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HomeMy WebLinkAbout008-1013-60-000 3 ~1 m CD m v M 7! c 3 =r 0 0 w m 0 0 Cj N O (n 0 O N N COJi o = (D z - 3 3 j ? c to o 00 cisl • N m a m l~ Z n to N m Q 3 3 3 Z 0 0 W o G1 0o s c= c m o ~ 3 c p O m rn o G I CD 0 C) 8 CL C) °ow co m = 7 (D 00 co C0D = p co o En r- -4 O 3 w al 3 o 7 N N III O ~w C CND 0) a Cn co D Cn cn < D 3 O Cp D a cn se -0 N (D (f~ N (D N N i N (O N (0 C N a CIl N O -4 n o. 3 n n W o o D N N N N CD ~O O O O O O O < *70 CD CD 0 C, O of O VCD (D (D M 0 ) OD w 1 N 0 C ~I N N m N • o oA O O O Z O O O = fA -p A A O ~y.,~ a o c o o c o c Cn 3 v N E 3 C) a a N N N A m 0 0 0 m o o a. 0 m O G oo 6 En O < O C O m N 90 CD cn cn O CD CD CD m m m o m y c N N 3 7 7 A a CL a (n N D D o 0 O o O c awl o o" m a "ft e I CD CD c c co m w a 3 a 3 cn co A O z 0 o" o " (n N cn oo v m co CD CD d Z 3 A 0 m C w cnv v =3 CD a m (D a) m CD: w s3 a o'< CD CD C < CD C (p = C cn a =3 o a o. 7 ED o a) c) a0 m S a'Q, on(~n a° c v O a CD 0 (n a) 7 0 Z o a ( O D 0 0 N 7 0 ~ m 7 7 m N m 3 a"~ I 3 o a y+ v ~ v O A O ~ CD N N O O m c a C) (D ID o 5 m D CD O v 0. (D 5 pCL oCD o Q fJ ° m omd eo c CD CL v N O j rn ' Cv 0 (p R 7 'T1 N CD :E S 7 T N cD =r 3 CD N N a (D fD y" N N N 0 N CD y' I O a. 0 7 a o o fJl a 0 7 a 3 0 -0aF v<~N Oja o,o<°y aom cCL CD 3 0) CD 3 a) CD CL E3 CD CD m o am s m N CD am s 3.n a0~ m 3.6a`2 3 <mm om - m _ o o do y cD Q. CD CD CD (n CD CL a CD a a 0 (D CD O U) O 00 o a o 0o n ti b ST. CROIX COUNTY WISCONSIN PLANNING & ZONING OFFICE "I "I""""' COUNTY GOVERNMENT CENTER 1101 Carmichael Road - ' Hudson, WI 54016-7710 (715) 386-4680 FAX (715) 386-4686 November 17, 2005 Gordon Carroll 229655 1h Ave. Baldwin, WI 54002 RE: Non-compliant POWTS, Town of Eau Galle Parcel # 008-1013-60-000 (Computer #05.28.16.68-B) Dear Mr. Carroll: This is to notify you that the Private On-site Wastewater Treatment System (POWTS) installed on 9/24/1982 is in violation of State of WI Comm 83.52(1)(b) Responsibilities for POWTS operation and maintenance. The mound is designed to be a pressurized distribution system for wastewater, dosing the distribution cell within the mound at specific intervals. The lateral distribution pipe ends must have threaded plug fittings that force the wastewater through orifices in the laterals. Your system's laterals have open ends extending above the top of the mound, which allows was ewater to be discharged to the surface of the ground, a violation of St. Croix County Sanitary Ordinance Chapter 12V.e Limitations. F. To remedy this violation, a licensed plumber must repair the mound by installing threaded plugs on all lateral ends. In addition, the laterals should be flushed and pressure-tested to make sure they have not been damaged during past years' improper use. Please provide our office with documentation of the date of repairs and POWTS inspection, including the most recent date of solids removal from the septic tank. I have enclosed copies of the original permit and the system as-built completed by Boldt's Plumbing and Heating. It is important to correct this situation as soon as possible. Please contact me at the telephone number listed above with the scheduled date of repair and inspection within one week of receipt of this letter. Should you have any questions, please contact me at this office. I S ere y, Pamela Quinn Zoning Specialist (Enc.) Cc: John Murtha, Town of Eau Galle Chairman Dale Hudson, POWTS Installer Jeinifer Emmerich, Code Enforcement Officer ✓Permit file 0ca0 K-00 d r.. O d f c m 0 L/1 c ° = n 3 ID a a T gt c» ~ (D d a r: ~ Q n N o o N co o chi d m o o w co o o j d m con oo °c • N m a .3+ 3 a 3°° N N cD a 3° 3 CD y w° O o p 0.0 a Z n a z a o to c O a CD CD co c p CD CD co ° rn o ^ V a d N 0) N a O N Cn O W w \ C) p 0:) 0 0 a p p o00 0° = 7 :3 CD (aj 2 p W° Q CS En 3 a a o w cn a a i ~ C0 3 m N o p U) N) 0 CD a) m (n < U? 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CD CD O ro° z 3~ m N Er 32 cD CD 3 CL 3~ m CD n r:od=ticD dd odro o o Q vi 5D O_CCD CD m am CD c ro r O c (D r: d A N CD by h Oo I ~ ti O O O 0 0 N o0 C a O O W CD O O C, o n o o n N - 13 Parcel 008-1013-60-000 05/13/2005 10:21 AM { PAGE 1 OF 1 Alt. Parcel 5.28.16.68B 008 - TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * GORDON D & JULIE A CARROLL CARROLL, GORDON D & JULIE A 2296 55TH AVE BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2296 55TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 4.000 Plat: N/A-NOT AVAILABLE SEC 5 T28N R16W 4A IN SE COR OF SE NE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 05-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 07/27/1982 378792 649/411 QC 2004 SUMMARY Bill Fair Market Value: Assessed with: 45991 154,900 Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.000 26,500 93,100 119,600 NO Totals for 2004: General Property 4.000 26,500 93,100 119,600 Woodland 0.000 0 0 Totals for 2003: General Property 4.000 26,500 91,000 117,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 513 Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSMENT 138.00 Special Assessments Special Charges Delinquent Charges Total 138.00 0.00 0.00 C a c p c m m d LL i v_, o c 0- C L N Y w 0 N o'; > N OQ o a' 0 p O O C p m p C C ~ C7 z o E 0 O O O 00 C N m (n N O ~ C v-- m; ~ C Z ~ a a U N O O Q ° E .2 L d Z Z d H c c > N 3 6) a Q ~ a o N cn a c F a Q 3 > 0 U U) N o W m w w N N N m ~ c d N N O a O +`-N N 7 O N c N Q W O N W c O S] _ O z E 43 LO -0 V3 O O 'O 00 d co = c a O 3 fn W w U CD N C]m ~ r N O M N (n } Z N N w I o p m - p' Z N l0 U V y co r L O M o a v Y mN U co J Q N w Z c c O c O N C L U O O N O O 0 z 0 O O E E N N C N O m O O O C ~ d 0 O C N Z O O 00 3 0 O M O ~ V cn ~ 6 O o M n a o ° ,6 - CD C4 o m m a> o N 06 C7 E co N 7 CD L6 m r- a s d O O O W E O O N U m 0 E E a O O O O W M f6 C N m a> a 6 o y O > > - L CL a 3 `m p W o o m o a 0 0 Z N Z Z g cl) CD E c 0 lC 3 U a ~ c/~ Judy Olson Subject: Schnabl-Mike McDonnel (final) 399424 Location: Eau Galle at south county line Start: Fri 11/22/02 3:00 PM End: Fri 11/22/02 4:30 PM ~j Recurrence: (none) Pam SW NW 31.28.16.4666 2122 5th Avenue 5 Z7 iUU _ ~ DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS DIVISION LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 Stare Plan LD. Number. ❑ CONVENTIONAL ❑ ALTERNATIVE ❑ Holding Tank ❑ In-Ground Pressure Q Mound NAME OF PERMIT HOLDER. JAQLPRESS OF PERMIT HOLDER INSPE I N A E 8E CH MARK (Pe,manent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: CS7 REF. PT. ELEV. Name <)I Plumtrer. MPIMPH SW N,, Cnunly Sanitary Perm,[ Number. r. ~Sclk y f_l o SEPTIC TANK/HOLDING TANK: MANUFACTURER LIQUID CAPACITY TANK INL T ELEV TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER P O IDED PROVIDED YES ❑NO ❑YES NO BEDDING. VENT DIA. VENT MATL HIGH WATER NUMBER OF ROAD JPROPERTY WELL. 11111-111\11 VEN TO FRESH ( ALARM FEET FROM-~ LINE fy LAIR IN r ❑YES NO st ❑YES ❑NONEAREST-- DOSING CHAMBER: MAN (FACT UR EH ~IIEDDINI. 1 IOUIfI CAPACI TV PUMP MODEL PUMP; SIPHON MANUFldCT UR EH WARNING LABEL LOCKING COVER ' rrf PROVIDED'. PROVI ED. F r~+ ❑YES LINO YES ❑NO YES ❑NO GALLONS PER CYCLE: PuMPANOCONrROL OPERATIONAL NUMBER OF I'[aNOEPFRTV WFLL BUILDING ~ VENTT0 FRESH (DIFFERENCE BETWEEN FEET FROM N AIR INLET PUMP ON AND OFF) / ,3 YES LINO NEAREST ~1 J SOIL ABSORPTION SYSTEM. Check the soil moisture at th depth of plowing n',~E (I H MAT LRIAI ANO MARKING L FORCE z Or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN J~ the soil is dry enough to continue.) CONVENTIONAL SYSTEM: _ WIDTH LENGTH NO OF DIST IP SP (~fN' (,OVFIt -T INSIDE [)IA PITS LIQUID BED/TRENCH TRENCHES' r~ r " SAIEHIAI_t PIT H' DIMENSIONS ! ICI SILL DEPTH ll ISTH PIPI DISTH PIPE 1 R. PIPE ATRIAL NO DISIR NUMBER OF PHOPE BUILDING VENT TO.FRESH I:; .J IPI %~~3r)VF COVER k E V INLt T ELEV. I NI PIPES LINE'. AIR INLET. FEET FROM NEARESTy1_ MOUND 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. YES ❑NO _ SOIL COVER TExJ0HF PERMANENT MAHKFHS ORSLHVATION WELLS YES ❑NO '-YES ❑NO UE PTH OVER TRFNf;H BED DEPTH OVE H TRENCH DEPTH OF TOPSOIL SODDED SEEDED MULCHED cFNT ER I EDC,ES ,I~-., ' ' I ❑YES L11N0 YES ENO YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH I ENGTR NO.OF LATERAL SPACING GRAVEL F FPTH BELOW PIPE FILL DEPTH ABOVE COVER BED/TRENCH CQ~ TRENCHES A J / DIMENSIONS t1 7 M lNIFO U PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL NDISTR PIPE DISTRIBUTION PIP .'F MATERIAL& MARKING FI FV. EL CIA rd ELE PIPES Jr DIA ELEVATION ANDf ~7 (Vjs / DISTRIBUTION 4' LE HOLE SPACING DI;ILLf. D COHRECTLV COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION ' PLANS _ ~ ES ❑NO ❑YES ❑NO COMMENTS: PERMANENT MAR KEHS OBSERVATION WELLS' NUMBER OF PROPERTY WELL BUILDING LINE FE T j~•~ al ir r I LY YES ❑ NO ES ❑ NO NEAREST ~~~tinti ~ Car, bt r Sketch System on If Lo.county file for audit. Reverse Side. SIC NATURE DILHR SBD 6710 (R. 01/82) DEPARTMENT OF APPLICATION SAFETY & BUILDINGS INDUSTRY, FOR SANITARY 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: Mailiny Address: sProperty Location: City, Village or Township: A v County: /~IW'/aS iT , N/R ICs (o r) W (.~rAl~~/o~~' ~kai~C Lot Number: Blk No:: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number: (If assigned) +1 D 4 vQ TYPE OF BUILDING _ ~S u Number of ❑ Public* ❑ Variance* ❑ Other (specify)* 1Y) 0 A-JC/ 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 d- Q Q es X HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER QC7 QK} 'K MANUFACTURER: EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): ❑ New f § Replacement ❑ Experimental ❑ Seepage Bed ❑ Seepage Pit 117 cX7-5- ❑ Alternative (specify) MOVAJcj ❑ Seepage Trench Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): P< Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for instal on of the private sewage system shown on the attached plans. Name of Plumber: Si nature: MP/MPRSW No.: Phone Number: v e,e f ~c o~ ~f' P `/W9 6 Plumb ddress: Name of esigner: COUNTY/ DEPARTMENT USE ONLY Si n ture of Issuing Agent: Fee:> Date: ~ - APPROVED Sanitary Permit Number: r Xa q_') ~w~1_- ❑ DISAPPROVED r" 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) DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, ~ CC DIVISION BOX HUMAN REDLATIONS PERCOLATION TESTS (11J) MADISON WI 53707 LOCATION: SECTION: TOWNSHIP/MUNICIPALIT LOT NO.:BLK. NO.: SUBDIVISION NAME: ' p i P N S E " / 5 /T 28 N/R 1 woof COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: St Croix Go(13or\_ C arro ~ 60U~c ~~a~~vvl CIS. USE DATES OBS RVATIONS MADE DESCRIPTIONS: PERCOLATION TESTS: NO. BEDRMS.: COMMERCIAL DESCRIPTION: 2q Replace Residence ❑ New VgReplace / -lC7 O V RATING: S= Site suitable for system U= Site unsuitable for system CONVEccNTIONAL: MOUNccD: IN-GROUNNcD-PRESSURE: 1SYSTEMS-IN-FILLHOLDIIcNG TANK: RECOMMENDED SYSTEM: (optional) [under Percolatio n Tests are NOT re ESIGN RATE: SYSTEM EL V. qw I If any portion of the lot is in the s.H63.09(5)(b), indicate: f:T I ` Floodplain, indicate Floodplain elevation: 4 G 7S- ro / L /YI iq - PROFILE DESCRIPTIONS sj~ b So ! L S BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH (NUMBER DEPTH IN, ELEVATION OBSERVED EST.J IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B r/ - 1~7~T~ rxJ( 5a I L .SLN 9 ~ .J - - 1, " G - r u Q `r n ' e- 7,2 10,3, 6 -4/0 51 9'' B-3 7,2, N %\,A) haedCLay -42." 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'd05dS T „4/t I 'VOWS sP!IOS 'xgW sdwnd dwnS algis awgnS V06dS PUB VOVdS :L313ede3-pe2H 31nmw HU SNO11VO °S'fi 0% OK OZL OOL 09 09 04 OZ 0 a , - sdAnd IN3nlJJ3 'R r 0 bds+ 9L Oz z 3 VM3 S asd bZ m WARNZ 9Z 3191SU3Aons zE DNIIONVH A 09 `alod b `s uagdS „Z IOS9AS I „e/t t 'OVAS sp!IoS 'xeW sdwnd dwnS leljuaplsa alq!saawgnS OSMAS put' OVAS :f4!aede3_peaH sallos 311)NIW Mad SNO11WO 'S'fl ZLL 96 09 49 917 Z£ 9L 0 J b O p f 8 m Zl > Ob S z 9L J m bZ State of Wisconsin ` Department of Industry, Labor and Human Relations i Please Reply to: SAFETY & BUILDINGS DIVISION -1 f 00~./ Bureau of Plumbing P.O. Box 7969 'r~, She Madison, WI 53707 "Ile a®w 4 _t~ Plan Identification Number 3 Re: PRIVATE SEWAGE SYSTEM ONLY- ` I The Bureau of Plumbing has reviewed plans, site survey information and installation details for the construction of an alternative private sewage system to be installed at the above-mentioned location. The plans and specifications were prepared by f and received for approval on The soil and site evaluation was conducted by The site meets the soil and site requirements specified in chapter H 63, Wisconsin Administrative Code, for the use of The proposed system is for a Wastes from the building will discharge to a -gallon capacity septic tank which will discharge to a -gallon capacity pump chamber from which a pump having a capacity of gallons per minute against a total dynamic head of feet will discharge through a -inch diameter pipe to the soil absorption system. It is of utmost importance that the system be installed in complete accord with the plans and installation details and the conditions of approval contained in this letter. The licensed plumber responsible for the installation shall notify the county inspector when the installation of the system will commence so that the county inspector shall be able to inspect this installation. The installer shall not deviate from this approval and shall follow the directions or orders issued by the appropriate local or state authorities. i In accrd with ch. 145, Statutes, and ch. H 63, Wis. Adm. Code, the plans and specifications are approved contingent upon compliance with the stipulations indicated on the plans. Please review your code for the requirements of each code section noted. The architect, professional engineer, registered designer, owner or plumbing contractor shall keep one set of plans bearing the stamp of approval of this department at the construction site. If the installation of this system has not commenced within two years from the date of this letter, this approval shall become void and new application shall be made for approval of these plans before work may commence. In granting this approval, the Division of Safety and Buildings does not hold itself liable for any defects in plans or specifications, plan omissions, examination oversight, construction or any damage that may result in or after installation and reserves the right to order changes or additions should conditions arise making this necessary. This approval is based on ch. H 63, Wis. Adm. Code, requirements. It shall be necessary to obtain and fulfill the permit requirements of the county in which this installation is to be constructed. Failure to obtain county permits will automatically void this acceptance. cc: OWS By: County Other Enclosures ~ DI LHR-SBD-6159 (R. 7/81) mes Sargent, B erector SBD 6678 (9/81) (Plb 100a) STATE OF WISCONSIN DI LHR Detach And Return Upper DIVISION OF SAFETY & BUILDINGS Portion Of This Form With BUREAU OF PLUMBING 201 E. WASHINGTON AVE. RM 178 Any Return Correspond P.O. BOX 7969 MADISON, WI 53707 c 608-266-3815 DATE: c Illy L PROJECT: _ L 0 Q' ,wE, 5, 28, PLAN ID. # DETACH HERE PROJECT NAME PLAN ID. # This is to acknowledge receipt of your plans and specifications for the above-indicated project. Preliminary review indicates the required fee is $ Fee Received is $ ❑ Underpayment - Please submit the additional fee. ❑ Overpayment - Refund forthcoming. 0 Plan accepted for review. El Plans being returned. No fee has been remitted. Plans submitted with no fees will be ❑ Additional information required. SEE BELOW. held in abeyance. 1. Plan Submission ❑ Complete data relative to anticipated use of bldg. ❑ Additional information shall be submitted in duplicate un- ❑ 2 copies of PLB 60 enclosed. less specifically noted. ❑ Deed restriction required (1 copy). ❑ Plans not clear, legible or permanent. ❑ Condominium declaration. (1 copy) ❑ All information submitted shall be signed, dated and sealed or stamped in accord with Section H 63.08(2) (a) Wisconsin Administrative Code. ❑ Affidavit enclosed. IV. Holding Tanks ❑ Profile of holding tank showing vent, manhole alarm and manufacturer if precast. Complete construction details if II. Pressurize Distribution Systems (Mound or In Ground Pressure) site constructed. ❑ Application for use of an alternative system signed by owner ❑ Holding tank agreement signed by owner and local unit of and notarized. (1 copy) government (sample enclosed). ❑ County onsite required (1 copy). ❑ Design calculations ❑ Reason for installing holding tank. Soil test or statement for pressurize distribution. ❑ Soil boring & percolation from county (1 copy). test data. ❑ Plot plan showing location of holding tank with lateral dist- ❑ Cross section of system. ❑ Pipe lateral layout. ances to any building, wells, water service piping, water ❑ Plan view of system. ❑ Plot plan. course, lot lines, swimming pools, all weather service road, ❑ Verification of Exception Status Form by County. (1 copy) Etc. Provide benchmark with elevation reference point. III. Private Sewage Disposal Systems V. Lift Pump ❑ Ground slope with 2' contours in entire area of soil absorp- ❑ Calculations for total lift pump discharge, head and gallons tion system extending 25' on all sides. pumped per cycle. ❑ Elevation of permanent reference point (benchmark). ❑ Size, length & depth of force main. ❑ Location of area suitable for replacement system - provide ❑ Detail & model of pump or automatic siphons including soil data. size, pump curves, drawdown and average flow rate GPM. ❑ Plot plan showing lot size and all lateral distances from ❑ Cross section of lift pump tank showing pump(s) or sewage disposal system to buildings, lot lines, well, water siphon(s). course, swimming pools, water service piping, Etc. ❑ Construction detail of septic, holding or lift pump tank if site constructed or tank manufacturer if precast. VI. Systems In Fill (Fill must be placed prior to plan submission) ❑ Construction detail and cross-section of soil absorption ❑ Total area filled (fill to extend 20' beyond edge of trench system. before side slope begin). ❑ Soil boring and percolation test on 115 completed by cer- ❑ Depth and type of fill. tified soil tester 0 Copy). ❑ Copy of onsite report by county or district staff. AS BUILT SANITARY SYSTEM REPORT OWNER TOWNS HIP,-",,,, SEC. _ 2,"N-R&IW ADDRESS lfr'~ ~~xrlL~~s" ST. CROIX COUNTY, WISCONSIN. SUBDIVISION LOT All) LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H63 YEIiYTHING WITHIN 100 FEET OF SYSTEM p J 'des i c f, f I 1di a e o th Arrow BENCHMARK: (Permanent reference Point) Describe:- f.. ~r c r < f he-~sr fr Elevation of vertical reference point: Slope at site: SEPTIC TANK: Manufacturer: Liquid Capacity: Number of rings on cover Tank manhole cover elevation: Tank Inlet Elevation: jy'•"' Tank Outlet Elevation: yyc.~`' PUMP CHAMBER Manufacturer: Number of gallons J,-)r Number of gal. pump set or a cycle- I/ ;S gallons; total capacity of distribution lines 7e? gallon: size o1 pump__ _ head; gallon per minuted horsepower) 6 ran-d- name of pump and model number Type of warning a ice HOLDING TANK: Manufacturer Number of gallons Elevation of manhole cover Type of warning device SEEPAGE PIT SIZE: Number-of -pits ` -eet diameter _ feet liquid dept seepage pit inret p ipe-elevation _ bottom of seepage pft eleva on feet. SEEPAGE BED SIZE: number of lines width_ length the depth SEEPAGE TRENCH: width _length PERCOLATION RATE s'. -AREA RED j'~S aY E BUILT -376" INSPECTOR DATED PLUMBER ON JOB_-:,~,.r_ LICENSE NUMBER ST. CROI X COUNTY WI SC 0 N S I N ZONING OFFICE 796-2239 HAMMOND, WI 54015 August 2, 1982 Division of Safety and Buildings Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Gordon Carroll property located at the SE of the NE, Section 5, T28N-R16W, Eau Galle Township in St. Croix County, revealed suitable soils at a depth of 28 inches, below which seasonable high ground water was noted. This site should be suitable for a mound system. Should you have any questions, please feel free to contact this office. Yours truly, Thomas C. Nelson Assistant Zoning Administrator TCN:wjo e 6/17/80 1 WISCONSIN DEPARTMENT OF INDUSTRY, LABOR & HUMAN RELATIONS DIVISION OF SAFETY & BUILDINGS, BUREAU OF PLUMBING, PLATTING & FIRE PROTECTION POST OFFICE BOX 7969, MADISON, WISCONSIN 53707 Verification of Exception Status for t Al e maxive Private Sewage System In the County of Location SE 1/4 NE '1/4 S 5 T 28 N, R 16w E (or) W Town or Municipality Eau Galle Street Address Route 1, Baldwin, wl s~ 002 Lot No. _ Block Subdivision Landowner's Name: Gordon Carroll The application for this site is to serve a: ❑ new construction use. Q replacement system use. If this is a'NEW CONSTRUCTION USE, the alternative private sewage system is to be included as: ❑ part of the 3%/5% limitation. This is number of the applications made through this office. ❑ one additional homesite on a farm to be occupied by a parent, child, grandchild, sibling, niece, nephew, or first cousin. ❑ an individual lot for which a sanitary permit was issued but was later ruled unsuitable due to new or changed soil criteria established by the department. LJ a lot that meets the site criteria for a conventional private sewage system. If this as REPLACEMENT SYSTEM USE, the mound is replacing: L_'_la failing conventional soil absorption system. ❑ a holding tank that was installed and in use prior to February 1, 1980. ❑ a privy that was installed and in use prior to February 1, 1980. I certify that the above information is true and accurate to the best of my knowledge. Name Thomas C. Nelson 1 / Signaturei1u11 rift) Title Assistant Zoning Administrator Date DILHR-SBD- 6158 (N.7/80) `r Parcel 008-1013-60-000 11/02/2005 05:08 PM PAGE 1 OF 1 Alt. Parcel 5.28.16.68B 008 - TOWN OF EAU GALLE 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 - CARROLL, GORDON D & JULIE A GORDON D & JULIE A CARROLL 2296 55TH AVE BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 2296 55TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC f> - Legal Description: Acres: 4.000 Plat: N/A-NOT AVAILABLE SEC 5 T28N R16W 4A IN SE COR OF SE NE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 05-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 07/27/1982 378792 649/411 QC 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.000 26,500 93,100 119,600 NO Totals for 2005: General Property 4.000 26,500 93,100 119,600 Woodland 0.000 0 0 Totals for 2004: General Property 4.000 26,500 93,100 119,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 513 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00