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HomeMy WebLinkAbout012-1024-60-100 g~ - yca h I~,[ C St. Croix County Planning and Zoning Friday, February 02, 200 7 at 4.48:56 PM Page 1 of I Detail Sanitary Information Computer 012-102460.100 Sub/Plat: NA Section: 9 Parcel 09.30.17.130D Lot: 1 TNIRNG: T30N R17W Municipality: Erin Prairie, Tam of CSM: Vol. 06 Pg.1703 114114: NW 114 NW 114 Owner: Wasilensky, Thomas 1729 170th Ave. New Richmond, WI 54017 Dispersal: Non-Pressurized In-ground Permit: New State Permit: 88391 Issuedff TS Detall: Bed- Seepage Bedrooms: 3 WI Fund: County Permit: 0 Install986 P W WTS Pretreatment: NA Notes Issuerllnsoeetor As Built Plumber Other Requirements Additional Notes Money Owed Harold Barber Yes Steel, Gary L. data from notecard & deeds $0.00 Tom Nelson Signed Off: No Maintenance Scheduled Pumo Date Pum 1 st Notification 2nd Notification 3rd Notification 101312006 - - - - - - - - - - - - - - - - - - - - - - - - - - ©~~-~oa~ loaad WASILENSKY, THOMAS NW NW, Section 9 * /~~cJ /7,0 T30N-R17W. /a9C,/30/> New Richmond, WI 54017 Town of Erin P¢ai.rie i I i i San.Permit#88391 10-3-86 G. Steel Conventional, New INSTALLED 11-3-86 i c~ Form- S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER S S +'/?C#-9 NSHIP r~ j E SEC. T 3d N-R_1,;7 W ADDRESS • ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT - LOT SIZE U- PLAN VIEW Distances and dimensions to meet requirements of 11HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM TV, 14ous~ o~ ~i INDICATE N RTH ARROW Describe the vertical reference point used BENCHMARK: Elevation of vertical reference point: Proposed slope at site: SEPTIC TANK: Manufacturer: Liquid Capacity: 6 (w® Number of rings used: Tank manhole cover elevation:. Tank Inlet Elev tion: Tank Outlet Elevation: Number of feet from nearest Road: Front,2Side 0 Rear, O feet .From nearest property line Front 10 Side 0Rear, 0 feet Number of feet from: well - T building: SEE REVERSE SIDE septic tank) (Include this information of the above plot plan) ( 2 reference PUMP CHAMBER Manufacturer: Liquid Capa y: Pump Model: Pump/Siphon Ma acturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet rom 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: C Z ' Width: Length: 75 Number of Lines: Z Area Built: Fill depth to top of pipe: .36 to, Number of feet from nearest property line: Front, O Side, Rear,0 Pt 61 Number of feet from well:_ r. Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: Number pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either drop box O or distribution box been us on any of the above soil absorb on sytems? (Check one). O HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet fr nearest property line: Front, O Side, O Rear, n Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: c Inspector: Dated: Plumber on job- 4 License Number: T 3/84:mj 'ARTMENT Orr INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS WR * HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION . BOX 7969 BUREAU OF PLUMBING DISON, WI 53707 CONVENTIONAL ❑ALTERNATIVE StateMan1.D.Numt- Ili a mntlA) ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NE OF PERMIT HOLDER. JADDRESS OF PERMIT HOLDER. INSPECTION DATE Thomas Wasilensk Rt. 3, New Richmond, WI 54017 ICH MARK IPermanam rafrrant:e pornd DESCRIBE IF DIFFERENT FROM PLAN REF. PT. ELEV.' C51 REF. T ELEV NW NW Section 9, T30N-R17W, Town of Erin Prairie Plunder. MPIMPRSW No.. County' Ssnttary mm~ Numlxr: I, I Gar Steel 3254 St. Croix 88391 'TIC TANK/HOLDING TANK: NUFACTUR LIOVIDcAP ITY TANKINLETELEV. TANK OUTLET ELEV WARNING LABEL LOCKING COVER / 172 ' G(; PROVIDED PROVIDED a YES ❑NO ❑YES WNO (DING. VENT DIA. VENT MAIL. 111tH W NUMBER OF 47 ROAD: PROPERTY WELL BVILUING VENT O F H / ALARM FEET FROM / LINEI,~ AIR INLET 3YES :~NO \ ❑YES NO NEAREST YY SING CHAMBER: NUFAC URER BEUUING ILIQUIOCAPAC11Y PUMP MODEL PUMP. SIPHON MANUFACTURER WARNING LABEL ILOCKNGCOVER IPROVIDED PROVIDED ❑YES ONO ❑YES ONO ❑YES LINO I LLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL N R JPIIIII 1111v WELL RUIIDIN(i VENT l f1 ,1l IFFERENCE BETWEEN T LINE AIR INIFI IMP ON AND OFF) ❑YES ONO EAREST IL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE I E N6114 IMANII l Ili 1/A I1111,11 AND IIIARKINt. excavation, (if soil can be rolled into a wire, construction shall cease until MAIN soil is dry enough to continue.) NVENTIONAL SYSTEM: _ WIDTH LEND H N n UISIR PIPE SPACING V IINSIOI DIA ><pits LI0l11U 3ED/TRENCH 714ENPIFS L of MATERIAL: PIT 1'EP1" )IMENSIONS J T V U Ill U P II UIS If PI'f UISTH PIPE ISTR. I MATERIAL NO 04SIR NUMBER OF ROPER IV WELL RUILIEING VENT TI/1111. 1 .OWPIPES, t/ AET(3 COVER I I I V INII1 ELEV ENO PIPES FEET FROM .LINE AIRR.L.IT r .YD NEAREST-s• IUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it . ON REVERSE SIDE, SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. OYES ❑NO. LC VER lit XIil"t PE NMANt NT MARMI 1 1111114 IIVA 111 IN WI I IS If ❑YES ❑NO DYES LINO PTII OVER TRENCII B(I) DE PI FI OVF 14 TR CH E) 1)EPIROF TOPSOIL 711) St1 Ul U (it (JO U LATER EIx;fs - - ' OYES ❑NO DYES -1-1 NO OYES FIND IESSURIZED DISTRIBUTION SYSTEM: _ WIDTH ILEN6114 NO.OF LATERAL SPACINti JRAVEL Uf Pl// NI LOW PIPE 111 L DEPTH AHOY COVE H BED/TRENCH TRENCHES DIMENSIONS MANIFOI.0 PUMP MANIF ill 1) UISIR PIPE IM4NI ULUM EItIAI Nil RISIll 71t;)II 1 II LEVATION AND ELEV LEV DIA ELEVPIPES TA i1FORMA AMARMINt. 137RATIONTIQN HOLE SIZE HOLE SPALIN(i tiMuc55m EliY COVER MATERIAL VERTICAL I U T CUHHFSI'UNUS IOAPPIIUVIO PLANS Y ONO OYES CI NO ►MMENTS: Pu AN N MANKERS, OBSERVATION WELLS. NUMBER OF III.I RTV WELL BUILDING FEET FROM LINE - ❑YES ❑NO I Elver--Z NO NEAREST_ _ l 1 :etch System on >161n in county file for audit. tverse Side. ' SIGNATURE J ILHR SBD 67101R. 01/82) 701L SANITARY PERMIT APPLICATION COUNTY- HR In accord with ILHR 83.05, Wis. Adm. Code STATE d ANITARY 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 itches in size. -See ieverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑ YES ❑ NO P PERTY OWNER PROPERTY LOCATION 4 W ~n t '/a S / T3O , N, R /7 AE (or) W PjaERTY OWNER'S MAILING DRESS LOT NUMBER BSUBDIVISIO IAA E A)IW 16 C T S ZIP CODE PHONE NUMBER CITY NEAREST ROAD, LAKE OR LANDMARK VILLAGE : 1 h l ~1 II. TYPE OF BUILDING OR USE SERVED: . /W. ©!a _ /Uo? ( ,'760 _/06 Number of Bedrooms if 1 or 2 Family ' 3 ORE] Public (Specify): ~I Ill. PURPOSE OF APPLICATION: (Check only one in #1. Check # 2,3 or 4, if applicable) 1. a. 9 New b. E1 Replacement c. ❑ Replacement of d. E1 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.0 Pit Privy d. ❑ Vault Privy e. ❑ Mound I. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. ❑ seepage Bed b. SSee a e Trench c. ❑ seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): Q 04 93 "O8 C %750 / ~ Feet Q Private ❑ Joint ❑ Public VI. TANK CAPACITY Site in gallons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New xisting Gallons Tanks Concrete structed glass App. Tanks Tanks Septic Tank or Holdin Tank ~B A d $ C& n f A P f& El F-1 Lift Pump Tank/Si hon Chamber ❑ ❑ VII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for instal tion of the private sewage system shown on the attached plans. Plum er's Name (Print): 1/~ Plumb ignature: ( St ps) rkWi-MPRSW No.: Business Phone Number: TG e + l J _X~ - Q 32 J-4 1 PI►~pber's Address (Street, City, State, ip e): Name of Designer: i i )&71;_~) U VIII. SOIL TEST INFORMATION Ce • ' d Soil Tester (CST) Name CST # ca s~ 4-66 1 z z CS ADDRES (Street, City, State, ziCC:d Ph one Number: S"?Qc _ A) &_:,Z) , ya rizy d, tD 15 V-4, ek IX. COUNTY/DEPARTMENT USE ONLY A ❑ Disapproved nitary Permit Fee Gr undwater ate issuing Agent Signature Stamps) Approved El Owner Given Initial c arge e _2 4 I Determination 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 ptm'per whenever necessary, 'usually every 2..ta~3.Xears; 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: 1. 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; Vlll. 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'/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; 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, 1994,'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 r,..- result of over ,2 years of steady negotiation and public deflate. The groundwater' bill Groundy atar - included the creation of surcharges (fees) for a number of regulated practices which Wisco tars a can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasure 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.` `r ~^e monies collected through these surcharges are credited to the groundwater fund aJminis- lered by the Department of Natural Resources. These funds are used for monitoring ground- t -water, groundwater contamination investigations and establishment of standards. Groundwater, i°,'s worth protecting. SBD-6398 (R.03/86) 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/contractpr•,("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. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ltd v'~S C? 1n S 3C__r____ Owner of Property -+,~N&yn 4S -4- cg6 `l ` 8- Location of Property 14 $3 U) Section , T 3 a N - R W Township ~r• % h I. Mailing Address' 3 ~ 1n7 ~n rn 8~v~- ~ Subdivision Name I(-~ Lot Number NJ A . L Previous Owner of Property lid Total Size of Parcel IPA 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 and Page Number 6-OQ as.recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: 1. Warranty Deed 2. Land Contract 3.• Other recordings filed with the Register of Deeds Office .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 the Certified Survey Map shall also be required. PROPERTV OWNER CERTIFICATION I (We) eeAti.by that att etatement6 on thiA borim axe txue to the beet ob my (ou,0 knowledge; that I (we) am (ane) the ownexje) ob the pnopeAty deech i,bed in thiA inboxmati,on bonm, by viAtue ob a wauanty deed xecoxded in the Obbice ob the County Reg,ietex ob Deede u Document No. / 73A / ; and that I (we) pxeeentty own the pupoeed 6 i to bon the 6ewa.ge poe57-eyetem lox I (we) have obtained an eaeement, to xun with the above debehi.bed pxopen ty, box the condtxucti.on ob ea.id aye em, and the name has been duty xeeoxded in the Obb.i,ee ob the County RegiAtex o De Document No. se /Zm k- Q SIGNATU 0 OWNER GNATURE OF CO-OWNER ( APPLICABLE) DATE SIGNED DATE SIGNED H z H a ST C- 105 r a y SEPTIC TANK MAINTENANCE AGREEMENT c St. Croix County z d a OWNS BUYS A~Y►r9 S ♦~c~-~eC~ ~~lJ 5 = I_e,~ Sys M ROUTE/BOX NUMBER Fire Number .CITY/STATE-[/V0,1 rn ZIP ¢-d 17 PROPERTY LOCATION:_~_W_]%, Section, T_1ZN, R /'7 W, Town of 69 ,9.7AL~ d_ , St. Croix County, Subdivision Lot number. 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 pdt 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 three year expiration. H I/WE, the undersigned, have read the above requirements and agree z to maintain the private sewage disposal system in accordance with x 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 Off:Lpe wi hin 30 days of the three year expiration date. SIGNED 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. DEPARTMENT OF 04EPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DIVISION INDUSTRY, P.O. BOX 7969 LABOR AND PERCOLATION TESTS (115) MADISON, WI 53707 HUMAN RELATIONS (H63.0911) & Chapter 145.045) LOCATIONSECTION: TOWNSHIP! TY: LO NO.:BLK. NO.: SUB DIVIS ON NAME: %61/4 .7 /T.400/11171(or)WI I r rI COUN Y: OWNER'S U ER NAME: t IMA ILING~A~yDD~R/ESS: m ~rFr S 1 s f r' C' f USE y DATES OBSERVATIONS MADE NO. BED IMS.: COMMERCIAL DESCRIPTION: % New S TIONS: PERCOLATION TESTS: Residence {C~New ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: IMOUND: cIN-GROUND PRESSURE: S STEM-IN-FILL OLDING TANK: RECOM ED SYSTEM:(optional) (9 S ❑U OU ~ ❑U S ❑U ❑S U ❑S U @neh If Percolation Tests are NOT required DESIGN TE: If any portion of the tested area is in the under s.H63.09(5) (b), indicate: 14 Floodplain, indicate Floodplain elevation: ;P4747=. _1d _ PROFILE DESCRIPTIONS BORING TOTAL Jf_ PTH TO R UNDWATER-INCHES CHARACTER OF S IL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH HEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) NUMBER geloy"91N, ELEVATION OBSERVE ST. HIG to j -I, 1 i s'~~ ~t, $ ,,L, B- l Oro qcg '4 00 A) S B- N ri )0 fJ / / 5,5 IFIr- f -1 ~12? ol. BOAS/ it PERCOLATION TESTS TEST DEPTH, WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER 1iaCRM AFTERSWELLING INTERVAL-MIN. PERIOD I PERIOD 2 P PER INCH P_ 1 3.- 40 .3d 0Z Z ? V- Z-4-0 E0 P_ 00 -'CJ jVA Pi O ar 7 P_ ° G ;;P F4- Me ` P-_ P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION"" P C_ <,,a i ~ 1 TT- I ____I N S . E . I, the undersigned, hereby certify that the s Z eported 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: ADDRESS CERTIFICATION NUMBER: PHONE NUMBER (optional): CST SIGN U 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 this is a residence-or comrpercia# project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; . 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; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate sheet may be used if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all appropriate boxes as to dates, names, addresses, flood plain data, percolation test exemp- tion, if appropriate; 10, If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11`. Sign the form and place your current address and your certification number; 12. Make legible copies and distribute as required. ALL. SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 10") BR - Bedrock cob - Cobble (3 - 10") SS - Sandstone gr - Gravel (under 3") LS - Limestone *s - Sand HGW - High Groundwater cs - Coarse Sand Perc - Percolation Rate med s - Medium Sand W - Well fs - Fine Sand Bldg - Building Is - Loamy Sand > - Greater Than *sl - Sandy Loarn < - Less Than *1 - Loam Bn - Brown *sil - Silt Loam BI Black si - Silt Gy - Gray *ci - Clay Loam Y Yellow scl - Sandy Clay Loam R Red sicl - Silty Clay Loam mot - Mottles so - Sandy Clay wl - with sic - Silty Clay fff - few, fine, faint *c - Clay cc - common, coarse y pt - Peat mm - Many, medium m Muck d - distinct p - prornmerot HWL - High water level, Six general soil textures' ~ surface water for liquid waste disposal BM - Bench Mark VRP - Vertical Reference Point t TO THE OWNER: ii report is the firs s' in securing a sanitary permit. The county or the D(. !meat may request ^f this soil 1 prior to permii ~s A ~t Is he private ~n anda per, must be submitt:: Kcal order to ok; r a ,it. The sanitary a ;t be obtained and 1 to z' ~ t of (9"e E- W,q s ; 6 ISKy A)GJ,I4 /J '14µ .5, 9 OZ, 17 .~-r t 4 w gs r-~'1 ' v t vi 62vi VIP a( ~ looo~ ` 56 a}' c / .Y Alo c~ I-Ft~ t )P.1 pe- (j)1M 4.7" CV Q- f 9 3 ~ ~ 6 r I I aZ7 ~L 47- bps 1~o-rr~, r ,g p. nvcK 95 0 A) 5 4-0 `7 /I~/~/~s uJ .3~ syc z`HR 92 . 04 (4) (f ) 1 6 2 WAC BUILDING SEWER / EFFLUENT LINL BEDDING ` INITIAL BACKFILL - well tamped sand, gravel, crushed , stone or nonorganic excavated material that is small- ` _ er than 1 inch diameter. BEDDING - sand, gravel. washed atone or crushed stone • bedding smaller than 3/4 inch diameter for plastic pipe or 1/2 inch diameter for cast iron pipe. 12" __3 01 \ - - - 3 or 12" 3 3 \ (A) (B) (C) (A) Concrete. clay, bituminous fiber, asbestos-cement or plastic pipe that is not installed on sand. (B) - Cast iron soil pipe installed where stones larger than one inch exist or where bedrock is encountered. (C) Plastic pipe installed on sand or cast iron pipe not installed on bedrock or where stones larger than one inch exist. Three inches of backfill is required over cast iron pipe and 12 inches backfill is required over plastic pipe. Note: 82.04(4)(a), WAC. Building sewers shall, where possible, have a 1/4 inch slope per foot. In no came shall there be a slope of leas than 1/8 inch per foot nor more than 1/2 inch per foot. Changes in elevation of more than 1/2 inch per foot.shall be made ,by the use of 45 degree fittings. 82.04(4) (b) , WAC. Building sewer / effluent lines that terminate in a septic tank or soil absorption field shall not be less than 18 inches from top of pipe to finished grade. Parcel 012-1024-60-100 02/02/2007 04:43 PM PAGE 1 OF 1 Alt. Parcel 9.30.17.129C.130D 012 - TOWN OF ERIN 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 - DEMULLING, JOYCE A JOYCE A DEMULLING 1729 170TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 1729 170TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 2.620 Plat: N/A-NOT AVAILABLE SEC 9 T30N R1 7W N1/2 NW1/4 2.62AC LOT 1 Block/Condo Bldg: CSM 6/1703 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 09-30N-17W Notes: Parcel History: Date Doc # Vol/Page Type 11/03/2006 838058 QC 07/23/1997 754/500 2006 SUMMARY Bill Fair Market Value: Assessed with: 155780 174,000 Valuations: Last Changed: 11/07/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.720 39,300 131,000 170,300 NO Totals for 2006: General Property 1.720 39,300 131,000 170,300 Woodland 0.000 0 0 Totals for 2005: General Property 1.720 39,300 131,000 170,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 133 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 V M CERTIFIED SURVEY MAP LOCATED IN PART OF THE NJ OF THE NW} OF SECTION 9, T30N, R17W, APPROVED TOWN OF ERIN PRAIRIE, ST. CROIX COUNTY, WISCONSIN + SEP u 3 1986 Rid@D OWNER ST. CROIX COUfvTY SEPJO 198E tat Hellen Demulling COMPREHENSIVE PARKS PLANNING am O►/0lt~~ Rt. 1 010 ZONING COMMITTEE b~ 0606 Star Prairie, Wi. 54026 a OmM ~M►r MRtimoi NW CORNER 8 N } CORNER 9-30-17 9-30-17 COUNTY MONUMENT III IRON PIPE Olt NORTH LINE OF THE NW S ~Iw N8604914511E 929.181 1681.001 ***NOTE*** Unable to set stakes along road R/W due to limestone bluff. N o o o- W w ca C" $*y N c ce :c CD n j 1d`~ ~w6 `4✓ TOWN ROAD to r+ (170th Ave.) r.' ~ 'o y0 1 s ec*p LOT 1 CPv-# ;~?o ~0 114,085 sq. ft.) SCALE IN FEET ~`O 2.62 ac. )INCLUDING R/W tv PON '0 100 50 0 100 \100. F, 105,077 sq. ft.) 2.41 ac. )EXCLUDING R/W 70, uo CENTERLINE CURVE DATA R - 282.511 0 - 09030102° of C8 - S530431501114 C - 46.791 \°e~ L - 46.841 N TAN OUT - S580281.511-14 6~ Op owe ~ea ,aaas RIGHT-OF-WAY CURVE DATA R - 315.511 ~aQLa - 09030102° CB N53043 1 5011E C - 52.261 LEGEND L - 52.321 TAN IN - N5802815111E O 1" x 2411 iron pipe weighing 1.68 lbs per linear foot, set. TAN OUT- N4805814911E Volume 6 Page 1703 this instrument drafted by Douglas Zahler job no. 86-33