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HomeMy WebLinkAbout040-1148-70-000 � . g c go ° � I � J f ' ■ � � � «■ A z E z ° 4 U \ e F } \ \ \ ) § § o >> i) E 9= U i{ \ CL , a cr , ; a w % 2 2 2 @@ a § a m\ E F U 8 & � c k(A CO; © � CD / ± ¢ U 2 � $ co 3 / f ® E 2 ƒ "-**-A CL Ln CL z 0 § � 0 r ■ ° ƒ o o E: cc o ƒ ° § / 0 0 0 \, § to § o 2 0 \ � � � �� � ■ ■ [ } f f # g z .. 0 } \ I � CD , r m ; w [ 0 E EL g z CD 0 �k20 Ch _ « § ■ CL 9 . � ƒ E . \ O & § i E C. ^ E , i E ± (D R :E a ] k CD z % OR ( ƒ � K � � $ � ƒ � ( � I % Q k � ■ _ 8 cc o ` 2 I � ® Parcel #: 040 - 1148 -70 -000 09/15/2006 08:04 AM PAGE 1 OF 1 Alt. Parcel M 13.28.20.578E 040 - TOWN OF TROY Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner O - FUDGE, MORGAN C MORGAN C FUDGE C - KINSMAN, ANNE C ANNE C KINSMAN 258 S COVE RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 258 S COVE RD SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 6.300 Plat: N/A -NOT AVAILABLE SEC 13 T28N R20W PT GL 4 COM 897.7 FT N Block/Condo Bldg: & 224.1 FT E OF S 1/4 COR SEC 13, TH N 48 DEG E 150 FT, S 80 DEG E 426 1/2 FT, Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) S 54 DEG W 408.5 FT NWLY -POB ALSO 4 AC 13- 28N -20W COM S 1/4 COR TH N 996.8 FT TH E 336.7 FT TO POB: TH N 328 FT S 88 DEG E 494 more Notes: Parcel History: Date Doc # Vol /Page Type 02/02/2006 817839 WD 05/15/2000 622948 1510/352 WD 07/23/1997 907/302 07/23/1997 876/496 more 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.300 145,200 349,000 494,200 NO Totals for 2006: General Property 6.300 145,200 349,000 494,200 Woodland 0.000 0 0 Totals for 2005: General Property 6.300 145,200 349,000 494,200 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 r nog IVERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715 - 962 -3121 800 - 962 - 5227 ST. CROIX ZONING REPORT NO.: 06873/01 PAGE 1 ST. CROIX COUNTY REPORT DATE: 6/24/91 COURTHOUSE DATE RECEIVED: 6/20/91 HUDSON, WI 54016 ATTN: THOMAS C. NELSON oIR: AL Hein LOCATION: 2`,8 S. Cove Rd., Hudson l / T 24, , I I I I' COLLECTOR: M. Jenkins SOURCE OF SAMPLE: Outside faucet i COLIFORM: 0 /100 MI. INTERPRETATION: Bacteriologically SAFE NITRATE -N: 5 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard, Coliform Bacteria /100 ml Nitrate- Nitrogen, mg /L LAB TECHNICIAN: Pam Gane WI Approved Lab No. 19 PEN L . < Means "LESS THAN" Detectable Level Approved by: s ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 i ST. CROIX COUN'T'Y ZONING OFFICE St. Croix County Courthouse 911 4th Street 1 Hudson, WI 54016 fY �' Telephone - (715)386 -4680 The St. Croix County Zoning office offers the service of septic and water inspections to Lending Institutions, Realty Firms, and private individuals. Completion of this form is essential so that the property can be located Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING-------------------- - - - - -- -- FEE: $ 25.00 �•� (For nitrates and coliform bacteria) WATER TESTING FEE: $175.00 (For VOC'S) SEPTIC SYSTEM INSPECTION----- - - - - -, - - - - -- -FEE: $25.00 (Determines if system is properly functioning at time of inspection) 1 Property owner's name '' L �� ✓�, ii Property owner's address Z�� �a Cale 'IZ 14tAd A v) Legal Descrip 1/4 of the 1/4 of S �tio'n , T N -R Town of Lot Number Subdivision Name FIRE NUMBER 25',�' LOCK BOX NUMBER , Color of house zraL-rr Realty sign by house. N;e5 If so, list firm: T' � r\G PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If _ this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: -� i r� �r� '-ter l4� Telephone Number � - gZa� lu REPORT TO BE SENT TO: n c, e o� b 5Lr Closing date Signature - ST. CROIX COUNTY WISCONSIN ZONING OFFICE '> ST. CROIX COUNTY COURTHOUSE - 19 p I I I I 911 FOURTH STREET • HUDSON, WI 54016 w - (715) 386 -4680 June 20, 1991 Terry LaPlante Edina Realty 700 2nd St. Hudson, WI 54016 Dear Mr. LaPlante: An inspection of the septic system on the property of Al Hein, located at 258 S. Cove Road, Hudson, WI was conducted on June 20, 1991. At the same time a water sample was obtained for testing. The results of that testing will be sent to you as soon as we receive them back from the laboratory. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. Sincerely, P Ma 4 if r Assistant Zoning Administrator I. cj Wisconsin Department of Commerce y Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count St. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary PermitNo.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 370220 Pefmit Holder's Name: ❑ City ❑ Village ❑ TrWn of: State Plan ID No.: Jason, Hynes Troy Township CST BM c Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: D , O ' 1 1 c ST 840^0 040 - 1148 -70 -000 TANK INFORMATION LEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic v\ Q I Z� Benchmark 0 6p , Dosing `� Alt. BM N Aeration Bldg. Sewer 6r oD l Z- 70 36 r Holding St /Ht Inlet N-5 0- 0,5 TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Air I ntake ROAD Dt Inlet Air Septic > 5 - 0 - ( �� ( NA Dt Bottom 18 Z 8)6. 33 Dosing $ U „ (o `( `� 3 y NA Header / Man. - lo. (o Aeration NA Dist. Pipe S e— AD-19 Holding Bot. System // sZ . o 5 1( - 6 - 1 4 . o PUMP / SIP ON INFORMATION Final Grade 4 Manufacturer Demand St cover 7 /o ' YB' Model Number $ GPM 1 6 ' 4 -s9 9 •9 8 TDH Lift 1b. Lriction ss` System r TDHI:b �S �j), �o.0 1 Head Forcemain Length f I Dia. X Dist. To Well ^ (��( - - c,Q. 1 7 y $? r SOIL ABSORPTION SYSTE WO RE Width / Len r No. Of renches PIT No. Of Pits Inside Dia. Tquid Depth DIMENSIONS 3 5 � QIMENSION SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING �` Manufacturer: SETBACK ��r_ S.eQee.+wQrtr INFORMATION Type O r r CHAMBER Moe Number System: >� `{� '�� OR UNIT au ti DISTRIBUTION SYSTEM Header / M iifioF Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Di (at) SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over w Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed/ Trench Center '/O -}- Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No Inspection COMMENTS: (Include code discrepancies person pre ent etc.) T Location: 258 S. Cove Road udson, VII 5401 ( 13 TAN R20W) - 13.28.20.578E - Lot 2 $ �r -r #1: a6 /o} ao Inspection 1.) Alt BM Description = N1R� 2.) Bldg sewer length - amount of cover = '>' '' fZ n S� co, II 3) --S .A- 4� c. fX&k �- w Plan revision required? ❑ Yes ;, No F!4 I 6 Use other side for additional information. 06 04 OD 1 SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: _ r § � � r° g m. 9 E , 1 g ®® E e - 4' SCALE Safety and Buildings Division v. ■�riln SANITARY PERM ON Bureau of Building Water Systems 201 E. Washington Ave. In accord with ILH h�tf 5� - �{ P.O. Box Madison, , WI WI 53707 -7969 • Attach complete plans (to the county copy only) for t s sterr?vi6 ' not County �~ than 8 tie x 11 inches in size. J I • _ See reverse side for instructions for completing this p} icat'y9M it l at Sanitary Permit Number The information you provide may be used by other government agen 0 rams 5 1 t, E] Check it revision to previous application (Privacy Law, s. 15.04 (1) (m)]. (F State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT A L z MAT Prop rty Owner Name r p r y cation Lc.w. i t E 1 /4, S Ig T Z 8 , N Property Owner's Mailing Addre s,7_ Lot Number ock Num er 5 el r Ad A Z City, State Zip Code Phone Number Su division Name or CSM N m er LID t KA, _3,)A-2_c` r0 11. TYPE OF BUILDING: (check one) ❑ State Owned ❑ it Nearest Road El Village E] Public jq 1 or 2 Family Dwelling - No. of bedrooms A Town OF III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) o yv - 1/ 8 7o �13. ? 20.5 8g 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 XReplacement 3_ ❑ Replacement 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 Distribution Pressurized Distribution Experimental Other 11 []Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 KSeepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 E] Vault Privy 14 E] System-In-Fill (p 5,2-, , 2 VI. ABSORPTION SYSTEM INFORMATION: �h �, r f f d t o �. g 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. Syst �OYr' e 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) 3V.o Elevation joou -lard Feet 98 Feet VII TANK Capacit in alto s Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturer's Name Concrete con steel glass Plastic App New Existin strutted Tanks Tanks Septic Tank or Holding Tank f.2C 0 �,�. J p c^ ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber I Sot Quo ® ❑ ❑ ❑ ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's f �Name; (Print) Plumber's Signature: (No Stamps) MP / W MPRSW No.: Business Phone Number: t'.14ei Nee, kv f �/�• �\ -7/5 71 3�aZ,� Plumber's Address (Street, City, State, Zi Code): b S . 69-51 , 1.0 IX. COUNTY / IMPARTMENT USE ONLY ❑ Disapproved S nitary Permit Fee (Includes Groundwater D ate I ssued Issuirlicl Agent Sign t (No Stamps) J Approved ❑ Owner Given Initial 99 Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL / REA ONS FOR DISAPPROVAL: 1) P�at�P. �-K►"s ` ,- cep , , Z) SBD -6398 (R. 05/94) DISTRIBUTION: Original to County, one copy To: Safety & Buildings Divr ion, 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 S. 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 -3815. . 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 installed. II. Type of building being:served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelli�g. If 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 8 112 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. b AI job it r a� `yy ✓ 4. eF� -. aw.,f T lk- 3 .s. s . \ qmq y ^^ s A�F le • q • dj Ak- y f Wfscgnsin Department of Industry SOIL AND SITE EVALUATION REPORT Page \ of 3 Labor and Human Relations 'Division of Safety & Buildings in accord with II-HR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but ST C•Cz0 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. O 4 O - t 1 y. b — — 1 O APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION MIE�El) Y DATE -5"- PROPERTY OWNER: PROPERTY LOCATION TVII 6 �_V s H X GOVT. LOT y 114 — 1/4,S k3 T "2 ,N,R Z.O E (or ` W PROPERTY OWNER' :S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # Z S- C-ov o" — — CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE WrOWN NEAREST ROAD OS o f,► ►•v 5 LL 1 31 6 (72 l5) 3 86 - %-ZS 9 'n s . c ov l�E lv-- p [ ] New Construction Use [ J Residential / Number of bedrooms L 4 (] Additit�i to existing building PQ Replacement (] Public or commercial describe Code derived daily flow J boro gpd Recommended design loading rate bed, gpcW ' 9 trench, gPdtg Absorption area required b S 8 bed, ft2 --) S O trench, ft Ma)dmum design loading rate bed, gpd/ft - 8 trench, gpd/ft Recommended 'infiltration surface elevation(s) q L.. 6 ' It (as referred to site plan benchmark) Additional design/ site considerations 01?, Z T0.eV(-- M e;) c-" S • K'2 S t_uvG, �� ��uwtp 1�'b? 1� . Parent material SM I Y E o-'�M 1 G1'"r1Jk.,- Flood plain elevation, if applicable t.3. A • It S = Suitable for system CONVENTIONAL- MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for stem ®S ❑ U ®S ❑ U u S ❑ U 0 S ❑ U >$ S❑ U ❑ S O U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouridary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trexh 0 -8 1o Z z t Z S, Z*:3Vt In fF- C — - 6 El Z g - 30 10 `1 R 316 S 1 5 Z M S�vk 1n - f�- G..w — • S . � Ground 3 3p -yo -). S � /Z Y — 1 'FS 1 c b VA u fi, C-S elev. q8 - i ft. q �)D -1 !O `t2 ylb — S U S°� rn I •g Depth to limiting factor u, 9 Y 1 �T '� 0 l"o > uI - i1'C t: r ol= Z ►, k1't t Fes( st t,- u tom} Z3l AZ- L-S Remarks: Boring # S Z mint- -n-S - • S ? - b z 4 z £moo lo�t� (6 s 1 c S br- yn v I, c l'i 3 3u -S3 7 . S1y lL 31 1 �'CS l Sb� U Tt. 0-S Ground elev. S3 q !O`t R �!� (, — S �S� vvt - - "1 • $ 1 j q.o fL Depth to limiting 9 y o z. > 0 1 b' ` Coo macr Remarks: CS T Narm.— PI9asePrint Arthur L. We erer Phone- 715- 425 -0165 egerer Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022 S' nalixe: __ _ Date: CST Number: g �i'�✓w ° 1 6 -3S6 M00576 1 PROPERTY OWNER � t, ty SOIL DESCRIPTION REPORT Page of PARCEL I.D. # 0`4.0 - l Vj 8 - - 1 1 3 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends 3 o -y voti.R- Z Z - s Z'F �. r+a�`�t� 0 - S - - S• 6 Z 4 -`W 10`7 iZ 316 S) 1 c- S bk wr V'F'h C UJ — �t S Ground 3 ZO 39 Z• S \-t �z 3 t $ 1 �- S Uh to �I - c-S — • S • 6 elev. 9 ft. y 39 _ , 10 1(3' 1z Y!6 Y - S s9 m 1 43 Depth to ' P � v wf 9' o i limiting factor YS•� Sz_ 8/( . 9 Remarks: Boring # 13. i Ground elev. ft. Depth to limiting factor Remarks: Boring # E3 Ground elev. ft. Depth to limiting factor Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) PLOT PLAN Page 3 of SCALE 1 "= y �' i al ous twit �S b Cib 17w s• I o �4°t eL, 86. 5'� � ►H. ttlr �F 25 `c3 � L4 R DMn �v S� X c1' v� 1 � fir" 1 - _ .. lo.o.o' B l oC=_ vWus.l:- s �D1NG Flrl -� UST v^J Q FrNz-R-' S' F e vt NdTE T3 1NSl (A-k - {E 1N S"T - Mu OF- A �►v o�'ZD�Z � �r�`t��fi -TE. F��-ow � `�1-� �12Pr. w Fi �tp �'�' `?6 -356 ( 715 425 -0 M00576 CST Signature Date Signed Telephone No. CST # 'JUNC i 10"4 dox APPROVED LOCKING MANHOLE COVER AND WARNING LABEL 4"C.I. VENT PIPE 25 FROM DOOR 12" MIN. WINDOW OR FRESH GRADIf 1311AU INTAKE 4 MIN. AA 18. MIN 18" MIN. CV14OUIT 18 MIN. 95, - A " 1, - : *.. ;:!e 7 7- AT ON PROVID� Inlet r AIRTIGii SEAL A APPROVED JOINTS I WITH C. I. PIPE M OPON)VED -JOINT ALAR . EXTENDING 3' PE WITH C.I. P11 ONTO SOLID SOIL 3 EXTENDING ON* - 40TO SOLID SOIL C :UMP FT. _1 OFF 0 � j )CK C RISER EXIT PERMITTED ONLY ir. rANK MAIrUFACTURER HAS SUCH APPROVAL R D03ES PER DAY NUMBEIR 'i (GAL) i:zeopl Acso 'C,-nj-,o DOSE VOL JRE 0 TURER INCLUDI. .'T BACKFLO'�,' )s G A L CAPACITL'� !, S " D v/_ A Z I INCIIES OR q Y 9, GAL it B C - 7,,(, D 7 - 7 OTURER s /V T 19 NOTE Pump and alarm are to be -rate -circuits. instz.:1. Lled on sepa T SCHATOGE RATE CAL DIFFERENCE BEnEEN FURP OFF AND )ISTRIBUTION PIPE lo. 6 FEET NETWORK SUPrLY PRESSURE _M� FEET NQ FEET OF PORCE MAIN X i,lo F'T, FT FRICTION FACTOR FEET DYNAMIC HEAD 11, FEET 11 IS, IN&F A CH OF DEPTH EQUAL 3 ---a GAL 0 DIMENSIONS OF TANK: LENGTH AP, ', LIQUID DEPTH 3,$ P CHAMBER CROS3 SECTION AND 3FECIr"�_C.�`.TIUIN"" ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ' Mailing Address C e: !- �.u.d�✓�n- �. ! Property Address 5-z (Verification required from Planning Department for new construction) City /State AA -� w Parcel Identification Number - qo 11 Y8 - 7 0 LEGAL DESCRIPTION Property Location V4, ' /., Sec. 13 . T a e N -R !j W, Town of Subdivision V , Lot # Certified Survey Map # 3,P? I )-q 1 , Volume , Page # /P Warranty Deed # d ) 9 9 Volume Page # � � a- Spec house ❑ yes B no Lot lines identifiable K 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 sy has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days f the thr ' : on date. 15 19 SI GNATURE 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 pr perty desc 'beVabv by virtue of a warranty deed recorded in Register of Deeds Office. l" SIGNATURE OF APPLICANT 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 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer- ��-°^ Mailing Address Property Address P (Verification required from Planning Department for new construction) City/State / Parcel Identification Number � Sao 11 Y8 ?c> LEGAL DESCRIPTION Property Location %., V4, Sec. % 3 , T a e N -R o W, Town of Subdivision ° Lot # Certified Survey Map # � 2 - 0 , Volume Page # /P Warranty Deed # 6 ,� R 9 . Volume Page # � c�- Spec house ❑ yes B no Lot lines identifiable K 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 th e sy stem 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 tnasterplumber, journeymanplumber , restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic sy has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days f the three ar a tion date. SIGNATURE 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 r e rt3' desc 'bed ab v by virtue of a warranty deed recorded in Register of Deeds Office. P P SIGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being by y the Zoni De P artment. " "" •* 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 a t 62.29145 STATE BAR OF WISCONSIN FORM 2 • 1998 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS 1 ST. CROIX CO., WI Document Number via 1 352 RECEIVED FOR RECORD This Deed, made between Timothy J. Koxlien and Lisa 05-15 -2000 9:00 AM L. Koxlien a /k /a Lisa L. Simpson, husband and wife WARRANTY DEED EXEMPT D CERT COPY FEE: Grantor, COPT FEE: and Jason T. Hynes and Bethany Hynes _ TRNIM FEE: 1689.00 husband and wife as survivorship marital RECORDING FEE: 12.00 PAGES: 2 property Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: See Attached Recording Area Name and Return Address RETURN TO: TITLE ONE 70619TH STREET SOUTH HUDSON, WI 54016 040- 1147 -30 -000 040- 1140 -70 -000 Parcel Identification Number (PIN) This is homestead property. (is) (is not) Exceptions to warranties: easements, roadways and restrictions of record Dated this —T- - "ay of , �-- + *Timothy J. &0 y—en r + • L' L. Ko ien AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) ) ss. St. Croix County' Personally came before me this day of authenticated this day of ocs�_� a above named Timothy J Malian and Lisa L. Koxlien s TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person who executed (If not, the fob oing instrument and ac nowledged the same. authorized by § 706.06, Wis. Stars.) � THIS INSTRUMENT WAS DRAFTED BY * Tracy L. rner Michael H. Forecki Attorney Notary Public, State of Wisconsin Eau Claire, Wisconsin My Qqmrmssion is permanent. (If not, state expiration date; (Signatures may be authenticated or acknowledged. Both are not necessary.) Tr&Cy L. Turner -Names of persons signing in any capacity must be typed or printed below their signature. StFlte Of W1111c0ne1n STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 2-1998 Pro&Md with ZipFmow by Venison Inc. 1 son FNaen Mil. Road, Clintm Toorxhfp. M oho.n 48m, (900) 363 -9805 c0000y it p4mier Grwp 'rob 19th St Hudson Wl 54016-2161 Phone (715) 186.8207 F. (7151386-6651 r01_ 1510PAGE353 Part of Government Lot 4 of Section 13, Township 28 North, Range 20 West, described as follows: Coinn►encing 897.7 feet North and 224.1 fec( Cast of the South Quarter cor►►er of said Secliou 13; thence North 48" 20' East, 15(1.(10 feet; thence South 80° 00' Last 426.5 feet; thence along Co c Road to a point South 43 20' Cast, 292.0 feet from the point of heglnnuig: thence North 43° 20' West, 292.0 feet to the point of beginning; AND Part of Government Lot 4. Section 1.3, Township 28 North. Range 20 West, described as follows: Prom the South Quarter corner of said Section 13. go due North a distance of 996.8 feet; thence due Last a distance of 336.7 feet to tl►e point of beginning of the parcel to be conveyed herein; thence clue North a I distance of 328.0 feet; thence South 88° 33' Cast along the North line of said Government Lot 4 a distance of 494.0 feet; thence South 09° 18' West a distance of 206.0 feet along the West line of the Town Road; thence South 12° 17' West a distance of 190.3 feet along the West line of the Town Road; thence North 80 00' West a distance of 426.5 feet to the point of beginning, all in the Town of Troy, St. Croix County, Wisconsin Lot 2 of certified Survey Map, recorded in Volume 1 of Certified Survey Maps on page 128 as Document No. 327290, being a part of Government Lot 3, Section 13, Township 28 North. Range 20 West, Town of Troy, St. Croix County, Wisconsin n 0o l " 2 9 ? 32720 Volume 1 Pa e 128 W SCALE g .S, FRANCIS H. 100' 50' 0 loo' v yc O S•8�82 �S 89° 20'50" W RIVER FALLS, : (r LEGEND G�j CENTERLINE OF 900 144.00' 9 0 ° �•y t�� WiS ACCESS EASEMENT -� • 0 SECTION CORNER MONUMENT , Po o M �o ����888164 �`�� 0 1" PIP FOUND N ~ N M; �A OD O z 0 1" X 30" IRON PIPE W 'o. ACRES g a WEIGHING 1.68 # /LINEAL FOOT GOVERNMENT °— LOT 0 3,, - — — TOP OF BANK M — o o' —W _ — BOTTOM OF RAVINE W o o FENCE N 80° 35''E z p 145.7 - j� FENCE CORNER `a 230° m a \ X ro ;Q D AFL .tl A �2 2 1.62 ACRES 0 �� 9 0 s 6 Q� POINT OF BEGINNING g 2 �g2 /� O 77, A C' o. , o .N IS 88 � 0 .9 O ly�i O O - - - 3 ly.Y2 �' 400 06 " i o o. 4.9 - S 88 33'E 457.33' �•, 81.83' 4 K) COV i SOUTH LINE OF GOVERNMENT LOT 3 cv� }o ; N89 °46 "EM SOUTH Z; 3 /� COVE VIEW LOT E - uo;H - oo K) 66' ' N; x U z ro > OWNER AND SUB - DIVIDER: SURVEYED BY: ; c? K m; o Robert S. Ahrens Ogden Engineering Co. 'v;NW R. R. #3, Hudson, Wi. 54016 123 E. Elm, River Falls, Wi. 54022 I W ? S 1/4 CORNER • ; -� SECTION 13 T 28 N R 20W DESCRIPTION A parcel of land located in Government Lot 3, Section 13, T28N, R20W, Town of Troy, St. Croix County, Wisconsin, described as follows: Corrrmencing at the S1 /4 corner of said Section 13; thence DUE NORTH (assumed bearing) 1334.51' along the Westerly right -of -way line of Cove Road and the extension thereof; thence S88 ° 33'E 274.42' to the point of beginning; thence S88 ° 33 1 E 457.33' along the South line of said Government Lot 3; thence N89 ° 46 1 10 "E 81.83' along the centerline of an' existing town road and the Westerly extension thereof; thence N39 ° 54 1 10 "W 190.00' (previously recorded as N39 ° 40 "W); thence N0 0 39 1 10 "W 310.00' (previously recorded as N1 thence S89 0 20 1 50 "W 144.00 thence S0 0 39 1 10 "E 242.32 thence S57 ° 37 1 40 "W 123.44 thence S51 215.24' to the point of beginning, EXCEPT THE EXISTING HIGHWAY RIGHT -OF -WAY. NOTE: All bearings are referenced to the West line of Cove Road in St. Croix Cove Subdivision No. 2. I certify that the above description and map are correct and that I have fully complied with the provisions of Sec. 236.34 of the Wisconsin Statutes and Sec. 5.4.2 of the St. Croix County Zoning Ordinances. Date: May 16, 1975. FRANCIS H. OGDEN S-882 MAP N0 75 -474 Vo °Tume 1 Page 128 HEAD/CA M HEAD CAPACITY CURVE EFFLUENT NONE ■■■■ ■I ■ ■ ■OI ®mmm ®mom ®m ®m�m�m ®m ®��m� ®� ®� ®� ■ \ ■ ■ ■ I�ommmmmm�m ®mmm ®m ®0 ®o�����® ®min mm�m�m�m���m�m ®m�m�m ®m�����m�� OREN \■\ ■ El�m�m�m�m�m���mmm ®��m�m�m����� . \■ \ OI�I�C .0 ■.C.. ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■i ■ ■ ■� ■gym \�� \��r ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■ 0 ■E■ ■ ■ ■ ■ ■ ■■ 0 \\ \ 00 \■■■■■■■■■■ \■ \silo ■ ■ ■ ■ ■ ■ ■ ■ ■■ � .. ... . 60 , call ONNOMMEMEM ■ ' feet TDH. N OTE: Capa low ■I■■\►\ ■N ■NONE ■�� 11 \`! ■ ■■ ��■ ■ENE■ „ ��N \`�j 1111\ ■■ %% NOON ■E ■011► I\ ■� ■\ \NOON ��!�11�\ \EE ■N\ \NOON M- 91INW 4 . 1 . \\ \N ■ ■\k0l MEN 110 I \' \ \ \ ■ ■O\ ■■■ iili�i�iifiif•I"iil��� \� ■ ■ ■ \ ■■ NEMIM111 ■EREE■EEE ■E■ ., CAPACITY CURVE M SEWAGE ------ - - - - -- ,�� ■■NO■■■ ■ ■ ■I�° ®� ®m ®� ®�mm m����m�m�® .51M■ ■■■■ ■■■imp ■_ _ =__ m ■ ©:m mm ® ®m ■�04100201M IMMIRMENS ■i ® -- -- - - - - -- -- mo =�m� ®® ENESIMIRRIM = = = =mm ■\RR ■ ■MI► \ \` \ ■ ■ ■ ■ ■■■ ■ ■ ■■ ■ \� \ \►� ■ ■ \ \ \ \ ■ ■ ■ ■ ■ ■ ■ ■ ■■ MOMMEMIS MORMON \ \► \NOON■■■ .... .. less than 15 feet TDH. so \ ■� \�� \ ■\\►O■■ ■■ NONE \9�1��► \\M \\�\ \■■■ NONE ■ ■ \'����Z \\ ■ ■a \\ \ ►\■ NONE ■■■■sw■■■M■■MME■ . . . .. . ... .:..... . . ... ... .:..... . . . Wisconsin Department of Industry, SOIL AND SITE E V A L U AT I O 1 EPORT Page L of .3 Labor and Human Relations Division of safety 8 Buildings � in accord with ILHR 83.0 , S1 Coder f >� COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in s/ 9.1, n rtlgtW+r+�(tr� but ` C�0 X not limited to vertical and horizontal reference point (BM), direction arui'i� slopU�`scaieor ARCEL LD. # dimensioned, north arrow, and location and distance to nearest road 4 ti � �f0� l/y g" 70 - 0 0 y .ft +� REVIEWED BY DATE APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION J PROPERTY OWNER: gtji ,_ „ `: PROPE - n,,n L-\5P4 Koz�E>N ' 1 �f1�F5 \. -ae , u t �3T Z$ .N,R Za PROPERTY OWNER':S MAILING ADDRESS idl-L M O # 25 5. C-O UE SZD �-' C am+ tIT7 A E ZIP CODE PHONE NUMBER []CITY 0VILLAGE &OWN NEAREST ROAD 1-Fu 0150 uc%c SL-1 006 177 16) 5g I - 1259 _rplo V I W S . L>,v i✓ rZ�. New Construction Use ➢CJ Residential / Number of bedrooms -3 [ [ Addition to existing building (� Replacement [ j Public or commercial describe _ _ Code derived daily flow 0 gpd Recommended design loading rate gi bed, gpd/f1 0. B trench, gpd/ft Absorption area required (o 3 bed, ft 5 (o3 trench, ft Maximum design loading rate 0,7 bed, gpd /ft 0. Q trench, gpd/f1 Recommended infiltration surface elevation(s) G6 . ft (as referred to site plan benchma(k) Additional design / site considerations Parentmaterial At_ts. %_KAL_ _ Flood plain elevation, it appticable _ - — It -' - -- S = Suitable for system IO U L MOUND IN GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for s ste .R S U M S ❑ U I Cgs I] U I a s ❑ U 0 S Xf U 1 Cl S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bwxoy Roots GPD /ft in. Munsell tau. Sz. Cont. Color Gr. Sz. Sh. Bed ,Treat, 1 p - - 7.Sy►� o l r - -- m `t�r -- —cs- _ - 6.5 0,(O Z y -7 7. vrZ_ Z/p I I msb�C rn `� I r Cs O,qI j o. S Ground 3 7 -13 1 0 Y2 2 -/2 St [ 2 m5b l 0. to elev. -- -- - - I / O \1YZ St 2 Mob O,lo Depth to _5 G�l I msn� rr1-r �� ` 0.2 limiting factor 3`i- 75 -1 r►2 31 — 1.5 7 N D - =7o ID VA�' 5 14 _ 5 Asa m — 6.7 !0.8 Remarks: -- - - - - -- — — Boring # I 0-q - 75vrZ 2 -/o ► �-F O,S '00 Z S �+Z '�O [ ► rrx m_�� 0,4 0, 5 3 15 - t0 v 2 -/z- St 1 1 msb hn�rr C s - 0. Z 0,3 Ground ' e y 27 9-' y Sr [ I msbK mF , c- 0. -' p, 2- 0.3 Depth to 44 -48 7.s V 3 /q m 1 _ c� w — 0, 04 limiting (0 r e - 41 b 5 Q m )1 _ — 0.7 %9 factor Remarks: — CST Name: - Please Print w - IS X40 44- Sign Dated CST Number: _ ,, _ *# )Z 20 03�r17 PROPERTYOWNER KozLv- SOIL DESCRIPTION REPORT Page Zof i PARCEL I.D. # — Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounck3y Roots GPD /tt .................. in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed lTw& ................. .................. I -3 75yr 2��D — ! -� 0. Z -IS 1 7.-S \IK2-1 — I rv\sb)< M -4 CS 0 . L l �S Ground 3 15 - 1.5 )0Nfe- Z /Z - 5 ► )msb Mt( CS O,Z .3 O -I It. y 25 -3 - 7.5 Yrt3 IS 0sq rr\ 0 W - j pe Depth to S� 37�p lo V2`a1to St- r C mt - _ 0,7 0.g limiting - - -- - "- factor „ Z90 -- — - - - - - Remarks: Boring # - 715 NK 2 �D — ) 3� r ��r G5 - D L4 1 4-10 - 7.5 YK 7-10 I zmsbK Irr V- r CS 0,5 D.(0 _ 3 10-14, )U \rr. _ 5►I 1 r,\5 rnF w a. Z_ 0,3 Ground -- - - - - -- -- - - 4 IL -Z1- I0 yVI Jr — 5, ( n, sbX mfr C-5 _ 0.z 0,3 1 .1 YY\ W ,� OS Depth to - - limiting mt C factor - -- ?a5 7 3� -q5 7 5 v►t � — S C�Sa ,-,•,1 D, 7 Remarks: -- _ - -- Boring # 0 -5 7.5\14 1 ✓� mV�r S 0.S':o Z 5 -12 7 - 1 Zmsb) m J -Fr Ground 10 VK� Z lZ - elev. s 1 fy mjr CV) O�Z 03 Depth to s 29 -3? - 715Y _ 'Z, =)'-( Is C ryn Cw 6,'7 . 0,7 Jim iting 33 -y3 2. 5 VK- - _ S � mt q - 0. o.g factor I -- - -- — - L(3 - 85 )C '4 K L4 ho Remarks: __ -- Boring # Ground - - ..--- - - elev. Depth to limiting factor - -- -- -- - Remarks: - - - - - - -- - - -- SBD 8330(R 05/62) PAC�� 3 PROPeIZTYOWw: M7- )A) Tlm t_\SA Leamr: / > L Lp cA L DM- - "-T-R" P leg - C-4 T. LOT c, 1 A 5UMED 100,0' W TOWJO OF Ca \X Z- GRU.wD SUP-FACE T 12 't r- eE F - SOIL �24NC W1 6PCKNO� /02.79 NO COMM 83 SETBACK PROPLPM5 PRO po5:eP 3.Z7 A cQe�5 � II EL J CO. Z5 ❑83 E;_ 4q. 17 ' T3�iacc, TOP DK�v��J�.y 51TE WCAnoN: 516NEt7 C5t Cffldltl M03T07 PATE: 05—)2 -00