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isconsin 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
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 distance to nearest road. 030 - 1040 -20
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
Carol & Wm. Hendrickson GOVT. LOT SW 1/4 SW 1/4,S 19 T 30 N,R 19 x$(or) W
PROPERTY OWNERS MAILING ADDRESS LO # BLOCK # SUBD. NAME OR CSM #
303 North Fourth ST. na Pin r
CITY, STATE ZIP CODE PHONE NUMBER ❑CI ❑VILLAGE 3 TOWN NEAREST ROAD
Stillwater MIN. 55082 1 612) 549 -6063 d. "V"
*14 New Construction Use be ] Residential / Number of bedrooms 3 [ ] Addition to existing building
I ] Replacement [ j Public or commercial describe
Code derived daily flow 450 gpd Recommended design loading rate • bed, gpd /ft - trench, gpd /ft
Absorption area required 375 bed, ft 375 trench, ft Maximum design loading rate • 4 bed, gpd /ft - 5 trench, gpd /ft
Recommended infiltration surface elevation(s) 100.50 ft (as referred to site plan benchmark)
Additional design / site considerations system el based on contour line of el. 99.50'
Parent material gi ar-; a 1 drift-. 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 for s stem ❑ S ® U ® S ❑ U ❑ S [2 U ❑ S I31 U ❑ S ® U ❑ S MU
SOIL DESCRIPTION REPORT
Boring # Horizon
Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots IS PD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
..................
.................
..................
.................
..................
.................
..................
1
1 0 -1 .5 .6
2 10 -26 7.5 r 4/4 none sl 2mgr mvfr gw if .5 .6
Ground 3 26 -55 7.5 r 4/4 none is osg mvfr na na .7 .8
elev.
10 4 55 -70 5yr 4/4 none sl m na na na .3 .4
Depth to
limiting
factor
Remarks:
Boring #
1 0 -10 10 r 3/3 none 1 2msbk mfr gw 2f .5 .6
"' 2 `'" 2 10 -33 10 r 4/4 none sil 2csbk mfr gw if .4 .5
Uj
Ground 3 33 -60 7.5 r 4/4 none sl lcsbk mfr n .5
elev.
mot. A
Depth to I
limiting
factor
„
Remarks:
CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200
Address: 1554 200th. Ave w Richmond WI 017
Signature: Date: CST Number: m02298
6 -14 -97
STEEL'S SOIL SERVICE
Gary L. Steel 1554 200th Ave.
CSTM2298 Wm. &Carol Hendrickson
SW 4SW4 S19- T30N -R19W New Richmond, WI 54017
MPRSW 3254 town of St. Joseph (715) 246 -6200
Pine Curve Addn.
N
1 =40'
BM.= top of NW lot stake @ el. 100'
Alt. BM.= base of power pole C el. 101.45
Qo / � � �
D� �o ` pp o
F 4Z
Loo V\ �0 �L n
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Gary L. Steel
6 -14 -97
i
ST. CROIX COUNTY
WISCONSIN
-�� ZONING OFFICE
r r r r r N r r r ST. CROIX COUNTY GOVERNMENT CENTER
■� ■•, 1101 Carmichael Road
Hudson, WI 54016 -7710
(715) 386 - 4680
February 8, 2000
Ryan and Jennifer Holmberg
1415 CTY Rd. V
��,� S�BZ
RE: House remodeling, Town of St. Joseph, St. Croix County
Dear Mr. And Mrs. Holmberg:
You have requested the Zoning Office to review your remodeling/addition project for compliance
with the state sanitary code (COMM 83). When remodeling or adding onto a dwelling you are
required to examine whether or not the construction involves an increase of wastewater.
Section 83.055 (3)(b)(2) states: Increased wastewater load in dwellings results from an
increase in the number of bedrooms from construction of any addition or remodeling which
exceeds 25% of the total gross area of the existing dwelling unit.
It is my understanding that you plan to add an additional bedroom to the existing structure on the
lower level. The existing dwelling was constructed with three bedrooms. The existing septic
system was designed and installed for a three- bedroom home. The system was installed on 12/3/98
by Mike McDonnell of Sam Miller Homes.
The St. Croix county Zoning Department will waive the need to have the septic system evaluated
due to the fact that the system was installed just two years ago.
To prolong the life of the system, remember to have the septic tank pumped once every three years
or when the tank becomes 1/3 full of sludge and scum. Other efforts to prolong the life of the
system could be as simple as fixing or replacing plumbing fixtures with water conserving fixtures,
reducing shower time, washing dishes when the dish washer is full, avoid using a garbage disposal,
using a wash machine with a suds saver feature, etc. Therefore, the prolonged life of this system
may be dependent upon proper maintenance of the system.
The property owner has met all the requirements of COMM 83.055 and can proceed to
obtain a building permit for the proposed house addition.
i
Should you have any questions, please contact this office.
Sincerely,
Kevin Grabau
Zoning technician
FEB -08 -2000 10:26 J ` �IwP'
AN DERSEN CORPORATION
100 FOURTH AVENUE NORTH
BAYPORT, MN 55003
Fq Main 'Telephone Number: (651) 439 -5150
DHWP Subplant Direct Fax: (651) 430 -5261
TO: Kevin Grabou �` t
COMPANY: St. Croix County Zoning Office
FAX NO: 715 - 386 -4686 f
DATE: 2/8/00
I�1
0 2r ��_�o -
� D3
FROM: RyanH
COMPANY Awknen C oratzan
TELEPHONE NO: 651- 430 -5720
FAX NO: 651- 351 -3230
NO. PAGES 2
0whidingthis anxr)
COMMENTS:
Kevin
Attadlidi is a sketdl of rn hoLLse Horn plan. I in lx)th my plan for the basennent, and th
existing upstairs structure. If you ived anyftN else, pleise feel free to call me.
Thanks,
FEB-0e-2000 10:26 P•02
I� i I
4 __ -4-
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TOTAL P.02
ST. CROIX COUNTY ZONING DEPARTMEr ..
AS BUILT SANITARY REPORT
�L? b ° ��
u E L 1998
Owner 1EA Al [ sr coax J `
Property Address l e_ "V ° '� CAUNTY
City /State f�y A � + ' � � Y � � �� ?0NINGOFFIrCE
Legal Description:
Lot (o Block — Subdivision/CSM # S - 7 37 S'5
t5 2t %4 � %4, Sec. f-7 , T N-R To of ! SOS �f 14 PIN # 6 3a - 7–J O
EPTIC TAN DOSE CHAMBER -- HOLDING TANK INFORMATION
Tank manufacturer Wf (,5f(/ Size ST/PC 1000/ Setback from: House 5 3 Well 1 zS+i P/LI a5 ,
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
-0
ype of system E 1`�e P Width 3 Length ST r ' Number of Trenches
Setback from: House r- / ' Well Zo�f P/L" Vent to fresh air intake q
ELEVATIONS
Description of benchmark ' PVC,' G„a `/ Elevation I0�7 /
Description of alternate benchmark P co r bl oc )c F&.*400T P/ Z 9 Z Elevation o 3 , 8
Building Sewer �� ' ' ST/HT Inlet `�� 2 - ST Outlet ` �- PC Inlet
PC Bottom Header/Manifold •`� > Top of ST/PC Manhole Cover `D • -Z
Distribution Lines ( ) �� I �' `� ' �( ) `
Bottom of System ( ) ' (,5 "Z _ �' 76 .03
/oo, 9
Final Grade
Date of installation I / Perm it number- ' 140 � State plan number
Plumber's sig ature c / License number �� �� ��$�10 DatejZ / /
Inspector L
Complete plot plan a
r.
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County:
Safety and Buildings Division ST . CROIX
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) SanitnP jan1 h_:
Personal information you provice may be used for secondary purposes [Privacy L , s.15.04 (1)(m)]. L 44 bb V U � �
,P,Qf t linlder'st4 ff E7 IG ty [j1fiNT Town of: State Plan ID No.:
CST BM Elev.: AM Insp. BM Elev.: BM Descri tion:� 1' V�LY Parcel ln'& -- :2105 -10 -000
- Zp M G
TANK INFORMATION ELEVATION DATA A9800496
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic ��� Ben h ar -Z`f~ lc�S, /O
Dosing l-(. /'h
Aeration Bldg. Sewer
Holding —'-- St/ Ht Inlet .y 0 1
TANK SETBACK INFORMATION St /Ht Outlet -6,2? x6
TANKTO P/L WELL LD6. Ventto ROAD Dt Inlet r
Air Intake
Septi / s f NA Dt Bottom `
Dosing NA Header /Man.
Aeration NA Dist. Pipe 8 .'T7 7(.�7
Holding Bot. System /pZj X0.27
PUMP / SIPHON INFORMATION Final Grade
Manufacturer Demand
Model Number GPM DZ.
TDH Lift- -- Lricti Syste TDH Ft
oss Forcemain Le H L. I U VVIC11
SOIL ABSORPTION SYSTEM
BE TREN width Length r No. Of Trenches PIT No. Of Pits In
DIM N–' .. S DIMEN I N
SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturlr:
SETBACK CHAMBER
INFORMATION Typeo j Moe Nu mber:
System (/ N !�� OR UNIT
DISTRIBUTION SYSTEM ty�
Header/ Maryfold Al Distribution ipe(s) , x Hole Size x Hole Spacing Vent To A f Intake
i
Length Dia. Length �� a D4.. � y Spacing c,vt�„r„ �ye e4
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 C] No E] Yes E] No
COMMENTS: (Include code discrepancies, persons present, etc.)
z �
LOCATION: ST. JOSEPH 19.30.19,SW,SW 1415 COUNTY ROAD V – LOT 6
Tce� 00� S�
Plan revision required? ❑ Yes 4 No
Use other side for additional information. ��- ?�j Fzk�92
SBD -6710 (R.3/97) Date Inspector' ignature C _ e6 N o.
Safety and Buildings Division
Visconsin 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
(�d�
than 81/2 x 11 inches in size. 5i
• See reverse side for instructions for completing this application State Sanitary Permit Number er
Personal information you provide may be used for secondary purposes ❑ Cneck if revision co revious7 application
[Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number
I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATI N
Property Owner Nam Property Location
��L� wf /4Sw v4,5( T 30,N,R IT E(o W
Property Owner's Mailing Address Lot Number Block Number
R ox let ,/ 4>
City, State Zip Cod Phone Number Subdivision Nam or CSM Number i�IG Ur t
I3 0 N w ! S' Ot (dW.) z 70,9
11. TYPE OF BUILDING: (check one) ❑ State Owned ity Nearest Road
Cj Public 1 or 2 Family Dwelling - No. of bedrooms Town OF S f�SEf/a LTN�� Y
Ill BUILDIN USE (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment/ Condo 21 !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 E:] Replacementof 4_ E] Reconnection of 5 ❑ Repair of an
---- System ________ System_____________ Tank Only 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 i NFILUA7oK 22 ❑ In- Ground Pressure 42 E] Pit Privy
13 Seepage Pit ($ S K 3 x 3 7, 5' N I LT 1 e#T® 1L 43 ❑ Vault Privy
14 ❑ System -In -Fill
if VI. ABSORPTION SYSTEM INFORMATION:
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) 'i Elevation
.5- 1 1 L I / Gy .'�f 0 O Feet'' 4 Feet
Capacity
VII TANK in Ca gallo s Total # of Prefab. Site Fiber- plastic Exper
INFORMATION New Existing Gallons Tanks Manufacturers Name Concrete Con Steel glass App.
structed
Tanks Tanks
epticTanko n 10 Ex ❑ ❑ ❑ ❑ ❑
ump Tank /Siphon Chamber ❑ ❑
VI11. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plumber' Signature: (No S mps) MP /MPRSW No.: Business Phone Number:
P umber's Address (Street, City, State, Zip Code):
u AITEX kd)(64 f oom #U'P l 4/Q /
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includes Groundwater ate I ssued Issuing A ent Signature (No Stamps)
]Approved E] Owner Given Initial /�( p �/ Surcharge Fee)
Adverse Determination ` vo �
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber
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Labor and Human Relations use' SOIL AND SITE EVALUATION REPORT Page \ of 3
Div sion of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
• COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but Sr -
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road. O'er O _ 10 U O -?_0- 100
APPLICANT INFORMATION PLEASE PRI " I F(>R ON REVIEWED BY DATE
PROPERTY OWNER: ROPERTYLOCATION
G/ S VQ 1/4 SLl 1/4,S �9 T '30 ,N,R Iq E (or&W
PROPERTY OWNER':S MAILING ADDRESS # BLOCK # SUBD. NAME OR CSM #
�?•�. 30X t51 f "? +r - CSh� Vet_. �Z Qg 3ZSS
CITY, STATE ZIP CC�S. PHON its) R 7,9Q '[ TY ❑VILLAGE ®TOWN NEAREST ROAD
!�t'VtsOKl,ljI St4olo ( �,8 ) � ,'Sbs�a�M ems+ V y
Pq New Construction Use QC) Residenh" / of be r Additi to existin buildi
' [ ] 4� 9 g
(] Replacement ] ] Public or conlrtterayr
Code derived daily flow \•1. SZ g pd �``" Rom-ended design loading rate -_ bed, gpd/0 • $ trench, gpd/ft
Absorption area required 6 q 3 bed, ft SbZ • S trench, 11 Maximum design loading rate - '7 bed, gpd/ft • S trench, gpd1ft
Recommended infiltration surface elevation(s) °l S . 0 It (as referred to site plan benchmark)
Additional design / site considerations % `TLeNic44eS w/ S exL Lk1tei cmllkmi8e" CSe LV - u6T>v - W
Parent material S k \. " o v i1z Sm_xj * G � vVL Flood plain elevation, if applicable N A, ft
S = Suitable for system CONVENTIONAL MOUND * IN- GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable fors stem ®S ❑ U EI S [a ®S ❑ U ❑ S ®U ❑ S gU ❑ S O U
SOIL DESCRIPTION REPORT -+ SLTL-
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouxtry Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
3 `
0 -) . S \1 tz 30y C_ sb k .n`� 1� C lv - . \4 . S
S `- 'I P_ 3 ! t/ - S () S9 C k ! - • 1 • �
Ground 3 9 1 C S - •`d
elev.
R 6 ft. f0 `12 V ly - Sec ��v
Depth to
limiting
factor
5
Remarks:
Boring #
sI 1 Z�s bk wt�t� G� — • S • 6
............
SLtIZ 3J o S
Ground 9 ceLr,ep e S
elev. y �y. \�3 �•Sti2 3Jy - S�G1, O s9 vn�
1 o6•S ft.
Depth to
limiting
factor
Remarks:
CST Name: - Please Print Phone:
Arthur L. We erer 715- 425 -0165
egerer Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022
Signature: 8- l Date: CST Number:
r r =�� M00576
d
PLOT PLAN Page 3 of 3
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CST Signature Date Signed Telephone No. CST #
t anti H uman Re of Industry, SOIL AND SITE EVALUATION REPORT Page of 3
Division of Safety 8 Buikfings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
` Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but ST.
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road. O 30 — t o U 0 _ZO- 10(i
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION DBY DATE
PROPERTYOWNER: Std E. M%�_Lkz_Z PROPERTY LOCATION
G/p `MLI. N-{�eS -86Vi -L$T S VQ 1/4 SIO) 1/4,S "9 T 11j' ,N,R 1-q E (or
PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # I SUBD. NAME OR CSM #
-D. 30X- \.SI — <' SM \)0L.\1 Qg 3Z-SS
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ®TOWN NEAREST ROAD
"VtB0Kj I ) I olb ( - ) ls)1&&- Z`! (;9 S`r, �11s�� kA I 0- 1 V "
[q New Construction Use pC] Residential / Number of bedrooms 3 f ] Addition to existing build
I ] Replacement [ I Public or commercial describe
Code derived daily flow kA SO gpd Recommended design fading rate - bed, gpd/ft2 • trench, gpd/ft
Absorption area required 6 q 3 bed, ft S S trench, ft Maximum design loading rate • 7 bed, gpd/ft • S trench, gpd/ft
Recommended infiltration surface elevation(s) °l S - O ' ft (as referred to site plan benchmark)
Additional design/ site considerations 3 `iiv c"LzS w/ S o1j 'iEw""O3 e' L Lmki CSe &j R} Z�
Parent material o \j t1z SM t G`-" \jV1 Flood plain elevation, if applicable U , A, ft
S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE 1 1 SYSTEM IN FILL HOLDING TANK
U= Unsuitable for s stem ES ❑ U ❑ S OU IRS ❑ U ❑ S EI U ❑ S 19.0 [IS ® U
SOIL DESCRIPTION REPORT 4 SLTe
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bou Roots GPD /ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench
>:`3.... ►
0_9 . $ �f R 3)y - s ] \ sb k \4 -S
Z Q -SI - I•S 1-1 T_> 2S /y — S o S9 wt, Ct - •1 .`r3
Ground 3 S1 -1y S\ TZ y/v S o d S
elev,
crq-�. ft. y - )x!_127 !O `112 Yly •Sett �v o S9 M
Depth to
limiting
factor
l l21"
Remarks:
Boring #
eS
'" � � Z lZ -�! $ 10 `-1 �Z 31(� � Sy l Z'F S b>r wt,'�1� Gam, '- • S ' �
w etc
�� `f
3ly cew,r„nn, C S
Ground
elev. y �y_1�3 �•S ti,� 3i�r - S ul. O S9 v., — , `�
I o6•S ft.
Depth to
limiting
factor
Remarks:
CST Name: Please Print Phone:
Arthur L. We erer 715 - 425 - 0165
Address: Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022
Signature: 6/ ? Date: CST Number:
M00576
• PLOT PLAN Page 3 of 3
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CST Signature Date Signed Telephone No. CST #
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address Ra X /
Property Address S e 7 H V _
(Verification required from Planning Department for new construction)
City/State 1 U ESQ �-1 L-t.! f Parcel Identification Number ° 3 O—
LEGAL DESCRIPTION
Property Location S GtJ ' /a, �' /4, Sec. f ' , T N- R171�Town of s T
Subdivision S` 7 3 7 , Lot #
Certified Survey Map # 7 1 7 3` , Volume 7 Page # / 4/
Warranty Deed # , Volume 3 Page # O
Spec house 1% yes ❑ no Lot lines identifiable JX 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, j ourneyman 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.
Itwe, 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. q
NATURE F AP ICANT 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.
q
SIGNATURE OF AP ANT 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
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DESCRIPTIONS:
The following descriptions are located in the SW 1/4 of the SW 1/4 of Section 19, T30N,
RI 9W, Town of St. Joseph, St. Croix County, Wisconsin, being part of Lot six ( 6 ) of
the Plat of Fine Curve Addition and part of Lot one ( 1 ) of that Certified Survey Map
filed in Volume 11, Page 3251 as Document No. 559126 in the St. Croix County Register
of Deeds.
PARCEL "A"
Beginning at the NW corner of Lot six ( 6 ) of the Plat of Pine Curve Addition: thence
S00 0 38'20 'W 114.61' along the West line of said Lot six ( 6 ) ( bearings reference to the
West line of Lot six ( 6 ) of the Plat of Pine Curve Addition, previously recorded as and
assumed to be N00'38'20 "E ); thence N60n40'55 'W 119.48' to the Southeasterly right of
way line of County Trunk Highway "V "; thence Northeasterly 119.57' along the arc of a
766.69' radius curve concave to the Southeast whose chord bears N6 1'59'23.5"E 119.44'
to the point of beginning, containing 6,192 square feet ( 0.142 acres ) more or less.
PARCEL "B"
Commencing at the SW corner of Lot six ( 6 ) of the Plat of Pine Curve Addition; thence
N00 "E 99.92' along the West line of said Lot six ( 6 ) to the point of beginning;
thence continuing along said West line of Lot six ( 6 ) N00'38'20 "E 253.02'; thence S60
40'55 "E 12.48 thence S24 °00'00 "E 129.32'; thence S27 ° 1 4'47 "W 144.82' to the point
of beginning, containing 8,687 square feet ( 0.199 acres ) more or less.
PARCEL "C"
Beginning at the SW corner of Lot six ( 6 ) of the Plat of Pine Curve Addition; thence
N89 "W 50.00' along the South line of Lot one ( I ) of that Certified Survey Map
recorded in Volume 11, Page 3251 as Document No. 559126 in the St. Croix County
Register of Deeds; thence N27'1 4'47"E 111.64' to the West line of Lot six ( 6 ) of the
Plat of Pine Curve Addition; thence S00'38'20 "W along said West line of Lot six ( 6 )
99.82' to the point of beginning, containing 2,495 square feet ( 0.057 acres ) more or less.
L Joseph W. Granberg, Registered Wisconsin Land Surveyor, hereby certify that I have
surveyed and staked the above described parcels in accordance with the rules and
regulations set forth by the State of Wisconsin and the Ordinances of St. Croix County
and the Town of St. Joseph and the map attached hereto is a true and correct
representation to scale of said parcel.
GRANBERG SURVEYING :'� c O iva
1239 C.T.H. "E"
. ;. J( )SE PH W.
New Richmond, WI. 54017 Gs�aly
Phone ( 715 ) 246 -7529 Y
i NI W RICHMOND
Job No. 98 -030 c ( y"' J
This instrument drafted by Joseph W. Granberg. h SURv
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