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HomeMy WebLinkAbout040-1184-60-000 0Np I3vn d r_ o c w o v1 o (D c (D a O N W A • 0 D~'j O O y O =r O K) n K N N N y oo p (D CD 0 0 CL on -4 N C <D N CD Q < 1 0 N O O M a a O N f7 fA p O C fA (n w o z D m a °O CD ' 'III co D W a 3 m o c p _ c a o O C) w O o o A "-ft" co a Z 0 0 n M e 0 0 y m ~ 0000 o I C ~ * * a l' ~~yy..,,~,,~ CY) co xc aaQ°o `IQ v 'o o- m 0 0 o y 0 N N CD O ? :,I w I ~ °'I N c D D O !~1• m N C N Oro N fD C. CD ~ co o A Z n y c ~ ~ .e CL 'I,i A Q 3 i C cn -I 1D m < ONO W ca d Z p C,) rvo 3 'Imp m Z (D a 0 I 7 > (00 CL CL . -4 a - c W 0 N m G I 0O oa a.- 0 w= T Ov c <~3m Z n n 0 o O ~ fD w f y a w o' o o a y V to C i p O Q O N U) ` O O .w. N C fD j a N O a y O O ~p O ~ p_ ~ A w j A G O 69 O O CL Parcel 040-1184-60-000 06/21/2010 09:36 AM PAGE 1 OF 1 Alt. Parcel M 13.28.20.752 040 - TOWN OF TROY Current 0 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - SWANSON, WILLARD N JR & CARMEN R WILLARD N JR & CARMEN R SWANSON 324 N COVE RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 324 N COVE RD SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 0.500 Plat: 03-079-BOMAR HEIGHTS 040-77 SEC 13 T28N R20W LOT 6 BOMAR HEIGHTS Block/Condo Bldg: LOT 06 INCLUDES P753 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-28N-20W Notes: Parcel History: Date Doc # Vol/Page Type 2010 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 11/09/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.500 500,000 209,500 709,500 NO Totals for 2010: General Property 0.500 500,000 209,500 709,500 Woodland 0.000 0 0 Totals for 2009: General Property 0.500 500,000 209,500 709,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 314 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 040-1184-70-000 06/2112010 09:36 AM PAGE 1 OF 1 Alt. Parcel M 13.28.20.753 040 - TOWN OF TROY Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner 0 - SWANSON, WILLARD N JR & CARMEN R WILLARD N JR & CARMEN R SWANSON 324 N COVE RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 0.200 Plat: 03-079-BOMAR HEIGHTS 040-77 SEC 13 T28N R20W LOT 7 BOMAR HEIGHTS Block/Condo Bldg: LOT 07 ASSESS WITH P752 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-28N-20W Notes: Parcel History: Date Doc # Vol/Page Type 07123/1997 437/432 2010 SUMMARY Bill Fair Market Value: Assessed with: 0 040-1184-60-000 Valuations: Last Changed: 01/14/1986 Description Class Acres Land Improve Total State Reason Totals for 2010: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2009: General Property 0.000 0 0 0 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 'SC S- C ON S-5 U. S. DEPARTMENT OF AGRICULTURE 2-70 FILE CODE CONS-14.5 SOIL CONSERVATION SERVICE INDIVIDUAL INVENTORY & EVALUATION * GROUP UNIT OF GOVERNMENT Bomer Neighli REQUESTED BY Steffens LOCATION Lot #6, Sect. 18 Troy Twp. ASSISTED BY Wes. Sander DATE 8-10-72 SITUATION: Landowner has a 100, wide lot extending to the St Croix River which he wishes to sell as a building lot if possible. Slopes range from 20% near the top to greater than 40% over the majority of the lot. Soils are sandy and very erosive. Some of the slope base has been cut o away by wave and ice action during flooding of the St. Croy River. A small area extending south from the-south east corner of the property has 11% slope. This area appears suitable for access and also a filter field. It is presently part of the township road rightaway. SUGGESTED SOLUTION(S): _ Three alternatives were discussed with the realtor and and the zoning administrator. They are listed below in order from the least detrimental to the environment to the most detrimental. 1# Sell to an ajoining landowner as an unbuildable lot. 2# If possible, aquire the triangular piece of road right4r-way for access to the property and also as a site for filter field septic system. This would. mean placing the home on a 20% slope. Extreme caution should be exercised in the design and construction of the home-so-as not to aggravate a serious erosion problem which exists along the steep * Circle appropriate category. over sandy bank. Increased wave and ice action will affect the stability of the bank and could pose a threat to a structure on such a steep slope. 3# Attempt to build on the existing lot using a system of retaining walls to create an area large enough for a filter field septic system. This type of system may or may not be acceptable according to zoning regulations. Should the system fail or need expansion there would be little if any area to move to under the present criteria. Again the home would have to be placed on.a slope of 20% or greater which would mean the same things should be considered as described in alternative #2. See attached map. i ofv sf -e s ( 3 0~ I ~A t r~ lye Rf ~ a = ay l rvev ~o 3`f ,4,l C/?G- P1, 1-u f 38 - a~ ~I of fo Se ale N 90• 00' w 5 76.00' ' OA4 ~r 1PJ•00 N 90° 00' W 56+. B3' ry I cw• uwl~ %L O = 0 oa .$+t N900 00' W 432.3!' opf ! 3 oat k' l ~ 3.k j r a ~~•00 N go* 001 w 299.79 ' • j ~ L 0061 ss i AN e$/ ' ® r;\ ~ ~ R6~~" Thrre arc no 236.16, 236.2 b~ the Wis. Adm.i 8 y / •00 Certified this. N 90° CO' w 303.81' 9~/ "e /43'SI Wal s , h0 1 Qtr oi.ec+« I of ~p •0~I ~ ~ (J ooA~ ~ N 1 N N Z -S' Al 900 00' W 3 73.40' _ yJ! o~• 245.5f3' 90 12762' ZA• L Ll7'3 ' ~'1 pN Q° o. ooea 61• 1' + °o ! C/ 0 0 7 ~o~• ~ o~ 'fib 20.00' o~ o V 7S' 2S6.B0' - - _ - _ ep46.00' . 44.00' N90.00' E 312.60_ - N UWLATTED LAND 53 -3) < / 1 I~ cep ST. CROIX COVE all v°2e, 9 Sl1-Mylp2 N0. 2 9, (a I p a 1 IY~ o OK 12 `j0 1 vII 1 s6. 5i Ga Point of 6et*tirg; On# liret,l32Q10 ft dua with of satfh lfj corne► of Sec.l3,T28N, R20W. x ' * tFIMlbets This instrurnenf was drafted b Carroll A. G~ IVAbr aAewtrmt Lo4e St. Croix an Sept. 4t !9164 - 675./' by 1~ar eJeta►t/ovt - 679' tttJreYgttart 67$ O Curve Radius Cent. Any. Chord L. Chord Or Ta r t i~frr twvlter ekmatJen - 672' t,gnl~re/ wwntunew* SdCree2/"-E1. A 50.00, /6503s' 9602.0' 9.22' N26051'W N! ocno' ncno IE-00 tz °c S'' > > A) 0 (D M 3 3 cn -i = z o A A cn v, z i O. 0 y O m N O O O n N l< K 0 O A O ~ W A t ? 3 3 C N V 41 N O O 7 7 C N N < N O ~.,n ctrl (D v m CO O O j v CL z dz N O n W C, N a N n N A W A O O W O O O N N 7 O O O O °S CL M) O) O C) C) O n O fD N O t'? O O m O (OJ1 C, O 7 O . ~O1 CD u O m N 3 m _ N 3 m O O ~ 0 =3 =3 j 0 e~•f l~ 7 N W to N ~o O O co C N G .7 N N m0 to G D a Z z v D a (D tp w (A o m co A O. o W m 2 _0 (D CD C:) co 3 Q I» C, ~ m n CD N o o N Q OX 3 O W N D CD a- j fD CL CL O O V a V W (o (o X N N y co A a fm/i N ccoo coo CL w C ^ ^ cn -0 y0 Q :2 O CD 2) O O O a O O O rr to Co v 3 to to to o n 3 cn cn cn Ao 3 m 3 v p 0~ a 'o 0 0 cy) N O 0 U) fu m - m _ m m m ~ m N C y m o y co o O O a =3 O a CD (j) CD cn \ m m C_ m w C Olt in (a a c m N C N N CD ~ a N = (3 = 1 co D co cn in c to c a a p 3 I z -i-' W W 2 0NO " Q Q 1 J z 0 3 a X m m \l N Z y C W W A) O < Q 'O O Q Q ? CD - C 'O A C C• N In C O C m ~"O_ :3 T1 N N m T {U O O pt O ! fl1 _ N '0m0 00 OZ O. d or m to ai a a N CD m O @ m m o o~T U) m m ~ z m a (D " m w o V N Q C OO I v m i i N O n O b N m A 0 b ~~v CD CD fn O En O I ~ f ° ~ o b C) CD CD C~, CL CD CL Wisfonsin,LSepartment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 142 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Kovatch, Mark Troy, Town of 040-1198-20-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 13.28.20.905 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark ` A Dosing Alt. BM r + Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD DtInlet Septic Dt Bottom Dosing Header/Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO / LDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of r Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes D N.7 0 Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 395 N. Cove Road Hudson, WI 54016 (NW 1/4 SE 114 13 T28N R20W) Bomar Heights Lot 9 Parcel No: 13.28.20.905 1.) Alt BM Description 2.) Bldg sewer length jn--L f~ - amount of cover "7CJ Plan revision Required? 0 Yes ❑ No L Use other side for additional information. L_74C6__j1 t 1 Da te ;!Ilnsepctor' ignature Cert. No. SBD-6710 (R.3/97) CountySli an tary effn Application ST. CROIX COUNTY WISCONSIN M accord with 15.04 St. Croix County sanitary Oroinance ZONING OFFICE Personal information you provide may be used for secondary purposes ST. CR04X COUNTY GOVERNMENT CENTER (Privacy Low. S. 15.04(1)(m)) 1101 Cam"" Road Hudson, WI 54016-7710 715 6~ 5 Attach a for the system on paper not {ess than 8-1/2 x 11 inches i&tWep County Sanitary ~ # ❑ Check N revision to previous application Mform don - Please Print all information RECEIV Location: Pmperly Owner Name NJ 114 9 1/4, Sec 3 v~ 2! 2009 T Z'o N. b R E W roPSA OwVIWS Malling Address ST CROIX COUNTY Lot Number Block Number (6 PLANNING & ZONING OFFICE (7 1 City. State I Zip Code Phone Numer Subdivision Name or CSM Number D - Q Type of Building: check one) n Mity ❑ Village OAm of O'1 or 2 Family Dwelling - No. of Bedrooms: O Pubudcommerciai (describe user D c~. jc- O Stara-owned Nearest Road Type of Permit: (Check only one box on line A. Check box on one 8 if applicable) /2/1 cao-e / Parcel T~ax/Numbr(s / A) 1.Mlie it 2. ❑ Reconnectim 3.❑Non-plumbing . ❑ Rejuvenation lo e Sanitation Permit Number Date Issued (G}'State Sanitary Permit was previously issued IV. of POWT System: (Check all that apply) E! NmVressurized InVrocxld ❑ Mound ❑ Sand Filter ❑ Constructed Wetland O Pr+essrxized In gtotxid ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ MVede ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other V. reabnwd Area Information 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application Rate 5. Percolation Rate 6. System Elevation 7. Final Grade / Required Proposed (GalsJday/sq.fL) (MinJinct) Elevation LAID- (3 436 92 /131 VI. Tank infotmalion Capaicty In Gallons Total # of Manufacturer Prefab Site Con- Steel Fiber- Plastic New E)dsting Gallons Tanks Concrete stnxAed glass Tanks Tanks L vac a0 ,e ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ VII. Responsibility Statement i, the undersf nedg . assume responsibility for repair/recon nencfiordrejuvenatiorinstallation of non-plumbing for the POWTS shown on the attached plans. A license Is not required for terralift repair or the installation of non-plumbing sanitation system. Plumber's Name (print) s rS' sta MP/MPRS No. Business Phone Number lad 1 0911 M& L Pkxtttlet's Address (Street. City, stateiZip code) - oZ 29:2 1-4-0 VUL Coup Use On Sanitary Pem'dt Fee Da a Iss Issui Sig to MProVed owner en I Adverse C 66 Z~ D G nation J / IX. Condl ons of Approval/Reasons for Disapproval: ~ 1 eC,M.•' Pot 4.J f a cc.S I 1 I 1 07/24/2009 15:18 FAX ST. CROIX CO. CLERK 1A001 'd A T C- 104 AS BUILT SANITARY SYSTEM REPORT OWNER. o TOWNSHIP % o C. W ADDRESS ST. CROIX COUNTY, WISCONSIN 1 C' t SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of. H 63 SHOW EVERYTHING WITHIN 100 FEET Of SYSTEM r .~aarN ARaPEiLrY [i.vE I Alf jai e°~9s, /6~ Govt A0 I i S~ ~ I /vbu.rd I OlLcV e"'^ r OVEti doe TO r.,7, 'A'P&VrY ' LIN~ ~LIAA- INDICATE NORTH ARROW BENCHKhRK: Describe the vertical reference point used Elevation of vertical reference point: wZOQ. DA2-- Proposed slope at site: 0 SEPTIC TANK: Manufacturer: Z S FQ Liquid Capacity: 20 ' Number of rings used: - Tank manhole cover elevation: Tank Inlet." Elevation; Tank Outlet Elevation: Number of feet from nearest Road: Front.0 Side,O Rear, (3 _ feet From nearest property line Front 10 Side's Rear, 0 b ~ feet Number of feet from: well- , building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) ri~IP dn•v r7ri r;~?. .y tlrr.a• , f y ~ r /YV /C r  k 0 cn o 3 n t7 C m c 0 o m M m I ~ O CA 3 2 v, Z ° ccoo o w • 7 3 O C fo v N cc, 00 V j CD W 7 S 0 O O O `Al 00 O O a j 7 O N o N C I O CT O 3 w o° N CA (n < D a Z CD (O m m a 0 ` -0 = 0 W a co c rv 3 0 CD =3z W CL CL z O 00 00 n r cn A ? co 0 a 3 O N 00 co 00 ~ 0. m a. m m v v, CD S N o D m = 0 CD Cn 'a U) (CD 2) cl) c w co n z m cb C~tn =L i A ? w a a z 7 0 * ° w CD m a z I o » U I 3 m ~ I ~z CD a w I I oai a 0 3 0) c I g o 0 JCD `D N CL I y s X a m I ~ a I fi O I N ti I~ v c N I ~ o m ON I n Q I o CD A WC I ~ EH ~ ~v N b O CL ti i Parcel 040-1198-20-000 08/17/2006 04:32 PM PAGE I OF 1 Alt. Parcel 13.28.20.905 040 - TOWN OF TROY Current XI 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 - KOVATCH, MARK A & SANDRA K MARK A & SANDRA K KOVATCH 395 N COVE RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 395 N COVE RD SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 2.200 Plat: 0121-BOMAR HEIGHTS 1ST ADD SEC 13 T28N R20W PT GL 3 BOMAR HEIGHTS Block/Condo Bldg: LOT 09 1ST ADD LOT 9 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-28N-20W Notes: Parcel History: Date Doc # Vol/Page Type 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/26/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.200 72,600 251,500 324,100 NO Totals for 2006: General Property 2.200 72,600 251,500 324,100 Woodland 0.000 0 0 Totals for 2005: General Property 2.200 72,600 251,500 324,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 308 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r i 'B 8 TC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER /~jp/Z,~(~/aTCN TOWNSHIP % c C. W ADDRESS ST. CROIX COUNTY, WISCONSIN./, SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H 63 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM TZ7 NOrsT/J P/LOp~2TY G/NF SS 6, s S 3? a ol° 9~' wvs go Se I O/ZZVE'►vA r ovrnL /oo / To so+CtM P/LIPE&7Y Li NE {✓ElL INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Al kl Elevation of vertical reference point: ~0-0--- Proposed slope at site: SEPTIC TANK: Manufacturer: "-IF& Liquid Capacity: '/'bop Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,O Side,O Rear, feet From nearest property line Front,0 Side,} Rear, O 6/0 feet i Number of feet from: well J~ building: clude this information of the above plot plan)( 2 reference dimensions to septic tank) PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear, 0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: 1Z Trench: o~ Width: Leng I th: 3 Number of Lines: Area Built: Fill depth to top of pipe: o, Number of feet from nearest property line: Front, O Side, ® Rear,0 Ft. Number of feet from well: i Number of feet from building: 302 (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, O Ft. Number of feet from well: Number of feet from building: C Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: ~ Plumber on job: License Number : 1i7jo/Z-f 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & ,HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, W1 5,1707 CONVENTIONAL DALTERNATIVE State Plan 1. D. Number: El Holding Tank ❑ In-Ground Pressure D Mound (If assigned) 'A'? IOU a Y? NAME OF PERMIT HOLDER: JADDRESS OF PERMIT HOLDER: INSPECTION DATE: Mark Kovatch 80 Cudd Ct. River Falls WI 54022 •s BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: CST REF. PT. ELEV.. NW SE, Section 13, T28N-R20W, Town of Troy Name of Plumber MP/MPRSW No.. County Sanitary Permit Number: Gar Za a 3300 St. Croix 49476 SEPTIC TANK/HOLDING TANK: MANUFACTURER: < LIQU D CAPACITY: TANK INLET ELEV.. TA OU LET ELEV.: WARNING LABEL LOCKING COVER _I J~ I W4 / PROVIDED: PROVIDED'. S1 V 5 l DYES ❑NO DYES ❑NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUM8E OF ROAD: PROPERTY WELL: JBUILDING: VENT TO FRESH c ALARM FEET FROM ; LIN[ D nlR I I ~T DYES NO DYES ❑NO NEAREST (6~ DOSING C MBER: MANUFACTURER. 7ING L IQUID CAPACITY PUMP MODEL JPUMP/SIPHON MANUFACTURERWARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ES ❑NO DYES ❑NO DYES ❑NO GALLONS PER CYCLE: PUMP A ND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL BU ILDING. JV (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) DYES ❑NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing JI Fru,TH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM:- DEPTH WIDTH - LENG H- TRENCHES DISTR. PIPE SPACING. COVER DIA.: #PITS: ILIQUID BED/TRENCH . COVER : ]:::~~:TSIDE DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPT H DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL. NO. DI R. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW P ES( ABOVE `OVER: ELEV. INLET ELEV. END PIPES' FEET FROM LINE: AIR INLET: C ) NEAREST MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- D meets the criteria for medium sand. TIONS MEASURED. YES ❑NO SOIL COVER TEXTURE JPERMANENT MARKERS OBSERVATION WELLS DYES ❑NO DYES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED PTH OF TOPSOIL. SODDED. SEEDED. MULCHED. ICENTER. EDGES DE . DYES ❑NO DYES ❑NO DYES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH: NO. OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER: BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE IM ANIFOLD MATERIAL: IN_0__D_1S_TR_____TD_1STR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV.. ELEV.. DIA.. ELEV.. PIPES. DIA.: ELEVATION AND . DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS. DYES ❑NO DYES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: EET FROM LINE: F DYES ❑NO DYES DNO NEAREST 'o 'va .3° I 3102- 01 ) Z 10 75 zSg` ~0 41 5~ l _ /D Sketch System on 1.0 R tain i'n county file for audit. Reverse Side. SIGNATU TITLE: DILHR SBD 6710 (R. 01/82) wlsconsln APPLICATION FOR SANITARY PERMIT DILHR (PLg 67) COUNTY DEPRRTTEnT OF UNIFORM SANITARY PERMIT # InOUSTRV,LRBOR 6HUmRn RELRTIOnS w y~ mommommommomm -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/2x 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILING ADDRESS n~ - TI ON - e+TY- k)1/4 1/4, S , T z$N, R " E (or) T WN OF: TA QX a NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER n 5 Ala/ TYPE OF BUILDING OR USE SERVED 0-1/10- 29 1 or4Family Number of Bedrooms. Public (Specify): THIS PERMIT IS FOR A: X New System ❑ Tank Replacement ❑ Repair ❑ Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. X Seepaye Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Dad Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: 5- f' IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): e rjU ❑ Private ❑ Joint Public 1, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Print): Signature: IMW MPRSW No.: Phone Number: I ,3ov (714-),786-,Z?5'o Plumber's Address: N of Designer: ame T COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved. ❑ Owner Given Initial Approved Adverse Determination Reason for Disapproval: Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber 1 Form - S 'r C 100 Owner of Property ,Location of Property 0k) Section T .,2 N R.2_0 -W Township r0 Mailing Address ~dd .S Subdivision Name/444%s~ Lot Number Previous Owner of Property s /~/Jf Total Size of Parcel~5~ ~S 0 Date Parcel Was Created Are all corners identifiable? Yes No Include with this application one of the following: .Certified Survey Map Dead Land Contract, nr .Other I:egal Document which describes the property PROPERTY OWNER CERTIFICATION I (We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the propert` escribed in this information form, by virtue of a warrapty deed recorded in th Office of the County Register of Deeds as Docume~t No. that I (we) Presently own the proposed site for thb sewage disposat .stem (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County Register of Deeds, as Document No. IG TUN[ OF OWNi SIGNATURE OF CO-OWNER (IF APPLICABLE) /~le DAT[ SIGNED DATE SIGNED H H STC - 105 r ti SEPTIC TANK MAINTENANCE AGREEMENT 0 St. Croix County d Gl OWNER/BUYER 4x e ROUTE/BOX NUMBER ~a17 t e,;Ge Fire Number CI`L'Y/S`L'ATE_LldsOhi Y~~-- PROPERTY LOCATION: Sectio11 1--- --N' R------W, Town of. St. Croix County, Subdivision Ajla;~VX*KJ , Lot number_ 9 Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping; out the septic tank every three years or sooner, if needed, by a licensed septic tank pnip_r. What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix County residents m_~ be eligible to receive a grant far a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained. 'rite property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. 0 I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x H the standards set forth, herein, as set by the Wisconsin Depart- 'v ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNED DA`t'E c) re! St. Citoix County Zoning Office P.O. Lox 98 LLammoi,d, WI 54015 715-7~ 6-2239 or 715-425-8363 Sign, date and return to above address. PAGE OF y CrosS S0,CjiVI"1 A bco Sys~~~, r Fresh Air Inisle AM OBeavotlon Pipe Approved Vent Cap MWwaw 12' Afore Fin Greoe { 1i 20 •2' Afore Pipe _ Cap bon To Final Grade Vaal Pipe Mop Or Sralholk Covering Ww 2' AggregaN Orw Plpf ' Olur4allon ' PIPa o Teo - i' AOgregola BeMflf PIPa Perloroloo Pipe Below o C901,1116 Tormirimilne Al B91106 01 616100 ~~tJwT ton SOIL FILL DISTKIBUTIOAI PIPE APPROVED S40IETIC COVER M '"`-AATER1* OR 9" OF STRAW Z OF MOOR UA E OR MARSH HAy Oil 1'1 OF it AGGREGATE ay JLEV. OF FEAT DISTRIp3UTIOM PIPE TO DE AT LEAST IAICHES BELOW ORIWMAL GRADE AAIU AT LEASTLO IAICHES BUT AIO MORE THAI) 42 IAICHES BELOW FINAL GRADE ~r. MNtIMUM OWN OF EXICAVATIoW FADA OKIG YAL 6KAoF. WILL BE IucH~s 4 IVIIJOWM fMAVATs-zP.: c". %W,%L GRAPE Wit I INCHES ' SIGMED: $ i LIGEWSE QUMBER: od!?A ,fb✓ .?,300 DATE: _ , , c ;,I DEPART SNOF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUST DIVISION ~LABOR;AND, PERCOLATION TESTS (115) MADISOP.O. BOX N W153969 HUMAN RELATIONS (H63.090) & Chapter 145.045) S PAPT' 0,-- fIARE.uS ico LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: v 0 /3 /T 2FN/R 2cl (or TX °Y COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: s, USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DE CRP NS: PERCOLATION TESTS, ®Residence 3 Ne w ❑Replace '_RATING: S= Site suitable for system U=vSi1,4- teunsuitable for system See CONVENTIONAL: MOUND: IN-GROUND-PRESSURE:SYSTEM-IN-FILLHOLDINGTANK:RECOMMENDEDSYSTEM: (optional) ©S ❑u ©S ❑u © S ❑u ❑ S au ❑ S ©u (7avas 7-lewol /AV-- If Percolation Tests are NOT required DESIGN RATE: C6,4 SS S I If any portion of the tested area is in the /Lj _ under s.H63.09(5)(b), indicate: 3d S ,So. FT• pet, W R14. Floodplain, indicate Floodplain elevation: 9`0- /N DRCI.AIAI f7-- FOR PAAW FIB6D PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-IN- CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH . , ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- / y . 0' 10 • F Z' Dom. l3 0 . s ' . s-,f u . IS , 1,13 ' BV . //A/ C S 6, Ago- (-X G . /7' v v C-S B- 1.4 , 14.ff Acl_ 7r' 9e. 8A . is 13,, . /s, .G 7' T•/,v vim, c.s, 2 0 B- 3 F D' I ?moo-- > ' •7S'o,~~,~ . s, s .p o R . ' )r,4.v !/CS. j GR 17 " rAV e'S B- a . S ~1 ~v• s ' > ' ojo ' oe. 6N . IS 75- 4,V 7S 'ram, 7 > ~ls• 0~ ~3•) • /s 13a . !S) /7' TA,V C s 3 yr . cc- PERCOLATION B- I 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 PER1003 PER INCH P_ RO-41 tJG- S 14 SS TES Aiit°E-- XIP ~t /&v P- S i ll S .V FOiP~+ /tiD ,4 ~E7~ a-v 16li- P- u v 4R TS . < P-_ f r,* R t -60,E S`16_A 1F1'Cr!•J 70 P- N N 1NCr - t /tiyF Gi 1N41.0 le O _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. 5'/5'7E':A1 A1/f/ /N 04 133 /3 y _ 13 S SYSTEM ELEVATION r- el--yA Pol-) °F 9~ • S U F r P'R A, ©v' 3 This ~ . I Y3 for a conventioTnal iePtia system. y Yfv _ f o R, 40- Z ' - r E S~Ai~E 3 E I s fR t3 z o 0 F ~o ~~~5~ 'AIS/E r S",Io~.ts ~ . 1..._ 1 pleoposeD H~tE 1 1 I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: AD0A5FX 7_ Z~/6~% c ti r- 4#i L 17-PI'l ADDRESS: CERTIFICATION NUM ER: PHONE NUMBER (optional): 3 11upfOA-) 431S. '3 CST SIGNATURE: )N: Original and one copy to Local Authority, Property Owner and Soil Tester. 6395 (R. 02/82) - OVER - / AlZ/~ A6LATCy Pt 46 . E--i-COLc /2d -T rr 1, /RAY Tow,.tNSA .PT. C/to.ZX °•l Zo T ~L /Q 1V 14,otzz. /WO W I /J 'TOP D)= 17EE1 Fin.c~ /-oST TJvrJ T / S N. W. LoT CvarvE2 x ~ ~g s ~a 9 To cE~✓rE2 ~ To g sr /'icopt2ry y° s1 ~~P r /a/cs. 9"P;PE /bov CAL TEpTSG WEST I i7 8a ~~~k P/+aP,en7Y 0 I I ~E_'lO'-,1 3 35~ ' 3 6=~ d--j 3 ~2oPo ftp P/LpRaPED I ' GAaAGE H 44SE 33/ 1 r y I g --~I Q ✓~NT STN Lk 0 l ~ I ~ fix d v~.°oZ. I~b o1 4 ~rvt ~„//a~/ nzonvsEo yG P/100 wELL ped ' / y3 STAKE eRti N P owe o La'/l-~ I OVI_ k oZOU + TO SOUT1,~ i j ~ Pnowr'~TY L;„,~ i I I .f2c~vt A L/G,E.vSE ~ l~C, ,DATE? ~ DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1982 THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED Robert Seeger Ahrens, This V ed made between 'Jr. , a/ ~a kobert S. Ahrens.= -Jr , Grantor, and-------- Mark-.A,_..Kovatch_.and ate,dxa._K._-.Kovat_ch.......... husband and wife-}._a,$ _.1o. n ...t_enants___with__full----_ ..r.i.ght_of_.s_urv yorsh p _and _not.-as._tenan-ts_-. in.__common----- , Grantee, Witnesseth, That the said Grantor, for a valuable consideration • RETURN TO conve~~s to Grantee the following described real estate in ._S_t-,._Cr_oiX--_.__._ Count-, State of Wisconsin: Lot Nine (9), Plat of Bomar Heights First Addition to the Town of Troy Tax Parcel No: This As- not _ homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And. - warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except and will warrant and defend (the same. Date his .....-l- day of OC-tQber.. 19 r--- L.....(SEAL) ------------------------------------------------------------------(SEAL) t(t~_Y_ ~~e-- Robert Seeger Ahrens•,__ Jr .....(SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) of --Robert Seeger Ahrens. STATE OF WISCONSIN 3 Y = ss. ...--------N -A------------------ -County. authenticated this -.......day of... UCtOb2Y:_____- 19.83 Personally came before me this day of October 19..83__ the above named - Robert Seeger Ahrens Jr- TITLE r14R1?4BB& SILA11LB-IRAR OF 4I884N,S1N- (If not, otary-- Public------------------------ authorized y § 706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Notary Pubic DQAR,....DRILL SKOW, Lori A. La Stafe ofi Wisconsin New Richmond Croix ~Dfi. nty, . n --ga ..................:._.Wis........eons.----•-•• . •.in-.54017............. Notary Public . St---.,......----- . County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration not necessary.) date: Febr_uary--$-------------------•----..., 1s:.S7....) =es of persons signing in any capacity should be typed or printed below their signatures. -1A ANT 7 i) STATE PAR ')F 1Y13Cn NSIY 1: _ ti 1:' ,uk C; lr• . i y DATA TE EUT Ka6 awe, CNUC GlnIOE LEGEND Np N0 l0'4TI1 19EARNV AAGU K" BOMAR HEIGHTS FIRST ADDITION 019 A SUBDIVISION LOCATED IN GOVERNMENT LOT 3, SEA SECTION i~ T284 P EN 1R5 _ Ss~ iN6 A6'E rn9d MtlX d9 R20 W, TOWN OF TROD St CROiX COUNTS W>`SCCOfVSIN Emm wf wF~ 1684/WLYFOOT,"PWE ~DO;B67~IN4r~D7~9uDd 02X}! aN PNE IKW 555 94 ROEAC W SET 9 50JXV4W:NC14S'2'E~SZ'WN( ALL Oro LOT GK'.6E lB5" STAVE) WIiN i12/ ROn PA 2-3 - 5000'i 66.46 ;N66'SS 6lY 11 Sc'q'q ~S1Y22NfW MRS' CERTRATE OF CDCATION SRufYCNi'S CERTIFICATE r - AS (WENS, WE HE7EBT CEM TWT WE CY,HEB THE LK CESCA~D ON TWS PL, I, FPAHCB N OGOBA REE6TYCEL' LND 9MEYCa, IEPEY (HITSY'. %-1 9922 Nv4 d'W 16T Sdoi ST'SXIO W 10 BE SWVEYED, OACED, AAPKO AW Cf4!NN AS VVEgRTED u; THE PLAT WE ALSO TVA 1 44 WMU, MW A'0 WM KW CUTS Fast INCNTON, LVATED IN J_J It~CfUAS h1~_D, SERIB'f THAT ?H5 P.AT 5 REBY S 2M6 D OR f 2H'2 OF THE MOM PAT- f'A¢WNT LCT 1"SECTION 4, TZ9N, TJAN OF !PT', SE :RW M14TY, W15CO13Y1, LTES AM SECTO, 6.124 OF TIER IJtl1 com" 2(NNG O AA< ADO 1i WN" (EsOWO AS FILM MOP" AT 7NE S W C7fdCA 6310 SECTION I}, TIEIICE 4F1H NOTE - UAATpx N THE TOWN OF 'POT TO BE SWTED TO 71E FOLLW FOR /PPRLTAI. IAZW, BEAM {7ETE7ln TO THE WEP IdC+I CF-AU LAE OF ME POND W ST CR)u ALL WAKES, 1DCIG A40 W'OTNS ARE A AWI - OR OB,ECTA NC-OR, COIWWAWrr, f6f'-PhP; AVOrWNT OF UlJ AMU " CAE $M10 94W TYO! 049 ALOW AE AM LNE 5 Sdm SF tN OF SEC'ftlN 17; - ~ ~ 7EAREs- N uxwTN fA A FWT, 4L ow-m DE2ELd01Eh" ~(N OF NdJrt OEPARTAEnT Cf IfAJH At gCyy SeTt{fS, S1 iHEMF 5 92'23 f 2Pi5 YCN7 TIE muiH AH OF SAO G02pYA11 lA) TO THE PCh'~ R4.1 KEN YtEE ID n4 IES~ST TMUTY A"T EOF EEON i ,THI fF N85f A E480, TICKE NZ2'43AJE QCE, TE£ E N7A, Sow XA?24, I OF Nr'N1 771 TIEN°,E N 57'Cd4QE TM N(RTHh9TESY 44'N A1fHG ' ID nE vL.ES 5 SECM A FOC WILE C IS .'KJIE SarM3!OLY AIM DM US N2S 4 20A9912, SCALE A FEET 1/fH.'EN? I E71961 WS N6~'4fR'[~]5642 TIEIll AL F4,,,LS ARE TE AESRIGHT-y- IGE 06; TM1 WAY L'f OF ,P7W N P LNOX M Sy90M50 1 2W2, ?IEN'RP40W 1214 , PEMT MW g514, W NBB'1SO 13667 ALONS x FW S u1ENS iCwEF.I SAD M714 L^E I GQYf W0T LOT 1 TO TIE ?CAT F BEGINNG WEER L ASSWE7 ttRNe Of Itlmi 277 I. 0: 4'0 Arts RO3ER SEE,LR INNERS, W OMdPI THAT I YAf * %0 Wlf,, LAW' ON's' 4% PLAT R TIE DKCTgN OF TIE ON'EFS Lf RAT D1 SJNA7 HE131'S PAST AiGT',N SRAM 'IV AFES 1 S4 LIE, THAT W WZY 6 CORRECT TO M FEET OF W KOUL T A'W BELfF, TPAT - M PLAT 6 A CYFECT REPRESENTATION OF ALL EXTERN "J"ES OF NE LOA) SFEYEO AN'J TIE SF3V,5iN TIEIfOF 4ADE A'D THAT : 4M FJILY CNP.ND WTTN Ti FPCA'6pE OF '11TNESS WAAK I, WENS !WRI CIWTER 276 OF TIE WS00 .TAT ES W TIE SA9Y1'30N A(AATM OF ST CM , El'P7N4 ~N . fOlN1Y AIO T)£ T.^AII.OF iP;1 N SRfi4G, D4YWG AND MAINS 11f SALE. A45 4.. / Acu STATE OF WIS50NSN1ss x~AAPI ~ERTE CWY iPAE$ h 0.TEN &IYMI, A l (hl~ D 4 i H.a Y s T 5 ar 9 TIf An s9NEm <e6s rr'AY cops" Wi0 X G' R~,>4 l.4 ABC'+f WA'. RORERT 5. AHRENS Af✓c MAP'OK H. a1WEN5 0 gAN1r',0 B'. iIE - •1E0 'NS +liN MY OF DECENBE9, 916 a T' ~ ru nno.e y A•,' Pt?A! par, PENTE0 ErE `~'E6;uNG'NSTRUMENT AND AT'. MO TIE SATE. RE1'ISEp THIS 17TH WY Cf A WY, 19T7 RN5H~i i4 ~>b A /'n ~HAA C~ 0 6 1 r T I I 'a9'~'O Art Y1YX7, 4 = S / ~ ~ WM4Wt , \N4E'97fF ,J /N;T, ( If, ASCONSN COUYTY TREaREA'S CERTFU E m' uaE ft STATE OF WSCONSIN) SS C l,a m :aups',A tol.cs_sr tAOIX CoU4rr _z i ~ K Ai rx _ 4rM . '.awREN~ T VCC47E; EE9K THE DJLY ELFCTEJ, PDAUF:C 440 AcflIA REA99ER OF TrE C,J;T Lf SI CNy1, DO HERESY CERTIFY THAT 1w REOIRDS N T CF:SE SHJ+' T° - - 1w> ' } O \`.1 r ~l `i~r5 4 Ic LNRE;EENED 14x SA',5 ANC NO'JNPAO TAXES CA SPECI01 ASISSWN'S AS OF A f 90.LRD RESJLUT!C,V 0.RE7NG THE LaS A0.J0.ED N TIE Par 7T BONAA CA'v ,A~N ll rE.'U'R6 F'NGT AcvlcM. H e: SNY2'?7nl 4 , A~i' L / ~rY S L,E TH-T 'E BI,AAB r(a,rs F 10T0 N THE wv TF TV", e FI 1 F"fER z AheENS MAn„^Rf H !1FE3_,. PV'tRS, . xaEl' ASkp,~ Br tH 'OAR YOA1~ A t NJ > K ~ N U yAl, GiA:eS CERTIFICATE OF TOWN TREASURER #L rv ? - ;P-E u, w.va STATE OF VSCONSR{I 4' 9 UI ST CRUX CWNTY ) SS axe 9Y _ x 1 i I, DA4LO CWENS, BEPf THE GAY LE7E%0IA!F% J.7 A7W, TYIN TFEACffR I W.1 { e+ COV4TY ZON"G COMMITTEE RESOiUTION s py I ~ .f TNN Or TPn, D) IERCFi cRTRY TNU N ;caRWa err -rt ;Cass N W OI;Q. TIf"E AE It Lwo TALCS OR Uf7D 5H'A'. aESAEHTS AS 5 _ 2.ef - - Se4 97 A r9' +ESQF Hd. THE cs;; 'I 9CA.F IE:n; c FTi S' A?7iAN M 'NI TLMN T ?i0f, Gn ANY Of THE '.AAI N.JPEO N TIE P,AT CE STOW , "'m a SM III t*:; S . '7 G uAF_7PoE . ,+iRf'b, LINERS 5 ,EREM L:PP),fD dY TK CJ.NT 4 A H /I( F s 'R_R AaY NW /3-d i cft~f[Ra AL1 ¢"N ,'rs % L P S g UN0.AiiE0 LWS 6110 9 DATE NN THE W.R E ST ;BPN COhn 2 ✓C A 45TFATCR e I >w ['...A rN AA LO!a LW SKETCH P Jan 4AI.>o ~"sevmvr ' - T -=tea LT aww i RnAAUy., aia CT 0WTEE ~~Q - vN<r q ICRE0 CERTN THAT THE FCtEC4W- 5 A (OPY DF A PE5 170 A'rED BY THE CP.4l1Y 20Y J'G (JNN111EE OF ,T CRG'XMr.y MYO i auNTY C.ERN c , 1 I I e6 l 8 I 1 LI 7 22 AIFES 1 Cir 0., iA~EY" I. 't.A S 0/ --j it - 1 a.. i IT, M1T l 1 aC I fat yA KroaD tl ,r. 1 ~ ,I { gB 11°NC 1{tlti 'k ~arT + a F4 ~ Nm~wt IoW 1 VARTOF 3 1 _ ° .444444: 4 t. G~17 LDT 4 1{1{ +e a C.~ aenaNOS ri I I Ep,. A V x 1 ~~C~r .71 4r s°ro~x meryWa~,A' 6$ }1 4 ~ G 5E v4 of SECTION L, T Z$K R tow r e - i - nAm' Y oo Jel. - -7------ G,n RS M CP SF .N xr'a 0.-'-r:.3ed'J7f br! q &I,rM1G IOfN Of iR;r INA, pmt A.w rrr / A f~ 6Ip,,E'~EC LANDS i P- am COK7 W's ,6.M A¢ pF :9N -SwTH INS v< SD,9MLENT LOT 5 ,AD IlE as Cat ~I" flr4 c*" n /1 I YI6 VSTWKI Dwm Ar/` IP _,p AlNIDO(!Qt ~•!7 03 , COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 ST. CROIX ZONING REPORT NO.' 02281/01 PAGE 1 ST. CROIX COMITY REPORT DATEt 3/07/91 CQURTHOLfSE DATE RECEIVED: 3/06/91 HUDSON, WI 54016 ATTNI THOMAS C. NELSON ~ Vo - l ~ W - zo--c)e OWNER: Mark 6 Sandra Kovatch LOCATION: 345 N. Cove Rd., Hudson COLLECTORS M. Jenkins SOURCE OF SAMPLES Outside faucet COLIFORMS 0 /100 ml INTERPRETATIONS Bacteriologically' SAFE NITRATE--NS 11 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. Coliform Bacteria/100 ml Nitrate-Nitrogen, mg/L LAB TECHNICIANS Pam Gane WI Approved Lab No. 19 A DEPEND ~ s < Means "LESS THAN" Detectable Level Approved by: PROFESSIONAL LABORATORY SERVICES SINCE 1952 l r Ll ST. CROIX COUNTY ZONING OFFICE St. Croix County Courthouse 911 4th Street AL& Hudson, WI 54016 Jn1gr' Telephone - (715)386-4680 Vr 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 X (For nitrates and coliform bacteria) WATER TESTING FEE: $127.00 (For VOC'S) SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 (Determines if system is properly functioning at t me of inspection) V J^ Property owner's nameS S ~\f (>62 L1/njcl~ Property owner's address V( 1'1 (,CL I Legal Description 1/4 of the 1/4 of Section , T N-R Town of Lot Number Subdivision Name FIRE NUMBER LOCK BOX NUMBER Color of house Realty sign by house? If so, list firm: 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' ~U Telephone Number ~_;>E 10 c> j REPORT TO BE SENT TO _ l_ ~ L Closing date c~_4- Signature L V- It- AAA PLO t/t/i ~1?a14m! ~~§,,T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP tC~•-~I,`S'r ; N-R W ADDRESS ST. CROIX COUNTY, WISCONSIN f SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H 63 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM r,✓ v TU NUraTN /~/tn/~C2TY Link I ~ 10 6 , 3 ~SY 3? G i PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: _ Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front,C)Side, O Rear, 0 Ft. Number of feet from well: Number of feet from building: Cw:78/4 , - r' ,lam :aagwnN asuaoT7 :qol uo aagwnTd p :paaeQ :aoaoadsul : iajnaau3nuuN wzuTV : puoz asairau wojj aaa3 3o aagwnN :2uTPTTnq woij aaa3 3o jagwnN :IT@m wojj aaa3 3o zagwnN •I3O `it-am 0 `OPTS O `auoId :auTT Xaaadoid asaauau wojj aaa3 3o jagwnN :aaluT 3o uoTaunaTd :xuua 3o woaaoq 3o uoTaenaTH :pasn s2uTa 3o zagwnN : f a?oudu0 : iajnaou3nueyy NMVIL 9NIQ'IOH •(auo -oag0) LswalAs uoTagzosqu TTos anoqu ag1 3o Xuu uo pasn uaaq O xoq uoTangTJasTp ao O xoq doap u zaga?a suH :ITTng uaaV :uoTaunaTa aTd a2edaas 3o woaaoq :gadap pTnbT7 :zaaaweTQ :said 3o iagwnN :azTS lid dOVdddS •(ueTd aoTd uo saauuasTp apnToul) uTPITnq wo-i3 aaa3 3o .zagwnN : TTom wojj aaa3 3o jagwnN I,d0`aea2l ® `aP?S O `auoij :auTT Aliodoad asa.aeau wojj aaa3 3o iagwnN :adTd 3o doa oa gadap IITA :ITTng uaaV :souTZ 3o .zagwnN Li T :ga ua-I :q:IP?M : gouail : Pag W3 SXS NOITaOSgV 'IIOS •(uuTd aoTd uo saouuasip apnTouT) ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 rra Mar. 4, 1991 Doreen Protz First National Bank 307 2nd St. Hudson, WI 54016 Dear Ms. Protz: An inspection of the septic system on the property of Mark & Sandra Kovatch, located at 345 N. Cove Rd. Hudson, WI was conducted on Mar. 4, 1991. At the same time a water sample was obtained for testing. The results of the 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 operations of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system is totally dependent upon proper maintenance of the system. Should you have any questions, feel free to contact me at this office. Sicerely, Mary'_ J ank'lhs Assistant Zoning Administrator cj