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HomeMy WebLinkAbout030-1022-60-400 / I� o � J _% m !L -0 M a ©r 0 ■ E z °& 2 « - e «CL \ \U OD CD M \ a @ m $ N o �CD Q \ k 00 o # E E E � = g § § a © g / §/ ¢�/ \ / CL § \ <� $ § k o § E c } M - z 0 0 0 \ Oro § } \ 2 2 2 / § [ . E M v v § » cc £¢0 cc CD lb N) % t E A 2 7 .. E § z � ® § k R o ° % } 4 / B 2 2 a _ § _ z CO) 2 E § ) L- 0 / 0 . § ■ M § � E § ; 2 7 k z co 7 2 k � % / a E 3 4 I> \\}g(k § 0c3£3 ma ea; c $m9] ) % %a= 06 \0(a 0 E }Ba V ƒ)f) \ §%$= $ k3kco FIN � o E• : aC 0 ca U) CD CD 0 = cu . K 0 � (D t f ? 8n Pp7co nsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 463081 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Dulon, Scott St. Joseph Township 030 - 1022 -60 -400 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: v 06.29.19.95A40 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �o Benchmark : /Q �3. F 3 7 , p(o, Dosing Alt. BM Aeration Bid Sewer., r St/Ht Inlet 5"►- TANK SETBACK INFORMATION St/HtOutle 71 J IUO� �'� TANK TO WELL- BLDG. Vent to Air Intake ROAD , //... C_ Septic � "�t! t.,�_^'r,. DBettortf Tar yf . �r 14 Dosing P Aeration __ - d y 1 Dist. Pipe ti Holding - �. Dot. Is ysfi5 m I C q 5s / PUMP /SIPHON INFORMATION �'l' i. ' Final Grade r ` 7 Manufacturer Demand St Coyer � Y . � " • � y-r ��S Z Model Number �' S TDH Lift Friction L System Hea -- TDH Ft Forcemain 1LeruK Dia. Dist. to Well 1, Ky+ 3 1 i'i IQ SOIL ABSORPTION SYSTEM i — 3 (0 -- BEDITRENCH Width Length o. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS �� e 7 • 5 ? ' SETBACK SYSTEM TO P/L BLDG WELL ILAKE/STREAY LEACHING Manu r�r. 1 INFORMATION CHAMBER OR +jai_ ' ;"t, 4 t Typ f System Model Number. >6 R!g RIBUTION SYSTEM /' =" a V444 Heade Manifold Distribution x Hole Size THole Spacing Verltt0.AlrJGt� e Pipes) / ` Dia Length - 7 Dia _-f �. Spacing � y C� SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Frd Depth Over I Depth Over xx Depth of xx SeededlSodded xx Mulched- - Bed/T ench Caster 15, Bed/Trench Edges Topsoil , E­, Yes [j No COM NTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1 /13/ Inspection #2: y .. Location: 1185 County Road (r' V��Houlton, WI 54082 (NW 1/4 NW 1/4 6 T29N R1 9W) NA Lot 3 T Parcel No: 06.29.19.95A40 o � 1.) Alt BM Description ✓ r ' Wv k- o ` 2.) Bldg sewer length = j7 - 2'f�o ► C 41�.( 1 �/1QG� t ��G7 ) b7� - amount of cover = If (' Plan Required? Yes Use other revis s de for additional information. o / 0� i SBD -6710 (R.3/97) Date Insep or's Signature Cert I - - Safety and Buildings Division County `, 201 W. Washington Ave., P.O. Box 7162 S l . C-D 1 7. i seonsin / 11 - Madison, WI 53707-7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce P* L /_?) (608)266 -31St LOgl Sanitary Perm' A PP o n State Plan I.D. Number . In accord with Comm 83.21, Wis. Adm ode, porsonal info rm'afI ro tptovi may be used for secondary p oses PriF+alcy Law, s 15 04(l `' Project Address (if different than mailing address) 1. Application Information - Please Print nfo t»twn j / / y , Property Owner's Name �) Parcel # Lot # ? Block # scarf Prop Owner's Mailing Address ' ! V(f�y�� ' Property Locaattioonn / I/ �� v 1 �� /v '/. �' ^' ' /., Section w t City, State Zip �Code Phone Number �} /[l, ' 7� T J N: R < l II. Type of Building (check all that apply) pd S i 1 Subdivision Name CSM Number 9 4 or 2 Family Dwelling - Number of Bedrooms , ❑ Public /Commercial - Describe Use ❑ State Owned- Describe Use []City_ Villa c Township of lk 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System y ❑ Replacement System ❑ Trcatmcnt/Holding Tank Replacement Only 0 Other Modification to Existing System B. ❑ Permit Renewal 11 Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous P i ate / Before Expiration Plumber Owner IV. Type of POWTS System: Check all that a l J Non — Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter AL.caching Chamber ❑ Drip Line ❑ Gravcl -less Pipe ❑ Other (explain) V. Dis ersaVrreatment Area Information: t Design Flow (gpd) Design Soil Application Rate(gpdsf) Disper al Area Requ ispersal Area Proposed ( System Elevation - / .- 9,� re Vf T3 Ii VI. Tank Info Capacity in Total Number Man cturer Prefab Gallons Gallons of Units Concrete Constructed Glass - tastk New I Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Pi is Name (Print) Plumber' ignature MP ( ` MPRS N umber Business Phone Number umbc s Address (Street, City, State, Zip Code) r tt� 6� VIII. Coun /Department Use Onl I Approved El Disapproved Sanitary Permit Fee ( Groundwater Date Issued suin Agent Signature (No Stamps) Surcharge Fee) ❑ Owner Given Reason for Denial IX. Conditions of Approval/Reasons for Disapproval 3) Sei( f„ ,•�„� S S $ 2 �py./e.�Ctevt ' ! P SYSTEM OWNER: j ` """ 1 Septic tank, effluent filter and Lcb&v fct �J 11+t dispersal cell must all be serviced / maintained �J as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable codelordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) JOB Sc o f¢ Q l an TIMM EXCAVATING SHEET NO. of Route 1 " Box 192 WILSON, WISCONSIN 54027 CALCULATED BY ��` DATE (715) 772.3214 w MPRS #3224 WI CHECKED BY DATE SCALE s ! i i { i I { I i j ' I i I i . .. ..... .... .... j ..... ..... ..... ............... .... .... ..... . .............................. ..... j i i j i ' .... .... .... ..... ..... .... .... i _ .... i i e ..... .. ..... .... .... .... .... ... {'... ..... .... ......................... .......... .. ........ ........... ............... ....i... ...s .......5. ... : r .........i..........' :...........:... .....: «.. .................._;...........: i... .......b.......... «.......... °. .... .... .. ... ..... ..... .... .... .... ..... ..... .... ... e i y Z .. e j ! .... .... .... .... .... .... .. ..... ..... .......j " "........ n ... .............. `........., i.......... I........ . ..............................t,...........>...........>.......... r.. ........}..........;........... {... > t n a ... i.... e 2 ! �� .... { .... ! ... e i i j e i .... .... .................................. . 3.. .........:........... ..........:...........1..... .........................•. n .......... ............... .. t... .... ..... .... .... ... B f5 x : j j . j i ' i i ' ..... ... .. .... .. ........... ... .... ... i • �.. ... .... ..........:.. ! i : > ! < i ! i! ! ! ... .... .... ..... ........... .... f�1 .... ........... ..... ..... ..... .... P ............. «... O P V i i ; ! fi ! i i ' ..... .. .... .... .... .... .... .... .... ................ .... O.... ..... ...........:...........>...........:...........:...........:... ..................:............ ................... .... .... .... .... ... ... ..... ... .... ............................................. ............................... CN.. ... ..... ........... .... f 4 b ...: . c'. ... ........... Tf- .. < .............. b... .... ..... .. ... CC ._..........1 �� f ...... / 't,, ' . � .. .... .. ...............�"��� .... .... ... r t( ...... ..... . ......... ....�� � , . f JOB TIMM EXCAVATING SHEET NO. OF Route 1 Box 192 WILSON, WISCONSIN 54027 CALCULATED BY ��` DATE (715) 772 -3214 MPRS #3224 WI CHECKED BY DATE SCALE ...:._: ... t ..... ..... ! i ` . ..... ...................... .... .... .... ..... ..... .... .... .i... y .... ..... ..... ..... .... .... .... .... .... s ..... ..... .... .... ... i / ..... .... .... .... .. ..... ..... ..... .... ... .... .... ............... ... ..i.... r� ..... .....:..........,...........>.. .... ... .... , . _ _ ..... ..... ..... ..... .. .... ..... .... y,... s i ��.... ... ..i.. ... e ... .. i . . ... ...... .. ..... .. ... .. { / y .. .... ........................ ..... .... .... .... ... IL Y V V I l l ..........:..... .... .— .... .. . .... .... i' .. ..... .... ......... ... .. .f c ; rG�l" .. / Xq 1 1..... . ..`.'. .. .... -� ►.: . .. ... .................. ..........:........ ...: .... .. ..... .... ... .......: .... ... .. /....j�".. ... .... v p .... .... . . . .. .... .. 1 .... ... ..... .. - ........ ,...... ............ .... .- .... ... _ , ....... ..... .. ........ ... ..:. .... .... ..... '.... ,.. ............................. ..... N . _.. 0+ ..... ........ D o ... �+ � r ... ............. r __ 1.... J .... . ........... ........... .......... ... _ __ .. ..._. . .......... ... ......... ........... 1. ........... PRODUCT 205 -1 � lm, Grow, Mass. 01471. To Order PHONE TOLL FREE 1- 800-225 -8380 ORIGINAL 2124 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Certified Soil Testing Attach complete site plan on paper not less than 8%: County x 11 inches in size. Plan must 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. Please print all information. Vff1 ` l ` ewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Dulon, Scott Govt. Lot NW 1/4 NW 1/4 S 6 T 29 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1369 Awatukee Trail 3 Dulon CSM 680286, V 16, P 4304 City State Zip Code Phone Number City jj Village YJ Town Nearest Road Hudson WI 1 54016 1 715 - 549 -5705 St.Joseph I CTHW V f+ New Construction USe: Residential / Number of bedrooms 5 Code derived design flow rate 750 GPD j Replacement Public or commercial - Describe Parent material sandy /loamy outwash Flood plain elevation, if applicable NA General comments and recommendations: install "conventional" in- ground, 3- trench system @ system elevations of 96.0, 9 4.0, & 92.0 w/ 0.7 gpd /sq ft loading: 12 st'd (6) Infiltrator chambers per trench FT] Boring # Boring y/f Pit Ground Surface elev, 103.8 ft. Depth to limiting factor > 136 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - Eff#2 1 0 -6 7.5YR 2.5/1 - sil 2 m gr mvfr cs 1f /m .6 .8 2 6 -23 7.5YR 4/4 - sil 2 m sbk mvfr gs 1 m/C .6 .8 3 23 -36 7.5YR 3/4 - sl 1 m sbk mvfr cs 1 m .4 .7 4 36 -53 7.5YR 4/6 - s 0 sg ml cs - .7 1.6 I 5 53 -136 10YR 4/6 - s 0 sg ml - - .7 1.6 93•b�tz t! irregular, discontinuous 5YR 4/4 sl (0, m, mfr) band @ 46 -50" on west pit wall to 67 -72" on east pit wall; sys. elevation should generally be below t s band Boring # Boring Pit Ground Surface elev. 96.3 ft. Depth to limiting factor > 135 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -10 7.5YR 2.5/1 - sil 2 m gr mvfr cs 1f /m .6 .8 2 10 -20 7.5YR 4/4 - sil 2 m sbk mvfr gs 1 m/C .6 .8 3 20 -44 7.5YR 3/4 - sl 1 m sbk mvfr cs 1M 4 .7 4 44 -72 7.5YR 4/6 - fls 0 sg ml cw - .5 1.0 5 72 -135 10YR 4/6 - s 0 sg ml - .7 1.6 I fls /s boundary is 72" on east pit wall and 84" on west pit wall Effluent #1 = BOD fflu > 30 < 220 mg /L and TSS >30 < 150 mg /L " E nt #2 = BOD < 30 mg /L and TSS < 30 mgL' CST Name (Please Print) Signature: CST Number Henry F. Grote ` 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 9/21/2004 715 - 233 -0398 oi Property Owner Dulon Scott Parcel ID # Page 2 of 3 3] Boring # Boring Pit Ground Surface elev. 100.0 ft. Depth to limiting factor > 140 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 7.5YR 2.5/1 - sil 2 m gr mvfr cs 1f /m .6 .8 2 8 -30 7.5YR 4/4 - sil 2 m sbk mvfr gs 1 m/C .6 .8 3 30 -40 7.5YR 3/4 - sl 1 m sbk mvfr gs 1 m .4 .7 4 40 -72 7.5YR 4/6 - flS 0 Sg ml cw .5 1.0 5 72 -140 10YR 4/6 - s 0 sg ml - - . 7 1.6 fls /s boundary is 72" on south pit wall and 108" on north pit wall F-1 Boring # Boring 211 Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I I ❑ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P ' _ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I * Effluent #1 = BOD 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. SBD -8330 (R.07 /00) Certified Soil Testing 4 1 b 4So4 S �1�+ -�`l �V - l� � -1 I / / I I � - � i a� �c« 5�IJQ VOL 76 PAGE 4304 APPROVES KATHLEEN H -. MALSH ST. CROIX COUNTY REGISTER OF DEEDS Planning Zonino ?nd Parks Committee ST CROIX . CO. , MI • MAY ,� 9 z40z RECEIVED FOR RECORD N00'24'15"E �� g � 05 -29 -2002 10:95 A . �- 80.34' waooroed within 30 days of $ § CERTIFIED SURVEY MAP z �� vat date approva shal $ REC FEE: 13.00 .Z yoi w v j v W U LAS LI U LS V �H W ( r-- o A I COPY FEE: 3.00 --------------- ` a dOd° C.T.H. Ir f a '� !� (S00 '00'4t3'E) WEST UNE THE NW1 /4 n rM* �.��_ ° S00'24' 15'W $ N00 ° 24'15 "E 4 63 .76' Soo W W i nn... 740.49 1'N.7.W - J.JJ U� $( vi cri 00 °24'15" 229.!4' P5 M Z - �+ 42 ' p > r j 10 .73' . 125.41' O D rn 0 8.00' 318.42' �, , �� ��, �; ! g. $ go-,o O �zI�' i z C u , ° d`� �c7r tam C co /, m • y p 0 -t CD M a O a .. p 7q � A ,'-� is "a °: I CO ,1 .iv. � Cs� rn CO z ca cx -- a 0 ce0 °D m r4 �I� 0rn� cn ° ni�Q zcn z _ r PS -a P z 1W I� I C) �_ ODIC! o ° 1 O ;"S V " F 251.35' 216.9b' y l oO P x �► "` N i s I q + N r 470.33' T� W °� N 0> jj�j i a I 0 i° a s cx M o IP tl ► ► �C:!N g ^[� iP P, ill c0 i ' = W m z� > F cn I o-1 o �z -16 __,._ _ _ 4 S00 0 03'37 "E 635.76' - o'' f �_OO 4_9 C�_ °�3 °Guy °_�[t`J I 0 0 EAST UNE OF THE � 3t � g Z _ d @L° � P@. T2 I NW1 /4 OF THE NW1 /4 z 0 z ------- L -- - -- -0 z Li — ► o I O �I HIE ° U @UME rl U� r C) y N z §8 Z � o M : M M m cL► r� r' '� 1� 0 (11 BEARINGS ARE REFERENCED TO THE � + n N °o D n r - Sn -4 g 0 M 0 D WEST UNE OF THE NW1 /4 OF SECTION O�O z ,� M v m _ p , v o v m m 6, ASSUMED TO BEAR N00'24'1 5 "E z rm*i 0� ° rn r' -;1 C�C �1 [ c � �C Z Z p�ZV100p °Nf�C C v�,,� Y Q r. to rn -i — A n rn System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Timm Excavating, 715- 772 -3214, or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1 . If the septic tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2 Install water- saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4 Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6 No paper products other than tissue should go into the system. 7 No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5 If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6 The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8 Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM O 0 t SI ,c olA Mailing Address 1 &q A c,J aj Nk ea- Property Address 1 Vk5 (Verification required/from Planning Department for new construction) City /State Parcel Identification Number Q-5: LEGAL DESCRIPTION Property Location 4)j ' /., . ' /,, Sec. to N -R_LJW, Town of t"• Subdivision Lot # Certified Survey Map # & eo 2 , Volume 16, Page # 9 - U Warranty Deed # 6 0 `f 2� , Volume I - } , Page # Spec house ❑ yes ;EL no Lot lines identifiable (X yes ❑ no bo a — STEM MAINTENANCE Improper use and maintenanceof 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 mastor plumber, journeyman plumber, restricted plumber or a li cense d 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. Uwe, 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 tating that your septic em has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 d VAMLICANT i tton date. / z / �.� DATE O R CERTIFICATION I (we) certify that atle. I (we) am (are) the owners) of g the p pe n r e b viriu the best of m atements on this form are true to y ( our) knowled c of a warranty deed recorded in Register of Deeds Office. �! lZ7e SIGN OF PLI 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 U 1 9 7 7 P 5 6 7 69�4z� STATE BAR OF WISCONSIN FORM 1 - 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED RE G 1STER OF DEEDS This Deed, made between Joseph F. Dulon and D'Ann Dulon, RECEIVED FOR RECORD husband and wife 09 -16 -2002 16:15 AN WWRWN MD Grantor, and Scott J. Dulon and C C. Dulon, husband and wife as EKWT # survivorship m rt pr p REC FEE: 11.00 TRANS FEE: 530.40 COPY FEE: CERT COPY FEE: Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in -1t� -.:;+. Gro i X County, State of Wisconsin (if more space is needed, please attach addendum): Part of NW 1/4 of NW 1/4 and part of SW 1/4 of NW 1/4 of Section 6, Recording Area Township 29 North, Range 19 West, St. Croix County, Wisconsin described Name and Return Address as follows: of 3 f Certified Survey Map filed May 29, 2002 in Vol. 16 First Federal Savings Bank page 43 oe. o. 680286. 201 S. Second Street ^�- P.O. Box 263 ` Q Hudson, Wisconsin 54016 / • 10 03o- �o2z -4.o_ ( 1 Parcel Identification Number (PIN) Together with all appurtenant rights, title and interests. This is not homestead property. (iri) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and ordinances of record and will warrant and defend the same. Dated this �l day of September 2002 . /7/y C od . j + Joseph F. Dfilon a D'Ann Dulen AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. -940ir CA - 07* A. County ) authenticated this day of ) QeJ�C Personally came before me this day of September 2002 the above named j . j oseph F. Dulon and D'Ann Dulon i� Z= TITLE: MEMBER STATE BAR OF WISC NAIN O o me known be the pe n(s xecuted the foregoing (If not, •1 �° instrumen d know) e e authorized by § 706.06, Wis. Stars.) 5k,,-STATE (�c THIS INSTRUMENT WAS DRAFTED BY • Priscilla R. Dorn Cutler Notary Public, State of Wisconsin Osceola, Wisconsin 54020 My Commission is permanent. (If n t, state expiration date: (Signatures may be authenticated or acknowledged. Both arc not necessary.) - -- `� —') • Names of persons signing in any capacity must be typed or printed below the signature. wrwraatien Pr&*"iorWa C« Wy. Fond du Lac. wi STATE BAR OF W ISCONSIN 000 -656-2021 WARRANTY DEED FORM No. 1 - 1999 `r..•f 68Iz 2861P VOL 76 PARE 4304 APPROVED KATHLEEN H. VALSH ST. CROIX COUNTY REGISTER OF DEEDS Plannino Zonincn and Parks Committee ST. CROIX . CO. VI � s zooz MAY RECEIVED FOR RECORD � N Noo°241s•E 05 -29 -2002 10:45 A 8 0.34 , of recorded wi th in 30 days of CERTIFIED SURVEY MAP z �. (P 10 ,tom $ vat date approva s � i z REC FEE: 13.00 ��¢'' 92 r�ojWL?U��c (° c COPY FEE: 3.00 C t� 1 ` ' M � 5�- r - 7r� — n n Z C �� 92 V Ai O�IIV� ° U M lJ 11�Jl SW�_ I > - C f50V o�oUUllo �. ' �ICOdo PCo _C_. ---------------- "n i � F (S00 °00'4M WEST UNE AF THE NW1 /4 r r �".,— st�o°2a'15w C A N00 °24'15 °E 35 . soo°2a�1 �' K CD 1409x93' N Fi0.5J o, n 45 Q .a vi ~ v �- U1 00 ° �� I 229 i 4' Q n A z g " I+ N00°24'1WE 406.42' v y pr r0 • 103 73 125.41' AA r z rn i 88.00' w .42' ti /- n 318 V W cn r -n px1> 44b ccQ) X -� V rz ......� ! '�` i W Q tiU iNT m ice. .r y o II -e t I [f 2. 9 rn 19 R9 m cn > z X nl .� a Q m aD � O 7 Z10 rn fm • � y w•'�? A O I O o Ig 020 CD �[ e7 o m W x gm oO z,Ntm 7WD] mpi p i r� e 2z co I� IP N OaK ':_ 1 COICAr it Q o I i o . �' '� A r 251.35' 2 is.5n 5 I x N 14 q 0 v + .p lA r 470.33' m � W 1 1 ° N n> on MR I� N tp ) on I° ygv 00 0 ci / ... o I� Pn G v I P OD ► r q I@ l 14 w m =r" I Q IJ&D ,� �FnN I 1 05 E x - — _ — — — — S00 0 03'37 °E 635.76' _ - - — — � o ' EAST UNE OF THE �2' z �Z W@[L. � P @. Nw1/a of THE Nwua o z e7 m o A rvl 2 z �- 9 � z rn 1;o m to r O N BEARINGS ARE REFERENCED TO THE !q p 0 N o> n r c -- Q r z Z 0 L m O D WEST UNE OF THE NW1 /4 OF SECTION z ,� ° g °� > m _ z o v G 6, ASSUMED TO BEAR N0024'1 5 "E 0 D> M W> egg � Z> m �' rn c N w D O zv� C O O� Z O- oZN000 Oof�C C c ' n �'� m m — O i ZZ O 'rl �p�� '� Z� 0t7 m r G7 > RI > m rn N rn C tTl � C N C � rn > i! . { r o �� ��zm Imo`+ O Z Z 0 =M D CC _. Ziom�tnr°Dn � A " �v m Z;u rn rn 00c - � I N r � :5 O m - -1 -1 0 D � Z p 0 Z .. rn SHEET 1 OF 2 SHEETS m Vol. 16 Page 4304 • ,s Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of , afety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County I (` , C r include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.Q. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 0� - /Q - / , 0C> % Please print all information Re ' ed y Date you pr Personal information may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location W Govt. Lot f9 1/4 Nw 1/4 S to T ZC1 N R f � T E (or W Property Owner's Mailing Address / Lot # Block # Subd. Nam or S M �� 3 coup f RJ V l (� c�3�tf �� City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road 4V9 sovi I WI Sy (CIS > - 63 S h a Pj V ® New Construction Use: Residential / Number of bedrooms Code derived design flow rate 0 GPD ❑ Replacement �� ❑ Public or commercial - Describe: Parent material 72 / Flood Plain elevation if applicable ft_ and recommendations: ST�p'' ef { U, I e/ 9Z��� �w� 0' 0 6 2002 ❑ Boring CROIX COUNTY O NING OFFICE Boring # E pit Ground surface elev. 9yo ft. Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 r — S1 cW adrr CS ZF — ,£s 2 1 2 - -3, 0 10, L c r 3 - 8 - — S I c S V r s - - - ,7 1. Z sr;� Z Boring # ❑Boring T— Pit Ground surface elev. . �. �� ft. Depth to limiting facto in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 ` 2 �Q 6 r C 2 1^ G S1 C S r S D , VttC, G ` -7 12. 3" 41-1 36 �. Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS _< 30 mg/L CST Name (Please Print) Signatur CST Number �r-Lma Lor 1 2S33o Address Date Evaluation Conducted Telephone Number ZII BGf" 'F, e — W - IS - O2 - 7i5 2q CI6a' SRD -8330 (R07 /00) Property Owner DV 10 ✓) Parcel ID # _ Page of _ Boring M Boring # Ground surface e � elev. 3.OGft. Depth to limiting factor in. Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 St a � K w z _ y 5(c I (OK F c5 z 3� -�s S ►. Z tom, Si`c� Boring # Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 ❑ Boring # Boring Ground surface elev. ft. Depth to limiting factor in. ❑ pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /11 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD, > 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. SBD -8330 (R.07/00) PAGE - OFa NAME IF GA SCALE: 1 "= y ' F ✓" BM 1 ELEVATION /00.0 BM 1 DESCRIPTION ZQ " oa 4-c r BM 2 ELEVATION /oo , d N F BM 2 DESCRIPTION /l a 1 '/ % l /.S „C rry �✓,e t- I SYSTEM ELEVATION j i , SV Go w ev 9,?. 0 ALTERNATE ELEVATION CONTOUR ELEVATION 0 s- 00 70 13- qo b syo SIGNATURE �- DATE -O N D O r= i= Yl A -- c n c m �. _ __O __ � 7 --17 � ��� WFCT I IIUC nc Tur u.u. ,. ...- ..__-•--- ..� PAGE -,—OF� NAME LOT# 3 LEGAL DESCRIPTION OW X Nw X ,S � T ZY .N,R, Elor4 SCALE: 1 "= 1 /O BM 1 ELEVATION l60 • ' BM 1 DESCRIPTION /Ici,'l �' 7a a s BM 2 ELEVATION /00, 0 � BM 2 DESCRIPTION a ,' ( % /� .Crry �✓� r - ��� SYSTEM ELEVATION Lfv . SV Go w cr 9Z 06 ALTERNATE ELEVATION �(� Q /S'D Gowsr j�OQ CONTOUR ELEVATION y Oo T.1 Df3' bb M� lb' SIGNATURE - . DATE /�-n 3 680286 VOL 16 PApE;. 4 04 APPROVED KATHLEEN H. WALSH ST. CROIX COUNTY REGISTER OF DEEDS Plannlno Zonina and Parks Committee ST. CROIX CO., MI MAY 2 s 200z RECEIVED FOR RECORD N N00°2 "E �� o � 05 -29 -2002 10:45 A Z �� 80.34' ° of recorded within 30 days of N O 0/ 09, m P vat date approval shall � CERTIFIED SURVEY MAP � REC FEE. 13.00 56 VOW ��° R ° j map E J Laa lo@ � ° c � COPY FEE t 3.00 z ���� r off; 00 �'Jt [n�CD OO 4Cz1CG3� I g d04 - -- o_ oGv] °_ [� �� C.T.N. u I z K o �IOd° G°PC�° �_C'�3090_ `� j . (Sp( WEST LINE OF THE NW1 /4 m ri CID soo°2a'15 'W to $ N00 °24'1 5 "E 631.78' -. soo°2 r e 1409.33' i 90.53' y r '-'m 00°24'15" 229.14' 740.49 a CO i+ N00°24'15 "E 406.42' 1 7 1 C y p� r 318.42' ' . 25.41' r rn n 00 z i �,.; �' D O 3 �_ Pi's r n F YI rn t j D Z I @ ��' �O VI x' O trr:\c0. O �- 0 ''' m M. I �+� f''i, z�m.9Q` ;;; m o ° ° ,P �. 101 o �.: !�'�m I Q -� Z mm � m � o �; A ��$ � - O I� is -'Q°" iF 1(s� �o�+m o I�I� i� N r ' .� > � > i�� w in z rn D m i' tp co 0 0 m m c = fa Z Vf� N ioU Z ° ° �j�P 1" Z 40 co O I 1� VQ�� �� 251.35' 218.98' �1� ms N I� IDQ0 i o�^ N wi ° N X�' °o i _ �n �- N00 470.33' 11-4 1 OCn 1 NCO o9 1 � • Imo _ o z I o° ,tom O > 10 T2 �C4 c � .1�1 � M Fi! r/ W �. o I 40h ' Q — — 52 Q d0 4 9 C�_ °� °[l° S00 0 03'37 "E 635.76' o �l _ om I EAST LINE OF THE V - — u - p ° �° �� I NW1 /4 OF THE NW1 /4 A D � °� Z z a z X ^ ( M _dG � � � � � � _ a I r.Z N Z Z �o '0 m ;� C N r r m 0 m m r O to BEARINGS ARE REFERENCED TO THE O L? N O D f7 r p co z ..I O 7 C m Q . ',11 �► > O o O z -iz D WEST LINE OF THE NW1 /4 OF SECTION Q p�p cl) z -n> o > o m . 0 Z ° m f i 6, ASSUMED TO BEAR N00'24'15 "E �rl Z m r. ° r^ z cZ� s OC Z Z ;DD -Crz c(D O N c Z �m m D O ZEN C �9 OD��NOOO �oR'C C NW m OW D m Dmrm C AC m �OCCAC Om OnC m I A 0 D �. ° m ;0 O �Om ;u ZODN Z � Z O OA> v p0 m>Zm �rn �� 'IZ Z C) E5 D ZC � (rN N O 0 �m ° Zm m � 4 N G ;C2 _ N O r m --1 D Z 0 O � m SHEET 1 OF 2 SHEETS m Vol. 16 Page 4304 GENERAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR01 REAL ESTATE TOWN OF SAINT JOSEPH COMPUTER NUMBER 030 - 1022 -60 -400 Parcel Number 6.29.19.95A -40 Claimed Date Re- certified / / Relate Number: OWNER NAME: First SCOTT J & CRYSTAL C Last DULON CO -OWNER Mailing Address 1369 AWATUKEE TR City HUDSON State WI Zip 54016 - Type Vol Page Doc # Rec.Date Type Vol Page Doc # Rec.Date HISTORY WD 1977/ 567 690425 09/16/2002 WD 1550/ 94 631584 10/11/2000 PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name- Type SD Apartment Post Office School District: 2611 - SCH D OF HUDSON Special District: (1) 1700 - (2) - (3) - W ITC Plat Code: Last Changed on: 11/05/2002 Book Number: 1 SECTION 6 TOWN 29N RANGE 19W 1 /4160 NW 1 /440 Map Number: 00 - Sales Area: Parcel Control 0 TAXABLE Number of Units: ZONING: Permit Number: Type: Bank Numbers: F4 -Prev, F5 -Next, F6- Legal, F7- Value, F8- History, F10 -Exit, F12 -More t LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF SAINT JOSEPH COMPUTER NUMBER 030 - 1022 -60 -400 Parcel Number 6.29.19.95A -40 OWNER NAME: First SCOTT J & CRYSTAL C Last DULON PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment SECTION 6 TOWN 29N RANGE 19W %160 NW '/.40 Line Description Line Description TOTAL ACREAGE 9.074 PLAT CSM 16/4304 LOT3 BLK 01 SEC 6 T29N R1 9W 15 02 LOT 3 CSM 16/4304 16 03 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit