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HomeMy WebLinkAbout182-1021-60-200 -0 0 o N ?:c; 6F, N GL O ~ ELI tl I X N (n CV U ry 00 0 cn ai o ai a a) o aD c m rn N O C O C z E lL O N E N U U D L a) (D Q I-• L L i c) ~ y z N > E Z C z d N IL m H z O o I E o Z v c - o cn H z c ~ •n d rn CL m o z d m z Z w 0 o w z N _ ` N TV! M ~ j co a o a 'A U C-4 w d m E 0 0 a a -0 a) m Z M> _ H N N o w y a. CL o c z •N aaaa IL N g m co p (A cc 0) 0) U) J U rn rn Q o °0 ° a' o w -0 -0 E c ~ m d I N a) 211 a) 0 d Q o U = O oo a ~ y c 0 a) :3 y N O E C d ~ CO Cn U CL C O O N O Lll E d E 4 ID a) -0 00 (D C~ Cl 12 (n • O N O Z c~ Cc nr _ r % ~ V v~ d ac a l a `ate • tq am;~? d E c c 3 r A 0a1E IOMU • Parcel 182-1021-60-200 04/25/2005 10:23 AM PAGE 1 OF 1 Alt. Parcel 311706-21-01-00-00-002 182 - VILLAGE OF STAR PRAIRIE 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 * RUSSELL, ERIC L & DOREEN E ERIC L & DOREEN E RUSSELL 978 CTY LINE AVE STAR PRAIRIE WI 54026 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 12.520 Plat: 0608-CSM 12/3379 SEC 6 T31 N R1 7W NE NW FRL BEING LOT 3 Block/Condo Bldg: LOT 3 CSM 12/3379 FKA PARCEL 197 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 06-31 N-1 7W Notes: Parcel History: Date Doc # Vol/Page Type 2004 SUMMARY Bill M Fair Market Value: Assessed with: 53868 218,900 Valuations: Last Changed: 09/08/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 12.520 60,000 144,000 204,000 NO Totals for 2004: General Property 12.520 60,000 144,000 204,000 Woodland 0.000 0 0 Totals for 2003: General Property 12.520 60,000 144,000 204,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 137 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Ll) 1~ r FEB 5 I.g,98 568534 SURVEYORS RECORD CERTIFIED SURVE MAP The Fractional Northeast Quarter of the Northwest Quarter of Section 6, Township 31 North. Range 17 West, Village of Star Prairie, St. Croix County, Wisconsin. Prepared for and at the request of: Gary Russell 703 Jewell Star Prairie, WI 54026 OWNER: UNPLATTED LANDS COUNTY L/NE A VF Eric and Doreen Russell - P_O__L_K / 8_T. C_R__O I X ROAD NORTH LINE OF THE FRACTIONAL NE 1/4 OF THE NW 114 NORTH 114 CORNER --------S89'33'27"E 2780.52=------- SEC. 6-31-17 ' -S 893_327" E 1314.67=------ _ (SURREY NAIL) - - - --673.69------- 6 40.98- ~~i _306.26 8 08 \ 3011.35P --7 - L.._-- \ 304.17' . r • S89'33'27"E o \o S89 33'27"E ctv~7i~~"~► f{ i i -R.O.W. Min o L1 M i i I 1\ \t l~l2vJ9~. 1 1 I I• 1 0 RONALD F. i 1 r~ 1 i I► r°,; JOHNSON ~0 1 LOT 2 S-1186 W I I AMERY. z LOT 1.6 coq I wC I I ILO I Qr 2NR s ~,ba < a . w I I 1 n I 1 9 ~"l ce sot, a~O~ NN O 3 MAN Q3 d 1 U J 1 00 r W 7-1': ^ , 3 N n I W)a Z I N^ O IX ON I O I I I \ i t ~v ~ I I !n o: I i I ~ a d to or 4n, I 1 1 W V) W to W i l I O in tJ N I I I W I I I X o:1 1 1 0 N La V N La R„~ I, I Q LA U W M 51 , 1 N Q: m X i IrJ I I , to a o~ a 1 , a t0 V N W 1~ C~ I I W Q'~p^' 1 1 J°Q ~a 1 C3 G~tl 1~ I 0 N o 1: I a eh 1 eh b in N to Q N eh1 I I N to Q N N j l I N~ i 1 ~1 I, I 1 1 t 1 in I 2 SI \ I 00 1 / \t c0 1 1 1/ " i~ ►I N 89 54 32 W \t I 1, N 89'54 32~ W \t N Q pl UJI 3 N / 257.59' \I 349.95 1 W N o QQI e r 3 I in V JI O t 1 I tp M j t ~I 1 1 M k ZI LLJ J C o f i of o W U ~n Z CD I M LOT 3 ~ I ~I Z ~ N O Q O 2 W i{ UUU I I I GARAGE i 1 I o N I 1 • DWELL I I I cFi rr rn rn t r .21 a~ HOUSE SEPTIC M I I 3 c ° u' TOTAL AREA: 5 i i E a to z 545,246 SO. FT. 0 c J 3 1 WP~`'~ 1 . 12.52 ACRES tv'~ .~2` I o- ° W o c~ 1~Ac o i AREA EXCLUD. R.O.W.: , I I ~~pG\oGo.. 1 543,065 S0. FT. 04E 2 m 12.47 ACRES N o x E o = Q E A inc r- r- er n O FEB -5 ~9- 99 IT, CROIX COUNTY CERTIFIED SURV The Fractional Northeast Quarter of the Northwest Quarter of Section 6, Township 31 North, Range 17 West, Village of Star Prairie, St. Croix County, Wisconsin. Prepared for and at the request of: Gary Russell UNPL_ATTED LANDS_ 703 Jewell NORTH 1/4 CORNER Star Prairie, WI 54026 OWNER: SEC. 6-31-17 Eric and Doreen Russell (SURVEY NAIL) ORTH LINE OF TH,- FRAC77ONAL NE 114 OF THE NW 114 POLK / ST. CROIX ROAD -------S 89'33'27" E 2780.52'------- - - - --6 89'33'27" E 1314.67' - E 673.69' _ 1465.85'--- 640.98 _ _ I S 89-33'27" 89'33'27' E 60.96 ` 1 NORTHWEST CORNER \o R. O. W SEC. 6-31-17 M R (ALUM. CO. MON.) I I I I I I I i r LOT 4 TOTAL AREA• O 965.332 SQ. FT. 22.16 ACRES AREA EXCLUD. R.O.W.: 3 944,181 SQ. FT. Z I 21.67 ACRES I I I I I V) LO 0i L0 2 -j ROD Q W W O ~O QI I j U to Zto Z I O atAt~f ~V d Z i g~V 0 ~S'wr 1 O O M tv N w 1 RONALD f. > s o N o I JOHNSON 8-t i ss AMERY. 01) J ` C9 000 WIS. N w SU NS~ z J 3 Wo SEE SURVEYOR'S ~ -j REPORT ON THIS o I AREA i I I I i -FENCE 2X-j 19't STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS 7a ~.~~~~-c-3P,1 J SUBDIVISION / CSM# N A yd az~4~ LOT # Ill SECTION ~p _T_1 N-R /,7W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM kn` Q e'er a 38' $ !g' • v6 INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. r BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Man facturer: Lj LAA~V\Liquid Capacity: Setback from: Well 3 g, House a' Other Pump: Manufacturer /U~fgQ Model# Size Float seperation A] 1A Gallons/cycle: Alarm Location n/ ~,Qr v SOIL ABSORPTION SYSTEM r Width: Length Number of trenches / .Distance & Direction to nearest prop. line: `t Jeep Setback from: well: s House Other ELEVATIONS Building Sewer ST Inlet: q33 ST outlet: PC inlet PC bottom Pump Off Header/Manifold $c Bottom of system-_21-J-1- Existing Grade Final grade DATE OF INSTALLATION: - - l a PLUMBER ON JOB: LICENSE NUMBER: 15 (,3 INSPECTOR: C 3/93:jt 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 268689 Permit Holder's Name: ❑ City ❑ Village r~j Town o : State Plan ID No.: RUSSELL, ERIC STANTON CST BM Elev.: p Insp. BM Elev.: [ BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA Agg;nnAng (I N TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic F•(~^PS~'/ j1C, Benchmark J16.<A) ~ osing Aeratio Bldg. Sewer olding St/ Inlet ~'9 a r TANK SETBACK INFORMATION St/ Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake 'y (3 4_1 Septic nh- NA Dt Bottom Dosin NA Header / Man. 1.3.dj"?l 911,06 i Aeration Dist. Pipe 3 0.9P~ Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand t°%o 3,55- 6 Model Numb M T Lift Friction System TDH t oss mead Forcemai n Length Dia. Dist. To wen SOIL ABSORPTION SYSTEM BED/TRENCH Width /1 7 Lengt S i No. Of Trenches DIME No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ING a er: SETBACK SYSTEM TO P/ L BLDG WELL LAKE / STR MBE er t 06 CHA INFORMATION Type O ~ 6., d System: OR UNIT DISTRIBUTION SYSTEM g Vent To Air Intake Header / W30tft v Distribution Pipe(s) ~i x Hole Size x Hole Spacing VentToAirl] take r Length Dia. Length 5 / Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade stems Only de Depth Over ~ Depth Over i, / xx Depth Of xx Seed /Sodded xx Mulched s Bed/ Trench Center Bed/ Trench Edges a ~v Topsoil E] Ye ❑ No E] Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION : STANTON . 31 . 17W , NE, NW, JEWELL 'eve, Plan revision required? ❑ Yes [a'(Vo Use other side for additional information. Olt/ I SBD-6710 (R 05/91) Date Inspector's Signat re Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: , E e 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. 51- C_ »o 1C • See reverse side for instructions for completing this application State Sanitary Permit N--Iumb41o,er The information you provide may be used by other government agency programs El Check if revision to Previdu" s application (Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Property Owner e Property Location X5114 4) W 1/4, S (o T 31 , N, R 0 9(or) W Property Owner's Mailin Address Lot Number Block Number -70 3 City Stat _ Zip Code Phone Number Subdivision Name or CSM Number to~ _e II. TYPE F BUILDING: (check one) ❑ State Owned ity Nearest Road / Public 1 or 2 Family Dwelling - No. of bedrooms T Villa e l w9 OF Gwl 1 ar ~ III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo I S a !g?-7 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. xNew 2. ❑ Replacement 3_ ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an Exl-----ystem -_____System________System_----- __Tank Only- Existinq System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade d Required (sq. ft.) Propose (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation J J i Feet Feet VII. TANK Capacity Total # of Prefab. Site Fiber- App INFORMATION in g Gallons Tanks Manufacturer's Name PConcrete Con- Steel glass Plastic Exper. New Existing strutted Tanks Tanks I _W Septic Tank or Holding Tank am ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. nt) Plumber's Sign ur (No Stamps) MPRSW No.: Business Phone Number: Plumber's Name`; ri lip 1 V 1 +n Tc1 we rS 1- 5 413 7/_51 e16 -JC / .3 5 Plumber's Address (Street, City, Slate, Zi Code): O, G 67 9R'~,j (AJ ooC' 5-1 , IX. COUNTY / DEPARTMENT U ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issue Issuing Agent Signature (No Stamps) Approved Surcharge Fee) ❑ Owner Given initial j0-~ ~O p~~` Adverse Determination 0 X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: t 1-16]ls E SBD-6398 (R. 05/94) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Divreion, Owner, Plumber r 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 8 112 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. I { i I I I I _ I i I i I- r , I f . I Gi ~j t 6 f a}f t i I I 44 I I i _ L I ric. 'T j f -l- } I i , I I ~ ~ y~ jI/ I I l f t ! I ~ ~ I I_ _ I I A I 00' I (GN/ - ~I 1 I I I I I ~ I t , ~ I 1 I "I` ; I 1 II I ~17 I I i 41 I~ I I I ~ I j 1 j i I I I i - i I , Zoo r 1 I j I r y-~(L~//1 1 I I I t , i I r t-;---! t - / I ! } i 1 ~ l i I l I ~1 ~ I l i II I I 1---- ---I - i I i I ! 0 J ~ I I, ~ i I I I I i I I I i ! _1 i -4 I , ! I I I I ~ I I ~ I t I ! I ~ I i i I I I _ _ ~ ~ _ - t _ _ - r ~ r- ~ ~ I ! i ! i _ _ r - t- - _ - - , i ~ ~ ~ i _ - ~ + ~ y ~ ~ ~ - -i ~ ~ .I - ~ - - ~ ~ ~ . ~ _ I ~ . r , -r- ~ - - ~ ~ _ ~ _ ~ ~ ~ i ~ ~ ~ ~ _ ~ ~ I ' i 1 1 _ ~ I i I ! - I - ~ - ~ --r a L ~ - - - ~ i ~ i ~ , ' ~ ~ i ' ~ i i ' j i ~ I ~ ~ _ _ j - - ~ ~ r ~ ~ _ i ~ - ~ ~ li _ ~ ~ ' ~ ' i.. i - - ~ ~ _ - ~ j I - - - - - i _ _ - - ~ I r i ~ ~ ~ i I i i ~ } r-- ~ i I _ ~ ~ x t ~ - - ~ ~ ~ ~ - -i_ - ~ - ~ - - - ~ t ~ ~ - ~ - - - - i i i i ~ ~ I t I - - - _ _ , ~ ~ i i ~ ~ ~ _ I II ~ t ~ ~ t- - ~ L-- , ~ - a - ~ ~ i i I J ~ ~ I - - - ~ ~ _ t - - - ! i ~ a t ~t 7 i ' i - - ~ - ~ - - ~ - I~ i i i i ! I i ~ ~ i ♦ r - - ~ _ ~ i ~ - - ' f i I ~ i ; ~ i i ~ i ~ ! ~ I i f-- ~ ~ ~ - r- _ I _ - ~ _ - ~ T ~ i ~ - - _ _ ~ - -F - ~ ~ i i ' _ - t - - ~ - - - ~ i _ I i I i i I ~ ~ ~ . . _ _ - - ~ a ~ _ _ . _ _ _ l ~ ~ ~ ~ ~ - i f _ . _ x _ i II n i r i- _ - ~ ~ ~ i-- - - ~ l ~ J + ~ i ~ ~ _ - - - - 1 r- ~ ~ i , ! 1 ~ i r + - ~ ~ - i • i-- 1 - - t ~ - ~ J ~ ! - i i~ I - ~ ~ - ~i i i ~ i ~ ~ ! ~ - ! r ~ _ l _ ' ~ I' ~ _ _ _ _ _ _ _ . _ _ ~ ~ } t i I I I I I L. I 1 I _ ~ i. ~ ~ ~ ~ ~ ~ Ir 1 - - _ - - - ~ - ~ ~ ~ I- _ + ~ ~ r - i - - - - i I ~ ~ i i _ _ i ~ - i i i ~ I ~ _ _ r_ ~ ~ t ~ - I i -t- _ _ I i ~ T i _L I ~ I i - - r , _ _ _ _ ~ _ _ _ - i--- i.. ~ ~ ~ C ` t ~ I i- ~ _ ~ ~ - ~ ~ ~ T - - - ' ~ - i - F i i - t - ~ ~ I ~ i ~ i _ ~ I ~ ~ I ~ T- ~ ~ 1 r - ~ - ~ - - ~ - ~ - _ ~ _ ~r ~ ~ - T- - r i I - ~ _ _ ! - ~ t - ~ ~ I { _ i ~ ~ ~ --a , ~ _ ~ 1 - 1_ - - - - - - i ~ I i ~ ~ _.I I i ' i i - r _ I - i - --1- i ~ i i ~ _ _ _ _ i i i I I I_ - ~ , r . ~ _ - I ~ L_ ~ - ' ~ i _ _ I I___ . _L_ ~ ~ ~ -F ~ ; r - ~ ~ - I- - I - i ~ ~ ~ i i ~ I ~-_l ~ I PAGE OF CC`USS Sec~lon O~ SyS~e~ Fresh Air Inlets And Observation Pipe Approved Vent cap ~O3 J W •Q_ V 1AInImum 12* Above Ile S;~ Pt w~ s~0 )0 SeG VB K) N -7 w 20-42'Above Pipe ~4"Caet Iron S 1 To Final Grade Vent Pipe O h, march Hoy Or Synthetic Coverlno I etln. 2' Aggregate Over Plpe pip:,, 041(lbullon - Tee = ipe o 0 0 0 ! 6` Aggregate Beneath Plpe 0 Perloraled Plpe Below o -Coupling Terminating At Bolton 01 System Pwpo5f D ~I~wl c1< ~~cJr•.7 ton ~ \~~/O~ .SOIL. FILL DISTRIBUTIOU PIPE A MOVED S19lETIC COVER OR 9'. OF STRAW OR /AARSN NA`~ lo.OF l2 -21/Z AGGRCGATE KIEV, oF_e~T-. ,~\\\i~ DI•STR19'JTIOIJ PIPE TO BE AT LEAST i1JCNES BELOW ORIGIIJAL GRADE AUU AT LEAST LO IIJCNES BUT AJO MORE THAI) 42 IMCNES 13ELOW FINAL GRADE MIMUM ®SPN OF EXCAVATImrj Rom oKI&INAL WK WILL BE ~ tur-REs MINIMUM AEPrti of EXCAVATION 0~16IWAL GRgO€ WILL BE INCV4ES SIGWE:D: LICE►JSE DUMBER: ~ L l 1 L2 DAT E: Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of Labor and Human Relations Division'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 5-4 `C r n 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. 18Q " a - !v O APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNE~ U.S S !a PROPERTY LOCATION GOVT. LOT N 1/4 lyk) 114,S T 3f N,R / jbr) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # CITY, STAT ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ;EITOWN N REST ROAD New Construction Use [ J Residential / Number of bedrooms _ [ ] Addition to existing building Replacement [ ] Public or commercial describe Code derived daily flow Z gpd Recommended design loading rate bed, gpd1ft2_zktrench, gpd/ft2 Absorption area required 6y3 bed, ft2 _5&3 trench, ft2 Maximum design loading rate bed, gpd/ft2 IS"' trench, gpd/9 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 C NVENTIONAL OUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDIN T NK U= Unsuitable fors stem S❑ U S❑ U S❑ U WS ❑ U El S U ❑ S U SOIL DESCRIPTION REP CCZ 4 Ohe lA< -On,* M4 a,?* Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tnench :ti4 •i:i Lv~ Ground a5 3 ~1-- N 6Yoe- AY Q elev. ~ft. 7S R d I11 e. S O 1~1 S 7 Depth to limiting factor Remarks: Boring # Ground elev. too 7, S_ Depth to limiting factor Remarks: CST Name:-Please Print Phone: Address: Joe- AL) ee~~,oxyld Signature: / Date: CST Number: - S31 PROPERTY OWNER ~r c YS e V SOIL DESCRIPTION REPORT Page,:2 o43 PARCEL I.D. #_=I_~c~ Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench w O- Sc. Ground - 3 7-5 ri e IS 5ke o R se- ,7 elev. ilt. .3-549 are Depth to limiting factor Remarks: Boring # rn:«v<_rr b- 8 a S / s6., m df r 5 c Z S 1-13 A) M 5 c a, S , b Ground `3 "3FS TYR -41A S Sc, ' 7 elev. L1 7s b -5 •7 - 8 ft. Depth to limiting factor Remarks: Boring # ;4A Ground 7 (1~6Y~ S DM S h'\) elev. t. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.65%92) I l t I I ; I. I ~7 Crc.) - ` . 11: u ` ? ! ! ~GI_ V ' _ q a r ✓1J ,U ~tJ r 31 i t I I { I Pei j ~ ~ I I I ~ I ~ I ~ I ' ~ I ' I I i 1 I I I ~ ~ I i I i i I I I I i , ~ i ~ I ! ! i-- - t I 1 I I_ I , I I t ~ t i t t ;D • I , I I ' , I i i i I I - ~ I I j I I i i I I , I I r I I I 0 1 ~ t I ~ i I ' I I I , i 1 r I 'I _i - 1 - - - - - - - I- - I ~ -fi l ! I I I ~ ~ I I i ~ I I ' I I I I , I I . t ' ~ I I I I I I I I I I I ~ I 1 ' I I I I I I i I I r I j r i 1 1 I l I ! I 1 ~ I i I I r L T i I f 'I ~ I I I 1 I I I I i I i 1 I I I t I , I I I T I I I I i I _I i i I I I + 1 + T_ _ ! ' - - - - STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNERIBUYER MAILING ADDRESS J' e-~ PROPERTY ADDRESS d 6? f k t( ark )9f-a,4 (location septic system)/Please obtain from the Planning Dept. CITY/STATE ~~CA f~0.`~ ©C PROPERTY LOCATION IU r 1/4, 11 1/4,. Section T N-R.-L-w , TOWN OF ST. CROIX COUNTY, WI LOT NUMBER SUBDIVISION , CERTIFIED SURVEY MAP I 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. UWe, the undersigndd 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: DATE: St. Croix County Zoning Office Government Center ; 1101 Carmichael Road Hudson, WI 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 r c 1 lJ~ 5. Location of property_L[ 1/4_ 0 t) 1/4, Section T-fZ_N-R_L2_W Township Mailing address D ~.Q V a.e ~.I Address of site 5 67 2) 6o n Z W aAd 5/a ra subdivision name Lot no. Other homes on property? Yes No Previous owner of property e r\- Total size of property ,,5'7q- Total size of parcel Date parcel was created" /2 9 Are all corners -tot lines identifiable? _ a No. Is this property being. developed for' ('spec house).? Yes _~L_No Volume % --~01 and Page Number b 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 n. the office of the County Register of Deeds as,Document No. S D , 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. Signature of Applicant Co-Applicant Date of Signature Date of Signature t • E '.TE BAR OF WISCONSIN FOR-U - 1982 550235 I WARRANTY DEED DOCUMENT NO. P14 n- VFril c Ausen Farms, Inc. ST. GRO;x Go., wl ~r.a 1« RxuO O CT 1 1996 conveys and warrants to Eric L. Russell and Doreen at 2:00 P. M --Bussell~-htf5bar>d-mad stiie~_as-. vo1 sli - s.._. -ik L)AL rrtaritBL_Oge>'ty}_--- - P C! Desds i THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS the following described real estate in -_St. Croix County, iI KRISTINA OGLAND Staterof Wisconsin: ( ZIIZ, Estreen & Ogland j, P.O. Box 359 Hudson, WI 54016 .I 182_1021-60 PARCEL IDENTIFICATION NUMBER I ~j NE1/4 of NW1/4 of Section 6-31-17. Y TRANNFER 9 7 peg j I~ I' is not !i This ---homestead properly. (is not) j Exception to warranties: Easements, restrictions aiad j-j sits-of-way of record, if any. Dated this O _ day of - September , A.D., 19 ~ Ausen Farms, Inc. II (SEAL)-~.. (SEAL) i ii (SEAL) (SEAL) j AUTHENTICATION ACKNOWLEDGMENT by signature(s)__-Ausen _Farms, Inc. State of Wisconsin, . ss Merle Ausen county, authA is 30th day of Se~telnber i9_96 - Frrsonally came before the this day cf 19 , the above named . ina 0 l and TITLE. MEMBER STATE BAR JF WISCONSIN (If not, authorized by $706 06, Wis. Stats) kriown to be the person who executed the foregoing WS, __arnent ar;d acknowledge ,he sane. 'j THIS INSTRUMENT WAS DRAT f ED BY Attornf Kri.stina Ogland