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HomeMy WebLinkAbout040-1236-90-000 )apartment of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 i- luman Relations Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code NTY, . .,ach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, buy St G o ~ to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCI,LD. # not limited , t' : pelf dimensioned, north arrow, and location and distance to nearest road. din APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION i - REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION' Richard Stout GOVT. LOT NW 3 28 19 f(or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK ; WNIE-,'09, 169 135 58 na CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OrISM/ ; r 4 ST ROAD Hudson, WI. 54016 h15) 549-67 [x] New Construction Use [ ij Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 god 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) 91.88 ft (as referred to site plan benchmark) Additional design/ site considerations alt. system el. =91.05' Parent material pitted outwash plain 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 CDS ❑ U ®S ❑ U ®S ❑ U ❑ S C3U 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 10 r2 2 none 9.m,-,hk Mfr Cs if .5 .6 1 2 10-28 10 r4/4 none s' if .2 Ground 3 8-82 10 r4 4 one ifR lcsbk mfr na na _9 _C% elev. 94.88 ft. Depth to limiting factor +82" Remarks: Boring # 1 k-11 10 1 2msbk mfr ifi _'il-C, U2 111-27 10 r4 4 none sil lfsbk mfr 9W if -9::-q 3 7-84 10 r4 mfr na Ground elev. 95.78 ft. Depth to limiting factory +8411 Remarks: CST Name:-Please Print Phone: Gary L. Steel 715-246-6200 Address: 15 200th Ave., ew Richmond, WI. 54017 m02298 Signature: Date: CST Number: 4-22-96 PROPERTYOWNER Richard STout SOIL DESCRIPTION REPORT Page? PARCEL I.D. # pending Lot#58 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0-15 10 r2/2 none 1 2msbk mfr if .5 .6 2 15-30 10 r4/4 none sil lfsbk mfr if .2 .3 Ground 3 30-80 10 r4 4 none s os mvfr na na .7 .8 elev. 93.87 ft. Depth to limiting factor +80" Remarks: Boring # 1 -11 10yr2/2 none 1 2msbk mfr cs if .5 .6 2 11-20 10yr4/4 none sil lfsbk mfr 9w if .2 .3 Ground 3 0-30 10 r4/6 none sl lcsbk mfr CFw na .5 .6 elev. 4 0-80 10yr4/4 none fs os mfr na na .5 .6 95.41 ft. Depth to limiting factor +80" Remarks: Boring # :::k 1 -12 10 r2 2 none 1 2msbk mfr cs if .5 .6 w:> 2 2-32 10 r4 6 none sil lfsbk mfr if .2 .3 3 2-80 10yr4/4 none lfs lcsbk mvfr na na .5 .6 Ground elev. 93.62 ft. Depth to limiting factor +80" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) 1 STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Richard Stout NW4SW4 S3-T28N-R19W New Richmond, WI 54017 MPRSW 3254 town of Troy (715) 246-6200 lot #58-Country Wood N 1"=40' BM.= top of square tube C el. 100' alt bm.= nail in tree C 104.00' lo' ~ v07o f -f4 i ti 2►4~ Gary L. Steel 4-22-96 V STC - 104 AS BUILT SANITARY SYSTEM REPORT 9 OWNER /Y1,04 / ~I/L'/C[3LAU u~ c ADDRESS --r^'~KL~~~ A z~S,,..cp~/ /jjy9? f}'iw sin, .l r ° YD/(v ~vQ~9Ole SUBDIVISION / CSM# CDUi1/T/~ tl L( t"l~!> LOT # s~ SECTION 3 T_ g N-R / 7 W, Town of T/la ST. CROIX COUNTY, WISCONSIN " 0~-o PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM a~ N 1 i 78` 1 1 z-sxia~` Ilea5C 1,teo 6Z Sr' 1 i INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. ti BENCHMARK: 5,q rAdI e!FL /11n n ALTERNATE BM:. /-Dr -s7,A1*F FL. YZ SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: L~E6F0t,C Liquid Capacity: 126n , {vo 7- /N Setback from: Well &7- House Other Pump. cturer Model# Size Float seperation cle: Alarm Location SOIL ABSORPTION SYSTEM Width: , Length /DO Number of trenches 2 Distance & Direction to nearest prop. line: ~5~7- j 9 fT //Or /'V Setback from: well: House Other ELEVATIONS Building Sewer ST Inlet; ST outlet PC inlet _V_ PC bottom ff- Pump Off Header/Manifold Bottom of system _ Existing Grade Final grade DATE OF INSTALLATION* K- 22 PLUMBER ON JOB: ;2 n LICENSE NUMBER: INSPECTOR: 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: „Saber and Human Relations INSPECTION REPORT ST. CROIX Safely and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 289344 Permit Holder's Name: ❑ City ❑ Village 93 Town of: State Plan ID No.: NICKOLAUS, ANTHONY TROY CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 11K V11- 1 040-1236-90-000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS PHI FS ELEV. SepticBenchmark l0./6~ ~i. yam. Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet 5 VT 4,31' TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header / Man. /1 -7, q I, q 7,/ qj, q1 7 Aeration NA Dist. Pipe r q' Bot. System q Holding q_ j, 9oj Yg~ PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand^ Model Number GPM TDH Lift Friction System TDH Ft Loss Head Forcemain Length Dia. Dist.Towell SOIL ABSORPTION SYSTEM BED /TRENCH width Length a/ No. gf Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS -f DIMENSIONS LEACHING Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM INFORMATION TypeO i CHAMBER Model Number: System: 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 o " Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: TROY 3.28.19,NW,SW 617 OA/KLEY CIRCLE LOT 58 S"k r Plan revision required? ❑ Yes E3/No -1 G Use other side for additional information. 14 1 SBD-6710 (R 05/91) Date Ins ect is Signature Cert. No. t ADDITIONAL COMMENTS AND SKETCH F SANITARY PERMIT NUMBER: M Safety and Buildings Division ~~■~r.r,t SANITARY PERMIT APPLICATION Bureau of Building Water Systems 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8112 x 11 inches in size. ` • See reverse side for instructions for completing this application State Sanitary Permit Numbel' The information you provide may be used by other government agency 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 Property Location t 14 114,5 T NOR E(or oUrIZOW IS e& Property Owner's Mailing A ress Lot Number Block Number U4 1017A L~L /P D. City, State Zip Code Phone Number Subdivision Name or CSM Number ( ) ecW T III. TYPE F BUILDING: (check one) ❑ State Owned ItIy rNearest Road Public 1 or 2 Family Dwelling - No. of bedrooms p rowan OF 7Wo 111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 0 Y® 36 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. 1K 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 X Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 Q Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absor ea 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Req ft.) Pro~q q. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation Feet Feet VII TANK Capacity in gallons Total # of Prefab. Site Fiber- ExPer. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel lass Plastic App; Tanks Tanks Septic Tank or Holding Tank ' 29 Q Q ❑ El 1:1 Lift Pump Tank /Siphon Chamber Q El El 0 1' Q Q VIII. RESPONSIBILITY STATE-MENT 1, the undersigned, assume responsibility for installation of the onsite sewage s stem shown on the attached plans. Plumber's Name: (Print) Plum er Signature: (No Stamp M PRSW Business Phone Number: Plumber's Address (Street, City, State, Zip Code): IX. C LINTY / DEPARTMENT USE ONLY ❑ Disapproved San ry Permit Fee (Includes Groundwater ate ssue Issuing Age t Si ature (No m A roved Surcharge fee) pp ❑ Owner Given Initial Adverse Determination l X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SOD-6398 (R. 05/94) DISTRIBUTION: Original to County, One copy To: Safety a Buildings Division, Owner, Plumber t INSTRUCTIONS t 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 bya 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. 111. 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 it 6l f-i +e submitttrd'td'ti'i'e county. The plans must in6ude 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. ~oavG - 3o",4.a~. /4P/°/rav~ e c~v~7L ~Is4 4 i' 1 suG-G~s~~~ s yrsT~rl ~ c. 90, yy QAKLE'y c,/tecr Rp. 4tr Am EL . B9, `/2 ~ DU S OfeH ES o Bz ~ PRopWolf' o I PR~Pos~ d I~ cSG4GE /N= yO , fj/7 = /00, 71610 ffoat I a3 , % t1/3E s i/} XIE % ,ypD G A 1- 7. V ~ Togo /100 S`t. NL L aT s7-,4x-c G D LOT- 58 8j Oy C OCYWT/1 y WOOD. err E,4, iw O 97 D,? xz-~3y C17 OArrCeY CIAC1,4 586 V,41-ley 046-W 7-4 f~u/JSDiY Cl1~S'y 901Ve-tS&Ir cUi' S CA6- ~"9~~sGv 3zv~ Visconsin Department of Industry, SOIL AND SITE EVALUATION Lfibor and Human Relations Page of 3 Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. i' - Attach complete site plan on paper not less than f3 1/2 z 11 in hes in size ...Plan must County include, but not limited to: vertical and horizi1rital refere ` ~~M ) dif,@cti©h and s f , percent slope, scale or dimensions, north a~*,, and to AM1id'~ilstance to'nearest road. q=_ Parcel I.D. # d 12.3 in t d CJ APPLICANT INFORMATION - Pl~asq prfh.'allT nfof"~h tfon. ' Reviewed by Date Personal information you provide may be used foci eoodary pure b y Law, s.4it.0 1) (m)). Property Owner is ZONiN(3 Property Location !7 hOn ' Govt. Lot /V k) 1/45&/1/4,S T,200 N,R /57 f(or) W Property Own s Mailing Addre s l Lot # Block# Subd. Name or CSM# City tats Zip Code Phone Number El Nearest Road e 6 _Q n ~/fq ) City El Village ~ own u t New Construction Use: ® Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow e/5 R) gpd Recommended design loading rate • S bed, gpd/ft2 • (o trench, gpd/ft2 Absorption area required 5bed, ft2 7S'O trench, ft2 Maximum design loading rate Jibed, gpd/fi2 ._6_trench, gpd/ft2 I Recommended infiltration surface elevation(s) 70• ~y ft (as referred to site plan benchmark) Additional design/site considerations 1414- Sys Y/. 70 Parent material 0u fGJa C Flood plain elevation, if applicable A% ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system S❑ U 1 5? S ❑ U S❑ U RS ❑ U CR S ❑ U ❑ s ® u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.~~S//z. Cont. Color / Gr. Sz. Sh. Bed Trench / 0-8 I-F a Ground .3 /t/0/VF mS " k J" C4 ZAJ . (o elev. / _ Depth to 'S- YA,l ~`O /V1 ~S ~e 5~ ~ yrt !/`r r 'G/✓ limiting W/ 7a7-yr1 Alol1/C OS 9 /r/`~ A .6 factor Yt in. Remarks: Boring # j 0O r 3l.? N6111E~ ` l " r ~'r C-57 P J2_1 ~v ..S r s/A/ 0/% e_ S 'Pr w •2 3 201~e . s- r MY /IIdA,16~_ t l mS ~ ,~'r r.~J 1~ • y ' • S" Ground T 7 r y - O L~ S /C Sd k m U F/r r-J IVA . S-: 9 lev. .61 / 7 S '/7 NON-1- >CS /C b k rn AI r" G✓ A . . tc, Depth to limiting fagtor 96 t in. Remarks: CST Name (Please Printt)^ ~j Signature Telephone No. 7h 0.47I2 5 rJ. St Li r (7/_ .S-VY- Z y/ / Address ' / / Date Q CST Number /40 SOIL DESCRIPTION REPORT PROPERTY OWNER Page of .3 - PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 3 / o-i f r 311 /DONE m Ar GS /9 ..S- . 6 Ground 3 ~O y /YQ/r/` TS In t.~ /VA elev. , t y -I/ 7. S r rC d )t Pr 1,✓ IYA S- ' . fa Depth to Oro A?/ /V'# s-: -C limiting factor ; 59111. in. Remarks: Boring # - IVDN6` / a7r~ r ~r CS I P y a & r r V/y IL/ONE C •7m f4 k m r tJ F - rrr r.) Im . Ground y 0 7 7r IYON-X:' I s' k yv,Fr r.J NA .S" e elev. e ft. S P-96 , S NO/VC ~S O /M /VA . 6 Depth to limiting factor Wn-min. 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 # O /0 3 .7 lvolv4` r, r fn rr C -S s°- /o a ,s' r &O/v Pr Lj -3 17rS 0 /VA 7, rt, Vle A/ 11/6: Ground 7 7. k r, d~Pr~J ,,//~4t s elev. /at /yf} /04 ,.s . 10 . /aft. S" 6-yd 7•s' • -S`/S/ /tloA/C= Depth to limiting factor 6 f in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) NY 3df 3 y N, kol., y Slj+ S'3 77,28 je ! q ~,J ~iL.7ro ~ Ti-o y D - ~oP OT $Qbe& e 'YAbe Qf ~j. ~QO In ro4nd Tube NE hi, Ccrn-,r- 1$gay-ke, 4!~I. 8~ y?~ Alf. ' / " Q 1'~1 'N 4 y/, 6~ Qy - l0 9' 1 bo' tbo' ~ c( OR16 j4Rr A pl # 83 t s3~ B 1 ss 0 QW1 ~ • /- 7//1:, OA.44 y z.._ . e I MendotatHeights,DMN 55120 * y PIONEER LAND SURVEYORS • CIVIL ENGINEERS I (612) 681-1914 FAX:681-9488 T* engineering LAND PLANNERS • LANDSCAPE ARCHITECTS 625 Highway 10 N.E. Blaine, MN 55434 * * * * (612) 783-1880 FAX:783-1883 Certificate of Survey for: PREFERRED BUILDERS House Address: Public Street PUBLIC STREET 100.9 99.5 9Oeocroc ��YY 9„.6 219.49 GRAVEL EDGE 100.0 98.1 r1 PROPOSED HOUSE 7:1\6\-- 'I 0 5 t/.7 �C 105.3 DRIVEWAY r tO © ( ///t PEA. ' I 21.33 ra 0.67 104.3 a 1 o 10.87 ` � D` ( ( cd PORCH GARAGE ��. 5 9 106.28 ° v DRIVEWAY 103?2 107.2• 60.pppp -�20.00 T--- 20.00 ' 20.00 L. 8.00E 105.5 N90 00 00"EI \I GARAGE -� 6 4 i H PROPOSED HOUSE gi 12 CRS. BSMT. r V•oZo' D HOUSE o' I 20.00 v 2000I 2000- - O 24.00 109.37 105.38 E e --1 6 IMO ^_�_ 107.8 108.E /4/'eA • r = 30' 0 108.9 107.5 '0" AiC- D To j3,: p 'icD z 57 I I wo co(-3 vacant Jo NOTE: 7116 Berns A'i L rrA &ta iv/r" cu1rr�: bp o F"LA >r 0®cc G f,,'%/17« Di?Ai''A€. A164 ,1/q5' To !jam ,2'�' p1Q i i. a 5&,oiic i A-Ae ASS,,rnaci ete ' vc.- '.'' . W 4:AA/ /�c /©°SC7u/7 tfOu> - g Bearin s shown are assumed 00 x soo.o Denotes Existing Elevation O ,t��ssetoi,s oo�0 Denotes Proposed Elevation O ..0 „ 0 Aj 'S, �_. --•-- Denotes Drainage Flow Direction 0 • �, •/,, _ _ Denotes Drainage & Utility Easement • z TERRENCE E. ;'b -•o-- Denotes Monument I ROTHENBACHE • ••- Denotes Offset Iron Ira D; S. 0 ,cc T. m COLUMBIA11EIGHTS,;O: PROPOSED BUILDING ELEVATIONS %s; MN. Qao tti Lowest Floor Elevation: 97,3 `F9 ,J‘`� To of Block Elevation: 1°5•LI ��'fasosN• Rp Garage Slab Elevation: 1b5.0 (at door) 219.50 C o 9•°5',t't 6"W NOTE: Proposed building site grading is in accordance with the JC7 grading plans approved by the city engineer. . NOTE: Contractor must verify all dimensions & driveway design. LOT 58 , COUNTRY WOOD 1ST ADD. ST. CROIX COUNTY, WISCONSIN We hereby certify that this survey, plan or report was ,prepared by me or under my direct supervision and that I a duly licensed Land Surveyor under the laws of the State of Wisconsin. Dated this 41-l> day of Mo_,,..) A.D. 19a 12 Signed: PIONEER ENGINEERING, P.A. SC a 1e. 1 inch = 5 0 feet By: 1 �.r.a.>-*-a E., ` . . Y Terrence E. Rothenbacher, MN. L.S. Reg. No. 205i 5 1136 17132.00 TRB • ,��, s.tiLLsr.w.uuLnYn.:... `3!:.ass3"iYYWeu,..l PROM ':EDINA REALTY HUDSON 1997,04-16 13: 1S #218 P.02/02 • • 1 1•13.M)rlluvt•• IOW'1(It ••to rWMl,l . -,) � 0J` It.., ,u I(1 If" ' IM iS 1.tiiI hU t I•L IU O If- I-I Ira ,E. iq F g \ \ it 1 I- iS., It Ij I-t I et•to+ce INC ME ttttt Cto TO )•C . y Z , tout• .i•t al,)•t f.'ll4 or KOTIW rj �•t•Itow nre rowo j +,•ttJ Co TO tole Iln•o.•t4'C. .lL Tk.1i.TJ. � r,a•tt.rdrtn taeell ' 0 ]e°•n•u•C �.__ • _ !,\`•A,• 1'( ,.,\••).'4)•1� flub!; • it '' f !1 uu`T� toe et a..{"-•.I ..n nt.er.a ...�. wr.i' ' • w ,°I pi ut.lr Jy V • , \ ' I f� 1 4. a 1: 3 tv��' . I II M R N •{• cJci:GweL e# iiK u4i ,' ' ' I _ _- ' R a •aocc_ et4 rF � �, WII `\ c `_ • „.,.....! gi wi0 1 II 'I 1 & u9is ii4 , s rrn 4� I i r,tieo�nn: _ a aPO., V4a343g •A . .. ,,,.. , ,,:.,,\ 0.\)v. bir: i4i. Oe 0,.. `/ QI �' o (11 1 , • t 3-,,Eccd5 I/ rn -i 1 I s (3) \ *,:. - , ; . r. -1 . \ ...,, II, CI s-- II' 11. -' :�,l' r1 a S -4 z g R ,_ —'N c : c P. 61 $eelaz38 0 O� 19 r co r e a l ' sJ.:,.,..2J�• " 0 x O gal I. 1f��..,, Z) I , t v •'1 ,; swim-I.'t '., I Z. r •''+ - fi 1 \ ,Ai t...4 9 T ',c) •A N a Teo o, L�'- aF � Y. t. 0 + A $ R `J m C v i5 A g I rn •m'°o_m•t )O,f4 I l I sl1 \ O '�,c I e'e I. 1'N. 1 4 • 1 .. � I 1 ✓ - 1 V v z �F Y N I / • ,- g h i 11 V. 165 0 . : a �� 8 SUl l I .D, 1 .-•"" 1/ , . ti \----.. ., °: z I0 //c. i// I , ... • G• CD 00' /�, G. ')t 70a'0f7 e'[ Io.A.' /r",...."1.''• • \ C D I 6• • y y M1 \ y J .. I ]i m 'rt s t LINE. ` �, \ t '' t. ' 0: tr • I \ *:,? ;_-_,....--1, 'I 1,,- 1,7 CI (ED\4. %••••% ,,,,,6P(\. \ ,., \I \I \ Q�,p� .'rr')• I 41°111 I \ Pi 1 1 1, \ \, -X o (- yes, l 7F• F0 ' ' i o �G. cc ••''-• Fa o I I^ Z �5253155=dt ;``r r rs3 �F wp I o 'Y (� S ?,er aa, 31'!,flf ggG7 '\ \ L. 1/ , 1 d'_ rrl t- 2. \ c \ • a _, 7.14 i • c agr:'�_G:. •_siiiticz{ Tr. Pp_ �, I i ` W �j •?.. • I I i-I NJ t vpz . \ , ..I.‘ - --% 0 \;.:(,D\ i M -i i \ \ 1 1 mg I - 9 S 9 e�'r C P 9 7 O e 0 0 C.•- ID \--1 ' •' /r 3.1 ifs 5y5g^ ^ i 1;UP • ...;---•. _ , r ,o., li !,/li:01.'""2.010== . E ' \ '.........-, ..4P - Z.•' 0..,,t o rot" • e e e b Np�o'0+' 91 , �r t`!c C,••. 1l• {'�"L.,t-.`I D.b T .n. • C S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this. development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property '14.7&y, Si d ~ ~ i►/~~ ~o S Location of property 1/4 1/4, Section 3 ,T ZC~N-R_W Township y Mailing address Address of site Z _4 Subdivision name Lot no. S~ Other homes on property? Yes No Previous owner of property Total size of property Total size of parcel `7_ 3T ~f Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes o Volume and Page Number 9 3 6 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. i i 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. 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. ys321 Si atur o App scant Co pplic n r--Pte-2-7 5- Date of Signature Date of Signature STC-105 SEPTIC TANK MAINTENANCE AGREEMENT /St. Croix County ►1bNl!;It/11111'1!;It 2Cl a,5 MAILING ADDRESS / 2 6~y l/ /j~.o~~~ ✓oa _~S/~ 9 e, f .7 PROPERTY ADDRESS Go 1' OQr U rU (location of septic system) Please obtai from the Planning Dept. CITY/STATE .z-~vfSorl A4 Sc~r~ S~i'1 PROPERTY LOCATION NV 1/4, s&1 114, Section _ T -2- T N-R~W TOWN OF ST. CROIX COUNTY, WI SUBDIVISION G:©z~r✓~ 7~i~y 1.✓O(e~~%~~J, LOT NUMBER CERTIFIED SURVEY MAP , VOLUME , PAGE , 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. 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 he St. Croix County Zoning Officer within 30 days of the three year expira i ate. / SIGNED: DATE: I St. Croix County Zoning Office Government Center 11840u:436 1.2 DOCUMENT NO. STATE BAR OF WISCONSIN FORM 11- IM THIS SPACE e.seareD cos a.COaDISO OATA LAND CONTRACT 82 PID 18SP N N!L AND N OTHaR NON.CONSUYtR 545379 X25000 FACT TRANSACTIONS) REGISTER'S OFFICE ST. CROIX CTY., WI - RICb bt R1001d Contract by and between of _ the JUN 17 1996 ("Vendor'% whether one or more) and.ANZM . JA.MICFAN ..and..JRRUM.JA at 8:00 AA NECKCLMIS,..liuaband..and..wife....holding..as._suruivorshipL 'KA4J.... jjld Forital..property ("Purchaser", whether one or more). PAPWd0"ds Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- formance of this contract by Purchaser, the following property, together with the rents, profits. fixtures and other appurtenant interests (all called the "Property"), in t.-x=ix.................... County, State of Wisconsin asTUa To itle Services Lot 58, Country Wood First Addition to the Town of Hudson 00 S. 2nd St. Hudson 16965 TOGETHER WITH and SUB3,CT TO easements, covenants, eservations and restrictions of record, if any. Tax Pared No This ._.__iss..not........... homestead property. Vendor's residence located at (is) (is not) 1353 Awatukee Trail Purchaser agrees to purchase the Property and to pay to Vendor at ...Hudson...Vl sawsia - 4GLIS.......•. . the sum of =.34,900..M n..n. ...t . in the following manner: (a) $.7, pQ at the execution of this Contract; and (b) the balance of $ 17t.9M,-09---.._.....-- together with interest from date hereof on the balance outstanding from time to time at the rate of ets_,..S2r)4-.>~) per cent per annum until paid in full, as follows: Monthly installments. of not less than $240.42 per month, commencing Jc lY 14, 1996, and continuing on or before the 14th day of. each month thereafter; provided, however, that the entire principal balance and accrued interest shall be paid in full on or before June 14, 1997 (Balloon Payment). Escrow payments, unless waived by Vendor, shall bs paid in addition to the foregoing payments. Provided, however, the entire outstanding balance shall be paid in full on or before the..... Mth day of JU0g................................. 19.97.. ( the maturity date). Following any default in payment, interest shall accrue at the rate of Ah==. % per annum on the entire amount in default (which shall 'include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably anb& pated annual taxes, special assessments, fire and required ins urance premiums when due. To the extent received by Vendor. Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be a applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any ti In the event of any prepayment. this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (And 1p ;ueh ease accruing interest from month to mouth shall be treated as unpaid principal) is less than the amount that sjic► indebtedness would have been had the monthly payments been made as first specified above; provided that monthly piyments shall be continued in the event of credit of any proceeds of insurance or condemn_tion, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: No exceptions. Purchaser promises to pay when due all taxes and assessments levied on the property or upon Vendor's interest it and to deliver to Vendor on demand receipts showing such payment. ;u0 Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by firs, ex,* tended coverage perils and such other hazards as Vendor may require, without cc-insurance, through insurers approved by Vendor, in the sum of $W11.1naurable.malue but Vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall contain the standard ch-.one in favor of the Vendor's interest and. unless Vendor otherwise agrees in writin;, the original of all policies covering the Property shall he deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies and Vendor. Union Purchaser and Vendor otherwise agroe in writing, insurar.-e proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the restors.!ion or repair to be economically feasible. Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in good tenantable condition and repair to k the Property free from liens superior to the lien of this Contract, and comply with all laws, ordinances an- regullons affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to tie Purchaser, a Warranty Dead, in fee simple, of the Property, free and clear of all liens and encumbrances6 axes" any liens or encumbrances created by the act or default of Purchaser, and except: .TOGL1M..WI'M.and............. SUBJECT..TO..~,••~atv~eaants., r ti trictions-.of -.record#.. if.. any-..... 4-mr. Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues for a period of .40.._. days following the specified due date or (b) * the event of a default in performance of any other obligation of Purchaser which continues for a period of .10 days following written notice thereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance under this contract shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby waives), and Vendor shall also have the following rights and remedies (subject to any limitations prodded by law) is addition to those provided by law or in equity: (t) Vendor may, at his option, terminate this Contract and Purchaser's rights, title and interest in the Property and recover the Property back through strict foreclosure with any. equity of redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon froms the date of default at the rate In effect on such date and other amountedue hereunder (in which event all amounts previously pid by Purchaser shall be forefeitPd as liquidated damages for failure to fulfill this Contract and as rental for the Property if purchaser fails to redeem); or (ii) Vendor may sue for specific performance of this Contract to compel 6amedists and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract an a cloud on title in a quget-tills action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from posseeslos of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any aetiott under (1), (ii) or Ov? above. Notwithstanding any oral or written statements or actions of Vendor an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and aN casts and expenses including reasonable attorneys fees of Vendor incurred to enforceany remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in. curred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser comments to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the pendency of such action, and such rents, issues, and profits when so collected shall be bold and applied as the court shall direct. Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purchaser's rights under this Contract or by option, long-term lease or in any other way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract solely as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consort, the entire outstanding balance payable under this Contract shall become immediatelydue and payable in full, at Vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives,' s~eeeowors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable consideration loins herein to release homestead rights in the subject Property and wees to join in the execution of the deed to be made in fulfillment hereof.) Dated this 14th........................ day of TIM............. 9fi... ` . ---;t`~-.%................... (SEAL) (SEAL) a..Q.,_...sJW t • Ant... ..NiCcolaus............... (SEAL) M-xZ (SEAL) • .Jannifer.J.-. Nickolaus AUTRUNTICATION ACHNOWLSDOMANT STATE OF WISCONSIN gets) _ ens. authenticated. this .......day of 19 ST. Personally came before me .this 214~_..dar of Dm........... 10.9.6-.. the above named - [iJCUJZ0..Q ji, t.WtA • Aii1lR11Y. Jam..Nib?~Ral~A.s!)lA....... TITLE: MEMBER STATE BAR OF WISCONSIN _ (If not authorized by 1 706.06, Wis. State.) to me to be a......... who eraeeted do forego g inst~r//umen the $ates THIS INSTRUMENT WAG DRAFTED BY ,`//sti~ `?G