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HomeMy WebLinkAbout036-1034-20-200 o _N O c m o d �1 c R m m C) m a M CD m m CD c m o w 0 ° rn o Ef cn w C• _ < c W " j j 9' CD fi t? N N p O N N N -, N 3 N K) 0 0 8A C f O n �.' O O 0 O O co a) w 3 a i m !�i D o ro Z (D 97 T,, F (D a ul (D fS° A C N N 3 0 N 'O 0 A O O i ,-- Z C\1 (17 CD O W � N N fn M O O� y a CD CD °• 0 0 o m cr y A O x g 3 In W u) 0 N m a G O 3 °o o_ N CD m N o w cn n v m = CD a ° (D a Z 0 I ° i ° Z z : I O D o n O S �r 3 N N N � N CD f CD c m co m CL a F CA Z 7 ' c c ',�I yi Z o cn ^ n CL A Z O N d z 7 O '. Cf) � W T C2 c C. Z 3 a A 3 Z y Z > ro W O 0 0 N a CD N O fp (D O_ C N J a G p� N N N Dl O — O L' ?'O N C O Z O. (D N 3 O N Z CL p � = O 0 N fD N cD 3 Z O. �O f Q O N a N A w = N c 7 ` D = a CD ID O8oN c qb N > N �ro =F O � CD,l V A 0 N ' I = ro O C) Q O CD ~ 7 O 0- a 9 isconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: 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)]. 363829 Permit Holder's Name: ❑ City []Village ❑ Town of: State Plan ID No.: Johnson, Jeffrey Stanton Township CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 1 0$ SS' l o % f T I " PUL CST gvu * Z 036 - 1034 -20 -200 TANK INFORMATION ELEVATION DATA !�• 3!• /7r AI?19 - TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic iSelS !fD'0 Benchmark 0Y.S Dosi ng Alt. BM ' j� 3cr , } Aeration Bldg. Sewer Holding St/ Ht Inlet 't3 bZ -�eD TANK SETBACK INFORMATION St/ Ht Outlet b-ro t 102.31 TANK TO P / L WELL BLDG. vent to Airintake ROAD Dt Inlet Septic �f �' ` --� NA Dt Bottom �• r Dosing NA Header /Man. Aeration NA Dist. Pipe A/ 9 . s3 lot 37 /01, 28 Holding Bot. System s . � 3 911.98 .0 f , PUMP/ SIPHON INFORMATION Final Grade Manu cturer Demand St cover oZ -� 06 •Oj Model N ber GPM TDH Lift Friction Syestem TDH Ft Forc ain Length Fii owell SOIL ABSORPTION SYSTEM IZ -i BED/TRENCH width Len th_ j NooOf Tenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION DIMENSION LEACHING Manua urea SETBACK SYSTEM TO P / L BLDG WELL LAKE /STREAM r- i t INFORMATION Type Of r CHAMBER o el Number: System: CVVsi i o OR UNIT DISTRIBUTION SYSTEM Li-o N. P . Header /Manifold u Distribu ion x Hole Size x Hole Spacing Vent To Air Intake Length � Dia. Length Dia. pacing V t SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over / 64 Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center 3b Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1:057/2 Inspection #2:-4--t-- Location: 2161 170th Street, New Richmond, Wl 540 7 (W 1/4 NW 1/4 15 T3 IN R1 7W) - 15.31.17.219A10 -Lot 1 Vew- 44_ 1.) Alt BM Description = �,�ta�t- 2.) Bldg sewer length= - 3 3j) ' - amount of cover = ? _ "4� �fft, Plan revision required? ❑ Yes N( No Use other side for additional information. o, 2.S 00 AL6 14 �1 SBD -6710 (R.3/97) Date Inspector's Signature Cert No l ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: _. mm ° i f i 3 F a i x a i E E 3 4 , I € 1 F e �....... .... t e % e 1 ! ...s, E r e i � I r 3 a d n s t a 1 " 3 �3 t a s .m.,.� 3 � c � ... { a ............ " r � x a i � E v e L e I SANITARY PERMIT APPLICATION Safety and Buildings t n Avenue, A sconsin 201 W. Washington P 0 Box 7302 Department of Commerce In accord with Comm 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 81/2 x 11 inches in size. CPO 1X • See reverse side for instructions for completing this application State Sanitary Permit Number 3(0 389 Personal information you provide may be used for secondary purposes ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Pl an I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Property wn me Property Location r .4- O 1 U w 1 /4, S T , N, R l ) W Property Own Maili g ddress Lot Nu ber Block Number City, St lI0 Zip Code Phone Number Subdivision Name or CSM Number N t (,vim � (7 S) of . Y 3S II. T PE B IL ING: (check one) ❑ v'+ne ❑ it� Neares oal� ❑ VII age Public 1 or 2 Family Dwelling - Town OF / III. BUILDIN USE: (If building type is pu chick all t pnlvl `. / arcel Tax Number(s) 5 3 I –1 Q0 -ao in 1 ❑ Apartment/ Condo 1 `.,, ��� 1,0 2 ❑ Assembly Hall 6 ❑'Ugclical Facility/ Nursing Hbm 10 ❑ Outdoor Recreational Facility 3 E] Campground 7 ❑ 1Me�rchandf* ales /,_,pair a 11 E] Restaurant/ Bar/ Dining 4 ❑ Church/ School 8 15 ill Fl kk °1c 12 ❑Service Station /Car Wash 5 E] Hotel /Motel 9 El f#ice,/ Faclq } _ 13 E] Other: specify IV. TYPE OF PERMIT: (Check only one (x chi line A. Check O� online B, if applicable) A) 1. New 2. E] Replacement Re cement of 4 ❑ Reconnection of 5 ❑ Repair of an System ________ System — Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Pressurized Distribution Experimental Other 11 ❑ Seepage B 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage T ❑ Pit Privy 13 Seepage F r ❑ Vault Privy 14 E] System � ' `C VI. ABSORPT! 1. Gallons Per Di r' /a1 Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade �I t als/da A . ft.) (Min. /inch) Elevation 0 �� M2 / Feet 1,0ye Feet VII. TANK Prefab. Site Fiber- Exper. Concrete INFORM lanufacturer s Name Con- Steel Plastic O rJ� structed glass App. Septic Ta or+lel L IJ � 1 0 S ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Si _ ❑ ❑ 1 ❑ 1 ❑ 1 ❑ � VIII. RESPOI I, the und( " /I the onsite sewage system shown on the attached plans. Plur,�b MP CA U yeo LA.) Ql=c er's Name: (Pri nps) /MPRSW No.: Business Phone Number: Plumber's Address (Street, City State, Zip Code): \ �0 L IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved nitary Permit Fee (Includes Groundwater ate Issue Issuing Agent Signature (No Stamps) Approved E] Owner Given Initial Surcharge Fee) OD Adverse Determination ' X. CONDITIONS OF APPROVAL/ REASONS FOR g ISAPPROVAL: (t j- 2_j -1 FLo6 fLmP 'BD (R. 4/99) 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 may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed 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 Dwision, 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 Thstalled'. 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 or 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'1 15 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. I �1�re �l oso►� sw`l� �,}w' / S I s T3 ! ; 'w A: more, w Sic, i se-&Q, "= J. o al to I e 4 hit- an E " Poc' /bY Ss f� ✓Q ��. \l � 2�,o s _ _ _ o - v ' D No d X76 "\ ST C ^ 4 }L M •m T a ❑ o W Y n 3 xmq 9 � ca j ro o N' SOrr i (0 �3 co a O uD c J (D cn (D i x ❑ (D �. (D N - n r D OL �• CD cr 'O n Q 0 -1 O - - - (D O (D r- `� - E — O n N n = 3 ?� 0 - a p) (0 (D O O � p N i N (�(D N o N W CO x 0 N C ((DD Q v, n 'i O <• - m 3 w 0 O C C 3 CD 3 Invert I V —}� p ( p� Wisconsin Depart ment of Commerce SOIL AND SITE EVALUATION � �) Division of Safety and Buildings Page of Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Xttach 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 ,5 , C Y'` 0 \^ x percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # 036 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)). q — , z Property Owner Property Location �� Govt. Lot $(,� 1/4 (,�1 /4,S /5 T 31 N,R 1'7 Vor) W Property Owner'if Mailing Address Lot # Block# Subd. Name or CSM# 17 w 0 0 13 City S to Zip Code Phone Number Q i ❑ City El Village ® Town Nearest Road wr i Sy ( 71 c) d10 sta IrAtlo� /?D s-t New Construction Use: ❑ Residential / Number of bedrooms Addition to existing building Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate i bed, gpd /ft gpd /ft Absorption area required _ bed, ft TSb trench ft Maximum design loading rate ► - bed, gpd /ft , (o trench, gpd /ft Recommended infiltration surface elevation(s) — _� lOV s / / c ft (as referred to site plan benchmark) Additional design /sit onsiderations Parent material t a— DP t Flood plain elevation, if applicable It S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system S❑ U E S ❑ U f� S❑ U ❑ S 4 U ❑ S �U ❑ S N U SOIL DESCRIPTION REPORT ,$ /Uc z 3 Boring Horizon Depth Dominant Color Mottles Structure GPD /ft g Texture Consistence Boundary Roots in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench d� �0 r X) 4Y. C , -Z 2%-, ) 5 9- �v 4 1A ``� 5/ a -5 $hy C. w �. �— ► S , to Ground 10 jr O P 1 elev rh r C W 15 i Depth to n A Ve 64 0 S Q ri� ' ` limiting S (, t to factor '-%Lin. Remarks: Boring # l d � Ia /o ►• 2 °' .,t � b �' mv� r C �.J �. *n r.s ' ( Ground 1Y\ .' elev Depth to limiting factor n. Remarks: CST me (Please Pr' Signature Telephone No. 113 1 513 Address Date CST Number ,6 'Y u r ✓x`5` aS PROPERTY OWNER -.,�Q Dh SOIL DESCRIPTION REPORT Pa e g 0� of PARCEL I.D.# 3 ao=.& Boring Horizon Depth Dominant Color Mottles Structure 2 g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench Depth to Y'tl, limiting factor V !.2 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) . P 3Q �-e •fa�v�scs , S w �, tUw S ,51 3� ST C ro � x ✓n ec)G e/ /o 0537 �cl i i l ?� sa hz - aAta. WisconAl Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accords "R. Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 1 s in ze. n must~: ..'` County include, but not limited to: vertical and horizontal refere - it, nt (BM d '` = ,', ��� ���' p r � percent slope, scale or dimensions, north arrow, and to a' and distance tbest road -, parcel I.D. # er — C�3 APPLICANT INFORMATION - Please grin `ajLnformr Rev ewed b Date _ _. / Personal information you provide maybe used for secondary pu 19�1 ' Privac 7 04 (1) (m)) Property Owner ,',� ation t. lL� 1/4 1 � T N,R 1 � E (o Property Owner's Mailing Address # Block# Subd. Name or CSM# Ci tate Zip Code Phone Number ❑ City [:1 Village J>� Town Nearest Road ha -) Z i 7 ooh New Construction Use: residential / Number of bedrooms 7 Addition to existing building El Replacement Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate bed, gpd /ft trench, gpd /ft Absorption area required , bed, ft 2 O trench, ft Maximum design loading rate '*/ gpd /fi . trench, gpd /ft Recommended infiltration surface elevation(s) c ft (as referred to site plan benchmark) Additional design /site considerations Parent material �e� �c c �c�/ ,7 �/ Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure I AT -Grade System r inn Fill Holding Tank U = Unsuitable for system S El ,9 " S El U FS ❑ U as El El ❑ S __R U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground elev. 17`� 7M12 — ft. Depth to limiting factor 5 tin. �g 4ri Remarks: ng D � G �fN� l�/ r IW� I dW • J Ground b leu —ft. De th to limiting o factor in. Remarks: CST Name (Please Print) ign y ature Telephone No. Address Date CST Numbey�� 5 lee" 1l� f SOIL DESCRIPTION REPORT t PROP iRTY OWNER 7 Page of PARCEL I.D.# Boren # Horizon Depth Dominant Color Mottles Structure 2 Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench �4, h Ground elev. ° J?Zff. Depth to limiting fact r in. 1 7 Remarks: Boring # Ground elev. Depth to limiting facto „7 Remarks: S Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /fie in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # Ground elev. y �•,i ft. Depth to limiting factor Remarks: Ling # Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) Soil Test Plot Plan Project Name Steve Halleen Byron Bird Jr. Address 2162 170th St. New Ri Wi 54017 CSTM #220527 Lot - ----- Subdivision - --- ---- --- Date 12/ SW 1 /4 NW 1/4S T 3 1 N/R 17 W Township Stanton Boring () Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft.Top of Lath with Orange Ribbon System Elevation 93. 7/93.0 *HRP as Benchmark Alternate Benchmark Top of Lath with Orange Ribbon @ 99.5 0 Alt. -4 10' 445' 30' ' 45' -5 �" 10' B -1 30' 100' & -2 w O O K O CD r 120' No Property Line ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer p— . f q vt1C1S0r" - Mailing Address -5- "d/ Property Address ,.��� - 7 0 S7 / (Verification required m Planning Department for new construction) - City /State ke.LL.,X R mh Parcel Identification Number 036 - I03 611) — � O © LEGAL DESCRIPTION Property Location '/4, _ ' /a, Sec. - L - q_, TAN -R Town of Subdivision , Lot # Certified Survey Map # ioS F5? , Volume 3 , Page # 35 7 Warranty Deed # °�� �� _,Volume L , Page # 1 �S Spec house ❑ yes 1�q no Lot lines identifiable PC yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site 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. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. 4�� 4 / M/ ot7 OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. /11/ a I OF LICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 1499PAGE: 108 STATE BAR OF WISCONSIN FORM 2 - 1999 62041 d KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Steven S. Halleen, a/Wa Steve S. RECEIVED FOR RECORD Halleen, a single person, 03 -31 -2000 9:00 AM MANTY DEED Grantor, and Jeffrey L. Johnson and Tins L. Johnson, husband and EXEMPT r CERT COPY FEE: wife, COPY FEE: TRANSFER FEE: 96.00 RECORDING FEE: 10.00 Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix _ County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Part of SW 1/4 of the NW 1/4 of Section 15 -31 -17 described as follows: Lot Name and Return Address 1 of Certified Survey Map filed January 27, 1999, in Vol. 13, Page 3597, i Frst National 831111 of New Richmond Doc. No. 596589. Box C New Richmond, WI 54017 036 - 1034 -20 -200 Parcel Identification Number (PIN) This Is not homestead property. I%) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this Za ' day of March 2000 • + Steven S. Halleen, a /k/a Steve S. Halleen AUTHENTICATION ACKNOWLEDGMENT Signature(s) Steven S. Halleen, a /k/a Steve S. Halleen, a single STATE OF WISCONSIN ) person, ) ss. County ) authenticated this day of March 2000 Personally came before me this day of the above named * Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, — authorized by § 706.06, Wis, Stars.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY + Attorney Kristina O land Notary Public, Slate of Wisconsin Hudson, WI 54016 My Commission is permanent. (if not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary,) • Names of persons signing in any capacity must be typed or printed below their signature. atarmaiion ProWsionai. company, Fong du Lac, ins STATE BAR OF WISCONSIN eoo-assaoz1 WARRANTY DEED FORM No. 2.1999 3. C) CERTIFIED SURVEY MAP Located in part of the Southwest Quarter of the Northwest Quarter of Section 15, Township 31 North, Range 17 West, Town of Stanton, St. Croix County, Wisconsin. r- Prepared for and at the request of: ti OWNER: Steven Halleen 2162 170th Avenue 6 New Richmond, WI 54017 Drafted by. Kristi A. Eylandt UNP_L_A_T_TED_ LANDS P _S 7 1990 Z WEST LINE OF THE NORTHWEST 114 OF SECTION 15 8 `� K �q�stet o � j 3 CENTERLINE 170TH St. 17 0 H STREET _ -- — — — — — — — — -- N01'00'45 "W N01'00'45 "W 306.24' 2619.10 -- -�— - -- - -- — w _ c S01 '00'45 "E 1964.32' N01*00'45'W 348.54 , c., 4 ; \ N 01'00' 45 "W 306.24 _� W n o o RIGHT -OF -WAY o � U1 L �� Z I�� iz �n Ja I� (n ............ r- j n ID m BUILDING SETBACK LINE v j:1 v 2 m o �' I �r- v; I 0) � I� N L WAD Z I O to W 00 V' ;a O V . y O . i T1 to IZ 0 � x 0O D r Im mv► mv1 O I� NO 0 HO Z z rf, Cal -2 � ^ 1z r I i V I � I N I N ?ohm 7.ocno0 n J �C IZ a m o N7y 0 3rt :U C '. �I O 0 ,p T 0 .7+- W Z j(n 3 a- o 3a6 �3� IaN o N C 7 fD .p, 0 n 3 T y O a 0 —:3 J r«� N• f 3 �� O G 0 0 c f \9J ?); D o n y y Wes. c = \ n f Z r \�c `� !y Z m 0 o Ch �(oco m \ cn z 0 3 y o Q gti0 O ' D - D TI G7 "'� o y \S 0 (n NX M ;0 Z ° cn� o RONALD F. a] D CL m GO io cn JOHNSON = o II Fn >00 o s -�,e «, z � o _ z o 0 o.0 m .. AMEP",' O = aX WIS. ° � o 10 e *` � j o -•..•• C Q. CD < O o JOB #98274 °,. Aw a� ®,�� : Z Cn Prepared by. > r D Z A & E m LAND SURVEYING do CIVIL ENGINEERING I m o p Phone No. (715) 246 -4319 — 109 East Third Street, P.O. Box 325 m 2 New Richmond, WI 54017 Sheet 1 of 2 Vol. 13 Page 3597 CERTIFIED SURVEY MAP Located in part of the Southwest Quarter of the Northwest Quarter of Section 15, Township 31 North, Range 17 West, Town of Stanton, St. Croix County, Wisconsin. SURVEYOR'S CERTIFICATE I, Ronald F. Johnson, a Registered Wisconsin Land Surveyor, hereby certify that by the direction of Steven Halleen, I have surveyed, divided and mapped a part of the Southwest Quarter of the Northwest Quarter of Section 15, Township 31 North, Range 17 West, Town of Stanton, St. Croix County, Wisconsin described as follows: Commencing at the West Quarter Corner of said Section 15; thence, on an assumed bearing along the west line of the Northwest Quarter of said Section 15, North 01 degrees 00 minutes 45 seconds West a distance of 348.54 feet to the point of beginning of the parcel to be described; thence, continuing along last said west line, North 01 degrees 00 minutes 45 seconds West a distance of 306.24 feet to the north line of the South Half of the Southwest Quarter of the Northwest Quarter of said Section 15; thence, along last said north line, North 89 degrees 40 minutes 19 seconds East a distance of 743.26 feet; thence South 48 degrees 02 minutes 27 seconds West a distance of 460.94 feet; thence South 89 degrees 40 minutes 19 seconds West a distance of 395.08 feet to the point of beginning. Containing 174,290 square feet (4.00 acres). Subject to right -of -way for 170th Street (a Town Road) along the most westerly line of the above described property, also subject to all easements, restrictions and covenants of record. I also certify that this Certified Survey Map is a correct representation to scale of the exterior boundaries surveyed and described; that I have complied with the provisions of Chapter 236.34 of the Wisconsin Statutes and the Subdivision Ordinance of the County of St. Croix and the Town of Stanton in surveying and mapping the same. Ronald F. Johnson Reg. No. 1186 Date t A & E Land Surveying Telephone # (715) 246 -4319 P. O. Box 325 New Richmond, WI 54017 G 0 RONALD F. S c, JOHNSON -1196 s Z FRY. Wis. 9�� q ^, D • mo �i►j S U R � ��1P ��halOi •Ma Vol. 13 Page 3597 Sheet 2 of 2 DEPARTMENT OF RE PORT ON SOIL BORINGS AN D P SAFETY&BUILDINGS INDUSTRY, __ 1 c DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (ILHR 83.0911) &Chapter 145) LOCATION: SECTION: TOWNSHIP /MJL8 ITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: �4 NFJ 1 /4 15 /T 31 N /R i7& or) W Stanton n/a n/a n/a COUNTY: OWNER'S/ AME: MAILING ADDRESS: St. Croix Steven S. ITallppn 2029 215th. Ave., Deer Park, WI. 54007 USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIALDESCRIPTION: (PROFILEDESCR 1PERCOLATION T ESTS: Residence 3 n/a i5Xew ❑Replace Il 7 -29 -92 n/a RATING: S= Site suitable for system U= Site unsuitable for system M ON VENTIONAL: MOUND: IN- GROUND - PRESSURE: SYSTEM- IN- FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) IS ❑ U IaS ❑ U ®S ❑ U ❑ S A ❑ S CQU c onvent Tonal If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: class 2 Floodplain, indicat Floodplain elevation: n/a PROFILE DESCRIPTIONS p age 13 AOB BORING TOTAL DEPTH TO GROUNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 84 98.69 none >84 0 -6, 10yr4 /3, L.; 6 -27, 7.5yr4/4, sl.; 27 -84- 7.5 4 4 ls. &gr. 99.44 0 -12, 10yr4 /3, L.; 12 -25, 7.5yr4/4, sl.;- B_ 2 86 none >86 5 -40 7.5 4/4 ls.• 40 -86 7.5yr4/4, ls. &gr. 97.39 0 -12, 10yr4/3, L.; 12 -26, 10yr4 /4, sil.; 26 -89,- 6- 3 89 none >89 7.5yrls. &gr. 99.44 0 -7, 10yr4 /3, l.; 10 -26, 10yr4 /4, sil.; 26 -36,- 6- 4 82 none >82 -8 4 4 lco. S. &gr. B- 5 82 97.74 none >82 0 -7, 10yr4 /3, l.; 7 -22, 10yr4 /4, sil.; & B" _T_ PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL -MIN. PERIOD 1 PERIOD 2 PER PER INCH P- P- P- P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 9 5.6 9 a _ ;Z-- _�3F - E 3 s F . E 3 t l � tN r_ - 6 70 .. .__�� 6 0 I 3 I, the undersigned, hereby certify that the soil t is o led on tKOform wer by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded an t cation of the tests c r ct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 7 -29 -92 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 1554 200th. Ave., New Richmond, TH. 54017 2298 715 -2 -6200 CST SI A E:- DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR -SBD -6395 (R. 10/83) — OVER — vfl i v; s r i v Lv i r I ci pu s F v C 0 i L, T i 1`0 ou, i" M '15 290 639 conw! An. n 1 1.0w hA Ummys WZWTWP'� 3 4 :0 Thn q myc 0� , RUJAAAN"! 4' "j CA HFR NYMS A N: NZ !I! 007YARIDY Wh 17SP01T Oil 6. PLEASK u3P it at my c most in q '10k ho 0 1, -?Wev,64 CA 4nopsu'G! a pknq Lho Out inisal; F"'-"!3RL I mmm on, Y"mm a y�� on kvv Ia. Dm—ci 0, mwo 4 pm&" M skor h"'r' oo"' v'. x mv 4� upan my. In- j vvo- " jv_ v ;,non, and dvp :vAnvYwrQ 9 con: Mq) AU njoullmN hyxin 3S to U"m v ;OPTI M.Yen�x kv)6 NY j. jxmn on bxmw 10 it ap;WrjQ1U 10. H , 1 � toy; m torn and Vapor i n a m o""" r, 12. Mu WhA, noYps and Ammomp n mA ed. Al L. 001L MY! MOTY BE PTEP WITH THL A6P-kEV1, 1130 CERAFRO SCIA TESFIRS QJ Own sy-wlk" RmQ m" Flo. k BOMA MIA TO THE OVVINER, This Scat teg rumn is We Kra swp vaitcation of 00 Q, No in Am hNn w Arymn 4mamc� A cv,MTo A uf phm im We privan', ww"e LjCnK� a AY to A ng, i"'I o'drll ' Co r"oi Parcel #: 036- 1034 -20 -200 06/20/2007 02:22 PM P AGE 1OF1 Alt. Parcel #: 15.31.17.219A -10 036 - TOWN OF STANTON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co - Owner O - AJER SR, CHARLES J CHARLES J AJER SR 2161 170TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 2161 170TH ST SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 4.000 Plat: 3597 -CSM 13/3597 SEC 15 T31 R1 7W PT SW NW BEING LOT 1 Block/Condo Bldg: LOT 1 CSM 13/3597 4.00AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 15 -31 N-1 7W Notes: Parcel History: Date Doc # Vol /Page Type 12/11/2002 701801 2076/307 WD 03/31/2000 620410 1499/108 WD 07/23/1997 1234/490 WD 07/23/1997 999/582 WD more 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations Last Changed: 06/02/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.000 25,000 216,700 241,700 NO Totals for 2007: General Property 4.000 25,000 216,700 241,700 Woodland 0.000 0 0 Totals for 2006: General Property 4.000 25,000 216,700 241,700 Woodland 0.000 0 0 . Cla m Count: 1 Certification Lotte � Cred 1 i n : Date: 12/04/1998 Batch #: 567 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wis;onsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 la bor and Human Relations Divisisn of Safety & Buildngs in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but %T. C 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. 0 36 — 1�3 _ Zu APPLICANT INFORMATION— PLEASE PRINT ALL INFORMATION REVIEWED DATE S41'l PROPERTYOWNER: ZZ ZSt - Sl" tAft tLeIaW PROPERTY LOCATION T 1 1 *1 PN V t b s l z::� 5 Lrw FS GA1R =-69 S ►-) 1/4 tJ LtA /4,S 1 S T -,% I ,N,R Q E {o�W PROPERTY OWNER MAILING ADDRESS LOT # CK # I SUBD.NAMEORCSM# `3 t� Z l0 `nt kuQ. — BLO CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ®TOWN NEAREST ROAD t x iZ_Wt HM w\ Soot - , I r1► 110 `-)+ Sr p([ New Construction Use Residential / Number of bedrooms 3 [ ] Addt qn to existirg building j ] Replacement [ ] Public or commercial describe Code derived daily flow `I SO gpd Recommended design loading rate — bed, gpolft ' S trench, gPdM Absorption area required WL S bed, ft c I o O trench, ft Maximum design loading rate %y bed, gpd/ft ' S trench. gpolft Recommended infiltration surface eievation(s) Is tz' R G � 3 it (as referred to site plan benchmark) Additional design / site considerations Z 'T}tom VW - fit♦ S `x LAvi G Parent material L % L7 y - kjR ou l"tyrr'Tb► Flood plain elevation, if applicable S = Suitable for system CONIIEI`f MAL I MOUND 11MUND PRESSURE 7ATM SYSTEM IN FILL HOLDING TANK U= Unsuitable for stem Q S ❑ U 0 S ❑ U 0 S ❑ U ❑ U ❑ S Lou ❑ S ERU SOIL DESCRIPTION REPORT Boring # Horizon Depot Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft [3 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 7Bed7ich 0 -9 N0�12 3 /z. - S ; ' 7,1Sbh Z 9 -Z lo'1Cz- 316 G�-sil Z'` soh vn Ground 3 Zy - o 31Y - Gr S 1 1 i✓ s bk Y►1 \ & - • �[ • S elev. 1� S ft W3 F �Z�` \L lottl TI>Jss Depth ro limiting fact p Remarks: Boring # Z 31 L Ground 3 2q -S3 - ► -sya Sly \!? S ., elev. y S3 �3 V ll y 2 3 !b '3 S �I •�c,` IN r rwit fir R -Z ft Depth to limiting factor Remarks: OY INti TNarne:— Please Pratt fie' Arthur L. We erer 715- 425 -01 gerer Soil Testing & Design Service —P.O. Box 74 River Falls,W 5 Tbw. Sgnadxe: [ �7�� N � � � — g 3 Dad: • � � CST N l os76 t PROPERTY OWNER �El SOIL DESCRIPTION REPORT Page ?of PARCEL I.D. #t o3 b - l Z 3 - Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ranch 3 {: o -�) tOyR 3/Z 5'1 I Z`FSbm tM L Glv •S •6 Z )! -3Z O`t2 3!(, — StI Z MS�1 t Y»` 1- L W — •S ,L Ground V u e S -S elev. tDy1Z y/6 S 9 m � - Depth to limiting i factor� Remarks: Boring # o -q luti 3 L2 s1 Z� vn�� � .S•1. Z rn sbk vn'�� cw _ • s I . 3 lq -SS 1�titZ X16 — al 1 C-sbk YdU v e- _ i •S Ground `� S U elev. y SS 9 l 0 -i R. y ! L M- S ft. s g �► I Depth to i limiting factor Cy FT i Remarks: Boring # 0-b t o"l T- �'s�k h1'f h • 5 � 3 Ground 1 el ev. L/ Sal - t 0 `1 R V JL S Et 3 9 IPA Depth to limiting factor ? Z 3" Remarks: Boring # i Ground I elev. ft. Depth to limiting factor Remarks: $80- 8330(R.05/92) PLOT PLAN Page of 3 SCALE 1 "= LIO ' f � O o 10 I V 5 , 1- it 1 ' k , II W � - (n 0 0 9.3 RRf�� ' cr G r o a— 1 4 So f ' I GI � ' 8 ' , E1.. 103 5 11Z�►., er g 1 t3 V~n h ,2 � � O k r, ou 6 t-h G H 3! D! r y R• �vC �i�N w�wauq L�� D r r r .1= N US BU T LF,* SST ? S ' �T' Ot= ? C'w Ct r L) _c _. 9 7 ( 715 ) 4 .5 -n1 F,S _ M00576 CST Signature Date Signed Telephone No. CST # W000^si, Department ofIndusby, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Ukw and Human Relations Division of safety & Buikings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but % C 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. 0 16 APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWEDBY DATE PROPERTY OWNER: s Q = Sl" tAfttt_Q'aW PROPERTY LOCATION 't� P \) I b ' *Jb �>`TQ Q l ie Gew hX_ _ S k) 1/4 N L 1ST -, %I AR Q E (opal PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®TOWN NEAREST ROAD 'I Sq on (7tS) Z(lt _ 36S 'N I 110 ) 3 1 = M New Construction Use [ aq Residential /Number of bedrooms 3 [ I Ad ftn b existing building j I Replacement [ I Public or commercial describe Code derived dally flow `l SO gpd Recormmended design loading rate - bed, gVW ' S trench, 9pdt Absorption area required bed, ft 1 ) 0 0 trench, ft Maximum design loading rate •y bed, gpd/(t ' S trench, gpd/ft Recommended infiltration su tace dwation(s) S T� 1� FVG F 3 It (as referred to site plan benchmark) Additional design/ site considerations Z C pN v � tt{ • '� - �Mct4 V x g O� LA>v G Parent material %.1 L)_7 -oU QTt ov <w ttSM Rood plain elevation, 'd applicable f-1 A, It S = Suitable for system CONVENTIONAL MOUND WN GROUND PRESSURE AT -GRADE SYSTEM N FLL HOLDING TANK U= Unsuitable for em S❑ U ID S ❑ U 0S [3 U ®S ❑ U ❑ S O U ❑ S [A.0 SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure CoWstence Boundary Roots GPD /ft in. Munsell (1u. &. Cont Color Gr. Sz. Sh. Bed rriench 1 3 o - 9 wim 3/Z 0 z i 3�k yetTk 7 7- • S I • b Z 9 -?"f 3/6 Gas J Z'` soh M'4 C- Lo -- • S -1, Ground 3 Zy -)o 31 - Gr S 1 1 c-S �k Vn v - •�[ • S ►� elev It Co W 3 p FEW k z Dt q ss Depth to limiting fact O ,, Remarks: Boring # 0 -10 10`iR 31 - S t) Z Z- Z %-11. LO`t 1Z 31 - s ; 2tn S k m 'F1- c,,u 3 Z4-S3 -SyQ 3/y 5l 1�Sb1� Ground Mvf4 0-S - •�! •S elev. y S3 ,3 10`72 3 !b S:IGh o sg M , "•�c •'- R Z ft 4 Depth to limiting factor T _ I l J Remarks: CST Name: - Please Print Phone. Arthur L. We ere - - r 715 425 O1 e erer Soil Testing & Design Service-P.O. x 74 River Falls WI 5 g g g .0. Bo 5 CST Nk. d)w. -�4 M00576 PROPERTY OWNER SOIL DESCRIPTION REPORT Page ? - of_3 PARCEL I.D. # 03 b - Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bwxiary Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 3 1 o -kI to-r2 3/Z si I 2. - FS'b cw — •S •6 Z 11 -3Z tl�`t2 3!(, — scl ZMS l Ground S) l s bk v» ulk- eS — • q • S elev. •, , $ Depth to % limiting fajtor i I Remarks: Boring # 0 - � luy tz- 3 L Z S i, Z � S `� Z q -lq )u`l 31L S1 Z», 3 b M' \r CW Ground 3 19 -S5 w m- X16 YdU�v �S •�1 •S ` elev. y SS=�� 0 19-S ft. Depth to limiting factor , >-7,;y f Remarks: Boring # S Z % -2 3 1 u-1 tZ 3l b Gr s i l - ?-ve , s�k K C w - S- 6 3 Z 3 - Sq », vv - w - �l I • S Ground elev. L/ Sy - l 0 `1. - V /L S EL 61 S 9 Yv� - • $ 1 • 0 ft. Depth to 2 c '1�'ci� S N 1 limiting factor Remarks: Boring # .:13 Ground elev. ft. Depth to limiting factor Remarks: SBD•8330(R.05/92) PLOT P LAN Page of 3 . SCALE 1"= HK) ' 0 I IVL q q s, s , S $ . S O 0 M N s I �N Q r� B -3 l'Z- q1 ? .0 .0 A I� Z 0 a k4Sof N �vC �1PN w�wauq L� D r SSE �u t W OF �_'KJt"S wIO..L L) ( 715 ) 4 .5 —ni fi5 M00576 CST Signature Date Signed Telephone No. CST #