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HomeMy WebLinkAbout261-1304-02-300� � I � 0 / 0 o f \ § 0- Cl) CD 2 0- ; 7 / / 2 �@Eƒ) � -IR « ° ® a co a F � E » y v @ §} � \ / g \\ 0 s � ^ CD ƒ -`\ ; ,--- � � f .: � k \ § � $ / 7 7 § � � R I � f { \ / {{ 9 i 0 7 CD � \ ® � � � � I / � I � � q ± CD 0 . ) \ ( / / ƒ � a z 0 E 0 / % k � § f F o » < \ � » 2 / ( k � \ \ \ \ m T T r 2 2 2 / w 4 0 ■ a § 7 0 a \ ° E ( § ; ® § \ 0 \ / } ( / CL \ 6 / t > a M 0 �kJ k \ o % m 0 / / / & § ~ $ § e [ � g 0 ƒ rt cr / ° ( § \ § k � \ { z 0 g \ ® d k 0 \ \ } \ 0 § 4 U) z C) % § ■ \ 0. \ 0 \ R 7 2 � � � / § / ; � � � � � � � � � � � � � � � � Oro I � $ � \ « � \ / � 0 \ � ^ CD - - -`\ ,--- � .: \ a §= . _ ___... �2 c I � � f � 7 \ 0 * V e $ 0 7 0 ° %& @ k S d k J m E k c; 0 ; g N: E 2 0 ���! CD $ f5$ k § a Cl) v ƒ E CL c c g CD � a R CL § E 4 § I § E§ z g E# c % cr / k T M T �: E �- 2 / o o o g " � § ± 2� ` \� B O 7 ■ ■ ■ �§} f\ 1 9) a i n ( k a sr >k 5 \ g ¢ { /c 2 �` C . g i 5 a f / 0 § k/ z § } / E @ o 2 q 2 7 z k ;o ® & $ � k 0 § � $ � 0 % CD o f � a � � k � ! 2 ■ � ' f � \ � S ! � / o § f : � C 8g � �\ Parcel #: 261- 1304 -02 -400 05/05/2008 11:19 AM PAGE 1 OF 1 Alt. Parcel #: 24.31.18.2323 261 - CITY OF NEW RICHMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 04/20/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - GEARIN, JOHN JOHN GEARIN C - MINER, KIMBERLY Description Class KIMBERLY MINER Land Improve Total State Reason RESIDENTIAL 257 LOWER PINE LAKE CT 1.250 16,000 28,600 44,600 NO STAR PRAIRIE WI 54026 Districts: SC = School SP = Special Property Address(es): ' = Primary 16,000 Type Dist # Description 44,600 " 1370 200TH AVE Woodland 0.000 SC 3962 NEW RICHMOND 0 Totals for 2007: SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC 1.250 16,000 28,600 44,600 Legal Description: Acres: 1.250 Plat: 5196 -CSM 21 -5196 261 -06 SEC 24 T31 N R1 8W SW SE ANNEXED Block /Condo Bldg: LOT 01 (09/23/05) FKA 038 - 1099 -95 (419) FKA CSM 20 -5120 LOT 3 (9.530AC) NKA CSM 21 -5196 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) LOT 1 (1.250AC) 24- 31N -18W SW SE Notes: Parcel History: Date Doc # Vol /Page Type 04/20/2006 823316 21/5196 CSM 01/04/2006 815673 LC 12/01/2005 813362 20/5120 CSM 09/23/2005 807313 2894/455 ANNEX 2008 SUMMARY Bill M Fair Market Value: Assessed with: 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 0 Valuations: Last Changed: 03/07/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.250 16,000 28,600 44,600 NO Totals for 2008: General Property 1.250 16,000 28,600 44,600 Woodland 0.000 0 0 Totals for 2007: General Property 1.250 16,000 28,600 44,600 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 Wts�nsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal Information you provice may be used for secondary purposes (Privacy Law, s.15.o4 (1)(m)). Permit Holder's Name: ❑ City ❑ Vilt ige L) fwnnf Volkert Robert I Star Prairie Townshi CST BM Elev.:. I Insi). BM Elev.: I BM Descriotion: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Air Air I ntake 6o 0 Dosing-- �U em ea Aeration 3 NA Holding I Dist. ell TANK SETBACK INFORMATION TANK TO P / L WELL BLDG. Air Air I ntake ROAD Septic �U em ea TDH Ft 3 NA Desi I Dist. ell Bldg. Sewer NA Aer 'on .C— S Ht Inlet LAKE/STREAM NG NA Holding S Ht Outlet PUMP/ SIPHON INFORMATION nufacturer - — and GP Model Ntu ELEV. T Lift Friction oss em ea TDH Ft Forcemain Length Dia. I Dist. ell ELEVATION DATA St. Croix rk P_ermit N n ax STATION BS HI FS ELEV. Benchmark V o, 0 3 IMEN N o 0 Alt. BM L DI MEN Bldg. Sewer SYSTEM TO P/ L .C— S Ht Inlet LAKE/STREAM NG Ma cturer: S Ht Outlet CHAMB Type OT Num er: System: C oWY 3 3 Header / Man. OR IT Dist. Pipe yy 3 Bot. System Final Grade yS3 St cover 3 3 7 SOIL ABSORPTION SYSTEM I I . L.. i_ 4- BED / RE Width Lengt No. Of Trenches PIT No. Of Pits inside Dia. Liquid Depth IMEN N 3` L DI MEN SYSTEM TO P/ L BLDG WELL LAKE/STREAM NG Ma cturer: SETBACK INFORMATION CHAMB Type OT Num er: System: C oWY 3 3 —� OR IT DISTRIRUTION SYSTEM Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent T it Intake 111 Length /� Dia. , / Length ��S Dia. _AIL Spacing ^J 1 3 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil [] Yes [] No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: la /r.(n /a6 Inspection #2: Location: 1370 200th Avenue, New Richmond, WI 54017 (SW 1/4 SE 1/4 24 T3 IN R18W) 243118419 1.) Alt BM Description = Cov« 2.) Bldg sewer length = 3 D \` -amount of cover = > / 2, 4, Plan revision required? []Yes No Use other side for additional inform tion. tl Z 0 SBD -6710 (R.3197) Dat4 Inspecto ' S nature Cert. No. Yf' /3" Zob n Sanit "Ok Safety & Buildings Division NV In acco m ode See reverse sr t`elr structioApf 111 1 application 201 W. Washington Ave. PO Box 7302 Department of Cartimerce d Personal informs tpn p useary purposes Madison, W[ 53707 -7302 (Submit completed form to county if not �• 1 5.04(1 m)] state owned. Attach com fete lane to the c co o f on not less than 8 -1/2 x l 1 inches in size. County State Sanitary 't Pm x 'lion to us application State Plan 1. D. Number �/wv 3 3S s� .T� 1 I. Application Information - Please Print A InMrth tion of Location: Property Owner Name / L Property Location l �1A 1 4 V T_ N if Property Ownees Mailing Address Lot Nu Block Number j/o O ­_ City, State // � r Zip Code / Phone Number Subdivision Name or C SM Number CI�tJ ��!/11Dfs�Gf/ 11. Type of Building: (check one) I or 2 Family Dwelling -No. of Bedrooms :_'Ef C ' t y / p ❑village Town of ❑ Public/Commercial (describe use) :_ ❑ State -Owned f Nearest Rc tZ� , Parcel Tax Number(s)P — III. T e of Permit: Check only one box on line A. Check box on line B if applicable) Sr _ 19 A) I. ew 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. 0 Addition to System System Tank Only Existing System B) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) on- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland Pressurized In- and ❑ Holding Tank ❑ Single Pass ❑Drip Line _ i ❑ At de S -� 'n-+� Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Galslday /sq. fQ (Minfinch) 7 / � Elevation 37� �� / - �-- —.,7- . A6 VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass crete strutted New Existing Tanks Tanks El B�� / Gi/`GC T 13 ❑ ❑ ❑ ❑ VIII. Responsibility Statement I the undersigned, assume respon sibili for installation of the POWTS shown on the attached plans. Business Phone Number � PI s Name (print) Plum Signatun (no ): MP/Iv1PRS No. r6v, • �,A_5 umber's Address City, State, Zip CADOOT / (Street, IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) .Approved ❑ Owner Given Initial Adverse S �o'i 1S. Determination X. Conditions of Approval /Re sons for Di sa prove : his PLOT PLAN PROJECT Robert Volkert ADDRESS 1510 220th ave Newrichmond Wi. 54017 SW 1/4 SE 1 /4S 24 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX MPRS Byron Bird Jr. 220527 DATE 10 - 14 - 00 BEDROOM loe CONVENTIONAL XXX A rade CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000gal LIFT TANK SIZE DOSE TANK SIZE OLDING TANK SIZE AD RATE 1.2 ABSORPTION AREA 375 # of chambers 22 'ENCHMARK V.R.P op Of tele. box ASSUME ELEVATION 100' W BOREHOLE O WELL *H.R.P same as BM L �SYSTEM ELEVATION T -1 =92.3 T -2 =92.0 SYSTEM ELEVATION Alt. B op of elect box # eliv. 100' C I >1T Of Long RE Sidewinder High Capacity Leaching Chamber with 17.2 �t ^2 per chamber Grade at System Elevation 3 bed trailer I: ave 15' 15 B4 iv 15' 25' pip 2 < t 100 1 I 4' 50' '—' B3 Rep a. 100' I: ► 111 ' WisconsInDepartmentofCommerce SOIL EVALUATION REPORT Division of Safety and Buildings In accordance with Comm 85, Wis. Adm. Code `� County 5 �� Attach complete site plan on paper not less than 81/2 x 11 Inches In size. Plan must 51 - include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. Page of percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). O — �3 Property Owner Property Location O r" Govt Lot- 1/4, S Property Owner's Mailing Address Lot # Block # Subd. Name or Ci to zip 6 7 Phone Number ❑ City ❑ Village �own Tfr N R� Nearest Road New Construction User Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or com rdal - Describe: Parent material �� s °a % L 7 ui� S�� Flood Plain elevation if applicable _S� ft. General comments and recommendations: �'�, �rs�- /��,� g - Boring # ❑Boring Pit Ground surface elev. ft Depth to limiting factor in. Qnil Annlir�finn R�1n 121 JR Boring # ❑ Boring Pit Ground surface elev. _� ft Depth to limiting factor y / In. Anil Anniir�Hnn R.fo Redox Description Qu. Sz. Cont. Color O rel rM M. W ) ) � � "Y�IIlr - MWM WMAM . n M MEM 121 JR Boring # ❑ Boring Pit Ground surface elev. _� ft Depth to limiting factor y / In. Anil Anniir�Hnn R.fo - tmuen[ wi = ouW, ;0 su < ZZu mgr- ana r ss --au % i au mgwu - tmuent wz = buu 65 3u mgiL ana t 55 < 3u myL CST N e (Please Pri ` i CST Number ,Z Address - 0; Date Evaluation Conducted Telephone Number I �� � ✓ �� �o� -�r� ��/� te �� _/� `_ ;��: <rz��?�"�.� Redox Description W ) ) � � "Y�IIlr - MWM WMAM . n • - tmuen[ wi = ouW, ;0 su < ZZu mgr- ana r ss --au % i au mgwu - tmuent wz = buu 65 3u mgiL ana t 55 < 3u myL CST N e (Please Pri ` i CST Number ,Z Address - 0; Date Evaluation Conducted Telephone Number I �� � ✓ �� �o� -�r� ��/� te �� _/� `_ ;��: <rz��?�"�.� Property Owner rr a 1 f �� Parcel ID # Page Boring # ❑Boring �] pit Ground surface elev. �� ft. Depth to limiting factor `y , in. 1 of t e.ai e....u..�FS.,n o�•e 1�d Boring # ❑ Boring Pit Ground surface elev. „ ft. Depth to limiting fact�r In. Snil ennlirofinn Rnkn 1 c. ® Qu. Sz. Cont. Color ® i 1 ® ®® - MIii.�7fl�l,llS• M M mw .. �i1 r , W/.d MNAS ��M MM 1�d Boring # ❑ Boring Pit Ground surface elev. „ ft. Depth to limiting fact�r In. Snil ennlirofinn Rnkn M Nk Boring # ❑ Boring G/ —11 Pit Ground surface elev. 6 ft. Depth to limiting factor in. - Cnil ennlirnlinn R�4n • • 1 c. ® ox Descrlptlon ® i 1 ® ®® - MMMMMMM- .. �i1 MAMA / M Nk Boring # ❑ Boring G/ —11 Pit Ground surface elev. 6 ft. Depth to limiting factor in. - Cnil ennlirnlinn R�4n • • 1 c. ® w c r . i • ® i 1 ® ®® - MMMMMMM- .. �i1 MAMA Effluent #1 = DOD, > 30 < 220 mg/L and TSS >30 <.150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg1L The Department of Commerce is 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 TfY 608 -264 -8777. SB (8.6/00) Soil Test Plot Plan . ` Oroject Name Robert Volkert Byron ird Jr. Address 1510 220th ave New Richmond Wi. 54001 CST #220527 Lot ----- ---- Subdivision -- --- -- - -- Date 10/1 4/0 - 0 S W 1 /4SE 1/4524 T 3 1 N /R W Township Prairie Boring Q Well PL Property Line County ST. CROIX �r VRP Assume Elevation 100 ft top of telephone box System Elevation T -1 =92.3 T -2 =92.0 H.R.P. same as BM Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: Svstem Design Specifications Sanitary Permit Number Septic Tank Component Number of Bedrooms ; Design Flow - Peak (gpd) Estimated Flow - Average (gpd) Liu Septic Tank Capacity (gal) 1/8 Soil Absorption Component Size (ft2) L t Type of Wastewater Domestic 150 Table 2! Soil Abso rption Component - Limits of Reliable Operation Table Septic Tank Component Soil Absorption Compon nt Design Flow - Peak (gpd) Outlet Filter Z - Maximum Influent Particle Size (in) Inspect once every 3 years 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic and outlet filter shall be assessed at least once every 3 years by inspection. Th outlet dt shall be cleaned as necessary to ensure proper o �Pratin n. The filter cartridge s ou not be remove un ess provisions are made retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. h • 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. 3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Mailing Address Property Address ���Lr -es�i c1?/?� ZZ (Verification required from Planning Department for new construction) City /State G`�a� Parcel Identification Number d 3� 1 � © ° ` 0 J �wn 4 � LF. GAL DESCRIPTION r Property Location ' /:, '/4, Sec. , T , -- ?/ N -RZ' NV, Town of r 0 0 ��.11 1 te Subdivision ��. , Lot # Certified Survey Map # Volume , Page # ,_ 2 Y a Warranty Deed # , Volume y +-� , Page # 25 a Spec House ❑ yes)z no Lot lines identifiable Wyes ❑ no SYSTEM MAINTENANCE 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. Thr property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a piaster plumber, journeyman plumber, restricted plumber or a licensedpumper 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 Commerce 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 Zoning Office within 30 days v t tliree year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION 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 pro rty described above, b virtue a warranty deed recorded in Register of Deeds Office, J� SIGN RE F APPLICANT DATE * * * * * * Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed No. 9.11. Qultelalm Deed —Corn n:an Form -_ (STATE OF WISCONSIN) Published by Eau Clain Book S Ststlonnry_o, — Ili ?'1F� � Tw.xi 3m)enture Made this 21st day of January A D. 19 69, i between Jan Van Dyk and Rom. Van Dyk, husband and wife and each 'in' their own individual capacity, and Gerrit Van Dyk and Patricia Van:Dyk husband and wife, and each in their own individual ca�acit}}r part, e s o t e first part and Robert Volkert, also known as Robert Mo Volkert, and Maxine Volkert, husband and wife as joint tenants, P t P part 1 eSof the second art. -- r ZI.litntu�tth, 1 ,:.a t said part ies of the first part, for and in consideration of the sum of er tion -r "Mn, valuable ble consid a c>'tlar�, One ($1.00) Dollar and othe a them -i by t'1e said part ies of the s prirt, thr receipt whereof is hereby confessed ha v;¢iver:, ,ranted, bargained, sold, romi.sed, released and yuitclairned, and by these remise, rel,>ase a;rrl gcitclaim into the said part ies of the i�::r;, .;•rl try their heirs an assi, ^rs fK)rever, the foilo�,'ing r'e.scribed real estate, , rnriv ni St. Croix 'rate t,f Wisco ^sin, to-wit: The Southeast Quarter (SE1 of Section Twenty -four (24) Township Thirty -one (31) North, Ranre Eighteen (18) West; th privile cs thereunto Cie title, interest ;inl claim 1 e8 t � il ]aw or equity wither in »ost:( )r tIle ,:art ies of the secolid part, their -. les as ve hereunto set their hand s�,-:d *„ ;y of January A. D., 19 t (Seal) Jan Van Dyk .._ _......_._........ _._. _. /y / i