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HomeMy WebLinkAbout030-1093-20-000 ;o p 6o. ~M am 4 z a c 0 N N O N N w h 2 N Co C L Q1 N N a z co C C LL O C: 0 C CL Q °3 3 N y I _ z L z p Z ° W O ce) W d m M H Z 0 E z v c d z a ° o H r o z E v M N 0 7 Q N N N rr, N • ~l a in o O o N Q z m z N z d 1 r E E N d Y IL CL M Lo O N d . N C O ° O ra a O _U z N> o U o a 1 •N ~aaa N IL ~~yy in -j U = rn a } \l W r -o Cl) o) -0 0 0) (O r ~ o N O m O V M O C m d 2) O df Q } (n t6 p U y y 1 °0 3 ~ H c CD E 04 CO O ° a~ N N 0 (D =3 V a 0 0 c) 0 N N M M a m 4,4 0 0 N co In O O d 7 n r * - N H C c7 • O M (n Z N O Z C rL (n t \ v~ y'a da v C~ E r" u a L' C 7E • L j m r~ r A Uam j0U)iv t ~~w~ • VJFscbnsin Department of Industry, page _ of SOIL AND SITE EVALUATE REPORT, r Labor and Human Relations Division of Safety & Buildings ,4 in accord with ILHR 83.05, Wis. Adm. Code COU 47y- e Cror Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, butt not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCE _ D• # /)13- dimensioned, north arrow, and location and distance to nearest road. ` APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEIi~Ep DATE rr 2ao~ PROPERTY OWNER: f PROPERTY LOCATION Bruce Jezior GOVT. LOT NE 1/4 NW `14A32 ; T 3 , R 19 )&or) W I PROPER -if OWNER`:S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR ~ Box 162 H 2 na na / CITY, STATE ZIP CODE PHONE NUMBER ITY ❑VILLAGE MOWN N 7 Co. Rd. I Somerset, WI. 54025 ( ) S Jose-ph ii- [ ] New Construction Use [ ] Residential/ Number of bedrooms [ ] Addition to existing buildin j ] Replacement Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations Parent material 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 ~ S ❑ U 56 ❑ U RIS ❑ U X91 S❑ U ❑ S FL1 U ❑ S Z U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots G P D/ft Boring # Horizon in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed Tte & 1 -9 10yr3/3 none 1 2msbk mfr 9W 2f .5 .6 6 ma if .2 ..3 2 y-33 10yr4/4 none sici 1^sbU mfr 1 d Ground 3 33-43 7.5yr4/6 none cos osg ml gw na .7 .8 elev. na ft. 4 3-53 7.5yr4/4 none sl 2mgr mvfr gw na .5:.6 Depth to 5 53-84 7.5 r4/6 none cos os ml na na .7 .8 limiting factor Remarks: Boring # Ground elev. Depth to limiting factor -T Remarks: CST Name:-Please Print Gary L. Stej~,/J/LZ Phone: 715-246-6200 Address: 1554 200th. av Signature: Da e: CST Number: l PROPERTY OWNER SOIL DESCRIPTION REPORT Page PARCEL I.D. # Depth Dominant Color Mottles I Structure I GPD/ft Boring # Horizon Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed iTrench i Ground elev. ft. Depth to limiting factor Remarks: Boring # M.:.; Ground elev. ft. Depth to .gong 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) REPORT ON SOIL BORINGS AND SAFETY & 13U!L. UEPARTMEId7 OF Mid BOX 79% LABOR AND PERCOLATION TESTS (11,5} P.O. MADISON, WI 537( LABOR AN HUMAN RELATIONS (H63,09(1) & Chapter 145.045) O ATION TOWNSHIPAR ITY: OT NO. LK. NO.: SUBDIVISION NA L= I W 1/ z /T3o N/RIDE (o,•)W ,54 , 2► A' A COUNTY: NAML: P%1 1.1 11M DDRESS. 1ez_'111i,111 e *1 ' , DATES OBSERVATIONS MADE USE CIAL DE PROFILE DESCRIFT Residence ;@Nsw ❑Replace B-L•7 81( A) A- RATING: S- Site suitable for system`' U- Site unsultable for system au LL OLDI nal) .O©d ❑U. iNEs oil ®S ❑V ❑S❑' nil0 If Percolation Tests are NOT required DESIGN RATE: F ny portion of the tested was is in the A f under s,H63.09(5)(b), indicate: _ odplain indicate FloodplEin elevation. ,v - -11 K~1SI!?►A. PROFILE DESCRIPTIONS Z Lp BORING! TOTAL` ? ATER-IN HES CHARACTER F SOIL WTH 1 HI K S, I_ X UR ,AND DEPTI NUfviB tlEiil-If+i, ELE`.4.710N B VE kibT_ HIGHEST TO BEDROCK IF OBSERVED (SEE ASBRV. ON BACK.) B- I GO p t~C-0 p~ s ~7 j 1 CAD 1 s+p I / I 1U 7 i.~• bil S r 1 13n. 5.~.. "7 13 n . 5, I 13 X17 0 ? 5 4s° '75 015 N Z 5i' B. tit I. I 2 S. .s,~. z ~6 C S. B- 3 $3 ,!y tI Z_ S 1 2a, A., ?5 2 (L7 oSi on. 6, S. B- ~Q QZ T 1.9 160 i'7 - 25 I. 5 .6 n . 6, s. r175 00 01 ~~J._ JB PERCOLATION TESTS TEST DEPT i_? WA°i WIN WRE TEST TIME WATER DROP IN LEVEL-INCHES RATE INUTES NLA43ER INCHE- AFTrRSWELLING INTERVAL-MIN. PER INCH P- P _ 1 P- PLOT PLAN: Shnw locations of percolation tests, soil borings and the dimensions of suitable soil areas, Indicate scale or distenoss, Describe whit are the ho zontal and vertical sievation refemnes points and show their location on the plot plan. Show the surface elevation at all borings and the direction and Peres of land swpa. Q~ r f'r'E r+ Cry 9 s'o SYSTEM ELEVA`T'ION t owf, +r#,nah ~i E ~ i ~ I I l llll 4 I i rr. V 1riSi~oi.. \ r T_ r f I 5 r i t 1 I 011 _r- 4- ,,-t - y~ CERTIFIED SURVEY MAP LOCATED IN PART OF THE NE 1/4 OF THE NW 1/4 AND PART OF THE NW 1/4 OF THE NE 1/4 ALL IN SECTION 32, T30N, R19W, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN. 8 j9 FiLEp OCT 9 1984 { mus Of COVANaI ~ I unplatted_lands _owned _by-others ~rp,rOf D••ds SEE COUNTY SURVEYOR FOR TIES) Crol? C0M'Iy, IW CORNER N 1/4 CORNER WWoonta ECTION 32 SECTION 32 E NORTH LINE - NW 1/4 CO. MON. NORTH LINE - NE 1/4 N89000'2211E N89033'4911E 767.141 40 290.07' 170.00' 340.00' 257.141 EXCLUDING R/W EXCLUDING R/W EXCLUDING R/W 141,120 sq.ft. 182,660 sq.ft. 200,834 sq.ft. N 1N CD 3.24 acres 4.19 acres 4.61 acres w i3 rs n INCLUDING R/W INCLUDING R/W INCLUDING R/W i+ H 151,922 sq.ft. ti 231,745 sq,.ft. 262,681 sq.ft. it (m 3.49 cres 1~ 5.32 acres ~h 6.03 acres o iv o N wm ~o cn Z) s 0 W jv o 1 2 C2 Ilk r-A S87°031291 5 EXCLUDING R/W Co 86.851 _ S84°ply18 E 131,232 sq.ft. S87°03 29~~E 317. g7 48.7_56 r 3.01 acres Co INCLUDING R /W o i° 74.18, ---S730 169.59 4 o s - i w o. 118r f OI .o S73001 206,385 c 30 HIGHWAY ACCESS - _ 223.b1 _ '181,f 4.74 acr W o 22 N80624 l 4 E 2p0^ 00 S09 57 47uW 2,98' 3 ~~`ss)0\X o 157.181 C~ 3g0, , ~ ~~09` 4f,,F o PRIVATE ROAD EASEMENT N73°01, 951 ~ CENrFRf,rW 1 z C R/W C.T.H. "En C, r. 078.481 NOTE: NO BUILDING SITES ALLOWED ON THE 8. 'let, 434.871 N CRITICAL SLOPE OF THE HILL ON LOTS 1,2,3 C 4. w APPROVED - LEGEND OCT 0 91084 OWNER. • 1/211 IRON PIPE FOUND. BRUCE JEZIOR S1. CROIX couJ _TY RT. 1 BOX 162-H • 3/411 RE-BAR FOUND C_ OMPREHEN3IVE PARKS :ANNING60MERSET, WI. 54025 T m A M$- ZUNKC Cb+►rF::M~=L N a -i z 1° x 24° IRON PIPE WEIGHING ^ m o 1.68 LBS/LIN.FT. SET. Z N m .r. rn T l3*~BiCr, 41h. ES a m '1410 1 ^ f, Parcel 030-1093-20-000 03/01/2005 11:15 AM PAGE 1 OF 1 Alt. Parcel M 32.30.19.341A 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): * = Current Owner * NACHBAR, JEFFREY S,& C M MATTER JEFFREY S,& C M MATTER NACHBAR 452 CTY RD E HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 452 CTY RD E SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 5.320 Plat: N/A-NOT AVAILABLE SEC 32 T30N R19W NW NE & NE NW LOT 2 CSM Block/Condo Bldg: 5/1479 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 32-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1153/140 WD 2004 SUMMARY Bill M Fair Market Value: Assessed with: 5560 277,100 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.320 101,300 171,300 272,600 NO Totals for 2004: General Property 5.320 101,300 171,300 272,600 Woodland 0.000 0 0 Totals for 2003: General Property 5.320 51,700 133,800 185,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 134 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 FAX ST. CRODC COUNTY ZONING OFFICE 1101 Carmichael Road Hudson, WI 54016. (715) 3864680 DATE: TO: Fax Number. 3;;L- Q Name: FROM: Fax Number. 3864686 Name: Number of Pages Including Cover Sheet IF COMPLETE AND LEGIBLE INFORMATION IS NOT RECEIVED, PLEASE CONTACT: NAME: II TELEPHONE NUMBER: ~g(o - `tom Sd STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS SUBDIVISION / CSM# c1~ LOT SECTION _T` ?G N-R 16 W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW E ERYTHING WITHIN 100 FEET OF SYSTEM 4F/~ C~ -V INDICATE NOR H ARROW rovide setback and elevation information on reverse of t is form. Provide 2 dimensions to center of septic tank manhole cover. - BENCHMARK: 7161.,o if ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: F S Liquid Capacity: e Setback from: Well House -;tW1 Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: .;-2 Length Number of trenches Distance & Direction to nearest prop, liner Setback from: well:' House 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: 1 LICENSE NUMBER: INSPECTOR: - 3/93:jt J l / BENCHMARK' ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: ]-Izzes Liquid Capacity: Z4gnn Setback from: WellCITZ House 2; other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location :SOIL ABSORPTION SYSTEM Width:-. l-2 Length Number of trenches Distance & Direction to nearest prop. line:__A-~2 Setback from: well:p©, House 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: 1 LICENSE NUMBER: INSPECTOR: 3 / 9 3 : j t Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No-: GENERAL INFORMATION o.: %Oi Permit Holder's Name: y1 City [:1 Village Town of: State Plan NACHBAR, JEFF & MATTER, CHRIST NE X CST BM EI Insp. BM E0 -SEPH / BM Descriptio Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. , S C Benchmark / / . CU Septic U)6- f j2Z) 5? Dosing Aeration Bldg. Sewer /07, q2 Holdin St/Ht inlet c/-Y~ /06-"7 TANK SETBACK INFORMATION St/ Ht Outlet 0..33 TANK TO P/ L WELL BLDG. Airi to ntake ROAD Dt Inlet rl Septic NA Dt Bottom Dosing NA Headers 7~ 95z, 0,3 Aeration NA Dist. Pipe 9 -512 1 r Holding ~-w Bot. System d 3 /a 01 PUMP/ SIPHON INFORMATION Final Grade Ma Demand 2 4-j 0 O.Ctj 103, 50• Model Number TDH Lift L Iction System Ft Head Forcem-a-i Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width i I Length f No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 1,2 30 MENSI SYSTEM TO P/ L BLDG WELL LAKE / STREAM LEACHI u acturer: SETBACK CHApAS ER Model Num INFORMATION TypeO A l y~j~ UNIT System: DISTRIBUTION SYSTEM Header 1AA9"4UM- Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length _67Dia. Length _17~ Dia. `i Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Gr ystems On Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx ed Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ o COMMENTS: (Include code discrepancies, persons present, etc.)' LOCATION: ST. JOSEPH.32.30.19W, NE, NW, CTY RD E J ;e -.G G✓ ( Y,It._ l l~I,`re t'" ~ i T )EE - 1 n<Z? }C!]i Cy S7 l Plan revision required? Yes ErNo p Use other side for additional information. 1// 107 J SBD-6710 (R 05/91) Date Inspector's Signa ure Cert- No. f it 9_~ /-,d.' -ez tug = fci 3. So', Safety and Buildings Division ~•pi~riin 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 Number C2~ ~4`-' 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 Prop y Owner ame Property Location AIS 1 /4 Altj 1/4, S T , N, R $ (or 1-4 Property Owner's Mailing ddress Lot Number Block Number/ Cit tate Zip Code Phone Number Subdi ision Name or CSM Number / ( ) II. TYPE F BUILDING: (check one) ❑ State Owned ❑ VIt ! Nearest Road ❑ age Public 1 or 2 Family Dwelling - No. of bedrooms ;:22 Town OF 111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) ~~~~~9~~ 1 E] Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. ,g New 2. ❑ Replacement 3. ❑ Replacement of 4, ❑ Reconnection of 5. ❑ Repair of an -_____System ___System_____________TankOnly______________ Existing System Exl-----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 1114 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 Capaclt Site VII. TANK in gallons Total Exper. g # of Prefab. Fiber- INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- steel glass Plastic App st d New Existing rutte Tanks Tanks Septic Tank or Holding Tank - I ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for i tallation o ,the onsite sewage system shown on the attached plans. Plumbe s Nam : (Pr t) Plumb r' gin Mr( to ps) MP/MPRSW NO.: Business Phone Number: I - Plumber's Address (Strsgt, ity, Sta e, A~od IX. COUNTY/ DEPARTME T USE ONLY ❑ Disapproved Sa 1 ary Permit Fee (Includes Groundwater ate Issued Issuing Ag nt Signature (No rSn AA/p'proved ❑ / Surcharge Fee) Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber 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, 608-266-3815. 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. It. 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. / J J / y ~c~~ -5`~~fms~~°~/ uczse~ ~~o~~ s s~ / ~~yo' ~-ice ~ . it ~ J~,C°/~'osiu' w ~~~~°~~`~~5 f ay ~~1~..~-~~ ~ fi~ .3i~ ~9' ~ / / _ ` ~o - - ~ ~~r1~~ r''EPah'r;y)E:1:1 :r REPOR ON SOIL BORINGS AND SAFETY k IMiiUSP 'HUMMA AN RAND PERCOLATION ~ ESTS (115) MADIS%. U~ LATIt~NS (1-163.0911) & Chapter 145.045! LA TOWNSHIP/M4044G4P ITY: rOT O.'B NO.: SUBDIVISION NAME: w %T30 N/Rl?I (or) W .5 s 21 gyp' /Vfj COUNTY: OWN 'SIBUYE R'S AM A S : 5 A .8ylylf-, 1q y kj_j 0- F_ 40 ~z Q;41, I & z - ~0 e- r-5 6 ZX USE DATES OBSERVATIONS MADE r. NO o T Z~1 aFILE-DESCRIPTIONS: `UCATION TESTS: esidence New ❑Replace L #7 -7-6V RATING: S- Site suitable for system U- Site unsuitable for system tO-Gl ®S aU D S -QU L Q ~G~TXN_K ~ • R~0►VIMEND~ ~ STEM: optional) r O©EN [111 : IM0OUNDS: QU I T ►f Percolation Tests are NOT required DESIGN RATE: ~ If any portion of the tested area is in the A ' under s.HS3.09(5)(b), Indicate: Floodplain, Indicate Floodplain elevation: ,t/ ~E6lmq , PROFILE DESCRIPTIONS E z LO g, BORING TOTAL DEPTH R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR. TEXTURE, AND DEPTH NUMBER DEPFH4N, ELEVATION BSERVE HEST TO BEDROCK IF OBSERVED SEE ABBRV. ON BACK.) m cn 3-4 B- 700 00 o Nti > 720 25 B. Z, rl' 3 Woof- z s '75 208 s. ' _ s.k. Z 5`' c° s g3 ~o 63 f4z zs 2(e--r B- 3 to NO A) 61. s. 9Z TL 6 13 160 7 .S 5 z S. B- ~O 7- O A) '71e z G+O o7 i I . .S i ' O L ~ l0 4a r' _ PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RAPER INCH ES NUMBER INCHES, AFTERSWELLING INTERVAL-MIN. P- P- P_ r P_ PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hor :ontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percer of land slope. u,Qp.6 r' rEnch `I3 SYSTEM ELEVATION Zyw6r,+r'Ench 91 _5_11 IKE -Al V_ 0 _ . _ - - i5 3AI 0 P& ` e_1 Libor and Hiutten Ruaions Aiw«on of Soiety & Saldngs Y. in accord wim ILMR 83.0: , Wis. /im. C%tfi) • St. C;~niy: Ausch completo site plan an paper not Ins than 8112 x 11 inches in sits, plan must include, but not linnteo to yertirAu'anti horizontal rdft.tence point. (SM), direction and % of slope, scale or PARCEL I.t:.e dimensioned, north arrow, and location and dixtance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION AENIEWF~BY DATE PROPERTY C*VNER: PROPERTY LOCATION Bruce Jezior GOVT. LOT NE 114 NW 1/4,532 T 30 N,R 19 ~a)W PROPERTY OWNER'S MAILING ADDRESS LOT i BLOCK 0 SU80, NAME OR CSM A Box 162 H 2 na na CITY, STATE ZIP COOS FHONE NUMBER LLAGE OWN NEAREST ROAD Somerset, WI. 54025. ( ) It. eph Rd. *IW-- Now Catstrvrtiors• Use O Residential i Number d bedrooms (J Addition to existin➢ WWI ! 1 Replacement Public w ottmer6d describe Code dttived daiflr ffsow gpd Rec MMnded design loading rate b4 gWi2 trench, I Absorption area required b4 f;2 trmch, ft2 Ma>artM design loading rats bed, ppdnt2 trends. =Wt2 rr i.,iywiV won, YG11 surtam blwad;li''~s) - 1 $ .as tefetred 110 stte.plan bersdttn") Aditmal design / site camiderallm Pstent material Flood plein Mwaliort, d aWkabie ft S ■ Stu+teble for system CONbENfiOFtAI MOlMO M GI - 10UND PRESSURI: AT-GRADE SYSTEM IN FILL HOLONi TAM( U• Unsuitable for system -a S C7 U} EU o u ® S ❑ u AE S o u ❑ S V U E3$ $O U SOIL DESCRIPTION REPORT GPD/ft Boring Horizon Depth Dominant Color ( MCI" Texture Structure Co~wm Room in. MOnsell I OU. Sz CrxtL Color , Gr. Sz. Sh. Bad fro= 1 -9 1 r3/3 none 1 2msb)c mfr- 2f 3 .6 3 4 M 2 -33 10yr4/4 none sicl imsbk mfr gw If .2 .3 Ground 3 3-43 7.5yr4/6 none cos osg ml gv na .7 .8 elev. na n 4 3-53 7.5 r4/4 none sl 2mgr ntvfr na .5' .6 Depth to 5 3-84 7.5 4 6 none cos ml na nal .7 1.8 105 limiting 1 Remarks: Boring d ) GMWW t elev. _ ~ It 0" to Ong . factor _ Remarks: CST Nme - Ame Print Gary L. St 715-246-6200 1554 200th. Ave., New Richmond, WI. 54017 9-20-95 cstm 02298 05/13196 16.24 FAIL X002 s,.rr~.~ ;1.=t-3! TS.! e _ a~ : ±s? art P _ wa STC-105 SEPTIC TANX MUNTENANCE AGREEMENT St: Croix Coosty KAnM* AD,) r 14; E~r^VN4~L &I sE t t_ VkkS, MPL.:) say PROP19RTY ADDRESS 3'Z Cloastion of septic system) Please obtain from tha Planning 170101. PROPERTY LOCATION 114, L4, Saedon _-r_ jj2_N .W Toww or .r,&se ioh ST. CRODC COVNTV, wx. +CEIITIFIXDSUAVEYBI P, ,YULUM-i-~ PACE/M; f , LarNUMDu tmpr+opter use ttad maint*aancs of your septic tystttrrl 001j1d result is its prarnaaurc fuitUM to h4ndle wastes- Proper tnainlenatte s Consists of pumping *vt the septic lame evasy direct years or sooner, i f noaded by Utensed sep%ir. tank pumper. What you; put ime ihe.system can affect the f rietion of tho septic tank as a treabmitteir araga in the weave disposal system. S t. Croix Counfiy resEdeaics may he eligible w r+eCtive a grant for a maximum of 6o% of the cost of repiace+rleat of a foiling systrln. Which was its opan tion prior to July 1. 1978, St. Croix County amwied this progrnm In Augurt 4f 39$0. with the mquiterna3rli slsst owners of 1611 new systems agree to keep their system properly insintained. The proporry owner agrees to submit WSt. Croix 7AMing, At ccrli ication rorm, signed by the awrw and by a mater plwnber, joumaymaa pivrtlber. restcireud plumber or a lieenacd pumper verifying that Cl) . the an-fete wnssawnter disposal Terse is in propct operating aandition and (2) alter inspection and pumping (if ss6Lfttary), the aeptit tank is less than 1163 full o€ alud&v and socm, VWa. tha un4lerstigrtad have rmd tt above ngs+irenst 1U1 t7rtd agree to maintain the private sewage disposal system in acccrdams with the .standards sat forth. horain, m sat by the Wisconsin DNR. Certification tie, tfnS that your seprla has beers maintainad must be comp t VnC returned to the Se. CfOilt Caslsssy Zoning OFFicar within 30 days at the ttrasfra 77i on SIGNED: OATS: .~llsh~ St. Croix County Zoning OMee Government Center, 1301 Carmichael Road Hudson. Wl $4016 LIM _ _ ~ ~ ~ ~ . 66/16/98 16:24 F.AX X1001 WeiY-l A-9C TUer ii$ ' $r. Ott R' ~Z 8 `Z' C -.10e This aPp1130o'Lion form 16 to Uo Ginpleteeri in Cull pact signad by •thea owner (S) of the property being developl!gd. "y Ynadeq aeiaa will only re oult in delays. of i:h* permit tasuanoo. ab uld t:hi8 devolopmenr. . brx inteanded ror ramble by townwr/ContrUr-tor, (6VOG reousea], than a second forM should be retst,ineed and completed when the property is sold and *ubmittead to ,this offioa With the 'appropriate dead recordimg. owner of property Qchf a r .L l Y --As LcCatf.onOf propQrty 1/a -1/4, Section ..T_,_N_997 W fro nship St; Mwqyja,b_ is linq address: jec. as, 21 Por Address eat sits Subd vIsi.on name L M . _ Lot: no. _ Other hones on property? Yes_.__ .r NG vrevious owner of pxcperty.aasu Total siza.cf property Total s3 reels vt parcel •5'.5 2 A 9V~ oasts parcel was created 'Are all corners and lar 111a s 3 dazstlflabla? __x_Yeas 370 In. this px caparty timing desvolopead for (spec 1sCa'ttSe) ? __,Lee -.9-No volume and Fags NuxLber .Z..R., as re co-rde-d with the Register o f Deeds . INCLUM WITIi TKZS AFPZrCATXQX T148 POLMWXNG: X W11,VD-ANTY. DEED which in-.1u4d"s a ooCQML14T NUm5r;A, VOL0,4•E rND pAgC NUMUR AND TiiE SCAL OF THE RM:GISTLR OF 022133. in add-ittan, at certified survey, if available, would bey helpful so as to avold delays of the ravlovinq process. 'If the dead daccrlption rQfQrQncass to a certified survey . Map,, the- Certified Sarvey trap shall also be required, 1'R07QES.'.~']l' 4?~r3A C3?AT13ta[C~'rY0lt Y (w*) certify that, all atat&=an-t_s on. LYeis torn wro true ro the bast of MY (our) knowledge that Z (we) am fare) the rwne rts) of the prep02--ty d+ameribad in this infox-Matzion for i, by - virtues of a s,~avranzy rlwwd roccwdad n he of2rica of these county rtexgls"r or Deaads as looeumant No. I , and that I (wa1 praaseantly own the proposed sits for the sewage disposal system or r (we) sabt aineseed on vAaament, to run the above described proport-y, for the construction of said system, and the sulmef has been duly recorded Ir then offices of th4a County Ltag,intar of 00041& sal 000 u?nen"E. So. S stt. r/B es>g Appliecass~t t:o-Applicant s~1 ~t`~Cr D,t.c of S g-nature oste aE signatura 017 3 e T X /711mh CERTIFIED SURVEY MAP LOCATED IN PART OF THE HE 1'/4 OF THE NW 1/4 AND PART OF THE NN 1/4 OF THE NE 1/4 ALL IN SECTION 32, T30N, R19W, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN. 8 19 m ~1L~fl ocT 0 1984 ~ p QpNHILI uriBl-t' ed lands-owned_bZ_others ~p %vow., SEE COUNTY SURVEYOR FOR TIES) •T C.•de N - - ~ CV01Y, ;11 CORNER C ti H 1/4 CORNEA d Wleayl>~a ECTION 32 SECTION 32 NORTH LINE - NW 1/4 CO. MON. NORTH LINE - NE 1/4 N89000'22"E N8903314911E 767.141 290.071 170.001 340.001 157.141 EXCLUDING R/1; EXCLUDING R/W EXCLUDING R/W c c 141,120 sq.ft, 182,650 sq.ft. 200, 834.sq.ft. N {y ',s U 3,24 acres 4.19 acres 4.61 acres n4 I:j INCLUDING R/W INCLUDING R/W INCLUDING R/W b 1i i _ 151,922 sq.ft. 231,745 sq.ft. 262,681 sq.ft. ~r q Y rn Cfl Ir o 3.49 acres oy~ 5.31 acres Loh 6.03 acres { v. rn plOo 1 N tT O, C$. q c1I O vN Q ~~O O 1Y 3 ; 6 1. 587°03'29itE EXCLUDING R/W cc < 86.851 a' „s°JI'1BIIE 131,232 sq.ft. S8700312S11E 317.97 497561 3.01 acres ,5)30 01 r1Bq 1Sgo INCLUDING R/W 74.18' 69.i 206,385 sq, ft. o _n 3 Op7 -•f `a0 223. 001118, IIGHWAY ACCESS •?0p . f 4.74 acres S09057-4 71-W ~7?. N80 DOr _ r 157.181 , S c it S ~O' 91 360 N - `40 , ~f" tp PRIVATE ROAD EASEMENT CEH3ER~ j18,y/ 10; DI`f R/N C.T.H. "Ell C•) 8. 8 r NOTE: NO BUILDING SITES ALLOWED ON THE y' uf,r 134•87, CRITICAL SLOPE OF'THE WILL ON LOTS 1,2,3 C 4. ..o APPROVED - LEGEND COT 0 91884 OWNER 0 1/211 IRON PIPE FOUND, BRUCE JEZIOR ST, CRO1.X CvU:•TY R1. 1 BOX 162-H • 3/411 RE-BAR FOUND C0Mrafl+[N3I:'i rAsKS :uNNING-SOMERSET, WI. 54025 M MIO• ZDNIW.; Cori :v:fi Li- y 0 1" :2411 IRON PIPE NEIGHING 1.68 LBS/LIN.FT. SET. I x ,"n + 53735 8 State Bar of Wisconsin Form 2 - 1982 WARRANTY DEED DOCUMENT NO 1150 jPA~:1.`zO Gary A' Shade and Susan J. Shade, husban,~ DEC 11 1995 10:30 A. conveys and warrants to Jeffrey_Scott Nachbar and C'nris_ tine Mary Matter - T.+IS SPACE HF.SERVED FOV ~ECOR^ CA'4 - - %AVE AND RETURN ADDRESS/O~ the following described real estate in St. Croix County, State of Wisconsin: Parcel ldentificati. n Number) Part of NE1/4 N.41/4 and part of NW1/4 NEl/4, all in Sec. 32-T30N-R19W described as follows: Lot 2 of Certified Survey Map recorded in Vol. 5 of Certified Survey Maps, page 1479 as Doc. No. 39ES%. This is not homestead property. Xj'i (is not) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. ~ QQ Decerber 95 Dated this ---day of - - - 19 _ (SEAL) (SEAL; , 7~!& Gary Shade Susan J. Shade (SEAL) (SEAL) w r AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ~ 'YY Ss. St. Croix i County. authenticated this day of _ . 19 Perconallc came before me this - drv of Deeec;ber 19 he bove named - - Gary A. Shade and Susan J. S aA e, husband and wife, - - - - TITLE: MEMBER STATE BAR OF WISCONSIN _ _ (If not. - authorized by §706.06. W. is. Stats.) to me known to be the persons who executed the f re Dine in-4-urn q,, acknnv ed a the same. THIS INSTRUMENT WAS DRAFTED BY emu'" ~Iri c1-;nn (lol nn`l dl~(is - -