HomeMy WebLinkAbout038-1083-50-200 (2)w PRIVATE SEWAGE SYSTEM SL croix
srcry •.a xwe.0 DNM� INSPECTION REPORT nP.mxxn 592211
GENERAL INFORMATION (ATTACH TO PERMIT) Py.gxe
mexavn ese mIPM.r Irc.. law Wnsl
sCollxeen Swanson TOWN OF STAR PRAIRIE �� 038-108350-200
`�%�Gl(2031.1.
8350A-20
TANKINFORIMTION ELEVATION DATA
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TANK SETBACK
INFORMATION
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PUMIERNPHON M INFORATION
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ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC TANKS)
This is to certify that I have inspected the existing septic and/or dose took
presently serving the following residence.
(Sir eel address)zms sour stsom,,,t wn 54025 _located
at: N'w `/4, set A, Section sa , Town at N, Range 1B W,
'town of s1 a , SG Croix County Wisconsin
Upon inspectionl certify that I have found the rank(s), to the best of my
knowledge, will conform to the requirements of SPS, 384 25, and it (they)
apPear(s) to be butchering properly_
Most recent date of inspection or service o,ame„e2,201e
Did Row back occur from absorption system? Yes No
little, skip next line_)
Approximate volume or length ofome Na gallons Ne minutes
Tank Capacity: 1poo e•soo
Constmction: Prefab Concrete x Steel Other
Manufacturer(ifknown): Nuaounconnne
AgeofTank Uflatown): nmvnmz
i4 v,araea . �.
—_..
Permit mbet'(ifknown) 405l32
o,00acme
( 1ewlsed Pl umber Signature) (Print Name)
Moss MPRS#221471
(Title) (License Number) MP/MPER
De11Me.22, 2010
(Date)
Form to be completed by licensed plumber (Dept of Safety and Professional
Services Chapter 305 and s. 145 06, Wisconsin Statutes) or licensed disposer
(NR 113 Wisconsin A hoursamove Code)
Rev.2/2012
6. 9.fv
DEC 2 2 201� Salelvana e4mm96 ommmry
201 W. Washln9on All,
P 0.BOX 7162
63]O WI
CPOKCOV
IN LO MEM rvinemo. �7152 a
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Conventional POWTS Index & Title Sheet
not Name
Swanwn S broom half Convan oral Di EMI Cell
owns: Nam=
Colleen Swanson
6nnees Wdress:
20399M St. Somerset WI 50125
Site address:
Sane
to jen Lomtion'.
Subdivision'. Wt 01, CSM Vol, 16, P94291
Legal Dismiltion: NW in SWIe, See. 20, T.31 N., C Mal., Tn. O1Sar Plains, St Croix CO., WI.
Parcel to it 038-1081-50-200
Pnge 1 Inches and Title Sheet
Pegg sit, Plan
Pagel Disp,,ol Cell &Inmtsetm'Q4" Chamber Cross Section
Page Dispersal Cell Ctua SC ion
Pages Syvem Management Plan
Page6 Scene Tank MainRnarce Ageement
Page Cenilicefum for UtO®tion of Exiling septic Took
Polls Panel Map
Panic Wamnty DeN
Attachments. Soil Evaluation Report
Mater Plurmar intmicted Service: looms Gillc DSPS Q demai p22Mll
slgmtme ��- Dare: z"E./�.
Page IU9
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uss
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Absorytiuu urev mpumh _iw)�fl.
rAbsorlui lr%rt,uspmryva s I s SuAp. p5Iksmixs+1 wlrnid nos
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auii Plus Alin-0ne 12 Enticap --.
FROM VIEW
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Soil Alasorotl S Plan VI
ew
Page _Of_
6. ftagy
Conventional Sef fic S)slem Sulmtagemenl Plan
PllsoMal to SPS 38i el Wi4AtlmAlone
Camera
TLC commaiansl split e)»mn 9MI be opCCLAM all ecmMenm Call SPA 181.:841 Atlm. Code uM Mrall as bundrnnO
in ncwNMm wall c.... O mmMUW5B0.NO(stPfyIIWp.Allbentarldarale alas peruininy to Asia,
Countenance+mtlnOmon,:antt "Fit slpll be romP l 'Ad 11 All Quevbans On tle Cellular of m:rvuun'ance or I beas slew
Should he tllrcpmtl In the Install, pinmbo-. lam Tlpmpson I1 (7I i1249-119) or IDo SL CSOII Cmml_ Zo:v:p locpaomwl al
U11l386.4am
k Tank
Septic lIlk Or Ileallanocs or.'link SPS 1M_lf I)fl sp' tooklobl IN I thantinr son ice poIIin
bolo fl k 10 bc'L - bed and l of 11A ONCHIM9 Continue ofl V Cook kill Ill filter shelf he
smil Its en On not NS,5 b pttI" 111C Sense look ContentsM llbert tmnd"her till All and se..0
rile talk Of IS Iq -tl Of [Ile Car, Tile Casuals Ofluc septic Dk,l IlM dsfumtl Of in onarriallosISR
I I I A is Arfin Coalto I, ttl duad confined0 in kIndia,s u148S'I Ifl fl kare
Marc, ad a all uoflb � Vnrzo reds ran ad, 'u le on for of lilt xrt ¢sNlhe
lotntmder I.. III V d sludge accumulation 1,111C talk.TA Morshallbc I[ d ai cusl'<P P' P - EI d6 1 Id b[ tl pm tl[ a J Club
Ilmtr kl Ifl filter 1 cmxttlfmt sc I Ifl blmr¢ty Fred t'Lst'Pnnttle fllorsl'll be
sm,ctlfl -Cand br k-IIe .mJ Id be"Snal furn@r
6bin W 11 Alo Ined — tl ankel sluall be Seadad nacrughlult fileAltiplano, of
son 'ec A_opc k then nill wswd DI ' or Si to Indiana all be mplamd Inpomtl aco35 opcnlugs LiAnler
Wes 8iocbesin dlau or slwll M Secured bC a: Cleai c lock
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a
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mnpo 111C Indiana'!b 8 'I nd I'
suclptl re d1110%SIlippmtWfor 5eVl¢ark sCN leper""mll Formation is , , Ilia
Of Cotlam. Snfc.,ad
l ad Buildind If
Dincor
boil Abxon 'nn cG
lMs or511mbs sMuld"ol he Printed d:mclh w lle Sell absor lnn gnum Tile CUM lime Slid urountl the saoo should
M Ri Sltadtmdullcd as m5 Ic a: V, d RodCalld J ad p _Trp f Iffice
cNn dla 1 ald-n r g _letl OF till Pce
V V culture F Id clather numausCold al IP -o
IOGOM M i)N dCal ilia sse be he'll if Illed tortes Dandle �
nce�gLall 10tlests m no criLrtaA DOD£, Ili MNL'So and In LCOG.I
canoed 'as mm�o�ticanup any sell Slide Vamih farErtl tnAallal n. It p/ nnnew nmt q,:nl
OureAmilo:tlrvces ASNllnhe dispersal au ASu be rne<m ror emnenl Volunng enmity lieds steal be mPVned 100e
mrvo. Let-ds Look14 Inches Motes Inn arre dlnYlndoLd" Oilmc rtgtdda8 additional. more fmgocnt 1110 lip
Efli Ban xhall 1p allernmad Illen een did
penal n'Its. o aFire ¢mule I,u
Lv dune Nf II oldtl fld ♦ se (tl l Elll error
:nee Emnon - fo P u$ har l m be rMmru
d xpenl bell enammne ._a.A m ,. hnka hem Ra.
fmarreforl Plan
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':ed bti "If P
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ST. CROIN COUNTY
SEPI If TANK MAINTEal AGREEMENT
AND
OWNERSHIP fER'IIRE ATION 40RM
p„Rer/Bunel Colleen Swenson
fell Amle,e, 2039 90th St., Somerset, WI 54025
P,open, Am,ee: Same _
(Vain mrtgmwLlniul'Ix.... niug 119onm.n,.m. �. annual, Vtmnl
c W.Md. Somerset, WI Parcel IdaPlnemoe Number 038-1083-50-200
LEGAL DESCRIPTION
Pr I. Peeeroe NW 11 SEW In see 20 T 31 N R 18 W. Team or Star Prairie
Subdiddon Plai Na
.Law01
ceraeeus"IneymaPn It vowe,e 16 _. Pasou 4291
Wereemyneeox 678990 _ memmzo,n>vew,ne 1890 .nesen 401
nawao.n,o,., I.o, n,..w,e,m.nl. E]W,Dr.
SYSTRM M UNTEEN ANCF. ANp OWNER
P p le III Take I' II
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Number ,e 3
SIGNAL pRE pl' APPLIC'AN p51 DATE
^Au. nub.,amloe End( It 111111,la en nd mro e.mnanden "men` PaeE K... a 2,.End be Lee PEaniu N /Aend 1Speaker. .. •••
91Wa M1 dan II dead iom 1 (ahen
amvm. I. "'1" ud d L' sv wv M.dIran y nupT
IREV.Ol
6. Gef9
b
x, WaE+ox oP CERTIFIED SURVEY r"P
LOCATED IN FART OF THE NW1/4 OF THE SWt/4 OF SECTION 20,
nlx T31 N.R1 SW. TOWN OF STAR PRAIRIE, ST. CPOIX COUNTY. WISCONSIN.
$iN ym—mmu OMKCPA SURv OR OWNER �.19
SSS°22'62•E438,11' Oy *=N wmavwa a65evan
\S \ = pi8 m CURVE DATA TABLE
cl
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n w`o tao.eeson
mop RADIUS
W NoAlp
3CHORD S2FAPIxO ry 5
W
129BTJ CO Ff CHORD N OTX eAAC TM
SsLQV
TANGENT"TowTANDENTOUT N
mnx
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617°0623
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'n A 0 wmrn 121i GN awe
WEe.aR 1a2 ue. am Urvrwa Fun
fro nO WAY SO KUWE
�CDRNER
SECDOR 20 SCALE IN FEET t• — 100'
100 09 Do 200
SOIL EVALUATION REPORT
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St. Croix County Planning and Zonin
WeOn npq, Merce 30, MS u ]:31:5I PM
DehO Svoimry Intormmio°
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Parcel#: 038-1083-50-200 cl000Ds W19PM
E1O.I
At camel e. 203118350A-20 038 TOWN OF STAR PRAFIE
Current X ST. CROIX COUNTY, WISCONSIN
Creation Data Historical Este Mesa SMIeSArn AppllwBonP Pimia Permll Typ
Tea decree: elements):.. Currant oveer
COLLEEN SWANSON 'MANSON, COLLEEN
ZMNTHST
SOMERSET W151025
Olettic4: SC=Schad SP=SPotlal Property Aeeree(e): =smeary
type Dist Dasempnom 203990TH ST
SO MOO SCH OOF SOMERSET
SP 1700 WITC
upm redemption: pore: Solid PI9: 1475-CSM I&CAD
SEC 20 T31N R18W NW SW LOT I CSM 15I4291 a IdCoMO BMa: LOT
Tn[tls): (Sed-TonRnq 40114 1601/4)
20-31N-08W NW SW
w
votiPa9e
Type
1B90MO1
cc
812AI17
III
315,510
ZU04 SUMMARY Slid:
FarMarkmvawe:
Aaeaaaee with
SODAS
171,900
Valuations:
Last tienged: 1w1412004
Description
clad
Aces
Land
Imprna
Tdtl Slate Rown
RESIDENTIAL
G1
Soon
37, WO
142.500
179.500 NO
Teals br 20"
General propeM
3.000
37, W0
IQ No
179,500
Woodland
0000
0
O
Tmalemr2003:
Banned PropoM
3.003
19,50E
91.900
111,40E
Woodland
0,000
0
a
Lottery Credit: Claim Owns n pnlncanm pull Beene:
Specials:
ussrapecialcore catal feral
Tetal Special ASSaemoOo Spodal cnap00 Delinquent Cli
•"• a roip om•nn PRIVATESEWAGESTSTFM sandSt Crom
"xlmamammIN h.th INSPECTION REPORT rvpmm� N": y0-- 0
GENERAL INFORMATION TATTACH TO PERMIT) �nI
M"FW✓lN xpt.,upn, `5IN IT,
Permit 1 on Colleen OW
+ "
m X T. p ra T•,
•ryF"�qqww SIs, PrahaT.Jm'm5�01 03 10B350O U
amLw /BD / Ireplt i emba'FM/+. Svt a e /— V_ bsr t,✓ e � 3/. / , 3574 z
TANK Mmeusnnu
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MNUFPCTURER
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TANK SETBACK INFORMATION
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PUMP/SIPHON INFORMATION
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DIMMSIOHS
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COMMENTS: pnGuee wbdlwepmree. persma prevent e¢.I In.peI -III Imhh1lanth.._
LMI 2OSGHq"SINw,xch,c%Wl n17�� /� N WRISWI NPLNI Ne: 2O3116
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�eeds he L- .�` y+nded- s-b nd 419 tom*-✓ e,.. 6 ,-�c..�,t}� _.:. 6
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