HomeMy WebLinkAbout040-1043-30-000 (2)St. Croix County Planning and Zoning Monday, November 21, 2011 at 1:38:56 PH
hail Sanitary Information Page I of I
Computer #: CL-1 043-30-0D00 Sub/Plat: NA Section: 9
Parcel #: 09.28.19.142C Lot: 1 TIC/RN: T28N R191
Municipality, Troy, Town of CSM: Vol- 12 Pg. 3317 1/41/4: SW 1/4 SE 114
Owner- Longen, Walter 411 North Glover Road Hudson, VVI 54016
State Permit- 199881 Issued: 10/12/1993 POWTS Dispersal: Non -Pressurized Ire -ground Permit: Replacement
County Permit: 0 Installed: 10/14/1993 POINTS Detail: Trench - Seepage Bedrooms. 3 WI Fund:
PCWTS Pretreatment- NA
Notes
Issue.r/1-nsinector As Built Plumber
Jim Thompson Yes Ulbricht, Robert
Jim Thompson Signed Off', Yes
Maintenance
Scheduled Pump
Date Pumped
11/19/2006
5127/1999
5/27/2002
11/19/2003
11/19/2006
10/12/2006
10/1212009
7/22/2008
7/2212011
Other Requirements Additional Notes Money Owed
tank certified for re -use (est. 1976/78 vintage tank) $0.00
with addition of 800 gal. pump chamber to 3 new
trenches, 5'x 60' . Copy of deed in file shows
purchase by Longen from Dyer in 1976.
soil report in 1993 for Barb Geissinger prior to
1997 CSM by Longen
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STC 104
AS BUILT SANITARY SYSTEM REPORT
owNEP, Gv A�7�rif? �O ,4it/,.�/ L � N G� mot% �� � — ,5�� 5
ADDRES
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SUBDIVISION 00001 4t0t*0----5
SECTION T N-R W, Town of T��%
�'I - v8' . � 14 c�
ST. CROIX COUNTY, W, i,'ONSIN
Provide setback and elevation informati-on on reverse of this form.
Provide 2 dimens'Of's to center of septi-c tank manhole cOver-
tF/EeJ-4 7_10.J
r
moo . o
BENC}iMARK •
ALTERNATE BM:
SEPTIC TANK PUMP CHAMBER o I _TANK INFORMATION
anu fa t rer • � A r Liquid Capa ]�t d -
I Setback �
,� a from: Well House �� other.
+ M.odelj size
pump: Manufacturer� --
Float se eration Gallons/cycle:
Alarm Location
Mew
-'.-SOIL ABSORPTION SYSTEM
' 3
i h. Length 00u bor of trenches
Distance & Direction to nearest prop. line:
Setback from: well: 120 .e �e2 other
ELL"VATIONS
Building Serer ST Inlet; ST outlet
PC in et PC bottom Pump o f f
Header/Manifold Bottom of SySteM
I ting Grace Fl-nal grade
DATE OF INSTALLATION: /3
PLUMBER ON JOB: ?.. *Ihof / "
LICENSE NUMBER: Ivof"S 33 &) ?
INSPECTOR: v" � T k 0M SG ti?
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LQQAWsTrQ4rt%W* I nUvry28-19-142 CPRIVATE SEWAGE SYSTEM
Labor an-d H u man Relations INSPECTION REPORT
Safety wBuildings Division
-GENERAL INFO RMATION (ATTACH TO PERMIT)
Permit Holder's Name:
W rTP P CHAPLES & RRURP -
i E] City E] Village 1� Town of:
I -Djjy
- _CSr- -
ev. Insp.
BM Des-criptio
0- 4efie 0 _5
TANK INFORMATION
TYPE
MANUFACTURER
CAPACITY
Septic
D0*4;1k@
Aeration
Holding
TANK SETBACK INFORMATION
TANO
P / L
WELL
BLDG.
tram to
Air Intake
ROAD
Septi c
A*#.
01
NA
Dosi ng
NA
Aeration
fA
Holding
PUMP/ SIPHON INFORMATION
M a n u facture r Demand
Model Number GPM
TDH Lift Friction I -�ystem TFt
I Loss. Head DH
Force ain Length EDia! Dist. To Well
SOIL ABSORPTION SYSTEM
ELEVATION DATA
County:
ST CROIX
Sanitary iFrFr It IU0----
1 9981211
State Plan _115_K_0_:
Parcel Tax No :
QAQ-1 04-1-10--iDDID
A9300285
STATION
6S
HI
F S
ELEV.
Benchmark
lo 3. �2g
Bldg. Sewer
St/ Ht Inlet
St / Ht Outlet
Dt Inlet
Dt Bottom
Header., �
,�
'�
T--
ov
Dist. Pipe
Bot- System
Final Grade
CL
�p C7
BED / TRENCH
Width
Length
No. Of Trenches
PIT
No. Of Pits
inside Dia-
,liquid DepTh
DIMENSIONS
_N
DIMENSIOIN
SETBACK
SYSTEM TO
Pi L
BLDG
WELL _,LAK-EISTREAM.
LEACHING
Mahufacturer:
INFORMATION
CHAMBER
Type Of
Model Number:
t
L System:
Q0
OR UNIT
DISTRIBUTION SYSTEM
i - - -
e ad e r kha=lfwd Distribution Pipe(s) x Hole Size x hole Spacing Vent To Air Intake
.-ength Dia Length 5Z Dia- Spacilng.,
SOIL COVER x Pressure Systems Only xx Mound or At- Gradle�Systems Only
Depth Over
Depth Over
xx Depth Of
xx Seeded Sodded
xx Mulched
Trench Center
&ed /Trench Edges
TopsoJ
❑ Yes ❑ No
Yes N o
COMMENTS: (include code discrepancies, persons present, etc.)
LOCATION,*. TROY 09-28.19.142C
Plan revision required? ❑Yes Er_No
Ex� I I I
I <
Use other side for additional information-
13Z
SEID-6710(R 05/91) Date Inspector's Signature Cert, No,
I 11111M=_ I SA#VITARY PERMIT APPLICATION
�' I31LHRIn accord with ILHR 83.05, Wis. Adm. Code
—Attach complete plans (to the county copy only) for the system, on paper not less than
81/2x 11 inches in size.
—See reverse side for instructions for completing this application.
I. APPLICANT INFORMATION — PLEASE PRINT ALL INFORMATION.
PROPERTY OWNER P40%
14)Ai- -r&n 3 do AwA.,l O/V, � PROPERTY LOCATION
5.4AWr Y4 AAr 1/4, S A*
PROPERTY OWNER'S MAILING ADDRESS LOT #
yl/ l0 v � O
COUNTY
7,
STATESANIT YPERMIT#
e-%
EjV r fication
C40f r vio, evious app
STATE PLAN I. D. NU M BE R
T -24'1 N, R E (or W
I BLOCK #
L'I I T, 0 1 A C 1-ir WDE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
, PX0 4--1 Gvi. 5 3 K 8aS
E3 CITY NEAREST ROAD
11. TYPE OF BUILDING: (Check one F-1 State Owned ❑ LAGE
N OF:
S do &
Public 21, or Fam. Dwelling-# of bedroom - PARCEL TAX NU M BER( I
III. BUILDINGUSE: (if building type is public, check all that apply) 1 0 zlo - to Y3 - ? o e o
1 0 Apt/Clondo
2 El Assembly Hall 6 El Medical Facili1ty/Nursing Home
3 0 Campground 7 1:1 Merchandise:Sales/Repairs
4 El Church/School 8 0 Mobile Home Park
5 R Hotel/Motel 9 E Office/Factory
IV. TYPE OF PERMIT: (Check onl)�zne in line A. Check line 6 if applicable)
A) 1. El New 2. D��Rieplacement 3. 0 Replacement of
System System Tank Only
B) Q A Sanitary Permit was previously issued. Permit #
V. TYPE OF SYSTEM: (Check only one)
Non -Pressurized' Distribution Pressurized Distribution
11 ❑ seepage Bed 21 El Mound
12 9 Seepage Trench 22 D In -Ground
13 Q Seepage Pit Pressure
140 Systern-In-Fill 3 JTE Aj e, O'i-775-
10 EJ Outdoor Recreational Facility
11 El Restaurant/Bar/Dining
120 Service Station/Car Wash
13 0 Other: Specify
4. ❑Reconnection of
Existing System
, Date Issued
Experimental
30 1:1 Specify Type
5. 1:1 Repair of an
Existing System
Other
41 El Holding Tank
42 El Pit Privy
43 1:1 VauItPrlvv
, 4'- —
I. ABSORPTION SYSTEM INFORMATION: - 0 -
1 91 C
I. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE (6. SYSTEM ELEV.
REQUIRED (sq. ft.)
�5 7
PROPOSED (sq, ft.)
(Gals/day/sq. ft.)
dw 7
(Min./inch)
1 "t/'+ —
Feet
Vill. TANK
INFORMATION
CAPACITY
ing lions
New xistin
Tanks Tanks
Total
Gallons
# of
Tanks
Manufacturer's Name
i
Prefab
Concrete
Site
Con-
structed
Steel
Fiber -
glass
Seticor Holding Tank
fia-s-eff AP C-0
F
Lj
F
-U"9T-T--
L
Q e E-4.;
F7
F
F�
I F
L-ift Pqn,pTffMSIPhVff Clialml
I
- I—
7. FINAL GRADE
ELEVATION
41 V. C Feet
Plastic Exper.
I App.
Vill. RESPONSIBILITY STATEMENT
1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print): Plumber's Signature: (No Stamps) APRs No.: Business Phone Number:
_Z0e11)1?1?t1,-i7-
Plumber's Address (Street, City, State, Zip Code):
OEM"
Ili. QDUNTY/DEPARTMENT USE ONLY
A 2
Disapproved Sanitary Permit, U. (includes Groundwater Date Issued issuing fivaent %SF
6U. Surcharge Fee)
eApproved Owner Given initiai
Adverse Determination ;PIP
X. CONDITIONS OF APPROVAUREASONS FOR DISAPPROVAL:
F
SBD-6398 (formerly Plb-67) (R. 11188) DISTRIBUTION. Original to County, One Copy To: Safety& Buildings Division, Owner, Plumber
INSTRUCTIONS A I
1. A sanitary permit is -valid for two ) years.
. 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.
. 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 3399) to be
submitted to the county priorJO installation.
1
. Onsite sewage systems :must be properly maintained. The septic tanks :must be pumped by a licen.ed
pumper whenever necessary, usually every 2 to 3 gears.
. if you have questions concerning your. onsite sewage system, contact your local cede administrator or the
State of Wisconsin, consin, Safety & Buildings Division, - 6- 81 .
To be complete and accurate this sanitary permit application must include: -
1. Property owner's name and mailing address. Provide the legal description and parcel tax number 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 Drrwrelting.
Ill. Building use. If building type is Public, check all appropriate bones that apply.
IV. Type of permit. Check o.nly one in lire A. Complete line B if permit is for tank replacement, reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
Vt. Absorption system information_ Provide all lnforr aticn requested in #1- .
V11. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of
tanks and ::manufacturer's name. indicate prefab or site constructed and tank material. Complete for all
septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received
experimental product approval from DILHR.
Hill. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix .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 '/ x 11 inches must be submitted to the county. The
plans must include the following: plot plan, drawn to scale or with complete dimensions, location of
holding tanks), septic tanks or other treatment tanks; building sewers; wells; grater mains/water service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; r piacement system
areas; and the location of the building served; Bj horizontal and vertical elevation reference points-,
C) complete specifications for pumps and controls; dose volume; elevation differences; friction lass; pump
performance curve; pump :model and pump manufacturer; D cross section of the soil absorption system it
required by the county; B soil test data on a 113 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 men.itoring groundwater, ground-
water contamination investigations and establishment of standards.
BD- 393 (R.11188)
ev1,e&p
5CA L E ; ,� .30 f
10%�
if,4
pce e 4 r edp4-
r
ADD 2 4D 7-1
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&41,esn - 5.0
OF > (.-Lo0
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3 7e
i
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13S
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J� . ti Od
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N*wP-4tiic ram 40 AeCeA 5 /,:Paa(0
.
7- 12,4jcrldg�-
i
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ix
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C-6 G4 TELD 57Y 5-
. S ' #16�# IpRejj c 14
� rr
4B {r r I'AOC ,u e hOl, 91,00
ri �r
low 7,eeAo e-, Af D
1p.
Appro�rad Vial Cap
Mwrn 12Abo+rs .
Mat Credo
rS Ile
3 Above Pips —..
42 ca d it $a is
Veal "
*To Final Grade
synthetic Coming
Yin. 24 A9Breoate
Over Pipe
Distribution 1 - -- Tsa
Pipe a o a
i Aggreqata
Ba�oilr Plp* ° Paribraied Pipe Below
o a Turelabllnq At
Saffoal Of S.Islam
Fresh Air Inlets And Observation Rips
Approved Vaal Cep
MWinwn 120 Above
'J1 , ]
Final Grade13
.
fl f/
t
Above Pips
4' C a st Ir ea
Z o Final Grade
Vain dip#'
.
Synthetic CoYering
uk 2" Aggreqale
Drew Pips
.
Distribati s
Tee
Ptpa 0 o a o a
( ■ Aggregate.
844eo1lt Pips
a Pertbraled Plea Below
'Coupling
o Tuminatlad At
S
8attam of S,itstaw
Fresh Air Inlets And Observation Pipe
Approved Yens Cap
.
htinlmum 1 2" Above
Final Grade-
f
f
4' Cast Iron
" Above Pipe
.
vent Rlpa
-io Final Grade
•
Synthetic Covcrinq
'
mWL 2" A ggregale
over Rips
Distribulice
-- Tee
Pipe '6" o 4 Q o
' Aggregale
a
Perforated Pipe Below
8eneeth Pipe
4
'Cvql1n9 Terminalinq At
" .•
60110M Of system
r
W"onsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of
Labor and Human Relatpns
OMsion of Safpty & BLAdngs in accord with ILHR 83-05, KS. Adm. Code COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must onciude, but PARCEL I.D. 8
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or
dimensioned, rwx1h arrow, and location and distance to nearest road -
APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
4614 4:7 Z 0'v 6-s-'fv GOVT. LOT, 114 1/4,S 5�j T 2- 9' N,R I? E (wfyV�
PROPERTY OWNEFr,-S MLING ADDRESS LOT # BLOCk # SLIBI). NAME OR CSM #
'/- 6,
CITY, STATE ZIP CODE PKAIE NMER []CITY (]VILLAGE N NEAREST ROAD
(715r) SS�
New Construdon Use Resklmllial / Nuater of bedroorns Addtion to e)ds*V btift
I J-Re�placement Public or commercW describe I
,Code &nived daily flow &00 gpd RecoffIrrerKW design ioading rate —bed, gp(W trench, XW
AVapfi m area required to bed, ft trench, ft2 Ma)dmum design kk-dng rate bed, g 2 trench, gwt2
Remmerkled infiltration surface devab*s) -�� - E � - 3 ft (as referred io site plan benchmark)
Additional design 1 site considerations ' ' -�.,,. - 11-Z,_ �ee/) J e X P 1'5 71e /V 77xa-t--�
ParentnuftW Aorr— Flood pun wwam, if apoagk ft
AT-GRA
S = Suitable for sys CONVE?MCNAL mow N-G
tem �D PRESSURE DE SYSTBA IN HOLDWO TAW
U = Unsuitable for system 0S 0 U U ❑j as El IJ 01-1 S 0 U cl S 0 S gu-
Ground
elev.
ft
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
SOIL DESCRIPTION REPORT
Hodzon
Depth
in.
Dominant Color
Munsell
modles
Chu. sz. Cont Color
Texture
Structure
Gr. Sz. Sh.
cosistoe
BxnJ@ry
Roots
G P Dlfte-
Bed
Tmrch
312—
o A m
YR 3141
2- -f
/0 YR Z116
+.
y1
� P
AAA .5
7 -/7
9 e-
TYP /'C'
37
/0'L/
5,1115
ICE:- /c7 &C
0,0e.-f 7
Remarks: 4y
40
Mir
mrr&Avikil
Remarks*
^ST Name ---Please Print Phone:
Address: 1201EWP_-r -20-43-et'C07- _71-r. 3
0 Ilve /Z- ;P- P , r�71
Signaftre: I,SDate: CST Nurnber,
C-
A)
1�d A`3 0,0 7 e
OL
771P 6-,v C-4, e-,s-
7r
'jre7f,'7Z)k. 7*t5 /Iae
A r— pe)l jttoC�
4674
J .17
SOIL DESCRIPTION REPORT Page 2 of _3
OWM
PAM B. M
Wng
Grourd
dev.
Depth,
Imifing
Wor
5-1 ,/' y' , sad r
Boring
Ground
dev.
Depth to
limiting
Remarks:
Boeing #
Ground
elev.
ft
Depth to
kff*N
Remarks:
Scydng #
Ground
elev.
tL
Depth to
limiting
factor
Remarks,
Can nq'3rilo ^rr%"P�
ADD 2AopAq T ' 4c ,rc
15CA LC .
• �- %3 ClCl dr A' *v
141 r IrI0-0)r 40e�OAP oa /
pc & 4r P�44.r
_ /� t
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ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR TILI A'TIO of AN EXISTING SEPTIC TAN
This is to certify that I have inspected the septic tank presently
serving the liMI-Ek "A,, 6iC� residency located aC:
sec. Z�
T N, R W, Town o f
Upon inspection, I certify that I have found the
tank and baffles to be in good condition, and it appears to be
functioning properly. 1,W16W z- Oao)vy��
Last time serviced l0� !2 " �l 3
Did flow back occur from absorption system? Yes Na
(!E no, skip
Approximate volume or length of time: next line „gallaas �minuCe,
Capacity; /6rzrO /k4t C.¢S
Construction: Prefab Concrete � Steel other
Manufacurer (if known) : 4AIldrleS 7`0 /St 4(1/��-S4r72
Age of Tank (if known):
(Signature)
(Title)
(Date)
(Name) Please Print
(License Number)
Form to be
or Licensed
completed
DDeer
P
by
licensed plur be'r(.s.145.06,
113
Wisconsinattest
Wisconsin Administrative
Code)
Plumber (applying for sanitary permit) Certification
In accepting the above statement regarding existing septic tank
condition, I certify that the tank to the best of my knowledge will
conform to the requirements of ILHR-83, Wis. Adm. Code (except for
inspection opening over outlet baffle).
PName �%3�% �`%�lCGl�igna�uxe ��i+fl`^'� .�b4p/MPRS � � �
a
U y 0 30000
i
10
J
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BOXER b)44-7EI - j � d�"��✓ � �'V e�,.j
ADDRESS FIRE NUMB
CITY/STATE ZIP 4;7
PROPERTY LOCATIDN: o-w-..�.1/4, SECTION %* `,
TOWN OF fi�
st. Croix County
SUBDIVISION jk/� , LET NUMBw"
Improper use and maintenance of your septic stems
result in its premature could
ure failure to handle wastes. proper
maintenance consists of pumping se out the tic tank n emery three
years or sooner, f heeded bar a licensed septa.c tank pumper. What
you put into the system can affect
the function of the septic tank
as a treatment stage in the waste disposal system.
Ste Croix County residents may be eligible to receive a
for a maximum of of t � art
he cost f replacement of a failing
system, which was in operation prior to july 1. 19780 St.
CroixCount accepted t is program in August of l o,
With the
requirement .that owners of all new systems
s stemproperly agree to keep their
maintained.
The property owner agrees to submit to t . Croix
certification form- Zoning a
signed by the owner and by a mater plumber,
3ourneyman plumber, restricted plumber or a 'licensed um
verifying that .. per
g operating � the condition - n site wastewater disposal s stem .s n
proper after inspection and pumping if
necessary the septic tank - is less than 1/3 full of sludge and
scum.
1/We the tindersigned have read the above requirements
agree to maintain the private and
p sewage disposal system in accordance
with # the standards set firth a herein, as set b the
Cert� gat. ] Wisconsin � .
n stating that your septic has been maintained must
completed and returned to the St .b
Croix Co* Zoning officer min
30 days of the three year expiration date.
I
DATE : __L-z)
St. Croix oo. zoning Office
11 4th Ste
Hudson, WI54 016
5 T C - 100
This application form is to be completed in full and signed b
of the� y
the owner(s)
property being developed. Any inadequacies
will only result in delays of the pOrMit issuance. Should this
development be intended for resale by owner/contractor,(s ec
house), then Aa second fora should be retained and completed when
the �
property` is sold and submitted to this Office with the
appropriate deed recording,
Owner of property ' JO •t
Location of property 1 4 Sec _
Section �► T N R w
Township TR__0
Mailing address �// /D yx '00eD
//VPy C),%./ / 4:�o /
_3 s4q� <,-
Address of site
Subdivision name
NA-
-Lot no.
Other homes on property? yes No
Previous owner of property Duljnr) _73,&�_L:j,=
07
Total size of parcel C
Date parcel -was created 7
Are all corners and lot lines identifiable? Yes No
Is this property 1peing developed for ( spec house) ?.Yes �No
Volume and Page Number .
9 as recorded with the Register
of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING
A WARRANTY DEED which includes a DOCU14ENT NUMBER, VOLUME AND PAGE
NUMBER & THE 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 farm, by virtue of a
warranty deed recorded in the office of the County Register of
Deeds as Document No. , and that I (we) presently
own the proposed site for the sewage disposal system or I (we)
obtained are easement? to run the above described property, for
the construction of said system, and the same has been duly
recorded in the office of County Register of deeds as Document
No -
ti •
S� ture v p icant Co-ap icant
i
Date of Signature Da of SbOgnature
DOCUMENT NO. WARRAWY DEED
7
THIS SPACE RESERV€o FOR REC�f1DtNG DATA �
336022,lea -
franc s REGISTERS OFFICE
Dyer. Jr. and Jane TiI DEED, made brtween ,- ten2lili -
_p a q� husband _ and w� � #_ _�. - � ,---- f _ F Rec'd. for Record this_�,Ltb.,_ �
day of or -toter
Grantor
and Walter Charles Lan ex Jr-. and everly� �Toann ot�91�3 - _,1�A. A
one d wifejL a ,- zn t giant , j;vu?a 0 Connell
y - Grantee, I! 'sOr Di Daeds
W i to e s ee th , That the said Grantor for a valuable consideration
five thousand doll.ars.*-_.,.�_�_��_.__.r.__�_�___..�..�-
y __-- t (s SIX _County. RETURN YD
conveys to Grantee the following described real estate irx�x_��
Stater Wisconsin: S (, DixCo Abstract Coo �
A parcel of Land in the SW"SE! Section 9- 8-i
Tax Key #
k Co�rinencin at the SE
- deCr16�CI as f O��.o1�5 � � This is -homestead property.
corner of Section 9— 8-1. 9 o N 0 1 " 00Fow 542 e
feet to Point of Beginning of parcel to be conveyed.
T en a uth i .. feet-; thence 4 o ' oo" 61 .48 feet; thence forth
h
+' 97. 4 'feet; thence N3 0 6' WIE 425.45 feet to dirt of Beginning,
7RANR
$-Lllp _0
#�
FEE
Together with all and singular the hereditaments and appurtenances thereunto belonging or in any W'se appettainin G
And —"
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except V .
-sserftentZ
ineral
fa ublicn:t jerwi-se a
b] 1C� L t . el
tOilivestock
and will warrant and defend the same.
+�
this day of
Executed at _ -
SIGNED AmD SEALED IN PRESENCE OF
r
5
r � �
(SEAL)
Franc 1 s a e r' * E
(SEAL)
Janet. der
(SEAL)
(SEAL)
Siinatures of 4/ C"
19
:' t _ % _day of
authetltict this .-
.**►"'•
• h r
: Other P art y
W Title.
* Y- Authorizes under S,,c- 706-06 vi ' � L �
* . { •`.� /
'•., I A1` OF WISCONSIN
s�.
_ " _ - County. f
day of�
Personally came bl�'fl)fv me. thisthe above Warned ---- - - - - - - - - -- -------^_.---�-f---_,� —� -� �-� � --
_ --
t4 me known to be the person � whe executed the foregoing instru rent and acknowledged the same.
This instrument was drafted b Attorney -at -Law - T -
�r� � . �Iot ary P ssb 1 i c �._ ___.-f.- _ County. Wis.
River Fali.�� -- - ---�----.� __
%ly Commission (Expires) (is) The use of witnesses is optional.
- - - ed `Qr pr anted below their signatures.
;Miasnes of persons signing in anv capacity shouts# tae typ
WARRANTY DEED—S-rAT'E BAR..DF W[SC0yS1N. FORM 40. 1 — 1971
Parcel #: 040404340=000 12t32 0 08:02 Any
PAGE 1 OF 1
Alt. Parcel #: 9..19.14 - TOWN OF TROY
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map Sales Area Application# Permit # Permit Type
0
Tax Address:
wner(e): 0 = Current Owner, C = Current Co -Owner
- PARNELL, I IMBEF LY J
1 I BERLY J P R ELL
PO BOX 88
RIVER FALLS WI 54022
Districts: SC = School SP = Special
Property Address es :
PrImery
Type Dist Description
411 N GLOVERIUD
SC 4893 SCH D OF RIVER FALLS
SP 0 180 CHIP VALLEY V TE H
Legal Description: Acres:
6.548
Plat: 3317-CSM 1213317
SEC 9 T28N F 19W SW SE BEING LOT 1 CSM
Block/Condo Bldg: LOT 1
12J3317679/62
Tract(s): (Sec-Twn-Rng
40 114 160 114)
9- 81 -19W
Notes:
Parcel History:
Date Doc #
Vol/Page Type
08/19/2002 68736319511360
QC
01 / 15/1998 571350
1288/390 1I D
2005 SUMMARY
Description
RESIDENTIAL
Totals for 008:
General Property
Woodland
Totals for 004:
General Property
Woodland
Fair Market Value: Assessed with:
Lang improve Total State Reason
79,800 190,000 269,800 NO
Lottery Credit: Claim Count: 1 Certification Date: Batch #: 217
User Special Code
Special Assessments
9.9
Special Cha es Delinquent Charges
W00 9.0
ILI
AUG 15 19970
. m 91 CROIX CouNTY
K SURVFYUR'S RrCnRD
5G4318:1
CERTIFIED SURVEY MAP #
LOCATED IN THE 1 /4 OF THE SE 1 /4 OF SECTION 91 TZsN., R 19Ws TOWN
OF TROY. ST. CRO I X COUNTY, W i SCONS I N
PR[LARED FOR WAL TER L ONGEN
GLOVER HILLS
" rya . * ... r • r • . r • + .. • • • • • . r * . * a ■ * ■ a
NORTH LINE OF THE SW' —SE
. . _ . S 88 '05S' 08 = E 422. 82"
REC. AS 388' 1 I r 02W =
x
CA
h
r
HOUSE
;c: r
LOT !
r"�.. 285,088 SO. F T . NOLE^ BEAR I NOS ARE REFERENCED
. i OR 6.54 ACRES
--� (278, 2T9 $O. F T. TO THE SOUTH L NE OF THE
OR 6. 39 ACRES EXC. R/W� a? SE f�4 (ASSUMED BEAR ING).
276,102 SO" FT.
OR 6.34 ACRES EXC.
R/W AND EASEMENT Q - SET 1= X 24' IRON PIPE
• z WE 1 GH f NG 1. 13L DS PER L l NEAR
oa EX 15T 1 NG DR 1 CIE FOOT.
.a
aZ
N 890 160 05" W 292. v T'
" _ = SCALE 1 W = 150300
a� •
•
0'
cw LOT ;z
14%666 SOFT. :C7
.'�'� ♦ ' *'. OR 3.44 ACRES r
• 135, 648 SO. FT.
3. 11 ACRES EXC. R/N}
05'
♦ , 'Ca rye •'r
■Jj? / N T DR # VE EASEI4EEN FILED
JUL 3 1 1997 �
4 0, rVj .
•
r
rio* * , 4b .
yy�
SPRI NO VALLEY
SOUTHEAST CORNER VW$6.
SECTION 9 — FOUND `. . ' c)
COUNTY UNUMENT ' . A ca
mv
2645. SOUTH L 1NE OF THE SE 114 JAII+IES M. WEEER S�- r 8O4 �
HE E T I �F � NEB SErvD A TE D -�-wEE� LAND� ��€ Y I NG
97054C THIS INSTRUMENT DRAFTED 9Y J I M MER '��•�`+ �v - �
Vol .12 Page 3317
N
IM,
W E
C) F"M& Home PubfiAers, Ltd.
16
03--
4',z5
0
4 Alt
8$
112
�92
.F—RO'LING
MEA1)0VV
j)R
DcTiald
Brown
163
Daniel &
cc
Teracita
Pearson z Lu
159 3:
David &
Cheryl
Cernohous
160
7
HQME
FURNISHINGS
155 State Rd 35N
River Falls, WI 54022
(715) 425-2782
Your One Stop Home
Decorating Specialist
TROY E PIAT
T-28-N * R-19-W #1 IL
See Pages I 15-116 For Additional N' anes-
T-nmcrvo 1r, PAC-1p In ---
PIERCE COUNTY
Furniture -P Appliances a Accessories
Sleep Shop- Carpets Linoleum
- Ceramic - Hardwood Floors
* Custom Design work
Professional Installation
Whem You Wdl Find Name Br
Merchm&se At Miff-Mect PHe"I
Hours:
M-F 9-8:30
Sat 9-5
z
z
M
U
z
z
LEITCH INSURANCE AGENCY, INC,
174 E. Pine
R— River falls, Wl 54022
(715) 425-0159
(�' www1eitchinsurance-com
D
t:UG #
r`
> - A
ti m ST, CROIX COUNTY
SURVFYUR`S RECORD
4CERTIFIED SURVEY Y MAPS
LOCATED IN THE 1 /4 OF THE SE 1 /4 OF SECTION 9t T28N, R I9W, TOWN
OF TROY, ST. CRO I X COUNTY, W I SCONS I N
PREPARED FAR + WAL TER L ONGEN
GLOVER HILL .i
NORTH LINE OF THE 6W-SE
S 88055, 08,w E 422. 82
' f
REC. AS S890'1 1' 020 W �
k
z
Du
rn HOUSE
:c LOT
: ram,• I-
285,088 $C. FT. BEARINGS ARE REFERENCED
D OR 6.54 ACRES cap TO THE S OU fiN Z ! NE OF THE
: --� 75, 79 SO. F T. (0 SE 1,14 (ASSUMED BEAR ING).
i m rr OR 6.39 ACRES EXC. R/W) ai
276,102 SO. FT.
A I
• OR 6.34 ACRES EXC.
> , 4 R/W AND EASEMENT
o - SET to X 24• IRON PIPE
nq
z 0 WEIGHING J. 13L BS PER LINEAR
0 - EXISTING DRIVE FOOT.
c:
a
N 89 ° 16' 050 W 292. 5 T'
_ ;m SCALE I" = 15'
' 300
LOT 2 :z
' 149,666 SQ. FT.
u)
,` '• Q) OR 3.44 ACRES
•
•�' « -� ( 135, 648 So. FT.
''• 44 • 3. 1 1 ACRES EXC. R/W)& FILED
e r i; Q I+NT OR I VE EASEAMEN
w sr. J KATHLEEN H. WALSH
ftiste' of Deeds
•' k vp ti - '• - SL Croix Co, W1
c') Q'.
CZ
« ,; O4AWMEE
WEBER
WL
8 � %A
3PRjNG V A LL11ZEY
SOUTHEAST CORNERrn
SECTION 9 — FOUN[3��,�COUNTY MONUMENT `'�� �C4
s88°59` ;,5"E 2645.31 k�AMES M. WEBER s-1804 •..�,
SOUTH LINE OF THE SE ! z4
SHEET I �F � NEL SEN R LAND �R� Y r NG
,,.4
DATED
97054C THIS INSTRUMENT DRAFTED BY JIM WEBER '�, �•� �" �'^��
OEM
*`—..� Vol . 1 2 Pace 3317
D ' EPARTMENT OF
U
REPORT ON SOIL BORINGS AND SAFETY & B DILDINGS
IVISION
INDUSTRY,
LABOR AND
PERP.O. BOX 7969
N (5) MADISON, W1 53707
COLATIOTESTS 11
HUMAN RELATIONS
0 LHR 83.090) & Chapter 145)
LOC�ATIO SECTION:
'- - '/4
IMUNIQ =LK.NO.: SL15DIV13ioN NAME:
IN S JHI 71 PALI TY: LOT NO.:,B
E
tF1
0/4 5 /4, 7 /V�
�R/ (01A Zb
CO NTY: OWNER'S48uyERr NAME� MAILING APDRESS.
(3
USE DATES OBSERVATIONS MADE
7SCRI�TION : ,4
NO.BEDRIVIS.- COM E CIALDESCRIPTION PROFILEPERCOL�Tl ON E STS:
New 7]Replace
X Residence
RATING: S= Site suitable for system
CONVENTIONAL: MOUND: IN
U= Site unsuitable for system
-GROUND -PRESSURE; SYSTEM-1 N-F I L L HOLDI NG TANK: R ECOMMVED SYSTEM: (optional)
1E1_ les
XS F I f E1U I 1:1U I
NS EU - S
S J�JU [:] �N
If . Percolation Tests are NOT required
under s. I LH R 83.09(5) (b), indicate:
DESIGN RATE:
If any portion of the tested area is in the
Floodplain, indicate Floodplain elevation:
DESCRIPTIONS
PROFILE
BORING I TOTAL DEPTH TO GROUNDWATER
NUMBER IDEPTH IN. ELEVATION 0-13SERVED
I
-INCHES
EST. HIGHEST
CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
TO BEDROCK IF OBSERVED iSEE ABBRV. ON BACK.)
?�
B—
I -
A)
I � y 0 /0 b-yo 11
40 L)l E�l
B-0
�6,5
B-
B— q
fr
6-a lt6 a 0 e4 sil S
b
FB- _F1
Id A `7
'61 ) g - -/
10-A /A
TEST- - DEPTH WATER IN HOLE TEST TIME
NUMBER INCHES AFTERSWELLING INTERVAL -MIN.
P_
P_
P_
P_
P_
PERCOLATION TESTS
RATE MINUTES
PER INCH
PLOT PLAN. Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope. tg.s
SYSTEM ELEVATION���RtI&
it I I )615S7_f)0J' ci4
Corl; r fost ett S. b), I' derne r
211
C.
4 1he*-t
DROP IN WATER LEVEL -INCHES
PER I D 1
PERIOD 2
PERIOD 3
-(CA/ee , tN
Cie?
t3 x
1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
AME (print):.
(7-
l: ��
D R St 1��—� rj)� 1, '
TESTS WERE CQVPLET5D ON:
V.
CERTIFIC4 rNNUMBER: PHONE NUMBER( tional):
CST SI~URE:
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHIR-SIBID-6395 (R. 10/83) — OVER —
3
k
Parcel #: -1 3-3 -
0 /281200 0 +49 4 A M
P
Alt. Parcel M 09.2-19.'142C
040 - TOWN OF TROD
i Current '. X F
ST. C OIX COUNTY, WISCONSIN
Creation Date Historical Date Map ## Sales Area Application # Permit #
Permit Type
00
Tax Address:
Owner(s): 0 = Current
Owner, C = Current Co -Owner
O - PARNELL, I IMBERLY J
l IMBERLY J PAF NELL
PO BOX 523
RIVER FALLS WI 54022
Districts: SC = School SP = Special
Property Address(es):
= Primary
Type Dist # Description
* 411 N GLOVER FAD
C 4893 SCH D OF RIVER FALLS
P 0100 CHIP VALLEY V TECH
Legal Description: Acres:
6.540 Plat: 3317-C M 1213317
SEC 9 T20N F 19 II SW SE BEING LOT 1 C I I
Block/Condo Bldg: LOT 1
12131 07l02
Tract ): Sec-Twn-Rn0
40 1 /4 160 1 /4
09 28 - 1 W
Notes:
Parcel History:
Date Doc #
Vol/Page Type
0 119/2002 687353
1951 /360 CSC
.01/15/1998 571850
1280l 90 WD
2005 SUMMARY Bill #;
Fair Market Value: Assessed with:
102342
280, 80
Valuations:
Last Changed: 07/1912004
Description Class Acres
Land Improve
Total State Reason
RESIDENTIAL G1 6.540
799500 1909000
269,800 NO
Totals for 00:
General Property 6.540 799800 190,000 269,800
Woodland 0.000 0 0
Totals for 2004:
General Property 5.540 79,300 100,000 269,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch #: 217
specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00