HomeMy WebLinkAbout020-1165-61-000 (2)STC 10 {
AS BUILT SANITARY SYSTEM REPORT
OI^INER
ADDRESS ., IL,r.,, /C
!il [',r TJ rS(
suBDrvrsroN /CSMfl &,lf_ \/iq iJJ csfnfe s lOT f
SECTTON -n-l-!-w,Town of tl o
1061st. cRorx cot NTY, WISCONSIN
Prov ide setback and e Ievation inf ormat ron on reverse of ttris f orm '
Prov i de 2 d imerrs ior-rs to center o f' sept i c tarrk manhole cover '
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PI,AN VIEW
SHOI^I EVERYTHING I.IITHTN 1OO FEET OF SYSTEM
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INDICATE ORTH ARROI^I
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BENCHMARK:0 On^J R of Grr OC S'rD lt't
ALTERNATE BM:
SEPTIC TANK / PUI{P CIIAMBER / HOLDING .TANK INFORMATION
Manuf acturer: 'v i '. ' \Liquid Capacity:
Setback f rom: tIeI I [{ouse Other
Pump: Manuf AC Model #S ize
Float sep eration Gallons
AIarm on
SOIL ABSORPTION SYSTEM
I^Iidth:5 Le 5,-7 Number of tren.ches a
Distance & Direction to nearest prop. line:9'
00 rt\SqP 3)
{nu K
1)"S\)
1q House 35'
J
Setback from: weII:Other
ET,E\TATIONS
Building S evrer ST Inlet:ST outlet
PC i-+ 'p o f
Header/Mani fold Bottom of sy stem { ,
Existing Grade Final grade--_
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B,.l) /tlre
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1) ]?
iJ. i? f ^ro
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13,1-l
DATE OF INSTALT,ATION:
PLUMBER ON JOB:
TqiJ
LICENS E NUI'IBER :
I NS PECTOR :9J,)l 9r,
3/93:1t
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I.Qffe#f.st;",.iHURSSN,tf . 2e . 1 e . 1 offir varE S EWAG E Sy ST E MLabor and Human Relations' i;ie-y;"i ar''rJ,"ss Drvisron INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
TANK INFORMATION
TYPE MAN U FACTU RE R CAPACITY
Septic tr iuo,s Gnadr,)1, i4-d
Dosing 0
Aeration
Holding
TANK SETBACK INFORMATION
TAN K TO PIL WE LL BLDG vent to
Arr lntake ROAD
Septic NA
Dosing NA
Aeration NA
Holding
PUMP / SIPHON INFORMATION
Manufacturer Demand
GPMModel Number
TDH Li ft Friction
Loss
Svstem
Head TDH Ft
Forcemain Length Dia Drst. To Well
SOIL ABSORPTION SYSTEM
)!,", ELEVATIO DATA A9 300 329
Permit Holder's Name:
ITITNII MI{rrMAq.T f, IIAP(?TII I(
f; Town oftr City I Village
HUDSON
CfiBM Elev.:
/00.
lnsp. BM Elev/lc.BM Descrrption
Bailoyrt -t-i r,u i$ / rgu. ,, A"d----n
County
sT- eRolx
Sanitary Permit No
1 9q921
State Plan lD No
ParcelTax No.:
o 20-1155-6l--OO0
STATION BS HI F5 ELEV
Benchmark /oV,87 3xt /co,
Bldg. Sewer
st / Ht lnlet
St/ Ht Outlet lo,oa-'g3,8{
Dt lnlet
Dt Bottom
Header / Man /1,j3 q a.{'/
Dist. Pipe / /,<qa,3'/
Bot. System /a3c q l.tb
Final Grade
BED / TRENCH
DIMENSIONS
Wrdth 5 tensP' r2 r No Of Trenches PIT
DIMENSIONS
No Of Prts Insrde Dra Lrquid Depth
SETBACK
INFORMATION
SYSTEM TO PIL BLDG WELL LAKE / STREAM LEACH ING
CHAMBER
OR UNIT
Manufacturer
q I 35/7L'/,</1)Model Number
DISTRIBUTION SYSTEM
Header / Manifold Distributron erpe(s)
Length Dra Spacrng
x Hole Srze x Hole Spacrng Vent To Arr lntake
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over
Bed / Trench Center
Depth Over
Bed / Trench Edges
xx Depth Of
Topsorl
xx Seeded /Sodded
fl Yes D No
xx Mulched
!Yes ENo
COMMENTS: (lnclude code discrepancies, persons present, etc.)
LOCATION: HUDSON L7 .29.19.1OO7
i
I 0"1 1
Plan revision required? ! Yes E No
Use other side for additional information.
sBD-6710 (R 05/91)
lt l0 (t3 drtb louw 4 L
^
6
Date
A
s Srgnature Cert No
Type Ot
System:,m
ILHFI SAN ITARY PERMIT APPLICATION
ln accord with ILHR ffI.05, Wis. Adm. Code
-Attach complete plans (to the county copy only) for the system, on paper not less than
81Ax 11 inches in size.
-See reverse side for instructions lor completing this application.
I. APPLICANT INFORMAT|ON - PLEASE PRINT ALL IIIIFORMATIOIII.
";':fiw#,;[:,.
app ca, .n
STATE PLAN I.D. NUMBER
ffiT,f:=** ftu"et/'P H. firilnrt tVA %sF vqs /7 r .{flN,R / ? E (or) w
PROPERTY LOCATION
LOT#
70
BLOCK #
tUA
CITY. STATE
lJil) 4nil il )r ZIP CODE5*;tto PHONE NUMBER(1ri l*l/--9*q
suBQrvrsroN NAME oR c.SM NUMBER'Por,lut €u) €s/n/es
VILLAGE:
o4,O -//6u-
1
2
3
4
5
6
7
I
I
tr
Dntr
trtrtrtrtr
ROAD
tr
trtr
Outdoor Recreationa! Facil ity10
11 RestauranUBar/Dining
Service Station/Car Wash12
13 Other: Specity
lll. BUILDING USE: (lf building type is public, check all that apply)
!!. TYPE OF BUILDING: (Check one)State Owned
Medical Facility/Nursing Home
Merchandise: Sales/Repairs
Mobile Home Park
Otfice/Factory
ApUCondo
Assembly Hall
Campground
Church/School
Hotel/Motel
E proti. EL or 2 Fam. Dwellinffi of bedroor" j
lV. TYPE OF PERtllT: (Check only one in line A. Check line B if applicable)
A) 1.E ru"* z. Elneplacement g. E neptacementolSystem System Tank Only
B) E e Sanitary Permit was previously issued. Permit #
5.4 tr
Date lssued
Repair of an
Existing System
Reconnection of
Existing System
Other
21 fl uound
22 a ln-Ground
Pressure
V. TYPE OF SYSTEM: (Check only one)
Experimental
30 E Specity Type Holding Tank
Pit Privy
Vault Privy
41 fI
42[f€E
Non-Pressurized Distribution Pressurized Distribution
11
12
13
14
Seepage Bed
Seepage Trench
Seepage Pit
System-ln-Fil!
2. ABSORP. AREA
REtTRETq ft )
3. ABSORP. AREA
'-"ry?Tq ft)
4. LOADING RATE
,:",ff"r,sq.ft.)
5. PERC. RATE
(Min./inch)'-8 6. SYSTEM ELEV
9l Scr"*\
A N
VI. ABSORPTION SYSTETI INFORMATION:
7. FINAL GRADE
CAPACITY
in gallons Prefab Plastic Exper.
App.
VII. TANK
INFORTIATION New
Tanks
Total
Gallonp
#ot
Tanks Manufacturer's Name
c^)'-
Site
Con-
structed
Steel Fiber-
glass
/Seotic Tank or Holdino Tank t- c1 \I
Lift Pump TanUSiphon Chamber J
VIII. RESPONSIBILIW STATET/IENT
l, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
MP/MPRSW No.:
3+b4
PI nt)
rtY\pp,5 J€f
Business Phone Number:
t?t5 t5€6 - l1eb
Plumber's Signature: (No Stamps)
p
x. co
fi oro,ou"o -7)
(NoDisapproved
Owner Given lnitial
Adverse Determination
Etl Sanitarv Permit Feea6v (lncludes Groundwater
Surcharge Fee)
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:a
SBD6398 (formerly Plb€7) (R. 11/88) DISTRIBUTION: Originalto County, One CopyTo: Safety & Buildings Division, Owner, Plumber
D
/
I I J|r'rl)Nq lox(l-t II tr
uale tssueo
,l
2
3
4
6
INSTRUCTIONS
A sanitary permit is valid lor two (2) years.
Your sanitary permit may be renewed belore the expiration date, and at the time of renewal any new
criteria in the Wisconsin Administrative Code will tie applicabie.
All revisio.rs to this permit must be approved 5y the permit issuing ai.rthorit!
Changes in ownership or plumber requires a Sanitary Permit I ransfrl,/Rerevra, Fcrrn (58D 6399i to be
submitted to the county prior to installation.
Onsrte ser.rge systems must be properiy mailltair,cc. f hs:,'+lc tani(s) rrrL':,i tre iti'lired tiy'c trc:llr!"d
pumper whenever Iecessary, usually every 2 to 3 years.
ll you have questions concerning your onsile sewage systern, contact your local code admiftistrator or lhe
State ol Wisconsin, Salety & Buildings Oivision, 508-266-3815.
To be complete and accufate this sanitary permit application must include:-.>-.
l. Property owner's name and mailing address. Provide the legal description and parcei tax number(s) of
where the system is to be installed.
ll. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
lll. Building use. lt building type is Public, check all appropriate boxes that apply.
lV. Type of permit. Check only one in line A. Complete line B if permit is tor tank replacement, reconoection, or
repair.
V. Type of system. Check appropriate box depending on system type.
Vl. Absorotion syslem intormation. Provide all informatri)n requested i'l #1'l
Vll. Tank rnloimation Fill 'n the capac.;ty ol evpi), new a r,i c;r :ri: i,ni, l.: '1. ,st t\.j r,,i.ri jirllil.'i. i)U t:j,.)r cj
tanks and manufacturer's nanie lndicate prefal-, or" site ucnsirucied nn.i .il,ik ri.riEi iiil Oir;r,ci.ie- i,,: a/i
septic, pun'p/siphon and holding taoks for ihis systerlr '.lheck crie.ir;)1i.;;"i ,itp/r-)ra, (,.'l_\r r!artk..r rr-,ceivec
experimental product approval lrorir DILHH
Vlll. Flesponsibility slatement. lnslailing plumbe. is iei fill irr rrurr:t, ,i.rr,,:,e ,,: ,r'irer +r;to i3,-ril)pri.ir. r'r.ir'x (e.!l
MP, etc.), address and phone number. Plumber musl sign ap; licatron to'm.
lX. County/Department Use Only.
X. County/Department Use Or,ly.
Corr,pirrte Flitns an{j specifir,'ar,or.r not smaller tha. el/: . i ! inchc.: .:,, ,{ bc subr";i;f. r'} tl'r(- , -),-:-'. II.'
plans rnust i;lclude the Iolitr$riir9: ,il plot !tl:rn :ira!'vi i,, :jii,l( "r ,,rilir 'l.ii,,/iF-tr! C "ii). ,i'.r.,.- 't(1,::tttc' b:
holdine tankis), seFtrc tank(s) or (.lirer treatme l't lai'i(!' j-'i,iic,::.1 ''o'1't 'r: 'vellt: +,r', / ri'ei'1 .i ..,i!t')i ' .vrr,''
slreams and lake9, pirrnporsiphr,o ianks,.liSttiLrt'tii,n i!,',rl,s !.,,i .fr(, ',:,ii.,ri':ysir:rrrs. ri:.!,i.(:dir..i,!! rv:i1-.i.
areas. and the i,JCati,-'i' olthe buil.iirg ser!eli. !) h{r,':',,irlai ,,: J .'r,i1i..:, '1,6t,'i,^'a," illrreflce;-:,,i.ir'
C) complete specilications lor purnpli and cootrcis: dcse vorutnd, el.rvatio.l orttererr,-:es; trictrcn ,css, pur,p
pertormance curve: pump model and pump manutaclurer: D) cross seciicn ol il)e soii irbsorption systenr il
required by the aounty; E) soil tast data on a 1'lS lorm; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 4'10 included lhe creation ol:lurcharges (ieesi fi:: ,i nrJarcrjr oi
regulated practices which can etfect eroundwater'
The monies coliected throug!i these. su rc ha rges ,nro iised f r r:.rr.\r. .
water contamination rrrvestigatioi'rs and estab lish rri t'{.)t r,'l siandaids
rr qr(t :.iv. ?te' :,1:ir4,-:
sB04398 (8.11/86)
t
SOIL AND SITE.EVALUATION REPOBT
in accoid witr ILHR BB.o5, Ws. Adrn. Cod€
P4e'W'sconsin Departsnent of lndustry,
Lrbo( ard Fluman Relations
Divisbn of Sabty & Btildngs
Attach comdete site plan on paper not less than 8 112 x 11 inches in size. Plan nrrst indude, br.rt
not limited to vertical and horizontal refererrce pornt (8tO, cf,rrtion and % ol slope, scde or
dmensioned, north arrow, and location and dstarrce to nearest road.
APPLICANT IilFORI,IATION-PLEASE PRINT ALL INFORTATION
/d3
5T CEa/'X
PARCEL I.D. '
REVIEWED BY DATE
PROPEFTY OWNE*'fo',,4""/ ,t4fie&€Qur't/,4-)
PROPERTYLOCATIOf,I
colfr. LOI D tD ltls€ 1t1,5/7 T Lf ,N,R /7 E (ql W
PROPERW OWl.lER' :S MAI Ll Nc A00 RESSqbE tsRoo(d oo/2 DR LOT,
7o
BLOCK,SUBO. I{AME OR CSM'P477utaz-t E
ow. srATEHUPJo-u/_f, T&Ya ?q/ 7 DCrY DMTIIGE ErOYN
Hts2so""t
NEAREST ROAD
B,€oorttz-t ooD
Residential / l.t mber ol berfooms 3 t I Addtbn h exbtiu hiklru
PdXh tr otrrrprcid desoibe
Coded€riyedddytlolx /Q Sp RuilrEndeddesiytwtqr* .4 w,gqt#:!-r*fir,gmltl
AEo.dimaoar€quia43 w,* fG) yq,6,fr lexinumdei$todng* . z w.*axz ] ,t-re6gla#
pfin delatim, if applicable +ft
Addtbnd desgn / sib orsideraliors 5TPo,+t(l / Rc
Paent md€rhl I c9
3
Br:<E h.tr?Q7- -
Recornrnended hfi lfation surface elaratitm(s]5*z
'tte-<tD OpL/
(r rcHred b sib Fn Uenctunat)'T(fuc/./g 't t/*t- 2Pi7 /3or .2t szt€rR.-
/ a,t{uttil.
I I Nar CorBhrction U* t{p,(ry^'tt tl
S = Suihble br srstem
U = Ursuihrble b? systun
cof{vBtTIonu[WS tru trcx-N0E}6 DU
IN€ROLhID
E}5' D
PRESSURE
U
ATGMDE
ETS DU
SYSTBI N ruE}s tru HOLD0\G TAJ.I(
D S ETtr
Borirg #
Ground
elev.
? 5,r>tt
Deph h
Imitirq
hhr
*
Remarks AtlluU Sfsre*t /'5 f,r'T€D
SOIL DESCRIPTION REPORT
rtbre /'zou " O nT 7),, !Z ',
Horizon Deptr
in
Dominant Color
Munsell
trloUc
Qrr. Sz. Ctrrt Color
Texfure S;fucUre
Gr. Sz. Sh.
CasisEnce h,rdry RooB GPD/ftz
Bed TEfifi
o o-38 /o hQ 2/r s/Lf sbK hfr',s /f z/5
( fr oltr, ,t6,?/UuS hfit)<tG To 7t arTp u l,+R )
B se -cf /o Yft //.6c//,f ofu ,141(R z 3
hbr?r'zau' l
,t t's hy//11 ' ort6t ,,U/'C I i /(tP7/).u4 ///D,ILfp,
eo4 ol{.1-r-r'c ot,f sTzp /o,pi;tae.l S 7[?cany / /t4ua h,ll tutr *
ret /?ruftao pf to/*rras Ttr,'s /f luOT 5 .UT'T€ D fo€ a,/r@
ffi,t urtfu lr lf fr 'E Qortrft2 or'Solg frr<5€t t/r'c S y ',sbl 75,
Boring #
Grcund
dev.
? { 1o_tt
Depth h
limitiq
fador
Remarks
/Uc,rfos 2/T trZ /5/t ,edT/,ca+z ro lrl f/:
4/fuue
hbt?r 7<2,,,R l//'5 uL'R/,ecor.elz>7 -1)c4a I *tr4
Ca/at ?- 1'l)Dt'(r /r'0€ of dR//oartfu 2,4/n '€jD 1at r /,
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RoSe.PT ?/b(/chTtriame.-Please Print
rr.s!: OgS Ot r*rr_ pD, llOgsoa .pt. S./o/G lO-tt-?3 C9Tt7 Z/3>
lsbnaure:
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Date:CST Nunber:
Aat tN fu? 0A4) D Caat U€a,tTl h),t Z ,l/ g f€ *t
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Phone: 7tf-3?C_ p/gf
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PMPEMY OWT{ER /rU) 5
PArcEL LO.bf o-(u/Ezrt
Borlng t
SOIL DESCRIPTIOil REPORT P4e d
ffi
Gurnd
dsv.
47,,7L ft.
/lv-
hhh
ImitirU
Ys'
o
F -tl
Horlzon Depfrt
ln.
Dominant Color
Munsell
lrdes
QlS.Cd.Cdor Texture SructurB
Gr. Sz. Stt
CorsisEnce hrdry RooB GPD/ttZ
Bed Trsxh
nil-o -/o /o yrQ z//I 4-rr / lu€e of )'5//, +ro , /-L hf r'4./xt0 t': D
((i// /14@4!t1 5 0,^,5*,^L /{ 4'l,JP lrp
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/r'-A-$7 I/o // s/tr | /t
5---'
O,b,jt_
O,c, sj ,t-/-1 Pcw?:/o r/e s/P
llemarks
Boring #
Goud
deu.1t.&_tt
ffiffi
ffi-#-#
Deph h
Imfirq
hchr ^, "f,
o o -/(t /o yl >/r of G,l^, / C- ,/5/2,M, fu<.l,"fR ct lf f C
8 U- tp /o yr( 3/+/s O,*t, /ft /h4 Uf<cs zf 1 I
c v-f!7,s yl il.
-,
5 0, C, Sq *u-Q.'7 ,P
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Remarks
Boring #
Ground
do\r.q7,3>fr
Deph h
Ir*tirU
flbr
o 0- /0 /oy{ '/t Of $4urc 5/2.a, fR *nfr?c5 2f t C
t3 I /0 )o /o // qL
-
s/2,f , f b/(,h4UfR CS f i.,c
c ).0- /o3 7,5 y,( AL 5 O, (, 51 ,*, -(
-7 P
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Remarks:
- Borirq #
ffiHffi
elw
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tr
DAh h
limiling
hchr
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con oat^/c, ,1Eh6\
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. FRES II N I II I N L[,: S At'lD OBS ERVA?I OTI P I.PE
CIIO.5S SNCTION
r-_l App ro vetl Ve n b Ca p
F'ixr) G
7b-,8e
f.linimum I2" Above
pi n I Cre 11e
K,b'p{
9;,;
c
I
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7hu'
Above P
To trinal G
r"\,
r acl
4"
Ven
ast fron
.liP'/__
l,larsh llay Or Synthetic Coverj
l'lin. .2" Aggr:Over P ipe :1i
rl
Dis Lribu Lion-
Pipe ---
Tee
Perfora hed Pipe D,elot.r
Cottt'tI. ing Terminat:i.nq I
BoLLom of Sysbem
7/",rc
G,tTl,;x
Aggregate
llerreaEh Pipe
(^ri'
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STC 10.5
S IiP'I'I C TA.N K MA I N'['UNANC Ii A(;I( t.:IiMUN'I'
SE. Croix County
OWNEIT/BUYER S
t(ou'l'E/uox NUMIIItr 4b&.T)m cdood Dn 4oY(Flre Nuntber
CITY/sTA1.E ZIP 5 qo/b
Pltt)P-EI(I'Y LoCAI'tr,{, dd k, 2 L .tc, Sec r ic-rrr !_1_, t J ? tr,It /q
H
UI
r-l
r.r{v
H
Ho
(J
)>Ft
14€n
[^J ,
l'own cif Sc. Croix CouoEy,
Subdlvision Lot nuntber
frnproPer use and ruai-nEenance of your scllt ic: systenr could resulr. i5r
ics l)retllaEure I'arilure Eo harrdle wasces. Progler rnaintellallce con-
slsEs of punlplng ouE Ehe sepric cank evcry tlrree years or sooner,
if Ilecded, by a _Ugj:ns-g_q st:lll_is rank pu.nr.llcr. Wlrat you puE inrcr
t-he sysEenr celn ;rf fecf rhe IuncElon of flru srl)Lj-c rank as u ErcaE-
nrcnt sEage ln clre wasE,e clislrt)SirI sysretn.
J
Sr. Croix Counry residencs !g-y- b
a rnaxlnrLln of 60"1 of Ehe cosE of
whiclr was in opcraclon prior Eo
rrccellcecl Etrls l)rogr;lnl 1n AugusE
gwrlers .lf ilf 1gy svsfeurs aBree
trr.ri-nCained.
e ellgible Lo reccive il B,rurrc !-or.replacelnent of a failing sysEeln,
JuIy I, L978. Sc. Croix CounEy
of 1980, wit-lr -ctre re(luirerrrcnc clrar
r.o keel> thuir systellls t)roperly
'l'lre prol)erty owner agrees C.r-r subnriE t.o St-. Croix County Zolri.ng, il
cercif ictrtiou Iortn, sigtred by rhe owner .rncl by a nlaster plurnber,
journeynlan plurnber, restricued lllurnber or il licensed l)ullrper veri-
fying tlraE (I) rlte on-.sice wasIewaEer disposal oysLeul is in proper
oPeraElIrB .,/ot,ditlott and (2) af rer inspecEion ancl puurping (if nec-
essary), ttre sePrlc'cank is less rhan l/3 futl of sludge and scum.
CerEiflcaEion Iortn wiII be scnE approxirrrately 30 days prior ro
three year expiraElon.
f/WE, thc undersigned, h;rve read the above requirenrcnts and agree
Eo nralnEain Ehe ltrivaEe sewage disposal systern in irccordancc wirh
che'sEandards sec forrh, herein, as $er by Ihe I^lisconsin Dellari-tllent'of Narural l(esclurces. CercificaEion Iorm rnusr be complered
and reEurned Io Et're Sr. Crolx CounEy Zoning Of f i.Qe wichin 30 claysof rhe three yca.r explraEion dsce.)cSICNED
DATE /o
-lo
UI
H
N
Sc. Cri
P.. O. [.
tlamm o ri
7r5-7t
Stgn,
olx C'.runEy Zoalng Of f ice
ox 96d, wr 540I5
6-2239 or 7L5-425-8363
dace and return Eo abclve iiddress
CD,,tv
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILI ZATION OF AN EXISTING SEPTIC TANK
This ls to certi fy that I have inspected bhe septic tank presently
serv I ng the res ldence located at :
til)L/4,.1 E t/4, sec. /7 , rJf x, R /7 w,Town o f
f/, '.oli . Upon tnspectlon, I certtfy that I have found the
tank and baffles to be ln good condltlon, and 1t appears to be
funct Ionlng proper ly.
Last tlme servlced o.f ,) /9)J
Dld flow back occur from absorpt lon s
Approximate volume or length of tlme:
Yes_No_(1f Do, skip
next 1 ine )
a I lons mi nutes
aOthe r
ystem?
Capaclty:
Construction: Prefab Concrete Steel
Manufacurer (if known): lfJ.
Age of Tank ( if known): G $lP,A2-5 - finurnrq-tte((Sis ture )( Name ) P Iease Pr i nt
fh n s'l tg- P\ q"-)xc 3voy(Title)(License Nurnber )
( Date )
Fornr to be cornpreted by llcensed prumber (s.145.0G,or Licensed Disposer (Nn 113 Wisconsin Administrative
,f
I.Jl scons 1n S ta tutes )
Code )
Plumber (applying for sanitary permit) certif ication:
In acceptlng the above statement regardtng exlstlng septlccondition, I certify that the tank to the best of my knowledgeconform to the requirements of ILHR-83, llis. Adm. Code (except
insp
Name
ening over outlet baffle).
tank
will
for
R
5/BB
ection o
s1 gnatur MP,/ MPR S 3y 0y
ct
Al,l,l, I 0A:l'l ot'l l,'()l( l;Al.l l'l'AliY Pliltl'lt'f
S'I'C 100
I'lrls applJ.cuclon f orrrr :[ rr uo l>o conrp].et:r.:tl 1n f ul.] arrd signed by rl-re owner(s)of che
propcrty bclng devc.[opr:tl. Alty 1r'tocl<:qrritr:j.cs wll.I only rcsult 1n dclays of Ehe permiE
lssuance. Should Ehls rluveI.oprircur'bc J.rrtr:ndccl for.resale by owner,/conEracuqf, ("sPe
6ouse"), then I 6ocort(l lortn ultr:rtItl Io ttttrtl.itecl and comPIeEed ,n"n ano'['ilperEy 1s
sold and BubnlEEc(l lo l-lllu of ll,l.r:c wlllr t:lrrt approprlare deed recordlng.
Owner of Property te- {
Locactorrof Propcrt-yJ.C.-t5f,),i,sot:ctorr 11 ,'r19n x l?w
Ird<., JTownshtp(
Ilatllng Addres , .Ll.b QenoKaoI f-).
o
rKt)Ptr )ts /e ssubclivtston Nanre
-k
LoE Number 4 ?0
Prevj.ous Owner of ProPertY .'
'I'oraI Stze of }arceI l,oa 4 cre_s
IJare Parce1 was Creaced 5 3-?.{
X YesAre alI cornerB arrd lot Ilnes idenri.flubl-e?
I s rhls properEy belng develol>ed f or resale
Volume )ancl Page Ntrntber /a_
INCI.UI)Ii 1^IITII TIIIS APPI,TCA'I'
No
(spechouse) ? --Yu"
a.s recordecl wlrh che Reglsrer of De
ION ONII O}' TIIE I?OLLOI^IING:
N
I . l,larrarlcy Deed
2 , Land Con t- ra c l:
3. Ocher recordl.rrga f:LIecl wlulr t-lrr.: ltc
In addtElon, a ccrt:JJ:lrrrl tlrtl:vr.ty, lll rtvrrllttlr
of clrc revl,ewl.rr1; [tt:rr(:ttlltlr I f t ltu rlntr,l tlt'lltr
l'1r.r1>, Ilrcr clrr-r Cct:1.:l{:lr.rrl lltif'rrrry l'lrr1, rrlritll rtlrr
gl.scer of Deeds 0ff1ce
o avold del 8ys
lf1ed Survey
I l1)el aWLL[y .thcr t. r:r l'(' t,Crr.(:rrmclr.f,$ (,,r ll i.s (ottnr ana Dttlo. to tlrc but o.[ yt1 ,lcttlttr,ri,uilrtii; li*t I (rtrc ) rrnr (rtlrc,) .fie. rrrtruc.rr (,i i 0 6 tlte p,Lopu-tU duuvLbed 'Ln tli,s
LnAt,nnriiictn r6()/Lnt, by \, ()t.(:ttl ()d tt {tr11.r1,r1rlrlt'1/ r/cctl ngcottdgd .Ln tJrc 0[[Lee od tJrc
i,ti,',.ty Reg/,a'iu ct5 irtr',/.t ni l)iierrrrrr:rrl l,/rr."".:-?e!,5J -: a-nd tha:t 1 lwel
Vredei.tty" rturt ;(ltc ytrtllroltlcl a t (rl (ott (hr' ailiir,ilJfitfitdZfa t1,5tem lon I lwl-l have
'obta-Lnecl an eaaentent., ('o /tttl ructli .(/rcl rtlrotre cle,suuLbed pnopur-ty, don iha
coytAtltttc.tioy, o{ aaIrl .117.\.(orr, rnlri .l/rc .1runc lrrt.s be.en dttllq'tceconded in the 0[[ice-
oItheCoutUtl RCa.tS.t.c.,r u( DCtlrll, (1,5 Uut-urttc.tt.CNo. <C.</52.1 .
Itr, wcrulcl lle heIPfuI so as t
rlgruJorr refcrellces co a Cert
n Itrt t'rJclu.l.rcd.
SI.GNAl'UIIII (S I GNA'IUITE OF -ot.INrlrt (rn APPLTCABLE)
-q 10-25I
I)ATI] S ICNID
0t,iN ti I(
I)A'TIi SICNIII)
{n
1't'( r1 '1 ri I t/ r trrr//l ri l.:l li]Jl1c]\T1 0N
(
' ooqqMEr.{T No
{IA8Z4g
WARRANTY DEED
STATE BAR OF WISCONSTN FORM 2 - i!C2
t r.7$[r,rc,504
Sam E. Mil1er, a single man
TEGISTERS OTFICE
sT. CROtx co., wts.
ildd" for Rerord tfrir_ 20th
Sam E. Miller
ACENOn/LEDGMENT
o, Jul D. lg J7
.- (SEAL)
(sEAL)
csy
conve]'s and rvarrants to -.
...Quinn.-. husband..
l:30 p ttu
and. . .wi f e. r.. . a s. . m ar. i.t a l. . . s ur v iyp.r.s.h i
...Pr.aPer.t
ICTUNN IO
rhc following described real estate in .--.-.....-St-.-.Cf.oix
Stste of Wisconsin:
County,
Tar Parcel No
I,oE, 90, Parkview Estates Fourth Addition to the Town of Hudson.
This .-.. --..19-..n9-t--... ho.estead property.
(is) (is not)
Erception to warranties: IGEIHER WI[H AI{D $JBIET TO arry ot}er easerenLs, covenants,resenrations or restrictions of record, if arry, hrt this sha-l] rDt be deenBt b o<terrtany srch ottrer recorded ernmbrarces belord the term established by Law tlrerefor.
Dated this .. ... .I-6th ...-....---.-. day of .-....-. ...Ju1.1r.. ......, 19..87 .
;tiffio
EEB
..... (sEAL)S;e :trl '"!!-
i
(sEAL)
sierah.rre(c) -----I[/A-- STATE oF wIScoNSIN
---.-S-t----Cr-o i v -----------County.
authenticated this --------day of 19------Personally carne before rne this .1-6.th.-----day of
AUTEENTICATION
a
TITLE: MEMBER STATE BAR OF WISCONSIN
by ! ?06.06, Wis. Stats.)
THIS INSTRUMENT WAS DRAFTEO BY
ss.
\
,,t
..,
_t')l
4.t!-Y.'-.H. Gwin -2 Gwin & Gwin
{..1.Q. . -?n C.. . 9.E....,... II'l e.s.e.+.,. _ ..!I I. .54 016
(Signa.tures may be authenticated or acknowledged. Botharc not necessary.)
to me known to be the person /e$*he
foregoing instrument and acknowledge q
, .fl.ar4r*..V.?...c.ad
Notary Public ..My Commissiorr
st.Coun ty,, wisis permanent. ( If not, state explra tion
$_8{...t
f ireonsia Lerd Blenk Cr.. lncllil*'tuke*. lVir.
i'i\o "xQ,t\g,4am'e.
-4.
date
'Neno of Dcnonr'rltalos lo roy crprcity chould be typed or printed bclow their siSnatures.
STATE BAB OI WTSCONST:\'
FORM lJo. 8- l9tt2
WARAAN"TT DEED
il
TXta sr^ct iEsERvEo tori ilcolol.to oa?A il
il
II
il
;i
J.'...
il
it
il
ll
a
(If not, -..authorized
)
I
t
+
a.
Form STC L04
OIINER fu rn
AS BUILT SAI.IITARY SYSTEM REPORT
/hr'//z.r TOI,INSHIP Ha /-on
ADDRESS pt*1 gox 28 >sT . cRolx cotINTY , wI scoNSIN
sEC. /- rd?u-"/1@
LorsrzE ,'of( Ac"f:SUBDIVISION
/u /t.,,, 4).7, f,/a
Lor+10'au)
PLAN VIEW
Distances and dimensions to meet requirements of ILHR 83
SHOW EVERYTHING WITHIN lOO FEET OF SYSTEM
BENCHMARK: Descrlbe the vertical reference point used " /of 4-1 a/df
Elevation of vertlcal reference polnt I leQsO'Proposed slope ar sire 62SE-
SEPTIC IANK: Manufacrurer: lrJc\ -_ a-f Liquld Capaclty: \OOO cd\.
Number of rlngs used: Z Tank manhole cover elevatlon: tOi- ,O'
Tank Inlet Elevar tonz f00.10 Tank Outlet Elevation: / OO. q0'
Number of feet from nearest Roadt Front Side O*."t,@ 7i'
From nearest property line : Fro.,.rOSider@Rear,O ,to
Number of f eet f rom : well 6 S', building :&l +1to nt 1E (otALr,
(Include this information of the above plot plan) ( 2 reference dimenslons to
feet
feet l
tu-m ffl', llot
?o^rk V)o*,[
5ys"Tc44 Elv.
lol +1c
qg.g'
S <-a- \ c- 'l+" = l O'
A B- fn. ElV. = too.o'i\
d
.X
s
t"
u
&;
ry
tr\\\)i
!o
2 d
.\
t_s
t-
r.!
F\
&.qc
JIXZq I
q{
,
{o \
Lt4,ses ,It
N
I
o fL
\\_ _ - -l
p
\
dl
d
q,
3_r
S{'
Zo(,oz 5<-g A
15.r o {-
T NDICATE NORTH ARROW
\SEE REVERSE SIDE
t{sreo{^n,
4
*q t
I
<-V
I
.1,
PI.]MP CHAI-EER
Manufacturer:
width z L< |
tl/ ll Liquid Capacity:
Pump Model:Pump/ Stphon Manufacturer :
Elevation of inlet:Bottom of Eank elevaEion:
Pump of f swj-tch elevation:Gallons per cycle:
Alarm Manufacturer:Alarm Switch Type:
Number of feet from nearest property llne: Front,Slde,
Pump Slze :.
O*t"t,O Fr._
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed : (o n u ottio o. "t I Trench:
---
-- - -
ength:b Number of Li.nes: 3 Area Bullr ,L'{tr=17r.
o"
O *".r,@ et .3{-Number of feet from nearest property line:
Number of feeE from well:
Number of feet from buildlng:
(Include distances on plot plan).
L
Fill depth to top of pipe:I
Front,
,u-s
Side,
qo'
SEEPAGE PIT
Size:Utl Number of plts: Dlameter:
BotEom of seepage pit elevation:Liquid depth:
Area Built:
Has either a drop box
absorbtlon sytems? (Check
HOLDING TANK
or distribuEion box
one) .
been used on any of the above soil
N+Manufacturer:Capacity:
Number of rings used: _ ElevaEion of boEtom of tank:
Elevati.on of inlet:
Number of feeE from nearest property line:
Number of feeE from well:
Number of feet from bullding:
Number of feet from nearest road:
Front,Ft._
Alarm Manufacturer:
Dated:
Inspector: .
-**-/./*Plumber on j ob :
License Number:
3/84:mj
/11 P r f 7L
u /
O side,ORear, O
)4)
-
lvtrItLHFt
u-ffidr- Ei:i;-;i;-G-I
,1
SANITARY PERMIT APPLICATION
!n accord with ILHR 83.05, Wis. Adm. Code
-Attach complete plans (to the county copy only) for the system, on paper not less than
8% x 11 inches in size.
-See reverse side for instructions lor completing this application.
I. APPLICANT INFORMATION. PLEASE PRINT ALL INFORMATION.
X. COMMENTS/REASONS FOR DISAPPROVAL:
""Y/&r;Z
srATE sANrrABYrqafun #A 8tr6t
ST-ETT PLAN I.D. NUMBER
YES NO
PETITION
FOR VARIANCE
PROPERTY OWNER
A.on /h,'//on l/a%tE %,s /7 r>z,N,R /7 E@r@t
PROPERTY LOCATION
PROPERTY OWNER'S MAILlNG ADDRESSAF t Bo{ zyz-?o
LOT NUMBER BLOCK NUMBER
-
SUBDIVISION NAME
Po, k V;r.-, E.{ot.--> -If
tilTCITY, STATE
l/, J s...^VILLAGE
ZIP CODE
S*o lc PHONE NUMBER
(3Qt \J] c-Q
NEAREST ROAD, LAKE OR
Brook .rznnJ
LANDMARK/r Iro
OR_3 E prolic (specity):
II. TYPE OF BUILDING OR USE SERVED:
Number of Bedrooms if 'l or 2 Family
lll. PURPOSE OF APPLICATION: (Check only one in #1. Check #2,3 or 4,it applicable)
An Existing System has been inspected and soil conditions meet minimum requirements.
The System is shared by more than one own€r/building. Attach Common Ownership Agrsement to County Copy
2
3
4
e,.".p
Date lssued
Repair of an
Existing System
A Sanitary Permit was previously issued. Permit fl
New b
System
Replacement c
System
Replacement of d.
Septic Tank Only
Reconnection of
an Existing System
lV. TYPE OF SYSTEM: (Gheck only one in #1 and only one in#2)
f . ". FConventional b. E Alternative .. E Experimental
.. E Pit Privy d. E Vautt Privy ". E Mound r. E tcpb.E Holding
Tank
2. a. E System-
ln-Fil!
V. ABSORPTION SYSTEM INFORMATION: (Check one)
1. a. X Seepage Eed b. E Seepage Trench ". E Seepage pit
PERCOLATION RATE
(Minutes per inch):
4. ABSORPTION AREA
PROPOSED (Square Feet)GfE
5. SYSTEM ELEVATION
?r.t Feet
6. WATERSUPPLY:
Elprivate Etoint E proti"
CAPACITY
in gallonsVI. TANK
INFORMATION New
Tanks
Existing
Tanks
Total
Gallons
#ol
Tanks Manufacturer's Name Prelab.
Concrete
Site
Con-
structed
Steel Fiber-
glass Plastic Exper
App
Septic Tank or Holdino Tank X looo I l,tl1-; s e,.
Lift Pump Tank/Siphon Chamber
VII. RESPONSIBILITY STATEMENT
l, the undersigned, assume responsibility for installation of the private sewage system shown on the attached plans
MP/MPRSW No.:rhf-s?: z-
Plumber's Name (Print):
[ *. -Sfr^14 kn*-rt
Plumber's Signature: (No Stamps)
O...,-.- ).- .QPtr1tu,t-
Business Phone Number
(z(1 ) 323\
lum City, State, Zip Code)Name of Designer(s
4
vt I. SOIL TEST INFORMATION
csr # /.f? ?
Certified SoilTester (CST) Nam
-2rn n /-\' /"tZ-jJ /a 0lersonr
3 36 -51?/tDf {/
ONLY
roneADDESScip Code)
IX. COUNTY/DEPARTMENT U
r
fi epproveo
n oisapproved
n Owner Given lnitial
Adverse Determination / -?-?7
Dateitary Permit Fee
aoa 5
Groundwater
harge Fee
lssuing Agent Signature (No Stamps)
%h* Q..f^,h-)
SBD-6398 (formerly PlbST) (R.03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber
7-
2 3. ABSORPTION AREA
REOUI RED (Square Feet):
G /s-
tt II nIIlltl
ta
. DEPARfMENT OF INDUSTRY,' itagon & HUMAN RELATIoNS
P.O. BOX 7969
' nltRotdoN, wr 53707
INSPECTION REPORT FOR
PR IVATE .SEWAGE SYSTEMS
M coruvENTroNAL D RlreRNATtvE
D Holoing Tank E ln-Ground Pressure E Mound
SAFETY & BUILD]NGS
DlVISION
BUREAU OF PLUMBING
State umber
(ll assrgnod)
NAM€ OF PERMIT HOLDER
Sam Miller
AOORESS OF PERMIT HOLOER
Rt. 1, Box 282, Hudson, WI 54016
'T":3:ioo"6- r) -g7
BENCH MARK rence pornt) DESCRIBE lF OIFFERENT F PLAN
NW SE, Section L7, T29N-R19W, Tovrn of Hudson, Lot 90, ParkVietlBst.
REF. PT. ELEV
IV
EV
Name of Plumber
Douglas Strohbeen
P/MPRSW No.
5432
County
St. Croix
Sanrtary Permrt Number.
ffi ?916/
PTIC TAN LDING TANK
FIEB O CAPACITY TANK INLET ELEV TANK OUTLET ELEV
E
BE DDI NG
I vrs [] r.ro
VENT DIA,*rl NT MATL OF
I RM
Ev FEET FROM,EAREST
BOAD PROPERTY
LINE /
WE LL BUTtOTNG /
J
AIR INLET
K ING COVER
QV IDE D
YES Drvo
DOSING CHAM
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth owing
or excavation. (lf soil can be rolled into a wire, construction shall cease until
the soil is dry enough to continue.)
MANUF ACTURER BEODING
Eves flruo
P MOOE L PUMP/SIPHON MANUF ACTt'RE R WARNING LABEL
PROVI OEO
Eves f]rvo
LOCKING COVER
PROVIDED:
Eves Druo
GALLONS PER CYCLE:
(DIFFERENCE BETWEEN
PUMP ON AND OFF)
@al
E ves E rrro
NUMBER OF
FEET FROM
NEAREST€
PROPE RTY
LINE
WE LL 8U rL OIN(;VENT TO FRESH
AIB INLET
FORCE
MAIN
LENGTH DIAM€ TEH MATERIAL AND MARKING
EM:
MOUND SYSTEM:
BED/TRENCH
DIMENSIONS
WIDTH
,4
LENGTH
b
NO, OF
TIIENCHES
OISTR PIPE ING
L AIEtr t PIT
INSIDE OIA 'PITS Lroulo
OEPTH
GRAVEL DEPTH
8E LOW PIPES
<!t ^':{ii"^EI EV. ll\LE]LEV ENDo'
NO OISTR
PIPES
NUMBER OF
FEET FROMNEAREST-+
PROPERTY
LINE
WELL BU I LDI NGRI
Check the texture of the fill material for
mound systems to make certain that it
meets the criteria for medium sand.
PROVIDE A DIAGRAM OF SYSTEM
ON REVERSE SIDE. SHOW ELEVA.
TIONS MEASURED.
E XTURE PE RMANE N OtsSE H VA ION WT LLS
Ev Eruo E ves D rrro
OEPTH OVER TRENCH/BED
CENTER
OEPTH OVER TRENCH/BEO
EOGES
DEPTH OF TOPSOIL SOT]OE D
E ves n rrro
SEEOED
E ves fl ruo
MULCHT D
E ves E rvo
PR ESSURIZED DISTR IBUTION SYSTEM
l*'o"
BED/TRENCH
DIMENSIONS
LE NGTH NO. OF
TRENCHES
LATERAL SPACIN(l GRAVE L DEPTH 8E LOW PIPT ffi
MANI F OL
ELEV,
ELEVATION
DISTRIBUTION
INFORMATION L SIZE
PUMP
ELEV
MANIFOLD
otA
S NIF LD L
E LEV IPES
OISTR PIPE
olA .
DISTI]IEUTION PIP€ MATIHIAI.. & MAHKIN(i
C TLY RI RFIESPONDS TO APPROVEO
PLANS
Drtr tr vEs Drrro
BVATION WEL NUMBER OF
FEET FROM
P FITY WELL 8UI LDI N
LINE
fJves E rvo Eves E ruo NEAREST
ENTS
*,tr
Sketch System on
Reverse Side.
DILHR SBD 6710 (R. 01 /82)
Retain in county f ile for audit.
IDEO
ES f] rvO
I
))
VENT TO FRESH
AIR INLET
Mound site plowed perpendicular to slope
and furrows thrown upslope:
D ves Druo
I
a
Ia
-\l
q
Qi
a
i
-\\.-1.
{
-
H,'//-.7
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DEPARTMENT OF
INDUSTRY,'ulBoR AND
HUMAN.RELATIONS
REPORT
PE
BORINGS AND
srs (115)
SAFETY & BUI LDINGS
D IV IS !ON
P.O. BOX 7969
MADISON, WI 53707
Ot Pri
04s)
LDING TANK
DATES OBSE RVATIONS MADE
-/)-
/,eRATING: S= Site suitable for system U= Site unsuitable for system
N-G
BS DU
lf Percolation Tests are NOT required
under s. H63.09(5) (b), i ndicate:
DESIGN RATE
//h
trS BU
VEstru suu trSru-F L
36',
SYSTEM:(optionaR ECOMMENDED
Coorror/,I
OP
7-tt
BLK. NO.'H;L');YV,/*/.'ZE/v N/Wtl,
NSH I P/
UJ IA Vt
5 t,'Cro
COUNTY k ,ahJpu i , grlat e
RResidence
NO.3 D R
lU
OMM R
f] Replace
P FI E DESCRIPTIONS
PERCOLATION TESTS
H Al,TOTAL'
EPTH{'Tt
BORING
NUMBER ELEVATION OBSERVED EST. HIGHEST
CHARACTER OF SOIL WITH TH]CKNESS. COLOR, TEXTURE, AND DEPTH
TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B-I 7,{'lo3.l 'ilo*ru f.L Blsl, /. I ea/5. 9, I 6nS
Ite d.
B-2 $,0'103.8'1./onu ,{B/sl- /''f EnE/.6'a Bnc-s
/
B-3 7,S'.to1.3'y'onu 7 7,5',/.o gl5l., f 6aEl. l,? 6q /5 1/ la Cs
e-'//aJi,'(',4/a^ru ,?e bt , ,Sin s l, 1., en cs. /-() Da 5- /, 3 B' s1
.,
t,o'
,7 6l tl ., 3 6a s/. s;3 6a cS. lct ea .f.7 6acs
7 ,,,
aB{8,o'.1o(.J'Llaoe-,
TEST
NUMBER
DEPTH,{alei{f6 WATER IN HOLE
AFTER SWELLING
TEST TIME
INTERVAL-MIN.
DROP IN WATER LEVEL-INCHES RATE MINUTES
PER INCHPERIOD 1 PERIOD 2 PE RIOD 3
P-/,1. z'l/o L 6 6 6 <3
p-L S,o'rUo Z C 6 6 A3
p-3 3-d,ilo L 6 e G J-?
P-
P-
PLOTPLAN: Show locations of percolstion tests, soil borings and th€ dimonsions ot suitable roil ar€as. lndicate scale or distanc€s. Describe what are the hori'
zontsl and v€rticsl el€yation rcference points end show their location on the plot plan. Show the surfac€ elavation at all boringi and the direction and perc€nt
of land slope.
SYSTEM ELEVATION 79, 8',/e( e* )
A S,H, r'i t4e ue-/, '/&o.iL, fr.f, /";,-f ftf
fl e- 9, E, /ot C,r.''c-
o^^ tq of n l- /ot P./*
nst k40/ El.. = /oo, o'
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O fen" t (tetf Bo rfor--
E/.2 ?tr, f )f-'--; Su.-{all< Area
i^^-^i ,r/ /6?o flq. 5,E.
C,nf ftr*nl 8l To qtuv*4;t
l/rnftca / Qqn fi"ntrc-Ptqt{s,
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,
A
l, the undersign€d, hereby certify thst the soil tests reported on thia form were made by me in accord with the proc€dures and methods speciried in the Wisconsin
Administrative Code, and that the d.ta recorded and the location of the tests are correct to the best oI my knowledge 3nd belief.
TESTS WERE COMPLETED ON/o-?-lllNAME (orint):r\Arvrtr'o""''
/roo,', n Cr/n't rL l/ro*
PHONE NUMBER (optional)
7rf"-3[5. ,7[ /CERTIFICATION NUMBER/r??///6 /.r'o.r./' ax, ,{u/nr . h)is, r(qoADDR ESS:
ST SIG RE
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester
D|LHR-SBD-6395 R.O2l82l - oVER -
lf any portion of the tested area is in the
Floodplain, indicate Floodplain elevation :
B.
P-
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4
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tNSTRUCTtoNs FoR coMpLETlttc ronru l ts, sBD - 639s
,,To l)e a complete and accuralc soiltest, your r8pon mustirclu(le,
,,
. C' rrplot|' lr,trl (lcscl,l1l,,.rt;
- The use section lnust clearlV in(licate whelhc. lhi-! is a r€sirli:.cL: or cornfiercral Fnoject;
. MAXII\4U[n rr:rmlrer o{ bu(lrooms or commercia' urc planned;
. ls this a new or rcplaconrent svstern;
. Conrplere lirr sLritahilily rari'1! box,.s. A SITE ls SUiTAtsLE FOR A l-IOLDING TANI< ONLY tF ALL
OTHER SYSTEIV]S ANE RUL,ED OUT BASED ON SOIL CONDITIONS;
. PLE-ASE use:he abbi-evialrons shr.rwn hele 1or \i,,riii!rar profii.r desq'i!llioos .rid con)plcain!J tho plot pldn:
. fuiAKF A tEGIBLE (liaglam accuratrly locating your trst io{ralions. Dr \,ving 1o scrlL, is prdleIl(xl. A
. .cparaie sl\eel d)by b0 (rsed it desirtcll
. i\,{ai.e suro y.ur bc,ncll!!irk allal v(,riical {-.lcvalion reigrurc., poir'rt arc cicarly shown, arl(l ara txrrrla o|t;
. CornDleto all all)roflriaie b()x{)s as I{) (latcs, rr.,rds, addicsia:;, tloo(l plii rleta, perr:olatioo losl !'xitTr,)-
1, , r l ,slrp olr',,1,.
. 1i 1h0 ir)lc|lnatiorr {aurrr irr llood lriai'r. oleviltio,rl d(),1s noi ai)olv, pla(x, N.A. rl llri, iji-.r1r{)t)|, .r irox;
. Sr!,r tlio ,o[\ irr(l ,)la0r,yoLrt-cur!errt arlLlrer\ inLi '/'Irr i..rt'f1r,rtror llun]i){)r,
. l!akr: legrlri, txrpics;rrrl .listril)Lrt,r;i:i requir.(1. ALL SOll fESTS t (.!ST UE Fii-I"D $,/lTll Tl.lE
t 6cAL AL|r Hr)R ll y Wl' 1\ 30 DAYS Or COrJpt r nON.
j'
ABI]RIVIATIONS FOR CERTIF!ED SOIL TESTEBS
8
10
1l
1?"
Soil $cparatei rnd Tcxlrrer 0lher Sylrrbr;l;
g:
t:;
ljt;r,rr: lc,",r;r 1ll 'l
a-li -l,lriri tlr 10. 1
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TO THE OWNER:
Tl)iranll lqstrcpor: islh0 liislsloprillacrrrir)(asil!rtary00riirr Jhir cl)ulltV or tilID.,r)aitnl0rtritiiy:.t110,t
r
APPLICATION FOR SA}IITARY PERMIT
s T c 100
ThIs appllcatlon forn ls to be completed 1n fu1l and slgned by the orrner(s) of the
property belng developed, Any lnadequacles !1111 only result ln delays of the permlt
lsauance. Should thls development be lntended for resale by owner/contractor, (t'spec
houeett), then a second form should be retalned and completed rrhen the property ls
sold and subnltted to thlB offlce with the approprlate deed recordlng.
onner of Property 5^ r^ /tti -Ll +r,
-t
Locatlon of Property t\' Q \\, Section , r_4 x-" /F O
Townehlp A*lso6
tlalllng Addrese B t2# 1 8.,., 2-5,,a-
Addrese of slre R.l-4f s-
Subdlvlslon Name t
Lot Nr.mber t-
Prevloue Onner of Property Do-, rc-[ u.J .-jT
Total Slze of ParceL <-(L
Date Parcel wae Created -S-- 3 - B-/x Yes No
Ie thls property belng developed for resale (spec house) ?Y"s
-
No
Volr-rne t and Page Number / ->-
^, recorded wlth the Reglster of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A l.Iarranty Deed which lncludes a Document number , volume endpage number, and the
Seal of the Reglster of Deeds. In addltlon , a certlfled survey, lf avallable, would be
helpful so aa to avold delaye of the revl.ewlng process. If the deed descrlptlon refer-
encea to a Certlfled Survey Map, the Certlfled Survey Map shall also be requlred.
PROPERTY OII,NER CERTIFT CATTON
I (wel c
in$onna-tLon 6orn, bq vDutue 06 a u)artLay*4 deed
cunent No. Z_3j-S 1 ; and tha-t I 6
(r
iee 06 thz
Wel pnasentlq
6
)
orLm ahe t)ue to the be,st 06 mU loml
the PrloPu'tttl,teco,tded Ln tlt
e-^LL[q tllot a.(l t
e; thot. I (wel ant
ta,temznb on tlui,t
lanel tlte ou)nul(L o6lznattt edg
S
de,scnLbed in th,iA
e 06
Coutttt1
own the
Regiltut o ( Oeed.t a,s Oo
ptlopoted di-te (on" tlte Aewa.ge dia@ (on I lwel havz obtaLned an
edaement to rum wi-th the ab ove duwLbed pnopel-tt1, $ot the eonat)tueLLon o$ aa,Ld6qttan, and the 6ame hoa be en drrtq tleco,Lded in tlte 0(6ice od the Countq Regi,stet o$
Oeedt,dA 0oanent. No . 3q 3 /
Slr"tl*:
OF SIGNATT'RE OT COffiTN AF APPLICABLE)
/,f - )Y- {L
DATE SIGNED
5- l.
DATE SIGNED
l-l.,Ja,.tra ttlT ck^rt^
Are all cornera and lot llnes ldentlftable?
x
STC 105
SEPTIC TANK MAINTENANCE AGREEMENT
St . Cro i-x County
Hz(n
Fl>r{r{
H
Ho
d
(,
rl
rT,OWN ER /BUYER -9.n fr4,'/ /on
ROUTE/ BOX NUMBER 2ert 7 Eor n?z
CITY/STATE
Fire NUmbef \rE-_._
PRoPERTY LocArro*, //h) \,
Town o f
t/ E 0,, sec t ion
4, /t-,-
/- , ri)-z u,
Subd lv 1 s 1 on 2 r k (r'co-, E #.r]Ito i
ZLP
SE.
R
Crolx CounEY,
n umb er ?O
Improper use and malntenance of your sepEic sysEem could resulf in
ics premaEure fallure Eo handle wastes. Proper mainEenance con-
slsEs of pumplng ouE the septic tank every three years or sooner'
tf needed, by a llcensed septic tank pumper. WhaE you PUE into
the sysEem can affecE the functlon of the septic Eank ats a treaE-
menE sCage 1n Che wasEe disposal sysEem.
SE. Crolx CounEy resldenEs may be ellgible t,o receive a gratlt for
a maxlmum of 60% of Ehe cosE of replacemenE of a falling syst.em'
whlch uras 1n operaElon prior to July 1, 1978. SE. Croix CounEy
accepEed Ehls program 1n August of 1980, wlEh the requiremenc thar
owners of aIl new sysEems agree to keep their sysrems properly
malnEained.
The property owner agrees Eo submit t.o sE . croix counEy Zon ing a
certif lcat.ion f orm, slgned by Ehe owner and by a master Plumber,
journeyman plumber, restrlcted plumber or a licensed pumPer veri-
fylng that (1) Ehe on-Site wasEewaEer disposal system 1s in proPer
operaElng condirlon and (2) after inspect ion and pumPing (if nec-
essary) , Ehe sept ic 'Cank is less than L l3 f u11 o f sludge and scum.
CertiflcaElon form w111 be senE approximaEely 30 days prior Eo
Ehree year explraElon.
I/I^lE, the underslgned, have r.ead the above requirements and agree
to matnEaln the privaEe sewage dlsposal sysEem in accordance wiCh
Ehe standards seE forEh, hereinr 4s set by Ehe Wisconsin Depart-
menE of Nat.ural Resources. Cert if i-caE lon f orm musE be comPleEed
and returned to the St. Croix CounEy Zoning Of f i-9e wiEhin 30 days
of t.he Ehree year explrat ion date.
SICNED
Ho€
a
rrr
H
FO
DATE
St. Croix C<tunty Zonlng Of f ice
P.O. Box 9E
Hammond, WI 54015
7 L5-7 96-2239 or 7L5-425-8363
Sign, date and return to above address.
l]^ ?8-6
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EUTYTTfir3 CART1!,TCJTf,
I, lmtro Er Eurcbr Boltotrrort Wtrcosub Lrrd Srsvryot, hrschy crrtify to lho
beol o,l rry prelcsiocrl LDorldt.. qoderrtrodrnl rad brirr{:
th.l ! horc xruys{r dhxlcrl rnd rrrpp.aa Prrir Vrn S.t.itrr ifourth l{rtit{5rp,
locrr.d h ttrr HEl/{ ol Et SYI/t rrd rb. !{Jll,, 1 o{ thr SEl/{ s( Srarloa !1, TegN,
F l9f , Taa.of Ho&on, *. Crclr Coody. 1{i..rcocria3
Tb.t t hatr rnedc ruch rurrcT, ltad dlyiirloo rcl plll b7 tle dlrr:c:loa oI Darrd E,
Srrt rad lcmrty 21. lrottr olllr, r. of sH !ral, drrcribcd rr foltcrr :
Coo.cctclry.l 3b'l Elft coraar of erid S+ctloo 17; tbrrrcr 389.4:n+0'1, (rrru^rrrrd
bcrfrgr rr{orecd:g th. ryplnrtrraird IjSf -'.rEST l/f SrcrJor Ulr sll s.<tt@. 17,
r.t6rD.d tl72:t0t'"tl) (reoordra ra 3t1tZ lt40'lf, oo t.Lrl Crrtttrd Srrroy Urg
rcocrlJhYofro I, Plgc lt{), 133:t.!ll| dorr3 r.td EAST-WE:iT l/-l Srctlao llart
sbreItlXXyru Z2l .T)t tort F+t4 c{ b.rtaiDi; ttraco lftf ,Zr4o'iu {12.i}o': !!e6o
XtrOa'r0,.t:t2.0qr E tl,L. lrrafaty rtjH,-of.,ay llsr ol Crrn lUll Lror; tbrocr
?;-{?1?r{Orf 66.0C. rloa6 aid rtgL!.e{+q7 llao; r}raacc 3{r't)4t}(I'FP 25i".}Ot; ?honcr
57f'6!3trr"X, 19.{,f51; ihfic,o sef Ittl{"1ly :236.7.tri rhracr X?f ,?i0t"1i i'?.l?ri rh.a.
5'flrtt4nfi 55E,.rori lhGE. NcP96.30"z iO{,goti Bb..s. ii{tylsrl{'"ri' .it4.gori rls'}E3
llP.:rrt0.lE ltit,(X}r; llrrco S37I5tlar'ir 55.011 lbracr Sfi6rl0ry !l0,Jl,; r.hracr
sdfls.l{ry 15l.OO., rbraco NOr37t5 l'.f !^l.Itt fb.tco g,Cg,Ai,ogry ltt-}ot; }h^o.o
S{206lfr"f. lil.Sr., tblo.. Nl9. lrrt{-E I5O.0O+ tleacr St0a.!(l-r, 3lL g7r; :5rccr
Nt7lStL'E fsO-OOt.tt.l*r Sorrtt .rt r\ 66.25'eloo3 lhr rrc.oJ l3t3-rt)r rrdlurcrlrr\]Go.Efra !{ortlrartrrly rlrrrr chord belrr:lf,Sol50PE 66-l?'; tStcr Xt9. l5rl{"8
ST.elst tLoco SotBbrrrrrrty l36.56t alon3 tlr ar,$ ol r 3l I.0Or re_ddut Grr rr. cooclvt
l.tortlerG,etty tbooc cla,id brge g(24 At 62"E lft.5lr; tLtaco s3d23'yr':: lll .l{t:
rh*,+ Itl?t'3&txr,'E 16o.96r; therce N67 l5rl4rE2{J.0Or; rbcoco Sf O6t3l'"y l0e .0or;
tb-c.86tt l0"!t zrj.l6ti thrscc $out.breetrrly 96. l{r rloal lbr rrc d r 2l7.0Or
n&r;tsre cadpreo Nortloraetly whreo ohordS+rrr S7t0tll6-E 95,Sr; r.\rnr;o
lt!l.UI!f{rt:E 91O-O0,; tha*c !.lorttoetorly 9l.tlr rtoal tlo tra'sl 3 300!/JOr rrdiur
crrgotonctro llortlerdcrly ratrc cfirA b,rrrr Xa{t321{0rB *.15,; tbcrr.o Norlh-
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chord.beoro ${l?"l,6ig 9l.oft; tbepro N0r0,6t30'Y llo,oC,: tbrsce N8r'5El4"E
17a.Ot.l, lh,sreo !.tS'O+bOnE L14.56t !o lbrr po!* of boglaoing.
fbl*-c*roL /rt ta I corr.d ropteoertetioo of eU tba rxtsrlor botadr.;icr oJ tha
lrrrd mroyod aad tbo anbdtvtrloa tbrta{ adcr ra4
7!.a t h.ore tclly coragUrd reitlr tto yrovl.ioa. o{ Cbrptrr ztb ol thr'i.f lrc'oarla
9tat.taa, tb. SDdlvt.yloo tort Zoging Soguhttcru of 5t. Crcir Cou:rtyr i\r l'qro o/
lh:d*ea toldltrlrtca Qrdblxo, raC :hr CltT n{ Hu4ron -t*r'vrjivirloq rod i}lr:;:bj Cr.li-
*$;r€o1. 7r rre.wqlry,. rl.Eu{dlag rad rollpfry tbr orrnr.
Drtrd.urJS . a.t ot fdagdt-, l9a{
R6vtrrd SfrhlSth bsot April, I9EO.
c@
r[irnrr E. tuce,h - R-L,3, I3?5
{lI $.:oGd $groot
l*ndroc, Illecooclo 54Ol$
courtTr rt E.^g(m ER r5 c atTlfrc AT E
B'rAA,s O!'srI;rcoNgrq
sT. cBorr corrxTY )si
b.,t
o1 bolng duly oloctr.i, qualilled rnd tcria5 Xr,nrurrt of
c.rnUy tb:t thr rec'rdr tn nry uafodoor,od
t. Llhry Jroo Llvorrrror3t. Cro{r Cooary, do be:rr\t r ala, rd o uugald t8.n 3
of flcr/s-
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rlloctJo6 t&o lradc iffilrd.Dd ia tlrt Pbl d Prrh Vlcr tlrtrtor fourlh Addllr:n.
5- ?-rn -ke
,otflilc cor{.}r$i[ Eg E *EOLU?IO]J
or rpoclal lrraoorDerttr rr ol
r.{4.re/4a./
T rca rrrror
Thlr y'rt tc hcrcby epgtovcd by tho St. CroiFlrnoiap rod 7.onJn6 Corr,lninrto
_L.
x County Comprrhrnriv; Parkr.
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PARK \,'ifrv rsraT,Es FcuRTi{ ADDtricl!i. nunAr- s";8&\ns't\rfffiH,ffiffs'xn rffizeN, Rr e 1/r,
c5efiaciTE cr TorH rRE/ttIrtrR
ET.taE cr;slscctr.sf,Y)
9T. CaOrX CCUiI4TT )
s/."/u
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TCTY BOARD RESOLUTICN
ITESOLVED, rl,-r! tbr phl
Hudron, ilrrrel j'] . ?s.rt end Ec'['q-n tir.r1;:J.
Y orrll rttroxef
cI trrlt Ylrr Erratoe Fourth Additlon ln tho Towl ofA . ',ir g;1 rr, lr l:r:oby n.oprovcd 5y ti":o
.iitj,:d*
.-a Ltrtr iporovrd
/A,+ t/. i 7?/T-rrisG"d-o'f,D rnl n
r .rr;a'nv . o:!i:y thrt ibr fore,1oin,1 'lr.r r: opy i,r.l ,r rolululloo ltloptotl by thr 1'ownlloqrd ol ah. T owr oi tlud ,(,lr.)
Dr:c or'n erk
I.'r r+ncc cf:
.. /.t ,, t ot.
owNtnsr ci3Tttlc^TE oF DEDICTTlON
Ar.o*:1r!:r, wc hotcby e!rtif7-thrt wo clured tha lrnd dcrcrlb+rJ trn tiri.- pllt to btl-i:vty::,C, {f iSodp rr-rpced cEd dddtcrf1d el :orrercnt,rd on thlr plet. rrya a}lo ctrtiJt;,t\.t :.!ir. ?'lre lr ;+q.rirad by 5' 236,10 ot S. 2l;.1: ro L,o submltrod ro t;r, fniro*iig'ilr.rppro-tl !':|' obj 6ction:
Drpertrn+ot o( Dovrloptardi):ol;1;nrat of IndurtrT, Lrbor errd Fiurnrn R.rlr.,ic..r,Tow:r o/ Lludron, City of tlrrdroo rod St. Croir Corrnty.
\Y;TI..|=SS rhc !u;r<I a.nd rrd of reid ownou thir _-/-l_ dry ot __!*!+:J*'
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STATE OF rYISCOl.tsIN l3T, CROIr COUN'rY )
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- CERTITICATE OF' TO'#N CLEB K
,.-. STAT E O F WISCOIvSTX)
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, 5T'. CROIX COUNTY }
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I. Rlrr ibrar, bciag the duly rppolntad, qurlilied aad nctlng Torvn CIorlr c.[ thcTorn o{ ll:'dron, do hcrcb; cqgitfy th.1t copieq of thi, Ptrt rr.ari forrra;-tlcri e*rrguira<l by.r. 1,36.12 on tXo.r'rE dry oI /r{.*t--,--, lgg+, and rhat wirhintho !'0.Cry tirrit rrt by r. 236.t2 (3) (no obJocti6nr to the plet hrva bcen ftlert)lall :;hJ.r::.rn r tn '\r r)at lr.rvt bcr n r'rr).
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GHERTY AND GHERTY, S.C.
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TERRENCE M, GHERTY*
MARK J. GHERTY*
SUSAN SCHLEIF GHERTY
TERESA STROMEN BAIER
*ALSO LICENSED TO PRACTICE IN
THE STATE OF MINNESOTA
AITORNEYS AT LA\OU
THE CONSTITUTION BUILDING
J28 VINE STREET
P.O. BOX 190
HUDSON, ITISCONSIN 54016-0190
LA'OTRENCE P. GHERTY
(lell-1980)
7 t5-)86-ZJJL
wt & MN 8@-292-9325
FAX# 715-186-7676December 6, L994
James ThompsonAssistant Zoning AdministratofSt. Croix County Courthouse
1!.0L Carmichael Road
Hudson WI 54016
RE Thomas rT. & Margie K . Quinn v.
Sam Miller Construction, Doug Strobben Plumbing
and St. Croix County Zoning Office
case No. 94-sc-565
Dear Mr. Thompson:
The trial in this case is scheduled for December L5, L994 at 2:30
p. m. The trial wiII take place in court room four in front of
Judge Scott R. Needham. We need your testimony at trial . I haveenclosed Trial Instructions for your review. Would you pleasebring your entire file with you to the trial.
If you have any questions at aII, please do not hesitate to contact
me.
Sincerely,
GHERTY AND GHERTY, S.C
/
T M. Brand,
Paralegal to Mark J. Gherty
/ tmn
Enclosure: Trial Instructions
llattlr.:'l
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L,
ons .
ST. ChOIX COUNTY
WISCONSIN
ZONING OFFICE
ST. CROIX @UNTY GOVEBNMENT CENTER
1101 Carmlchael Road
Hudson, W 54Ot&7710
(715) 386-4680
alanuary 3L, L994
DIr. Dan collnanc/o G.A.B.
PO Box 634
Onalaska, WI 54550
Dear IrIr. Collman:
Enclosed is a copy of the letter which I drafted to Tom and llargie
Quinn, dated Nov. 1, 1993. I have also included a sketch of theproperty showing the perc tested area where the drainfield should
have been constructed, the actual location of the drainfield as it
was constructed, and the house location.
As a matter of background, chapter ILIIR 83 of the Wisconsin
Administrative Code mandates that counties iurplement and enforcestate sanitary codes as they retate to septic systems. Thisincludes review of soil evaluations (perc tests), septic systen
design,installa
A perc test was performed on the property in question Oct. 3, 1984,by Certified Soil Tester #1599, Dennis P. Christopherson. !1r.
Christopherson identified a location on this property as beingsuitabl-e for a class I conventional septic system. Based on theresults of that test, I{aster Plunber #5432, Douglas Strobheen,
designed a septic systen within that tested area, rrhere coderequires that it be located. DIr. strobheen then subnitted his
design to the St. Croix County Zoning Office for permit review.Sanitary permit #88451 was issued by our office on l/O9/a7 to thethen owner/builder, San ltilter. It is my understanding that Mr.lIilIer then began construction on the house prior to theinstallation of the septic system. As you can see from my diagrarn,the house was constructed in the area rrhich had been perc tested,
designated by the plumber, and subsequently approved by the county
as the location for the septic system.
The plumber should have discovered this problem prior to theinstallation of the septic system. I can only assume that he did
not, and as a result, installed the septic systen outside of the
approved area. At this point the danage was done and the costs
associated with repairing that damage were incurred. The county's
inspection of this systen hras conducted after this fact. Had theerror been detected by our office during our inspection of may 22,
1987, any costs associated with repairing the damage would have
t issuance, and inspection of septic system
ao
November L, 1993
Tom & Marge Quinn
468 Brookwood Dr.
Hudson, WI 54016
Dear Mr. & Mrs. Quinn:
On Oct . L2, 1993, I visited your property at the request of Bob
U1bricht, Certified SoiI Tester #2482. The purpose of my visit was
to verify the location of your existing septic system and the soils
suitability at that location to dispose of sewage effluent.
Enclosed ia a copy of the plot plan I drafted showing the location
of your drainfield, the location of the soil pits which were
evaluated, and the location of the original soil evaluation
conducted by Dennis P. Christopersen on Oct. 3, 1984.
As you can see from this plot p1an, the drainfield location is not
witnin the original perk test area as code requires. I have been
told that construction of the house began prior to the installation
of the septic system. It appears the house was mistakenly built
within tha perk tested area. This resulted in the install-ation of
an otherwise Code compl iant septic system which is not located
within the tested area and in soils which are less suitable for
sewage disposal because of I imited soil permeabil ity. This has
undoubtedly contributed to the premature failure of this system-
It shoutd be noted that there are several- other factors which could
have contributed to this premature failure as weIJ-, such as the
number of bedrooms in the house and the number of people }iving in
each, the daily waste water load generated by the occupants, types
and amounts of household cleaners entering the system, the relative
strength and amount of waste entering the system, etc.
If you h
fo Y.OU,
m 5:O
Sincer IelY ,
J ES K.
ave any further questions or concerns which I can address
please contact me at this office between the hours of B:00
Opm, Monday Friday .
ompson
ssist ant Zonitg Administrator
cc: file
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HUDSON, WISCONSIN 54016
(7151386-90m
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Hudson wI 54016
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o^rE 10/19/93
PAGE Of
mftffl{ct,
386-9419
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TIr:r.r:I?r.rFrrrEilEur,Ll allo sxltiaEl{l la{ I oAYS
ITIII
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Install rsr drainfield as Perc,
Sanltary permit
Irrqfufield
Black dirt
$ 280.00
2475.O0
97.00
540.00
175.00
a. purqltrg of septlc ls q.rner'g expenseb. exigting septic mrst be u8ed at this price
r0 pnfi-, *tt'350.00
Any oth6r naterial hauled qr or off sitc wlll be EKIRAI
Frost ripping ElctRA I
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STATEMEN'T'DATE
Septi<; y
Pump Dryv,.: ll
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lnspectiort
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507 Sth Sir eet, I lrrdson, Wl 54016
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Stephen f.Dunlap
ATTORNEY
600 THIRD STREET, P.O. BOX 285
HUDSON, WISCONSIN 5401 6.0285
715-386-7620
Fru(, 715-386-7649
l,[8. Sue E. NeIEonSt. Crol.x County ClerkSt. CroLx County Government Center1101 Carmichael RoadHudeon, Ifisconeln 5{016
DATE: January 6, 199{
troTrcE oP cLtrl
This ls a Notlce of Clalm agalnst St. Crolx County as reguiredby lflsconsin Statutes.
CIAII'IAIITS: ToP and t{argie QuJ.nn, rest4lng at {6g Brookwood,Town of Hudson, HulsoDr wlsConsin 54016, wlth- a phone nunber oi7\5/386-9419. ClaLmant seeks monetary rellef against tt" Countyof st. Croix ln the auount of $Zrsoo.bo. This inount ls for thalnstallation of a new _ septlc. Lysten, lanascapf-;g, f"uor andlnconvenlence. lttached t6 thlg -uotLce of clali Li' a -gtatement
frorn Tri-County Sanltatl,on Senrl.cee and frou Boum".eter t SoneExcavatJ.ng.
- The ClaLn against st. Crol,x_ County aroae out of a dlscoveryof a bad eeptic _systeu on the clainan!,a property. int" eepttiayetgn uaq placed ln an lncorrect locatlon ind-prciaturely faiied.The locatlon of the eeptlc-oyeggD_was approve-d by the founty fnJanlary of 1987. The system falled and i -new aystLn was r"qgir"ato be 'put ln. rt was dlscovered that the syetei ras placed -ln anlncorrect spot rhen Jamee Thompsgn, tir" Assle€ant ZonfngAdulnlgtrator of St. CroLx County, vl.sLtba the property on Octobei\2, 1993 verl,fLed by hle letter to us dated roveubLr 1; 1993 whlchle attached hereto Lnd made a part hereof by reference.
ThLs Notlce of Clairn waa nade wlthln the 12o days that Lsrequlred by Statute.
/a/ Stephen J. Dunlap
STEPHEN J. DT'NIAP
Wf fD Number 1016182Attorney for Ton and Hargle euinn
600 Thtrd Street
P. O. Box 285
Hudeon, Iflaconein 5{016
7 L5/386-7 620
and ttlarg ie Quinn
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o sltnotx couNry
WISCONSIN
OFFICE OF CORPORATION COUNSEL
ST. CROIX COUNTY GOVERNMENT CENTER
;I'JfiTI'flX'JJ#f,
(71s) 381-4i115 FAX (715) 381_4301
February 11, lgg4
Stephen J. Dunlap
Attorney at Law
600 3rd ST
P.O. Box 285
Hudsoq WI 54016
RE:Tom and Margie Quinn-ctaim Against st. croix county
Dear Steve:
St. Croix County's insurance company and the County Finance Committee have reviewed
the claim you made against the Cbunty on behalf of tom and Margie Quinn for the costs
gf ppla"ilg a septic system drain fieid. It has been decided that-any damages that the
Quinns suffered were not the result of any negtigence on the part of the
-County.-
Th.r.fore,the claim is denied.
You may also be hearing from thejlsurance company.
No action on this claim may be brought against the County after six months from the date
:::j;#snotice G"-(- r.*)
(,
Au3 l7E-Grego A Timmerrnan
Corp Counsel
St. Croix County, Wisconsin
GAT/kas
Sue Nelson
John Krizek
Brent Beer
Dan Collman
FEB I| 't',',tt\
cc
o o
November l_, L993
Tom & Marge euinn468 Brookwood Dr.Hudson, Wf 54OL6
Dear Mr. & Mrs. euinn:
fo lf , ple
any further guestions or concerns which r can addressase contact me at this office betwee. ln" hours of 8:00Monday Friday.Eo opm,
S incere Y,
J ES K.ompsonsistant
ii"f&ii+"'."'i'""'"_Jii!'.i=1#;:.Ei:,?."?"1l,ll: j;T,"=".,;'.;::to verify the locario" or-y-"-,iilr["t'i; sept'c systen an& the soilssuitabititv at ttit i""'.[i-""--ii.*iT=po-=. of sewage effruent.Encl.sed is a copv ."f !Ir" prot-pra; r--ar.a.rtea showing-.he iocationor your drainfield, lire 'rocadlon-
"i trr" -="ii;it=".iii"n ,.".evaluated, and the rocation--oi" th; o_rrginal soil evaruationconducted by Dennis n. christop"i="n'i., oct. 3, 1984.
As you can see frorn th-is plot plan, the drainfield ,ocation is notwithin the oriqinal. perk i"=t'.".J a-=
-"oa" requires. r have beentold rhat const-ructio'n "i.in"-r,I"J; i"s"., prior-to the ir,=tirr"tionof the sepric svstem.- rt appears trrZ noi=E-r"= ,il-t".iiiiy uuirtwithin the perk iested .r".riii=- r-el-urtea in the instarr.ation ofan otherwise code "_".pi1i"t-="pt19-i!r.tqn which is not locatedwithin the tested area and i, ioirs dhi"h ."" ress sui[arre forsev'age disposal because of rinited-=oir o_.r..abi1ity. This hasundoubtedry contributed t" tt." p".rat-ure 'ra iruie--o-iiir= "=y=t.*.rt should be noted that there .."'""""i.r other factors hrhich courdhave contributed to trris -pie*ii"iI'ilirure as wel1, such as rhenunber of bedroons in the tiorr=" ""J tlrrl ,rr.p"". .ot people living ineach, the daily waste -wate_r toaa gJnJ.it.a by the i""ip.r,ii, tvp.=and anounts of househola cteaners L;;;i;g the systen, the retativestrength and amounr or wa.ie-eni..ii] in. system, etc.
ff you have
cc: file
Zoning Administrator
H:
o o
GTB GAB Business Services, lnc.
757 Sand Lake Road
P.O. Box 634
Onalaska, Wsconsin 54650-0634
Tehphone: 608-781-9444
FN(: 608-781-9446
Scrvlcc Locetbn
E'ebruary 1O, L994
Attorney Stephen J. Dunlap
600 Third Street
P O Box 285
Hudson, WI 54016-0285
RE: Your ClLents: Tom & Margie Quinn
Your notlce of claim dated January 6 ' L994
Dear Mr. Dun1ap:
We represent the l,nsurance carrler who insures St. Croix County.
We arl in receipt of your January 6, 1994 notice of claim and have
completed our Lnvestigatlon into the facts and circumstances of
this c1aim.
We have found that the premature fallure of the septlc system $ras
a direct result of the builder placlng the bullding ln the $rrong
location and also the plumber falllng to read the plans correctly,
when he lnstalled the septLc system. When the ZonJ.ng Administra-
tor of St. Croix County--rrlslted the property after the house was
built and the septic system installed, lt was then known that the
building and septlc system rrrere not ln the correct locations. At
this point, the damages were already done and not as a result of
anything St. Croix County did. Thus, IiIe are denying your claim in
its entirety.
S incere Iy ,
rc
Daniel J. CoIIman, AIC
Supervising Adjuster
DJC/mw
Mr.st.
Mr.
Greg Timmerman, CorporatLon Counsel
Croix County
Brent Beer WUl,tIC
FEB I 4 I??4
cc3
GAB . . . "Setting the Quality Standard"
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s T c 105
SEPTIC TANK MAINTENANCE AGREEMENT
SE. Crotx CounEy
ot,N ER / BUYER -9 ,n fhr' / /o-
ROUTEIBOX
CITY/STATE
NUI.{BER 2e*7 Bor 2?z Flre Number \r-
--zrP €y'o t Z-
PRoPERTY LocArroNz l//d \,, t/EU,,'r =IZ u,Sec t lon
Sc. Crotx CouncY Zonlng Off1ce
P.O. Box 98'
Hammond, tII 54015
7 I 5 -7 96-2239 or 715-425-8363
S1gn, dage and reEurn Eo above address.
t R
Improper use and matntenance of your seprtc syscem could resulr 1n
1cs premature f a1lure Eo handle urastes. Proper mainEenance con-
ststs of pumplng out the septlc tank every Ehree years or sooner,
tf needed, by a I lcensed septlc Eank pumper. trhar you puE
che syBE,em can af,f.ecc the funcElon of Ehe sept, lc cank as a
menE sEage 1n che waste dlsposal syBEem.
Town o f Sr.Crotx
number
CouoEY,
Subdlvtst on?nrk V|rn-, Efrf.&oi a
e ellglble t,o recelvc a granE for
replacemenE of a fa111ng syBt,em,
JuIy 1, f978. SE. Crolx County
of I98O, wtEh che requlremenc chac
to keep thetr BysEems properly
lnto
treat,-
SG. Crotx CounEy resldenEs mav b
a maxlmum of 607. of t,he cost of
whlch uras 1n operaclon prlor Eo
accepced Ehte program 1n Augua E,
owners of aIl neu, sYsEems a gree
matnEalned.
The properEy owner agreeB t,o submtf Eo SE,. Crotx CounEy Zonlng a
cerElf tcaEton f orm, algned by Ehe oLrner and by a master PIumber,
Journeyman plumber, resErlcted plumber or a llcensed PumPer verl-
fylng Chat (I) Che on-.a1Ce wasEewaEer dlsposal sysEem 1s tn ProPer
operaEtng condlElon and (2) afcer lnspecEton and PumPlng (1f nec-
"L"ary ) , che Bepc 1c 'cank 1s less Ehan L l3 f u11 o f sludge and 8cum.
Certlflcatlon form wt11 be senE aPProxlmaEely 30 days prlor co
three year explractono r
I/tIE, Ehe underslgned, have read Ehe above requlremenEs and aBree
Eo nalntatn che prtvaEe sewage dleposal sysceE 1n accordance wlch
Ehe standards sec, f orch, hereln, 68 seE by the t'llsconsln DeParC-
menE of Natural Resources. CerElflcaclon form musE be comPleted
and returned Eo Ehe SE. Crolx County Zontng Offtge wlchln 30 days
of rhe Ehree year exPlraE lon daEe.
SIGNED
DATE
Floaza
Ht,
l a
4u/t,-,u t
tr'
--
Eri-r{satARY PERMTT APPLrcanC
ln accord with ILHR 83.05, Wis. Adm. Code
-Attach complete plans (to the county copy only) for the system, on paper not less than
8% x 11 inches in size.
-See reverse side lor instructions for completing this application.
I. APPLICANT INFORMATION - PLEASE PRINT AtL INFORMATION.
X. COMMENTS'REASONS FOR DISAPPROVAL:
SANITARY
STAIFPLAN I.D. NUMBER
NOYES
PETITION
FOR VARIANCE
La h,'l/qPROPERTY OWNER
l' 't (E yr,s '1 t}?,N,a /7 E(or@
PROPERW LOCATION
/*2-L
OWNER .S MAILING ADDRESS
Bo
LOT NUMBER
7a
BLOCK NUMBER SUBDIVISION NAME
PorkV;u, E.{ot -' -trf-CITY. STATEll,ulson NT ZIP CODE
S4olc-
PHONE NUMBER
( 3q. 13-7 c-9 VILLAGE
C1
NEABEST ROAD, LAKE OR LANDMARK
Broort u-tcrnJ /r,'ro
ORJNumber of Bedrooms if 1 or 2 Family E protic (specity):
II. WPE OF BUILDING OR USE SERVED:
lll. PURPOSE OF APPLICATION: (Check only one in #1. Check #2,3 or 4, il applicable)
An Existing System has been iNp€cted and soll conditions meet minimum r€quirements.
Tho System is shar€d by more than one owner/building. Attach Common Own€rship Agreement to County Copy
2.
3.
4.
e.tr
(tr
Du
,.".p
A Sanitary Permlt was previously issued. Permit #Date lssued
Repair ol an
Existing System
New b.
System
Replacement c.
System
Replacement of d.
Septic Tank Only
Reconnection ol
an Existing System
lV. TYPE OF SYSTEII: (Check only one tn flt and onty one tn Pl
1. a. ficonr"ntional b. E Alternative ". n Experimental
2. a. f]system- b. E xotoing ".8 pitprivy d. D VauttPrivyln-Fill Tank
e.Mound t. fJ rep
V. ABSORPTION SYSTEM INFORMATIONI (Check one)
1. a. EJ seepaqe Bed b. D Seepase Trench ". E Seepage Pit
2 PERCOLATION RATE
(Minutes per inch):
3. ABSORPTION AREA
REQUIRED (Square Feet):
GIS
4. ABSORPTION AREA
PROPOSED (Square Feet):b{6 ft.8 Feer
5. SYSTEM ELEVAIOT,I 6. WATER SUPPLY:
Elprivate E uoin, f] pruti"
CAPACITY
in gallonsVI. TANK
INFORMATION New
Tanks
Manulacturer's NameExistino
Tanks-
Total
Gallons
#ol
Tanks
Prelab.
Concrete
Site
Con-
structed
Steel Fiber-
glass Plastic Exper.
App.
Seplic Tank or Holdinq Tank X looo I Lrt+i s c/
Lilt Pump TanUSiphon Chamber
Plumber's Name (Prlnt):
L*. (fr^td kna,-a
MP/MPRSW No.:
Afts1lz-
Plumber's Signature: (No Stamps)
0..--.* l.- "PPtr 1tu ^,,
Business Phone Number
(L(1) 3zS j
PI olzip
v
k C4
SOIL TEST INFORMATION
csr# /s? ?
Certilied SoilTester (CSTI Name*D*rrni^r / e Arr'.rh dLer.son)
Phone Number:
3
'4
-51 3/uf {40
IX. COUNTY'DEPARTMENT ONLY
T's ip
E epproroo / -?-?7
DateDisapproved
Owner Given lnitial
Adverse Oelermination
Dtl a/tt o
walereetary
5rge Fee
lssuing Agenl Signature (No Stampsf
%h* e..Gt,')
SBO 6398 (lormerly Plb-67) (R. 03/86) DlSfBlEUTlON: Orrgrnal to C.)r,nly. Orre Copy To Bureau ol Plunrbrng. Owner, Plumber
,
KIn
VII. RESPONSIBILITY STATEMENT
l, the underslgned, assume responsibility lor installation ol the private s€wage system shown on the attached plans.
. . . e. ev.g\.vra a ltaaa aa o arv a .gye..9v
under s.H63.09(51 (bl, indlcete:
rr .rlty l,ut Uura or ull, tuttco urla tl tn t.r!
Floodplain, indicate F eievation
tsORING
NUMBER
TOTAL,
DEmH{rt ELEVATIONa OESEFVED-EST. HIGHEST
RE, AND DEPTH
IF AEBRV ON BACK.)
co
B. l 7,'f 'lo3.l'ilorru a all ea/. z Bls 5
8.2 8,O'.103,8',tl*u 7 8.o'a s E o
B.J 7, S'lo2- gt /qre-7 7,5',cso gl5 I a
a-'/t,o'/a.fi{',40^ru I ocssl1.'/,3 8n cS
B.{t,o'1o'f.J'ilozre-,7 8n Cs,3 oen
B.
E DESCRIPTIONS
PERCOLATION TESTS
TEST
NIA4BEFI
DEPTH,$ieH€6 wATER rrv FOI_E-
AEIER SWELLTNG
TEST TIME
INTERVAL.MIN.
DROP IN WATER LEVET:IN RATE MINUTES
PER INCHPERIOO 2 PERIOO 3
P./,1. z'y'o z 6 6 6 <3p-L ,SrO'rl/o ,L e 6 6 <3p.3 3.{'ilo L 6 e c A3
P.
P.
P.
PLOT PLAN: Show locltlon. ol p.rcolation t rti, .oll borlnea and th. dlman.iona o, .uhabl..oil ar..a. lndlcata ac.t. o, di.t.nc.a, O.acrlb. what ar. th. hori-
zontal and varlical alavation ,tfal.nc. pointa and ihow rhlia location on tha plot plan. Show tha .u ac. .l.vatlon at all bo.inga .nd th. dir.crion .nd p.rc6nt
ol lend ,lopa.
SYSTEM ELEVATION 79, 8',/eC
I
I
i
I
!
I
i
i
Ij-
II--5
e4
l, ih. und.rtiga.d, h.t.bY c.rtlly th.l tha .oll t..t. ..port.d on thlr lorm w... m.d. by m. ln eccord with tha proc.du.aa.nd ,r,tath(rd. tpacirird in fta l\ritclnrin
Administrati\rt Cod!, and that tha dalt ra@rdcd and tha location of tha tatlt ar. corr.ct to tha baat ot my knowladoa and baliar.
-q
ttt
i.
I
i
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i_
r, I I a1./o
1,
-o
a 0 I
,1
q
'*ItrP,
?2 --al +-
i--.--
1l
t---1
iqlrl
1-l
lr
,r\
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D---
Pr
It
F-..
i-- --.
7t
,\
a
I
,
s1
ot
-fl
t
--t---
I
t;,le-
a/\)-l
Nr.//t ,t/t/
t qk k-oOt I Q./t///tl//t ,/
NAME 'o"""? -, fr c/n"rL ilut *,
TESTS WERE COMPLETED ON:
/o - 3 - &r
/a,e
IF NUMEER:PHONE NUMB ional)
7t 6-3
t
OISTRIBUTION: Original and one copy to Local Aurhoriry. Property Owncr and Soil Tester.
D|LHB.SED-6395 (R. O2l821 - OVER -
6a -S
c-s
FE FIIOE, I
teJ^,l a,l t lo I a
alllIR.F,
b-,l{C./o tI{
0!
tr n /,/tt )eI!
.r-I trt /t 'o.oJ.
.tr
,I .A,zC /I ,(t,\)
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.DEPARft\4ENT OF INOUSTRY.
LABOR & HUMAT\bRELATIONS
P.O. BOX 7969'
MAD|SON, W! 53707
iruspecrroN REPoRT FoR
PRIVATE SEWAGE SYSTEMS
S cottvENTroNAL D eurenNATtvE
D Hotoing Tank flln-Ground Pressure D Mound
SAFETY & BUILD!NGS
DIVISION
BUREAU OF PLUMBING
l.D. Nunrbrr(ll l&gn dl
NAM€ Of PERMIT HOLOER:
Sam Ml11er
AOOA€SS Of ?CRratT HOLOER:
Rt. 1,Box 282, Hudson, WI 54016
r{lsPECrloil oArc:l:&) ,5-e) -t7
SENcx m^ax lp.rm..rd rohrraco golarl oEEaR|BE tF OtFf CnENr f Rou pLAN:
NW SE, Sectlon L7 , T29N-R19W, Torm of Hudson, Lot 90, ParkVleflEsc.
FCf.
'T. EIEV
IV
CST REF. PT. ELEV
No
Do las Strohbeen 5432
County
St. Croix
Srnrtry Prrmrt l{urnbrr :
ffi ?916/
SEPTIC T LDING T K
MANUf
L)
LIOUIO CAPACITY:
/o l, /)
IANX ]O{LET EL6V
^NX
OUTLET ELEV
t'Druo
toEO
YES Dnro
R
YES
,VEilT DIA.:
'4,r
VENT T'ATL..t DY
ARM:
5 _t
LL:
I IIIJEET FROM
E
AIR INLC T
MANUFACTURCR 8€OOING
Dves Drvo
LroutO CAPACTTY
l?uMPHooEr
NUf ACII,IR LOCXING
E ves NO
LASC L
Eves Dr.ro
EY oPANO OFF
(OIFFERENCE EETWEEN
UMBER O
FEET FROM
NEAR
WE LL SUILOING VCNT TO FRESll
AIR I'{LE I
FORCE
MAIN
LE NGTH OIAM€ IC R MAITFIIAT AND MARXIHGSOIL ABSORPTTON the tor mo re at the depth
or excavation. llf soil can be rolled into a wire, consrruction shall cease until
the soil ir dry enough to continue.l
BED/TRENCH
DIMENSIONS
WIDTH:,
t4
LENG IX:?/.NO Of
TFENCH€S L PIT
rNsro[ orA ,PltS Lrouro
O€PIH
8E LOW
??.'
COVER EI V, CNO IO
FEET FROM L .;f/
tl --)
^r/AIR ETtl5NEAR
,.
t
Mound site plowed perpendicular to slope
and furrows thrown upslope:
Check the texture of the fill material for
mound systems to make certain that it
meets the criteria for medium sand.
PROVIDE A DIAGRAM OFSYSTEM
ON REVERSE SIDE. SHOW ELEVA.
TIONS MEASURED.E ves D rvortx H
D ves Dves D
HOF oNIEREOGES
Ev Druo Dves Drv
5tt-:lq ,./_
PRESSUR DISTRIBUTION SYSTEM:
,,4.,
I nq.f{ e. ilr"+
'lc4-:\v ,i.
)
)
)
Skerch Syttem on
Reverse Side.
BEO/TRENCH
OIMENSIONS
wtorH LENGTH NO. OF
TREilCXES
LATERAL SPACING GRAV€L OTPIH SELOW PIPf TILL OEPIH AEOVE COVTH
T.ANIFOLD
ELCV.
uAirf oLo
orA
OISTF PIPC
CLC V
PUM?
CLEV.
l,lsIlilouIroN PrPt MArtHrAt t MAltxtN(;
ELEVATION AND
DISTRIAUTION
INFORMATION HOLE SIZC LY APPROVI ()
D ves Dr,ro
LL
F H
L
LIIIE
E ves flrvo E ves D rvo NEAR
Pt ANS
NUMBER OF
FEET FROM
GilA
DTLHR S80 67lO (R. Ot/82)
I
t.t
ll
Retain tn county file for audrt
t
rl t
' ' ' . . tn3rln'lEltaltlFFr ?SE trtr!!|iit!?rtri!.+lc;trrtTF-EF rlryFF-,.Epr-a.Ft.it
t
lif,Fld t
3
.-l
ta
Wfscootir Orrrtrrnt ol lndurw.lrbor lrd }linm R.l.tbrr
Dhltbo ol Srh,ty e Brfldql
o
SOIL AND SITE EVALUT
in accod wlth tLltR &t.0
o
.)il BEPORT
Adrn. Codo
Pry /a
en1$omfl.l. Ct.- CT 9n psp.r ml lo!. lhen I 1r2 x ll irphcr in dzo { incfudo, h11mt lir*red b vorlical ard hodzontd rclrorco poril (BM). drectbn ud:. ol rloF. rdo ordmon*rnod, nor0r rnrou. rnd.locdion rrd daerrcib n rrcd rord.
APPLICA]IT I}IFORIATIOlI-PLEASE PBlllr ALt I}IFORIAIIO}I
ST,CEor')1
,
PtrPEETYfl}Gft"*-.l76ffil /4tRG€Qutt*,PmPERnrrmAnoil
@w.Lotu'tro UISF u.,St7 t Z7 ltn t7 EF,tr
LOT,
70
0tct(t a-GPRffEHTYS MAILINGRftoo ADORESSzuzoo /2R '
6 (I - 7t// 7 trgrY Bfl.uGE Erfllt
HUPSe'tt
NEAREST ROAD&oqtc.ro@
3
Cirol€r/din ITCdbPsmlmdshlgc5
egrJ-'? w*md,n2q3
Sd,ilz5-ez 3
(rl
,t
@s Rmrnpndd dsslfr Hhg rabf6)Aborp0on rea leqiled bed, 12 hndr, i2 Uafilmddgt bdneil -'z w,gnP-'? wA
norrnmlod ffltdo urh darah(l)(crtred bS
7t€*Ul.t s /3or fu'rral&,Ad0md ddgr t rb ocildrafce €aD ot)
tho I ncldmtd, ]ffiordbedme
I I hllbaomErchl
BctePe.|t?27- -
S.U.
CCttlYBlIUt tElf, tru lrclro@f, uu WtsT'**AT{iRADEElf, tru StsTEI N ruEII trU
}TX.INB Tr}l(trS EU-
SOIL DESCBIPTION REPORT
BodrU I
Oufi
CoY.?s,Lf-
Deilr b
tnifirgffit
i
Remarks:hilr 'ttlr SfSfe*t /5 f,r'T€D /',t t tlbre /74u " O ta nf fe,lL
/
Dop0t
ln.
Domlnant Cobr
Mursell
ihUBqr.SrConil.Ce TexUre Stucilre
Gr. Sz. Str.Cotsbbnoe turhy RooB GPD/IIZ
B€d IMt
o o-3g /o lR z/r
----s/4t €bK orfr'9s /f-.c/,5
( nodiL k lr'tau S &t?rt'.<lG To 7,a4*ruL ,tR )
B 3t'o?/o yre //-4c//,f olg afR za ,)
hbfrzau't ' OrfGl olC /,I ;/cfP7/0.u4 //t/ D,Ef,N
a
1cr"l o0{rf,r,t'a:'.q4sftK lop;'a4, S /{y'rran\/ /4ua ,arll tutt €<
le€/?€atfo<t prt toy'drtes.Tl,'s /fpoTs 'ut'7€D <>
foE 7,/^4-
ffii ,tr*'lrlV *'EQoriet2 of Soi/s frR f,€t t/t'c S y 'fTe.,,IS,
Bodng f
EI
Gund
dgv.f(&-n
"l'l'Lpo, b
Irilngv
Remarks:
ouE/Uc,rlvs 2t 5/t )eorlc4 #/,flL7oPr/
lrbPt k'+/,,4 ta ,5/t/LA.l/Eaoove D t'*t e4a , *l/1
Q/ot - l'Lrlrt'C,t y'r'lr€ ot ttRy ,2oat4 zrU/*e72 far)/u,,
5a/s ,.r4 /r%uczl,.uof 7Dh.llv s,/rXttTa(tT€t ) est ?a I
Qai U I
Ro@T ZilbRIChT-Prmo: 7/*Jp6- p/gfNmr:-4lcuc
Og 5 Of ,rr6ic PD, H oQSo^t cltl , S YorG /o -/L- f3 crf4 z{!L
p8i€^* 7r4&;cu{3
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frR, frat
fr 3 R
r,v fi7cl,oo Caat Y€drt a.u,t I ,f ,f 7€*t
y
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GCIPY
a
RAflEU,EO BY OATE
I I ih Cclhrlqr
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-
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SYSTEM:loptiona
7,
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DEPARTMENT OF
INDUSTR:Y,
LA.3OR AND
}IUMAN RELATIONS
Ot
RATING: S- Site rultablc for U- Slto uruultrblc ror rytt.m
ll Porcolrtlon Ttrr rru NOT rcgulrrd
undcr r.H63,09( 6l lpl, lndlotct
OESIGN FATE:
1/h
.0451
SAFETY & BUILDINGS
DtvtstoN
P.O. BOX 7969
MAD|SON, Wt 53707
DATES OBSERVA MADE
-
lf rni portton ol thr tcrtod rro h ln thr
Floodploln. indlcrto Floodplaln clwllon:
REPOI}BurilNGS Afr
PE STS (115)
BORING
NL'MBER
TOTAL'
OEFTHT{t ELEVATION CHARACTER OF SOI
TO BEDROCK IF OESERVED ISEE ABBRV. ON BACK.I ^
B. I lo3,l',t/orr,-.
c-s
a a
a
l.L Bls 5/,r 6a
5 aB- 2-E,O'l03.{',tluou
B.J 7, S'lo2. g',alure-o Bl5
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.,,
B.r t.o'/o{.J'l./ole-
B-
8a Cst,3 oea
P FI E DESCRIPTIONS
PERCOLATION TESTS
TEST
NUVIBER
DEPTH'
$JEH€6
WATER IN HOLE
AFTER SWELLING
TEST TIME
INTERVAL-MIN.DROP IN WATER f R
R CHPEFltoct I PERIOD 2
P./,1. e'llo z 6 6 6 <3p-L S,o'ilo 2 G 6 6 <3p-3 ?.{,llo L Z,e C A3
P.
P.
PLOT PLAN: Show loc.tlon. ol plrcol.tlon t.,tt, loll borlnet .nd th. dlm.nrlon! ot rult.bl. loll .r!!t, lndlcat .c.la or dlrtrncrt. D.rc.lb. whlr tr. th. ho.l-
zontal and \/ottlcal llavatlon .itarano polnlt rnd ahow thalr locttlon on tha plol plrn. show tha ru,Lc. alavatlon al all bo,lnea and tha dlractlon and parcant
ol l.nd rlopa.
SYSTEM ELEVATION
t /e(
4
't tr
5
r
ea_
l. tho undcrdened, haraby cartlry th.i th. aoll t..lt ..porlad on thla lorm w..! m.dc by ln. ln rccord whh !h. procadu..a rnd rn thodt .prciflad ln tha yvltconaln
Adminl.trdi6 Codr, and that th. dala racordad and lha locatlon ol tha taatt ara corEct to lha baat of my knowladla lnd ball.t.
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H NE NUMBER ional
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DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tcster.
D|LHB-SBD€395 lB.O2l82l - ovER -a
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_ Llquld Capactry:
Pump/ Slphon Manuf acturer :Pump Slze
ft'-.
bLength:Number of Llnesr 3 Area Butlt z6'(Tsif,
PTTMP CHA}AER
Manufac Eurer :
Pump Model:
I^rldrh z l4 t
til ll
Elevatlon of lnlet:Bottou of tank elevatlon:
Pump off swltch elevatton:Gallone per cycle:
Alarm Manufacturer 3 Alaru Swttch Typet
Number of feet from nearest property llne: Front,ORear,OSlde,
Number of feet from well:
Number of feet from butldlng:
(Include dlstances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: (roro^f,b a q,l Trench:
-
-
F111 depth to Eop of plp e: tl O"
Nrrmber of f eet f rom neareet, property ltne:
Nusrber of feet frou well:
Number of feet from bulldlng:
(Include dlstancee on plot plan).
Front ,Slde,CRear,@rr.Sd3-s
40'
SEEPAGE PIT
Slze:uil
Ltquld depth:
Number of plts : Dtameter 3
Bottom of seePsge Ptt elevatton:
Has elther a drop box or dleErtbutton box been used on any of the above soll
(Check one).absorbtlon eytems?
HOLDING TA}IK
Manufacturer:N4-Capaclty:
Number of rlnge used: _ Elevatlon of boEton of tankl
Elevatlon of lnlet:
Nunber of feet from neareet properEy llne: ,
Number of feet from well:
Nuurber ot, f eet from bulldlng:
Number of feet from neareet road:
C slde, CRear, CFronE r Ft.-
A1a:m ltanufacEurer:
Inapector: .. . . - - . -
Dat ed :Plumber on Job:
Llcenee Nr-rurber:/t4 P-r /7L
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Fotm-STC 104
LOT SIZB ,.ol(A ca( J
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AS BUILT SATIIT ARY SY STEM REPORT
OWNER TO}INSHIP ec--St)
ADDRESS
*1 I ZT L sT. cRolx couNTY, ltrscoNsrNx
SUBDIVISION LOT C+
PLA}I VIEI^'
Dlstances and dlmenslons to meet requlrement.s of II,HR 83
sHol^IEVERYTHING$,ITHINI00FEEToFSYSTEM
tu-ru ni llat
?,..rk V)o*r[ lat+1o
5ys-Tc, 1n EtY. 98.t'.
Sca\e- ,l*" = lo'
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BENCHMARK: Descrlbe the vertlcal reference polnt used (L
Propoeed eloPe at elt'e ' 6"A S EElevatlonofvertlcalreferencepolntso
sEpTIC TAI.IK: llanuf acturer : [rJ.r-\ o a-r Llquld capaclty:o
Number of rlngs used z Z Tank manhole cover elevatlon:03- 10
Tank Inlec Elevatton:.X0 Tank Outlet Elevation:4,
Nunber of feeE from nearest Road:
'From nearest ProPertY tlne :
@
0
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rrorrt,Q sldeO
Front ,Qstde,@
feet'
10 feet;'i.,
Rear,
Rear,
-v
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bulldl"?;
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.ii fiL,FAE S.iEgV,SlCN
FOURTH ADDITION
rtaryr&fr**tlery h /!I.rrch, Notrry hbltc
, FUgy/,
TC0TVN CF
Hrdron. Drrrrl E. Wrrt tnd B'lo-a 5o{:.1.+!!ti E+
._L\rtr lpprovrd/+{##r
t,1ra,o!o ,llrorJr
TOI'X BOARD RISOLUTION
NESOLVED, thet tbe Pta o, Frrt Yhr Ertrtrr Fourth Addhlon ln tho Town o[A. lVrrtr t t, lr brroby approvrd by thr
otD rmln
thrt tbr forrloinl lr a c,rpy of ;r roeulutloo tdopted by thr Towo
ilud e<ro.',1 tf.t ,"1'ul',""'
Torrr Clrrlr
tn rlonc: ol!
STATE Or UI5CONSIN I *.3T, CROIX COUN'rY ) "-
Prrronelly camr boloro
rlf,ttrr,l Drrrol E. r/Iorl eod Bo
Trrrrurrtr uy o(ttco1
on ery tend
fur,* !;'.:i,\.tq*Drrrcl E. lYirt
t-l
. 1---^L-l-, - 'i
O-vrrly A. l{r}t
m. lhl, -:,! l rtov ot thr ebovrvorly A. lIorll lo mr tnorn to br lhe pcD.cnr rho rxrculrd
c=afi7lctTE or ?illr rirgnn
s/4#
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'!.. . .a'J..:. i:. ::s..t'- :. -:,....s..r1-Y...
l: ''i ':..."
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. ,' .:. '... ':' . .'\
r irrreby c rrllr;rllorrd ol tho Tow:r olrr t I ),-44 Dato ,
O;;IERTI C i:RTTFTCATE OF DEDICTTTON
At osnottr ro hrrrby crrtllT tbet wr clur:d thr lrnd dorcrlbod on thlz Plel to boo.urvr7.:rd, at..{i.d, q,opprd ud d^rdlerlarl t. ro?rcrrnt.rd on thlr Plet. Wr *lro crrtUys5.t tlir Ftrt le ;cqulrrd by 5' 2!6.10 or t. a16.l2 ro tre rubmltr.d to tirr tolloslng for.rppnr*rl r.r obj.6loD!Drprelrnrct r,t DovrlcanodDrgrrlmrni ct tadurtry, trbcr rnd ]lurnrn Relrtlorr,fora o( lludroa, CltT ol llodroo rod 33. Crolr Corrnly.
It;TI'f=S!i thr tre;rd rad rorl et reld oroere tlrrr- -"t dry of -./'
'4, ,/irc,'
t
tbr forr;oin; tortrumcnl rod rclslorlod3rrl thc r:trnc.
Not rf Puvllc.{-L*,*Jtlt, lfllrconrln M, commlrrlon oxplrcr -MZ,,
.. CER,TTETCATE OT TOWN CLERK
.- rrATE OF WI9CONSTN)
t.: ... 1s5 '. ...;.-:.. tr. cnotx coulfTY l .
' I, Rlrr ilbrne , brlog tbr duly rppolnl.d. qurllllrd eod tcrln3 Towo Clork o(tho
Torn of !hdron. do hrroby c6flly 3hrt copia-; of-thlr Plrt wcro lorvarrlcd rr
rrlulrrd b7 .r. t!6.12, o;r the rdCI-dry ol -49{.-, l9r1 , rnd rhrt wlthln
thrto.drT ltralt rot by r. 2le,l2 lrl Ino obJrcrtbnr to lhc pler hrva bocn (llcd)
(elt phjr<:loa t ltl 'ha ;:ier lr.rv, baen mrr).
lr'/ tl r*-rD1r.-4Tjt'#'oL.,eJ-
idlr! Hornr, Tc'rn Clrrh
JARf,ES E. BUSCH
SURVE]fI}IG & BflAPPING
HUDSON, WISCOI{S!}t
IX|S tit7nrErrT C.lrTfo ll
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APPLICATION FOR SAI|ITAn( PERIIIT
src-100
Onner of Property 5or^ l'h:a-f
Locatlon of Prbperty Nw \ sA *,, sectl on I ? . , t-J? n-"J F- O
Townahlp 4*Json
tlalllng Addreae B /l# 1 8.,,)-l1a-
Addreee of Slte R.l* S-
Subdtvlelon Nqne
':ilr"fn, t- t/ i qt^t .Tltcs t-
. Lot Number iP
Prevloua Owner of Property i),r-, (* [ W"^/T
Total Slze of Parcel ra (-
Date Parcel rag Created -f- S - B/
Are all cornera and lot 1lneg tdentlflable?v Yes No
Yes
-
NoIe thlg prope,ffl
voluoe t ''l',belng
developed for resale ( epec houee) ?
and Page Number I L ^, recorded wlth the Reglster of Deeds.
INCLUDE I{ITH THIS APPLICATION THE FOLLOWIN G
A Warranty Deed whlch includes a Document number volume and page number , and the
Seal of the ReBlater of Deede. In addltlon , a certlfled aurvey, lf avallable, would be
helpful ao !a to avold delaya of the revlewl.ng proceaa. If the deed descrlpllon refer-
encea to 8 C€rtlfr.ed gurvey Map, the CertlfLed Survey lrap gha1l alao be requlred.
PROPERTY OIt,AJER CERTI FTCATION
hnowLedg
eiLL[g that oll
ei tha* I (ruel
I l(teI c
6Aitem,
Oeedt ,
ttotemen&t on t)ui-t
f
o,ut ahe tnue to the but o I mA lounlin thltam lanel the owne;l.lu , the pnopetty
fteeoaded in th
t;
Lee o( the
ptLL6enbty
btoulned an
oI duwLbed
e 06Ln(onnaLion 6onn, b
Cotttrty ,
own the
Regi.dtea o (
pnopoted ti.te [on the t
'y vi)*ue
Oedt dt 0
o[ a utoahortA deed
ocunent No, 3? 7 { _f 1 , and ilrat. I Wel
eatenent, to ,uttJ tAti.th the aboveod the tone ha.t been duly
aA Oounent No. 31 ? a S z- 1 .
l')
t'
lon I lwel have o
on the conat)Lu&on o[ 6aid
(ice o( the Courty Regiatet o[
u)ag
du
edit@
adbed pnopetttl, d
necorlded Ln the 0 (
-Sfi^"rhJl*I
s GNATT'RE otr.SIGNATT'RE OF APPLICABLE)
'ii',''
.?'
f :itt
'; f:':
DATE SIGNED DATE SIGNED
Thls sppllcetLon foru 18 to be eoopleted ln full and algned by the owner(E) of the
property belng developed. Any lnadequaelee t 111 only reault ln delaye of the perolt
lsauance. Should thls developuent be lntended for resale by omer/cootractor, (t'epei
houee") I then a Eecond forn ahould be retelned and conpleted when the propcrty Ls
gold and suboltled to thls offlce rlth th6 approprlsE! deed rccordl.ng.
i_r
H --[, ( rr v^T r^ll6t (^
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GHERTY AND GHERTY, S.C.
TERRENCE M. GHERfiT
MARK J. CHERTYT'
SUSAN SCHLEIF GHERTY
TERESA STROMEN BAIER
IALSO LICENSED TO PRACTICE IN
THE STATE OF MINNLSOTA
ATTORNEYS AT LA'W
THE CONSTITUTION BUILD]NC
JZ8 VINE STREET
P.O. BOX leo
HUDSON, WISCONSIN 540I6-0190
L.\WRENCE P GHERTY
(19r ].1980)
; t t- )8&2l ll
wt & MN s00-292.9]25
FAX/ 7t5.]86-7626August 11, 1994
Mr. Brent Beer
Wisconsin Municipal MutuaI fns. Co.
47 85 Hayes Road
Madison WI 537 04
RE Thomas ,J. & Margie K. Quinn v.
Sam Mi11er Construction, Dougr SErobben Plumbing
and St. Croix County Zoning Office
Case No. 94-SC-565
Dear Mr. Beer:
Thank you for referring this matter to our office. f am enclosing
a copy of our Answer and Cross-Complaint for Contribution.
If you have any questions at aII, please do not hesitate to contact
me. Thank you again for referring this matter to our office, and
allowing us to be of continued service to you and your company.
S i ncere ly ,
GHERTY AND GHERTY, S.C
Mark J. Gherty
MJG/ds
cc: Mr. Greg Timmerman
,
o o
GHERTY AND GHERTY, S.C.
TERRENCE M. GHERTY*
MARK
'.
GHERTY*
SUSAN SCHLEIF GHERTY
TERESA STROMEN BAIER
.ALSO LICENSED TO PRACTICE IN
THE STATE OF MINNESOTA
ATTORNEYS AT LAW
THE CONSTITUTION BUILDINC
]28 VINE STREET
P.O. BOX 190
HUDSON, WISCONSIN 540164190
L,\WRENCE P. CHERfi
(19t ].t980)
715.]86Zl12
wt & MN 8m-292-9125
FAX' 715,186-7626August 11, 1994
Ms. Lori Meyer
Clerk of Circuit Court
St. Croix County Government Center
1101 Carmichael Road
Hudson, WI 54015
RE:Thomas ,J. & Margie K. Quinn v.
Sam Mi11er Const.ruction, Dougr Strobben Plumbing
and St. Croix County Zoning Office
Case No. 94-SC-565
Dear Ms . Meyer:
Please find enclosed the Answer and Cross -Complaint for
Contribution regarding the above entitled matter. Would you please
file the enclosed accordingly.
This matter is scheduled for a small claims hearing on August
15, 1994 at I : 00 O'CIock p. m. In light of the f act that r^re areproviding a written answer, please advise us whether or not it willbe necessary for a representative from this office to appear in
person.
Thank you for your cooperation.
Sincerely,
GHERTY AND GHERTY, S . C
Mark J. Gherty
MJG/ds
Enclosurecc: Thomas J. & Margie K. euinnMr. Greg TimmermanMr. Brent Beer
Doug Strobben plumbing
Sam MiIler Construction
I
o o
STATE OF WI SCONS I N CIRCUIT COURT
SMALL CLAIMS
ST. CROIX COUNTY
THOMAS J & MARGIE K. QUINN
Plaintiffs,
AAISWER AND CROSS. COMPLAINT
FOR CONTRTBUTION
vs.Case No. 94-SC-565
SAM MILLER CONSTRUCTION,
DOUG STROBBEN PLUMBING, and
ST. CROIX COUNTY ZONING OFFICE
De fendant .
The defendant, St. Croix Couinty Zoning Office, in answer to
the complaint of the plaintiffs:
AlIeges a lack of sufficient knowledge or information to form
a belief concerning the truth of the allegations contained in the
SmalI CIaims Complaint, and therefore, denies them.
AFFIRI{ATIVE DEF'ENSES
1. This
have failed to
answering defendant asserts that the plainti ff ' s
mitigate their damages.
plaintiffs state claims upon which relief cannot be2.
granted.
3.
through
4.
with the
The
The plainti ffs have contributed to their own injuries
their own negligence.
It is alleged that the plaintiffs may not have complied
Statutes of Limitations in this matter.
CROSS -COMPLAINT FOR CONTRIBUTION
The answering defendant by way of cross-complaint against
defendants , Sam Mi I ler Construction and Doug Strobben Plumbirg,
respecLively al lege that i f causal negl igence is found upon
oo
defendant, St . Croix County Zoning office and defendants, Sam
MiIler Construction and Doug Strobben Plumbing, and if payment of
any judgment in this action is made by the St. Croix County Zoning
Office then said defendant making such payment wilI be entitled to
contribution according to Iaw from defendants, Sam Miller
construction company and Doug strobben plumbing.
WHEREFORE, the answering defendant demands judgment as
follows:
1. Dismissing the Complaint of the Plaintiff as to St. Croix
County Zoning Office.
2 - For an award of costs, attorney's fees, and such other
relief as may be just and proper.
3. fn the event joint causal negligence is found upon
defendants, St. Croix County Zoning Office and Sam MiIIer
Construction Company and Doug Strobben plumbi Dg, then for
contribution according to law.
Dated this lzth day of August Lgg4.
GHERTY AND GHERTY, S.C.Attorneys for St. Croix
County Zoning Office
/s/
MARK J. GHERTY #1008397
The Constitution Building
328 Vine Street, P.O. Box 190
Hudson, WI 54016-0190
(71s ) 38 6-2332
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,la/uo-4'r-,
Lo{ 2a € /o-r(t/,^r--s eS{. tE
nDS€, *c- /7,794. P.,rts.,
rt. o{ ,/udson,sL.Oary ArrD/-
f
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Erol T
20b,02'
.]
PARK VIEW ESTAT|:S FOURTH ADDITION
A RuRAL stjBuvrsr*rbffflFo,')r{BFu,tii,#i?,}j^fi?,1,fi,"3ER.l1oN 17' rzet'r' Rrew'
PA R (YTEW
!!EtAITEQ LAUqT I
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ESIAIET
u r/4 cmsEcTlol l7r
739r{, Rt9f _q fl -E_ F_ N_-trI_l-.L-A-N-E.N€}
,Yf I
a
TL
5'l agrri./a{|.IEO EirJr-T Etr o{rrer8 SEgr(x ur1.\__
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i
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br.l
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sN
ATES
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lr.ll
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VIEW
Itl J -::.. .'.'
79
)J #..1,
gr
T29t\ Rtgw
91 9{a5 a0
z
N89"52'40"W 4t?oo'OF
5 INNIITG
s89" I 'l|4
ttl
ol
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<t
)t
Ngg"l5'l4'.E 478C/5
iN
o
92C,
LEGENO
O S..'O' CORf\ER M'T,IIEMT, E'RNISEN CAP
r.\ /'t3d'rRc[{ pp€ WEGHNG 365LBs/u[Fr sET. a-L or]fR Lorv ccff.taRs ane snxeo wtTx t"x24' no{ PIP€ wElGHl{G 168 LE,/LIIFT
o 2" tRoN PtP€ Folito
o l" lROl{ PIPE oJt{o
---
UTILITY EASEI,INL IO' lN wlDTH
NOTE, ALL PIPES ARE ROUNO' OIAMETER GIVEN
L a u a s rxlrE' ttt hJ,HfrJt$eiBtXE[E-r5^'i..t^rEt&+J-ifrt H.nt^ff*TttTi.['#%E&*o,6 i.ffi
EEN @TPUTED TO THE VALIJES SIOWN.
Datec this ltr ""y o1 MAc<x ,198a
Revircd thit l5th dav o( April' 193{'
o'r
PARX AZE.E
Snl p
:Ii I
iil!'i
;;i t=
EIEIE
ffiEEf;
S89P2(RECORo€O A3
s Eg?r"to"u )
L0c ON SKETCH
sEcTloNlTr T29NrRl9W
UIo
Z{)
dOtrl A
Fl.{l
JI
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zt
fl rupiSl4E
t50.oo'to
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@
N
N
NSyt o
ooz67.O1'.(,'3o
t.(
Chord
Length
56.17r
135.51
95.35.
90.851
9 I .09t
6 l.3al
I l3.00r
73. 8l r
65.38.
ft5. 5lt
66.42,
7 I .7llol.lar
61.321
I I 3.00r
70 .96 r
69.45t
82.85.
70.ggt
68.85r
6 l.3zl
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v2.
'q,
.(,?\,Mlyt5 E 243
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a
CURVE DATA TABLE
Curve
No.
l-a
3-4
s-6
7-8
8-9
l0- lllr-le
lz- t ll{- l5
l5-l6
Lot Radius
No.
383.00!
107 317.00r
oL1217.003
oL I 300.ocl
oL I 300.00t9l 80.00r- 80.oor
Central
Angle
go 5{r40"
Z4i'4Or56tl
25"z}tooll
I 702 5 r0 8,r
17"27.52t1
,l5o04r l0t'
e ?0008 tz0,'
540 55r25"
18" l4tZ4"
64c 17r38"
45"03 126t'
53n 16126"
45"04r t0t'
4500{t 10"
2 70'0g lz0,'
5z'l-9.24"
5I'zz.l8,'
6t22t26"
5r40r54r'
50'58!18,'
45'0{l 10"
lr rc
Lcngth
66.25'
l 36 .56
96. l4r
g 1.2 lr
9 I .44t
52.93r
377. l8l
76.71?
57.35r
90. e{ I
58.50r
74.38t
6e.931
62.93t
377. l8r
7t.5Zl
? 1.84r
87.09r
73.56r
7l.l7r
62.93t
Chord
Bearing
s40 50 r 5C" E
s24003r02"E
s7tr03r 15,'E
N8d 32r,l0"E
NB'3?tz6 "r,v
NZZ" 38r35"E
NSgo 53r30"W
Nl7"4Zt27"E
N330 52 t5gIW
silg"4l r0 l"w
s32'50tZgi'W
Sld l9t27"g
szz'25r ]5"E
NzZ" 38rf 5" E
N8f 5ir30"w
N 18"50r58"S
N3f lZrZS"W
s89" 52.45',l,V
s3rz 1.05"w
slg"z8.3l"E
szz"25r35"E
Tangent
Bearing
s9048r I 0" E
s36" z3t30"E
N8g"I5rI{"E
N7 1"50t06"E
N0006!30" 8
N450 10r40,'E
s44" 5 7r40" E
s0"06" l0"w
N45'l0r40"E
s{40 57t40" E
Tangent
Bearing
N I lo42r34"w
N65oZ lt4b"w
Nl?o2lrzz"w
o
o
SU
N89"t5 t4 E
UNELAIIEA
9l
9Z
9J
94
95
95
96
4e#r
80.00t
80.00r
80. oot
80.00r
80.00t
80. 00 r
80.00r
80.00r
Bo. ool
80.00r
EO. OOr
80.00t
80.00 r
80.00r
cl6
97
9E
99
lool6-17 100
JAMTJS E. RUSC}I
SURVEYII{G & MAPPING
HUDSON, WISCONSIN Jarr,t c E. Rurch
''-Regieterea Wisconain I ano Surveyor S- 13"5
421 S:conc, Street
Hudron, !t'l 5{0 l5 TH1S INSTRUT6NT ORAFTEO
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Jl
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r.oe7 EFESaca$) sq FT.
I
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CD6
:boq,
ro3
I OG7 ACRES
a6..195 so. Fr.
.dd'f
^p 'ctocist
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to5
r.2r! ACRES
:It.o7t so fY.
a
3C(t@'
I
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408 .-od
(ovewa'ea err.ent
5-i
97
l.rt ACFES
a?. | 6/6 SO. fY.
e8l
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es.asrrso. rr.
:8
iil
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Ir!}
$.@:o'arO
t art
I
I
zo
- i5.@'-
99
t.r96 rcR€s
52rO97 SO FT.
S
I
I
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r rtltr)
I
I
I
ro2
r.067 ACRESa6.a95 SO. Fr.
Ng!r52'40"W 412 od
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Or
orFt
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87
88
I
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89
eoe.m'
206 02
| 6Ot rcFES
,O,O.K, 50. FT.
| 60€ ACnES
7O.O.IO SO. Fr
.t:,88ioor(, N,(, -;it
BB
PTru)
r.oot AcREs
a3.695 SO. FT
90BIot
',
I Ort ACR€Silai558 SO. Ft9l_uJ
z!J jl
I
I
I
I
-t
8lorilrt.ol9 acREs
4rr.38:t SO. FT
.rddeo"ri, *'",rr,
93
:
:
L
;8
iil 94
BI
c,l
OO'i
\:
+5
29P!a'
$.tt,,ao
?99q2'
205 7
r|'?o2 t'!o'lrl
Z0t drivcwar.r15 ACF€Ss.2.6 SO Fr.
95
t.02l acRE3
.t4.460 SO Fr.
r.',! AcR€3
39r7yl SO- FT.
$",
_2$€
tco
r.056 ACnES
{r,rrl(, so. FT.
I
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I
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r'o,oolO
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rl
I t4"w 3@:o9'- _ _ _
rol
t.o3a aciES
/13.893 SO. Fr.
r5000'$i
@rt
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t.o7e acREs
461940 SOFr.
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to8
t.o7r lcnES15.631 SO. FY.
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zfiq2:-
il3
r o5r acFEs
4..908 so. F
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n2
4t2
20602l\;.
I
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I
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I
Ii .^r'd
I O3I ACF€S
44.90C SO. FT
o
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tr
l07
r 2ro ACRES
9.697 SO. FT.
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ernent
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srTlil so. FT.
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8E
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ooo
T5OGooG(D
B
zol
F
E,
lrJ t qi.tts'96
:
F
E6
UI
Zr<l>tEI
lrJlEIal
q
I O34 rCnES{t.oGz SO FT @
,(\!
.r{)
.(o z b'
NaSp E 495 87 N8915't4 -oE
'D@ro
s t4'___+-
BROOKWOOD DRIVE s 89"t5'l4"lV qzo4
.a --"se9'tCt4'w t484 0c 66'
5e-oo'
- - - t66oo--c1zi{'i
--- - r4r704'- --I
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fi
a.\.
ro9 ilo
I 07. ACnES15.793 SO. Fr.
B
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ilt
Lo7a ACRESrrc.79t so. FT.
o
lf)
d
_lrJ
B
}Pvoz
*
=
OUTLOT 1]
=:o?o'@
o
o
(h
6.77r {fifs
29..9.I SO. FT
't or,,
"l
U''
H-@,
Ota,o'
(n
oo't56.Od
s89t5'14"w 4680d
I ta. a t' !a'el
L
J ilESE
8USC1l
'lr,?r't
so"05r30"w
?,
ta
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NANCY KING st€ET I Of e
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laYrff
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sD Fr
PARK VIEW ESTATES FOIJRTH ADDITION
A RTTRAL s.iBDrvrsroN Loc(\r#,,.t JS,,TS.'HA-HStT{iVlEtI#3.,jzNr2eN
, Rrsw,
CERTIFICA'TE OF TOWN TREASURER
STATE OF WISCONSII\{) ccsr. cP.olr couNTY l "
I, Bcvcrly A. Johnson, bcing tho duly clccterl, qurlificd and acting Town Trealurcr
of thc Torrr of Hudron, do hcroby ccrtify th.t iD tccordtncc 'ai!h -tl1c_r,ocordl iu my officc,
thcrc erc ao unpr.id trxc. or rpechl l.tc.trncatr ar of 3/A/ ry
-
on eny iend
lnclu<ied ln thc Plrt of Perk Vlcw Ertrtoe Fourth Addition. ' /
{t/t,
SURVEYOR IS CERTIFICATE
t. lmor E. Rurch, Rcglttcrcd Wlrconrln Lrod Survcyor, hcrcby ocrtify to thG
bcrt of my profrrrionrl knorrlcdgc, undorrtlndrng rnd bahc(:
Thrt I hrvo rurvryod, dtvrdcd rnd mtpped Prrk Vrorr- Ertetcl Fourth Addition,
locatcd in thc NEI/t otiuo-swl/,1 e,nd tnc Nrfl lt4 ot thc sEll4 ol scctlon l7D Tz9N,
R l9U r Toso o( Hudron, St. Crolx County, Wirconain;
Thrt t Irvc mede ruch rurvcy, lend divirion rnd pht by tho dlrection of Darrel E.
lYcrt rnd Bcvcrly A. trYclt, ownGlr oi reld hnd, dorcribcd el followr:
Cornmoncla3 et thc El/4 corncr of rrid S:ctloa l7; thcncc 589'22t08"'1f, (lrrurncd
bcrrilgr rcfcrcocld to thc rnonurncntcd EAST-WEST l/l Scction llnc of Scction l7'
;;;li rrrurnsd Stgzzrog'l,v) (rcc,rdcd rr s3921'40"w on thrt ccrtiflrd Survey Mrp
rccordod ln volurnc l, Prgo igi), trlz'98t rlong rrid EAST-wEsr l/4 scction linc;
ih;;sfoO,fo,w zzi.tliio thG.-poinr of bcginni-ng; thcncc NEt5zr4o"w 412.00'; thcnco
NoeO6I3O',E Zle.OOt tothc Southcrly right-of-wey linc of Grocn Mill Lrnc; thcncc
Xgf sZrfO'\t OO.OOritorrg reid rig(toiryzy linr; -thcncc SfO6t3O"W 259.00r; thcnco
S?t25t52,ff, 19,t.35t; iU."""" S89'i5tl{'W 1-36.7f i thcncc N?5'5?'05"W l4Z.l7r; thcncc
sgil5tl{r.1f, 55s.oot; thcnco Nco6t3o"E 10,t.00t; thcocc sSyl5tl{.w 300.00r; thcncc
No.z.ri36n6 155.60.; ih".r". S89'l5tl{"1,Y 66.Olt; thonco 50'06r30"W 310.03r; thoncc
stg.l5ll4'.1t 15l.0ot; thcnco N().37.5 l"w 54. l8s; thcncc s8rzzto9'lt 148.30r; thencc
soioi;lo"v zoi.ier; ih..r"" N89'l5rl4riE l5o.00t; thancc sCo6r3o"1fl 312.97t; thcncc
N8f l5tl{'tE 150.001; thcncc Southcrrtcrly 66.25r rlon8 tho erc of e 383.00r radiue
curv6 conclvc Northcertcrly whorc chordbcara 54'50l5O"E 65. l?t; thoncc N89'l5tl4r'E
6?.Olr; thcnca Southcrrtcrti 136.55t elong thc arc 9l r 317.001 rr^diur curvo concavc
No::thcettcrly whorc chordt."t" SZ4 O3tOi"E l35.5lt; thonce 536'Z3|3O"E 143' l4r;
irt.""" xl1. l6tlo"e-li,o.iOt; thcnca NEf l5tl,l'rE e43.00'; thcncc sC06'30"'!,Y 108.00t;
ii.rr". S5f 36r30"\f 259: i6t; thtrncc Southcertorly 96.14t along thg1rc- of-l Zl?'00'
redlur cutv. ccncavG Northcerterly whoeo chord bcrrl S?trO3r16"E 95'35r; thcncc
XSitSttf,,E 9Z0.0Ot; thcnca Northo.rrtorly 9l.2lt along-thc rrc of a 300.003 radlue
curvc conclv. Northrrcrtcrly whoro chord betrr N$C32140t'E 90.85'; thcncc North-
i..titiv 91.{{l e1ong thc arc of e 300.00t rediur curvc conclvc Northea-ete-rly whoac
;i;;-;:";.-Nrrzi;O','rr gt.og,; thcncc t{ro6t3o"E 150.00'; thcncc N89'l5rl4rrE
{?8.05ti thcncc NCO6t3Ot'E 83'1.561 to thc polnt of bcginnlng.
The,t ruch plet ir I corrcct rcprctcntation of ell lhc cxtcrior boundaricr of thc
hnd rurvcyod rnd thc rubdlvirion thcreof rnrdc, and
ThrtI}6y6furlycomplicdwiththcprovirionrofC-hepter-2S6ofthalYircongin
Statutcr, thc Subdtwi.iorr.r,d Zoning Rcguirtlonr of St._Croix Countyl ttrc Town of
Hudron Subdlvirion Ordiorncc, endlhc 6ity of Hudrou Subdivirlon and Platting Ordt-
6VCr v own r.1'turer
TOWT{ BOARD RESOLUTION
RESOLVED, thrt thc Ptat of Pe,rk Vlctr Ertater Fourth Addition in thc Town of
Hudron, Dr,rrcl E. trVcrt and 3c vc A. Wcrt, ornGr r, ie hcreby approved by thc
Town Borrd-+1il18+
Dl[c Ipprovcda\%/U-UrD/c Signad
I hcrcby cartify that thc
Board of thc Torn of Hudaon.
5/ ? L .?-f
ss
own rtT|a,n
forcgoing ir r copy of a rcrolution adopted by the Town
'l' u! r'-'--
O\XNERSI CERTIFICATE OE. DEDTCATION
At owncrr, wc hereby certify th.t \re cauecd thc land dcscribed on thic Plrt to bc
surveyod, dividcd, mapped'and dedicated rt rcprc3ented on thir PIat. Wc alro certify
that thia Plat ir requircd by S. 235.10 or S. 236.12 to bo subrrritted to thc following for
approval or objcction:
Departmcnt o( Dcveloprnent
Dcprrtrncnt o( Industry, Labor and Hrrrnea Rclationr,
Torrn of Hudron, City oI Hudacn rnd St. Croir County.
5It;-T o\tn crk
WITNESS thc hand and seal of said ownerr thir
In scnco of:
day of -/' l/.-. 1)-,a
n nco, ln rurvcying, dlvldlng and mepplng tho eemc.
Dercd thtr lS-t dey of Mr:r,x , 1984-d#.dplliru' APriL resr'
{21 Sccond Strcct
Hudron, \Xirconrin 5'lo l6
COUNTY TR EA.sUR ER IS CERTTFICATE
STATE OF WISCONSIN
ST. CROTX COUNTY
/--t,u/ :-'. L v*Derrcl E. lycrtr-1 ,r
*^- --r' t ') '
Bcverly A. ',Yart
STATE OF WISCONSTN )sT. cRotx couNTY )
Pcrsonally carnc beforc me this '- * dry ot
named Derrel E. Wcrt and Bovcrly A.'!Yert, to rne knownto bc thc persont w
the foregoing inatrumcot and acknowledged thc larnc.
thc abovc
ho exccutedSS
[, Mary Jcau Livcrrnorc, boing duly clccted, q'ualified and acting Treaeurcr o(
St. Crolx CountY , do hcraby ccrtifY thet thc recorda r[r rny officc show no unrcdecmcd/2-3/-"tax raict end no unpelJ taxc! or epccirl lt.c..mcnt!ar of
ef(ccting thc lrndr included in thc Plet o{ Perk View Ertatcr Fourth Addition.Notary Public x- - - tL.1-
5. r-rt
Detc
J, -n , Wirconrin My commission expires / ''b,
r/cq ElA,n"Ju
Marv h .J{,tr.r. )icterv hrblic
CERTTFICATE OF TOWN CLERK
sTATE OF WISCONSIN)
)ss
sT. cRolx couNTY )
ZONINC COMMITTEE RESOLUTION
Thlt plat ie hereby approved by thc St. Croix County Comprehenaive Parke,
Planning and Zonlng Committea.
5-,--l--Lq'
Datc
rlrtlal--
Detc
I, Rita lbrnc, bcing thc duly appointed, qual-i(itd t-d actinS Town Clcrk of thc
.."x,'.:'U'i:";,f ,::i:T""St::"J:i'fr 4'!?"l,-i;;i:'"::'ffi .i,.1n'"
tho 20-day limit rct lv i-. Iio. tz tr) (no objecti[nr to thc plat have bcen filed)
(att objcciionr to thc plat havc been met).4-*,
R Hornc, Town ClcrkChai
Adrninl strator
tiftslil's 0fflel,
;I :Q{)lI rT- ll I
fI.- '
.\JAMES E. RUSCH
SURVEYING & MAPPING
HUDSON, WISCONSIN
rJ
JATB A
nuscllHNH,f
.il
I
'rJ!*
IHIS INSTRUMENT MAFTED 8Y NATICY XING sHEEr 2 07 2
a
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(;C/dwnlty Trcarurer
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