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HomeMy WebLinkAbout026-1066-95-100 ' a o '0o I d Q) N a c 0 V L N ti M V � C � I O Z C Z LL c O 3 � I a ! I 0 a I I Z y cc N = O Z co a m 0 N H fn O O Z C U 4) 2 o (D z N N ch cm N CL N U) 7 N y N � y � • ( a U t g 1� C C U Z H Z 4- I cl N Cl) OO_ CL > O. X M w O c Cl) C O a E m N hw O Eq)v _j Z z N E > U O o d h - z I •N CL CL a _ z N N O O y (n J V c 0 O) } Q r N N O p O 0 -0 m f/1 c n N y (D 9 .a d <( } U) ca C 3: E O N C 0 , n N H m 0) a o O O M a N N 6 CO v 4 0 � O y O C N O N v O w a N C o E Qua m �� c L r V .a € a r A 0 2 0U)0 Parcel #: 026- 1066 -95 -100 03/31/2005 02:44 PM PAGE 1 OF 1 Alt. Parcel #: 22.30.18.342C 026 - TOWN OF RICHMOND Current ,_X', ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * JAMES K & GWEN C STEPHENS STEPHENS, JAMES K & GWEN C 1254 140TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 140TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 3.550 Plat: 0646 -CSM 12/3421 SEC 22 T30 R18W PT SW SE BEING LOT 2 CSM Block/Condo Bldg: LOT 2 12/3421 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 22- 30N -18W Notes: Parcel History: Date Doc # Vol /Page Type 03/09/1999 599124 1409/368 WD 07/23/1997 861/346 07/23/1997 787/128 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 20119 381,600 Valuations: Last Changed: 06/19/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.550 47,700 298,600 346,300 NO Totals for 2004: General Property 3.550 47,700 298,600 346,300 Woodland 0.000 0 0 Totals for 2003: General Property 3.550 47,700 298,600 346,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 518 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 9 Wisconsin Department of Industry SOIL AND SITE EVALUATION Page / of 2- Labor and Human Relations Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. o� •lo6 7•36 . oo County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must J Include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # 7O • G 02G O2 6 - / APPLICANT INFORMATION - Please print all information Reviewed by Date p/ Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). k. I Property Owner A _ b M �- Govt Lot / DLO L,� 1/4 � 1/4,S y T 0 ,N,R E (or� Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# �•.(J �(�' 1 S T (5C&l X ST • Z City State Zip Code Phones Numbbor Q Nearest Road� �1l. .sfol�O /•� )30 �v 2( ❑City �, Village Town / O New Construction Use: Residential / Number o1 bedrooms 3 — / Addition to existing building ❑ Replacement �/ ❑ Public or commercial - Describe: 7sb Code derived daily stow &00 b0 — gpd Recommended design loading rate / bed, gpd/ft ' S _trench, gpd/11 Absorption area required ��_ bed, ft =, OV trench, ft 2 Maximum design loading rate r bed, gpd /112 gpd /ft2 Recommended infiltration surface elevations) 3 it (as referred to site plan benchmark) . Ys r Additional design /site considerations ' �• T E ` T �� R � � / �� S � T �~ � . Parent material . 5 7 65 34 �� µ ,S iNE.(lT$ 0 U� ' Flood plain elevation, if applicable N n S = Suitable for system Conventional �M,ounndd in- Ground Pressure AT- Gradde System F Fill Holding Tank U = Unsuitable for system El S 10'U Lss ❑U ❑S [Er_ ❑S LfU ❑S l�U 0 U SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Structure Consistence Boundary Roots GPD /tt2 Boring # p Texture Bed , Trench In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. / 7 0C . (4. . s y 2 - /o Yre `I /� 2 :57/ L / e he �•• �'i ' 4 S �- i 3 Ground • s /r7Y� S! ? S YAP , tt. ' /DY S! Depth to limiting factor � In. y 5 ' s Remarks: Boring # / 0. ioYie 3 141 /f• k' m lie � 2 • �� Hoye Y!� --- Z /f' w vi5�e cs Ground elev. q�. y5—ft. Depth to limiting factor 3 19 In. Remarks: Signature Telephon No. CST Name (Please Print) Ro�iERr /6�'ic.T /� 38� • �� s Address Date CST Numb private Sewage Consultants WS VNelt Rd. Hudson, Wis. 64016 0 R } 4 ` i CC" :nvc ;, r . M PROPERTY OWNER � * Page SOIL DESCRIPTION REPORT 2 of 3 PARCEL I.D.N Boring Horizon Depth Dominant Color Mottles Structure 2 g Texture Consistence Boundary Roots In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench ? j I o. tS /0Y,eo 3/i( L l-FS 4 / >"^� i e C'S 3 f `{ ; • S Ground 3 d Y� S/ f� f w' f N ats SI f s6K r et �L� _ z • 3 elev. to YX 5/6 c� �• wit. s Y�°- Yl Depth to �• limiting factor � in. SSS Remarks: 144 07�M&P 5 hael o-v /3 r;eC4 / Boring # Ground elev. -- ft Depth to limiting factor . -- , - - In. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /f in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. ft. Depth to limiting factor In. Remarks: Boring # 7 . Ground elev. ft. Depth to -- limiting factor In. Remarks: SBDW -8330 (R. 08195) I � O o m N � y O � O r C� 00 0 it Q) L Ri�� w I ST. CROIX COUNTY ZONING DEPART" '.. AS BUILT SANITARY REPORT + 7 1: Owner Property Address 25 ya City /State New. 1 t ��oi7 l Legal Description: Lot 2 Block Subdivision/CSM # 5 7V l ' /4 SLF t /4, Sec. 2?, T—o N -RA Town of 4e pi d IN # ' ._ � _ /046 _ ic3o SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION Tank manufacturer k5 C, P Size ST/PC /220 Setback from: House Well yy" P/L &z • f Pump manufacturer Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: Width 3 Length Go Number of Trenches Z Setback from: House /24 " Well / t// P/L 5T Vent to fresh air intake /,00 r - ELEVATIONS Description of benchmark %alo a l Elevation Description of alternate benchmark Elevation /a 7. z 3 Building Sewer / Z �b'S ST/HT Inlet /v 2, 3 S ST Outlet /U Z PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover /G S! �3 Distribution Lines Bottom of System Final Grade yv ( ) ( ) Date of installation 114 Permit number State plan number Plumber's signature License number ZX t6'7 Y Date z /zo /co Inspector Complete plot plan � NOTICE Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW NO' ► K i a o �Z L 3v� qq l I � 1 t l y } y 4 R f L t 5 INDICATE NORTH ARROW Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count y INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No IX Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 344559 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: STEPHENS, JAMES RICHMOND CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: /oo 026- 1066 -95 -100 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic S /oUv Benchmark 40 -7 , 77 71 /(6 D Aer n Bldg. Sewer Holding / Ht Inlet L 0 TANK SETBACK INFORMATION 69 Ht Outlet J TANK TO P/ L WELL BLDG. V o e ROAD Septic f t j Z f ! NA 9t RA44 Do A Header / Man. 3 3 � yy Ae on NA Dist. Pipe t T 3 /{ P_ -r t Y Holding Bot. System L t! //, � -7 h- PUMP/ SIPHON INFORMATION Final Grade V 7.-7 /d anufacturer and P✓ .O e 3 Model N G Lift Friction 5 stem TDH Ft L oss Forcemain I Length Dia. pist.To SOIL AB TION SYSTEM R BED / taENCW Widt , Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION 2S I Z I I DIMENSION SYSTEM TO P / L BLDG WELL LAKE /STREAM LEA HING Manufacturer: s {� SETBACK HA B Mo Number: INFORMATION TypeO Q / Z0 r 't f NIT System: DISTRIBUTION SYSTEM Header / M Distribution Pip (s) x Hole Size x Hole Spacing Vent To Air Intake Length ( Dia. Length _Z� Dia. AIA Spacing 7;7 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil I ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) 4j",. /�/,> Z�&/ y' LOCATION: RICHMOND 22.30.18.342C,SW,SE 1254 1 // 40TH AVENUE — LOT 2 / Plan revision required? ❑ Yes ❑ No l Use other side for additional information. z Z3 60 `� SBD -6710 (R.3/97) D a4e Inspect ignature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: e e s 4 r j e _ a m �E t .. .. �Y..... _ m e ..«..... -..,a i { f %m 3 ` a 4 � e e I ,.. _. ...... r ,. i € m � s 3 i { .. .°r x 1 € { < x e 6 e ....... e..e �. .� .. .... .E v M... a { � w fi e c i � � P e e.e ° a [ f { e ... e m m & me p � { ➢ i F 1 i ..... .. ., _ e _ _ . e., i s e 1 E x � „.u.„., ,_._a -.... ,.... .. . ....e� ..... .. .. .. .... .b, S .. .,.,_ ...... .w :..... n S tee® ® m _ x s � : .mm ...»...._ ® _a .. >. ........� ..... ........ .. ...... .. e.., ...� e, sew �. „L.. .a g @ t s ) y , . e.,...... -.. _. ........... ....d.. ..s emu, s .. _a<_...,.._ � w,. ...».. x .. 3 .............. e.... �.� . ,, e...m.a e.._A.w., mmw..e.. .. ,......... A .. F. �... ] ...»...... w.... ,.......A .. e.m, aa...,,.. Safety and Buildings Division Vs SANITARY PERMIT APPLICATION 2 1 Box Washington Avenue Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less Count than 8112 x 11 inches in size. CYV 1 • See reverse side for instructions for completing this application State Sanitary Permit Number 3lyY15 -� Personal information you provide may be used for secondary purposes ❑ Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Property Owner Name � P Location � S 5w 1/4 SC 1/4, S 2 Z T S'? , N R / y( or)o Property Owner's Mailing Add less Lot Number Block Number /a 69 lv6 Ah A 4/a C ,State Zip ode Phone Numbe Subdiv Sion Name or CSM Number /VW 5� r 7 VS I Z v, 3 -9 II. TYPE OF BUILDING: (check one) ❑ State Owned E] ity Neare t Road ❑ Village Public 1 or 2 Family Dwelling - No. of bedrooms _ Town OF o f - 4 Aof III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) - 22.30- Ig . �—C. 1 ❑ Apartment / Condo 0 P — /0 U, - y6 - /4=:. 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 rT rNew 2. ❑ Replacement 3. ❑ Replacement of 4 ❑ Reconnection of S. ❑ 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 12,0 Seepage Trench 22 ❑ In- Ground Pressure i 42 ❑ Pit Privy 13 E] Seepage Pit C � oZ 3x68 43 ❑ Vault Privy 14 ❑ Z System -In -Fill / ! ` �' �'� �=r5 Vi. ABSORPTION SYSTEM INFORMATIOW - 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min. /inch) Elevation -1 /64) �'� . L �� , / Feet VII. TANK Capa g in allo ut s Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name concrete Con steel glass Plastic App New Existin structed Tanksl Tanks Septic Tank or Holding Tank /�v /OL2� ❑ ❑ F l ] ❑ ❑ Lift Pump Tank /Siphon Chamber 1:1 13 El ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plum is Name: (Print) Plumb 's Signature: (N tamps) MP/MP W No.: Business Phone Number: 3 Z J Plum berA Add re :<,, -1 eet,tity,Sta2,Z pCode)� IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved S nitary Permit Fee (Includes Groundwater D ate Issued Issuin gent g } t (No Stamps) roved Surcharge Fee) /y�+''e� pp ❑Owner Given Initial G,� . Adverse Determination Z � X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber t INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2_ Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained_ The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608- 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number, Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 81/2 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. JOB TIMM EXCAVATING SHEET NO.— OF Route 1 Box 192 WILSON, WISCONSIN 54027 CALCULATED BY DATE (715) 772-3214 (715) 386-5443 MPRS #3224 WI MPCA #696 MN CHECKED BY DATE SCALE - ++ - f ITT 0--1 Ld 4, .......... . .......... ........... ........... .......... ........... ................. .......... 6 .. ....... ........... ........... .......... .......... wll -------- -- -- -- . .. .. ....... .......... 1.1 ........ . .......... t t 1 tnilyll1q.- ........... . ........... . ........... ..... ... ......................... . I ...... ... A ..... .. ........... - .......... ............. 1- 4-4--j- fill- .......... ........... ........... kn... T-, W. ........... ........... ............ ............. ................ . ............ .......... L . .... . . . . . . . ....... ........... ......... . ............. . y . - ------------- ..................... LIA . . ----------- Tjj .................. .......... ......... ---------------- ........... ............ ........... .............. ----------------- ........... ....................... ... .. .. ................ ........ ... .. ........ ....... .......... . ............ ..... ... ..................... ........... �11 ...................... ............ I ............................... .......... A-- PRODUCT 205-1� Inc., Groton, Mam, 01471. To Order PHONE TOLL FREE 1-800-225-M JOB TIMM EXCAVATING 1 SHEET NO. 'z OF Route 1 Box 192 WILSON, WISCONSIN 54027 CALCULATED BY DATE (715) 772 -3214 (715) 386 -5443 MPRS #3224 WI MPCA #696 MN CHECKED BY DATE SCALE .... ... ..... .. .. ^� .. Y� t .... ... 1 - . 1 .... ....... . ........... ............... ............. ........... ... PRODUCT 205- 1�Inc., Graton, Maw 01471. To Order PHONE TOLL FREE 1 -BW225 300 L Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code FRC t. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), djrec iQn and % of slope, scale or .D. # dimensio ned, north arrow, and location and distance.4o nelare9t rodcT>,, 026- 1066 -95 -100 APPLICANT INFORMATION— PLEASE PR4T ALL INFORMATIO�'�, &I E BY TE 7 i 5 PROPERTY OWNER: ' A " p PERTY LOCATION �� '.' GOVIT. LOT SW 1/4 SE 1 /4,S 22 T 30 N,R 18 JjQr) W Kell &Gwen Stephens �_r PROPERTY OWNERS MAILING ADDRESS iQTj# BLOCK # SUBD. NAME OR CSM # 1419 Cty. Rd. "G" sr 199 na csm CITY, STATE ZIP CODE - -i10 „❑ ITY VILLAGE [MOWN NEAREST ROAD New Richmond, WI. 54017 �`y; 3 35 ''A Richmond " 140th. Ave. I [ New Construction Use be ] Residential / Nu rbf; i M / 4 [ ]Addition to existing building (] Replacement [ ] Public or commercial e Code derived daily flow 600 gpd Recommended design loading rate .5 bed, gpd /ft .6 trench, gpd /ft Absorption area required 1200 bed, ft 1000 trench, ft Maximum design loading rate .5 bed, gpd /ft .6 trench, gpd /ft Recommended infiltration surface elevation(s) area A= 96.13 -B =95.20 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ®S ❑U ®S ❑U RIS ❑U NS ❑U ©S ❑U El MU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -22 10yr4 /3 none sl 2mgr mvfr gw 2f .5 1.6 2 22 -32 10yr4/4 none sl 2mgr mvfr yw 1f 5 .6 Ground 3 32 -84 7.5yr4/6 none fs Osg ml na na .7 .>3 elev. 9 9.8 ft. Depth to limiting factor +84" Remarks: Boring # 1 0 -12 10yr3 /3 none sl 2msbk mfr 2f .5 .6 2 12 -49 7.5yr4/4 none co s Osg ml gw if .7 .8 3 49 -90 7.5yr4/6 none ms Osg ml na na .7 .8 Ground elev. 1 1 Depth to limiting factor +90" 1 7_1 Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Av New Richmond I 54017 Signature: Date: 6 -8 -99 CST Number: m02298 . a zj�. PROPERTY OWNER Kelly Stephens SOIL DESCRIPTION REPORT Page 2 '' of 3 PARCEL I.D. # 026- 1066 -95 -100 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft ................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench .................. ................. .................. ................. .................. 1 0 -13 10 r4/3 none sl 2msbk mvfr gw 2f .5 .6 2 13 -84 7.5yr4/6 none ms Osg ml na na .7 .8 Ground elev. g - 9 ft. Depth to limiting factor + Remarks: Boring # 1 0 -17 10yr3 /3 none sl 2msbk mfr gw 2f .5 .6 4 2 17 -30 10yr4 /4 none sl 2msbk mvfr gw 2f .5 .6 3 30 -84 7.5yr4/6 none fs Osg ml na na .5 .6 Ground elev. 98.4 ft. — Depth to -- limiting factor +84" Remarks: Boring # 1 0 -13 10yr4 /3 none sl 2msbk mfr gw 2f .5 .6' 2 13 -24 10yr4 /4 none sl 2msbk mfr gw if ................. 3 24 -33 7.5yr4/4 none Ifs Osg mvfr gw if .5 .6 Ground elev. 4 33 -84 7.5yr4/6 none fs sOg mvfr na na .7 .8 99�Ldt� Depth to limiting factor +84" Remarks: Boring # ................. Ground elev. j ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Kelly Stephens 1554 200th Ave. CSTM2298 SW4SEg S22- T30N -R18W New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 / lot #2 -csm V 1 BM.= top of 1 pvc pipe C el. 100.00 Alt. BM.= top of NE lot stake C el. 97.20' �1 3� 8' t o` Gary L. Steel 6 -8 -99 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer c3 s Mailing Address Property Address ti 1 0 (Verification required from Planning Department for new construction) City /State —AleyJ I Li, x ,,,,.,,L Parcel Identification Number Dom; - io66 - f5 LEGAL DESCRIPTION Property Location i,.1 '/4, S le� ' /4, Sec. Z 2, T 3 " N -R i 8 W, Town of Subdivision Lot # Certified Survey Map # `�g� Z , Volume 2 , Page # 3 yz / Warranty Deed # 5W I `� , Volume /q o . Page # -76 _. Spec house ❑ yes no Lot lines identifiable g 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 masterplumber, journeyman plumber, 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. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days f the three year expiration e. / 9 SIGNATURE OF APPLIC ATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by v' e of a warranty deed recorded in Register of Deeds Office. 7 SIGNATURE OF APPLIC ATE * * * * ** 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 VOL P :21 -S SYAIE fi:iR 01 Wl CIJNSI '. FOR%I 2 1 Qo `'k ca ) IL W NVARRANTY DI DOCuN;ENT NO. 03 .000 A�' . Iohi;_ ScAo-r-rie r- a n,' -Ba r b -,Lr a o ram e. r --B.ar b-ara E chnim -.1hitabaud- art d -wi f,e 9A*RHA"TY DEED LERT i FEE. cc*i �Hz conw)s vid zo _.Lames_ K—St-c _St-caa -,a-j) d �Gwcll, T�ANS; FEE: t hen -s-1 sband, and wife sarvivorshi FEE! 1 _ as h _ma proierty THIS SPA�F f OR RECOHON3 oATA NA i IL • 1111 tl:e fol:o"irg Jecrihcd real estate 11 , James K. Steph n State of W-s,.-otisin. 419 County Road G Q ew Richmond, WI 54017- % -95-100 g �AR _ 1 E_ 026-1066 10tNT:FLAT!O NUMB ' R 026-1066-70, 95 Lot 2 of the Certified Survey Map filed on March 12, 1998, in Volume "12" at page 3421 as Document No. 574892, in part of the SE and the Soul_h%,est Quarter of the Sourbeast Quarter (SW of Southeast Quarter of the Southwest Quarter (S1',l o[ SW of Section 4 4 �; Twenty (22), Township Thirty (30) North, Ra nge Eighteen (18) West Subject to all easements, restrictions and covenants of record. Tha. is no t home z:-?ad property 4s h- not! Exception to w arranties Dated this d z i, U AD, I 4�_ (SFAL) A (SE /Barb.-tra A. Schommer n S o mm e r - - -__ --- (SEAL) (SL AU F N1 ICATION ACKNOWLEDG Sttie of NNcor-in, 4 sign I�,ss r bar c rr\ r^ a xw�catcd ttlt� il day of 33 \ before file &"s 11Y of Ut' 19 L 19 thea� nay •' —bar E -.4 r-k-K m ve _r Z _' ffi E. NIEVBER IAIL 6AR 0i k' lk,( (If 70t) " Ot Wl_" ST.11� § I to t - 1, .c )xho c%c' afaillol:2ed :0 ,1,' !gC OWi.11EI THIS iN8 MuNAt N , n;�,, f vA fE i o, Bdrl;ara 1t. 'Nkl Vii. & P.O. B - sx 2 J - I. r- d , ate 1h I it Iq I A i I h \K OF V 5'74892 N z BEARINGS ARE REFERENCED TO THE D SOUTH LINE OF THE SW1 /4 OF SECTION m 22, ASSUMED TO BEAR N89'30'54'W. 0 Z �£ °0 1 z Z ro (n r.. 3 t'a's 1 - N N cD N C� ;i'" s - PSG O o 0) C,i 1 _ - ::Q; ;cfl) ro I I � CD o m a �,rJ m 0- '0 3 D f o X o � N M O rN D XZ Z Gl t= �` r z 3 O q TI S �y Z � z° V c UNPLATTED LANDS P �� �d� FILED ---------------- - - - - -- Z m > D m ANTI MAR 1 2 1998 ► I ,� ; u,4 m KWHLEEN H. WALSH r o -' Register of Deeft 1Q z ° £ ° z St Croix Co, Wl N00'19'57 "W 395.04' m Ei o I � OD 26.08' 368.96' z z w ? c, -� D (- ru co tn c _ N� ruA r w(0 z--i D V s �y mN oo ❑gym N C m Cl oX °Z oLn m I z W W W -;s, Z7 M Z W ; c L4 m I O Ln C m W ? z I 00 m ' I D O '`? O WEST LINE OF THE SEI /4 3 O D - a i Z7 m F-4 i 33' 3 N00'19'57 "W 402.65' Z = 0 t� � - I mo. 27.09' 375.56' v , 0 Ln 00 A I —I —� O a I D o n i= r w w o O c0 £ m C (� ro r*' m (" w p � " D O 000 i x'� N Z �(n Wm �r �{ (�N� Z C 00 W H N 0 Z I D C� o Ir,l �� N -np op N coo i — 1 Z�C CO rn N *1 I O z 00 m E £ cn I rl < Z -{ D to c i I I 1 c) N fU m u c N00'19'57 �� W 399.83' 372.98' 00 i D n --I m r g 26.85' N I Z Zoe ., Ln I D 0 Z Z 00 co w w I F - 4 , vj M L" O A to - r ° Z _> O = O 010 ODD °om Lnti —� N. =o O £� m O O N N 0 G Z 2 1 98 (10) ° °- °z (A o V z A A v ZED D tz _ 26.61'. o 370.41' o_ � S00'1 9'57 "E 397.02' D N z = ff �V) OD o ��' �I `° UNPLATTED LANDS 3 O (.d O_ - ------------------- . 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