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Parcel #: 038-1165-20-000 01/12/2006 04:24 PM
PAGE 1 OF 1
Alt. Parcel M 30.31.18.786 038-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
TEDDY L&DIANE F WARD O-WARD,TEDDY L&DIANE F
1928 CTY RD C
SOMERSET WI 54025
Districts: SC=School SP=Special Property Address(es): *=Primary
Type Dist# Description * 1928 CTY RD C
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 2.234 Plat: 0227-CRESTVIEW ADD
SEC 30 T31 R1 8W LOT 22 OF CRESTVIEW Block/Condo Bldg: LOT 22
ADD.
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
30-31 N-1 8W
Notes: Parcel History:
Date Doc# Vol/Page Type
09/15/2003 740076 2410/134 WD
07/23/1997 1034/404 WD
07/23/1997 890/480
07/23/1997 885/565
more...
2005 SUMMARY Bill#: Fair Market Value: Assessed with:
120027 220,300
Valuations: Last Changed: 10/13/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.234 33,200 183,300 216,500 NO
Totals for 2005:
General Property 2.234 33,200 183,300 216,500
Woodland 0.000 0 0
Totals for 2004:
General Property 2.234 33,200 183,300 216,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch M 130
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Form - ST C - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHIP SEC. ,(_ T tLLN-R_Zif W
ADDRESS , ST. CROIX COUNTY, WISCONSIN
SUBDIVISION Tl�/�i./ LOT LOT SIZE
PLAN VIEW \
Distances and dimensions to meet requirements of I1HR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
�S I
i
a
d I�,
I
INDICATE NORTH ARROW
�/Oksk
BENCHMARK: Describe the vertical reference point used 1flili4i
Elevation of vertical reference point: �_Q Proposed slope at site:
SEPTIC TANK: Manufacturer: Liquid Capacity:
Number of rings used:
g Tank manhole cover elevation:
Tank Inlet Elevation: Tank Outlet Elevation:
Number of feet from nearest Road: Front,Side,O Rear, O r
J�rgd feet
From nearest property 7ne Front,0 Side,o Rear,O � feet
r
Number of feet from: well building:
(Include this information of t above plot plan)( 2 reference dimensions to septic tank) —
SEE REVERSE SIDE
t
` s
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,Q Ft.
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: Trench:
a�
Width: l� Length: Number of Lines:_ Area Built;��_
Fill depth to top of pipe:
Number of feet from nearest property line: Front O Side, O Rear, Ft
Number of feet from well: _
Number of feet from building: Z
(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: fj�� � Plumber on job: :,
License Number:
;'y 3/84:mj
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS
JLABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O.BOX 7969 BUREAU OF PLUMBING
MADISON WI 53707
NE�4,SE�4,S30,T31N-R18W jjCONVENTIONAL ❑ALTERNATIVE IState Plan l.D.Number:
Town of Star Prairie Ill aeslgned)
❑Holding Tank ❑In-Ground Pressure ❑Mound
Lot 22 Crestview Addition
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: r
RR, Somerset, WI 54025 /�/- 0 41 G'U
BEN R ermanem reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REf.PT.ELEV..
Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number:
Calvin Powers Jr. 1563 St. Croix 106099
SEPTIC TANK/HOLDING TANK:
MANUFACTURER: LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER
A �^ P O OED: PROVIDED
O eitJCA/� ,2 S� f i fp C� / � YES ❑NO -]YES -T5�NO
BEDDING. VENT DIA.. VENT MATE: HIGH WATER INUMBER'OF ROAD. PROPERTY WELL: BUILDING. VENT TO FRESH
AIR INLET
"EARN. FEET FROM � �^ LINE: � ` ' _
DYES NO ❑YES O NEAREST
DOSING CHAMBER:
MANUFACTURER BEDDING. LIQUID CAPACITY PUMP MODEL. PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER
PROVIDED. PROVIDED:
[:]YES ❑NO ❑YES ❑NO DYES ONO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH
LINE AIR INLET
(DIFFERENCE BETWEEN FEET FROM
PUMP ON AND OFF) OYES ❑NO 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
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
WIDTH: LENGTH. NO.OF DISTR.PIPE SPACING COVER INSIDE CIA [PITS LIQUID
BED/TRENCH /► TRENCHES MATERIAL PIT DEPTH
DIMENSIONS ? 2_ /0 5 r S
GRAVEL DEPTH FILL DEPTH IDISTR PIPE DISTR.PIPE DISTR.PIPE MATERIAL NO IsTR. NUMBER OF PROPERTY WELL BUILDING. VENT I FRESH
BELOW PIPES ABOVE COVER. ELLE./V INLET ELEEV.END' '2 FEET I LI NEE V INLET]
E �0 rr l'T'�� lSr 1 L7 2-'7 NEARI ,t/ 2/y[
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 1:1 NO
SOIL COVER TE XTURE PERMANENT MARKERS OBSEH NATION WELLS
YES —IN ❑YES 1:1 NO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SMULCHED CENTER. EDGES ❑YES ❑NO ❑NO DYES ❑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 JMANIIOLD MATERIAL IN DISTR DISTR.PIPE DISTRIBUTION PIPE MATERIAL&M RKIN6
ELEV.. ELEV.. DIA, ELEV.. PIPES DIA:
ELEVATION AND
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED LANS
❑YES ONO 1-1 YES NO
COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS. NUMBER OF PROPERTY WELL: BUILDING-
FEET FROM LINE
3 ❑YES El NO DYES ONO INEAREST-
Sketch System on Retain in county file for audit.
Reverse Side.
SIGNATURE. 1l LE.'[
DILHR SBD 6710(R.01/82) Zoning Administrator
SANITARY PERMIT APPLICATION COUNTY
j DIL.HR rd with ILHR 83.05 Wis.Adm.Code ' Chix
U era In accord STATE SANITARY PERMIT#
&d99
—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 RNO
PROP TY OWNER PROPERTY LOCATION
'/a '/a, S T,?/, N, R e(Or
PROP RTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISIO N ME
CITY,STATE ZIP C DE PHONE NUMBER CITY NEAREST ROAD L KE OR LANDMARK
VILLAGE :
II. TYPE OF BUILDING OR USE SERVED:
Number of Bedrooms if 1 or 2 Family OR ❑ Public(Specify):
III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable)
1. a. 01 New b. ❑ 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. ❑Alternative C. ❑ Experimental
2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP
In-Fill Tan k
V. ABSORPTION SYSTEM INFORMATION: (Check one)
1. a. 0 seepage Bed b. ❑seepage Trench C. ❑See a e 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):
Feet Private ❑Joint ❑ Public
VI. TANK CAPACITY Site
in allons Total #of Prefab. Fiber- Exper.
INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks strutted
",oze �g- El 1 0 E] I H_ El
Se tic Tank or Hold ing Tank
Lift Pump Tank/Siphon Chamber ❑ ❑ ❑ ❑
VII. RESPONSIBILITY STATEMENT
I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans.
Plum er' Name(Pr' t): Plumber's Signatur :( o S ps) MP/MPRSW No.: Business Phone Number:
3 i
P umb is Address treet,City, ate,Zip Code: Name of Design r:
VIII. SOIL TEST INFORMATION
Certifi So' Tester(C )Name CST#
CST' RESS( reef,City, ate,Zip Code) Phone Number: /
3 - /
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee Groundwater ate Iss g Agent Signature(No Stamps)
VNApproved ❑ Owner Given Initial �.�sn charge Fee _ Q��
Adverse Determination W cb
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
APPLICATION
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 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:
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 Ground BtF
included the creation of surcharges (fees) for a number of regulated practices which Wisco Itl'$
can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried riaA u ift,
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.
a
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- f
water, groundwater contamination investigations and establishment of standards. Groundwater,
it's worth protecting.
9
SBD-6398(R.03/86)
I
APPLICATION FOR SANITARY PERMIT
STC - 100
his application form is to be completed in full and signdd by the owner(s) of the
roperty being developed. Any inadequacies will only result in delays of the permit
esuence. Should this development be intended for resale by owner/contractor, ("spec
ouse"), then a second form should be retained and completed when the property is
old and submitted to this office with the appropriate deed recording.
er of Property /3�re7L
Location of Property , _% _ ,S Z k, Section , T N-R l W
Township ,S':(4a( AkIleie- • _
Nailing Address __ " ,
Address of Site s ..AA&ZX,
Subdivision Nacre
Lot Number a�
Previous Owner of Property
Total Size of Parcel t` '19 ` Q rw3
Date Parcel was Created
Are all corners and lot lines identifiable? Yes No
Is this property being developed for resale (spec house) ? Yes _ _'X _ No
Volume -A5) 7 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 refer-
ences to a Certified Survey Map, the Certified Survey Map shall also be required.
PROPERTY OWNER CERTIFICATION
i W91 CPAti6y that atf, atatementrs on t1uA johm ane ticue to the bent o6 my (ouh)
in6o4mage; that , y -t (she) .the ownen( 06 the pnopehty descAibed in this
.in6o�ma,tion 6ovn, by v.ihtue o6 a wa><h.anty eed gecokded .in the O66.ice o6 the
COUn.ty Reg.iA.teh o6 Deeds ah Document No. 3 ; and that I (We)sun t�+e 0oposed site bon the sewage diApos em (on I (we) have obtained an
fdAc +en.t, to tun wkth the above deAcAtbed phopehty, 6o& the eonstAucUon o6 eatd
system, and the same haA been duty Reeohded Xn the 066tee o6 the County Reg.i.eteh 06
Vccde, ab Docrcrmen,t No. )
SIG? AT O-' SIGNATURE OF CO-OWNER (IF APPLICABLE)
DATE SIGNED DATE SIGNED
DOCUMENT N0. STATE BAR OF WISCONSIN FORM 2-1982 THIS SPACE RESERVED FOR RECORDING DATA
WARRANTY DEED
483 ,5 @ooK 81.E rE 5 REGISTER'S OFFICE
8T• CRQIX Cc,f �I
Charles E . Seaman and Renee M. Seaman , Rapfd far RarpF
JUN Is 1988
conveys and warrants to Robert L . Thell and Sharon Jo Of 11 -15 AM
The11 , hlahand and wife , as martial pr"erty
with rights of surviorship Rtoll►hrofDeeds
RETURN TO
the following described real estate in St C r o i X County,
State of wisconsi
Tax Parcel No:
of 22 , Crestview addition to the town of Star Prairie, S Croix
Gounty Wisc
This warranty deed is given in partial satisfaction of land
contract dated April 8 , 1988 , and recorded April 13 , 1988 in
Box 807 , page 499 , as Document No. 436167 , at office of the
Register of Deeds , St . Croix County , Wisconsin .
This is not homestead property.
(is) (is not)
Exception to Warranties: Easements of Record
Dated this _ First day of June 19 88
(SEAL) (SEAL)
l- , ? *- Charles E Seaman
(SEAL) 9"29 (SEAL)
• Renee M . Seamen
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN
SS.
ST e rc u 6�/ County. s T
1
authenticated this day of '19 Personally came before me this day of
,19—&-�'—the above nam d
t^ r, ri P S I7 -1 e c.. " v -',J I CL N
O &f Oe_ /1,1 S 'e C• WOO
TITLE:MEMBER STATE BAR OF WISCONSIN
(If not, to me krc�- ? be the r r�,.A;-; who executed the
authorized by§706.06,Wis.Slats.) f r o�rJ_edge the same.
THIS INSTRUMENT WAS DRAFTED BY
Acorn Realty, Inc .
245 Main Street Dennis FleischaueLr
Somerset , WI 54025 Notary Public S 7-0 !T_o 2 *
county,Wis.
(Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration
are not necessary.) date: D S P 42
'Names of persons signing in any capacity should be typed or printed below their signatures. NTF 2280
WARRANTY DEED STATE Form No. Wts 882 SIN Nelco Forms,P.O.Box 1075,Green Bay,WI 54305-1075
" -DEPARTMENT
U`s T Y, OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS
II'�{DlJSTRY, , CC DIVISION
HUMAN
LAB6AAND PERCOLATION TESTS (11J) MADISON WI 53707
(H63.09(1)&Chapter 145.045)
LOCATION- SECTION: �(or OTOWNSH I PIMUN IPALITY: LOT NO.:BLK. .: SUBDIVIS N NAME:
4
94 N/R/j COUNTY: OWNE 'S BUYER'S NAME: MAI LNG ADDRESS
USE DATES OBSERVATIONg'MADIt
NO.7MS.: C DESCRIPTION: (PROFILE DESCRIPTIONS:1PERCOLATION TESTS:
®Residence New , _RATING:S=Site suitable for system U=Site unsuitable for system l 7` d 7 D'
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYST :(optional)
[OS ❑U WS DU �XJS ❑U ❑S ®U OS MU
If Percolation Tests are NOT require DESIGN RATE: If any portion of the tested area is in the
under s.1-163.09(5)(b),indicate: Floodplain,indicate Floodplain elevation:
PROFILE DESCRIPTIONS 9 / S
BORINGI TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPT
NUMBER DEPTH rN, ELEVATION OBSERVED EST. CHEST TO BEDROCK IF OBSERVE (SEE ABBRV.ON BACK.)
AI lle�uS,t sd0r cvvc Yal, ,3-S, s,��'1
B- / -
B- 7
B- ,8A1p
B- > / , /-�
B- -
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER I AFTERSWELLING INTERVAL-MIN. PERIO 1 PERIOD 2 P EERINCH
P- 3 3, 3 112 '
P- 3 - D r I
P- 7.
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 plots _plan. Show the surface elevation at all borings and the direction and percent J
of land slope.
SYSTEM ELEVATION . _
bti�✓ ��z 1
� � E
- -0
1
. .,. _ _ ,__ tN
t _ l
t
t
0 ' ' J
_ _ _ I .I... - f {
/AD '
I,the undersigned, hereby certify that the soil tests re t on this form were made by me in accord with th procedures and methods specified in the Wisconsin
Administrative Code,and that the data recorded and the I ca ion of the tests are correct to the best of my knowledge and belief.
NAM (pri 1: TESTS W RE COMPLETED ON:
/
A S: CERTIFICATION MB PHONE NUMBER(optional):
_,,7 3
CS G TUR
DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester.
DILHR-SBD-6395 (R.02/82) —OVER —
w
INSTRUCTIONS FDIC COMPLETING FORM 115 - SBD - 6595
To be a cortaplete and accurate soil test,your report rnust include:
1. Cornplete legal descriptioli;
2. The use section must clearly indicate whether this is a residence or commercial project,
3. MAXIMUM nrimber of bedrooms or cofurnercial use planned,
4, Is this a never or replacement systern;
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;
d. PLEASE use the abbreviations shown here for vtii-iting profile descriptions and completing the plot plan;
7. MAKE A LEGIBLE diagram accurately Iocatinsl your test locations. Drawing to scale is preferred, A
sopat ate sheet may be used it desired
S Make, sure your benchmark and vertical elevation reference point are clearly shown,and are permanent;
9. C°oniplete all app!opriate boxes as to dates,names,addresses, flood plain data, percolation test exemp-
'00n, if appropriate;
10, 11 tho infoarnation (Such as flood plain,elevation)does not apply, place N.A.in the appropriate box;
i 1. Sign the for ni and place your current address and your certification number;
12. fvlake legible coples and distribute as required. ALL SOIL TESTS MUST BE FILED 'ITH THE
LOCAL AL THORITY WITHIN 30 DAYS OF COMPLETION.
ABBREVIATIONS FOR CERTIFIED SOIL TESTERS
%oil Separates and Textures Other Symbols
st. — Stony (over 10") BR — BeArock
cob is•:!)Nc i,3- 10") SS Sand:ton
gi .. Grrvel (under 3„) LS — Linnestone
�s .Stand HGW — High Grc>rrradvvater
c'; -_- { oaisi? sand Peic .... P rcolatio n Ra°e
kWdiurn Sand VV `x'1'3;11
f s' Fine Sand B'dq Building
'-w ay Sand Greater Than
Sl - Sandy Loam Less Than
Silt Lour,, BI r31,"Ck'
cf _ Clay Loam 1' __ 7o=rovt
scl ..
R
sic= -- Silty Clay Loam mot - Mottle;
s,; - Q,:,,,(I v Clay w ; - wr,=t1;
, .-. Silty Clay flt - fe v' tine faint
t'I<9' ;t; _ cc rtrr acrr,coal
pt Pe nom Nflany, m0diutla
n- _. N!urik of - distinct
h — prominent
HVVL - I-iigh.vwater level,
Six general sail texture's surface water
for lirlirid !vzme disposal BM — Bench Mark
VRP Vertical Reference Point
TO THE OWNER:
This sail test report is the first step in securing a sanitary permit. The county or the Department may request
verification of this soil test in the field prior to permit issuance, A complete set of plans for the private
sevvage system and a permit application must be submitted to the appropriate local authority in order to
obtain a permit. 1'"ore sanitary hermit must be obtained and posted prior to the start of any cone truction.
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STC - 105 r"
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SEPTIC TANK MAINTENANCE AGREEMENT o
St . Croix County z
ty
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OWNER/BUYER
ROUTE/BOX NUMBER 4n. Fire Number.
CITY/STATE � �n�R°S� ��►J ZIP �S �
PROPERTY LOCATION : 5? _�4, Section _-7?,�) , T _N , R_,/f W,
Town of _, St . Croix County ,
Subdivision �� �/, �J , Lot number`.
I
Improper use and maintenance of your septic system could result in
its premature failure to handle wastes . Proper maintenance con-
sists 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 treat-
ment stage in the waste disposal system.
St . Croix. County residents may be eligible to receive a grant for
a maximum of 60% 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 veri-
fying that (1) the on-site wastewater disposal system is in proper
operating condition and (2) after inspection and pumping ( if nec-
essary) , the septic 'tank is less than 1/3 full of sludge and scum.
Certification form will be sent approximately 30 days prior to
H
three year expiration . o
L
I/WE, the undersigned , have read the above requirements and agree L,
to maintain the private sewage disposal system in accordance with H
the standards set forth , herein, as set by the Wisconsin Depart- b
ment 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 .
SIGN
Ij
DATE
St . Croix County Zoning Office
P .O. Box 98-
Hammond , WI 54015
715-796-2239 or 715-425-8363
Sign , date and return to above address .
F 1 NANCE, BU I LD 1 NG & BOLD OOMM I TTEE
October 3, Y 1989 Count Board Office
Members r�esen�t: Chair Paul Swenby, Betty Evjen, Milton Meinke,
Ri y
— c ard eta erson and Byron Spalding. `' " �~Staff present :present : County Clerk Jill Berke , Administrative
Coordinator 7o din Krizek, Chief Accountant /Auditor Rich Loney,
and Personnel Director Debra Kathan .
Meeting called to order by Chair Swenby. Motion by Evjen, 2nd by
Peterson to approve the agenda. Motion carried. Motion b
PP 9 Y
Meinke, 2nd by Evjen to approve the minutes of the September 8th
and September 12th meetings . Motion carried .
t�Budget Review: Administrative Coordinator Krizek indicated that
evenue for the proposed 1990 budget is $ 18, 548,704, an
increase of 2. 5%; expenses proposed to be $27 , 131 , 553 , an
increase of 5.9%. With current f i gures , the mi I I rate would be
5.68, as compared to 5.56 in the current year. He indicated that
h i s goal would be to reduce the budget to the some mi I I rate as
1989.
New positions were reviewed. Krizek requested consideration for
a new position of Administrative Assistant in his office, in the
amount of approximately $ 16 , 000. He discussed the option of
placing this person in the corridor outside his office. The job
description was also distributed and discussed. Motion by
Peterson, 2nd by Meinke to approve the position of Administrative
Assistant , a non-union position , after review by the Personnel
Committee; with final approval by the County Board on 10/ 10, and
effective date soon after the session . Motion carried .
Clerk of Court requested three additional positions in 1990.
Personnel Director Kathan presented a handout of the office
staffing pattern. She suggested the option of increasing all
office personnel to a 40-hour work week. Evjen talked with Clerk
of Court Kobylarczyk, who indicated that two of the limited term
employees\ will be finished with their projects soon. Motion by
Evjen , 2nd by Peterson to increase the union employees working
hours from 35 to 40 for key positions ; to increase the office
computerization; and to put additional money in the contingency
fund for limited term employees as needed .
Discussion. Kathan indicated that there still may be a need for
1 -2 fulItime positions , as there will be alot of data entry work.
Krizek suggested that the data entry work be scheduled for
afternoons and evenings and be supervised by the data processing
staff. He indicated that there is $30,000 in the 1990 budget for
LTE positions . Motion carried .
Data Processing requested two additional positions. A prograrrmer
with fringes would be $27 ,465; user support position would be
$29,388. The new positions would allow a concentrated work
effort with the Clerk of Court office and the law enforcement
systems . Motion by Evjen , 2nd by Peterson to approve the two
data processing p ositions, and to recommend to Personnel . Motion
carried .
County Clerk requested that in addition to the first deputy
position , one second deputy osition remain in the office wi.ikh.
the upgrade of one LTE position to fuIItime in the current budget
ear . Krizek recommended one deputy in addition to the
Y P Y First
Deputy until the end of the year , with a reduction to .5 plus the
First Deputy in 1990. Berke indicated that reducing the current
staff would reduce efficiency and services , noting that the
former County Clerk staff worked excessive overtime hours , and
therefore justifying the staffing request.
Discussion regarding the requirement of the County Clerk's office
to sell sports licenses. Berke indicated that she thinks this is
statutory. Motion by Meinke, 2nd by Spalding to retain the
current staffing level in the County Clerk's office , namely a
First Deputy, Second Deputy and 40-hour LTE, unt i I the f i rst of
the year , wi th an eva 1 uat ion to occur at that t ime ;
recommendation to be referred to Personnel . Motion carried.
Kathan reviewed other requests as recommended by Personnel :
Public Health Nutritionist (not approved); Legal Secretary-
Circuit Court , approved; Legal Secretary-District Attorney's
office, approved; Corporation Counsel , Assistant Corp Counsel and
Legal Secretary , approved by County Board ; Veteran's Service
Clerk (not approved); Court Office Clerk-Sheriff 's Department
(not approved in current request form, but referred back to
Public Protection for possible redrafting); Investigator-
Sheriff 's Dept ., approved (may be shared with Polk County) ;
Assistant Zoning Administrator-Zoning Office, approved after
evaluation of the office is completed; In-Home Family Therapist-
Health Center , approved; KIP worker , approved; Social Services
Aide and Social Worker (not approved at this time) .
In addition, Krizek noted that the Waste Management Committee is
considering a position of Solid Waste Coordinator in the upcoming
budget .
Review ofd the budget summary followed . Krizek reviewed the
anticipated revenues for 1990. Increase made in the County
Clerk's fees from $3500 to $5000. Discussion regarding the
use of lapsing and non- lapsing funds . Loney and he to study
further , in an effort to reduce the number of non- lapsing budgets .
A review of the anticipated revenues fo I lowed , with a total of
$27,216,248. Administrative Coordinator Krizek suggested that he
and Accountant /Auditor Loney reassess the revenues and ask
departments to reduce each �
budget .7 of 1% in order to reduce
the total budget to the same level as the current year ' s budget .
9
Motion by Meinke , 2nd by Spalding to accept the budgets as
presented . Motion carried .
Motion by Peterson, 2nd by Spalding to adjourn. Motion carried,
and meeting adjourned at 12: 30.
Respectfully submitted ,
Betty Lvjen , 'Secretary
BE: j b
3
PAGE OF
CrC.) SS � `� � It) t, o � /-� Zcl) SyJers-,
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/ Fresh Air Iniels And Observation Pipe
Approved Vent Cap
Minimum 12"Above
Final Geode
20-42"Above Pips _w Cost Iron
To Final Grade Vent Pipe
Marsh Noy Or Synthetic Covering
Mtn 2'Aggregate
Over Pipe
Distribution —Tee
pipe 0 0 0 0 0
Aggregate
Beneath Pipe —Perforated Pipe Below
Be
o Coupling Terminating At
Bottom Of System
SOIL FILL
DISTIi1BUT101.1 PIPE
APPROVED ,S4MP4ETIC COVER
MATEiiI^� OR 9" OF STRAW
2"OF MG9EGAIE -�I OR MARSH NAy
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� 1p, to'OF��2—ZI/2 AGGREGATE �� 'v
'LLEV. OF02 FEET,
DISTRIP_tJTIOW PIPE TO BE AT LF_AS"Tc2,2 IUCHES BELOW ORIGIUAL GRADE
AUU AT LEASTZO IUCHES BUT 1.10 MORE THAIJ 42 IMCNES BELOW FII•JAL GRADE
MAXIMUM DEPTH OF €XCAVATico FKoM OWINAL (MAK WILL BE IAICHES
M141M1UM pEPT'H OF EXCAVATIOM FROM 0IKI61ygL GRAPE WILL BE INCHES
SIGHED:
LICENSE AJUMBER: — /I���
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DATE : 7 �(,
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State of Wisconsin
Department of Agriculture, Trade & Consumer Protection P.O. e tfBadger Read
Howard C. Richards _ Madison, WI 53708
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Secretary p
September 29, 1989
G 'T061989
Mr. Thomas G. Koester "'tip' PERMANENT FILE NO. 16976
CEDAR CORPORATION
604 Wilson Avenue
Menomonie, Wisconsin 54751
Subject: FOURTH ADDITION TO
DERRICK'S PINE BLUFF ADDITION
NE 1/4 S 2 T30N R18W
City of New Richmond, St. Croix County
Dear Mr. Kuester:
We have examined the above-named final plat. The Department of Agriculture, Trade and
Consumer Protection must object to this final plat because it does not fully comply with
the following provisions of Chapter 236 of the Wisconsin Statutes:
s. 236.15 (2) We find the ratio of error in the latitude and departure closure of
the exterior; the block containing lots 45-53; lot 47; the block
containing lots 62-103; lots 62, 70, 74, 76, 77, 78, 90, 95, 99,
outlot 3; and, the metes and bounds description in the Surveyor's
Certificate to be greater than 1'/30001 , as evidenced by the copy of
our computations enclosed.
s. 236.20 (2) (b) In the Legend, 111- set 3/4" x 24" Re-rod weighing 1.502 lbs./l.f. "
must be changed to "-L set 3/4" x 24" Re-rod weighing 1.502 lbs./l.f.
at all other lot corners" .
s. 236.20 (2) (c) The north line of lots 47-53, shown as 653.28' , totals 651.85' .
The south line of lots 62-68, shown as 659.28' , totals 657.43' .
The length along the line common to lots 76 and 77 must be shown.
The total length of the east line of lot 95 must be shown.
The exterior boundary bearing south of outlot 3 is obviously
incorrect.
The east lines of lots 76 and 77 do not scale the lengths shown.
According to the metes and bounds description of the Surveyor's
Certificate, the west line of lot 45 and the public street was
recorded as 293.29' and must be so noted on the plat drawing.
0338
Page 2
Mr. Thomas G. Kuester
FOURTH ADDITION TO
DERRICK'S PINE BLUFF ADDITION
September 29, 1989
s. 236.20 (2) (e) Lots are not consecutively numbered within each block. When lots are
renumbered on the plat drawing, corresponding changes will also be
necessary in the curve table.
s. 236.20 (2) (j) The square foot area of lots 46, 62, 68, 76, 77, 82, 96, 97, 98, 100,
and 101 will not compute as shown.
s. 236.20 (2) (k) As noted on the enclosed copy of our computations, data for several
curves do not compute to values shown.
The "recorded as" data for curve 1-2 (curve 13-14 on FIRST ADDITION TO
DERRICK'S PINE BLUFF ADDITION) must also be shown.
s. 236.20 (3) (b) In addition to the east quarter corner, either the northeast corner or
center corner of Section 2 must be shown, monumentation at that point
described, and the bearing and distance between it and the east
quarter corner delineated.
s. 236.20 (3) (a) The description under the subdivision name on Sheet 2 must also
include "the SE 1/4 of the NE 1/4" of Section 2.
s. 236.20 (3) (d) and (e) Southwest of lots 98 & 99, the platted status of the small
parcel of abutting lands between this plat and RUSTIC RIDGE
CONDOMINIUM PLAT must be shown and underscored in dashed lines.
All abutting subdivision names and "unplatted lands" notations must be
underscored in dashed lines.
North of lot 63, abutting "Lot 1 SECOND ADDITION TO DERRICK'S PINE
BLUFF ADDITION" must be changed to "Lot 41 " .
s. 236.21 (1) Both sheets of the plat must be dated near your seal and signature.
In addition, after completion of the necessary corrections, a revision
date, "Revised this day of , 19 . " , must be placed
near the land surveyor's seal and signature on the revised sheets of
the plat.
The following item is not objectionable, but was noticed during our review of the plat:
- In the various certificates on Sheet 2, the name of this subdivision should be shown as
"FOURTH ADDITION TO DERRICK'S PINE BLUFF ADDITION" .
0338
Page 3
Mr. Thomas G. Kuester
FOURTH ADDITION TO
DERRICK'S PINE BLUFF ADDITION
September 29, 1989
Since objections have been made to this plat, a resubmittal is necessary. The City of New
Richmond shall not inscribe its approval on the plat prior to a written certification of
no objection by this office and St. Croix County Zoning. A fully executed "Request For
Land Subdivision Plat Review" form and the correct review fee must accompany the
resubmittal.
Sincerely,
anne A. Storm, Supervisor
l Review Unit (J/
JAS:mas
Enc: Original, Marked Print, Closure and Curve Comps.
cc: Clerk, City of New Richmond
St. Croix County Zoning
Derrick Construction, Inc. , Owner
ORIGINAL DRAWING RECEIVED FROM SURVEYOR ON 9/1/89; REVIEWED BY DATCP ON 9/29/89.
NOTE TO SURVEYOR: In cases where the re-review of a final plat is required, the
Department, as a matter of policy, intends to waive part of the review fee to reflect the
amount of staff time required on the resubmittal. Contact this office by phone or letter
to negotiate a partial fee waiver for this plat.