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HomeMy WebLinkAbout002-1044-20-100 o c 0, p CD M m m c l q = 3 obi d v a o ~ co m CD ~C • S p j 0 Q N N FBI .`7 p- L L: N O N 00 Cl~ C W O O p d ? m 'P, O CD W N CL =T. 7=." N Cn 0i r) O Oo N O -0 0 =3 (D 0 3 O _ (D 7 D O ••f 3 N : ° O O C 5) C. ~ C j r~l O CD (D fn a = G rt W a C: (D 0 tv yID 3 O 25 o w 0 25 • m ccnn ~ _D ~I C) co p tO :E 0 r- cn -1 cn rt H y N 0C0 rn? Q N N W z* C=i j (T) 00 Ul Ln C v v h ~4 00 -11 0 0 Z F- O C "p O rt (n J CA N O 7 CD :3 CCD fD N' (D d ~ (n D CD v y (n O 9 d o z z N N o D D o O v c • 1 v _O w O ~ O h1 CD F-I ~o O N N0 c w z o 0 c z m -a cA F-h r-~ ::E: p A Z m ON ~a q r O v A G x a o a E cn z --i c0 O r, (D W -V n N a z 3 w o 0 rn A CD ~o w m 0 (D ~~•ONOm a CD n (D (D. O rn p N p- p 'T1 D p N C 0 2. 6 ca" C 7 O CD N OZ fl• C CO t17 `D E o 0 N Co CD -0 N (a P, 3 n O y Q 0 N S+ N O a v 7 n Q A, (03 (a m ~b A wN"p 'O T .J C p O O r- -J-1 (D N CD 7 S ~3x_-~ a (D V Oj O 7 O m o 3 4~ o Q p d O a. O p CD p a n CD A O~ b b ti @ GAj V o a W O a (D (D O Q Parcel 002-1044-20-100 01/30/2006 08:58 AM PAGE 1 OF 1 Alt. Parcel 19.29.16.282A-10 002 - TOWN OF BALDWIN 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 STEVEN E & MARGENE F NYGAARD O - NYGAARD, STEVEN E & MARGENE F 841 HWY 63 BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 841 HWY 63 SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 0.744 Plat: N/A-NOT AVAILABLE SEC 19 T29N R16W N 1/2 OF SW FRL 1/4; Block/Condo Bldg: DESC AS COMM NW COR NW SW; TH S 370FT TO POB; TH E 380FT; TH S 130FT;TH W 210 FT; Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) TH N 100FT; TH W 170FT; TH N 30FT TO POB 19-29N-16W NW SW Notes: Parcel History: Date Doc # Vol/Page Type 07/02/2001 650040 1672/476 WD 2005 SUMMARY Bill Fair Market Value: Assessed with: 86958 148,600 Valuations: Last Changed: 10/24/2002 Description Class Acres Land Improve Total State Reason OTHER G7 0.744 500 94,900 95,400 NO Totals for 2005: General Property 0.744 500 94,900 95,400 Woodland 0.000 0 0 Totals for 2004: General Property 0.744 500 94,900 95,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 568 Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSMENT 45.00 Special Assessments Special Charges Delinquent Charges Total 45.00 0.00 0.00 Parcel 002-1044-20-050 01/30/2006 08:57 AM PAGE 1 OF 1 Alt. Parcel 19.29.16.282A 002 - TOWN OF BALDWIN 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 - NYGAARD, STEVEN E & MARGENE F STEVEN E & MARGENE F NYGAARD 841 HWY 63 BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 40.256 Plat: N/A-NOT AVAILABLE SEC 19 T29N R16W N 1/2 OF SW FRL 1/4 Block/Condo Bldg: TOWN BALDWIN FKA 002-1044-20 (282) & EXC PT D DESC IN WD 1672/476 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 19-29N-16W NW SW Notes: Parcel History: Date Doc # Vol/Page Type 07/31/2003 732983 2339/509 WD 07/02/2001 650040 1672/476 WD 2005 SUMMARY Bill Fair Market Value: Assessed with: 86957 Use Value Assessment Valuations: Last Changed: 06/28/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 38.000 4,600 0 4,600 NO UNDEVELOPED G5 1.000 100 0 100 NO OTHER G7 1.256 2,500 17,500 20,000 NO Totals for 2005: General Property 40.256 7,200 17,500 24,700 Woodland 0.000 0 0 Totals for 2004: General Property 40.256 7,200 17,500 24,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Form- S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ?TOWNSHIP 9 I SEC. T ti q NR W C/ ADDRESSf , ST. CROIX COUNTY, WISCONSIN ; SUBDIVISION 12~ LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM l ~~rQge x s 'nq Cr / NGUS2 1~1 o RA. Al ~ctr~ 0 7~f~ ' ar iI 1 INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used"?17 Elevation of vertical reference point: Proposed slope at site: SEPTIC TANK: Manufacturer: Liquid Capacity: V .1 Number of rings used: 1_,°r_ Tank manhole cover elevation: ~f Tank Inlet Elevation:-- Tank Outlet Elevation: Number of feet from nearest / Road: Front, Side, Rear, feet From nearest property line Front, 0Side, ORear, 0 feet Number of feet from: well %n~ building: ,7" k (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: ~J Liquid Capacity: Pump Model: 0-5 C' Pump/Siphon Manufacturer: Pump Size ; Elevation of inlet: b ql qZ1 Bottom of tank elevation: J~'-~, Pump off switch elevation: ?7- 7 ~a Gallons per cycle: /J1 Z Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, Side, O Rear Ft. Number of feet from well: /?0 Number of feet from building: loo/ (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed:' Trench: Width: Length: 7 Number of Lines: 4' Area Built: Fill depth to top of pipe: r Number of feet from nearest property line: Front, Side, Rear, O O fit. -10 Number of feet from well: Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: Number', f pits: Diq eter : Liquid depth: /B ttom of seopage t e vation: r r Area Built: i Has either a drop box O or ist ibution ox b en us d on any of the above soil absorbtion sytems? (Check on HOLDING TANK / i Manufacturer: Capacity: Number of rings used: E 'vation of bottom of tank: Elevation of inlet: i Number of feet from nearest pro erty line: Fon O Side, O Rear, O Ft. Number of f et from w 11: i Number of feet from build ng: Number of feet fro near st oad: Alarm Manufacturer: r Inspector: Dated: Plumber on job: License Number : GZC~ 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 E~M_TERNATIVE St ate ( I f assigned ) l. D. N u mber: Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: JADDRESS OF PERMIT HOLDER: INSPECTION DATE: Steve Nygaard Rt. 2, Baldwin, WI 54002 L BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV. Nz of the SW4 of Section 19, T29N-R16W, Town of Baldwin Name of Plumber: MP/MPRSW N... County: Sanitary Permit Number'. Dale Hudson 6629 St. Croix 88419 SEPTIC TANK/HOLDING TANK: MANUFASTURER. LIQUID CAPACITY. TANK INLET ELEV.. ETANK OUTLET ELEV.. WARNING LABEL LOCKING COVER M1 E PF40VIDED. PROVIDED. i71-'t< 3 1~~~ ❑YES ❑NO ❑YES NO BEDDINGTL.: HIGH WATER NUMBER OFROAWELLJBUILDING VENT TO RESH ALARM LINE AIR ILET ❑YES L ❑YES O FEET FRoM DOSING CHAMBER: VER MANUFACTURER BEDDING'. LIQUID CAPACITY PUMP MODEL PU M P~P~ON MANUFACTURER WARN NG LABEL LNG CO ,.O DED. ❑YES NO ( t YES ❑NO YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUM 13ER OF PROPERTY WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN F EET FROM LINE , AIR INLET / PUMP ON AND OFF) ES ❑NO NEAREST C-- Q7 / b SOIL ABSORPTION SYSTEM. Check thesoil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING r or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) L MAIN CONVENTIONAL SYSTEM: WIDTH. LENGTH NO. OF IDISTIRPIPE SPACING COVER INSIDE UIA -PITS LIQUID BED/TRENCH BENCHES MATERIAL: PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH JUISTH. PIPE DISTR. PIPE DISTR. PIPE MATERIAL. NO. DISTR. NUMBER OF PROPERTY WELL. 7BILDING. VENT TO FRESH BELOW PIPES ABOVE COVER ELEV. INLET ELEV. END. PIPES. FEET FROM LINE. AIR INLET NEAREST MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows t rown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. YES ❑NO SOIL OVER TE TURE PERMANENT MARKERS OBSERVATI )N WE LLS y C2 YES ❑NO YES ❑NO DEPTH OVER TRENCH BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES. i y r E DYES NO YES ❑NO YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: SPACING GRAVEL DEPTH BELOW PIPF. FILL DEPTH ABOVE COVER WIDTH. LENGTH NO. OF LATERAL /J BED/TRENCH TRENCHES O o 6 DIMENSIONS j -7 6, MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL. IN O DISTR DISTR PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV.. FEE~(~ 'r DIA. Et' jV., (1 PIPES DIA / ELEVATION AND DISTRIBUTION t9t HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION PLANS YES ❑NO 1 ES ❑NO COMMENTS: PERMANENT M~RKERS JOBSERVATION WELLS: NUMBER OF PI OEE TV WELL. BUILDING. YES ❑NO [DYES ❑NO FEET FROM NEAREST I ' I t 1~ \xY2- Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE. TITLE DILHR SBD 6710 (R. 01/82) SANITARY PERMIT APPLICATION COUNTY I~YDILHR In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY PERMIT -9O / -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. -1/0 q j -See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. FOR VARIANCE ® YES ❑ NO PROPERTY OWNER PROPERTY LOCATION T.' N, R (or W PROPERTY OWNER'S MAILING A DRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME CITY, STATE ZIP CODE PHONE NUMBER CITY J NEAREST ROAD, LAKE OR LANDMARK /v VILLAGE : 11. 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. ❑ New b. I'l 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. 2 Alternative C. ❑ Experimental 2. a. ❑ System- b. ❑ Holding c. ❑ Pit Privy d. ❑ Vault Privy e.,M Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. ® Seepage Bed b. ❑ See 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): ? ` 1-- - Feet OPrivate ❑Joint ❑P3ublic ~ VI. TANK CAPACITY Site in gallons Total of Prefab. Fiber- Exper. INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete structed Con- Steel glass Plastic App' Tanks Tanks Septic Tank or Holding Tank ® ❑ ❑ ❑ ❑ ❑ Lift Pump Tank/Si hon Chamber/~~} - ? l ® ❑ ❑ ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) MP/MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): Name of Designer: VIII. SOIL TEST INFORMATION Certified Soil Tester (CST) Name CST - ~Z/ ` CST's ADDRESS (Street, City, State, Zip Code)_ Phone Number: IC9 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater Date Issuing Agent Signature (No Stamps) ~Approved Surcharge Fee ❑ Owner Given Initial ~ m Adverse Determination X. COMMENTS/REASONS FOR DISAPPROVAL: 101 61 SRD-6398 (formerly Plb-67) (R. 03/86) '?'STRIBUTinN: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber iNi ORiiiATfUN & 1NS1'k W V1UN6 1i-UK ~;Uk 1. This sanitary p-1- 2. Your sanitary permit may be renewed bet, criteria in the Wisconsin Administrative Coda w;it uG All revisions to this permit must be approved by the permit issuing authority. A new permit may t.:. there is a change in your building plans, system location, estimated wastewater flow (number of be ooms, etc.), depth of system, or type of system; ':hanges in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 63991 ubmitted to the county prior to installation; rivate sewage systems must be properly maintained. The septic tank(s) should be pumped by a ,per whenever necessary, usually every 2 to questions concerning your private sE consin, Bureau of Plumbing, 608-266 and accurate this sanitary permit app roperty owner`s name and mailing address. Provide the legal dE Called; of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 3: turant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; ,ose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconne ;.ir; of system: check all appropriate boxes depending on system type. Check experimental only if projec conjunction with University of Wisconsin; .arption system information: Provide all information requested in ##1-6; r: information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, ber of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete i// septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if s received experimental product approval from DILHR; Jonsibility statement: Installing plumber is to fill in name, license number with appropriate prefix (e.g. etc.), address and phone number. Plumber must sign application form. Fill in designer name i icable; test information: Certified soil tester's name, certification number, address County/Department Use Only; .-)ment area for use by county or resaon given when application is disapprov plete plans and specifications not smaller than 8'/2 x 11 inches must be su. s must include the following: A) plot plan, drawn to scale or with complete ai.iic.aiui: ing tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water servi.; ams and lakes; dosing or pumping chambers; distribution boxes; soil absorption systems; replacem, em areas; and the location of the building served; B) horizontal and vertical elevation reference poi Dmplete specifications for pumps and controls; c ~sult of ever 2 years of steady negotiation and public debate. The groundwater bill Ground titer eluded the creation of surcharges (fees) for a number of regulated practices which Wiscoa Si i'_Z -.n effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasUre -ed in your building is returned to the groundwater through your soil absorption o rn or the disposal site used by your holding tank pumper. a ponies collected through these surcharges are credited to the groundwater fund adminis- by the Department of Natural Resources. These funds are used for monitoring ground- groundwater contamination investigations and establishment of standards. Groundwater, _ a 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 inadequavies 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 11-Z1 - ~L. LyyL,L ~i~L Location of;~Property _ S, Section T N - R W Township ~ ) (G'i ~4 ~ f\ Mailing Address v 1' Subdivision Name Lot Number , Previous Owner of Property Total Size of Parcel 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 - i 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. PROPERTY OWNER CERTIFICATION I (We) eenti.6y that att 6tatementA on #hi4 6oAm ace .tAu.e to the but o6 my (our) hnowtedge; that 1 (we) am (ace) the owner(s) o6 the pnopeAty debcAi.bed in .thiA in6o4mation 6o4m, by viAtue o6 a waAnanty deed Aeeonded in the 066ice 06 the County RegiAteA o6 Deeds ae Document No.~~'" and that I (we) pneaentty own the pnopoaed bite bon the eewage di,6poa eyd.tem (on I (we) have obtained an eaeement, to nun with the above desciLibed pnopeAty, bon the eon,6t&ueti.on o6 bai.d 6y4tem, and the dame hae been duty Aeconded in the 066ice o6 the County Reg"teA 06 Deeda, ad Document No. SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) IL' SQL t; P S( . F=- DATE SIGNED DATE SIGNED BALDWIN T•29N--R.16W DD SEE 11 AGE 47 ` h' ,e/ch f T/~omas Edward ' ~sra e` .a m .Pon ,P f DD J a/- a Al /le~y //eenendaa Ro'y 9 SF.o'ward ,Jaarsne Tani "`/O • Kanfe •eS/e rrers Wi// am . Kennedy, Eschanbac 6rz.a "`O~x D PIN ES 0 ~Q?~' 37s >s >s 76.67 • Hoyt/n~E e /49 e>~ do p~ e L. J ~ ~ C 0 i y C..</. f. H/ be Edw. tom/ r/- zo isa _ J C' eGrootn.~_ eeielsdaa E eao F rss Gema E d(9~oz • ~Yp•'JC a 745hui.s 6Y9°.i°. 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Peter on s- y • K .-r s Z o l e Bo okker i on e e e bCh, iAmos Saab s s¢ e~dy~~ da ~a u 4 is a 7/~ ° °t i~z 39 Qo a\ K. ~hn- v hw~ of yQ a to W • /Faber/ f Befty L.L o ste • v ea / • .34 0. onn so • • W H9ens f NFYh'v~t- : s°a N n/<k C• C• c h Paw ~e a/d, e y E 9en ~Qa c Tarry /07 AF V O Na W C Go.F.f"er C • °doa ~J v tlF Cry •FCa o/H Kj W otl Ec/9 ene v ~c.Ewc// avp• Lester utl0 tla00 Lorenl3 Bo• d00p ~°j f hn Webb a % , ,9ani to r` /,ss 3 l~eenendaa/ 0~'OE ~'C 0~ C Cb 0 p p a.E WC .-17t.P _ 8/ ~G ~ O Q = ssin o l Cr ~ js• Oe ~ W ~ ioo ~ \ ~ /60 bV J ,peinhardt •Kenneth ro ~.C~ oU E/ .'se 'C ro°/. rs9 ~l VC? /zo - N.y9aara/, Q p~ ,P~be~f/c. ~ ~ W • ~ • " : ~ yeenen- C ~ Eu e - Y, eta/ c 1 -9 \ LC No wa rd ~b deal o ore_m f'9Susan Mar v.:7 a • /zL gO • Oyc Lee i So \ % p ad/ey Zwo/d f Loyd b 19.C O ~l /so O5 Luck wa/df Ctl ath 33 Al, 00 0 ,,J, a F Parr/c a s .aer,E" 'eOy 0 "I Nygaard .srth Mou/t n vti z://- F Sand a z ( ,LC 11 77 ' `K g• E ~1, • ° -1-- .33.5 /58.7-3B ~`YL O'v n :s 11 /06/ E E/ai ne V k_ E rhw °c ~ qh C • /t n v✓a/rer • 79. s r - vE S olY"cr crx .Pad je/ {`C wo/dr •To//c on zmrer ~,CV ysyon Tahms cSfa ven mchi w .Po/a d BO ~ ~ SO 7322 40 \ ~ 40 BO ~ ` j Tha /o,son zB /OVich NP/S~ Lorerif \ od • 'Q Ol ~ osa:o bo tl\~~~ Tham~son ~ 0 V 0 go -q. /zo on ~ c s,~ " ~3. e 0 ~1 ~ •RO, ~ tl v 4 Babb ppd ~ ~ ale For., C/ff ~ 0 c1f • B. /37 ~ Cjordon 'J~~ '7 ~ rleyers fL/bryh sor/ ~ ~ ~ fJe ~sarh 6`r • BO Bo J • Inc- ~Oy Ear/ c • e F Shiley Ay°ry 7~¢/e R. ' -David F • 4/ y v l2 /9o NFN HIP y Paterson q v p >ye s O Elaine r95 F Mar w p~ loo ,q/br9ht on Ti • ~W Ml~ \ 6y Luck wa/dt r/7 Loock j ~ - ri i/e F /4/ C'° v ~ fever f T.na. ° 0 \ /rB q-o B P'11~DW I N'. ~C P« .s as tlJU Eu kin/E Nb Q' ° \ e. rh U~ZI x /04 bt ;0 l~(i a y C S+, aU J dy n ~ C K9nd- D u V 4 Wa/rer E" ac ~Wq s~ /b- a~~ e sow z i o µ car fy s¢ ob N 1Fscf S•/o ' V W~• 9h¢o° QI`W ` R K ~ et / O m ~,a ~ ~ /SOnn x°g yU N ROSEk s •D •R •j l W • . C h o: Beffi; C C C a.• i°o O° C .,V C \ .C c~ro./ /2 C •~d. C0 s:..yaN m"~'C Wa a~ K/h 49 a~ Inc. ~ti j tl 0~~0 .p~'\`~ h•\~ yW%a L4od s W¢/tW a/nc ~ ~j cy✓oi e/san 9chte hof ,r nn a 0 72 a N C?bn oV ~Rhe 9/a n O G/e RR- ,sa e son CSC q Q tl • C.8 .4 . rya/ce.n e eff aU03 ~ \ 4o H ~ 6z • r .('C ~Toa Jh'chterh + rn \C~ ,B . ~ back - s fa 3 /40 L r s noeyen6cs • U a t/ansoo • \ 0 SM ''o„ clad G/o d F ~ ~k eta% ~ ~ 3 ~ 0 OKae M r y '~zv 79 B° s ~ ~ f ~ • J hr/ F.pa //a m ih: p 77 v tl we, Sye A W b L E 39 o e Jarnas € /Pay 63 (/and ber") -aQ/e Mou/fan < Fcd¢M 9 thurT loo /b C ys • C /zo O tTe//nsen Ka sf BB Ov ,~Hranne ~ / m B ' cSt yn-:.G EL H7/- yo /LO • .i V/ LF7s GO 74 f3%.i.. : /.3. s 4 H.es/obis `s e~ Eu/a it c/968Roc.Fford /o Pub/ me ,Pev/979 SEE PAGE 21 .StCro:x Countyws F i FRE t7' S PUMP SERVICE Woodville ALUMINUM CASTINGS Dental ALUMINUM FLAG POLES All Sizes PUMP REPAIR AND Center NEW INSTALLATION RIEHM We Sell TRW - Redo Frank W. Keeler Submersible Pumps D.D.S. FOUNDRY Woodville, Wisconsin 698_2410 Phone: 698-2959 54028 WOODVILLE, WISCONSIN 54028 698_2915 Woodville, Wisconsin ~Ba`.~".► BOLDT'S PLUMBING & HEATING, INC. 820 MAIN STREET BALDWIN, WISCONSIN 54002 - (715) 684-3378 March 5, 1`99 St. Croix ou:nty Zoning; 911 4th St Hudson, Wisconsin 54 Attention: Jim Thomson FEE: Steven Nygaard Mound System, Baldwin Township Dear Jim; I am writing to ask if you have contacted anyone who might be at>le. to help us evaluate the 3--,roblenis> with tit.even Nygaard's mound system` On the day I met with you at; the sight, you said that. there might be the possibility of getting assistance from the university in figuring out why this particular system has failed- ! would like to stay on top of this matter and get it corrected as soon as ,.possible. Alsn, any information you could give me about the configuration-- f~~ for the Webb mound to the north of Nygaards would be appreciated, seeing Mr. Nygaard seemed to be upset that his mound was sized differently than that one. I would just, like to be able to assure ~f him that, hi> mound way, ties igned correctly for his soil type. dal Thank you. :.i.ncerely, 9 Dale Hudson' DH/jh -✓s GAG c~ ~ ~O G c . c . Steve Nygaard tt' '2 FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER_ I ~ ~ ! x)7 F TOWNSHIP SECTION -)a - ADDRESS 7Cj~ ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT r-- LOT SIZENues PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I~ Ilea-j OJ 3 ~INDICATE NORTH ARROW BENCHMARK:Elevation and description: 1)G 1~ CZ Alternate benchmark SEPTIC TANK:Manufacturer• 1'-~eS1 el-A (`P'Liquid Cap. l L Rings used:--LManhole cover elev: Final grade elev: Tank inlet elev.: Tank outlet elev.: No. of feet from nearest road:Front_,~L, Side , Rear Ft. ~IDD D From nearest prop. line:Front V , Side Rear Ft. No. of feet from: Well >/(1(/> , Building: (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE Labor an Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations Safety and Buildings Division INSPECTION REPORT St. Croix SW NW 19, 29, 16(ATTACH TO PERMIT) Sanitary Permit No-: GENERAL INFORMATiON Hwy 63 149211 Permit Holder's Name: ❑ City ❑ Village E]XTown of: State Plan ID No.: Tom Webb Baldwin 91-02160 CST BM Elev.: Insp. BM Elev.: BM Description Parcel Tax No.: e 270-002-"/'_.')__q_000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark NS~ Dosing d Aeration Bldg. Sewer Holding St/Ht Inlet y~J/ TANK SETBACK INFORMATION St/ Ht Outlet S ~I, 3 TANK TO P/ L WELL BLDG. AirI to ntake ROAD Dt Inlet q Air I Septic 16"") i NA Dt Bottom tidy 17 Dosing J70 y1S-6~~ ' NA Header/ Man. Aeration NA Dist. Pipe 3, z 3 X17 Holding Bot. System ~.~o 1b.3 PUMP/ SIPHON INFORMATION Final Grade Manufacturer'- Demand d 3. Model Number D i jl - I 141 ;'GPM TDH Lift,O j Friction, { System i Los$ e a;; TDH~c~,)i Ft H Forcemai n Length { Dia. Dist. To Well 1501 SOIL ABSORPTION SYSTEM BED / TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS " I ° DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION TypeO System: 1y1nq g/b~~ ~tJ~f1 OR UNIT ER Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) 7 i x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length 12-~' l 4~ r Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over 1{ Dpth Over v xx Depth Of xx Seeded / 5oelder3- xx Mulched Bed /Trench Center (6, T-d e/ Trench Edges a f Topsoil lzy~es ❑ No a-Y'es ❑ No COMMENTS: (Include code discrepapcies, persons present, etc.) S 5.15 f Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert No. H En H a ST C- 105 r r a H SEPTIC TANK MAINTENANCE AGREEMENT Ho St. Croix County z d a OWNER/BUYER VVqc;c~fc2 Fcirm EAC Vr"' ROUTE/BOX NUMBER ~av 0 Fire Number CITY/STATE ZIP C C. PROPERTY LOCATION: 14, Section T_N, R W, ~ ii Town of L>k ~td (A'~' 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 put into If 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 0 I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x H the standards set forth, herein, as set by the Wisconsin Depart- 10 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 J- ~~ttLxv1 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 REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDLISTPe, DIVISION LABOR AND PERCOLATION TESTS (115) MADISP.O. BOX ON WI 7969 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAME: %J' i W 5/4 /TzgN/R/41(o i 2'12 ~ / COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: r ' e e /ff. ,l .T3n~0~vi%~ USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: (PROFILE DESCRIPTIONS: 1PERCOLATION TESTS: (Residence 41,4 ❑New Replace -3 7 73 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: IMOUND: (IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDIING TANK: RECOMMEND,rEDD SYSTEM: (optional) []S ®U ZS U 0S 2U DS ®U F]S,[MU If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: *X /1/x Floodplain, indicate Floodplain elevation: N PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- / 3.5 21, y,Z B-3 243 5.22 Np.,~2 7 / • - / /3 ''R B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD I PERIOD2 PERIOD PER INCH P- 2 ' Kr7 t7 c° 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 9~•~~~ i ' -1- - - - - - --I -I - - - ' . i I I ~ I I i - I _ , r-- I I I I I LL_ L 1__L 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 : TESTS WERE COMPLETED ON: ADDRESS: n CERTIFICATION NUMBER: PHONE NUMBER (optional): 34 CST SIGN TUBE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - I TWe I1 l O 8•/yI- /DD•0' SN Ste Ve Nxg acz r c~ L31 - B3 - 95,2 Z' / ~oragC Sep c. /O FX iSf~ ~1 q .0 6 B. ~o u Sc: \ a' L~ 1f .Fel7C )J /'/ark / s C Y) t~ ~ fh~ 6ofto~ .~fep ~j ~ ~9• 3 az co,- ,v e f a f house ~o ya iz9 .3 lio-'P .9•-c o"p - Zenoes -Ee,r ~ !7)or-; 83 33' De n9o P# - 17~llofes Pe C, Sec . 1 ~ ~ry i tol 23o IV Z Rv y 1 - NO, 1 raw n B y ; r~P~~z9 7-- 7 Performance Sdbmersible Effluer-'... Curves Purrips METERS FEET 90 MODEL 3885 25 80 SIZE 3/4" Solids WE15H 70 w x 20 WE10H J Fa- 60 0 WE07H H 15 50 WE05H 40 10 30 WE03M WE03L 20 5 1 717 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM 1 i 0 10 20 30 m'/h CAPACITY 17 x'`` rr 7~ 5 S e 3 t o a L. !,7 rM7 n,1 GOULDS PUMPS. INC. SBIECA FALLS WW - - PORK 13148 METERS FEET 120 MODEL 3885 35 SIZE 3/4" Solids 110 WE15HH 100 30 90 25 80 Q 70 W x 20 J 60 0 F- 50 WE05HH 15 40 10 30 1986 20 5 10 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM 0 10 20 30 m'/h CAPACITY 01985 Goulds Pumps, Inc. Effective July, 1985 PAGE OF 3 PUMP CHAMBER CROSS SECTION ANJD SPECIFICATIOMS ---VENT CAP 4 "C.I. VENT PIPE WEATHER PROOF APPROVED LOCKINIG JUNCTION BOX MANHOLE COVER 25' FROM [)(,OR, WINDOW OR FRESH 12"MIIJ. ( AIR INTAKE GRADE I I 4" MIN. 18" Awl CONDUIT 11~ INLET PROVIDE I AIRTIGHT SEA_L.: APPROVED JOINT A 19 I' APPROVED JoIIJT w /C.-1. PIPE y a` !P >a e e$ III W/C.T. PIPE EXTENIMMG 3' f II EXTENDING 3' ONTO SOLID C tl._ - , x-~ , I 1 ALARM S I ONTO SOLID SOl c m t ~ us_ B ~x t 1 x, r ir i d r Li~tr ( ON C } '1~ iAl!l.! 'Yi r1LI~ Y4~ fi1 , ~ P OFF CONCRETE BLOCK. RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUGH APPROVAL SPE GIFICATIOUS SEPTIC ANp - DOSE TANKS MAQUFACTURE.R: lle e-- Y(~~ UMBER OF DOSES: ~ K DAy TAMK :,IZE : goo GALLONS DOSE VOLUME: GALLONS ALARM MANUFACTURER: - PST CAPACITIES A IIJCHES OR GALLONS MODEL ►JUtAbER: INCHES OR 3q GALLOIJS SWITCH TYPE: /'/C' !1" y C= INCHES OR GALLONS Pt1MP MANUFAC.TURER: 90C! D=INCHES OR GALLOIJS MODEL NUMBER: = NOTE: PUMP AND ALARM ARE TO BE SWITCH TYPE: G'r' v INSTALLED ON SEPARATE CIRCUITS PUMP DISCHARGE RATE GPM VERTICAL DIFFERENCE 6ETWEEN PUMP OFF AUD DISTRIBUTION PIPE.. FEET + MINIMUM NETWORK SUPPLY PRESSURE , 2.5 FEET / X + ~ FEET OF FORCE MAIN X - Fj0 F,FRICTIOM FACTOR.. / FEET TOTAL DJNAMIC HEAD = r" FEET ~7, „ INTERNAL DIMENSIONS OF TANK: LENGTH 7' ;WIDTH -L_._.;L.IQUID DEPTH 7 SIGNED:---~( 7'!L ~ _ L ICE.AISE kIUMRFR: /'/zoh~~.~00 HATE-_CJ a ' CJe 1I a 1 0 runL'r: I ' 83 - 95, 2 z' \ \ I [13 7,'-,o cf tAe Loltoiw .5k ~j ► ~9 W - $2 d17 i p 7a I z9 rJ 3 ~o ~t -~erJaf~?S L3ofe Bales k R'¢ x n t r. r t .a l 1 ~3 n sec -4111- 7 ~ z3o 4 C Trawr} Bel' r)P~~z4 - 7 - 7 ,R g,f12. /©D,© S-/ e ve Nxg a u r r< 31 - r-- BZ - `•SG` B3- 95.22 / l 1 ~ ~i(trt~QC l 1 ~UC~[~ r i , Sep r'c, , o /o ~X i Sf~✓7~ Bent-)7 /'/aT 11 /S ~Y> \ B1 BZ llp C4 T Jr /y' Cif r')~ o? ~)OUS~' l a /f~ ]I;29 P# a _ ~c.7ofe5 c .fie c c: N 0 ~ 1~ acv n B ~l ; I I z9 ~~7 Page L Of Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe Medium Sand H G Topsoil F -J D 3 r % Slope Bed Of Zy- 2 -1 Force Main Plowed . Aggregate - From Pump Layer D Ez Cross Section Of A Mound System Using A Bed For The Absorption Area F 75 G A F~. H LME, Signed: O: tzt~Sr ,~tfra B 7 Ft . License Number: Ft: ate` Ft. Date: ~01~ d 3u ILI) Altefiit{t~otn` Ft. . Ft For ti r L d I Observation Pipe---,,\ I--~-- 6 7K A W Force Main ~~-----T--------------- ° - - From Pump Distribution Bed Of 2p- 2 %2~ Pipe Aggregate I Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area r~, Page Z Of _ Perforated Pipe Detail 0 End View Perforated End Cop) ~\c l" PVC Pipe 1m(. Jo~~o `occ~ W 0` i Holes Located On Bottom, S Are Equally Spaced X S P PVC Force Main + From Pump i~ Pi .7 / PVC Manifold Pipe ' Alternate Position Of Distribution ~ Pipe ' Force Main From Pump Last Hole Should Be Next To End Cap End Cap Distribution Pipe Layout ' r K P 23 R 5.33 r X igned: o. Y, 0 S Hole Diameter Inch License Number: Lateral Inch(es) Date: Manifold 2 Inches Force Main _ Inches