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HomeMy WebLinkAbout261-1019-07-200 N l~ O~ip N h 4 0 O~ w O tl I N °o m Ea p0 N U i3 y N y N - C ~ z l9 N•U O i 3 ~ ~ rnm« d NL O'O~ O 0 " W N 7 co O X L W N ~1 r - N Ct r c 01 > w e C C 0 .T. ` N N `O w C C N N N O U m - D N N > w N X z C •O a 0 J 3 t6 CU 2 j.N LL C (0 a y C V) O y U w y y 7 T5 M E 7 O r L L O O L 0 2 Q w U y c m I O N z E W (n d: 00 Z r ~ IL m co F- z ~I o I 0zv' v r o fn FZ•• r z Ln co O ry C N ~ ((1~ii E 1~y L c • L O C 0 N D 2 z z o N z I y N 0) 4) ca y c a c a' O c O O y d l17 O CD 0 D 0 a .0 co Z r> Y FN- H H m y"-_ •i Y 0 0 0 GL N z • w,i R U n. o. a y CL ce) • g co c co co ' o U) J U U Z ~j CD o ti~ m Z r- r 64 O E > o c 0 m y c CL a o QI m 0 1 E y_ to ~V ba N U U y y j O LO O 3 N N C c0 a rn N y.r N y C 0 N N e n D W O Z U C d O m> N N M VJ N Z C N r r cc) ~ th w E co O u0i m p C 5, E ~ a+ d E un [L • e~e a d .V 0 A 0 a o in c°~ .4 Parcel 261-1019-07-200 02/06/2006 09:49 AM PAGE 1 OF 7 Alt. Parcel 935-002-036 261 - CITY OF NEW 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 - ST CROIX COUNTY, INCINERATOR SITE INCINERATOR SITE ST CROIX COUNTY 1101 CARMICHAEL RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 3962 NEW RICHMOND / SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 35 T31 N R1 8W PT SW NW LOT 1 CSM Block/Condo Bldg: 6/1784 2.755 AC FORMERLY 577E T STAR PRAIRIE ANNEXED CITY NR #480541 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 35-31 N-1 8W Notes: Parcel History: Date Doc # Vol/Page Type 12/18/1997 570100 1283/438 QC 70680 67/287 WD 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/20/1998 Description Class Acres Land Improve Total State Reason COUNTY X3 0.000 0 0 0 NO Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount I Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I Form - S T t AS BUILT SANITARY SYSTEM REPORT OWNER, ~,p,`itarE l Ccc~~v TOWNSHIP SEC. T N-R I ADDRESS C7-1 T)(~ ST. CROIX COUNTY, WISCONSIN SUBDIVISION . LOT /Y, IV, LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I1HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM /VOAtTN //ZPPEATY LTNE - - - - - 1211- TOP of lV kl 4oT CcnNz,,_ ' 1/tonr /~2AE /:,LCV,= /00, on /yiodvD 5 4 S?----~ fon.oc /nAz/v 0. 0 G.zr~ ss ra y ~ A1ZEA y ~pvG ~Fi=Lue~,T LrwF WEST /'Rc~P~TY ~ 2n/E .~hZS77.vC~ /3`/ /0lv/Lx=" 6 ao A"O ,br~dr- l3z~6 0 0 AnEA y z. I y~, lloP-SEQ WELL - i i C/n T / IZU/'L~.~// L=Nr INDICATE NORTH ARROW n / /i/o s cry t r J ~tlTJJ A,,oF-,Ty LYrvi BENCHMARK: Describe the vertical reference point used ~I/, L✓, LoT ~2 Elevation of vertical reference point: A00,00 Proposed slope at site: SEPTIC TANK: Manufacturer: L,Sflz_ Liquid Capacity: "/QnU ygaL. Number of rings used: _2 Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front ,16i Side,0 Rear, O feet From nearest property line Front,0 Side,O Rear, ~y feet Number of feet from: well ?u , building: -9, C > (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: L~/~FSEZ Liquid Capacity: Pump Model: JF Yh Pump/Siphon Manufacturer: Pump Size Elevation of inlet: oo~~ Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: 0, 3 Alarm Manufacturer: Alarm Switch Type: F o.gTJ Number of feet from nearest property line: Front, 0 Side, (D Rear, 0 Ft. go Number of feet from well: 13-6 Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed : Trench:-0,u,,;0 Width: Length: 3112 Number of Lines:-_ L Area Built: Fill depth to top of pipe: Number of feet from nearest property line: Front, 0 Side, O Rear,0 Ft.~ Number of feet from well: D Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: _ Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, O Ft. Number of feet from well: I i Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: Plumber on job: License Number: 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 SWI-4, NWT, S35,T31N-R18W ❑CONVENTIONAL ®ALTERNATIVE (if sPassiglanend l).D.Number: Town of Star Prairie El Holding Tank El In-Ground Pressure ERMound 87-04262 NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPFCTION DATE: Zien Mechanical Contractor 4858 North 35th Street, Milwaukee, WI 53209-5315 11-19-3-7 R,' 3 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. CLEV.. CST REF. PT. ELEV.. Name of Plumber: - JMPIMPRSW No.. IC,"n,,. Sanitary Permit Number: Gary Zappa 3300 St. Croix 96053 SEPTIC TANK/HOLDING TANK: MANUFACTURER LIQUID CAPACITY. TANK INLET ELEV.: =TANK T ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED. OYES ONO OYES ONO BEDDING: VENT DIA.: VENT MATI_. HIGH WATER NUMBER OF ROAD: PROPERTY WELL. BUILDING: VENT TO FRESH ALARM. FEET FROM LINE: AIR INLET: DYES ONO DYES ONO NEAREST DOSING CHAMBER: MANUFACTURER. BEDDING: ILIO1011C, CAPACITY PUMP MODGI_ PUMP/SIPHON MANUF AC7UREH. WARNING LABEL LOCKING COVER PROVIDED: PROVI DED. DYES ONO OYES ONO DYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF PROPERTY WELL BUILDING I VAERN N OTRESH (DIFFERENCE BETWEEN FEET FROM LINE PUMP ON AND OFF) OYES LINO _ NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing 1111Jl, DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: NCHES IDISTR PIPE SPACING MCOVER ATERIAL: NSIDE DIA #PITS: LIQUID BED/TRENCH WIDTH: LENGTH IN 0 OF PIT DEPTH. DIMENSIONS GRAVEL DEPTH FILL DEPTH 10~ESTVR PI PE NO. DISTR. NUMBER OF PERTY WELLBUILDINGVENT TO FRESH BELOW PIPES ABOVE COVERE. INLET ELEV. END. PIPES. FEET FROM LINE: AIR INLET: NEAREST MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. OYES ONO SOIL COVER TEXTURE PERMANENT MARKERS JOBSERVATION WELLS OYES ONO OYES NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCHRED DEPTH OF TOPSOIL. =SODDED SEEDED. MULCHED. CENTER. EDGES OYES ONO OYES ONO OYES ONO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH. NO. OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER. BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL a MARKING. ELEV.: ELEV.: DIA.. ELEV.: PIPES. DIA.: ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING. GRILLED CORRECTLY. COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO APPROVED OYES ONO OYES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: IBUILDING: FEET FROM LINE: OYES ONO EYES ONO NEAREST _I I Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE: TITLE. Zoning Administrator DILHR SBD 6710 (R. 01/82) DILHR SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05, Wis. Adm. Code , - Roy .o s. o . STA~SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than STATE (PLAN I.D. NUMBER 8% x 11 inches in size. a -See reverse side for instructions for completing this application. L) 2- PETITION rVN, 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑ YES NO PROPERTY OWNER PROPERTY LOCATION I/J N. NkA,, S 3S T N, R E (or~ PROPERTY OWNER'S MAILING ADDRESS ]j LOT NUMBER JE~KNUMBER SUBDIVISION NAME ~OZ G.J CITY, STATE ZIP CODE PHONE NUMBER 77 CITY : NEAREST ROAD, LAKE OR LANDMARK L O - ACS' ~.3"tS O ❑ VILLAGE : Om2 j~/, II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family OR X Public (Specify): "ro 111. PURPOSE OF APPLICATION: (Check only one in #1. Check # 2,3 or 4, if applicable) Sul 1. a. ICJ New b. E1 Replacement c. ❑ Replacement of d. ❑ Reconnection of e. ❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in #1 and only one in #2) 1. a. ❑ Conventional b. Alternative c. ❑ Experimental 2. a. ❑ System ' b. ❑ Holding c. ❑ Pit Privy d. ❑ Vault Privy e. ® Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. ❑'Seepage Bed b. & seepage Trench c. ❑ Seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSEDD(Square Feet): 7 160 d 6 Feet NPrivate ❑ Joint ❑ Public CAPACITY VI. TANK in allons Total Site INFORMATION # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. New xisting Gallons Tanks Concrete strutted glass App. Tanks Tanks Septic Tank or Holdin Tank /bo _/00c) L-~gtjt/L X 0 - _H_ El 1 1-1 Lift Pump Tank/Si hon Chamber i) ❑ ❑ I El VII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) MP/MPRSW No.: Business Phone Number: A '230 C) his" ~~d- sa Plumber' Address (Street, City, State, Zip Code): Name of Designer: 71S' 1. ✓ d VIII. SOIL TEST INFORMATION Certified Soil Tester (CST) Name CST # 55-53) 1 CST's ADDRESS (Street, City, State, Zip Code) Phone Number: IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater Date Issuing Agent Signature (No Stamps) Approved I ❑ Owner Given Initial S charge Fee Adverse Determination G~ . C9C`► ~ ~ / ~ ~ ~Z ~:l I L ~ X. COMMENTS/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: 1. This 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. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater ?'low (number of bed- - rooms, etc.), depth of system, or type of system; 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. Private sewage systems must be properly maintained. The septic tank(s) should b6 pumped by a-licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608-266-3811. To be complete and accurate this sanitary permit application must include: 1. Property owners name and mailing address. Provide the legal description where the system is to be installed; II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; III. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: cheek all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gall-)ns to be installed, number of tanks and manufactu'rer's name. Indicate prefab or site constructed and tank mater,al. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. 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. Fill in cesigner name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8'/s 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; dosing or pumping chambers; 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 toss; 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. GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Groundwater included the creation of surcharges (fees) for a number of regulated practices which Wisconsin's e can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasure is used in your building is returned to the groundwater through your soil absorption o system or the disposal site used by your holding tank pumper. ~ The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398 (R.03/86) H z H a r STC - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT 0 z St. Croix County d a H OWNER/BUYER ROUTE/BOX NUMBERx Fire Number CITY/STATE4UJ /G!~/yLr1 ~ ZIP3W14 PROPERTY LOCATION: Section 3v T_/N, R ~?f W, Town of S7/_*; St. Croix County, Subdivision 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 put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. n 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. y 0 E z I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with H the standards set forth, herein, as set by the Wisconsin Depart- '0 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. SIGNED DATE 1s k7 St. Croix County Zoning Office P.O. Box 98- Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, ("spec house"), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property ~yytpylGavi 1i$5oyrte- Location of Property SGl~ ~C , Section 349 , T_]~Z-N{e W Township 57TzY Mailing Address YU 7~PiYtX Address of Site Subdivision Name .Lot Number Previous Owner of Property Total Size of Parcel Date Parcel Was Created JrJne I~P~~ Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No Volume I _ and Page Number J~~7 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WarrantyDeed which includes a Document number, volume and page number, and the Seal of the Register of Deeds. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION i (noel centi6y that att a.tatement6 on thi,6 olcm ane true to the best o6 my (oun) hnowfedge; that i (we) am (ahe) the ownenk 06 the phopenty de~scAi•bed in th,i,a in6o"ati.on 6oAm, by viAtue o6 a waAAanty deed neconded in the 066ice 06 the Countyy RegtAten o6 Ueed~s ass Vocument No. ~a and that I (We) pne.aentey own I pnoposed bite bon the sewage d Apob .6ya em (on I (we) have obtained an ¢aaement, to nun With the above de4cnibed pnopehty, bon the conatnucti.on o6 said aya.tem, and the came hae been duty neconded in the 066.ice 06 the County RegiAten o6 Veede, ae Pocament No. 14;1 3 ) J_ SIGNATURE OWNERV ?e SI NATURE OF CO-OWNER (IF APPLICABLE) l rr~ m Ja~ DATE SIGNED DATE SIGNED WISCONSIN DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS DIVISION OF SAFETY & BUILDINGS, BUREAU OF PLUMBING P.O. BOX 7969, MADISON, WISCONSIN 53707 Verification of Exception Status for an Alternative Private Sewage System In the County of St. Croix Location SW 1/4, NW 1/4, Sec. 35 T 31 N, R 18 W Town or t M*ffW Star Prairie Street Address CTY RD K and 120th St. New Richmond, WI 54017 Lot No. N/A Block N/A Subdivision N/A Landowner's Name: American Resource Recovery The application for this site is for: 0 new construction use. ❑ replacement system use. If this is NEW CONSTRUCTION USE, the alternative private sewage system is: ❑ to have one of the first five approvals guaranteed for this year. This is number - - of those applications. (Use one of the first five quota numbs sued to you.) Lid one of the applications needing a quota number. The quota number assigned to this application is 59 - 11 - 8 ❑ for one additional homesite on a farm to be occupied by a parent, child, grandchild, sibling, niece, nephew, or first cousin. ❑ for an individual lot for which a sanitary permit was issued but was later ruled unsuitable due to new or changed soil criteria established by the department. ❑ for an application on file prior to February 1, 1980. ❑ for a lot that meets the criteria for a conventional private sewage system. If this is a REPLACEMENT SYSTEM USE, the alternative private sewage system is replacing: ❑ a failing conventionaltsoil absorption system. ❑ a holding tank that was installed and in use prior to February 1, 1980. ❑ a privy that was installed and in use prior to February 1,-1980. If this is a REPLACEMENT SYSTEM USE and the lot meets the criteria for a conventional private sewage system, check here,. E] I certify that the above information is true and accurate to the best df my knowledge. Thomas C. Nelson C Name Signature ~ - County Official Title St. Croix County Zoning Administrator Date June 12, 1987 DILHR-SBD-6158 (R 12/82) STATE OF WISCONSIN-DEPARTMENT OF INDUSTRY, LABOR & HUMAN RELATIONS DIVISION OF SAFETY & BUILDINGS - BUREAU OF PLUMBING P.O. BOX 7969 - MADISON, WI, 53707 APPLICATION FOR THE USE OF AN ALTERNATIVE SYSTEM Location: Township/1N{} SW t4 NW S 35 T 31 N/R 18 XWW3 W Star Prairie Street Address: Subdivision: County: CTY RD K and 120th Street, New Richmond, WI 5407 St. Croix Landowners Name: Mailing Address: American Resource Recovery 800 Larry Court, Waukesha, WI I (We), the undersigned, hereby make application for an alternative system on the above-described premises. I recognize that the above premises are not suited for a conventional private sewage system. If approval is granted, I agree to have the system installed in conformance with the Bureau's approval of plans and specifications. I further understand that an alternative system is more complex in nature than a conventional private sewage system and as such will require detailed inspection during construction and monitoring after the system is put into use. I agree to permit both county officials charged with administering county sanitary ordinances and Bureau employes or other authorized persons to have access to the above described premises at any reasonable time for the purpose of inspection the construction of or monitoring of the system. I further agree to either personally or by my agent contact the proper county official to arrange the time and date to begin construction of the system. I understand that this application does not permit me (the applicant) or my agent (the contractor) to begin installation. If the system is approved, the Bureau will send the applicant a letter of approval which authorizes construction of the alternative system after all necessary permits have been obtained. I agree to give notice to any subsequent buyer that an application for an alternative system has been made and if installed, that the premises are served by an alternative system and further agree to give the buyer a copy of this application. The Bureau accepts this application subject to this understanding and subject to all the conditions and obligations set out in this application. Signature of Applicant Date STATE OF WISCONSIN Subscribed and sworn to before me SS. COUNTY OF This day of 19 Notary Public, State of Wisconsin My Commission Expires: DILHR-SBD-6413 (N. 05/81) v kA w w C-j 4 Z U !z~ V h ~cz-) 1-4 +y o A i Iz, e v". ~ cy bVNNQh O 1~W L S o < N, 4p. U4 lu a) 2 W 1, r ~a Ply C ti i . I h ~~>.1?y.S i 0 GN o w 0 U4 'q, w a > 4 0 Ow ~ ~ ~ H ~ III N p 'w C ac h4 ~~I ` IEZ i 4 ~ U r~O O Lu C-1 Z rT-l o 0 0' o -~I ►~y I a p H L4~ CNI uf~l~'' Urq P~V~ O~ I I u o C' H ,0A, L - H C h C W ~ 3 It kl 11 11 H q ti H o All y Qy `fib 2 h 148 1 3 .U ` p 3 4 cj 4 w L4) 4 a Q z oo O U4 v V ~ ut W c~-~ o h h / , ~ t6 `-7 e v \ Q e o 41 v Q w ~J w 2 QL h ~ o J c~ r ca- N - 3 N 44 o ~ 4 N ti y~ W w v> C 'CIO 44 0 23 ® ?i s, o ti ~ ail 15 l1 QS 3 shy e C) 4 C-~ h 15-71 r a. h 13 e.... J h z R ~a •O 2 ~ ~ C ~w u a V LQ -j L J V h 2 e F e~ v~ Q C'Z 0 e it v o o p U ~ ~ 4-- ~ 1 l7 ~ ~ W W Q's 1-.0 QZ > ? N L 3 N Q ~ ~ s ~ r ~ ~ w ~ - •~q~ Submersible duo c~ Effluent Pumps ova _ P&ibMy BaRnes o- I' 1. 2" discharge models handle 1h" or 1'h" solids. 2. Choice of 1/3 or 4/10 HP models. y ' 3. Single- and three-phase oil-filled motors running at C[ 1750 RPM. N r•~ < 4. Heavy duty cast iron construction with stainless steel hardware. ~ 4-- 5. Molded material impeller with back vanes to keep solids from seal area. 6. Choice of 115 or 230 volt models. 7. Shaft seal is the mechanical type in oil-filled chamber with secondary exclusion seal, ceramic and carbon faces 8. Equipped with 15' of 14/3 SJTO cable. sl f SPECIFICATION TABLE MOTOR DATA Approx. Model Size H.P. RPM Phase 1 Volts Wt. EH31 2" 1/3 1700 1 115 45 EH31A 2" 1/3 1700 1 115 45 411 2" 1 4/1 1700 1 115 51 1 SE421 2" 4/10 1700 1 230 51 Model EH31A includes Mercury Level Control.. i ~e) IMWF 7.02 "TAL HEAD O NT". R. 2.00 APT - POMPORMOAN Cum --l www•M• l~~l h~ -4.77 t1M III PUMO ftow ML 14 87 i ( ~b M y t14 %T f10- 1.75 [Mr us..M.Con PER =NUT* 7.62-! Sir t 's 0u - - i• _ i•o .-~Z---- ----A - S' K1loq MA Own 1 MODEL i +i KAI J10 $#611 0" ST. CROIX COUNTY t :,M WISCONSIN v:'@~~i L ZONING OFFICE 796-2239 (HAMMOND) s` 425-8363 (RIVER FALLS) t HAMMOND, WI 54015 June 12, 1987 Division of Safety and Buildings Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation o£ the American Resource Recovery property, located in the SW 1/4 of the NW 1/4 of Section 35, T31N-R18W, Town of Star Prairie, St. Croix County, revealed suitable soils at a depth of 3.4 feet, below which seasonable high ground water was noted. This site should be suitable for a mound system. Should you have any questions, please feel free to contact this office. Sincerely, "T1,o~,~~ C. i~ (at'~, Thomas C. Nelson Zoning Administrator TCN/rc DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, C DIVISION P.O. BOX 76 LABOR AND PERCOLATION TESTS (115) MADISO N WI 3707 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION; SECTION: TO NSHIP/MUNtCiPALITY: LOT y BLK SUBDIV ION NAME: L_ N/R/(~E (04 1 1/4 /T C UNT N~,R'S BUYER'S NAME: MAILING ADDRESS: a► G4 by L3ayr~y8 ?.w~f/c.~vrrArc (,JAG, 3 ya! USE DATES OBSERVATIONS MADE NO. B RMS.: COMMEPI14L DESCRIPTION: PROFIL S R ONS: ERCOLATION TESTS: ❑Residence DoNew ❑Replace " r1 RATING: S= Site suitable for system U= Site unsuitable for system f f CONVENTIONAL: MOUND: JITANK: RECD MENDED SYSTEM:(optional) ❑ S ®U ®S DU E-IS ©U ElS ©U ❑ S ©U If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the / under s.1-163.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH Ig. ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. OWBACK.) '5 z~ f a B-2 - B- f , 'Zo B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES H NUMBER INCHES AFTER SWELLING INTERVAL-MIN. P RI 1 PERT D2 PER OD PER INC P 3 < F ! S" S P- P- 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 - 77- 4.0 N 'Iv r ~p ; uJtw ~ i I ( 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 i 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 rin TESTS WERE COMPLETED ON: 1,-9-S7 AD S: CERTIFICATION NUMBER: PHONE NUMBER (optional): i CS GN U DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. + DILHR Ei~-63 5 W. 02/22) -OVER - DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1982 THIS SPACE RESERVED FOR RECORDING DATA it WARRANTY DEED ( A26583 GI I APACE log ~I t rS OFFICE This Deed, made between St Croix County Wisconsin ST. CROIY, C4., WIS. km'd. for Record this 4th troy of June A.D. 1987 Grantor, 3:55 P. and meri an Resource Recovery of St. Croix. Wisconsin Limited Partnership ~ ~ N DNO~ Grantee, Witnesseth, That the said Grantor, for a valuable consideration RETURN TO conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin: A parcel of land located in the SW 1/4 of the NW 1/4 of Section 35, Township 31N, Ranqe 18W, Town of Star Prairie, more particularly described as follows : Tax Parcel No: Lot 1 of the Certified Survey Map recorded in Volume 6, Page 1784, Document No. 423059 on March 5, 1987 in the St. Croix County Register of Deeds Office. This parcel contains 2.755 Acres. Grantor also grants to Grantee an easement for inqress and egress to said Lot 1 for the purpose of constructinq and operating a steam and electricity generating incineration facility. The easement is located in said Section 35, more particularly described as follows: Commencing at a standard St. Croix County Monument at the East 1/4 corner of said Section 35; thence on an assumed bearinq West 5,349.57 feet to a standard St. Croix County Monument at the West 1/4 corner of said Section 35; thence North 00°30'55"East, 821.09 feet along the Westerly Line of the NW 1/4 of said Section 35 to the point of beginning of this description; thence East, 524.33 feet; thence North,66.00 feet; thence West, 523.74 feet to a point on said Westerly Line; thence South 00°30'55" West, 66.00 feet to the point of beginning and containing 0.793 acres of land. This conveyance is exempt from transfer fee and return, pursuant to SeC.ThIs .?51(52 ~C5L1S . St40tmestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And St Croix County Wisconsin warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except municipal and zoninq ordinances, recorded easements for public utilities located adjacent to side and rear lot lines, recorded buildincl and use restrictions and covenants, aeneral taxes levied in the vearof closing Snd will warrant and defend the same. St Croix County Board of Supervisors Resolution #12 (87) authorizes the fig igned to execute ythis deed. June -19 87 Dated this ST. COUNTY (SEAL) by: ry-1 (SEAL) Orman E. Anderson • Chairm St of unt Board of Supervi r,- (SEAL) b : (SEAL) i AnneBer unty Clerk St. Croix County AUTHENTICATION ACKNOWLEDGMENT Signature(s) of Norman E. Anderson and STATE OF WISCONSIN Jill Ann Berke, as Agents for St. Croix SS. County, Wisconsin, County. au nticated this q h day of June 19 $7 Personally came before me this day of J '19 the above named I Gre ory Timmerman TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person who excuted the authorized by § 706.06, Wis. Stats.) foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Gregory Timmerman Hudson, Wisconsin 54016 Notary Public County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: 19 ) 'Names of persons signing in any capacity should be typed or printed below their signatures. NF 3573 WARRANTY DEED STATE BAR OF WISCONSIN Nelco Forms, P.O. Box 10208, Green Bay, WI 54307-0208 FORM No. 1-1982 • o 423059 VOL._ 6 CERTIFIED SURVEY MAP NO. 1784 PAGE 1784 OF PART OF THE SW 1/4 OF THE NW 1/4 OF SECTION 35, T.31N., R.18W. TOWN OF STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN UNPLATTEG LANUS 661 WIDE FUTURE PUBLIC ROAD N 00 30 55 E. 2586.38 ~ - - WOO 30 55 E. 821.09-' I I 14 jl I~WEST LINE OF THE NW 'a_ M WEST I/4 CORNER I NORTHWEST CORNER SEC., 35,, T.31 N., R.18 W. SEC., 35, T. 31 N., R. 18 W. 1 1 I 1 z Z NOTE: m i BEARINGS ARE REFERENCED TO THE Ito 1 EAST-WEST 1/4 LINE OF SECTION 35, Lot 1 will be served 1 a by municipal sanitary T. 31 R. 18 W. ST.CROIX COUNTY, WI. sewer and water. i ASSUMED EAST-WEST cn C !r-> SCALE 1'=100' fl Kn m m r 1M 9 (n m n j c 0100 200' w 1> 74 N M W Ir LEGEND w m w 177 w _j j STANDARD ST.CROIX COUNTY MONUM. 0 1'x24' IRON PIPE SET weighing -:a ;cz~ 1 1.68 lus. per foot °D i`v I SURVEY ORDERED BY: ~r ; 66' j AMERICAN RESOURCE RECOVERY 600 LARRY COURT Im WAUKESHA, WI 53186 I 1 i LAND OWNED BY: ST. CROIX COUNTY I 911 4th STREET HUDSON, WI 54015 I ' I ' 1 1 I NORTH 29.00 i SURVEYED BY: d` ---NORTH 271.00'----- DONOHUE & ASSOCIATES. 600 LARRY COURT D 1900 OfO WAUKESHA, WI 53186 c 0°\00 OO o rn O s O m to I MAR `~0 m LOT 1 U) D is I 120,000 SOFT. -4 1`L' r 2.755 ACRES p iT> 0 O I- .0 0 j C fry SH 0 C) 1 r LL V • \00 z/Z7/87 00 APPROVED EAST 1/4 CORNER SOUTH 300.00' SEC. 35,T. 31 N„ MAR 0 5 19,97 R. 18 W. A UNPLATTLO LANDS ST. C20iX COUi-tl'Y Page 1 Of 2 :C);APnEHENSIVE PARKS PLANh* AND ZONING COMMITTEE f r Vol 6 Page 1784 Yh . SURVEYOR'S CERTIFICATE I, Joseph S. Klarkowski,, Registered Land Surveyor, do hereby certify that in full compliance with Chapter 236.34 of the Wisconsin Statutes and Chapter 18, Subdivision and Platting section of the St. Croix County Zoning Ordinance, and by the direction of American Resource Recovery, this land has been surveyed, divided and mapped under my responsible direction and to the best of my knowledge and that the plat shown is a correct represention of all the exterior boundaries of the land surveyed and being located in the SW 1/4 of the NW 1/4 of Section 35, T31N, R18W, Town of Star Prairie, St. Croix County, Wisconsin, more particularly described as follows: Commencing at a standard St. Croix County Monument at the East 1/4 corner of said Section 35; thence an assumed bearing. West 5,349.57 feet to a standard St. Croix County Monument at the West 1/4 corner of said Section 35; thence North 000-30155"East, 821.09 feet along the Westerly Line of the NW 1/4 of said Section 35; thence East, 524.33 feet,to the point of beginning of ,this description; thence North ,271.00 feet; thence East,400.00 feet; thence South.300.00 feet; thence West,400.00 feet; thence North, 29.00 feet to the point of beginning and containing 2.755 acres of land. Also an easement 66 feet in width for ingress and egress to the above described parcel of land which is described as: Commencing at. a standard St. Croix County Monument at the East 1/4 corner of said Section 35; thence on an assumed bearing West 5,349.57 feet to a standard St. Croix County Monument at the West 1/4 corner of said section 35; thence North 00 30155"East, 821.09 feet along the Westerly Line of the NW 1/4 of said Section 35 to the point of beginning of this description; thence East, 524.33 feet; thence North,66.00 feet; thence WSst,523.74 feet to a point on said Westerly Line; thence South 00 30155"West, 66.00 feet to the point of beginning and containing 0.793 acres of land. V ! 1 J se h S. Klarkowski J(7)EP f r Registered Land Surveyor S-1595?_,. Date I ih I 16 'tls... Vol 6 Page 1784 PAGE 2 OF 2