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HomeMy WebLinkAbout030-2072-30-000 � ~ f \ } c 0 a � . R § $ � � # 2 � § ? � z z_ # ) c . 3 0 b . � I o / & � z » E 2 @ / ƒ a m B z k 2 » \ t z k 2 \ k } w — C R $ ~ § E ( \ Cl) ) » } '2 & e § k & § 7 E 2 a a § E 1k ƒ I J v = g S � �m \ k w 2 § � { § § _ / :3 k / � r § � M 4) © / � S § ¥ 2 o a E C)CN D4) a-0§� § _ _ E o c = m § < 6 + § / = E @ 2 / ƒ @/ S E/ 2\ LU 3 f k a a . 6 m - *0 r 2= C.) co « k 2 0 z/) 32 I ■ � k CL C CL % § & § $) k Q Q a ■ ;o ■ u Parcel #: 030 - 2072 -30 -000 05/02/2006 08:58 AM PAGE 1 OF 1 Alt. Parcel #: 36.30.20.621A 030 - TOWN OF SAINT JOSEPH Current a 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 PAUL J & HELENE C J ANDERSON O - ANDERSON, PAUL J & HELENE C J 1210 HWY 35 HUDSON WI 54016 -6716 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ` 1210 HWY 35 SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 10.600 Plat: 3392 -CSM 12/3392 SEC 36 T30N R20W S1/2 SW1 /4 FORMERLY 1 Block/Condo Bldg: LOT 5 CSM 12/3358 NIA LOT 5 CSM 12/3392 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 36- 30N -20W Notes: Parcel History: Date Doc # Vol /Page Type 05/04/1998 578319 1320/028 WD 07/23/1997 WD 07/23/1997 103' \ ; 07/23/1997 618/345 2006 SUMMARY Bill #: Fair Market Value: Assessed with. 0 Valuations: Last Changed: 04/26/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 10.600 124,500 331,200 455,700 NO Totals for 2006: General Property 10.600 124,500 331,200 455,700 Woodland 0.000 0 0 Totals for 2005: General Property 10.600 124,500 315,500 440,000 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 I ST. CROIX COUNTY ZONING DEPART , � .41 � ! r AS BUILT SANITARY REPORT ` Owner /�I1/OctJ�So.J Address J UN 1 1999 /.2 /D /•r y 3S ��-��� ' City /State , l& 5 o,q c,.) S/o /G 0 c 1`. gCMNTY Legal Description: Lot C Block — Sub # Sal ✓o� / ��� 3 ' '/, SL '/, Sw , Sec. , �N - R� ,Town of J o ��o,# PIN # 30 � SEPTIC TANK -- DOSE HAMBER -- HOLDING TANK INFORMATION: Tank manufacturer Gyi cfSEQ Size ST/PC4 / Setback from: House i Well __�o P/L /oo 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 syst EE Lr ro�Q Width 3' Length �S " Number of Trenches Setback from: House 51 11 Well // PAL i Vent to fresh air intake ELEVATIONS Description of benchmark A A' 42T ,(ate Elevation "00-00 Description of alternate benchmark Tao o� eo,.jc ?a rz �Su �l /J.?'r o_) Elevation 99 Building Sewer r(.. 6o' ST/HT Inlet 'rG /9 ST Outlet '8� `iW PC Inlet PC Bottom —" Header/Manifold ff 5 G ' Top of ST/PC Manhole Cover SO, 4. Distribution Lines( ) 8_ 87 Bottom of System ( ) fY 90 ` ( ) ( ) Final Grade ( ) %0• ;?3 ` ( ) ( ) Date of installation � /i , //f1 pPermit number _3,? 1 -/7f3 State plan number Plumber's signature/ icense number .Z.? , V7.S I ? Date 4 / Inspector / Complete plot plan o X NOTICE Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference oints to center o p f septic tank manhole cover. • Show alternate benchmark, if applicable. g�Netfr7K - �P of /".�Pa.1 EL.E ion.00' PLAN VIEW 64PA e- IT';- /110,044 -rliNE. 1- RfS �gNTS t 41" 1.260 ��R G✓�f5�4 5E /Tic 'I�nIK Q�.✓1 '160Mx gE %G alO.tr1o.J JFA EV. 99. 77 1 5 INDICATE NORTH ARROW Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division Count YST. CROIX INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar3@?4r§r1M_: Personal information you provice may be used for secondary purposes [Privacy LXw, s.15.04 (1)(m)]. NNDBMOK�NaRAUL I C3Tity U01BEPW Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: Parcel — oo od 6 a or P TANK INFORMATION ELEVATION DATA 4 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 0 �zs� Benchmark 3 , 5_ 0 ,S ®c) Dosing g� ✓27 9 I Aeration Bldg. Sewer Holding <gV Ht Inlet L l—q ,04 &, TANK SETBACK INFORMATION ,� Ht Outlet TANK TO P/ L WELL BLDG. V jtttooe ROAD Dt Septic NA Dm Dosing A Header/ Man. Aeration NA Dist. Pipe TZ a z ESL Holding Bot. System 5 3 PUMP / SIPHON INFORMATION Final Grade Manufacturer Demand v 13,03 !2 6 , 'Y? Model Number GPM TDH Lift Friction System TDH Ft Forcemain Length Dia. Fi Dist. To Well SOIL ABSORPTION SYSTEM IZ C�a A, C46 _T BED / C Width Len 5th No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIM I S DIMENSION SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEAS I Manufacturer: INFORMATION Type O stem: S Z / 5(� Pi I R UNIT Mod Number: AJA r DISTRIBUTION SYSTEM Header / Man)fold G/ /f Distribution Pipes) x Hole / Size x Hole Spacing Vent To Air Intake Length Dia- / Length I Dia. Spacing N � AV# 4v �/ SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodd e d xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil E] Yes ❑ No El Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCAJION: ST. JOSEPH 36.30.20.621A,SE,SW 1210 HIGHWAY 35 q' D Q u t��i 5 PicdeT `�� '�I � L�SCp�4� �Gt'Q� f !�►�a9 y v�/a�P Gtl r JP 1`�`l �s Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's ature Cert No. ADDITIONAL COMMENTS AND SKETCH i SANITARY PERMIT NUMBER: 3 a �., i a e a m� i F # ` a # e € 5 s , # t t E � ' P i F E s s, € x S 3 a ........... F i k � # { a s s F 1 g i i ) , g z �wm. , i ,�,.,. . » e { aim. 1• � a e.. , » . �.. ,e. i ...,..> .5 ... � ,� . —. , �,,..., ..., €e. � .- ...,..�, .3« s.,, «„ �s, e e .� i 5 } i .. # 7 , _ p q ..te R s i 2 re # 2 € F 4 »m.... E S � i # E 3 i s 7 i Safety and Buildings Division SANITARY PERMIT APPLICATION 2 01 E. Washington Ave. Visconsin P.O. Box 7969 Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7969 • Attach complete plans (to the•county copy only) for the system, on paper not less County than 81 x 11 inches in size. Si- Cni %>< • See reverse side for instructions for completing this application State sanitary Permit Number The information ou p rovide may be used b other government agency p y p y y g g y p g ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL {NF RMAT{ N Property Owner Name Property Location L 1/4 f� 1/4 S ,, T .� , N, f (or) Property Owner's Mailing Address Lot Number Z _ Block Num v City, State Zip Code Phone Number Subdivision Name or CSM Number 11. TYPE BUILDING: (check one) [j State Owned ' o qt Nearest Road L� ❑ village Public C& 1 or 2 Family Dwelling - No. of bedrooms _L g 26 '( OF 111. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) No 3o� {02 ( A 1 ❑ Apartment/ Condo A' O 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. ❑ Replacement 3, ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an - _____System ________System _____________Tank Only _____ Existing System _________ExlstingSystem B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 []Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank - 12 ® Seepage Trench 22 ❑ In- Ground, Pressure r 42 ❑ Pit Privy 13 ❑ Seepage Pit (2) 3 V- 75 ❑ Vault Privy 14 ❑ System -In -Fill - jvF1�T/'LoTDstP l.{ cA y - i .g VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5_ Perc. Rate 6. System Elev. 1 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation I U 31 Feet 2 0, jZj Feet V11. TANK Ca acft in g allons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- steel glass Plastic App New Existin structed Tanks Tanks � Septic Tank k IL4 ❑ , ❑ ❑ ❑ ❑ LMTump Tank /Siphon Chamber ❑ ❑ ❑ 1:1 C1 El VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Si nature: (N Stamps) /MPRSW No.: Business Phone Number: Plum is Ac dress (Street, City, State, Zip Code): ,•)' IX. COUNTY / DEPARTMENT USE ONL ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issued Issuing A ent Signature (No Stamps) N Approved []Owner Given Initial r Surcharge fee) Adverse Determination S ire /' / X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD -6396 (R 11/96) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber — INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed 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.cl. 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. �tileSri �vR�f4E .FLE/. OVE? �ISsaer,oA /At4A ro Ar• i�Rjn1 .,Et.E ✓.= Iov.00' ,��T /A7u4 G:;;I?* SEO ?o �lraT !'!/�dt�t . i�rN pEaU,2Em�r e PLOT & CROSS SECTION PLAM ZAPPA BROS. EKCAVAMA INC �,� PWMBINti UMY .. 4 T ��dclf rl(P4' e/ � � �7g � . PROJECT . �i,lf /L TQ.¢TO� - j i 0Ec✓ „uDE'►? / f /G N l I 44L. 3 p0� �gPi�CITy / /I(�N `fiP£NCbFES S VENTS �rW 315 /J. p w�. / /c 0/ ° U 1C7� ��• c Sp2 35 PVC Z ,- zAj 4, •ut /� ST J o5t�°H Oc+N S Ifii 7 -�r- L f' o- i P A � AI,6,j SiJ,F,470 TO't��ENC�ssr'Sx =M Sa p X.�E /o' lwOQoO� �• /ao�/�w"r`� ?005 S/o�w "'Jo4.5 N �l /Jt✓J G oo . 4� = �So : 3 _ a3.sg oe aY s%�FW,Nd�es oe p } C '. CALH �IE,� m��/ar16 r Vhf f C�i45EhTicW F /QPP/toV6A VENT GAP 'C2 DATE: A&\m �w#s#4 4kAjDF FNsH G.P��e � A& 5e N Yo V- , .j r A PE .,501 / 1. TEBTINq / DV: y t� a2 M�x, 6 A,bov� L.�.�.r►f1rR '� To �i N t SH �4hpE 2 2'57 Side View FGEVAr'OA 9,qc H 60 ir' PLC S o;c Tfsr End View T 15 16' 1 I S,aFc.�,AJOLR fi,GH o!�'A>°AcvrV MojoEi- Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page f of Labor and Human Relations Division of Safety a Buildings in-ac c ord with ILMR 83.05,.Wis. Adm. Code COUNTY Attach P complete site Ian on paper not less than 81/2 x 11 inches in size. Plan must include, but , 0 P P e EL I D # not limited to vertical and horizontal reference point (BM), direction and !o of slope, scale or PARCEL dimensioned, north arrow, and location and distance to nearest road. 036-767 APPLICANT INFORMATLON.- ,P..L.EASE PRINT ALL INFORMATION RE IEWE -BY DATE „ / 9 OPERTY 0 ER: — PROPERTY LOCATION . V p L & GOVT. LOT SE 1 /4SW 1/4,S W N,R J / E(or)W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # I SUBD. NAME OR CSM # 6 s - s CSK ; ..tz . Inc, 3�9Z CITY; STATE ZIP CODE PHONE NUMBER F CITY j]VIL GE OWN NEAREST fOAO New Construction Use [K] Residential /Number of bedrooms [ J Addition to existing building j J Replacement [ J Public or commercial describe Code derived dairy flow ADO gpd desigrrioading rate bed, gpd$ � trench, gpd/ft Absorption area required A.S bed, ft 2 rp trench, ft Maximum design loading rate _ bed, gpd /ft trench, gpd/ft Recoinmended infiltration surface elevations) JP3. 90 It (as. referred 10 'sile plan benchmark) Additional design /site considerations o" /.Z= ,•,, . C,ur A � AL PV.rtA 11:kf71 n - Parent material 6 O7"l. AS w Flood plain elevation, if applicable ti A. ft S = Suitable for System C EfJr10NAL MOUND IN• ROUND PRESSURE • AT-GRADE SYSTEM IN FILL HOLDING,VJK U =Unsuitable for stem S C1 U - Ms. ❑ U — ' S ❑ U ' '° �'S ❑ U" [3.S U ❑ S f�( U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles, Texture S tructu r e, Consistence Bouncbiy Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 4 -/C) �... 7 rn U ►"lv - Fr 2 •S 37 16VA4M S,L 1 csb'�' rhJ�r S r 0.2 Rz Ground. p — j 5 y /►� 5 5 m -- D. 6, v Depth to limiting factor ._. Remarks: Boring'# A -h. ld L Z ty- MV Z 7 12 p — – S L �.c bk.. 6 2 O. . � _. .. rv►S ma— ft �Z 7.S J. Depth to �,. limiting _ factor > 12.0 Remarks: CST Nime;= Phase Print Phone: J �, �,. ... _ . - an ddress: LJ I ......... k t Sony Si natu Dat Z / 7 CST Number: l PROPERTY OWNER P Af�L A N4QgS6rl SOIL DESCRIPTION REPORT Page Z of PARCEL I.D. ! Depth Dominant Color Mottles Texture . _ Structure Consistence' Barry Roots G P D /ft Boring # Horizon in. Munsell 4u.Sz.ConEColor Gr. Sz. Sh. Bed rends -14- /p f23 3 Zmsbk 2 64. 4 S , 1, I r ,,, 6 b� n,�r w )� ,Z 63 3 G� ' - 7 �S YiQ 4 4 ► ►,,5 0 SG rn I ... 1;"o p p (, 14 -I-Sil&gAlk g SI- DY i2 s .7 Depth to 4' � Gs limiting factor � . Remarks: .... _ . ,,: ... .. .. ... .. Boring. #.. � ._........... _ Ground efev. ft Depth to limiting factor Remarks: Boring # . E3. Ground. _. . elev. ft am Depth to limiting _ factor Remarks: Boring # 13 Ground elev. n. Depth to limiting factor Remarks: SBD- 8330(R.05/92) Bc►,,�„a�2�- l SP I 1 ' L� ► ��' 1��� $fNv4mokk - rop 6 Il 19p q ► (� q 1 71 : -- Q i C � 56 146�& TN,s K A cv A S61L EV4LD4'-lo►.J , JLg�y 97 $y 4AQ < J?FE L . c.JL Rou,.,A aN, RE- Ek <4V4 - rf& Nn Bob ►its '� Aqe S 4NA 6UPCN — 14Pm (:6us)6ERA &.y To 7AC-lLt*r 4TE A eRAyrrY SYST4EOI 0w - 5i7'� i Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of Labor and Human Relations Division of Safety & Buildings in accord with ILHR 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. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and a est road. 030 - 2072 - APPLICANT INFORMATION - PL tL 04f f, MATION REVIEWED BY DATE CO A PROPERTY OWNER: Tr PROPERTY LOCATION Scott f IW 0 Waaner IL r�) y/ GOVT. LOT SE 114 SW 1 /4 36 T 3 N,R 19 2K(or) W PROPERTY OWNER':S MAILING AD R �f', 1 _ LOT # BLOCK # SUBD. NAME OR CSM # 1208 Hwy #35 "�� r'7 i 1 na csm ndin CITY, STATE ZIP' ODE UMBER ❑CITY [:]VILLAGE :DOWN NEAREST ROAD Hudson WI. 5401 2 4-9-19W St. Joseph St. Hy. [x] New Construction Use k ] Re ' e ti r ms 4 [ ]Addition to existing building ( ] Replacement [ ] Public or tribe Code derived daily flow 600 gpd Recommended design loading rate _ bed, gpd /ft _ trench, gpd/ft Absorption area required 1200 bed, ft 1000 trench, 111 Maximum design loading rate .5 bed, gpd /ft _E_ trench, gpd /ft Recommended infiltration surface elevation(s) 94.1- 92.8- 92.3 -91.3 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable „ ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U =Unsuitable fors stem ®S ❑ U S ❑ U] S El U ®S El ❑ S ®U [3 S �I U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmnch .................. ................. .................. ................. .................. ................. .................. 1 1 0 -10 10 r 3/3 none sil 2msbk mfr cs 2f .5 .6 2 10 - 10 r 4/4 none sil lcsbk mfr if .2 .3 Ground 3 34 -84 7.5 4 6 no n e rns/fs o my r na n .6 elev. 9 7.6 ft. = Banded ms f Depth to limiting factor =84" Remarks: Boring # 1 0 -10 10 r 3/3 none sil 2msbk ml cs 2f .5 .6 2 2 10-22 7. 4 /4 none S1 2mcir my r aw if .6 Ground 3 22 -84 7.5 r 4/6 none ms 0SCf mvfr na na .7 E.8 elev. 9 7.3 ft. Depth to limiting factor + Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200t4 e. New Richm. d WI 54017 Signature: Date: 7 -29 -97 CST Number: m02298 - PROPERTY OWNER Scott WaQmer SOIL DESCRIPTION REPORT Page _2 .ai 3 ; PARCEL I.D. # 030 - 2072 -30 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -13 10 r 3/3 none sil 2m r mfr crw 2f .5 .6 2 13 -36 10 r 4/4 none sil lcsbk mfr qw if .2 .3 Ground 3 36 -40 7.5 r 4 n one cos osa ml Qw na .7 .8 elev. none banded 9 5.8 ft. 4 40 -82 7.5 r 4/6 Aockkldc ms /fs osg mvfr na na .5 �.6 Depth to limiting factor +82" Remarks: Boring # 1 0 -12 10 r 3/2 none sil 2m r mfr gw 2f .5 .6 " 4 2 12 -24 10 r 4/4 none sil 2m r mfr gw if .2 .3 banded Ground 3 24 -80 7.5 r 4/6 no b MS/fSj osg mvfr na na .5 .6 elev. 9 4.6 ft. Depth to limiting factor Remarks: Boring # 1 0 -8 10 r 3/ 9w 3 none s i t 2msbk mfr 2f .5 .6 5 2 8-33 10 r 4/4 none sil lcsbk mfr qw if .2 .3 Ground 3 33 -42 7.5 r 4/4 none cos osg mvfr gw na .7 1.8 elev. none band d 9 4.6 ft. - ms fs. oscf mvfr na na .5 1.6 Depth to limiting factor +84" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD -8330(R.05 /92) f STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Scott Wagner New Richmond, WI 54017 MPRSW 3254 SE4SW4 S36- T29N -R19W (715) 246 -6200 town of St. Joseph lot #1 - csm I N 1 =40' BM.= top ofmid -lot survey stake C el. 100 Alt. BM.= top of 12 pvc pipe @ el. 95.00' 1 3 - 10 rA b 9� 3 5 , �0 l G� f� Gary L. Steel 7 -29 -97 I r . ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Pa u- A J • + "vw_ �✓ � ►'� Mailing Address Property Address 4/0 3S 1 ► -� cl s� ✓` (Verification required from Planning Department for new construction) City /State Lo :� Parcel Identification Number L9 �;O ' -7 Z ' 3 0 LEGAL DESCRIPTION Property Location s`,t: y,, Stl ' /,, Sec., TAN -RAW, Town of fT Le�-.s�iy Subdivision CL el? V /k s 2.3 ,9,k , Lot # -� Certified Survey Map # �SG 9��'�n , Volume /,9 , Page # Warranty Deed # 5 g 31 9 , Volume 13 20 , Page # 0 2-FS' Spec house ❑ yes)?(no Lot lines identifiable ❑ yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. 1 �4 I 4JAA� 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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office. �. A,�l►z Z / , y / y9 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 4f ,7' .. 7 n` 5'78319 Doc ument Number WARRANTY DEED REGISTER'$ OFFICE This Deed, made between John Scott Wagner and Holly Beth Wagner, ST. CROIX CO., WI husband and wife, Grantor, and Paul J. Anderson and Helens C.J. Recd fur IteooM Anderson, husband and wife, Grantee. Witnesseth, That the said Grantor, for a valuable consideration conveys MAY 0 4 1998 to Grantee the following described real estate in St. Croix County, State 8:30 A M of Wisconsin: Re efgr 4f tide Recording Area Name and Ratum Address P Helene Anderson 1 S, Fourth SL , MN 55082 r11 � 030- 2on-30 (Parcel Identification Number) Lot 5 of Catified Survey Map filed December 9, 1997, in Volume 12, pW 3392, Document No. 569570, being part ofthc Southwest 1/4 of the Southwest 1/4 and part of the Soud-wast 1/4 of the Southwest 1/4 of Section 36, Township 30 North, Ra W 20 West, TOGETI ER WITH an easement for ingress and egress over Lot 4 of Certified Survey Map as shown on said Certified Survey Map. RAN FOR F E This is not hor.:sstead property. Together with all and singular hereditaments and appurtenances thereunto belonging; And Grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, highways, utility rights and reservations of record, and will warrant and defend the same. Dated this 24 day of April„ 1998. *Johlb Scott Wagner T 'H Wagner AUTHENTICATION ACKNOWLEDGMENT Signatures) STATE OF WISCONSIN ST. CROIX COUNTY >n Personay rn came before me this day of April, 1998 the above named John Scott Wagner and Holly Beth Warner to authenticated this _ day of me known to be the person(s) who executed the foregoing instrument and acknowledge the same. slonature Sviature L/ Mn cr print name type or Print name SON N (e j. TITLE: MEMBER STATE BAR OF WISCONSIN Notary Pubic St. Croix County, Wism in. - (If not My commission is permanent (it not, state exbWAtiort ctbt� authorized by §706.06, Wis. Slats.) THIS INSTRUMENT WAS DRAFTED BY *Names of persons signing in any capacity should be typed or Timothy J. Scott printed below their signatures. BAKKE NORMAN, S.C. I (Signatures may be authenticated or acknowledged. Both are not necessary.) I I woo"4 pmftsso s Co 0 y Fo du Lx, Wis wn WO-655 -2021 c9hi If 5!695'70 x CERTIFIED SURVEY: MAP LOCATED IN PART OF THE SW fI4 :OF THE SW 11 AND IN PART OF THE " SE1 - 4 OF THE SWt14 OF .SECTION 36, T30N, R20W, TOflN OF � ST. CROIX COUNTY WISCONSIN; BRING CERTIFIED SURVEY MAP S RECORDED IN VOLUME f 2, PACE 3358 AT THE ST. CROIX COUNTY RECISTER OF DEEDS OFFICIs'. . S 04'12'59" W 130.00' s o0 •12'S S•' 2 -0 BEARINGS ARE REFERENCED 2432;49 ' TO THE i in OUTH LINE OF THE SWt /4 OF SECTION 36, ASSUMED TO BEAR 89 "E g I ,won , a Z 1 C � LEGEND I 9z ALUMINUM COUNTY SECTION V I CORNER MONUMENT FOUND y O 00 FF � I • 1 IRON PIPE FOUND j 1.68 X 24 ION PIP BS. PER LI N E AR EFOOTIGIiING V 9 tVn t4 l 1 100' ROADWAY SETBACK LINE r4 rn �pi9, * r -- EXISTING fENCELINE © I I PARCEL_ IN VOL. 50 PIG 324 I y CENTERLINE OF TRAVELED ROADWAY �- oe I R T O S 00'02'01" E 677.98' x I/ 1 I rn z z �► G"� - o D 10-1 cn. w ...� . f s to O� mD d a lo Z o o �' v FILEo w '� ° DEC 0 8 1997 a in r4 � , � -o -� :KATIILEtNI♦:W I z : 8 ® -x- St Glo C 1 NOO'02.01 W 1222.45' 546.20' :4 303.19' 373.06 z N Lc+ far Salt .3 � . I $0 - rn 00 v rn w n'i A N a�i g W V I U1 �� w m -D�$ QD iw 2 v a v •P z W N 0 cc > r ..._...._ .. rn• o 0 0 mto� o H llso!. g tA V � W G rn Q Z VI w w • I V NI ►`' in D�Q;� a o► g❑ N- o N00'29'51' W p 0 • q (� N � S D N 304.20 �.8� 4� Q0 A tl 00 wo i z ; z� m ..................... ..... .mm..,. I 181.60' j o N04'25.06 "W 45 z rn 813.97' 187.68' lO z N04'25'06 "W 801.G5 ". °' No V)r LOT�3 3�3 LOT 2 L 5 PM TRE MEADOWS VOL 12 Page 3392 _