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HomeMy WebLinkAbout032-2113-40-000 ' r ST. CROIX COUNTY ZONING DEPARTM i' AS BUILT SANITARY REPORT Pr Owner f-1 Property Address City /State — ICIPFI Legal Description: e Lot _ Block Subdivision/CSM # , '/4 ,x '/4, Sec. ,.T TZ N -Rj° W, Town of PIN # SEPTIC TANK — DOSE CHAMBER — HOLDING TANK INFORMATION: Tank manufacturer - - Size ST/PC / Setback from: House Well PAL,� 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: / Wid _3 Length s/ai Number of Trenches Setback from: House X27 Well P/L _ Vent to fresh air intake t 7 �— ELEVATIONS Description of benchmark Elevation AM. j �.7• � .,� �.,,1 y��.� Description of alternate benchmark i? s Elevation _1 Building Sewer U q5 ST/HT Inlet 2L�Z ST Outlet 2Z vc? PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover o Distribution Lines () () ( ) Bottom of System O 99 O ( ) Final Grade () ,9. d 9— () ( ) Date of installation / /�/ P rmjit nu ber 2�T7 �' State plan number Plumber's signature License number �? �/ Date Inspector Complete plot plan q' 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 1 /G 7, 4d �5e" 2 INDICATE NORTH OW Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County CROIX Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar Personal information you provice may be used for secondary purposes [Privacy LXv, s.15.04 (1)(m)]. Ust�loldfie: [.$A1�AS1 a [] Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: Parcel .. — '0") t /0 01 d C) k V 64- A990U043 TANK INFORMATION LEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 67`0 Benchmark d Dosing 5,5 " Aeration Bldg. Sewer 19S' ,35 ' Holding St /Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. Air to i ntake ROAD Dt Inlet Air Septic y175 ' 3 �6 5 NA Dt4euwu ,Ty, 7- Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade L71 Ot. Manufacturer Demand Model Number GPM TDH Lift Lricti on System TDH Ft Forcemain Len Dia. Fi Dist. To well SOIL ABSORPTION SYSTEM 9(.r9 BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN t 3 S� DIMENSION SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION TypeO CHAMBER /;t¢ Mo Number: System: G�p,d� /o�� �? r J �� OR UNIT DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake 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 xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: SOMERSET 5.31.19.1048,SE,SE 368 230TH AVENUE t Plan revision required? ❑ Yes No Use other side for additional information. k ov) ' SBD -6710 (R.3/97) Date spe 's Signature Cert No f , ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: . �m .... E r F i � k W .e ... ,. s F E 3 I 3 4 � F i F 3 S j t } _e. ^ ...g . ^. r �m e f a 3 E �ame e ^^ . �em ®e �mem. ! s q�a € _ �.�.......,, e.a, o ,.._. ........,.. ®�- ..,_... _. . «.m.. ..R. ^ mm... .»:.,.�.e- . -.m.m¢ .m..d .»..� ...... �.... S. >.. .. m. ^.. ...:.. - ... �e _,.., A «. ,..«. � E e s { € 2 s re ^ 1 3. W 3 l 3 . '. � - � 3 F �.,.m € ¢ . € em F a ......w. .. ...... ...., zw,.,...,.. Vim..... a . . .w. ....m..... ^.....: .... ^ m ..� .. e ..... . . _._, .^.P^ .e..�. . ^ ^. wee ..._.. e ^ ....... ....... €... dm .......o.� ,,«. P.. ., ...e ... � � � i ^ P � - r E i Safety and Buildings Division ' `•I SCOnsin SANITARY PERMIT APPLICATION 201 B 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 County than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number x278 Personal information you provide may be used for secondary purposes [I Check if revi n o pr lows application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Numbe I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION -11T Propert Owner Name Property Location Ie t14 - 1/4, S J T , N, R 8r� Propert Owner' s Mailing Addr$ss Lot Number Block Nu m er City, St G Zip Code Phone Number Subdivisio Name or CS Number 11. TYPE OF BUILDING: (check one) ❑ State Owned ❑ clit Nearest Road ❑ Village Public 1 or 2 Family Dwelling - No. of bedrooms _ g Town OF E 111 BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 5 3L 1 ❑ Apartment / Condo ®so? 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 If 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. 1Z New 2 ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an ------ System ________System _____________ Tank Only______________ Existing System _ Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ® Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure , �/ 42 ❑ Pit Privy 13 []Seepage Pit o' 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. ate 6. System Elev. 7. Final Grade Z-522 ] Z,<? / Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /' ch) Elevation S 7 - Feet Feet VII. TANK in Ca acct g allons Total # Of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks M anufacturer's Name Concrete Con- Steel glass Plastic App New Existing structed T nks Tanks is Tank ® - 1 El 11 1:1 1:1 Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ Vill. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for ' stallation of the onsite sewage system shown on the attached plans. Plumes Name (P i t) Plum Sign (N MP /MPRSW No.: Business Phone Number: Plu ber's dress (Stree City, Stat Zip Code le IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate slue Issuing e t Signature (No Stamps) Surcharge fee) Approved []Owner Given Initial r;? < l � . t Adverse Determination P X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) 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 WisconsinAd-ministrative 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. P r' name n mailing address. Provide the legal description and parcel tax number of where the Property owner's a e a d g g p p (s ) system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. Ill. h k all appropriate boxes that apply. 'n f building o is public, c ec a s o o es Building use. I bu g t yp p pp p pp 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. Wr�e� wa.y. /S o Y 94-1319 � 149 3 �icdtoaw, ,kis'� Wiscenssn Department of Industry SOIL AND SITE EVALUATION REPORT Page L of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, YV' - �CfIJTi' f ode " vyy \ \YYti `�'��`� COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in si 1 must' clude tint' Cr0 r /'e not limited to vertical and horizontal reference point (BM), direction an o slo �'� PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road.- �- ' 0,32 - 2 113 " /b APPLICANT INFORMATION- PLEASE PRINT ALL INFORM R cn N 9-0 9 y 1r i; RF��JE E BY R �C}j,TE� e PROPg� OWNER: � PROP TION �- i q GOVT. L 1/4� 1/4,S ,� ,3 T / ,N,R / E(or)6) P 3 R OW ER':S MAILI AD S BLOCK # - � V. NAME OR CSM # a4 woo 41 '7 CITY FATE { ZIP CODE PHONE NUMBER IL MOWN NEAREST R��1D nli,S 7z°i e.-set 'r �o aye ] New Construction Use [ >4 Residential ! Number of bedrooms [ ] Addition to existing building (] Replacement / [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate • - 7 bed, gpd /ft 8 q trench, gpd/ft Absorption area required �), bed, ft2 DSO trench, ft Maximum design loading rate / 7 bed, gpd /ft • O trench, gpd/ft Recommended infiltration surface elevation(s) y 6 ft (as referred to site plan benchmark) Additional design / site considerations Parent material 0 a CU as h Flood plain elevation, if applicable /l//I ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ®S ❑U M S ❑U ®S ❑U S S ❑U ❑S 0U I ❑S SU 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 Trertdi 2 6 - 2.3 7� � /1l/� 51- 1�7s6k `rr Fr C 60 2 c Ground 3 P 3 - ft M5 / 02 ft. Depth to limiting ,> Remarks: Boring # Y AQ r, � as :,,: >: `4 ....,M1ti - 2 /1%l s Ds �i c w .Z C m -1 19 rn . '7 e oo Ground lev ft. Depth to limiting �l , Remarks: CST Name:—Please Print r I a n - T CAP h �'�� Phone: -713— Z C�� 3Z OL? A ddress: / 2 a u e J o n-, Signature: G �^ [ te: 09 2 3 I✓ST��ber: I PROPERTY OWNER �11Qi �yrc✓t SOIL DESCRIPTION REPORT Page Z -of 3 PARCEL I.D. # 0 2 Z - y� �•- Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 7�y,Q / /,�/,� /n S QS /y7 Z C w Z c , 7, Ground 2 y 9f f � G d S� L �1 . 7. o elev. qj. b ft. Depth to limiting > fal, Remarks: Boring # ©. � �� %� �z //� Z- �/IJS/sF �► v �'✓ Ce f 2C 2 3- 7, i/� b 14 Z S 05 q yh G 3 - 9I la %R /A e • Cl Ground elev. SYL� ft. Depth to limiting > facjgr , y/ Remarks: Boring # Ge � Lj Z 3- Z y - 7,'— ? % 11 LS c c" 2c g 7 osf /rr Z Ground elev. ft. Depth to limiting faCtp� Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) ' - - 'T t — • Y -- - � - t _ % .— .—.,.— ��r -- — +-- 7'_t—" --T —.— _.�_ —� — L. 3 5 oc ` /J aoo ,S Yy +S q' T 1 f t - 31 _ _ �� �_ ��_ ✓� �_h _mask �i 7��� ,1 ''�,'on ��� Y_f �'!�. C_7 _ _ _ A- - - -- - - — r ----+— ,� h Diu ✓k �'a.,�._ ���. ���� �, e 9 , I � I , f } , , I i� r I I t r f r , f t ` ! I CAu�eca .. r - -j- -� —t - - -- — f r- --�- —•-- -- —r�— —f Wit- —_ — _ + —_ __,_ —r_ I �_ t _ y __, , I t d , j . f ' t I I j _ ; • � I , : o 'Zoe { , , r t • , T t t i { + i ? ` -- _.__.__.._ _, _.._.a -.. _.._.�_. .___ �- ��.�... }._.�. __ :-_._ '- �- -- '_�- °__•-- _- ....._ ._ � ___ ...._.1 .� .._,j•--._.."1--- i :_ I t � , ' i i Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Lahr and Haman 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. Cro not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 032 - 1014 -10 APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Gary Gifford GOVT. LOT SE 1/4 SE 1/4,S 5 T 31 AR 19 EKX) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK# SUBD. NAME OR CSM # 452 280th St. 4 na csm CITY, STATE ZIP CODE PHONE NUMBER [ ❑VILLAGE SOWN NEAREST ROAD Osceola, WI 54020 V15)294-2857 I Somerset I 230th. Ave. [x] New Construction Use [ x] Residential / Number of bedrooms 3 [ ] Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .7 ed, gpd /ft _ S rench, gpd /ft Absorption area required . 643 bed, ft 563 trench, ft Maximum design loading rate —_ bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s) 99.00 , ft (as referred to site plan benchmark) Additional design / site considerations alt area system el.= 98.5 & 96.1 Parent material c)utwash __ Flood plain elevation, if applicable ft LU = Suitable for system CONVENTIONAL MOUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK = U nsuitable for system [� S❑ U G S ❑ U 7V17NG77UND S ❑ U {�7 S❑ U 7 S ❑ U EIS 7 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 Trench cs 1 0 -6 10 r3 3 none s1 2csbk mvfr 2 6 -12 7.5 r4/4 none is osq mvfr gw lm .7 .8 Ground 3 12 -84 7.5 yr4/6 none ms osg ml na na .7 .8 elev. 102 ft. Depth to limiting factor +84" Remarks: Boring # 1 1 0-6 10 r3 3 none sl 2mcrr mvfr cs 2m .5 .6 '.'.2.......' 2 L -30 7.5 r4 4 none is os mvfr w .7 .8 .. ......... Ground 3 1 30-82 7.5 r4/6 none ms os ml na na .7 .8 elev. 102 .16 Depth to limiting factor + 8211 Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715 -246 -6200 Address: 1554 200th. Aw., New RichmoRd, WI 54017 Signature: Date: 4 -9 -97 CST Number: m02298 PROPERTYOWNER Gary Gifford SOIL DESCRIPTION REPORT Page 2 oT 3 PARCEL I.D. #--_ 03 4-10 i in Horizon Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Bor g # o in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0 -6 10 r3 3 none sl 2m 2 6 -17 7.5yr4/4 none is osg mvfr gw lm .7 .8 Ground 3 17 -8 7.5yr4/6 none ms osg ml na na .7 .8 elev. 1 09, _ n ft. Depth to limiting factor Remarks: Boring # 1 0 -5 10 r3 3 none sl 2m r mvfr LU 2 5 -82 7.5 r4 6 none ms Ground elev. 98 ft. Depth to limiting factor +82" Remarks: Boring # 1 0 -6 10 r3 3 none sl 2csbk mvfr w 2m .5 .6 2 6 -26 7.5 r4/4 none sl 2csbk mvfr qw 2m .5:: .6 Ground 3 26-74 7.5 r4 6 none ms oscl ml na na .7 .8 elev. 9 8.6 ft. Depth to limiting factor Remarks: Boring # ,,.. ............. Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) r STEELS SOIL SERVICE Gar L. S te e l Gary S ee 1554 200th Ave. CSTM2298 Gary Gifford SE4SE4 S5- T31N -R19W New Richmond, WI 54017 MPRSW 3254 town of Somerset (715) 246 -6200 lot #4 -csm N 1 " =40' BM.= top of tel. ped C el. 100' Alt. Bm.= top of tel. ped. C el. 98.90' t /0/ 2 k � Gary L. Steel 4 -9 -97 if 07/02/97 FEED 15:13 FAX 715 386 4686 ST CRT CO ZONING fjD002 Page 1 Of 3 WiyooasinD='" 1 SOIL AND SITE EVA�U or e AYION REPORT Labnd Human Re1,Uans -ode of suety a auildinp in accord with ILHR 83.05, WiS. Adm• 5 . Attach complete site plan on paper not less than 6112 x 11 inches in sirs. Plan must Include, but [PA C L I.D. not lirrvted to vertical and horizontal reiEererm point (SM), direction and 9'0 of slope, Scale or 2 - - dimensioned, north arrow, and location and distarlCO to nearest road. D BY APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION F aa, ER_ PROPERTY LOC ATION GOVT, LOT SE 114 S E 114,S T 31 ifford LOT s g�,l(* SUBD. NAME OR CSM IF ER':S MAILING ADD�iESS 4 13 csm 0th St. 1IP.ODE PHQNE NUMBER IVY �VI'.lAOE OWN NEAREST Somerset A - Osceola WI 54020 b151294 -2657 Somerset R derNiat; Number of bedrooms 3 ] Addition to existing building rI L New Consintction Use [A + Replacement [ 1 Public _° - -�.� ^,��° _ 9pd0 -R — trench.9p� 4 Code derived daily now 50 .pd / II � l gpd/t>tZ gp�2 Absorption area required fiaa bed, R `� bend mark) Recommended infiltration surface ektvatlonl Additional design 1 site consdderations a f ft FSU=UnsuitableI6f arent material 11 � SYSTEM IN FIOLDIVG TANK =Suitable for system . \ 6LJ �j n o 5 � � �7 S C� U ❑ S �1 U [IS iaU �� t C Roots C' P D /ft Depth Dominant 1�2nw gad n� Boring # Horizon in. Munm —� 1 —6 10 r3 Er I 1 im .7 . B mmm 2 6 -12 7.5 r, Ivf r w Ground 3 12 -84 7.5yra ii na na • 7 • elev. 10 2..5, ft. , Depth to limiting factor +84" Remarks: Boring # s 1 —6 10 r3 3 si 2 r r 2 wiz 2 —.0 •5 4 I 3 0 -82 7.5 1:4/6 none ms o Q m1 na na 7 - .8 Ground elev. lO2 J6 9 Depth to c E V ED I + 82 11 f a, Remarks: ^' CST Name:-- Ptcasn Print Gary L. Steel Phone. 715- 246 - 6200 ST CROIX UOUNIVY Address: 1554 200th. A New Richrno WI 54011 ber mn2298 Sig turc: �- Dame: 4 -9 -97 �' 1 07/02/97 WED 15:14 FAX 715 4686 ST CRg CO ZONING Q003 fford SOIL DESCRIPTION REPORT p op x 01--L PROPERTY OWNER G • N PARCELLD.i Mottles Structure Roots O Depth Dominant Color Texture � �� g� rem Boring # Horizon in. Munsell QU. Sz. Conn color Gr. S7. Sh. I in 3 1 0 -6 10 r none swum 2 17 - 7.5 r4/6 none 6 -17 7.5yr4/4 'none � J osg mvfr 9W lm .7 .8 Ground 3 ME os ml na na .7 .8 elev. 1Q2.1J -R '' DOM 90 i Writing , bctor *8.2; Remarks: Boring # i X 0 -5 10 r none s 4 2 5 - 82 7 6 non Ground elev. 98 _fL Depthl imlN►g . +82 Remarks: Boring # . 6 1 0 - 10 r Wane s1 k m vf r Ya 2 - 5 2 6 -26 7.5 r 4 none a bk mvfr w 2m •6 3 26 -74 7.5 r none Ms ml na na Groin i .8 slay. 9 8.6 It DepM to liimiling factor +?d " "_ Remarks: ScAng f i Ground elev. ft. DepMlb smiting faciar 07/02/97 WED 15:14 FAX 715 386 4686 ST CRI CO ZONING 9 004 STEEL'S SOIL SERVICE Gary L. Steel 1 554 200th Ave. CSTM2298 Gary Gifford New Richmond, Wi 54017 SEkS% S5- T31N -R19W (715) 246 -6200 MPRSW 3254 tovn of Somerset. lot #4 -csm N 1 "=40' . gM.. top of tel. ped 0 el. 100' Alt. BM-= top of tsl. ped. 6 el. 9$.90' 1�/ C4 fi 16 Gary L. Steel 4 -9 -97 1 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND 1 OWNERSHIP %&j�%ATIQ& FORM K _ / 335 Oakwood Terrace Owner/Buyer /v Mailing Address '33 DAKWcv� TERM yq Wt dF!4/ti S 1 Property Address • 36F 93 A ✓t 0 SOorvs. (Verification required from Planning Department for new construction) City /State 3 0010e5'. 9 Parcel Identification Number � LEGAL DESCRIPTION Property Location 6R '/4, SE '/4, Sec. , "i - 3� N - R l9 W, Town of 50 —& )' 'subdivision PLAT OF LEEk ,l?unJ FS?M 5 , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # .5` ;,l , Volume 1, , Page # Spec house ❑ yes 19 no Lot lines identifiable X yes ❑ no _S YSTEM MA NTENANCE Improper use and maintenance of your septic system could result in its premature failure to handi wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. t'. hat 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 plural. er, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper uperating 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 req:: :vents and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Cu.. ,merce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintain. it must be completed and returned to the St. Croix Cou„ty Zoning; Office within 30 days of the thr year expiration date. SIbNATURr 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 des a above, by virtue of a warranty deed recorded in Register of Deeds Office. T/ 99 SIGNATURE O PLICANT 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 VOL . 1384 Pw 593312 STATE EAR OF WISCONSIN FORM 2 — 1982 �1 WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS DOCUMENT NO. ii ST. CROIX CO., WI I , ( RECEIVED FOR RECORD River Hill Family Trust, Gary E. Gifford and 12 -08 -1998 9:30 AM Lenora J. Gifford Trustees ' T t i WARRANTY DEED EXEMPT # CERT COPY FEE: Mark G. Ogren and Charlene A. COPY FEE: j conveys and warrants to g TRANSFER FEE: 87.00 Ogren, husband and wife as survivorship marita " RECORDING FEE: 10.00 property PAGES: 1 'i THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS q the following described real estate in St. Croix Count , Premier State of Wisconsin: PO Box 16 Amery, WI 54001 i _ _. - -- — - 032 - 2113 -40 -000 i PARCEL IDENTIFICATION NUMBER Lot Eight (8), Plat of Deer Run Estates, Town of Somerset, St. Croix County, Wisconsin. I I 4 it ,) i is not This homestead property. it XXX (is not) Exception to warranties: Easements, restrictions and rights of way of record, i if any. I I Dated this 4th day of December A.D., 19 98 River Hill Family Trust B (SEAL) By ���f (SEAL) * Garig E. Gifford, Trustee * L e nora J. Giff d, Trustee (SEAL) v (SEAL) i tl * ii I� I AUTHENTICATION ACKNOWLEDGMENT Signatute(s) State of Wisconsin, ss. P County. i authenticated this day of 19 Personally came before me this 4th day of DPcemhPr 199$_, the above named River Hill Family Trust by j Gary E. Gifford and Lenora J. TITLE: MEMBER STATE BAR OF WISCONSIN _ Q iffor d, Trustees i M (If not, l authorized by §706.06, Wis. Stats.) to me known to be the person S who executed the foregoing instrulient nd acknow dge same. �i THIS INSTRUMENT WAS DRAFTED BY ±. � •J i; yl lltJl.� Attorney Kristina Ogland '"' Sidney '.t nes ,"t _ Hudson, WI 54016 Polk ,l Notary Public 4 '1 -. County, Wis. (Signatures may be authenticated or acknowledged. Both are not My commission i T: A... (If — not, state expiration date necessary.) � 'r -'I9 99_ ) Names of persons signing in any capacity should by typed or printed below their signatures. . •..;ea ur STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc. r WARRANTY DEED Form No. 2 —1982 Milwaukee, Wis. r M� 13 :.•1 rhtr ..�. ` �t .p I t I t ^ r Y LI a I. Ji + rY y N ttn -.0 to _ •_ a •ee.KtO i - -. ___.. _. � yd r /1 \ • , �,l g IIj S n O� d I • •••. .. pruec , •' Z .': t .. • •''. sn aru �• ^`,: r __�L'�� r.r.. ".. ....-•-. ieeronfi .te.er.cef- --:--._-- 1- __--" -- wrotcl .... 1373H 18 4 { 0 ►� 1- - :. _ '- \ .. � • .• .. - - nt t, ,� � , irl' fV• I 'I / uj Yye Si �► •VU.� t I �bl: 4 J' • 1 ui 6[ ` o ✓i I I I 1 !, n• Mr1 i) ' r-, kY :� P � ti •- . ....n.0 o. t.etrcarr. - +---.'--- - - - - -- - -- - - - - - - ' � ' I , E rf t'r JO r 1 • n� cr ,�r!e ..�+ # 0 i o� u: C 4 U 110 i : O1U 2 _, '�1 O' O i �1 „ 0j 1 t �: -- -• - ,esxse w - ee.ecco e.__ -------- rests : _y a �...ietNrt 1 1�• W � I I^ 1. ., ,cute � S h I usn ............. _...se'cul ................ . 1 _______.......... _It'io[1 ' Y a _ 1 - ��� N�k>w a' "st l+rrJwuts. ,', Y, '• , NI A 1W N h r I t 1. 1 4 d 1•r -I I ! a 1 =� L}( ccil � �yyF3FF P• � ' r , - . �E g � � 1 Cli T I II .R 1 Oly i;!. Mark and Charlene Ogren 335 Oakwood Terrace Vadnais Heights, MN 55127 . ULKTIFIED SURVEY MAP Located in the Southeast Quarter of the Southea' �! West, Town of Somerset, St. Croix County, Wisconsin. st Quarter of Section 5, Township 31 North, Rang 9- �t1>J Prepared for and at the request of: OWNER: Gary Gifford 2 EAST QUARTER Osscc eolaa, , WI 54020 CORNER 80th th Street SEC. 5 -31 -19 Drafted by. Kristi A. Eylandt (RAILROAD SPIKE- NOTE: The parcels shown on this to be recorded ' i laws map are sub'ect t � rules and regulations ( i.e. wetlands, minimum lot i s ze, access to d a� el shlp EAST ME OF etc.). Before purchasing or developing any parcel, contact THE NE 1/4 OF the cc Croix County li Zoning Office and the appropriate Town Board for advice. THE SE 114 o I � I 200 0 200 BEARINGS ARE REFERENCED TO THE SOUTH LINE OF THE N ' I , SE 1/4 OF SECTION 5, TOWNSHIP 31 N. RANGE 19 W. WHICH IS ASSUMED TO BEAR N 89'20'02" W. i GRAPHIC SCALE I SCALE IN FEET: 1 Inch 200 feet I NO TH UNPLATTE_D_LANDS 36.71�� . - - - -- --- -- - - - -N 89'53'00" E 1306.20'--- - -_ - -- i I - -- --- - - - - -- 1269.49' --- - - - - -- _ of / I I Z, I I W o NORTH i LINE OF THE SE 114 OF THE SE 1/4 I W x I I I I 1 1::I x 1 (7 Z 1 3/ ry /9 Z'� LOT 4 �= z o `I.I I o AL RF,4 • J - I CN A ! 1 ,067 299 SQ. FT. Q I I °; I 1 I JO 14,0r 24.50 ACRES o p� I `L°Ic°o iI3 ! x p s - frsc i AXCLUD Rp {•y • I I , A 1, 034, 890 SQ. FT x I 11. 23.76 ACRES O I I \ Y� v' 1 • T I 1 I' I I M I I I III Np C6 Z `1 ��AtAQka N I �fnzl " 34.63:. iIi 0 I of cr I i �, - -- -- - - - - -N 89'43'32" W 979.17'- - - - - -- - \_��I i I t,.1I :� 1 S � 1 326.39' r� 326.39' �� -- 291.76 -- �r r 3 1 z w i � AR„�w I �?TAL Raa I 1 'bp to ' 1 213, 318 SQ. FT. , 214 I I p� I I V 1 ,046 SQ. FT I M 4.90 ACRES '' f 1 I Q Apc -� ,-,� I 4.91 ACRES I ri C,4 I I W I I I aJ �c1 4,011 Lt/D. Rnw ' �BEAEX RO w • ' 1 0 1ul 1 'n 204, O 10 SQ. f7 � co C? p) C3 I I Lull I Z 4.68 ACRES 204,339 50. FT o cn W W; 0 1 1 rn I 1 I 4.69 ACRES ,� e ^ LOT 3 I I J - 3 co Nd b� I 1 1 I CO LOT 2 `° ,�.�I� IIfA, �° `° ,� a�iCN 'I ° � 11 LOT 1: ° `I (o ►y.+ l ° o 1 U) I I 1 '° I / N I r- N V) 1 .... �. 1 `14 1 R. O. W. ............... • • Ave I o : i .r . 1 ( 230th %.. .�� . .J. .�. ,.. i 1 I I 1, z 89'32'55" WI i ir i 1 ii I r r =t - 326.22' - I i .' I i 1 �— — I 326.33. 1 r --I y -f - -- I 7' 29 I I i _ _. � � -�_ 326.33' -- � � _ f_ — �- _ - _ - -- 326.2 -- — - = _ _ - - - -_ -- .27 - -,, - -- 326.27' - _ i' En _89 W 1304.95'- - - - -__ 23Oth Ave — ------- - - - - -- �` -' _- SOUTH L /NE OF THE SE 114 OF THE SE 1/4 :f 9 --- - - - - -N 89'20'02" W 2609 .90'-- - - - - -- - -- I SOUTH 114 CORNER 230 t h A V_E N U E SOUTHEAST; CORN ST. C OIX cp UNTY SEC. 5 -31 _ 19 -------- -- _ SEC. 5 -31 -19 �� honsiv Planning (ALUM. CAPPED MON,) UNPLATTED LANDS (ALUM. CAPPED MO/1 ZI1nmg Ind rks Committee -- - JOB #96121 -- - - - -- Prepared by: County Section Corner Monum I.frot recorded A & E LAND SURVEYING of Record I 1n 30 days of Phone No. (715) 246 -4319 • Set 1" x 24" Iron Pipe 'weighi approval date 109 East Third Street, P.O. Box 325 Wproval shall be New Richmond, WI 54017 a minimum of 1.13 pounds per null and void Sheet 1 of 2 linear foot. Vol. 11 Page 3248 Mark and Charlene Ogren 335 Oakwood Terrace 11?dnais Heights, MN 55127 T ^ ' 9S 02: 3 M 5PM � � 'I URY c 1 SCF 715 -45.D -1501 _ (! P. 11/1 - . r . - •}- - -- - .. - t .. ♦ 1 co � v 1 t •! / / r Go, �1 , dP% • 1 t 1 1 1 LL 1 1. dff- f t • • a r t rrf r 1 1 of I ti 1 • r 00 10� OD 4 mmummomm S9 Ott. 1 � � m '+.�, ♦ gad 1 ` f N1 ,,���•1 � � ! f -. -• • ......... . .._ •sue � a' M / V a i lu N PW C t 1� W � •.. zy �,,