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'Parcel 036-1038-20-000 01/24/2007 03:13 PM
PAGE IOF 1
Alt. Parcel M 16.31.17.241 D 036 - TOWN OF STANTON
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
SCOTT T & KONNIE R JERABEK O - JERABEK, SCOTT T & KONNIE R
2148 170TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description 2148 170TH ST
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 13.080 Plat: N/A-NOT AVAILABLE
SEC 16 T31 N R17W NE SE 13.08 A LOT 1 CSM Block/Condo Bldg:
5/1248 WHICH INCLUDES THAT PART OF RR
R/W AS DESC IN 648/137 EXC P241C 666/211 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
693/119 16-31N-17W
-Y~
Notes: Parcel History: f k j
Date Doc # Vol/Page S Type
07/23/1997 693/119
07/23/1997 666/211
2006 SUMMARY Bill M Fair Market Value: Assessed with:
166614 Use Value Assessment
Valuations: Last Changed: 06/02/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.080 17,000 143,800 160,800 NO
AGRICULTURAL G4 5.000 1,000 0 1,000 NO
AGRICULTURAL FOREST G5M 6.000 5,100 0 5,100 NO
Totals for 2006:
General Property 13.080 23,100 143,800 166,900
Woodland 0.000 0 0
Totals for 2005:
General Property 13.080 23,100 143,800 166,900
Woodland 0.000 0 0
I
Lottery Credit: Claim Count: 1 Certification Date: Batch M 115
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHIP ~j.,<<ftya~ 1 SEC 4, X _N -R W
ADDRESS ST. CROIX COUNTY, WISCONSIN.
T
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of H63
¢3i~1 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
G
r
I di at N r h rr w
BENCHMARK: (Permanent reference Point) Describe: 94ed
Elevation of vertical reference point: ( 0 Slope at site:
1
SEPTIC TANK: Manufacturer: Liquid CapacIty
Number of rings on cover Tank manhole cover elevati'6n:R77_
Tank Inlet Elevation: Tank Outlet Elevation:
PUMP CHAMBER
Ma nufacturer:~~s A~4~.~a, N tuber of gallons
Number of gal. pump set for a cycle gallons; Total capacity of
distribution lines gallon: size of p mp head;
gallon per minute horsepower -brand name of pump
and model number
Type of warning device _
HOLDING TANK: Manufacturer Number of gallons
Elevation of manhole cover ;
Type of warning device
SEEPAGE PIT SIZE; _ Number of pits feet diameter
feet liquid depth seepage pit inlet pipe-elevation
bottom of seepage pit elevation feet.
SEEP AGE BED SI2',E: number of lines_=_ widthlengthtile depth
&9
SEEPAGE TRENCH; wid h lepgth
PERCOLATION RA']'E.~ AREA REQUIRED AREA AS BUILT
INSPECTOR_
DATED PLUMBER ON JOB y„J rt_
LICENSE NUMBER j
DROP IN WATER LEVEL-INCHES
L PERIO 1 PERIOD2 PFR.YOD3
I '
P- /ej
P- S -
_P '
P-
P-
PLAN VIEW: 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 slop.
SYSTEM ELEVATION
C ~ Sti+tu~y .CSI` - 4Z /W el f~ a~fa/ K ► '
"So I/
/ Jt fir 7ZN r . - . - _ _ ""'t
(y~
: i
= i m...., a
N
.
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsin
Admimistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
TESTS WERE COMPLETED ON:
NAME (print):
✓ i r.± PHONE NUMBER option
CERTIFICATION NUMBER:
ADD Sj ~
CST SIG T E:
DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plurr,'L-ing, 3rd page-Property Ov rer, 4th page-Soil Tester.
DI LHR-SBD-6395 IN. 03/81)
-y
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LA13OR_! HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O. BOX 7969 BUREAU OF PLUMBING
MADISON, WI 53707
CJCONVENTIONAL ❑ALTERNATIVE State Pl-1,D. Number.
assigned
)
Holding Tank ❑ In-Ground Pressure ❑ Mound (If
NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER'. INSPECTION DATE
Jeff :
Brown RR it 3. New Richmond, WI - -Y'-3 ,l~/(rfj
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: CST REF. PT. ELEV.
NE SE, Sec. 16, T31N-R17W, Town of Stanton
Name of Plumber: MP/MPRSW No. County Sanitary Permit Number:
Calvin Powers 1563 St.Croix 38470
SEPTIC TANK/HOLDING TANK:
MANUFACTURER. LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER..
JP OVJ,DED: PROVI p
✓ J
~'-1YES LINO YESt LINO
BEDDING. VENT DIA ' VENT MATL. HIGH WATE UMBE R,OF ROAD: PROPERTY WELL: BUILDING. ALARM LINE... AIR INLE
~1V0 NEAREST Uf` / jVENTT11RESH
❑YES O ❑ Y S FEET FROM
J
DOSING CHA BER:
MANUFACTURER BEDDING LIQUID CAPACITY PUMP MODEL. PUMP/SIPH ONJCIANUFACT URE WARNING LABEL JLOCKING COVER
PROVIDED PROVIDED:
~ ,ra(5 ❑YES NO oaf ti 1 ES NO ❑Y , j
GALLONS PER CYCLE: PUMP AND CONTRO soPERAnoNAL NUMBER OF PROPERTY WELL IBUILDIKG FRESH
(DIFFERENCE BETWEEN FEET FROM LINE JVENT-
AI NET
PUMP ON AND OFF) NYES LINO NEAREST 311- '7
SOIL ABSORPTION SYSTEM. Check the soil moisture at thk depth of plowing LENGTH 1111AMFTER 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. GTyI NO. OF DISTR PIPE SPACING. OV ~R INSIDE DIA -PITS LIOU ID
BED/TRENCH A j TREA H C
ES > MATERIAL
DIMENSIONS PIT DEPTH
GRAVEL DEPTH FILL DEPTH D TH P F DISTR. PIPE DISTR. PIPE MATERIAL . NO
BE LOW PIPE DI PROPERTY WELL. BUILDING. VENT TO FRESH
S~t ABOVECOVER ELEV Ia1LET ELEV END, NUMBER OF
f( A1,INLE (>Tf
! "
7 e`/ LFE ET FROM LINE r~l ar^
NEAREST
s i
MOUND SYSTEM:
Mound site plowed perpendicular to slope
Check the texture 4 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 and. TIONS MEASURED.
❑YES LINO
SOIL COVER TEXTURE PERMANENT ARK IRS OBSERVATION WELLS
❑`YES LINO ❑YES LINO
DEPTH OVER TRENCH: BED DEPTH OVER TRENCH; BED DEPTH OF TOPSOIL SODDED SEEDED 1111L CHID
CENTER EDGES '
YES N0 EYES ENO YES 1NO
PRESSURIZED DISTRIBUTION SYSTEM:
LATERAL SPACING AVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER
BED/TRENCH WIDTH ENGTH TRENCHES
.
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL NO. DISTR DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING
ELEV.. ELEV.. DIA.. ELEV.' PIPES. DIA.:
ELEVATION AND
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING DRILLED C RRECTLV COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED
PLANS
❑YES LINO ❑YES LINO
COMMENTS: PERMANENT MARKERS: TION WELLS: NUMBER OF PROPERTY WELL: BUILDING.
FEET FROM LINE
[:]YES LINO OBSERVA❑YES LINO INEAREST__~
i_
Sketch System on Retain in county file for audit.
Reverse Side.
SIGNATURE - ITLE. 'f
DILHR SBD 6710 (R. 01/82)
l
DEPARTMENT OF APPLICATION
INDUSTRY, FOR SANITARY SAFETY & BUILDINGS
DIVISION
LABOR AND PERMIT P.O. BOX 7969
HUMAN RELATIONS (PLB 67) MADISON, WI 53707
Attach plans for the system on paper not less than 8'% x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal
and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter
H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master
Plumber, the date, signature and license number must be shown. A legible reproduction of the soil test report or the owner's copy must be
included.
Property Owner: Mailing Address:
_F1 -
R
'J -3 rUQJ-)
Property Location: City, Village or Township: County:
fU - '/4 ,0 %S /T-3j N/ R or) W -57'q 745 r,,-
c
Lot Number: Blk NSubdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number:
n} N LAO, (if assigned) Aj
TYPE F BUILDIN -I--~~1 ~r '4
Number of
❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms:
1 or 2 Family *State Approval Required.
TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER
GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify)
SEPTIC TANK CAPACITY
HOLDING TANK CAPACITY
LIFT PUMP TANK/SIPHON CHAMBER/(U
MANUFACTURER:
EFFLUENT DISPOSAL SYSTEM
PERCOLATION RATE ABSORPTION AREA
(Minutes per inch): PROPOSED (Square feet): New ❑ Replacement ❑ Experimental Seepage Bed ❑ Seepage Pit
3 ❑ Alternative (specify) ❑ Seepage Trench
Water Supply: Owner's Name as Listed on S it Test Report (If other than present owner):
Private ❑ Joint El Public
I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
Name of Plumber: Sign ure: /MPRSW No.: Phone Number:
czaluln p 'yam /-ql,. ( 7/S Q 1f4, 59/-3.,5"
Plumber's Address: Name of Designer:
U3 Alaz E442,~ be
AA
COUNTY/DEPARTMENT USE ONLY
Signatu a of Issuing Agen
0, 7 14, t: (J'~2 ee:0 Q 0 Date: ~ APPROVED Sanitary Permit Number:
(Z7 , ❑ DISAPPROVED
Reason for Disapproval:
Alternate course(s) of Action Available:
Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in-
stallation. Failure to comply will void the sanitary permit.
DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber
DILHR-SBD-6398 (R.07/81)
L
ForIli IUI)
Owner of Property
eF
Location of Property 4, Section
A! ,'1' 3_ I -N 1Z/-7-
- W
Township p
Mailing; Address
Subdivision Name
Lot Number n
Previous Owner of Property- 4-LC.~1 Ge f C.LS4°-X
-
'T'otal Size of Parcel---/3
5
Date Parcel Was Created
Are all corners identifiable? Yes No
Include with this a1-L ica_tion one oC t}le__1=01-Lowirl_g:
.Certified Survey Map
.Deed
.Land Contract, or
Other Legal Document which describes the property
PROPERTY OWNER CERTIFICATION
I (We) certify that all statements on this form are true to the best of my (our) 4ane~ doy -~-pu a t
knowledge; that I (we) am (are) the owner(s) of the property described in this dee bt Men 1' 10o. 3 S.2 R. 6 q
information form, by virtue of a warranty deed recorded in the Office of the
County Register of Deeds as Document No. ; and that I (we) Ve ( 6 SS Pq~ P I q3
presently own the proposed site for the Sewage disposal system (or I (we) have
obtained an easement, to run with the above described property, for the
construction of said system, and the same has been duly recorded in the Office
of the County Register of Deeds, as Document No.
SIG HE OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
DATE SIGNED DATE SIGNED
t
DESCRIPTION
A strip of land 100 feet in width, *std strip of lard tieing 50 feet in width,.,"
aeasured at right angles and radia'liy on-each side of the centerline of the.
main track (row removed) of the North Wisconsin Railway Company (later the
Chicago, St. Paul, Minueapolis,& Omaha Railway Company, now the Chicago and
lorth Western Transportation Company), as said main track center line was
4 and
originally located and established over and across the 5L1/4 of the NE1/
the NE1f4 of the SE1/4 of Section 16, T31N, R17W, of tho Fourth Principal
Meridian, extending Southwesterly, 1476. fe tt along said centerline of the main
track from the intersection thaar~edf i'40 he East line of said Section.16.
4I.5O That TThat part of the :iauthe.i'tle<~ ,;g. thk• Norihcatit Quarter, and the
.Northeast Quarter of the S`out;'h~4-4t ' urtedf said Scct ion 16, lying between
lines parallel with at►d distant `and 260 feet, respectively, North-
4esterly measured at right.angItts aud' radi`.illy, from s.iid original main track
;:enter line, and lying Northovster•l, or a line drawn at right. angles to raid
original main track center lino tit a poicit tberijon distant 1,476 feet South-
westerly from the intersection thereof idith the- east line of said Section 16.
ALSO: That part of the Northeast Quartor bf'the Southeast Quarter of said
;section 16, bounded and described as follows: Commencing at the intersection of
said~oTiginal main track center line and the East line of said Section 16;
`hence Southerly along said East line of Section 16 a distance of 173 feet
9 inches (173.75 feet) to the point ofbeginning of the tract of land herein
described; thence Southwesterly parallel with said original main track center
line a,distance of 140 feet; thence Southerly parallel with the East line of
said Section 16 a distance of 65 feet, more or less, to a point distant 200
feet Southeasterly, measured at right angles, from said original main%track
centerline; thence Southwesterly parallel with said center line a distance
of 1,240 feet, more or less, to a point on a line draun at right angles to
-original main track center line at a point thereon distant 1,476 feet South
westerly from the intersection thereof with the East line of said Section 16,
--hence Northwesterly :Tong said last described riglit';mgic Iine a distance 0L50 feet; thence Northeasterly parallel with and distant SO feet Southeast6r.i,
measured at right angles and radially, from said original main track center
line a distance of 1,445 feet, more or less, to a point Or, the East line of paid
Section 16; thence Southerly along said East line of Section 16 a distance of
110 feet, more or less,.to the point of beginning.
Subiect to an easement for existing town road right-of-way on the East 331, more
or I -'s C x 4~ , r #1, i t F r z3' , nl~~l - c or less, of s.-iid
NE1/4 of the 51;1/4.
*This parcel contains 13.33 acres, more or less, being 580756 IJlj c Fect, more or less, in-
'„iuding town road right-of-way and 13.00 Acres, more or less, being 1.-)ti6298 Square Feet, more
or less, excluding town ro,id right-ol'-way.
1 certify that the above description and map are correct wid that i have fully complied with
the provisions of Section 236.34 of the Wisconsin Statutes anO Section 5.4.13 of the St. Croix
County Zoning Ordinance.
Date: July 20, 1982.
'~AVNHZ & SUBDIVIDER Wilter J. Gregory S- 224 Jo No. 82-137
DWEI J. CASEY 6 MIC M-1 J. (ASHY Ogden lingineering Co.
R.R. M3 322 S. MONI'MlA AVE. 123, E. film Street
NEW RIOMM, W1. 54017 N1,W 1tla")) Rives- FarlIs, W isconsin. 5,1022
Wi. S40 i 7 (IMWE MIA ABJJ
CURVE RADIUS ARC CH)RD U#c U NIf ,1i. '!'AN JNi'
NLT H LIIy `II lENGTli i3FW_# W AANGLE~ 1st B ' IN nd
1-3 2110.08' 844.10' 838.49' S6003<'..£'. 2l°55'13" S49°06110"W S72-01 12311W
1-2 2110.08' 440.40' 445.57' S5f►`"f . ; ri 12°O7' 17" S49°O6' 101W S61°13' 271V
2-3 1.10.091 397.70' *7,. 1) 110°d" 5h°' 961013'271V S72°01' 2"
4-6 1710.08' 684.09' 679.54' N60033.'21~ .5'1 22°S5' 13" N72°O1' 23"E N49006' 10' E
4-5 1710.08' 322.31' N60037'251`1. 10°47'56" N72°01'23"E N61°13'27"E
14 NS5009148. 5111: 12°0 71] N61 ° 13' 27"E N49°06' 2011E
I
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C/ej 90.814,
(J-)
ti.. _';>3.
s ,,2 s 5 D j
A
cr/pM RN£~ 2p0.n,, z i..
76, R3'F ` ;$0004,4 R~qo 70
9.08
Qrafted by Walter J. Gregory. X15 \ ~ `
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY,. cc DIVISION BOX HUMAN RELATIONS PERCOLATION TESTS (11J) MADISON W 53707
LOCATION: SECTION: TOWNSHIP/M"eNIGIPAtITY: LOT NO.:BLK. NO.: SUBDIVISION NAME:
COUNTY: OWNER'S BUYER'S NAME: IMAILI G ADDRESS:
USE r" DATES OBSERVATIONS MA E
ce INa BEDRM RCIAL DES RIPTION: I 15ROFILE TONS: PERCOLATION TESTS:
Residen jWNew OReplace 42 ~
RATING: S= Site suitable for system U= Site unsuitable for system / ? ' /r i '.fA _ 14i
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTE -IN-FILLHOLDI TANK: REC MEN D SYSTEM: optional)
"sou ~sa~. ~s❑u as®u ES u
If Percolation Tests are NOT required DESIG =RATE: STEM EL If any portion of the lot is in the
under s.H63.09(5)(b), indicate: f Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B C3 - C' X11 r, . v, o -3 z ~ c
13- 7
7 ! C
PERCOLATION TEQ,"Tc
E to:
LINDSAY BROS. CO.
GOULDS SUMPTHING SEWAGE PUMPS;
Model 3882
Performance Rating v 1I
Model 3881 Gallons per minute
Performance Rating WP1012 WPH1012
WP0511 WP1032 WPH1032
Gallons per minute Series No. lo- WP0512 WP0712 WP1034 WPH1034
HP ► Vx 1 1
W P0511 S
Series No. ► WP0512S RPM ► 1750 3450
HP ► V2 5 150 170 180 190
RPM 0, 1725 i` F25 126 154 168 170
v 94 125 152 150
5 144 i m 56 9Q_y 121 128
= 0 10 110 E 3 17 49 81 107
q
15 75 14 40 86
a; o w
20 40 wii 35 10 64
d F°-
25 6 40 43
~LL
F- 26 0 45 24
Flood and pollution control 50 4
2l/x NPTSolids handling
Discharge connPection. ty• Sewage transfer
De-Watering waste removal 2 NPT Discharge ca c&r6e lity. n
Discharge nectioA,.,* i`
Sump draining 3 " Optional.
Submersible effluent and sewage pumps - Model WP.
Lindsay
Product
Number Model RPM Horsepower Volt Phase Order No. t
662372 WP -1750 x
1 3881 x 230 1
648949 x 1 11 108
651125 '12 208/230 1 WP0512 108
493244 WP 1750 3/+ 208/230 1 WP0712 110
656887 (3882) 1 208/230 1 WP1012 114
03533 1 208/230 WP1 2
50354 1 1 1 46 WP 1034 1
503525 WPH 3450 1 208/230 1 WPH1012 114
(3882)
GOULDS Model 3870 Submersible Effluent Pumps
SPECIFICATIONS Order No. HP Volts Phase RPM Solids AmPXs Wt.
Order No. HP Volts Phase RPM Solids Amps Wt. WPH1012E 1 230 1 3450 V4" 11.0 70
W P0311 E 1 /3 115 1 1750 aYi" 9.4 56 WPH 1032E 1 208/230 3 3450 Y4" 7 70
WPH1034E 1 460 3 3450 V4 3.5 70
WP03 (1h HP) TDH GPM WPH10 (1 HP) TDH GPM
Undaty
5 100 10 147 Product Model
Total Number Number Description
Dynamo 10 85 Total 20 124 593540 WP0311E 13 HP 115V
Head 15 62 Dynamic 30 98 550604 WPH1012E 1 HP 230V
Feet to Head
Water 20 3s Wateo ao 71 *Contact Pump Dept. for 3 Phase Units
25 3 50 45 Availability.
60 18
MEN
t'9 r".
PUMP C}IAMBER CROSS SECTION AND SPECIFICATIONS
Vent Cap Weather Proof
Junction Box Approved Locking
Manhole Cover
12" Min
4" C.I. '
Vent Pipe Final 4" Min
Grade
~i Conduit
18 Min , 18" Min
Inlet
Approved Approved
Joint w/ A Joints W/
C . I . Pipe C . I . Pipe 'I
Extending "i Extending
3' Onto Alarm 3' Onto
Solid On B Solid
Ground Ground
C
Off
Pump
Concrete Block D
SPECIFICATIONS
TANK PUMP
Manufacturer Manufacturer:
Tank Material: Model Number i 7
Tank Size: Gallons Switch Type
Total Dynamic Head: FT
CAPACITIES Pump Discharge Rate: GPM
Total Daily Effluent: Gallons
A - or Gallons Number of Doses: Per Day
B = or Gallons Dose Volume: Gallons
C or Gallons Notes: 1. See pump curve for
D = or Gallons additional performance
Total Tank information.
Capacity Required = Gallons 2. Pump and alarm are to be
installed on separate circuits
ALARM as per ILHR 16.19 WAC.
Manufacturer: SIGNED:
_
Model Number: LICENSE NUMBER:
Switch Type DATE:
•
~i
3
3 I
V
G
2