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HomeMy WebLinkAbout030-1015-40-007 (2)St. Croix County Planning and Zoning Detail Sanitary Information Computer #: 030-1015-40-007 Sub/Plat: NA Section: 4 Parcel #: 04.29.19.641 Lot: 11 TNIRNG: T29N R19W Municipality: St. Joseph, Town of CSM: Vol. 05 Pg. 1478 114 114: SW 114 NW 114 Owner: Gilbertson, Dan 1159 Sundance Pass Hudson, Wl 54016 State Permit: 180297 Issued: 10/15/1992 POWTS Dispersal: Non -Pressurized In -ground Permit: New County Permit: 0 Installed: 12/16/1992 POWTS Detail: Trench - Seepage Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Allo►tday, October 29, 200 7 at 11:43:18 AM Page 1 of 1 Notes Issuer/inspector As Built Plumber Other_ Requirements Additional dotes Money Owed Jim Thompson Yes AM—Timm, Roger Found in 1992 archive files - 1000 gal. septic tank $0.00 Jim ThompsonYes to 2 trenches 5' x 60' Maintop -an Scheduled Pump Date Pumped 12/ 16/ 1995 9/26/2003 9/26/2006 9/25/2006 9/25/2009 St. Croix County Planning and Zonin Detail Sanitary information Computer #: 030-1015-40-007 Sub/Plat: Sundance Estates Section: 4 Parcel #: 04.29.19.641 Lot: 11 TNIRNG: T29N R19W Municipality: St. Joseph, Town of CS Vol. Vol. 05 Pg. 1478 114 114: SW 114 NW 114 Owner: 115 Sundance Pass Hudson, Wl 54016 State Permi ." 18029 Issud: 10I1511992 POWTS Dispersal: NA Permit: New Count a rnit: ® Instilled: 0 993 PMT Detail: Trench -Seepage Bedrooms: 0 retreatment: NA ' P c Notes s Ins ectc� As S Plumber Other Requirements P � Not determined NA Timm, Roger Signed Off: No Maintenance Scheduled Pump Date Pumped 7/4/1995 9/26/2003 9/26/2006 i0l13I q2-1 qv L) tol �g tification 3rd Notification Monda►', April 04, 2005 at 8:10:36 AM Pcrg e I of'] WI Fund: This is one of several CSMs that were labeled Sundance Estates, but it was never recorded as a plat. Ilon�',r _Owed $0.00 ok*t YA CERTIFIED SURVEY MAP LOCATED IN PART OF THE SW 1/4 OF THE NW 1/4 OF SECTION 4 T29N R19W f f f w:+rA i�.gynl•v.n TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN. ,•'`'u' �e A �•• 16 .v OWNER WILLIAM 8 MARILYN FEYEREISEN RT. 2, BOX 250 BLUEBIRD DRIVE HUDSON, WI. 54016 � Co zI 0 0 l: LEGEND _ �:: aLLE,,� C. 1" IRON PIPE FOUND. -S-14G7 tr ON HUDC 1" x 24" IRON PIPE WEIGHINJ?, ' r 1.68 LBS/LIN . FT. SET*��, �``• . '' :u r CURVE DATA TABLE -liiiz CURVE LOT CENTRAL RADIUS CURVE CHORD CHORD NO. NO. ANGLE LENGTH LENGTH LENCrTH BEARING 1-2 74030100" 217.11' 279.77' 262.83' S31C'15'00"E 12 43047105" 165.91' 161.91' S46036127.�"E 11 30042'55" 116.39' 115.00' S09021.'27.5"E 3-4 45010'46" 165.20' 130.27' 126.92' S16035'23"E 11 24050105" 71.61' 71.05' S06°25102.5"E 10 20020141" 58.66' 58.35' S29000'25.5"E 5-6 40030'59" 233.00' 163.481 161.35' S18055'16.5"E 7-8 40030'59" 167.00' 118.09' 115.65' N18055'16.5"W 9-10 17027132" 231.20' 70.45' 70.18' N30027'00"W BEARINGS REFERENCED TO THE WEST LINE OF THE NW 1/4 ASSUMED N0004911411E. SCALE IN FEET 100 0 200 W 1/4 CORNER iv SECTION 4 Ln 588039' CO. MON. m 881.11' el i S-, ( q 7 was C36% �0 26, �., � . LOT 12 1z 0 0 m Ln to ►A t'r� N r Iw `4 E + I ct I (ctD la I 1 I w- to I 0 I n, rn t In I r1 e THIS INSTRUMENT DRAFTED BY DOUGLAS ZAHLER ,JOH NO. 84-37. AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SECTION 5/ T.2�N-R i W ADDRESS A -C� ST. CROIX COUNTY, WISCONSIN SUBDIVISION 2k�n n44.,n e-.e LOT— // LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM n ewt kA lot .3 \0� P, V3 INDICATE NORTH ARROW BENCHMARK: Elevation and description: zc->A Alternate benchmark SEPTIC TANK :Manufacturer : 1t.' Y Liquid Cap. Rings used: -/'Manhole cover elev: Final grade elev: Tank inlet elev.: Tank outlet elev.-. I No. of feet from nearest road:Front Side Rear x Ft. /0,0 From nearest prop. line:Front Side Rear Ft. z No. of feet from: Well (17 11) , Building: z 7 / (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufact.: Pump Size Elevation of inlet: Bottom of tank ele'"ation Pump on elev.: Pump off elev.: Gallons/cycle: Alarm: Man.: Switch Type: Location Distance from nearest prop. line: Front Side_, Rear Ft. Distance from: Well Building SOIL ABSORPTION SYSTEM Bed: Trench: Seepage Pit: Width: Length Number of Lines: Area Built Exist. Grade Elev. Proposed Final Grade Elev. Fill depth to top of pipe: No. feet from nearest prop. line:Front Side-, Rear >,-- Ft. No. feet from well: r.No. feet from building HOLDING TANK Manufacturer: Capacity:_ No. of rings used: Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front . Side , Rear Ft. No. feet from: Well building nearest road Alarm Manufacturer: INSPECTOR: DATE: ----- PLUMBER ON JOB: LICENSE NUMBER: 6/90 -0 cj LQCA-,TIQN-: ST JOSEPH 4.29.1 11 SUNDANCE PASS IL L I PR [VAT E_ S E WAG-E- S Y ST 5M Labor and Human Relations Safety and Buildings Division INSPECTION REPORT (ATTACH TO PERMIT) GENERAL INFORMATION Permit Holder's Name: E] city D Village Town of: ZILBERTSON, DAN ST.JOSEPH CSTBMElev..- Insp. BM.Elev.: BM Description: C/o le50, co Is TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic 40 ytj Dosin_cj_----- Aeration Holding TANK SETBACK INFORMATION TAN KTO P L WELL BLDG. Vent to Air Intake ROAD Septic Ij ,� NA NA Aeration NA Holding n.................. PUMP/ SIPHON INFORMATION Man reDemand Model Number GPM FsTDH Ft TDH Lift riction Forcemain Length Dia- Dist. To Well - LL .- I F�_� SOIL ABSORPTION SYSTEM r County: ST CRCX Sanitary Permit No,.- 180297 State Plan ID No-: Parcel Tax No.: 030-1015-40-007 A9200376 STATION BS HI FS ELEV. Benchmark 60 Bldg. Sewer St/inlet St / /H� Outlet Dt -I,nlet.--. Dt Header/Man. Dist. Pipe Bot. System 4L_ Final Grade e, -7 BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits inside Dia. Liquid Depth DIMENSION r�, C DIMENSION SETBACK SYSTEM TO P 1 L BLDG WELL LAKE/STREAM LEACHING M a 6-afa-ct u r e r: INFORMATION CHAMBER Type Of Model Number: System 67 OR UNIT DISTRIBUTION SYSTEM Header Maigifek4- Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Bed /Trench Center Depth Over Bed/ Trench Edges F xx Depth Of xx Seeded/ Sodded xx Mulched Topsoil ❑ Yes ❑ Na ❑ Yes ❑ No COMMENTS: (include code discrepancies, persons present, etc.) Cl LOCATION: ST. JOSEPH 4.29-19.64ISWNW,LOT 11,SUNDANCE PASS ......... '9 7 0.,mow,,,..-° • �.T .,'_' � ' � �' � f� % � /`f ( � / C� Plan revision required? E] Yes 9110 Use other side for additional information. SBD-6710(R 05/91) Date Inspector's Signature Cert No DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code WmLsnvv� Lft I C -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 for completing this application. I. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPER OWNER PROPERTY LOCATION ,� * 5W Af&)1141 S 4-/ /4 PROPERTY OWNER'S MAILING ADDRESS LOT # CITY, STATE ZIP CODE PHONE NUMBER 11. TYPE OF BUILDING: (Check one) State Owned E]Public M 1 or 2 Fam. Dwelling-# of bedrooms STATE SANITARY41"ERMIT # I 1:1 Cr revision 7previous application STATE PLAN I.D. NUMBER T 25� Nv R_ BLOCK # 2'A SUBDIVISION NAME OR CSM NUMBER ary E3 VILLAGE ER TOWN OF: STD ld ev.4A 111111. BUILDING USE: (if building type is public, check all that apply) 1 El Apt/Condo 20 Assembly Hall 3 El Campground 6 0 Medical Facility/Nursing Home 7 0 Merchandise: 4 ❑ Church/School Sales/Repairs 8 El Mobile Home Park 5 ❑ Hotel/Motel 9 1:1 Off ice/Factory IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) l.VJ'-. New 2. El Replacement 3. ❑El Replacement of System System Tank Only B) El A Sanitary Permit was previously issued. Permit # ww� V. TYPE OF SYSTEM: (Check only one) Non -Pressurized Distribution 11 E] Seepage Bed 12 Seepage Trench 13 Ej Seepage Pit 14 1:1 System -In -Fill Pressurized Distribution 21 El Mound 22 R In -Ground Pressure NEAREST ROAD A C& 10 0 Outdoor Recreational Facility 11 El Restaurant/Bar/Dining 12 ❑ Service Station/Car Wash 13 ❑ Other: Specify 4. ❑Reconnection of Existing System Date Issued Experimental 30 1:1 Specify Type 5. El Repair of an Existing System Other 41 Holding Tank. 42 Pit Privy 43 ❑ Vault Privy VI. ABSORPTION SYSTEM INFORMATION: 1-GALLONS PER DAY 2. ABSORP. AREA 3.ABSORP-AREA 4. LOADING RATE 5.PERC.RATE 6. SYSTEM ELEV. 7.FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 7 I 71-Z C411-1 !-5*0 Feet Feet V11. TANK INFORMATION CAPACITY iaRalIons New xisting Total Gallons, # Of Tanks Manufacturer's Name Prefab. Site Con- Steel Fiber- Plastic Exper. Tanks Tanks r Concrete strutted glass App. Se tic Tank or Holding Tank X Ir Lift Rum e TankJSiphon Chamber mmmmmwdmi� -C 11 J 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 tamps) MP/MPRSW No.: Business Phone Number: d4,5 Plumb or's Address (Street, City, State, Zip Code): IX. COUNTY/DEPARTMENT USE ONLY Approved [—] Disapproved E-1 Owner Given initial Sqnitary Permit Fee (includes Groundwater Surcharge Fee) Date Issued Issu ng Agent Signature (N §tamps) Adverse Determination M_ A #$Y71 X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: Wr SBD-098 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber .� INSTRUCTIONS V. 1. ': A� san itary arm it is valid for two (2) years. r 2. Your sarvitary4 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. - x. 5. Onside sewage systems must be properly maintained. The septic tank(s) must be pumped by -a licensed pumper whenever necessary, usually every 2 to 3 years. G. If you have questions concerning your ohsite 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: 4. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of .. _ P rtY where the' system is to be, -installed.. r.. II. Type of buildinbeing served. Checc'1y one-arrd complete ## of bedrooms if 1 or 2 Family Dwelling. YP 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 ##1-7. VII. 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. Vill. Responsibility statement. Installing plumber is to fill 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% x 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 tanks), 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 if 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. f SBD-6398 (R.11 /88) • APPLICATION FOR aAHITARY PERMIT 9 T C - 100 This application form Is to be Completed In full and slgned by the ovnec(s) at the property being developed* Any inadequacies will only tesult to dtlsys of the permit Issuance. •Should thin development be Intended lot tesela by owner/contractot,(spee house), then a second form should be retained and completed when the ptopetty Is sold and submitted to this office with the appropriate deed recording. rrr+•rwrrrrr.rrrrrr.�r�rw.rrsw«rwrww+rr�M.wwr�ram00 r rnow= wrwwr+0�4mas �go Ovntr of property Location of property 1/4 �-' 1I�, Section • t �A Township Ma11in9 address '5 Address of site Subdivision Lot number,4-2 , 4 Previous owner of property � ✓� � � . 'total sire of parcel Date parcel vas created, At* all cornets and lot lines Identifiable? Yes No Is this ptopetty being developed folr resale (apec house)? Yes ' Mo _3 a �1 Volume , and Page Number as recorded with the Reglstet of Deeds. r-.wrrrrrwwwwrwrrw.rwrw-wrrrrrwww.rwrwwwrwwwwrrwrrrrwwrrrwrwwurrwrrwrrswwwwwwww�r�� INCLUDE WITH THIg APPLICATION T112 FOLLOWINCt A VARRANTY DRRD which Includes a DOCUMRMT NUMBER, VOLUNR AND PAGR UUx3RR, and the BRAL OF 'TH9 Rg{3IBTKR or DRRDe. In addition, a cerrtif led survey, It available, would be helpful so as to avoid delays of the reviewing process. It the deed description references to a CertIlled survey Map, the Csrtlfled Suzvey Map shall also be required. rwwrrwi.•�rwwwwrwrwrww.rrwwwwonMmew". .o M = w M M as M " am M �r = M an Maswwwoft r�rwwwrrrswwwrrirwrw.�wwwiww PROPERTY OWNER CERTIPICATIOH Y(we) certixy that all statements on this form are true to the best of my (out) knowledge) that I (we) am (ate) the owner(s) of the property described In this infatmation Iorm, by virtue of a warranty d p,4.. ;recorded in the ottice of the County Register of deeds as Document No. -� f and that I IW*) peesently own the proposed site for the sewage disposal system for I (ve) have obtained an easement, to tun with the above described ptopertyj for the con■tructlon of esid system, and the same has been.duly recorded In the office Of the County Register of Deeds, as Document No. ). W MW A WN Signature of owner Signature of Co-Ownec (It Applicable) / 0 Z.. Date at dlgnature Date of Signature CA SEPTIC TANK MAINTENANCE AGREEMENT rt St. Croix County OWNER/BUYERf. r r0 ROUTE/ BOX NUMBER rd_A7 -Fire Number tj ZIP 9L L4"&� CITY STATE M Section -t-T :LLN R /7'Wr PROPERTY LOCATION 9 Town ofSt. Croix County, Subdivision Lot number �S­ �11(/ Improper use and maintenance of your septic system could result in its premature failure to handle wastes e, Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed 'septic tank um er. What you put into the system can a ect the function of the'septic. tank as a treat- ment -stage in the waste disposal system.. St. Croix County residents be eligible to recieve a grant for a maximum of 60% of the cost.of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County 0 August of 1980, with the requirement that accepted this program in owners of all new sys'tems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a meter plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on -site wastewater disposal system & is in proper operating condition and .(2).after inspection and pumping (if nec- essary), the septic ,tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year -expiration. I/WE, the undersigned have read the above requirements and agree 0 N to maintain the rivets sewag e disposal system in accordance with p En the standards set forth, herein, as set by the Wisconsin Depart- form be completed ment of Natural Resources. Certification must and returned to the St. Croix County Zoning office within 30 days of the three year expiration date. �r SIGNED DATE St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. ern 'T� 2 ur` •-a' FitED o C r R 1984 %ki. of CERTIFIED SURVEY MAP LOCATED IN PART OF THE SW 1/4 OF THE NW 1/4 OF SECTION 4, T29N, R19W,�„�� TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN . Ice" OWNER WILLIAM C MARILYN FEYEREISEN RT. 2, BOX 250 BLUEBIRD DRIVE HUDSON, WI. 54016 N M - djrc 4 r��,4 ALtEI � C. LEGEND 4: 41.11 ��YHAGEEN 1" IRON PIPE FOUND. S-1407 1" x 24" IRON PIPE WEIGHIN% 1.68 LBS/LIN. FT. SET `r ,. v CURVE DATA TABLE CURVE LOT CENTRAL RADIUS CURVE CHORD CHORD NO. NO. ANGLE LENGTH LENGTH LENGTH BEARING 1-2 74030100" 217.11' 279.77' 262.83' S31015'0011E 12 43047105" 165.91' 161.91' S46036127.511E 11 30042155" 116.39' 115.00' S09021127.511E 3-4 45010146" 165.20' 130.27' 126.92' S1603512311E 11 24050105" 71.61' 71.05' S06025'02.5"E 10 20020'4111 58.66' 58.35' S29000125.511E 5-6 40°30'59" 233.00' 163.48' 161.35' S18055'16.511E 7-8 40°301591, 167.00' 118.09' 115.65' N18055116.5"W 9--10 17°27'32" 231.20' 70.45' 70.18' N30027'00"W BEARINGS REFERENCED TO THE APPROVE -''- WEST LINE OF THE NW 1/4 ASSUMED N0004911411E. SCALE IN FEET 100 0 200 NW CORNER SECTION 4 CO. MON. m y OCT 0 3 1984 ST. CROIX CCU COMPREHENSIVE PARKS I-LANNIh��� AND ZONING COMMITTEE �' �� W Cj0o LOT 12 136 715 sq.ft. ' 3.14 acres 551tiE 524 , 48' � N810481 `\ (,n I LOT 11 w cn N - -3 I'U 2r222sed_CSM `� � 139,312 sgrft. o V 1 c0' S06e00600"W � 3.20 acres 0 1( I- : f N89013'04"W S8903914711E 492.70' 0 0 to 4 r � 331 05' S 39° 10' 46 "E N) 0 r j � io S50©49'14"W 9 120.11, Ln I 0 m Q0 00 66.00 10 z 0 LA �� Co 0 N) 5 LOT 9 LOT 10 w - i m - 0 lu 130, 680 sq. ft. 1�� �., o E-' 0 _r" - cv - 3.00 acres ' 130,967 s q. f t. 1 S01020' 1311E 'IN `N 3,Q1 acres S89013'04"E 45r 95' 7 � 483.35' 66' 331.76' 435.431 S8901310411E 881.04' W 1/4 CORNER � SOUTH LINE - NW 1/4 TOWN ROAD --------___ �, SECTION 4 o ► ,1 S88 39 47 E • CO. MON. v 881 ll' DEDICATED TO THE PUBLIC Vol. 5 Page 1478 THIS INSTRUMENT DRAFTED BY DOUGLAS ZAHLER JOB NO. 84-31 SURVEYOR'S CERTIFICATE I, Allen C. Nyhagen, a registered Land Surveyor, hereby certify that by the direction of William Feyereisen, I have surveyed, described and mapped the land parcel which is represented by this Certified Survey Map; that the exterior boundary of the land parcel surveyed and mapped is described as follows: A parcel of land located in part of the SW 1/4 of the NW 1/4 of Section 4, T 2'9 N, R 19 W, Town of st. Joseph, St. Croix County, Wisconsin, further described as follows: Commencing at the W 1/4 corner of said Section 4; thence S 890-13'--04" E along the South line of the NW 1/4, 435.43 feet; thence continuing S 890-13'-04" E, 881.04 feet; thence N 000--55'-27" E, along the east line of the SW 1/4 of the NW 1/4, 1006.25 feet; thence S 650-26'-35" W, 705.96 feet to the point of curvature of a 217.11 foot radius curve concave westerly whose central angle measures 740-30'-00" and whose chord bears S 310-15'-00" E, 262.83 feet; thence southerly along the arc of said curve and easterly R/W line 279.77 feet to the point of tangency; thence S 060-00'-00" W, 66.00' to the point of curvature of a 165.20 foot radius curve concave easterly whose central angle measures 450-10'--46" and whose chord bears S 160--35'-23" E, 126.92 feet; thence southerly along the arc of said curve and easterly R/W line, 130.27 feet to the point of tangency; thence S 500-491-14" W, 66.00 feet to the point of curvature of a 231.00 foot radius curve concaved easterly whose central angle measures 170-27'-32" and whose chord bears N 300--27'-00" W, 70.18 feet; thence northerly along the arc of said curve and the westerly R/W line 70.45 feet; thence N 890-13'-04" W, 331.05 feet; thence S 000-49'-14" W, 328.00 feet to the point of beginning. That this Certified Survey Map is a correct representation of the exterior boundary surveyed and described; that I have fully complied with the current provisions of Chapter 236.34 Wisconsin Revised Statutes and the Land Subdivision ordinance of the County of St. Croix in surveying and mapping same. CERTIFICATE OF THE TOWN OF ST. JOSEPH II, do hereby certify that this Certified Survey Map has been approved by the Town of St. Joseph, 12th day of July 11984 /7 i Town clerk of St. Joseph OWNERS CERTIFICATE OF DEDICATION We, William & Marilyn Feyereisen, hereby certify that we caused the land on this Certified Survey Map to be surveyed, mapped and dedicated. We also certify that this Certified Survey Map is required to be submitted for approval to the Town of St. Joseph and St. Croix County Zoning, in accordance with current Land Subdivision ordinance. 71 �Lw s Vol. 5 Page 1478 Page I of 3 . }. Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Labor arxl Human Relations iyision 0Safety & Buildings in accord with I LH R 83.05, Wis. Adm. Code Attach complete site plan on paper not less than S 112 x 11 inches in size. Plan must include, but 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. APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION COUNTY "�77' (f PARCEL I.D. # REVIEWED BY DATE PROPERTY LOCATION PROPERT�'O,WfN�ER;'L$LR aN G �. L T S4% 1/4 IJW 1/4,S�k' T Z� ,N,R I J E (or) W �� G PROPERTY OWNER'-S MAILING ADDRESS LOT # BLQCK # SUED. NAME OACSM # _ _ / / ,� k",l��(Zf�66Ah ��An/LQ �11 � CITY, STATE ZIP CODE (HONE NUMBER [-]CITY VILL,,AGE OWN NEAREST RWD New Construction Use Residential l Number of bedrooms 3 [ Addition to existing building Replacement [ j Public or commercial describe Code derived daily flow 450-- gpd Recommended design loading rate 0.7 bed, gpd/ft2 .% trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate 0 -7 bed, gpolft2(3 % trench, gpolft2 Recommended infiltration surface elevation(s) !f .' ft (as referred to site plan benchmark) Additional design / site considerations Parent material Fled plain elevation, if applicable ft S =Suitable for system 0 VS U =Unsuitable for system S ❑ U Boring # •:ti Ground elev. C t i i3 tt. Depth to limiting factor Boring # Ground elev. graft. Depth to limiting facto*-r-/� �y 6 S MOUND ❑ U 1ROUND ❑ U PRESSURE AT -BRAD❑ U SOIL DESCRIPTION REPORT TEM IN FILL HOLDING TANK S ❑U ❑S EU Horizon Depth in. Dominant Color Munsell Mottles Ou. Sz. Cont Color Texture Structure Gr. Sz. Sh. Consistence Ba�ridary Roots GPD/ft 2 Bed Trends 4 fo � 2 � SC � � r C � -7 " io � — SL 0 �,1 c Z .4 0.�-s/4 0,-7 (S%.- Remarks: L16 Cr r r o-4 10'�; c a o.s'.a.6 $ ez' 16y tq!5 n cv) tit. - Remarks: D5T Name: --Please Print WAf, V S6 ^j Phone: Address: A)-01a Signature: date: CST Number: PROPERTY OWNER-��'�'��t�� SOIL DESCRIPTION REPORT Page of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure y Consistence Bo�r-Xv ............... w.k Ground J0 0 elev. 99.(34f t, -cy> Depth to limiting factor Remarks: Boring # .................. .............. Yi, Ground elev. ft. to limiting factor 94 Remarks: Boring # A C V.V. ................. ir� 1 Ground elev. ft. Depth to limiting factor Remarks: Boring # ............. Ground elev. ft. Depth to limiting factor Remarks: SBD-833o(R.o5/92) in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. Roots GPD/ft Bed Trend A 9 '' � � — L Gr ►'n� � z 4.4 4• c. � o.a'as 3 A 6 ' /OYR r z -�4 i I � 6-o r { -IV-D5e c�� TI M M EXCAVATI N G Route 1 Box 192 • i WI LSCN, WISCONSI N 54027 (715) 772-3214 (715) 386-5443 MPRS #3224 Wil MPCA #695 MN JOB Z�'' SHEET NO. OF CALCULATED BY DATE CHECKED BY SCALE DATE PRODUCT 205-1 Inc., Groton, Mass. 01471. To Order PHONE TOLL FREE I-M225-M • TIMM EXCAVATING Route 1 Box 192 WILSON, WISCONSIN 54027 (715) 772-3214 (715) 386-5443 MPRS #3224 Wl MPCA #696 IVIN JOB SHEET NO. Z OF CALCULATED BY DATE CHECKED BY DATE SCALE PRODUCT 205-1 Inc- Groton. Mass, 01471. To Order PHONE TOLL FREE 1-800-225-6380 REPT131 ST, JOSEPH ST. CROIX COUNTY ZONING PAGE 1 12/16/92 10:04 REQUESTS FOR INSPECTION WORK SHEETS FOR: 12/16/92 AREA: JT Activity: A9200376 12/16/92 Type: CONVSEPT Status: PENDING Constr: Address: ST. JOSEPH 4.29.19.64I,SW,NW,LOT 11,SUNDANCE PASS Parcel: 030-1015-40-007 Occ: Use: Description: 180297 Applicant: GILBERTSON, DAN Phone: Owner: GILBERTSON, DAN Phone: Contractor: TIMM, ROGER Phone: 772-3214 Inspection Request Information..,,. Requestor: TIMM, ROGER Phone: Req Time: 14:12 Comments: 0;jb Items requested to be Inspected... Action Comments Time Exp 00012 FINAL INSPECTION Inspection History..... Item: 00012 FINAL INSPECTION