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HomeMy WebLinkAbout038-1024-70-100 ~ O e~y C c o; a o N (t o cn ~ U ~ ~ N a) z U) On ~ O a) O (D U v, ti y O c O v, d y0N nEc`X"~?m S^ ° ytCDNy~iV E1 -6Eo f-~ (0 L C CD T 0 r U N \ V` Z - CD CO (D 0 a) Ali c N ?i C a .0 N U E N V w a3 d O• OI O w 7 ~a30aaxiyc«cL i ccU~m~~° mCL ID rnL N N' r 0 Lo -0 co 0 ID m c o ~ U) > m o o c 3L 7 o c y Z o o m o a) c ca o > ,0 a> > a) c 'o LL cc y :3 Qom N 7 L O ' C.) 012 -0 L C 3 0 3 O a) Oj- a7 m= N m 0. 0) a~ `(/X1 / E Q co a1L- ° ~y ELV, v CL M V 00 E - o ce) ~ I 3 Z N 01 d `i~ IL m C/ LO o ~ r ' O o N z~ O O Z aoi Z ° c o c E v 2 M N O C a3 O CL U N G a Io O o N Q z m z o N z C N 'NO Iii r - y E N E ° M O LO co O Al) d a) 0 0 \l ID ° O C a n m N E '2 E > c n co E l 4- N 000 Z •N a v a a CL y IL 7 0 U) y N N U) J V Z rn rn 0) o E c,, 'O N M - O O N U o y c (L o V) O Ol Y Q in co rn m ^i O O° N to C -5 o o :3 o~ 1 3 a w c o a) °o o C v ao E E _ o M ` O _ o o d O M N is N C ~j 4) H H C 0 0 0.* M E v •O o o con ro o E E Z ~19 ~7 4) CL • e~ a d m c _1 A ciago o o 0 U)L) Parcel 038-1 -70-100 10/23/2006 11:09 AM PAGE 1 OF 1 Alt. Parcel 05.31.18.106 038 - TOWN OF STAR PRAIRIE Current ST. CROIX COUNTY, WISCONSIN Creation DXHstor ae Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner DAVID R & LORY J GRAMBERG O - GRAMBERG, DAVID R & LORY J 929 CTY RD H NEW RICHMOND WI 54017 Districts: SC = School SP = Special perty Adare s : * = Primary Type Dist # Description ` 929 CTY RD H SC 3962 NEW RICHMOND C v(~ SP 1700 WITC Legal Description: Acres: 2.077 Plat: N/A-NOT AVAILABLE SEC 5 T31N R18W 2.077AC PT S1/2 SW1/4 lock/Condo Bldg: BEING LOT 1 OF CSM 9/2580 Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) 05-31 N-1 8W L Notes: Parcel History: - Date Doc # Vol/Page Type Vo At 05/08/2001 644906 1634/529 WD 04/04/2000 620656 1500/228 LC Q ? ~i~ 05/25/1999 603756 WD J` 07/23/1997 996 WD 2006 SUMMARY Bill Fair Market Value: Ass 0 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.077 32,600 124,300 156,900 NO Totals for 2006: General Property 2.077 32,600 124,300 156,900 Woodland 0.000 0 0 Totals for 2005: General Property 2.077 32,600 124,300 156,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SECTION T ADDRESS 7d~ Lam'~~~ / ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT -LOT SIZE PLAN VIEW N 164 Lp CSC 3-620 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM p S r~ V° oz m, I • ~O INDICATE NORTH ARROW BEN :Elevation and description : o Alternate benchmark o 1z. / o o SEPTIC TANK: Manuf acturer L q id Cap. Rings used:Manhole cover elev: G'.S-~Final grade elev: Tank inlet elev.: Tank outlet elev.: 4 No. of feet from nearest toad:Front Side , Rear Ft. 1.5-0 From nearest prop. line:Front Side , Rear Ft. No. of feet from: Well , Building: (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE I ~ ~ f I~ PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model:Pump/Siphon Manufact.: D7// Pump Size Elevation of inlet: O~s~Bottom of tank elevation Pump on elev.: g6 Pump off elev.:7,~,allons/cycle: ' 7e 'e /-Cc, r~ Alarm: Man.: Switch Type: Location Distance from nearest prop. line: Front-, Side_, Rear. Ft. l Distance from: Well 0 Building v~oz SOIL ABSORPTION SYSTEM Bed:_ X Trench: Seepage Pit: Width:/Length Number of Lines: E Area Built d~ Exist. Grade Elev. Proposed Final Grade Elev. y O Fill depth to top of pipe:- c No. feet from nearest prop. line:Front , Side , Rear Ft.~,S~ No. feet from well: No. feed 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: r~ INSPECTOR : _ DATE : PLUMBER ON JOB r LICENSE NUMBER: ~j/ 6/90:cj I- I~CAT19N: STAR dPRARIE 5.31.18.106,1 SE SW COUNTY H iscomin epartmento In ustry, PRIVATt SEWAdE SYSTEM County: ` .Labor and Human Relations INSPECTION REPORT Safety and Buildings Division ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No--. GENERAL INFORMATION 180276 Permit Holder's Name: ❑ City ❑ Village [%Town of: State Plan ID No.: TROHBEEN RUSSELL R STAR PRAIRIE CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 038-1024-70-000 TANK INFORMATION ELEVATION DATA A9200355 ID a TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic G ~Z Benchmark 5P 770, Zu cu'S Dosing V?C~ Z,1z 'uJ ~p A n Bldg. Sewers Holding St/ Inlet - TANK SETBACK INFORMATION St/ Outlet , a~ TANK TO P/ L WELL BLDG. geintake ROAD Dt Inlet Septic /I'?-' NA Dt Bottom a,b Dosing NA Header /4A*m-.- 94Aeration- NA Dist. Pipe Zip S 77 Holding Bot. System O W` 857, PUMP/ INFORMATION Final Grade 5.37- ' 997,3 Manufacturer Demand ~ P4- 7.`w Model Number a+> TDH Lift ,n Friction System 474-1 TDHa.Q,/SFt of~a'n js Forcemain Length 1~6 Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length i No. Of T enches PIT Inside Dia. Liquid Depth DIMENSIONS &0 DI EN I N SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Ma acturer: SETBACK INFORMATION Type O oSF__ CHAMBER s Model Num System: C4111up >16Y >/"o >/(z OR UNIT DISTRIBUTION SYSTEM Header / M*n4&W Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length -6t- Dia. Length _5z/ Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over ~(1 Depth Ove „ vi xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Cenntter 3 - Bed/ Trench l ges 8 Topsoil E] Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: STAR PRAR~I~E 31.~g.106,SE,SW,COUNTY H L yZ Plan revision required? ❑ Yes No Use other side for additional information. F/o x 9/ tin SBD-6710 (R 05/91) Date - Inspector's Signature Cert. No. •y ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: q-o PU,C v~o Z6, l 17, i FRIDAY, OCTOBER 30 304/62 HOUR 8 i 00 - - 8 15 - 8 30 - - - - - - -81:45 9 00 - 9!15 9 45 - _ - , - - 10 OQ 10'15 - 10;30 _ - - - - - - 10' 45 11' 15 ,3450 11,30 - - 12i15 - - ~r . 62 12;45 1 00 - L5 - - f 1 i 30 45 - ~ 00 2 ; 30 - - - - - - - - 2 45 - - - - - 130 - 45 - 4 ! 00 4 I15 0 - 4 145 N z" - 5 QO 5 i 15 5 130 - - 5 45 - - - - 6 100 ii - ' 615 _ 6 ~i30 6 45 - - 7 00 - i. N O - - - - - - - T - - - S AT-A-i;l APJCI r, T WWI DILHR SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05, Wis. Adm. Code o i STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than FO-2-/40 8% x 11 inches in size. ❑ Check if revision to previous application -See t'everse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. 1 112 ) ,l-- PROPERTY O ER PROPERTY LOCATION - - - !o c t,~t J ''/a Y., S T j/, N, R /!5(E (or PR OWNER'S MAILING AD LOT # BLOCK # CI t PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER/ dtJ C 1~►at / OV 92 IM ITY VILLAGE NEARS ROAD II. TYPE OF BUILDING: (Check one) El State Owned • ra ~s ~ ❑ Public W 1 or 2 Fam. Dwelling- # of bedrooms ~ PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo U j~ y 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ❑ New 2. ~9 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 Lff 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 y~ O REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 2 e7 O 7.Z p • 4C • - s G 3 9 5 - / Feet 1`k- 0/1 Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New lExisting Gallons Tanks Manufacturer's Name oncret Con- Steel glass Plastic App strutted Tanks Tanks oed Se tic Tank or Hoidin Tank Lift Pum Tank/Si hon Chamber L(J -e-.e S Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's ' nature: (No Stamps) MP/MPRSW No.: Business Phone Number: Plumber Address (Street, City, State, Zip Code): C- SYoc~ IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved San' ry Permit Fee (Includes Groundwater a e ssu Issuing A nt S ature (No m Approved ❑ Owner Given Initial Surcharge Fee) q~ Adverse Determin tion 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 1 INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. l~our'sanitarj permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. "Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit applic:ption must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. - II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. Vlll. 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 a 115 form; and F) all sizing information. G R06h6 IVATE(MRCHARG E 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. ..The.monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) STC-100 This application form is to be completed in full and signed b 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 QK Location of propert 1/4:::~_ /4, section T~N-R~W Township Hailing address ;7 O ZO fir/` y eCr t4 Address of site y 2 Eo h A/ o~ ofSubdivision name A Lot no. Other homes on property? yes- X --No Previous owner of property Total size of parcel O Date parcel was created Are all corners and lot lines identifiable? k -Yes -No in this property being developed for (spec house)? Yes (No Volume and Page Number of Deeds. as recorded. with the Register INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRWITY DEED which includes a DOCUMENT NUIMERl, VOLUME AND PAGE NUMBER & THE SEAL OF THE R.EGISTkR 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. ®2 S own the - , and that I (we) presently proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described rt, for the construction of said system, and the same haso been duly r ecorded in the office of County Register of deeds as Document No. Signat a applicant Co-appl cant 0.0 Dat f Si ature Date of s gnature I Nn. 8-9. Warranty Deed-short Perm (BTATIC OF W1ecoNalN) L (bee. 286.16, Wis. 8tatatsa) Form No. 6 Reed for Record this_ 17th 32434 day of__ 19711 i G, 4W 31Tbruturp, Made by Alvina Strohbeen t___j_s,10 A_t j Rsgie'tsf -W- 4 grantor , of St. Croix County, Wi onsin, hereby conveys j and warrantsto Russell R. Strohbeen and Eunice Strohbeen, husband and ;II wife as joint 'tenants grantee s , of St. Croix County, Wisconsin, for ~I thesumof One Dollar and other valuable consideration the following tract of land in St. Croix County, State of Wisconsin: I~ Northeast Quarter of Northwest Quarter (NEB of NW4) of Section Eight. and the Southwest Quarter (SWf) of Section Five (5), excepting therefrom the West 350 feet of the Southwest Quarter of the Southwest Quarter (SW4 of SWk) of said Section 5, lying South of C.T.H. "H'f, as now located, all in Township Thirty-one (31) North, of Range Eighteen (1$) West; also A parcel of land in the Southwest corner of the Northwest Quarter (NWT) of Section Five (5), Township Thirty-one (31) North, of Range Eighteen (1$) West, described as follows: Beginning at the Southwest corner of said Northwest Quarter (NWT) of Section Five (5) Wk), hence Northerly along the West line of said Northwest Quarter 362 feet; thence South 4$ 24' East, 545 feet to the South line of said Northwest Quarter (NWk); thence Westerly i So feet to the Point of Beginning, along the South line, 407.6 containing 1.7 acres. it FEE ~O EXEMPT This conveyance is given in satisfaction of a land contract 'i between the parties, dated June 7, 1967 and recorded June 1967 11 in the office of the Register of Deeds, St. Croix Count; Wisconsin in Volume 433 on pages 2$2 and 2$3, Document No. 2$$566. i I TAX EXEMPT I Jn Mttntoo Mertot, the said grantor has hereunto set her hand and seal this ij 16 day of October A..D.,1974 Signed and Sealed in Presence of _ _(Seal) j~ A 1 vi na Rtrghbeen j - I ~ _.E..d..L._. ~1.._../ ~'C.-"-.e_.:_5....-~..._ ICI j _Frances Van N vel %tatt of watdcondfn, y.1 ss. St. Croix -Count j Personally came before me, this 16 day of October , A .1-974, the above named Alvina Strohbeen to me known to be the person who executed the foregoing instrument and acknowledge Frances Van NAe"I Notary Public, St. Croix County, Wis. My commission expires Jan. $ , A. D., 19 7$ Drafted by».J!i ndrik We Van D k Attorney at Law, New Richmond, Wisconsin I I BouK 516 PA'E625 4N.6.•-Ch. 60 WL. State. Provides that sll lartrmnente to be raatadcd shall have plalnb printed or typewritten thereon the names o! rtr> grantors. Rrantem. witnesses and notary.) I " rn ~ o _ b y G'.► n ~ O O t/9 j o oa ti e rn b b ti i b iM s b i . i s 1 kilt SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER 5 ro f1 ~►j ~y~ S• y a/ ADDRESS:- 2a,,>2 D el y110 4101/ IRFJ NO: LOCATION: ~G' 1/4~ Jc• 1/4, SEC. T N-R f TOWN OF: ~~~t r / r►4~hi ,e ST.•CROIX COUNTY SUBDIVISION: LOT NO. Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal systems St. Croix County residents may be eligible to receive a grant to help with the cost of the 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 the St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman. plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating 'condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification from will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned have read the above requirements and agree to maintain the private sewage disposal system-in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification form must be completed and returned to the _St. Croix County Zoning officer within 30 days of the three year expiration date. SIGNED. DATE: 7 o2 9 St. Croix County Zoning Office 911 4th St. - Hudson, WI.54016 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the 4711 /-e.e residence located at: 1/4, _SLy 1/4, Sec._ r T N, R_Z!~f W, Town of yclccr ~i~h le Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced Did flow back occur from absorption system? Yes No,)< (if no, skip , next line) Approximate volume or length of time: gallons minutes Capacity: Construction: Prefab Concrete V~ Steel Other Manufacurer (if known) : 3' Age of Tank (if known): (Sign ure) (Name K Please Print (Title) (License Number) C3- (Date) Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge will conform to the requirements of ILHR-83, Wis. Adm. Code (except for inspection opening over outlet baffle). Name Signature MP/MPRS 3 -3 Sf 5/88 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, C DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 76 N WI 53707 HUMAN RELATIONS ILHR 83.0911) & Chapter 145) LOCATION: SECTION: OW SH /MU CIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAME: ~~~cJ~/a /T N/R (o a rli 000~NTY: MAILING ADDRESS: ,t~j 2 0A 10f x 5 5 2 C L, B!~ , d USE DATES OBSERVATIONS MADE - NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: 1PERCOLATION T`ESTS esidence _ ❑New Replace~► kcg~ RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) S DU S DU DU OS U ❑S ,el If Percolation Tests are NOT required DESIGN RATE: _ If any portion of the tested area is in the under s. ILHR 83.09(5) (b), indicate: G~ :5 ZFloodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- !3/ B A"/" I-5x 5;01 v-•g~s✓/,~ 5=36 ~ B-3 B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD t PERIOD2 PER PER INCH 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 aLborirings and the direction and percent of land slope. !✓.'ao 770/L•r SYSTEM ELEVATION : ~ E a N .190 ' L- [ i 1 Kv. CR.d._ t LO elo 5 1 1 -14 - 41104 _.1 ! t-' J }1~° /1~z o• n-e ► a ~7Or sly f ~i ~ l otpr ISO! I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specifie 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: ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): CST SI TUR : DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use suction must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing scale is prefered. A separate sheet may be used if desired; 6. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all apropriate boxes as to dates, names, addresses, flood plain data, percolation test exemption, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and yur certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 10") BR - Bedrock cob - Cobble (3 - 10") SS - Standstone gr - Gravel (under 3") LS - Limestone 's - Sand HGW - High Groundwater cs - Coarse Sand Perc - Precolation Rate med s - Medium Sand W - Well is - Fine Sand Bldg - Building Is- Loamy Sand > - Greater Than 'sl - Loamy Sand - Less Than '1 - Loam Bn - Brown 'sil - Silt Loam BI - Black si - Slit Gy - Gray cl - Clay Loam Y - Yellow scl - Sandy Clay Loam R - Red sicl - Silty Clay Loam mot - Mottles sc - Sandy Clay w/ - with sic - Silty Clay fff - few, fine, faint 'c - Clay cc - common, coarse pt - Peat mm - Many, Medium m - Muck d - distinct p - prominent HWL - High water level, surface water Six general soil textures BM - Bench Mark for liquid waste disposal VRP - Vertical Reference 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 posted prior to the start of any construction. PLOT PLAN ~PRO,IECT uS~ 4P J,o/j ADDRESS led, Ste' 1 /4 ,Sv1 /4/S S /T 3/ N/R /~W TOWN COUNTY -0 C. ~c MPRS Byron Bird Jr. 3318 DATE -,2 - BEDROOM CLASS PERC'_ CONVENTIONAL IN-GROUND ESSURE CONV E NTt ONAL LIFT MOUND_ HOL ING TANK SEPTIC TANK SIZE e-y-~ LIFT TANK SIZE DOSE TANK SIZE _ HOLDING TANK SIZE ABSORPTION AREA PERC RATE BED SIZE /,.2 Sc 6~ Benchmark V.R.P. Assume Elevation 100' Location of Benchmark & . e,-) 4,X, S rat x * H.R.P. for-ftr -A 17-1 Borehole Q Well Scale Feet 0 Perc Hole System Elevation ~S - Uent 12" Grade TYPAR COVERING 2^ 12• 3- 4 6' O 3- 6" • Sewer Rock 1.2' a 0 3 4 PArt CF PUMP CHAMBER CROSS SICTIOIJ AND SPECIFICAriouS VEUT CAP 4"C.I. VENT PIPE WEATHERPROOF APFROVED LOCKIAIG 25' FROM DOOR, JUMCTIOIJ BOX MANHOLE COVER WIIJDOW OR FRESH 12"MIU. AIR INTAKE I GRADE I ~ ti" MIIJ. _ 16" Mlu. cOWDUIT INLET PROVIDE AIRTIGHT SEAL A I I I I I I I ( ALARM a I II I I *APPROVED i ow JOINTS WITH ELEV. FT. APPROVED PIPE 3 ONTO PUMP ~ OFF D SOLID SOIL ` CONCRETE DLOCK RISER EXIT PERMITTED OIJLy IF TANK MANUFACTURER HAS SUCH APPROVAL SPECIFICATIOKIS 016-S MANUFACTURER: IJUMBER OF DOSES: PER DA.! TANK SIZE: - f40 GALLONS DOSE VOLUME ALARM MANUFACTUFLER: 101- IJ • INCLUDING BACKFLOW: - GALLONS MODEL WUM6ER: CAPACITIES: A=-19k•~IMCHESOR GALLOWS SWITCH T`JPIE: - t mt /7Cfi rye C9 INCHES OR 4/'0 GALLONS PUMP MANUFACTURER: - ~d -e r- ' S INCHES OR © GALLOWS MODEL NUMBER: D _/I_IMCHES OR iad GALLOWS SWITCH T`JPE: rs/" MOTE: PUMP AND ALARM ARE TO DE MINIMUM DISCHARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF ARID DISTRIBUTION PIPE.. FEET + MINIMUM NETWORK SUPPLY PRESSURTT,,E//.. . . . . . . . ~ FEET + /7s-' FEET OF FORCE MAIN X __L. /0 0FZFKlCTIOU FACTOR.._G_LY FEET TOTAL Dt WAMIC. HEAD = FEET IUTERNAL DIMEWSIONS OF TANK: LENGTH;WIDTH a / -;LIQUID DEPTH 51GUE 1: LICEMSE HUMBER: 3 3/ DATE: 'vz a. - CMV CURVE • .6rrr w w W W 3O TOTAL DYNAMIC NEAD/CAPACI7Y PER MINUTE EFFLUENT AND DEWATERING SERIES 53.56.57-55 p 137-139 183 1e 28 M LTRS LTRS LTRS LTRS LTRS 1.52 163 249 394 231 231 EFFLUENT AND DEWATERING 3.05 129 216 300 231 231 417 72 163 242 227 227 26 SEWAGE AND DEWATERING 6.10 104 136 223 227 7.52 30 216 223 9.14 206 220 1 24 12.19 172 206 \ 1524 125 191 % 16.29 57 161 22 21.34 114 24.36 53 MODELS MODEL LodcVaW: ,9 z4s za 66 67 20 163 __\4 - 165 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE SEWAGE AND DEWATERING ♦ \ SERIES 267 2p ?i2 264 290 18 \ M LTRS LTRS LTRS LTRS LTRS \ 1.52 406 366 492 661 3.05 227 273 360 596 16 4.57 76 1°3 23e 511 6.10 30 125 401 7.B2 266 1 4 \ 1 9.14 163 292 10.67 12.19 _ 174 12 13.72 106 p' ~ ~ 15.24 45 MODEL Lock Valve: ,6 zt z6 3s s3 10 ~ ~ 293 MODELS 8 y5: 137 139 6 p " MODEL 5,. 284 -.4. DE i - MODEL 282 2 MC DELSI \ I 53, 55, MODEL` MODEL 57,59 w'. 97 267 USATLS 70 OF:.30,; 40~q,06070` 80 A0'~1004- X10 y120 30.~r40'150='1~60} 170180 190 LITERS 80 160 240 320 400 480 560 640 650 FLOW PER MINUTE 3280 Old Millers Lane Manufacturers of . P.O. Box 16347 Louisville, Kentucky 40216 (502) 778-2731 Qu aurr PUMPS AF1NCr /997 8 RERT131 STAR PRAIRIE ST. CROIX COUNTY ZONING PAGE 1 10/30%92 09:59 REQUESTS FOR INSPECTION WORK SHEETS FOR: 10/30/92 AREA: JT Activity: A9200355 10/30/92 Type: CONVSEPT Status: PENDING Constr: Address: STAR PRARIE 5.31.18.106,SE,SW,COUNTY H Parcel: 038-1024-70-000 Occ: Use: Description: 180276 Applicant: STROHBEEN, RUSSELL R Phone: Owner: STROHBEEN, RUSSELL R Phone: Contractor: BIRD, BYRON JR. Phone: 268-7616 Inspection Request Information..... Requestor: BIRD, BYRON Phone: Req Time: 15:10 Comments: Items requested to be Inspected... Action Comments Time Exp 00012 FINAL INSPECTION Inspection History..... Item: 00012 FINAL INSPECTION rAl- ` Gs~B' /az y r6 /wF ~NQ O.s'8 /o,2y ~ DD D 1 493258 0 77 al+"I CERTIFIED SURVEY MAP A PARCEL OF LAND LOCATED IN PART OF THE SW 1/4 OF., THE SWI/4 AND THE SE 1/4 N OF THE SW 1/4 OF SECTION 5, T31N, R 18W, TOWN OF STAR PRAIRIE, ST. CROIX .CO.I,WI. BEARINGS ARE REFERENCED TO THE SOUTH LINE OF THE SWI/4 OF SECTION 5, T 31 N, R ISW ASSUMED TO BEAR EAST. LEGEND --SECTION CORNER MONUMENT OF PUBLIC RECORD. 0 = SET I° X 24° IRON PIPE WEIGHING 1.68 LBS. SCALE 1 I o 100 PER LINEAR FOOT. 0 50 100 200 CURVE DATA O_WN_ Central Angle= 13°43'08" (702 COUNTY ROAD "H„ Arc Length= 383.73' SSELL STROHBEEN Radius Length= 1602.61' NEW RICHMOND, WI. 54017 Chord Length= 382.81' Chord Bearing= N81°38'51"W Tangent Bearing= N74°47'17"W N88°30'25"W APPROVED UNPLATTED LANDS C IgC12- ST. CROIX COUNTY -~Prehensive Planninmi EAST 391.91 Zoning and Z I PZdcs Committee Ji - i _ f DI If not recwdvd DI LOT I m z1 within 30 days of IlJI approval data I- I r ousE 92067.7 472 SO. FT. SEPTIC _ ti J 'ACRES I approvalshaMhe d1 H co N nul & void a 1 y 's~ r@qc,X , C~ ZI Z y' LjJI ~ d I 0 0 V) V) .__I RIGHT_ OF_ WAY LINE a1 ZI I N74447'17"W ~I o _ CENTERLINE 1 - _ 13.63' 0 W N I I Z L*j h Z o .Wise AIa ~ouG °0 EAST 1097.31 1432.15' ca -2 2529.46' N sUD 46 SW CORNE SECS SOUTH 1/4 CORNER SE65 T31N, RIeW SOUTH LINE OF THE SW 1/4 T31N, RIeW ,h S f~ RLEID IZ a2r 4 DEC 2 3 19920 JAMES O'CONNELL S VOLUME 9 PAGE 2580 RtViSterOf Doods St, THIS INSTRUMENT WAS DRAFTED BY PAUL GIBSON. Croix Co., WI b1LUIi,I 0 (4) -V 0 9t 2 3 d t r. rc r ►r M w c n ° °w j ~ d m m F o O cwr, cn =r < c w 3 ~o T 0.4 CD y CO v -0 b a a eD ° d. OD N O a 0 a 7 Q Q N N O> O O C C O C1 O n O CZ Co CD U> Z D • CD (a 0 0) CL '0 :3 CD 0 3 a W 0 7 0 CL rn No z CO) 0 CA ti N Q f 3 -o z 000 N+ o W o o < z 0 n y CO) CO) a o D o ? m CD ~j N 0 v O z c aao m O c o' Er a N CD N c 3 co O a 3 z CD o = A Z CD 0 Q a. z 'o CD I 0o w CA W j a m J z .Z7 C ~ 00 c ) o a CD' 0 CD 7COD CD n PR (D CD 7 r. C j A fn fo a. m Z CL SaC,7 7 O ? CD U) O co ~CC 0) .1a' LI 7 O v< O y mc0) tea w o l7 ° ~ 0 C ~ CD a- 5m n o ai a CD cn~o 0 CD 3 3 CD CC d a a N 7 C o CD 3 No E a y CD > > a ti o a 0 0 o o° ` 'I a i I i` k, S - • STAR PRAIRIE PLAT ` T31-N•R18-W ome Publishers, Ltd. POLK COUNTY 11 A.: 1 r ' t J 0 J_. ■ s•y @w: ' N Douglas tlJy~ 14 g W Phyllis 'Mlchael& .rrr ~f,Cl. Lehman CEDAR Menke Connie IA Connie J~ Randall & Rivard CEDAR ^ t crust (Anderson Dn.lling Trust Mary 174 cu 1 LAKE TIS3 RAIRT 79 79 Demulling 2 S .11 2 ® ~ ■ 201 CEDAR iN TD D ' r 1a 3 . uric. Allen Wright Brett & tr' 1 " Born Lavaun Sandberg 59 . _ ° ¢e ~ e ~ ■ Neumann Trelstad etal Q. PbL 4 I3 N10 3n '9 gIR Rodne~_ 3s 80 64 Q m B` <r 1 61 Vincent & A &e G a1 b ]9WebH randf ar - ' Rivd aim & Robe t & m m P.g Bradley m nN Doreen G E ~ ynthia I =u y t hr 116 ~ ,n eer / Ne ` Peterson a 99 4 n ~ Wilson 80 lit -pe 38 I Ander' 71 B 9 T L -4 83,3 ■ '.\C RS-3R.. JM__ ISana- 79___. - n Nn'C- ~LI.:Ff~ ER P 6 4, $N10 3 6e.g. I6 ~J-hn n ph" & 6 4 G & Susan D1. v Steven is Rachel & 20 (Alfred & O M ^ I ' Meeds An" a F hMda~ SL & o aB ss Htlnh 11 SC S KaH,erine rc U Abra- Oo a, u u Constant An" 38 38 40 ^ J2 Rirard 60 hamson z e.o > E uz ^ D N ■ m 13 40 33 2 uC RlehaTd t= &K Y W _ Bruce & I AW o 1y a Hdntz Q T&C ohn NOTITl3P cc u- B8 Mary C&1 is 82 u 1 U~ I ' DL B l1A 35'~er Nels A Al 0 10 Caudy Ti I 1 an caJ L E 80 2 z PTawky o TN 5 1 2 60 i a ■ Vogel M & ew" & P j & R OLD MILL N_ Beverley ' T&S 20 1 , Plourde 55 K s Diane Parnel1 l Fern M_ M-.20 I r~'i:'V i' &Leon - GaC T&H ookin 2] Med- David ffi Messner Daniel 'i & D Tnt 39 O[[ Trust 39 PaC zo A 9 11 w 1s ET 10 29 ehrlsnne N ce e R&C 20 Estate lu Ahlness I 40 zz 80 ' tan Cga.ia"d q 3 Green Joy Potting 40 C'an' 117 li L"^eB 2 raj zo L 15 1zo ante P Map- Jensen o C 24 Cz 20 Bruce o1KtY 1 KnAOVics &T lw- J aan« & Duane & 39 L7 ¢ Edin r V&at ' eM LLC 46 L L 75 it- ,;T Kathryn I 7 C Emerson r Karten 35 Meazner D&I D,j a D 3 C 13 40 nNIMal,ney D CB Io 40 1 "u 4Q 4Q R& l 3 Janet I W, 1, T ary 1 Nemeth I Ana n Duboi§ ti5 Norman 77 3 G s cN f4o 38 4 & Joyce BiCrisdhom3 It Mante Scott Proper= Izerah Farms B D 108 = m V o h s y o W 80OUnter 4c z3 \J~P 1 Inc 156 F i iz aj v ><z m R&rv 13 P' (y p+ 4y' Kerd, v z s14 D&R 3 II M&0c v ° Robert Matthew, 14 PQQ I Wallrieh 1 &G- z N ° I g t & Patsy C1 Chruto Mp sn - ,mom & I Estates Thorns: ~ <m Patric, Joseph D&K E Larson s inns i 3 jor« Harlan Inc 75 40 oo ± 10 AVE &Price 3 wlo Trust a0 r 1 r Kle...d Vehrs J&L 25 Alice I Clarence Rivard T&R 20 J&D 20 z 0 n, Dc Is s µl Leona 65 richton Aronson = 6 COOk 135 Tarman&J 38 eno>~ 4 4 E i&T Neumann Trust E&M 20 R&L 7 2 C& O 79 4 B 9 11 2 2 2 1 4 n9 2 a ' 100 Dupre W10 s u 9 ' m 3 43 z o v o 4 3 a 3 z 2 usJ 4 Neu Maaaret' 3 Bruce210th VE Keith, z Everett I o m m^ cro,8e s v Alice H<mmwar H<mmra,}{ Wayne 0 & Adeline c a o a 0 ° ° & vvonn< 9 1 Talmage Ma 39 39 Emerson Roger i&n & Gene A Bmm<.3Bk:,s.1 a 39 I Mary Thomas Trust 59 n, u o a z 5 5 lti%r'. t 3Patricia 79Jones 9 CC: Trust ~ 59 1~ Darrell & T, P& F 7 4 s &c 4 z PD s t ii R 0D Rob wage 20 80 G n Cynthia J' a z oge. & 4' As~lurid - Ta l c e , 35 E 20 Steven & 1 Folle Germain r z Nancy 12 ; RA D z a 40 Glaser i Cristy 78 79 t 1 1 i•:M11 z 4 3 Olson _ 1 a }t 11 Wickenhauser Ojusts 1 tt 2 caul & 1 t jose Ralph &L zo Roger & 142 Matth Gerald 1 Felkia 1 1 Levy & Mary ~ademy I Laud A&5 RB s Ccansl. loutier Tc Rosene 2 ;rt Mondor D Anna T~ 92 s 15 71 s c s 7 e Bonestroo 40 1 79 Sue en 2 r; a/. 3 uC 30 a sc s DC 3 P~ , i y? JD 6 & Anderlik 2 14 Rt5 New 80 I m g 2 r 4 1 s 15 e I t . j.. & ASs )c 4 4 Richmond \ 96 - c& 3 K& 4 n' 44 4 z 157 LLC 80 2 z u Moe o 1 Kc WD _ 79 m" r~.,ry z 7 scs KM 9 6 - 200th A 3 3 2 1 ;)?','^".re'. $ J,xl!1,,, D&K A 9 LD~ons& 4 i S Bonnie ~y. 4 argeon Bao @4~- 1 ;/r=,prB 4 F- 4 44 Steven LakesidS! \\\,B aill e A o !17 Y. ..Uurt _ R !h.cW (PTPVIPVP Foods c RS I ST. CROIX COUNTY CERTIFIED SURVEY MAP LOCATED IN PART OF K) THE W lit OF THE SW 1/4 OF THE SW 1/4 OF SECTION I, T 31 N, R 19 W, TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN. N W 114 CORNER OF SECT/ON / -31 -/9 OWNER PLAT T COUNTY MONUMENT MARVIN VIEBROCK BOX 187 PIPE LIES ON E-W FENCE LINE p OSCEOLA, WISCONSIN 5402 3.5' EAST OF N-S FENCE LINE l PIPE L/ES /0.5' UTH OFFENCE NE _UNP~ATTE„[~ LANQS S. 880 46' 36" E. 660.77' THE NORTH 41N.-';2- THE SW 114% SW 114 OF SECT/ON / W E y LOT 2 S 591,621 SO. FT (13.582 ACRES) r~ z INCLUDING RIGHT-OF-WAY y SCALE: ONE INCH I, 150 FEET O 581,643 SO. FT. (13.353 ACRES) 100' S0' 0 100' 200" EXCLUDING RIGHT-OF-WAY N ~C y N q p r m LEGEND ~ w S. 890 01' 54" E. 290.00' iy 0 1" X 24" IRON PIPE SET y WEIGHING 1.68 LBS./LIN. FT / 0 1" IRON PIPE FOUND A .0 FENCE LINE a O ik THE WEST LINE OF THE SW 1/4 OF SECTION 1- 31-19 IS ~Q A - s ASSUMED TO BEAR NORTH. s ~®r" N. 890 OI' 54" W. z LOT l N ALLEN C. 150.00 0 0 NYHAGEN 0 217,768 SO. FT. ? O ' >r 1 N? (4.999 ACRES) 5-1407 Z j 4 INCLUDING RIGHT-OF-WAY HU®SClfil, r+ , b m O 204,717 SO. FT 9) < VJt -1 tv r f ZO w (4.700 ACRES) 006, n EXCLUDING RIGHT-OF-WAY t~ i7iipt S A LA W O ~ Q A O SIGNED C ALLEN C. NYHAGEN R. L. S. 14407 O DATED COUNTY rRuNK H/GHW,WY "H N. 89° 01 4" W. 511.71' 45' 21.71 290 00' - r - S 114 CORNER OF SECT/ON / ~3/ -/9 ,n - --.2 - 2 0_ ' R/W LINE COUNTY MONlJMENT i. 221.74' .0 9 0 O :W COR R OF SECTl(w i-31 -/9 N. 890 01' 54" W. 511.74' COUNTY MONUMEN)" THE SOUTH LINE OF THE SW 114 OF SECT/ON / VOLUME,, PAGE jj CERTIFIED SURVEY MAPS this Instrument was drafted by. ken hodkiewlcz-. JOB No 82 -44 ST CROIX COUNTY. WISCON IN