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HomeMy WebLinkAbout030-1019-70-000 0 : 0> a M M 0. 0 Q C i y F. I ~ I a z C _ 10 U. C O O a I 3 ~ z ryj m E zi o N w a m U') H C/) c o z a w o m 2 d c u~ F- r• m a, z c E a 2 m ~N O N CL N O 0 N ¢ w z co z N c O d N N M E E Wit N CL 'i G w ~ c c0 d i O C O O T G G R E O Z F- H H U w p Z v > d O o o <r O O O z o • rv o m n. a c a r ~ c N _ 0) 0) z° v) J U ~ o ~ o ~ o I Av o rl. o r o ca N W ja O O c _ Y! c .u O C,2 30 ~O 'p C E O rn N 7 E O L O C N LL O O L 6 W Q N N E N N N O (v Y p rn co t o co c.. o U) C 17 o Z N p I- ° N y 0) a s o f cL~ 0 Ln -J 04 E \ E E V d ~o CL at L ` a c • C ca d .V N c, +E L c rr~~ o ~1 A t~CL a Parcel 030-1019-70-000 o5/o8i2oo7 10:31 PAGE 1 OF 1 F 1 Alt. Parcel 05.29.19.81C 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - LEARY, KEITH JR KEITH JR LEARY 1183 42ND ST HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 1183 42ND ST SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 10.630 Plat: N/A-NOT AVAILABLE SEC 5 T29N R19W SE NW FORMERLY LOT 3 CSM Block/Condo Bldg: 1/256 NKA LOT 4 CSM 11/3108 10.629 AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 05-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1182/267 WD 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/07/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 10.630 124,700 307,900 432,600 NO Totals for 2007: General Property 10.630 124,700 307,900 432,600 Woodland 0.000 0 0 Totals for 2006: General Property 10.630 124,700 307,900 432,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 205 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 2 Labor And Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. pending APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Hank Fogelberg GO SE 1/4 NW 1/4,S 5 T 29 N,R 19 f(or) W PROPERTY OWNER':S MAILING ADDRESS OT BL CK # SUBD. NAME OR CSM # 275 192nd. St. n csm pending CITY, STATE ZIP CODE PHONE NUMBER I ILLAGE SOWN NEAREST ROAD Star Prarie, WI. 54026 (715 248-3003 t. Joseph 42nd. st. [x] New Construction Use [ :4 Residential / Number of bedrooms 3 [ ] Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate ' 5 bed, gpd/ft2.6 trench, gpd/ft2 Absorption area required 900 bed, ft2 750 trench, ft2 Maximum design loading rate • 5 bed, gpd/ft2 .6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 93.50 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material pitted glacial drift Flood plain elevation, if applicable na It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem us ❑ U as ❑ U OS ❑ U ® S ❑ U ® S ❑ U ❑ S CCU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ''....1.... 1 0-12 10yr4/4 none sl 2msbk mfr if .5 .6 2 12-84 7.5yr4/4 none sl 2mgr mvfr na na .5 .6 Ground elev. 97.00ft. Depth to limiting 84 facto Remarks: Boring # 1 0-9 10yr4/4 none sl 2msbk mfr gw if .5 .6 2 2 9-31 7.5yr4/4 none s1 2msbk mfr gw if .5 .6 3 31-80 7.5yr4/4 none is Osg mvfr na na .7 .8 Ground elev. 96.00 ft. Depth to limiting factor +80" Remarks: CST Name:-Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 2 h. Ave. Signature: Date: CST Number: 2-21-96 cstm 02298 PROPERTY OWNER Hank Fogelberg SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # pending Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourdbry Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 4> 0-4 10yr4/4 none 1 3 2msbk mfr Crw if .5 .6 ::»>::::t4< 2 14-50 7.5 r4/4 none sl 2msbk mfr na .5 .6 Ground 3 150-90 7.5yr4/6 none is Osg mvfr na na .7 .8 elev. 97.5 ft. Depth to limiting factor +90" Remarks: Boring # 1 0-4 10yr4/4 none 1 2msbk mfr gw if .5 .6 4 2 4-20 7.5yr4/4 none sl 2mgr mfr gw if .5 .6 3 20-96 7.5yr4/4 none 1 fs Osg mvfr na na .5 .6 Ground elev. 98.3 ft. Depth to limiting factor +96" Remarks: Boring # 1 ~-3 10yr4/4 none 1 2msbk mfr 9w if .5 .6 5 2 -20 7.5yr4/4 none sl 2mgr mfr gw if .5 .6 3 0-84 7.5yr4/4 none 1 fs Osg mvfr na na .5 .6 Ground elev. 97.5 ft. Depth to - limiting fact 4" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) R STEEL'S SOIL SERVICE Gary L. Steel Hank Fogelberg 1554 200th Ave. CSTM2298 SE4NW4 S5-T29N-R191R New Richmond, WI 54017 MPRSW 3254 town of St. Joseph (715) 246-6200 lot #3-csm t. N 1"=40' BM.= top of steel post C el. 100' surface el. bottom of post=96.60' -1-01 , 14, 40 00 ,t d7o to x- Gary L. Steel 2-21-96 Parcel 030-1019-70-000 09i05i2006 02:27 PM PAGE 1 OF 1 Alt. Parcel 05.29.19.81 C 030 - TOWN OF SAINT JOSEPH Current 1X', ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - LEARY, KEITH JR KEITH JR LEARY 1183 42ND ST HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 10.630 Plat: N/A-NOT AVAILABLE SEC 5 T29N R19W SE NW FORMERLY LOT 3 CSM Block/Condo Bldg: 1/256 NKA LOT 4 CSM 11/3108 10.629 AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 05-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1182/267 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/07/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 10.630 124,700 307,900 432,600 NO Totals for 2006: General Property 10.630 124,700 307,900 432,600 Woodland 0.000 0 0 Totals for 2005: General Property 10.630 124,700 307,900 432,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 205 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 STC - 104 t: AS BUILT SANITARY SYSTEM REPORT <<V RECENEO rv w ! 1997 { OWNER .3 e-Z. ~4 e, ST CRUM ZONING ADDRESS COUNTY OFFICE SUBDIVISION / CSM# LOT SECTION _T,-,Z_~ N-R_,Z_W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM w~ll~ y0 i8 INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. /r 'BENCHMARK: ALTERNATE BM:,~ SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer:C Liquid Capacity: Setback from: Well g,5-/ House Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length y Number of trenches Distance & Direction to nearest prop. line: Setback from: well:_ House S / Other ELEVATIONS Building Sewer,- ST Inlet: _ ST outlet: PC inlet PC bottom Pump Off Header/Manifold- 2~Zq -17 Bottom of system 2,ff Existing Grade Final grade DATE OF INSTALLATION=,,,, PLUMBER ON JOB: LICENSE NUMBERS^ INSPECTOR: 3/93:jt Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County Safety and Buildings Division INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitarlf.: Personal information you provice may be used for secondary purposes [Privacy L 5,w, s.15.04 (1)(m)]. Pe merit H lde~Qle: 17.~City Ej1,~ "ply Town of: State Plan ID No.: CST BM Elev.: 1'tl Insp. BM Elev.: BM Description:: v ` Parcel Ty3bL1019-70-000 TANK INFORMATION ELEVATION DATA `x'9700282 M110 9 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic, s ^ Benchmark ~C ~t ! J~"J!y!ci: Aeration Bldg. Sewer T.33 Holdi6g St/ Inlet 7(03 TANK SETBACK INFORMATION St/fit Outlet vetto TANKTO P/L WELL BLDG. Aiirintake ROAD Dt Inlet Septic ,4 NA Dt Bottom Dosing NA Headers 8 53, Aeration NA Dist. Pipe 7' d,67 Holding Bot. System ,70` 9,3. YOB PUMP / SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Fr' n t Forcemai ength Dia. Dist. To well 77 SOIL: ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS N Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM A INFORMATION TypeO /1a.., ~ t!: AMB Moe u . i System: frc OR UNIT ~ec DISTRIBUTION SYSTEM Header/Manifold rf , Distribution Pipe(s) x Hole Size x Hole nt To Air Intake ° Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or -Grade Systems Depth Over Depth Over xx Depth xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Tops ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: ST. JOSEPH 5.29.19.81C,SE,NW 1183 42ND STREET LOT 4 Plan revision required? ❑ Yes ❑ No Use other side for additional information. IT FTI IJ SBD-6710 (R.3/97) Date Inspector's Signature Cert. No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: w Safety and Buildings Division v~■~r■ra SANITARY PERMIT APPLICATION Bureau of Building Water Systems 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison; WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. ' • See reverse side for instructions for completing this application State Sanitary Permit Number asp t1I(Jt(/ The information you provide may be used by other government agency programs ❑ Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPL ATION INFORMATION - PLEASE PRINT ALL INFORMATION Prope y ner Nam Property Location -1/4 1/4,S -T- T , N, R (or Property Owner's Mailing dr s Lot Number Block Number City ate •tf~ Zip Code Phone Number Subdivision Nam or CSIV] Number ( ) / II. TYPE OF BUILDING: (check one) ❑ State Owned 10, City Nearest Rod / E] Public 1 or 2 Family Dwelling - No. of bedrooms ° Towag OF S f '7 1/ III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ 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 box on line A. Check box on line B, if applicable) A) 1. jX New 2. ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5. ❑ Repair of an System System Tank OnlyExisting System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ® Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. ate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./i ch) Elevation Feet Feet VII. TANK a in galloacitns Total # of Prefab. Site Fiber- Ex per INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existing structed Tanks Tanks Septic Tank or Holding Tank - " ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the ndersigned, assume responsibility for installa o the to sewage system shown on the attached plans. Plum r' ame: ( in Plumber' i re' Ls MP/MPRSW No.: Business Phone Number: s ~ Plumber's A ress rat, Ci State, Z ode): K ~ IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved San ary Permit Fee (Includes Groundwater Date Issue Iss ing Agent Signature (No Stamps) A XApproved r-1 Owner Given Initial Surcharge Fee) (S,/(/ Adverse Determination o2~ X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SHD-6398 (R. O5/94) DISTRIBUTION: Original to County, one copy To: Safety & Buildings Dive.ion, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2_ Your sanitary permit maybe renewed before the expiration date, and at a 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 mai=ntained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. 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(s) of where the system is to be installed. II. 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 on 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 for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/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. VIII. Responsibility statement. Installing plumber isto 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 1/2 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 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 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 contamination investigations and establishment of standards. 1 _ _ ~ ~ ELI o V5 ~ i I I ` 1 ~ 3p o I Wisconsin Q,epartment of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of X Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and '~~Y V percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel I.D. # ©-o - ioi -yam' APPLICANT INFORMATION - Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Property Location Govt. Lot 114 1/4,S T N.R (or P Owner's Mailing Add esg Lot # BI Subd.1N/ame or CSM# / City 'State Zip Code Phone Number ❑ ❑ village ® Town Nearest Ad8d )X ® New Construction Use: Residential /Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow ~LZ gpd Recommended design loading rate , , 5 bed, gpd* _1trench, gpd* Absorption area required /-2Z _bad, 0 101 trench Maximum design loading rate 5 bed, gpd* 0 trench, gpd* Recommended infiltration surface elevation(s) q1 ft (as referred to site plan benchmark) Additional design/site nsid?ratis Parent material Flood plain elevation, if applicable S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fn Holding Tank U = Unsuitable for system S❑ U 13 s❑ u TZIS❑ u 113s ❑ u ❑ S j u ❑ S (Z U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/(l2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 13 Ground i elleev 1f-ft S~ c - 'VZ Depth to limiting factor >,44::) in. Remarks: Boring # 0/-Y& 13 k. - Ground 9~ - - - elev. 41 -A/ 41 -J111- "d ft _ Depth to limiting factor '>.~in. Re rks: CST Name (PI a Prin Signature Telephone No. Address Date CST Number v' - PROPERTY OWNER ".T SOIL DESCRIPTION REPORT ` Page Z' of PARCEL I.D.# -/z2/ Boring # Horizon Depth Dominant Color Mottles Structure 2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench Ground -5s- elev. Depth to limiting factor Remarks: Boring # C1 Ground elev. ft. , Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # ; Ground elev. Depth to limiting factor 'n• Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD-8330 (R. 07/96) ~y r IZZ e o ® 3 m Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of Lahr and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Ft , t . C roix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan musnot limited to vertical and horizontal reference Point (BM), direction and % of sloPe, RCEL I. dimensioned, north arrow, and location and distance to nearest road. ending APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED V DATE PROPERTY OWNER: PROPER ATION Hank Fogelberg GOVT. LO <-~I1q if 1/4,S 5 J/f N,R 19 X (or) W PROPERTY OWNERS MAILING ADDRESS LOT # 113 SUBD. NA 400 S. second st. 4 n l CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAG NEAREST ROAD Hudson, WI. 54016 (715)386-0222 St. Joseph 42nd/ St. New Construction Use [xjc Residential / Number of bedrooms 3 [ ] Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 7 bed, gpd/ft2 -8 trench, gpd/ft2 Absorption area required 643 bed, ft2 563 trench, ft2 Maximum design loading rate • 7 bed, gpd/ft2 •8 trench, gpd1ft2 Recommended infiltration surface elevation(s) 92.14 ft (as referred to site plan benchmark) Additional design / site considerations alt site el.= 94.04' Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable fors stem ®S ❑U INS ❑U 13S ❑U KIS ❑U L$S ❑U ❑S ®U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-16 10yr4/3 none sl 2mgr mvfr gw 2f .5 .6 2 16-80 7.5yr4/6 none is Osg mvfr na na .7 .8 Ground elev. 94.64 ft. Depth to limiting factor +80" Remarks: Boring # 1 0-12 10yr4/3 none sl 2mgr mvfr gw 2f .5 .6 Y' 2 ':8: 2 12-80 7.5yr4/6 none is Osg mvfr na na .7 .8 mow;:. Ground elev. 94.64 ft. Depth to limiting facto 0'. Remarks: CST Name: Please Print Phone: Gary L. Steel 715-246-6200 Address: 1 200th. Ave. New Richmond WI. 54017 Signature: C f Date: CST Number: C5 5-22-96 cstm 02298 PROPERTYOWNER H. Fogelberg SOIL DESCRIPTION REPORT Page-2- of3K_ PARCEL I.D. # pendinct Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trend 10yr4 3 none sl 2mgr mvfr gw 2f .5 .6 3 2 5-88 7.5ry4/6 none is Osg mvfr na na .7 .8 Ground elev. 96.54 ft. Depth to limiting factor +88" Remarks: Boring # 1 0-11 10yr3/3 none 1 2msbk mfr gw 2f .5 .6 ' 4` 2 1-23 7.5yr4/4 none sici lfsbk mfr gw if .2 .3 3 3-38 7.5yr4/4 none sl lcsbk mvfr gw na .4 .5 Ground elev. 4 8-88 7.5yr4/6 none is Osg mvfr na na .7 .8 97.64 ft. Depth to limiting facto88 Remarks: Boring # 0-12 10yr4/3 none sl 2mgr fr 2f .5 .6 2 12-80 7.5yr4 5 /6 none is Osg fr na if .7 .8 4::.... x........: Ground elev. 97.04 ft. Depth to limiting factor +80" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Hank Fogelberg New Richmond, WI 54017 MPRSW 3254 SE4~4 S5-T29N-R19W town of St. Joseph (715) 246-6200 I lot #4-csm N 1"=40' BM.= top of 111steel pipe @ el. 100' Alt. BM= nail in Boxelder tree C el. 103.00' 9'0 :3 IM ~2~ C~sE►~,cN~. Al I -A 5 C~ Z' 28 ` 44 41-1 Gary L. Ste 1 5-22-96 (ow FILED L MAY 2 9 1996 ► KATHLEEN H. WALSH t.rio SCox CWj 5443$3 w C ER T I E I ED S UR V E Y MAP Located in the Southeast quarter of the Northwest quarter of Section 5, Township 29 North, Range 19 West, Town of St,.,Joseph, St.Croix County, Wisconsin. Owned by: Hank Fogelberg 400 South Second St. Hudson, Wi. 54016 UNPL_AT_T_E_D LANDS (SO0020'08"W 588.26') fi SOR-02'05"W S 00' 02' 05"W 588.30' SOO002'05"w 130781 3347.30' EAST LINE OF THE SE114 N1/4 Corner OF THE NW 114. SI A Cor,, Section 5 Section 5 LEGEND Z M LOT 4 r r l Section corner z ~I monument, Berntse w 463,007 Sq.. Ft., (10.629 Ac)` cap. 0 v Including right'-of-way'. NI NI • 1"X241 Iron pipe _ 461,846 Sq,,;Ft,W (10.603 A)in' c weighing 1.68 lbs/ Excluding right -©f;•way. OI E' I lin. foot set. o w n OI (R) Previously recordecL 2 X information. Z LL = o O Fence. ~I ~t N JI cc I - -Proposed drive- Z C,ry ~I :„:..ur~ CY) way - must r+ Liji maintain 200 I_i W rn 3 ~ foot separtationQ- N QI my 294 C\j JI Uo S 00* 10'57" 524.54' CL N 296.80' 227.74' N Zi N 0 'HOIX COUNTY' Lot 5 51 W I C kA ;.rehensfve PL-vu* 176,315 Sq.Ft. (4.048 A) m ® ® co ~I Zoning and Including right-of-way. SHED SHED - ~I ,perksC nvdtt 170,522 Sq.Ft. (3.915 A) Z o o= (A ...~I ei 17 Excluding right -of -way. not retarded 0) CD Lot 6 in - co to o I'Mn 30 days of 135,850 Sq. Ft. (3.119 A) w w !LOT 5 CD w iU) ~I aprovaldate Including right -of -way. o M W n ~ ~ M -I : rovat shag be 130,727 Sq.Ft. (3.001 A) Lo ~ • !LOT 6 ~ U.I ~`I vdct Excluding right-of-way. a I cv I w TAI _j I m co CD *cn 3 WI VI V • I 6 Z ..5.• .i IM BU/L'DING SETBACK ~~gilflff/p' I , (h S00°47'2~" E Z SOO°47'216' E O LINE. ~~~et, G pN II~~~ 66.0 ^ 96 79 ~-N - 229.54 Sz - sa -use .moo '229,62:4 llo- (D_ N W 10'57"W 592. 42 ' 0 STRFFT r STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER e/&TN MAILING ADDRESS 18 r7I 13 v lh Ave;. h L O U 1X) U)' ~ PROPERTY ADDRESS ( ocation of septic system Please obtain from the Planning Dept. CITY/STATE '5-1K I &)q . PROPERTY LOCATION G 1/4, 414) 1/4, Section T a~_N-R C TOWN OF DOSE ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER 47 CERTIFIED SURVEY MAP VOLUME PAGE 3100 , LOT NUMBER Ll_ 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 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 system. i St. Croix County residents may be eligible to receive 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 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 St. Croix Zoning a certification form, signed by the owner and by a mater 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. UWe, 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 stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: r DATE: -7 7 St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 4 • S T C - 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. Should this development be intended for resale by owner/contractor, (spec house), then a 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 - IeT ~v b Location of property 1/4 of/4, Section , SIN-R1 _W Township -5+. _ _Mailing address _I'BqLt_ ImoA%j RVJL~vup~C- 5-40o Address of site 623-0- 101-:70L ZZWf Subdivision name Lot no. Other homes on property? Yes_ No Previous owner of property E" '~~L 1-C> Total size of property f A t~at'7 /0, 11-~29 Total size of parcel Date parcel was created Z::S. Are all corners and lot lines identifiable? X-" Yes No Is this property being developed for (spec house)? Yes No Volume and Page Number .3t 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 AND 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 form, by virtue of a warranty deed recorded in th off* e 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 an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the o ice of the County Register of Deeds as Document No. Signature of Applican Co-Applicant A Date of Signature Date of Signature » A0 00/'~ State Bar of Wisconsin Form 1 - 1982 l 544 78'~ I WARRANTY DEED DOCUMENT NO. VOL 1182PAGE 26'7 i REaI j Hank Fogelberg, a/k/a~WI Hank D. Fogelberg, a single person, I ll~c'dtrp~oo,d I JUN 41996 f 1 : ; h at conveys and warrants to _ Kelth LeM,JY. 12 ~ ~WrWr+W i1:3 pSI-rd0aft II THIS SPACE RESERVED FOR RECORDING DATA l' NAME AND RETURN ADDRESS I EQUITY TITLE SERVICES 400 SOUTH SECOND STREET !i the following described real estate in St. Croix I, HUDSON, WI County, State of Wisconsin: 16 I' 030-1019-70 I' (Parcel Identification Number) I. is j~ II i Lot 4 of Certified Survey Map, recorded in the office of the Register of Deeds in Vol. 11 of Certified Survey Maps, page 3108, as Doc. No. 544383, and being a part of the Southeast Quarter of the Northwest Quarter of Section 5, T29N, R19W, Town of St. Joseph, St. Croix County, Wisconsin. ~I i ' T i i ~i This is not homestead property. (is not) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. I 19 day of Jun19---96. Dated this I J ( _ (SEAL) (SEAL) Hank Fogel rg, a/k/a Hank D. Fogelberg i (SEAL) (SEAL) i AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN Signature(s) ss. i St. Croix County. 2 . ,I