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HomeMy WebLinkAbout016-1053-70-000 n v, p 9 v 0 d 3 : CD 2) Q 0 3 .r r: `G 3 cn H Z O to 3 m 0 v x 7 w H tD O) r~ CD Z n N v 0 O O M (D 0 t o 0- m o O o 0 CD o o y O m 7 o O N_ c ~ o p !r v F m Cl) D (D CD CD W a N) CL =r (D .-mot` j OD (D S. N I 9 W G7 L1 N O co G) N O c N N f ~d 7~ w N r! Q rt (D z* y v (D - N N M -0 "WA b O O O o * fD O ~y a w n o n cn v n Pd I =1 rt 3= n =3 N N U) Fl- Ln U) CD H ' Z_- rt fTJ (D fl01 y O Z O v ~C C 1 3 w H ~ v y I a z 0 r ~ D D o r I i ~ d X h. o' CD In ~ 7 CD I N N v ~ V I w m I Oo z CD 00 W Z 7 A Z 0 W H O N ~a 0 O A Z O E H CA m G7 \ w o. \l o o o z z co CD t) I CD z o~ V 0 3 G~ r o " zzC aC, n 41 r• rt o 0 (D R N v d l< CD 0 n m W m CL CD o I ~ a W v CD Z3 7. a O 0 O p (D (D 0 T cn CD C, Co W CD N 70 0 Q W N 50 o - L7~O7 CD (D D @ cu CL 2~ o O~ (7 CD O n 0 N N 1 N 0 00 O d 01 X a) < O O O C N 7 0 C c O 3 O . 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Q j OCO W f~D O O W Z @ 3 ~ 7 N 3 o u CL y ;7: CD 3 co cnw a m a3 a b cn '(0 SIY a N (D m a ° CD M 0 o OOcr o Q m'CnD W0=--m~D~ oa Av EOm<°7= i W 7 0~ a CD O N Ao(c° ln `<O -D) N N O' O .~"'p . p O CD x c o n N O A (D N Oq N <fl O ° CD a ° CL Parcel 016-1053-60-100 12/22/2005 08:43 AM PAGE 1 OF 1 Alt. Parcel 24.30.15.375A 016 - TOWN OF GLENWOOD 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 - DRAXLER, JOSEPH & CHARLENE JOSEPH & CHARLENE DRAXLER 1441 320TH ST GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 35.706 Plat: N/A-NOT AVAILABLE SEC 24 T30N R1 5W PT NW NW EXC PT OF CSM Block/Condo Bldg: 14/3897 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 24-30N-15W NW NW Notes: Parcel History: Date Doc # Vol/Page Type 11/18/1999 614098 1472/097 TI 2005 SUMMARY Bill Fair Market Value: Assessed with: 89465 Use Value Assessment Valuations: Last Changed: 06/06/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 31.706 3,300 0 3,300 NO UNDEVELOPED G5 2.000 200 0 200 NO AGRICULTURAL FOREST G5M 2.000 1,500 0 1,500 NO Totals for 2005: General Property 35.706 5,000 0 5,000 Woodland 0.000 0 0 Totals for 2004: General Property 35.706 6,500 0 6,500 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 i I Parcel 016-1053-70-000 12/22/2005 08:39 AM PAGE 1 OF 2 Alt. Parcel 24.30.15.376 016 - TOWN OF GLENWOOD 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 - LOFTY ACRES, INC INC LOFTY ACRES 1441 320TH ST GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description * 1453 320TH ST SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 24 T30N R1 5W SW NW Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 24-30N-15W Notes: Parcel History: Date Doc # Vol/Page Type 05/29/2001 646620 1647/227 PR 11/18/1999 614098 1472/097 TI 07/23/1997 1189/429 QC 07/23/1997 1184/417 WD more... 2005 SUMMARY Bill Fair Market Value: Assessed with: 89466 Use Value Assessment Valuations: Last Changed: 06/06/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 27.000 4,000 0 4,000 NO AGRICULTURAL FOREST G5M 7.000 5,300 0 5,300 NO OTHER G7 6.000 27,000 340,100 367,100 NO Totals for 2005: General Property 40.000 36,300 340,100 376,400 Woodland 0.000 0 0 Totals for 2004: General Property 40.000 41,500 340,100 381,600 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 GLENWOOD T30Ni--R.15W 49 ° SEE PAGE 60 zo S I 1 DUNN COUNTY Z Me/v/ LGtw enca chug ~TOh,•-,~ F J a.~ d F C/a ~•v. aco •E Ga.~ a ~z K h/ Jr: Pau blr us Hbb La a,i c5't ¢erf cSim nsonz •1 ~ y /0.3 e z nz ~ .lay .P 9B ~s .zno~ s cTCi :ce /~B P.tf c ~attna.n2 1 z O zom ~ sanb y Y L. C/a er~ce l Emm /ii 00 4_° 9z Cass- S N"fch y v a riB ,P cha dZ~d/iE 3 4 5 6 3 4 L.s h N Cf Ke neth cSPea,- 2/4 6 3 4 5 j41n6 3 4 5 Y. 4 3 4 3 4 5 EM ERAL STA. /r4 scNUC ao. V o q t •/49 stack m s°4 yo 9 8 7 l0 9 e yO y a 3 y g 'J 7 l0 9 6 Io 9 e °nd L/re SH viienFtuia Y F 9 dy-s enke • 00 •Ho wa d . • .W¢(.ne~ F a,icis s ~ cStac,E ' un cSch~ loss May et shn / TJav~d q. s, rz.3 9 /v /rne~ e5%an aar-t C/a~cnce f ~ an Eve s/ J Fled a zz7 Go99ha ~ ~ CA iii •r4 an ro 4. do Lechne~ a J cse z; son N/th e°9° u st B~ /9/ 9B. ze • 49 d 276 • Fan / 7 d c" . 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P ~~h fs¢// I re.~ James ~ i j h c ~S ~ o ,Pobe.-t a fa v n 0 ~ 0 r 9 d C ~S ion U h' • F 7-,/ ew o5h C} 0 David N Few s zoo a LoisE ir9 }d/ F 0 K nQ rz-a b 4~Sh:r/ey ~ st V ~ . ~s Mo J o. ~ C la~ s° ~$cfiroedei' -QO ~ • W5 ao • ~ ~ n 9 ENa sa~ 2/2 • °N • . i G ✓ c : 938 x K ee au~ F anci E V tl\ h Hansav tlX o x v N~ C e ° P~ ,eobect J 11J 0 .326 h° • \0 y Pl\ 00• jr-F Luero,Ee 79 vyF Obacmue//r al~ F • ~~t~ n 0 v0 h /~a.noc, f 7B '4'C et x UJ y 0 J ~ ~ 0 09~ v ~ n Lo.~-a/.ra 4 C/a~anca Q°,l.~ .ss ~,v V q zzs Ctl ~ h ~~tl n 9 dac.son °loK @ o lea l n ~(1 X40 /70 V9:+~ ° h Odh H o an 7 26 C ~ y ` ~0 cSchcieb er- k Ceon e ,Pose E • • ~ OR. F Mo y ch oste~ rsr~ w,0 U~~ BO Mu„d/ Thayer- e%i • ~ EHdrn e bd\ C p y r~° ,zo h y op ! ;s°°/h rrb \ bo C~0 ~a~ C5 Lero S f¢3 e/ GLE OD C I T Bo A-O sa Moe -~o f7e6/y ,9/°- • ~ Otl 6 Ur ~ , jy brech ~ a /en wood w o 0 u~/e`yhe 9r ce DN - .9 f• ' • t C, ty R• f Lames S~o.~¢/d S K a'e'~ • B ice ~arh. Lei'oyS • a Ua% a~ ~ E / G N . s B UNDARY s~ ° io .tee/or-as n~7 k3 B ~9 e~ zO F rebo Bz 0 +e olri a. N •Poy <H re Thornrosor~ p l 0 Fl/best e Lous 4 rzo ss la• ` h C C ~ . sl 'r' Cucti~cs (Ti Tho N Ol Irer~ e eona_ M i 1) 13 n C'0 C He/n .Boo/th 7z so zoo `~b~ K.3a r>• afi/ a7 J.. dGo (y ~0,°0 ~1 Ma✓~s £ ao rn7S /sg n fie/d qw~ ?tl~C~ _L7-> us91 r/c9 ss.~ l C L°c.r-ence S Q' V ~;e ria y f M ~.e ° rzo 3V .8ootfi Curs ~T fJbb,c Hauyen b CtlJ~ Bo /z/ 7/ m tl C p tl C~ootf ~5 j3 I- 7y e Pen O a o o n F tl ~ ~ /ms veu re yen eBo by 4O 4Vy zzd tlj 35 ~/fon •rzo 17on¢von C00~ • •Q Cv@ /%act nson F Bave~/y 0 • /28 rodR 73 •~oob t 4° EdT ,n adn- tl 0~ v do ,Peh wa rdf 2~~• p e cTard- /33 all Bo DO aP.m H er he W aJ c/%BRocr~ford r`>aP 6/s,7nc,,pEy./y7 SEE PAGE 37c cStCr-o x G'ou,~>y wrs, u f GLENWOOD GLENWOOD CITY GLENHAVEN, CITY AUTO CO. CO-OP SERVICES INC. GLENWOOD CITY, WISCONSIN 54013 Your Home - • . . Away From Home Phone: 265-4224 Intermediate Care Mill: 265-4827 - Fertilizer Plant: 265-7212 Facility PHONE: 265-4877 GAS * FUEL OILS * LUBE OILS Phone: TIRES * LP GAS ACCESSORIES 265-4555 GLENWOOD CITY UNIVERSAL MILKERS * FERTILIZER 612 East Oak WISCONSIN GRASS SEEDS * FEED, BAG & BULK Glenwood City, Wisconsin 54013 [DEPARTME,'~JT OF INDUSTRY, INSPECTION REPORT FOR LABOR & HUMAN RELATIONS P PRIVATE SEWAGE SYSTEMS .O. E+JX 7969 MADISON, WI 53707 BUREA ❑CONVENTIONAL ❑ALTERNATIVE State Plan ID Number ❑ Holding Tank El In-Ground Pressure '~C Mound i -0 (If assigned) rl'A E OF PERMIT HOLDER ADDRESS OF PERM( HOLDER: t INSPECTION DATE: BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN t REF. PT. ELEV.: CST REF PT ELEV ~ lc.~ fl Ue,', ~ L T' G1 . N,u 41i (~Iumbe, MP/MPRSW No. Cnumy Sanitary Permit Number. SEPTIC TANK/HOLDING TANK: MANUFACTURER LIQUID CAPACITY: TANK INLET ELEV.. TANK OUTLET ELEV. WARNING LABEL LOCKING COVER PROVIDED. PR Ov' D. YES ❑NO ❑NO BEDDING: VENT DIA.. VENT MATL. HIGH WA ER NUMBER OF ROAD: PROPERTY IWELL: BUILDING. VENT TO FRESH ALM i FEET FROM - uNE LAIR INLE ❑YES O i ~tusJ/' O NEAREST J DOSING CHAMBER: MANUFACTURER BEDDING. LIQUID CAPACITY PUMP MODE PUMP, SIPHON MANUFACTURER WARNING LABEL LOCKING COVER I PROVIDED. PROVIDED: ❑YES ? NO YES ❑NO r~YES [:]NO GALLONS PER CYCLE: PUMPANDCONTROLSOPERATIONAL NUMBER OF PROPERTY WeLL BUILDING TENT RESH (DIFFERENCE BETWEEN FEET FROM NE IA PUMP ON AND OFF) YES ❑NO _ NEAREST_ " SOILABSORPTIONSYSTEM.Check thesoil moistureatt e epthofplowing LFORCE ulA%i~ETEIT MATERIAL AND MARKING or excavation. f soil can be rolled into a wire, construction shall cease until ithe soil is dry enough to continue.) AIN l CONVENTIONAL SYSTEM: BED/TRENCH WIDTH LENGTH NO. OF DI T IP ACING MATER INSIDEDIA -PITS LIQUID DIMENSIONS THE E MATERIAL PiT DEPTH GRAVEL DEPT R FILI. DEPTH UISTH. PIPF DIST PIP IST PIPE M ERIAL. NO. DISTR FEET FROM OF PR OPEgTV WELL. BUILDING. VENT TO FRESH BF LOO) Plp!_5 ABOVE COVER. ELEV. INL F F ELF E PIPES LINE AIR INLET. NEAREST--w 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- ES ❑NO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER. EXTUHE PERMANENT MARKERS. OBSERVATION WELLS DEPTH OVER TRENCH BED YES I!] NO YES ❑NO DEPTH OVER TRENCH; BED JDEPTH OF TOPSOIL. SODDED SEEDED / CENTER EDGES MULCHED ❑YES NO YES ❑NO YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH. NO. OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER TRENCHES'. / DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR PIPE MANIFOLD MATERIAL. NO. DISTR DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING. ELEVATION ANDFC//~/J I~.y. ELEV DIA~~ ELEV PIPES/ DIA:/ ff IBUTION 7~• (p zC/ MAL IO N HOI-E $IZF~ HOLE SPACING DRILLED CORRECTLY COVER MATERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED / Z'/ PLANS YES ❑N 0COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: 'NUMBER OF PROPERTEYS WELL BIU IOLDING: FEET FROM IF ~y ES ❑ NO ES ❑ NO NEAREST- / ` S Sketch System on R ( In county file for audit. Reverse Side. ORE TITLE. _ DILHR SBD6710(R.01/82) A~ 11U1L•1' ~/11V1.1'HI<h' ~Y~1L.1~I IU..I'Ul<1 UWNL Yt I UWN ill l l' mil'- l, It IJ I<f?'W AUUtLL~ l - _ C-~,.r--a r 1;') :;'1' l:ltUiX c:UUN1'Y WI"(:Ulj-,J,11V UtsU1V1S1UN LUT LU•1' L,t L rLJUV vtLW 1J1ciLg1lCtiu YCid 4ILW1►wtU11d LtU lltc~l tc1.tu1LutIw11L ul 116-J Slibie, 'Vt:liYTHING wvrimi IOU FL.l::•1' U1'' SY:~'LI:M • f 17 44- Lt 111 ,d e u `th Arruw ~L.v r- ~ - btNL'HMAHK: (1'tyrll►ytltilll rdt,mrullLa 1'u1.11L) Ucucl iU~ klt:vaLLU!► Ut vsrClc~j,r~taXuucr j~oll►L - /~i 51u1~c ,iL~ _a :it l''1'LC TANK. M1t11Ut&LLUrdr: t,, Wu"a,r of r1r► u or► cuv 1.tLIL11 d c 4 L, u i L y .:r --L- / _~i-- .L-..__ lUil~l 111,11thoIc Ci,VLct41krvJL 1 ,11 1'ulik itll~L k luvuLluu. lu,lh uul 1. 1 1::1 L:VL L 1.,11 YUW' IiAMuI K - I"thllul< 1►G Lurt:r . _ /'f'.'._'~,'f-t'3_ Nullll,u 1 „l 1 1 L ul,:. NujaUur of kiat P~11' a►a1L lour a CyC11: L,1 lullu ► , alHLrlbuLtur► 11nna t' "t `17 ul'~~ L l y I,C u l l u 1 1 u L Z. ~ u C t., u u l L' 11 u, l ~1 6"I lUI1 Nur tUtILULM _ 11urrl~ ~u1.rt 1 Ira u11J Iluulu u d 1,ulul~ cttid uwdu 1 nuwbar Typo fut wltrnlr► duviU„ . _kd, ROLU1NG TANK MutlutacLurcl lv~,llt,~ 1 „1 gal l~u:, L cvaclUr► of llu►r►hule cuvdr t'yll,u ut WlifliL►►ki tluvlLU :iLLPAi;E PIT SLLL Nuu11,C 1 kit CCL: t Ji~ui„ 1 ~ 1 tucL liquid dLPLh uCC,u u ,ll 11111 l i c of - l k t l L Lu11 buLLutu ok unnPM4,j x,1L tAkIvul lull :,l l t'A(;L 111 U S LZr nuJ9iLjul Ui 1 l t l u u w l d i I I l It 1 11 L t 1. 1. 1, L l l `;I~L:1'~~L.;L '1'tiL[at:tt w1dL1► t'L1tl:Ul.A'1'LUI~ btA'l'~: _ AR1A ~t1 ~UT1t1 U1`116 L11 AkL,1 A:; tsUlt.'1 UAILU 1'I.IJh'llll_k 11tH 11111 LACiL N:;1- lVUMIll~.k ~ / DEPARTMENT OF APPLICATION SAFETY & BUILDINGS INDUSTRY, FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PL13 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8'/z 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: Robert Draxler RR# 2, Glenwood City, WI Property Location: (X%Mi DUiXr Township: County: SW '/a NW 1/4S 24 /T 30 N/R 15 EUM Glenwood St. Croix Lot Number: Blk No:: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number: NA NA NA (Ifassigned J 206607 TYPE OF BUILDING a Number of ❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms: Ex-I 1 or 2 Family *State Approval Required. 4 TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATI N MENT ( pecify) SEPTIC TANK CAPACITY 1000 HOLDING TANK CAPACITY XXI& LIFT PUMP TANK/SIPHON CHAMBER 750 L/ MANUFACTURER: Wieser EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): ❑ New EA Replacement ❑ Experimental ❑ Seepage Bed ❑ Seepage Pit 53 As p e r p 1 an ap p.[ Alternative (specify) Mound ❑ Seepage Trench 8206607 Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): Ul Private ❑ Joint ❑ Public Robert Draxler I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Signatu MP/IFAPMVXNX: Phone Number: Gale W. Smith {1 5690 (715)265-4838 Plumber's Address: Name of Designer: RR# 1, Glenwood City, WI 54013 COUNTY/DEPARTME USE ONLY Signature of Issuing Agent- Fee: © v ate: APPROVED Sanitary Permit Number: I~~/ 747 ~Q"~ ❑ DISAPPROVED SoL 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) ~S ith Plumbing & Heating PHONE 265- . (715) 4838 GLENWOOD CITY, WISCONSIN 54013 r i DR ii e, to A y r BeO RD0M r Hvw D D r EC 1 3 1982 2 00 4 ir'o Mvumd ► r / Sys*eM I i:' It 4, v cl t Hi 1 C? V,":,, f qA S' 1,4 11ii v '1 / ~~flA,v,de < ,c. - -11 t u M P Q r- ,'r~:- 9~, 0 6 fc> P o F P-/ '4 A ;ye- R J_s a tf o Nt c G a C K- 9 6- ' l zimifll Plumbing & Heating PHONE (715) 265-4838 GLENWOOD CITY, WISCONSIN 54013 t , IV 4f I `~~t^ i r t y r 4 e " i w v.: . w. rr 44 2. Z ~ vt l DEC 13 1982 I DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, C DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 7969 HUVAN RELATIONS LOCATION:) SECTION:T e OWNSHI MUNICIPALITY: LOT NO]BLK. NO.: SUBDIVISION NAME: COUNTY: OWN R'S BUYER'S NAME: MAILING ADDRESS: USE DATES OBSERVATIONS MADE NO. BEDRMG.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: ---Z Residence ❑New Replace 21 1-2 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: ISYSTEIVI-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ~❑SEU ~S❑U ❑SDU ❑SDU ZS ❑U a c1 If Percolation Tests are NOT required DESIGN RATE: SYSTEM EL If any portion of the lot is in the under s.H63.09(5)(b), indicate: Y41; ~7 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. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-2 ;7 B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD1 PERIOD2 PERIOD3 PERINCH P 7 P- P_ 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 Z ( 1~ ; IV1 47 E fe, E G r~ic~~iv Pe//~ ..Yx___.~_.... j7' i J , 39 i 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, NAME (print): TESTS WERE COMPLETED ON: ADDRESS: CERTIFICATION NUMBER: IPHONE NUMBER optional): CST SIGNATURE: DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DILHR-SBD-6395 (N. 03/81) J T Y, OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISON W1 3707 P.O. BOX 76 HUMAN RELATIONS LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.: BLK- NO.: SUBDIVISION NAME: '/a /T N/R E (or) W COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: R FILE D R TONS: ER OLA ION TESTS: ❑Residence ❑New ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TAN: K RECOMMENDED SYSTEM: (optional) ❑s ou as au as Flu os ❑u EIS Ell If Percolation Tests are NOT required DESIGN RATE: SYSTEM EL V. I If any portion of the lot is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPT: NUMBER DEPTH IN, OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- B B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD1 PERIOD2 PERIOD3 PERINCH P_ P- P- 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 y , , IV _ N } e i f ioil , 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. NAME (print): TESTS WERE COMPLETED ON: ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER optional): CST SIGNATURE: DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DILHR-SBD-6395 IN. 03/£31) C V UC7xCL) LETTER OF NOTICE OF VIOLATION Certified Mail/Return Receipt Requested Mr. Robert Draxler DATE: November 29, 1982 _ Route 2 Glenwood City, WI 54013 LOCATION: NW-4 Section 24 T30N-R15W, Glenwood Township Dear Mr. Robert Draxler As required under the ST. CROIX COUNTY ZONING ORDINANCE, notice is hereby given that you are in violation of Article 6.3 of the ST. CROIX COUNTY ZONING ORDINANCE. The violations noted are Sewage backing into residence and the following actions should be taken by May 30, 1982 Contact a certified soils tester and have a percolation test taken. have,a licensed plumber obtain permits, design and install a system - according to the results of the percolation test and the size of your home. The first violation is noted as having occurred November 29, 1982 and any penalties provided for in the ST. CROIX COUNTY ZONING ORDINANCE, shall be applicable as of that date. Please feel free to contact this office, for we are available to assist you in clarifying this matter. Yours truly, flaADJA, C . 3HAROLD C. BARBER Zoning Administrator HCn:al CC: Town Clerk District Attorney Ew~ LLIISCOfIsin mm~l Department of Industry, Labor and Human Relations DILHR Division of Safety & Buildings - 8, Bureau of Plumbing OEPRRTfT iE"T OF P.O. Box 7969 - in[XJSTRV, LRBOR 6 HUMRn RELRTIOf15 .y j Madison, WI 53707 Tel. (608) 266-3815 r- YO&A Iy83 IN ALL CORRESPONDENCE F/fF REFER TO PLAN IDENTIFICATION NO. NAME OF PROJECT ,,,PRIVATE SEWA E ONLY - ❑ GENERAL PLUMBING PLANS LOCATION Fee Received: , Priority Plan Review Only CITY OR TOWN COON -5 Examination of plumbing pla and specifications his project has been completed. In accord with Chap -+45,_W i n Statutes and the Wisconsin; Administrative Code, the plumbing plans and specifications are approved contingent upon compliance with the stipulations shown on the plans. Please review your code for the requirements of each code section noted. The licensed plumber responsible for this installation shall keep at the construction site one set of plans bearing the department's stamp of approval. The installer shall also notify the appropriate inspector of when required inspections are to be made. In the event installation has not begun within two years from this date, approval will be void and new plan approval shall be obtained before work may begin. In granting this approval, the Division of Safety and Buildings does not hold itself liable for any defects in plans or specifications, plan omissions or examination oversight, and reserves the right to order changes or additions if necessary. This approval is based on Wisconsin Administrative Code requirements. It shall be necessary to obtain and fulfill the permit requirements of the city, village, township or county in which this installation is to be made. Failure to obtain local permits will automatically void this approval. Sincerely, James Sarg~it' Bureau Dire or L NS REV WAD Y: DATE: cc: DPS Owner H & R & Rec. San. Section Local PI Plumber Bur, of Health Fac. & Services my Other DILHR SFD--6099 (R~ 05/8 a _L ST. CROI X COUNTV L - ,Y, WI SIC 0 N S I N ZONING OFFICE 796-2239 - HAMMOND, WI 54015 Division of Safety and Buildings Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site ill veLi tlbaLiun tc?r Clio 1Cubct l Urcixle,r_ located at the SW%a of the NW-4 ru ~ Section 24 '130I-K 5W ~ Glenwood Township in St. Croix Count ble so11s at a depth of 33 Y, revealed suita- ble 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. Yy.ur-p_ t ruly/'" Thomas C. Nelson Assistant Zoning Admini.atratur GN:wjo WISCONSIN DEPAR1MENf OF INDUSTRY, LABOR AND HUMAN RELATIONS DIVISION OF SAFETY & BUILDINGS, BUREAU OF PLUMBING POST BOX 7969, MADISON, WISCONSIN 53707 Verification of Exception Status for an rto inative Private Sewage System In the County of Location SW 1/4 NW 1/4 Sec. 24 T 30 R 15 E (or) W Town or Municipality Glenwood Street Address Route 2 Glenwood city, wl Lot No. Block Subdivision Landowner's Name: Mr. Robert Draxler The application for this site is to serve a: ❑ new construction use. replacement system use. If this is a NEW CONSTRUCTION USE, the alternative private sewage system is to be included as: u one of the 25 needing a quota number. This is number applications made through this office. of the for one additional homesite on a farm to be occupied by a parent, child grandchild, sibling, niece, nephew, or first cousin. ' ❑ for an individual lot for which a sanitary permit was assued but was later ruled unsuitable due to new or changed soil criteria established by the department. ❑ an application on file prior to February 1, 1980. a lot that meets the site criteria for a conventional private sewage system. LIone of the first five approvals guaranteed for this year. This is number of those applications. five quota numbers issued to (Use one of the first you.) If this is a REPLACEMENT SYSTEM USE, the mound is replacing: a 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. ❑ a lot that meets the site criteria for a conventional private sewage system. I certify that the above informal,,i,. knowledge. rig: andccurdtt_ to the 4St of my Ndme SBD 6678 (9/81) (Plb 100a) Detach And Return Upper STATE OF WISCONSIN DILHR UM ING BUILDINGS Portion Of This Form With BUREAU INOFFPLSAFETY& Any Return Correspondence 201 E. WASHINGTON AVE. RM 178 P.O. BOX 7969 MADISON, WI 53707 DATE: 608-266-3815 PROJECT: r ! NW! 24, ~Glenwoo_ [r1 7 M a) 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. ❑ Plan accepted for review. ❑ 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 II. Pressurize Distribution Systems (Mound or In Ground Pressure) manufacturer if precast. Complete construction details if El Application for use of an alternative system signed by owner site constructed. and notarized. (1 copy) ❑ Holding tank agreement signed by owner and local unit of E:1 County onsite required (1 copy). El Design calculations government (sample enclosed). for pressurize distribution. ❑ Soil boring & El Reason for installing holding tank. Soil test or statement test data. 9 percolation from county (1 copy). ❑ Cross section of system. ❑ Pipe lateral layout. El Plot plan showing location of holding tank with lateral dist- ❑ Plan view of system. ❑ Plot plan. ances to any building, wells, water service piping, water ❑ Verification of Exception Status Form by County. (1 copy) course, lot lines, swimming pools, all weather service road, Etc. Provide benchmark with elevation reference point. 111. Private Sewage Disposal Systems ❑ Ground slope with 2' contours in entire area of soil absorp- V. Lift Pump tion system extending 25' on all sides. El Calculations for total lift pump discharge, head and gallons ❑ Elevation of permanent reference point (benchmark). pumped per cycle. ❑ Location of area suitable for replacement system -provide ❑ Size, length & depth of force main. soil data. El Detail & model of pump or automatic siphons including El Plot plan showing lot size and all lateral distances from size, pump curves, drawdown and average flow rate GPM. sewage disposal system to buildings, lot lines, well, water ❑ Cross section of lift pump tank showing pump(s) or course, swimming pools, water service piping, Etc. siphon(s). ❑ 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 (1 Copy). ❑ Copy of onsite report by county or district staff. STATE Gi WISCONSIN-DEPARTMENT OF INDUSTRY, LABOR & HUMAN RELATIONS DIVISION OF SAFETY & BUILDINGS - BUREAU OF PLUMBING P.O. BOX 7969 - MADISON, WI, 53707 APPLICATION FOR THE USE OF AN ALTERNATIVE SYSTEM Location: Township/Municipality: SW 4I NW ,,IS 24 JT 30 N/R 15 E(or)W Glenwood Township Street Address: Subdivision: County: Route 2 Glenwood City, WI 54013 Landowners Name: Mailing Address: Mr. Robert Draxler Route 2 Glenwood City, WI 54013 S I (We), the undersigned, hereby make application for an alternative system on the above-described premises. I recognize that the above premises are not suited for a conventional private sewage system. If approval is granted, I agree to have the system installed in conformance with the Bureau's approval of plans and specifications. I further understand that an alternative system is more complex in nature than a conventional private sewage system and as such will require detailed inspection during construction and monitoring after the system is put into use. I agree to permit both county officials charged with administering county sanitary ordinances and Bureau employes or other authorized persons to have access to the above described premises at any reasonable time for the purpose of inspection the construction of or monitoring of the system. I further agree to either personally or by my agent contact the proper county official to arrange the time and date to begin construction of the system. I understand that this application does not permit me (the applicant) or my agent (the contractor) to begin installation. If the system is approved, the Bureau will send the applicant a letter of approval which authorizes construction of the alternative system after all necessary permits have been obtained. I agree to give notice to any subsequent buyer that an application for an alternative system has been made and if installed, that the premises are served by an alternative system and further agree to give the buyer a copy of this application. The Bureau accepts this application subject to this understanding and subject to all the conditions and obligations set out in this application. Signature of Applicant Date! STATE OF :SWISCONSIN Subscribed and sworn to before me r SS. COUNTY OF This a! / day of 19. 2 Nniary Public, State of Wi onsin. DILHR-SBD-6413 (N. 05/81) My Commission Expires: