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HomeMy WebLinkAbout034-1083-95-025 n (n O g -0 n o d 3 r* (D -a c , I CD C CD ` 1 cn UT Z ° p v a °W • ~ Sy N N N 0 O N A N O O O @ (b COO "O _ I~ O O- Q Q~z N O) (D O p 0 Du CD W W O (D - Co N N O. N SD N O O_ cT 0 'S O C(D O C: -0(D (D (D n S O D O 3 O O :E N (n 3 :3 cn p GI CD N CD _ (D (D Q O N Q N c C W J 3 ° A i Co 00 D < CD 00 co cfl co m n .fir. c N Cn 01 s_ (n -u -0 'U 07 !~I• 3. N A W = Er 0 ? O c° CD G] fD (A J III J O N (D d. (D N CD O N o Z Z v O AZ O N D m O rn ° C) cn C~ (n (D CD CD .0 -0 O w N co a- 3 - 7 CD 7 p Z (D O N W ~ I I C N W O CL Z p A Z11 3 ~ c<n 3 < D A W N O (D < CC N G 0 d C )CD D1 O - > > O O - N Q N O "n p~ - tU C D oZ a < o ' CD Q) n N (D ~ tU N Cn 3 O ~ C o y N N 4 o~ a D~ (D N (o x O w ~CD A O N O O ~ ti 0 O (D Oq w CD O i Meak Pyew~ ~ IL Yew S tQ M I G~ Form- S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER S TOWNSHIP %h~s/►'~4' ,~/~`1 cl SEC. T N-R /`i W ST. CROIX COUNTY, WISCONSIN /V SUBDIVISION LOT ' /g4„` J LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of IIHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~ ~`~X~✓tN1~ d12~ r ~ T gr F-77 a - 1 Co INDICATE NORTH RROW BENCHMARK: Describe the vertical reference point used uf_'s~t" C-' ~r ►w r`n+ Elevation of vertical reference point: ( C~ Proposed slope at site: SEPTIC TANK: Manufacturer: J.j Liquid CaPacity C"z = Number of rings used: P Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front, Side,Q Rear, O feet From nearest property line Front, 0Side 10Rear, 0 feet Number of feet from: well 0 building: j 35 (Include this information of the above plot plan)( 2 re erence dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER r I Man acturer: Liquid Capacity: Pump Mo Pump/Siphon Manufacturer: Pump Size Elevation of 1 et: Bottom of tank elevatieff - Pump off switch ele ion: Gall - "per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest p rty line: Front, O Side, O Rear, Ft. Number feet from 11: Num of feet from building: (Inch} a distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: Lengah: _541 Number of Lines: Area Built: Fill depth to top of pipe: Number of feet from nearest property line: Front, Q Side, O Rear,0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SEEPAG PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevatio Area Built: Has either a drop box O or dis 'bution box O be used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capa ty: Number of rings used: Elevation of botto of tank: Elevation of inlet: Number of feet from earest property line: Front, O Si 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: License Number: 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 CONVENTIONAL DI ALTERNATIVE State Plan LD Number IIf as sign edl ❑ Holding Tank ❑ In-Ground Pressure E Mound NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER. INSPECTION DATES Thomas Jasperson R. R. 1, Wilson, WI 54027 re-e~'D -~~~P BENCH MARK (Permanent reference Point) DESCRIBE IF DIFFERENT FROM PLAN 1-4 ) REF. PT. ELEV.. CST REF PT. ELEV NW SW, Section 28, T29N-R15W, Town of Springfield, Lot 1-8 Block 7 Na- ref Plumber- MP/MPRSW N<i. r~, $ani1arI P11"I I Number Gale Smith 5690 St. Croix 74996 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY ELEV TANK OUTLET ELEV WARNING LABEL LOCKING COVER a - PROVIDED PROVIDED. r~71"J` /(7 YES ❑NO ❑YES ❑NO BEDDING. VENT DIA.. VENT MAT I HIGH WATER ? NUMBE Q"ROAD PR OPERTY WELLBUILDING VENT TO FRESH TT JALAHM LINE AIR IN _ IFEET FRO~` XYES LINO ~_JYES LINO NEAREST 7 DOSING CHAMBER: MANUFACTURER BEDDING LIQUID (:APACF11-1 PUMP M(11)EL Pf~MP SIPH(1~. ANUI Ai:I IIHFH WARNING LABEL LOCKING COVER PROVIDED PROVIDED: ❑YES LINO ❑YES ❑Np YES LINO GALLONS PER CYCLE: NDCONTROLSOPERATIONAL NUMBER OF PHr)PEHTY WELL 113'JIIIIINI, JVENTIOFRESH (DIFFERENCE BETWEEN FEET FROM Ne AIR INLET PUMP ON AND OFF) ❑YES NO NEARESTlip SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing ulnv-r IF H FATE «InL AND %!ARKIN(, 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 - ILINCaUE ' NO OF DISTH PIPE SPACIP.t I'VE 11 ii NSIDE fun cPiJS LIQUID BED/TRENCH THE KaES eHIAI DEPTH DIMENSIONS) PIT GRAVFL. DEPTH FILL EPTH E PIP \ DISTR_PIPE MATERIAL NO DISTH NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH BELOW PIPFS ABOVE covEH ~aD~ PIPES FEET FROM uN r - AIR I T 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. YES LINO SOIL COVER TEXTURE P[ I+a~n "I vAHRI HS uBSEHVnTInNwEt 1, L YES LJNO LJIYES LINO DEPTH OVER TRENCH BED IDE11H OVrH TRENCH RFD UEP TH ()F T(IPSf11L 5(1UDFD JEE DED MULCHED CENTER EDGES ❑YES LINO ❑YES LINO ❑YES LINO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH NO. OF HES L TEHAL SPA7H A V E L D E P T H HEL()W PI PI FILL DEPTH ABOVE COVER BED/TRENCH TRENC DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE JMANIFOLD MATERIAL NO DISTH DISTR PIPE DISTHIBUTION PIPE MATERIAL & MARKING ELEV. ELEV UTA. ELEV. PIPFS DIA. ELEVATION AND DISTRIBUTION INFORMATION HQLESIZE HOt E SPACING, UPILLE D COHRFC T I Y CO VEH MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLnnls ❑YES ❑Np ❑YES LINO COMMENTS: PERMANENT MARKERS. JOBSERVATION WELLS. NUMBER OF PROPERTY WELL. BUILDING. FEET FROM LINE ❑YES LINO ❑YES LINO _ NEAREST- iI Sketch System on Retain in county file for audit. Reverse Side. S DI LHR SBD 6710 (R. 01/82) wlsconsln APPLICATION FOR SANITARY PERMIT - ,D I L H R J°' /COUNTY (PLB 67) ~ OEPRRT OF TEnT UNIFORM SANITARY PERMIT # In DUSTRY, LRBOR 6 HUmRn RELRTIOnS -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/zx 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILING ADDRESS ~.~1~ > Imo= PROPERTY LOCATION Ctty: L~' 1 /4 A 1A S '7T' , N, R /3J(or) W TOWN OF: LOT NUMBER BLOC NUMBER SUBDIVISION NAME NEAREST ROAD, LSTATE PLAN I.D. NUMBER D TYPE OF BUILDING OR USE SERVED 03C 2_ 7~ D~Q 1 or 2 Family Number of Bedrooms. 71 Public (Specify): T ✓ C THIS PERMIT IS FOR A: ❑ New System Tank Replacement ❑ Repair Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. ❑ Seepage Bed X Seepage Trench ❑ Seepage Pit ❑ Holding Tank System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total # of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes /p'er inch): REQUIRED (Square Feet): PROPOSED (Square Feet): 1~ q el 2C Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. d=Rftq1 _T Name of Plumber (Print): Signature: M P/ PRSW No.: Phone Number: Cam- SiH i`'H / Z , i-3, Plumber's Address: Name of Designer: r'~ ~L t" N L<< c G COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved a ! f ❑ Owner Given Initial Approved Adverse Determination Reason for Disapproval: Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398 To be complete and accurate the permit application must include: 1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.); 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipe(s). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. APPLICATION FOR SANITARY PERMIT S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,("spec house"), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property Location of Property ky ~4 '4 ~4, Section , T N - K W Township / Mailing Address Subdivision Name Lot Number L/ Previous Owner of Property Total Size of Parcel Date Parcel was Created Are all corners and lot lines identifiable? Yes X- No Is this property being developed for resale (spec house) ? Yes x_ No Volume Se} and Page Number 17 3 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 Certi.fled Surv(,v Map, the the Certified Survey Map shall also be r+ - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION I (We) cmtiAy that at s-tcrtement~s on this {ohm oAe tAue to the befit o4 my (outs.) knowkedge; that I (we) am (ahe) the owneA(,s) o{ the pnopeAty d"cAibed in this inAonmation Amm, by viAtue o~ a wa4 Aanty deed necwLded in the 06Aiee o~ the County RegisteA oA Deeds as Document No. 1,9V ' ; and that I (we) p.+,aenfity own the puposed site ~oA the sewage poi (system (oA I (we) have obtained an easement, to Aun with the above deselu.bed pAopeAty, ~oA the eonstAuett.on oA said system, and the same hae been duty Ae onded in the OA~ice oo .the. County Regaten o{ Deeds, a~5 Document No. ) SIGNATURE OF 0 R SIGNATURE OF CO-OWNE (I APPLICABLE) DATE SIGNED DATE SIGNED . H U7 • H . a STC - 105 r r a SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County d OWNER/8 ROUTE/BOX NUMBERT Fire Number CITY/STATE lc rLScbV~ `t' 6 --L II' PROPERTY LOCATION:~4, ``-4, Section, T N, R W, Town of St. Croix County, Subdivision Lot number 13L r • 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 s_ tic 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 ma 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 u certification form, signed by the owner and by a master plumbei, journeyman plumber, restricted plumber or a licensed pumper veii Eying 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. ti 0 V. I/WE, the undersigned, have read the above requirements and agree U) to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- n 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. 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. o ~ x x o n~-w~~ w~~~N3O ~ m o~ N= i m a m m ~ m~ N _ mr y o~ 3 -o n z s~ ' 3 ~cnco o c gym '0 0 c am m o? -4 $ m N CD g I cl a p p w o 'cD I co _ CD CD CD W co 0 m a~ CD: ~r m o O (D m co O m a C (O n W O S ca O w O r w o w e _3- c ac3o•a0 ~Z`c' c`G0- :~0 S S. C: Er En 1 _1 D) _n j11 O O 1 O a (~D - w - D CD w co , - v CD O D (0 n_Q FOOD C) =Y C j• '0 - F ID CD 0 0 a ^~.(OD 0) o CL W m o CD~ w w Z Cl) wo so- ~ m N m = (=D Z a.(Do 3(-Dmm~a a D 'n c o n * Z3 ~(n m ?_•0 ~ _ ~J ~,Wa mu,~a~w (q =r CL O Fn' cn w w m F C R1 m° 3 'o m > =r Z7 CD c O a (D ~Ip N (D (D ' (n A> > =t a' w o a co m ( _ -I -..-..o (n O .0+=~cO a 'n D ao f w QS aw o' Al mw aaamC~ m Cl Q O w• o~ a" f c ~ < w =r (D y O G) c (D (D 3 m n (p' n c O <n n m O c° .7 o ~ a j o w c ~ ~w .cc CL a it CD "r CD (n 7 a O < - # (O _ V ti € O O DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY&BUILDIN INDUSTRY N LABOR AND P.O. BOX 7969 PERCOLATION TESTS (115) DIVISION HUMAN RELATIONS (H63.090) & Chapter 145.045) / MADISON, WI 53707 LOCATION: SECTION: TOWNSHIP/~: LOT NO.:BLK. NO.: SUBDIVISION NAME: ,'j '✓a . /T N/R jor) W OUNTY: OWNER'S/ (LING ADDRESS: USE ~ ~ ~ S -7~~ ~ ~ NO. BEDRMS.: COMMERCIAL DESCRIPTION: DATE OBSERVATIONS MADE Residence ❑New PROFILE DESCRIPTIONS: PERCOLATION TESTS: >3 - X Replace RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: f_N-G IZS ROUND PRESSURE: SMIDING TANK: RECOMM NDED SYSTEM:(optional) ❑U OS ZU FIS ®U OS ©U ❑S ZU If Percolation Tests are NOT required DESIGN RATE: under s.H63.09(5)(bl, indicate: / If any portion of the tested area is in the Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARA CTER OF SOIL WIT H THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) ~_S B- 7~ D L 4:f ?A- 4f y-~x B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES NUMBER fQ91I AFTERSWELLING INTERVAL-MIN. RATE MINUTES PERIOD 1 PERIOD 2 PERIOD 3 PER INCH P- I ; Gy 10 b j I- -2 P- P- Z' 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 y e v I t 6 /nf~ v y o W 1 n lfi► t N , E 3 }E 3 t I i . _ .r r y f ~ 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 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): r TESTS WERE COMPLETED ON: e ADDRESS: + - CERTI CATION NUMBER: PHONE NUMBER (optional): _i ry CST (GNT a A RE: _ LTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. -SBD-6395 (R. 02/82) - OVER - acc u, e 'soil te'st, p=,t€tst~ ijevy ill ts4 k! P6 { E t) ,.3 AR RI t?#, t.,3~? SED t., ,.t ,M e K F, t c ~t' ttj be ljEsir(F1 to k e 9 Int.a o-a € y't t t, Vr£S t}'It s ,ttt ;L3t { SEC i fife r and fe, j"Tt ~~tl j, no i! .,#4 t~ £lx=rO_ n,3 e , as"B,.a s , F M C tt n ,Y,t..f, s , ' C_ st i t6 1T ia~- =t,~ ~ti~a , tY A- Yi,@E.,oic `-t?e ~ttx r toT,"` LYE £ b ai + F s7, af,O l(,r,€, t 0 1 t BPdr's5 L vi '~ft4C7 ~ ?3~~,1 Y'x w3 ,r g Fine 8F Loam", sand Lo n, I a~ qtr s Sit is~t~i is ii-I S=0 a c 7tmr,y, Sw The De "1" trYwr- FI'ay Ct t, l es t t i *i 1. Y W SFI r:~,`{ tY -4',k'.?`27 E`€ Se if T 2 {-'i I -'.k ^r a ~is O~ O, Smith Plumbing & Heatin PHONE g 15) 265-4838 rh~ Al A.5 J~4S- Pc?4 6'CoIV fff'/ GLENWOOD CITY, WISCONSIN 54013 y„ 194 v , r+y 17 ~ FT fk ~J ~O ;V op, 't " ~u'NtS Tv~' ~ edr y r/f at Ac V ~ t~ c' ca a' r' tn Red v/~ha ~P Ui2~tecf .C<G GU.~Lr~ ~ to GL_a.~~f 2u/z. Oem G,.~~~r ~,¢.azct~ ~✓l a5is 7."~ G r cz" WIN /VV ST. CROIX COUNTY t WISCONSIN ZONING OFFICE u a of Jim it N n ST. CROIx COUNTY GOVERNMENT CENTER 1101 Carmichael Road y^1Y c Hudson, WI 54016-7710 (715) 386-4680 August 19, 1998 Lu Jasperson 2915 74th St. Wilson, WI 54027 RE: Existing septic system inspection Legal: NW %a, SW %a, Sec. 28, T29N-R1 5W, Town of Springfield, St. Croix County Dear Mrs. Jasperson: On August 17, 1998, 1 conducted a surface inspection of your septic system. At the time of the inspection, the septic system appeared to be functioning properly. No ponding of septic effluent was observed in the drain field vent. The septic system serving your property was installed on November 18, 1985, and was sized for a three bedroom house. A 1000 gallon Weeks septic tank discharges to a trench type drain field- two-5 foot by 50 foot trenches. The system was inspected by staff from this office on November 18, 1985, and was installed as a code compliant system. To prolong the life of the system, remember to have the septic tank pumped once every three years or when the tank becomes 1/3 full of sludge and scum. Other efforts to prolong the life of the system could be as simple as fixing or replacing plumbing fixtures with water conserving fixtures, reducing shower time, washing dishes when the dish washer is full, avoid using a garbage disposal, using a wash machine with a suds saver feature, etc. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. This inspection of this sewage disposal system was based on a surface inspection of said system, and did not involve any excavation or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. Should you have any questions, please contact this office. Sinc ely, Rod Eslinger Assistant Zoning Administrator n y O K v n r~ >y tow* 3 3 vl CD 0 A v 1 3 ~ O n a 3 n N m rn m (n -e ~ cNO z m o C: CD N 7 0 L cn CD cc0 ~ m 7 m° o o D o CL o ? l+r cO o O W 1~ a C- ra a N m F- CD CD (n (D o 0. -4 C: _ a O ~ zt a o N• E z cD CD < n r N ~ O o cn cn 4- =3 CD b f z O O O w z N co m =r a' co - H o y 9 d i (D CD t rt ~ y N N z N I a~ Z r 00 z co z O r, In Oo'G~ D n ~ i I ~ ~ H H ~ m ~ U 00 O o N h • W O v Ul J n I CD C~ O 7~ c (D N I-h CD D Ul cn w CL 3 ET I c7 n z cn A ` n N• / rt rt o N c A / O4 ~ w a A F! O H N. 00 z ~ N 00 : F--' W M 00 cN0 a CL z 1 C co w m n CD o n 3 CD N o' - a m - m z a n o N tD 0 ? O < ~ A A A q O b N O O , a O D O w (D 6p o O V a CD (D Parcel 034-1083-95-025 01/09/2006 10:19 AM PAGE 1 OF 1 Alt. Parcel 28.29.15.554A 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner WILLIAM E & JOAN L CHAMBERLIN O - CHAMBERLIN, WILLIAM E & JOAN L 2915 74TH AVE WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 2915 74TH AVE SC 2198 GLENWOOD CITY SP 1700 WITC SP 7059 SPRINGFIELD SAN DIST #1 Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 28 T29N R15W LOT 1-8 BLK 7 VIL Block/Condo Bldg: HERSEY ALSO PT OF ABANDONED STATE ST Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-29N-15W Notes: Parcel History: Date Doc # Vol/Page Type 10/15/2003 743686 2435/581 MISC 01/17/2003 706291 2114/208 WD 07/16/2001 651117 1680/178 WD 582/173 2005 SUMMARY Bill Fair Market Value: Assessed with: 82565 91,200 Valuations: Last Changed: 06/03/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 7,450 71,350 78,800 NO Totals for 2005: General Property 0.000 7,450 71,350 78,800 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 7,450 71,350 78,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 10/20/2005 Batch 05-38 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 034-1086-50-000 01/09/2006 10:18 AM PAGE 1 OF 1 Alt. Parcel 28.29.15.563A 034 - TOWN OF SPRINGFIELD 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 - CHAMBERLIN, WILLIAM E & JOAN L WILLIAM E & JOAN L CHAMBERLIN 2915 74TH AVE WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC SP 7059 SPRINGFIELD SAN DIST #1 Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 28 T29N R15W LOTS 1,2,3, & 4 BLK 16 Block/Condo Bldg: VIL HERSEY ALSO THAT PT OF VACATED STATE ST Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-29N-15W Notes: Parcel History: Date Doc # Vol/Page Type 01/17/2003 706291 2114/208 WD 07/16/2001 651117 1680/178 WD 582/173 2005 SUMMARY Bill Fair Market Value: Assessed with: 82591 4,200 Valuations: Last Changed: 06/25/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 3,600 0 3,600 NO Totals for 2005: General Property 0.000 3,600 0 3,600 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 3,600 0 3,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 034-1083-70-025 01/09/2006 10:19 AM PAGE 1 OF 1 Alt. Parcel 28.29.15.553A-10 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner O - CHAMBERLIN, WILLIAM E & JOAN L WILLIAM E & JOAN L CHAMBERLIN 2915 74TH AVE WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC SP 7059 SPRINGFIELD SAN DIST #1 Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 28 T29N R15W LOTS 1 & 2 BLK 6 VIL Block/Condo Bldg: HERSEY ALSO PT OF ABANDONED STATE ST Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-29N-15W Notes: Parcel History: Date Doc # Vol/Page Type 10/15/2003 743686 2435/581 MISC 01/17/2003 706291 2114/208 WD 07/16/2001 651117 1680/178 WD 582/173 2005 SUMMARY Bill Fair Market Value: Assessed with: 82562 2,100 Valuations: Last Changed: 06/03/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 1,850 0 1,850 NO Totals for 2005: General Property 0.000 1,850 0 1,850 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 1,850 0 1,850 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 034-1083-90-025 01/09/2006 10:19 AM PAGE 1 OF 1 Alt. Parcel 28.29.15.553C-10 034 - TOWN OF SPRINGFIELD 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 - CHAMBERLIN, WILLIAM E & JOAN L WILLIAM E & JOAN L CHAMBERLIN 2915 74TH AVE WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC SP 7059 SPRINGFIELD SAN DIST #1 Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 28 T29N R15W LOTS 7 & 8 BLK 6 VIL Block/Condo Bldg: HERSEY ALSO PT OF ABANDONED STATE ST Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-29N-15W Notes: Parcel History: Date Doc # Vol/Page Type 10/15/2003 743686 2435/581 MISC 01/17/2003 706291 2114/208 WD 582/173 2005 SUMMARY Bill Fair Market Value: Assessed with: 82564 2,100 Valuations: Last Changed: 06/03/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 1,800 0 1,800 NO Totals for 2005: General Property 0.000 1,800 0 1,800 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 1,800 0 1,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00