HomeMy WebLinkAbout032-2176-12-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) SAN-2017-295
GENERAL INFORMATION State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]
Permit Holder's Name: City Village Township Parcel Tax No:
ADAM FISHER AND EMILY ELLEFS(7TOWN OF SOMERSET 032-2176-12-000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
12.30.19.1497
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Cy
Septic Benchmark ow
Alt. BM
~m ou V_ P-66
Aeration Bldg. Sewer
H00ag-I St/Ht Inlet
J-g 3.3
p
St/Ht Outlet KUA
TANK SETBACK INFORMATION 13
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt t
IL2
Septic ' Dt BoAtom, - _ J
!05
Dosin Header/Man. • K
Aeration Dist. Pipe 15 11 4_y~
Holding Bot. System p q
I lI.1-1
Final Grade
PUMP/SIPHON INFORMATION _ 3 R)
Manufacturer bRMand St Cover
GP
Model Num r
TDH Lift Pflown Loss System Head TDH Ft
Forcemain Length Dia. Qst_.io_Well___
SOIL ABSORPTION SYSTEM
BED/TRENCH Width w f Length l No. Of Trenches PIT DIMENSI NS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS J{ (/aOQ>
SETBACK SYSTEM TO P/L CJ BLDG WELL LAK /STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type System
~f ~i .ct^ UNIT Model NurriLer
DISTRIBUTION SYSTEM ~1(
Header/Manifold Distribution x Hole Size Ix Hole Spacing Ven to Air Intake
75 i (4 Pipe(s)
Length Dia ! Length Dia {lacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over 1xx Depth of T Seeded/Sodded xx Mulched
Bed/Trench Center L I Bed/Trench Edges Topsoil Yes , No J Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 1636 83RD ST
1 Alt BM Description = TLN Wk
2.) Bldg sewer length
- amount of cover
>tl-``
I
Plan revision Required? ❑ Yes ❑ No /
Use other side for additional information. ///II ~1 J ' OQ
Dat InsepctorVSi a ur Cert. No.
SBD-6710 (R.3/97) ` "
I County
s 201 W. a~~x 7162 Sanitary Permit Number (to ih fitted in by Co.)
P~ Madison, Wl 53707-7162
SEP 0 6 2017
1
Sanitary Permit 1p COUNTY State Transactio.:'tmber j
In accordance pith SPS 383.2](2), Wis. Adnt. Cod,-, subtrissiott'6 o t .C.,l st s itw 1}hEntai unit
is r oui <d n.;or to obtaining,- zu rat 5 } 'ail n -Note. Apt - o s *o e-o r d POP TS are sotrimcd to s-
1 1'rol ct Add:: Cdi re}tt tltrat n atlitrg :ttlttr.ss)
i1tC D pact t,:. tr of S ri<t; t ci t'rofcss ottki Sit.t~.. P t. ontt , , o,t ;opt p.at'td t .zs• c a d`er s.cot.cz;,: / _ r A
Pui os. s in t~ccoullt: e ~c7Gt thz P i v lcb La s. i 5.U (`(m). S
1. Application Information - Please Print All Information _ i l{( W
ew!t
_ 9YeAL_ 17,6 h2 -
Oc~
topz:"'V oo'sntir's 3faiiiu'r c
Location
Ci+t)/', 3latC t Govi. LoL
f rte. y • i Zip Ca p u~t 7.;a: 1 ,
7t 7/S - 7t,U Ghou,~l)~
1 i. Type of Building (check all that apply) :3 Lot
E or2ta7tih: Dt:eliiue*--`at,ni:etafl3ecrea.;'; ' ~ Su?;:ii~:isot%`ti^ttt
❑Public%Co%nntereial--D scribaU's4__-_ i-
_ C t'n.
'
i State ov n ! - I.`e5crib,: Use i C~;
Ason!~Ptfcte Ot 2 O! II . ype ermt: (Check only one box on line hnt: B if applicable)
Spsteal ~t Rep?acem:nt S}statn 'I < t t % : t.;, iii Onl} Omer licdiiicatiou :o ]sistitag 5}at cn (esplain)
• I` PCrInt Rlli't':..1 Permit liC:t:ilt9i% _ C
, to Nex" _.'i aC' 1i .g~a
Before r v,ta_toit F+
i 1--- i ;
I IV. Type of PO\'%rFS System/Component/Device: (Check nU that apply)
} =2 }a of nit t' soil ' tfotarl =21 in. o, s;}iiablesoil
j ❑
6T Dt5L~1itL ~h et3tt}~ fir- ~tL'1 ttZt:.t)}•nZc2t{i)t~ _ -
hL°_.iMii lov; p d) J t_ Sni nheat,a
6- IY3
t O tit/ = y~ T- = 9
1 T Tank frifet t Cer . - - _ .3 _ =
1
''.ct; T,::ks t:~is?i i.»ss ! ` ~ v ~ :a i ~ } •o i
1( „r i C ~J J r 2 :j
SepSt:erfte!diae~C~t?: /Gi~`% i JGcW(.: ~ __1,--_ t -
17a;eng CLenthar 1 '
V1I Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans - i
Phitn s Na;t;a (Pr%tlt) 'itttn 131~n:titt :aiY[1dP~tS Numbr $ aia<ss Piton vut%ti~r
?`d-/f rQ '
'
Pknlth r`s Adtir Xtrect. City, State. Zip ct ? .
771
ri Pcrtnit Fer 1 D, to Issued Issuing
P L_ lp:o;ed ; it, .r O\ 1 (f p l F 'Signature
!i L t.;,n, soniv.D ial `Q~•~
I?t. Condit easons for Disapproval X l a*.R, _-j
1. Sept %ark F~flt~n Silte*~~ni I
i
a s t all be leas t in~► ~r_
as p ti at ;et + , plumbe L--$/ { ti1t.S ~tXYtA t'.~ COQ t'F'Mt.`ie,►
~tngts~.
i 2 Ap tietback re~;~..
M pier ryplcwb court I .:rdiaarr tttl-
Afta;:•t to ruzr;ptet.'t;lays? for lice sVAt VII ZFtt ,%Ubresit W Ill. 'E.OUM OLIV an Patin Gat ks; i IRB & LIZ n 11 incwi in Size ~
CONVENTIONAL COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name: f
Owner's Name:
Owner's Address:
Legal Description: ~'t S - y C1
Township:
County:
Subdivision Name: Ck_~ e!? X~
Lot Number:
Parcel ID Number: 3,~Z 176 I rQ
Page 1 index and tine
Page Z Plot Plan
Page 3 System Sizing & Cross-Section
Page 4 Fiiter Specs
Page 5 Maintenance Information _
Page 6 Management Plan
Page 7 St. Croix Cty Septic Tank Maintenance Form
Page B Warranty Deed
Page 9 CSM or Plat
Attachments: Soil Test & House Plans
Designer/Plumber: ~
~i 7-67wCeLicense Number: d631 2
Date: / 7 Phone Number 76 U ~0
Signature
i
Designed pursuant to th -Ground Soil Absorption Component Manual for POWTS Version 2.0 SE3D-70705-P (N,101)01).
Page 1
~i
9-1
1 p vi c3~'~r~
--bib,
C
019- Al~
Soil Absorption System Cross Section
ft
j Final Grade
4" S
j tiP^J VC '~u^ ~ ~_CP~(y I=~> b t
ft
Leaching cj.5
Chamber ft
System Elevation
if:
Soil Absorption System Plan View
ft
ft
l Leaching Trench 1 i
Vent Or Observation Pipe Cnambers
II! 'ii'
4" Dia.
Trench 2 Header
r-
Leaching Chamber Specifications
Manufacturer And Model
-T'
EISA Rating s-' sq ft per chamber Soil Application Rate gpd/sq ft
gpd design Flow; s_ 7 Soil Application Rate -!SA =
Ffambers
2 ro-,,vs of chambers each.
Page of
L 48"
I (EFFECTIVE LENGTH)
1
i
_ - i
- - - 34"- -
- f
1 13" !
8^ INVERT 8" INVERT 5.3" INVERT
1
18.2"--~~ i 33"
QU{CK4 PLUS
ALL-M-ONE FER:SCOPE--\
(3fi0'S:Lt~'Er )
1 OUICK4 PLUS 6"
12.7" INVERT ALL K4 PL z 1
ENDCAP
1
Quick4 Plus Standard Chamber Specifications
Size (w x L x H) 2 ( 6 C 35 CC inve,t Hieig'+t 0,5' 5.3", 8.0", 127
~ < i .5 vt 8.4 cm. ~ 8.5 am, 22.5 cml
Effective Lengt 48" (1 , 22 c(:
INFILTRATOR SYSTEMS. INC. STANDARD LIMITED WARRANTY
.
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INFILTRATOR
C- Business Parl, Road o P.0, Box 768
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D 5a`y'DF K, CT ,6470
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800.221.4436
www.infittratorsystems.com
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POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ! of 2
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner Septic Tank Capacity /CG'U gal ❑ NA
Permit # Septic Tank Manufacturer ❑ NA
A
DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA
Number of Bedrooms 0 NA Effluent Filter Model ❑ NA
Number of Public Facility Units ❑ NA Pump Tank Capacity gal K NA
Estimated flow iaverage) gal/day Pump Tank Manufacturer KNA
Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturers NA
Soil Application Rate , gal/day/ft' Pump Model ANA
Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ❑ NA
Fats, Oil & Grease (FOG) <_30 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (SODS) 1 5`~ZO mglL ❑ NA ❑ Mechanical. Aeration ❑ Wetland
Total Suspended Solids (TSS) ; <150 mg/L ❑ Disinfection ❑ Other:
Pretreated Effluent Quality Monthly average Dispersal Cell(s) 0 NA
Biochemical Oxygen Demand (BODS) 530 mg/L ] In-Ground (gravity) ❑ in-Ground (pressurized)
Total Suspended Solids (TSS) ! <30 mg/L ❑ NA ❑ At-Grade ❑ Mound
Fecal Coliform (geometric mean) 510` cfu/100ml C Drip-Line ❑ Other:
Maximum Effluent Particle Size j Y. in dia. 0 NA Other: ❑ NA
Other: 3 1:2 NA Other:
❑ NA
'Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once every: :0 month(s) year(s) (Maximum 3 years) ❑ NA
Pump out contents of tank(s) ' When combined sludge and scum equals one-third of tank volume ❑ NA
Inspect dispersal cell(s) At least once every: ❑ year( jis) (Maximum 3 years) 0 NA
_3 M 3 J9 month(s)
Clean effluent fitter At least once every: 0 year(s) 13 NA
l ❑ month(s)
inspect pump, pump controls & alarm j At least once every: ❑ year(s)
NA
Flush laterals and pressure test At least once every: ❑ month(s) &NA
❑ year(s) +~•L~
Other: ❑ month(s) Ef NA
{ At least once every: ❑ vear#S)
Other.
❑ NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications:
Master Plumber: Master Plumber Restricted Sewer POLJVTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank
inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks,
measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface.
The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding
of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the
immediate notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third or more of the tank volume, the entire
contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code.
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment
units, and any servicing at intervals of <1 Z months, shall be performed by a certified POVtrt'S Maintainer.
A service report shall be provided to the local regulatory authority vvithin 10 days of completion, of any service event.
START UP AND OPERATION --7
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of Page !i of
that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected
of the tank(s) removed by a septage servicing operator prior to use. painting p or other chemicals
have the contents
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater discharged to the dispersal cell(s) in one large dose, overloading
the cell(s) and may result in the backup or surfac
effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicin O prior t will be
is of
power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the a discharge
restore normal levels within the pump tank. 9 Aerator prior to restoring
Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb pump controls or compact, the area
within 15 feet down slope of any mound or at-grade soil absorption area.
area
Reduction or elimination of the following from the wastewater stream may improve the performance and
POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants;
foundation drain (sump pump) prolong the fife of the
P pum) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; foil;
painting products; pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is
properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:
' All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator.
• After pumping, all tanks and "
pits shall . excavated and removed or their covers removed and the void space filled with
soil, gravel in another inert solid material.
CONTINGENCY PLAN
If the POWTS fails and cannot be repaired the following measures have been, or:must be taken, to provide a code co
replacement system:
mpliant
❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption
system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by
required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will
result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must
comply with the rules in effect at that time.
❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring
technology a holding tank may be installed as a last resort to replace the failed POWTS.
T advances in POWTS
aluati
be "
'3M T- e ai e ~R1)413 7m~ 91-b R- a o iO ank
❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal ~ of N57 the 72tl~1 biomat at the
~
infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time.
< < WARNING> >
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. D
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. O NOT
%DDITIONAL COMMENTS
'OWTS INSTALLER
POWTS MAINTAINER
NamEe
PhonName
Phone
=PTAGE SERVICING OPERATOR (PUMPER)
L
EName
OCAL REULATORY AUTHORITY
hone Name-
Phone ~c~-
is document was drafted in compliance with chapter Comm 83.2
2f3 ..lfblt]!(d)&(f) and 83.540!, (2) & i3l, Wisconsin Administrative Code.
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address' 575 'LL S ` ?S
Property Address
(Verification required from Planning & Zoning Department for new construction.)
City/State Parcel Identification Number J, ^ :2 17 l GC 7C~
LEGAL DESCRIPTION
Property Location A" L-44 % , 5 L4 Sec. N R /9 W, Town of
Subdivision Plat: -~+.2-t- , Lot #
.
Certified Survey Map # 6-1 Volume , Page #
Warranty Deed # l~ ~ (before 2007)Volume , Page #
Spec house OyesRo Lot lines identifiable yes[]no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper
maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into
the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance
responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site
wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is
less than 1/3 full of sludge.
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources,
State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix
County Planning & Zoning Department within 30 days of the three year expiration date.
I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the
property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
Number of bedrooms -3
SIGNATURE OF APPLICANT(S) DATE
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 04/12)
f W1I4 CCPNER
ill \ '
tiv •
V
LOT 13
SEE LOT AREA TABLE a OW NOTE
V. 3.0 ACRES TOOPhW
LAO - Ba3
B ELEVAT~OrI -a15s3
! r", w
3ae'J t
-1 Ide
223 u' 309 as 375 w Q
O ICU 4
Val- 94 ft. Gin
w LOT 12 ; O
f~ SEE LOT AREA TABLE '
N - O 6 DNR NOTE Ia
3.a ACRES TO G. Glow
IBo -nn n ~a
14ORTH BASS LAKE ae~~o22 a4 ~ ~no-"Aty-
Y.4' E H -Fl EYATION M 1 7 - DATE 34-C2 $ I VCQ:K a40 PM* rte
OHWM -858
34 W \ ~ y'~aD~ $ ?:kP~Ml4SY.~SI;'lAGiIG
OVTLOT a TO BE DOMEOTO C7A VI
OF LOT 1 M CERTIREO 6L8i Y MAP
264.88 7000 239 8D 8230 N VOL 1S, P(9. 41b
V-4-160 f
_ r y Ns6'6T3 'E d60.Od
.24 /
Y 5t x ~pQ`~,
OUT
(D OM ACRES
y0) g ! w\ V3,133 SQFT}/
LOT 11
W SEE LOT AREA TABLE 6 DNR NOTE /
1?ACRES TOONWM c ®
L B.O. -690 . . . . . . .
t
R t• a" Sn112•]?
I 4
S)6yD,t aD? X 24 ,
33
3a I s.w
b' ry LOT 10
Y3 SEE LOT AREA TABLE & MR N01 L
3.00 ACRES TO OH6W
L.8.0 - 889
r
I L
(13;
• . ~J~ (1 G0 / V l ~~PS l'° p~4R v~G op~Ex~ T C/o 72Vi ~AtiSE•v
66, p / 7ZFV Cv~:uG- ~-I~v. o 651- 3e8 - 16o 0e
AWflV S7- 01 3
Wisconsin Department of Commerce SOIL EVALUATION REPORT ) 7 g~ / ~of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code County -57 C nO / x
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must /C
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ) ( }
Revie Date
Please print all Information.
Personal Information you provide may be used for secondary purposes (Privacy Lew. s. 15.04 (1) (m)). 7 ZT,~~
Property Owner Property Location
TeFF) 3oA/~QPM4AII Govt. Lot 114 1/4 `30 N R 19 ISE (or) W
Property Owner's Mailing Address Lot # Block # Subd. Name >L
City State Zip Code Phone Number ❑ City ❑ Mllage Lo Town Nearest Road
Ri64,Ale,vp ~v/. syoi7 (7is) zf~ s38G sa,~,~-~sE-r~" /l o >te, '4 ~.e .
New Construction User Residential / Number of bedrooms Code derived design flow rate GPD -3 Y ❑ Replacement ❑ Public or commercial - Describe:
Parrnt material __44A1P Flood Plain elevation if applicable - - ft.
General cornments . n CO,t9U~NrL
and recommendations: 1-7 X ~,4 r D SV Ir~GS
A 0 A. 7P 1,- 6'1
F/I Boring # Boring
Pit Ground surface elev. ft. Depth to limiting factor > ~j
/ in. so,, Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
o- 10031(l G i-fshtkl s4 w • y.
2, Ye ~YMO 414 3
~S S
3 A/ 1W
i
Z Boring # E] Boring
W Pit Ground surface elev.! ft. Depth to limiting factor l~ In.
Soil Application Rate
Hodzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
01 /D 9W L
. G S /i' . ~ S 3f . y
5 /O s , Co
Z
S• p, c A Z
L ~o I 5 S. D
p V ' Effluent #1 = BOD > 30 < 220 axyl and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 nxft and TSS < 30 mgA- 1
1
l R Q E )E - 14 ?/?~7- Signature / Z 2- CCST Nurnber
o 3 7.5
Address Date Evaluation Conducted Telephone Number
Ulbricht & Associates 7IS• 77z• 3 yVz.
-ft ate SelAia-cai 2812 10th Ave. p o 3 Z- 2 o y~ ~D r'r~
Spring Valley, VVI 54767 qc~.e5 ISE For issuance of permits and designing l _ 03 z - Z o yS • So • 02-5
Contact: Ulbricht & Associates s~/S~ SEG•
Registered private wastewater consultant and plumbers SEA ~Z _ (9 3z - 2 V5- yo • eaz
2812 10th Ave. q0 A yGv /~SGtJ
Spring Valley, WI 54767
715-772-3442 4140154) ? S 401A/ tv s~~' ~ Zd
3 z - yS • yo • ~
3p,oz
A-
N L
tC,'• ~OfY/~~~Ir4.+> /07 4 # /2-
Z 3
Property Owner Parcel ID # Page of
n-3 Boring # ❑ Boring
Pit Ground surface elev. 1 _ ft. Depth to limiting factor >y in. Application Rate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDAf
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
o~o~o~~ L i~ w~3f
9 IS i
Boring # ❑ Boring
❑ Pit Ground surface elev. _ ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ff
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting fad in.
Soil Application Rate
Horizon I Depth Dominant Color Redox Description. Texture Structure sistence Boundary Roots GPDff
In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Boring # ❑ Boring
❑ Pit Ground surface elev. ft Depth to limiting factor In.
Sal Applicalion Rate
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDflf
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
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The. !),!partment of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an altemate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
San 13 (R.&M)
10 7L # Z 3
Properly Owner _ Parcel ID # Page of
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in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
a Boring # ❑ Boring
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Effluent #1 = BOD, > 30 < mg/1- and TSS >30 < 150 rng/L 'Effluent #2 =BODE < 30 mg/L and TSS < 30 mg1L
The Department of Commerce i an equal opportunity service provider and employer. if you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
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3.5 ACRES lV
3.0 ACRES I-/- TO WATERS EDGE
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L.B.O. 893 N - - -
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531 89' OF LOT 2 ro HE DEEDED To owNER 5815 SO FT
OF LOT 7 OF CERTIFIED SURVEY MAP TEMPORARY ROADWAY EASEMEN
IN VOL. 10, PG. 2951 BE USED TEMPORARILY FOR ROAE
PURPOSES AND TO BE VACATED L
/ OUTLOT 2 ROAD CONTINUING TO THE FA-1
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570.18'
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TES i TO WATERS EDGE 3-0 ACRES
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:L UDING EASEMENT ® '
: R.A. 1.4 ACriES 9 • '
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® ® 3-I ACRES
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278.09'
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575.47'
Parcel 032-2176-12-000 03126/2008 04:57 PM
PAGE 1 OF 1
Alt. Parcel 11.30.19.1497 032 - TOWN OF SOMERSET
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
01/28/2004 00 0
Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner
O - TI MAGNUSON ENT INC
TI MAGNUSON ENT INC
1638 83RD ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ` 1636 83RD ST
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 3.000 Plat: 09-099-LAKESIDE ESTATES 1/22 032-04
SEC 12 T30N R19W PT NW SW LAKESIDE Block/Condo Bldg: LOT 12
ESTATES '04 LOT 12 (3.OOAC)
Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4)
12-30N-19W NW SW
Notes: Parcel History:
Date Doc # Vol/Page Type
10/13/2004 776914 2675/70 WD
01/28/2004 752813 9/99 PLAT
08/22/2003 736985 2385/383 WD
09/27/2002 692047 1991/540 QC
more...
2008 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 08/10/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 75,000 0 75,000 NO
Totals for 2008:
General Property 3.000 75,000 0 75,000
Woodland 0.000 0 0
Totals for 2007:
General Property 3.000 75,000 0 75,000
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
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T. 716232 LIE--61E2 1. 716-636 DWG FILE : 7630-002
TOWN OF SOMERSET, SST. CROIX COUNTY, NASCONSIN 6oE h.
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These plans/drawings are protected under Wausau Homes Inc.'s exclusive copyright and are provided under a limited license to Wausau Homes New Richmond. By accepting a copy of these
plans/drawings, you acknowledge and
recognize Wausau Homes, Inc.'s exclusive copyright herein and agree not to display, distribute, reproduce, modify, or use these plans/drawings other than for the construction of
a single home by Wausau Homes New Richmond.
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plans/drawings, you acknowledge and
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single home by Wausau Homes New Richmond.
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