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028-1029-20-000 (2)
ST. CROIX COUNTY WISCONSIN ' T I N OON on a ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER w =_: -- - -- - 1101 Carmichael Road - Hudson, WI 54016 -7710 (715) 386 -4680 • Fax (715) 386 -4686 December 28, 2001 Mr. Dale Hudson Boldt's Plumbing and Heating, Inc. 820 Main Street Baldwin WI 54002 RE: Jon -De Farms, Inc. Dear Dale: Enclosed is your check in the amount of $225.00 for the Jon -De Farms sanitary permit application. This sanitary permit is being returned for the following- reasons: (1) As shown on the site plans the house does not meet the Class "D" roadway setback requirements. Therefore, the house is nonconforming, and adding to the house would increase the nonconformity of the structure which requires a variance from the dimensional standard of the ordinance. The house may not be expanded until the property owner secures a variance from the St. Croix County Board of Adjustment. The property owner must satisfy the state statutory variance requirement in order for the board to consider the granting of a variance for the expansion. (2) The trench orientation does not fit the site (contours). (3) The system elevations as proposed will not be within 0.7 gpd/ft (4) Individual trench elevations are needed to insure the system is installed within the proper designed loading rate (horizon). (5) The total linear length needed is 550 feet when using the Infiltrator High Capacity chambers. Therefore, at a 0.5 gpd/ftz loading rate, 88 chambers are needed. These criteria must be met before a sanitary permit can be issued for this project. Should you have questions or need further information please call me at (715) 386 -4680. Sincerely, � Rod Eslinger Zoning Specialist RE:jo Encl. cc: Dean Doornink with variance application i I AL ElBda� ion r/G4/YS ,oi /inG h or'tZ ,O�'op. /i►e I SCO. Pro�0o5ed aQld, ior1. Pa 4rea i � E Xi.SEi n ,/q � . L7a�u�� O/ aC� y �a/A'P i /Y sda CC oil :TPo�'WC�CCiSi n leer 10,2.33; \ � � L _ � r(�/q Pole �� .Approx. /C tot Oa bG nc�nGt� . \ \ az O fWi3 . 6 S.T. \ \ /pZ.p bcti �i nC �e clrl V C� •• �� a anc lo 11 ��1 �\ Shru r , gz q c 4 aor4 -c( CL c,.L�sf r of 54 ecL s - Assrc g 3 \ � � ` ` � ` \ � \ 98.0 (t c /00, Z;q VO �¢a .Aaerg,We 204"5 Co. fe .BaCcl �/. SydOZ 1363 SOIL EVALUATION .QRT �� ' P 1 of 4 Wisconsin Department of Commerce Division of Safety and Buildings ° X A. 18 Site Evaluations in accordance with Comm 85, Wis. Adm. C - d ` 9 ' J County Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must C OF St. r include, but not limited to: vertical and horizontal reference point (BM), direction and J percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. I.Cx %i � #24.28.17.178A Please print all information. Re6 _ Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Jon -De Farms, INC., C/O D. Doornink Govt. Lot NE 1/4 NW 1/4 S 24 T 28 N R 17 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2065 Co. Hwy. J, PO Box 144 City State Zip Code Phone Number J City _J Village ✓i Town Nearest Road Baldwin I WI 1 54002 715 -684 -3414 Rush River 30Th Ave. J New Construction Use: 01 Residential / Number of bedrooms 9 Code derived design flow rate 1350 GPD ✓J Replacement J Public or commercial - Describe: Parent material Glacial drift Flood plain elevation, if applicable na General comments and recommendations: Recommend installing 6 trenches at 3'x 93.75', using 88 high capacity sidewinder infiltrator chambers. Boring # J Boring W1 Pit Ground Surface elev. 100.89 ft. Depth to limiting factor >109" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= *Eff#1 *Eff#2 1 0 -9 1Oyr3/2 none sl 2fsbk mvfr as 2f 0.5 0.9 2 9 -24 1Oyr4/4 none sl 2msbk mvfr cs 1f 0.5 0.9 3 24 -72 1 Oyr5 /6 none Is 1 csbk mvfr gw - 0.7 1.2 4 72 -109 1Oyr5/6 none s Osg ml - - 0.5 0.9 Horizon #4 contains 1" - 2" bands of 10yr3/4 Om Is at 12" - 19" intervals. Horizon loading rate adjusted to relfect permiability restriction associated with banding. Boring # J Boring it/J Pit Ground Surface elev. __ 97_ ft. Depth to limiting factor > 122" in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft *Eff#1 *Ef(#2 1 0 -9 1 Oyr4 /2 none sl fill na na as 2f.1 me 0.0 0.0 2 9 -19 7.5yr4/4 none sl fill na na as 1 fc,2m 0.0 0.0 3 19 -29 1Oyr3/2 none sl 2msbk mfr as 2f,m,1 0.5 0.9 4 29 -52 1Oyr4/2 none Is 1msbk mvfr cw 2f,1m 0.7 1.2 5 52 -122 1Oyr4/6 none s 0 sg ml - 1fm 0.5 0.9 Horizon #5 contains 1" - 2" bands of 10yr3/4 Om Is at "intervals. Horizon loading rate adjusted to relfect permiability restriction associated with banding. * Effluent #1 = BOD ? 30 < 220 mg/L and TSS 4 < 150 mg/L uent #2 = BOD < 30 mg/L and TSS < X mg/L CST Name (Plwe Print) Sig ure: CST Number James K. Thompson �.— 3602 Address A C.E. Sal &Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54&0 2/27/01 715- 248 -7767 property owner ]on -De Farms, INC., C(0 D. Parcel ID # 028 - 1029 -20 -000, ID# Page 2 of 4 3] Boring # -j Boring Pit Ground Surface elev. _ 91.5 ft. Depth to limiting factor >98" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 2 *Eff#1 *Eff#2 1 0 -9 1Oyr3/2 none sl 2fsbk mvfr as 2f 0.5 0.9 2 9 -21 1Oyr4 /4 none Is 2msbk mvfr cs 1f 0.7 1.2 3 21-43 1Oyr5/6 none Is 1csbk mvfr gw - 0.7 1.2 4 43 -98 1Oyr5/6 none s Osg ml - - 0.5 0.9 Horizon #4 contains 1" - 2" bands of 1 Oyr3/4 Om Is at 4" -12" intervals. Horizon loading rate adjusted to relfect permiability restriction associated with banding. F-1 Boring # — J Boring Pit Ground Surface elev. ft. Depth to limiting factor in.► Application Rate Horizon Depth Dominant Colo Redox Description Texture Structure Consistence Boundary Roots GPD *Eff#1 *Eff#2 Boling F-1 # -J Boring Pit Ground Surface elev. ft. Depth to limiting factor in. $oil Application Rate Horizon Depth Dominant Colo Redox Description Texture Stricture Consistence Boundary Roots GPDJft *Eff#1 *Eff#2 * Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <_30 mg/L and TSS <30 mg/L 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 TTY 608- 264 -8777. 4 SOIL AND SITE EVALUATION 1363 Page 3 of 4 PROPERTY OWNER: Jon -De Farms, INC., C/O D. D oornink PARCEL I.D.# 028- 1029- 20 -000, ID#24.28.17.178 A.C.E. Soil & Site Evaluations REPORT MEMO Trench orientation may be able to be turned slightly to more closely follow site contours. Exact location of existing system components unknown. Plumber must determine locations to properly abandon. Variance will be needed to allow system installation through existing system area. Q7 y y N � ■ �� (ObSerda- s<�o� - � I ♦ Elel/a,Eion O "- r/G4./'Gf ,4pprox• /oca -+'on c4 I y ®® proloascd Pa,ren, A rea 4 - cLc 4 Sfane � - _ L {. :Topo{l.)e(�C65 ;11 �EXf wt" - tz n� Po /e x `� �N - dz � ` \ \ f4ppraJG bC wdrl�C� isk a r ° �\ Shrub rote �v 83 �\� \ pf SEccCT- beat',. fI.SSKMCd / 980 ' ,T - -DQ F,2 rm -bea n 2oG C fly. T 5y00Z A * /3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer o 't S Mailing Address -Z 0 6 -5 Cfy A w U - U • R ox 1 23 R' P���►". w' �, Property Address -30 - A✓C (Verification required from Planning Department for new construction)_ C City /State 34 (d w h /�/� % Sy�oL Parcel Identification Number OZ $ - /dZ9� �� ^ 000 LEGAL DESCRIPTION Property Location A IE - %4, AIA) ' / <, Sec. 2� , T N -R W, Town of � ���✓��' . Subdivision / -4 , Lot # /V' Certified Survey Map # , Volume , Page # n Warranty Deed # )"39 oo , Volume -� , Page # Spec house ❑ yes 13 no Lot lines identifiable tad' yes ❑ 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. The property owner agrees to submit to St. Croix 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 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 W e three ye xpiration date. pY RE 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 pr rty described above, by virtue of a warranty deed recorded in Register of Deeds Office. .,�:�i►'✓ O� � I'' Cdr � J � J � � SIGNATURE OF 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 r A N4r P",P I �rXi51, 1avuSe- 1 13ar� Add;t� Ex�si,r� �e�l PC e 1500 9vo � Zabel A -too F %f�Cr d U 0 a e 3 x Q3' e A-c ke s 12 ) Q/? G!/'e Sto _0 17 .^ 0 w w 13 m ZZ o9'S3 GsT Ave / le , t Y"St- 14 L4 r rt ! �l5 0 o goo 14 J w za bcl A -100 _ l re h.c ke S IQ�IZ,/ e -5�oro e i i I i 1 ZZo$S3 G sT 1363 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I - af -_ 4 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Sal & Site Evaluations Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must County St. CroiX include, but not limited to: vertical and horizontal reference point (BM), direction and -- -- - - - - - percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I. D. 028 - 1029 -20 -000, ID #24.28.17.178A Please print all information. ---- -- - - - -- - - - - -- - -- --- R iewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Jon -De Farms, I NC., C/O D. Doornin G ovt. Lot NE 1/ NW 1/4 S 24 T 28 N R 17 - W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2065_ Co. Hwy. J, PO Box 144 City State Zip Code Phone Number J City J Village r Town Nearest Road Baldwin I WI 54002 715 -684 -3414 Rush River 30Th Ave. New Construction Use: 0 Residential / Number of bedrooms - _ 9 Code derived design flow rate 1350 GPD rJ/ Replacement J Public or commercial -Describe: Parent material Glacial drift Flood plain elevation, if applicable _ na General comments and recommendations: Recommend installing 6 trenches at 3'x 93.75', using 88 high capacity sidewinder infiltrator chambers. a Boring # J Boring 1/ Pit Ground Surface elev. - 100.89__ ft. Depth to limiting factor _ -_> 109 ____ in. =Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary l Roots — _GPD /ft? *Eff#1 *Eff#2 1 T 0-9 1Oyr3/2 non sl 2fsbk mvfr j as 2f 0.5 0.9 I— none _ -- bk _ i 2 9 -24 1 r 4/4 sl 2msbk mvfr cs 1f 0.5 0.9 -- - -� Y none Is 1 csbk mvfr gw - 0.7 1.2 3 24-72 10 r5 /6 I y } - -, - - -- - - -- - - - 4 72-109 none s Osg ml ! - - 0.5 0.9 � 10yr5/6 -t- - -- - - -_ - _ i Horizon #4 contains V - 2" bands of 1 Oyf3/4 Om is at 12" - 19" intervals. - - -- - -- - -- - -- ntervals. Horizon loading rate adjusted to relfect permiability restriction associated with banding. a Boring # Boring J✓ Pit Ground Surface elev. 97.79 ft. Depth to limiting factor ? 12 2 __..in. r Sal A pplication Rate p Redox Description ex r Structure Boundary" R Dots --1 __ -_ _ GPOIft' - Horizon De th Dominant Color Consistence *Eff#1 *Eff#2 1 09 10yr4/2 no ! sl fill na na ! as 2f.1mc 0.0 0.0 2 9-19 7.5yr4/ none s l fill na na as li 1f c,2m 0.0 0.0 3 19-29 1Oyr3/2 none sl 2msbk mfr as ! 2f m,1 0.5 0.9 4 29 -52 10yr4/2 none Is 1 msbk mvfr cw 2f,1 m 0.7 1.2 __. 5 52-122 1Oyr4/6 none s 0 sg ml 1fm 0.5 0.9 I i I I Horizon #5 contains 1" - 2'` bands of 10yr3%4 Om Is at '` " intervals. Horizon loading rate adjusted to relfect permiability restriction associated with banding. * Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS > 0 < 150 mg/L * luent #2 = BOD < 30 mg/L and TSS <30 mg/L CST Name (Please Print) Sig ure: CST Number James K. Thompson. _ 3602 - Address A.C.E. Soil &Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54 20 2/27/01 715- 248 -7767 Property Owner Jon -De Farms, INC., C(0 D. Parcel ID # - 028- 1029 -20 - 000 , ID# — - Page - __2 - 4_ 3 ] F Boring # J Boring -- _ 1/ Pit Ground Surface elev. _. __9 ft. Depth to limiting factor >98" in. Soil Application Rate Horizon I Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots -- _-GPD /fV- _ _ __. *Eff#1 *Eff#2 1 0-9 - 1Oyr3/2 none sl 2fsbk j mvfr ! as 2f 1 , 0.5 0.9 2 9 -21 i 1Oyr4/4 none Is 2msbk mvfr !, cs 1f 0.7 1.2 3 21-43 1Oyr5/6 non Is 1 1csbk mvfr gw -- 0.7 1.2 -- - � - -- - - - -- - - - - - -- - ± -- -- '- -- - --� -- - -- - - -- - _ - - 4 43-98 10yr5/6_ - none s ,- - Osg -- — ml - 0.5 0.9 -- - Horizon #4 contains V - 2" bands of 1 /4 Om Is at 4" -12" intervals. Horizon loading rate adjusted to reifect iabili restriction associated Oyr3 9 1 I•'� tY 'ated with banding. U Boring # J Boring J Pit Ground Surface elev. ___.______— ft. Depth to limiting factor _ in. =Application Rate Horizon Descri Depth Dominant Color Redox lion Texture Structure Consistence Boundary Roots I Description *Eff#2 I r - II ! I I I F-1 Boring # Boring J Pit Ground Surface elev. _- _.____ -.__- ft• Depth to limiting factor _- _ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary ; Roots 1 *Eff#1 *Eff#2 i I —_ - -- - I I I Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD S mg/L and TSS < 30 mg/L 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 TTY 608- 264 -8777. SOIL AND SITE EVALUATION 1363 Page 3 __ of ._ 4__ PROPERTY OWNER: Ion -De Farms, INC., C/O D. D oomink PARCEL I.D.# 028 - 1029 -20 -000. ID#24.28.17.178 A.C.E. Soil & Site Evaluations REPORT MEMO Trench orientation may be able to be turned slightly to more closely follow site contours. Exact location of existing system components unknown. Plumber must determine locations to properly abandon. Variance will be needed to allow system installation through existing system area. i i i TMS DEED, ms& between . $, � n x anA Fa rr johns y. R Granter . t da taw t�iroord i , and - Da---Dr— L � I1C_a__. ".. t;�f .Qt :& at Witnesseth, That the said Grantor for a valuable consideration conveys to Grantee the followinp described real estateul _ - CrO1X ____Ccunty. RFTURN to ?� State of Wisconsin: i rj The E� of the SW' of Section 13, T28N, R17W; Tax Key x NE% of the NE4, Wy of the NEh and NEa of Tht. __ h.,mestead NW4 of Se_.tiori 24, T28N, R17W, located in St. Croix County TR NSFM Lo Ncrr (This deed is in fulfillment cf the land contract dated April 12, 1969 and recor(I -d with the St. Croix County 7 -gister of Deeds on April 15, 1569 in Vol. 450, page 522 as Doc. No. 695949.) i I I Together with all and singular the hereditaments and appurtenances thereut.eo belonging or in any wise appertaining; And— Virginia Anfinson and Fo Johns o_i_ _ warrants that the title is good indefeasible in fee simple and free and clear of encumbrances except _. -- easem and restric of re cord and will warrant and defend the same. Executed at River Falls this 1St day of __A r l 19_ 77 i SIGNED AND SEALED IN PRESENCE OF � R �, - - � ` �' (SEAL) Virginia Anfinson _1 ------ _-- ___ - -- f .. " ( ,. SEAL) Forrest Johnson ` SEAL) — - - -� — ( SEAL) Signatures of Virg in ial_ Atl.0 sn on a Forrest _Johnson___ authenticated this 1 s1 + day of - i I __ 7 f Title-, Member State Bar of Wisconsin tXX*Ar,'CX." �DQ4C<3CtJl�'IQ�"X C9EX X?O'Q'1( ?( DIY _._ STATE OF WISCONSIN ` f j ss. ----County. Personally came before me, this _ r. day the above to me known to be the person__._ who executed the foregoing instrument and acknowledged the same- This instrument was drafted by Keith D. Rodli, Attorney at Law R ;ver Fal Wisconsin 54022 'Votary Public__ _____ . - - - -__ __ �____ Count Wis. The ase of witnesses is optional. My Commission (Expues) (Is) '° Z = - - ___ __ __ Names of persons signing in any capacity should be typed or printed below their signatures - © NG1MMrC,o•iyrwty+�t WARRANTY DEED -STATE BAR OF WISCONSIN, FORM NO. t - 1971 C 77�� Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Sox 7302 Nvi scon in Personal information you provide may be used for 'p" ems. WI 53707 -7302 tepartment 4f.tomfi rce (Privacy Law, s. 15.040 x (Submit completed form to county if not . �, . �1. state owned Attach complete plans to the county copy only) for the n s than $ %1�A l 1 inches in size. State Sanitary Permit Number ❑ Check tf top vi on •$fate Wan 1. D. Number I ,� I. Apolication Information - Please Print all Information n: Property Owner Name N ) - [ ovation Z G 1 n -_ � t� ,/ U D r7 L QY'/'> ?s /% SS CROM N / ,4 S 2 Z/T N R t or W perty Owners Mailing Address 1 a � FICE Block Number Pro / - ty 71►10 / • L'' ZONiNG� /V�f �® to City, State Zip Code Phone Num bdivision Name or CSM Number V . 5 Z- (716' city II. Sype of Building: (check one) q ❑ YJ11 I U 11 p r 1 or 2 Family Dwelling - No. of Bedrooms : own of • Public/Commercial (describe use):_ • State -Owned Nearest Road Ave I •-encAe,5 /t ?S, /5 0S + ^� + S'.' Parcel Tax Number(s),ZS_10Z9_ZD-000 III. T ype of Permit: Check o9ky one box on line A. Check box on line B if applicable. A) 1, ❑ New 2. Existin System Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition t System System Tank Only B) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV,Type of POWT System: (Check all that apply) VNon -pressurized In- ground ❑ Mound ❑Sand Filter ❑Constructed Wetland • Pressurized In-ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line • At-grade ❑ Aerobic Treatment Unit x ❑ Recirculating ❑ Other: V. Dis ersaMeatment Area Information: -S SQ+ 1. Design Flow (gpd) 2. Dispersal Aria 3. Dispersal Area 4. Soil Application 5. P lation Rate 6. System Elevation 7. Final Grade Required Proposed Rate ( ailsJday /sq. IL) Ji ch Elevation i350 /GZO)o i�87 -5a n �� ��>r mfr VII. Tank Capacity in Total # of Manufac Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New I Existing crete strutted Tanks Tanks 5e +' C- sO � ZS/ap L,Je 5e r5 _ ❑ ❑ ❑ ❑ V -�� VIII. Responsibility Statement I, the undersigne ibility for installation of the POWTS shown on the attached plans. Business Phone Number Plumbers Name (print) Plumbers Signature (no stamps): Oft — APRS No. Nu mber ale E", adxor.. - t� Plumbers Address (Street, City, State, Zip Code) IX. County/Department Use Only ❑ Disapproved I Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) ❑ Approved ❑ Owner Given Initial Adverse I Surcharge Fee) Determination X. Conditions of Approval /Reasons for Disapproval: