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HomeMy WebLinkAbout030-2012-20-300 Q 3 o O a I o o I N N y ~ I ~ o o v, (D z z c ° 3 'm -a y LL c V q Z I I z 0) U) = c o z d m M Cl) a m I c C9 o z o m z c c E i N a I C: (0 a` L N 0 0 Z F- Z 0 Z O m a ~r~t R CL c Y m co 0 0 0 d a E q p o N fA N `7A Z m > a F- 1- H EL U) m 0- . 1 a o 7 O N r n N J U = rn rn O w N N 0 O O M O o 7 7- m a N Z ° 0 N N a m CJ Co I n w c 0 y f 00 0 o~ c a~ c r o o l r N m .c a u~ c a) N V 0 N 6j m C d CD 5 N o N C2 y O U O co In S N o z Z Cn C~ r r r C/] d is £ d 3 7t Q L: d w CL 7@ 4) E A L) a 2 o N U t Parcel 030-2012-20-300 03/24/2008 11:55 AM PAGE 1 OF 1 Alt. Parcel 35.30.19.398C 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 - HAYES, JEAN M JEAN M HAYES 724 CTY RD E HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 724 CTY RD E SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 6.500 Plat: N/A-NOT AVAILABLE SEC 35 T30N R19W PT SW SW BEING LOT 3 Block/Condo Bldg: CSM 11/3194 6.5 AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 35-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1219/115 WD 2008 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.500 139,400 241,000 380,400 NO Totals for 2008: General Property 6.500 139,400 241,000 380,400 Woodland 0.000 0 0 Totals for 2007: General Property 6.500 139,400 241,000 380,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 140 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and #iuman Relations DiuisiotrotSafety & Buildings in accord with ILHR 83.05, Wis. Adm. Code • ' r tSt ~oix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, tfh, not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or ' e - dimensioned, north arrow, and location and distance to nearest road. , • Z-a APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION I D99 rn ATE 5t G'> 1A1TY PROPERTY OWNER: PROPERTY LOCH 4 Michael' Kohler GOVT. LOT SW M495FIdE 19 for) W PROPERTY OWNER':S MAILING ADDRESS jLOT# BLOCK # 718 Co. Rd. #E na CITY, STATE ZIP CODE PHONE NUMBER TY VZA6E SOWN NEAREST ROA Hudson, WI. 54016 (715) 549-5620 Co - Rd. #E [x] 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 5 6 3 trench, ft2 Maximum design loading rate • 7 bed, gpd/ft2 -8trench, gpd/ft2 Recommended infiltration surface elevation(s) 9 6 . 5 9 ft (as referred to site plan benchmark) Additional design / site considerations na fire # 724 Co. Rd. #E do LZEJt/hrib Parent material outwash Flood plain elevation, if applicable na It LUS = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK = Unsuitable fors stem ®S ❑ U ®S El U ® S E] U ®S ❑ 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 Trertdi 1 0-12 10 r3 2 none 1 2f 1 mfr 2f n .3 1 i':^~:•>::::::iii:~i 2 12-44 10 r4 4 none s i l i f r mfr i f .2 .3 Ground 3 44-84 7.5 r4 4 none s os mvfr na na .7 .8 elev. 99.94 ft. Depth to limiting factor +84" Remarks: Boring # 2f n .3 Q[W 1 0-10 10 r3 3 none 1 2f P1 mfr LL•i:?i:: iii: 2 10-25 10 r4/4 none sil 2msbk mfr if .5 .6 U Ground 3 25-31 7.5 r4 4 none is os mvfr na .7 .8 elev. 4 31-84 7.5 r4 4 none s os ml na na .7 .8 100.3 ft. Depth to limiting factor +84" Remarks: CST Name: Please Print Phone: Gary L. Steel 715-246-6200 Address: 54017 m02298 1V4 200th Ave. New Richmond, WI. Signature: I\ Date: CST Number: jZya==4 C~~ " 5-28-96 PROPERTY OWNER Mike Keller SOIL DESCRIPTION REPORT Page 2 of. 3 PARCEL I.D.# pending Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounday Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3} 1 0-10 10 r2 2 none 2fpl rnfr cm 2f nn -1 '`'i` `''2 10-3 10 r4 4 none sil lfsbk mfr gw if .2 .3 Ground 3 34-8 7.5 r4/4 none s osg mvfr na na .7 .8 elev. 124s_4ft. Depth to limiting factor b4 Remarks: Boring # 1 0-11 10 r3/3 none 1 2msbk mfr gw 2f .5 .6 4 ii< 2 11-2 10 r4/4 none sil lfsbk mfr gw if .2 .3 Ground 3 28-8 7.5 r4 4 none s os mvfr na na .7 .8 elev. 100.5 ft. Depth to limiting factor +84" Remarks: Boring # 1 0-12 10yr3/3 none 1 2msbk mfr gw 2f .5 .6 5 ` 2 12-3 10yr4/4 none sil 2msbk mfr gw if .5 .6 Ground 3 32-8 7.5yr4/4 none s osg mvfr na na .7 .8 10 Oele 14ft. Depth to limiting factor +84" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) STEEL'S SOIL SERVICE Gary L, Steel Michael Kohler 1554 200th Ave. CSTM2298 Sw4Sw4 S35-T30N-R19w New Richmond, WI 54017 MPRSW 3254 town of St. Joseph (715) 246-6200 t N 1"=40' BM.= top of cement door apron C el. 100' D' a 0 ary L. Steel 5-28-96 STC - 104 MAY AS BUILT SANITARY SYSTEM REPORT S-Tc S' 20NQG~GE OWNER ,J e a .i~ , e s £ ADDRESS ~a /C~cl L-~(wG[sa;rJ SUBDIVISION / CSM# LOT # SECTION T N-R W, Town of _5" !5, ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM V 0 opP S 3 q 9► INDICATE NORTH RO Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: ~,d~, Liquid Capacity: Setback from: Well Idf House 3v ` Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length 7S Number of trenches 2 Distance & Direction to nearest prop. line: yo f,- 7-4 Setback from: well: /da 'D-- House Sir ~ Other ELEVATIONS Building Sewer ST Inlet: ST outlet: PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB:- LICENSE NUMBER: INSPECTOR: c~- 3/93:jt 5 I[' Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM Eta13 Labor and Human Relations INSPECTION REPORT CROIX Safety and`Buildings Division No.: (ATTACH TO PERMIT) GENERAL INFORMATION Permit older's Name: ❑ City ❑ Village Town o : HAYES, JEAN ST. JOSEPH No.. CST BM Elev.: Insp. BM Elev.: LBMscription: Parcel 0 Tax x 3 O- 2:0 1 No.. 2-20-300 r ice: mss,../ 0 TANK INFORMATION EL VATION DATA o TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Benchmark ' oi- Septic Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet ~_a f TANK SETBACK INFORMATION St/ Ht outlet / ' TANK TO P/L WELL BLDG. Vent to ROAD Dt Inlet Air I tooke Septic r 30 s NA Dt Bottom Dosing NA Header / Man. __"0-61. o, 4 9--/a QJ.C/~ Aeration NA Dist. Pipe o. 4 19 Holding Bot. System .9,3 PUMP/ SIPHON INFORMATION Final Grade 3 9 Manufacturer Model Number TDH Lift Fric go Forcemain ngth SOIL ABSORPTION SYSTEM h Len th 7LD renchesPIT No. Of Pits Inside Dia. Liquid Depth Widt BED /TRENCH 9 DIMEN I N DIMEN I N LEACHING Manufacturer: SETBACK SYSTEM TO P / L WELL LAKE / STREAM CHAMBER Mo el Num er: INFORMATION Type O3 OR UNIT ,IA System: 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 xx Depth Of xx Seeded / Sodded xx Mulched De th Overges Topsoil ❑ Yes ❑ No C] Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: ST JOSEPH.35.30.19,SW,SW CTY RD E LOT 3 3 ~L- ~kj l~ Y"a, Plan revision required? ❑ Yes ❑ No Use other side for additional information. kLi~j_l "Z~'i Date pector'sSignature Cert No- -6710(R 05!91) SBD ADDITIONAL COMMENTS AND SKETCH t r SANITARY PERMIT NUMBER: ` r SANITARY PERMIT APPLICATION BuSafetyreau o oand ff BuiluildiinWater S ngWater Division stems 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. 5 C V'01r • See reverse side for instructions for completing this application State Sanitarry'Permit Number The information you provide may be used by other government agency programs El Check if re~visionn to previous application [Privacy Law, s. 15.04 (1) (m)). 7 a Z./ Rd C ~,L)i State Plan I.D. Number 1. APPLICATION INFORMATION - PL]]EASE PRINT AILGINFORZACTION Property Owner Name Property Location je4a f.- ,Bc SW 1/4 Sa 1/4, S 3 S T30 , N, R E (or)r Property Owner's Mailing Address Lot Number Block Number a 4 w .c 3 City, State Zip Code Phone Number Subdivision Name or CSM Number 11. TYPE OF BUILDING: (check one) ❑ State Owned ❑ city oSe~ Nearest Road ❑ VII age ,gf ❑ Public 1 or 2 Family Dwelling - No. of bedrooms Town OF~~.,,J ee X d jO -AL III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) S5.3 Q. 1 1 ppC 1 ❑ Apartment/ Condo 03O' Z-Q 1 2- .2 @ -.304 ~3 7a 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. CZ 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 ❑ 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) y-/ goi 6- Elevation G 60 7 5_;~ -75'Q A, f2gjl, S Feet Y, 0 Feet VII. TANK Ca in galloacits Total # of Prefab. Site Fiber- Plastic Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel strutted glass App. New Existing Tanks Tanks Septic Tank or Holding Tank ®Pf 1 ,r a1 wes T 12 ❑ ❑ ❑ ❑ ❑ Litt Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sew ge system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) P/ PRSW No.: Business Phone Number: 000, 11; rt c u hl eY - -4` -2:2 7ffd1 5 - 3 81C Plumber's Address (Street, City, State, Zip Code): G H f SP IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved 'Sant ry Permit Fee (IndudesGroundwater ate Issue Issuing ent Sig re (No S mps) oie_ pproved ❑ Owner Given Initial ! Surcnargeree) Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: original to County, One copy To: Safety Buildings Divr_ion, Owner, Plumber Y r INSTRUCTIONS 11- 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 ttie 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- r 0 V , l! I~ yp(~Dy. ~r' `=X pia v. woo. h ui`1. id Tree s eQ~ l 1 ~a S Tt 13 r a o1V .~3 laba oa S~ ati 1 ` = yd ~ s . A a Sm v tig Wari Department of Industry, SOIL AND SITE EVALUATION Human Relations Page 1 of 3 Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I. D. # APPLICANT INFORMATION - Please print all information. Revi0 3 0- 2 01 2- 2 0- 3 0 0 ewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Jean Hayes Govt. Lot SW 1/4 SW 1/4,S 35 T 30 N,R 19 X&(or) W Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# 493 Prairie Lane 3 CSM vol 11 pg3194 doc553152 City State Zip Code Phone Number ❑ City ❑ Village © Town Nearest Road Hudson WI 54016 ST Josf-pA ' o . Road E New Construction Use: [Residential / Number of bedrooms 4 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 6 0 0 7 8 9Pd Recommended design loading rate . bed, gpd/ft2 - trench, gpd/ft2 Absorption area required 8 5 8 bed, ft 2 750 trench, ft 2 Maximum design loading rate ' 7 bed, gpd/ft2 .8 trench, gpd/ft2 Recommended infiltration surface elevation(s) trench 1 -9 0 . 5 T2 -8 9 . 5 _ft (as referred to site plan benchmark) Additional design/site considerations Parent material Glacial deposit Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ff] S❑ U ®S ❑ U 0S ❑ L S❑ U ❑ S L] U ❑ S TD U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles in. Munsell Qu. Sz. Cont. Color Texture G _ Sz. Sh Consistence Boundary Roots GPD/ft2 Bed ,Trench 1 -5 7.5yr3/2 none L 2ms mu r cs •5 ;.6 2 -26 10yr4/6 none sicl 2msbk mfi cs if .4 -.5 Ground 3 6-3 7 . 5yr3/ none Is 1mgr mi cs .7 . 8 elev. ft 4 3-9 7.5yr4/ none ms osg mi cs - .7 8 Depth to limiting factor --q-6-in. Remarks: Boring # 2 2 -26 10yr4/6 none sicl msbk 11fi cs If .4 ;.5 3 6-3 7.5yr3/ none 1s 1mgr cs .7 g Ground 4 4-9 7 .5yr4/ none ms sg 1 cs • 7 8 elev. 93.90 ft. Depth to - limiting factor .96 in. Remarks: CST Name (Please Print) Signature Telephone No. A✓:rn 5'c~wrnaLl~r Ii5-3d'G-ylr2! Address Date CST Number 'FitSP~RTI OWNER- Mean Hayes SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D.# 030-2012-20-300 3oring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 3 1 0-8 7.5yr3/2 none L 2msbk mufr cs 3f .5 ..6 2 8-26 10yr4/6 none sicl 2msbk mfi cs if .4 ~5 round 3 23-34 7.5yr3/4 none 1s_ 1mgr m cs .7 .8 Iev. 94 ft. 4 34-96 7.5yr4/ none ms osg A cs .7 .8 ?epth to milling 91 for in. Remarks: Boring # 1 -7 7.5yr3/2 none L msbk ufr cs 3f .5 .6 4 2 -32 10yr4/6 none sicl msbk fi cs if .4 ;.5 3 2-4 7.5yr3/ none 1s 1mgr i cs - .7 ;.8 ;round 4 0-1 0 7 . 5yr4/ none ms sg t cs - .7 8 lev. 9 4 .-99--ft- iepth to ;miting ictor 100 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 # 1 0-5 7 . 5yr3/2 none L 2msbk mufr cs 3f .5 ..6 5 2 5-17 10yr4/6 none sicl 2msbk mfi cs 1f .4 ..5 3 17-28 7.5yr3/4 none 1s 1mgr mi. cs .7 .8 Ground 4 28-97 7.5yr4/6 none s osg mi cs .7 .8 elev. 91 .40 ft. Depth to limiting factor 97 in. Remarks: 3oring # ` 3 round dev. ft. )epth to miting actor in. Remarks: 3BDVV-8300 (A. 005) r QY • /3M d- 3 0 35 ~,t3m r V o -c I ,63 r I 1~ w ~S G- ~ % e J 7,:v a.K 3 c'D ~ S/~ reg7• rCcs. i y. C%j 1 3 ~11tEENH•W~-SN ~ ~~CcotxCo.W~ 553152 ti CERTIFIED SURVEY MAP Located in part of the SWi of the SW* of section 35, T30N, R19W, Town of St. Joseph, St. Croix County,'Wisconsin. LEGEND Aluminum County Section Corner Wk COR. SEC. 35 r Monument Found w p ~ O ~ I C~ L • tnEL 1" Iron Pipe Found 00 0 a O 1" X 24" Iron Pipe Set, weighing 1.13 1 bs. per linear foot 1"W ' ° ' 100' Roadway Setback Line ME N238.961 0 m Well a N o WATER EL = Waters Edge z w BM 4 ~(7-' o 100.00 .ELEV '102.73" Establ i shed Meander Li ne i1- 0 - as of 10/02/96 ,9~, stn o E G - - 75' Waterway Set Back I~C] S89°31'11"E I+ \'vk,, I~ 238.96' \ 0 0 17Li G0~, \T~~ OWNER y o c~ WN 7i p M~k' a Kohler C K~ Un co --I ~n v, ` 718 C.T.H. "E" m r c~ o Hudson, WI 54016 a y z No ~ I. m o f n) .x ~7 79 o0d m 00 CD _h . iz k0 S m 000-1 ME -n _ c o 0 0. -n *11 m BM „2 1 fi x o ELEV 106.95' AC(-E$$ EASEMENT m o m 1 + , VOL . 12 o CD LOT 2 i Pr. O 6_ `J't- 9.92 Ac. Inc. Esmt. 1 Q N89°11'36"W 519.85' " 432,254 sq. ft. 9.57 Ac. Exc. Esmt. j C2 416 j26 sq. ft. IC ~J% 1 ® o D V 0 L 9 rG 24 9.5 LOT 3 Ln m - - - - - - - J`o~ -j ° 6.50 Ac. Inc. R/W iC7 `i_ :moo s~ w w 283,248 Sq. Ft. BARN N 11- 0 w 6.00 Ac. Exc. R/W 0) ly un o c '0 261,537 Sq. Ft. Ln IC m 3"'9®!t® ~m to IL7 dft *111 . 261E J a F ~ S8998.9 E VOU936 PC .268- 589°11'36"E 600.00' EASN ENT o~.^ ti _F 6% 465.10' o E _ STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County 3~°~ `1 /T°~yc S OWNER/BUYER 41. MAILING ADDRESS 7Q.3 6 yr 4 Ad-Sot, f 1 PROPERTY ADDRESS 7~ C o k 1= (location of septic sys m) Please obtain from the Planning Dept. CITY/STATE / d~t1 Li I j b PROPERTY LOCATION Cti 1/4, (-J 1/4, Section T N-R cl W TOWN OF 4 ao j c <~~1 ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP , VOLUME J L ' PAGE, LOT NUMBER 3 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. I/We, 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: C~ DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 ` 6 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 X14 je< Location of property ,,L 1/4 S ~~S 1/4, Section S ,TAN-R~W Township p h Mailing addressf~ i✓+ ~iKC Address of site 2; Y Zy,,~ E Subdivision name &Lc Lot no. 3 Other homes on property? Yes No Previous owner of property j ~ ) t V Total size of property kdo Cctoc-e, Total size of parcel Z,Ly) 4(vc-,~ Date parcel was created Qt f 3 l `794 Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes 4 No Volume and Page Number -3/7Y 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 t office of the County Register of Deeds as Document No. s~~ , 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 office of the County Register of Deeds as Document No. n- ~n 4~ r~ Sig ture of App icara Co-Applicant A K~ J, i( q2 2- DatAof Signature Date of Signature 1 STATE BAR OF WISCONSIN FORM I - 1982 IMNTYfl VOL DO ; CUMENT NO. PACE HEGISTER3 (TFiCE 57 CROIX CO., W1 This ~ A~dbtWeto~ , Deed, made between Michael Kohler and 2 4, F' Grantor, UT 11:00, A j , - ~l a,ad ~,1 &4 M, HUM, A 1j0$le Rgrson W k i. Grantee, THIS SPACE RESERVED MR REeQ~tR~A~IA` Wit,-tit, 'bat the said Grantor, for a valuable consideration k"E MID RETURN ADDHEBS coavLys to Grantee tba Mowsag real estate in St. Croix County, Slats of Wisconsin: yWO Q~ LOOD 8, Ft1 s.. Patrt of SA of 3W~ of Section 35, Township 30 North Ct18t » ~•Q• Range l,9 West, described as Lot 3 of a Certified ~ W HOW, Wt ~ `fl Survey Map on file in the office of the Register of Deeds for St. Croix County, Wisconsin, in 03R-2Q1~..ZQ_g00 Volume 11 of CSN's, Page3194 as Document f Number 553152 (Parcel [stratification Ait } aI 4; 1q The Grantee by accepting and recording this deed, agrees that at su,4.4 I time as grantors desire to construct or improve a road on the roatdv easement lying iutmediately West of'. the propertyline of Lot 3, grant** will grant a temporary road construction easement to grantors. over t"- Westerly 24 feet of Lot 3 for a period of up to 3, months. ~ TRANSFER i 300 i This is not bomestead property. FEE 0* (is not) j Togetber with all and singular the bereditaments and appurtenances thereunto belonging; And grantors ( w#rraota tkrat the title is go4 indefeasible in fine simple and free and clear of eocutnbream except eASAWOtkts, COV ; and restrictions of record. ; i and will warrant and defend the same. I Dated this Zo day of 'I I (SEAL)S + w tlic el hl i (SEAL) see ara h F AUTHENTICATION AC&NOWLED.G1tT~~#r; ,i 0, Se(s? Michael Kohler and Sandra J • STATE OF WISCONSIN $abler Ny Ise County. 'Io...,eY p wn j l F elaft is W this day of . 19 Personally came before me this f•~ _ aav OGT-03--96 THU 11 :16 PM S&N LAND SURVEYING 3$6 2007 WT 3 COWe at the SW Corner of Section 35; thence $89011136"B, ,a1 the SQ4tb1iW1 of the SW1/4 of 0aid section., 854.32 feet to, thence contiruing 889011136'8, along said scatl 465.10 feet t*o the east line of the W1/2 of the SW1/4; xr ;"0":18' 44"8, all g said east line, 566.55 feet; thence 1519.85-feet 11364% , t:o the ea•s~ekly line: of a Roadway Easement reoardtd JS of 01141" Volume Page at the St. Crop Count Off ice and a y Register, Po3.nt on cuxve of a 1167.00 foot radius ewe, easterly, Who" central angle measures 100361000, Whose ~,bot" s0 0551 QO"8 mea,evres 215 : 60 feet thenctte southerly, ate' t jow"_: of sAid curve e"terl,y line, 225.90 feet:; • thence soT0, 310" be~ sd easterly line, 354.65 feet, to the ,Uth line of t, =Q i4 secti oA and the WMI 446cribed Parcel contains 6.50 Acres (384, 251 Sq. Vt.) Ab v,e dwribed parcel is subject to right-ot-way for C,,. oet XisbwV ",go all easements of record. Coe : c „ak t ~ 4