HomeMy WebLinkAbout030-1019-70-200
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Parcel 030-1019-70-200 05i08i2007 10:29 AM
PAGE 1 OF 1
Alt. Parcel 05.29.19.81 E 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 - BLAUKAMP, SCOTT A & TERA M
SCOTT A & TERA M BLAUKAMP
500 IRON MINE LN
HEDGESVILLE WV 25427
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 1169 42ND ST
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 3.120 Plat: 3108-CSM 11/3108
SEC 5 T29N R19W PT SE NW BEING LOT 6 CSM Block/Condo Bldg:
11/3108 3.119 AC
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
05-29N-19W SE NW
Notes: Parcel History:
Date Doc # Vol/Page Type
02/28/2006 819475 WD
07/23/1997 1208/275 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 3.120 93,500 162,700 256,200 NO
Totals for 2007:
General Property 3.120 93,500 162,700 256,200
Woodland 0.000 0 0
Totals for 2006:
General Property 3.120 93,500 162,700 256,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 210
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
WisconsRnDepartmentofIndustry, SOIL AND SITE EVALUATION REPORT 'O el of 3
[abagai,ig,Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
CMt + .
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 L I.D. #
dimensioned, north arrow, and location and distance to nearest road. d
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION WED B DAT
ST CROIx
PROPERTY OWNER: PROPERTY LOCATION 20 COON "F E
Hank Fogelberg GOVT. LOT SE 1/4 NW 1/4, , g ~,R or) W
E an - V1
PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NA
275 192nd. St. 1 na na csm e
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN ST ROAD
Star Prarie, WI. 54026 (715) 248-3003 St. Jose h 42Nd. St.
[xJ New Construction Use [J 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, gpd/ft2
Recommended infiltration surface elevation(s) 96.40 ft (as referred to site plan benchmark)
Additional design/ site considerations alt site trenches @ 96.00 & 93.20,
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 13S El U [3S El U LAS El U ®S El U ® 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 0-9 10yr3/3 none 1 2msbk mfi gw 2f .5 .6
2 9-21 10yr4/4 none sit 2msbk mfr gw if .5 .6
3 21-40 7.5yr4/4 none sl lmsbk mfr gw na .4 .5
I-
Ground
106~ey' ft. 4 40-84 7.5yr4/6 none s Osg ml na na .7 8
Depth to
limiting
factor
+84"
Remarks:
Boring # 1 0-8 10yr3/3 none 1 lm sbk rrki gw 2f 1.5 .6
.....2..t` 2 18-23 10yr4/4 none sicl 2msbk mfr gw if .4 .5
3 23-40 7.5yr4/4 none sl lmsbk mfr gw na .4 '.5
Ground
elev. 4 0-84 7.5yr4/6 none co s Osg ml na na .7 `.8
100.00 ft.
Depth to
limiting
factor
+84"
Remarks:
CST Name:-Please Print Gary L. Steel Phone: 715-246-6200
Address- 1554 th. Ave., w Richmond, WI. 5401
Signature: i Date: CST Number:
2-21-96 cstm 02298
PROPERTY OWNER Hank Fogelberg SOIL DESCRIPTION REPORT Page 2 of 3
PARCEL I.D. # Pending a. r
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 0-4 10yr3/3 none 1 2msbk mfi 2f .5 .6
g. 3
fi.........::
2 4-20 7.5yr4/4 none sicl 2msbk mfr gw if .4 .5
Ground 3 20-84 7.5yr4/6 none co S Osg ml na na .7 .8
elev.
99.4 ft.
Depth to
limiting
factor
+84"
Remarks:
Boring #
1 -6 10yr4/3 none 1 2msbk mfr gw 2f .5 .6
2 -22 10yr4/4 none scl 2msbk mfr 9w if .4 .5
3 2-52 7.5yr4/4 none sl 2msbk mfr 9w na .5 .6
Ground
elev. 4 2-92 7.5yr4/6 none is Osg mvfr na na .7 .8
97.7 ft.
Depth to
limiting
factor
+92"
Remarks:
Boring # 1 -8 10yr3/3 none 1 2msbk mfi gw 2f .5 .6
5 2 -22 10yr5/4 none sicl lmsbk mfr gw if .2 .3
3 2-40 7.5yr4/4 none sl 2msbk mfr gw na .5 .6
Ground
elev. 4 0-84 7.5yr4/6 none co s Osg ml na na .7 .8
97.2ft.
Depth to
limiting
factor
+84"
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(R.05/92)
Y
STEEL'S SOIL SERVICE
Gary L. Steel 1554 200th Ave.
CSTM2298 Hank Fogelberg
SE4NW4 S5-T29N-R19W New Richmond, WI 54017
MPRSW 3254 town of St. Joseph (715) 246-6200
I- lot #1-csm
N
1"=40'
BM.= nail in tree C el. 100'
ItA
ono ~nJc
w ~~o2s ~
off`
GaarY' L. Steel
2-21-96
MAY 2 9 1996 0, 1996
KAT
HLEEN H. WALSH Q
1
r 8 F KSURVEYORN ILED
g Register of Deeds St. Croix Co., WI . CROIOUNTY
544383 RECORD
CEP T I FI ED SUP VE Y IWA P
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
UN_P_L 4T T_ED_ L_AN_D_S_
(SO0020'08"w 588.26')
sh S09,9021 05"W S 00' 02' 05"W 588.30' ,F• SOO.02'05"W
v -4 4 1307.8/' EAST LINE OF THE SE l/4 ~ 3347.30'
N1/4 Corner OF THE NW 114. S1/4 Cor.
Section 5 (ni Section 5
cy .7,
LEGEND Z, coo
__Ji N LOT 4
Section corner - . I
monument, Berntse w 463,007 Sq. Ft. (10.629 Ac) (01 N 1
~~aP • w Including' right'-of -way. NI
1"X241 Iron pipe 461,846 Sq„Ft. (10.603 A)) 1 1
weighing 1.68 lbs/ w ;e Excluding right-of-way. CSI ti 1
lin. foot set. 0 ~I O
t R f Previously recorded. w 2 i J
information. m ~
- Fence. (V 2 0J O 1
'1 N ~lI
-...-Proposed drive-
cr)
way - must Wi vi Z j1 ROVED
maintain 200 1.-1 W M
foot separtation~- co 3 CL I
Qi m N N Q1 INAY 2 4,'c6a
• J1 Lo //'*'~S00-10'57"E 524,54' O chi j
CL 1
Z1 (U 296.80' 227.74' (V -
~j -i{UfX CCUIVT'V
Lot 5 -31 ;v %M
176,315 Sq. Ft. (4.048 A) M ® ® (ytl' ~,ensive Placusiz
Including right-of-way. 00 SHED IP SHED m -oning and
o o ~I P++s Commttee
170,522 Sq. Ft. (3.915 A) Z U)
Excluding right-of-way. v v c~
Lot 6 a) -iot recorded
M:. y F
m m w io o • .n 30 days of
135,850 Sq. Ft. (3.119 A) w w !LOT 5 rn w LO co pl
Including right-of-way. o m co a o ~1al3rovaldata
130,727 Sq. Ft. (3.001 A) ° !n 6 i ~I ~.t•;''oval shall be
cNU N N OI & '"';d
Excluding right-of-way.
~
~I
m
W
z -zoo'--+ 250' ~ U~
a tl O p BUILDING SETBACK
.
GQN,,~~I~ ~ 66. ' t. S0029762 9 N S00229. 4 N LINE
`~►_a~~ S/~~~j;
-298. -22J' 6~' 'D ZJ - -
11-6
,l_ 42N N 00-10-57"W 5'2.4,'?' STREET
ST. CROIX COUNTY ZONING DEPARTMENT
AS BUILT SANITARY REPORT
Owner f
Address IMI ft/,-07
City/State
Legal Description:
Lot C_ Block Subdivision/CSM #
S . '/.1Utom, 1 Sec. ~5` , T 6 N-R2W, Town of PIN # bib - /a/ 9 - L a60
SEPTIC TANK DOSE CHAMBER HOLDING TANK INFORMATION:
Tank manufacturer Size ST/PC /Oao/ Setback from: House / Well Y/P/L
Pump manufacturer Model
Alarm location
(HOLDING TANKS ONLY)
Setbacks: Service road Vent to fresh air intake Water Line
Meter location
Alarm location
OIL ABSORPTION SYSTEM:
Type of system: Width r Length S-O / Number of Trenches
Setback from: House )IA' Well _ /2,T / P/L Vent to fresh air intake
ELEVATIONS:
Description of benchmark 7` 5 a~ SOD ~ Elevation
Description of alternate benchmark Elevation
Buildin Sewer ST/HTInlet. 16/ L ST Outlet 7 PC Inlet
PC Bottom Header/Manifold -L-03 Top of ST/PC Manhole Cover
Distribution Lines 6, /V ( )
i
Bottom of System 7.6/ ( ) ( )
Final Grade ( } ( ) ( )
Date of installation /7 /9 Permit number oZ State plan number
Plumber's signature License number A/# 7X74 Date / I
Inspector
Complete plot plan R
NOTICE: Please provide the following:
• A plan view sketch showing everything within 100 feet of the system.
• Two horizontal reference points to center of septic tank manhole cover.
• Show alternate benchmark, if applicable.
PLAN VIEW
a
T
1(q
KATE NORTH ARROW
Wisconuin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT ST. CROIX
Safety and Buildings Division
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.:
299029
Permit Holder's Name: ❑ City ❑ Villa a Town o : State Plan ID No.:
AMUNDSON, JEFFREY & JEANETTE ST. JOSEPH
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
} i 030-1019-70-200
TANK INFORMATION ELEVATION DATA A9700344 916,1~'11`,!~;7
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosing
Aeration Bldg. Sewer 11-31
D
[Holding St/IWlnlet
TANK SETBACK INFORMATION St/,z Outlet
TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
-
Septic NA Dt Bottom
Dosing NA Header / Man.
Aeration NA Dist. Pipe
Holding Bot. System 7 o,/
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Demand
Model Num;
TDH Lift Fr' on
Force Length Dia. Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS DIMENSIONS - ~
LEACH anu acturer:
SYSTEM TO P/ L BLDG WELL LAKE/STREAM
SETBACK
INFORMATION Type O/ ' 'CHAMBER R r .ht J Mode Number:
System: j OR UNIT
DISTRIBUTION SYSTEM
Header/Manifold 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 Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: ST. JOSEPH 5.29.19,SE,NW 1169 42ND STREET LOT 6
21
Plan revision required? ❑ Yes ❑ No
Use other side for additional information.
SBD-6710(R 05/91) Date Inspector's Signature Cert. No
ADDITIONAL COMMENTS AND SKETCH ~
SANITARY PERMIT NUMBER:
I
SANITARY PERMIT APPLICATION Bureasafetyu o oand ff BuiluildiinWater Systems
gWater 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
The information you provide may be used b other government agency
Y Y Y programs, ❑ Check if revision to previous application
[Privacy Law, s. 15.04 (1) (m)].
State Plan I.D. Number
1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION
Property Owner Name c Property Location
lp S 5 T 2 , N, R q (Or
Property Own is Mailing Address Lot Number Block Number
City, State Zi ode Phone Number Subdivision Name or CSM Number
II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ Cit Nearest Road
E] o age
Vil
Public 1 or 2 Family Dwelling - No. of bedrooms To
Twn OF
ill. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) p
1 ❑ Apartment /Condo ~o,30 /a`/ l - 70 - oo?oQ
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. (New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an
System System Tank Only Existing 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 (h Seepage Bed )~'X 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. Rate 6. System Elev. 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation
L-1 `5 C' q o c; 90C o 1 0a, LjFeet Feet
Ca acit
VII. TANK in gallo s Total # Of Prefab. Site Fiber- Plastic Exper.
INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete Con- Steel glass App.
strutted
Tanks Tanks
Septic Tank or Holding Tank -/ODO l Con ~ (21A-711 ® ❑ ❑ ❑ ❑ ❑ 4 14 Loft Pump Tank /Siphon Chamber I 411~ ❑ ❑ ❑ ❑
❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plumb 's Signat re: ( o S p M SVV No.: Business Phone Number:
Zi vu
PI mber's A ess (Str ' City, State Zip Code):
IX. C UNTY / DEPARTMENT US NLY
❑ Disapproved Sanitary Permit Fee (includes Groundwater ate Issue Issuing A nt Signature (No S s)
Surcharge Fee)
Approved ❑ Owner Given Initial l~~~j/~/S 7
Adverse Determination u
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD-6398 (R. OS/94) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Divn_ion, Owner, Plumber _
INSTRUCTIONS F
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be 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 maintained. 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 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 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.
160
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ter, Y
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5 70
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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of
Labor and Human Relations
Divislon of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
p 11 NTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must' u 1 ut 1 St. Croix
not limited to vertical and horizontal reference point (BM), direction and % of slope, r PAS #
dimensioned, north arrow, and location and distance to nearest road.
pending
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION co i EVIEWM-BA DATE
a r,
lv!
PROPERTY OWNER: PRO LOCATJQN Hank Fogelberg GO SE AlW 1/4,S 5 29 N,R 19 $(or) W
PROPERTY OWNERS MAILING ADDRESS LOT # 66f1) INME< #
400 S. second St. 6 csm
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY E1 NEAREST ROAD
Hudson, WI. 54016(71 386-0222 St.
42nd. st/
~W~ -4
Pc] New Construction Use [ x] Residential / Number of bedrooms 3 [ ] Addition to existing building
j ] 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) 102.54 ft (as referred to site plan benchmark)
Additional design / site considerations alt. site trenches C 100.29 & 105.04'
Parent material pitted glacial drift 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 CAS ❑ U 12S ❑ U 12S ❑ U ® S ❑ U ❑ S ®U ❑ S Lou
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 -10 10yr4/3 none sl 2mgr mfr gw 2f
1 .5 .6
>k<>>-><<.€€ 2 0-26 10yr4/4 none scl 2msbk mfr gw if .4 .5
Ground 3 6-37 7.5yr4/4 none sl 2mgr mvfr gw na .5 .6
elev.
103.3 ft. 4 7-80 7.5yr4/4 none is Osg mvfr na na .7 .8
Depth to
limiting
facto
Remarks:
Boring # 1 -9 10yr3/3 none 1 2mgr mfr gw 2f .5 .6
2< 2 -17 7.5yr4/4 none sit 2msbk mfr gw 1f .5 6
3 17-34 7.5yr4/4 none scl 2msbk mfr 9W if .4 .5
Ground
elev. 4 4-86 7.5yr4/4 none sl 2mgr mvfr na na .5 `.6
104.2 ft.
Depth to
limiting
factor
86
Remarks:
CST Name:-Please Print Gary L. Steel Phone: 715-246-6200
Address:
1554 20 Ave. , Neliir::Rc nd, WI. 54017
Signature: Date: CST Number:
5-22-96 cstm 02298
Af3_•
PROPERTY OWNER H. Fogelberg SOIL DESCRIPTION REPORT Page
PARCEL I.D. # Pending
Bed Tre
Boring # Horizon Depth Dominant Color Mottles Texture GrStru Sz. cture ShConsistence Boundary Roots Bed Trench
in. Munsell Qu. Sz. Cont. Color . .
-9 10yr3 3 none 1 ms m r gw
. 5 .6
M ON-
1iK,11 ; 2 -18 10yr5/4 none sil lfsbk mfr gw if .2
Ground 3 11 8-36 7.5yr4/4 none scl 2msbk mfr gw na .4 .5
elev.
105.5 ft. 4 k6-90 7.5yr4/4 none sl 2msbk mfr na na .5 .6
Depth to
limiting
factor
+90"
Remarks:
Boring # 1 -12 10yr3/3 none sl 2mgr mvfr gw 2f .5 .6
4ti
M 4::x g 1. 2 112-33 10yr4/4 none sl 2mgr mvfr gw if .5 .6
3 33-84 7.5yr4/4 none sl 2mgr mvfr na na .5 .6
Ground
elev.
105.4 h,
Depth to
limiting
factor
+84"
Remarks:
Boring # 1 0-12 10yr3/3 none sil 2mgr mfr gw 2f .5 .6
5€:<: 2 12-26 10yr4/4 none sil_ 2mgr mfr gw if .5 .6
.v.i.:i{::fin{:..i.::•
3 126-37 7.5ry4/6 none is Osg mvfr gw na .7 .8
Ground
elev. 4 137-88 7.5yr4/4 none sl 2mgr mvfr na na .5 .6
106.7 ft.
Depth to
limiting
factor
+88"
Remarks:
Boring #
r
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(R.05/92)
s
STEEL'S SOIL SERVICE
Gary L. Steel Hank Fogelberg 1554 200th Ave.
CSTM2298 SE4NW4 S5-T29N-R19W New Richmond, WI 54017
MPRSW 3254 town of St. Joseph (715) 246-6200
lot #6-csm
N
1"=40'
BM.= top of SE lot stake C el. 100'
N
zoo
~oA
l~ kC
4,39 -Z& eT 3C
n ~Gary L. Steel
1~~X460
5-22-96
t FILED
L MAY 2 9 1996 10, 1
KATHLEEN H. WALSH
Register of Deeds
9 SL Croix Co., WI
5,14383 w
C EP T I E T ED S UP 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, W i . 54016
UNPLAT_T_E_D _LANDS
(S00°20'08"W 588.26')
S09*021 051. W _ S 00' 02' 05"W 588.30' SOO"02'05"w
1307.81 EAST LINE OF THE SE 114 334730'
N1/4 Corner OF THE NW 114. S1/4 Cor.
Section 5 (0i Section 5
i
LEGEND Zi
-_.f lL®7T- 4
Section corner
monument, Berntse w 463,007 Sq.. Ft.,. (10.629 Ac) ~I I
cap. Including right'-of-way'. N~ N
• 1 'X24' Iron pipe 3: a 461,846 Sq,,Ft... (10.603 A)in • I
weighing 1.68 lbs/ ~ Excluding right-of=way.. M
UI ~I
lin. foot set. o w d l q
I R' Previously recordecL w z r I .LI
information. N fj tL
O ~I
x -x- Fence.
a I
J
--Proposed drive- `i a OI
m z m >I
wa-,v - must LLUi I "ROVED
maintain 200 I-i W rn ^I
foot separtationQ~ LD N QI r,~), 2 916-1
Ij _II to S 00'10'57"F- 524.54' 01
-
~I (U 296.80' 227.74' (V
ZI MOIX COUNTY
Lot 5 >_I a+ ;yenstve Piatutii
176,315 Sq. Ft. (4.048 A) 0 ® ® to r;a r 00 SHED SHED co >I -cnin9 and
Including right-of-way. ao Ct: I Anf*s comrritteo
170, 522 Sq. Ft. (3.915 A) Z o fi U) Z) I
Excluding right-of-way. V
CY) _ L71 "not recorded
Lot 6 u~ Co 1.0 to o X ~'FIM 30 days of
135, 850 Sq. Ft. (3. 119 A) w w LLD T- 5 m w to (0
~apreval data
. .1 a; wi N M - krovpl shay be
Including right-of -way. M ~
130,727 Sq. Ft. (3.001 A) N w 1• (L(a)T 6 to Itl
Excluding right-of-way. o a cNV u~i [_~_I O
I I 3 JI
co
m co
W
Z 250' Z
-zoo'--r I{
_..I..._ :.I... 1
e° BUILDING SETBACK
N SOO°47'2~"E N SOO°47'216"E O N LINE
66.0296 79 229 4 •
- -
e - sa 41 -29t3.80 "229'.
J
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S T C - loo
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 t✓ 2 ~,f~ A[ T 0-5'0/1'/
Location of property SE 2/4_Alv4_1 jq, Section ~T _N-R-19-W
Township, t+ Mailing address Ave
A-1 M01
Address of site z~ 9 .v S A /Z_
Subdivision name 0 .A Lot no.
Other homes on property.?? Yes No
Previous owner of property DUX-
Total size of property
Total size of parcel
Date parcel was created
Are all corners and lot lines identifiable? Yes No
Is this property being developed for (spec house)? Yes No
Volume - 16 7 and Page Number 12- 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 the voice of the County Register of
Deeds as Document No.
own the proposed site _,57~ and for the sewage f disposaltsystem) oprr I (entey
obtained an easement, to run the above des ribed property, for the
construction of said system, and the same has been duly recorded in
the office of the County Register of Deeds as Document No.
ala't;~ie of
Applicant Co-Applicant
STC - 105
SEPTIC TANK MAINTENANCE AGREEMEN"F
St. Croix County/
OWNER/BUYER
MAILING ADDRESS v~~S 7S~AL,~L / /W 537 I
PROPERTY ADDRESS
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE
PROPERTY LOCATION 1/4, 1/4, Section T_ N-R-/Y_"r
TOWN OF Spp~ ST. CROIX COUNTY, wl
SUBDMSION Lr,l Catltstrt,~ LOT NUNII3ER
CERTIFIED SURVEY MAP , VOLUME, PAGE oe-40 , LOT NUMBER 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.
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 sc%vagc
disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNf.
Certification stating that your septic has been maintained must be completed and returnee{ to the St Croi.~
County Zoning Officer within 30 days of the three year expiration date
SIGNED: X92_._--
DATES
St. Croix County Zoning Office a--Iow~
Governnient Center
1 101 Carnlrchael Road
Hudson, W l 5401() 1 1 q;
~ G oolf't'~
552008 i State Bar of Wisconsin form 2 - 19W
I; WARRANTY DEED
DOCUMENT NO.
Whe CUO R=C 6TEn CFRCE
- $tCRWM,W1
H-ink Fogelberg, a/k/a Hank D. Fo elber,:
a sin le person. NOV, IV 1998
;
10:30 A?,
conveys and warrants to Jeffrey C Amundson and ..7mL.•. `1t 4)Af►
Jeanette M. Amundson, husband and wife, P xafOadf I
i THIS SPACE RESERVED FOR RECORDING DATA
NAME AND RETURN ADDRESS
V 3a
~i Eoul?y 717 ~S9 coov .0
the following described real estate in St- Croix 4Q(; -T E
(,UT SERVE
i County, State of Wisconsin: i~ '-J(f U•S~jy, `l ~/SEDO6 D $TREer-
(Parcel Identifiatien Number)
Lot 6 of Certified Survey Map, recorded in the office of the Register of
Deeds in Vol. 11 of Certified Survey baps, page 3108, as Document No. 544383
and being a part of the Southeast Quarter of the Northwest Quarter of Secti(m 5,
T29N, R19W,Town of St. Joseph, St. Croix County, Wisconsin.
is
$T 8 SFER
'I
!i This is not homestead property.
ji (is not)
j! Exception to warranties: Easements, restrictions- and rights-of-way of record, if any.
,i
Dated this 28th d" at June 19 96•
(SEA1) (SEAL)
•_EI,3I)k_EQgelbpr a/k/a Hank n_ Fogelberg
(SEA-) (SEAL)
I
Il it
! AUTHENTICATION ACKNOWLEDGMENT
STATE OF d'iSCONSI":
Signature.,
SS• it
St. Cro' Count .
y L
authenticated this . day of 19_- Personally came before me this 28t0h day of 1!
June I & above named II
Han oge r, a a Han F D. _
~I Fogelberg, a single person,
I TITLE: MEMBER STATE BAR OF WISCONSIN -
(I (if not, _
authorized by §706.06, Wis. Stats.) Diane M_ BaWsct;1 tome known to be theperson who executed the
I~ Notary P foregoing instrument and acknowledge the same.
TWIT INSTRtIMFNT WAR DaAFTFD BY Qttl+A n(! YY~rC il_ T