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Home My WebLink About040-1025-95-000 (2)Wisconsin Departrnent of Industry, SOIL AND SITE EVALUATION REPORT Page.L of -3 Ukar and Ciuman Relations rfmision of Safetv & Bulldlnas COUNTY Attach complete site plan on paper rat less than 8 1/2 x 11 inches in size. Plan must include, but PARCEL I.D. # not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. REVI DATE APPLICANT INFORMATION —PLEASE PRINT ALL INFORMATION PROPS OWNER: PROPERTYLOCATION &4L GOVT. LOT 1/4 1/4,S T ,N,R k/(or�NJ PROPERTY OWN ':S MAILING ADDRESS LOT # BLOC # SUBD NAME OR CSM # CITY(STATE ZIP CODE PHONE NUMBER []CITY ILLAGE LffrOWN NEA EST ROAD j) New Construction Use p(] Residential / Number of bedrooms ] ] Addition to existing building pQ Replacement ( ] Public or commercial describe Code derived daily flow t-142 gpd Recommended design loading rate . '2' ad, gpd/0—S trench, gpd/ft2 Absorption area required '� bed, ft2;YO trench, ff2 Maximum design loading rate _bed, gpd/g_,Z trench. gpdht2 Recommended infiltration surface elevation(s) g,7 �S R (as referred to sitff plan benchmark) Additional design / site considerations Parent material n, , k Ya, E 7 5, 4 ,. Rood plain elevation, if applicable _ ' It S = Suitable for system CONVENTIONAL 9S ❑U I MOUND MS ❑U IN -GROUND PRESSURE cis I AT -GRADE EIS ®U SYSTEM IN FILL ❑S ®U HOLDING TANK ❑S ®U U= Unsuitable forsstem 'Nu Boring # Ground elev. Depth to limiting factor i�'� Boring # =T€ 4 SOIL DESCRIPTION REPORT .• . .- MIMM MM��■��■r�r�ss Remarks: Wl.", 1 -V ,2!a 4 r (.,./ � ffffff�ff��ll•�i�� Depth to limiting factor 1."TUMN" PROPERTY OWNER—'Aa,r'< �,,,F �r SOIL DESCRIPTION REPORT Page..---,) of PARCELIA Boring # Ground elev. L ft. Depth to limiting factor Boring # nq Ground elev. ft. Depth to limiting factor Remarks: Boring # r.{ Ground elev. ft. Depth to limiting factor 14 Remarks: Boring # Ground elev. ft. Depth to Iimiling factor Remarks: SBD-9330(R.05/92) I ILA __r I I , e I t I I I i i L II I I I I I C STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER �e�ES L�1�iiRPT ADDRESS SUBDIVISION / CSM SECTION _-N-R W, Town of��/ ST. CROIX COUNTY, WISCONSIN LOT Ir Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK - ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: 4/,5Ee'c Liquid Capacity: Setback from: Well 4z ftouse�Other Pump: Manufacturer /-�,„161Z Model$ j jl�Ij* Size Float seperation_P Gallons/cycle: L7 Alarm -:SOIL ABSORPTION SYSTEM Width: L2 Length y6 Number of trenches Distance & Direction to nearest prop. line: 111Ai Setback from: well: ^9<_ House 7,_,�?, Other ELEVATIONS Building Sewer ST Inlet. .9/),-�/R ST outlet �� PC inlet •S/ PC bottom .jcS 25-_7 Pump Off _ Header/Manifold _ Bottom of system 9,;,?/-g_ Existing Grade Final grade DATE OF INSTALLATION: - 7- - PLUMBER ON JOB: � - LICENSE NUMBER: INSPECTOR: 3/93:]t I"rPrfCOlt�rTT7lpdrtfritRQ 6f IrlOtlitr�B Labor and Human Relations Safety and Buildings Division GENERAL INFORMATION 19.86B PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) Permit Holder's Name: ❑ City ❑ Village i7 Towno C T BM E ev.: , Insp. BM Elev.: BM Description:7C /G�),, /GJ 1� os y� l TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing G' Aeration — Holding TANK SETBACK INFORMATION Q °: I i %�Y PUMP/ -SO 't Manufacturer TANKTO P/L WELL BLDG. Ventto Air Intake ROAD Septic �50' / 7i NA Dosing �/� >50 3' >� NA Aeration NA Holding Model Number (,'6 GPM TDH I Lift 5 Friction 5 - %Stenln TDH B 6PtFt LOSS Forcemain Length,9p Dia. �" I1lDist.Towee >, p SOIL ABSORPTION SYSTEM County: WTX Sanitary ermit o.: State Plan I 0 F. Parcel Tax No.: /J DYA A� ELEVATION DATA A9300278/o/07/t� F- STATION BS HI FS ELEV. Benchmark Bldg. Sewer St/A Inlet /0"!70 St/ bK Outlet /, 0y' Dt Inlet /, yy P956 r Dt Bottom S,V/ ' ?5 5Z Header. 7. 7 ag' Dist. Pipe 7. Bot. System 9, a7 2. 68 Final Grade �.°' BED /TRENCH width Length No.Of renches PIT - No. Of Pits Inside Dia. Liquid Depth DIMENSI INS 6 DIMENSIONS SYSTEM TO P/ L I BLDG WELL I LAKE / STREAM LEACHIft, Manufacturer: SETBACK CHAM Type R Se i 'i/G8 � 50 Mo Num er: INFORMATION System: �( 76 IL4 UNIT DISTRIBUTION SYSTEM Header/ Aug // Distribution Pipes) ,/ x Hole Size x Hole Spacing Ve e Length 61 Dia- Length Z Dia. Y" Spacing rG SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Syste my Depth Over Depth Over xx Depth Of ed/Sodded xx Mulched o., Bed 41215eh Center 3p -f�� p Bed/RoSelrEdges 3 -' f// y Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: TROY 06.28.19.86B�% / Plan revision required? ❑ Yes 0'90 Use other side for additional information. SBD-6710(R 05/91) 0�� SANITARY PERMIT APPLICATION O�LMR In accord with ILHR 83.05, Wis. Adm. Code COLINTv - STATE Syyyy{{{{��TARP PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than Q'�� 8'% x 11 inches in size. u Ch k If vision Io vtous application TA -See reverse side for Instructions for completing this application. STATE PLAN I.D. NUMBER I. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PRO TY OWNER PROPERTY LOCATION '/. Y., S N, R 19 E (or) PROPERTY OWN 'S MAILING AD RE LOT # BLOCK # CITY STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER Cl CITY N ST ROAD It. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ VILLAGE No �RWNOF ❑ Public "1 or 2 Fam. Dwelling4of bedrooms f PA ELTAXNUM ) III. BUILDING USE: (If building type is public, check all that apply) Q ye- le-2 5 - 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line 8 if applicable) New 2. jnj Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an A) 1. ❑t System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # — Date Issued V. TYPE OF SYSTEM: (Check only one) Non -Pressurized Distribution Pressurized Distribution Experimental Other 11 Seepage Bed 21 ❑ Mound 30 El SpecityType 41 El HoldingTank 12 Seepage Trench 22 ❑ In -Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PEW7 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./i ch) ELEVATION / Feet Feet VII. TANK INFORMATION CAPACITY in allons Total Gallons #of Tanks Manufacturer's Name Prefab. oncret Site Con- Steel Fiber- glace Plastic Exper. App New isti Tanks Tanks strutted Se tic Tank or HoldingTank - ' - Lift Pump Tank/Siphon Chamber Rno- VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber' Nam (Print): Plumber's ign lure, No mps) MP/MPRSWNo.: Business Phone Number: ) 7 / � - - i P uen s Addir (Street, City, State, Zip Codey/ IX. C NTY/DEPARTMENT USE ONLY ❑ Disapproved SrItary Permit Fee (Includes Groundwater itsIssued Issuing Ag Approved ❑ Owner Given Initial Surcharge Fee) - [;'2';,7 =re( Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety 8 Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer`Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tanks) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 yeF.rs. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. 11. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in 41-7 VII. Tank information. Fill in the capacity of every new andlor existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for aU septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. Vill Responsibility statement. Installing plumber is to flit in name. license number with appropriate prefix (e g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8'b , 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers, wells, water mains/water service, streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points, C) complete specifications for pumps and controls, dose volume: elevation differences: friction loss; pump performance curve; pump model and pump manufacturer, D) cross section of the soil absorption system :f required by the county, E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/B8) �IAa�Es� p�am/o,Pl "� 3� �.veCJ;tom D,C �eJYV h1A)X/ e �,TdB.t; l9W / . ,�EwYi1 /1%,tRSc'- S•//c�.� .�isEp.,�.,� G/,;Jcv�J-.F[/Gda " 9-,, 4/- QA !sad AK. ►A6 C or ;... . �Crns�:. SceEtot, .off A Q��. fiys�r�, / • FloHl Ah looli. :e'-Vpe►opM PIPe `i •y - Q:0-Alllwld vow Cy E. • IIYd�� N° AMN � i. w • go. di•Above fl► ado Cow Ydo ' Is raw good.. lww .ryd . ' MYM Iwr Of Inlwll/ CwrMs 'n'•, , •• , ' Y t*A •.b IyiM.d ....r;. s. •• tMrwMrlNd �' ApNpN . ' bwoo Iyo r-- r Prupc�c� Fif%4.1 9rAdc ' •��ItJw� iorr rof A66RC6A1R -1--' ELEV. oFV—wd6Z"fELT, O1t7N1aETiou PI/L yet / /wlwdpd Pope Ywd.' �Cr.dlMd irrW.IMt w sell" CI $1/100 oeYt MINI AGcRCGATC. APPROYCO fylmpItTIC cove ��MATERvo- OR V OF s-ram. '�1 \ ��ai il�ddGf%ti OISTRIpIJ71g67 ►•?C-•To OC A7 4C4S7 • 3f� 11JCNC3 6CLOW ORIG'1►Jwl, •;rtw0[ Ayy AT. ICASTeO IWCHLL WT WO MORC THAW 42 IUCNCS OLL.OW IIAIAL CIIAOL f tWIMUA OEPT.H OF EXCAVATIOP FXoM okiGtMq� 6it�oE wt��, at 1c2_ wcllCs 1YN1r1Up AEPr11 OF E CA�ATIGN fRoM o{161Nq� �,RtipE wtt.l- aC +�� IWcHts s I .) SIG W CO: �ti a LIcCWS[ UUMSCR:-?7S`9' do 'l ..,f . r ! J.4 mfS 4(C.I. VENT PIPE ?: 95' FRQM DOOR, WIUDOW OR FRESH AIR INTAKE IB'/IIN. IULET 1 APPROVED JOIN-T A EXT[WDIN¢ 3' ONTO SOLID SOIL B CP-hC AND VENT CAP WEATHER PR01 JUNCTION BOX GRADE C 7j Lri PROVIDE AIRTIGHT SEAL PUMP --� CONCRETE BLOCK PAGE 3 OF21 APPROVED LOCKING MANHOLE COVER 4° MIN. I MIN. J------- =-7 APPROV E D JONTS W/C.I. PIPE I EXTENOING 3' ONTO SOLID SOIL -- RISER EXIT PERMITTED ONL`J IF TANK MANUTACTURER HAS SUCH APPROVAL SPECIFIGATIOU OSE TANKS MANUFACTURER: (DUMBER OF DOSES: :7- PER DAy TANK LIZE: GALLOWS DOSE VOLUME: GALLONS ALARM MANUFACTURER: '/ t CAPACITIES: Pm ;�?7 WCNES OR ri? GALLONS MODEL DUMBER: B=aZ_INCHES OR ''3— GALLONS SWITCH TYPE: Cv�INCHES OR 171 GALLONS PUMP MANUFACTURER: D. INCHES OR Z6 CALLOUS MOIIEL NUMBER: A),co iMly NOTE. PUMP AND ALARM ARE TO BE bWIICH TbIPE:. f L IUSTALLED ON SEPARATE CIRCUITS PUMP DISCHARGE RATE GPM® AD VERTICAL,DIIF'ERENCE bETW[EN PUMP OFF AND DISTRIBUTIOy PIPE..FEET •F MINIMUM NETWORK SUPPLH PRESSURTE�. ...•. ./Vl. . . . � FEET + �� FEET OF FORCE MAIN XF/ looFiFRICTION FACTOR.._ FEET TOTAL OtIMAMIC. HEAD = ^ Lam FEET INTERNAL DIMEXISIOMS OF TANK: LENGTH ;WIDTH ;LIQUID DEPTH_ 91GlJED: LICENSE NUMBER: r/ DATE:19 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Labor and Human Relations Division of Safety & Buildings ,,,,, M ...;.., a uo oa nc Ukfi� AA.., rr..ao Page_of 3 COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but PARCEL I.D. # not limited to vertical and horizontal reference point (B", direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION —PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPEr OWNER:_hj PROPERTY LOCATION GOVT. LOT ,) 1/4 J 1l4,S T ,N,R i(or PROPERTY OWN ':S MAILING ADDRESS LOT # BLOC # SUBD. NAME OR CSM # CITY TATE ZIP CODE PHONE NUMBER 1 ) ❑C I LAGE [$]TOWN NEA EST ROAD [ [ New Construction Use pd Residential / Number of bedrooms [ ] Addition to existing building bd Replacement [ ] Public or commercial describe Code derived dairy flow 4/On gpd Recommended design loading rate jibed, gpd1ft21S--bench, gpd/ft2 Absorption area required �_ bed, 1112, trench, 1112 Maximum design loading rate _.7bed, gpd/ft2yg_bench, gpdrit2 Recommended infiltration surface elevations) g,% _3� It (as referred to sit/� plan benchmark) Additional design I site considerations FYtIA 7fna i (no Pm^ F si.�c Siry ✓ q�C,lw. _ Parent material r _Lr ,l Yes 7 4.qA —� �� Flood plain Nevation, if applicable _� , It S = Suitable for system CONVENTIONAL I MOUND IN -GROUND PRESSURE I AT -GRADE SYSTEM IN RLL HOLDING TANK U=Unsuitable for stem ®S ❑U ®S ❑U CISJ]U ❑S ®U ❑S ®U ❑S Egli Ground elev. Depth to limiting factor Ti 9 J Ground elev. = ft. (Depth to limiting factor SOIL DESCRIPTION REPORT =M i�� Remarks: m Phone: Date: CST Nut PROPERTY OWNER _'Au..'c SOIL DESCRIPTION REPORT page_--) of PARCELLD. M Ground elev. M ff. Depth to limiting factor Boring # Ground elev. It Depth to fimifing facorr Boring # [3 Ground elev. —ft. Depth to linAng factor Remarks: Boring # a Ground elev. ft. Depth to fimieng fam M M M Remarks: I I 7 -. i I � Y I, -+- i lilt jj a I I i / All I i I II T SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER OPSMeS O COt1F< tL-,r ADDRESS: 30 IRE NO: 30 5 LOCATION • uW 1/41 U W 1/4 SEC. 6 TZfl N-R 1q Ws TOWN OF:—t'iLo�( ST.•CROIX COUNTY i SUBDIVISION: LOT NO. '%fr Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you Put into the system can affect the function of the septic tank as a treatment stage in the waste disposal systems St. Croix County residents may be eligible to receive a grant to help with the cost of the replacement of a failing system, which was in operation prior to July 1, 1978. St Croix County accepted this program in August of 1980, with the requirement that owners Of all new systems agree to keep their system properly maintained. The property owner agrees to submit to the St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman. plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating *condition and (2) after inspection and Pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification from will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned have read the above requirements and agree to maintain the private sewage disposal system -in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification form must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: V DATE: $13o Q 3 St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 STC-100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. s thi, development be intended for resale by owner/cohtractoShould ld this spec house), thenta second form should be retained and completed when the property' is sold and submitted to this office with the appropriate deed recording. Owner of property j*Mr,-S C� 3 C0"VZ-0q;T Location of - propertyt,\)w 1/4 MW 1/4, Section 6 , TZS N-R 0 — Township _TQ-Oy Mailing address 305 X21US( , V I F,W 'DiL%kirc o v.) W 1 S 4011 Address of site tiR1C.frvC, KoPrU*-'9 Subdivision name N f/A -------Lot no. Other homes on property? yes--'X _No Previous owner of property Jboh'ES 1i• Bayb S'a Total size of parcel $ 1S '"Cvm S Date parcel*was created _ 1917 Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)?_Yes -�J-No Volumes`() and Page Number (Zl; as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & TIIE SEAL OF THE REGISTER OF DEEDS. ,In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. B384 (m'SI , and that I (we) presently own the proposed site for the sewage disposal system iNul we Nbn e mentruy the, gve d see props nst ction of s d s m a the ame h been ,1**,,ned o. in he o ce o Count Re i er o! eeds s Document Signature of a plicant Co -applicant 193o'ct 3 Date of Signature Date of Signature 1 2 3 4 s 6 7 e .;a 4681 q.@Uo FM REGISTERS OFFICE ST. CROIX CO., WIS. Rec'd. for Record this 6th day of August A.D. 1916 i BY THIS DEED, James H. Boyd, Jr., <nd the First Trust got 541 ►Ai;16 QUIT CLAIM DEED Company of Saint Paul, as Co —Personal Representatives of the Estate of James H. Boyd, Sr., a A /a James Hinds Boyd, Sr., aA /a J. H. Boyd, Grantors, quit —claims to James 0. Comfort and Helen J. Comfort, husband and wife, as joint tenants, Grantees, for a valuable consideration the following described real estate in St. Croix County, State of Wisconsin: All that part of Government Lot "I", Section 1, Township 28, Range 20. and that part of Northwest Quarter of Northwest Quarter of Section 6, Township 28, Range 19, described as follows, to -wit: Beginning at an iron pipe monument set at the intersection of the South line of said Northwest Quarter of Northwest Quarter with the Westerly right of way line of the C. St. P. M. g 0. Ry. Co. and running thence Northwesterly along said right of way line 936 feet to a point on said Westerly right of way line where said right of wav line intersects a line drawn parallel to and 236.5 feet East of the Westerly line of said Northwest Quarter of Northwest Quarter, thence Southwesterly by a deflection angle of 46 degrees and 24 minutes from said parallel line 562 feet, more or less, to the Easterly shoreline of the St. Croix River; thence Southerly along said Easterly shoreline of said river to its intersection with the South line of said Government Lot "1"; thence East along said South line of said Government Lot "1" and the South line of said Northwest Quarter of Northwest Quarter 1104 feet to the point of beginning, excepting therefrom that part in the Northerly corner thereof which is included in the folloking described right of way: But with a perpetual easement for non-e:.clusive use as a right of way a 30 foot roadway, the center line of which is described as follows, to -wit: Beginning at a point on the Westerly right of way line of County Road "f" formerly Wisconsin State Highway "35", said point being 735 feet South of the North line of said Section 6, and running thence West on a line parallel to and 735 feet South of said North line of said Section 6, 2381.9 fret. And also, That portion of the Westerly Half of the 100 foot right-of-way of the Chicago, Saint Paul, Minneapolis and Omaha Railway Company (former Hudson to Ellsworth line) over, through and across the Northwest Quarter of Northwest Quarter of Section 6, Township 28, Range 19, except such portion of said Westerly Half of said right-of-way over, through and across said Quarter Quarter as was conveyed to others by deeds recorded in Book 427, Pages 286 and 247, and in Book 433, Page 345. Subject to easements, restrictions, covenants and mineral reservations of record. i VOL 541 1 I' 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 BOAR. DRILL NORMAN a BAKKE Al...N[AT LA. N(A 1 RICNYON WIKAIIAIM s0) i A IA )• Tal 1M4111 i and W. G. Kochsiek, Assistant Secretary, ?resident of First Trust Company of Saint Paul to me known to be the persons who executed the foregoing instrument and acknow- ledged the same in their respective capacities as Co -Personal Representatives of the Estate of James H. Boyd, Sr., a/k/a James Hinds Boyd, Sr., a/k/a J. H. Bcy6. Notary Public, Ramsey County, MN My Commission expires .,a .Nr rutl•. .. y - � COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 FAX - 715 - 962 - 4030 ST. CROIX COUNTY GOVERNMENT CENTER 1101 CARMICHAEL ROAD HUDSON, WI 54016 ATTN: THOMAS C. NELSON CoLiform Bacteria/100 ml Nitrate-Nitrogent mg/L OWNER: LOCATION: REPORT NO.: 47751/01 REPORT DATE: 8/27/93 DATE RECEIVED: 2/26/93 James 6 He Len Comfort 305 Riverview Dr., Hudson COLLECTOR: Jim Thompson DATE COLLECTED: B-25-93 TIME COLLECTED: 1:34pm SOURCE OF SAMPLE: Kitchen faucet DATE ANALYZED:8-26-93 TIME ANALYZED:2:00pm COLIFORM,MFCC: 0 /100 mi. INTERPRETATION: BacteriologicaLly SAFE NITRATE-N: 5 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. LAD TECHNICIAN: Pam Gans 0 RECEIivEO Luc � o �ao3 co ST CFlOix COUNTY ZOMNGOPpiGE 9 C WI Approved Lab No. 19 Means "LESS THAN" Detectable Level Approved by: PROFESSIONAL LABORATORY SERVICES SINCE 1952 PAGE 1 I3-93 ST. CROIX COUNTY �tol Cam, Q WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, W154016 SEPTIC INSPECTION / WATER TEST REQUEST FORM Specify desired test(s) & remit appropriate fee with application. Outside water lines are often turned off during winter months, making access to the home necessary. Please make arrangements with this office to insure a time when entry can be gained. O Water (VOC's) $185.00Septic_ $25.00 Water (Nitrate � & Bacteria) $35.00 isual inspection) Owner..4, AWES 4 9MVQ Cot fr0V f Requested by: ` Address: SOS 2We4L%31QJW QTL Address: 7 D J City & State: i.PMOO ,Wt City Zip Code: R01(. Zip Code: /C Telephone N°: to24 Telephone N': Property address (Fire W & street) : 3t)S ( kwlpmw OiL. Location:v3W S,Nw i, Sec. (� , T 1q N/R �W, Town of'�'R.� St. Croix Co., WI. Tax ID N'�b �bParcel ID M s�+� 011 House color:&U1 Realty firm: Lock Box Combo: ,lunx e Water sample tap location: 0 1 TO BE COMPLETED BY PROPERTY OWNER *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF HIS FORM Is the dwelling currently occupied? If vacant, date last occupied: Septic system installed by: Septic tank last serviced by: Previous Owner's Name(s): O Yes 0 No Have any of the following been observed? �� OY ON Slow drainage from house. OY ON Sewage Back-up into dwelling. OY ON Sewage discharge to ground surfs road ditch or body of water. — ❑Y ON Slow drainage from the dwelling. OY ON Foul odors. m other comments relative to system operation: I certify best of my that the above knowledge. OWNERS q3 3 i01 information is complete and true to the SIGNATURE: DATE: 4/93 0 uelr' OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION 1 IN TO BE COMPLETED BY INSPECTION AGENCY System design &/or permit on file? ❑Yes ONo Soil series per SCS Soil Survey: sheet # Type of soil absorption system: ❑Below grd OAt-Grd ❑Mound Approx. size OGravity ❑Dose OPressurized _'X ❑Bed ❑Trench ❑Dry Well Molding Tank 00utfall pipe OBSERVED DEFICIENCIES ❑Other ❑Unknown Septic tank Setbacks: OHouse ❑Well ❑Prop. line ❑Other Dose tank Setbacks: OHouse OWell OProp. line ❑Other Mocking cover OWarning label OPump/Floats OAlarm OElec. wiring Soil Absorption System ❑Well ❑Prop. line ❑Other Setbacks: OHouse ❑Ponding: ❑Discharge: General comments: ST. CROIX COUNTY �. WISCONSIN �� REum"[y ZONING OFFICE ST. CRT COUNTY GOVERNMENT CENTER y ° 20011 I 1101 Carmichael Road '�R,-A % Hudson. WI 54016-7710 (715) 386-4680 .v.nny�r�F{tl SEPTIC INSPECTION / VATER,TEST REQUEST FORM Please specify desired test(s) & remit appropriate fee with application. Outside water lines are often turned off during winter months, making access to the home necessary. Please make arrangements with this office to insure that entry can be gained. Water (VOC's) $200.00 ❑ Septic_ $125.00 e Water (Nitrate & Bacteria) $55.00 ❑ Nitrat& Bacteria Water (I•eadConceentration) $21.00 retest $15.00 Owner:,T&,��/n� /1/7-7-:F-� Requested by: Address: O0.5 !J ViEW �L!JF Address: 4�--- F4 UZ) 5onJ ZIP 5 16 ZIP Telephone W: (-Atf) 385b /1=,86 Te e hone W: (_) Property address (Fire M & S'tfreet) Location: :, ., Sec.T_ Realty firm: Lock W, Date: TO BE COMPLETED BY PROPERTY OWNER' 99 -73 *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THI FORM* Water sample tap location: Is the dwelling currently occupied? Ayes ❑ No If vacant, date last occupied: Age of septic system: Septic tank last pumped by: Date: Previous Owner's Name(s): Have any of the following been observed? ❑Y Slow drainage from house. ❑Y Sewage Back-up into dwelling. ❑Y Sewage discharge to ground surface or road ditch. ❑Y N Foul odors. Other comments relative to system operation: I certify that the above information is complete and true to the best of my knowledge. OWNERS SIGNATU DATE: 5I� 1/94 t R 811111111_� 101N..■-_ .�... April 25, 2000 J. Peter Ritten 305 Riverview Drive Hudson, WI 54016 RE: Water Test Results Dear Mr. Ritten: ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 Fax (715) 386-4686 Enclosed are the original water test results from Commercial Testing Labs, Inc which were taken at your property on 04/17/00. If you have any questions regarding this, please call our office at (715) 386-4680. Sincerely, Kevin Grabau Zoning Technician Enclosure COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800-962-5227 FAX -715-962-4030 Jim Thompson St. Croix Zoning Office St. Croix County Gov. Center 1101 Carmichael Rd. Hudson WI 54016 Owner: J. Peter Ritten Address: 305 Riverview Dr. Hudson WI 54016 &1A"ffA1&A Report Number: @w&9078 Page: 1 Sample Number: 00-C2147 Report Date: 4/24/00 Date Received: 4/19/00 Collector: Kevin Grabau Date Sampled: 4/17/00 Time Sampled: 16:10 Sample Source: Laundry Room Tap Date Analyzed: 4/19/00 Time Analyzed: 14:00 Coliform,MFCC. 0 /10041 Interpretation: Bacteriologically SAFE Nitrate-N: 4.6 ppm Above 10 ppm Nitrate-N exceeds the recommended Public Drinking Water Standard. 16 u5/L Above 15 ug/L exceeds the Maximum Contaminant Level (MCL) in drinking water systems. Lab Technician: Pam Gane WI Approved Lab No. 19 ( Means "LESS THAN" Detectable Level Approved by: c J IL COMMERCIALTESTING LABORATORY.. INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54780 715-962-3121 800-962-5227 FAX -715-962-4030 Ji■ Thompson St. Croix Zoning Office St. Croix County Gov. Center 1101 Carmichael Rd. Hudson WI 54016 Owner: Address: Collector: Date Sampled: Time Sampled: J. Peter Ritten 305 Riverview Dr. Hudson WI 54016 Kevin Grabau 4/17/00 16:10 Sample Source: Laundry Room Tap Date Analyzed: 4/19/00 Time Analyzed: 14:00 Coliform,NFCC: 0 /10021 Interpretation: Bacteriologically SAFE Report Number: 00009078 Page: 1 Sample Number: 00-CE147 Report Date: 4/20/00 Date Received: 4/19/00 Nitrate-N: 4.6 ppm Above 10 ppm Nitrate-N exceeds the recommended Public Drinking Water Standard. Lab Technician: Pa■ Gane WI Approved Lab No. 19 ( Means "LESS THAN" Detectable Level Approved by:f,