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HomeMy WebLinkAbout030-2110-50-000 o o 0 g m o d 0 M m cn ZZ� o�Z ��o }�±. < < r c p a n c Q G 00 CD c. N d Ca N N to ! (D O O Q a m ° in O tl> C C n j 0 O O O O O O K 5 N 7 1 j O c ` r m v !J V D A a io ? a m M+ m W _ w V C tµ 0= O O N (D co k i'i. Z O co N n o° o c CL O O O C D N N N 3 CD c FL Q O D Co m m N .p o? D o N _ 3 �I 00°) O C3.. N� p m �l • ( C 7 N (D n O • d j (D J C A n c A Z a 3 Z CD A .17 O -• 3 Z < W CD A a. CL CD 0 N � (D O 0 a vi 3 Cp Z (D O a� ID j _. a N C O C) A ti 03 � O O a N ' � O D so a yC O f0 ° O L Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary 7 49 i tNo.. Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: ❑ City ❑ Village ❑ Ttrwn of: State Plan ID No.: Kramer, Ken St. Joseph Township CST BM Elev. insp. BM Elev.: BM Description: Parcel Tax No.: �p • t VD. 0 r -- 030- 2110 -50 -000 TANK INFORMATION ELEVATION DATA (P -al 1 I1, 10 TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic Z �p Benchmark S. 3 105, IM -0 , !� pmtcl S Alt. BM v r Eldin Bldg. Sewer �o� (s cr31 St /Ht Inlet 20 aa - 33 TANK SETBACK INFORMATION St/ Ht outlet `f� �; pg TANK TO P/ L WELL BLDG_ ventto ROAD Dt Inlet Air Intake Septic 32- t ,,�— NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist_ Pipe 2 .6 12 • •9 Holding Bot. System L /1. j I 3'n PUMP / SIPHON INFORMATIO Final Grade Manufactu Demand St cover 02 . (o Model Nu r GPM T Lift Friction TDH Ft Force main Length Dia. I Dist.Towel SOIL A ORPTION SYSTE tS 1WD - q RENCN Width r Len th J N .Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIME N S DIMENSI SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer* _ � �� CHAMBER V INFORMATION System: Cftw / $`� r — OR UNIT Mo a Num�er DISTRIBUTION SYSTEM >• Header/Manifold u Distribution Pipe(s) I x Hole Size I x Hole Spacing Vent To Air Intake Length' Dia. 4 gt Spaci > /M SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed/Tr nch Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Insipection #1.0 Inspection #2: -- f-- -f - - ' Location: 332 Buck Run Hudson, Hudson, WI 54016 (SE 1/4 SW 1/4 6 T29N R19W) - 0 29 9909 Deer Haven -Lot 8 1.) Alt BM Description = v� — 2.) Bldg sewer length = 3 Z' - amount of cover= mv. Plan revision quired? ❑ Yes No Use other side for additional information. 301 az SBD -6710 (R.3/97) Dabs Inspector's Signature Cert No. 1 ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: r € >. ..... ® m om . . .......�. m ..e ....� ...� ... �.. _ .. 4.._._,. - € { S € g 1 ..A.. 4­­­­­­ .,,.� .­ .� .m g b F 24 S{ _... ,m[.® ..mf m ,.L�.. -.�- ..� ®e { �..- ...,j............�r g ,.e.,- ..- . ._..... 3..,.m�> .... ..a r»..�..� I L g s � .. s € € F Z { g S r t , E —4 3 i y e i e F g i ........._...�.�.,. �. ...�....,. _.... ie �,. �.,. gv..- .�.._.,.�,...._»»..mi..... __�t.,.... _,. ..�.....�.,,.,.......,._..F._., a- ....�...- .._.�1�. e s�,� ®_.,3»...,.m.,...�... :_ �t___.._. L........._. �....,.._.. .L....�...,...__�..........a.�. ...,. 3S 2 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 Box 7302 Swi seonsin Personal information you provide may be used for secondary purposes Madison. WI 53707 -730.^ Department of Commerce (Privacy Law, s. 15.04O - j —~ (Submit completed form to county if r J7 state owne Attach com fete plans (to the county copy only) for t s ' n pap s han 8 - 1/2 x I 1 inches in size. County State Sanitary Permit Number ❑ C e evision *previous Wlioa n State Plan 1. D. Number I. Application In ion - Pleas 1 Information Location: Property Owner Nam $ E►� s Property Location 06 1 ' 200 1 r x {:. 1/4 6tdI /4, S T ,N, or Pro)wxLy Owner's Mailing Address �� to 1~ Lot Number Block Number 0 l/ v r ,1. J6FIC� ' f.' City, State t Zip Code a lu Sub ivision Name or CSM Number II Type of Building: (check one) ❑ City P C 1 or 2 Family Dwelling — No. of Bedrooms ❑ Village ❑ Public /Commercial (describe use): ( Town of ❑ State -owned III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest ad A) 1. IKNew System 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Number(s) System Tank Only Existing System R 1/6 — So 606 $) Permit Number Date Issued Q �y ❑ A Sanitary Permit was previously issued / , 7 IV. Type of POWT System: (Check all that apply) S (Non- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank O Single Pass ❑ Drip Line ❑ At- grade, � ti t ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V Dis ersalJTreatment Area Information: — r7 1. Design Flow (gpd) 2. DispersaWea 3. Dispersal Area 4. Soil Application 5. Percolation Rate . System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) T 9S, 05- Elevation 6th TOO 67 y a _ , VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks u 12eO <- /CAD >ao I ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ VII Responsibility Statement I, the undersigred, assume responsibility for installation of the POWTS sho wiLon the attached plans. Plumber's Name (print) Plumb 's Si tore (n )): PRS No. Business Phone Number Plumber's Address (Street, City, State, Z' Code) lD `�%- 7l/- 1 4jh= .S VIII County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse §qcharge Fee) Determination a eo 8 Zf' Za7o IX. Conditions of ova /Reasons for Disapproval: (( C )��� c 6 b aQk. a.S � �tZo -��- �9cQp , SBD -6398 (R. 07/00) N r yo � � s G1 5a' ,� s 100 Ta � o D r T o� f tvC- A47,' 1 = 106, 6-3 T o2 a�l� 7 - -�- �a . � r r A X71,6 /� -/o �S 5� �� 3 0 Ne�-- uj--O_j xaz 'j— 5 y - •, �? OQ.t�lnlaE -L_. h�%� S jE ����� ZY - � 1012 Wisconsin Department of Commerce i ^t _ e f Page 1 of 3 Division of Safety and Buildings in,a ance w�}Co m 8 �Odis *dm. Code Tom Schmitt Attach complete site plan on paper not less /~ /: x 11 ir�t� an must \ County include, but not limited to: vertical and ho ' ference point (BM), directio and St. Croix percent slope, scale or dimensions, north and I a d' nt a mad Parcel I.D. 030- 1024 -70 Please print a / . MI O S,1 Cpox R viewed By Date Personal information you provide may be used ary pu 15. n ). Property Owner Location Q Davis, Daniel C 9vt. Lot na NE 1/4 SW 1/4 S 6 T 29 N R 19 W Lot # Property Owner's Mailing Address I. L- bd. Name or CSM# 1123 30th St. _ 8 Block # na q City State Zip Code Phone Number J City J Village IJ Town Nearest Road Hudson I WI 1 54016 715 381 -5264 St.Jose h I Buck Run ✓j New Construction Use: Y1 Residential / Number of bedrooms 4 Code derived design flow rate —W - GPD J Replacement J Public or commercial - Describe: Parent material Outwash Plain Flood plain elevation, if applicable na General comments and recommendations: Possible system elevation for area 1 (high trench) 96.00' (low trench) 95.40' Boring # -j Boring —✓J Pit Ground Surface elev. 95.68 ft. Depth to limiting factor >120 in. Sot Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPM - in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 1 0 -13 10yr3 /1 none sil 1mg mfr cs 2m .2 .3 .2 2 13 -39 10yr4 /4 none sl 2msbk mfr gw I .5 , S 3 39 -120 10yr5 /6 none ms Osg ml - - -- - - - - -- .7 '8 Boring # I Boring lei Pit Ground Surface elev. 96.35 ft. Depth to limiting factor >121 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. "Etf#1 `Eff#2 1 0 -10 10yr3/1 none sil 2msbk mfr cs 2m .5 .8 2 10 -22 10yr4 /4 none sl 2msbk mfr gw 1m .5 e 9 3 22 -121 10yr5/6 none ms Osg ml - - -- - - - -- .7 b•0 At . 15 Y " Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg /L * Effluent #2 = BOD S30 mg/L and TSS s mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt �� 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number Somerset, WI 54025 7/19/00 715- 549 -6651 t Property Owner Davis, Daniel Parcel ID # 030 - 1024 -70 Page 2 of 3 a Boring # Boring VJ Pit Ground Surface elev. 98.05 ft. Depth to limiting factor > 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfiF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10yr3 /1 none sil 2fsbk mfr cs 2m .5 .8 2 10 -26 10yr4/6 none S �, 2msbk mfr gw im .5 .9 I� 3 26 -120 10yr5 /6 none ms Osg ml ---- - - - - -- .7 1.2 9S.0S 3G /�Z 4] Boring # - I Boring ✓j Pit Ground Surface elev. 99.47 ft. Depth to limiting factor >119 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -12 10yr4 /3 none sil 2fsbk mfr CS 2m .5 .8 2 12 -27 10yr4 /6 none 2msbk mfr gw im .5 .9 3 27 -119 10yr4/6 none ms Osg ml - - -- - - - -- .7 1.2 F-s I Boring # Boring L+!f Pit Ground Surface elev. 100.21 ft. Depth to limiting factor >123 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10yr3 /3 none sil 2fsbk mfr CS 2m .5 .8 2 10 -24 10yr4 /6 none L 2msbk mfr gw im .5 .9 3 24 -123 10yr4 /6 none m5 Osg ml - -- - - - - -- .7 1.2 * 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_ nle me contact the denartment at 609 -266 -3151 or TTY 6OR- 264 -R777. i ig - -- -- 'A 7Z/ vl I i /tl I ,16 I 14 1 3 -- 'i I Ej I Vw L ip Cud O►c SttG ' J f� I Gc.Gf� I ' I c v"s SC, Q w ��, Th _ 5C,06 t ' � � b � ���� _ �� s i s I ,. _ ._ � ,: � I `,' i ! �. i � � i - - �: j _ I _._ i _ _ � _ I - __ _ ;_ __ I I - �- � i ; j ..... ,, . , �� _, _ _ -; __ ,- i i ; _ _ ! - -- i_ I i _ _ _ �� ., i f ; � 4 � � i .� I _ i I � � � � � i Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & BuRdings in accord with ILHR 83.05, Wis. Adm. Code ' COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but S t. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 030- 1024 -70 APPLICANT INFORMATION— PLEASE PRINT ALL INFORMATION R EWED BY DATE PROPERTY OWNER: PROPERTY LOCATION D GOVT. LOT NE 1 /4SW 1/4,S 6 T 29 N,R 19 E�¢or) W PROPERTY OWNERS MAILING ADDRESS LOT # I BLOCK # I SUBD. NAME OR CSM # 1129 30th. St. 8 na Deer Haven CITY, STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE E]fOWN J NEAREST ROAD Hudson, WI. 54016 (715)381 -5264 St. Tr)senh ,k ] New Construction Use [x)c Residential / Number of bedrooms 4 [ ] Addition to existing building ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate __gy bed, gpd /ft . R trench, gpd /ft 2 2 2 n h Absorption area required 857 bed, ft 750 trench, ft Maximum design loading rate _ bed, gpd /ft _�� tre c , gpol ft Recommended infiltration surface elevation(s) 103.10 ft (as referred to site plan benchmark) Additional design / site considerations alt system el.= 101 80' & 99 50' Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for sy stem ®S ❑ U ® S ❑ U ®S ❑ U [a El U Ci S ❑ U ❑ S �1 U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench .................. ................. .................. ................. .................. ................. 1 0 -9 10yr3 /3 none 1 2msbk mfr cs 2f .5 .6 :"....1..:': 2 9 -17 10yr4 /4 none sil lcsbk mfr gw if .2 .3 Ground 3 17 -27 7.5yr4/4 none is Osg mvfr gW na .7 .8 elev. 10 4 27 - 84 7.5yr4/6 none ms sOg mvfr na na Depth to limiting factor +84 Remarks: Boring # 1 0 -8 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6 2 2 8 -26 10yr4 /4 none sil lcsbk mfr gw if .2 .3 3 26 -84 7.5yr4/6 none ms Osg ml na na .7 .8 Ground r I elev. 10 ft. Depth to j.. limiting factor sT t +84 11 Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. ve. New Richracind, WI 54017 `�-- Signature: Date: 7 -24 -98 - CST Number: m02298 PROPERTYOWNER DAniel C. Davis SOIL DESCRIPTION REPORT Page? of PARCEL I.D. # 030- 1024 -70 _ Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench h... 1 0 -8 10 r3/3 none 1 2m sbk mfr QW 2f .5 .6 '.....3.. 2 8 -17 10yr4 /4 none sici 2msbk mfr yw if .4 .5 Ground 3 17-84 7.5y none ms Osg mvfr na na .7 .8 elev. 1 Depth to limiting facto Remarks: Boring # 1 0 -10 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6 4 2 10-23 10yr4 /4 none sil 2msbk mfr gw if .5 .6 3 23 -32 7.5yr4/4 none is Osg mvfr gw if .7 .8 ................ . Ground — elev. 4 32-80 7.5yr4/6 none ms Osg mvfr na na .7 .8 1 Depth to limiting factor +80 Remarks: Boring # 1 0 -11 10 r3/3 none sil 2msbk mfr cs 2f y .5 1.6 5 "< 2 11 -24 10yr4 /4 none sil 2m sbk mfr gw if .5 .6 3 24 -84 7.5yr4/6 none ms Osg ml na na .7 .8 Ground elev. 10 ft. Depth to limiting factor +84 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: LSBD-8330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel Daniel C. Davis 1554 200th Ave. CSTM2298 NE4Sw4 S6- T29N -R19w New Richmond, WI 54017 MPRSW -3254 town of St Joseph. (715) 246 -6200 lot #8 -Deer Haven This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1 BM.= top of NE lot survey stake @ el. 100' Alt. BM.= top of 12° pvc pipe C el. 104.05' ,. 3� 3 0 t � vat � 6° ' a� rJ r � 1 J` O Y Gary L. Steel 7 -24 -98 i !I. Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number 3� I Number of Bedrooms Design Flow - Peak (gpd) Estimated Flow - Average (gpd) Septic Tank Capacity (gal) Soil Absorption Component Size (ft eO L 85g o Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) z Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 i Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. 3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Kok, K ro riser -- -- Mari: ing Ac.d °r:: ;s . 25 -�-jW u W et;t L n Svc Ilt,c"r �_.. Pro) erty kl i:r+.,;s 3 BU1 It g t'n _ (Verification required from Planning Department for new construction) , City State .^M o ^ i y / Parcel Identification Number LE+' AL RIPTIO J Prol uty b - X; :V on 5,1 -- 114, -2W a l a , Sec. _ 6 T_;Z2_N -Rj W, Town of St, o s _. Sub! iln*siol D eex av evt , Lot it Ce+r flied c u r1i ey Map # Volume 7 , Page # 33 Wa i ranty 1) 1.!-1: it # ! l d a� . Volume Z,3 Page # 0 9Q Spo. house [ ::} yes 0 no Lot lines identifiable ❑ yes O no SYf I CE M„ id► I NN ENA.I rCE Impr a( , ca use and mai atenance of your septic system could result in its premature failure to handle wastes. Proper m:..: i Gtenaacc cow. is of pi are pi tg out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into i t system can is feet the fr+:+A, s d on of the septic tank as a treatment stage in the waste disposal system. 'Me. arty owner ;.agrees to submit to St. Croix Zoning Department a certification form, signed by the awner end by a mash plumb °,c... ;j ,: a meymanp:umber, restrictedplumberor a licensed pumper verifying that (1) the on -site wastewaterdispo n system is ins roper o; ie c.;'i ing conditie a and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 !roll + sludge. I/wc, he undt -01A; , aed have res.d the above requirements and agree to maintain the private sewage disposal system with the° !;l andards set fir th, hert in, ;i s set by the .Department of Commerce and the Department of Natural Resources, State of Wisconsin. & nr . fcation static: ; that y(m , � rptic system has been maintained must he completed and returned to the St. Croix County Zoning; Office: •- �:ithin 30 days , f the tl::re::: ,, car expirati an date. Q... SIM. kTM Of APPLICAI T DATE Oar; R "11! ; CIFICA MN I (w() :,- i ify that all statements on this form are true to the best of my (our) knowledge. I (we) am (arc:) the o• ( of the 3pertv ellsi a;:: ibed above, by virtue of a warranty deed recorded in Register of Deeds Office. y �J!'O � S P' 4'i LICAI T _ DATE * * * *' * Any in ":-': mation that is mis- represented may result in the sanitary permit being revoked by the Zoning Departmc+ i. ** Iii dude wi"lth ds 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 QQ V 390 STS TATE TE BAR% RM 3 - 1 QUIT CLAIM DEED DOCU MENT N0. tX�cu REGISTER'S OFFICE ST. CROIX C_ 0. 'VI s= ___.� t'1�.�1L C • Da YI.�_ dt14L�S�_ �'€ rl_ 2 .e.__p�Yl�.�.hldi�l�A�I1�.___,. e o�d ��' N o v Qb 19,8 - -- 9 :30 quit - claims to D an K Constructt r__;of Hu ..._._� kOfltitM O Qv vtii the following described real estate in — St. CLO X Cot.txp, State of Wisconsin: THIS SPACE RESERVED FOR RECORDING DATA � ,,AME AND RETURN ADDRESS A.� KltISTINA OGLAND r ZIl7, EStreer, & Oglajj The West Half of the Southwest Quarter; the West P.O. Bur 359 Half of the Northeast Quarter of the Southwest 1ludson, W1 54016 Quarter; and the North Half of the Southeast Quarter of the Southwest Quarter; all in Section 030 - 1024- 80 -,00; 030 - 1023- 90 -OuO y Six (6), Township Twenty -nine (29) North, Range 030-1024-60-000 Nineteen (19) West. PARCEL tDENTIFICANON NUMBER { Excepting from this conveyance a parcel of land in the Southwest Quarter of Section 6, � T Township 29 North, Range 19 West, St. Croix County, Wisconsin, described as follows: Commencicg al the West Quarter corner of Section 6, as the PLACE OF BEGI', :NiNG; r e thence East on the center line of Section 6 for 1897.4 feet; thence South parallel to the West line of said section for 1147.88 feet; thence West parallel to the center lire of said section 1897.4 feet to th:. West line of Section 6; thence North on the West section line of Section 6 a for 1147.88 feet tc the PLACE OF BEGINNING. Excepting therefrom Lot 1 of Certified Survey Map in Vol. 9, Page 2590, and Lot 2 in Certified Survey Map in Vol. 11, Page 2987, and Lot 3 of Certified Suwey Map in Vol. 11, Page 3253. FIB This homestead property. )L! XKX cis not) f l' - October A.D , 19- _ Dated this — day of a ____JJ�kJT'/ L / . ik !'_•'' �__ (SEAL) (SEAL) Daniel C. D avis Karen P. D avis _ (SEAL) — _�.. __ (SEAL) 1: �4 ACKNOWLEDGMENT AUTHENT „ ATiON Daniel C. Davis and State of Wisconsin, 'fix Signature(s) Karen P. Davis, husband and wife, _ County. ` lAar October 98 before me this day of e authenticatd this a day of i9_ Petsonal 1) came s the abo%'e n elud Kristina la _ __ -- - - -- — - -- TITLE: MEMBER STAT- BAR OF WISCONSIN _ J of not, -- auth w „;razed by §706.06, Wis. Stars.) to me known to be the pt rson _ _ _— who executed the foregoing nstr ► i ment and a.,knowledge the same. THIS INSTRUMENT WAS DRAFTED BY —^ Attorney Kristin Ogland H WI 540 15 _ `_ Notary Puthllc, _ (Signatu es may be autl :entic!ted or acknowledged. Both are not h! commission is permanent. (if - not, state �'y• atior. date necessary) � _ • Siam <t of pawns s :gn�ng in any e_,nuny stould tx t�Rd or print<d lxtow they stgnamres. Wmccns ray . STALE EAR OF WISC01SIN QCtT CLAIM DEED For.., No. 3— 1982 Parcel #: 030- 1024 -80 -000 L o \/ 01/03/2006 11: A Alt. Parcel #: 06.29.19.101A b 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 -3 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner MARK E & DIANA M ALFUTH O - ALFUTH, MARK E & DIANA M N8090 CTY RD P SPRING VALLEY WI 54767 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 8.670 Plat: N/A -NOT AVAILABLE SEC 6 T29N R19W N 112 SE SW EXC PT TO Block/Condo Bldg: DEER HAVEN THIS PARCEL HAS BEEN COM- BINED W /030- 2110 -50 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 06- 29N -19W Notes: Parcel History: Date Doc # Vol /Page Type 01/05/1999 595091 1393/47 WD 11/06/1998 591082 13751090 QC 07/23/1997 834/307 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05112/1999 Description Class Acres Land Improve Total State Reason Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I I r y � • � 6 p � F W W W W W T T T s T W T T A I z y91 ' 3X p X 1 YA I � >��Jj� iNZ ZNNZNNLZF Z t0 �[ ` NI ��� Q hW �y,��� z�� �WWWWW • jjj in A 3 A YY t1 tltt M : h NZZZLZNNNNNSZ W �� ° N00'04'00" e # Eti I S C N .119.66 z to LO w , z z ti v • w 9 � .-� � � nn pp �.• ��� � c */VAS 3M d0 VoN a j •�1 ��!",�fv�s 3Nl d0 Z /IM 314 d0 3Nn 15V3 �$ ,i 9 _./ SO �i j ! gj 5�6 IF + �j 7 t Q Yi Q N e �• I [iVg190.O0N.. „i WWWWii Ts� T fir• ���N� t° $ �LZZZZNNNNNZ NZ w In V o_ r y f Q PG w i3,, 1 a it I a\ $$$k3j3�$}8}3�$Q 8 O o \� . s I 1t'1Lf M..tO.LL \ M \ < H -11 J 1 1, 8 1 ,8 12 8 s [ 1 07 I 1- 1D Z / / �+ \ ` y . y�� y 1 y, ©� y1� r / \\ Js s. .. rs = "-= TTT V O .14Ya MI.Z4.40.00N c O w O \\ I Z / L � b � � toy (4 f'7 mo LEI as Bar) w e n I W _ t< z H\ 1 LJ p y M ^ _ y m NIA_ \ ` � pi ON x co V w + t /µ1S 3w /0 1/ WAS 3W !0 3Nn 1SV3 in (M.0S.1f.00s) w q p 13+ Y —. 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