Loading...
HomeMy WebLinkAbout038-1200-10-100 n N O 3 '9 n `r1 o �, � c a, o C) T ` 1 CD g y 7 7 C O W W N a N CD N ? N O O "D a"s �, 3+ (D N COJ7 O o (n cQ o 0 o D o N j o p N N C y CD W O O v D Q 00 CD « J� <n a o T o C =r c o C t+►r CD ;o w W o L CD N Cl) CD C O O 3 y 0 C a CD C7 c CD O O O u h• o z r o o * * — < W z C) � c N N f�/1 -ta O D N O O _G N -. O O N ! N .(D (A (J1 V p) (� O 7c C1 'O m m _ m c ° N N A r W a rr `\ z 3 Z-+Z q 0 D m N p � 1 CD T m �+ • cn y @ 0 C CCD W D O ' z m cd �_ o =3 o A z (D Ch c C L p z 0 N 7 A N *W' W Q Z 0 p C 'n A O pj i Q (D D 3 N (h'O N Q j ET Q CD O: o W 3 a m N CIl 7 y Z Q p (D O (p N p t N 0 y N fD N W n O fD 3 O N Q a N 4 W =r �a N O m T c m CD M 0 . 3 N o I a) CD =1 a CD 0,0 N I N O i o V 0 0 o CD Z O 0 . y f Parcel #: 038 - 1200 -10 -100 08/06/2007 03:00 PM PAGE 1 OF 1 Alt. Parcel #: 18.31.18.1055A 038 - TOWN OF STAR PRAIRIE 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 - GOSSO, CORY L & ERICA D CORY L & ERICA D GOSSO 2113 80TH ST SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 2113 80TH ST SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 1.840 Plat: 4631 -CSM 17 -4631 FKA 14/3838 SEC 18 T31 R1 8W SW SW FORMERLY LOT 1 Block/Condo Bldg: LOT 03 CSM 1313750 NKA LOT 3 CSM 1413838(1.794 ACRES)NKA CSM 17 -4631 LOT 3 (1.840AC) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 18-31N-18W SW SW Notes: Parcel History: Date Doc # Vol /Page Type 11/19/2004 780487 2699/558 WD 11/19/2004 780486 2699/556 WD 11/04/2004 778892 2689/002 LC 10/17/2003 744087 2438/519 QC more 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.840 30,900 215,700 246,600 NO Totals for 2007: General Property 1.840 30,900 215,700 246,600 Woodland 0.000 0 0 Totals for 2006: General Property 1.840 30,900 215,700 246,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Departmentof Commerce PRIVATE SEWAGE SYSTEM County: Safety and BUfldings 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)]. 363940 Permit Holder's Name: ❑ City ❑ Village ❑ Tdwn of: State Plan ID No.: Stout, Richard Star Prairie Township CST BM Elev.; Insp. BM Elev.: BM Description: Parcel Tax No.: p /0 a ;( N W/ ' 038 - 1077 -70 -400 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic tin k Benchmark 3- - 3 5 OU Alt. BM L a tion Bldg. Sewer ding St /Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet s ° Spw �0 lr TANK TO P/ L WELL BLDG. Ventto ROAD Air Intake Septic �" �z ' DSO Z �/� 3/ NA Dosiq� NA Header / Man. . 2 fi (r .7 10 -16' 4 - - 7 Aeration NA Dist. Pipe ( rz ID H6rdin Bot. System c) T-( /(• Z� 9Z •'/9 9 y (ekrz 3c> Z Y� PUMP/ SIPHON INFORMATION Final Grade er %an St cover Model Number TDH Lift Lriction tem TDH Ft Forcemain Length Dia. Dist. To SOIL ABS RPTION SYSTEM BED /(UENCO Wide, Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIME DIM SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACH u acturer: SETBACK CHA R INFORMATION Type Of Mo e System: v� V 7­ 1 >�U UNIT DISTRIBUTION SYSTEM Header / Manifold t� Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length 9 Dia. / Length - 7r / Dia. y i� Spacing _� Z7 L Z ? Z -1 UU r 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.) �1J /ooInspection #2• Inspection #1: � / Location: 2113 80th Street, Somerset, WI 54025 (SW 1/4 SW 1/4 18 T31N 18W) - 183118319B30 -Lot 3 l.) Alt BM Description= G°►. crcf, Pa of e6 or &a/ko &f) Y.� I am al / 0 AhnA 4 d4Vk 7'o A 6 2.) Bldg sewer length= CE-5 ok � f; c - amount of cover= l� 6 c / ct+tiov �cr �V /cr chi �'°r P U 5 s qC S yi 5 fcal W / tie d" 4l f (� �r Cor roc IrG✓ t nP�G/ Gt5- 6� ; /�� Plan revision required? ❑ Yes No Use other side for additional information. f a V VA I SBD -6710 (R.3197) Dat Inspector's SigrAure Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: p g .__-a .. v_. ; ni: n. m� E 3 E � � E �m n i 3 F E O f C W co N • ��.. Y -5 3 1 CI) 1 � A V 0o N N CP �_ p Oo ) I 11 E N -a M CD 70 ^ , O -� m i1v' 01 < v 10 Ch ' T_1 C N - = o m N w C;l c r -( v - r l��r • CERTIFIED SURVEY MAP LOCATED IN PART OF THE SOUTHWEST QUARTER OF PREPARED FOR THE SOUTHWEST QUARTER OF SECTION 18, TOWNSHIP RICHARD 0. STOUT 31 NORTH, RANGE 18 WEST, BEING LOT 3 OF CERTIFIED JANET P. STOUT SURVEY MAP VOLUME 14, PAGE 3838, AND PART OF w 1353 AWATUKEE TRAIL LOT 4 OF THE PLAT OF ROLLING OAKS, TOWN OF STAR N 0 HUDSON, WI 54016 PRAIRIE, ST. CROIX COUNTY, WISCONSIN. �N PREPARED FOR: SURVEYOR: LL Z o g ADAM SCHUMACHER DOUGLAS J. ZAHLER ¢ 3: cc 2113 80TH STREET S & N LAND SURVEYING, INC. w w m SOMERSET, WI 54025 2920 ENLOE STREET � ' T O HUDSON, WI 54016 Lu u O Ow / ZJco j W1/4 COR. SEC. 18 cr LLj w ccj ~ I I co O z 33 I LOT 2 C S. M_._ VOL. 14, _PC_3838 I 1 N89 0 33'59 'W 431.69' p ill I I I ARAG LOT 3 �/ [r 1 �ZNG 1.84 ACRES ry ti / 0 1 I �� 80,107 SQ FT / LO / STORM WATER 0 / �1 DETENTION AREA N ` / N I cq 7 H.W.L. =955.1 = i cli .► 1 I 1 N89° 63 "W N89 °33'59" _ 127.92' s i (W j I 8 85 „W ' M 22� Z O sm CD I 22 � ICal1 0 _1 tv/ �Lo © g w I- ��/ j z LOT 4 cy 1.53 ACRES p 66,7511 SO FT C }. Z__ 33'133' N 1 6 N83 °06'41 "E 333.3 I 5 9 N83 °06'41 "E — — I i 1 33.22 ROLLING OAKS SW COR. SEC. 18 BENCHMARK =970.0 LEGEND NOTES FOUND ALUMINUM COUNTY PROPERTY OWNER ACQUIRED THE ORIGINAL PROPERTY WITH SECTION CORNER MONUMENT DOCUMENT #725357 AND IS ADDING ADJOINING PROPERTY FROM FOUND 1" OUTSIDE DIAMETER IRON PIPE DOCUMENT # (v" At4 (P . THIS MAP SHOWS THE EXCHANGE OF LAND BETWEEN ADJOINING PARCELS AND HAS O SET 1 OUTSIDE DIAMETER BY 18 " BEEN COMPLETED WITH DOCUMENT #734193. NO NEW LOTS ARE LONG IRON PIPE, WEIGHING 1.13 LBS. CREATED BY THIS INSTRUMENT. PER LINEAR FOOT — • -- — — 100' ROADWAY SETBACK LINE ALL CONDITIONS, RESTRICTIONS, NOTES, ETC. LISTED ON THE EXISTING SEPTIC VENTS PREVIOUS CERTIFIED SURVEY MAP OR PLAT ARE APPLICABLE UNLESS OTHERWISE INDICATED. 0 FOUND 2" OUTSIDE DIAMETER IRON PIPE SCALE IN FEET 1" = 100' © EXISTING WELL H.W.L. HIGH WATER LINE ELEVATION 100 0 100 ® EXISTING SEPTIC TANK THIS INSTRUMENT DRAFTED BY: WILLIAM KANE - � o l ) JOB NO. 6052-21 DATE: 09 /15/03 SHEET 1. OF 2 SHEETS • ate. F . g � o � ti P v1 4 ` T p v r � e � � w \ b am > dQ6 W 622067 JUN 2 0 20 st c OWNER IED SURVEY YOR'§RURD RICHARD 0. STOUT JANET P. STOUT LOCAT v T OF THE SW I14 OF THE SW I14 OF SECTION 1353 AWATUKEE TRAIL 18, T3 IN, R f 8W, TORN OF STAR PRAIRIE, ST. CROIX COUNTY, HUDSON, N 54016 WISCONSIN; BEING PART OF LOT 1 OF CERTIFIED SURVEY MAP w z RECORDED IN VOLUME 13, PAGE 3750. �- NOTE: EXISTING SEPTIC SYSTEM WLL BE USED BY NEW CONSTRUCTION W ON LOT 2. EXISTING HOME WILL HAVE EASEMENT TO USE EXISTING SYSTEM UNTIL SUCH TIME THAT SAID HOME IS DISCONNECTED FROM p LL N SAID SYSTEM. EASEMENT IS AUTOMATICALLY EXTINGUISHED AT SUCH TIME. V 0 0 W1 /4 CORNER Z1 Z SECTION 18 It Lu UNPL -ATTED - - - LANDS OWNED BY - OTHERS ------------------------------- W ml N M ( NORTH LINE OF THE SW1 /4 OF THE SW1/4 W L Z ' S 89 0 33'59" E 640.63' W C) Z 607.63' 33.00' I I (3 Z 3 j I NOTE: AN EROSION CONTROL PLAN MUST BE SUBMITTED TO TH Z l o i I L= ( LO' 1 ST. CROIX COUNTY ZONING OFFICE BEFORE A SANITARY PERMIT IS ISSUED 1 954.8 ap 2.650 ACRES m 33' 33' j 115,420 �O FT NAVIC ARD j \ ry H (/) I as SEPTICTiDRIVE \\ HW.L, =933.0 AREA LLJ i J 0 I I O a 1 N 89 °33'59" Wit .89' � 1 a W Wi t C = i.�•_._._._.; 7a' SETBACK - -- ry• // I H �// O O o s LOT 2 -, LLJ Z I (a I cVi 4&, • 2.099 ACRES `�� 3 I r/ II W pr 1 91,420 80 FT N r 11: �/ 01 r , Q ' IT I (0 / / cq 0 Z I O I I Z N 89°33 W 431.89' (/> / 0 II Z �// Ji i i LOT �q� / Q�/ z 1.794 ACRES Q / �/ 0 L I I W 1 g 78,153 80 FT Icz I Q 0 I p 0 � I w N r N P. 0 I J / ro ro IC Z I I SEPTIC / o M b W , X.II.L =9bb.f M - J W AREA Q / .3 ) � `� > __ 0 3 1 33.00' I ^^ a O CU L OCJ ' I J/ x c 342. G N 44' U[> U'c tif W o 3 1 N 89 0 33'59" W 375.44' n- N mw a a) UNPLATTED LANDS OWNED BY PLATTER` a° C --------------------------------------- i3 PROPOSED ROLLING OAKS -------------------------- '�0 o Z SE T ON CORNER 8 LEGEND z _� BENCHMARK 970.0 w Zvi SCALE IN FEET 1" = 100 ALUMINUM COUNTY SECTION 3 mV CORNER MONUMENT FOUND 100 0 100 200 21 IRON PIPE FOUND 50 /� STORM WATER RETENTION AREA TO 1" IRON PIPE FOUND H �/ .W.L. =)00 ' HIGH WATER LINE (H.W.L. = HIGH WATER LINE ELEVATION) 0 1" X 24' IRON PIPE SET WEIGHING 1.13 LBB. PER LINEAR FOOT NOTE A GRADING THAT WOULD ALTER THE CAPACITY OF THE STORM WATER RETENTION AREA - - - •- •• -••- 100' ROADWAY SETBACK LINE IS PROHIBITED 12' UTILITY EASEMENT NOTE B BUILDINGS ARE PROHIBITED WITHIN /�, THE STORM WATER RETENTION AREA w Vol. 14 Page 3838 l OSL£ 96 ed £t'1 ` 66/91/6 :31va S6 -66 'ON ao NOSA3I83 - 13VHOIW Aa a3ljv8a 1N3wndlSNI SIH1 w 'M.617,12.00N dV3H ❑1 a3WnSSd '8i z N0I133S 3❑ b /iMS 3H1 30 3NIl 1S3M CLI Li 3H1 01 a33N32133321 3214 S]NI21d39 wo z N W ►- z Q z O 2 J • IJ i a U )I J y wa U a a W z W ~ I U N H Q d O W ►� 0 1 } o z w W N ti }- I Q w owwo M 0- A I ti�.� 0 X: a a a zz Ica z O Z N 3 d311V AS Q3N/'MO � j "-' A tY 06 W = z x s z i Z w M ------------- - - - - -- J LLJ ¢ C :, iv ° 3 Q __ ° Li SQNV Q3iiV 0 l7 cu 0 �\ Z 00'009 3 ,6t *00 S O V ¢ I pan pue pnu c \ / v) oQ Ileys tenadde step tenadde o Ln z to step 0£ ulylim peprooeu tou q W �C'n v 6661 8 1 100 N 1 [r J �. \\\ aeglwwoo shed pue Butuoz ButuueW O WI Ir I AiNnoo X1021 'ls �-- 03AOHddd it <I o _ J I t W � t 3 ° �✓ ~ A � ° C'3 LJ 1 j C AI v w DWI fib W E-1 ¢ coo) � L� o � z C �D 0� o Z o 3 1 CD r wO O w � � �� �- o M Q W tn ��� o� s M t 0o ci C LAI '4 h oo `03 *' 6 o (� N ° 3 N� ft C4 (� 1e3o ti Ld 66 co 9:11 6-4 co m LLJ W O w Q QI ° _.. _.._.._.._.._.._.._.._.._.._.._ .._.._.._..�. _.._. Z o �1 z 0 0 c o ,00'009 M „6b,1240 N c`) 8b'EZE1 ih 3 ,6b,12.00 S , A ,6tr,T2 *00 N CY — — — — — — — — — — 7 w 00 0�co O ° ------------- - - - - -- b /iMS 3H1 30 3NI3 1S3M o z 3 U 3N 133NiS H108 3W �� N N N f'7 --------------------------------- - - - - -- n Sd3H JkE (13NMO SQNtd1 6311 a o3a s1ao nans ° z i 99nwv) 1 Safety and Buildings 201 W. Wash ington h ngton Avenue SANITARY PERMIT APPLICATION Asconsin P o Box 7162 Department of Commerce In accord with Comm 83.05, Wis. Madison, WI 53707 -7162 • Attach complete plans (to the county copy only) for the syst", q"_Oaper not lest ..County than 81/2 x 11 inches in size. ,�� • See reverse side for instructions for completing this appl" n 1 7 $take Sanitary Permit Number - 3�3gyd Personal information you provide may be used for secondary purposes - I t. Q eck it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. {' + e r 5 s� gT � Stat ;Plan Review Transaction Number I. APPLICATION INFORMA�IOWPLEA PRI �AL 1 M Propert Owner Name Locakfep 1ia .`1 g T �� ,N,R E(or Property Owner's Mailing Address LNtilrjl r,• Block Number 1 zl > f'lcI(B.t- City, State Zip Code Phone Number Subdivision Name or CSM Number II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ !t� Nearest Road ❑ VII age , Public 24 1 or 2 Family Dwelling - No. of bedrooms a Town OF 111 BUILDING USE (if building type is public, check all that apply) Parcel Tax Number(s) l,01 3l r�;3 /q!S 3 1 ❑ Apartment/ Condo 0 J?_11 - 70 - O v 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. C@ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an __System -------- ------------- 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 Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In- Ground Pressure 42 ❑Pit Privy 13 ❑ Seepage Pit Z 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 17. Final Grade / Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) 9Z. 5 - Elevation 4� ,/ 1 73_4 d ____ ,/ j 4L- Feet FG. 5'd Feet VII. TANK Capacit gal Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existin structed Tanks Tank I Septic an Holding Tank .S'd ❑ ❑ ❑ ❑ ❑ L ber f o ❑ 1 ❑ 1 ❑ 1 ❑ I ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) /MPRSW No.: Business Phone Number: 71 s- Plumber's Address (Street, City, State, Zip Code): e 7ti 5 C IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate I ssued Issuing Agent Signature (No Stamps) Surcharge Fee) Approved [:]Owner Given Initial 3 d J� Adverse Determination X.. CONDITIONS OF APPROVAL / REA FOR DISAPPROVAL: / ?/G G.,�� ll Gt,Y O � CX 5Ti .� 4 " k 4j /-_ 4 Ze v& &, Vee / 4 tzf s v� � r' G�, � - / "Nti {r� �S nD ✓e��ace•..e Q<« IaC40�, , P,cS �"�- I Se be e ✓UGCt G✓5✓ v✓ Dv� Jot Z . P� p� {� .xour�✓ 611th( k V /CG/ ra t' r S ` S;m Ce CC SBD -6398 (R.12/99) DISTRIBUTION: O ' inal 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 maintained. The septic tank(s) must be pumped by a licensed 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 oe installed I1. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. 111. 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. Vlll. 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 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. ons4sf`Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accordance with Comm 83 D9,�s. Adm. Code w- - Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. PI no� County, r include, but not limited to: vertical and horizontal rence point (BM), dire igrf and r . t . perc t slope, scale or �nsion arrow a I d distance nearest ro# arcel L.D. # N . � r A P �ANTORMATION - Please print all iniformatic n. < Fle d by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 1534 (1) (m)) Property Owner Prop eily;k�@e ��"� � -`— Govt;. Lot 5� 1 /4,Sa 1/4,S /� T 3 j ,N,R �� E (o� Property Owner's Mailing Address Lot # Block #, u)e. Name or CSM# City State Zip Code Phone Number Nearest oad ❑ City ❑Village To tJC�� !l ��U/ 9° - Ce7�1 " ' Q S� J@ New Construction Use: ® Residential / Number of bedrooms Addition to existing building ® Replacement / ❑ Public or commercial - Describe: --77 Code derived daily flow � dC� gpd Recommended design loading rate gy bed, gpd/ft gpd/ft Absorption area required bed, ft '75 trench, ft Maximum design loading rate ' 7 bed, gpd /ft trench, gpd/ft Recommended infiltration surface elevation(s) C / S. Q U ft (as referred to site plan benchmark) Additional design /site considerations ( + 44 Parent material A r � Flood plain elevation, if applicable ti ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system 1 59 S❑ U 1 ® S ❑ U po S❑ U 1 ® S ❑ U I EIS K U ❑ S O ki • OIL DESCRIPTION REPORT Borin # Horizon Depth Dominant Color ottles Structure GPD/ft g Texture Consistence Boundary Roots in. Munsell A �. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench ? —ro Sj J rhcAl2k YX C CS I uf Ground LU C 1 �_ Is elev. 9 G.sv ft. ' Depth to limiting 3 fac4gr Remarks: Boring # I 3A- 7 Ll r vlel '-�MC'Q rflv-�'r C. 'S 8 Ground elev 3o Depth to limiting far YL Remarks: CST Name (Please Print) Sign a Telephone No. 7i5 �y7- DG Address Date CST Number -3 � j 2s`33a 9 1 SOIL DESCRIPTION REPORT PROPERTY OWNER cS /T� 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 Ground _ 1 - /Ov ry-I L - P �tS elev. 9S5"a ; Depth to limiting factor 3 " ' Remarks: Boring # .... M . 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 # .( M Ground elev. ft. ' Depth to limiting factor in ' Remarks: Boring # Ground elev. Depth to limiting factor in. Remarks: SBD -8330 (R.9/98) PAGE_:�> OF NAME 5k LOT# -�) LEGAL DESCRIPTIONSW ' /aS0Yo,S X55 T3/ ,N,R/9 E (ord! SCALE: 1 "= !?9Q 9Q ' BM I ELEVATION 100 , y BM I DESCRIPTION nu; ( '^ !i` ASK (ry BM 2 ELEVATION (U0 • U BM 2 DESCRIPTION Y►a: l �� (U ash �.�1/�au. c 73. i SYSTEM ELEVATION U U ALTERNATE ELEVATION AJA- X CONTOUR ELEVATIO G b SS� 6^ t7:'t ^h �a1• Y y A,A Z • SIGNATURE DATE 3 -26 -00 IT CROIX CD;1N"r'Y 3071C TANK MADrMA= ACASSMiWT A OWNUSM CERTMC6170M FORM O�rila�ttyrK .1.. �T•.: �a . C S_7`d u 7- I MWU Ad*= r3S3 a&tff 2 e � 2 yc� l J Il ly ■I nl 11111■■Ill���.l��lr���rl p y Addraru ��S _c�D 7%. �' 7` 5 ■III — r� POW UWALSugm Numbw Prey Lam= � i� SG1 V4 $a 8�,, T C� W. TM of dtr�diaa r s i a.2 G� 7 C/d / Lot !� ■�■IYw1111. 1111111 r1 — IIlw.11■I�gm *Cod BMW mv 10 Ke 1 V wwnmo zmw * �C4lS� Slur ` POP 0 _Y1 d% Rot" 0 in a• 0 Lot v= wwm*b m rw a no 6=1 ww l �wpeetrrro .tf].aew�M.�■tt�iw�_arw.Fmp� os K�l�ir�l�istio'ar,• po 'met �q►ep�r 6 mdm" K O■i�lir � Mrlr��Mey tl bl it�arsw�d#y� a dedS�rNtarr� �r��Mrl��odPiat�i� ,{q�,�t�Nhl�r�isl��ilb�etMrfp. iot #,1�,� iNllq►td� �rMeawet#EllmsRad�r im wa ps«�� a�iwli■ pew o me, e, �opa* .its 3o !? TS 601 4 � t�11 h we p�usn�aa� N04.• � male bi► dN wttt�►Patstr � wvol�ed •" UdWic Wkh this apptlotttoa: t sCUe* wsasesT ftW 6M the 0Agf x of D"6 4Mw i� b.HFl raft ��3G 5;j •un" Td Wd6C:Z0 000Z ST 'unt. Z£Z96VSSSZ : 'ON kdd 1SNM S08 W0�U i-AIAGr- 4 STATE BAR OF WISCONSIN FORM 2 - 1998 C5. - 11- Document Number WARRANTY DEED OF �.PVITX This Deed, made between Gayle K. Callahan and Rosemary K. 04'F'QPP, FOR RECORD Callahan, husband and Mft r -200 0:45 AM Grantor, ' iiout conveys and warrants to Richard O. Stout and Janet P. . husband and T Wife Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the NAvISFF� FFF, 1125.00 following described real estate in_ St. _Croix — County, State of Wisconsin (The RU-3RDNO FEE: AM J 'property') AL 'ES: Recording Am Name and Retam Address f=-Fl- C- 038-10W-70 Panel Identification Number (PIM This is homestead property. SW !4 of SW % of Section 18, Township 31 North, Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin which includes Lot 1 of Certified Survey Map in Vol. 13, Page 3750, Doc. No. 612266. Exceptions to warranties. Easements, restrictions and rights-of-way of record, if any. Dated this !t_&y of February, 2000. A a "ql �k. Callahan K. Ca ACKNOWLUGMENT STATE OF WISCONSIN ) AUTHENTICATION )Ss. County Signaturc(s) Gayle K. Callahan and Rosemary K. Callahan. Personally came before me this _ day of February. husband and wife 2000, the above named authenticated this ,, 71dayofFebruary, to me known to be the 2000. person(s) who executed the foregoing instrument and acknowledge: vx2of i the same. • Kristin OglanddI I TITLE: MEMBER STATE BAR OF WISCONSIN Notary Public, State of Wisconsin (If not My Commission is permanent. (If not, state expiration date: authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristine Ogland Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both an not necessary.) •Names of persons signing in any capacity should be typed or printed below their Signatures WARRANTY DEED STATE BM Of WISCONM FORM K. 2 -1"S INFORMATION PROFESSIONALS COMPANY FOND On LAC, WI II0G-66s-=1 r ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the Vel 577 residence located at: !<� %, Sec. , T _Z� N, R_ f W, Town of S 7"c�� ,?1 ,�,�, - e- , St. Croix County, Wisconsin. Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced /4 d Did flow back occur from absorption system? Yes NOX (if no, skip next Y line. Approximate volume or length of time: gallons minutes Capacity: /000 7SQ Construction: Prefab Concrete Steel Other Manufacturer (if known): Age of Tank (if known) : � I�.�GGc-- �!�e:��i/ � _ _ �i , j C r d Ylf �G N 6`- j/„► GZ �tP 1/ (Signature) (Name) ( Please Print Iwp g27wgv (Title) (License Number) z z3 /�� (D te) Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank, to the best of my knowledge, will conform to the requirements of ILHR 83, Wis. Adm. Code (except for inspection opening over outlet baffle) . Name Signature MP /MPRS r - ------ 200 "� F 622067 6 pQii�iAo - 4 OWNER IED SURVEY MAP RICHARD 0. STOUT JANET P. STOUT LOCAT T OF THE SWI14 OF THE SWI14 OF SECTION 1353 AWATUKEE TRAIL 18, T31N, R18)I, TOWN OF STAR PRAIRIE, ST. CROIX COUNTY, HUDSON, WI 54016 WISCONSIN; BEING PART OF LOT 1 OF CERTIFIED SURVEY MAP N W G RECORDED IN VOLUME 13, PAGE 3750. I� NOTE: EXISTING SEPTIC SYSTEM WLL BE USED BY NEW CONSTRUCTION 0 W ON LOT 2. EXISTING HOME WILL HAVE EASEMENT TO USE EXISTING H to ^ SYSTEM UNTIL SUCH TIME THAT SAID HOME IS DISCONNECTED FROM p LL ov SAID SYSTEM. EASEMENT IS AUTOMATICALLY EXTINGUISHED AT SUCH TIME. V 0 C W CORNER Z a Z 3 SECTION 18 UJI ' UNPLATTED LANDS OWNED BY OTHERS W W M I NORTH LINE OF THE SW1 /4 OF THE SW1 /4 m o� I W 8 S 89 E 640.63 O L o u I Z 33.00 1 I 607.63' 0 Z 3 , j I NOTE: AN EROSION CONTROL PLAN MUST BE SUBMITTED TO TH _ 1 — ST. CROIX COUNTY ZONING OFFICE BEFORE A Z y a �* 8 I LOI 1 SANITARY PERMIT IS ISSUED CD 1 2.650 ACRES m I 33' 33' j 115.4200 FT NAVIGABLE 3 I \ WjrrL"m ry� 66' JOINT DRIVE \ N (� SEPTIC \ X.11:L =93.0 AREA Lj .� C a 1 M I N 89 °33'69" W'540.89' ui co W �� OO = j�. •; 75' SETBACK `'� - -- - - --- -" ry• /' t0 ~ 4) io fO ° o ,./ A �, 3 0 °o �� i LOT � / N Z I I Q t`I - 1 2.099 ACRES H W. L— �j (� a 3 � H M' 3 1 91,420 SG FT 95 5 01 I I r I! I (0 2 � / I V j c s�SG /'Sl'�tic �?/ / A I I t O C 1 Z 1" ty �// _/ Z I O 1 I N 89°33 W 431.69' (/> / // 0 i) Z Ji 3 ���3�T = '� / z A 1.794 ACRES Q �� / m0 � I W 78,153 SO FT Af IZ LL 9 0 i r o N• �/; QOM o /F N _ IL 1 c CD v N W Z 1 SEPTIC �/ �/ Z) c , �` o W I I AREA AW -955.1 Q/ 01 3 ' & I . \�/ Q V I ti 00 a f t 34 J/ �pQ c.Z �� D C N �w c 0 ' viol Z�; 3 I N 89 375.44' o- N g � _� ' UNPLAT _ANDS_ OWNED_ BY _PLATTED c ¢ o m o Z03 " ^ PROPOSED ROLLING OAKS a �� p -------------------------- 0 LL Z l � SW CORNER SECTION 18 LEGEND W V� BENCHMARK 970.0 z� " = 100' ALUMINUM COUNTY SECTION 3 SCALE IN FEET 1 CORNER MONUMENT FOUND N mU 1 0 100 200 2" IRON PIPE FOUND Z C .W.L. = XXX.X STORM WATER RETENTION AREA TO 1' IRON PIPE FOUND HIGH WATER LINE (H.W.L. = HIGH WATER LINE ELEVATION) O 1"X 24' IRON PIPE SET WEIGHING 1.13 LBS. PER LINEAR FOOT NOTE A GRADING THAT WOULD ALTER THE CAPACITY OF THE STORM WATER RETENTION AREA 100' ROADWAY SETBACK LINE IS PROHIBITED 12' UTILITY EASEMENT NOTE B BUILDINGS ARE PROHIBITED WITHIN THE STORM WATER RETENTION AREA Vol. 14 Page 3838