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HomeMy WebLinkAbout042-1017-80-100 C) C) N I O M . C N 0.' f~ O O N O I y i C Z - ro ~ c 0 a 3 Cl) z y z ! :.o 0 O z CY) CNN w a m I- Z c c O 2 zz a cu 0) Z z fA F- m cu o c E -o Cl) N N ca a) y In CO R5 O c U Q z m z N o M a M d C N R E a) N y f9 d ' CL co O N M ` O 00 O d N U') El a) m o LL Z > o O O O z o 'N m raea ~v a a~ N Q 0 ~ o (0 (0 ~y N w u y } N O O _ E O co ~ a) 4 Cl) o y Q } m 00 0 O U) C Y _ O CC < c O cC O CO 0 0 a> . c c LL rn 7 -6 0 E ]c V O C C C -0 LO ~ ° ~ ~ i ' w V cn m ~ ~ 'n I CN 2) O O> m N LO m O z N z 2 a (n r ~ ~ w w E a a 3 ~ O. V ~ w C Cd ~ rr _1 ww L C C A 0 a i' O ti v n2y FlLtiD gIS ter of Dee~q St. Croix Co., WI CERTIFIED SURVEY MAP MAP NO. PART OF THE NE 1/4 SW 1/4 p SECTION 71 T 29 N - R 18W WARREN TOWNSHIP ST. CROIX COUNTY WISC. OWNER; JOHN BOUGHTON ROBERTS WISC. N O La wz Iz X UNPLAT i ED LAND I 1CSNI w c - R/W w~ PRIVA:T1= ROAD_ 437.00 _ M M 89 2,3'00" E M R/ W 0-1 cy o W 437.00' w z z 0° 00 z Q O o O 00, ( to vJ ° cow w to zI - - Q~' w aI a o LOT I to z JI us 3 O -a) o „ wF- N n 262,000 S.F.± wl a0 cnl m 0) 6.014 ACRES± +y w ~I I- I vl LU ° a EXCLUDI. R/W a Z w z 0 p a aI r z a =I z u.j O 1 / w n i- o 10 '00 o z h~ o O O O t 11~ 0) LOT SIZE 0°o V✓ 0& ^I PO. B. 276, 420 S.F. f INC. R/W FORTY 437.00 6.345 ACRES + INC. R/W - - - L I N E N 89 0 23' 05 ' W _i~» N 89 ° 23' 05" W 17.40' d ti pct O Ih UNPLATTED LAND °`1 m M 0°~ N u c3 u 0 SOUTHWEST CORNER SOUTH 1/4 COR. SEC. 71 T 29 N - R 18 W ° SEC. 7 COUNTY COUNTY SURVEY MONUMENT O SURVEY COUNTY z S 890 31'20" E SOUTH LINE SEC. 7 er<<~uu~~~ip~r /VS, ~1G C)~aa^ - LEGEND-' EXISTING I" DIA. ROUND IRON BAR + MARTiNE. HALVORSEN 0-----?/4 X 94 RC111Nn P9INF MAR SFT ~ IaI7 z d 501453 CERTIFIED SURVEY MAP N PART OF THE NE 1/4 SWI/4 SECTION 7 T29N RI8W WARREN TOWNSHIP ST.CROIX COUNTY WISCONSIN OWNER: JOHN BOUGHTON ROBERTS, WISCONSIN F!~p E 11r 3 • El/4 CORNER SECTION Z (EX. COUNTY MON 1 SCALE: 1 200' 6 JAI~'~SS O'CONNELL 4 200 100 0 200 400 Register ci D3ad tn~ SL GcoiX CO., YJi BEARINGS ARE REFERENCED TO THE E-W 1/4 LINE 'c7 SECTION 7 AS ASSUMED N89'49'13"W y - 66' LEGEND o, o --EXISTING I" IRON PIPE I i 11 ~C --EXISTING 3/4" IRON BAR , n1 JI ' 66' ,~L~~11t111t1l►~~j~ JI 1+j ^I ZI IaAI i V ~S,rV 'w W 1 I ' I O I I ~ Vl. l 3 j W Q Q) % Ir .ww W I I W I J I D ...........:.1 ~1 S ;I S~U~ii - - N-S 114 LINE CSM VOL_3 P. 890 vI NOTES: (0037'00"E Rec.) 66' I I TEEACH LWST RULES MAP REGULATIO S P.O.B. • ' NO I 18'40"E 701.261 (I .E. WETLANDS, MINIMUM LOT SIZE, ACCESS TO 3 66.07 , 602.25' I PARCEL, ETC.) BEFORE PURCHASING OR DEVELOPING ANY PA RCEL CONTACT THE ST. CROIX COUNTY ZONING 0 OFFICE FOR ADVICE. AREA 6,0/3 s.1.1,5.66 oc.(Toto/ 2 A PRIVATE ROAD MAY CREATE A PURCHASER t N 215,313 s. /./4.94 oc. (Net RESPONSIBILITY FOR MAINTENANCE AND SNOW REMOVAL. 00 0 c0 On N ? O 00 LOT 3. I F REAL PROPERTY TAXES ARE NOT PA I D BY THE Z 00 - 11 ' S{ 7I A GA II NST THE LOTS SERVED BY THE PR I V A E ROAD ASSESSED Till r STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER / ADDRESS Y Sal- ~t , LX SUBDIVISION / CSM LOT ~ SECTION T 0 7 N-R R W, Town of ~Q r ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 43e j l ~~ODU~ (oS'D ~ttw~~p. 't~ y 10 R-M,-Ile 1 l'o > Ns C Duo /60, v INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: r led 60X &0,6 ALTERNATE BM: &EPT.rd TANK-,( P HC AM~ HOLDING TANK INFORMATION Manufacturer: /~v~ rE~Cc~4S Liquid Capacity:./ dQ(S 6SJ(~ Setback from: Well D 6 p House ~k other Pump: Manufacturer CG 1,A Model# ? / Size..! Float seperation AGallons/cycle: 7i Alarm Location y if, e~ I SOIL ABSORPTION SYSTEM r Width: IF Length 4 Number of trenches r Distance & Direction to nearest prop. line: Setback from: well: House -21,66 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: /1L~Gn2~ LICENSE NUMBER: INSPECTOR: 3/93:jt i Wistmsin DgD~artmentof Industry, PRIVATE SEWAGE SYSTEM County:-; - t.;KUJLX I LaW nd H-7han Relations Safety avid Buildings Division INSPECTION REPORT (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 259445 P ❑ City ❑ Village Town of: State Plan ID No.: Warren CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: A9600005 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark r' Sao Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet 65 TANK SETBACK INFORMATION St/ Ht Outlet Vent irIto ntake ROAD Dt Inlet TANK TO P/ L WELL BLDG. A Septic r~~, NA Dt Bottom 9G...~✓ Dosing NA Header / Man. Aeration NA Dist. Pipe y00 Holding Bot. System k/ s" PUMP/ SIPHON INFORMATION Final Grade a Manufacturer Demand Z114 Iff 3e_," Model Number )l ;3 GPM TDH Lift Friction ~y System TDH~g3,' Ft Loss I Forcemain Length ~o Dia. mead Dist. To wen >/oo' SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O CHAMBER Model Number: System: '"~~-61 y/Oo '`/UO' 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 Gy- Topsoil El Yes ❑ No E] Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Warren.7.29.18W, NE, SW, Lot 1, 93rd Plan revision required? ❑ Yes [f No Use other side for additional information. M6.9~- SBD-6710 (R 05/91) Date In pecto s Signature Cert. No Safety and Buildings Division 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 8 112 x 11 inches in size. • See reverse side for instructions for completing this application ate Sani,~/ mI~ r 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 Property Own r Name Property Location 1/4, s T,,_7 , N, R ~E (o Property Owner's ailing add s,' res ^L Lot Nu ber Block Number City, to Zip Code Phone Number Subdivision Name or CSM Number e AotDi'l ( iLl - . 2 II. TYPE F BUIL IN : (check one) ❑ State Owned ❑ ❑ iIiage Nearest Road r' 45 Public 1 or 2 Family Dwelling - No. of bedrooms Town OF III. BUILDING USE: (If building type is public, check all that apply) arcel Tax Number(s) 1 ❑ Apartment/ Condo 1" 1017 _370'/,V6 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. KNew 2. ❑ Replacement 3, ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System____ Tank OnlyExisting 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 Q Mound 30 ❑ Specify Type 41 Q 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 j-0 h V3 1 .7 !dam L Feet 0,4"p, d Feet VII. TANK Capacity site in gallons Total # of Prefab. Fiber- Plastic Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con Steel glass App- New Existing structed Tanks Tanks Septic Tank or Holding Tank Q 14 O' ❑ El ❑ El El Lift Pump Tank /Siphon Chamber EJ ❑ 1:1 El VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the o to sewage system shown on the attached plans. ps V"PRSW No.: Business Phone Number: PI ber's Name: ~ Plum rs Signature' tam .p 7 2, 1 Z Z U is Addr ss (S eet, ate, Zi Code): 2: 2a r/f/ l IX. COUNTY DEPARTMEN USE ONLY ❑ Disapproved Sant ry Permit FeQ (Incluhar efee) water ate Issued Issuing Agen Signa o Sta s pproved ❑ Owner Given Initial ihargfee Adverse Determination ~ X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to County, One copy To: Safety s 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. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. Submersible MODEL: 3871 SIZE. 3/4" SOLIDS P 0.4 Effluent Pump H HP: : 0.4 1550 METERS FEET ' 8 25 7 I = 6 20 ! I i Z 15 4 i -J i O 3 10 I 2 5 O l- 0 10 20 30 40 50 GPM 0 2 4 6 8 10 12 m3/h CAPACITY MGOULDS PUMPS. INC. SBECA FO" NEW rows Oae Effed" October, Z S& 0 1099 Goulds Pumps. Inc. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE PRINTED IN USA PAGE OF PUMP CHAMBER CROSS SECTIOM ARID SPECIFICATIOWS VC WT CAP N"C..Z. VENT PIPE WEATHER PROOF APPROVED LOCKIfU JUUCTIOW BOX MANHOLE COVER W 25' FROM DOOR. U~clrhi/1~ f.elbrl WINDOW OR FRESH IL~MIIJ. I Alfa INTAKE I GRADE I H"MIW. I I8' MIN. COWDU.IT IAILET PROVIDE I - . ~ AIRTIGHT SEAL I III ~ I III V APPROVED JOINT A I III APPROVED JOINTS W/C.I. PIPE I III W/C.I. PIPE EXTENDIWG 3' I II ALARM EXTENDIWG 3' ONTO SOLID SOIL I 11 ONTO SOLID SOIL s I I I I ON C I I I LLEV. FT. PUMP--~r OFF D COWCKETE BLOCK f p 3" APPROV RISCK EXIT PERMITfEO Lj IFnTAWK MAWUFACTURER HAS SUCH APPROVAL I UDDINra SEPTIC E SPC CIF ICATIOKIS oosE 4i"' Y'i'l I'rP^ c f MUMBER OF DOSES: PER DAa TANKS MAIJUFACTUKER: ty f'l Lo° TANK SIZE: - GALLOWS DOSE VOLUME l~ J GALLONS a` tiw, INCLUDING BACKFLOW: X1-1.` ' N ALARM MANUFACTURER: ; MODEL WUMBCR: )v 14 CAPACITIES: A= ao. T INCHE5 OR 353- ~ GALLONS SWITCH TZIPC: h7e 1 te- B = w INCHES OR '14" 0 GALLONS PUMP MANUFACTURER: M C= /8.l INCHES OR 1712 1 GALLONS MODEL NUM6ER: YO/ 0- Zda _ INCHES OR /212- GALLOJS SWITCH TYPE: eyezirL, MOTE: PUMP AND ALARM ARE TO DE /7.00 jq,";";r MINIMUM DISCHARGE RATE - c GPM INSTALLED OW SEPARATE CIRCUITS t VERTICAL DIFFERENCE DETWECIJ PUMP OFF AUG 013TRIBUTION PIPE.. FEET ♦ MIA1I01AUM WETWORK SUPPLY PRESSURE . . . 2 5 FEET ♦ 6* 'r E ET OF FORCE MAIN X O' F/oo FT.FRICTIOU FACTOR.._.,LQ_ FEET TOTAL OyWAMIC. HEAD = d 3 FEET INTEKWAI.. DIMEWSIOWS; OF TAWK: LEWGTH ;WIDTH ~L--.;LIQUID DEPTH r SIGNED. LICENSE IJUMBER: DATE: I r ~ i ~ C ~ A d a Q Olk M r R 0 1, e H O' x w 0` >t L. i i p z ~ o ~ ti ~1 h ~ i I N /OS ~ r ~ N i I ~ w I ~ I i t b l b I 7.6 a IJ o ~ w - n 1 Rl 1~ \I C41 8 ~ ~Wis~ )hsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page / of -3 tois Human Relations Div on of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but C not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Lv L GOVT. LOT/ t/"- 1/4.S7 T N,R E (or& PROPERTY OWNER':S MAILING ADDRESS LOTS BLOCK # SUED. NAME OR CSM # 2 S' dl vd •~~5 CITY, STATE ZIP CODE PHONE NUMBER ❑CITY E]VILLAGE 09OWN NEAREST ROAD ® - o v (e-W -A Gt/ 3 r New Construction Use [y] Residential/ Number of bedrooms 3 [ j Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow SD gpd Recommended design loading rate 57 _bed, gpd/ft2-..w/_trench, gpd/112 Absorption area required 7.5-0 bed, ft2 9'0 trench, ft2 Maxilm design loading rate . 7 bed, gpd/ft22 '8 trench, gpd/ft2 Recommended infiltration surface elevation(s) It (as referred to site plan benchmark) Additional design / site considerationsA/,'X 5~r7:VG P4,4 To Shr L ~,~~/fs 2JUG L~7z~G~~YT~~hrT Parent material Flood plain elevation, if applicable It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ❑ S ❑ U ❑ S p U OS ❑ U 0S ❑ U ❑ S O U ❑ S ❑ U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends iDO:d'> _ a o Ground L .2.5- S GS 1 elev. ft. 3 d - S d J.G' L S - ' • 2 a_ L B f S Depth to ~ZIX limiting factor Remarks: eon Boring # COi l~-z y 75- Ground elev. 2~,7 ft. Depth to 3 Z y. D G3 4 SG S~ - limiting factor Remarks: CST Name:-Please Print / Phone' G - S 17 Address: O v 4 -7 Z33 Signature: 4-u , D : CST Number: `PROPE*YOWNER SOIL DESCRIPTION REPORT Page `Z_of-_ PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bcu ~ Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench D- o -2 0 5 z - - Ground elev. /033 ft. 2- ,2 10 - LS oZ o2 ^ ~S ~F Depth to limiting factor 3 _ d o _ Remarks: Boring # Ground - ! Z• L S ©S~ s elev. ft. - Depth to 3 - O l6 - S Z- limiting factor 1emarks: S~Yf ,~L Tom// S' ,s Ds C-AeXEAl 4,40 rns xTi^c~L Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: _ . __,os_~ _ _ I M ` 4 I ~ i V i ~ ~ W r t l ~ ~ t ~ ~ I ~ i ~ ~ ~ ~ ~ ~ ~ I ~ ~ N N ~ r ~ I oQ ' ' - ~ - ~ # ~ 1 i -c a t1 1S ~ b ~1 r ~ ~ '~1 ~ ~ ~ ~ ~ N ~ a i~ w o ~ ~ ~ ~ ~ o a~ i ~ 1 i w hT 0 ~ ~ ~ ~ ~ ii v ~ ~ ~ Z 1 l,, ~ n~~A ti 3 n 8 0 ~ i~aw M1 ~ ~ r f ~ /oYy~ 1 DEPARTMENT OF REPORT ON S IL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AN P.O. BOX 76 HUMAN RELATIONS PERCOLATION TESTS (115) MADISON WI 53707 (H63.09(1) & Chapter 145.045) LOCATION: SECT ON: TOWNSHIP/MUNICIPALITY: LOT~O.:BLK. O.: SUBDIVISIOONN.NAME: S 4 /T N/ E ( o COUNTY: OWNS 'S/FOIYEPS MAI IN A D D R SS: t B A .3 USE 'C DATES OBSERVATIONS MADE R/~esidence NO. BEDRMS : 1COM ER AL DESCRIPTION: PROFIL DESCRIPTIONS: R A ON TESTS: L7 ~ New ❑Re lace RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) CAS ❑U CAS ❑U ❑ S Q~1 C ❑U Q~S ❑U a ~ X 70 If Percolation Tests are NOT require DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS R. -g / w BORING TOTAL DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOI WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED ES . GHE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- t _ !rf d 3 ` i 3 ; / .C ' li 2 B- -B- .3 cf?zz B- F~2 > kz / > Rcl s/r,, /z a B- ~e r'~7, S B- 7 / J PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 P RI D2 PERIOD PER INCH P. o 1 1 P- P- L 2? N .C L z P- 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 hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION z- - s. ~-z r i 3 2 1 t ( l i I } N"4'{ i t Y i I ~ ~ hl1 a ~ t r I I ! ~ ' A i I IV" ' i i i EE i i t + : elf f~ n ~ L ~ ^ • . l I Y1 1.7 irk - 501.453 CERTIFIED SURVEY MAP N PART OF THE NEI/4 SWI/4 SECTION 7 T29N R18W l WARREN TOWNSHIP ST.CROIX COUNTY WISCONSIN OWNER: JOHN BOUGHTON ROBERTS, WISCONSIN F Z L p 3 EI/4 CORNER SECTION 7 r, vim' EX COUNTY MONUMENT) I L 1 J i i r' II 6 " SCALE: I = 2001 O'r,pvp+ELL 4 1 200 1 00 0 200 400 Regis %~0~' SL Croix GO., WI BEARINGS ARE REFERENCED TO THE E-W 1/4 LINE SECTION 7 AS ASSUMED N89°49'13"W y I1 1i LEGEND 66 1 Oil • - -EXISTING I" IRON PIPE L1J I x - -EXISTING 3/4" IRON BAR O O1 Ni NN J N O 1 - N ' 1 , o, 66' I ttttt111111) f/Af/~~~/ Q ~ U ; Z I ~ .r VV y ^r IL_w iii S l)'i o//Ptt/ll~i►Illt: N-S I14 L INE - - CSM VOL_3 P. 890 I , NOTES: v 1 0 o u I. EACH PARCEL SHOWN ON THIS MAP IS SUBJECT TO 66, (oN0037 00 E Rec.) 661 I STATE AND COUNTY LAWS, RULES AND REGULATIONS P.O.B.' I- ' NO I 18'40"E 70 1 .261 (I.E. WETLANDS, MINIMUM LOT SIZE, ACCESS TO 3 1 66.01602.25' ( PARCEL, ETC.) BEFORE PURCHASING OR DEVELOPING 331" ANY PARCEL CONTACT THE ST. CROIX COUNTY ZONING no 00 I I OFFICE FOR ADVICE. 'q. AREA - 256,013 s.f./5.88 oc.(Toto! I 2. A PRIVATE ROAD MAY CREATE A PURCHASER ~6 215,313 s. (./4.94 oc. (Net 00 RESPONSIBILITY FOR MAINTENANCE AND SNOW REMOVAL. too) 1 IF REAL PROPERTY TAXES ARE NOT PAID BY THE 0) N " - r~ m 1 O \ LOT I (D r i OWNER OF THE PRIVATE ROAD THEY MAY BE ASSESSED LEGAL DESCRIPTION A tract of land located in the NE1/4 of the SW1/4, Section 7, T29N, R18W, Township of Warren, County of St. Croix, State of Wisconsin, described as follows: Camrienci ng at the E1/4 Corner of said Section 7, thence N89049' 13 "W (assumed bearing), 2772.00 feet along the East-West quarter-line of said Section 7 to the POINT OF BEGINNING; Thence continuing N89°49'13"W, 220.40 feet along the East-West quarter-line of said Section 7 to the centerline of Hennessey Drive; Thence S23°49'37"W, 759.92 feet along the centerline of Hennessey Drive to the centerline of a private road; Thence S89015' 32"E, 511.39 feet along the centerline of said private road; Thence N01°1814011E (RA N00°37' 00 "E) , 701.26 feet along the West line of CSM Vo1.3 Pg.890 to the POINT OF BEGINNING. Containing 256,013 s.f. or 5.88 ac more or less, including road right-of-way. Subject to any and all easements, rights-of-way or conveyances of record. Bearings are referred to the East-West quarter-line of said Section 7 as assumed N89049'13"W. SURVEYORS CERTIFICATE I, FREDRICK W. NANNENGA, A PROFESSIONAL LAND SURVEYOR REGISTERED IN THE STATE OF WISCONSIN, HEREBY CERTIFY THAT BY ORDER OF AND UNDER THE DIRECTION OF JOHN BOUGHTON, OWNER OF THIS PROPERTY, I HAVE SURVEYED AND MAPPED THE PROPERTY DESCRIBED. THE PLAT SHOWN ON THIS MAP IS A TRUE AND CORRECT REPRESENTATION OF THE EXTERIOR BOUNDARIES OF THE SURVEYED LAND AND THAT I HAVE COMPLIED WITH THE PROVISIONS OF CHAPTER 236.34 OF THE WISCONSIN STATUTES TO THE BEST OF MY KNOWLEDGE AND BELIEF. FREDRICK W. NANNENGA {1 liilll//l/r Rev. 5/13/93 FRS r .A J Z A V ice/ ~ 'f;'11' Rtt~~ ! %.NX COUNTY irynyly® Planning S'TC-10> SEPTIC TANK NIAINTF,NANCE, AGIZEENIE'NT St. Croix Count), OWNERJBUYF,IZ MAILING ADDRESS fz Asieli.ol 7/7 We 5-04~r PROPERTY ADDRESS /O ~/3 (location of septic system) Please obtain from the Planning Dept. CITY/STATE Z~ r PROPERTY LOCATION 1/4, _5-6e_1 1/4, Section TN-R TOWN OF 4?/X~ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIEDSURVEY MAP :ajVs3 VOLUME/ -91 PAGQ,4 ~3, 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 maybe 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 Count), 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. V«'e, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. , SIGNED: UAfE: ~ ~S~4~`~ ~ (p St. Croix County Zoning Office Government Ccnter 1101 Carmichael Road Hudson, \VI 54016 11/93 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 W tz t 4*!;j Location of property_&,F_1/45;-,j 1/4, Section _ 7 T_2 fN-R if W Township G,WgIZEN Mailing address Address of site SOS/2 Subdivision name Lot no. Other homes on property? Yes ___L_,, No Previous owner of property Total size of property Total size of parcel Date parcel was created /94 Are all corners and lot lines identifiable? /Yes No Is this property being developed for (spec house) ? Yes _L-~ No m. Volume L-05-"and Page Number _ 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. , 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. 7 5" 3 Signature of Appli ant Co-Applican A, 96 --V I Date of Signature Date of Si nature • a x _ .1 t,., ~ r i~ _ i • , ~~a J ~ ~ • • ~ A a Z r ' ~ ~ • . C ~ f Q~ Ih •t~ ti ; ~ ~ w ~ I,f ~ ~ v IN i • J . , ! • ~ ; ~ ~ s [ ~ R 1 r ^ 3 + , it • - • ►y" State Bar of Wisconsin Form 2 - 1982 5'3yc IO'1.3 WARRANTY DEED r 1 1 1 DOCUMENT NO. VOL 1155PAGE ?1 ST Cr-. Y C~.,',';j John H. Boughton, a/k/a John Boughton DEC 2 7 !995 w ~a 10:40 A. :~;,rf s conveys and warrants to Wi > 1.-gym DpihoLd and Sriprapa Bergthold, husband and wife, THIS SPACE RESERVED FOR RECORDING DATA II NAME AND RETURN AD ESS ID 'the following described real estate in St. Croix I II County, State of Wisconsin: !I -H r 10 V-3 (Parcel Identification Number) f` ~~RJ @Y' Ili ! II Part of NIEk of SA of Section 7-29-15 described as follows: Lot 1 of Certified iI Survey Map filed June 28, 1993, in Vol. "9", Page 2633. j i SUBJECT TO a 66 foot access easement as shown and depicted on said Certified Survey Map. r: TRW SJFR This is not homestead property. ; } (is not) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this day of December 19 95 i j i (SEAL) (SEAL) • /_Ji~ H. Bou hton a John Bou ton (SEAL) (SEAL) ~ AUTHENTICATION ACKNOWLEDGMENT I j Signature(s) STATE OF WISCONSIN ~I ss. I { - $t. Croix County* j jl authenticated this day of , 19 Personally came before me this day of December 19 9.5__. the above named j Jotm H. Bouggton"iAja__Iotm_Bou>?htQ ~I TITLE: MEMBER STATE BAR OF WISCONSIN ! (If not, authorized by §7U6A6, Wis. Slats.) to me knL.r. to - the peTCOa Q tNr~( _ who executed the foreNDME i:st kno~V1 ntrs'0~~/yjp/S i THIS INSTRUMENT WAS DRAFTED BY , y_ublk i Kristina Oaland ~ t ~ ,