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012-1048-10-000
O O Vi O a c ~ m ~ ~ 3 ~ ~ >• ~ (D n d O ZD ~ C 3 ~ Z O o ~ ~ c ~ ~ y (p n d _< O f~ m C (D O ~ m nD ~ ~ n S 3 X N W ~. as o m y CD N O O O CD 3 O 7 N O 0 m cfl O 0 Oo i ~yo' ~ ~ f ~ ~ ~ ,~ ~ m 3 I 3 .. '. O N Q ~ N I j I N 3 N ~ fll C ~ N a a ~I O = N ~ ~ ~ coo ~7 ~ O ? ~ v v 'o o I O O O n, ~ ~ ~ ~ Vl (A to - ~ v v ~ O O ~ d ~ v ~ ~ ~ 3 m 3 ~ .. D D o , c a ~ I i I I I W 'O c. 3 O y~j Z F O C C C a I O I I i I I I Ih O ~ N C ~ ~~ _ ~ ~ C ro ~ ~ O ~y j y N in. ~z ~ N y ~~ ~ 0 O N CD 0 ~ ? N C O ~ ~ j O 0 I,~ ;m U.+ v D :J :S~° A y ~~ ~ ~ ~ O C %j - !O. O ~ N ~ ~ c m a W m a c ~ ~ S ~ N C 7 !~ Q A _ N o ~ ~,~ ' O O a8 N ~ j 3 ~ ~ ~ ~ f~D N :(7 ~ a 7 C O ~ O ~ ~ O o ~ ~ N 0 c m m O N N O O 3~~s~mfyo~~° nD. N O p7 fll ~' y N p N~ Sp v ~ n (yq ~ f7 y O7 d F n~ y- 7 '« N O Q C fD y O~~ N C~ O X O _ O ~ N a~ ~ < o~i ~<~° v ~ v ~- m N A C N (Q C y N y~ ~' ~ y ~ fD n O O n C 7 fD fA O' -n N f0 N O_ '. y O C n O n O .~. C~~ ~ Sp d~ W N ~ r N ~ (Q ~ O -, ~ y ~ C F ~ y~ C ~G = y W d d S~ . ,,C (7 "O N p < y n O y pOj C f7 O p~j _ fD CD N ~2 CD n N .p y 0 _? y~ ~p0 ...~ O ~ Opyj a•J O~ O O (D ~ ~ C `Gn N N 7 N. ~ N 's s m ~» O o ~ o° ~- ~v~o ~ d F ~ ~ ~ m ~ ~ m ~ o ~ O ~ ~ t0 tU cn ~ fD fD 7 N -+ y ~ ~ d O ~ - a o. ~ A '~ Z O N ~ O o Z7 O O S 3 O O O -°' ~ ~ ~ ~ U~ In N ~ v v q ~ M ~ ~ ~ ~ A d N 3 °' .3. Z 3 Z y ~ o . ~ v =p O N y = C (O N• S Cp n ~ N ~ m ~ n• O ,~ c rn n ~ ~ °' 3 C •'•' !~! Z A G T c a ~ m o ~ ~ 3 ~ A ~ m ~ A m _N o W N ~ o N v A _. ~ fD W N Q -i W O O f O ~ O O y O G +S ^' a. .. ~ v A O N (D y -~ -I !A p Z ~ A Z O .. O Z -I N ~ o CA .~J A d w v a~ .~ ~_ C "S O ~• !mil ~y~ • v ~' ~" O ~• N ~a 4 n Q~ R O N O A b ~' w as ~' o a 'r V ~°°°"'~" OAp°n"'~ a COm`~ PRIVATE SEWAGE SYSTEM '~ ~ ~~ INSPECTION REPORT ' QENERAL INFORMATION (ATTACH TO PERMIT) Pwriorwl k>tort~afion you provloe may be used for zeoondsrY P~P~ lP~a~y ~• s.1fi.04 (txm)]. Erin Prairie TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic / / W 5 Z Aeration_ . Holding ~ , TANK SETBACK INFORMATION _ r TANK TO P/L WELL BLpG. Ve~tto Airlntake ROAD ~c > Y ~' z s-' - NA Oosl -- _- - __ -. , , NA Aef~tl`on r ~ . Holding PUMP /SIPHON INFORMATION . urer __ ___ Demand Model Number- TDH' Lift Friction S em TDH Wrcemain length Dia. o' eu t•~a woCAOnT1Aw1 CVCTCIIA ~ n i Ff frveTlAN DATA ouoty: St. Croix SaMtary Permit No.: 384195 State P t, l0 No.: Parc Tax No.: STATION BS HI fS ELEV. Benchmark f /, ~0 ~G Alt. BM Bldg. Sewer '? -zp ` S Z. ~ o Ht Inlet 3. 5' q _ q~ / Ht Outlet 3. ~ ~-. ~-~ Header /Man. .S'3 . Z O Gist. Pipe i~ v - O Bot.System L L G-yo rs- ~o final Grade 3, ~' ~ - 5~ >d . Z y , z A i uid Oepth li 6E0 /TRENCH reoches , length No.O width PIT No.Of Pits q a. Inside D ~ 3 SYSTEM TO P / L BLDG WELL LAKE / STR G Man ad rer. - ,, SETBACK BE m r N INFORMATION ype ~ ,, .~ ~ ys so' O . S e u r / System: SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only x Hole Size x Hole Spacing Vent 7~1q Intake He r / Mani o ~ ~ Oistributio~ Pipe(s) ~ ~ ~ ~ ~ ~ ~`2~J1 Oia. ~h ~~ Spacing Length L.S Oia. Inspection #1: /( / ~o/~ Inspection #2: / / Location: 1711 CTH G, New Richmond, WI 54017 ((VW 1/4 NW 1/4 21 T30N /R~1 W) - 21301732n3 1.) Alt BM Description = y~s~ e orr w~/~ a,~ ~.`~~ s j•~sf ta~~x S 2.) Bldg sewer length =~~'' ~ .S-~gW15 ~~,.~ ~45~cQ ~ GS~~p/~cr ~~5~lj~s~~f \ ( -amo nt of cover = > ~Y ~~ / ~ 3' •J Ob S~~ / V G~7+`iv /° i°~ s /i.. S ttr~rA' /ice j~ D ~ l,Z(~aN ~`D~- "d ea.C~ Gv~ ~' L~~• ,: r~w~ Plan rewslon regwred? ^ Yes ~] No ~---- Useother side for additional inf on. 30 Oat mature CM- No. 580.6710 (6.9187) COMMENTS: (Include code discrepancies, persons present, etc.) ~$ 1 ~'I I C`-t-(-4 - G Sanitary Permit Application Safety & $uildings Division ' In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 ` ~SiiD/'fSw~/,1 Persona! information you provide may be used for secondary purposes Madison, WI 53707-7302 Department of commerce [Privacy Law, s. 15.04(ij(rl;i)]" '; ~ (Submit completed form to county if not - state owned.) Attach complete plans (to the county copy only) for a sy ,,on paler , oX'less than 8-1 /2 x 11 inches in size. County ,- ~ State Sanitary Permit Number ^ Check ff revision to provious application 3tata Plan . D. um er J~ . ~~'ar+c. S I. Ap Iieatioa In[ormation -Please Pont all Information Location; L/ '/Z. Property er ame ~ Property Location ~~ ~~~ < cL.. r- t~'4 /(/ 4, S T ~j,N, Rl E~(or Property e s Mai ing Address * " ~ Lot Num r B oc Num f~-e~ ~ ~~,,a., ---- City. fate Zip Code Phone Num r Su ivisson Namo or CSM Num r II. Type of Banding: (check one) ^ City ,ice 1 or 2 Family Dwelling - No. of Bedrooms ;~ O Village ^ Public/Commercial (describe use):_Town of ^ State-Owned ~ ~ ~ ~~ ~ - ' Ncazest 1 l n ~~ 2' 3 K ~.. S ~ ~rQ-v~t.~l~t~ Parce~~x um _ ~ -O D ll III. Type of Permit: (Check only one box on line A. Check box on line B if applicable} ~ 3 A) 1. ew 2. Replacement 3. Replacement of 4. 5. 6, Addition to System SYstem Tank Only Existing System B) Permst Num r Date Issued ^ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) ~ -1 ~ ,Non-pressurized In-ground ^ Mound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At-grade erobic Trea ent Unit O Recirculating ^ Other: 35 V. DispersaUTreatment Area Inform ion: 1. Design Flow (gpd) .Dispersal Area 3. Dispersal Area 4. Soil pplication 5. Percolation 6. System Elevation 7. Final Grade Required6,6 ~ Proposed S (Gals./day/sq. ) (Min./inch) q ~.t'; ~ Elevation VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete strutted Tanks Tanks ^ ^ ^ ^ VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. lumbe s ame pent P um is gnature no ps): Mp o. Business one um Plumber's A s (Street, ity, State, Zip o e) l'oo Z ~ ~1 ~ s `~0 I ~ IX. County/Department Use Only f , Disapproved Sanitary Perm t Fee Includes Groundwater Date Issued ssuing Agent Si store o stamps} ~AProved ^ Owner Given Initial Adverse Surc e Fee) _~^~~ Determination 2ZS• ~ - 2 ~~ X. Conditions o! Approval /Reasons for Disapproval: r r ~ n - ~F- e,oc~-hat t s .n9-ar~e+ns~ ~.e ~ - ~ \{~~ n ~ -t-~-~- ~ Ifs i5 CX~~ ~-~~ an ~ v~ne.~~ cM~~+~n~~ J~e.~~~CatS~--~+~tS. w P PI.J~tN = c~ SBD-6398 (R. 07100) ,PLOT PLAN PROJECT Steve Graham ADDRESS 938 140th Ave New Richmond Wi 54017 N1N 1/4 NW 1/4S 21 /T 30;' N/ W TOWN Erin Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 1 DATE3/29/01 BEDROOM 4 CONVENTIONAL XXX IN-GRO 17 PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .9 ABSORPTION AREA 677 # of chambers 40 ,BENCHMARK V.R.P. Top of 2" Pipe ASSUME ELEVATION 100° Filter Zabel A-100 ^ BOREHOLE O WELL 'H.R.P. Same as Benchmark SYSTEM ELEVATION 95.0/94.3 Alt. BM Top of 2" Pipe @ 99.9' :~ a 0 0 ~o N Plans Designed Using Conventional Powts Manual Version 2.0 Vent at System Elevation 2-3' x 125' Cells with >3' spacing ~v '~ g a 2U'~ ~~` ' ,PLOT PLAN PROJECT Steve Graham ADDRESS 938 140th Ave New Richmond Wi 54017 NW 1 / 4 NW 1 /4 S 21 /T 30' N/ 1 W TOWN Erin Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATES/29/01 BEDROOM 4 CONVENTIONAL )40C IN-GRO ~ PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE ~ 260 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .9 ABSORPTION AREA 677 # of chambers 40 ,BENCHMARK V.R.P. Top of 2" Pipe ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 95.0/94.3 Alt. BM Top of 2" Pipe @ 99.9' a 0 0 ~o N Plans Designed Using Conventional Powts Manual Version 2.0 Vent at System Elevation 2-3' x 125' Cells with >3' spacing .l v r 0 2~-1-- J` Sidewinder High Capacity Leaching Chamber ST GROitX COUNTY SEPTYC TANK MATNTI3ATANCE :AG1tELYViENT ANIr? OWNBR~SHIP CERTIFICATION FOYtM ~! OwnerBuyer _ S~s2~ /--, .~, ~t..~..~_ _ _ Mailing Address .~ ~ y~ N 2t~ ~'~~_ ~ ~~ - S H Q 1 „~ Property Addrt~ss ~ / ~ ~ -~ ., ~v, k~ ,, (Verifiestiva required Broth Planning Department for new GS~CS'/State Parcel Ydentification Number ~/ ~'~~~~d ~l ~ ~ D ~ t7 Y~E,...~r~ DFSCRf'I'TION ~, ~ ~. Pmperiy Location ~ %, ~/ ~ 1/., Sec. ~ T ~~ N-R„~,W, Town of _.~~.L I'1~G~~ Subdivision ~---~ Lot # v Certllled Sarvey Map # ~ VoIume`e ~ Page # r Warranty Deed # _ .SJflS ~/s~ ~, Volume /~ Page # ~~ Spec house ^ yew--no Lot lines identif cs ^ no Improper use and ttsainteaanaaof yoar sapt:c aysteal eoutd insult is its prematare failure to Randle wastes. Pt~oper tnaiateaance cx~asists of pmnping ant the seplia tank every tluve years or soot~r, if aaedod by a lioau9od pumpex. What you put itvto the system can affect the Rtnettost of the aeptbc tralc aa~ a treatment stage in tlu waste disposal system 11u PmP~y owner agrees to sabmit to St. C~+oix Zoning Department a ccrtiRcatiott form, aigaad by the owner and by a masttr pl~~'. Jo~y~n plumber, restzictedptumber or a licensed pumper verifying that (f) the on-site wastewater d3sposti system is is proper operating condition and/or (2) after inspection and pumping (if accessary), the septic tank is less rhea 1/3 Rill of sludge. Uwe. the undersigned Dave nxd the above n~ and agree to maintain the private sewage disposal system with the sgadards set fortb4 herein, as set by the Departmment of Caimmarce and the Deputmeat of Natural Rascumea, Stato of Wisoonsia, CartfBioatioa stating that your septic has been maiatataed must be completod sad returned w the st. Ctoiac County Zoning OBflco within 30 day: of the three year expira~lat dato. SIQNATURE OF APPLICANT z ~, DATE OWNS, C'ERT~FIC ON I (we) cartit~+ that all statetaents on this farm are true to the best of my (our) knowledge. I (we) am (era) the owner(s) of the property described above, by virtue of a waxraaty deed recorded in Registor of Deeds Office. SICINATURB OF APPLICANT DATB Rs#ft~ .4ny iII~trifatlon that is mis-reprosaated inlay result is the asaitary permit being revoked by the Zoning DapacSst~4t. ""«" •• Include with this appllcattoa: a stamped warntsty deed from the Regietar of Doods offico a copy of tho certi8od survey map if reference is made in the warranty decd Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4.Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Shaun Bird - ~ y6' ~s ~ b #226900 Wisconsin Department of Commerce OSvtsion of Safety and Buildings SQI~L EVALUATION REPORT Page ,~_ of rn accorcance wim t+omm-0o, vws. Nom. ~.aae County ~ ~ in size Plan must 8 1/2 x 11 inches th t l a O . . an ess per no Attach complete site plan on p induds, but not linked to: vertical and horizontal reference point (BM}, direction and percent slope, scale or diman~ions, north arrbw,~and location and distance to nearest road. Parcel I.D. ,! ~/ Z' 7 -~ ~ - pb D P1198se print a:if~format/on. ~ (~Z R viewed by Date ~ Penonel IMOrtnption you provide maq be used for t*condery purpos~c (Privacy I,ew, s. 15.04 (1) (m)). Z Property Owner ,S -e LJ'=-- ~~ Q „/ Property Locatbn Govt. Lot 1/4 u l4 S Z I T~ d N R E (c W PropeHy t~wner's Mailing Address lot # Block Subd. Name or CSM# lQ ~ y~~ ~ .- ~ ~-- tate ip Phone Nurr>ber ^ City ^ Vllage 'Town Nearest Road 3 af<~ 7so ~ sy ~ ; e (i .~ New Construction Use: pa Residential /Number of bedrooms ~ _ -_...- Code derived design flow rate _ 6 ~ ~ :;~-l' - ~ GPD ^Repiacemsnt (] Pubesf orcommercial-Describe: _._._~.---..___._..^.--------__._...._.._.__..__---__-_.. =:_,ti~~_~_,,,.; Parent material ~~ w c~d~ Flood Plain elevation it applicable ~ ~',r'. ~ fL General comments ~j pf . ~` _ -~.~~~_ and recornmendatkx,s: S}° S ~+.-'~~~'~G'~'~"''~ '°~`" `.~-3-.- ";~, : '••~(C ,. Bo ' # ^ Boring ~ "~ f~ ;; "~~VG O,cc ~ ® Pit Ground surface eiev/~,,,~ Z tt. Depth to limitfng fact ~d n, \ C"J''~• ~ " . Solt Rat Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary R `' t in. Hartsell C!u. Sz. Cont. Color Gr. Sz. Sh. ~'Eft#2 ~ '/ ~ 3 z S ~ ~ ~ .-~ . ~ Y~ ~ ~ ~ s ~ - a .~ ys.a' I" `I• r ~~ ® Boring # p~t Boring //Da tom, pit Ground surtace elev/ tt. Depth to limiting factor ~~t~ SoA 'cation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fF in. MtxtseU f]u. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Etf#2 e-, ~ 3~2 ~ ~ s ate' . 6 ~ ~' ~ S b • F_ftlusrd #1 = BOD > 30 g 220 mglL and TSS >30 < 750 mgJL 'Effluent #2 = BOD < 30 mg/L and TSS < 30 rngll. CST (Plates Print} _ _ ^ CST Number .~ , ~~ ~ a Address Date Evaluation Conducted Telephone Number 1o z W; spa 3~2 -b rs-x - ~ / 1. Property t~wner Parcel ID # Page o1 ~~ # ^ Boring 9(/ ®Pit Ground surface elev/Q' 3_„_ tt. Depfh to limiting fact in. ~i ration Rate Hotlzon Depth Dominan! Color Redox Description Texture Structure Consistence Boundary Roots GP p/ff in. MunseN l]u. Sz. Cont. Color Gr. Sz. 5h. •EtT#1 •Eff#2 i ~-is f3lz rw r M ~- ~ ~ a~ ~ l ~- 3 ~ Y~ rn f' • 3 6r •~ -~ ~ ~~- ^~~,9 ~/i,~ . ~' 9 ~9'f.5` `f$ 8 y al~~ng# ° ~°~ t...i Pit Ground surface elev. it. Depth to limiting factor in. Sal ~~ Rate Horizon depth . f)orninant Cobr . Redox Descxlption Texture Structure Consistence Boundary Roots GPD/If in. Munseq Qu. Sz Cont. Color Gr. Sz. Sh. •Ett#1 'Eti#2 ~~ # ^ Boring ^ Pit Ground surface elev. ____ ft. Depth to Limiting factor in. SoN Rate Horizon Dfaptlt Oominartt Redox Description Texture Structure Consistence Bourxtary Roots G in. Mansell Qu. Sz Cont. Color Gr. Sz. Sh. 'Eff#1 •Efr#2 ' Etittrettt #i =130Db > 30 _< 220 rrtglL and TSS >30 < 150 mgA. ' EtAuent #2 = BODS < 30 mglL and TSS ~ 30 mglL The Department of Comtrurce is en equal oppot*ttnity service provider and employer. !f you need assistance to access services or rued material itt an alternate format, please contact the department at 608-266-3I51 or TTY 608-264-8777. SSD~b370 (R.6l00) Soil Test Plot Plan Project Name Steve Graham Shaun, ' Address g38 140th Ave New Richmond Wi 54017 #226900 Lot ----- Subdivision ------- Date 3/29/01 N W 1 /4 N W 1 /4S 21 T 30 N/R17 W Township Erin Prairie Boring 0 Well PL Property Line County ST. CROIX BM VRP Assume Elevation 100 ft. Top of 2" Pipe System Elevation 95.0/94.3 *HRp Same as Benchmark Alt. BM Top of 2" Pipe t7a 99.9' a s a C C .. - . :u~ 1:±lj6Fac~61~ /~ ` ; 595545 ST ,, ATE BAR OF WISCONSIN FORM 2 - 1982 'i; WARRANTY DEED ' kEGISTER OF DEEDS ST. CkOIX CO,, WI DOCUMENT No. __ : RECEIVED fOR RECORD 03-O1-1999 10:30 AM Mark D Abramson I and Debbie M Abramson AARRAHTY DEED - husband and wife, EXEMPT R -- CERT COPY FEE: ----- - COPY fEE: TRAMSfER FEE: 213.00 conveys and warrants to RECORDING FEE: 10.00 Jac aline H. Graham husband and wife j' ~ , PAGES: 1 I ..,,, I y ., HIS `RACE RESERVED FOR RECORDING DATA - ~.~ NAME AND RETURN ADDRESS the following described real esta[e in County, ~~iG~~ Stale of Wisconsin: I' -- ,I 012-1046-10 PARCEL IDENTIFICATION NUMBER '~ ~i W1/2 W1/2 NW1/4 Se 21 30N-R17W except the North 50 feet of ii Wisconsin. NW1/4 NW1/4 for hi y purposes, St. Croix County, ~ s n n t. _ homes[ead properly This . '.~ ~,( }(A'~~ (is not) Exception towarramies: Easements, restrictions and rights-of-way of record, if any• ZS ~ Februarv , A.D., 19_..~~. day of Datea this n/t/~GZL.GClt/~ JD ~ ~~ // YY (( (SEAL) (SEAL) rti D Abramson M ITebbie M Fc om a - (SEAL) (SEAL) * . ' '. ACKNOWLEDGMENT AUTHENTICATION State of Wisconsin, Mark D. Abramson, Signature(s) ss. bie M. Abramson Deb Count. Y __ ~~"~' Februar 99 -Y, 19- of da hi d Personal] came before me this day o[ ~~'. y _ y t s authenticate 19i, tfie above named ~ , Kristi a Oyland TITLE: MEMBER STATE BAR OF WISCONSIN ' (If not, authorized by §706.06, Wis. Stats.) to me known to be the person who execu[ed the foregoing ', instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland Hudson, WI 54016 Notary Public, County Wis. state expiration date: anent (If not ' (Signatures may be au[hcntica[ed or acknowledged. Both are not , My commission is perm ,19 ) necessary) _ 'Names oI perwns slgmng in any capeciiy should he lypcd or printed below their signawres. Wisconsin Lagal Blares Co., Inc. STATE BAR OF W Form No. 2 - ISCONSIN MAweukee, Wls. , 1982 WAR0.ANTY DEED Tract(s): (Sec-Twn-Rng 401/4 1601/4) 21-30N-17W Notes: Parcel History: Date Doc # Vol/Page Type 02/04/2002 670190 1829/332 EZ-U 03/01/1999 598545 1406/628 WD 08/29/1997 564637 1261/078 WD 08/29/1997 564635 1261/075 WD more... STEVEN J & JACQUELINE B GRAHAM 1711 CTY RD G NEW RICHMOND WI 54017 O -GRAHAM, STEVEN J & JACQUELINE B Districts: SC =School SP =Special Type Dist # Description SC 3962 NEW RICHMOND SP 1700 WITC Property Address(es): * =Primary Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 21 T30N R17W 40 AC W 1/2 W 1/2 NW Block/Condo Bldg: 1/4 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 156027 Use Value Assessme nt Valuations: Last Changed: 05/31/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 15,000 327,200 342,200 NO 02 AGRICULTURAL G4 12.000 2,400 0 2,400 NO 05 AGRICULTURAL FOREST G5M 27.000 43,200 0 43,200 NO Totals for 2006: General Property 40.000 60,600 327,200 387,800 Woodland 0.000 0 0 Totals for 2005: General Property 40.000 60,500 309,200 369,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 551 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 t Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes (Privacy Levu, s.15.04 (1)(m)l. AeBrmit olcLel:S Na Q1g:.~~ M [~~t~r~] ~~T~wn o A CST BM Elev.: Insp. BM Elev.: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBA INFOR TION ~ TANK TO P/ W BLD ~ Air a Septic NA Dosing NA Aeration NA Holding PUMP /SIPHON INFORMATION Manufacturer eman Model Number TDH Lift Lriction Syste ~ Ft Forcemain Length Dia. .Toweu SOIL ABSORPTION SYSTEM ELEVATION DATA STATION BS Benchmark Bldg. Sewer 6t/ Ht Inle t Outlet Dt Inlet Dt Bottom Header/ fit. System Final Gr~ik 5T. CROIX B ~4~5~ Ian ID No.: Q1~1048-10-000 A9900023 HI FS ELEV. BED /TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DI EN I N DIMEN I N SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHING Manu adurer: SETBACK INFORMATION Type O CHAMBER Mo a Num er: 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 present, etc.) LOCATION; ERIN PRARIE 21,30.17.323,NW,NW 17~1~ i~~ ~ Plan revision required? ^ Yes ^ No Use other side for additional information. SBD-6710 (R.3/97) Date Inspector's Signature Cert. No. ~~isconsin Department of Commerce SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code Safety and Buildings Division 201 E. Washington Ave. P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less count than 8 trz x 11 inches in size. • See reverse side for instructions for completing this application mit State Sanitary Per Nu mb er ~ ~ ~ ~ ~ The information you provide may be used by other government agency programs P i L 1 ~ ^ Check if revision to pievous appl(cation [ r vacy aw, s. 5.04 (1) (m)). State Plan}. umber ` ~~ ~3~ I. APPLI ATI N INF RMATI N -PLEA E PRINT ALL INF RMATI N ~ ' Property Owner Name ,~ o ~ Property Location N pia ~ va, 5 r T ~ , N, R i'~or) W Property Owner's Mailing Address Lot Number Block umber 1~ T City, State Zip Code Phone Number Subdivision ame or CSM Number II. P F B ILDING: (check one) ^ State Owned ^ ~t~ Nearest Roac}r Public 1 or 2 Famil Dwellin - No. of bedrooms ^ Vil age t t own of ~ t ~n a C.f~ III. BUILDING SE: (If building type is public, check all that apply) Parcel Tax Numbers ~ ~ . 30~ t, ~ X22 7 1 ^ Apartment/Condo © -10 -~® '0 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: speafy IV. TYPE OF PERMIT: (Check only one box on line A. Check box online B, if applicable) A) 1, New 2. ^ Replacement 3. ^ Replacement of 4_ ~ Reconnection of 5. ^ Repair of an ,____ __ystem ________System_____________TankOnly______________ Existing System ________ Existing5ystem B) ^ A Sanitary Permit was previously issued. Permit Number 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 Pressure 42 ^ Pit Privy i3 [~ Seepage Pit 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. Pert. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ftJ (Min./inch) Elevation t _.. © .~3fl0 $-ov ~ 5 ~-^ ~~ 3 Feet /'~S, 2. Feet VII. TANK Capacft INFORMATION in gallo s Total # of Manufacturer's Name Prefab. Site c Fiber- Plastic Exper. New Existin Gallons Tanks concrete on- steel glass App. Tanks Tanks strutted Septic Tan rlfeldinefFeta~ ~ ~~ rS ^ ^ ^ ^ ^ L ft Pump Tank ipl~co.Ghaml3er ~ ^ ^ ^ ^ ^ VI ONSIBILITY ST TEMENT I, the undersigned, assume responsibility for ins ation of the onsite sewage system shown on the attached plans. Plumber's Name int) PI tier's Signa ure: ( Sta s) MP/MPRSW No.: Business Phone Number: ~~- aa~ s ~ is a. s~ Plumber's Address (Street, City, State, Zip Code): ~ ~. s ~ IX. COUNTY /DEPARTMENT USE ONLY ^ Disapproved Sanitary Permit Fee (~ndudes water ate ssue t Signature (No Stamps) ~A roved pp ^ Owner Given Initial s°" ree) ~~® ov ~q /! J~ , ' Adverse Determination !~' Z;:~if X. CONDITIONS OF APPROVAL /REASONS FOR DISA VAL: - P'r SBD-6398 (R.111~96) DISTRIBUTIOIE: Oriry'ryl to County, One copy To. i Mid'ngs Division, Onrner, nrrw6er INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a 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 Farm (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 bumped by a licensed pumper whenever necessary, usually every 2 to 3 years. F. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division„ 608-2f~-3?51. ` To be complete and accurate this sanitary permit application must include: !. Property owner's Hemp a)nd mailing address. Provide the legal description anc! 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. Ill. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on 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 for numbers. l through 7. VII. Tank information. Fill in the capacity of every new/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 81/2 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 surchargesa~rws~d,~for monitoring groundwater contamination investigations and establishment of standards. .t~ ~: , i ~`~.~~ ~• ~ ~ ~ ~scons~n Department of Commerce Safety and Buildings 2226 ROSE ST LA CROSSE WI 54603-1905 Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary January 21, 1999 CUST ID No.273085 CALVIN POWERS POWERS EXCAVATING INC 1969 185TH AVE NEW RICHMOND WI 54017 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 01/21/2001 SITE: Site ID: 166252 St. Croix County, Town of Erin Prairie NW1/4, NW1/4, S21, T30N, R17W Facility: Mark Abramson FOR: Description: Mound Object Type: POWT System Regulated Object ID No.: 446849 Identification Numbers Transaction ID No. 207937 Site ID No. 166252 Please refer to both identification numbers, above, in all correspondence with the agency. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, ~~ Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)785-9348 ,Mon -Fri, 7:15 AM - 4:00 PM j swim@c ommerce. state. wi.us ATTN: POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY 1101 CARMICHAEL RD HUDSON WI 54016 DATE RECEIVED 01/20/1999 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 BALANCE DUE $ 0.00 WiSMART code: 7633 . _ ~ 75, ~ l y ~'t~ ST V N w ~y 1~,( i~;~ ~S ~ (~ i 3c? ~v~17 ~ WORKSHEET - !SOUND SYSTEM ~)FSIGN .- RECEIVED PROBLEM: JAN Z 0 1999 SAFETY & g~pGS p(V. Design a mound system fora o The site characteristics are: Depth to ground~,'ater or bedrock Landslope Percolation rate Distance from dose chamber to distribution system Elevation ~differenc,e between aump and distribution systern Step 1. Step 2. ".~ `„ Step 3, NASTEWATER LC~.~D (~00- ~ ~,~o.~ SIZE 'S'HE ABS02pTI0N AREA A) A~~ea required ~ 6~ i~ Z ..soa ~a8 in. .~ % ~~~ . ~. _.~ O ~~ t . $ ft. gal .~ ~~~ sq. ft. B) or trench length -- (B} _ /7>O /oo ft. C) -___. i or trench width (A) a 5 ~ ~5~ ft. P O D) Trench 5F-acing (C) i~Qh ~ly . Cond r l W t ` d 2 1 r 4 ~~D ~b ft ewa .e as oa . c. ~~ ~ , trF~ i,~ ems ~ ~, pFpARTMENT OF COMME NGS ~ E 'NISI MOUND HEIGHT ~~ ~ ;SEE GORRESPO NCE ~ ft A) Fi11 de th (D) Q • P . B) Fill depth (E) b + ~ slope (A}#'~~ ~' _~.a5 ft. l -t ~,os xsJ ~ ~, a5 C) Bed or trench depth (F) _ +g~, X83 +t• D) Cap and topsoil depth (G)'= ~ ~ ft. E) C nd topsoil depth (H) _ ~~•5 ft. J :.~. 1.... ~. . ~ `15`~ ~Yy't-ate ~ ~~ ~" -" Step 4. MOUND LENGTH ~""~ "~`~`~' ``- Step 5. A) End slope (X) _ ~(D + E1+ F + N x3 = \~~ B) Total mound ler~'th (L) = B + 2{K) z MOUND WIDTH ' AI) Upslope correction factor ~ ~~ A2) Upslope width (J) n (D + F + G)(3)(factor) _ (I -~,~3t~3 x ,875=7,gaK B1) Doxnsiop~~ correction factor = 5 62) Downslope width (I) _ (E + F + G)(3)(factor) _ ~~, a5-t,83-~ 1~ ~ X i, i 8 =iofl C1) Total rtx~und width (W) for bed = J + A + I = ~~5-+5-~/0,~ -~3~~ C2) Total mound width (W) for trenches ;~ ,;• i~ ~ + ~ + (no. trenches -l)(c) + ~ + I = Step 6. 6ASAL AREA A) Infiltrative capacity of natural soil ^ B) Basal area required =wastewater flow natural soil infiltrative capacity = 6~~,5 C1) Basal area available for bed for sloping sites = Bx (A+I) _ C2) Bas are avail le for trench for sloping sites = B W --- ~J + A 1 = \ ~ I~ Basal area available for trench or bed for level sitesBxW= Slr;n: __ /D,~ ft. /~~,~ ft. ~~ 7s 7$ ft. _____._ /~/$ /~~q ft. a3. ft. ft. • ~ gai./ft2/day r /~ sq. ft. sq. ft. ~~7~ sq. ft. sq. ft. ~1 Ft +'~ ~ ~' ~ cz LV~S~' •~ ' I ?S y I ~f~(1~ S'i Step 1. DISTRIBUTION SYSTEM ~'^' ~Y Nwy~ Sal ~? ~~ ti' ~'~7~-= .,~ ,~ t~u`~ r`: ~ 7A) SIZE DISTRIBUTION SYSTEM ~) Hole size = 2) Hole spacing ^ 3) Distribution pipe length a 4) Distribution pipe diameter = 5) Spacing between distribution pipes = 6) Distance from sideNall to distribution pipe = 7B) DISTRIBUTION PIPE DISCfiARGE RATE 1) Number of holes per pipe m 2) Flow per pipe = 7C) SIZE MANIFOLD 1) Manifold is X central/ end 2) Manifold length a 3"`(".~~~o 3) Num~er of distribution lines a 4) Manifold diameter = 7D) SIZE FORCE MAIN 1) Minimum dosing rate = 2) Force main diameter a fSf 3) Friction loss S~~o X~~ 7E) TOTAL, DYNAMIC HEAD 1) Vertical lift = 2) Friction loss = 3) System head 2.5 ft..= ~ ~ ) 7ota1 dynamic head a k_,.L C t ,_ f~ ~_~ -- -~-- ..-_7._ P`~~ e -,-~ `''~- -1 in. ~~ in. ~9 ilt. ~._ in. a in. ~~ in. ~~ ft. /7 aD GPM O_ f t . 3 in. _. ~D GPM 3 in. .`L ft. g, ft. . ~ ~ ft. a .5 ft. ~D'9 ~ f t . " N ~ _.: ~;~ ,pond, ~ S'Y o ~.: ~. , , 7F) PUMP SELECTION 1) Pump selected will discharge ~y GPM at ~ ft. total dynamic head. 2) Pump model and manufacturer 7G) DOSE VOLUME 1) 10 times void volume of distribution lines = 2) Daily wastewater volume ~ 4 doses/24 hrs. _ 3) Minimum dose vo?ume z C'd ~3"r~~o, 7H) DOSE CHAMBER 1) Minimum capacity required = iii c ~ n„~:: .: u : -..~..~'-~ irate -___~ ~.~! -'-~.---_- Ja gal./cycle /-~ gal./cycle ~~d gal./cycle 7S ~ gal. ', ~'. '~. ' a-~ 1^~ f ~~ ~ ~ t _..--.i j__ __~_ i_ --- _ . j ~ i i~V I l_ I'. ~.... _......~._._ ._,_._._._I_. ._..._..I .. _.._ _ _ ~. - --'--, • IY~ca r K t~ u.c= w. s ~- ~ 1 7s ~{ /~c~~c'i~t S ~ Straw, Marsh Hay, Or - • Synthetic Covering A-5iM c33 _-- __._-~ Medium Sand -~ ~~"~` - ~~ ~-- Payo~ Of Distribution Pipe ,~~ ~~: Slope Bad Of 2~- 2 %2 Force Main Aggregate Cross Section Of A Mound System Using •* •A •Bed For The Absorption Area gned cense Number: ? s • 7 'osition o f ----~, Force h1a i n L i r~3~ __ _ _ ~ ~ 2i Plowed layer .o ~ F~. E / ~-S Ft . F . ~ 83 Ft . G ~_ Ft . A ~_ Ft. H /~5 Ft. B /~a Ft. K /4~ Ft. L ~ao•s Ft. J 7.5 F t . I /D~q Ft. W a3 Ft. ~ Observation Pipe-~ --- i< I I -,~ - - Distribulion• Bed 0 f 2+- 2 i» Pipe A99regote Observation Pipe Permanent Markers Mon View Of Mound Using A lied For The Absorption Area v~; G.--., Ens ~~ ~~ ~r\ Lact Hole ~~Sho 1~6 Eie 1l~il To End Cop ~.r .r . Pag o ~., 0 Hotee Locoted On 6o-tom, Me Equolly Spoced ~•rCe.'~^`^t~ , J ,yN1 , ~'~ I~ Oitlrib.ulion Plpe layout P Ft. R - S -' ~ `,~ X 3~ Inches Y 3C7 Inches Signed: ,~.,_, Flolc Diameter ~~ lnch License t{umber: ~a0 ~,~ J Lateral " / ~/Z lncii( ~;) Manifold - • Incflc:; Date: /- ~ - 9'~ Force F1ain 3 Inc}~~; N of holes/pipe /7 Invert Elevation of Laterals/D3.5 Ft. ~~ ~ ~ I ~s~~ i<«cy~ ST N.e-~..~ ~ c1~ mo n~.. ~~ .Sy ~~ y ^~ ^ ~ra '. P `~ sL _Perforolod Plpe Oeloll ,~ • • . SEPTIC TANK fi_ PUM_P C}~AMBER CROSS SECTION AND SPECIFICATIONS ~y ~ /~1 ask ~~ s °'^• - ~ 5v /~f ~ - S~ ~ , ~k.~~d ~~ c ~ svgs 4" CI VENT PIPE 12" MIN. ABOVE GRADE £ 25' FROM.DOOR, WINDOW OR FRESH AIR IiJTAKE FINISHED GRADE 4" CI RISER 6" MIN. ~ ABOVE G ADE 18" IN. 6" MAX. I I1LET • •;~ 'WATER TIGHT SEALS '} " BAFFLE CI PIPE 3' ONTO SOLID SOIL PUMP OFF ELEV . FT. -- _L C D g '~ WEATHER PROOF' JUNCTION BOX APPROVED WITH CONDUIT MANHOLE COVER W/ PADLOCK 5 WARNING LABEL ~ __ _ _ _ ~ _ --~--,r_- 4 " MIN , . ., `' ~ '~ .. i~ I' GAS- , 1' TIGHT i ~, SEAL ~ i i i i I 3" APPROVED BEDDING UNDER TANK SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER: ~a~"d ~Sd ~ba w~y~JMBER 'DOSES PER DAY: ~_ TANK SIZES: SEPTIC !~J"d ~ GAL. DOSE VOLUME INCLUDING • DOSE LSD .GAL. FLOWBACK: / ~~ GAL. ALARM MANUFACTURER: ;j ~-~~~~n' eS?:~ ~.,.~, MODEL NUMBER : i ~ I ~; SWITCH TYPE: ~1~,.~ PUMP MANUFACTURER: ~, MODEL NUMBER : ~n 3 II1.. ~ ~{~ SWITCH TYPE: ~(~~,-f REQUIRED DISCHARGE RATE ~ GPM ,_ :APACITIES: A = 3~'~ INCHES = 'S GAL. ' B = 2 INCHES = a9, ~ GAL. C = /•~'~ INCHES = J~d ~AL• D = lv INCHES = 88~ ~ GAL. PUMP 8 ALARM WIRING AS PER ILHR 16.23 WAC •• VERTICA L DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE ~_ FEET • + MINIMUM NETWORK SUPPLY PRESSURE .. 2.5-FEET + ~ D FEET FORCEMAIN X ,~/ FT/100 FT. FRICTION FACTOR / FEET TOTAL DYNAMIC HEAD _ ~ FEET N ~~ INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ~~~ ; WIDTH ~-~ ; DIAMETER .--- ~~ /y. 7 ~$~ vr' LIQUID DEPTH .S~I ~/ SIGNED: LICENSE NUMBER: ,~r~.~_?7 DATE: ~V~r9~ •.a ~ i t~ ~s i~ ~ 4 APPROVED ' ALM JOINTS 41/ CI ' ON PIPE 3' ONTO SOLID SOIL ' OAF 7QS~' RISER EXIT PERMITTED ONLY IF.TANK , MANUFACTURER HAS APPROVAL CONCRETE PAD ~ ~ 1 ~ ,r` }' ,' ~ , r • lit C f^.: /i ~ ~Cc YV~S C'!~ ' .r ~~ ~~ Ca~~~.~~ ~~~~~i~iK~ ~ 7sti ~1~,~~~„sT ' ~ ~ f >~~ ~`~~ . ~<<,~ .~ ~ I~ ~' sv~~w f ~:•. .' Y} `~i r. l t _ ~.,,~,7,c~1~ t rti ~,. ,:1 l O;uPEp0311 142 f~0311 1/] fff~ 115 V ECClw~t l~xr~ 1/2" solids •256 ~ t,r, ~. ~ . crarii~,~ :1~'~t'~1;~' , i ~3..,v~n.~r :r.i: ~.iul~n~~r~ibl~ .. 11~"• gut? ,: •. ' ~~~U.~'~1~:•• ~~~~ . MODEL EPO311 '~ ;rci't ~~•'~.>7;,.;. ~^ SIZE'/a' SOLIDS ~~~~Nyk,';. .-'~ .. 1.lETEFl25 EET ~,r,~~r,~.;t;; ;i' ,•~~; J~ .~~.i ; '~ •a';' , h ~l~,~fitt~• .. . °` °o` 4 e ~2 ~a zo 24 sa ~2 ao ,o 0 2.a 5.0 1.5 m'/1~. CAPACITY • r ~ ~ ~~ `~::`~~• •Perfor~mance ~, :! ., ?S,, .~;:_°~ Curve MCYLnt -[Ci •~i~r., ~ •;:e:~ t: • 11 ~o _' EO ~ Q !~1 ~'h~ ~~ Jf x i'; e ~:.:;: C ,~ ;• : ~rt ,n ~.:.;'• .~.. o MOOEI SIZE'/~" o~ o ~o io z T•m 'y `: urncin :' :< .,f,.. s 'r ~, r. ; ' '~~ (~:a y~. .1 :1: : LIST DISC. OdUCh'LO)11J. 142 HF,0)11L 1%) ltp 115 V Lr~t H 3)4' solids X191 .5S 329.35 OGI.TT,'EO)llti 142 'NEO]1fM 1/1 lA~ '115 V Flxl tf •3~4" rblids 491.5.5 329.5' G/t7FS+E0>11J1 U2 NE051'ltf l/2 1cr 1iS V ~Jllgli H 3%4" .n6lfbn ~ ~:~•04.25 '4.1:03 • OJIJR~'E071211 142 h2071~1 3/4 )tP 2)0. V High tl]. ~/4" e+olids ~4].6S 565.25 A:•~ ••t•'^~ ~ 51~ J'OLI,ChINei PJ~GE fCJl tQIF'C:tti•W;1~E N7D 51'I•~CIFICATICtLS. v: •rSi, ,....: 1•,;,;+, '~ " 1]~T£ 10/8d DChP 30 :~... t, t • •r~, PAGE 07u ,. . 1 . _ , ~. Wis^onsin Dgcar~nent of Industry, Lab~r and Human Relations Division of Safety 8 Buildines SOIL ANQ SITE EVALUATION REPORT .._ Page 1 of ~_ n~ owvw ..nn ~~.~ ~~ ~ w.vv, •.w. ~4n.. vva.v COUNTY Attach complete site plan on paper not less than 81/2 x 11 but inches in size Plan must include ~' CtOlX . , . not limited to vertical and horizontal reference point (BM), direction and 96 of slope, scale or PARCEL LD. ~ dimensioned, north arrow, and location and distance to nearest road. 012-1048-00 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Mar r GOVT. LOT 114 1r4,S 21 T 30 ,N,R 17 ,~ («) w PROPERTY OWNER':S MAILING ADDRESS LOT ~ BLOCK M SUED. NAME OR CSM # ~~~ na na 40 acres CITY, STATE ZIP CODE PHONE NUMBER QCITY (]VILLAGE ~®1'OWN NEAREST ROAD I~t ~. (715 246-6102 Co. Rd."G" IxJ New Construction Use (~ Residential / Number of bedrooms 4 (j Addition to existing building j ]Replacement () Public or commercial describe Code derived daffy fbw 600 gpd Recommended design Loading rate .4 bed, gpd/ft2 .5 trench, gpd/ft2 Absorption area required 500 b~, ft2 500 trench, ft2 Maximum design bading rate .4 bed, gpolft2.5 trench, gpd/ft2 Recommended infiltration surface elevation(s) ..103.00 ft (as referred to site plan benchmark) Additional design /site considerations systent el based contour." > , nA of ei 102 p0 ~ on , , Parent material pitted glacial drift Flood plain elevation, if applicable na ft S =Suitable for system CONVENTIONAL MOUND IN-GflOUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U =Unsuitable fors stem ^ S ®U CAS ^ U ^ S ®U ^ S ®U ^ S ~U ^ S ® U SOIL bESCRIPTION REPORT Boring. # Yv`Y# ~v ~~ 1 .:~; ~~ss.. ,. u;~Y:.: f Ground elev. 102' 7 tl. Depth to limiting factor ~~ Boring # w<~` ~^t ~w :,~::.~:: ~:k ~ r:..,:;.s;.... Ground elev. 102.7 ft. Depth to smiting factor 55" Depth Dominant Color Mottles T re t Structure Consistence Bouxtar Roots GPD/ft Horizon in. Munsell t3tt. Sz. Cont. Color ex u Gr. Sz. Sh. y Bed Trench 1 0-li l r 3 3 one mfr c .6 2 11-19 1 r 4 3 none sicl Zmsbk mfr if .4 .5 3 19-28 10 r 4 4 none sicl lcsbk mfr if .2 .3 4 28-78 Syr 4/4 2f7.5 yr 5/6 sl . ~ icsbk mfr na na .4 .5 Remarks: 1 0-10 10 r.3 3 none 1 2msbk mfr cs 2f .5 .6 2 1 -21 r 4 4 on i 2msbk mfr if .4 `:.5 3 21-31 7.5 r 4/4 none sci lcsbk mfr if .2 E.3 31-55 7.5 r 4 4 e sl lcsbk mfr na .4 .5 5 55-75 5 r 4 4 c2d7.5 r 5 8 ~scl m na na na n .2 Remarks: CST Name:--Please Print Ga L. Steel Phone: 715-246-6200 Address: 1.554 200th. ve. ew Richmond WI 017 t Signature: ~~~ ~ [~d /' Dnte: CST Number. m02298 XX~~1'Y 8-5-97 PROP,EftTYOWtd~R Mark Abram~o~t SOIL DESCRiPTtON REPORT PARCEL~I.D.~ ~ Ci2~~1048-00 Ground elev. ft. Depth to limiting factor Boring # ,~~< Ground elev. ft. Depth to IimiUng factor Boring # .. A Ground elev. Page ? of~ _3 . Depth Dominant Color Mottles Structure noe C ~t ~~ Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. or e Bed ~ 2 12-23 10 r 4 4 none sici 2msbk mfr if .4 .5 4 Remarks: Remarks: Remarks: Depth ro limiting faCt4r a~ ' ~ + .3 STEEL'S SOIL SERVICE Gary L. Steel CSTM2298 MPRSW 3254 Mark Abramson NW~NWQ S21-T30N-R17W town of Erin Prarie 1554 200th Ave. New Richmond, WI 54017 (715) 24fi-6200 fi N 1"=40' F.~1.= top of 1~" pvc pipe C eI. 100' Alt. BM.= top of mid-lot survey stake ~ el. 96.00' ~ ~ 9'7 ~~~-"~~. GAry L. Steel -5-97 ~"'" VYisconsi~ Department of Industry, $ O I L AND SITE EVALUATION R E P O R T abor and Human Relations ~ivisinn of Safaty & L3uildinaS ...:_ . ~~ n_~_ Page 1 of 3 - 111 CiVVV1V ..ILII ILI ~1 l VV.VV, •.~J. ~V~ vVVV COUNTY but iQs Plan must include lete site lan on a er not less than 8 x 1 ~h s Attach com ~' ~~ , p p ~ p p not limited to vertical and horizontal reference 'n , direction~f /o slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and di a to nea~st~r d. ICS 012-1048-00 APPLICANT INFORMATION-PLEASE T ALR~.1N~fIIAMATIO ~?, ~ REVIEWED BY DATE t PROPERTY OWNER: , F ~, ~ 1 ~~ .~ PERTY LOCATION ~Y GP,OIX Mark Abramson ~ . LOT ~ 1/4 1i4,S 21 T 30 ,N,R 17 ~ (or) W ~ PROPERTY OWNER':S MAILING ADDRESS ~ ~~ ' ~FH-~. # BLOCK # SUBD. NAME OR CSM # t~ 1754 ~Q~ a na 40 acres CITY, STATE ZIP CODE `N BER,... ~, ~ ~~~ ^CITY ^VILLAGE~iOWN NEAREST ROAD .. " + 1 0 New Rid~r>d W1. 54017 ( Co. Rd. G [X] New Construction Use (~ Residential / Number of bedrooms 4 ( J Addition to existing building (]Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .4 bed, gpd/ft2 .5 trench, gpolft2 Absorption area required 500 bed, ft2 500 trench, ft2 Maximum design loading rate .4 bed, gpd/ft2 .5 trench, gpd/ft2 Recommended infiltration surface elevation(s) 103.00 ft (as referred to site plan benchmark) Additional design /site considerations system el based on contours line of el 102 00' Parent material pitted glacial drift Flood plain elevation, if applicable na ft S =Suitable for system CONVENTIONAL ^ S ®U MOUND CAS ^ U IN-GROUND PRESSURE ^ S ®U AT-GRADE ^ S ®U SYSTEM IN FILL ^ S ~J HOLDING TANK ^ S ~7 U U =Unsuitable for s stem SOIL DESCRIPTION REPORT Boring # .................. ................. .................. ................. .................. 1' Ground elev. 102.7 ft. Depth to limiting factor 28" Boring # 2 Ground elev. 102.7 ft. Depth to limiting factor 55" Depth Dominant Color Mottles T r t Structure Consistence Boundar Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont. Color ex u e Gr. Sz. Sh. y Bed Trertc~ 1 0-11 10 r 3 3 none 1 2msbk mfr cs 2f .5 .6 2 11-19 10 r 4 3 none sicl 2msbk mfr if .4 .5 3 19-28 10 r 4 4 none sicl lcsbk mfr if .2 .3 4 28-78 Syr 4/4 2f7.5 yr 5/6 si ! lcsbk mfr na na .4 .5 Remarks: 1 0-10 10 r 3 3 none 1 2msbk mfr cs 2f .5 .6 2 10-21 10 r 4 4 none sicl 2msbk mfr if .4 .5 3 21-31 7.5 r 4/4 none scl lcsbk mfr if .2 .3 4 31-55 7.5 r 4 4 none sl lcsbk mfr na .4 .5 5 55-75 5 r 4 4 c2d7.5 r 5 8 scl m na na na n .2 Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th. ve. New Richmond WI 017 Signature: Date: 8-5-97 CST Number: m02298 PROPERTY OWNER Marlr Ahr m. on SOIL DESCRIPTION REPORT Page? Of 3 PARCEL LD. ~ 012-1048-00 " Boring # 3 Ground elev. 100.6 ft. Depth to limiting factor 39" Depth Dominant Color Mottles Texture Structure Consistence Baxxiar Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. y Bed Trerxh 1 2 12-23 10 r 4/4 none sicl 2msbk mfr if .4 .5 3 4 39-5 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # .................. ................. .................. ................. Ground elev. ft. h Dept to limiting f actor Remarks: SBD-8330(8. 05/92) STEEL'S SOIL SERVICE Gary L. Steel CSTM2298 Mark Abramson MPRSW 3254 ~4~4 S21-T30N-R17W town of Erin Prarie N 1"=40' BM.= top of 12" pvc pipe C el. 100' Alt. BM.= top of mid-lot survey stake ~ el. 96.00' 1~9'~ z~3~ ~~~"~~. ~ ~~ ~~ 3~~ 3 I ~•~ ~'~-.' ~ ~~ '~ o F z~ " ~ C? M ~ <g h G~ 'St ~FQ'/ GAry L. Steel -5-97 ~`"~'~/ 1554 200th Ave. New Richmond, WI 54017 (715) 246-6200 ~t ~ ~ 1 ~~a~~ ~n~ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~~~ ~ ~ ~r~~,~ h. Mailing Address ~ '1 ~~_ 1 L/~~'' ST~ Property Address (Verification required from Planning Department for new construction) ~~' City/State N -Ce_~ ~:C~ rr. on.~ 1.~3~ Parcel Identification Number (`~ 1 c~. - ~ C~ ~ ~ ^ D C~ LEGAL DESCRIPTION (~ Property Location N ~ ~/,, _~ '/4, Sec. ~, T~N-R~, Town of ~ r- r~ ~'"rcr.~ ~ ; .~ Subdivision __ __ i) U ,tot # ~ ~ Certified Survey Map # Volume Page # Warranty Deed # 5 ~ ~ lo.~S ,Volume 1 ~ ~) ,Page # L~7' ~ Spec house ^ yes L~'no Lot lines identifiable Dyes ^ no SYSTEM MAINTENANCE 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 pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restrictedplumber or alicensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Cert~cation stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of thg~ three year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. ~:~~- ~~C ~ ~~ l g~ SIGNATURE OF APPLICANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed Sf 4fi3S Documastt Nori~ber eturn Address Thomas A. McCormack tAW OFFICE 990 Hilicrest Street 6eldwln, 1Kis. 54002 Yarctl E.D. Number; t WARRANTY DEED ~ R~GlSTER'S OFFICE s7. ~cao~x ~. w~ AUG 2 8 1997 + 12:05 P M ~~ ~~ Casey .t. Swetlik and Held"t J. Swetlik, buaband Arid wife, conveys and warrants to 1Vllark D. Abratnaon and Debbie Ni.. Albraroa~on, t~asband an8 wife, as sarvivorabip merits! prdperh-, the fullowing described real eshtte in St. Croix Caunty, State of Wisconsia: 'The West Half of flte West Half of the Northwest Quarter (W1/Z of the 'W 112 of the NW1~4} of Section 21, Township 30 North, Range 17 West, Town of Erin Prairie, St. Croix Catant~+, Wisconsin, eecording to the (3ovetttmerit survey acrd it~truction of 1373. 'I'bis being 40 acres mote or legs according to said survey EXCEPT the North 50 feet of the N'PV114 of .NW l/4 for highway purposes, hll in section 2I-30-17. This is not horneatead property. Exception to wartetttiea: Fesemeats, restrictions anal tights-of--way of reeotd, if any. Hated this ~ day of August, 1997. ' ..- ~y y S~ eidi J. S i Nib AUTI~NTTCATIQN $ ~ ' Signature(s) Cnsep J. S~vetlik and Heidi J. Swetllk, lrr~aband and rvU'e, authenticated this [e~'t^ day of August, 1997. 1 Kristine Ogland TITLE: MEMBER STATE BAR OF WiSCONSTN . i TH1S IAISTR.UNIENT 1NAS DRAFTED k3Y: Attorney Kristine OgIa~nd Hvdsott, WI 54016 ~,._ ~ p~.{t~ t"axTiote 797t oeta~e - r,.pa. ..... _. _..