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HomeMy WebLinkAbout040-1162-80-000 v o0 I a o I o ~ c I 0 ~ a I N N ' C O o gIq ~ a ~ y CL IS) 4~-- ao m ° > v my a J-- Co 1 m 5 V U Y ca 0 C z c TL O U tL G ~p co O 8 O ~E 3 ycli8 °c0 8 I ~"t I ~ N O O E O = O z J co m U) `d O a m N F- C7 o I c~ v o N Fz- ! CD E ,o ~ co I d 0 g CL N C5 °1c a O O Z co z ° z N _ C ~l c V Cl) N N i0 > co N O LO a~ d :Q O O d L O O O . O G G a D N N o I U) = N I 8' CD rL U. IL CL IL CL ti N o N d co rn rn 0 y ~i v~JC) I~'- } ~ rn ~ I ~V 0 O N Q O- 0) 0 N a N N m m o rn n rn m d ¢ > U 0 ~ co M c.3 ti ° m y c 0 r~ 4 E o ° , o d CD o o U) :L 0 Cl C? Cf) CL V N O 3 I' V 0) E C d 00 N w N O l0 M - .0. O y 7^ N N CO ce) U) C14 co 53) 15 E • N> N O z z ~ rat 'n. € a • a m j aa d c `1 A E 0U)0 r t Parcel 040-1162-80-000 02/07/2007 11:05 AM PAGE 1 OF 1 Alt. Parcel 25.28.20.631G 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner O - VASATKA, CAROL J & RICHARD J CAROL J & RICHARD J VASATKA C - CAROL J VASATKA REV-TR CAROL J VASATKA REV-TR 2411 HEIMEL ST SOUTH ST PAUL MN 55075 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 1.700 Plat: N/A-NOT AVAILABLE SEC 25 T28N R20W 1.7A PRT G.L.1 AS IN Block/Condo Bldg: VOL 324 PAGE 409 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 25-28N-20W Notes: Parcel History: Date Doc # Vol/Page Type 11/13/2002 698231 2044/624 QC 07/23/1997 1032/63 QC 07/23/1997 884/477 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.700 354,200 278,400 632,600 NO Totals for 2007: General Property 1.700 354,200 278,400 632,600 Woodland 0.000 0 0 Totals for 2006: General Property 1.700 354,200 278,400 632,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 ST. CROIX ZONING REPORT N0.2 11502/01: PAGE 1 ST. CROIX COUNTY REPORT DATE; 10/15/90 COURTHOUSE DATE RECEIVED: 10/12/90 HUDSON, WI 54016 ~r ATTNS THOMAS C. NELSON VAS o2lo 116 2- C rb,~ ZS-t Z~. w, (o 31 OWNERS Elisabeth Egan Wr 1 y, 4--lzoA LOCATIONS 120 Black Bass Rd., River Falls COLLECTORS M. Jenkins SOURCE OF SAMPLES Kitchen faucet COLIFORMS 0 /100 ml INTERPRETATIONS Bacteriologically SAFE NITRATE--NS 5 ppm Under 10 ppm is safe for human consumption. Coliform Bacteria/100 ml Nitrate-Nitrogen, mg/L LAB TECHNICIANS Pam Gane WI Approved Lab No. 19 OF.NDEDENDFH YO A v s A { Means "LESS THAN" Detectable Level Approved by: o PROFESSIONAL LABORATORY SERVICES SINCE 1952 U ~ . CROIX COUNTY ZONING OFFICE ST courthouse St. Cr911 4th Street ~(0 Hudson, WI 54016 Telephone - (715)386-4680 ' The St. Croix County Zoning office offers the service of septic and water inspectios to Lending Institutions, Realty Firms, and private individuals. riate enclose apProP Please provide the following information, fee made payable to St. Croix county Zoning Office bando mail, along with form to the above address. Testing will soon as possible after fee and form are received. ----FEE: $ 25.00 WATER TESTING--------"""-- (For nitrates and coliform bacteria)FEEs $175.00 WATER TESTING (For VOC'S) --FEES $25.00 SEPTIC SYSTEM INSPECTION--------------- (Determines if system is properly functioning at t me of inspection) Property owner's name Z- i s be l= G 0" u s i~ ~cr-leo '2 1 r, Property owner's address la O of Sec ion• T_N-R Legal Descry on 1/4 of the Suq subdivision Name Town of Lot Number "LYV It a~. Jax W1 Color of house Realty sign by house?= f so, list firm: PLg1OR INCLUDE, IF AT ALL POSSI9LE, A MAP, .e ,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: Ir~'l~ S cc Telephone Number d REPORT TO BE SENT TO: Closing date Signature ~ ~pz~ feu) C~ 1\1031 DOJLy vv +UU.UZ AP Ilk, Q I l~ (WEST 400.0') I ~ J ~ 150, DESCRIPTION OF RECORD: / SURVEYOR'S NOTE: /~~o A parcel of land containing 1.2 acres located in Goverr Section Twenty-five (25), Township Twenty-eight (28), t Property shown hereon is subjet to an easement / 104140 Twenty (20) West, further described as follows: from tt for an access road per Book 760, Page 591, 1 of said Government Lot One (1) go South a distance of Document Number 419574. Said document p West Parallel with the North line of said Government Lc does not define the limits of the easement. V °c15 distance of 400.0 feet; thence South 24°30' West a dist, 00 N~ thence South 10°45' East a distance of 486.8 feet to the _ Ld CT for the parcel to be conveyed herein; thence South 10 p z / of 150.0 feet; thence South 57°00' West a distance of 3 Z O shore of Lake St, Croix; thence North 30°10' West on a w v said shore a distance of 150.0 feet; thence North 53°05 N 230.3 feet; thence North 66°53' East a distance of 153.! LL O / beginning; together with all riparian rights and land lyit ~ o T rn / the above described land and within extensions of the w~a z O v lines; subject, however, to an easement for an access w \ across the East 50 feet as now opened and travelled ai w w co co 0, ` recorded easement and resevations. Together with an w 2 a O 1 1 1 ) consisting of the right of ingress and egress over and w co private roadway extending from the above described p > 0 N r 1 across the East 50 feet of adjacent property now or pre CQ o9 p m 1 0 the above named grantors in a general Norhtwesterly c of approximately 486.8 feet; thence Northeasterly a disl z U_ < L U N 1 approximately 325 feet and thence straignt East a dista m ? w W g 1 w approximately 400 feet to connect with a public highwe C IN 1 town road as now travelled. 9410- a 1W 1a TH ° z co y IN 1Co. DETAIL UJ S-2546 ~ W ) ~ PROPOSED GARAGE LOCATION HUDV ON, OQ ~ \ z Ir cf) I, Thomas M. Healy, Registered Wisconsin Land Surveyor, O 1 26p0 hereby certify that the above described and mapped Z_ q LPO property was surveyed by me or under my direct supervision J 1 and that this map is a correct representation to scale of the W 5~ boundaries to the best of my knowledge and belief. Z & 1 1 I 26°p Mapes u~i CAD I~ 1 ~ L 26,9 ' d~°, I~ DD ~S `~,~53 9162 1y~ - - - - - °53 53. AREA TO MEANDER LINE N6yg2~06~ 1.28 ACRES (55,577± SO. FT.) W i NOT TO SCALE TOTAL AREA ` L 1.54± ACRES (66,904± SO. FT.) ° Ni 3~3''` y~°~<-, k ~ ~ MG~1_pdGQ`u t~LD LEGEND \ 2 OJT e~~o ~5~ 4 G O % dLQLr\] DD FOUND ALUMINUI F 0,'-< Ooi02 1 SECTION CORNEF oQ FOUND 1 1/4" OU- V SET 1" OUTSIDE D 77 I FF~~ O / x \ IRON PIPE, WEIGF 9 0~J 26 C ~I LINEAR FOOT O I ~k t\qc\ G j0 pO~FOJ~~S~O~~ °J~~ J ( ) RECORD DATA C11 C-P S-c9 l/ / GJGJ6 °C~Q\~°~pQ~~ g GG~\ 1 ® EXISTING WELL . I _ ~k 1 Q~ 4~ 1 ~Zk~ 411c1<~~ 1 O EXISTING SEPTIC' //'..GuJ 1'~.~,~-, ~(0 031 ~ ti om/ l 469822 Mai ~c;oNNE~` JAMES dos CERTIFIED SURVEY MAP JUERGEN M. WEIDLING AND ASTRID E. WEIDLING Part of Govenment Lot 1 of Section 25, Township 28 North, Range 20 West, Town of Troy. St. Croix County, Wisconsin. MONUMEN rE D NE CDR. GOV. LOT/ SEC. 25, r 28 N, R YO W q~ MONUMEN•rED 'NORTH L /NE GOV. COT / t o0 3 S 89.30' 43"W 826.22* WEST 401. 25'Rt400'1 o,N 'I b WEsr 399.83'R/400'1 3 h TRAVELED ACCESS ROAD ► C Z = EASEMENT ry ~ ~ ~ VOL. 7600 P4 OE so/ ~I ryti a Q O Indicates 1" x 24" iron pipe weighing 2 3 1.13 lbs./lin. ft. set. c o •Indicates 1" iron pipe found. ; 'h ry Owner's Address: t i y Qy ? N 7?0 8'_@ieck _Bass_RoaiS 1 t a River .Falls;'-Wl-..540?? . ~A~ o z ~ 1 h O Oated: May 21, 1991 v ~ j.l • ~ 1. II ° Q° II h (4 1 _ O I1. % k o SCALE ZOO' v R O Q h 0 $0' /00' 200' 300' 400' BOO' 1 M W O ` 11 b. w 0~ k II ~ ~ ~ 2 I W N v O ,1 w a w q DETAIL NO SCALE ~O M H1 yA/ e PROP. COR. 1► - Z LOT AREA ~ p~t/ 11~ N J` I. 594 4 CRES s~e•J~'~, , ~PV/ 3$6• $ 69, 448 so. Fr. W/rN/N E W0I MEANDER LINE ?.09 , I~33t' L 736 4 CRES ~'f $6'00 0'E 6/0 S0. Fr. ) INCLUDING $ $ 0 0 L4NDS DUrS/DE MEANDER LINE N06.55' "W 207.96' v LOT/ 68 Z W N /O. 45'W. 200.00'1 UN DERA A s$ ai •00', - A yi _dsspl~Ngjj ~v : STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNERS . ; y ~ 4 ADDRESS SUBDIVISION / CSM# LOT # SECTION- / N-R.a W, Town of T2a y ST. CROIX OUNTY, WISCONSI PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM hr " ' s r• d- T ~a r~ w~ /lt ~ /1X72` t j<ru f'(r INDICATE NORTH ARROW Provide setback and elevation information on reverse of this for . Provide 2 dimensions to center of septic tank manhole cover. I BENCHMARK : T via 9, ~I/ +~~r v t w crrl~/_ ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity d r Setback from: Well >td House > 6,9 Other ze Pump: Manufacturer M eSi Float seperation Gallon Alarm Location SOIL ABSORPTION SYSTEM / Width: /Z Length 7 Z Number of trenches ( js r Distance & Direction to nearest prop. line: 7 Va /l~g`1f ~ r Setback from: well: S~ House' 6 V Other ELEVATIONS Building Sewer 91 ST Inlet: S77 Z~ ST outlet: y'7. I PC inlet PC bottom Pump Off Header/Manifol y`O, 66cZ Bottom of system Existing Grade Sl /Y Final grade 5!0 DATE OF INSTALLATION: y l y Y PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt Wiscgnsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and HumanRelations INSPECTION REPORT ST. CROIX Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary 6Permit No.: 8633 Permit Holder's Name: ❑ CRiity ❑ Village Town of: State Plan ID No.: VASATKA, CAROL T (3 CST BM Ele i Insp. BM E v.: , BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9600332 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holdi St/Inlet 3 f '97371 TANK SETBACK INFORMATION St / yf outlet , L ' 9'71,,2 Vent TANK TO P / L WELL BLDG. A irIto ntake ROAD Dt Inlet Septic - SS NA Dt Bottom Dosing NA Headers Aeration NA Dist. Pipe j0 ~C;Z H Ing Bot. System ~,/C/ PUMP/ SIPHON INFORMATION Final Grade n Manufacturer Demand or s._ 33' 9 7y Model Number GPM gS r ~C~ TDH Lift Lriction System TDH Ft Forcemain Length Dia. Fi Dist. To Well SOIL ABSORPTION SYSTEM BED /TRENCH Width / Length i No. Of Trenches PIT No. Of Pits a ia. uid Depth DIMENSIONS S DIMEN SYSTEM TO P/L BLDG WELL LAKE/STREAM ING Manufacturer: SETBACK INFORMATION Type o / , CHAMBER Moe . System: v; ( ti n0 ^ ( ~ $ ' ( F 0 1~- OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length _Q Dia. 7 Length 7-.;L/ Dia. 7 Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Gr s Only Depth Over Depth Over xx Depth Of Seeded/Sodded xx Mulched Bed/ Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: TROY.25.28./2~0W, S SW, BLACK BASIS RD Zia Plan revision required? ❑ Yes [H-id'o Use other side for additional information. 9 6 196 I W P' SBD-6710 (R 05/91) Date Inspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH R SANITARY PERMIT NUMBER: m e_ Safety and Buildings Division ~~■~nr>t SANITARY PERMIT APPLICATION Bureau of Building Water Systems 201 E. Washington Ave. Inaccord 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. ~f^ • See reverse side for instructions for completing this application State Sanitary Permit Number The information you provide may be used by other government agency programs ❑ Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan LD. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Property Owner Name Property Location 1/4 4.tj 1/4, S mss-- T 2S/ , N, R.Zo E (or)(OP Property Owner's Mailing Address Lot Number Block Number LiK S 10 C,itState Zip Code Phone Number Subdivision Name or CSM Number 732 II. TYPE OF 44BU LDING: (check one) ❑ State Owned ❑ City Nearest Road ❑ Public 1 or 2 Family Dwelling - No. of bedrooms- ° rowan of o III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 0 p- 2-.44 ~ 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. jrNew 2. N 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 FSeepage 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,, OD p' , D Feet Zl& Feet .7 .7 VII. TANK Capacity in gallons Total # of Prefab. Site Fiber- Ex er. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel Plastic p New ExiStin strutted glass App. Tanks Tanks Septic Tank or Holding Tank Z ❑ ❑ ❑ ❑ ❑ . Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ lJ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of onsite sewage system shown on the attached plans. Plu tier's Name: (Print) Plumber's Signa3t s) /MPRSW No.: ness Phone Number: usi l/r 7 Y 36s Plu rs Add ress (Street, City, State, ip Code): o O o z3 IX. C UNT / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issue sluing Ag t Signature (No S s) ❑ Owner Given Initial Surcharge Fee) ~kA/pprovecl p~/~°~ Adverse Determination ~ Q Gd ( d~ X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6396 (R. 05/94) DISTRIBUTION: Original n) County, one copy To: Safety & Buildings Divi.ion, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe 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, psually 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 into 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-1 15 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. NAII fi A ~ o ~ V N Z 4 N y W b m► in Mill N Ise i i I j i i i I j I I n> v 57 g- i M 1 m i 1 w ,I o h n 1 ~ h vcjm m A W i ! aiz pfd &W 0 :y O O Wisgonsin Department of Industry, SOIL AND SITE EVALUATION Labor and Human Relations Page 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 C ~7t percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I. D. # o - ll6L APPLICANT INFORMATION - Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location ©G U T Govt. Lot 1/4 51j 1/4,S ~g T Z,? N,R E (r W Property Owners Mailing Address Lot # Block# Subd. Name or CSM# -/t`C c v / - city State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road New Construction Use: ❑ Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate _ 7 bed, gpd/W _,Y trench, gpd/ft2 Absorption area required bed, ft2 v trench, ft2 Maximum design loading rate Zbed, gpd/ft2 --P trench, gpd/ft2 Recommended infiltration surface elevation(s) /~0.~ ~GrF TO 0,r-'r r>~ 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 ❑ S ❑ U ❑ s ❑ U ❑ s ❑ u ❑ s ❑ u ❑ s ❑ U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench -e'll All s G'SF 4- cs .1' Ground 3 - tSUz S / - elev. `Lft r/ - 0 7,5-'r C S D SSG - ,7 Depth to O~ l 7 S P S~ L limiting factor in. Remarks: y V-9t/ 7-2~,-ff7- Boring # D to ~ L S L S c z < 3 ~S oSC- L As 2 7 c .Y A" P . o z 33 SrG 7AIJ i C > eY( 42 Ground 7 - C S G L 1,7 s ,7 -Y elev. ft. 5- 7, 5- VA1 L_ e 6:7 7 1P Depth to limiting factor in. Remarks: C L f XX-' L'A-LLIZE` (20 Pl'f~z 77V x/ a w Zvi CST Name (Please Print) Signature Telephone No. /J O~ Z~-►X 7 t 3 6J Address ate CST Number PROPERTY OWNER ZAOZZXIiL SOIL DESCRIPTION REPORT Page .`of 3 PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Structure 2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench 0-04 ILI, ^ 3/ S a G, L CS Ground j 7, _ 5-3 z-L 5 "V< Fti S elev. _ z .8 Depth to l 6 M L limiting factor °K in. ; Remarks: Boring # 1- a o S o G s L Ground S _ elev. O 6-- I Depth to 7S = 2 7 - © L , limiting 7 -7- - / 6 itrS O G G - factor 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 # Ground elev. ft. , Depth to limiting factor 'n' Remarks: Boring # Ground elev. ft. , Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) 1~ Q 0 ~C O AI H ~ ~ v o ~ o o Z d J F y I a 6 ~ ~ I N b x - zz r i zc% .j . J lei S'T'C - 105 SEPTIC TANK MAINTF,NANCI? AGREEN ENT St. Croix County OWNERIBUYF,R Carol J. Vasatka MAILING ADDRESS 120 Black Bass Road, River Falls, WI 54022 PROPERTY ADDRESS 120 Black Bass Road, River Falls, WI 54022 (location of septic system) Please obtain from the Planning Dept. CITY/STATE River Falls WI PROPERTY LOCATION f 1/4, f 1/4, Section 25 T 28 N-R 20 W TOWN OF Troy ST. CROIX COUNTY, W1 SUBDIVISION N/A LOT NUM13ER N/A CERTIFIED SURVEY MAP , VOLUME , PAGE , LOT NUMBER SEE>TifcHF~/~✓~ 'f Improper use an maintenance of your septic system cou d 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. _T DATF. 8/8/96 St. Croix County Zoning Office Government Center 1 101 Carmichael Road Hudson, WI 54016 1 U93 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 carol J ./~T Location of property Ll/4Szp 1/4, Section ate, TAN-R_.,p!I_W Township Mailing address f ~o c~' ~f -River Falls,•W 54022 _ - ~-Y---7- Address of site Subdivision name Lot no. Other homes on property? Yes Li- No Previous owner of property LZ'z,rrs',,c,L ,tea! Total size of property Total size of parcel Date parcel was created Are all corners and lot lines identifiable? ✓Yes No Is this property being developed for (spec house)? Yes No Volume ?-JY and Page Number -q77 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner (s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. q4.1.5-7,1 , 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. YG 3..7.3 X ,F ignatur 'of Applicant Co-Applicant Date of Signature Date of Signature t -0 STA r,: `.t:lll OF WISCONSIN FORM I - IM -A,:,f R, 9EPVED FOR RECORD'NO DATA • WARRANTY DEED 463573 'vo: 88.1w,477 REGISTER'S OFFICE Elizabeth ..Ann -Egan ST. CROIXCO., W, This Deed. made between . Peed Eor Record Grantor, Ot 2:55 P .NA -And Carol _,L.. Vas-atka, oM husband and wife as survivorship m a r i t a l property _ Register of Deeds Grart~, Witllesseth, That the sa:d Grantor, for a valuable consid,.ration conce;.s to Grantee the inilowinK des,:ribed reR! Pstate in St. - Croix C.,unt%, Mate of Wiscrngin: Part of Government Lot "1" of Section 25, Township 28 North, Range 20 West, described as follows: Commencing at Northeast corner oi: said Government Lot "1"; thence South 50 feet; thence West parallel to North line of said Government Lot 1, 400 feet; thence South 24°30'W 325 feet; thence S 10'45'E 267.5 feet to place of beginning; thence S 10°45'E 219.3 feet to an iron pipe stake; thence S 66°35'W 153.9 feet to !:t iron pipe stake; thence S 53° 09'W 230.3 feet to an iron pipe stake on shore of Lake St. Croix; thence N 18°41'W on meander line along said shore 195.1 feet to an iron pipe stake; thence N 56°29' E 416.4 feet to an iron pipe stake at place of beginning. IT, - Also all land lying between above mentioned meander line and Lake ~~OO St. Croix and between Northwesterly and Southeasterly lines of above parcel extended. !Together with an easement for access road from above parcel Northerly and Easterly- to the Town Road as now travelled. according, to the United States Government Survey thereof and situated in St. Croix C(,unty, Wisconsin. This is nomestead property. ~ ; < ~ i 7tx}tRtX . T,,cethrr w t~, all am! sinz+.,iar the hereditaments anti Ant! grantor, Elizabeth A.j Egat% warrants that the title is good, inclefeasih:e in fee simp;P ant re easements, covenants and restrictions of record. if any. im r{ will warrant and depend the sar',P. C-- Dated this J ~h day' o' OctobQP iSF.Ai. Elizabeth :.nn Egan / (SF,AT.! l? AUTHENTICATION ACKNOWLEDGMENT T ~:.:.)F St Croix r.. . ~.i authenticated this da: of _ 19 C t;'Is .A*'day of fl- pp t-->E•r ~ YO th.t• :doce r ~,.:rtl t.lizahe-th Ann Egan TITI.E: }TF.ITREP ;TATS Pall i)F WIgCONSIN (If not. authorized bY ; 706.0F, Wis. St;,U.) h, - - r-n❑ w! o , xer!;tyd the