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HomeMy WebLinkAbout030-2031-20-110 C ti O 1 u' O; o Cy 5i M H. 7 N m 3 A n' A 'O A7 • (D m \ 1 O 3 X E Z o W 0 z o w C) N o �V • 0 ) A au CD ° W 3 m CD ° o o CD 3 ° CD m w - N w Z N N c (D 0 (D O O p O O n CD M n C7 0 A O V W W 3 N C CD :� D � � 3 (n A = y A O O tl! N ( N c O 1 0 A d a D v v D i — p d �D Cn D m =3 CD CD O p CD O o :D CD � o " o � ; — co < o o °° 0 Z O g O g g O oO O O o Q (i � E' N CO) a Vi N ( n ° o D O o o o !� o = CD A c m A m N c co CD ID O 0 CL W z c CD CD E, D W° z 00 co N D W 0 N O N O ° 0 a • O N (D M M CD Cc c (D m �D N G N W fD CL n a 3 7 m C p i W Z 7 t0 a p Z tD ° in in ° A. z 0 d a d C) .. 0 z I N CD a`�' �zW o 0 3 a O ^f o z o m N ;o N z 7t D (D A ? w W CD wT� D 3 m Q CD n (D p N O 7'm 0. W �o "M CL w O o z a �� o a o = (D n (D CD 6 CD y N Z 7 a y C c N 0 O O 'rJ CD 0 N y CD j 7 7 ° = A =r ,d„ 0 t� 7 O N a W 0 „A m 0 - N Q .�•. fD CO C 0 D 6 +� I N . . w ti 0 ti V fD (D d0 A f0 fit 0 w 0 w 0 CD CD O L O L ti Parcel #: 030 - 2031 -20 -110 02/24/2005 10:57 AM PAGE 1 OF 1 Alt. Parcel #: 23.30.20.446A -10 030 - TOWN OF SAINT JOSEPH 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 * GERMAIN, DALE M & JANIE L DALE M & JANIE L GERMAIN 1497 ANDERSEN SC'T CP RD HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 1497 ANDERSEN SCOUT RD SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 3.250 P t: N/A -NOT AVAILABLE SEC 23 T30N R20W PT NW NE LOT 1 CSM / ock/Condo Bldg: 8/2293 _n , V ` �ry�`� Tract(s): (Sec- Twn -Rng 401/4 1601/4) A y 23- 30N -20W U' P, r Mp__f Notes: Parcel History: Date Doc # Vol /Page Type /\ 10/28/1998 590109 1370/430 WD �V 07/23/1997 854/208 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 5972 458,700 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.250 76,700 374,600 451,300 NO Totals for 2004: General Property 3.250 76,700 374,600 451,300 Woodland 0.000 0 0 Totals for 2003: General Property 3.250 45,100 278,400 323,500 Woodland 0.000 0 0 0 Lottery Credit: C l a i m Cou nt: 1 C ertific at ion Date: Batch #: 220 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 T r � 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)1. 363813 Permit Holder's Name: ❑ City ❑ Village ❑ Fown of: State Plan ID No.: Germain, Dale St. Joseph Township CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: Up • p' p �,QQ� 0304031 -20 -110 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic C-S Cep 6tsfl Benchmark �� �( o • u {� Yl9 -cad Alt. BM Aeration Bldg. Bldg. Sewer Holding St n • (� .( ' TANK SETBACK INFORMATION S / Ht Outlet 9i ,88 TANKTO P/L WELL �? ► vent to ROAD Dt Inlet Air Intake Septic S'C (� 39� �- NA Dt Bottom --- Basti�g`�� % >. 'f �'3 �` NA Header /Man. Aeration NA Dist. Pipe o t' qs Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade ManuTacturer __?5rn St cover Model Number GPM p Z TDH zt— Lift Fri ctiorl - -�- stem TDH Ft �,� r �6`�e `t6.o Forcemain - Length Dia. Dist. T - , - We ll WIL ABSORPTION SYSTEM T Width / Len th c N _ O T PIT No. Of Pits Insid ia. Liquid Dept DIMENSIONS 2 rb I DIMENSION SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHI anufacturer: SETBACK CHAMB INFORMATION Type O 1 r L (� �' OR U M I Number: System:. 1. DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe h Il I I x Hole Size x Hole Spacing Vent To Air Intake Length g•O Dia. Length Dia. 1 Spacing � x "� O 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 /Trench Center Bed /Trench Edges Topsoil ❑ Y ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection W* a .a l section #2: "7 — '�'— Location: 1497 Anderson Scout Camp Road, Houlton, WI 54082 E 114 T30N 11R1 23.30.20.446A10 - Lot 1.) Alt BM Description= Al/� 'S 2.) Bldg sewer length = Z j, c l it - amount of cover= ? - Plan revision required? ❑ Yes KNo -7W Use other side for additional information. Ob an SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. i ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: .. .; 3 � 3 � E § S a � i t o s b i .. ...... ., .. 3 H m; e= w. g � { E s § ....a„m ., em _. —..... .a, e... .r..e .... emnu ,. " ........ ..... .e.:a .,,... �..� ,...... .. ..... .., e ,.. ma m ,,. 3 r � e S � 1 s> g e z e v s � 6 f { F a — t s i L .I.—l- ----- f e ems,.._ .... 3 ......�,.. .. .e..... ... m ....... ... ... , e , m e .. r i + r Safety and Buildings Division Vi scons i n SANITARY PERMIT AP FIXATION : 20141�I W7khdngton Avenue Department of Commerce In accord with Comm 83.05, s >.Ad.m. Code Madis, , l 53707 -7302 • Attach complete plans (to the county copy only) for the sys on pi�perpt less '09 A than 81/2 x 11 inches in size. • See reverse side for instructions for completing this appllc Horn ' State nitary Permit Number F 36 3EI S Personal information you provide may be used for secondary purposes ❑ ' k if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. L * l �tst Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL Ij4 . ORM N Prope Ow. er Nam \* perty,l t S T fir) W Fr Ae . Pr perty Owner's ailing Address mber Block Num 17� Ala City, S to Zip Code Phone Number Subdiv'sion Name or CS b er /4)4 75 19 Zv I ( ) — / I ll. TYPE OF BUILDING: (check one) ❑ State Owned - Near st Road Public 1 or 2 Family Dwelling No. of bedrooms p Tow OF 111 BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 3 6 4qt, 1 ❑ Apartment/ Condo — 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 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. ❑ New 2 JS Replacement 3. E] Replacementof 4_ E] Reconnection of 5 ❑ Repair of an ______Sytstem -------- System Tank Only 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 JR Seepage Bed 21 ❑ Mound ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ XS � Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI ABSORPTIO SYST 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. /i ch) Elevation Feet 5 Feet VII. TANK Capacity INFORMATION in gallons Total # of Manufacturer's Name Prefab. Con- steel Fiber- Exper. Plastic New Existin Gallons Tanks Concrete strutted glass App. Tanks Tanks Septic Tank or Holding Tank ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for iriltallation of the onsite sewage system shown on the attached plans. Plumber's ame: Print) ,� Plumb is S a r o S p) MP /MPRSW No.: Business Phone Number: IJ L Plumber's ddress (Str�et, Cit State, Zip de): 571 e l IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved anitary Permit Fee (Includes Groundwater [ate ssue Issuing Agent Signature (No Stamps) [� Surcharge Fee) 'P ❑ Approved Owner Given Initial Adverse Determination ����`t�` X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: `SBD -6398 (R. 4199) 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 mai The septic tank(s) must be pumped by a licen3ed pumper whenever . necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division ,.608 -266- 3151: To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be instarl8d. II. 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 of with complete dimensions, location of holding tank(s), septic" 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 creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. /o ff ado /,�1 11"010 UR /dt inl X j—' 0 5 � � sa- t� N �� Q a S3,o2 iNiscor sin Department of Commerce SOIL AND SITE EVALUATION f 31 isfon of Safety and Buildings Page __/_ of #"reau 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 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I. . # 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)). D Property Owne Property Location Govt. Lot 1/4 1/4,S T. N,R E (or& Property Owner's Mailing Address Lot # oc Subd. Name or C M# --::51 — City AL State Zip Code Phone Number ❑ city Vi age (0 Town Neares ad ❑ New Construction Use: COResidential / Number of bedrooms Addition to existing building ® Replacement ❑ Public or commercial - Describe: Code derived daily flow IStD gpd Recommended design loading rate ��_ bed, gpd /f1� _ trench, gpd /ft Absorption area required bed, ft ,/,non_ trench, ft Maximum design loading rate — bed, gpolfF 4— trench, gpd /ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design /site considerations Parent material zq -L Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system S ❑ U 29 ❑ U Cis ❑ u ® S ❑ u ❑ S E ❑ S ,® U 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 s , Ground _ elev. Depth to limiting 8 q ( factor Remarks: Boring # r Ground elev. I � Depth to limiting factor -min. Remarks: CST Name (PI se Print) \ Signature ' Telephone No. Address Date CST Number 4 SOIL DESCRIPTION REPORT PROPERTY OWNER ��t- .E Cn,r Page 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 n Zen Ground elev. r- ��ft. Depth to limitingf factor 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 # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # .......................... ........................... Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) .� ,���� 1� .•�a� �,� a� r�� �, /,���c/, - ,mil i�o s� ' z o Ali Co.yw e?9 I 8' v i /148 / �Co1` I t rikIc CeIt E'S l- ;2 G� — 17ay ST CROIX COUNTY SEPTIC 'DANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address �'- Property Address A`f 2 (Verification required from Planning Department for new construction) City /State /l6ln / f�.. /�,-/ Z'_ Parcel Identification Number. LEG DESCRIPTION �� Property Location /U�cJ ' /,, ICJ 1 A, ' , Sic , T ® N -RAW, Town oE �Tves Subdivision , Lot # Certified Survey Map # /� � 7 , Volume �_ , Page # 93' Warranty Deed # S9D�(� , Volume �7� , Page #.�f Spec house z ycs)( no Lot lines identifiable f yes O no SYSTEM 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 cvcry ihrec years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposaI 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. 1 /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards s'et forth, herein, as set by the Department of' Commerce and the Department of Natural Resources, State of Wisconsin. Certificat: stating; that your septic system has been maintainrd must he completed and returned to the St. Croix County Zoning Office within :0 clay t three ar , p iron date. 4 1 ATURE OF APPLICANT DATE OWNER CERTIFICATION 1 (we) certify that all statements on this form are inic to the best of my (our) knowledge. I (we) am (are) the owner(s) of the pro .rt descr ed o , by vu•tue cil a k�arranry decd recorded in Register of Deeds Office. S NAT E oF M DATE * * * "* An information that is mis -rc resented may result in the sanity Y p y sani permit being revoked by the Zoning Department. ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed r STATE BAR OF WISCONSIN FORM 1 — 1982 590109 li WARRANTY DEED QQCIIAAENT NO.. l VOL 3370puffi J n I This Deed made between Loren R. Croone and _ nuby E. Croone, Husband and Wife !; ^ R � QFFICE I; ST. C Case wi I Ret'al !Lr lCeoord Grantor, l and Dale X. Germain and Janie L. Germain, Husband OCT 2 8 1998 and Wife � I. Grantee,. Witness eth, That the said Grantor, for a valuable considera Re ter M Oe.dr i conveys to Grantee the following described real estate in St . Croix TR IS SPACE RESERVED FGR RECORDING DATA II County, State of Wisconsin: .� o i� First National Bank of New Richmond PO Box C A parcel of land located in part of the NWk of New Richmond, WI 54017 the NE k of Section 23, T30N, R20 W, Town of St. Joseph, :St. Croix County, Wisconsin; further described as follows: Commencing at the Nk corner of said Section 23 being the point of beginning of this description; thence N89 0 49 11 E, 030 - 2031 -20 -110 along the North line of the NEk of said section, 383 fee f4RCEL1DENTIRCATION NUMBER II thence S00 ° 11'55 1 7, 370.00 feet; thence S89 0 49 383.20 feet to the West line of the NE- of said section; thence N00 ° 11'55 "F., along said West line, 370.00 feet to the point of beginning. This deed is given in full satisfaction of that certain Land Contract between the 7- parties dated October 17, 1989, Recorded October 17, 1989, in Volume 854, Page 208, as Document 452620 and as Amended by Amendment to Land Contract dated November 23, 1990, Recorded December 4, 1990, in Volume 887, Page 601, as Document 464657. TRANSFER This 2s homestead property (is) Sl9t7Plt) s7 � li Together with all and singular the hereditaments and appurtenances thereunto belonging; I! And warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except Easements, Covenants, and Restrictions of Record, and any Liens or Encumbrances created by Act or Default fo the Grantee's. i! and will warrant and defend the same. i� Dated this day of September 19 (SEAL) �Caa.i+� I F1 nc� (SEAL) Loren R. Croone Ruby E. Croone ! (SEAL) (SEAL) I;. li l AUTHENTICATION ACKNOWLEDGMENT tj I l i Signature(s) Loren R. Croone and P.uby E. Croo State of Wisconsin, I� it County. authenticated this or September 19 98 Personally came before me this day of I 19 the above named Samu Cari TITLE: M BER BAR OF WISCONSIN li (If not, ' j' authorized by §706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the same. !, TH!S INSTRUMENT WAS DRAFTED BY r Heywood & Cari, S. C., 204 Locust Stree • is I, Hudson, WI 54016 Notary Public, County, Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (if not, state expiration date: necessary.) 19 ) ' Names of persons signing in any capacity should by typed or printed below their signamra. STATE BAR OF WISCONSIN wawra!n I.egat Bank Co.. Inc. WARRANTY DEED Farm No. L - 1982 N%Waukee. Wa. i • 5 N OV 211990' JAMES '�,pNNELL Aegis � ei nt Deeds 46432'7 'o St. C:dx Co w 1 CERTIFIED SURVEY MAP Located in part of the NWh of the NE4 of Section 23, T30N, R20W, Town of St. Joseph, St. Croix County, Wisconsin. Ni Corner of Note Unable to set NE corner of Section 23 NE Corner of I -- - - - - -- - - lot due to rock pile. Section 23 66' Unplatted Lands I I North line of the NE} of Sec. 23 I N89 °49' 00 "E 383.20 N89o49'00 "E — 30.00' 353.20' I — 2264.55' I c O M N 1fl I O O V .y ° OPool ( V D o 0 y HI o O v i s O L H I ar u 1 I z U)I House o :° u (� w ce O u. u *j I 1 �'� I� A 3 u� i o n 4f) o N V o e a+ ° -n cc Q.I a.sl o c M in A I rn v � IU I "� Q I I o LOT 1 - ~� ° ..y r-•� r-11 Q — • A �. v1 t I y 0 Total Area: o Co ° A Z 141,781 Sq. Ft. (3.25 Acres) ° I Area Excluding R /W: � ` � I I 00 A� • c� 30 130,681 Sq. Ft. (3.00 Acres) • c . .353.20' JUN 12 1989 ✓ I 6 1 S89 °49' 00 "W 383.20' ST, CRO IX COUMy I Ij I Unplatted Lands AND --- - - - - -- - - - -- S1 Corner I s I Section 23 SCALE IN FEET OWNER 0 50 100 P00 Loren Croome 213 Rlvercrost Drive Hudson, NI 54016 LEGEND County Section Monument V Iron Pipe Found 0 V x 24" Iron Pipe Set, weighing v �'• 9 9 ALLS� l C. 1.68 lbs. per linear foot � ' ' INH . N 3 Existing Fenceline .14 � 333 'f S ON ti a / ' 6 Parcel #: 030 - 2031 -30 -000 02124/2005 11:34 AM PAG 1 O F 1 Alt. Parcel #: 23.30.20.446B 030 - TOWN OF SAINT JOSEPH 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 MOELTER, KEVIN G & JANICE G KEVIN G & JANICE G MOELTER 1473 ANDERSEN SC'T CP RD HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): "= Primary Type Dist # Description " 1473 ANDERSEN SCOUT RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 20.460 Plat: N/A -NOT AVAILABLE SEC 23 T30N R20W NW NE COM N 1/4 COR SEC Block/Condo Bldg: 23 TH S 643.88 FT -POB TH S 672,91 FT TH S 89DEG E 1325.84 FT TH N 672.91 FT TH N Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 89DEG W 1324.82 FT -POB 23- 30N -20W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 663/592 2004 SUMMARY Bill M Fair Market Value: Assessed with: 5973 Use Value Assessment Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.460 59,000 379,600 438,600 NO AGRICULTURAL G4 11.000 1,700 0 1,700 NO PRODUCTIVE FORST LANC G6 8.000 49,200 0 49,200 NO Totals for 2004: General Property 20.460 109,900 379,600 489,500 Woodland 0.000 0 0 Totals for 2003: General Property 20.460 51,500 283,500 335,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 160 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 n CA O 'o 0 b � 1 O C N j 7 n 03 � CD w O Cn 3 � Z o W C1 N o �1• C') y 0 u O 0 o w° ► S r J I A Q O z N ow o o 0 3 C = fD Q ON O 1 CD N a? 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L RUTA CUUN'1'Y , W1:iLLUIV:4114 SUbU1vlslulV LU'l' LU'1' PLAN v 1 L W U1aCa11COU tln 4.t1 914i Co Ul Vcyulrau►ctkLz, of Hb� 11�;�YTH1NG W1'l'111N 1UU 11::1:'1' 0000 00- dL ra BW cool -4 T IP • !r ili a e v Ch Arrow UENCHMAKK: (V4A0U4na0C rafroranuG PUIIkL) Ucu.:i The cdRN�12 L4�Pj� 9 1CVML1un of vsrticaj,,raturunca Nutul . �tQQ :;1u1. uL u1L..� - SEPTIC TANK: Munutacrurdr: ( �, 5 Liquid LUP,.&:itY Wwabar of rinKa on cuvur _ Q �r _ Turtk 111 .:tivci .:l.!vuL i►,►► /b /.d 7 Tank InIeL Elavatlur►: 160 _lu►►lt UUL I.:t. LACVUL Lu► 1 Q 0 vUM-P 11Lit Miuiiufa e : Nu.0 ►b.:i •)1 17', 'S 1 lulla Nurbur of IS PULJ►P anC fur u .:yC1c - �u l 1�,► ►� , ., C Ap", L t y „C diacribULiun 11t _ bu l l u l► tj t c.: uC [J Lill gallon PaC WifiULY _ , I ►urtl�:Puwc� 6falid uu►►uc ui Pump and Modal nuutuair Typo of warning ddvi tWLU1NG TANK. Munul cr ul butlu►►:, Elc:vt►[ion n wla cuvpi _ t y Wdri►llig d0vlc4; L PIT SIZE: - -- NuulbuI uI pit:, Jiuuit2►.:i fuaL ligULd d6PLh- -- - du.:PuLc Pit t►►1.:► I i1,u -c1cv u►, buLLUtu Of. aua u !L alti lu►► t.:. ► ,A-LNACL; hi 'SIZV., nuo►l►ur ut l l►►cu wid1 I. e 1. „ h � L ► i.. L1,!1,L I�� 1 ;1 'l'I(EhCH widCA L.11 PL ILCULATIUN MA'f ARL:A kEQU1Ct1 -1j AREA A:', 11Ul t_T c cg9s *1„ - UATLU_ _ �—, ,�,� - -- _ Vi.urluIA( (, 1611 OKa -N-� 07 L.1L:hIV_;I_ IVUlvIUl�l( �' j„O�' I DEPAFWIIIIENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LPBOR & HU4kAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7960 BUREAU OF PLUMBING MADISON, WI 53707 IM CONVENTIONAL ❑ALTERNATIVE I State Plan 10. Number: El Holding Tank El In-Ground Pressure 1:1 Mound 111 augnW l NAME OF PERMIT HOLDER: 7 ,RR# DDRESS OF PERMIT HOLDER: INSP TION DATE: Loren Croone 1 St. Joseph, WI 5 4082 Y - 6 2 4 , — & 7 8 10, BENCH MARK (Permanent reference Point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.: NW4 NE% Section 23 T30N —R20W, St. Joseph Township Name of Plumber: PRSW No.: County: nitary rrnit Number: Donavin Schmitt 13205 St. Croix 34803 SEPTIC TANK /HOLDING TANK: MANUFACTURE LIQUID CAPACITY: TANK INLET EL V.: TANK OUTLET LE V.: I WA NI G L LOCKING 0 ER ED: PR YES ❑NO PROM NO BEDDING: VGJ VE NT DIA.: T MATL.: HI H NUMBER OF ROAD: ROPERTV 1 ZW BUILDING: I VENT T FRESH r t ALARM: FEET FROM AIR INLET: ❑ ❑ VENT YES NO OYES ❑ NEAREST J LIN DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID ACITV: P MOD PUMP /SIPHON MANUFACTURER: WARNING EL K G COVER PROVIDE PRO DED: ❑YES ONO ❑Y YES ❑NO. GALLONS PER CYCLE: Pu c L E o NAL: NUMBER OF PROPERTY L BUI LNG: N T TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET: PUMP ON AND OFF) ❑Y S 0 N NEAREST SOIL ABSORPTION SYSTEM. Che the soil moisture at the deyfth of plowing —_ ORCE LENGTH: D ET R IAM MAT 1 AND 7ING or excavation. (If soil can be rolled into a wire, construction SOW cease until F the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: 4 LEN N DISTR. PI S CING. IN U OIA #PITS. LIQUID DIMENSIONS � � TRENCHES �� E IA PIT DIMENSIONS �, GRAVEL DEPTH FILL DEPT UISTR 1 DISTR. PIPE 1 IAL TR. M E OF WELjL: BUILDING: V NT TO FRESH BELOW PIPES: AB E O ER. ELE , INLET - ELEV ND.� P FEET FROM LINE / AIR INLET: V i .0 NEAREST T MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture f the fill material for ; PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems eke certain the It ON REVERSE SIDE. SHOW ELEVA- meets the criteri or dium sand. TIONS MEASURED. E:1 YES ❑NO OIL COVER TEXTURE PERMAN T MARKE S: OBSERVATION WELLS YES 1 0NO I ❑YES 1:1 NO DEPTH OVER TRENCH /BED DEPTH OVER TR H/ ED DEPTH OF TOPSOIL rODED SEE ED: J .ULCHED CENTER: EDGES: ❑YES ❑NO DYES 1:1 NO ❑YES 1:1 NO PRESSURIZED DISTRIBUTION SYSTEM: BED /TRENCH WIDTH LENGTH TRENCHES: LATE SPACING JGRAVELDEPTHB FILL DEPTH ABOV DIMENSIONS MANIFOLD PU MANIFOLD DIS . PIPE MANIFOLD MA EHIA O. DISTR. UI DI THIBUIION PIPE MATERIAL & MARKING ELEV. ELEV.. DIA. E PIPES DI ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZF HOLE SPACING DRILLED CORREC V CVERATERIAL VERTICAL LIF CORRESPONDS TO APPROVED PLANS Y NO ❑YES ❑NO COMMENTS: r ERMAN N OBSERVATION WEL NUM BER OF PROPERTY WELL: BUILDING: FEET F LINE ❑YES L_]NO ❑YES El NO NEAR - -, Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE TITLE DILHR SBD 6710 (R. 01/82) . DEPARTIVNT OF APPLICATION SAFETY &BUILDINGS INDUSTRY FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8' /z x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H -63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. if designed by a Master Plumber, the date, signature and license number must be shown. A legible reproduction of the soil test report or the owner's copy must be included. Property Owner: Mailing Address: CAEN C © E % 5d Property Location: City, Village o ownship: 'County: '/4 WE '/4S J30 NiR (> E (or)® _ S , Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number: X4 I X14 %l- � (If assigned) r TYPE OF BUILDING Number of ❑ Public ❑ Variance ❑ Other (specify)* Bedrooms: rQq Vsj 1 or 2 Family * State Approval Required. TOTAL NUMBER PREFAB POURED -IN STEEL FIBER NEW REPLACE- OTHE A GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify SEPTIC TANK CAPACITY ^!,4 HOLDING TANK CAPACITY LIFT PUMP TANK /SIPHON CHAMBER MANUFACTURER: e e EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): New ❑ Replacement ❑ Experimental W Seepage Bed ❑ Seepage Pit G® Alternative (specify) ❑ Seepage Trench Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): Private ❑ Joint El Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Signa _ M PRSW No. Phone Number: /T 3 (7 �S► s`f� 6 Plumber's Address: Name of Designer: o -T CU/`, ,5 a COUNTY /DEPARTMENT USE ONLY Signatu a of Issuing Agent: Fie: 00 0 Date• p APPROVED Sanitary Permit Number: I� j ❑ DISAPPROVED �� 0 Reason for Disapproval: Alternate course(s) of Action Available: Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67 -T) to be submitted to the county prior to in- stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White- County, Canary- Bureau of Plumbing, Pink - Owner, Goldenrod - Plumber DILHR -SBD -6398 (R.07/81) ,4�r�r, - 2q _ if f sp S m Pei IV ar ta 13 yt LoRely . GRc ���� C�G/vg U,/�! S� "it/`�i ✓mil^ _ 5Tess� =� _ tt✓�: �y� Sc�- 5 ME EH. 115 Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION: AJVJ/ <,hL %, Section ��,T 39N;R- (or) ®Township or Municipality Lot No. Block No. �`r o 'td C. < 4. /\& County ub Ivlslo — dame Owner' Ampm Name: ✓► C r 9 Mailin Address: r 14 se J S a 4:5" q 0 TYPE OF OCCUPANCY: Residence I/ No. of Bedrooms 3 COMMERCIAL a' EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM ./ /2 /Sl OTHER / DATES OBSERVATIONS MADE: SOIL BORINGS q �3 NAME & g 1 A_l PERCOLATION TESTS 67 SOIL MAP SHEET F SOIL MAP UNIT A � Al 0 PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN /IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- Lti S � Z S 1 ! l ' ` I,G P-,3 I -3 Z ,�� < Y. 1 o P— P— P— SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, MOTTLING AND DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B— ovlC, 8S " 4 't r5 if 440 "s C,16 a "vj1,i S. B- 4j 0-v e , " i ay. C e B— `k � G IZt.S Z3 1 - 7 SL N s G CZ IL a c� B S Z. N o-we- 8Z 1a I ° si 3°iu r ob. B— 3 B 3 8 " �. 7- s, 1 Ll(a N S G v- C B- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the Ign t locatiop and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy C3 Indicate scale or distances. Give hori ontal and vertical reference points. Indicate slope. 3>ma3, Z.n �s i e P e �i t € I Jn a �M � � _ I Y a DN 0 1 4 H _ <KL 1 y �r 3 2- m I I, tti e undersigend, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief. Name (print) � l c _ l V L oL ev1 Certification No. Address 108 V-bj n c, S 0 ✓1 bU ? 'S (lOf , .Name of installer if known 9 - 1 py A —Local Authority CST Signature �� �' Form - S T C 100 Owner of Property 20 C Location of Property . - - k _k, Section 2.3 ,T 3 N R Zv W Township Mailing Address Subdivision Name Lot Number Previous Owner of Property Total Size of Parcel Date Parcel Was Created Are all corners identifiable? Yes No Include with this application one of the following .Certified Survey Map .Deed .Land Contract, or .Other Legal Document which describes the property PROPERTY OWNER CERTIFICATION I (We) certify that all statements on this form are true to the best of m (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty de recd in the Office of the County Register of Deeds as Document No. 6 ` ; and that I we l ) presently own the proposed site for the sewage disposal system (Q&44w4�e construction of said system, and the same has been duly recorded in the Office of the unty Register of Deeds, as Document No. 16 6 6 ), SIGNATURE QF OWN R SIGNATURE OF CO.OWNER (IF APPLICABLE) OAT 51 ED DATE SIGNED DOCUMENT NO. STATE BAR OF WISCONSIN —FORM 2 VOL 618 PA u E 15 7 WARRANTY DEED 36 6649 v THIS SPACE RESERVED FOR RECORDING DATA Lyle J. Eckberg a non - resident of REGISTRS OFFICE the St ate of Wi scon si n, ST. CROIX CO., WI& Bleed. for R (scord this 29th conveys and warrants to Loren R. Croone day of l ept• A.Z. 19 8 at 8z3 A M, Rphty of owl R URN TO the following described real estate in St. Cro iX County, State of Wisconsin: Tax Key No. Northwest Quarter of the Northeast Quarter (NW4 of NE4) of Section Twenty -three Township Thirty (30) North, Range Twenty (2 0) We TRAN SFER 00 FEE This is nOt homestead property. (is) (is not) Exception to warranties: Dated this 25t day of S 19 (SEAL) (SEAL) le J. (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signatures authenticated this d ay of STATE OF 1WX MINN. 19 ss.. Washington County. Personally came before me, this 25th day of * Sept 1980, the above named TITLE: MEMBER STATE BAR OF WISCONSIN Lyle J. Eckberg (If not, authorized by § 706.06, Wis. Stats.) This instrument was drafted by Lyle J. Eckberg to me known to be the person — who executed the fore - 126 South Second Street going inptpl4ent and a 6w d the s e. -Stillwater, MN 55082 1 :'x� (Signatures may be authenticated or acknowledged. Both * Karen L. Froehner are not necessary.) Notary Public Washington County, 1Pijr� Mi nn My Commissioner X"WftXX c}4I;a"*C eXp res do ar Annnn,+D4b wy6 5 ) KAREN L.FROEHNER NOTARY PUBLIC – MINNESOTA WASHINGTON COUNTY WARRANTY DEED -STATE BAR OF WISCONSIN, FORM NO. 2 -1977 x