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HomeMy WebLinkAbout026-1087-50-110 y (D g It 3 o a O 6,C > N 0. w C I n p N w U C C N 5D y c o ~ m ~ II aO Z x ~C a rn ' i N N N c 0 i ~ 0 I 0 x r. -0 c :a N O Y 3 o N 0m LL C O M 00 ~ 0 I a IL ' M v y Z y o~o W E Z 00 Z y y ° a m .2 z :t N 2 m c N F r N I c E I a~ a~ ~ m I a> <o - N a ~~yy d L L Mir c 0 O N Q Cz z F- Z _ m M n CV ~ £ J O H t0 a C 4 Z O D i co ~ o o a m - E 75 Z j l c FN- Fy- 0 :3 ~0 E ° • L O O O m .2 IL IL IL 4i 3 O N O O O N N U Z O) (m 0 a) } 5 N N 65 i;5 ~?5 L O O O N O 'O y N t p d Q } co N R "p 7 r M N N O _ C N _ C O O Q 3 I,. 'O O C O CC - U O N O O O N O N LO a V O co L O y H O M L E 0i Gib H 04 U 00 E N • O M O r O :Z" O ~ E V L E v m ~ CL t a ~ - L a a • 'CC a Gd U 0 y = i..1 E y 'c c 2 ~ a m A c0 ao Oinc0 i "EPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N W 53709 HUMAN RELATIONS (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: r~ TOWNSHIP/MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: SE 1/4 NE 1/4 30 /T30 N/R18)C(or) W Richmond In/a n/a n/a COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: St. Croix David Dittman 11375 Co. Rd. #A, New Richmond, Wi. 54017 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: ER OLATION TESTS: Residence 3 n/aiew ❑Replace 10-17-90 10-17-90 RATING: S= Site suitable for system U= Site unsuitable for system "-r- 6 P° 13 1 30 CONVENTIONAL: MOUND: IN-GROUND-PRESSURE:SYSTEM-IN-FILLHOLDINGTANK:OMMENDEDSYSTEM:(optional) ®S ❑U ❑ S IEIU ❑ S ®U conventional ®S ❑U igs ❑U l- I I 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: Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 43 ShC2 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTHW ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 7.17 102.33 none >7.17 1.50bl.l. 1.42bn.sil. .42bn.l.s. 3.83bn.c.s. B- 2 7.08 101.94 none >7.08 .75bl.1. 1.08bn.sil. .42bn.s.l. 4.83bn.c.s. B- 3 6.83 101.94 none >6.83 .75bl.1. 1.25bn.sil. .58bn.l.s. 4.25bn.c.s. B 4 6.83 101.11 none >6.83 1.25bl.1. .58bn.sil. 1.08bn.s.l. 4.50bn.c.s. B_ 5 6.92 100.15 none >6.92 .75bl.1. .75bn.sil. .50bn.l.s. 4.50bn.c.s. B- decimal' PERCOLATION TESTS TEST ~Q WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER ` M AFTER SWELLING INTERVAL-MIN. PERT ID 1 %810D 2 PER1003 PER INCH P none 6 <3 P- 2 3.50 none 3 6 6 6 <3 P- 3 6 6 6 -1 3.50 none 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 98.44 " E a " i e~ ( t" 6 p Q:,f E k E ~ " E " Oko . 3 E I, the undersigned, hereby certify that it tests re~iorZed on this forrr ivver made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data ed and the location a ~~e tests a-r correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 10-17-90 ADDRESS: i CERTIFICATION NUMBER: PHONE NUMBER (optional): 1554 200th. AVe. NEW RiChmonCrL 017 2298 7 -246-6200 z7X CST SIGN E: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) -OVER - ` r . FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER f~M An -TOWNSHIP l~ rvuud SECTION Z O T, 3 N-R_L W ADDRESS 13 75 ev PM *A ST. CROIX COUNTY, WISCONSIN -,0510 -Puch.,A,J,- k SUBDIVISION A) (3.. LOT " 'LOT SIZE jZ ILL S PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 4 ool-> CIS' PA INDICATE NORTH ARROW BENCHMARK: Elevation and description: 2:/w1fiEE/'0a-I-'& do, /-06 Alternate benchmark SEPTIC TANK:Manufacturer: Ig g lz S Liquid Cap. 7 Rings used:QManhole cover elev: 53 Final grade elev: S Tank inlet elev.: 7f Tank outlet elev.: 1D.3 S~ No. of feet from nearest road:Front e./, Side , Rear Ft.Sp ' From nearest prop. line:Front , Side , Rear_X_Ft. ' No. of feet from: Well , Building: -7 ~ (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liq Capacity: Pump Model: Pump/S on Manufact.: Pump Size Elevation of inlet: Bottom of tank elevation Pump on elev.: ump off elev.: Gallons/cycle: Alarm: Man.: Switch Type: Location Distance m nearest prop. line: Front-, Side_, Rear_Ft. Dis ance from: Well Building SOIL ABSORPTION SYSTEM Bed: Trench: ✓Seepage Pit: Widths r Length- -Number of Lines:_j Area Built Exist. Grade Elev. ~C7Z Proposed Final Grade Elev. 02 Fill depth to top of pipe: Z 2~ No. feet from nearest prop. line:Front , Side , Rear --~t.Z No. feet from well:__W_ - No. feet from building 2 g I HOLDING TANK i Manufacturer: Capacity: No. of rings used: E evation of bottom tank: Elevation of inlet: No. feet from ne est prop. line:Front Side , Rear Ft. No. feet fro Well , building , nearest road Ala ufacturer: INSPECTOR: DATE : • Z Z - q PLUMBER ON JOB : LICENSE NUMBER:~ZSLt/ 6/90:cj A q-I o a V 5'5- DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR A SAFETY & BUILDING 'LABOR &:.HUMAN RELATIONS DIVISION P.O.-BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION MADISON WI 53707 State Plan I.D. Number: SE , , N a ,Sec . 3 0 , T 3 0 - R 18 El CONVENTIONAL El ALTERATIVE (If assigned) Town of Richmond ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound 100th St_ NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: r7-2, David Dittman ~137S Co. Rd. A. New Richmond BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.: - Name of lumber: ` /MP SW No.: County: Sanitary Permit Number: Gary Steel 3254 St. Croix. 1 149995 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER I "I PROVIDED: PROVIDED: J 10 G ✓ ✓ rL ES ED NO ❑YES NO BEDDING: VENT D . VENT MIL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH l / ALARM: FEET FROM LIN : AIR INLET: ❑ YES ENO J 1 El YES A0 NEAREST-► f"> > DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PU P/SIPH N MANUFACTURER: WARNING LABEL LOCKING COVER / PROVIDED: PROVIDED: ❑ YES ❑ NO / ❑ YES ❑ NO ❑ YES ❑ NO GALLONS PER CYCLE: PUMP AND CONTROL OPER TI AL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN ; FEET FROM LINE: AIR INLET: PUMP ON AND OFF ❑ YE ❑ NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth f p owing FORCE LENGTH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire, construction shall c ase} ritil MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BED/TRENCH WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID TRENC/HES: MA~ERIAL: PIT DEPTH: DIMENSIONS l~ J c~ GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. DPTFkl NUMBER OF TP PERTY WELL: BUILDING: VENT TO FRESH BELOW UES: ABOVE COVER: LEV INLET: ELEV END, P'P FEET FROM A INLE01 NEAREST J .j 1, 7 MOUND SYSTEM: Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑ YES ❑ NO ❑ YES ❑ NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.: ELEVATION AND DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑ YES ❑ NO ❑ YES ❑ NO COMMENTS: P RMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE: ❑ YES ❑ NO ❑ YES ❑ NO NEAREST---- Retain Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE TITLE: SBD-6710 (R. 06/88) i SANITARY PERMIT APPLICATION EDILHA . `A In accord with ILHR 63.05, Wis. Adm. Code COUNTY St. Croix s STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 1:1 J~ 8% x 11 inches in size. Check r vision o previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION David Dittman SE % NE S30 T30 , N, R 18 x0i(or) W PROPERTY OWNER'S MAILING ADDRESS LOT # ~a BLOCK # n/a 1375 Co. Rd. #A n CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER New Richmond, Wi. 54017 715- 246-543 vol. 2-page 427 doc. #465753 II. TYPE OF BUILDING: (Check one) ❑ State Owned O VILLLLAGE : NEAREST ROAD Richmond 100th. St. ❑ Public ®1 or 2 Fam. Dwelling- # of bedrooms 3 PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) O 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 80 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. lx11 New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 y2 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ Systerg/n-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 450 495 500 .91 <3 98.44 Feet 102.33 Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Se tic Tank or Holdin Tank x 1000 1 Weeks C . P. Lift Pump Tank/Si hon Chamber ----I F1 F] El F1 F1 Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installatio of the onsite sew a system shown on the attached plans. Plumber's Name (Print): Plumber' ature: (No tamps) Me/MPRSW No.: Business Phone Number: Gary L. Steel 3254 715 246-6200 Plumber's Address (Street, City, State, Zip e): 1554 200th. AVe., New Richmond, Wi. 54017 IX. CO NTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issue E uing gent Signatu a (No S har ge Fee) 1,2 /A Owner Gi tam Approved ❑ ven Initial Adverse D t rmination (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 • APPLICATION FOR SANITARY PERMIT • 9TC-100 This oppllcatlon form Is to be conplatod In full and signed by the ovner(s) of the property being developed. Any lnadoquaclea will only result In delays of the pztmlt Issuance. -Should this development be Intended for resale by ovner/contractot,(apec houoe), thcn a second form should be retained and completed vhan the property is sold and submitted to this office vlth the appropriate deed recording. Ovntc of property d y- 1rxtq-rA Location of property ~f -1/1 L 1/4e Soctlon -30 . T~-R_-V T o vn s h l p_ .F'f, 0 ~'1 rn.Ddl. _ Maliing address _?qA. A Address of alto I!'►--611 ' Subdivision name- Lot number _ C=5 yv~ Ljot. 91, aq. 031 .5 Previous ovner of ptopetty _ ~~1rdlrl,q-y1 ' Total mile of parcel _ 1-~ , 1G /Vk S . Data parcel vas created t - I - 9 Ate all cotnsts and lot lints Identifiable? ~Ye■ 0 Is this property being developed lot tamale (spec houaa)T__Ya2 L~ No Yoluno .pJ~1..and Pale Number __nm.as tocotded Vith the Register of Deeds. INCLUD9 WITH THIS APPLICATION THIC FOLLOVINCt A VAAaANTr DIND which Includes a DOCUHINT MUN61R, VOLUMIC AND PAOR NU?t11R, and the GzxL or Tilt AROI9TBR OF DRRD9. In addition, a cettitled survey, it available, would be helpful so as to avoid delays of the reviewing process. It the deed deactiption tolerances to a Cattitled Survey Hap, the Cattitled Survey Hap shall also be required. PROPERTY OWNER CERTIFICATION live) cettlty that all statements on this term ate true to the best of .y (out) knoviedgtl that l (we) am (ate) the owner(s) of the property deactlbed in t h I o lnfotmatlon form, by virtue of a warranty deed to orded In the office of the County Reglatst of Deeds as Document No. presently own the proposed slto for the nova ge4dj obtain ap~ disposal ayatenl(ocdlt(ve)t have obtained an easement, to tun with the above described property, tot the conettuctlum of asad nyatem, and the some has been duly tecotdod In the Ottlce of the coyntey Re latot of Deeds, as Document No. Ign re of Ovnet tllgnatute o[ Co-Ovnst (it Appllcable) Z. a-7 - q/ Date of signature Data of Signature DOCUME14T No. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA STATE BAR OF WISCONSIN FORM 2-1982 • 466594 S.9 3Pwe`M - Wilmer _ RESGICTREER`' co F LICE and.. Ruth -..A i ttman hu.s.band-- anal-. ~!x.e...a & , joint tenantsman a ...a....E....Q.}ttman....... T. for Record _ _ I~ at FEB19199 conveys and warrants to d. ~ Davyd...w.......Di.ttmalz..and...Julie_.A....Dittman z husband.-and...w.i. e...a.s..s.carvivar.sh.ig..ma.r.ital M proper.ty.................. i R lsterofD"dy RETURN O . . the following described real estate in St. CTp1X............ ..County, State of Wisconsin: Tax Parcel No: Part of Southeast Quarter of Northeast Quarter (SE 1/4 of NE 1/4) and Part of Southwest Quarter of Northeast Quarter (SW 1/4 of NE 1/4) of Section 30-30-18 described as follows: Lot 1 of Certified Survey Map filed in Volume "8", page 2315. Ef ~,-iPT This .....-.----is homestead property. (is) (is not) Exception to warranties: municipal and zoning ordinances, easements and restrictions of record. Dated this ../-S-9..--- day of FebruarY...._ ................(SEAL) ..(SEAL) . Wilmer E. Dittman SEAL) - - - .._..-..(SEAL) Ruth Dittman T. AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ss. ST. CROIX County. / j authenticated this .........day of 19.-.-.- Personally came before me this .--.1.,5.6C--day of February 91 .............X 19. the above named Wilmer E. Dittman and • . . Ruth Dittman husband and TITLE: MEMBER STATE BAR OF WISCONSIN wife (If not, . ------------------•----•`---.vr.._j.. authorized by § 706.06, Wis. State.) to me known to be the person o~ x~ylted the foregoing instrument and acknovrledge' 1 ~i THIS INSTRUMENT WAS DRAFTED BY -Q i) r a~ _Q . Tud_th..At...Remington............................. udith--A..R' . mingto :,.111°`... it Ile, Jew_.R~chmQnd....[^)I 7_ No.St. CrOix Wis.' EEMI~N]C,TppN L1A~W OFFICE$$,Q.l7 No Public ry Public --..is permanent. If not, a ate atlo (Signatures may be authenticated or acknowledged. Both My Commission P ( Epp n are not necessary.) r date: 19.........) •NaDla of persona signing in any capacity abould be typed or printed below their signatures. k WARRANTY DEED STATE BAR WISCONSIN WI-rud. Legal Blank CO. IRS, FORM No. o. 2 -19a2 Milwaukee, Wt.. Nis. SIEZ ZoVJ $ 8Wfl10A utrt:r:~ ti~V • • aY'CMhI'r 61 CA.`7.h!;/tr!N.,irltLfNC)j L!ilil i. t Neil, o o~ BMW N1 C G o:.a 0 o UNPLATTED LANDS F'IJV u.~ o East line of the NE} - -F Y _ N0001811911E _ 2628.171 W w a 1614.03' N00 161191-E 576.26- - 7 \ _ 100th Street_ 4" rl m lBI'EZ9 W. 0Si0100ON ! V I N I N •n ° I'S P ~d p y~'~C~~ u, ~ 'rl a m ~ ~ s s ~fS 3~ dry N O \ u I ~I o N I'+ G N LI N ~ L y y u Y ' o a e e u o 0 ul ..SI N I ~ ~ ~ ^ d ~ ;hi .p C M Y • O ~ N I I I m r-I .•a Y G Y V ' H I s l O a+ a+ v c s U. 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PUP Sa-4nI94S u?suoos?M 8q4 ;0 6£-9.£Z as4dr4o ;o sUo-csTAoad -4ueaano 9q4 q-4TM pa?Tdwoo ATTn; anaq I 4gg4 :pagTaOSap pug paAeAans Aagpunoq aOT2e4xa 9144 ;o aTVOS 04UOTI 'I equesazdea goaaaoo g ST, dgW Aanans paT;T-4aao sTq4 4eq4 A;T4aaq oslie -paooaa ;o s4uawesra llr o-4 goaCgns pug dew sT141 uo ureogs sr (499a4S 4400T) p202 UM04 20; AeM-;0-4g6T2 04 4oaCgns s? Taoaed pagTaOSap anogV -X99JO 91Twu94 ;o .-9UTj;a8av93 9q4 pue au?T aapugaw paq?aosap 9144 u9aM-49q 'dew STg4 Uo UM04S se saU?T -4oT ATaaq4nos Pug ATa84420u aq4 ;o suorsua4xa ana4 aq-4 ueamIaq buiAT spuel TTe sapnTouT Taozrd paq?aosap anogv -butuu?baq ;o 4u?od aq4 o4 4aa; 9T'6TS 'ArM -10--4146TA proaTTra pigs 6uOTe '3„60,9bo0£N a0u844 :Arm-;0-4g6T2 peOlITea p?gs 04 409; WETS 'BUTT 6/T 4saM-IS99 pigs 944 buOTr 'S„OZ,ESo69N 9OU914-4 iUOT-40as pTrs ;o auTI 4/T 4S9M-4S28 9q4 uo abpa s,aa4rM pTgs woa; ssaT ;o aaow 499; GqZ -4u?od r bu?aq BUTT aapuraw p?rs ;o pua 9144 04 499; 4L'ZO£ 'aU?T aapueaw p?es'6u0T2 'M„50,950S4S aOU044 !BUTT sapueaw r ;0 6u? uutbeq aqa pug Xaaao aTTwueL ;o abpa s,aa4eM aq4 woa; ssaT ao aaow -4aa; OS£ quTod r o4 -4ae; 00'SL 'M„OZ,£SoH S 93U914-4 :qaa; ZZ'Lb6 'M„LS,9boT£S BOUagq :qaa; 9'9'99Z '90?;;o spa9Q ;o xagstbag Aqunoo xTOaO -IS 9q-4 49 LZq abed 'Z awnlOA u? papaoosa dgW Aanans paT;Tgaao ;o T 4ol ;0 BUTT ggnos 9144 buolg 'M„9E,6So69s aOU9q-4 :4993 9z'9LS 'BUTT 4sra pTrs buOTr 3„61,8ToOON buTnU?-4u00 9Ou944 :uoTgdTaosap sTgq ;o bu?uuTbaq ;O 4UTOd aqq buTaq pug peoalTv-d u.aa'seM q-41oN Is obrOTUz) aq4 ;o AeM-;0-4q5?a AT -a94saM442ou 9144 oq qaa; 88•LEV 'UOT409s pTgs ;o faN 944 30 BUTT -4sea 994 buOTV ' MLOToOON 90u914-4 10E uo?-40aS p?gs ;o aau.zOO ~S 914-4 -4r bu?OuewwOZ) :sMOTTO; sr paq?aosap aaggan; :u?suoos?i1 'Aqunoo xTOaO --4S 'puowgOTU ;o uMo,L Imsid 'NOES 'OE UoT-4OBS uT TTr 'NSN 994 ;0 NMS aq4 ;o lard UT Pug °NSN 9144 ;o ASS ag4 ;o gaed ux pageooT purl ;o laoard 7 :sMOlTo; se pagtaOSap ST paddrw pug paAanans Taoard purl aq-4 ;o Aarpunoq ao?a94x9 aq-4 -4rq-4 !deW AOAans paT;T4a9o sTq-4 Aq paqueseadaa s? goTgM laoaed purl aq4 paddgw pug pagTZOSap 'paAanans anrq I 'uew44TQ aawT?M ;o uoT-4oea?p aq-4 Aq 4rgq A;T-43a0 Aqaaaq 'aO49AanS purl u?su00sTM p9aa4sT6aa 'U96rgAN -Q UaTIV 'I gyy~I3IS2IS~ S , 2i01CSA2ifIS cl STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER phl . `L ( ~ lp)~ YV? fl h ROUTE/BOX NUMBER 1375 e . ~4"La FIRE NO. CITY/STATE 92 / ~14,0 ( I ZIP 44-0/7 PROPERTY LOCATION: S e 1/4 ~V X1/4, Section .36 , T 3 d N, RAW, Town of ~ t,41 rp_0--eu6 , St. Croix County, Subdivision A'U I a , 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 system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 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 19801 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 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 form 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 Department 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 Q A 4+Wv-- _a 7 DATE St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address NDUSTIU REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS I'rJD4JSTl~ " r'"„ G DIVISION LBOR AN P.O. BOX 76 HUMAN RELATIONS PERCOLATION TESTS (115) MADISON WI 53707 (ILHR 83.09(1) & Chapter 145) LOCAL ION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.: BLI, NO.: SUBDIVISION NAME: SE t/4 NE 14 30 /T30 N/R18&(or) Richmond I n/a n/a COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: St. Croix David Dittman 11375 Co. Rd. M, New Richmond; Wi. 54017 USE T []BATES OBSERVATIONS MADE BEDRMS.: COMMERC AL DESCRIPTION: PROFILE O S: O A ON TESTS: C~Residence ]NO. - n/a 121Clew ❑Replace , I 10-17-90 10-17-90 RATING: S= Site suitable for system U= Site unsuitable for system ONVENTIONAL: MOUND: IN-GROUND•PRESSURE: r1--1 YSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM:(optiopal) H S ❑U 9S OU I' ® S ❑U S ElU ❑ S nu conventional If Percolation Tests are NOT required DESIGN RATE: If any portion of th tested area is in the under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 43 ShC2 BORING TOTA DEPTH T GROUP DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED ES EST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 7.17 102.33 none >7.17 1.50bl.1. 1.42bn.sil. .42bn.l.s. 3.83bn.c..s. B- 2 7.08 101.94 none >7.08 .75bl.1. 1.08bn.sil. .42bn.s.l. 4.83bn.c.s. B- 3 6.83 101.94 none >6.83 ,75bl.1. 1.25bn.sil. .58bn.l.s. 4.25bn.c.s. B 4 6.83 101.11 none >6.83 1.25bl.1. .58bn.sil. 1.08bn.s.1. 4.50bn.c.s. B- 5 6.92 100.15 none >6.92 .75bl.1. .75bn.sil. .50bn.l.s. 4.50bn.c.s. B- decimal' PERCOLATION TESTS TEST WATER IN HOLE TEST TIME DROP I WATER LEVEL-INCHES RATE MINUTES NUMf3E~i AFTERSWELLING INTE VAL•MIN. PER INCH P- 1 3.09 none 6 <3 P- 2 3.50 non 3 6 6 6 <3 P- 3 - 3.50 none 3 6 6 6 <3 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 98.44 iI o e~4 i 1 1 c~ I I I~ ' TN I 1 { i i i 11'e i I + 1 I i ! e 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print : TESTS WERE COMPLETED ON: Cary L. Steel 10-17-90 AUDRESS.~ CERTIFICATION NUMBER: PHONE NUMBER (optional): U54.200th. AVe., NEw Richmond wi. 54017 2298 71)-246-6200 1,711 CST SIGN E: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. D I L I I R D 939t; f1Z. ~L};►s'33 OVER - J STEEL'S SOIL SERVICE Gary L. Steel 988 N. Shore Drive C.S.T. 2298 New Richmond, WI 54017 MPRSW-3254 David Dittman (715) 246-6200 SErNE4 5.30-T30N-R18W Richmond, township RCN" a I g4s l a i ~ ~ t ,r ~►I . .6 oK Ems. 98~~ V14 Gary L. Steel