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HomeMy WebLinkAbout182-1030-70-000 AS BUILT SANITARY SYSTEM REPORT 1 47 /;7 OWNER G SNSH2P1~2/ SECTION-J-~-T.3 W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT// LOT SIZE PLAN VIEW N ' SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 1 4 7, tti zs t` X INDICATE NORTH ARROW BENCHMARK: Elevation and description: U!3~ ; f t f'%✓ / G% v Alternate benchmark SEPTIC TANK :Manufacturer : 4-2 • Liquid Cap. irr Rings used: Manhole cover elev:~Final grade elev: Tank inlet elev.. . Tank outlet elev.: No. of feet from nearest ' l road: Front , Side , Rear Ft. G From nearest prop. line:Front , Side, Rear Ft. No. of feet from: Well, Building: ll f (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon ct.: Pump Size Elevation of inlet: Bottom of tank elevation Pump on elev.: Pump.bff elev.: Gallons/cycle: Alarm: Man.: Switch Type: Location Distance from nearest prop. line: Front, Side_, Rear_Ft. i Distance from: Well Building SOIL ABSORPTION SYSTEM Bed: Trench: Seepage Pit: Width:~Length Number of Lines: 2 Area Built b~ Exist. Grade Elev.Proposed Final Grade Elev. o - Fill depth to top of pipe: 2 `l©" No. feet from nearest prop. line:Front , Side _,V-, Rear Ft . W No. feet from wellti ) No. feet from building 7 HOLDING TANK Manufacturer: Capacity: No. of rings used: E],,evation of bottom tank: Elevation of inlet: No. feet from nearesft prop. line:Front Side , Rear Ft. No. feet from: ell , building nearest road Alarm Ma cturer: INSPECTOR: DATE:-)/-/ r Z". PLUMBER ON JOB : LICENSE NUMBER: J~~r 6/90:cj LQQQ t`T'irjl*artnAWA1RnRF44IRIE, 12. 3~a ~ W D• H County: Labor and Fuman Relations INSPECTION REPORT Sa#ety and Buildings Division ST- CROIX (ATTACH TO PERMIT) Sanitary Per o.: GENERAUINFORMATION Permit Holder's Name: ❑ City ❑ Village [Town of: State an ID No.: ev.: Insp. BM Rev.: BM Description: Parcel Tax No.: IT TANK INFORMATION ELEVATION DATA A9200373 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction Syestem TDH Ft Forcemain Length Dia. FFii Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type Of CHAMBER Model Number: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons pr~s c-~r Setc.) T L LOCATION: STAR PRAIRIE,1 .31.18.2 O,NE, , O. RD. H Q. U Plan revision required. ❑ Yes ❑ No Use other side for additional information. SBD-6710(R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH r SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION - 70ILHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY S Croix ISANI~TPRYPERM~y -Attach complete plans (to the county copy only) for the system, on paper not less than 8ta x 11 inches in size. ision to previous app ation -See reverse side for instructions for completing this application. I.D. NU MBE QSTA 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION Colleen Bottolfson NE %4 Tai %4, S 12 T31 , N, R 18 x$ (or) W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # Box 204 n/a n/a CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER Star Prarie, Wi. 54026 715 248-3985 n/a 13 VILLLLAGE NEAREST ROAD II. TYPE OF BUILDING: (Check one) 1:1 State Owned O :Star Prarie Co. Rd. #H ❑ Public ®1 or 2 Fam. Dwelling- # of bedrooms 3 PARCEL Ax NUMBEK(b) 111. BUILDING USE: (If building type is public, check all that apply) 123118220D 1 ❑ Apt/Condo 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)1.62 New 2. ❑ Replacement 3. ❑ Replacement of 4.0 Reconnection of 5.0 Repair of an System System Tank Only Existing System Existing System B) ® A Sanitary Permit was previously issued. Permit 180293 Date issued 10-18-92 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 66L Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 450 563 565 .80 >3 96.60 Feet 100.10 Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New lExisting Gallons Tanks Manufacturer's Name Concret Con- Steel glass Plastic App Tanks Tanks strutted Se tic Tank or Holdin Tank X 1000 1 Weeks C . P . Lift Pump Tank/Si hon Chamber ---F-1 I EFIF ~FLJ F1 I[j VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installa 'o of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's ture: (No mp) - ~MPRSW No.: Business Phone Number: if , , , 3254 715 246-6200 Gary L. Steel Plumber's Address (Street, City, State, Zip Co 1554 200th. Ave., New Richmond, WI. 4017 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Samar itary Per it Fee (Includes Groundwater Date Issued Issul g Agent Signature Stamps) Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Pib-67) (R.11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal. any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8'% 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. 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 investigations and establishment of standards. SBD-6398 (R.11/88) STC-100 This ai)nlication form is to be Com leted the octiner s p in full and signed by will onor() Olt tin property being developed. Any inadequacies delays of the permit issuance. should this 6evelOpment be intended for resale by ownectractor,spec house), then a second form should be retainedrand nc mpl ted(when the property is sold and submitted to this office with the appropriate-deed- recording. owner of property Location of proper ty/TL__1 -1/4, Section ~T_N_R,/JW Hailing address Address of site Subdivision name Lot no.~ Other homes on property? ves No owner of property Total size of parcel S Date parcel was created Are all corners and lot lines identifiable? 4----,,yes I s this .____.__NO Property being developed for (spec house)?,_Yes Volume _6 ~$nd Page Number of Deeds. as recorded. with the Register 114CLUDE WITH THIS APPLICATION THE FOLLOWING: A IYARIMITY DEED which includes a DOCUMENT NUIiBER, VOLUME AND PAGE certIsR & Tills SEAL OF THE IEGISTL'.It OF DEEDS. certified survey, if available; ;would be helpful I o asd to avoid delays of the reviewing process. referencos to a cartiEi®d gurus Hap If the deed description shall also be required. y , the Certified Survey Map PROPERTY OWNER CERTIFICATION 10'e) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am the property described in this information form b e owner(s) of warranty deed recorded in the office of the County virtue of a Deeds as Document No. y Register of awn the proposed site for the sewage ' disposal and that I tem presently obtained all easement, to run the above desc ib d pr op or I (for the construction of said system, and the same hasbeen~duly No. recorded in the office of county Register of deeds as Document Sig ure of apbl c t T Co-appl cant Date of Signature • Date of Signature DOCUMENT NO WARRANTY DEED ' THIS SPACE RESERVED FOR RECORDING DATA STATE BAR OF WISCONSIN FORM 2-1982 '445571 ~ wit $ rAn _ REGISTER'S OFFICE I • ' ST. CRgIX CQ.~ WI Kenneth Schlag, a single person . Reed for Record FEB 2 11989 011 :30 P. M ~M conveys and warrants to .Ste..V9Z1..Q.:...Bottolfson•,.and ..Calleen..J..__-Bottolfaon,.__husba.nd..and..-w ife.,..- ' ~ephf0►OfOeetb .mar ital__property- ..with-.ri.ghts...of..s_urv voXaih p___.. 'y _I RETURN TO i ~I i .........Count - - y, the following described real estate in St,.._- ..X9. State art Of yoi'°W~scori>si "SK A aI '"o O O SeCUM Tax Parcel No: lve (12), Township Thirty-one (31) North, Range Eighteen (18) West, in the Village of tar Prairie described as follows: Commencing at the West Quarter corner of said Section lve (12); thence South 890 03' 15" East, along the South line of the Northwest Quarter f Section Twelve (12), 2360.66 feet to the point of beginning of this description; thence continuing South 890 03' 15" East, 287.57 feet to the East line of the Northwest Quarter (NW}); thence North 000 41' 56" East, 1536.56 feet along the East line of thence Sao st83° Quarter (NWJ) to the South right-of-way line of County Trunk Highway H 14' 28" West, 130.66 feet along said right-of-way to a point of curvature of a curve concaved to the South and having a central angle of 70 17' 30" and a radius of 1266.07 feet; thence Westerly 161.12 feet along the arc of the curve, the chord of which bears South 790 35' 43" West, 161.02 feet; thence South 000 41' 56" West, 1487.34 feet to the int of beginning of this description. TOGETHER WITH an Easement for the purpose of a Commencing ingress and egress to the Apple River over thefo~owN described property: of NWT) of sai the Southwest corner of the Southeast Quarter o section Twelve (12); thence North along the quarter section line to its intersection with the North right-of way line of County Trunk Highway "H" which is the Point of Beginning; thence Northeasterly along said right-of-way, 50 feet; thence North to the shoreline of th Apple River; thence Southwesterly along said shoreline to the West line of the Southeast -f t-hP N rt-hwP.gi- inner (SE$ of NWT) : thence SOnth a1.Ona Gaul rn,artar SPCtiOn lin to the Point of ~eg~nn11~9• es, dated This conveyance is given in satisfaction of the land lc9on1988t recorded the parties, 1988 in Augu This -_-is--not----------- homestead property. Volume 820, page 473, Document No. 440725. (is) (is not) Exception to warranties: February-:------------------------------------ 19__89... Dated this --------------15t1i day of SEAL) (SEAL) * _•Kenneth---Sch..ag..................... . (SEAL) ...............(SEAL) * AUTHENTICATION ACKNOWLEDGMENT STATE-_OF WISCONSIN ag- - Signature(s)' ==.Ke112.._.r---° ss. County. ruary_-•--, 1989_ Personally. came before we this aut nt' ted is _-1 day, of _ e b -day o 19.-----.. the above name s L. R. Reinstra TITLE: MEMBER STATE BAR OF WISCONSIN (If not, - to me known to be the person who execute the authorized by $ ?06.06, Wis.-Stats-- foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Reinstrar___Van Dyk & Ne.eed ..d h-- am, S. C . - fox C 7 -----.County, 201 South Knowles Avenue, Wis. 5 ~ Q17 Notary Public ..H-ew---&tChmQxad- My Commission is permanent. (Ii not, state expiration (Signatures may be authenticated or acknowledged. Both date: 19 ) are not necessary.) *Names of persons signing in any capacity should be typed or printed below their signatures. Wisconsin Legal Blank Co. Inc. STATE BAR OF WISCONSIN Dl IWALikee. Wis. WARRANTY DEED FORM No. 2 - 1982 THIS SPACE HEbtnvcv DOCUMENT NO. STATE BAR OF WISCONSIN FORM 3-1982 QUIT CLAIM DEED q. REGISTER'S OFFICE CROIX CO., WI St'. Reed for Record ST~~~~^~ o ~O~~S~'' -rratF~ o,.~ alt DE552 01990 M quit-claims to Reglslte►of Deeds County, the following described real estate in State of Wisconsin: RETURN TO _ _ ax P tc PC Si;C. ~2.. 3f nJ 4r la ft S c` v.'C l This homestead property (is) (is not) , day of Dated this (SEAL) (SEAL) (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN - w~-Signature(s) ss. -Y } • r v i County. vC O *-h day of this ^ authenticated this-----day of . ez ~,I ~°s jai Personally came before me ~ 1gthe above named jt. . NRY o on V e- TITLE: MEMBER STATE BAR OF WISCONSIN t~`C o~ itla known to be the person who executed the i~F?egoing instrument and acknowledge the same. (If not, ~n~'•a•••••..• authorized by § 706.06, Wis. Slats.) THIS INSTRUMENT WAS DRAFTED BY f`yfQr~f~SC~~~, STC.~UC~ Q • d T T~ ~"'s c7 ~.toM County, Wis. Notary Public My Commission is permanent. (If not, state expiration (Signatures may be authenticated or acknowledged. Both 11_ r7 19•) are not necessary.) date: $B3 NTF 0023 'Names of persons signing in any capacity should be typed or printed below their signatures. STATE BAR OF WISCONSIN Nelco Tax Forms, P.O. Box 10208, Breen Bay, WI 54307-0208 QUITCLAIM DEED FORM No. 3-1982 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/ USER ADDRESS:--30q MA661C~14S431_ IRE NO: LOC ,ION: 1/41 ~U 1/4, SEC. ) Z T~N-R 1 1S W, 1 ST.•CROIX COUNTY_ SUBDIVISION: LOT NO. N Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste.disposal system: St. Croix County residents may be eligible to receive a grant 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: >L DATE : St. Croix County Zoning office 911 4th St. Hudson, WI 54016 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code ' COUNTY St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Colleen Bottolfson GOVT. LOT 17 1/4 NW 1/4,S 12 T 31 N,R18 xIC(or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # Box 204 n/a n/a n/a CITY, STATE ZIP CODE PHONE NUMBER ❑CITY )SVILLAGE ❑fOWN NEAREST ROAD Star Prarie, WI. 54026 (715)248-3985 Star Prarie Co. Rd. #IT ki New Construction Use [xk Residential / Number of bedrooms 3 [ ] Addition to existing building ] Replacement [ ] Public or commercial describe Code derived daily flow. 450 gpd Recommended design loading rate .7 bed, gpd/ft2 .8 trench, gpd/ft2 Absorption area required 643 bed, ft2 563 trench, ft2 Maximum design loading rate .7 bed, gpd/ft2 . 7 trench, gpd/ft2 Recommended infiltration surface elevation(s)_ ft (as referred to site plan benchmark) Additional design / site considerations Parent material outwash Flood plain elevation, if applicable na/ ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem S❑ U )aS ❑ U i2S ❑ U fR S ❑ U ❑ S jU ❑ S ~U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Bourx ry Roots Bed Tmrch ..1.... 1 0-15 1 4/2 none sl. 2/m/sbk mfr c/s 2/f .5 .6 2 15-8 7.5yr4/4 none co.s. 0/sg ml n/a 1/f .7 .8 Ground elev. 99.40 ft. Depth to limiting factor >84 Remarks: Boring # 1 0-15 10yr4/2 none sl. 2/m/.sbk mvfr c/s 2/f .5 .6 2 2 15-30 10yr4/4 none ls. 01sg ml g/w 1/-f .7 .8 3 30-84 10yr5/4 none co.s. 0/sg ml n/a n/a .7 .8 Ground elev. 100.20. Depth to limiting factor >84 Remarks: CST Name:-Please Print Gar L. Steel 715-246-6b ATM 200th, /Aye. , New Ric_ ond, WI. 54017 Signature: % Date: CST Number: 4152 11-4-92 2298 PROPERTYOWNER Colleen Bottolfson SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends 1 0-16 1 4 2 none sl. 2/m/sbk mvfr c/s 2/f .5 .6 2 16-84 10yr5/4 none co.s. 0./sg ml g/w 1/f .7 .8 Ground elev. 1Q0~1~f• Depth to limiting factor >84 Remarks: Boring # 1 0-12 10yr4/2 none sl. 2/m/sbk mvfr c/s 2/f .5 .6 ` 2 12-23 7.5yr4/4 none ls. 0.sg ml g/w 1/f .7 .g 3 23-82 10yr4/6 none co.s. 0/sg ml n/a n/a .7 .8 Ground elev. 99.45ft. Depth to limiting factor >82 Remarks: Boring # 1 0-10 10yr4/4 none sl. 2/m, sbk mvfr c/s 2/f .5 € .6 2 10-30 7.5yr4/4 none Is. 0/sg ml g/w 1/f .7 .8 3 30-84 10yr5/4 none co.s. 0/sg ml n/a n/a .7 .8 Ground elev. 100.40 ft. Depth to limiting factor >84 Remarks: Boring # ,R iii:{•i.. Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) STEELS SOIL SERVICE 1554 20etin . . Gary L. Steel SMA C.S.T. 2298 Colleen Rottolfson New Richmond, WI 54017 MPRSW-3254 NE-,,.NW-4 S12-T31N-R1181J (715) 246-6200 Village of Star Prarie 4-~ 11 P i ~~a STEEL'S SOIL SERVICE Gary L. Steel 988 N. Shore Drive C.S.T. 2298 Colleen Bottolfson New Richmond, WI 54017 MPRSW-3254 NE4N[d S22-T311,T-r1814 (715) 246-6200 Village of Star Prarie 660, v r 3 t a2' ~ - 2 14~ / P V1 iW ill[ -V flE Z 2~~ REPT131 STAR PRAIRIE ST. CROIX COUNTY ZONING PAGE 1 11/11/92 16:07 REQUESTS FOR INSPECTION WORK SHEETS FOR: 11/13/92 AREA: JT AGtiVity: A9200373 11/13/92 Type: CONVSEPT Status: PENDING Constr: Address: STAR PRAIRIE,12.31.18.220,NE,NW,CO. RD. H Parcel: - - - Occ: Use: Description: 180293 Applicant: BOTTOLFSON, COLLEEN Phone: Owner: BOTTOLFSON, COLLEEN Phone: Contractor: GARY STEEL Phone: 246-6200 Inspection Request Information..... Requestor: STEEL, GARY Phone: Req Time: 11:11 Comments : ``;W Items requested to be Inspected... Action Comments Time Exp 00012 FINAL INSPECTION Inspection History..... Item: 00012 FINAL INSPECTION I