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- Parcel 038-1056-20-100 06/22/2007 11:47 AM
PAGE 1 OF 1
' Alt. Parcel 13.31.18.242C 038 - TOWN OF STAR PRAIRIE
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 - DOERING, THOMAS R & TAMMY K
THOMAS R & TAMMY K DOERING
1368 210TH AVE
NEW RICHMOND WI 54017
I
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description 1368 210TH AVE
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 9.000 Plat: N/A-NOT AVAILABLE
SEC 13 T31N R1 8W PT SW SE BEING LOT 1 OF Block/Condo Bldg:
CSM 8/2397 9 ACRES
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
13-31N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
08/26/1997 1260/65 WD
07/23/1997 765/73
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/13/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 9.000 67,000 221,000 288,000 NO
Totals for 2007:
General Property 9.000 67,000 221,000 288,000
Woodland 0.000 0 0
Totals for 2006:
General Property 9.000 67,000 221,000 288,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 209
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, DIVISION
ABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N W 5739069
HUMAN RELATIONS
(H63.09(1) & Chapter 145.045)
LOCATION: SECTION: TOWNSHIP/pQITY: LOT NO.:BLK. NO.: SUBDIVISION NAME:
SE 1/4 S& 13 /T 31 N/R 18J(or► W Star Prarie n/a /a n/a
COUNTY: OWNER'S/D0WEM NAME: MAILING ADDRESS:
St. Croix Patrick Seidling 1384 210th. AVe., New Richmond, wi. 54017
USE DATES OBSERVATIONS MADE
TESTS:
NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: ERCMATION
iesidence 4 n/a ~lew El Replace 8-12-91 8-12-91
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional)
CBS ❑U ~S ❑U S ❑U ❑ S n]U ❑ S ~ conventional
If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the
under s.H63.09(5)(b), indicate: n/a Floodplain, indicate Floodplain elevation: n/a
decimal'; PROFILE DESCRIPTIONS page 12 BxB
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B- 1 7.33 100.75 none >7.33 .75bl.1. .50bn.sil. .33bn.l.s. 5.95bn.c.s.
B- 2 7.25 100.95 none >7.25 83bl.1. .67bn.isl. .42bn.l.s. 5.33bn.c.s.
B- 3 7.33 99.90 none >7.33 1.08bl.1. 1.08bn.sil. .67bn.l.s. 4.50bn.c.s.
B 4 6.92 99.15 none >6.92 1.58bl.1. 1.17bn.sil. .42bn.l.s. 3.75bn.c.s.
B_ 5 7.42 99.65 none >7.42 2.00bl.1. 1.50bn.sil. .42bn.l.s. 3.50bn.c.s.
B-
decimal' PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER IN=W AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PER PER INCH
p- 1 3.80 none 3 6 6 <
P_ 2 .00 none
P_ 1— 3.00 none
P-_
P-
P ~
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable so I ar s. s~ja e or antes a ribe what are the hori-
j 1:1
zontal and vertical elevation reference points and show their location on the plot plan. Show th su acelon fapallgs a direction and percent
of land slope. -
SYSTEM ELEVATION 96 90
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I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME (print): TESTS WERE COMPLETED ON:
Gary L. Steel 8-12-91
ADDRESS: CERTIFICATION NUMBER: PHON UgB Rogf6i Hall:
1554 200th. Ave., New Richmond, Wi. 54017 2 8 A~
CST SIGN RE:
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 02/82) -OVER -
I l TRUCTI NS FOR COMPLETING F RIVI 115 - SBD - 6395
To be a rand accurate soil test, y )ort r
1. Comph ascription;
2. ThP u! rust clearly indicate Wh is is a residence or comr7ercial -c
3, MAXI '>er of k n; or corny use pla ed;
4. Is a . ;n- ,q,~sterT~;
5 rt x=>. A Sk IS SUITS E FOR A H TANI Y IF ALL
SYSTEM LED OUT Bt ON SOIL CONDITIONS;
6 U SP the al ' its shown y - ritind e descriptic r )m th= plot plan;
LEGIB; -'am accurat !y g ig your locations. preferred. A
~7net rna t desired;
Y, ar rnd vertic ' . referer point are ch ,rly shown, and are permanent;
xes as to da names, ac~ lood plain data, percolation test exernp-
r>n(l plain, e ;-r,) do . i- the approw iate box;
„went )d yow
1;tribute =d. ALL. TL - BE FILED LNITH THE
,L AUTHOI IN 30 C' COMF ,
_VIATIOl )R CERTIFIED SOIL TESTERS
Para, I (tures Other Symbols
- Stogy, 'j BR - k
Cot;' 1011) SS - c ;e
Gr nder 3") LS - L3 i e ic;
HGtN - n
d Pere I
Bldg -
1. Sand - G
-`y '__oarn _ L .
Bn -
Sr~ Loam BI - 1<
- Silt Gy
Clay Y
- Sam, G L:)am R
- Silty Cl,y Loarn rnot -
- Sandy Clay vl -
y Cl'Ay fff 1
n n -
a - d
1) not
H Ulu L
I textures '
d iposal E3M
VRP Poir't
TOI R:
t.-rnit. T', >t
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FORM - STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER AT ~ ~S DL I A(6' TOWNSHIP
SECTION_ 13 T 3 / N-R_LSW
ADDRESS 13Qy g.16 Th'A416 ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT LOT SIZE cr71~"
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
i
to S =T~ ICA
rX 59 ES
~ I TRrNc~
IVZ
5CAI-I
fez. Se INDICATE NORTH ARROW
BENCHMARK: Elevation and description: 2;,2 V7-,E,,9L PIPE
Alternate benchmark
SEPTIC TANK: Manufacturer: XFE/r'S C,,4, Liquid Cap. /DDB
Rings used:D--Manhole cover elev: B c Final grade elev: /00
Tank inlet elev.:/0,1616'-Tank outlet elev.: f,00. 7?
No. of feet from nearest road:Front--X-, Side , Rear Ft. f
From nearest prop. line:Front , Side, Rear Ft. /Qt'3
No. of feet from: Well Building:
(Include this information in the above plot plan),.
(2 reference dimensions to septic tank)
SEE REVERSE SIDE
PUMP CHAMBER
Manufacturer: Liquid Capacit
Pump Model: Pump/Siphon Manufact Pump Size
Elevation of inlet: Botto tank elevation
Pump on elev.: Pump elev.: Gallons/cycle:
Alarm: Man.: Switch Type: Location
Distance om nearest prop. line: Front, Side, Rear-Ft.
tance from: Well Building
SOIL ABSORPTION SYSTEM
Bed: Trench: _YSeepage Pit:
_Area Built
Width: ,S Length .~9 Number of Lines:
Exist. Grade Elev. Proposed Final Grade Elev. Ido
Fill depth to top of pipe: 30'`
No. feet from nearest prop. line:Front01 , Side , Rear Ft.
r ~
No. feet from well: No. feet from building
HOLDING TANK
Manufacturer: Capacity:
No. of rings used: Elevation of bott ank:
Elevation of inlet:
No. feet from near prop. line:Front , Side Rear Ft.
No. feet Well building nearest road
i
m Manufacturer:
INSPECTOR:
DATE : 114 PLUMBER ON JOB:
LICENSE NUMBER:
6/90:cj
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations
Safgtyand.auildingsDivision INSPECTION REPORT St. Croix
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION13E4 , SE4 , Sec. 1 3,T31-R18,21 Oth Ave. 149182
Permit Holder's Name: ❑ City ❑ Village EXTown of: State Plan ID No.:
Patrick Seidling Star Prairie
CST BM,~E{jlle~v.: Insp.. BM7~Elev.: BM Description: y_ n Parcel Tax No.:
f(/C/iCV /00, „ 1A4Y
TANK INFORMATION ELEVAT ON DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
_,2o qa
Septic CcW~ Benchmark o D GO'
Aeration Bldg. Sewer 106 o ,.3r /04 ~Sl
Holding St//FW Inlet dG we d. IF
TANK SETBACK INFORMATION St/ 'Outlet o 07 533' 16j, 7191'
TANK TO P/ L WELL BLDG. ventto ROAD Dt Inlet
Air Intake
Septic } eQ NA Dt Bottom
Do ' NA Header / Man. ge 03
i
Aeration NA Dist. Pipe o '9 A/ 8G
Holding Bot. System , Of , O
PUMP/ SIPHON INFORMATION Final Grade ~ -7Ado-
Manufacturer Demand
Model Number GPM
TDH Lift Friction System TDH Ft
Forcemain Length Dia. H Dist. To weu
SOIL ABSORPTION SYSTEM
BED/TRENCH Width / Length IF No. Of Trenches No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS DIMEN I N
SYSTEM TO P/L BLDG WELL LAKE/STREAM LEAC Manufacturer:
SETBACK CHAMBER Moe er:
INFORMATION Type O
System: 4= OR UNIT
DISTRIBUTION SYSTEM
Header 4 MaRriQld t Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Into ke
r
Length Dia- Length Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over r~ ~7 Depth Over a xx Depth Of xx Seeded/ Sodded xx Mulched
Bed /Trench Center 7 -3 s~ Bed/ Trench Edges Topsoil ❑ Yes E] No E] Yes E] No
COMMENTS: (Include code discrepancies, persons present, etc.) O'd x5a~4_-,
. 7
Plan revision required? ❑ Yes W/No
Use other side for additional information. 11,52 105191 Rz .4 A A
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH `
Y
SANITARY PERMIT NUMBER:
s
I
SANITARY PERMIT APPLICATION
COUNTY ~
MI.HR In accord with ILHR 83.05, Wis. Adm. Code
STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than El 6
8% x 11 inches in size. c eck if re isi In previous application
.41 alt 7
-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
P E '/a '/a, S 13 T3jf , N, R/ E (or)
PROPERTY OWNER'S MAILING ADDRE LOT # BLOCK #
018Y -,gjo r~JT
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
W&
II. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ VILLLLAGE : - NEAR EST TROAD
A`
❑ Public 1 or 2 Fam. Dwelling-## of bedrooms.3- PARCEL TAX NUMBER( )
111. BUILDING USE: (If building type is public, check all that apply) a
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
40 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. ® 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 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
Y150 REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) p ELEVATION
yJ Q A :2 3 /b. 7 Feet Feet
VII. TANK CAPACITY Site
INFORMATION in allons Total of Manufacturer's Prefab. Fiber- Exper.
New istin Gallons Tanks Name Concrete Con- Steel glass Plastic App
Tanks Tanks strutted
Septic Tank or Holdin Tank LLift Pump Tank/Si hon Chamber
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsits sewage system shown on the attached plans.
Plumber's Name (Print): Plum 's Signature: (No Stamps) /MPRSW No. Business Phone Number:
1 SY R-A
Plumber's Address (Street, City, State, Zip Code):
5&06 0,4agy elle-o 7-Al.
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includes Surcharge Feel Groundwater Date Issued Issuing Agent Signatur (No Stamps)
❑ Approved F-1 Owner Given Initial
/ f
Adverse Determination
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD4W8 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
I
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 years.
6. If you have questions concerning your onsitb 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.,Cheek 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 :>ite constructed and tank material. Complete for a//
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; close 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.
GROUNDWATEIR 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)
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 A~rl,LLOUgd OehOrUh t, 56 /474
Location of property 1/4 C C 1/4, Section T3~N-Rk~ W
Township "Cjrl e-
Mailing address
Address of site 2/~ 'c° (vow e16,6177enOe- Z<jl 6~e
Subdivision name
Lot number
Previous owner of property
Total size of parcel
Date parcel was created
Are all corners and lot lines identifiable? _k--'-Yes No
Is this property being developed for resale (spec house)? Yes No
Volume and Page Number as recorded with the Register of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, 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 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. ; and that I (We)
presently own the proposed site for the sewage disposal system (or I (we) have
obtained an easement, to run with the above described property, for the
construction of said system, and the same has been duly recorded in the Office
of the County Register of Deeds, as Document No.
Signature of e wner Signature of Co-Owner (If Ap licable)
Date of Signature Date of Signature
f •~t.+: ,
STATIC FAR OF f~ FORM ! I
DOCUMENT NO.
'
• 4 ~IIAK Twii 5~,.-t R[i[RVLD ,OR R(=0Rp1Me DATA
r6511&SE
73
04
Q >aSIM OFRCe
$T. CROIX C0., WIS. nis 31st
•...._DaniQ1.JA..CaseY_ And. BettY D••.C~sey., husbaand-and.Wife.. aid. frr Dec d A.D. ~86
of
efnvm and warrants to -Patrick .J....Seidl-inQ.Aztd.,Debas
Se. dlingr..h.VS.b~nd,and-wife as
surYiYorship marita.l..Pro.P?rtYr
_ .
Century 21
RtTVRN
New Richmond, Wi.
the following described real estate in ........st..Croix ................County,
State of Wisconsin:
Tax Key No... _
That certain parcel of land located in tAe Southeast % of the Southeast 4 and
the Southwest k of the Southeast k of Section 13, Township 31 North, Range 18 West,
Town of Star Prairie, St Croix County, Wisconsin, more fully described as follows;
Commencing at the South k corner of said Section 13, thence East on the South
line of the Southeast ld of sai9 Section 13, a distance of 666.00 ft. to the POINT OF
BEGINNING, of the parcel to be herein described; thence North perpendicular to said
South line of the Southeast a distance of 700.00 ft.; thence East parallel to said
South line of the Southeast a distance of 1306.80 ft; thence South perpendicular
to said South line of the Southeast 1 a distance of 700.00 ft; thence West on said
South line of heast k a distance of 1306.80 ft to the POINT OF BEGINNING,
be ing subject to easement over the Southerly 33.00 ft thereof
containing 1.0 !acrest
for town roa purposes and also being subject to easements of record.
This is not homestead property.
(is) (is not)
Exception to warranties: Recorded easements and rights - of-way.
Dated thin 30 th des} of December .1986'
r` y
• (rF.Al,t ~-~~"~`s~~~;,~~.,~ ~ _ .(SEAL)
-
• ..Daniel ..I._Casey Betty Ca sey t_/-
.
....(SEAL)
AUTHENTICATION ACKNOWLEDGMENT
f
Signatures a11tFentica+ed thla day n`. 1.%1V (IF N IS( I)NSIN
a.-
St Croix (runty.
i'cl=nnally :ame hetorc me. this .30 .th . day of
Pecomber 1986 t~,e ahnce named .
• Daniel J. Casey nd Betty.D. Casey
-rrrt,F:: ~tF:~IeF:x SI'A"f F: BAR uF ~c►.~(-ntisl~
(If lint,
:r-llr.nrtxod 6 •
T HIS,N4TRUvFNt VAS r.-RAF TCC C r l.' r. ~hr the I.crS w!o executed the
,'•n lit amF arknnn'Irdtre he ! me.
. , / 1tlhhl,,,,
Jowl D. Walslt~
.
,1('11111 D. Walsh z..•.....
5t Cruix NtLYT A la. _
a r(a n.:,, L • :ni!hrnti, l .r.' t,r•k•r • ! i' f npt. R ate r~)n It~n
(r-
,,,r •.I:~.t (u ttllr 10 tT~~8g ;k•.
ti'UBLiG.
fit
Of * 1. ~ ti
STn; Fl•n (rF tt1•<(•;!acly µ.,„•,•1n,1, Mtn, Iw
WARRANTY D"D 1 1a-T ~t .•rnw«•, Ni•.. la"~Wita
CERTIFIED SURVEY MAP
PATRICK ANDiDEBBIE SEIDLING
Part of the Southeast 114 of the Southeast 1/4 and the Southwest 1/4 of the Southeast
1/4 of Section 13, Township 31 North, Range 18 West, Town of Star Prairie, St. Croix
County, Wisconsin.
UNPLA rrED LANDS
N90.00'00"E 1306.80-
7 4 6. 75'
• O
3 O
s
2 ~,o,44 o LO 72
zI
o r Xvz Z.
zI . 3Qa M .
O 9.000 ACRf O /2.000 ACRES h J
~ 322, 725 SO. FT.
.52! AC b
JIC O 3 0CR'ES XC. ROAD R.O. W. M 390 ACRES EXC. ROAD R.O.W. b O Q
Q ^ 8.32 ~ v
W N 371,156 : 496, 127 SO.FT.. y 4!I
~IW b t O -24'
Q p O P BARN QI
JI o ! O J
0
Z • 0 4
4 SEPTIC 1 DWELLING SHED h
O
0 „ N89.51 14 11W 1306.81 18'
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Owner's Address: 1384 210TH AVE.
1 w a New Richmond, WI 54017
2 SCALE 1 200'
? O W 2 O 30' 100' 150'200' 300' 400' 500' 600'
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Dated: August 5, 1991 •~aNO,
11! mat,,"
Vol. Page
Certified Survey Maps Laurence W. Murphy
St. Croix County, Wisconsin R gistered Land Surveyor
SHEE r / of 2
STC - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER ky~Ic_A~
ROUTE/BOX NUMBER FIRE NO.
CITY/STATE ZIP
PROPERTY LOCATION: 1/4 C ~ /4, Section T,11/ N, R1y--W,
Town of L'%i- St. Croix County,
Subdivision ,~2~5C'l , 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
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 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
DATE S~
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
DEPARTMEN T OF REPORT ON SOIL BORINGS AND SAFE I Y & BUILUnvva
INDUSTRY, DIVISION
LABOR AND l PERCOLATION TESTS (115) MADISP.O. BOX 7969
ON WI 53707
HUMAN RELATIONS (1-163.090) & Chapter 145.045)
LOCATION:` SECIIOO: TOWNSHIP/@q-¢UQxx5MITY: LOTNO.:BLK.NO.: SUBDIVISION NAME:
SE 1/4 SL,/ 13 /T31 M/R 18kdor) W Star Prarie n/a /a n/a
COUNTY: OWNER'S %XNMS NAME: MAILING ADDRESS:
St. Croix Patrick Seidling 1384 210th. AVe., New Richmond, wi. 54017
USE DATES OBSERVATIONS MADE
NO. ~BE~DRMS.~:DESCRIPTIONPR-OEit€ D€SCRTI'fiTOMS- CO AT O TESTS:
~esidence 4 ICOMW-ERC n/a New ❑Replace I 8-12-91 1 8-12-91
RATING: S= Site suitable for system U= Site unsuitable for system
ENTIONAL: MOUND: tN-GROUNDPREl1RE:YSTEM-IN-F ILLHOLDING TANK:RECOMMENDEDSYSTEM: (optional)
MONVS ❑U ~c cS E]U t S E]U ❑ S MU ❑ S MU conventional
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s.H63.09(51(b), indicate: n/a Floodplain, indicate Floodplain elevation: n/a
decimal'; PROFILE DESCRIPTIONS page 12 BxB
BORING TOIAL DEPTH T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER UEPIIf ELEVATION OBSERVED ES IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
B- 1 7.33 100.75 none >7.33 .75bl.1. .50bn.sil. .33bn.l.s. 5.95bn.c.s.
B- 2 7.25 100.95 none >7.25 83bl.1. .67bn.isl. .42bn.l.s. 5.33bn.c.s.
B 3 7.33 99.90 none >7.33 1.08bl.1. 1.08bn.sil. .67bn.l.s. 4.50bn.c.s.
4 6.92 99.15 none >6.92 1.58bl.1. 1.17bn.sil. .42bn.l.s. 3.75bn.c.s.
g- 5 7.42 99.65 none >7.42 2.00bl.l. 1.50bn.sil. .42bn.l.s. 3.50bn.c.s.
B-
decimal' PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER IQ!`i?f M AFTERSWELLING INTERVAL-MIN. PERIOD I _P_E_R~I O D2 INCH
P. 1 3.80 none 3 6
p- 2 .00 none 6 <3 7,3
P - - 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.
96.90
SYSTEM ELEVATION
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10
1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME (print): TESTS WERE COMPLETED ON:
Gary L. Steel 8-12-91
ADDRESS: CERTIFICATION NUMBER: PHON U B R tional):
1554 ?.00th. Ave., New Richmond, Wi. 54017 298 7 + -~i 00
CST SIGNA RE:
DISTRIBUTION: Original and one copy to l.ncal Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 1R. 07./82) oVFR -
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