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HomeMy WebLinkAbout030-1049-70-000 ao 0 0 0. 0 0 f W t O Cn M O O W Q N L h N z a m = 0 w; N ~ N 3 Y o , U) 0 U Y. C CO 0l a C N O co y O . C > E ZS O O O O+S ~ O W N ~ ~ Er ! Z ti c N C > ' i C N VJ ~j W O N N o O N N z N CD Q) co o ti C° o N 'O Z O c 'p Z c o Eio c E 3 m 2 V O M 3 m LL o op N x E LL cc '0 r- Q CL o a~ ~ i E Q cc Cl) M 3 CL z N y rn W U) w g O £ O z z a o N co Z a m a m o o zv' c c = w w m Z o fn h o m z c E c E -o O 3 O N C_7~/J1 N m O N N N C y cr N N N N N ~ N N C O O N Q O N Q N zco z Zmz Z C, N d N R C R Y N 11 ~i O a s ~g w c° W d i O y d i N C 0 O a IL a E N N o o a o Q O (n f/) N L O !n M VJ E U N z~> X333 ° x_333 ~O Z0 -t m m CL CL CL IL a~ y o N `°cO y n ti m-j V E`~ E rn rn } 0 O iZ: o5 v rn a U) b C) 0) C) N O O co d N N 21 ~ 'O N N {3; N 72 'd N Q} W Cl) 'C d Q f63 m CO (D o °0 3 1 y c c ~ c ° p o o 'a •3 ° o v E° Q o a c C~ y c c c a o r\ L o E a> o E rn= v c~4 v _C Oi afli m c a) ! y C C N p) C o O ° `m -o c '2~ d'D W c a°i • co ON? N N O N O O 0 0 o to O o O O N (n z N Z U) U N O z 0 z Q' Cn w w i' a a a • a m a I' a s a E 'c ! c c _1 A U a O in V O v~ V ' N Parcel 030-1049-70-000 03/13/2007 09:45 AM PAGE 1 OF 1 Alt. Parcel 22.30.19.191 D 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 - GOERDT, ROSS ROSS GOERDT 680 143RD AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 680 143RD AVE SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 4.020 Plat: N/A-NOT AVAILABLE SEC 22 T30N R1 9W NE SE THAT PART OF LOT Block/Condo Bldg: 1 CSM 2/595 NOW KNOWN AS LOT 1 CSM 7/2039 4.02 ACRES Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 22-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 10/03/1997 566378 1268/163 WD 07/23/1997 886/286 07/23/1997 575/252 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 4.020 88,500 153,600 242,100 NO Totals for 2007: General Property 4.020 88,500 153,600 242,100 Woodland 0.000 0 0 Totals for 2006: General Property 4.020 88,500 153,600 242,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 147 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 , COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 ST. CROIX ZONING REPORT NO.: 09732/01 PAGE i ST. CROIX COUNTY REPORT DATE; 9/04/90 COURTHOUSE DATE RECEIVED+ 8/31/90 HUDSON! WI 54016 ATTN2 THOMAS C. NELSON 7 0 30 76 --o6Z) 01 OWNER. Robert DeNeui LOCATION: 680-143rd St., Moulton COLLECTOR: M. Jenkins SOURCE OF SAMPLE'# Kitchen faucet COLIFORM2 0 /100 ml INTERPRETATTON'# Bacteriologically SAFE NITRATE-N; 3 ppm Conform Bacteria/100 ml Under 10 ppm is safe for human consumption. Nitrate-Nitrogen, mg/L LAB TECHNICIAN. Pam Gane WI Approved Lab No. 19 pF.\NDEiENpFry O p ~6 SA Means "LESS THAN" Detec+able Level improved by: o PROFESSIONAL LABORATORY SERVICES SINCE 1952 COMMERCIAL TESTING LABQNATCRY, INC. a 514 Mail Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 i 800-962-5227 ST. MIX ZONINS REPORT NO. 91 05732/01 PARE 3 $T. CKIX CL3tAWY REPORT DATE: 9/04/40 COURTHOUSE DATE RECEIVEDit Rai/90 HUD" t WI 54M ATTNS THOMAS C. NELSON OWNER! Robert D#Neui LOCATIONt 690-143rd St., Houlton; COL.t.ECTOR: M. Jenkins SOURM OF SAMPLE$ Kitchen faucet ML.IFORRH2 0 /100 at INTERPRETATIONS BacterioiovicaLLY SAFE NITRATE-N; 3 ppe Under 10 ppe is safe for human consumption. CoLiform Bacteria/100 ml Nitrat"itro9en, ma/L j LAD TECHNICIAN! Pam Gana WI Approved Lab No. 19 OF \MDE•FNpw' is Y ~ Mans "LESS TFlAN" Detectable level Approved brl ti m PROFESSIONAL LABORATORY SERVICES SINCE 1952 aO s ST. CROIX COUNTY ZONING OFFICE St. Croix County Courthouse 1 911 4th Street Hudson, WI 54016 ephone - (715)386-4680 The St. Croix county Zoning office offers he Rservice of ealty Firms, and water inspections to Lending Institutions, private individuals. ease-~' ~ ~ ~ an that tha nrone*-t~! c n be-- Cn.an1 A~ 1~7I1 OZ tl]iB ~,CB Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning office, and mail, form s are received will be done as along with form to after the fee above and address. soon an possible ---------FEE: $ 25.00 v HATER TESTING------ (For nitrates and coliform bacteria)FEEs $175.00 WATER TESTING (For VoC'S) -FEE: $25.00 Z SEPTIC SYSTEM INSPECTION----------.--- (Determines if system is properl functioning at me of inspection) Property owner's name Property owner`s address/2 1k) Legal Des tion _ 1/4 of the 1/4 of Section , T____ N-~R Town Lot Number =Subdivision Name 1~lv ' ? Color of house ealty sign by house?~~If so, list firm: PL81►8X ZNCLUDB, IF AT L POSSIBLE, A MAP, .e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make'proper arrangements with this office to ensure time when entry may be gained. Firm or individual request n ervices-~-~~ ~ Telephone Number gd?3 REPORT TO BE SENT TO Closing dat sigMatur zlz '2~ ST. CROIX COUNTY WISCONSIN ZONING OFFICE r t'ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 Aug. 31, 1990 Margaret Strehlo Edina Realty 700 2nd St. Hudson, WI 54016 Dear Ms. Strehlo: An inspection of the septic system of the Robert DeNeui property located at 680 143rd St., Houlton, WI was conducted on Aug. 30, 1990. At the same time I also obtained a water sample for testing. The results of that test will be sent to you as soon as we receive them back from the laboratory. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This not not in any way warrant or guarantee the continued proper functioning or operations of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system is totally dependent upon proper maintenance of the system. Should you have any questions regarding this subject, please feel free to contact me. Sincerely, Mary J Jenkins Assistant Zoning Administrator cj ~~r•~ a..a\ V a V aa1♦ LWa Vl\~ `:yER TOWNSHIP SEC. T KICN, R~W a. ADD ESS ST. CROIX COUNTY, WISCONSIN. 'uDIVIS aON LOT 1 -LOT SIZE PLAN VIEW Distances b dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM _T_. - - p TIC TANK(S)_&W •*FGR. ,CONCRETE ,X STEM O. of rings on cover ,A1Ojy~ Depth It DRY WEM- ,NCHES N0. of width length area J no. of lines_ width /8' length area depth to top of pipe 3(~ 3REGATE 1 ~ 11J, -fWkV ,K RATE AREA REQUIRED AREA'AS BUILT ,claimer: The inspection of this system by St. Croix Country does not imply complete % .pliance with State Administrative Codes. There are other areas that it is not possible inspect at this,;;point of construction. St. Croix County assumes no liability for tem operation. However, if failure is noted the County will make every effort to ermine cause ,"of. failure. .:ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.. SP R - . ~-IN DATED PLUMBER ON JOB O~L LICENSE NU11BER 3719 _ . _ SO/ r Mr-PORT OF I1ISPECTIOtI--INDIVIDUAL SMAGE DISPOSAL. SYSTEM Sanitary Permit ~S • r , State Septic ? ".A.IE~.. TOWNSHIP ~ • t. Croix; o my SEPTIC TA" 11 w I Size gallons `umber of Compartments Distance From: Well ft. 12% or greater Slope Building' /17/ ft. Wetlands f tiighwater ft. DISPOSAL SYSTEM Tile Field or Seepage Pit(s) Distance From: Well ft. 12%.or greater slope* ft Building f- ft. Wetlands J` f FIELD Hiphwater ft. Total length of lines C~ft• Humber of lines j Length of each line Ft. Distance between lines ft• Width of the . trench ft. Total absorption area sq. ft. Depth of rock below tile 2 Lin. Depth of rock over tile in.. Cover -nver.rock., Depth of tide below grade ? in. Slope of . trench in per 100 ft. Depth to Bedrock ft. Depth to ground water ft. PITS Number of nits Out/id is a ft. Depth below inlet ft. Gravel around pno. Total absorption area sq. ft. -Square feet of seepage trench bottom area required Oquare feet of see it area required • ' Inspected by: Title: Approved f Date 197 Reiected T1 ,ems State and County State Permit # 7'2 PLB67 Permit Application County Permit for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: 7- 7.4 B. LOCATION: " % Section T_30 N, R_& E (or) Lot# City Subdivision Na nearest road, lake or landmark Blk# Village Township , Q /VFUi /~D 7* Fl'/tasr 4.4xiF 11,1N. C. TYPE OF OCCUPANCY: Commercial *Industrial *Other (specify) *Variance Single family x Duplex No. of Bedrooms 3 No. of Persons D. TYPE OF APPLIANCES: Dishwasher _ YES NO Food Waste Grinder _XYES_NO # of Bathrooms-.I. Automatic Washer _ X YES NO Other (specify) E. SEPTIC TANK CAPACITY fQQQ Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks New Installation -Addition- Replacement _ Prefab Concrete X *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) _I 2)_LL 3) _,I-Total Absorb Area 41,C sq. ft. New_ Addition Replacement *Fill System Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length WidthDepth Tile Depths No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size ~X Percent slope of land IF N Distance from critical slope .00-424 I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared by the Certified Soil Tester, NAME CALV;N P-&&-17 AS C.S.T. # 375--.5-3i-and other information obtained from (owneer/builder►. Plumber's Signature MP/MPRSW# x/83 Phone #r'If -386 -3(e23 O Plumber's Address ef if PLAN VIEW: Provide sketch below of system (include direction of slope and all distance in accord w/it H62.20, including well). m 7 2Q 3 u - _r VJ/ N ~a T_ F- - fooo rc 18 ' - - 5p 0 CAI_ 3G e 0 33 Cie, Y l T ~ ^ ai ~ r ~y y ! ; ` - ~1 ii` i r` ` l Y _ ~ 1 . . - _ ~ r . ~ ~ , ; w = ~ F t EH 1 1 5 WISCONSIN DEPAfITMENT OF HEALTH AND SOCIAL SERVICES v DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH lJ • P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS t LOCATION: Section T,3QN, R 17 E (or W Township or Municipality Lot No. , Block No. County 44A-_f n _ ' IUA Subdivision Name Owner's Name: ocQ. Mailing Address: 6 X60 4150-4-_~~ rn~t.'Yti/L~ / TYPE OF OCCUPANCY: Residence A No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS` SOIL MAP SHEET 13~ SOIL TYPE PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 12- /2- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) Sa o - -7 Q -175 B- -L - - s TO a o a7 2- ti jj o B- If .3-1 -4 01/ PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy. 61-5 Indicate scale or distances. Give horizontal and vertical refer ce points. Indicate slope. / /(rQ r idw 40 10 tN r- w 10-P 9 r L x f a ow V10( STC - 104 •0► AS BUILT SANITARY SYSTEM REPORT RECEIVED .r' . ,3 DEC X97 - OWNER ss ST CROIX COUNTY ADDRESS-Z,S~2 ZONINGOFFICE SUBDIVISION / CSM LOT SECTION_T 3~ N_R W, Town of_ ST. CROIX COUNTY, WISCONSIN aio d~~a^ PLAN VIEW SHOW EVERYTHING WIVJIN 100 FEET OF STEM G ~r =yp s~~ r Q~ D U c~ © D o C.~ ~ax T~'k INDICATE NORTH ARROW Provide setback and elevation i formation on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: v ALTERNATE BM. SEZ x~ -A9K PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: S Liquid Capacity: Setback from: Well House IS Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length- Z/7 Number of trenches Distance & Direction to nearest prop. line: Setback from: well-: 5V House f O Other ELEVATIONS Building Sewer ST Inlet: - ST outlet: / ~?9 PC inlet PC bottom Pump Off Header/Manifold /L2,97 Bottom of system/,~9 Existing Grade Final grade DATE OF INSTALLATION: f PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt Visconsin SANITARY PERMIT APPLICATION 201eE. Wand sBnigtogAve'sion P.O. Box 7969 Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 1/2 x 11 inches in size. , • See reverse side for instructions for completing this application State Sanitary Permit Number 2lq 177,. The information you provide may be used by other government agency 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 I~ Prope Owner me Property Location 1/4 te 1/4, S T , N, R/ ,ff(or~ Property Owner's Mailing Addr ss Lot Number Block Number ,(b City, State _ Zip Code Phone Number Subdivision Name or CSM Number ( ) - II. T PE F B IL INS: (check one) El State Owned o 'tr Nearest Road .ge Public 1 or 2 Family Dwelling - No. of bedrooms E3 Town OF III. BUILDING USE: (If building type is public, check al that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo a - 30. 19 • /9 / D ®'T®_ /~9 7© 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 online A. Check box on line B, if applicable) A) 1. E] New 2. R Replacement 3, ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System______ System Tank TankOnly ______________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 M 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. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation / Feet Feet VII. TANK Capacity gallonTotal # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing structed Tanks Tanks Septic Tank or Holding Tank - 0 ❑ ❑ ❑ ❑ ❑ /to" Xn9y Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility f 9r in a ation o e onsite sewage system shown on the attached plans. Plum s Na e: (Print) Plumb s * n N to ps MP/MPRSW No.: Business Phone Number: PI tuber's c dress (Street, ity, State, Zip Cod c .tea J~- IX. COUNTY/ EPARTMENT USE ONLY ❑ Disapproved nitar Permit Fee (includes Groundwater ate Issued Issuing Agent Signature (No Stamps) ~~QQ KApproved ❑OwnerGiven initial 1 0 <<S Surcharge Fee) I I•1~{~'1 Adverse Determination f / 1 X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD-6398 (R.11/96) DISTRIBUTION: Original to county. One copy To: Safety & Buildings Division, Owner, Plumber a INSTRUCTIONS 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, 608-266-3151. I I 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. Fj/J'i ~CJ~!/ ~.Vf{~' ^ YDP 0~3Ti~k/~.fi L/L !/BS'~.Co[ ~~ll•~r i s'7 p G' 3 6~~ o 'y ST. CROIX COUNTY ZONING OFFICE. CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certiZ- that I have inspected the septic tank presently serving the . o residence located at: ,sz 1/9, 1/4, Sec. , T,~_N, R19 W, Town of ~i~s>F.~se/L Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced , ,7- 9 7 Did flow back occur from absorption system? Yes No-:>,/- (if no, skip-- next line) Approximate volume or length of time: gallons minutes Capacity: Construction: Prefab Concrete Steel Other Manufacurer (if known) : ~rs_ /DVd d.~/ Age o nk Gi known): (Signature) (Name) Please Print (Title) (License Number) 97 (Date) Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 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 o the requirements of ILHR-83, ;is. dm. Code (except for inspecti n opening over outlet baffle). e ~ Name Signatur MP/MPRS zz 7 5/88 V'Aseonsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations DivisiVi of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/ 01 he ze. Plan must include, but St. Croix not limited to vertical and horizontal reference poi eCti n-ar~. f slope, scale or PARCEL I.D. # ~y dimensioned, north arrow, and location and dis Ito neareroad APPLICANT INFORMATION-PLEASE FO AL "AT, ON" R VIEWEDBY DATE ...,_,._w •l -A 411 in OW PROPERTY OWNER: p PERTY LOCATION Ross Goerdt `n , f Yf A GO YT. LOT SE 1/4 SE 1/4,S 22 T 30 N,R 19 k(or) W PROPERTY OWNER'-.S MAILING ADDRESS COUNT Y # BLOCK # SUBD. NAME OR CSM # 680 143rd. St. na na na CITY, STATE ZIP CODE NUMBER - ~ CITY []VILLAGE ZrOW NEAREST ROAD Somerset, WI. 54025 \ -8exaers~ 143rd Ave. j New Construction Use [x ] 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 fled, gpd/ft2 •8 trench, gpd/ft2 Recommended infiltration surface elevation(s) 101.15 ft (as referred to site plan benchmark) Additional design / site considerations na 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 ® S ❑ U ® S ❑ U ® S ❑ U ® S ❑ U ❑ S IN U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bou-day Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 1 0-9 10 r 3/3 none s i 2f .5 .6 2 9-24 10 r 4/4 none sicl lcsbk mfr gw if .2 .3 Ground 3 24-36 7.5 r 4/4 none sl 2mgr mvfr 9w na .5 .6 elev. 104.65ft. 4 136-80 7.5yr 4/6 none ms osg mvfr na na .7 .8 Depth to limiting factor +80 Remarks: Boring # 1 0-10 10yr 4/3 none sil 2msbk mfr 9w 2f .5 .6 2 2 110-29 10 r 4/4 none sicl lcsbk mfr if .2 .3 if .5 .6 3 29-41 7.5yr 4/4 none sl 2mgr mvfr gw Ground elev. 4 41-84 7.5 r 4/6 none cos os ml na na .7 .8 104.65ft. Depth to limiting factor +84" Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th. A New Richmo d WI 54017 Signature: Date: 10-3-97 CST Number: m02298 PROPERTYOWNER Ross Goer''d//t SOIL DESCRIPTION REPORT Page 2 0f-- ' PARCEL I.D. 0 70 r Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench 3 1 0-11 10 r 4/3 none sil 2msbk mfr cs 2f .5 .6 " 2 11-34 10 r 4/4 none sicl lcsbk mfr 9w if .2 .3 Ground 3 34-42 10 r 4/4 none sl 2mgr mfr gw if .5 .6 elev. 105.65ft. 4 42-96 7.5 r 4/6 none ms osg ml na na .7 .8 Depth to limiting factor +961, Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Ross Goerdt 1554 200th Ave. CSTM2298 SE4SE4 S22-T30N-R19w New Richmond, WI 54017 MPRSW 3254 town of Somerset (715) 246-6200 t N 1"=40' Bt.= top of 2" pvc pipe C el. 100' Alt. Bm.= top of steel fence post C el. 105.85' 2,~ 0 a.2 517' y hey ~ ► ~ y~,,~ ►3' oz. /~,2d. 19-d ~ Gary L. Steel 10-3-97 OCT-20-97 TUE 11:19 P.01 0>rT2 0 3 ~A~e 1984.. 4424 1.8 IN CERTIFIED E-E-~)URVE Located in the NF:1/4 of the SE1/4 of Section ZZ, 1.30N, 1119W, Town of St. Jos(,ph, St, Croix County, Wisconsin, 13cingr a subdivision of that Svrve;acd tor: Robert DeNcui Certified Survey Map recorded in lit. Cty TrIe. "It' Vol. Z, pi;. 595. Somerset. WE c40~5 ~Rd11YM_:l~' I SCALE IN rEET I"c 150' OCT 20 1988 i I Ga P - Sf. CPOIX COUNTY 0 Too too 400 COWTIVlf:NSIVEPAMS1V"VNG 'Com IMP _124 1~31L_ AV UP E_ ro tses•w ez"[1 S 09'19'33'1. 004.30' TI004.14'I +tzr 969.38 619,67' 192.63' 33' LOT 2 Z60736 Square feet (5.,.06 acme) it m r ti ,0i J( t o in w N~ y w Z~ HI 'j Y) Ymi J, >liu " LOT 1 's• ~ w Section ZZ w~ rtq NE Corner (3.507 Ac.) ai r---q : °o Excluding now to n o FI $j v 152749 Sq. Ft. rn a1 1750'x'7 Sq. 1't. (4.018 Ac.) f?( Including 1111W ~i 71 480.4!• 1 of +0.4 409 0 352.34' 0 N 89'A7'43'N 02.42' 1 ~50'( 50' M89•41'43"w (rID!•4T'QO`N lOTJD'I' Dlf.Tl' TU9- LANDS 1 N16'41`43`YI LLGEND SM71' I 3 County Section Corner Monument y y w . • 1" lran pipe found Z n C 0 1"X24" Round Iron pipt3 elphing ,"rr Z 1.68lbs/lily. ft, set. M I 511.T!'1 Previously recorded information East line of Section ZZ - GI 1t11lI1rr9rrry~~ C)/y SE Cor. Bearings ref :rencr,d to the Section ZZ East line of Sectlun ZZ, prevlouely 3ON,R19:V recorded as 140°32'43"W . ff1lf;Vf3Y Q, `4 db1•INSON Vol. 7 pnga 2019 S' Ta99 This inr.I,rume.11I: drift (A 1);,:71~~/ca!ts-_.. •It48-11!41 ~N" r~rrif), ibiYYl!`~ 'Y •r ~ W STC-105 ~r. SEPTIC TANK MAINTENANCE AGREEMENT St. Croat Cuuaty OWNEWBUYER e MAILING ADDRESS 1ROPERTY ADDRESS (e ~0 yL~ /t -e_ L/0 OS (location of septic system) Please obtain from the Planning Dcpt. C~~ CITY/STATE PROPERTY LOCATION 1/4p,.S-Z 1/4, Section T,'~'6) N-R- 19 W s -f - TOWN OF ST. CRO1X COUNTY, WI E SUBDIVISION LOT NUMBER CERTIFIEDSURVEYMRP S VOLUME,, PAG&,?~ 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 Ucar ncnt stage in the waste disposal system. St. Croix County residents may be eligible to receive a Brant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July I, 1978. St. Cruix 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 curtification 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 inspcctiun and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. VWe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with ilia standards set forth, herein, as set by th isconsin DNR. Certification stating that your septic has been maintained m ompleted and u d to the St. Croix County Zoning Officer within 30 days of the three y expirr 'on date. SIGNED: DATE: St. Croix County Zoning Officc Government Center I im Cann ichael Road 11/93 Hudson, W1 $4016 8 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 Location of p op rty_,J~e_1/4 SZ 1/4, Section, ,T_N-R 6' W Township S Mailing address 7 5 (pC~ Address of site v ~C~oZS Subdivision name Lot no. Other homes on property? Yes_ No Previous owner of property Total size of property Total size of parcel Date parcel was created C • 7.0 I q F~~ Are all corners and lot lines identifiable? _ Yes No Is this property being developed for (spec house) ? Yes _X.__No Volume 7 and Page Number 105 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 office of the County Register of Deeds as Document No. 3 and that I (we) presently own the proposed site for he sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of id system, and the same has been duly recorded in the office of he County Register of Deeds as Document No. 3~ Si natu e` Applicant Co-Applicant Z /i Date of igna ur Date of Signature STATE BAR OF WISCONSIN FCIRU _ 1982 / WARRANTY DEED DOCUMENT NO. ` This ;Jed ade y~twe~r1 GARY M. CONWAY and JOk1NN M. CONWAY, hus~an~ and wi to REDST, gril ST, and ROSS GTa sinle person Grantor, %fgfv Rof OWitnesseth, That the sad Grantee` Grantcx, l« a valuable coneys to Grantee the following described real estate in SL.- Croix County State of Wisconsin. THIS SPACE RESERVED FAR RECCROING DATA t• NAME AND RETURN ADDRESS Ros c,o t G80 rd ,iv-ut.e Som set, Wisconsin 54025 I e 030-1049-70 r Part of NEB Of SE PARCEL IDENTIF-TO WMBER Of Section 22-30-19 described as follows: Part of Lot 1 of Certified Survey Map y , r~ p filed -May 22, 1978 in Volume "2", Page 595 described as Lot 1 of a Certified Survey -Map ober , 188, Page 2039. Together with an easement for ingresseandcegress2as grantedninoVolume7==~ "879", Page 492, and Document No. 461791. T ~;SFER is s0 This homestead property. (is) (it not) 1- C Together with all and singular the hereditaments and a urtenain,s c'irreunto beion in And Gar M. Conway and JoAnn M. Conway g 8 warrants that the title is good, indefeasible in fee simple and free a,ad Jew d encumbrances except none and will warrant and defend the same r Dated this. 29th day of Septe ber ,19 97 (SEAL) ~}'f n (SEAL) • GARY M. ONWAY ' (SEAL) 01 .4 Ae JOANN M. CONWAY (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ' ss. authenticated this day of Count Personally • Croix came before me this 29th September day of 19 97 , thr above named TITLE: MEMBER STATE BAR OF WISCONSIN Gar M. Conway and (If not, JoAnn M. Conwa authorized by §,Ot, 06. Wits StatsJ - rr we known to be the persons tuuutttri~ who ~ THIS INSTRUMENT WAS DRAFTED BY - ument and acknowledge the same. `~•`(Z-• Barry C Lundeen A~~ PT R Fi, LUNDE l i0 S4cond r tPpr / I - - ST. CROIX COUNTY WISCONSIN ZONING OFFIC a a x r r x x a x - ST. CROIX COUNTY GOV 1101 Carmic I ad .:ru`~ c Hudson, WI jb 6-77~p, (715) 680VEO ~y SEPTIC INSPECTION / WATER TEST REQUEST F SF,h r 199, ra ST CROIX COUNTY ZONINGq ffq ~b Please specify desired test(s) & remit appropria` ee application. Outside water lines are often turned c winter months, making access to the home necessary. P1 0 a arrangements with this office to insure that entry can be gained. 0 Water (VOC's) $185.00 ~ Septic $50.00 Water (Nitrate & Bacteria) 45.00 ❑ Nitrate & Bacteria retest $15.00 Owner: ~d.Y C~~wv Requested by: b,ASv,~c•.a0. a v s b S~` Address : ('0 VA c> Y Address: Q> nne,f.~ct ZIP "^I ~ w t S Z I P y--( Telephone N°: (Zt.Sj S`kq - ~SkA9 Telephone N : (7iS) 3nS"- 3qU> Property address (Fire N2 & Street) Location:;, Sec. T N, R _W, Town of Realty firm: Cii &wvM Lock Box Combo: Closing Date: -3,z-5-j ~ aw\Cc~ ~ S~ Cam.+~~ c 030-10LIg-70-000 aa.30.i9. i9/o TO BE COMPLETED BY PROPERTY OWNER PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORMS Water sample tap location: Is the dwelling currently occupied? ❑ Yes ❑ No If vacant, date last occupied: Age of septic system: Septic tank last pumped by: Date: _ Previous Owner's Name(s): Have any of the following been observed? OY ❑N Slow drainage from house. ❑Y ON Sewage Back-up into dwelling. ❑Y ❑N Sewage discharge to ground surface or road ditch. ❑Y ❑N Foul odors. Other comments relative to system operation: I certify that the above information is complete and true to the best of my knowledge. OWNERS SIGNATURE: DATE: 1/94 OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION IN TO BE COMPLETED BY INSPECTION AGENCY System design &/or permit on file? ❑Yes ❑No Soil series per SCS Soil Survey: sheet. # Type of soil absorption system: slow grd ❑At-Grd ❑Mound Approx. size /T 'X -3`'a ravity ❑Dose ❑Pressurized Ft.2 ❑B'ed ❑Trench ❑Dry Well ❑Holding Tank ❑Outfall pipe OBSERVED DEFICIENCIES ❑Other ❑Unknown Septic tank Setbacks: ❑House-CjeN,,OWe11_L&❑Prop. line Other Dose tank Setbat"ks❑House ❑We11 ❑Prop. line ❑Other ❑Locking cover ❑Warning label ❑Pump/Floats ❑Alarm ❑Elec. wiring Soil Absorption System p~ Setbacks: ❑House Wel l OProp . line(-'~ ❑Other ❑Ponding: S - ❑Discharge: General commen s : s Lae INSPECTORS SKETCH OF SYSTEM LOCATION O G Inspector Title ° 'A ~~T. JOSEPH T• 29-30N-R.19W. 41 o I SEE PAGE S AVE. V /P.QSG Ho. and 5 y flou/e k I na c. B°e// : Na cl [ b e Gk C c Ma, a- an.,c /7 • 4o 2 40 40 1:: .IURJ'y / • i 13 990.5 .Dana ✓ril ,,;7 1 . 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NE/a/nC `Sr° N. ~a 7319:: krmDav/d ' - v . aRS:" /Ixsh• 6 Nancy es Nowk ML J D rnln9 ns' ti . "I/es 70 70./4 ~'GZ9 X1.0 ~ /eri4 s Y 1-he LT f riey/Y I R.risordL.i 9J.le:J RY AM L. N. f A Ph/7/PPri~e • N Beer !1 .1 '`o'~!✓.'aca„~7,Sin,~ E'.A Co'amG' ~ 41 Z§ol`°f PON / .7/.%n.lad Q i 3 h/unf.i79 C~u6, 4 W/L LOW RIVE STATE PARK 3s6~sB3,,, W L 3ro URK H°i /eo h 0 ` LLS L. / 4 rstn9~d /b o _ I~rL Pit rr/ _ ©/s93Ro ord a/o Publsj c. SEE PAGE 27 cSt No x Co~r71~r i✓i e. 500 600 /7~00~ 900 900 C?-y i Walker Reinstra, Van Dyk NEW RICHMOND Chiropractic & Needham, S.C. Office General Practice of Law GRANITE WORKS DR. SHERRY L. WALKER L. R. Reinstra MONUMENTS - MARKERS 246-3500 Hendrik W. Van Dyk BRONZE PLAQUES Scott R. Needham 246-2011 150 WEST FIRST 246-6806 NEW RICHMOND 201 South Knowles NORTH JUNCTION OF HIGHWAYS 64 & 65 OFFICE HOURS BY APPOINTMENT New Richmond NEW RICHMOND, WISCONSIN 1ST CHCI(,E 1262ND STREET l~ HUDSON, WI 54016 REALTY, INC. BUS. (715) 386-3942 Price: $139,900 Address:680 143rrd Ave. Somerset FAX (715) 386-6741 e 3:i aa ,1 . y_ -i 1 •.~Rt"T ,~p r:j K t +''"f ¢ ; , w to L F .=y+3 4 "M 5r ~1yNI"~+t+~` fr`}_55yt^y~jYlh~>+b v , It Highlights: Beautiful 3 br. home with a large 2 car garage and new concrete drive located on 4 treed private acres. with a Lester 26 x 30 pole shed excellent location with easy acces to 1 94 to the Twin Cities. Home has walk-out basement and large deck off the patio from upper level. Has 2 fireplace/woodstoves, lots of oak through-out. New large kitchen with new appliances. Location Dimensions Property East on 194 to exit 4 LR:17.1 x25.11 Total Sq: Ft:2004 North to Cty Rd. A then Dr:13.9x13.11 Heat:electric base north on A to Cty Rd. i Kit:13 x 12.3 Taxes:2,133.94 then north to 143 rd Ave MBr:11.7 x 17.5 Lot size:4 acres Br. 13 x 11.7 siding:vinyl, 1st property on left. Br:11.3 x 12 Appliances Sun Room 11.4x 13.2 Included:refrig Fam: 12 x 18 range, dish, 2 fireplace st. Deck:large across Heat$175/mo incl. lites back. Garage: 2 car large Baths: 2 fireplace:2/ woodstove Year Built: 1980 Broker:Don Sukowatey office 386-3942 Home 386-6790 Car 425-1884 Information is considered accurate but we accept no liability for error An Independently Owned and Operated Member of Coldwell Banker Residential Affiliates, Inc. ST. CROIX COUNTY WISCONSIN ZONING OFFICE u"" ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road - = Hudson, WI 54016-7710 (715) 386-4680 1 C~ ll September 30, 1997 Mr. Don Sukowatey Coldwell Bankers 126 2nd Street Hudson, WI 54016 RE: Water Test Results for Gary Conway located at 680 143rd Avenue, Somerset, Wisconsin, St. Croix County Dear Mr. Sukowatey: Enclosed is the original water test results from Commercial Testing Laboratory for a water inspection that was taken at the above referenced property. If you have any questions regarding this, please call our office at (715) 386-4680. Sincerely, ow Imo- ' Sul 5--~ am s K. Thompson s istant Zoning Administrator Enclosure sm 0n0, J1 as,, i ~1 3~ COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800-962-5227 FAX - 715-962-4030 ST. CROIX C"TY ZONING OFFICE REPORT NO.S 48560/01 PAGE 1 ST.CROIX CTY GOV.CTR REPORT DATES 9/25/97 1101 CARMICHAEL ROAD DATE RECEIVED- 9/18/97 HLSDSON, WI 54016 ATTNS THOMAS C. NELSON y, o OWNERS Gary Conway LOCATIONS 680 143rd Ave., Somerset I COLLECTOR: Jim Thompson DATE COLLECTEDS 9-17-97 TIME COLLECTEDS 11S15am SOLRCE OF SAMPLE' Kitchen tap DATE ANALYZED0#9-18-97 TIME ANALYZED. 200pm COLIFORM,MFCCS 0 /100 ml INTERPRETATION: BacteriotogicaLly SAFE NITRATE-NS 106 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. Co o if orm Bacter iat100 m L Nitrate-Ni-trogen, mg/L LAB TECHNICIANS Pam Gane WI Approved Lab No# 19 < Means "LESS THAN" Detectable Level Approved byi PROFESSIONAL LABORATORY SERVICES SINCE 1952