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HomeMy WebLinkAbout026-1017-30-080 C) 0 j ado d 0 c 0 o� �A n a� z o w r U) 3 T. j z o w r o o 3 m . O A s N rn O w n • CD 7 (n <p CD V f CD 3 CD y C fD 3 O W W N j° C t0 CD y ° w C G w v m' N a 3 CD SD N O O Q W N3 m �I w m c f 00 H v' Cl CL CD (fl m N 0. CD CQ - ° _ 3 rn f{ a 0 ° N CD 2 =p CL Z co cc g o n r cn ° 0 CO N Q 0 A ° 000 ° a o o. 0 0 0 5 " �• ° o ° ° z o F r CA CA a 3' (a ch y < Q D °O ° ID w °O O CD �—' eD u' n 1 A 0 1 3 °—' o 3 �' Q ? a 7 z Z ` �I zUDz ° z5 z 0 : p 0 hl m y m o N • c N CD C D c N _ =r w CD n w 0 a Q 3 a 3 0> z CD rn z 3 w (d -4 -4 co Ln Q . c v a a A z 0 j 0 < z � Ln W M W eTD i < O a a z 0 3 0 3 A O ° z ao y z y z o Cl) 2 I a morn n o �rn 0 w v c ° o, v c o a { v N o E N o o I m m 00 f a I � ' O N N � N w N p X � A 0 N CD pQ W V) 0 0 0 tj * N 0 CD CD NOV " 2 62£692 s FILED 2 VX GpONn AUG 2 3 2000 ► Su:t TIFIED SURVEY MAP a '� 4 H SL Croix CO, LOCATED IN PART OF THE NW 1 OF THE NW 1/4 ti OF SECTION 5, T30N, R 18W, TOWN OF RICHMOND, rn cr ST. CROIX COUNTY, WISCONSIN. NW CORNER NORTH LINE OF THE 1317.52'---* I /4 N1 /4 CORNER N89'S7'll "E 2635.04' SECTION 5 SECTION 5 � 1317.52' 1317.52' � ,64„ 1 CD \ z N 1V LEGEND ` \ , 1N moo ALUMINUM COUNTY SECTION CORNER \\ f6 s• \ MONUMENT FOUND \ 4 62 3�,,� 1 \ \\ o 2 IRON PIPE FOUND 1 ` \ N ►= 6s. W 1.13 BS PER P EAR FOOT SET��' n r 1 � 3 2• - o IN C \ a EXISTING 3 ti W m BUILDING m U 00 Z 3 Z W Z X cy W I W W Q W P M Lj OWNER ��� PARK T W o° PHILIP AND PATRICIA LAVENTURE r v a 1035 STATE RD 64 Z W SHE �c�Gt�l y NEW R ICHMOND, WI 54017 2 ` J .Z. H W m z vi LAN DS 3 '- _ ti %0. �5 P= .ti'L z 0 CA 20 c c" Cb A y .^ pv z z � W V) A E-4 SOIL TESTS �. N I I U LOT 1 �, J �' A I° �; 1 o W w 1.080 ACRES I V� N �: OD °- QI I I z a Al 1 U 47,046 SQ. FT. � �`� �� E- I „ J m_ 1X F CD � � "PR ❑SED I�N8 q: , 1 aT o B ING 66.00 War } Z Y� _ Q �Wzy o� IoN as A; POWERPOLE wl � I> U m Fes' v L o p w � P� ARANT -- 0 .+1 kD� WELL r [�J I p o c� m a �j HOUSE ���' (1, >1 'Q� i i U c C 7 v io A S89.54'35 "W W 180.36 o POLE SHED H D.O.T. APPROVAL NO. 55 -35- 2970 -1999 UNPLA_TTED_ A S O HOUSE OWNED BY PL TTER " _______ SCALE IN FEET 1 = 100 GARAGE GARAGED 100 0 100 200 IMT ill pAI;R 3936 Parcel #: 026- 1017 -30 -080 05/25/2005 03:21 PM PAGE 1 OF 1 Alt. Parcel #: 5.30.18.6013-50 026 - TOWN OF RICHMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * JAMES P & JESSIE L LAVENTURE LAVENTURE, JAMES P & JESSIE L 1031 HWY 64 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 26.350 Plat: N/A -NOT AVAILABLE SEC 5 T30N R18W PRT NW NW EXC NE OF HWY Block/Condo Bldg: 64 EXC CSM 14/3936 (EZ -U- 111/539) FKA 026- 1 - 0 HWY PROJECT Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 1559 -08 -23 & EX CSM 15/4189 05- 30N -18W NW NW Notes: Parcel History: Date Doc # Vol /Page Type 11/27/2001 663177 1772/248 LC 10/17/2001 659365 1740/212 WD 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/19/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 22,500 186,300 208,800 NO PRODUCTIVE FORST LANC G6 24.350 60,900 0 60,900 NO Totals for 2005: General Property 26.350 83,400 186,300 269,700 Woodland 0.000 0 0 Totals for 2004: General Property 26.350 83,400 186,300 269,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 533 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ' Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count y Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). 353313 Permit Holder's Name: ❑ City ❑ Village ❑ Toxvn of: State Plan ID No.: J Richmond Township C BM E T lev.: Insp. BM Elev.: BM Description: Parcel Tax No.: ao • I cm. Z)' 026 - 1017 -30 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic 0-&D Benchmark ' a •5 I 1, ' Dosi ng 1� Alt. BM Aeration Bldg. Sewer Holdin St /Ht Inlet 0 gg,' TANK SETBACK INFORMATION St/ Ht Outlet — TANK TO P/L WELL BLDG. Air I ntake ROAD Dt Inlet Air Septic }- — NA Dt Bottom Dosing '� �� �b 5 NA Header / Man. Aeration NA Dist. Pipe /o•z Holding Bot. System S z q. a PUMP / SIPHON INFORMATION Final Grade ' Manufacturer _ Demand St cover rj,( 2z 60 Model Number 6-pD 3 (( l_ L�'tGPM * ain Lift \k.Z I 0 Friction �, System TDH ��1� Ft ea oss H Length Dia. Z Dist. To Well ABSORPTION SYSTEM ENCH Width / Len th No Of T enches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 36 •ZS Z DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manuf ?ctyr�r: SETBACK CHAMBER �-• �� INFORMATION Type Of 1 Model Number: . System: CV > 15z `> [S� OR UMT a C-6 DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) x Hole S Hole Spacing Vent To Air Intake Length = Dia- 'C Length Dia. pacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only oZ' Depth Over U Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed / Trench Center I t X Bed / Trench Edges Topsoil ❑ Yes ❑ No El Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #l: o 'B /Qa Inspection #2: / Location: 1031 Highway 64, New Richmond, WI 54017 (NW 1/4 NW 1/4 5 T30N R18W) - 5.30.18.60B , t� •�� 1.) Alt BM Description = 6crl ^ ,tk 2.) Bldg sewer length 5 - amount of cover I /+ ll �r,r,.S 8Sb 3 c 5 33 , { -r-e� �o,� l 0 S .lk� - dZ.c•� ra�-k 9 2 . S3 Plan revision required? ❑ Yes a No I Z 6 Use other side for additional information. o0 (8 Uv SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. a ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: r TT t t I } B J mm� £ s , , m� � 9 3 S r t 3 } ftf m.. ..., .,.,s. ®,., .G k ...«. ..,., F F t � 5 E F f h 1—j— . .... 1 . 4 ­ 0 1 -0— ..... ..- .- w'.... .» 14 c i y p , F F i S 9 t i� s E 3 F 3 g Fa z E i e r ..,... ^ x t d r a f 4 3 ., sm�.a ... �......3. �.«a�.... �..,.® .... ,d ^tb� 2 0 t j 7 � f g a e #�....._... € .e..� .. .'� �.. ._ _ �........ ,.. �.,... ... ... �........... ......... .....3.. $ i a � __ �.. �,. .�. �,,_ ...... ........ ......_ t q,._.. ..._ .....�.�... _ _... ,...}e„....,,,. g. 1 £ A— Y F £ 88 t r a g.„.,�, ..,.., .....tm., ...� t .e.. £ -.mod m.. E s E,. 1--f- L .. m ..A E .,.,,,. , , -7- 7 £ w .:«.. Q— A a .._. ...... .. .... } S A. c k n o . ...,._ .,....�,......, a _e.e..J .,.. ,.+..,.aa. ,-.-.- ..v........r .» ,._.t- _.. . .e,,,.i. .. Ee ....... ...... ..d..... _,._, .2...... .?.m._F,.. a..� L,.r.V.- ...,.Ae,m..n.«.. Safety and Buildings Division ,•I SCOnsin S ANITARY PERMIT APPLICATION 201 W Washington Avenue Department of Commerce In accord with Comm 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County S ; than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State San%ry Per it �m ber Personal information you provide may be used for secondary purposes ❑ Check if rev to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Pro rty O ner Name Property Location 10 1 CL A) 49/4 N1 v-) 1/4, S S T3(-) , N, R t� E4P W Property Owwri Mailing Address Lot Num e Block O ff City, St at Zip Code Phone Number Subdivision Name or CSM Number c 1-4 15 (7[S > 78- •�.....� C Yh 11. T F BUILDING: (check one) ❑ State Owned ❑ !t� Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms fi V own OF w ) t 111 BUILDIN USE: (If building type is public, check all that apply) Parcel Tax Numbers) S '�jo. ( _ 60 (3 1 E] Apartment /Condo c, 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 Q Service Station / Car Wash 5 Q Hotel /Motel 9 Q Office/ Factory 13 Q Other: specify IV TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable) A) 1. XK New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. Q Repair of an ________ System _____________ Tank Only______________ Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 Q Seepage Bed 21 Q Mound 30 Q Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 b Seepage Pit 43 Q Vault Privy 14 Q System -In -Fill VI. ABSO RPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min-/inch) Elevat S Feet 4 ' 8 1& Feet VII. TA Capac K in allo g Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing structed Tans Tanks eptic Tan r HeWia�-Fartk Q S 1:1 El El El 1:1 Lift Pu p Tan ija4ertfirdmber (� ( ❑ 1 ❑ 1 ❑ 1 ❑ ❑ PONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Sig re: (No Stamps) MP /MPRSW No.: Business Phone Number: Plumb is Address (Street, City, S Zip Code): `� x w S 01 IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved itary Permit Fee (Includes Groundwater ate Ssue Issui 9 A it Signature (No Stamps) (jA roved Surcharge Fee) pp ❑Owner Given Initial aaS� - Adverse Determination X. CONDITIONS OF APPROVAL /REASONS FO p I SA PPROVAL - �n - w. t,�a -� _ L �l�wuJ cam,. ,dc c n-�el �ve� S e ut, er r s f SBD -6398 (R. 4199 ~ �' P DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumpedby a licensed pumper Wh never necessary, usually every 2 to 3 years. 6. If you have questions concerning your on , site evvage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings DW[9i'dh si 008= 266 -3151. - - - To be complete and accurate this sanitary permit application must include: I. Property owner's na`rite and mailirig 5cfdre's3. Provide the legal description and parcel tax number(s) of where the system is to be installed. 11. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with compl'ete`d [Me nsions, Tocation of holding tan k(sjyeptic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction,loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if-required by the county; E) soil test data on a'115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creafion'of surcharges (fees) fora number of regulated practices which can effect groundwater. I J , • r The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. , QIb� Q u u. Alw�/uW ..s Tao i s (AJ Ph � �, p .�•� �1.�tifi �,�� � _ ,Q, c 1tiw�a -r.dl ©3 sp 6 � �c1" Rt c�v d c, �,o� > /axe 60o w / h �n1 P-1 /eO A) ,, A v- - ©3 /! A S/ (All y� etc �'��" • o� i Ina' l tip �,► � _ JLa�'� L .D 1 c 0 T C o_ ° "- X co N 0 cd p 0 L? p A 0 -�- •Y W E - ( d 0 L V N C , 3 (D N a C 2 cn 3 (D - 0 co n 0 G Q �- E€ c 0 CO 0 A W d f - 0 O 0 :D ( � C/) N C I'l- -0 Q = �2 E : U Oro LL yam �� co m p� 0 Q .� ; N 0 ( D t, ti i j y i -, AAA z, - - U ma ® Z ` 0 _ _ _- w W L s 3 0 U Cl O y a St ZX �-- W.0 (� _ L r S EPTIC TANK £• PUMP C} AMBE CROSS SECTION AND SPECIFICATIONS 4" CI VENT PIPE 12" MIN. ABOVE GRADE £ WEATHER PROOF' 25' FROM,DOOR, WINDOW -OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER F FINISHED GRADE 4" Cl RISER W/ PADLOCK £ 6" MIN. WARNING LABEL ABOVE G� � ----4" MIN. 18" IN. 6" MAX. NLET WATER TIGHT SEALS GAS• TIGHT: " BAFFLE A SEAL APPROVED I PIPE --�-- ALM JOINTS W/ CI ' PIPE 3 ONTO OLODTO - i j ON SOLID SOIL OIL PUMP *OFF ELEV. 2�_FT. --- r pF i�'t RISER EXIT D PERMITTED ONLY IF.TANK . MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS -� EPTIC / DOSE 1 ` 'ANK MANUFACTURER: Pala DO W •2v NUMBER 'DOSES PER DAY: SANK SIZES SEPTIC )&b-p GAL. DOSE VOLUME INCLUDING DOSE ( GAL. FLOWBACK: 238' GAL.—' 1LARM MANUFACTURER: �� v �� CAPACITIES: A = 1 INCHES = A GAL . ' MODEL NUMBER: SWITCH TYPE: /�— B = 2 INCHES = 33.2 GAL. ?UMP MANUFACTURER: A2 C = �,3 INCHES = �3� GAL. MODEL NUMBER: �g &� ��p3 / /(, SWITCH TYPE: �„ D = 7 INCHES = GAL. REQUIRED DISCHARGE RATE � GPM PUMP £ ALARM WIRING AS PER ILHR16.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE , FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . 2.5 FEET + _ . lSQ FEET FORCEMATN X L ik FT /100 FT.'FRICTION FACTOR �'7 FEET TOTAL DYNAMIC HEAD = ��, FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH • ; WIDTH ; DIAMETER p LIQUID SIGNED: LICENSE NUMBER: 2,2053) DATE: 0t' /5 "� Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of 3 Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and S 't". C v%_0 Xx percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION - Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). PropertT. ner Property Location Go vt. Lot kk) 1 14Ajtj 1 /4,S 6 T3 ,n,N,R )8 Vor) W Property Own is Mailing Address Lot # Block# Subd. Name or CSM# 035 61 _ City State Zip Code Phone Number Q.� �\ �C- TVIYRSYIC) (.t)iI- 51'0 1 (? 'S x.56 - I� ` ity El Village Town Nearest Road 29 New Construction Use: Residential/ Number of bedrooms �--� Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate . 7 bed, gpd /ft r9 trench, gpd /ft Absorption area required bed, ft trench, ft Maximum design loading rate bed, gpd /ft a trench, gpd /ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design /site considerations Parent material T t�� v�3a1 s r-. Flood plain elevation, if applicable N A ft If S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system S❑ U IR S ❑ U W-,S [I U I ❑ S Ku EIS U ❑ S >kU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench 14 3; '6k Ln 7 5 -1 >r, ,s • G Q PR -34 /v S 1 s i f MU q -X— Ground 3 16 r On ellegv.� , a •T ft • , Depth to limiting L L Z faglor n. Remarks: Boring # 0 '7 / ,• �— l fssk �: r � rte, � 5 ;, L 50 3 'qL / h 5 S M s v _ ."5 Ground elev. Depth to limiting Jac1gr in. Remarks: CST Name (Please Print) Signature w Telephone No. C A ) w D W e r 5 O L" ` 7/,5 - - 4 '/6 SI,I_G ' Address Date -. CST Number 9(p /lS 'g v_5 3 7 SOIL DESCRIPTION REPORT ' PROPERTY OWNER Page of ° PARCEL I.D.# Boris # Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench 3 0- s 0 9 1 f' sbk ry �I � �. , s ' '6 - -J$ / s J Sc, h16, Ground quo r '--� S 5 Y` C e � le (/ v . �. F V K. Depth to limiting factor ,ZQ�_in. Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # ; Ground elev. ft. Depth to limiting factor in. Remarks: Boring # } F ' Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) S , 1'e ck' ► o �-. 1l Qtck -ynzv 4 U-) L5'4o � 9 A 0 P' - - z ,Qr D 30 CPA Y o r /08 3 1 A a� ll Vy is ur Nnsir :a partment of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accordance with s. 9 x79; Wis. Adm. Code s °`�a Attach complete site plan on paper not less than 8 1/2 x 11 inches in Si e. i°lan must County include, but not limited to: vertical and horizontal reference point (BMrection a tab` percent slope, scale or dimensions, north arrow, and location and diitance to nearest road. Parcel I`,D. # APPLICANT INFORMATION - Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)) ;, Prop rty Owner l �- Pi66 t: c8tton. 1 `^�t 1 td r Govt. Lot. 1VW W4 NW 1/4,S 6 T ,30 XR I g - W(or) W Property Own is Mailing Address tst k, I Subd. Name or GSM# 1035 A cIP City ttate Zip Code Phone'Number ❑ City ❑ Villa e ® Town Nearest Road NV of ( S) s1j1o,1Q(eL )4wv toy New Construction Use: Kj Residential / Number of bedrooms _ 3 Addition to existing building Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate _ bed, gpd /ft - — trench, gpd /ft Absorption area require bed, ft2 37S trench, ft2 Maximum design loading rate 5 , bed, gpd /ft • trench, gpd /ft Recommended infiltration surface elevation(s) 931 �t��o w— ft (as referred to site plan benchmark) Additional design /site considerations / r Sca.,4- Parent material 'Q -kS Flood plain elevation, if applicable _ N� ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S XU -� S❑ U ❑ S 1&U ❑ S Ek U ❑ S Ku ❑ S J 4 U SOIL DESCRIPTION REPORT Ca a Boring # Horizon Depth Dominant Color Mottles Structure GPD /ft in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench Or Jav Ground Depth to limiting factor Remarks: Boring # mo 02 'X 44 r14 b — st l 'fr; mo >' s . . L �3 X39 ?,.r - � - s! x 5k Ground el Depth to limiting factor Remarks: CST Name (Please int) Sig at Telephone No. Is -a (a Address Dat CST Number ``� ` ,t 1 PROPERTY OWNER Pn►l►,' � 4JQV%�Ur SOIL DESCRIPTION REPORT Page g �of� PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench Ground /D r S/ J�v 35 — ,S elev. fin. Depth to limiting factor yin. Remarks: Boring # Ground elev. ft. , Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # 13 Ground elev. ft. Depth to , limiting factor in. Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) f S qAA S o; ���4a -V ts_ Nw� Lo _ 17 _ D _aaw►Iw�� S s ' -z� s 3 f ►s 3 y5' i 4 , ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer t -ot V arft Mailing Address /O 3S JJ_ 4 zj �.r2 R 1 e• w�-a+ W T Property Address (Verification re uired from Planning Depart ure t for new co struct'on) City /State arcel Identification Number 0 — 17— LEGAL DESCRIPTION Property Location l(_ %4, hl W %4, Sec. _, T N -R_& W, Town of RjgA m, a.%,A Subdivision -- 7 9' cLe , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # 3 /.Z fo f , Volume , Page # Spec house ❑ yes R no Lot lines identifiable yes ❑ no SYSTF,M 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 wastewaterdisposal 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 of the three year p'ration ate. I / /S GNA 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 a described abov b virtue of a warranty deed recorded in Register of Deeds Office. SI NA OF AP LICANT 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 4ka+ 4As A,6 j DOCUMENT NO. WARRANTY DEED STATE OF WISCONSIN -FORM 9 301261 TIIIS SPACE RESERVED FOR RECORDING DATA j THIS INDE1"I'URk fC;_cf ,_�TE GFFICE Dlado y . -_ Ernest 0. Germain and - , -__ Laura Germain, husband and wife, i 1 • C' % +.� �•• �'l +`{• �'.Ul A), ! grantor__ s - „f ►it•CTOiX County, kVisconsin, hereby conveys and warrants to --- - - y Philip M.LaVenture and Patricia LaVenture ___ - -- �3_.__ _. M. Husband and wife as ,point tenants, _ grantee S -_ -- RETURN i0 cf _._ .- _ - St. Croix County, NvLcomin, for the sum of Five Thousand Three Hundred Twenty Dollars the following tract of land in _ _... St. Croix - Ccuuty, State of %kr cousin; All that part of the Northwest Quarter (NW4) of Section j Five (5), Township Thirty (30) North, of Range Eighteen (18) West, lying North of the Minneapolis, St. Paul & Sault Ste. Marie Railway Company right of way, and South ofthe South right of way line of State Trunk �. Highway 64; excepting therefrom the following described premises: Commencing at the Southeast corner of said ! Northwest Quarter (NW4); thence North along the East line of said Northwest Quarter (NW4) 1421.5 febt to,the North line ofthe right of way of the Minneapolis, S . Paul & Sault Ste. Marie Railway Company• thence South j 57 West along said right of way 35.�i feet to the place of beginning of said excepted parcel; thence j continuing on said right of way line South 57 West 1422.8 feet to an iron pipe stake; thence North parallel to the East line of said Northwest Quarter (NWO to the South line of State Trunk Highway 64; thence Southeasterly on said South line of the right of way of State Trunk Highway 64 to a point that is 33 febt West of said East _line.. of the Northwest. Quarter .(NW4) ; .thence South_ on- a line 33 feet West of and parallel to said East line to the place of beginning, St. Croix County, Wisconsin. amended (This deed given pursuant to that certain/land contract between said parties, dated th 2nd day of October, 1968). IN 'c''I'T1I:SS 1VIII:1:E01 , the c :d };rantur -__ ha Ve_ __- hereunto srt _ _ - their hand _s__ and scat _ s_ this_! Uth_ day of Jul y.. _ ___ . A. I)., 19 - -70 • ,� ^ SIGNED AND SEALED IN PRESENCE OF ,�1 . L f. �� r ! ie (SEAL) ' Ernest / — (SEAL) Joseph W. lughes V _-- - - -_ -- _ -_ Laura -Germain'. _---- - -_ -_- (SEAL) -- Prances Van Nevel - - - -- -- - - - - - - - -- it _- - (SEAL) STATE Or %VISCONSIN, ' ss. _ St. .. Cr oix_____.__ County, j Personally came before tne, this lay of. _ - . -. --- -. - _ J Uly 1 A. D Ct` - -- . ,, 9.--_ . the ai.nve named - .Ernest. 0.. Germain and Laura Germain,. _ husband _ and -wife, i. c oun t y, P­ came bL-fure me, th ____ 10 day of July 197 the alone named Ernest 0.. Germain and Laura Germain, husband and. wife, to "it: known to be tile per�oxi tile foregu:ng in fl truill, 11*11 id acknqwIvdg the V.- 'MOTAR)i Jos es This instrument drafted by No Public tary __Cr0jX --County, Wis. Joseph W. % Hughes, Att ----- - -- my commission (ex�h Permanen New Ri chmond . 'W f i—s—q _ n (SWtIOU 59-31 (1) of the WLwon&lu Statute& p M Irfdoa t hat n" -�Ij dc4 *ban Itavo ptaj p or typowritt CAMee ot tbe arantura, grauteca, "It"c"es and n Ogg"). tb I tho, WARRANTY 1)UD—STATIC OF WISCO, M FOR 4 A pr M. C. WILISR CO,s *ILWAVAKC APPLICATION FOR SANITARY P&3MIT for INSTALLATION OF A O;EPTIC TANK (Sec. 144.03, Wis. Stats.) A. 07 OF P30PE'RTY dy e/- �dess ( tr et, Cry, ,dip Code) B. LCC �TIdP1 CF P?CPE TY `�tHEi, SEPTIC TANK B� INSTILLED Check 1. City 1 1, dress Count one: 2. Village ��-'g y 3. T own fl /y r71,i1wX1 f S C. INTAIS :,�2 Give Li_c en e number hel . Wisconsin Restricted Licensed - Sewer Plumber Services i Nam�q--)� 2Zess D. SPTIFICyTICNS OF S7''PTIC TAI Size in Ell, lons: (check on 1. ,000 Gal. 54 �. 4,000 Gal, 1 2. 500 Gal. 6. _ 5,000 Gal. 3. ~ 2,000 Gal. 7. I" over 5,000 gal., give capacity. 4. �3 ,000 Gal. _ -- Materials: 1. p refab concrete 2. Poured concrete 3. Steel E. TYPE OF OCCUP:aNCY 1. _�._ Sin, Family residence 3. Commercial establishment 2. Multiple family residence 4. Industrial establishment F. APPR,CXUL-ITE NUI4B A OF P SERVED DAILY G. PaiCCLATICII TEST 1iADE 1.1 Yes 2. No Date / /Or/ /"Z; By whom 9i 0 f (To be completed by County Clerk) Date a , plicatlon is filed .ane? f paid / ..7 ` Permit issued (date) �� �7�' C Permit Number County. Clerk 1 Parcel #: 026- 1017 -30 -100 05/25/2005 03:22 PM PAGE 1 OF 1 Alt. Parcel #: 5.30.18.60B -10 026 - TOWN OF RICHMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Owner(s): ' = Current Owner LAVENTURE, PHILIP M & PATRICIA A PHILIP M & PATRICIA A LAVENTUR 1035 HW NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description * 1035 HWY 64 n SC 3962 NEW RICHMOND (�� GX SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.080 Plat: 1126 -CSM 4/3936 SEC 5 T30N R18W PRT NW NW BEING CSM Block/Condo Bldg: LOT 1 14/3936 LOT 1 1.080AC (EZ -U- 1111/539) - ---" —' Tract(s): (Sec- Twn -Rng 401/4 1601/4) 05- 30N -18W NW NW Notes: Parcel History: Date Doc # Vol /Page Type 2005 SUMMARY Bill #: Fair Market Value: Assessed with 0 Valuations.--, Last Changed: 06/30/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL ! G1 1.080 27,900 208,400 236,300 NO Totals for 2005: General Property 1.080 27,900 208,400 236,300 Woodland 0.000 0 0 Totals for 2004: General Property 1.080 27,900 208,400 236,300 Woodland 0.000 0 0 Lottery Credit Claim Count: 1 Certification Date: Batch #: 547 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 RICH T.3 / rH SEE PAGE 55 B.3 v iiss �� • Hs4 • P ti �'� �` ° 0 :::: :.:..71y' ;iE ...'. z Y 3 c. tl �. e Cha/ /es ry o h A. 7 E /nine. `di .9 �� C ': {F 64 o h 4 E. t K M 3 o v. h 65 erman Da v f b 3d z 4 R � R �f Tecul o /m6a w douc 80 71, • r mangy � l7sT � .Doa.r ' ; DOU .T.RS .: ... .. .i MichQe � s• 4o fKa�h /een toc y M ^y`� wr � d5 S old- / /S.BO s 8 /ac km � s 3 "! �£D $ �� 0 weY'i a o� .. �O Lois •ro 73.48 05 a z ... .o C7ordonE 1: J� 'C • p S ,g / 74TH AVE R 4 Ma/yG • h �� Clw n QU/Y'; /eL p g £ T4,e /�/orma/� /092 0 l I� E/. / f M� �j° N kval P �N /7 l • ate AvE. 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JGZmas • DM Zs7 eo moo ria�ya�et /moo S c r _ • N /TE OR /T F P A AN W CTohn l/ctri Z � z oo k� U S ¢o > iZo e C 7yz � ha:: • A _ � 202.5 ��tl T' � � /60 °A y' tO• ��� • • JG W 2477 Thao h o of rr q /sdo/ B/y e c ro ��Dy,� .°ot/v � e� �,Sfe/ohens b� vanDyk EN /LE c ,zad o c. �T¢nice ,QCt// , � o � � .Pose • /zo �� 2sln.sf e [o�en �stbn CASEY LAXf • • • �Q .I�e/'cic./c 4 • LL vi • • • • A cTQn .Pan, vP e ¢ o o 4 F�ede/vcE //e /man W., Sc Gem /rt 4 + ¢o v eoAh J Bonnie ?� n Ea C d 0 -y • r V Q� D .E ,30o F ms Inc �5�� c�4o o p Yi , X30 � l b ljer�i/ 4 -Z?a /d b' • w\ �e Pw5'icia. � ,Pay Lrs,4 u `? :' �l ;�� ,� ., � .� 1< w,r r5'eny f d �od v _ 2 Sao NO 62£692 a FILED � CA 1 xcou rn AUG 2 3 2000 10 SUS E� TIFIED SURVEY MAP a 'AN LOCATED IN PART OF THE NW1 14 OF THE NW1 14 ti < � OF SECTION 5, T30N, RIM TOWN OF RICHMOND, m �` ST. CROIX COUNTY, WISCONSIN. NW CORNER NORTH LINE OF THE NWI /4 NI /4 CORNER SECTION 5 SECTION 5 �89 "E 2635.04' (� c 1317.52' —�� F_ 1317.52' — � MJCD CU LEGEND �] ALUMINUM COUNTY 'SECTION CORNER �6S• \ V MONUMENT FOUND \ 4 E o 40 2' IRON PIPE FOUND `O H r 6S. o I' X 24' IRON PIPE WEIGHING ~ H w 1.13 LBS. PER LINEAR FOOT SET fl� �64 3�,,�✓ 0 l' ~ o ^ EXISTING 3 A� k \ v. BUILDING a+ z5CD v ~ N w ►_- OWNER P ARK y k 3 m 1 . 0 PHILIP AND PATRICIA LAVENTURE � ~ 1035 STATE RD 64 cu N Z Lj NEW RICHMOND, WI 54017 2 SHE 'l g 4 9. 2 cn J H (� w = to � A 1 �- DS o m 3 e UNpL- T_T YV­ 1 3Y Z Ln uj TE �'�� �s�`i �� P 9 y / , ���� P�, -�2 z i N 202.20 ♦ ti �v Z z Ai E24� SOIL TESTS oc � � LET 1 • ''' J � 'J ^I, I 0 w 1.4 1.4 3 1.080 ACRES V� N ��� A� a N 47,046 SQ. f T. I� m I � � ; w = ^V a> I U .. d �� °� N � 6'I R OSED NS2 .23'4'3"F '� � o W� ER; � 40 B ING W 00 o ° h >- fcQ N O Z � � �� —�� POWERPOLE w� 10 > 0 t 2 w 1 0Y RANT WELL i E- p c� a m a HOUSE ,��' �; 1 d. cc T b " 1 I �'_ �! S89.54'35 "W d o W 180.36 �titi h,�. � *6 a W 1 ..m POLE SHED a N ' D.O.T. APPROVAL NO. 55 -35- 2970 -1999 x ID UNPLATTED _A HOUSE OWNED__BY__PL __TTER SCALE IN FEET i " = 10o' GARAGE ter' GARAGEoO 100 0 100 200 UnT 14 PAOR 1936