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HomeMy WebLinkAbout022-1083-20-100 -0 C) N G O~ Oq I N ~ I n O R4 ~ I i b I 0 'o Z c LL LL C Q 3 Cl) Z O v m W 0 Z 1 O ~r E Q v z a m m N N H Z O C z O U O Z c z 21 t~ d z N F- •q _0 m N O a N a) 0 • 1►J d U) O O a) Q w Z co z o N Z m I -0 I E N w N "Its N LL w w O O C) O W d i o ~ O o D a m N ~y~~ry Z N J O I- H F _3 Ca 1r, `r' O O O Z o 0. IL CL ~r h LO U') 7 0 N m (D fA U LL rn rn _0 LO o v a) o 0 7- 1 In CO E N > O O O CO Q_ Cn O > ~j 0 3 N c ►~i Q ~ p ° aa) i ~ co co 0) C) C~vJ O U C C m o t 7 N d, O N E Y N 0 (C) W C L a i a) N w ° Y U Ln O 3 U N U? -0 CD 7 c6 rl N N C C~v~ .w< fT L C7 y O a3 t'9 N O Cl) o • L' O N Y = N O Z N Z CU O ~ I \ m Sk :L v ~ E a' rz d R ~ a I Q i CL ..T CL z '2 0 l~ £ L c C j A U a ! 0 ) 0 ST. CROIX COUNTY } WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 October 5, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of lots 2 & 3 of the proposed John & Diane Hart minor subdivision, located in the NE1/4 of the NE1/4, Sec.29, T28N, R18W, Town of Kinnickinnic, St. Croix County, WI., has been conducted with the assistance of Art Wegerer, CST# 576. This onsite revealed suitable soil for onsite sewage disposal to a depth of 40" on lot 2 and 46" on lot 3, while meeting the requirements of the A + 4" rule. These sites should be suitable for new construction utilizing a mound septic system having 12" of sand fill. Should you have any questions, please feel free to contact this office. Since ely, a es K. Thompson Assistant Zoning Administrator cc: file r t . r v 2-4) FILED a8 1 12 Y SEP 3 01992- g JAMES O'CONNELL o 'e n v a`ec ~7 Register of Deeds v 17. y r~/n r/2s'"y3 •'t 8926at'= ~ St Croix Co„ WI u 19 J 'A cN CERTIFIED StMEY MAP " JOM AND DIANE HART ;art of the Northwest 114 of the Northeast 114 of Section 29, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. OIndicates 1" X 24" iron pipe weighing 1.13 lbs./lin. Ft. set. OIndicates 1/2" iron bar found. R() Indicates previously recorded data. *Indicates 1" iron pipe found. N 114 CDR, SEC. 29, T 219 N, q/BW, NF CDR, SEC.29, T219N, R18W, / cOUNrY SURVEYOR'S MON./ /COUN,TY SURVEYOR'S MONJ UNPLArrEO LANDS /4 N LINE NW 114 N N 87 • 54'18 E 26 84' \I , /294.90' /305, 92 IN 87. 54'/19"E 6/7.50' FENCE 7T. b. 606. 2/ ' I V 4 I N 3.//8 ACRES Z O I q b /35, 82/ So. Fr. LOT / 3, 059 ACRES EXC. ` D R, O, W. N Owner's Address : 244 so, 1 V 87.54 /River Falls, WI 54022 /27, 085 So. FT, Fr. 194 South Liberty Road b- I 605,34' Phone No.- 1-71S-426-5096 _ N p I 2.9/7ACRES b I to to h I LOT 22.19519 ACRES EXC. h w OI I R OAD R. 0. W. O N ! QI I. I . 12 4, 498 S0. F' T, p J H INB CiD 54/8"E 6/7.50 a LOT 4 QII j 604,51' h 0 q 2.917ACRES • M ~I ZI I ~ m py°j O 30. 532 ACRES ~ zt N - /27, 085 s0, Fr. h O 329, 9197 S0, FT. Q OII O R i Z. 854 ACRES EX C, 0 30.4/4 ACRES EXC. ROADS vl h LOT 3 ROAD R. O. W. 0 /,324,834 SO, FT. Q,I to I ry H - /24, 327 So, FT, N 10 I.I I h i 603.68' W , vIIM N 197. 54 /B "E 6/7,50' `,O~II/IIIi~111~ N J \ r-1001 o ~h ICURVE DATA, I R1 i W MU y o Z ty I 1CHORD BEARING- S/O.20140,5"W 1.-. CHORD D/ST, - 76,07' RIVER FALLS,•,•' 1 b !ARC - 76.519' WI$C. 1 j CENTRAL ANGLE- 2Z-5;123" •~ANO / I /sr TAN, BEAR. - $0/ • 08' 3/ "E y, 1981111111 ~11~~, 2 2ND TAN, BEAR, . S 2/ • 4.9'5Z" W Laurence W H/cHwAr s£reACK LINE W. Murphy Registered Land Surveyor 0 2 N 'N This instrument drafted by Laurence W. Murphy W " Oated: August 2, 1992. ? 3 N / Revised: September 29, 1992 M / N48•21'59"E 1,20' 7 tr ~ i h S 88 • 03' 54 "W /306, 29 • S L INF NW 114 NE 114 ~ 1 O R/S90.00,00"W 1305.977 o 1 1 2 LOT 4s C. S. M., VOL. 6t PAGE 175 - I m II„ E M . 20. M SCAL£ = ZOO' N 4y Z9 60 O 50' 100,150,200, 300' 400' 500' S 114 CDR, SEC. 29, r 219 N, R /19 w, Vol. 9 Page 2543 / COUNTY SURVEYOR'S ALL BEAR/NOS REF, TO THE NORTH LINE OF Certified Survey Maps , MON./ THE NE //4 OF SEC, 29, T28N, R18W, St. Croix County, Wisconsin ASSUMED N87.54'/8"E' i, SH EE T / OF 2 1200-56 ON tor ~~~~~t~~ aNb1 ' zzobs 'SlM's'1'1V3 a3ni8 91-92-62 NOXUIV •1 Ca 'Osim 8OA3A8ns QNV'l 03831s193a 03s1M Sile~ 3Ai r EL M W; AHddfl A 30N3unvi 'H'M.-1 NMV>!a T • ~N f1V l sn>s S66T-TE-T Alms aw Y 00500 566T-TE-T s1V0 N 2 d0 L 133HS •puno.4 ueq uouT se4e3Tpui Oa (•uoH s,JOAQAUnS •puno3 ueq uouT „c/T sa4eOTpuI 0 A4u600) `M 9T a •puno_4 ad-rd uouT „T se4eoTpui • IN 92 1 `62 uOT400S •49s ';4 'ull/'sqT ET•T 6uT46T9m adTd uouT „1,2 x „T sageoTpui 0 4o uauuoo V11 4gnoS 3u9T1V5oL9 N pawnsse `M 91 a IN 9c 1 `69 uoT4OeS 40 p/T 4se8y;uoN 9144 40 W euTT y4uoN 8t43, 04 paouaua~'e~ sSuTueaq TTV WW z bSLT 39Vd `9 "l0A `-N-S'3 t, 101 +09'62 311VT1022V N o 0 (146'SOET M1'00100006 S)a Ln 162'90ET M11V51EO099 S W to V/I 3N 30 V/T MN 30 euTT S 102* 1 31165, T209V N N r• d 7 fD O O O co r V / A A / Z Ov 'M'0'8 OV08 '3x3 S383V 69V•91 S3a3V TL5'9T 8 133wVd 100' T6T - snTpea ,A N 1L0'9L - •4sTO puo40 cni M11S'OV10c OT S 'uea8 puo40 O p~ ° :e4eO anun0 L oh o ~o1I O ~ - tn N W I h+ 0 7 m 19T ' 90ET M119T 1 VSoLB 5 ~s~sya~ I N u l N ~r 499'899 xx 199'E09 ~ m' 592 ~O~~d ddN 10 S' L T 9 1 29 ' E T I o OD ct .~Pr N1 E 10'1 I o CO Z I C a 142 1n cn ( v Ep LO 'M•O'w avow 2 101 I b. A °n ~ l v '3X3 S3w3V Sb6'TT W m W m 0 V -133wVd m " W W I rn o T 10-1 I 10S'4T9 M119T1VS049 S 1T2'909 162. T m rn I 126'SOET o 106'V621 120'TT 26'SOET V11 3N 40 V/T MN BUTT N 1V9'TT92 3118T1VSO42 N Q S,a0A3A~- uoH S , JOAQAUnS A4unoo ) uo}y~1,~1t19a9C19~!'~S~uno ) 'M gT b IN 92 1 `62 uoT~oeS ~o uauuoo V/T N 1M 81 a IN 92 1 `62 uOT: ovva 0 N I U~ =LUVH 3NVIO ONV NHW w03 dVN A3Awns ~(1 V LI2IHX3 p 0l 3~dd~ ion SURVEY FOR JOHN AND DIANE HART NE COR. SEC. 29, T2BN, R/BW, E 114 COR. SEC. 29, T28N, RIOW, 1 covNTY SURVEYOR'S MON.) !COUNTY SURVEYOR'S MON. ) //0 th Sr E LINE HE 114 r b S 000 57' 00 E 2645.14' - b 685.14' ~ 1960.00' O O M 1DWELL C• DWELLING o e SCALE I"-r200' of PONO M O q b PARCEL A, f C~dE b 10.269 ACRES y 9.750 ACRES EXCLUDING yQ, ` ROAD h O M = h SURVEYOR'S RECORD -Y ° ~ c 0 N 00. 56'28 W 685.14' Z W /2' }L ? MARSH W • m h W Q m ~ Q ~ O Obi ~ 2 N y m W e- PARCEL B b a 2 2 10.269 ACRES N Z V ` a Parcel B be attached to Lot 4 i y oil-the certified survey map rec. in Vol. Page 2543 of St. Croix County o ied Survey Maps as an add on the required affidavit recorded Q 14' WOVLINE NE 114 NE l/4 N 00. 55'52" W 685.14' N ~ /11 SPA G E INDICATES IRON P/PE o L 0 T 4,C. S. VOL. FOUND M N 1/4 C S£C. 29, T20H, R18W , O /ND/GTES /"z 24" IRON f COUNTY SURVEYOR'S MON,) 1 PIPE SET State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that I have surveyed the above described and mapped property according to official records and that this map and description are correct to the best of my knowledge and belief. DATE 8-17-99 `,,~~g1111~~/!~y FLD SURVEY s -16 93 . Murphy and J. Filkins ti L ScAU 1"1200' Engineering and Land Surveying, Inc. • LAUR CE': DRAWN doF _ W PHY i JV • O 113 a.~ { REVISED W9302 800th AVENUE ER FALLS,., ~ RIVER FALLS, WI 54022 ~'~q wisc.••• . •~Q LOCATION 29-20-10 • 400 JOB NO. 93-066 SURVEY MAP OF JOHN AND DIANE HART PROPERTY NE COR. SEC. 29, 7*28N, R18W, N!/4 COR. SEC. 29, r28 N, R /8 W I COUNTY SURVEYOR'S MON./ 14' ! COON rY SURVEYOR'S MON.1 1 12' N BT• 54' l8 "E 2611,84 N LINE NE 114 652.96 652.96' 1305.9 JL MARSHY AREA N PA R CEL A \ a 1 • . 7.269 ACRES p mil 3!6,636 S0. Fr. \ Co Q V . to b \ cb zt N 3 \ n 0 0 „ a o n i h O 3 N 87.54'18"E 653.05' J (J1I 2 KV PA RCEL B O O 3.000 ACRES N J a ty 130,684 SO,Fr. S87'54'l8"W 653.08' RIS88.51'04"Wl LOT 1, C.S.M., VOL, 9. PAGE 2644 ALL BEARINGS REF, ro THE NORTH LINE of 7HE • Indicates 1" iron pipe found. NoRrHEAsr 114 OF SEC. 29, rte N, Rle w, O Indicates 1" x 24" iron pipe weighing ASSUMEO N87.54'/6"E 1.13 lbs./lin. ft.! set. Y 2 8 1996 MA SAEEr' 1 OF 2 x ~mrD 1 MATE 5- 21 - .96 `,``,,~~1111u1~U~l► i F.W SURVEY 5 - 21 - 96 \cjGo/V SCALE 1 _ 100 DRAWN L wM L A U R E NC E W. LOHY _EAU RPHY s o • 1713 REVISED ~:~RIVER ' FALLS..., REGISTERED LAND SURVEYOR ~ ~ F WlSC LOCATION 29-28-18 RIVER FALLS, WIS. 54022 9 JOB NO. 96 - 044 o#' IIILANO W ;onsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations .A Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY S 1 . G2U ~ ;yC Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but 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 =0 *-k Q 4 Dl H!V IR GOVT. LOT N)LQ 1/4 X)E: 1/4,S 29 T Zb N,R 153 E (or PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBO. NAME OR CSM # tiny S , 1 VBe-7t xt R.uhU Z - p1as1'~-'>6Seb c,s.>y. CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD ZIUt:7,t 7~-ALL LJI S4131-Z (7)S) 47,6-t 5096 ~GIiJQ l'L\-LUJ1u1C lOS T4 ST. K New Construction Use (Xj Residential / Number of bedrooms vti 1rw~wN (J Additign to existing building j J Replacement [ ] Public or commercial describe Code derived daily flow s o gpd vw-R %enRov r l Recommended design loading rate o • q bed, gpd/ft2 0- 5 trench, gpd/ft2 Absorption area required - bed, ft2 trench, 1`12 Maxattum design loading rate o 4 bed, gpd/ft2 0.5 trench, gpolft2 Recommended infiltration surface elevation(s) l o Z- S It (as referred to site plan benchmark) Additianal design / site considerations *-~t►-~ I Flu wt N t o v-- Spt w UW.J'1LmM wi oukjp - `ctZja'-, C1A C~►PF ~ ~ Parent material s P',vo ov Tkl rcSN Flood plain elevation, if applicable N It S = Suitable for System CONVENTIONAL MOUND T IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unstftle for stem ❑ S O U OS ❑ U E3 S EZU ❑ S ®'U DaS ❑ U ❑ S RfU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BOuxialy Roots GPD/ft, in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed tench 0-L9 tZ) 1iZ zI - L Z •F m. c S C)- s Q-1. 1 Z 10.-2'7 ~o ~t 2. _ s ~ ~ C.Sb1rc xr v 'F►,- a5 0. o. 5 Ground 3 Z~-u 2 ~•S '1 R- 3ly i s 1 e-s blc )-,I . CS o.~ ~ elev. Nth It. L1-L-60 Y01t \z Y/L - ~s o S5 Yn 1 c S w•p. tom. p. Depth to 5 bo-6$ 10 H2 Y/(. ~Ls•~2 s/$ ~5 es~ rvl 1 CS t~P P. limiting factor b$-~y to `t I2 V/ - sI o QL"L `c~tE ~s ~iRlzcw S tiN ~ tTS ,v~r/v ~ • S b R 31 a w C'~CVc L'.\ Li't' , rwT~ ' s e s Remarks:70Z'~-'R1 'Tz L\mtP)uG Rc`M 'ZNSt-, 01,J "t1iC CjkRi xq*Pb C3Rzvbs Boring # 1-ti ~o~-tQ Z[Z - L lw~sbbc rn'~h cS o.~( o.S 3 25-y0 -Sylz 3Jy - 15 lesbtic 13- yn Uc s 0.- 0.6 Ground tioH Y /Y d l elev. S~ vn) N:P u.P. Wz._o It L4 yo_" t~ YI -)-S11 ~Z 3►y/ S tis-r Depth lo limiting ,`yam` Y` y i V• IaCtDr Ai~ r Remarks: T Name:-Please Print Arthur L. We erer 715-425-0165 egerer Soil Testing & Design Service .A.1ft-v ver Falls,WI 54022 Signature: _ Date: CST Number: °tZ_1$3 sue,I1,t0101Z 576 PROPERTY OWNER l }"{~-2 1 SOIL DESCRIPTION REPORT Page?- of PARCEL I.D. # 'r GPD/ft Depth Dominant Color Mottles Structure consL, Boring # Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Bounclary Roots Bed ranch 0-16 lo~~ Z1Z - L ~1y\5\Dk m f~ GS o,q 0.5 V3-iz 3A. l c s~tic. rn v 'Ft. c s o• ~L Q- S ~ Ground 3 ZV-3S ~.Svfz 31v - is Cs)bh vv CS o 0.8 elev. \bk.o ft L4 IS-6s Lod 2 Y /6 S %3 g m ti P, Depth to Svc -Tt N1 Pu ' limiting factor N ns S Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # G'•.4 Ground elev. ft. Depth to limiting factor i Remarks: Boring # y I, Ground elev. ft. Depth to limiting factor i Remarks: SBD-8330(R.05/92) PLOT PLAN Page 3 of 3 SCALE 1"= 30 ' 6 bS.3 o , q tTL. 1,00.0'vN Nz\- t0\ - S w~iN. ~1.-tpo _ 1 t3- Z 1}ouSE 8~ ITT L"5'T ZS \'RoMI MvV+~p 0 1ti»L SD ~ LO No~~ s~2~ ?nvo lroc+Pr'C~~,J c~~ MOQ"'t~ TIZ!, RE ~ ~ -TC~.'h'1 I N ~ ~ ls'R L IU U ~ t=S 1 GN t}~Z Ivy Q~'lZ. aF B ~ 1z-UC>~1 S PrR~, ~ETtRwIUJ ~ , Nod c?pln\ " Rtl- 01Z b1 S1Ul~8 `NC- k~nun~p S o1Z 7~T l~c~ is' ~Ow~uS t-uP~ ot= `n}C lyOu,Vp , I 6o4.S1' ~~~1pk1 S`RQ1'c~l N %I 0 q Z_ l83 g 9 Z 1 5) L{ L S- 0) 6 5 M (3D-S-) CST Signature 6 Date Signed Telephone No. CST # Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page ~ of 3 Labor and Human Relations Division of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but 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 7.0 1-k Q 4 b IT) Q IR GOVT. LOT Ivl v 1/4 NE 1/4,S Z 9 T N,R I b E (or PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # ai 14 S , LlBETZ~'t R C~kL~ 1~Rs~PUs~D C.S• xq . CITY, STATE F-#, ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD ~lUtNL U- k)I 5402-Z (71S) 4Z6-= Sd96 N iA,.i Q ~c\T-Wj'J\C \OS l)} ST. pq, New Construction Use [)q Residential / Number of bedrooms v)L- k1.>\rv [ ] Addn to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow \ S o gpd p %epR oo" Recommended design loading rate o • q tract, gpd/ft2 0- 5 Uench, gpolft2 Absorption area regtdred - bed, ft2 - trench, ft2 Maximum design loading rate o , ~J bed, gpd/ft2 0.5 trench, gpolft2 Recommended infiltration surface elevation(s) L o Z - ft (as referred to site plan benchmark) Additional design / site considerations ",K-3 t wtv M \ t or- SAS U~ti~c'tZ r~ of a~►~ - •ZRja%JC!\ ' MPE HuJVt> Parent material S PLO Y O U T►•W K S N Flood plain elevation, if applicable It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING Tic U= Unsuitable for ❑ S 91 U EfS ❑ U ❑ S Q U ❑ S ®'U JR S❑ U ❑ S IOU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consis n Boutdary Roots GPD/ft, in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rends 13. 1 0 -Lq \o~-1 zt Z - L 'Z 'F m c S o, s o. 6 Z f0.-2~ S\ ~ C-.Sbw M\j C-S 0-y o.S Ground 3 z-1-k-IZ-7•SYIZ 31y _ is 1cSb1c 1v,v~y CS o•7 elev. \QL, ft 4-L-60 1o'-t~z VA. - {~\S O s5 Y~,1 c S ►~-p N P. Depth to 5 bo--6$ IQ " 1v `/!6 -)s s!g T S b s5 vh CS N p P. limiting faCIDr~ 68-~y to `1 Y/ - st o M U F~- -T*C. is NAMVttX74"S tiN \~LL \-M rJmUV 7i-S4R 31 , We7ttW 4 Cl e-001- , 1.ioTL~ \ S B+C+~~U S Remarks:"0Z1;b'Ti-\ ' Um r V Rc~NR $NSeIZ~' 01Q -rOC- G 3i EVM %tVvb Boring # \ o Z z o-1 Q z t z - L >n gek rn'F H c S S Z Z vZ-LS loo`-►R- X16 - S 1 1 ~S~lc m ~'ti c S 0. 0.5 3 25-y0-S`11Z31y - 1 S lCs Yn U'Fh c S o•~ 0.6 "0k Ground elev. LID Uo~~ LI /Y d F L elev. y _blo t~ \i yl S y~Z 3 ►y ~'Fs d S9 vn N:P ►J•P. \oZ_o ft. S 11tul Depth to limiting factor Remarks: CST Name:-Please Print ~ 5 25-OI65...e Arthur L. We erer n A W g rer Soil Testing & Design Service-P.O. Box 74 Riv 2 r6p 6R S~pnahxe. J of z_ 1$ Date: S ,4~'ft4 ;4 °t Z T Number: 576 PROPERTYOWNER PnZ l SOIL DESCRIPTION REPORT Page? ®f• PARCEL I.D. # Depth Dominant Color Mottles Texture Structure Consistence BoundEry Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rends L lv\ SlDk m o.q Z ~b-Zy 10`'1Q 3)G - s 1 1cgbLc. Y~ U~~ `s o•\( Qi Ground 3 ZV-35 ~•SYrz Sly - ~s ~sbk w,UC, o•~ 0.8 elev. 14 PS-6s O S M\ KN V )13 P- Depth to Svc a rrJ limiting factor Remarks: Boring # .i Ground elev. ft. Depth to limiting factor 'Remarks: Boring # yh Ground elev. ft Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) i PLOT PLAN Page 3 of 3 SCALE 1"= 30 ' * NSI- t_1AlC ot= 2.9 qd-( (..,r 1 6os.3 tTL. \00.0 vN `'ti, t0\ - S'r->». L~-.~o0 9 Lo % Cole 1 8- Z s t!'L 'It 9t. INT UM5'T ZS~ 1-Rowt ►ynV+up , o w~L so 0 D I s\-LE V,7 Luc ~p~ c~~ h~OvM~ Tts C3E O "T~'~'~ i N ~p D ~ R t tv G~~ S 1 G N R~S2 Iv v N-t O~Z O F R FT~, Sz-, U(N_ ~RL QET ~TL I~ uJ ~ti , ~c~ 1v oT Cp M ~ prc.T- OlZ 'b 1 i~ioun~p E S i T-e o1Z T RSA STU~.B ZS' -tIVN JAJS1_une oV= 7V< xrOv,~ -~`1~a0 S`RFTC~i 6 o 4.51 ' 11.L e ~ q,'Z_ l83 D s eP . l-), l g g Z 1 S) 4 L S- o J 6 5 N1 Q D5-) to CST Signature Date Signed Telephone No. CST # k ST. CROIX COUNTY WISCONSIN ' r. ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 MAIL A (715) 386-4680 October 5, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of lots 2 & 3 of the proposed John & Diane Hart minor subdivision, located in the NE1/4 of the NE1/4, Sec.29, T28N, R18W, Town of Kinnickinnic, St. Croix County, WI., has been conducted with the assistance of Art Wegerer, CST# 576. This onsite revealed suitable soil for onsite sewage disposal to a depth of 40" on lot 2 and 46" on lot 3, while meeting the requirements of the A + 4" rule. These sites should be suitable for new construction utilizing a mound septic system having 12" of sand fill. Should you have any questions, please feel free to contact this office. Since ely, awes K. Thompson Assistant Zoning Administrator cc: file Wisrpnsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY _sT- C~Z.~ 1 K Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but 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. D 22- lb0 3 ~Gl~ APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION lAtJ g 'Z:1 I GOVT. LOT 1/4 Ne 1/4,S Zq T Z$ N,R 116 E (00i) PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 1Of 4 S• L1B~lz/ NZO~ 2 - 1;7-1 tZot-t13 IED CSJ4 CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ETOWN NEAREST ROAD R.Vvt9Z FtLL5) kJ 1 SUUZZ (_)IS) q Z6- Is Q) lv►vti 1ck1AJAJ10- `\o -V)+ ST. New Construction Use [A Residential / Number of bedrooms vJUbz k.►o w w [ ] Addikn to existing building j Replacement [ j Public or commercial describe Code derived daily flow - gpd Recommended design loading rate - bed, glxW _ trench, gpd/ft2 Absorption area required - bed, ft2 trench, ft2 Mabmum design loading rate - bed, gpd$ - trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design/ site considerations S I-M ypvS ut r-tya Z 1- T+,.H 'TL1P C- OF Sot f'ft3soR~fii o s~ s Tit Parent material S C~ uTw AS14 Flood plain elevation, if applicable ti. t\- . ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S o u ❑ S R U S CKU [I S Ou ❑ S U ❑ S Mt] SOIL DESCRIPTION REPORT as PAR. Cou►,mr aZDtAi rtJUcg Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Bound3y Roots GPD/ft, in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 1 ZCY, Z 13-z8 1bKR'316 -i.s-t2 ~iy ~S 1 es1'k rnU ~ S 1~ P ~.P_ Ground 57-,~NC ottm, h*r 'Z% elev. Depth to limiting factor ~t Remarks: Boring # o_t4 10'- I& - )IS ~m'L~bk -YAUir_ GS Zr Z ty-31 loH~. ~/b ~ s 1 m ~bk yn~~►~ mS o.7 o• 8 3 31-~1Z l0`j12 y! ' s o s cS o.S o.~ Ground elev. L/ ~j Z. S l `I R C S 4 2 3/ S C7 S 'M 11 ►J'p' N• P- T10 ft. 1 Depth to limiting l 501 L ,:a ML)UA_1 S v S )nn Ta V T ~ ftu l 1. i h I t=v~2 W 5 LLJt- Remarks: T Name:-Please Print Phone: ;F Arthur L. We erer 4.2 165 egerer Soil Testing & Design Service-P.O. Box 74 River 15, 2,0- Sil;nature: q Z_ I a3 Date: SeP I7, t 9 9 Z LA> T Ntxnber: 576 - Z~0~ - - PROPERTY OWNER WlsrR.T SOIL DESCRIPTION REPORT Page ? of 3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundwy Roots GP.D/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rench 3 1 o-1S ti~`112 3) - ~3 ~7n s~)t MU'~t~ C$ ©•7 0.& K " Z \S-qt3 lb'i.Ct 1 S yQ 3J ~ ~ 1 CShcz h,U ~H ►~.p. P. Ground 5 ' elev. q~_6 ft. Depth to limiting factor „ \5 I Remarks: Boring # 1 0-l M-M 31~S Z lLl -33 )DYe 3A e?S y2 31 1 s C-S~k vnv -ih !u• P1J. P_ Ground elev. on. i ft. Depth to limiting factor Remarks: Boring # M S Z 13_32 loH it 3/~ Gz~t %h' `iz 31l g cS~1? lmU`FI- S 4~•C !u•P_ 3 32. yS 10'- z vl,/ 0 sg 1 to, P-1 J-P Ground elev. s A-r q' X16• P- ft. Depth to limiting factor Remarks: Boring # Ground elev. Depth to limiting factor Remarks: SBD-8330(R.05K92) PLOT PLAN Page 3 of 3 SCALE 1"= - )O ~3w1 - ~L, l0U• Oo+v ~ ~o►J P 1 p L~r coRti ~ tt% a6 9.2 ~E `o (D 0 ofl ~ vP env N c O 2ZgL/8 t~ 4b8 w O r 5(,6•°9' . lyO'[g ; S l UAJ SV l rkj 3 _ kz~ 1Z-o )KH TLJ t~I OF SO1 L ►'C~So~Zp'nll►v sys~r'!. °1Z-183 ~1ZS-01 S Muas~6 CST Signature Date Signed Telephone No. CST # Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page N of 3 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 81/2 x 11 inches in size. Plan must include, but PARCEL I.D. # not limited to vertical and horizontal reference point (BW), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION t1K3 $ 1 TC1`1e GOVT. LOT 1JE 1/4 lQe 1/4,S Z°l T Z,8 N,R 18 E (a(l PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # ~o14 S- Lt8tEs2_Vj 1?_oftv, Z. - PtwPust~D Csv-I CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE KTOWN NEAREST ROAD RkU%FZ'Ft- LS W 1 SCI U ZZ (71 S) ~Z6- 509 (v `rc ~n.x lC_V4AjAj, C l3 7-* ST. New Construction Use [ Residential / Number of bedrooms v~lrz~ow N [ ] AddWkn to existing building ] Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate - bed, gpol(t2 trench, gpW Absorption area required - bed, ft2 trench, ft2 MaAmum design loading rate - bed, gpd!0 - trench, gpd/ft2 Recommended infiltration surface elevation(s) It (as referred to site plan benchmark) Additional design/ site considerations S i`T vrvS~ tTrcBr- 7`-oc2 Pau`! I Lt PC OF TOIL. Ms tvA'mk1 sit s Tgt Parent material S 140~11- QUTU J Rs1l Flood plain elevation, if applicable ►N- F\ - ft S = Suitable for system CONVENnONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FI.L HOLDING TANK U =Unsuitable for system 11 S OU ❑ S [RU ❑ S 2U ❑ S ($U 0S au ❑ S MU SOIL DESCRIPTION REPORT RS PEfi:. ezukjw cx2D rvnnac s Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft, Boring # Horizon in Munsell Qu. Sz. Cott Color Gr. Sz. Sh. Bed Trench 1 0-~3 tic`-tR 3/ ~m~t~1rC vih GS o o.'Z> C Z 1 s e S lsk m U 'q1- c S u p. u. Ground SEA kGE d Ykn~ by elev. 0i q- s It Depth to limiting factor H Remarks: Boring # O-114 10-iR 3)y )S ~ M K.~tk 'MUiv c.5 0.1 o- 8 E Z rV-31 Hoye ~/b ~ s 1 m a.bk ~nv~f►~ @-S o.7 P 3 3)-qz Y0y1Z Y/ ~4 o s ►-l CS o.S:O,L Ground .P, M. P_ elev. L/ yL_S 1~`~R C .$y2 's S C3 S Depth to _rm / $ u t L <.a - J~-iUU 'n.O e~ f _ Ajb S vs ! LL>t- PrU % L L l'CL3 t t- 0'2 Lv 5 r-A Remarks: T Name:-Please Prins 1 S 2 5 -016 Arthur L. We erer g rer Soil Testing & Design Service-P.O. Box 74 River;.Fa.11 22 Sig(rr : Date: c) I z CST Number: 57 6 2 _te3 SeP - 6 t c) PROPERTY OWNER r- 7- SOIL.,DESCRIP.TION;R;EPORT. „Page-,of'--, PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistenoe Bound 3y Roots GP.D/ft in. Munsell Qu. Sz. Cont. Color .Gr: Sz.: Sh. Bed rench o-\S ti0y~2 3J 1g.s~h Mv'~- cS Q•~ o~~ 3 'Y 1b`i.12 316 S `ie 9J 3 l ~sbk b2U `Fy. N P. N P. Ground 5 elev. q6.(. ft. Depth to limiting Remarks: Boring # o-1 )G-M 31`S ~~nSbk mv` ~S a7 0- Z ty-33 1U`?2 316 e SyR 3/ 1 S cS~k MU ~h 1v P,' P. Lq3 Ground elev. °l7 t tt. Depth to irMin9 , factor by Remarks: Boring # \ o-t3 lutiQ 3) lS 1~gb~ mUra o x:0,8 Z 13-32 )~HR 3/L S 4~ 3! 1MUf I. P. 1a•p_ U., 3 32.4 1o~2Yly If ~S C7 sg r+~ 1 N.p. la.p Ground elev. 5 ct6• & ft Depth to smiting Remarks: Boring # Ground elev. ft. Depth to Canting factor Rernaft: S8D4&3,NR.0&V2) ' y r^ PLOT PLAN Page 3 of 3 SCALE 130 wl - ~L.. l0U • O Orel xPoV-1 PIPtb LoT CoR.~ CT'~t ~ 0 L:"n on %M 6P eN ' N c O 0•~ ErLC) ~19be 0 0 V) O r Low ~A Sb6.99' tvo : S tT~ UAJ Sv T i~$t_ 1=o R RA1-I `C'-t P~ o~ Sbt ►'CZ3S~~"t.P'n~ty 017- -)IS ~ S1~. l7, Ig9Z ( ) L1 ZS-0165 MDOS-) 6 CST Signature- Date Signed Telephone No. CST # STC - 10 4 AS BUILT SANITARY SYSTEM REPORT ry OWNER- Ila y^ ~ ~ ~ ADDRESS c < SUBDIVISION / CSM LOT Z~ SECTION T N-R W, Town of ST. CROIX COUNTY, WISCONSIN T6 J `r PLAN VIEW r~ -lo, /0C':&OW rVERYTHiNG WITHIN 100 FEET OF SYSTEM A T, I 1,2 1X511 30 Ci ~i ~U ;f INDICATE ARRO~d 1 Provide setback and elevation information on reverse of this form Provide 2 dimensions to center of septic tank mar)hole (-,over e BENCHMARK: JG'~,(~ ~f 47 F ALTERNATE BM: SEPTIC TANK PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer:./ /('L,O~,Pr,-e~ S f r, Liquid Capacity: L ~ ~ i Setback from: Well ;Y01 House 3G Other Pump: Manufacturer ~(;k Modell Size Float seperation Gallons/cycle: 7 1~ Alarm Location ),)C f I; /i SOIL ABSORPTION SYSTEM l Width: r Length ~Q / Number of trenches' L` Distance & Direction to nearest prop. line: Setback from: well: House ~a 5 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: LICENSE NUMBER: INSPECTOR: 3/93:)t Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor-nn&Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State PI HART, CHRIS X CST BM Elev.: Insp. BM Elev.: BM Description: Kinniekinnie Parcel Tax No.: '70 *950e±2± TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ``Vlto p J Benchmark 103,10 /00 Dosing Aeration v~ Bldg. Sewer Holding St/ Ht Inlet 13' C) r?,. TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom /00 Dosing 7a p' > O 2.3 ~2 NA Header/Man. 15, (oa 97,x' Aeration NA Dist. Pipe 5,~'-) Q 7, 33 Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade 97, Manufacturer ELI Q , Demand ~,4_t 3 8 4~- ti J/ U, Model Number 7 J GPM 1.j,, c d`K_) 70 TDH Lift p,~~ Friction it System, TDH ~ b' Ft Loss Head d-,- Forcemain Length Dia. fir' Dist. To well fv SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits inside Dia. Liquid Depth DIMENSIONS Ja DIMEN I N LEACHING manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM CHAMBER Model Number: INFORMATION Type Of V OR UNIT System: / 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 ()(b Bed/ Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Kinnickinnic.29.28.18W, NW, NE, Lot 2, 105th Street 17 '7'7 5,7~' Plan revision required? ❑ Yes Ij No V Use other side for additional information. ! 9-~ 1//1~ SBD-6710(R 05/91) Date Inspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water System 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 a Attach complete plans (to the county copy only) for the system, on paper not less Count ys~., bLik~ than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Perml Numb 4r a334a5 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 I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Propert caner Name J Propert Loc t aion t^l 6Nlc'r u 4 1/4,S T ,N,RIt?"E(orCWW Property Owner's ailing Ad r ss.- Lot Number n Block Numbe~_ City Y! 0 Zip Co I /rc (honed Number Subdivision Name or CSM Num ~ l I SY II. TYPE OF BUILDING: (check one) ❑ State Owned -2) 0 't Nearest Road ❑ Village ~j ❑ Public 1 or 2 Family Dwelling - No. of bedrooms Town o 01,CAll I C III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ 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. New 2. ❑ Replacement 3. ❑ Replacement of 4. E] Reconnection of 5. E:] Repair of an P `System System Tank Only Existing System Existing System ----------------------------------------------------------------------7------------------------ 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 r 11'~j Seepage Bed X~'Y 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 E] 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 Requir d ft.) Pro sed sq. ft.) (Gals/d y/ q. ft.) (Min./inch) q Elevation C/ , pfd. Feet r. L) Feet VII. TANK Capacity gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing strutted Tanks Tanks Septic Tank or Holding Tank b v(r GLifS Yet ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber 6l) C ❑ ❑ ❑ ❑ ❑ ❑ VIII RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility j for i stallation of the onsite sewage shown on the attached plans. Plumbe "s Name: (Print) Plumb 's ature: (No Stam p 10 MP Business Phone Number: /Ir Plumber's P%d ress (Street, C I, State, W ode): t&2 9 ~ Ol lv~ i fit'o-er Ct 1S IX. COUNTY / DEPARTMENT USE ONLY e (Includes Groundwater ate Issue Issuing Agent Signatur amps) t F ❑ Disapproved Sa IN. X Approved ❑ Owner Given Initial r, ~rchargeFee) Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to county. One copy To: S0ety & Buildings Division, 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, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage systern, 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, rec•c nnection, or repair. V Type of system. Check appropriate box depending on system type. ` lJ Absorption system information Provide all information requested for numbers 1 through 7 \/li. 1 ---in, wio rn )Lion '=ill in the capacity of every new/or existing tank, list the total gallons, numb,:-of tanks and an.~ r;dicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and Bolding tarr~a for t„is ,Vstefn. Cr,eck experimental approval only if tanks received experimental product approval from DILHR. VIII Responsibility statement. Installing plumber is to fill in name, license number vrii.h 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. n :lete plans and specifications not smaller titian 8 1/2 x 11 inches roust i;e s._,: r -d t t';r cc ,,nty The olans must follnw,r,c_}: A) pout pan, drawn to scale or with complete cE~„er„"tr, , I;,cat..;;~ : j".~.dinq tank(s), septic t, i k(s)orol-il'. tre,wnewtorr'ks: building sewers; wells; water iak":s,pumporsiphon tarf di,.~ i`.~uon boxes, soil oll), orption systems; replacement system areas.v,,, the, lo. the building served; t i `,ani.(-,,,~i.al a! d vertical elev tion refere;ue points, C) co.nplei_e spe i f; _<.1iv, ..`ori:.-;r cl ontrols; dose volume; Oev.3tion difference, friction loss; pump performance curve; pump model anC rnp ,r _ f c! aver; D; cross section of LI e soli absorption system if -equwred by the county; F) soil test data cr. a 1 'orm, a;-,;' ) a. 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 ire 11 Chris e Xcl,clrl Har l v -30- c ) ~1c ,t~-, S L c~ctt ~j;l 1~ 0 0 v 3 a i hvus~ ~ ~~0 yl I i . i K ~1 I v L Q 2 O I, ~ 1,oo~ c-Al Sept lo_+ 656lo-I PAGE OF ' PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS <1"P~V.rr TnS~c~'wn ScttieayoVENT CAP WEATHER PROOF APPROVED LOCKIN MAWHOLE COVER W1 2" 25' FROM DOOR, I.1)4<rn~fl i~ctbt~ WINDOW OR FRESH 12" MIU. I AIR INTAKE I GRADE i F 4 MIN. aX, - I ~ 18" MIU. CONDUIT-- ` - - - - - - 19"MIN. P OVIDE I INLET AIR IGHT SEAL I III I I T I III APPROVED JOINTS APPROVED JOIN A I " W/C.I. PIPE W/C.T. PIPE I I ( EXTEWDIIJ6 3' EXTENDING 3' I ALARM ONTO SOLID SOIL OWTO SOLID SOIL I I B I 1 I I ow /7 6a~~ Z'nc~ c I I ELEV. FT. PUMP---_ OFF r D CO R TE BLOCK ~ 0 3" APP►2ov RISER EXIT PEKA11TED Ly IF TAIJK MANUFACTURER HAS SUGH APPROVAL gEp01NG SEPTIC E 5PECIFICATI~AJS DOSES W,'S PrPCQ S~ TANKS MAWUFACTURER: / - NUMBER OF POSES: PER DAy TANK SIZE: ~'LS GALLOWS DOSE VOLUME l n k INCLUDING BACKFLOW:. GALLONS ALARM MAIJUFACTUR.ER: MODEL NUMBER: 94, CAPACITIES: A= INCHE5 OR GALLONS SWITCH TYPE: Pt r u INCHES OR PUMP MANUFACTURER =LR._ GALLOWS / C ° Il INCHES OR )/-d o GALLONS : c, sib ` ~ MODEL NUMBER: 7 D=~ INCHES OR /'~J,- GALLONS SWITCH TYPE' MOTE: PUMP AMD ALARM ARE TO BE MINIMUM DISCHARGE RATE --GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AND OISTRIBUTION PIPE.. _e- FEET } MINIMUM NETWORK SUPPLti PRESSURE . . . . . . 2.5 FEET ♦ 'iMET OF FORCE MAIN X ' f FYo FEFRICTION FACTOR.. ' 7F FEET TOTAL DyWAMIC HEAD = 1'4 FEET INTERNAL DI NSIOWS OF TANK: LENGTH --.;WIDTH ---;LIQUID DEPTH DATE: SIG NED: LICENSE NUMBER. 3871 submersible MODEL: SIZE. 3/4" SOLIDS 0.4 Effluent Pump H HPP: : 0.4 1550 METERS FEET 25 i o -j - - LU = g 20 I ~ I 5 -j-- - - i - z 15 I i 4 C g 10 ~ i 1 5 ~ 0 00 10 20 30 40 50 GPM 0 2 4 6 8 10 12 m3/h CAPACITY MGOULDS PUMPS. INC. SB*CA R%US PEW MW DWO t O 100! Goulds Pu Effecdve Oct W, IW . km SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE PRINTED IN U.SA VY~consirf Departmeint of Industry, SOIL AND SITE EVALUATION REPORT Page l of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY ST• C,Z.01~ Attach complete site plan on paper not less th Plan must include, but PARCEL I.D. # not limited to vertical and horizontal refers t 1et, A~heos'a=e of slope, scale or Z2 _ ! dimensioned, north arrow, and locatio rice to ne APPLICANT INFORMATION-P PRI14'I► L',INF6 ON REVIEWED BY DATE ;t PROPERTY OWNER: ' f PROPERTY LOCATION s. . r -Gey tOr "L-3 1/4 N~ 1/4,S291. T e-b N,R 1% E(or)@ Q-:1A .ZIS .T F I -i - PROPERTY OWNER':S MAILING ADD LOT # BLOCK # SUBD. NAME OR CSM # 1~ o , 30 _ b63 Z C %M Uht..°t P 2S V3 CITY, STATE Z PH []CITY []VILLAGE EVOWN NEAREST ROAD Rio ~-rn-~S 5 ) zS ck-t~u~► e o s r~ ST. New Construction Use [,4 Residenti ooms Additigr ID existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow 493 gpd Recommended design loading rate 10-S bed, gp(W b trench, gpcW Absorption area required &41 bed, ft2 S 6 3 trench, ft2 MaAmum design loading rate _2_- -71 bed, gpolft2 0.5 trench, gpddt2 Recommended infiltration surface elevation(s) q l~ • S ft (as referred to site plan benchmark) Additional design /site considerations R~~ ut'► ►'f ~.iD Z-~R ~~-lt~ , ~kcK 5 ,y 1 S , l.,.,A-G oR ~Z ~-l S ~ B b'D . Parent material S IN ropy cult ~ a ll-l Flood plain elevation, if applicable N- A ft i S = Suitable for system CONVENTIONAL MOUND IN GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ®S U ®S U 7 - ®S O U S ❑ U 6&f S ❑ U S [$U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Consistence Boundary Bed iench -»r» [ o _l1 l `1R ZCa - L z w► sl~k ti+n v`~M Y Z 0-3S 7. SYR Sly "Ve ves - o o S Ground 3 3S-$8 S`12 (l& - S O S~ m~ - o•~ o•g elev. 1,)t•Zft Depth to limiting facto > Remarks: Boring# I a _Lg \b~Q Z(2 L ZmSbk Wtv'~r 0 5 o•(' ; 3 _ `~S1u1t wi V'Fi► C w - o y o. 5 Z lq-3 Z t o `1fi !3 S 3 3z-BLS -)•S YR-. 3/y _ Ground o.1 0.8 elev. 11 4541 - S `1 tZ yob - S 99 ►+~I ft. f Depth to limiting factor ? ggy Remarks: CST Name-.-Please Print Arthur L. We erer Phone_ 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: S _ 10 - Z Date: 5 -l - ct S CST Number: M00576 PROPERTY OWNER C-~'~lZ-lS t'I"*jL*r SOIL DESCRIPTION REPORT Page Z of 3 PARCEL I.D. # 10&13 --W- 14o Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont• Color Gr. Sz. Sh. Bed Trench 3 o Z 1 2 L Z- ~ L Zwk S b -Y4 I. 0-S %-L M n 2 2-, I-31 Lu` -z 313 - S1 cSbbt v, b f fr 0-c-i C" (i.5 Ground 3 31-41 7•S ~tR ~l - ~S Sg w, cS - O 1 O•~ elev. ~oo .1 ft. 4 4q 46 S`-l{L q - ~ U S 1M ~ - O.1 0~ Depth to limiting fact~r~y Remarks: Boring # Z blrr, V~ z 1 3 to 3 - c sbk _ o. S -)•S LtR 31y 15 0 s9 wt 1 cs - o•~ o• 8 Ground elev. L3 -87 7. S R v/6 - S o s 9 1 - o.~ o. $ 1t~ t I0 ft. Depth to limiting factor 7 g1 b Remarks: Boring # d~k, - 0.5 o.b S Z 1 `l -3 3 O `1 R 313 - s c~ eft Yv~ b • 0.5 3 33 _uy s ~tZ any - ~ s o s w, rs - 0.1 ~ o. Ground elev. L/ %4 • S IZ V/6 - S 0 5 wl l 0.1 o.~ 1oc • 3 ft. Depth to limiting factor y Remarks: Boring # I Ground elev. ft. Depth to limiting factor Remarks: PLOT PLAN Page 3 of 3 SCALE 1"= yp ' gib - Ll.. 1.C1v•001V i_ C1 1 PLPE 605.3(' sck~ 1.0o a fit. too _ ais - - - - a•4 34 S` Xm e ells = 4 6. S ~ I Izo' B•~ goo' tTl X00 ~ L~1,ou ? V7 00 h vi P N l/1 604,5%, CNUT To 9ti+ttJ~, I y O~ 1> uuSI 7U 'a V'vT L&~ST' Z S' FlUUM SI-cS''(E--M ftTl OA SLO~~ S °Lo - Ste` Lz-~3uk'PUkal, .1 (715 ) 4 2 5- n l fi 5 MOO 5 7 6 CST Signature Date Signed Telephone No. CST # EVALUATION REPORT Page t 3 Wisconsin Department of Industry. SOIL AND SITE Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code Attach complet e site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but .D. # not limited to vertical and horizontal reference point (Blu), direction and % of slope, scale or Z.2 _ D$ 3 ?1J ~p FRE Z0 dimensioned, north arrow, and location and distance to nearest road. D BY DATE APPLICANT INFORMATION-PLEASE PAINT ALL INFORMATION PROPERTY OWNER: PROPERTY LOCATION Q2~kZA S *r'~T -motor NW 1/4 NVZ-- 114,SZ°t T 2,8 N,R 1% E (or)® PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # zS Y 3 •n, `30~L- 6b3 Z cs" vot..9 p _77~ CITY, STATE _ ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE TOWN NEAREST ROAD Tzlux_~INt ~"Y' L-S S q ozz (115) L17-5'- S 61 S c ~(~,u e k o S 'tom ST . New Construction Use [X Residential / Number of bedrooms 3 [ J AddifiT to existing building [ 1 Replacement [ I Public or commercial describe Code derived daily flow 4SO gpd Recommended design loading rate d 5 bed, glxW ~trench, gpd/ft2 Absorption area required 6 Ll 3 bed, ft2 S 6 3 trench, ft2 Maximum design loading rate o 1 bed, gpolft2 0.8 trench, gpolft2 Recommended infiltration surface elevation(s) 9.6.S It (as referred lo site plan beri to iark) Additional design / site considerations R uv11~t~D Z _W-&C#ES , ~_Vkc_%A S S' L %wG oR \Z; x-'1 s' B *b . Parent material S IN NJTNq OyTwlka 111 Flood plain elevation, if appliipble N- f\ ft S =Suitable for system cONVwnON AL MOUND IN-GROUND PRESSURE AT-GRADE SYSTBA IN FILL HOLDING TANK U ❑ S ~U U =Unsuitable for system ® S ❑ U ®S ❑ U ®S ❑ U L$ S ❑ U S SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Roots GPD/ft Boring # Horizon in Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed mnch x_11`1 lo`1R zrC2 - L Zw►Slok ti+nv`g1. c►~ - o-S 3.6 } I sbk ~~h eS o-q o-S Z 17-3S slim Sly S) Ground 3 3S-8$ V-1 2 VIG - S o S9 M - o.-t o.8 elev. tub • Z It Depth to limiting factor Remarks: Boring# Fz :0.1. 6_0 \hyv2 2l2 o 1o. ~9-3 Z I.o `11Z 3 t3 - S ~ ~ tSbk Y►~l V~4• C w - • 4 5 .W O S' wt ` QS o.~ o• y 3 RAS 7.S VV_ Ground _ r,.1 0.8 1 elev. 434% -Is yob - S C~ S3 111 1~ ft. i Depth to limiting factor ~ ggY Remarks: CST Name:-Please Print Arthur L. We erer Phone. 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Sgnature: Date: CST Number: az~4~ Of ~l S _ 110- Z 5-1_CtS M00576 PROPERTY OWNER O-V~AZ-LS Vl-h 'r SOIL DESCRIPTION REPORT Page Z of 3 PARCEL I.D.# 10 813 --2..()- I b o Depth Dominant Color Mottles Structure GPDlft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench E*3 o Z1 gyp'-t 1- ZLz 1_ Z~►~►SV v~► o•S o.I. Z 1I-31 bo`ttz 313 - S1 csbk v~~ cc~, o,~! 0.5 Ground 3 3t-~Y ~•S `-t R 3! 1s O S5 v~ cS O 1 elev. ~oo-a ft. q 4q 46 '1. Satz (4 /6 - v S 1M 1 - o•~;o,~ Depth to limiting fact$r~y Remarks: Boring # 1 0_l$ ~o`iQ Z1Z L 2wtisblr, w,v 4- d-w _ o•S o.6 Z 1$-3y VO`tP- 313 - S CSbk 1MU`F4- C-k) - 0•~( O,S -)•S Lf;L31y - 15 0 S' w► cs - o•~ o•8 Ground elev. u13 S R v~6 - S O s 9 w► \ - o.~ o, $ tion ,oft. Depth to limiting facto arn Remarks: Boring # 0-0 1Zs-t2 Zl2 - l_ Zm Sbh Yv1~H ~w - o.S o. b S 2 1q-33 `OyR 313 - s c Li V•v 14 3 33-uy-5 ytz 3!y - 1s p S w, es - 0~1 o.Q Ground ' elev. L/ 4V-$ ~•S ylz V~6 S O 5 wt1 - 0.1 o.$ lac • 3 ft. Depth to limiting f~t~~y Remarks: Boring # Ground elev. ft. Depth to limiting factor . Remarks: PLOT PLAN Page 3 of 3 SCALE 1"= __..S 1 ~~►J FIPE 6o5-3y (►~°T ~ ac~~~ L'ti too 3 iou _ i IV i~f"► 'P<L Rfi+D ~L'(~'itluft'T~s ~i~ 34 ts-e"5 = 4 6, s ' I Imo' I _ _ az g'~ - •OO• t& app N V7 UI P N V7 6o 4.S1~ CNUT To 9~tJ~, Of ll~OUSI )U l3E hT LUl\ST Z S' w1"1 SLiS'~~1 . V kD,L Ste' SI OPT S t~Z~ C °~o - Sq)E- k:~-LSUkp OkJS Cj~~~~, 5,1--~.5 (715 > 42.5-~t~5 _ M00576 CST Signature Date Signed Telephone No. CST # O FILED 1 12 SEP3019920-~ U a ~ G at~~~ o > u Z N > OJ JAMES O'CONNELL o Register of Deeds ('Y, O c U 489265 St. crop Co., w1 •w~ ~ aj- F. 5 a e . Z CL CL r taj 4 ra. 4 ~ 3 CERTIFIEO SURVEY MAP JOHN APO OIANE HART Fart of the Northwest 114 of the Northeast 114 of Section 29, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. OIndicates 1" X 24" iron pipe weighing 1.13 lbs./lin. Ft. set. OIndicates 1/2" iron bar found. R() Indicates previously recorded data. •Indicates 1" iron pipe found. NE COR. SEC.29, T28N, R/BW, N//4 COR. SEC. 29, r28N, R18W, /COUNTY SURVEYOR'S MON./ f COUNTY SURVEYOR'S MON./ UNPLATTED LANDS /4• N L/NE NW //4 NE 114 N 87. 54 18 "E 26 84' /294.90' • 02' /305.92' FENCE IN 87. 54'/8"E 6/7.50 N q b, t 606.21' H O i 3.118 ACRES O O b 1 135, 821 $O. Fr. ` I LOT/ 3.059 ACRES EXC. p ` a - - -R OA D R. 0. W. N Owner's Address: W of 1 /33, 244 $O. Fr. 194 South Liberty Road II:I~, I a N 87 • 54 18 "E 6 17.50 ' River Falls, WI 54022 605.34 Phone No.- 1-715-426-5096 1 ~ b 2.9/7 ACRES ~ I b b I 127, 085 SO. Fr. m Ill) m'A 1 LOT 2 2.858 ACRES EXC. i 1 - - - R OAD R. 0. W. N QI N W t 124, 498 SO. Fr. `t -4 ' Il0 1 IN 87. 54 /8"E 6 17. 50 o LOT 4 C4~Ilb t 604.5/' h - - I 4 , m 2.917 ACRES p 30.532 ACRES q 127,085 SO. F T. 329, 987 SO. Fr. QI I I M O~ O m m Q 2.854 ACRESEXC. m 30.4 14 ACRES EXC. ROADS IO O R H LOT 3 ROAD R.O.W. N 1,324,834 $O. FT. 2I CA N N eD i 124, 327 SO. Fr. W ~ I I h o r , 603.68' `,``loo1111114,%, h I IN 87. 54 /8"E 6/7.50' \Sv0tvq \ h ZI I ( /001 i I LAURE •.E h s ~o I ?m WMU Y z io . 40 1CURVE DATA. = , N t ICHORD SEARING- SIO*20'40.5"W t CHORD D/ST. - 76.07' J 0 Wis. 0 tARC - 76.58' ~4 FI7 r•••, V4i Qom' t y 1RAD/US- /9/.00' 1~~~.• W I\ / - IcENrRAL ANGLE- 22.5;' 23" ,1,,444 LAND b 1 /ST TAN. BEAR. - S 0/ 08' 3/ "E 2 2ND rAN. BEAR. - S 21 49' 52" W V Laurence W. Murphy H /'G HWA Y SET SA C K L /NF Registered Land Surveyor 2 o / n ~N This instrument drafted by Laurence W. Murphy i „ K: Dated: August 2, 1992 3 a / Revised: September 29, 199? W N48.21'59"E 1.20' S 88 • 03' 54 "W /30 6. 29 ' S L / N E NW 114 NE 114 l V • R/590.00,0011 W /305.97'1 1 O l p LOT 4, C. S. M., VOL. 6, PAGE /7S 44 2 n _ 14" E . Z0, M SCALE r 200' N 42 29.60 O 50' /00' 150'200' 300' 400' 500' S 114 COR. SEC. 29, Vol. 9 Page 2543 T2; N, R 18 W, Certified Survey Maps / COUNTY SURVEYOR'S ALL BEARINGS REF. TO THE NORTH LINE OF St. Croix County, W1SCOnSln MON./ THE NE //4 OF SEC. 29, T28N, R/8 W, ASSUMED N87.54'18"E SHEET / OF 2 t J Y CERTIFIED SURVEY MAP JOHN AND DIANE HART Part of the Northwest 1/4 of the Northeast 1/4 of Section 29, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin, Description: That certain parcel of land located in the Northwest 114 of the Northeast 1/4 of Section 29, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin, more fully described as follows; Commencing at the North 1/4 corner of said Section 29, the POINT OF BEGINNING, of the parcel to be herein described; thence N 87°54'18"E (assumed bearing on the North line of the Northeast 114 of said Section 29) a distance of 1305.92'; thence S 00°55'52"E 1318.93' on the East line of the Northwest 1/4 of the Northeast 1/4 of said Section 29; thence S 88°03'54"W 1306.29' on the South line of the Northwest 114 of the Northeast 114 of said Section 29; thence N 00°54'43"W 1315.29' on the North/South 1/4 line of said Section 29, to the POINT OF BEGINNING, containing 39.485 acres, being subject to easement over - Westerly portions of said parcel for town road purposes as shown on this map and also being subject to easements of record. Each parcel shown on this map is subject to State and County laws, rules and regulations (i.e., wetlands, minimum lot size, access to parcel, etc.) Before purchasing or developing any parcel contact the St. Croix County Zoning Office for advice. State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owners, John and Diane Hart, I have surveyed and divided the lands as shown hereon in accordance with official records, Chapter 236.34 of the Wisconsin Statutes and the Ordinances of St. Croix County and that this map and description are atrue and correct representation thereof. ```,~~~H 1111 ~Ir~~ Dated: August 2, 1992 ~.0`'1A\SC0/V eri Revised: September 29, 1992 This instrument drafted by Laurence W. Murphy ~-LAU NC.. rn W RPHY y 713 • RIVER FALLS,... WISC. S LAND kyyDLaurence W. Murphy Registered Land Surveyor ..7 '92. Q' CRi ..z."X3UNTY Planning Vol. 9 Page 2543 -zs *garded w:..:to dtdays of date .ir-Auw0thall be ~tllPSvoid 5 H EE 72 OF 2 w STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County / OWNER/BUYER d~1S /7`~2 MAELJNG ADDRESS Lf~ PROPERTY ADDRESS /C/"() ~GC ~l L~ kA (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION 1/4, 1/4, Section C) / T N-R TOWN OF 1 C ~GL~ 1? l~C, ST. CROIX COUNTY, WI SUBDIVISION J LOT NUMBER I~ _2, PAGE LOT NUMBER c~ CERTIFIED SURVEY MAP VOLUME 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 system. as a treatment stage in the waste d. sal Is - St. Cro' County residents may be eligible to receive a grant for a maximum of 60%. of the cost of replacement/4 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. SIGNED: DATE: St. Croix County "Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 8 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 Nris 90,11f Location of prope ty_,kk) l/4 1/4, Section ,T c/ N-R l W Township r61l1 f -h h i C Mailing address 3 Address of site- 3 / R t 'V r Subdivision name Lot no. other homes on property? Yes_`< No -07 Previous owner of property 7 S e G) Total size of property Tf'I'El C G-eS Total size of parcel 7`Z r S Date parcel was created fit' prt `~d Are all corners and lot lines identifiable? _ C Yes No Is this property being developed for (spec house)? Yes __No Volume k9l 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 i~}}~' the office of the County Register of Deeds as Document No. 6 ? ~ 7 , 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 Dave of Signature Date of Signature a i 1-1988 THIS fMC[ R[SERV[D /OR a[CORDINO DATA DOCUMENT NO. II STATE BAR OF WISCONSIN FORM WARRANTY DEED szoz8~ vi~L 1 091?a,E33.3 k'-G! it rnls OffICt ST. CROIX CO., WI This Deed, made between ..JQ.hlc(..A.s_...R41 i...VLD.d-.--•••----•-•--- 1 Read )for Re,~ord 4 Diane..L.....Hart-,..hushand...aad..jai.f-a---------------------------------- AUG 17 1994 4 . Grantor) at 9:30 A. M and.... Chr i a topher..A....-Hart-..and.. Lauri...A-....kiar.t * husband ...and.-- ife..as...SUruivonship...aoarxta.l N ON a( .....property ? Grantee. z 4. witnesseth, That the said Grantor, for a valuable consideration 1419T URN - YRN To C. L. Gaylord conveys to Grantee the following described real estate in _..SX-s CXQl- x.......--- P.1. Box 46 County, State of Wisconsin: River Falls, WI 5402 Lot 2 of Certified Survey Maps, filed Tat Parcel No: September 30, 1992, in Vol. 9, Page 2543, as Doc. No. 489265, Register of Deeds' office, St. Croix County, Wisconsin, being part of the NWk of the NEk of Section 29, Township 28 North, Range 18 West, Town of Kinnickinnic. -~i NXEMP` e~ This i.S..nOt.......... homestead property. K (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; [cart.-and...Diane .L' Har.t•---•....------• warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions, and rights-of-way of record, if any, and will warrant and defend the same. 19..9.4... Dated this 15th day of .........Augus.t a . .~'!.._.v.1•1•~~' .............(SEAL) . SEAL) o A H f... (SEAL) (SEAL) Diane L. Har a AIITHgNTICATION A0ZN0WLBDGKZNT Signature(s) STATE OF WISCONSIN se. P grrvP. ..............County. authenticated this ........day of 19...... Personally came before me this day of Augk►at........... 19.94.. the stove named John--A'• Hart--nzid.............---••-•---•- ' Planv,.A H ax. t TITLE: MEMBER STATE BAR OF WISCONSIN (If not~ %e authorized by 1 706.06, Wis. State.) to the knOVNLt4be the person s-----..-- who executed the . . . N f, irisbriiptent and acknowledge the ! THIS INSTRUMENT WAS DRAFTED BY - 0) 1 1!!!!x^'7. J . 9raeX.. =_i-`.. Ka en M. Engel......--•• River Fallsx--Wl...-_54022 ~ Public ......---.P.ieres................ County, Wis. mmission is permanent. (if not, state expiration (Signatures may be authenticated or acknowledged. Both s are not necessary.) date: ......................fi-29-......._...... 18.1....) -Names of persons sisning in any capacity should be typed or printed below their sign-ttura. 41 I Hlank Co. Inc. WARRANTY DEED STATE BAR P WISCONSIN Wisconsin LWin. FORM Nw 1 - tlSS Milwaukee. i