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HomeMy WebLinkAbout191-1013-90-000 4 con 7 n 3 e*# CD -0 3 - *4i O S S m O N CCf < A O i i-• u v v - cyl O 2- Fc CJ1 N O (n O CL OL 5' CD W CC) O cn ca C O \ W W O w fli (n Z N CD a n O I~ CD (D O N N 2 0 a' O O p 7 O fCN C (D y CD O IS. z ~D N a N sS O SZ co M C) po O N O (D m ~ ~ @ O O c O O O o o * * * 0 Ql~ u m v o N tQ p m a A Q° ~I D CD m - r, o O V _N CD Q n A 3 N Z (P ~ O v z W Z n O D n CD 0 !1 (D (D ID (n Z ((D N N N. co +1 C CD N CL CD 7 Z CD Cp -i (n p Z A a A Z O ca G) G fZ N A O C, z A ~ o Cn o m U) N CD A O p) O CD w m O O D D CD m O O O (CL CD N O C N O~ O. 00 3 .n C N N 7 (C] G' G O? 3 CD Cn CO CD O N Sll C T OC a, CD 7 CD O y" O O N C N 3 T C (n 7 Cn p)' 7 N O n Z > CD 0 3 m v s (nN. av0 m n O CAD O N ? O (D CL cn CD (D O W CD (D CO CD 3 0 m na) CD V O OIll 3x n . n p O n n CD O (D O O D a N 7 ~ OQ n -0N m0 CT- (n O Q o (Dc n * n~ v ( N __j W 3 Q D 0 cn o v m (0N 7 N Q. Cr :n (D = J 3 CD in O ¢1 O :E J CD 7 d O O S (n 3 a v CD S O w A CD 5p o ti O O rD 0 ( + v' REPORT OF IiJSP" OTICN---INDIWAL SEWAGE-DISPOSAL SYST'11 PRIIr;A2Y TR.E'LTMENT consists of4Septic Tank% Cther (Describe) SEPTIC TANK: Distance from: Well ft., Lot Line ft. Building-?~ft. High watermark ft. 12% or greater slope ft. Wetland ft. Cistern ft. No. compartments/_. Liquid capacity -;a,~; gal. EFFLUENT DISPCS:;L SYST M consists of Tile field. Seepage pit (s). Seepage Pit or Tle Field: Distance from: Well_,,~~ft. Building,/yLft. Lot Line ft. Cistern ft. High Watermark of water course ft. Slone 1?1 or greater ft. Wetland ft. Total length of the lines,- ft. Number of links, " . Length of each line & ft. Distance between lines_ ft. Width of trench in. %~?o x 4 Total effective absorption area of trench bottom Sr. ft. Depth of filter material below tile in. Depth of filter material over tile in. Cover over filter material Depth of the below finished grade in. Slope of trench bottom 3.n. per 100 ft. Depth of bedrock ft. Depth to ground water ft_ Number of Pits Outside diameter ft. Depth below inlet ft. Lining material Gravel around pit: Yes. :Jo. Total sbsorption area so. ft. Square feet of seepage trench bottom area required 1 Square feet of seepage pit area required Inspected b Title: ..~,~~ti • . Approved Date 1 ,19 Rejected , Date ,19 County, Town o fV Own e r Sanitary Permit No. 7 Property Address Septic Tank Permit No. ~Z y:~ _Subdivision k lko lb '-60 IIAl ~OF BUSUES - XATI~T1 street or highway Wity or townsh'p_ county °LEGAL DESCRIPTION J- f e-f r•-t --.1 ~--r7 ; `J L ~~li :11 J i c L.t OWNER 0 Mailing address it + ,rf M'/~~ ' , 5 r`• r,. y - ZIP _ APCHITECT OR ENGINEER Address ZIP PLUMBER / ~.F f• / CY l _ Address ip- 1. Check appropriate buil,iing usase(s) and fill in the information requested opposite each usage list.--d: Existing building NFw bu,'.lding Addition _ If addifior, to existing butldurg attach detailed memo for eaoh. 1 Drive 1-n refct-Rureart a & . pr z,-snag Restaurant . . . . . . I . Seating ea.pecivy ( 10 esq. ft./person) Dining hall . • • . . . . Per meal server.. _ Toilet waste Yes No ( ) Motel ( ) Hotel ( ) Cott"e€, e . Nwsbar of units: 2 perso=ns/unit 4 persons/unit- TOTA , P+n'ER OF UNITS ( ) Churches • • Nulrber of persons Kltc.hen Yes No N Bar or oooktail lounge . . . . See.ting capacity (15sq. ft./person) ( ) Nursing or rest home . . . . . Number of beds ( ) Mobile home park . . . . . . . Number of units - dependent (camper trailer) - nondependent (riobile home) ( ) Retail store . • Idemtber of employees Number of customers (10 sq. ft./person) ( ) Service station . . . . . . . . Number of cars served daily) ( ) School . . . . . . Number of classrooms Meals served Yes No Showers provide-' Yes _ No ( ) Factory or office building . Number of person's (total all shifts) ( ) Residence • • • • • • • • r e 3 NSizz:er of bedroom& ( ) Apartments . . . . . . . . Number of bedrooms ( ) other . . . . . . . . Speoify 2. Indicate whether or not the f:alfrxi* facilities are oonneeted: Food waste grinder . . . . . Yes No Dishaaaher . . . . . . . . . Yes No Automatio clothes washer . Yes No 3. Fill in the appropriate information for the following as indicated: Septic tank capacity planned ! TOTAL Septic tan': capacity required - J Percolation test results - ATTACH PF,RCOLATION TEST fEPORT SHEET Seepage trench bottom area C planned tgidth linear feet depth Seepage bed area plsnned w th linear feet \ depth 'c .11 Seepage pit planned outside diameter depth below inlet depth _ Seepage trench bottom arses j,.., .«fr width linear feet depth Ge--page bed area required width linear feet depth Seepage pit required outside diameter depth below inlet Signat•jre of person completing fora. STATE DIVISION OF 'HEALTH, PLUM3114G 5€.TIJ-1 P. 0. Box 309, Madison, Wisconsin 53101 Address: r Approved: ~s r i . ZIP i ' i i17~ ~j 3 Dates Dates _ " 6,P) THIS APPROVAL IS BASED ON STATE PLLN-3ING CODE REQUIREMENTS AND DOES 170'T EJCEMLFIT THE INSTALLATION FROM CITY, VILLAGE, TOWN- SHIP OR COUNTY REGULATIONS OR PE1`"u"' (OVER) REQUI RE2~yTS. o fn 0 3 m n rw D, o C7 v1 C (9 COD O CD H~ CAD 41 O U) 03 O O Nn O O'I A O• N 7 d ry O =r (n (NO ' 00 (O CL CD Co N 7 CD r O ►~'h CD EL W C = (D N 7 (D j C j~3 CD W CD (h CL ;7 10 cb 3 C) -0 O 1 0 O (Op n v N 2 0 l~ W 3 O O O 0 3 N O O C N Ly O m I v v> Z O N a W c 0. 0 C) -0 W 0 c `D CD o W~:03 n r N Z O O O v v C> C) CD rr U, z O O O a ~r 0 (n S N N N CD v Av o CD -y CJ1 N O 0 90 M, cr :3 N) N I D (D N N N 0 -4 z w z p o D a CD 0 h. CD CD O N - ~1 O C CD N CD W fD C1 Z 7 Z cD O A O A Z O v n O F! o. Z N C4 W m co c l z a 3 o 3 m ccnCn CD A O y 0 M (n C1 (a C1 Q~ CT 0 D CD CD 0 O ('D (D (D D) O O O C1 CD O C N o N :5. 00 3 g- G Cn O (D O m Sll o T O N O CD O y' O- Q. C {D 3 5 C w 7 N v O S O j y C CD CD C) a O G Cn ET Cy CD 0 CL O D CD CD N y v CD N N C 0 7 s 0 CL "O :E 'O Q CL S 7 7C CL S CCD 7 N .C O N y CD N COD W 7 (D CC (0D q (Q I `C 3 CD CD -.4 cD COD X CD am m ~o A 3 oam 0 5 ocr a 0 N O O CD D m =r - O a 0 d~Q~ CL CL Oo N CD N C a Q 00 CD (ll a C f1 ti < d~ N C: CD :3 vC-(n0 co 7 CD N NO CD O Cn 0 7 F v N O O A p ti CD CD D O W O CT O ~yy O ~l ti li St. Croix County Zoning Administration OLD COUNTY COURT HOUSE HUDSON, WISCONSIN 54016 HAPOLD C. BARBER, Adm`, :i a+a' Phore: 386-5581 Ed 49 tid=' _ n 'Knapp, On Ma.y 2, 1969 you received a violation you had a mal-functiching se age system at tile fir; °-Ier which nothing; was done. o ~ Another letter was written on AuUust 21, 19 ~o tat legal action would be taken i.1' nothing was done. 'oU.~ing was dpi:.:. You were then given a warrant to appear before Judge OtBrien in &ctober 1969. You pleaded with the District Attorney and ,.,;self s;.ying that something would be done immediately. You then had a plumber not licensed to do the -:pork and working; without approvals from the State Board of Health. The project stopped wen the digger,. e,.isipment broke down and then the plu,nber died. You were refused a dance hall license in December 1969 because the sewage system was not installed as you promised 1~x. Anaerson t~:c Iounty Board Chairman and me. Mr. Orin Sather a licensed master pluw-mber'from. Spring Valle it :reds percolation test on April 21, 19?) desiGnud a s,stTm and approved br the Flumbi_ng Section of the State board c;f health. - Mr. Saber has gotten all the .regaii•ed pe-r'mlts and infoni -3d you :,)f the fact but you have not given hLm permission to complete nthe had pro Ject, possibly thinking that t.hec.---t Vere ev t o h ~h,. ,~,iy -a "e ha everal plumbers look over the project. for bids to do the job. .s s} ste,~. It looks to me that you are trying to sta.l instal-Lin.'A to she cold epee ,er z'or not being able to c .xnplete t1 he end then blame it on + e project. I am now ordering you to have, tKi.s system installed on or before Se.pt,e-rber 30, 1970 or legal action will definitely be taken by this office and the District Attorney to either have 7ou comply or to take whatever action to have dour establishment closed until such time as it has complied. As you know fines for violation of the p1tIbing codes and St. Croix County Zoning Ordinances are as foloows: Fine of from $10.00 to $200.00 plus court costs for each violation and each succeeding day cu1i6titi:1,,,.~s i~r.vther offr.n: lours truly, Ik I u District <'_ttorncy / 1 Victor Jacobson, TMm. Chm. e Votel & Res. Div. 1!=,r old 0. Farber, Zoning Admin. Plumbing Section Beverage Tax Division file No. 955381 ~w m.m mmi z CN W N VI, O A Z. a m' G ~ ' m' op V) < -yc o aE nE'w , o o a C "'o n=amly r ,gym laa nip 0 0 , m ~r~ o~ ❑m ml ~ ~ pl~~ fT'W W ~ r 41, O VI (r Uf Vl ~ N m o o 'p o \ V. oWi O n N_ m y mz ~ a ^ 'IQ CD 1 Parcel 191-1013-90-000 01/18/2007 11:42 AM PAGE 1 OF 1 Alt. Parcel 34.29.15.102H 191 -VILLAGE OF WILSON 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 - SMALL, CHRISTOPHER J CHRISTOPHER J SMALL C - SMALL, KATHERINE J KATHERINE J SMALL 260 WILSON ST WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 280 WILSON ST SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.230 Plat: N/A-NOT AVAILABLE SEC 34 T29N R15W COM INT E TRACKS RR & Block/Condo Bldg: CL WILSON ST TH S 296.34 FT, TH W 33 FT TO POB: TH W 170.28 FT, N 61.34 FT, TH f Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) TO W R/W RD, TH S TO POB ~:t4 c tt P W 34-29N-15W Notes: Parcel History: 2/~ d 3 y ss Date Doc # Vol/Page Type 07/27/2005 801563 2852/138 WD 10/31/2003 745362 2447/123 WD 12/03/1999 614954 1476/18 WD 08/24/1999 609149 1451/229 WD more... 2006 SUMMARY Bill Fair Market Value: Assessed with: 171754 116,700 Valuations: Last Changed: 05/31/2006 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 0.230 12,000 98,600 110,600 NO Totals for 2006: General Property 0.230 12,000 98,600 110,600 Woodland 0.000 - 0 0 Totals for 2005: General Property 0.230 9,000 78,600 87,600 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 Parcel 034-1078-50-000 01/18/2007 11:20 AM PAGE 1 OF 1 Alt. Parcel 34.29.15.524A 034 - TOWN OF SPRINGFIELD 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 - BURTON, M L & RODNEY M L & RODNEY BURTON R1 BOX 105 DOWNING WI 54734 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 39.000 Plat: N/A-NOT AVAILABLE SEC 34 T29N R15W 39A FRL NE SE LESS 1A Block/Condo Bldg: NE COR ANNEXED TO VILLAGE OF WI- LSW Tract(s): (Sec-Twn-Rng 401/4 1601/4) sl 1 x~' r j' 34-29N-15W y 1 > ,CIS Notes:yk ; _ ~V J Parcel History: D5pte Doc # Vol/Page Type 3/1997 718/66 2006 SUMMARY .tb 18~ F ' "IGfarket Value: Assessed with: x,47 se Value Assessment Valuations: Last Changed: 04/14/2006 Description Class Acres Land Improve Total State Reason JC)-AGRICULTURAL G4 38.000 4,100 0 4,100 NO ii UNDEVELOPED / Gy5 1.000 50 0 50 NO 6 41 N f C ~ , y r f y% „47 5 / J Totals for 2006: General Property 39.000 4,150 0 4,150 Woodland 0.000 0 0 Totals for 2005: , General Property 39.000 4,700 0 4,700 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 Parcel 191-1013-70-000 01/18/2007 11:39 AM PAGE 1 OF 1 Alt. Parcel 34.29.15.102F 191 -VILLAGE OF WILSON 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 - SMALL, CHRISTOPHER J CHRISTOPHER J SMALL C - SMALL, KATHERINE J KATHERINE J SMALL 260 WILSON ST WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 280 WILSON ST SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.500 Plat: N/A-NOT AVAILABLE SEC 34 T29N R15W NE SE COM INT RWY & Block/Condo Bldg: WILSON ST, TH S 17 RIDS 24 LKS, W 2 RDS TO POB: W 10 RDS 8 LKS; N 12 RIDS; SELY Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) ON 19DEG CURVE TO POB ALSO COM SW COR 34-29N-15W ABOVE DESC PARCEL, TH N 20 FT TO POB: TH W 209 FT, N 209 FT TO CL HWY, SELY ALG more... Notes: Parcel History: Date Doc # Vol/Page Type 07/27/2005 801563 2852/138 WD 10/31/2003 745362 2447/123 WD 12/03/1999 614954 1476/18 WD 08/24/1999 609149 1451/229 WD more... 2006 SUMMARY Bill Fair Market Value: Assessed with: 171752 99,100 Valuations: Last Changed: 05/31/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.500 10,000 83,900 93,900 NO Totals for 2006: General Property 0.500 10,000 83,900 93,900 Woodland 0.000 0 0 Totals for 2005: General Property 0.500 7,200 73,900 81,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 0912912005 Batch 05-25 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 114 (~;Ly n G~ 17- 7171 ST. Crz01X COUNTY OFFICE OF THE ZONING ADiviINISTriATCR APPLICATION FOR, A SANITARY PE UAIT To the County Zoning Administrators The undersigned hereby makes application for a SANITARY PErcMIT for the premises described herein. The undersigned agrees that all work performed and equipment installed shall be in accordance with the Sanitary Code of St. Croix County as contained in the County Shoreland Zoning Ordinance and with all applicable laws and regulations of the State of Wisconsin. Owner or agent U Plumber /1'U"40 Addres dyes r - >i DESCRIPTION Fill in indicated 1. Premises distance. Lot size`ft. x ft. Show well(W) Let area Sq. ft. Septic tank(S) ~ Filter field(F) a i 2. Use(describe exactly, as and distance " i 1 fam, home, motel, etc.) between each, ~;1' VIA. Outline any filled 1 f areas and show ee+ 3. Sanitary Facilities material & depth . No. bathrooms Show edges of banks ~ i , Dish rasher and dirt. to S. Garbage Grinders and F. Auto. Laundry 6. Required 4. Waste disposal system Attachments Septic tank Well permit Septic tank Size f e y 40 dal. permit V / Seepage pit ov /O O Evidence of Seepage trench survey Indi ate if Privy Peat, test form a water Line Div. Health review 5. Absorption Filed Site Soil type Ce"14,14 Slope ,,.,a. fja1 Pere. rate ACTION Permit issued(date) Signature County Zoning Administrator Work started(date) Work Comileted(date) Fee $ Permit Denied(date) for the following reasons I dSP.LLCTION Date Inspector Remarks RECORD Appealed to Board of Adjustment(date) Notice published(date) Copy of Notice to Divisionof Aesource Development(date) Copy of Notice to DRD Aegi.onal Office (date) Appeal Heard(date) Decision Copy of Decision to Division of Aesource Development (date) NO. DATA; OG1N111A TOWN LOm B1.Grh SUBDI`II JIGP1 i Sec 4 4 T. R. - ST. CHOIX COU14TY OFFICE OF THE ZOiUNG AaeiINISTrut TOR APPLICATION FOR A SANITARY PERAIT To the County Zoning Administrator: The undersigned hereby makes application for a SAvITARY PEit,lj= for the premises described herein. The undersigned agrees that all work performed and equipment installed shall be in accordance with the Sanitary Code of St. Croix County as contained in the County Shoreland Zoning Ordinance and with all applicable laws and regulations of the State of Wisconsin. Owner or agent Plumber Addresj;: Odress/ DESCRIPTION Fill in indicated 1. Premises distance. Lot size ft. x ft. Show well(W) y ~ ~ t Lot area Sq. ft. Septic tank(S) Filter field(F) - y 2. Use(describe exactly, as and distance i 1 fam. home, motel, etc.) between each. Outline any filled areas and show 3. Sanitary Facilities material & depth. - i j No. bathrooms Show edges of banks i d Dishwasher and dist. tc S. i Garbage Grinder and F. r a Aut*. Laundry 6. Required 4. Waste disposal system Attachments Septic tank Well permit f Septic tank Size r~0Cl y gal. Permit V Seepage pit rte,, Evidence of Seepage trench survey Indic to if Privy Perc. test form a water Line Div. Health review 5. Absorption Filed Site Soil type Slope Perc. ratef ACT1C:iV Permit issued(date) Signature County Zoning administrator Work started(date) Work Com,-Ileted(date) Fee $ Permit Denied(date) for the following reasons INSPECTION Date Inspector Remarks R! ORD Appealed to Board of Adjustment(date) Notice published(date) Copy of Notice to Divisionof Resource Development(date) Copy of Notice to DRD regional Office (date) Appeal Heard(date) Decision Copy of Decision to Division of Aesource Development (date) _ NO. DAT"; C vdNv la TOWN i,O`-' BLGO'K SUBDI-1II;I0~i`1 w w Se^.__-- _ - , T. R. ' y J~ \ Plb 60 NAME OF BUSINESS " 1 LOCATION street or highway city or township Y county LEGAL DESCRIPTION., OWNER Mailing address ZIP ARCHITECT OR ENGINEER Address ZIP PLUMBER ` Address zip 1. Check appropriate building usage(s) and fill in the information requested opposite each usage listed: Existing building New building Addition If addition to existing building attach detailed memo for each. ( ) Drive in restaurant . . . . . . Car spaoes Restaurant . • . . . . . . . . Seating oapacity 10 sq. ft./person) ( ) Dining hall . . . . . . . . . . Per meal served Toilet waste Yes No ( ) Motel ( ) Hotel ( ) Cottages Number of units: 2 persons/unit 4 persons unit TOTAL NUMBER OF UNITS ( ) Churches . . . . . . . . Number of persons Kitchen Yes No Bar or cocktail lounge . . . . Seating capacity (10 sq. ft./person) ( ) Nursing or rest home . . . . Number of beds ( ) Mobile home park . . . . Number of units - dependent (eamper trailer) - nondependent (mobile home) ( ) Retail store . . . . . . . Number of employees Number of customers (10 sq. ft./person) ( ) Service station . . . . . Number of oars servedly) ( ) School . . . . . . . . . Number of classrooms Meals served Yes No Showers provided Yes No ( ) Factory or office building . Number of persons (total all shift- ( ) Residenoe . . . . . . . . . . Number of bedrooms ( ) Apartments . . . . . . . . . . Number of bedrooms ( ) Other . . . . . . . . . . . . . Specify 2. Indicate whether or not the following facilities are oonnecteds Food waste grinder . . . . . Yes No Dishwasher . . . . . . . . Yes No Automatic clothes washer Yes No l 3. Fill in the appropriate information for the following as indicateds Septic tank capacity planned TOTAL Septic tank capacity required - - - Percolation test results - ATTACH PERCOLATION TEST IREPORT SHEET Seepage trench bottom area planned width linear feet depth i Seepage bed area planned width linear feet depth Seepage pit planned outside diameter depth below inlet depth Seepage trench bottom area required width linear feet depth Seepage bed area required t, " '°width linear feet depth Seepage pit required outside diameter depth below inlet Signature,dof person completing form: STATE DIVISION OF HEALTH, PLUMBING SECTION P. 0. Box 309, Madison, Wisconsin 53701 Address$ i Approved: ZIP . „ Dates Date: THIS APPROVAL IS BASED ON STATE PLUMBING CODE REQUIREMENTS AND DOES NOT EXEMPT THE INSTALLATION FROM CITY, VILLAGE, TOWN- SHIP OR COUNTY REGULATIONS OR PERMIT (OVER) REQUIREMENTS. INFORMATION REQUIRED FOR SUBMISSION OF PLANS 1. Legal description of property on which septic tank and effluent disposal system is to be installed. 2. Percolation test data from a minimum of three test holes. Tests are to be conducted in the area and to the depth of the proposed effluent absorption system. Where ground water and/or bedrock conditions exist, the vertical depth from grade level to same shall be indicated. 3• A detailed plan of the proposed installation specifying the location of the building served, size and design of septic tank, effluent absorption system with location and numerical identification of percolation test holes. 4. Indicate on plan lateral distances between septic tank effluent disposal system and building, well and lot lines. 5• Include complete data on expected use of the building. See Section H 62.20. ,L r L A K F. 0 P S T R EA M~ 3 _ P#I =PAGE ~a o ~s TR` NCH' P" z I I ~ ~ 0 T- J I 75 S - PAG BED 25' 25~ WE: L L -6---~ BLDG. F 0-1-0 6' P4 ' S P 3 Gnl 50~ 25 I I ~ 50 WELL SE E P G E I T P P i _ L LO T L I N E O-e- P • Peroolation teat hole SAMPLE PLAN DEPICTING SEEPAGE TRENCH, SEEPAGE BED AND SEEPAGE PIT { . Y - t -1 - . } '~51.jt I'1 FU al bil if 5 1970 WIS. DEPT. Of HE,LTHCH SOCIAL SERVICES r nr 4i, ups L BE 'v' jD iF i i, = {FVISED niS APPROVAL IS PA -'E CrY „ STATE PLUMB. F °T i4E ,rv T u?s AND C~;ES NOT tw~hrP LulrGh rRCr, x G , v C; Y VIG n1T REQWREp4Ei41s. UNTY REL'UL;iNNS. 'i: uzsuoostpA `Aatl'eA Builds e7ID'q bu[3dS euogdelay S N111I3 'P SUM s30HHIZdaH (INU NIHIM MR103713 SIUM ss3'I.LId - suoioui oItI oma - sxout dujad iallelsul dumd pasueoil seunn0 'H3HZHS NIHO OIZI,L :IrI3 V DNIE[Igfl'Id ZISHZXS t ~ S _ r o r ~ ~F E z g~ AO% F;y ja'r c' P~ T 3 00 uhf' 0 P j. L ~ s e 4A 1 SERVICES WITH OUT SLD ~4~'S AC ° 5 i^. THE WRITTPn4 p, NF R~QUI tG Cf~ STA c, f~~Jh lprTT r~, rn FF utsuoasiA& `"11EA buT cTS eiID7 buppdS euoi;dejay S XIZZI3 ly s3dId s3oNHI'IddET GNU ONIHIIII DIHID373 ssu a ss3'IZId - suoiouI oIHZo3'I3 - sxoui dwiid sall2lsul dumd pasuaosq saum0 'H3HIVS NIHO OIZI LO:I I3 '8 E)NIE[Igfl'Id ZI:IH LVS I Plb. X43 SEPTIC TANK PERMIT N0.~ R E P O R T O N S O I L P E R C O L A T I 0 N T E S T A N D S O I L B 0 R I N G S TO DIVISION OF HEALTH - PLUMBING SECTION P.O.Box 309, Madison, Wis. 53701 Pursuant to H 62.20, Wis. Administrative Code NAM PROPERTY ADDRESS LOCATION (Cheek One) City Village ! ! Town County{ City or Township WATER SUPPLY FROM: Public Utility Cooperative Private Well SEWAGE DISPOSAL INSTALLED BYs , i dry/, h? Address Date SEPTIC TANK SIZE r Material ar•,r r` s~ Percolation & Soil Borings Test Date ,,/4 ,Fr/mil() EFFLUENT DISP.s Tile Size No. Lin. Ft. Trench Width Depth of Tile Seepage Beds Length der Width /ma r Depth of Tile .2 '1 Seepage Pits Outside Diameter Liquid Depth TYPE OF OCCUPANCY: RESIDENCE: Number of Bedrooms OTHERS (specify) ~d (U( Number of Persons FOOD WASTE GRINDERS Yes No Dishwashers Yes No Automatic Clothes Washers Yes No P E R C O L A T I O N T E S T Test Depth Character of Soil Hours Water Test Time Drop in or Level Inches Minutes Number Inches Thickness in Inches Since Hole in Hole Interval Second to Next to Last To Fall 1st Wetted Overnight in Minutes Last Period Last Period Period One Inch Example P- 0 36t, To Soil 101 Cla 2611, 25 es or no 30 1 2 1 /2 2 60 RECORD DATA FROM MINIMUM OF 3 TEST HOLES Compute size of absorption area in accord with H 62.20 Wis. Administrative Code. S O I L B Q R I N G S- Minimum 361" Below Proposed Absorption System Test Total Depth Depth to Ground Water Depth to Bedrock Number Inches Observed Estimated Observed Estimated Character of Soil with Thiokaasn in Inches Example B- 0 72" 72" Bla 'Cc Soil 12" C 18E15Bad 18ns Gravel 2411 ~ J F RECORD DATA FROM MINIMUM OF 3 TEST HOLES I, the undersigned, hereby certify that the percolation tests reported on this form were made by me or under my super- vision in accord with the procedures and method specified in Chapter H 62.20 (13), Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief. NAME I j f N A TITLE Type or Print)- REGISTRATION NO. or MASTER PLUMBER LICENSE NO. ADDRESS DATE SIGNATURE _r ~Hri~' 1~G •ls93 uollelooJad 043 6utJnp laneJ6 043 9noge aq J9leM Jo sayoul xis ue4l aJOw lie4s aseo Ou ul •a3eJ uollelo3Jad 043 alelnoleo o3 pasn aq lleys doJp lanai Ja3eM teUld 941 •pasn aq pinoys lenJa3ut 3sa3 Ja3Joys a sa3nulw ua3 ue4l ssai ul AeMe sdaas taneJ6 043 anoge Ja3eM jo sayoul xis ay3 aJ04m saseo ul •taneJ6 043 anoge sayoul xis Jano Sou lulod a o3 AJessaoau uayM aloy 043 6ulltt3aJ `Jnoy auo jo polJad a Joy stenJ9lut a3nulw ua3 le tanat Ja3eM ul doJp 943 aJnseaw 3ulod aouaJalaJ paxlj a woJj pue taneJ6 043 Jano sayoul xis uey3 aJow Sou 3ulod e o3 ato4 a43 o3 Ja3eM ppe ssat Jo sa3nulw ua3 ul AeMe ideas (q) £ uol3oaS ul pailloads se taneJ6 ay3 J9no J83eM 10 sayoul Zt J0 6ultlll puooas 043 11 (3) •3sa3 uo p elooJad 943 a3elnoJeo o3 pasn aq ilegs polJad 93nulw ua3 3sel ay3 ul sJnooo 3ey3 JanaJ Ja3eM ul doJp ayl •Jnoy auo Jot unJ 3sa3 043 pue sa3nulw ua3 se uaNel aq Heys sluawaJnseew uaaMlaq JenJa3u1 awj3 ay3 polJad 6ulllaMs llos ay3 Jalle sa3nulw o£ uey3 ssal ui AeMe sdaas Ja3eM jo sayoul xis 3sJIJ 043 uayM (q) •a3eJ uoilelooJad ay3 a3elnoleo o3 pasn aq lleys tenJa3ul a3nulw o£ 3sel ay3 ul sJnooo 3ey3 Jan9J Ja3eM ul doJp ayl •doJp Jana[ Ja3eM paJnseaw 3set ay3 jo s3lwlt 943 o3 ldeoxe spolJad 3uawaJnseew £ 3sel 943 6utJnp apew aq lou lieys Jana[ Ja3eM ay3 jo 3uaw3snfpy •goul ue jo 91/1 uey3 aJow Dien 3ou op s6u1pe0J anlssaoons oM3 ji sJnoy Jnol ue43 ssal ul pa3eulwJa3 aq stew 3sa3 a41 •A3dwa ~iJeou sawooaq 0to4 043 uayM taneJ6 943 anoge sayoul xis Jano 3ou 3ulod a o3 Ja3eM 441M s0104 943 6ultllJQJ `sJnoy Jnol jo polJad a Jo3 sa3nulw o£ Jo stenJ93ui 3e 3ulod aouaJapi paxlj a woJj paJnseaw aq tteys JanaJ Ja3eM ul dorp 043 pue taneJ6 943 anoge sayoul xis uey3 aJOw IOU 10 43dap a o3 p9lsn[pe aq llegs lanai Ja3eM 941 •panowaJ aq lteys 0104 943 Olul p946nols se4 4014m llos Auy (e) :3uawaJnseaw 93eJ uol3eto3Jad (t~) •Motaq (o) h uol3oaS ul patlloads se Ala3elpawwl paeow d ueo 3sa3 043 ssal Jo sa3nulw ua3 ul AeMe sdaas Ja3eM ,jo sayoul Zt jo 6ultil3 puooas ay3 jl •aJnpaooJd a43 3eadaJ ssal Jo sa3nulw ua3 ul AeMe sdaas Ja3eM s143 11 'taneJ6 043 Jano Ja3eM jo sayoul Zi Jnod A11njaJe3 Ael3 ou Jo at33ll 6ulule3uoo silos Apues ul (q) •Molaq (q) pue (e) ~ suoj3oaS ul paljl39ds se paaooJd iie4s 3sa3 uol3etooJad ay3 polJad 6ultiaMs 943 Ja3je Aia3elpawwl •JeaA ay3 jo suoseas 3sa43aM ay3 6utJnp lsixe Him 3e43 suol3lpuo0 043 43eoJdde itim al 3ey3 os sJnoy o£ uey3 aJow Jo sJnoy 9t uey3 ssal 3ou tlaMs o3 paMotle aq lteys ttos ayl •panowaJ aq 3ou ile4s sJnoy Jnol Ja3je alo4 043 ul 6ululewaJ Ja3eM •sJnoy Jnol 3seal 3e jo polJad a Jot JaneJ6 ay3 Jano sayoul Zt 3o 43dap e o3 Ja3eM y3!M palild sl aloy 3sa3 ay3 os `uoydls oi3ewolne ue se yons Ja3eM jo JlonJasaJ snidJns a 6uiAiddns Aq Jo AJessanau }i 6u111liaJ `[aneJ6 943 Jano sayoul Zl jo 43dap wnwluiw a o3 Ja3eM Jealo yllM palill AtinjaJe3 aq Heys aloy a41 (e) :tlos jo 6uillaMs pue uot3eJn3eS •s9Jo4 044 ul JaneJ6 Jo pues OsJeoo 3o sayoul oM3 ooetd pue s9104 943 jo wo3loq ay3 woJj JelJalew asooJ 043 anowaa •[los [eJn3eu ay3 asodxa o3 3uawnJ3sul pa3ulod dJeys a 4llM saio4 ay3 jo wo33oq pue sapls 043 uay6nob :9104 jo uo p eJedaJd (Z) (•seaJe patil3 AlMau ul sisal jo uol3eJaplsuoo tei3ads Jo} 431eaH Jo uolslnta a43 3oewoo) •ptaij a6euleJp Jo lid a6edaas pasodoJd 043 jo 43dap 043 03 pue jo e9Je 043 ul `Jalawelp ul s943ui Zt 03 ~ `sanoy te:ollJan aaJ43 [seat 3e aJoq Jo 6ia taloy jo adAl (1) aJnpa3oJd 3sal uo13elO0Jad T Mr. Lawrence Schillinger Dec. 30q Knapp., Wis. 1969 Dean Sir 1 have been instructed to inform you, per the attached letter to you dated Dec. 16th, that tar dame you have not complied with item No. 1, so we have been informed by the Wis. State Health Dept. Therefore, your application to hold a E E New Years Eve dance, with your check is 4 being returned, there for denied. i You will have to make an application for a new Dance Hall License in the future, s upon correction and inspection of your Sanaatary facilities, since your present License expired Dec. 6th, 1969. cc: Harold Barber Yours truly, Norman E. Anderson ~ 1 Sheriff Dept. t 076- . G rd Ne son J St. ccounty Clerk - K fetter sent Certified Mail r, ',Tr. Victor Jacobson, Chm. January 19, 1970 _~nship of Springfield # 1 at the Wilson iu a . =o far °,r. Lawrence ,Cub" Schillinger has done notl,,ing to improve sewage problem which he has. sewage is still overflowing from time to time into the road ditch. He has promised to get something done but has never '-ad anything; sent into the state for any appr")vals of anew or addition to the existing system. As 7,=u probably kmow the co,..nty has fefused to issue a dance hall license as he has not complied nor done anything that h~,- has proBrised. I am nov asking you as town bo xd crairman to talk with him. Informing him that the wounty viil be issuing a violat'.on notice and a complaint bringing him to curt and fining; :him from "'10.00 to $200.00 and court cost for each day of violation. It might be t-.oll to inform him t+)at the possibility looms that he could lose not only his restauri-,c, j license buthhe could be refused a liquor license when tl~ey come due, because of `~,he sevage problem t•~ :t hes 1 -as. This may be the harsh or creel way of doing it but it is easier or h'Lr.q to correct this problem now ##A than to have it come into court, where he could be fined and given 10 days to correct the system or ,Vl his doors. You know this is what hax:pened to -Leo Cook at his dance hall at Jewett in the town of Stanton. Judgg "Mrien gave him a $50.00 fine and 10 days to comply or :.ock the doors. Any assistance teat you can give rye on Uri.-, ^;ai., er will be great, anpreciated. Very trui-, w, Harold Au zn. cc Mr•s Sweitzer file AS 'A' °~~r 3x . Ali* Dec,rY~her 15, 1969 Yr. J. vif j--bid }el3on Count ^l rk 7, 6:11.1, a iscon i', cur Welson: i is„ection o;' t' ~z ilsun °Tite Club Fri 69,y December 12, 1969 "r. Ta, FRr an Anderson -anu I otpd that the sanitFr,, s-stem ?,as been -,i.-lfunctioni-~-ig Teas not been reraired as - pt. Theref: ;re tl;e request f'...r c ? 1 c .IeL the dance ..c ll co;-unittee. ,.,r.. c 1 finger v oul A` e o e is "Va. I think }',at this should be taken into con.-J.6'eration if he has e rermits and the ntZ from the IIAnte Board of It would be for only one dr nce as he 16% has "r. Sc',Allin-er :l c :1r r . ve ti-,e state rrr. ov,l and start on this _ro~ect Iris ,,,eek. :fl _F°a ,r-ova a Kul- & C...=+./ u: t10X 1?S P.•AN aeP/1t ayryRIA TO $4016 40ROM W!04 Der I _Mr. Srhiilin.ger I have been instruct -A by "r, "Iorntan Anderson and Mr. Barber, regardinc 3_J. CGC.€ o?rti ~1. You inust have y(,ur r; frorr, the Dept. on t.h new system. 2. -Ma e to this , i.. ate,-, or coruie;icr, Of' yr-r artita: y cyst e,, cerreet:ion, and we are e notified, ycu wil L agAir. _be inspected and isrsued a current mince Hall License, if ,<r :i:e;,ection is Ctn. 1 am returning _yc;ur exec f or 3125 ~ J. ~rifforl Nelsen I I I S , :~ariC~; or' r , fT. ~tgt3Cri GG.zt=T~ ~y $qX 18:0 HUDSON. 1 "0t R ~ ot~+It 1R1~Nt ~ ~c . i~jb9 i a. soft* mum 9I.PWe r `>1~Sr• Schillinger t'. T. have been in~truc~{:'d by Mr• Norman Anderson and Mr. Barber, regarding ycu holding a dance New Year' a FvP. Tt is agreeable to all concerened for you to hold this one dance. f P7ew Years Eves) . ` 0 e s However: you rust have your OK from the state Health Dept. on the new Wte21 2. Make arplica_tion to this C`ffice for this r` dance, when you have, this ^F. Later, on eo;i;pletiun of your Sanitary system correction, and we are so notified, y'ou will again be inspected and i issued a current ??anr..e H31i. License, if your your check s inspection i.s 01K . i am returni.ng r x= for $25. A / . _ Gifford Nel,ion T -lq s ~ . Edr and "Cub', Schillinger August 21, 1969 '^ilson Nite Club A027 r. SclAilinger: -n inspection of your property on August 2©, 1969. Your establishment e r=. {'lot open and I could not speak with you. I noticed that the sanitary system is running over and going down - ,u =-rv run to Wilson creek. received notice of a violation from this office in May 1969. r 1 hich I talked to you. I was informed at that time the situation ciald be corrected. It is now almost the end. of august and nothing gas n done to correct +,bis situation. I am now going to give you until the 23rd day of September to complete ".13 .Nroject or show this office that steps are being done to straighten t this sanitary system. You will have to meet both the State of Wisconsin K'~u ~t. Croix County Sanitary codes. If something isn't being done by this date action ti:ill be the county. .it is possible that you could lose bothe yotar .resta,_?r, -I . ic ,.iqu~r i.f this ha mene. s ..>ld N rbe , Zorn Ac. in. ,.:.1 Stc--rant Div. .'ile V!:, 'LUB W27 Cnformation and evidence: has been received by this office that you i violation of section 5.0 of the Y Code, ,-lows, to wit: - . , a { ' i U1 y 1-, f. T AL. ►ry to the qt. Croix County T'CT Crdinance as enacted per 14, 1967 (as adopted by the Town of 'ou are hereby notified that failure to comply with this order on 'ore the 31 dad, of , 19 69 , may result in prosecution formit ?„with the aforesaid County (Town) ordinance. 1 -ited y 2p 19 C-9 TAX LIB`. 2 T, IT % {afar 0` Harold Barber, Zoning :administrator if k, .f ,It LIN T V Y- ,t.. x'i' .i~ s' .da a..x .,Jl "IS IS N' ; T P'" ! 1 V'w° kT 7,1i ~ TW D t:.~14 ..i~,Si.~~°l r it111" 47,k, r,'.,,Y..K ,5. ,4 _0 „~3. -,yb LtiJ:xP *,d • PGSY OFF:Cmn DEPARTMENT PENALTY I~t{PE AVOID OFFICIAL BUSINESS P $TAG ST. OF - IV: FFICE m i INSTRUCTIONS: Show name and address below and complete instructions on other side, where applicable. - M Moisten gummed ends, attach and bold firmly to back of article. Print on front of article RETURN TO RECEIPT REQUESTED. NAME OF SENDER HAROLD C. BARBER 1-4 , ; e~tnr M STREET AND NO. OR P.O. BOX y St. Croix County Courthouse T2 , .4916 W POST OFFICE, STATE, AND ZIP CODE C[Se1-Y9Z55 O RECEIPT FOR CERTIFIED MAIL-30¢ SENT TO } POSTMARK OR DATE STRfeET bNdliO W lfWl ~ r P 0.. TATE ND ZIP CODE I a EXTRA SERVICES FOR ADDITIONAL FEES Return Receipt Shows to whom Shows to whom, Deliver to and date date Addressee Only delivered de ivered F-t ❑ 10¢ fee 35¢ fee El 50¢ fee POD Form 3800 NO INSURANCE COVERAGE PRiilii D- Mar. 1966 NOT FOR INTERNATIONAL MAIL (See other side)