.08, 7.5yr- u~T 10 4 4 s. w water B-2 4.42 99.55 none 3.09 .92, 10yr3/3, 1., 1.17, 10yr4/4 sil., 1.007.5yr4 - s.l. 1.33 5 3/4 mot. s.l. massive B-3 5.41 98.50 none 3.66 .83 10yr3/2, 1., 1.75, 7.5yr 3/4, sil, 1.33, 5yr /3 9w;T s.i. , 1.50, 5 3/3, mot. s.l. 50 B- B- B- decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER 1?W29S AFTERSWELLING INTERVAL-MIN. PERIOD 1 P E11 02 PERIOD PER INCH P_ 1 2.00 none 30 2 z P.2 2.00 none 30 1 7/8 //8 :34 P_ none 30 1ik 1 1 30 P_ J 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 all borings and the direction and percent of land slope. SYSTEM ELEVATION l00.55 approval e'nd n St. ; c of C un on Mg site. J p 8 S 4 t s 0 ff SL kO+ ! WJmrr N i J! 1, the undersigned, hereby certify ;pacified in the Wisconsin Administrative Code, and that the ; NAME (print : TESTS WERE COMPLETED ON: Gary L. Steel 3-26-92 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 1554 200th. ave., New Richmond, Wi. 54017 229 715-W-6-6200 CST SIGN RE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDING INDUSTRY, c DIVISION N LABOR AN P.O. BOX 76 HUMAN'REDATIONS PERCOLATION TESTS (115) MADISON W 53707 (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/CITY: LOT NO.: BLK. NO.: SUBDIVISION NAME: SE %A 22 /130 N/R 18&or) W Richmond n/ n; n /a COUNTY: OWNER'S BL -NAME: MAILING ADDRESS: St. Croix John Schommer 1013 St. Croix St., Hudson, Wi. 54016 USE DATES OBSERVATIONS MADE A ON TESTS: NO. BEDRMS.: 1COMMERCIAL DESCRIPTION: PROFILE DES IPTI7l-26-92 ~,dece 3 n/a mew ❑Replace ~ 3-25-92 RATING: S= Site suitable for system U= Site unsuitable for system ONVENTI NAL: MOUND: IN-GROUND-PRESS : S ST -IN,~~x--FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) ❑ S U SDU ❑ S U ❑ S M0 ❑ S[a mound If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b), indicate: n Il Floodplain, indicate Floodplain elevation: ng/ decimal' PROFILE DESCRIPTIONS age 36 DKB BORING TOTAL P H T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED HES TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 1.25,10yr2 2. 1., 1. 2, 1 si 1.00' 1l B- 1 4.92 100.35 none 2.67 3/4, mot. l.s., 1.25, 5yr4/3, mot. massive s. 2 4.17 100;35 none 2.64 1 .17, 10yr2[2 1. 1.0p , 10yr4/3, s.l., 450,10yr B- 4%4, l.s., 1.50, ~yr3/4 mot. massive s.l. B_ 3 5.25 99.80 3.50 2,75 1.25,10yr3/2,1., 1.50,10yr4/4, s.l., 2.50,10yr- B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER IKPlM AFTERSWELLING INTERVAL-MIN. PERIOD 1 P RI D PER INCH P_ 1 2.00 none 30 4 2 4 8 P_ none 2 4 y P_ none Ju 1778 1/18 P- 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 surface elevation at all borings and the direction and percent of land slope. approval pending St. Croix County Zoning ON-Site evaluation SYSTEM ELEVATION 101.35 tT ,Lj~ I 1 ~ ~ I i ~ i 4 _ #4 ~ - - ~E Z i ~4 t r t ~(9 _ - - _ _ j 1, 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 the location of the tests are correct to the best of my knowledge and belief. NAME (print : TESTS WERE COMPLETED ON: Gary L. Steel 3-26-92 ADDRESS: CERTIFICAT NUMBER: PHONE NUMBER (optional): 1554 200th. aVe., New Richmond, wi. 54017 2298 7)15-246-6200 C DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) -OVER - • l H z a STC - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County z cy a H OWNER/BUYER 0 v-A S Q-omrn'Q r` ~ ROUTE/BOX NUMBER 13 St Qre,,C Sf• Fire Number .CITY/STATE riu~Sov~ \ilZ D ZIP o ~p --r PROPERTY LOCATION: s 1L, S~ ;4, Section--DL )L,, T 3C_>N, R-1-9-W, Town of R~4,0,nAcy St. Croix County, Subdivision 1U~jq Lot number. Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you pelt into the system can affect the function of the septic tank as a treat- ment 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 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 veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), 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. H 0 I/WE, the undersigned, have read the above requirements and agree vi to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- v ment 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. SIG D DATE 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. j 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. Owner of property -J ~ ~1o1n~ v- y~ wn o Location of property S"" 1/4 S 1/4, Section T 3QN-R W Township f~ +C~mrpnd Mailing address 1013 Address of site T~ ~IQ~ Subdivision name //tl Lot no. -:k Other homes on property? yes_ No Previous owner of property j ; ►M Lky\ Total size of parcel Date parcel was created Are all corners and lot lines identifiable? _ Yes No Is this property being developed for (spec house)? Yes -X-No Volume « nd 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. i-, 19-1 ~j , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of County Register of deeds as Document No. ZSi ature of applicant Co-applicant Date of Signature Date of Signature DOCUMENT NO. WARRANTY DEED THIS SPADE VISURViD FOX RLDORDINO DATA . STATE BAR OF WISCONSIN FORM 9-1999 423721 78 PAGE 1, ?S OFFICE ~V ST. CROIX CO., WIS, Recd. for Recor i this 3rd ......,James...K.... un~ly......a .s xls33 e...pexson day of A.ij$- A.D. I %Z gt 8:30 A~M, James O'Connell sons conveys and warrants to ...Barbara..A_Schommer t wjs~ Deputy . RETURN TO the following State of Wisconsin: Tax Parcel No: I The East 330 feet of the South 395 feet of the Southeast Quarter of the Southwest Quarter (SE4 of SWh); the Southeast Quarter of the Southeast Quarter (SEh of SE4); the Southwest Quarter of the Southeast Quarter (SW's of SE4), EXCEPT the West 825 feet of the North 925 feet, all located in Section Twenty-two (22); the Northwest Quarter of the Northeast Quarter (NVi of NMI the NOrthwast Quarter of the No.tthea~t Quat:t%~r (Nt,~ of NE4i~ ~ raCFPT the East 413 feet of the South 288.6 feet, all located in Section Twenty-seven (27), all of the above in Township Thirty (30) North, of Range Eighteen (18) West. j RAWT i I i I This ._...is homestead property. I (is) (is not) Exception to warranties: Dated this 31St------------------------- day of j0} 18 SEAL ...............(SEAL) I w • ames..%._..Lundy........._...... (SEAL) (SEAL) i I • AUTHENTICATION ACKNOWLEDGMENT I{ Signature (a) -aAmP_a..IC, , ndy STATE OF WISCONSIN ss. • .....................................County. authen ' th~~isQQ 19.__$.7 Personally came before me this day of `L U4s . lW~~ I ...........................119 the above named T,t ~7 .7,,L *J'.enStr1k.. WA...van...Dyk TITLE: MEMBER STATE BAR OF WISCONSIN (If not,.. authorized by j 706.08. Wis. Stats.) to me known to be the person who executed the foregoing instrument and eoknowledge the same, THIS INSTRUMENT WAS DRAFTED BY .Reinsx ra,...`7.ari D.yk ..S ..D1@Gdhu~RL,....5..•G-.- • Kew._Richmond-,...WZ..... 5AA.1.7 Notary Public County, Wia. (Signatures may be authenticated or acknowledged. Both My Commission is permanent.(If not, state expiration are not necessary.) date 19.........) •Nams of VM0115 sinning in any capacity should be typed or printed below their sisnatures. nCMYlsrColrpelly STATE BAN OP WISCONSIN j ...w...w.w, ® YOAM No. 2 - 1932 Stock No. 13002 i k ST. CROIX COUNT" WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 Apr. 10, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To Whom It May Concern: An onsite investigation of the John Schommer property, located in the SE 1/4 of the SE 1/4 of Sec. 22, T30N-R18W, Town of Richmond, St. Croix County. This onsite revealed suitable soils at a depth of 27" which requires 12" of sand fill. This site should be suitable for a mound septic system. Should you have any questions, please feel free to contact this office. in erely, James K. Thompson Assistant Zoning Administrator cj