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038-1030-20-000
0 69 > CD ON 0 ri e4 (D cn 0 z LL c 0 4m E C3 CL co E Z w IL co E CO F- (D "2 ce) c 0 < .2 < z z z R c 0 0 5i ca CL — 0 LO —4) 2 CD 0 0 0 U) (a U) CD 0 c 0 0 0 E k \ § � E co co 00 co 0, z C) m 0 co co E Z Co 0 c af ca < z 0 m 3 U) 0 U) c 04 ce) E-Q 04 C-4 C) 0 4) 0)G > .9 o c') C c cc ce) :s a- Z CD CO 4) 'Q 'a C CD *4 ob ol , — — = C,) g �2 CD 0 w 0 0 0 0 C:) U) m z 01 z z UO) ra E E EL L: 'S 4, C CL Z E r 0 �r M o 0 0 0 U—) 1 y I Parcel #: 038-1030-20-000 01/13/2006 09:02 AM PAGE 1 OF 1 Alt. Parcel#: 7.31.18.139D 038-TOWN OF STAR PRAIRIE Current ,X ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner O-BELL, NANCY A NANCY A BELL C-BOUCHER LYLE BOUCHER LYLE 2234 90TH ST NEW RICHMOND WI 54017 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *2234 90TH ST SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 4.400 Plat: N/A-NOT AVAILABLE SEC 7 T31 N R1 8W 4.4A IN NE SE N 290 FT Block/Condo Bldg: OF E 660 FT OF S 1/2 OF NE SE Tract(s): (Sec-Twn-Rng 401/4 1601/4) 07-31 N-1 8W Notes: Parcel History: Date Doc# Vol/Page Type 01/27/2003 707217 2121/535 QC 942/112 2005 SUMMARY Bill M Fair Market Value: Assessed with: 118767 196,400 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.400 44,000 149,000 193,000 NO Totals for 2005: General Property 4.400 44,000 149,000 193,000 Woodland 0.000 0 0 Totals for 2004: General Property 4.400 44,000 149,000 193,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 214 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 - TOWNSHIP , ,�,1�/",r�,s7i�/F SEC. �_ T ZN—R�4� ADDRESS ST. CROIX COUNTY, WISCONSIN / 7 SUBDIVISION LOT 4///- LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•I.HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM !0,$r O 6,r7 ' A16W4 �3 INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used 46 Elevation of vertical reference point: �f$_. _ Proposed slope at site: SEPTIC TANK: Manufacturer: Liquid Capacity: Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,Side ,Q Rear, fz feet From nearest property line Front,O Side,Rear,O f feet Number of feet from: well _, building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE.REVERSE SIDE r PUMP CHAMBER Manufacturer: �� ���,E�1`Ti� ✓-P Liquid Capacity: l/,p dA Pump Model: Pump/Siphon Manufacturer: Pump Size V+J�°D3 Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: S5 �,�� sa r � Alarm Switch Type: age i Number of feet from nearest property line: Front, O Side Rear,0 Ft.14 Number of feet from well: y ^ Number of feet from building: R3 (Include distances on plot plan). SOIL ABSORPTION SYSTEM eo,,41,0 Bed: Trench: X Width:_ Length: 3 Number of Lines: Area Built: ,s' � Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side, Rear,®ift 2 Number of feet from well: 1-6 L Number of feet from building: 43O (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: 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, O Side, O Rear, O Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: /� Dated: Plumber on job: 6 r2`iJ 1111 .fir License Number: _4�a x 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MADISON,WI 53707 pq NB 4,SE 4,S7,T31N-R18W MCONVENTIONAL ❑ALTERNATIVE St.,,.gnnlD.Number (11 asz�Onedl Town of Stan PhaiAie ❑Holding Tank ❑In-Ground Pressure MMound S88-02627 Town Road 90th NAME OF PERMIT HOLDER'. ADDRESS OF PERMIT HOLDER: INSPECTION DATE. Nancy Bett I Route 2, New Richmond, All 54017 8 -30 BENCH MARK(Permanent reference pomt)DESCRIBE IF DIFFERENT FROM PLAN. REF.PT.ELEV.: CST REF.PT.ELEV. Name of Plumber. JMPIMPRSIN No.: County'. Samtary Permit Number: Cabin Power 1%. 1563 St. Creoi x 112763 SEPTIC TANK/HOLDING TANK: MANUFACTURER. ILIOUID CAPACITY'. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LAB�NO LOCKING COVER PROVIDED. PROVIDED. DYES DYES ❑NO BEDDING. VENT DIA. VENT MATE.. HIGH WATER NUMBER OF ROAD: PROPERTY WELL. BUILDING. IVINT TO FRESH ALARM FEET FROM LINE. AIR INLET DYES ENO [ YES ONO NEAREST DOSING CHAMBER: MANUFACTURER BE DDING. LIQUID CAPACITY PUMP MODEL. PUMP/SIPHON MANUFACTURER IWARNINELABEL LOCKING COVER PROVIDED: PROVIDED'. ❑YES ❑NO [—]YES ONO DYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WELL JBUILDING IVENTTOFWESH LINE AIR INLET (DIFFERENCE BETWEEN FEET FROM PUMP ON AND OFF) DYES ONO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WIDTH. LENGTH.INO.OF DISTR.PIPE SPACING COVER INSIDE DIA =PITS LIQUID BED/TRENCH TRENCHES MATERIAL: PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR PIPF DISTR.PIPE DISTR.PIPE MATERIAL. NO.DISTR NUMBER OF PROPERTY WELL BUILDING V NT TO FHE SH BELOW PIPES ABOVE COVER. ELEV INLET ELEV.END'. PIPES FEET FROM LINE AIR INLET NEAREST 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. DYES ❑NO SOIL COVER TEXTURE PERMANENT MARKERS I OBSERVATION WELLS DYES ONO : YES E NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES. , DYES ONO ❑YES ONO OYES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH. NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES. DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL NO DISTR DISTR.PIPE DISTHIBOTION PIPE MATERIAL&MAHKIN(� ELEV.. ELEV.. DIA. ELEV.. PIPES DIA ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL P`ARNSCAL LIFT CORRESPONDS TO APPROVED ❑YES ONO 1:1 YES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL'. BUILDING' FEET FROM LINE ❑YES 0 N OYES ❑NO INEAREST- Sketch System on Retain in county file for audit. Reverse.Side. SIGNATURE ITITILE. DILHR SBD 6710(R.01/82) Zoning Admini6t Aaton i DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY& BUILDINGS LABOR& HUMAN RELATIONS P.O.BOX 7969 PRIVATE SEWAGE SYSTEMS DIVISION MADISON,WI 53707 BUREAU OF PLUMBING N0%,SU4-,S7,T31N-R18W ❑CONVENTIONAL El ALTERNATIVE State Plar,VD.Number Town o6 StaA Pnait e ❑Holding Tank ❑ In-Ground Pressure KXMound Uf S9syL 02627 90th. StAee."t O NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE'. Nancy BeU RZte 2, New Richmond, W1 54017 3 BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN REF.PT.ELEV.: CST REF.PL ELE V.: Name of Plumber. MP/MPRSW No Cnunty. Sanitary Permit Number Catvin Pawe z Jn. 1563 St. Cna�.x 112763 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER PROVIDED'. PROVIDED: DYES ❑NO ❑YES ❑NO BEDDING: VENT DIA.: VENT MAT=Ifl;�H WATER NUMBER OF :ROAD: Pq OPERTV : BUILDING: VENT TO FRESH RM FEET FROM LINE. AIR INLET: ❑YES ❑NO ❑YES ❑NO NEAREST DOSING CHAMBER: MANUFACTURER BEDDING. LIQUID(:APACITV PUMP MODEL PUMP:SIPHON MANDI ACT 0HER JVYARNING LABEL LOCKING COVER PROVIDED'. PROVIDED: ❑YES ONO DYES ONO OYES ONO GA LLONS 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) EYES 1:1 NO NEAREST=--fir SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing FORE If N1,TH IIIIAMI T111 n1ATE HIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH _ WIDTH LENGTH No OF DISTR PIPE SPACIN(; COVER JINSIDE DIA =PITS LIQUID THE NCHES MATER IAL11.: DEPTH. DIMENSIONS GRAVEL DEPTH DEPTH DISTH PIPE DISTH PIPE DISTR.PIPE MATERIAL NO DISTH NUMBER©F 1 PROPERTY WELL BUILDING. VENT TO FRESH BELOW PIPES ABOVE COVER El EV.INLE I ELE V.END PIPE S 'LINE AIR INLET'. FEET FROM NEAREST'---—r 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- ❑YES ONO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER ITEXTURE JPIIIIIANINI MAHKIIIS jOIIS1HVATION1V11LS _ DEPTH OVER TRENCH BED DEPTH OVFN TRENCH BE[) OEPiH OF Tf)PS(IIL S()OOFO DYES JSFE DF1)❑NO ❑YES ❑NO CENTER E DGES MULCHED ❑YES, ❑NO 1:1 YES ONO DYES ONO PRESSURIZE}D� DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH TREONCHES LATEHAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL 1'N_O DISTH DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING ELEV.. ELEV. CIA ELEV. PIPES DIA ELEVATION ANt3 DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CDHHECT LY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS ❑YES NO 1:1 YES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS. NUMBER OF PROPERTY WELL: BUILDING: FEET'FR©M , LINE: ❑YES NO ❑YES ❑NO NEAREST= ]+ Sketch System on Retain in county file for audit. Reverse Side. [GNATURI. LE TIT . DILHR SBD 6710 (R.01/82) Zoning A&n ni6tkctton SANITARY PERMIT APPLICATION COU COJ DILHR In accord with ILHR 83.05,Wis.Adm. Code STATE SANITARY PERMIT# -Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. S EEN—da a -See reverse side for instructions for completing this application. PETITION 1. APP ICANT INFORMATION-PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES NO PROP TY OWNER PROPERTY LOCATION Alf '/a 5y %, S 7 T , N, R E(or PRO NER'S MAILING ADDRESS LOT NUM ER BLOCK N MBER SUBDIVI N NAME Al CV Y,STATE ZIP CODE PHONE NUMBER EJ CITY NEARE T ROAD ) E O LAN 41ylAR K VILLAGE: ! 11. TYPE OF BUILDING OR USE SERVED: 0,5k'— O Number of Bedrooms if 1 or 2 Family -3 OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. ❑ New b. [A Replacement c. ❑ Replacement of d.❑ Reconnection of e.❑ 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. X 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. X seepage Trench c. ❑ See a e Pit 2. PERCOLATION RATE 3, ABSORPTION AREA 14. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): Feet Private ❑Joint ❑ Public I VI. TANK CAPACITY Site in ga ons Total #of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank JAIm Mde 4 I❑ Lift Pump Tank/Siphon Chamber f A 0 1 ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of th rivate sewage system shown on the attached plans. Plumber's ame(Prin Plu er's Signatur :(No tamps) MP/MPRSW No.: Business Phone Number: 3 mb s Address Street,C' tate,Zip Code): Name of Desig r: 3 VIII. SOIL TEST INFORMATION Certifi So' ester(C )Name CST## N � CST's D RESS IS eet,City, ate, ip de) Phone Number: l IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved S nitary Permit Fee Groundwater ate Iss ing Agent Signature(No Stamps) Approved ❑ Owner Given Initial Surcharge Fee Adverse Determination .Q� �'�i 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 1 INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION i 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 Wneeded 1 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 plumbet•raquires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation; 5. Private sewage systems must be,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: P rY P PP 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 0 mbers,'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; DJ cross section of the soil absorption system if required by the county; E) soil test data on a 115 for Z -------------------------------------------------------------------------- -------- ` GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more w _ 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 Ground t3[ included the creation of surcharges (fees) for a number of regulated practices which Wisco IrxS ° can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried yeas re!' is used in your building is returned to the groundwater through your soil absorption system or the disposal site used by your holding tank pumper. 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) APPLICATION FOR SANITARY PERMIT S T C - 100 This application form is to be completed in full and signed by the owners) 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 Location of property f l/ �_1/4, Section �_, T N-R W Township 92 Mailing address C � D Address of site ;ala„ , Subdivision name aze?�I Lot number Previous owner of property k e3]2� jl �d Total size of parcel 5' Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house)? Yes No Volume 4-7.2 and Page Number -PZ as recorded with the Register of Deeds. ----------��--------------------------------------------------------------------- C, �T-�ci'-5x—`4LUDE WITH THIS APPLICATION THE FOLLOWING: A W D 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. ---------------------------------------------------------7--------------------- 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 warranEy Office of the County Register of Deeds as Docume No. 3 y��� ; d that I (We) presently own the proposed site for the s is osal s 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 my Regi _ of Deeds, as Document No. ) . Si nature of O ner Signature of Co-Owner (If Applicable) Date o Signature Date of Signature ' i T mi Pi l i fi OW jo r t R P,04 4 _ Al II Ee 7 � � •I -' i^< ' 1 ~ 3.. IT h1�t�ldod isle Wade►deehaa y wNW& tlar v weab to be oommkw on the Plap". a yr MM lrotn NM» oilier b tM wei e ' wf Merest and oNter r'm" shah bo ffrtlNNyy Pold fttlawaa►alMette specified. Vendor will on demaltd, Hord. la fie aMylt, of the Poemtp. free and clear of all IMre and eaeerle �neMtd b w aftor 4 to of'trahmem and except: 7 a� blot* a►d `) in 1h» vwd Of 0d @ Basal In O a+K d 1aMw Bore bNOwktg One a) w.rwflf F` at titdamw wMMMt oontihim for . «slatted artlflad mall), than the entive Mt ttdt, at v4mk ' or s aPt and w t'"'ewiefai s at• �and ram.aM�M•lb)Mt a any NONetials vfwM.d"" � ►' may, at hla eV"n tannMnle this ON b 00 and e► a Mtroigh atitot tereclsaure with myy " ? d M isr~�ewtle due � aa. with In1KNt all IlaratNtder which event all dLm@ M far fawim to fuMNl Contract and « �� lfenda ntetr aw for "Mft PWIWnWSM of this Ca"nbet tr k , with bftr" #moon M the raft in set" M. am" 111110 1Aafltta► anatr ew atYthe anti►i M j"dkial sate an/ al all and WA remove this Contra a q� Ift or a rn�4 w ` and N) Vm1ft may P du�rift t rr �pMd 1Nw alq► eras or suftmwft or acwy d Wrl scan Vendor Nand when pursued In litigation and aAIR ! ktatlrred to atforw any remedy hereunder (whellter sleeted or . Af tlMe avidatae deft be added to principal and paid by `lr ,.f Mtdartoy of any aa-in of foredoaure of this Contract, Pundwy ' t�dMtp hili"W"M kltorgt, to Co1Mc! the rents, issuaa, alld j sale►seises. And raft raise. Moues. and profits wfen go collected 00 M d►. MY WON or puWble Int r*A in the Property �y ewya `of O—PMm. brp-yrm Is ss or in any other way) wNAwt •i tatlrr 'a kttusat� Mis Contract wIN e m a► _ Y MOINIIy tar All •sw K Oallsayaltae without Vendor's written omteartt. w onMr� # M RAftf*due and payable in full, at Wltttor's aptMla 1r11ANR �dv MY mortgage adatending agaket tie /l least) Or under my>rtalldlwt�iderCo soft seowee tltaraby. as ally aft paylleltp M made by PwcAMer shall a CaNiderael pbVivinjig ai anY outer wbeeatlertt or prior default of Purchaser. and Inure ft the bwmfits of the Mks, y an owrm of the Pr_v_ the pill 111 WIN the MMM Property an agr of it w AUa .. � �i i, day of July th) 84 } ISEAL) a n c y e h_ Q (SEAL) sire . ,- ACK NOWLEDWASa STATE OF WISCONSIN F - St. Croix �rIM__day W - County. tg- Personally came before me this a e s _July ,tg Fred, 14. Kottke Susan F N; - NLa_nCy Bgll is STATE"A OF WISCONSIN -- -- - - ' " i,; tom be aalMertead by 6 M.N.WIG.Stets.) fo of r S For riieiNaTlMJMANT WAS DRAFTED BY n S E. F 1 e i schat* ' °. Irnrn Realty SOf~p rse t r W i 194025 Notary Pubfic______5t. My Commi is fuPmnmxm Or acklwwledgW. Both may, � F STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County r OWNER/BUYER ROUTE/BOX NUMBER FIRE NO. C"341 CITY/STATE 22 /G// / �� ZIP PROPERTY LOCATION: / 1/41/4, Section _�_, TN, R�o—W, Town of V, �ha U`r'rP--e , St. Croix County, Subdivision /1/ , Lot No. 71,4 Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a LICENSED SEPTIC TANK PUMPER. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. SIGNED�J 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 )EPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS UDUSTRY, BOX 7 QN AE3QF�i AND P.O. BOX 7969 { BOR R€l ATIONS PERCOLATION TESTS (115) MADISON,WI 53707 (H63.090)& Chapter 145.045) OCA ION. SECTION: TOWNSHIPJM LITY: LOT 0.:BLK. O.: SUBDI SION NAME: � / N/R E�o .OUNTY: OWN R'S BUYER'S E MIA AD(�f7 S: ,C DATES OBSERVATIONS MADE __ .._ _ . _ _ ..---- .__ _-. _ _.....__._ - ---- __---- S& _ NO.F3EDRMS.: COMMEF�CIAL D�SCRIPTION1 _ F�iF Of= E D€S�FiI-Pf IONS: p�� ATION TES TS: 2d Residence I L_�New Replace 7(y— p p /^���p�! ATING: S=Site suitable for system U_=Site unsuitable for system 1NVENTIONAI MOj(UlN(D IN-GROUNDPRESSURE: SYSTEM-IN-FILL HOLDI G TG TANK: RECOMMENDED SYSTEM:(optional) Peicoi,tion Tests are NOT tvquited DESIGN RATE It any portion,rI the tested area is in the nd,r s.'Ib i,Q91S)(b) mth, ,t�. ! � Flondltlain, indicate Flnodpl iin c.levatinn: t—— ------— -- -------- PROFILE DESCRIPTIONS '0 J f ORING TOTAL D PTH TO GR UNDWATER INCHES CHARACTER OF SOIL WITH TLIICKNESS, C LOR, T XTUIiE, AND DEPTH LUMBER DEPTH IM, ELEVAT ION OBSERVED EST.HIGHES TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) 3 -J. /17- - _ s B- PERCOLATION TESTS TEST DEPTH NJATl;R IN HOLE TEST TIME DROP IN WATER LEVEL INCHES RATE MINUTES 1,4UMBER (NICHES AFTE13SWELLING INTERVAL-MIN. P RI 1_ PER_lo 2 __ _—_P RI D _PER INCH P P- P P- — 'LOT PLAN Show location, of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- ontal and vertical elevation eference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent ,t land slope. "YSTEM ELEVATION , 62 it // X f+lI041/dal a{ Sift I ATor,,� S / s a po tN ice. GfK/eE 30' t 1, the undersigned, herelty certify that the soil tests reported on this form were made by me i accord with the procedures and methods specified in the Wiscon in Adowusttative Code,an.I that the tiara ne:rnrded and the location of the tests are correct to the lest of rry, knowledge and belief. NAME ZS ri It --- TESTS WERE COMPLETED ON: I � _- 1244�, t� - -- -- --- --- ----- �AODR S: CERT1FfCATION NUMBER: PUMBERI optio6all: +'�--__��.1?-.. L .--� �--------------.--- -- C 'I G N T U R E E tlt�l. tl :.u;v., '.n .� pose ) a f " . s W%KSHEET - MOUND YSTEM DESIGN PROBLEM: 0/7 Design a mound system for a The site characteristics are: i.fl;�.EGr'l Depth to groundwater or bedrock - S Landsl ope . mio dit ' PercolatioA rate Distance from dose chamber to distribution system a .» f t, wi El evati off+ di f f6re'nce be tween sump and distribution systVm Step I. WASTEWATER LOAD ■ f5'Dy.1/.Q X 3 Step` 2. SIZE THE ABSORPTION AREA A) Area required ■ ��SD'q.4l /.�g9�/�a� �.375 �Z�.sq, fit. ft.' $) Bed or trench length (B) • C) Bed or trinen width (A), D) Trench spicing (C) ° „- :. rpr load .2A coal/ft2/day 8 ° ft. y. Step 3. MOUND HEIGHT ft A) Fill depth (D) s S) Fill depth (E) . D + slope (A , .. '2L ft. 0 Bed or trench depth (F) R . depth (G) ft. D) Cap and p E) Cap and topsoil depth (H) ° 0–oL— ft. ' ti,in �- 4 Oy r $ tp 4. MOUND LENGTH A) End slope (K) , D + E + F +jHx3 ' 1„ ft.. B) Tots 1 mound 1 e th L) B + 2(K) �3, 7(13,a� � Step 5. MOUND WIDTH Al) Upslope correction factor R ' A2) Upslope width J) " (D + F + G)(3)(faCtpr) " ft. B1) Downslope correction factor 82) Downslope width (I) ' (E + F + G)(3)(factor) C1) Total mound width (W) for tied ' J + A + x " ft.- C2) ?otal mound width (W) for trenches , + + (no. trenches -1,)(c) + xA + I. ft. G Step 6. BASAL AREA A Infiltrative capacity of natural soil 91•/ft2/daJl B) Basal area required w wastewater flow _ sq, ft. natural soil infiltrative carp it �/ /�,' �,5 . /875" C1) Basal area available for bed for sloping sites ' sq. ft. Bx (A + I) ' C2) Bas are avai le for trench for sloping sites • sq. ft. 8 WSJ + ' C3 sal area available for trench or bed for level s4• ft. ites BxWs Sign: sL Lic,anse ;Tats: P ow, f Pie V .. ,�// Step 7. DISTRIBUTION SYSTEM i7 7A SIZE DISTRIBUTION SYSTEM _) 1 1) Hole size 2) Hole spacing in. 3 Distribution pipe length = 4) Distribution pipe diameter , in. 5) Spacing between distribution pipes = Y,Q„ pc�i 6) Distance from sidewall to distribution pipe ■ 7B) DISTRIBUTION PIPE DISCHARGE RATE �ft. 1) Number of holes per pipe = 2) Flow per pipe = _ GPM ' 7C) SIZE MANIFOLD 1) Manifold is central/ end 2) Manifold length = ft. 3) Number of distribution lines = . 4) Manifold diameter = in. /D) SIZE FORCE MAIN 1) Minimum dosing rate -` GPM 2) Force main diameter 3) Friction loss ��5- f t' 7E) TOTAL DYNAMIC HEAD 1) Vertical lift ■ =—7 ft. 2) Friction loss ■ ft. 3) System head 2.5 ft. ■ ft' 4) Total dynamic head = 12, ft. r► � r��1r aL.44 w.1 1 WIC I) f'11ug1 %Plot,tod wi11 diucharoct 10.41 dyno"110, hoad ?G) DO` 1. Vo tLUMf 1) 10 times oid volume of di trib �o lines ,1,, gal./cycle J0,e ,0 9 X`/x'30 �/ a 2) Daily wa tewater volume : 4 oses/24 hrs. ■ ZLLr9a1./cycle a09�� o%4cs �f c //�,s� ,3 a1./cycle 3) Minimum dose volume = �,� -- g �aa5�•Ors°9��1 BAe 4�d�J / - lid 5���✓=19s '.3 7H) DOSE CHAMBER 1) Minimum capacity required Date :— L--c.2-2 _ OL Model 3870 Submersible Effluent Pumps 140 � �a A/,�.� a t 20 s io 100 A O LL 1 A 80 E wp�7S, 7h . hp Z;yp a 60 WphO� ai,�y lD 40 0S, -/°,44 a..�W�P,M�03,16 M.P. 20 WP03, h H.P. 0 20 40 60 � �� 90 100 120 Capacity—Gallons ParMlnute - un. \ H.P. Order Wo. V.K. Phase An" RPM SOHO (01) W M0 115 94 WPM0311E 1750 56 / WPM12E 230 10 4 7 WPM0312E - WPH0511E 115 160 WPHO512E 230 80 6( a WPH0532E 208130 3a 30 t 7 WPH0534E 460 —.. WPHO712E 230 10 90 �. WPH0732E 208/230 5 4 30 27 70 W IM734E 460 Wi44WI E 230 tm 116 3150 w.. 1 WPH1032E 208/230 30 8.4 WPHt0ME 480 3.2 WPH1512E 230 tm 133 WPHIS32E 208/230 92 30 4.6 8C. WPH1534E 460 WPHH1512E 230 tm 13.3 WPHH1532E 208/230 30 9.2 WPHH1534E 460 46 SPECIFICATIONS ARE SUBJECT TO PHAN(iE MfiTFOU. NOTICE , State of Wisconsin \ Department of Industry, Labor and Human Relations SAFETY&BUILDINGS DIVISION Au(j4 S t `' 201 E.Washington Avenue P.O.Box 7969 Madison,Wisconsin 53707 Ivt'.� e11C,itk.�(_1li(,:, iril r,�rC;'l ) ettd i loil sil'. Soo-uz-u"/-P i1e. I,,,Z.I1CY ie1, l - i e s i C.e 1)C e i-[)'veil (i[�'Std" r) c:ltif`, S%. LiU?Y. °I.UL:'ri(.�, PdT SC"C:L'Iiit I�r } i i ) , p iSCnrS'ip SLa U-LeS iiIIj S. �( tt � .tii (t% �U � 15Cf?t3s n kjl-. i III S i atI v;,' L,:',uc, a P l(it. t e (±�rI`W'i' LO PC-1Li ti Ufl tiIC P&i'ti?t IL" t Or a variance. to L is i i`'StU..i at Ui; f)y.. a /JriS i tE: SC4;ci.? S�/J Lei! to rep I eicu al'i exi Sti rig or—,site dt d SiL rri3?Ci"S iS (iU �iti 7U i Ct1i:1(:1it liii:0 : 'ilii til% Sl(i(i .`.`t(al) ;i:rds "S ti the ffUi;il l'i I S Y'dA 7 VC 1-u,i t.:. l he syster7i 01US I r�tl f3Y'(JPCiSeC SiiOtA l:i V("I:C'Ct tilt idLC---s C" —' 5 ixtO i+ U):' Ct iiC6ffi tjdt 1t1. 1 i viii S Sy Stt lii C`COfiiE'S d fai Ilii i S�'sttti;'. or C( t ti`:iriiliES th( i— Y'S 01- k- Staec'„ tiAS Vdi'luiiCC Shat i be ur "L.1 r c , viii . I ftL I € %1 i L,i riu ; been ,. LLii t t l Uilrt i i 1 ,,e r ltl Ci S S t t'9 S i i�, i I •- 't �_„ �E' t'f' Ict(.E�(; ,<� i1 c;. itOl _il f� titii, Cpl i flC�![ Utfi- !CiL S'�SE ,. :. ., Y+L i'iAtC' ( :'(.j 1.4 i 's.cS t° ut,. « �.+i.to ;iJ yy"S i.( IiS'Y l? <;i- Lh 'i �li.:iii"' `4 ufi :�,u7tauifr Sia 4[AY'd P ;SCt i . lid Vc "'l u( CE:' (' 1ii Sl _'t d5 CU 1 F1 i FJ i t u ''E' % i u( Ui:ti'YI iii( cAi?t1 SySCcCi UCI iz S1 U, Gi t1rl �i 2 ,� rig ts.'. Sta C f.[;4S ,ir l '4-; ei., ('i? 11'el air (Ji Lile Nta.L, Livit.'r ! �. "<S t.twt"L'ta 1�,? vu; i.zf ( is ilcf'i !C L C Liir:: Suoji(C.i. . 1 i"i.of) ui`1 \ � 1„a i ti j S " C? , O1' ....,y :>•.:�9L' iJliul ;.,ilt,ii `tLul.aOi<5 w.� iii IC C'.i C.' J iJ / ioICI10rf ! P' ! 'i' t'C0i ( ' ' v ✓U 2 0Liti R1 G c �i; C.) crtdti5{.; P0 vw t b u'�L ,Cl �1i9 t.<.�fii. iS( ' iC � G,i?fJfJC'1+i i di t I i t7t:+k i4&1 SUr, 4.Uii? 11- f,`.,ii.? it i 5'�i �a Llrk' ' ,`�,;.. t..i"'J?.�, i,Gur1 I SBD-6928(R.10/87) 4 State of Wisconsin ` Department of Industry, Labor and Human Relations E t SAFETY&BUILDINGS DIVISION PRIUFlTE SEWAtfE P�FlN FlPPElOVFlt., Office of Division Codes and Application 101 r.. asst- Washington AtJ(}n"o P.D. R x 796') Mzdi ;on, Wisconsin 53707 C;Ai...VTN POWERS iR 0,!<nnrr; itilrflCY BF1.1 ROUTE" 3 ROUTE 2 NEW RI:CL MOMD, WI 54017 111:W R1C '•lMgMn, WI 54017 RE: Plan Number: S88-02G27 Date, Approved: Augus't:. 1, 1981) Gallon-. Per Day: art 0 _ [),••ate Received: July 22, 1988 Project: Name: BB [ , NANCY 1_6n at,:i.on: ROU'TF 2 Town of STAR PRAIRIE' t.:,ant.y: ST C..ROI x Fees Received (Priority RevioQ ! 260.00 All The pll,ilTf1;)ing plans and rspeciticationn for this projo t: have Hawn reviewed for compliancr with FaI;1L,i.l.t'able rod o j'o('ui poonYlK . This ritpL7Toval l.^ based on C haptni, IV.-r, Wisconsin Stat'utP5 and the Wisconsin 1t:iif) nist!"a'i ivo Code The plans are Stamped 'conditionally api:)P'c)ved' This .a(ip nvo i in L"rit:'i.ngeln't: upon compliance with any stipulations shown on the plans All items that are noted must: be corrected . All permit. r.eq"i.rod by the city, village, township rr. county shall be obtained prior to construction. The licensed plumbor r'Eai;lronn irlo for this installation shall keep one set of plani with the d 1).:aY`1=moik' -lppr +.i°a al `Lamp at the construction ion <s i.te, Thp installer shaa l l not': i f V 't ho appropilatv inspector when inipe ct_ions can be made, This approval will exiai rn two y<,ar , r om the �r<at c p � y 'O ' �.t. >;"rr1tF?Ci iii•.. J f a siitill,t;idl'". permit; is obtained, it will expiro P ley i!a'y' t,ho roil int san t,arN' per'mi.t expires . 4 The Section of Private Sewage has r t'r'viewpd those LJT':n for private te? se�w�age system Code t { r e Cul-rdmen& oily . Li}t.tie la l. .li1`; ii'1.aN(? f}•iI" heit'i8 i"C' r.l:+'!a.,,) it:>i" '1:i1::? C:aait^ r'C'(ata'.T.i"E?mc?nt::i seat: forth in Section ILHR 82 for gpnoral plumbial or in Chapters 50-64 of the Wisconsin Administrative coda This zapprovral. is for the following c:ort}l:proms only RE PL.ACY P'iFNT PETITION RE PI AC;t ME NT MOUND Inquiries concerning this rapprowal may ho made by calling (608) 266-39 17. S 02423(R.IDMT State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY&BUILDINGS DIVISION CAINTIV C)OW1,,.R11 JR Paco 2 tll S (,w:rNl_Arj 1 0jv1S:i()r1 of S&foty <mr1t:1 [3i.l:i1r1ings NANCY BF1..1._ F)r°iu<:zt;n -,owage cons . ttant Col.lrltlJ +.;ii :;t;b)fi'iF' .Blum)ily'i Corlsr►3.t;all t.. f?(a)�1F i--' I.),))nHx�i•� 1')7+/j.1-ofirilorta 1. Hoal t.+1 I I / SBD-6423(R.10/87) ST. CROIX COUNTY WISCONSIN T ZONING OFFICE �,�•;� ST.CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON,WI 54016 (715) 386-4680 June 24, 1988 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Nancy Bell property, located at the NE14 of the SE 1/4 of Section 7, T31N-R18W, Town of Star Prairie, St. Croix County, revealed suitable soils at a depth of 1.5 feet, below which seasonable high groundwater was noted. This site should be suitable for a mound system. Should you have any questions, please feel free to contact this office. Sincerely, Tk ch-se- , (} Thomas C. Nelson Zoning Administrator TCN/rc rw i ,� _ r xr �i >�q S " ,x4 4�'T'xy w r = Tr++7 r +4 W. '�r F:.e.n {!.r ra.a ;� az , .t ,} r r r 3' a' r 1.v J +' Q , 3 t `4 y ynr >� � r a S X°p`:ri �'`�+', "�'' .§"x. f ."p s a �^�u,y P ;x . ,y s?, �r,*,W .F^' F„y 9 s,., �r „ p �'c.,-r �,{ k, " '.r :7�^w.tis f i < , ' xs° 2,"- ; z.L"§t J I 1...'..a 4'' '�'� ws�t '*``s• `" �,. �_, .F ,r =.a a ,'ie -sue -. s s ti n, s `� 0 4. 1;,: .4 ,,,.4 .,,ya ° ` ,.r+ f.'1 $ .= F k *7. 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It ,,x..z'. .t` a ° ,xz ,`° '� ; '• `�.,t * * , `,yl AI A,; w7} r p x x si sz� '�;;{ t y: 1i i, m w „� r 'i'CZ� k s :. ° '• t x' tr ,a4 4 � �r, x � t Y� t a 5 i•t ;� '4„�•w,' �, ,,'� s ,,, k ,� s a< 1�,�'�^�,, �, ,w a Y W f (nr . t i? a W. �, Mrs f t hC sbouicl tA�(,, the c va n 3 .. mot" ,r, r . L t y N come SUM a C f, the new Wcat io Should YWI have any Lhis office,- Sincere h , . ,rom vELSOti x Assistant TCN :jh Enclonure 2 . Box 168 p,w kichmond Vj,,o[%sjr 5401-7 Nr , Jerry Koepp D, ,1, Lon of Hea!Q� SectV, p ,o 309 wisownsin 53701 De ar mr, vnePP7 ix County 0, A,,ysr Z3 , 1979 , yr . Tam NOIsOn irow St ' ZOUKE Q' ca , and Mr . Dennib Sorenson, the State 01, Sitc visiLed my property to confiTA soil wings Waqnc Occial"Sk - ricksoo , certified which hact we" done uy Rodney Honi� Solis tart -;, it uss determined A! ,,, joypu_ wn Cf soveyal baClAve Pir" ,h,t Ube nrlg3nal soil evaluatint,' dc"' by We ce"'fied sois hj >,,, &one erroneunsly . :able area wbs hound for the —t is AnvastigatiOn , a tol; I h v. since had a nor for the replacement : d,,, �nr this aiva. 10 the Liar that a replacemeW Was " not "el found to _h, Administlative Code , which Wen i"CI-NOO r, e I dana lot 7rocnp . In Panay Ale II G�-%unty a Ic', Sol C 01 -ro r;C.7rt 'i w p -'1.l ie(i SOT-, ICK ' dAermined 1 r, vc 1 Ala Lei. -r able.1 e, was for the a slui b c.e ad the Y-fa done fo-1: this lacemerit no a rep. Code, g Ll r e u r -nc e r err. 0!� L o L-r cleed ax,c ezi L e nz L FROM THE DESK OF NG /{(�� I ' 246 Sll 14T7 j . F IV R FALLS . WISCONSIN . 54022 . (715)425-5466 ..-1753 SOK,I�py £ RICHMOND . '���Y((ii •.,; WISCONSIN . 54017 . (715)246-2660 \ orfx "ug. 19" e, "?e have r..Otifitd Uteve IUiiller of eava,tir.7 of the cuided perR,-;_t On the Kottkv I- • i- ropoe r-t-- ✓ is i in to uci it-, the tank r;eO-Ple for which t'_.Py ve `I-.P p; k copy of septic tark nenlit" use ' S4,74. Th_ ,ik You, 1ieatir "53 S. Kno���les Ave iVe4' hi c'. nor.d, Wis. 54017 • PLUMBING . HEATING . SOLAR SHEET METAL WISCONSIN REGISTERED DESIGNER -�� ST. CROI X COUNTY xy W I SC O N S I N Z O N I N G O F F I C E 796-2239 P. O. Box 227 T -- Hammond, WI 54015 August 3 , 1979 Mr. Otis Husit CIR Plumbing New Richmond, WI 54017 Dear Mr. Husit: Please be advised that the sanitary permit/septic tank permit obtained by you for the Fred Kottke property located in the Township of Star Prairie are now VOIDED. effective this date. The soils tester, Mr . Rodney Hendrickson, contacted this office today informing us that he does not wish to comply with our request for back-hoe pits at the site tested by him. Therefore, until other arrangements can be made, we are revoking the permits . Should you wish to discuss this matter, please contact this office. Sincerely, T OMAS C. NELSON Asst. Zoning Admin strator jh Enclosure: Check 8083 refunded for above permit. u S• T. CROI X COUNTY i 'WI SCO N S I N ' y l ''yL r Yxa �4 F I C. E 796—2 2 3 9 ZONING O i P.O. Box. 227 Hammond, WI 54015 August 3 , 1_979 Mr. Otis Husit CIR Plumbing New Richmond, WI 54017 Dear Mr. Hush. : Please be advised that the sanitary permit/septic tank permit obtained by you for the Fred Kottke property located in the Township of Star Prairie are now VOIDED. effective this date. The soils tester , Mr . Rodney Hendrickson, contacted this office today informing us that he does not wish to comply with our request for back-hoe pits at the site tested by him. Therefore , until other arrangements can be made, we are revoking the permits . cuss this matter, p]-ease contact this office. Should you wish to dis Sincerely , T ..OMAS C. NELSON Asst. Zoning Admin strator .1h Enclosure : Check 8083 refunded for above permit . August 3 , 1979 I, hereby confirm that I have received notifica.tio o ` the status of the permits for Fred Kot ke and am in 11 ; . understanding that no work shal commence on e s itary Is system until further notificazi PLB. 68 DEPARTMENT OF HEALTH AND SOCIAL SERVICES //0 Division of Health FEE $10.00 P.O.Box 309 NO. 5474 ' (1 Permit per Tank) Madison,Wisconsin 53701 Date Issued 7-30-79 ` Tank Size 1000 gal, STATE SEPTIC TANK PERMIT Copies: Private Res. XXXX This permit is for purchase of septic tank only and does (White)-Property Owner not exempt installation from state or local approval (Pink)-Tank RetaMer Public and/or permits. (Blue)-Division of HeaRh (Canary)-Issuing Agent Owner's Name Owner's Address Fred Kottke Star Prairie, WI Location (Legal Description)of Property Where Tank Will be Installed County NE4 of SEk of Section 7, T31N-R18W, Star Prairie St. Croix Plumber's Name Li Otis Hus it cen�Pll Address River Falls , WI Signatu f erson O Address if Other Than Owner River Falls , WI Add&sf of Issuing AgEnt(Town,Village,City) County Hammond WT 5401 St. Croix Tiffe-'G' 997 Signatur Z nin Administrator y W I ! i3 I_ L i ! s P. Q uOx 7 _ RE : Fred kot.t`:e Ju Ly `7' 197 NE 4 of 5 .1; of `_ F.�.t ion T31N-R18W, Star r.'rair_ _ Twp. Mr. Rodney Hendrickson Route 1 , Box 81F Star Prairie , WI 54026 Dear Mr. Hendrickson: I Oil July 30 , 1979 , I inspected the `yproperty cof Freaci�;.rYt,�e twntthealley 1 Lind of C.CP. P1um�, in;. This insp issuance of + -tK for soils of this type and with high percolation had been excavated and rock My inspection revealed that an area had been spread as to install a durltestedbed. rangeras shownexcavation on thehad EHb�15 - y made in an area outside- of - ox � , However , many FrOP1'- IIIO�LLC'S �,4('.rE foul'(! . requested an ori-si - yn�r`EC1 l.CiCl tlt, ilf= is 3 l`tt D i L , O �r t'i1-J1 to 4'+ast.c' - e 1 Stare !-;edulFd tol L 1 .. tiee�l S _ c E)T t your o v� :' -.);�.._': i I i o , .f . „ r f�..;... ..��_—..�': ? 'e aamr._.,y. �v�`er��ai�='°�',a�a�— t•rtk. F INSPECTION INDIVIDUAL SEWAGE SYSTEM • San.itaty P2xm.it _, ,7 State S;pt.ic NAME �1� � F rownshipV-'t I ; 2t'LL L/ St. Cno.ix County Location Section SEPTIC TANK Size gaZtons . Number o6 Compaxtments � � j 2-9 Distance Fxom: WeZt 12% o& gxeateA ztope it Bu.itd.ing 6t. Wettetnds H.ighwaten it. DISPOSAL SYSTEM Distance From: WetZ it. . 12% ox gteatex 4tope . it. BuiZd.ing 6t. Wettands Ft. H.ighwatet it. FIELD DIMENSIONS : Width o6 tten ch it. Depth o6 Ao ck b eZow t.i.Ee in. Length o6 each tine St. Depth o6 rock oveA t.ite .in. NumbeA o6 tines Depth o4 t.ite beZow grade .in. Total °ength of Una it. Slope o6 tAench in pets 100 fit. Distance between tines 6t. Depth to b edto ck it. Totat abs otbt.ion axea 4t2 Depth to gAoundwa.teA _it. 2 Type o Requ.ixed axea it yp j Covet: Pa et of Straw Pap et DIMENSIONS: NumbeA o j pits GAaveZ around pits yes no Outside d.iametet it. Depth below .inlet _it. 2 Total abs otbt.ion axea it z A AAea Aequted it2 i �► INSPECTED BY TITLE APPROVED ,DATE 197_ •. REJECTED ,DATE 197_ WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES `r 1 DIVISION OF HEALTH,BUREAU OF ENVIRONMENTAL HEALTH ��} P.O. BOX 309 —1� V MADISON,WISCONSIN 53701 ,•'' REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION Section 7_T&N, R/?_•G(or) Towns ' or S 1FA RR All R/C Lot No. Block No County --9t- Owner's CI�/ � K65 Subdivision Name Name:. /� Mailing Address: 2 Bd/r /wIE RL PA* kid LAJ TYPE OF OCCUPANCY: Residence X No.of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION _ REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS 7-/6- 2113 . PERCOLATION TESTS 7-17 Z9 SOIL MAP SHEET 3 SOIL TYPES i PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL,INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 f 4/0 i j� �L So E / L� a Co o�f/E o �� yt,14 P �CP -53 P z' 3 I I ( f r I o2 C,o OvvN� ,3C7 %(, 3 i o. P-3 ` 9//& S ti .3 3� 1. r . r. a � Nu � �3C' f �� � SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER,INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) 7A - B��s 9-a s a _3 k/_ 3P- -72 s L- 7A V ects _ z _q 9 L _ z a Q-�o& /o�- S' S - 5 - S _Z - - B- 01 /O Z - - L .v 7a - 9 8 ,1 -32 L z- PLAN VIEW (Locate percolationtests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square fgqof suit le area . Indicate number of square feet of absorption area needed for building type and occupancy. Indicate scale or distance!, ye horizontal and vertical reference poin . In icate slope. L in IC 1s` d <2 I 16. Ovd 4 7 ` t N h S 3 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 Admi istrative Co�ie,..Ond that the data recorded and location of test holes are correct to the best of my knowledge and belief. Name ri ) E' E1Na�r C s' Certification No. Addre sp Name of installer if known i COPY A—LOCAL AUTHORITY CST Signat • State and County State Permit PLB, P Count Perm' Permit Application Y for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: Fie C �) T,-< ,P-�-.� - �� & B. LOCATION: IIJ E '/4 SE '/4, Section �__, T31_N, R_L_�I-E- (or) W Lot# "' City Subdivision Name, nearest road, lake or landmark Blk# Village Township 57 4x' ¢ Il (i C. TYPE OF OCCUPANCY: Commercial *Industrial *Other (specify)" *Variance Single family x_ Duplex No. of Bedrooms No. of Persons 3 D. SEPTIC TANK CAPACITY &'-� Total gallons No" of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete_ X Poured-in-Place Steel Fiberglass Other (specify) New Installation x Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other(Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1z0 Total Absorb Area sq.ft. New -Replacement Alternate (Specify) Seepage Trench: No.of Linea Ft. Width_ ,Depth Tile depth (to No.of Trenches Seepage 8-e-&'—. ed! Length idt Depth Tile depth (top No.of Lines Seepage Pit: Inside diameter Liquid Depth No.of Seepage Pits Percent slope of land Distance from critical slope WATER SUPPLY: Private X Joint❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than present owner: I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I h ve sized the effluent disposal system from the EH-115 prepared by the Cer ' ied Soil Teste , NAME _ /t(( D nj E,, r1zt",D2-c(-t<L C.S.T. # s5�e-2 a Zand other information obtained from 0cj..� ) t2 (owner/builder). Plumber's Signature P/MPRSW# �fC j Phone # 7` Plumber's Address 2, I r s�-LL S 1.4 PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20.Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. - tag' oa . 3 € �o ®.... m.�«,. tom...=mU. r m.. .. .. ,... ..,......... e eW� .._ ., m � .. .... .. e— «..«« e °Y e N -..,. , o ' \ \ ? x 1 .. . � i , 3, �d x t _ i A m e i � - T �o Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application ,zz Fees Paid: State IO, E!(' County D -7-3 0 79 Permit Issued �► /id (date) �-,�� __�� Issuing Agent Name � ��/) � �� kpo , I` Inspection Yes�No State Valid# Date Recd I. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 state (pink copy) 4. plumber (canary copy) Revised Date 7/1/'78 i �f �S3 -- Gy L 1� �Lr-7 (A �n 1 -7