HomeMy WebLinkAbout030-1048-20-100STC 10 4
AS BUILT SANTTARY SYSTEM ITEPORT
Ot^INER
ADDRESS ?trt l -tr.'",r')U14,4@X
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suBDrvISroN / csl,tfl 4n ?/?7 IpT f
sEcrroNl7.1 T 30 N-n /? *'Town of
sT. cRorx coUNTY, I^IISCONSIN
Provide setback and elevation information orl reverse of this fortn'
Provide 2 drmetrsior-rs to center- oi sleptic tarrk manltole cover'
PLAN VIEW
SHOI{ EVERYTHING I^ITTHTN 1OO FEET OF SYSTEM
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INDICATE NORTH ARROW
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ALTERNATE BM:
AEPTIC TANK ,/ PUMP CHAXBER / EOI,DIIIG,TANK INFORMATTON
Manufacturer:Liguid capacity:
Setback fEom: well House Jg'- obher
Purtrp : Manufacturer Model #_Size
Float sep eration callonslcycle:
AIantr Location
SOII, ABSORPTION AYATEU
width: ,/)' Len.--+-Nul[ber of
Distance & Direction to nearest pr.op. line:
setback fron: vell:House <.{ other
?/
EI,EIAIIONS
sT Inlet: 92.<S sT outlet a7Building
Pc inlet
Sewer
Pc bottom Pump Of f
Header/l,Ianif old_- %--H._ Botton of system
Existing craa" ?8. / Final grade ?g /
DATE OF INSTALI,ATION:
PLUI.IBER ON JOB:
LICENSE NUMBER:
INSPECTOR:
3/93:)x
BENCHMARK:
1
r4&lT#Q[f".tf, 8,t "IT0SBFLabqatid Human Relationi
.Satety and Euildrngs Diviiion
GENERAT INFORMATION
TANK INFORMATION
TANK SETBACK INFORMATION
PUMP / SIPHON INFORMATION
SOILABSORPTION SYSTEM
H 22'30' bhefl?Esewear sYsrEM
INSPECTION REPORT
(ATTACH TO PERMIT)
ELEVATION DATA A9300308 /ro
Permit Holder's Name:
(RA![!rLEY. BEPIIARD A &lfl'Pv E
O City I village I Townol
srl| - .rrrsllDrf
CST BM Elev.: '
/b0,0
lntp. BM Elev
/bo,o
BM Description:
t5a,. o ar ll w &,.. ! ", . ' '. ",1 )
it
Siate FiEi'ImIC-
ParcelTax No.:
a aa!-1 n, n-rn-r nal
TYPE MANUFACTURER CAPACITY
Septic lle , ks / rtn
Dosing
Aeration
Holding
F5 ELEVSTATIONB5HI
Benchmark lo),{1
Bldg. Sewer
q1.52-5,35st / Ht lnlet
f,L 11, dlSt/ Ht Outlet
Dt lnlet
Dt Bottom
ttL qv.l tHeader / Man
Laq 1L.L3Dist. Pipe
?,r 1 c17Bot. System
Final Grade
9X |tl\1.o3S.JI.J-C c .,
III
II
TANK TO PIL WELL BLDG ventto
Air lntake ROAD
Septic )51)ruh lt'> /g'NA
Dosing NA
Aeration NA
Holding
Manufacturer
Model Number
Demand
GPM
lrtftIflttn Ir iltt TDH FtTDHLift
Forcemain Length Dia Dist To well
MM
BED / TRENCH
DIMENSIONS
idth L Length
111
No. OI Trenches PIT
DIMENSIONS
No. Of Prts lnside Dia Liquid Depth
SETBACK
INFORMANON
SYSTEM TO PIL BLDG WELL LAKE / STREAM LEACHING
CHAMBER
OR UNIT
Manu{acturer
r'jpeot lu44)
System: 7\a{.tqt'3<',4rr nt l+ModelNumber
DISTRIBUTION SYSTEM
Header/Manifold
Length _ Oia
Diitribution Pipe(r)
Length _ Dia Spa(lng _
x Hole Size x l-tole Spa.ing V€nt To Air lntake
solt covER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over
Bed / Trenah Center \o Depth Over
Bed /Tren.h Edger 1.
xx Depth OI
Toprorl
xx Seeded / Sodded
E Yes nNo
xx Mulched
fl Yes 0 No
COMMENTS: (lnclude code discrepancies, persons present, etc.)
IpCATION: ST. {IOSEPH 22\i30. r.9. 18OB^"\
'1 1',.'{t. .' t' r'" 'n,l 'i ' P
2,9'l 1.,'t\ <,'c}I t' *' i\ i+r'u)tP.r. .,.,\ ;115
Plan revision iequired? tr Yt E No
Use other side for additional information.
5B0-6710 (R 05,91)
\---r n1 -I r
_. \c
lo ?3 itd q 6
Oate lntpedor's Signature Cert No
d+
tr trIILHFI SANITARY PER MIT APPLICATION
ln accord with ILHR 83.05, Wis. Adm. Code
-Attach complete plans (to the couqty copy'only) for the system, on paper not less than
81Ax 11 inches in size.
-See reverse side for instructions for completing this application.
I. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
STATE
application
#
to
STATE PLAN I.D. NUMBER
AlAl Y, )/E Yo,qJ,a T ?l-t, N, R /q E @n@
PROPERW LOCATIONOWNER
LOT #I
.SPROPERTY
\
ZIP CODE PHONE NUMBER(als )*r'y-
SUBDIVISION NAME OR NUMBER
"
lq7CITY, STATE:*;;;./t)r
1
2
3
4
5
6
7
8
I
trtrtrtr
tr
lll. BUILDING USE: (lf building type is public, check allthat apply)
13 E other: Specify
ll. TYPE OF BUILDING: (Check one)State Owned
Public 1 or ZFam. Dwelling-ff of bedroor" 3
Medical Facility/Nursing Home
Merchandise: Sales/Repairs
Mobile Home Park
Otf ice/Factory
O30 ^ /O/g " A0 /do
1O E Outdoor Recreationa! Facility
11 E RestauranUBar/Dining
12 I Service Station/Car Wash
ApUCondo
Assembly Hall
Campground
Church/School
Hotel/Motel
lV. TYPE OF PERtllT: (Check only one in line A. Check line B if applicable)
542.
Permit was previously issued. Permit #B) E e Sanitary Date Issued
Repair of an
Existing SystemA) 1.p ru"*- System
Replacement 3.
System
Replacement of
Tank Only
Reconnection of
Existing System
Pressu rized Distri bution
21 E uouno
22 A tn-Ground
Pressure
Other
41 E Holding Tank
42 Z Pit Privv
€ E Vault eiivy
trtrtr
V. TYPE OF SYSTEiI: (Check only one)
Non-Pressu rlzed Distri bution Experimenta!
30 E Specify Type11
12
13
14
Seepage Bed
Seepage Trench
Seepage Pit
System-ln-Fill
2. ABSORP. AREA
REQUIRED (sq.ft.)
L4:<
I g. nesonP. AREA I
f"Iffotsett) l
5. PERC. RATE
(Min./inch)
>-?
ls. svsreM ELEv. lz. rtruel cRADEI I ELEVATIoN
I qZe F""tl o-'""t7
VI. ABSORPTION SYSTEM INFORMATION:
4. LOADING RATE
(Gals/day/sq. ft.)
CAPACITY
in gallons Prefab Fiber-
glass Plastic Exper.
App.
Site
Con-
structed
Steel
T
Total
Gallons
#ol
Tanks Manufacturer's NameNew
Tanks
VII. TANK
INFORMATION
lTYrt /It/.abSeptic Tank or Holding Tank
Lift Pump Tank/Siphon Chamber
l, the undersigned, assume responsibility lor installatjp n of the onsite sewage system shown on the attached plans.
VIII. RESPONSIBILIW STATEMENT
MP/MPRSW NO.
32<7
Business Phone Number:
tYs xzy'?--zzz
Plu ,,s ps)Plumber'stName (Print): tg-,4.fM,il,t/
s
IX. COUNTY'DEPARTMENT USE ONL
-22o/
Fee (lncludes Groundwater
Surcharge Fee)Disapproved
Owner Given lnitialD npproveo
X. CONDITTONS OF APPROVAL'REASONS FOR DISAPPROVAL:
SBD-6398 (tormerly ptb{7) (R. 11/88) D|STRIBUTION: Original to County, One Copy To: Salety & Buildings Division, Owner, Plumber
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BLOCK #
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1
2
3
4
5
b
INSTRUCTIONS
A sanitary permit is valid tor t\ryo (2) years.
Your sanitary permit may be renewed before the expiration date, and at the tinie of renewal any new
criteria in the Wisconsin Administrative Code will be applicable.
All revisions to this permit must be approved by the permit issuing authority.
Changes in ownership or plumber requires a Sanitary Permit Transfer,/Renewal Form (SBD 6399) to be
submitted to lhe county prior to installation.
Onsite sewage systems must be properly maintained. The septic tank(s) must be puntped by a licensed
pumper whenever necessary, usually every 2 to 3 years.
lf you have questions concerning your onsile sewage system, contact your local code administrator or the
State of Wisconsin, Satety & Buildings Division, 60&266-38'15.
To be complete and accurate this sanitary permil application must include
l. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) o,
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. ll building type is Public, check all appropriate boxes that appty.
lV. Type of permit. Check only one in line A. Complete Iine B if permit is lor tank replacement, reconnection, or
repair.
V. Type of system Check appropriate box depending on syslem type.
Vl. Absorption system information. Provide all information requested in #1-7.
Vil Tank information Fill in the capacity of every new and/or existing tank, list the tctal gallons, number of
tanks and manufacturer's name. lndicate prelab or sile constructed and tank material. Complete for a/i
seplic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received
experimental product approval lrom DILHR.
Vlll. Fesponsibility statement. lnstalling plumber is to till in name, license number with appropriate prefix (e.g.
MP, etc.), address and phone number. Plumber must sign application lorm.
lX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specilications not smaller than 8% x 11 inches must be submitted to lhe county. The
plans must include the lollowing: A) plot plan, drawn lo scale or with complete dimensions, location ol
holding tank(s), septic tank(s) or other lreatment tanks; building sewers; wells; water mains/waler service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems: replacemenl system
areas, and the location of the building served; B) horizontal and vertical elevation reference poinls;
C) complete specifications ,or pumps and controls; dose volume; elevation dit erences; friction loss; pump
performance curve, pump model and pump manulacturer; D) cross seclion ol the soil absorption system it
requirod by the county; E) soil test data on a 115 torm; and F) all sizing inlormation.
GROUI{DWATER SURCHARGE
1983 Wisconsin Act 4'10 included the creation of surcharges (tees) for a number of
regulated practices which can etfect groundwaler.
The monies collected through these surcharges are used for monitoring groundwater, ground-
water contamination investigations and establishment ol standards.
s8D-6398 (R.11/E8)
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DEPARTMENT OF
INDUSTRY,
LABOR AND
HUMAN RELATIONS
REPORT ON SOIL BORINGS AND
PERCOLATION TESTS (115)
(H63.09(11 & Chapter 145.0451
SAFETY & BUI LDINGS
D IVISION
P.O. BOX 7969
MADISON, WI 53707
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S rPltvttfttetftkblTY:
oTt ^)ft
p*NAME:U
U
nt*len
MA
ZS5
EResidence
NO. BEDRr\4S.:3 COMMERCIAL DESCR I PTI ON :
NN EIru"* nReptace
USE
RATING: S- Sitc suitable for systom U= Site unsuitable for system
DATES OBSE RVATIONS MAOE
PROFILE DESCRIPTIONS:b-/7 -Os
PERCOLATION TESTS:
G-/7-gs
MOUND:
tsS DUS t]U SDU trS
LDING TANK:
S
RECOMMENDED SYST
€-,e/1
(optional)
lf Percolation Tests are NOT required
under s.H63.09(51 (bl, indicate:
N RATE:
T lf any portion of the tested area is in the
Floodplain, indicate Floodplain elevarion
NC S
OBSERVED
BORING
NLMBER
TOTAL
DEPTTTN.ELEVATION EST. HIGHEST-
CHARACTER OF SOIL WITH THiCKNESS, coloR, TEXTURE, AND DEPTH
TO BES]1qCK !!1 OBSERVED (SEE ABBRV. ON BACK.}
B-l /43
@ lole'NoNL >b*.O<)-6 /L7
6 n.5, f
,'l 54%"-s-<{,s.L.
/79a looBB-z Doru L 75>/1-O
z€-Bn.II 5 57l
L,s6s. l.
6t
tm PROFTLE DESCRIPTIONS 5€3 €rnE
-'/
I
RATING: S= Site,suitable for systam U= Site unsuitable for system
S IJ
MOUND:
trS DU SDU
.FILL
S
OLDI
t]S AU
RECOMMENDED SYSTE (optionall
0rreA
under s.H63.09(51 (b), indicate:
tf n Tests are NOT required RATE:lf any portion of the tested area is in the
Floodplain, indicate Floodplain elevation :
DEPTH TO GROUT\DWATER.INCHESBORING
NLMBER
TOTAL
DEPTFTIV.ELEVATION OBSERVED EST. HIGHEST
CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.}
B-l /42(o oI I Qz NONL 4z>b LguL-",r-l Ur.J,,L, 44r. e,s -eL fu ,
B-z 6'e oo DI /Jons L 75>G ,8,
o1.s.t,'T s,L, 5 JAn. c,s-
B-)5o6 7B 8z A)oNL .ot3 ,*,5.[ .'*rr,s.f,. 5 1r. e,5.
,, 5g(o-787a rr.)o ru t-58
' 9ol.s, L,'4n.s,f , 15 4"r. e. s.
B-5 5Bb ?ao4 )od€->bs3 '%r.s.[ . /4*.s.L , 4"%n. €,.s.
B.
,mp PROFTLE DESCRIPTIONS
PERCOLATION TESTS
€3 €nE
B.
TEST
NIA4BER
DEPTH
fr\rcHES
WATER IN HOLE
AFTER SWELLING
TEST TIME
INTERVAL-MIN.
WATER LEV RATE MINUTES
PER INCH
P.
P.,/,/1 I
P.4 ArL , Z;'t/ t^^r+ U(-
P.a{/')L >tu {/({
P-a /I
P.
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PLOT PLAN: Show locations ot p.rcol.tion t.a$, .oil boring. snd tho dim6n.ions ot ruit.ble $il rre.r. lndicatr 3cal. or disrancer. D*cribc wh6t 6re the hori'
zontrl snd wnical elevation refe.an@ pointa and show rhei. lpcatlon on thc plot plaD. Show the iurface elevation at all boringr and the direction and percrntorend.fope.. l*/ pU Yr 6a e-h q Z "!!_
SYSTEM ELEVATION Lor.t e-t, e).t ?-ra3
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methods specified in the Wisconsinl, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my ge and*,.."r
G*/ L.s/ee/NAME (print)TESTS WEhE cOIIT*IETED oN(r-/ 7 -g
ADDRESS:7SAil.s,it e ,0, /UGzd E"Zrrr^-Jdl .
CERTIFICATION NUMBERzz7 fl
PHON E NUMBER (optional)
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SEPTIC TA}IK }IAINTENAI'ICE AGREETIENT
, Su. Crolx CounEY
;p
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owNER/ BUYER 4E*t
ROUTE /BO-X NUMBER 3/o , Gr*Z.F/EUFtre ttumber
CTTY / STATE ?a-u.ry"/ o,l /zrP 4oz{
pROpERTy LOCATION.'.'t;/ut *./!Z \, SecEJ.on ZZ .,.T3c1 N, R /7Vl ,9t-
Town of i f :ro>eP//, SE. Crolx CounEY,
Sub dtvt e Lon --'/Lo c nr"mb er -- r
-'
€y',*r<e,Z 1ry
i11
Improper us e and matir€enance o f your I eP cLc
lEs premaEure fatLure Eo handle wasEes. Pro
slsu-s of purnplng ouE Ehe sePElc Eank every t
if needed , by a licen's'ed' 's'ept'tg, tank punJper.
Ehe sys Eem cin a e 'qp
menu -sta1e ln Ehe wasEe dl'sposal systed.
BysEem could resulc ln
Der mainEenance con-thfee years or sooner
I^Ihac you puE J-nEo
ptlc Eank 88 a EreaE,
,
Sr. Croix CounEy resldenEg'may
a maxlmum of 6Oi, of the coBE6'
ltgtble Eo recieve 8. granE for
lacemenE of a f alllng BYs Eem,
y I, 1978. SE. Crol-x CounEY.
i980, wluh Ehe requlremenE rhat
keep Ehelr 8Ys tem ProPerlY
wh
cl u
Lch was
cepEed u
in operaELon prlor Ehls program ln Augus
be ef, repo'JuIt of
eEoowners of all new'sLs't'ems agre
malntalned.
The properEy owner agrees Eo. gubmlC to SE. Croix County Zonlng a
cerg]-f itaci6n form, ilgned by Ehe owrrer and by a mater plumber,
j ourneyrnan plumber, re6trlctLd plumber _or a ltcens ed pumper verl--fying thac it> the on-slLe was tewacer dlsposal s.ys Eem ls ln proPer
op"=iting condition and .(2). af Eer inspgcElo_n and _puTPl"g (f f nec-
uirary) ,
-Ehe septlc .tank Le les s Ehan LIZ full of _s ludgu . and s cum.
CerEii:lcaEion fbrur wtII be eenE approxlmately 30 days prlor to
rhree yearexp iraELon .
gned have read Ehe
rJ.vaEe sewage dtsp
forE,h, hereLn, BBesources, CerEtft
he SE. CroLx CounE
explraElon daLe.
{ SIGNED
DATE /0 - /6-73
SE. CroLx CounEy Zonlng Offlce
9ll 4ch St.
Hudson, WI 54016
386-4680
I/l.iE, Ehe unde
Eo mainEaj.n th
Ehe s Eandards
menE of NaEura
and reEurned E
of Ehe Ehree y
above requlremenEs and ag
osal syoEem ln accordance
.seE by Ehe Wlsconsin DePa
caE lon- for:ur mus E b e comP I e
reLeP
seEIR
oE
ear
reewlth
rE-
Eed
dayo
Ho
5
U,
P.'oy Zonlng Offi c e wl thln 3
Sign, dat,e and reEurn to Ehe above addrees.
i APPLICATIOH FOR sAHITART PERHIT
8 TC 100
Thll gppllcrlon forn ls to bs conploto! In full rnd rlgnad by !f,.-oYnrr(r)thc pr;i,rrty bstng ddvcloped. Ani, tnatloguecteg vt11 only result ln delrys
thr irrilrtu larusnce. .girouId thia devilopmenL ba lntended Ior rrrrlo
ovnor/contrrctor, (rpec houso) r then e tscond Iorn rhould bl rrtelnrd
corplrtrd vhon 'tlrc proprrty- lr rold rnd rubnlttrd to thtr oIllcr vlth
rpproprtrtr dctd rGcordlng.
oI
o(
by
rnd
thr
Ovnrr of property Efzru422 4.o/>.24ry',€rz,zz€y'
Locrtlon ot Drog.rty tvdyl &la Ltl, 8rcblon z z- . t 3O x'a 4 u
?oYnr h I p o5
Brl I lng rddrrrr z./o
Oel ?-5?
Mdrrrr oI tltr cok
tubdtvlt Ion nlrt
o ?-. s-
ru
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Lot nulbor
Prrvlour omrr oI proprrty
Totrl rlrr of prrcrl /r. L/ I A,lts
Datr ptrcrl yrt crrrtrd
Arr r11 cornrrr rnd lot I lnrr ldrnil ltrblr? X ,r, I *o
IrthtlproprttybrtngdoYrlopld!orrrrrlr(rprchourll?-YorX,,,
YoluH rnd Pegl Humbrr
--
rt rtcordrd vlth thr Re glttrr o! Dcrdr.
IHCLUOE VITI{ THIS APPLICA?tOH TIIs POLLOVIHCTA Y^trRAxrr DllD vhlch lncludrr r DocuxiHT NuxEBR, voLUxB Axo plot xuxlrR, rndthr SEA! 0r rHt REoISTER ot DBEDT. tn addltlon, a ccrtiiira 'irru.y,
r !rvrllrblr, vould br hcrptur ro er to rvord d!lryr oi trr. r."ii"inf pio".rt. rrthr dttd-d!rcrlptlon rrtr!ancrr to r c.rtt!trd Survry xrp, thr crit'l!tra turvryHrp rhrll elro bc ttqulrrd.
t (v.
I novthtr
thr
P(rtobtr
conto[ t
P ROPI crrtlty thet rll ltrtcmrlrdgrl thrt t (vol am (tntorrnrtlon Iorm, by vlCounty Rrglrttr oI Daedr arntly ovn the propoaed I I
I ntd tn er6cnent, Lo rtrucLlon o( trld n ya tc m,Coynt Rrglrttr
tl nrturt oI Ovnr r
ERTIPICATIOH
forrn trr trur to thr brrt oI ry (our)
!r(r I of the proprrty dtrcr lbtd lnrrrnty drrd rrcordrd ln thr of ( lcr o (
ERTI OlftIER Cntr on bhta
arc ) tha ovnrtur o[ r var Documenb Hte Ior tho Bun vL th thoand tho Elm.ut rt Documo
Or ; end thrt 1 (ve)
cvaga dlaporel ayaten (or I (vo) hrvrabovr drrcrlbod proprrEy, Ior t.hrhrs brtn duly rlcordrd ln tht of ( lcrnt Ho. - l.
Blgnrturr I Co-O
$
p
Detr o( tlgnr ura
c
Detr o 8 tgnr turr
r (lt Apgltcrblr)
(
. 'Ft Oroix County Highrrla,y DeDsrtined
PERMIT FOR ACCESS DRIVEWAYTO COUNTY TRUNK HIGHWAY
DISTRIBUTIOT..I:
l. White - Applicant
2. Blue - Township
3, Crnlry - Counly
Name and Address of App
?on"rJ Fta
Pd, 8a Zd
Pennit Numbcr 7s- lr
C.ounty
s{, G" i*
.g/, ,7"/
licant#/.r
9--.o*.11)1. sY6xf
Town - \tilh!e--€i*-
Torn n of u7
TyPe of Dri veways Number of Driveways Proposed Land Use Com
J P letion D.te
tf I
Iocation of Driveways
V*l sideof thehighway -q2 mtq tlat$ or //6b l,
age Slruclu lf No Drainage Structure, State whyz2m,
e
Quaitrant N,t"/'ilt. Section 2Z- Township 3a North Range t?
Required Drain
l$- o ,C .6 ,"4'
DescriPlion of Proposed Wo.rk (include special reslriclions, intersection clearances, other defails and reference lo
rny skclches which may be attached.)
Z ' fl7,-,-, fnJ-,"//t )?oy'
Any driveways shall be conslructed in accordance with all requirements printed on the reverse side, and any special
conditions .stated herein. The maintenance of lhe driveways shall be the responsibility of the applicant.
lssuance of tlris permit shall not be conslrued as a waiver of the applicant's obligetion to comply with any more
reslrictive requirements imposed by local ordinances.
Approved by St Croix County
3
l
c'T ll.
Highway
tl r"
Commissioner DateH
.l
STATE BAR OF WISCONSIN FOITM 3 - 1982' QUIT CLAIM _DEED
vr?. 716ro,r$$3
. -.+4- -
THIS SPACE RESESVEO FOR RECOROINO OATA
.-V. -} .DOCU MENT NO
.<ua3?18,.1
- . Bg e.e.r- - K-T.+.!.E +.9r-r . - -?. . .i.1.+.9.1.9. . p.+.+-, . . .an d- . B ernard Krattley
quit-claims to .D.e.rs-a.r.-d.-A,..K.r.a.l.l.lev-a/.k/-e..-8..e.-r-B-a-
.. K.r.e.t-lley.. .and.. -!ta.ry. -.8 '...K.r..a.t t Le. y.,.. h.u.s.b.a.nd...a.n-d. ..b1Lf.9 eq . - .
---joint.-tenanls
the following described real estate in
State of Wisconsin:
St. Crolx
REGISTERS OFFICE
5T. CROTX CO., WtS.
REc'd. for Rocord thir ZZno
or_ J'lt 1{}-as
t\,1"
RETUNN TO
Lot, I of Certlfled Survey LlaP recorded ln the Office of
the Reglster of Deeds for St. Crolx County ln
Volume 6 , page .L546 as Document Number 403L97
Said property beLng located in the Northwest Quarter of
the Northeast Quarter of Section 22, T30N, R 19W, Town
of SE. Joseph, St. Crolx County, WlsconsLn.
Said lot belng approxlmately 15.41 acres.
Frjn
T-r
Lt
1S
t
|}ff
Tax Parcel No:
( SEAL)
This
Dated this
(is) (is not) lri
homestead propertY i-n the name of Roger KrattleY.
ls not homestead P e y in the name of Bernard KrattleY.
day of 1s.8.5....
. (SEAL) x.ffi (sEAL)
er..KraI v*
(SEAL) b
+Bernard..Krat-E1ey
ACKNO!1ILEDGMENTAUTIIENTICATION
Signature (s)STATE oF WISCONSIN )I ss.
-.-.-.--?!-:..9:9.i-I-....--.-...countv. I , ,r'
, --Persgnally came before me this ---l----Y-----day of
--.=J---*/-.%--------------,.-, 19-85--- the above named
. - - .Bo g e r - &t aLLLey - . an d. - B e rnard. - Kr a-t I I ey- - - - - -
*
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by $ 706.06, Wis. Stats.)
THIS INSTRUMENT WAS DRAFTEO BY
HEYWOOD., . . CA&[. . e. . MUBRAY. - hy. . Loi-s. . A' - . -Ms.r.rey
Huds o -B: --Wisconsln 54016 Nota
authenticated or acknowledged. Both My
dete:
to me knorvn to. be the person --q-------.- who executed the
foregoing instrument and acknowledge the same.
ST
*
P... Q..... D9 *. .?2.9..r..
( Signatures nray be
nre not necessary.)
kn
slon Is (If not,
-.-..--County, \[is.
state expiration
--f- o n.-tLt
s'rATn n.All oI.' wIS('ONSIN
l:ollM N0. 1_l1lP?
Wirconsin Lecal Blenk Co, Inc.
Illilwarr liee. Wrr.QUIT CLAIM DEED
CountY,
--,::.:----:-'-t:
/"
OCUMENT NO STATE BAR OF WISCONSIN I'O&M 3_1982*i. OU]T CLAIM DEED
rHrS 3P^CE RESEhVED FOi iECOnOlr{C OATA
i1 [03?20,;T\PIGE
lo3,
quiLclaim!to.-...-Dexnar.d-.A-r-.X.r-.a..tt.1.e.y..-a.1
.-- Kre-gtley...end.. Ue-ry--.E-.
...iolnt..tenanta...-.-......-.
.. -Kre-t qleJ.,...hng!.esd.-a.Bd.wlfe as
tho following dercrlbed rcal crtato iu
Stats of Wisconlh:
St. Crolx County,
I.ot I of Certlfled Survey Map recorded ln the Offlce of
the Register of Deede for St. Crolx Cowrty ln
Volnne 6 , page -1546 aa DocuEent Nuuber 403197
Sald property belng located 1n the Northlrest Quarter of
the Northeaat Quarter of Sectlon.22, T30N, R l9I{, Town
of St. Joseph, St. Crolx Cou$ty, I{lsconsin.
Sald lot beiog approxluately 15.4I acres.
#
EGMPT
This -.-.19...-uof --.---.--- homestesd prop€rty.(ir) (is not)
Dated this ..
Tsr Parcel No
re-.85....
(SEAL)
(SEAL)
ACENOuI',EDOMENT
STATE OF SISGO,.'D' MINNES
-.--.-----......-..CountY.Tr ,4cah. beloro De thi! ..-.-&-.....d8y ol
Eley
/,
REGISIERS OTflCE
5T. CROIX co., wls.
Roc'd for Rmrd lttis 22nd
July !-\ 1 085
2:30 P A{"
--- day of --------
.-.... (sEAL)LZ/L', ...a..
Ttlollas Krattl
(SEAL)
AUIEENTICATION
SiSnatur. (r)
autheaticatsd thi! --------day ol------..-----------..-.-.-, 19....--
IIENNEPIN
ie{ Dc,
TITLE! MEMBEE STATE BAR OF WISCONSIN
(rf
HHtl,loOD,..CABI.n .UI,B36Y..by..Io.lF..A.--l r$.ay
P..9,.-.-Bsr...??.9,..8_u-C.g.o.g,_.!.Le-9.9.r.r.q._1.+.....I-+91_9....
(Signatures may be authenticated or acknowledged. Both
are not necessary.)
kn
au by | ?06.06, Wis. Stats.)
THIS INSTRUMENT l/v^s DAAFTED BY
to mo known to be the per8on -----.-----. who ex€cutad ths
toregoing instrument and acknowledge the rame,
a....4.4..a.....9"*;. B<.&...2.,.-8.222.c........
Notarv Public'---E-e-JEl-e-P.14-.-----.------,,-------cou'ty,:lr . !11n
My Commission is permanent. (Il not, rtst€ expiration
date:
.-.-Th9-s*-9.-.{-'--?-L9.+-.-v--
-----------., 19-85--- the above uamed
.J5==-,.-.,..-.-.-..-..-.'..-......,$.1-L....)
fidtu Jl. €nnit
NOIaRY lUtlrC - hll{Nasot^
HINNTPIN COUNITcr9i.i. Mor 15, 198,
STATE BAR OF WISCONSIN FORM 3 - 1982 THIS SPACE RESERVEO FOR RECOROING OATA
il uu3?te,
QUtr cLAtM DEED
r!,- 'i16PAGtt34
fi'
--ioint..tenanf s
the following described real estate in
State of Wisconsin:
St. Croix 0ounty,
Lot I of Certified Survey Map recorded ln the Office of
the Register of Deeds for St. Crolx County ln
Volurne 6 , paBe .L546 as Document Number 4WLg7Sald pfoperty belng located in the Northwest Quarter of
the Northeast Quarter of Section 22, T30N, R l9W, Town
of St. Joseph, St. Crolx Cor:nty, Wlsconsln.
Sald 1ot belng approxlmately 15.41 acres.
REGISTERS OFFICT
sT. CROIX co., wts,
Eec'td. for Record thi.s ---22n1
A.D. Ig 85sf July
----
h
2:30 P &.L
RETURN TO
Tax Parcel No:
F;IiE#5
EXE}/IPT
This - ..1P-.not
(is) (is
homestead property.
.-. day ofDated this .-
q^
... (sEAL)u\._
. . . . P.e.ee.1e.e.. K.re!.!.}.e
ACKNOWLEDGMENT
STATE OF WXIGfiNSIOI UTAII
0 ( sEAL)
t
*
.. (sEAL). (sEAL)
AUTIIENTICATION
Signature (s)
authenticated this --------day of-, 19------
Sal-t Lake ss.
.. .q,lLday or
the above named
P
County.
ally came before me this
ratt,le ..., 19.85-.-
Do
'l
TITLE: MEMBER STATE BAR OF WISCONSIN
by $ ?06.06, Wis. Stats.)
THIS INSTRUMENT WAS DRAFTED BY
to nre known to be the
for lng l ment and acknowl
*...-.De-hhie-.: -...
H EYWOOD., . . CA&I. _ 6. . MUBBAI. _ by. . Loi.s. . A.. . Mu-r.r.ay
P . Q.._ . . E g r. . Z ? 9. _, . .ILe-4.e -e.r], - . ILl.s. .q.e.+.q.i n 54016
lll i i;
'',
....\
Nota
My
date:
ry Public -.. -. ---Sa-LL. J-alce.-,
Commission is permanent. (If
...+16J.,ttt
QUIT CLAIM DEED s'r \1't.: n AIt or.' wrs('olist N Wireon:iin Legel Blenk Co. lnc
t Inli
lbocuMENr No.
t
'i
ii
,1
i.
+
(If not, ---
authorizcd
(Signattrres may be authenticated or acknowledged. Bothare not necessary.)
kn
, . . J-u4g-..15-r=----..
llrrrr, ,'
t
4 ( lltSfT
CERTIFIED SURVEY MAP N
t!
ro\r
o'
LrJ
m
R'
FIq
too
a
I
aj
l-
(.)
5
=
N
q
n
aoo
z
Located in the NW l/4 of. the NE I/4 of. Sectior. ZZ, T30N,
R t 9W , Town of St. Joseph, St, Croix County, Wisconsin.Surveyed for; scALE rx 7EETBernard Krattley
N I /4 Corner -UI{.P-L4ITED !4NPE
I I /2rr iron pipe found
N gg'55', 05 " E 1276. 50 '
s89 55 '05 " W 1?92 .97 ',
UNPLATTED LANDS +
LEGEND
COUNTY MONUMEIIT
,"x2a' Rour{D rnotr PIPE wEtolrt{o
f.c8 LBg. /7T. g,t
DESCRIPTION
A parcel of land located in the NW L / 4 of. the NE L /4 of. Section ZZ
SE CORNER
T30N, R l9W, Town of St. Joseph, St. Croix Count Yt Wisconsin, moreparticularly described as follows:Beginning at the N | / + Corner of saidSection ZZ; thence N89o55t05''E (as sumed bearings referenced to the monumentedNorth line of said NE | /41 1276,S 0f to the V/est right-of -way 1ine of Count
50
TU
rny
0)
ocrnNltul
f.
vr\
12'
v,o
2,
J
o
u,Ft-
5
o.z:)S llq Corner
position e stablishedfrom lf'tie pipe o
vT runk
67t
Highway
Nggol5lthenc e
ItIrr' thence S0043t Z3ttE 438.40 r al said right -of -way line;ong
46t;37 tfE 8.00r; thence S0o43t?3rtE 8': .thenc e leavin g said right-of -wa y line S89o 55f 05r'W l?82.87r to the \[est line of said NE I la;the nc e
NOo5 4r02"W 525.79t along said West line to the point of beginning, containing
,374 square fuet ( 15.41 acres) (596 ,962 square feet or 16.00 acres to theEast line of said NW I /4 of. the NE | /+ it t he County Trunk Highway is evervacated)
record.
and being subject to all easernen ts, restrictions and covenants of
I, Jarnes E. Rusch, registered r$/isconsin Land
that I have surveyed and rnapped the above desc
rnap is a true and correct rept esentatiorr cf the
Surveyor, hereby certify
ribed property; that such
exteri<-rr boundaries of theIand Burveyed; and that I have cornplied with the provision
of the wisconsin Statutes, the St. Croix County Subdivisio
Town of St. Joseph Subdivision Ordinance to the best of m
knowl e d Ea, un standing and belief .
of Chapter 236 .34
Ordinance , and the
profe s sional.
APPROVED
a
n
vd
u c
tll
CO
s U
JUL 03 1eB5
SI. CROIX COUNIY
^tl'i{El
lEr.lslvE PAnKs PtANt{lNG
^T{D
IOI{ING COIAMIITEE
Land Surveyor s-1376
Sg.
Hudson, Wisconsin 540 l6
485 -840
June 24, lgAS
tt >s
D
Thie map i
*t,+q
or
ta
a e
s hereby approved by the Town
Carolyn
Board o
rrette, Clerk
Point of beginning
b
c)
mrir
;,
roN
u)
N ogolc'J7t'E
lrJ
I
'r)N
1ot
oo
v,
LOT I
67 1,374Sq. Ft. (15.41
excluding road right-o
x
re";E
-ro
t
N
@
JAMES E.
RUSCH
9t316
lfudso$ffr
Vol umo 6 PaPe 15116
he Town of St. Joseph.
(\,
1Ir)
lo
I'
J es E.
lttrlttt I
ri}ST. CROIX COUNTY
WISCONS!N
ZONING OFFICE
Sr. CROX @UNTY GOTERNMENT CEI,ITER
1101 Crrnlchaol Road
Hudeon, W 5401S7710
(71s) 386-4680
December 14, L993
Hartman ConstructionP. O. Box 326
Somerset, WI 54025
Dear Sirs:
on Novenber 10, 1993, a code conplying septic system was installed
on the Bernard A. & Uary E. Krattley property, by Kim A. O,ConneII,
I[{PRS03259. The property is located at the NW 1/4 of the NE 7/4,Section 22, T30N-R19W, Tolrn of St. Joseph, St. Croix County,I{isconsin. The system was inspected at the tine of installation,and was found to meet code requLrements.
Should you have any guestions, please contact this office.
Sincerely,
Mary J. JenkinsAssistant Zoning AdninistratorLic. #4626
L-ErT