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HomeMy WebLinkAbout026-1111-90-000 \ ¥ ) § 7� \ � $ 0 - E£ k �/ � A ƒi � \ \/ � % ! 2/ . n § � r \§ � ) a0 I.-- /c LL §)§ } ! � CC) / / A 0 / k D . / § CL m / § z :!t _ ) k k \ z E ! CD § [ ` $ E % ' 3 ) ƒ z I z £ 2 .. } } � \ ) � c \ , e m /0 k L a / \ \ �o 0 a a Z e e LO $ E (L § \ � = o o o 2 0 0 - �t . E a a a j i & % OD co v { \ \ 2 \ g § § \ @ ® ® 2 § < 2 a § %, a 2 z @ j 3 k 8 } } [ $ / _ E _ O � 2 � f ° a E \ Cl) - - ` - k § # § E a { @ 7 & * - � e E ., § c / \ ) f J § § � w § \ ) � \ / 0 z f z ) \ � k 2 (L � � � " £ cl » E " k a § / 2 � J 0 a o k t Parcel #: 026-1111-90-000 05/26/2005 10:11 AM PAGE 1 OF 1 v Alt. Parcel#: 4.30.18.633C.634 026-TOWN OF RICHMOND Current X ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): *=Current Owner *WISEMAN,WAYNE&MARGARET TRUSTS WAYNE&MARGARET TRUSTS WISEMAN 1505 S GARFIELD SIOUX FALLS SD 57105 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description * 1745 MARGARET ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 0.700 Plat: 2573-VIEBROCK'S RIVER VALLEY VIEW SEC 4 T30N R18W ALL LOT 35 VIEBROCK'S Block/Condo Bldg: LOT 35 RIVER VALLEY VIEW ADDITION&PT LOT 34 LYING SWLY OF LN COM 59.45'SWLY FROM NW Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) COR LOT 34 TH SELY TO SE COR LOT 34 04-30N-18W I Notes: Parcel History: Date Doc# Vol/Page Type 01/17/2001 636951 1576/455 QC 01/17/2001 636950 1576/453 QC 07/23/1997 874/125 2005 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/20/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.700 27,000 100,500 127,500 NO Totals for 2005: General Property 0.700 27,000 100,500 127,500 Woodland 0.000 0 0 Totals for 2004: General Property 0.700 27,000 100,500 127,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER f 1 � r �✓ TOWNSHIP SEC. T _,Fd_N-R _ZW ADDRESS 1`�Q ,g , �L/ ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE i PLAN VIEW Distances and dimensions to meet requirements of II- HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM V ri a INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference oint: P ��� Proposed slope at site: SEPTIC TANK: Manufacturer: Liquid Capacity: Number of rings used: Tank manhole cover elevation: -- Tank Inlet Elevation: Tank Outlet Elevation: r Number of feet from nearest Road.: Front Au Side 0 Rear, O / Q feet From nearest property line . Front,0 Side 10 Rear,O _ feet Number of feet from: well � building: (Include this information of the above plot plan)( 2 reference dimensions to septic tarok) SEE REVERSE SIDE__ i PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: y Pump/Siphon Manufacturer: Pump Size Elevation of inlet:1' Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: t Alarm Manufacturers Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear,Q Ft. Number of feet from well: dz Numbe ,,of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM , e: Bed: ch: K Width: p , erigth: Number of Lines: Area Built: 4� ,,,Fill depth to top o Number of feet from nearest property line: Front, 0 Side, 0 0 It Nmb`er of feet from well: �91 r , Numb of` feet from building: TJ (Include distaneeC on plot plan). SEEPAGE PIT ms`s 41': ..;' Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: 5• Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check' 6he). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, 0Ft. Number of feet from well: Number of feet from building: Number of .feet from nearest road: Alarm Manufacturer: Inspector• Dated: Plumber on job: License Number: 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS L4BOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING 4AADISON,WI 53707 NEi,SEi,S4,T30N-R18W XXCONVENTIONAL 1:1 ALTERNATIVE State Plan I.D.Number: (If assigned) Town o� Richmond ❑Holding Tank ❑ In-Ground Pressure ❑Mound County Road A 09 o7 NAME OF PERMIT HOLDER: 71505 DDRESS OF PERMIT HOLDER: INSPECTIO DATE: Wayne Wiseman S. Ga,,�tietd, Sioux 1=aUs, SD 57105 /0,12 /3v BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF,PT.ELEV.. Name of Plumber. jMP/MPRSW No Cnunty Sanitary Permit Number, Ca.�vin Powetus Jn. 1563 St. Cnoix 112 817 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIOUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV. WARN ING LABEL LOCKING COVER C r P,RCO�,VIDE D: PROVIDED ti'? f ✓yl/1 RYES ONO ❑YES §4NO BEDDING: VENT DIA. VENT MATT HIGH WATER NUMBER OF ROAD: PROPERTY WELL. BUILDING: VENT TO FRESH ALARM LINE. LAIR INLET'. FEET FROM' ❑YES NO I ❑YES ❑NO NEAREST_ DOSING CHAMBER: MANUFACTURER. BEDDING. L OU ID CAPACI TV PIIMP M(1DEL P M P:SIP H ON MA NUTACT(1HEH WARNING LABEL LOCKING COVER PROVIDED: PROVIDED'. ❑YES ONO OYES ONO DYES ONO GALLONS PER CYCLE: PUMP ANDCONT LsoPE TIO NUMSEROF PHOPFHTY WELL JBUILDING JVENTTOFRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) ❑Y S NO NEAREST '10 SOIL ABSORPTION SYSTEM.Check the soil moisture at the debth of plowing NI,TH DIAME TEif INIATEHIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN' CONVENTIONAL SYSTEM: WIDTH LENGTH NO OF UISTH PIPE SPACIN(; COVER INSIDLDIA nPITS ILIOUID BED/TRENCH THENCHFS M LHIAL' PIT DEPTH. DIMENSIONS, / l/ 7 ° G AVEL O - FILL DEPTH UTH PIPE DISTR PIPE DISTR PIPE MATERIAL NO ISTH NUMBER OF -PROPERTY WELL BUILDING: VENT TO FRESH BELOW PIPES ABOVE COVER FV WLf T F�LeVri�6Ty PIP S - LINE AIR INLET: / FJ �`7 �� FEET FROM (.e�! r 2 NEAREST ---�a► MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. ❑YES ❑NO SOIL COVER TEXTURE 111111,IANI NT MAHKIHS OBSEHVATiON WELLS ❑YES ❑NO _❑YES ONO DEPTH OVER TRENCH BED DEPTH OVFR TRENCH BED 11111`111 OF TDPSOIL IS1111111 1 SFEUFO MULCHED CENTER EDGES ❑YES. ONO ❑YES ONO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: gED/TR�+ NCI'{ WIDTH LENGTH TRENCHES LATERAL SPACING IGHAVE L DEPTH BELOW PIPF FILL DEPTH ABOVE COVER DIMENSRION,S '.MANIFOLD PUMP MANIFOLD DISTR.PIPE JMANIIOLD MATERIAL NO OISTH DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING If ELEVATION AAND ELEV.. ELEV. DIA. ELEV, PIPES DIA INFORMATION MA HOLE SIZE HOLE SPACING DRILLED CORRECT LV TOVIRMATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION " PLANS DYES 1:1 NO 1:1 YES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS. NUMBERWELL: BUILDING: (� n FEET FLINE:ICY ❑YES ❑NO ❑YES ❑NO NEARE G.ra Sketch System on �`�' �- G �� Retain in county file for audit. Reverse Side. $tr. TURE. /�',, TITLE. DILHRSBD6710 (R.01/82) i �D��.Q� � t Zavung Administtcaatc SANITARY PERMIT APPLICATION ILHR In accord with ILHR 83.05,Wis.Adm.Code coSN ^x90/ STATE/SANITARY PERMIT# /j .? 0/ 7 —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES C?NO PROP RTY OWNER PROPERTY LOCATION A 1.A45 Se a v_ '/< '/a, N, R E(or)9 PROPE -Y OWNER'S MAILING ADDRESS LOT NU BER BLOCK UMBER SUB VISION NAME X50-5 S �q r 3/e Id CITY,STATE //// ZIP CODE PHONE NUMBER CITY NEAREST ROAD LAKY O LANDMARK S�,_4X !A/CS Si S)/of 65 3.3y 41& VILLAGE: 1 D TOWN OR II. TYPE OF BUILDING OR USE SERVED: �r `l77 "�0��0 Number of Bedrooms if 1 or 2 Family OR ❑ Public(Specify): Ill. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. El b. Replacement c. El of d.❑ Reconnection of e.El Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit## Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in#1 and only one in#2) 1. a. Conventional b. ❑Alternative C. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e.❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. ® seepage Bed b. ❑Seepage Trench c. ❑seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): 1' Feet ®Private ❑Joint El Public VI. TANK CAPACITY Site in gallons Total #of Manufacturer's Name Prefab. Con- Steel Fiber- plastic App. INFORMATION New xisting Gallons Tanks Concrete glass App.p. Tanks I Tanks structed Septic Tank or Holdina Tank ❑ ❑ 1:1-__R_ Lift Pump Tank/Siphon Chamber I ❑ 1 ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installatio f the private sewage system shown on the attached plans. Plumber's ame(Print): P ber's Sign lure:(Yo Stamps) MP/MPRSW No.: Business Phone Number: P um is Ad ress(Str et,City,S te,Zip Code): Name of igner: I hr VIII. SOIL TES INFORMATION Certi ied oil Tester ST)Name CST#Jel- C T s ADDRES (Str et,City, te,Zip Code) Phone Number: 7 -szss- IX. COUNTY/DEPARTMENT USE ONLY lHozsanepr proved Sanitary Permit Fee Groundwater ate I umg Agent Signature(No raps) Approved Given Initial ,`l rcharge�'Fe�,er`�` 1 QQ' Adverse Determination �hf1 X. COMMENTS/REASONS FOR DISAPPROVAL: _ _ SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT y APPLICATION r TO THE APPLICANT. 1. This 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. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 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. Private sewage systems must lye properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description where the system is to be installed; II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; III. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. 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. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. 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; dosing or pumping chambers; 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. GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill GroundtB[--� included the creation of surcharges (fees) for a number of regulated practices which Wisco ICi'S o can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasura. is used in your building is returned to the groundwater through your soil absorption u system or the disposal site used by your holding tank pumper. 0 The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) r e ^ 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 / �,U A-) Location of proper.t�cy/ 1/9 1/4, Section , T N-R W Townshipf Mailing address UIUc;� 11L-114�7� C— Address of site Subdivision name /� 1. �✓��c� '`�� °� �I�CC�� �/ Lot number Previous owner of property ��y��J Total size of parcel �1=SS � � 15, C� Date parcel was created /�� —7-D Are all corners and lot lines identifiable? v---yes No Is this property being developed for resale (spec house)? Yes N Volume -!0/ and Page Number r-;� 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 d e c r ed 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 a easement, to run with the above described property, for the constructi of said sys em, and the same has been duly recorded in the Office of the Co y Register Dees, as Document No. ) . 1 Si ture of wner Signature Co-Owner (If Applicable) Date of Signature Date of Signature DOCUMENT NO. STATES W OA��NT FORM f 7 DEED THIS/PACE RESERVED FOR RECORDING DATA 317601 This Deed, made between.......�Y Viebrock ............. ........,................................... ,� REGISTERS OFFICE ..................................... ST. CROIX CO.. WIS.. ........................................................................................................ .........I.......:................ and ..Wa ............................................... ecor is ........................... Reed for Record d th' 7:et ........... _.... Grantor ------- Q..Q ...W�$� 70.> .. d. alrSaret,-A,,«Wiseman,- iusband•and i; day of August....,.p,19 73 :: ..a� .......................................................................I....._................ _3 44 ... ............................................... Grantee, At, M. Witnesseth, That .10,S ..... ' the said Grantor for QXA�,,,�p�-.•,•, I,. 3.ax... d..Q.tti§x. _ fee ►RS?S .«�i..YI ,1 �?�tr..srP#�eS, I �.. ]�1. w e►of a - conveys to Gran the following described real estate in..t., Crou•--e••-..•••• County, State of Wisconsin: All of Lot 35 and that part of Lot 34, RETURN TO Z!4 Sally of a line commencing on Nally line of said ' Allan 0. Maki , 59.45 feet Sally (measured along said Nally line) Osceola, Wisconsin 54020 Of NW corner of said Lot 34 and going SEly to SE comer of said Lot 34, ALL in Viebrock's River Valley View Addition to Township of Richmond. Tax Key #....................este.................p p This is....llOt......homestead property, TRANSFER A 00 FEE Together with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining: And ............................... ..$T8I1tOY' warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except.......................• and will warrant and defend the same................................................................................................. Executed at........Q�5GGQlas...Yj5CQjj*5.jn................... this.......1 .............. day of...............11 y .................... � 19...73 arGNMD AND SIDLED IN PRZSENpm oH, , ((\ ' ... ........US .....:................(SEAL) Marvin Viebrock ..............................................................................................(SEAL) ....................................................... ................................................................................(SEAL) ..............................................................................................(SEAL) Signatures of .........•Ned•r.V.71IE1...V.7.dT~'.QGk................................. 12 ................ , ............ .............................................. authenticated this...................... day of ............... ........ ........ 9. . �!�.. �..... ......•... Allan 0. Maki , Title: Member State Bar of Wisconsin STATE OF WISCONSIN ...................................................... ss. i ........County. Personally came before me this.......................... theabove named............................................................... day of.................................................... I ...................................... ...,.........,...,..,....,..,.,,,.,..,.,.........................................,.........................,........................ ....... 19........«, } tome known to be the person.. «....... .........«...........................................«.............................. . (� o executed the foregoing instrument and acknowledged the same, THIS INSTRUMENT WAS DRAFTED SY «......«.. f Allan 0. Makin. Attorno at. Law Osceola, Wisconsin The use of witnesses Ia optional, Notary Publle, . County WIs, I° _T__^ _ My cOmtnlselon cokes) (!s) Named of pepoga�1sn �p ity '— ` pttt► AA pA C`�'fy/yj o{J 4ed below their$ionatarea 4 >.a^,?��. I►! wt.xa'at 1,RM .b� Blank 211 ,Y _ STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ROUTE/BOX NUMBER �� (O /��� C� FIRE N0. CITY/STATE � DUx L� 5� ZIP __,�-716 S PROPERTY LOCATION: 1/4 1/4, Section , T N, R W, Town of � �(°(�/hp ti6 , St. Cro'x County, / tJ� U�C Coy am ., ^o" Subdivision GIF-/3100� , Lot o. , 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. i 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 t e standards set forth, herein, as set by the Wisconsin Department of Natural sources. Ce=1cation form must be completed and returned to the St.Croix C ty Zoning Ofwitfiin 30 days of the three year expiration date. SIGNED 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 August 15, 1988 Mr. Thomas C. Nelson �• ��. ','�tJ� , Zoning Administrator �� c•E St. Croix County 911 Fourth Street Hudson, WI 54016 Dear Mr. Nelson: I talked with your secretary Roxanne Friday afternoon and advised her that Cal Powers would be talking with you about the septic problem in New Richmond. Cal Powers was given the go-ahead sometime ago to put in a new system and I talked to him again Thursday evening. Apparently, he has had an extremely heavy workload this summer but he did indicate he could get it done within the very near future. He advised he woul be coordinating with you soon. Sin rely, Wayne seman DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISION 76,LABOR-AND PERCOLATION TESTS (115) MADISON W153707 'HUMAN RELATIONS pRJ r (H63.09(1)&Chapter 145.045) LOCATION-N- SECT OAT N/"! E(or}�TOWNS IP/ML1 4w4p-AMY: =O)/TNO:BLKO.: SU IVISION NAME: ��/444 e C NTY: OWN R'S YER'S NAME: AILIN RESS: e rna Y. )5 S G .S'ovVxf-.�oS,D. �3i USE DATES OBSIfRVATi6Ns MADE Residence NO. D M COMME IALDESCRIPTION: ❑New ®Replace PROFILE ER A ION ES TS: RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: IMOUND: JND-PRESSUR_E:ISYSTEM-IN-FILLIHOLDING TANK:RECOMMENDED SYSTEM:(optional) ®S ❑U 19S ❑U �S ❑U ❑S [Z U ❑S 10 �,�/ If Percolation Tests are NOT require DESIGN RATE: I If any portion of the tested area is in the under s.1-163.09(5)(b),indicate: Floodplain, indicate Floodplain elevation: f/�C PROFILE DESCRIPTIONS Oi BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEP NUMBER DEPTHM, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) 3 - r 9S,10 B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIODJ PERT D2 PERIOD PER INCH P- / / P- P- s 7 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 ELEVATIONS InA F " i : ( i E . . t � r 4�/� r ¢ t 1 � E • E E 0 tN l 3 I i 3 I 1 iI l L � t �( tl 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: r� ADORE C RTIFICATION NUMBER: PHONE NUMBER(optional): CS IG ATUR DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6396 To be a complete and accurate sail test,your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3, MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or reralacement system; 5, Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL, OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 5. PLEASE usr.,the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate sheet may be used if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; 0. Complete all appropriate boxes as to dates, names,addresses, flood plain data, percolation test.exemp- tion- if appropriate; 10, If the iraformation (scud=as flood plain, elevation)does not apply, place N.A.in the appropr iate box; 11. Sigra the form and place, your current address and your certification number; 12. iMake, legible copier and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION- ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other;symbols st Slonj loves 10") BR Bedrock (:o I) Cobbio (3- 10") SS Sandstone car __ Gravel `under 3"j LS Limestone 's — Sand HGW — High Groundwatcr cs - Coarse Sand Part; _- Peicoltation Rate rYl`c,(.i , -... Il ti.".LE!?i sailEl t __ '1;°t"[i fs Fine Saran Bldq -- €tlr ldinq Is — Loamy Sari=f Greater sl - Sandy Loam � -- Less Tbar; — LLoam Bn B.- r-o tvra siI Silt Loan) B! t-41ac°k sr — Silt G - Gray Clay Loan,, y -_ Yeliov ,cl -- Sandy Clay Loam R --- Red sic! �- Silty Clay Loam raaot. - mottles sc -- Samcly Clay vv/ -- "vi th — Silty Clay ff, fevv, fine,faint c __ Clay cc antmor°, coarse: tit - Peat' rum — Many, medium U k d — distinct p -- ptominent HWL. - High water level, Six general soil textures surface grater for l=.gr.iid waste disposal BSI Bench Mark VRP — Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary Kermit. The county or the Department i-nay request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private seVV-3ge system and a permit application must be submitted to the appropriate local authority in order to obtain a perrnit- The sanitary permit must be obtained and posted prior to the,start Of any construction. �i0tlyidl /S e In a r-+. /00 %� 1 t�C GQ J4 f- LLJ s6. � sr G � �r �'� s7' .•1'/.980, dr f�rNr� e PAGE t ,x 2 (� ` ZC � ► ur1 p ry i Fresh At( Wells And Obeervaffon Pipe l So [ ----^Approved Vent Cep Grp ''t Minimum 12*Above /©Li// / <Y Final fir 00• _ r .0-42"Above PI • 4"Calif Iron i r p Vent Pipe o } A to final Glad• a Moen May Or Synthetic f or•r In > + ?, f Mu. 2'Apy.epat• �+ } Over Pipe otaltibution }►s '�{+ Pipe XL 6"ApQreYote Palorale8 Pip* Below , Beneath Pip$" o '-Coupling T•rminetina At Bottom Of Sti$wN $ t, a ' a. ruPo�e v '►r1e.l 9rhit , r (tJw sDrl � �3' v � a SCT1L FILL QISTR18UTIOU PIPE APPROVED ti; o `�----MATRU� OR q„. '. �G AGATE 4R MARS4 NA`� i' 2” A R � s t � n ! q� t . S k{ AI. 1+ _ IUCNES AVL..QW OR.IC. QA1. GRADE iS-rRIFI,T1.7A1 PIPE TCi NE AT t_EAST t . X f A►JU AT LEASTZ0 IrJCHES 13UT AIO MORE TNA1.1 W2. ItJCE1F.S @FLOW FINIAL GRADE 1' s y-, MovwM Dker" OF EXICAVATIDO IrKoll Otte&WA.L (MAti� WILL B ►uCHE (+YNiMVIif! Or,Pr'N 4F 7cCAV1�Tt(DW fP,0 ' ►e,►WAIL ("39AD WILL �� INCHES 4 SIGt.iCD E T+ i�iGEuSE kjufA ER: ._LbZLe DATE ' 170 4 _ t tr. .. N