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HomeMy WebLinkAbout038-1167-80-000 f � 0 � 9 ) j ° 0 k 7� . � /c \ � t \ —0kk � £ 0 (d 7 A2/ e2« in 7 a_£ / E r- ! 2 / / ƒƒ � U. \ 7o g E.0 2 / @e . � « \ 2 z / k . § IL m � « � m Cl)k ) / § co B . 2 k $ J ® \ U) _ ƒ E { \ \ f } . B / @ % . C� m \ z ca z \ - .. z 0 .. § E 2 £ \ Q I � ■ . . r Ig Ek £ § CL � LO § k 2 -0 £ \ L c \ E m E a a 2 i ° J -j Q \ § § ) , z cl E § j . \ 2 2 # e � ._ a » = 2 � 0 , � 2 § % § E o { § k \ @ _ _ k § a ) cu © / 4 U) 20 a w k k k 3 - o z / k ■ $ � $ 2 \IL ! ■ — 'S k" ) "M: » ] a § k 3 a 2 ; o61) 3 . •IeiluapisaJ aq Iou KeW 'panouaaJ sails 2uippq Sy# smun x1u,naMa =na WS (OW 1) 8 1£ 0£l WWI) 8" 01WL l .8y anisnpxg Parcel #: 038-1167-80-000 06/07/2005 07:39 AM PAGE 1 OF 1 Alt. Parcel M 28.31.18.809 038-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): "=Current Owner SKOGLUND, KARL A&LINDA M KARL A&LINDA M SKOGLUND 1987 104TH ST NEW RICHMOND WI 54017 Districts: SC-School SP=Special Property Address(es): Primary Type Dist# Description " 1987 104TH ST SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 2.400 Plat: 2370-RED PINE ESTATES SEC 28 T31 R1 8W NW NW LOT 17 OF RED Block/Condo Bldg: LOT 17 PINE ESTATES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-31 N-1 8W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 1184/578 WD 07/23/1997 836/507 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/29/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.400 51,000 326,300 377,300 NO Totals for 2005: General Property 2.400 51,000 326,300 377,300 Woodland 0.000 0 0 Totals for 2004: General Property 2.400 51,000 326,300 377,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 137 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 j�e`� M, t3/e 1-,1n d.N TOWNSHIP 5 JA J- Pr at c M j C_ SEC. T 3L_N-R W ADDRESS RR ST. CROIX COUNTY, WISCONSIN �yEu1 R=ti►rNaNd U,:S $y'dl? SUBDIVISION fPED p:NES ES?AiFIOT /7 LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of IIHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM N gy' 4ry r; t � 1 F1,4 f65 �I _ !N 144c6 Av (Ai;(I/— N N INDICATE NORTH ARROW 0 r BENCHMARK: Describe the vertical reference point used 15w L0+ 'S-14K45 Elevation of vertical reference point: 100 Fi Et Proposed slope at site: M-Pla SEPTIC TANK: Manufacturer: W tEK.S Liquid Capacity: 1080 Number of rings used: 00#36 Tank manhole cover elevation: /0-1. 2'9 Tank Inlet Elevation: %7j Tank Outlet Elevation: Q 9, S40 Number of feet from nearest Road: Front, Side,O Rear, O feet From nearest property line Front,vSide,ORear,0 7 feet Number of feet from: well `/5� , building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) L SEF RFKVMR STDF. 6 All' PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear,© Ft. Number of feet from well: Number of feet"from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: Length: -5'31. Number of Lines: Area Built: 91/5" Fill depth to top of pipe: Number of feet from nearest property line: Front, Side, O Rear,0 It Number of feet from well; Number of feet from building: g� (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameters r Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, Side, 0 Rear, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: I oQ Inspector: Dated: �Z Plumber on job: License Number: 13 6 3/84:mj J DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDING 1LABOR&HUMAN RELATIONS DIVISION •..O.B°O1X 779�69c 7p pr T ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES&APPLICATION MADISON JV ,.VfJV yWIJ' 0o'r31N—R] State Plan I.D.Number: Town of Star Prairie CONVENTIONAL ❑ ALTERATIVE (If assigned) 17 Red Pine EstatL: Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION Kris Bierman Route 4, New Richmond, WI 54017 1 0 od 6 - BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV: CST REF.PT.ELEV: Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Byron R. Bird 1309 St. Croix 119444 SEPTIC TANK/HOLDING TANK: MANUFACTURER: `yy`__ LIQ/UII/D�CAAAPPACITY: TANK INLET ELEV.: TANK OUTLET ELEV: WARNING. LOCKING COVER �.T. o �t� PROVIDED: PROVIDED: BEDDING: VENT DIA.: VENT MATL.: HIGH WATER DYES ❑NO ❑YES ❑NO NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: FEET FROM LINE: AIR INLET: ❑ YE� I ❑YES ❑NO I NEAREST---* DOSING CHAMBER: MANUFACTURER: I BEDDING: LIQUID CAPACITY: IPUMPMODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO ❑YES E:1 NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUMP ON AND OFF ❑YES ❑NO NEAREST---Oli- SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: I MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire,construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF DISTR.PIPE SPACING: COVER INSIDE DIA.: #PITS: LIQUID TRENCHES: MATERIAL: PIT DEPTH: DIMENSIONS }S GRAVEL DEPTH F DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO.DISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV.INLET: ELEV.END: PIPES: FEET FROM LINE: AIR INLET: � MOUND SYSTEM: NEAREST� Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑YES ❑NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: EDGES: SEEDED: MULCHED: CENTER: ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: I GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING: ELEVATION AND ELEV: ELEV.: DIA.: ELEV.: PIPES: DIA.: DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑YES ❑N [--]YES ❑NO C MMENTS PERMANENT MARKERS: SERVATION WELLS: iAREST MBER OF PROPERTY WELL: BUILDING: ET FROM LINE ❑YES ❑NO n ❑YES — 10 C. Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE: TTITLE: SBD-6710(R.06/88) Zoning Administrator DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05,Wis.Adm.Code COUNTY St. Croix STATE S/�NIT ��RMjT# –Attach complete plans(to the county copy only)for the system,on paper not less than �t �I 8%x 11 inches in size. ❑ Check if revision to previous application —See reverse side for instructions for completing this application. STATE PLAN I.D.NUMBER I. APPLICANT INFORMATION–PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION Kris Bierman SWt/4 NW t/4,S 28 T 31 , N, R18 E(or) PROPERTY OWNER'S MAILING ADDRESS LOT# BLOCK# Rt. 4 17 1 N/A CITY,STATE WI ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER New Richmond 54017 715 Red Pine Estates Check one CITY NEAREST ROAD II. TYPE OF BUILDING: ( ) State Owned ❑ VILLAGE: :Star Prairi 192 St. ❑ Public E or 2 Fam.Dwelling-#of bedrooms 3 PAR ELTAX NUMBER( ) 111. BUILDING USE: (If building type is public,check all that apply) 038-1167-80 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. D 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 UseepageBed 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 REQUIRED(sq.ft.) PROPOSED(sq.ft.) (Gals/day/sq.ft.) (Min./inch) ELEVATION �,j Q 945 945 .f [/g 10-30 97.95 Feet Feet CAPACITY VII. TANK Site in alions Total ##of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks Concrete structed glass App' Tanks Tanks Septic Tank or Holdina Tank Lift Pump Tank/Siphon Chamber VIII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name(Print): Plu er's Signature:(No Sta ps) MP/MPRSW No.: Business Phone Number: Byron R. Bird 1309 715 68-8317 Plumber's Address(Street,City,State,Zip Code): Rt. 1 – Box 228, Amery, WI 54001 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved 88tary Permit Fee(Includes Groundwater Date Issued Issuing Agent Signature(No Sumps) Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination S. �2b- af.h • X. CONDITIONS OF APPROVALIREASONS FOR DISAPPROVAL: SBD-6398(formerly Pib-67)(R.11/88) DISTRIBUTION: Original to County,One Copy To:Safety&Buildings Division,Owner,Plumber INSTRUCTIONS , 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. ---Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete ##of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398(R.11/88) " 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 I Location of property 1/4 t\W 1/9, Section Q Z _, T_,�.t_N-R_J.� _W Township `s, LEA Mailing address Address of site Subdivision name L C st -- aZ? Lot number Previous owner of property Total size of parcel , Date parcel was created / Are all corners and lot lines identifiable? —Yes No —74 Is this property being developed for resale (spec house)? Yes _N0 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. Quo u�� ; 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. ) . �.L1 •0 n nn��� Signature of Owner Signature of Co-Owner (If Applicable) I]/ la I :�q Date of Signature Date of Signature L No._ STATE BAR OF WISCONSIN FORM 1�11064 THIS SPACE RESERVED FOR RECORDING DATA !! . `�DOCUMErrr �� ++ r WARRANTY DEED i f; c REGISTER' S OFFICE w. TWS Deed, made between --------------------•-------------------------------•----- li T. S CROIX CO., WI :_: ___Diane hushand---- I Recd for Record }? ------------and--wife--a_s- 3-oint••-tanant.&---------•----•----------------•________ MAR 3 0)98 -- -------------------------- --------- Grantor, and----.L M- Bier_matz --- -------------------- �i at 3:20 +w ` ------ ! 4. ----- Grantee Register of j)846 -•------------------•----._.._..----------....------------....-----------------------•----..._..._, , WitneSSet11, That the said Grantor, for a valuable consideration______ Ain hard...J___.Wair...&---Diane__M.... ier----------------- ji conveys to Grantee the following described real estate in ___S-t____Cr_aix__________ RETURN TO II County, State of Wisconsin: II ii ii Lot 17, Red Pine Estates Tag Parcel No_ ___________________________________, it Recorded in the Book of Plats, recorded March 24,1989, �I in volume 5, page 68 as document #446330 i' i! AnkNNSFr ER FEE This -----Ls__f14t--------- homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And--•--• er Ri_�hard Wi . warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements , restrictions and rights-of-way of record, if any. and will warrant and defend the same. Dateds -------------------aL ----------------- day of ---------------� ---- --- --- �R --------------- -----------(SEAL) !------ - ---------- --- -- -- ---- �------------------------(. (SEAL) J. Wier----------------------•----------------•--•----------------- i' II. --------------------------•-------------------------•--------------(SEAL) ------•--•----•--•----••----------------•------------------__------_(SEAL) J AUTHENTICATION ACKNOWLEDGMENT it Signature(s) ____________________________________________________________ STATE OF WISCONSIN II ss. fit_,___C C_9.3._x------------ County. authenticated this ________day of___________________________ 19______ Personally came before me this __.rQ-m day of i ---------- -----------,__/llQRcH_.Z4 19.89 the above named -------------------------------------------------------------------------------- -------------------------- Richard J. Wie r - -- O --- SI - -------------•----------------------------------------------------- TITLE: MEMBER STATE BAR OF WISCONSIN ---------------------------•--------------------------------------------------- u not, ----- ------------------------------------------------------706 sSt -- ---------------- - - -- --- - ----------------------- --- - ------- ---- - -- sut orized by § 706.06, Wis. Stats.) - - - - • ' ' - - to me known to be the person ____________ who executed the or.;going inst ent and a nowledge the same. THIS INSTRUMENT WAS DRAFTED BY 1 Kristina Ogland Lundeen - - ----- ---------- - ---------------------------------------- 1�t£orriey'"a£ l::aw s Alice J. leis h r --- -------------------------------- J:FL-EMCHAUER - ------------------------------------------------- -- Notary Public ----- St .- C o4111 unty, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. I� ,.5i ¢ piration are not necessary.) $ 'YYI�'1S1 date: ---------Jude.- 1-1-•--------- •--------------- *Names of persons signing in any capacity should be typed or printed below their signatures. i STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER rn0_1°-- 4 ROUTE/BOX NUMBER k i.:�d 10— FIRE NO. CITY/STATE Lw � u) I ZIP 5 ` o PROPERTY LOCATION: 1/4 (I �llc _1/4, Section T_31_N, R__LS_W, Town of nfa �fa�f2� , St. Croix County, Subdivision �tn e L 4nC� , Lot No. 1. Improper use and maintenance of your septic system could result in its premature failGre 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 p� 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 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISION LABOR P.O. BOX 76 HWMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 (H63.090)&Chapter 145.045) LOCATION: SECTION: TOWNSHIP/b�Y: LOT NO.:BLK.NO.: SUBDIVISION NAME: SW 114WI4 28 /T3' N/R18*or)w Star Prarie 17 /a Led Pine Estates COUNTY: O YER'S NAME: MAILING ADDRESS: St. Croix Kris Bierman R.R.#4, New Riochmond, Wi. 54017? USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: (PROFILE DESCRIPTIONS: PERCOLATION TESTS: Residence 3 n/a 83N.w ❑Replace 10-17-88 n/a RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: S STEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional) ®S 0 E3 ❑U n ❑U S EU ❑S EU 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: class 2 Floodplain,indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 19 PMC BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER DEPTHMK ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- 1 6.67 99.58 none >6.67 .83bl.1. 1.67bn.s.1. 4.17bn.l.s. B- 2 7.25 100.91 none >7.Z5 .50bl.1. .67bn.s.sil. 4.75bn.c.s.&gr. 1.33bn.s.l. B- 3 7.42 101.20 none >7.42 67bl.l. .58bn.cob.l.s. 4.67bn.c.s.&gr. 1.50bn.s.1 B- 4 7.25 100.75 none >7.25 1.00bl.l. 4.25.bn.c.s.&gr. 2.00bn.s.l. B- 5 6.49 98.51 none *6.49 .83bl.1. 2.50bn.sil. .33bn.s.1. 2.83bn.c.s.&gr. B- PERCOLATION TESTS TEST DEPTH, WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PF;R100 3 PER INCH P- P- p- see Tesl rate P-_ P_ PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 97.95 : - - - - ! -_ _ _ i �9 I 1 , € € I - N 3 i € € i � € ! € _J 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 10-17-88 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): 988 N. Shore Dr. , New Richmond, Wi. 54017 229 715-246-6200 CST SIG URE: 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 - 6395 . To be a complete and accurate soil test,your report must include, 1. Complete legal description; 2. The use section must clearly indicate whether th;s is a residence or commercial project; B, MAXIMUM number of 1»drooms or commercial use planned; 4, is this a new or replacement systerrr; S. 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; 3. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 1, IMAKE A LEGIBLE diagram accurately locatinj yc:>crr test locations. Drawing to scale is preferred A sepaste sheet may be used if desired; 3, !Make sere Stour benchmark and vertical elevation reference point are clearly shown,and are permanent; 9. Cornplet e, all app€opriate boxes as to dates, names,addresses, flood plain data, percolation test exemp- tion it appropriate; 10. if tree information (such as flood Blain,elevation) does riot apply, place N.Ae in the apptoo iate box; 11, Siam tlafs,form a€rd place your current address and your certification number; 12. Make lerlibie copies and distribute as required. ALL SOIL TESTS MUST BE FILED kNITH THE LOCAL AW HORITY IrVITHIN 30 DAYS OF COMPLETION, ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Snail Separates and Textures Other Syrnbols s -- Stone (over 10") BR - Bed!ock coo gobble (3- 10") SS -- Sandstone gr Gravel (under 3") LS - Limestone S _. Sand HGW - High Groundwater rs cot r asc c ; t 6at, n Rate ;S .. t=ine Sand 13ir1,tl -. B0,1CAin9 N - Loamy Sand > - Greater Than s Sandy Learn _ Less Than i Loar;r rBn Brovvii sir - Silt Lown Bl Black - Silt Cay -- Gray �cl - Clay Loam Y Yellow scl Sandy t11ay Loam R - Red sicl - Silty Clay Loarn mot Mottles sc Sandy Clay vvr' -- with sic - Silty Clay fff - fevv, twe, faint c _. Clay r°c _. common,coarse s rat ... Peat r rn - Many, rmedsum t - Muck d - distinct p'.- prominent HGVL Nigh water level, Six general soil textures surface water for liquid waste disposal BM - Bench Mae k VRP Vertical Reference Point TO THE OWNER: This sore test report is the first step in sc;curinc;a sawtary permit. The county or the Department r ray recictest vei ification of this soil test in the field prior to p:trrnit issuarrcre, A complete set of plans for the private s vvr;(je sysiern and a permit application mast be W110'60ted to the rtppiopriate local awhority in order to otrtairr a perw t. Ilia unitary raerrnit must be obtained and frosted prior to Alta.Start raf arry constrractiorr, -April 17, 1989 Kris Bierman Rt. 4 New Richmond, WI 54017 SW4, NW4, S 28, T 31 N, R 18 W Town of Star Prairie Red Pine Estates - Lot # 17 - Parcel #809 3 - Bedroom 2.4 Acres Tp- / 7, go d rj� E J r �o we�L CIL Vf r V V II, � 0 i► C --�- o- �-O - -- of p - 4-89: •ste: 4� 1 . . . ;�: : °Owner: Chris . . . . . ens °., . .-`.° °:' ..... ' `:'�= ° -* `. ' 1 = '�: . m Homes:` :: . _ - _ �- . .-.._ ° Builder: a11e .Custo f_ S .Sub j ect: P1 of P _ f J J l} . . . . . . . . . . . •.•.• f !:t i t T•S t Lot Description: Lot 1 , Red Pine Eststes .•. _ - �Propertt� Tax 038 1 167 8 f: :p erc el 8 09: :`_1. 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