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HomeMy WebLinkAbout030-1079-40-100 Q c N °O M ~ c I 00 0. ~ I c I N I ~ I I ZS s I I I z° I LL 6 O Q 3 Cl) v o I z N rn E O 0 Z ~ y y I co co LU (L 04 U) o I E z d c v o `N' o in FZ- IF N z E ch '0 0) 2 N n N ) Cr *ti c .ti a o 5 g c O 0 0 o Q zl-z o N z y c c I N N y co (0 0 a', G .R ate. O OO L N d O a U) E 0 0 0 zo • 0 a a a N "Nil m '0 FL = m ~I m v, o m 0 0 } CY) to U C rn o O M M O O 0 m d C 'O co CS> N CD 0 CL cu p LO 7 W O O c 0 N C ` Q 30 O 0 C E 00 O O O 000 ~ r O C N o 0 =5 0) CD a 0) O (n E N O C d 4.r y O O O L O M 1= 7 erY)' O O ~ V 0 N "00 F- N O S O O M O N (A U N O Z N Z:~i _ U \t E 0/ ~J a rr 4k d III is d w CL 'R 7 A U a O N U v J Parcel 030-1079-40-100 05/14/2007 08:32 AM PAGE 1 OF 1 Alt. Parcel 28.30.19.286A 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - CLUBB, ELIZABETH A ELIZABETH A CLUBB 554 PERCH LAKE RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 554 PERCH LAKE RD SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 11.360 Plat: N/A-NOT AVAILABLE SEC 28 T30N R19W PT SW SE BEING LOT 2 OF Block/Condo Bldg: CSM 9/2413 (7.39 AC) ALSO THE W 375' OF THE SW SE EXC S 858' THEREOF Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) (EZ-U-1137/282) 28-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1126/79 QC 07/23/1997 995/111 WD 07/23/1997 969/166 07/23/1997 920/192 2007 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 11.360 125,800 286,800 412,600 NO Totals for 2007: General Property 11.360 125,800 286,800 412,600 Woodland 0.000 0 0 Totals for 2006: General Property 11.360 125,800 286,800 412,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 107 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 RY, NT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDING DUSTUSTR DIVISION N ABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 HUMAN RELATIONS MADISON, WI 53707 (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSHIP/ LO O.:BL O.: S 'DIViSIONAAMEI. SE ~ SW ~ 28 /T 30 N/R 19or► W St. Jose h n/a n/a n/a COUNTY: 'S BUYER'S NAME: MAILING ADDRESS: St. Croix Ton & Beth Clubb 11662 Helena Rd. N., Oakdale, Mn. 55128 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: I Lesidence 3 n/a ~vew Replace 9-5-91 9-5-91 RATING: S= Site suitable for system U= Site unsuitable for system /V U " sy CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) US❑ U ❑ S [~M S❑ U ❑ S ❑ S U trench If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: n a Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 42 COE BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTHrk ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B_ 1 7.17 99.61 none >7.17 .75bl.1. 1.00bn.sil. .92bn.l.s.&gr. 4.50bn.c.s.&g B 2 6.92 99.71 none >6.92 .67bl.1. 1.50bn.sil. .75bn.l.s.&gr. 4.00bn.c.s.& B 3 7.25 97,41 none >7.25 1.00bl.l. 2.17bn.sil. .75bn.l.s.&gr. 3.33bn.c.s.& r. B_4 6.50 94.19 none >6.50 .75bl.1. .58bn.sil. .42bn.l.s.&gr. 4.75bn.c.s.&gr B-5 6.92 93.61 none >6.92 .92bl.1. 1.50bn.sil. 1.25bn.l.s.&gr. 3.25bn. c.s. gr B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PER PER INCH P- 1 P_ 2 3.60 none 3 6 6 6 <3 P- 3 4.00 none 3 6 6 6 <3 P- 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. 96.11=upper trench SYSTEM ELEVATION 93.41=lower trench _r _ I. 0E5~ E - - 4-o' _ 1- L . E t E E E_ 10 3 3 t r I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the d~y~~tho5.pecified Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my know) d beCif' ~l NAME (print): TESTS WERE TIED ON: Gar L. Steel - - 1 4 ~ ADDRESS: CERTIFICATIO NUMBER: PHONE NUMBR(optional): 1554 200th. Ave. New Richmond Wi. 54017 22 8 715 46-6E200 CST A DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - L O NSTR FOR ` 7'LETING `O`'"M 115 - S?O - 6395 To be I s~ iI to ort MUM, C 1 _ Co ;cril. ~"I; 2. The t n :ust a i ; 'ndicate tiro is is residence or cornme+€ 3. M,8 r I x.s oi' c use planned; 4. Is t` "stei7i; 5, Cc m,-'. the:...;t< oxes. A `.VIABLE FOR A HOLDING TAT ONLY IF ALL OTHER SYSI`E } OUT E DON SOIL CONDITIONS; 6. PLEASE use the here for v i-itirag profile descriptions a I c fI r ing the plot plan; 7. MAKE A LEGIBL ~n acc€ r,ately locating your lest locations. DI A separate sheet may 1, 1 if desired; 8, Make sure your bent k i nd vertical elevatirm reference point are f.learly `aow € anent; 9. Complete all appiopr ate boxes as to dates, names, addresses, flood plain data, percolation ~ z<t exemp- tion, it appropriate; 10. If the information (such as flood plain, elevation) does riot apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and your certification numbe.r; 12. Make legible copies and distribute as roquiier. ALL SOIL. TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION- ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st: - Sione (aver 10") 813 Bedrock cola Cobble (3 . 10") SS - Sandstone gr Gvel (under 3") L.S Limestone -s - I 4IGW W41 Groundvgater cs ( - Sand Perc P, :,olal:icsn date rnesd s IV --nd W is - E'n :nd Bldg y . is Loataiy San; 3 As{ - Sandy Loan) < L b I - Loam Ian B a rE ail - S Loam BI Black Si Gy - Gray SO - S, Loarn rR Reis sic! - ~ iy Loam rylot MI sc San sic; Silly Clay fff - fete., fine, faint ~c Clay cc common, coarse pt - Peat itirrl Many, mediurn rn - Mudk d - distinct: P - prominent. HVVL - High water level, _Six €Iener;al soil textures surface water for hrar sposal BM- B=ench Mark VRP Vertical Deference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNERO. e Q Q ADDRESS _~S~ LA SUBDIVISION / CSMJ LOT SECTION 16 _T3C) N_R W, Town of S j ~aS~ y ST. CROIX COUNTY, WISCONSIN PLAN VIER SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM N fEnlc C er1 1000 wEU, Nous& ~ Ufa rUc- c5 l31q 7-op 57eet- INDICATE NORTH ARROtd Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: 70p / S%CE/~ (=L /DOS U ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: _UL'~ ~ /L-'S Liquid Capacity: /L1 Setback from: Well House Other Manufacturer Size Float seperation Gal o e: Al cation SOIL ABSORPTION SYSTEM Width: Length 7 Number of trenches 2 Distance & Direction to nearest prop. line: ;20' NOR7-1-1 Setback from: well: House (,5:' Other ELEVATIONS Building Sewer ST Inlet. ST outlet i PC inlet PC bottom. Pump Off IVA Header/Manifold A0y,61, /D~tZttom of system /03.,0,2 o4 /0.7.2Z Existing Grade /OG , S Final grade DATE OF INSTALLATION. Q- 'jam PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) SanitaryPermitNo.: PCermit TI &AS El City 11 Village Town of: State CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: /l% Gd S ~"~t TANK INFORMATION ELEVATION DATA /m E/ TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark og yL Dosing~~, Aeration Bldg. Sewe Holdi St/FA' Inlet i 1`ANK SETBACK INFORMATION St/ Ft Outl Vent TANK TO P/ L WELL BLDG. AirIto ntake ROAD Dt Inlet Air Septic NA Dt Bottom Dosing NA 4AgM Aeration NA Dist. Pipe j' Qs,7 r Hol Bot. System PUMP/ SIPHON INFORMATION Final Grade _ Manufacturer Demand S'7,, Model Number GPM TDH Lift Fri ' n Syste Ft Forcemain, ength Dia. H Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH width Length No. Of Trenches PIT No. Of Pits Liquid Depth DIMENSION 7 S I v~ DIMEN 1 N SYSTEM TO P/ L BLDG WELL LAKE/STREAM CHIN Manufacturer. SETBACK INFORMATION Type Of /1 ept CHAMBER 3 ' Moe Number: System: Ad ' (05 » OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) / x Hole Size x Hole Spacing take Length Dia. ( Length ~ Dia. Spacing / SOIL COVER x Pressure Systems Only xx Mound Or At-Grade e I xx u Depth Over Depth Over xx Depth Of xx Seeded/Sodded Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: St. J©seph.28.30.19W, SE, SW, Perch Lake Road Q Plan revision required? ❑ Yes Ei o Use other side for additional information. S13D-6710 (R 05/91) Date Inspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH . SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION i In accord with ILHR 83.05, Wis. Adm. Code CO STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 9:3343o 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION E%54() 1/4,S T310 ,N,R E(o PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # y - C GR /CGs Q A4 1 A CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 11. TYPE OF BUILDING: (Check one) CITY ~ NEAREST ROAD ❑ State Owned VILLAGE t E C L , P14 D ❑ Public 1 or 2 Fam. Dwelling of bedrooms Y%.~OWN OF: 57 EL TAX NUMBER(S) 111. BUILDING USE: (If building type is public, check all that apply) 10,2 17 - , 0 -/00 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 40 Church/School 80 Mobile Home Park 12 ❑ Service station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ® New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit 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 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 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) /03102 `S4EVATION Y,!5'0 ~3 Q /02.22- Feet o ce' Feet CAPACITY VII. TANK Site in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks Concrete structed glass App. Septic Tank or Holdin Tank Tanks Tanks IV A= A= K. 5 A --7- El 171 1 171 Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plu is Signature: (No Stamp Business Phone Number: 3 331-664 Plumber's Address (Street, City, State, Zip Code): 07- r IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sani ry Permit Fee (Includes Groundwater ate Issued Issu' g Agent Sign re (No S mps) Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber } INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the 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 & 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 in 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 in ##1-7. ` VII. Tank information. Fill in the capacity of every new and/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% 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, ground- { water contamination investigations and establishment of standards. SBD-6398 (R.11/88) Y l PUG e)ervr,,, 1Ns1o cT/a/v Pv 3d A,O ® 3OG u EL. /03,o z o , s ysT~r~ ~ S ySTE/`f NC CC At- 0/7. ~ ~ ~3 13P' LX/ST/NCr PRo/,osEa ~51~\ Oro s C-0 J40usa Ile "5- n tUEU- B1 57 6CAL-E 1"=50' rR~/VGrtES 8/1,70/0 Bn. 7OP °r' plp rt .dos, YZ D)'AwIlYe- F02 S ,Z y--l's C)jAwi By: T#OMAS C 10 913 _57i-y P Rc ll ZAK- )?D, 586 N/9LLe y V,(ely TA j~C~p so N, d,) ` < S4,414 SO 1j e re7-, a)/. 5- f laf s- Wisconsin Department of Indus", SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labo' and k1bman Relations Dirisiorrof Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code • COUNTY St. Croix Attach complete site plan on paper not less than 8 l itas~tj& s. Ian must include, but not limited to vertical and horizontal reference po[1Aj direction at16f lope, scale or PARCEL I.D. # dimensioned, north arrow, and location and dis 76 rfo nearest rp~. REVIEWED BY DATE APPLICANT INFORMATION-PLEASE ALL 14fOA ON\ PROPERTY OWNER: t fs c_,-~ WERTY LOCATION Thomas L. Clubb LOT SE 1/4 SW 1i4,S 28 T 30 N,R 19 1146r) W PROPERTY OWNERS MA!I.ING ADDRESS # BLOCK # SUED. NAME OR CSM # 1662 Helena Rd. 'na na csm CITY, STATE ZIP CODE P CITY OVILLAGE JgOWN NEAREST ROAD Oakdale, MN. 55128 (6 1 St. Joseph Perch Lk. Rd. ] New Construction Use [ xc Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 7 bed, gpd/ft2 . 8 trench, gpd/ft2 Absorption area required 643 bed, ft2 563 trench, ft2 Maximum design loading rate • 7 bed, gpd/ft2 •8 trench, gpdtft2 Recommended infiltration surface elevation(s) 102.22 It (as referred to site plan benchmark) Additional design/ site considerations step down trenches starting at 103.02 and following 3/5' from surfacT' Parent material outwasr Flood plain elevation, if applicable na It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for system ~ S O U I 13S v Ms 0 U )uS 13U O S IRU 0S )MU SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed T;ii Www 1 1 0-9 10yr4/3 none 1 2mbvk mfr gw if .5 .6 2 9-20 7.5yr4/4 none sl Osg mvfr gw if .7 .8 Ground 3 0-84 7.5yr4/6 none co s Osg ml na na .7 .8 10e6teV52ft. Depth to limiting factor +84" I F-T Remarks: Boring # 1 0-10 10yr3/3 none 1 2msbk mfr gw if .5 .6 2 2 0-16 10yr4/4 none sil 2msbk mfr gw if .5 .6 3 6-28 7.5yr4/4 none sl 2msbk mfr gw na .5 .6 Ground elev. 4 8-96 7.5yr4/6 none co s Osg ml na na .7 .8 106.52 ft. Depth to limiting factor +96" Remarks: CST Name _Please Print Gary L. Steel Phone. 715-246-6200 Address: 1554 209th. Ave.,, New Richmond, WI. 54017 Signature: Date: CST Number: 5-1-95 cstm 02298 PROPERTYOWNER T. Clubb SOIL DESCRIPTION REPORT rage,2'-,,of 3 PARCEL I.D. # Boring # Horizon Depth DominantColor I Mottles (Texture Structure. Consistence Bourxivy I Roots GPD/ft in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed iTrerxi~ 1 -9 10yr4/3 none 1 2msbk mfr 2f .5 .6 3 2 -16 10yr4/4 none sit 2msbk mfr gw 1f .5 1.6 Ground 3 6-26 7.5yr4/4 none is Osg mvfr gw na .7 .8 104.•r2~t. 4 6-98 7.5ry4/6 none Co S Osg ml na na .7 :;.8 Depth to limiting fa% + -71 Remarks: Boring # 1 -12 10yr3/3 none 1 2msbk mfr gw 2f .5 .6 4; 2 2-25 10yr4/6 none sil 2msbk mfr gw if .5 .6 3 5-34 7.5yr4/4 none is Osg mvfr gw na .7 .8 Ground 1elv2 t 4 4-80 7.5ry4/6 none Cos Osg ml na na .7 .8 Depth to limiting factor +80" Remarks: Boring # 1 -9 10yr3/3 none 1 2msbk mfr gw if .5 .6 5 2 -27 10yr4/4 none sit lfsbk mfr gw if .2 .3 I 3 7-80 7.5yr4/6 none Co S Osg ml na na .7 .8 Ground 99 V8~r, Depth to limiting factor +80" Remarks: Boring # Ground elev. ft. Depth to limiting factor i Remarks: SBD-8330(R.05/92) Y STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Thomas L. Clubb New Richmond, WI 54017 MPRSW 3254 SE4SW4 S28-T30N-x19W (715) 246-6200 town of St. Joseph + N 111=401 BM.= top of 1" steel pipe @ el. 100' Alt. BM.= top of 111 steel pipe C el. 105.42' G~G~ 1-71 6)'`5, 14~f o' 20 v Gary L. Steel 5-1-95 1 ~ ' r `t)~~ ~1 r ~/~1'I~j~_g(~1~ rr ~F..~ $itP 4i -k 4, r, 4'74'798 CERTIFIED SURVEY MAP Located in part of the SA of the SEh of Section 28, T30N, R19W, Town of St. Joseph,. St. Croix County, Wisconsin. LEGEND ~!I A Aluminum County Section Nonument Found 0 1" x 24" Iron Pipe Set, weighing 1.68 tbs. N W per linear foot 3 o i e Roadway Setback line ~ a cc N1 Corner of u Section 28 e 0 b to Z L 4. in ~e b O ~4 H JNPLATTED OWNER c d y o Ericksaith Inc. •p * L A N D3 P.O. Box 201 Lakeland, NN 55043 N89004'58"W 375.00' S CD N ~ - •1 %/11 £ O CT 1'9 1991 01 y LOT 2 Z IA►.' . ""-1 `Z1 S►c11c1xCo•.Vfl ''O cZI c Including R/W: T 00 C~ 321,749 Sq. Ft. o Ln 00 . .r (7.39 Acres) Co CSI N1 j ~ Excluding R/WN d' ~L313,040 Sq. Ft. c11 APPROVED Ac'. WI WI N 10 (7.19 Acres), d' JI .~~.1,~,1.• C,i 00 0 Lt I ~ _ ° OCT 18 1991 d> ST. CMIX COUNTY r'' ` i' , COWREHEN31W PARKS PIANpjgW i;':ft, ao e 2o, To ANDZOMNCCC+AMrMF 145' _ N89055111"E.•...~.... o 32.24' South line of the SE; of Section 28 8 N88006110'. _ 34 131 ; - 2238.481 -S89°04'58"E-"375.00' S8900415811E $1 Corner of 130TH AVENUE SE Corner of Section 28 I Section 28 LOT I C.S.Pvi. IN VOL. H, PG. 2264 SCALE IN FEET 0 100 200 400 This instrument drafted by Fran Bleskseek Proj. No. 89-29-191 Vol. 9 Page 2413. (Continued on following page) 3~' . i% • S a N LAND SURVEYING 41 HUDSON , WISCONSIN 54016 (715) 386-2007 Name Ericksmith Inc. Address P.O. Box 201 Lakeland, Mn. 55043 Description Part of the SA of the SEh of Section 28, T30N, R19W, Town of St. Joseph, St. Croix County, Wisconsin.(Further described on sheet 2) NI/4 CORNER SECTION 28 North line of the SW} of the SE} of Section 28 61--a S88°59'24"E N T- o 375. 0' 11s' 00 /so' its W rr1 3.86 S 168,142 S . FT. W N890048"W OD- 0 rt 375.0 z c O 1 p • 01 .4.1 1130' ~ n t O 0 0 N O LQT 2 CSM N~ A a VOL. 9, PG 2413 i > ml N ~ tfr,. IlI W I I 7 ~ W 77 a') 0 O I W i 0 I i S 1/4 CORNER ~ CORNER SECTION 28 SE 489 04'38"E 375.00'----&SECTION 28 130TH AVENUE State of Wisconsin ) 0 IRON STAKES DRIVEN County of St. Croix ss. SCALE OF MAP - i INCH = 2_ 00 Feet * IRON STAKES FOUND is Allen C. Nyhagen , registered Wisconsin Land Surveyor,do hereby certify that on une 19 93 , I surveyed the above described and mapped property according to the official records and that the accompanying.. mop is a correctly dimensioned representation to scale of the boundories,thot oil buildings and improvements lie wholly within the boundary lines, and that no encroachments by adjoining owners appear from said survey. Mop No. 89-29-193 Drawn By E . F . Sheet l of 2 Sheets `AY S N LAND SURVEYING 41 HUDSON , WISCONSIN 54016 (715) 366-2007 Nome Address Description A parcel of land located in part of the SW1/ 4 of the SE1/ 4 of Section 28, T30N, R19W, Town of St. Joseph, St. Croix County, Wisconsin; further described as follows: Commencing at the 81/4 corner of said Section 28; thence N00045'34"E, along the north-south 1/4 line of Section 28, also being the west line of Lot 2 Certified Survey Map recorded in Volume 9, Page 2413 at the St. Croix County Register of Deeds Office, 858.00 feet to the point of beginning; thence continuing NOOo45'34"E, along said north- south 1/4 line 448.69 feet; thence S88o59'24"E, along the north line of the SW1/4 of the SE1/4 of said section, 375.00 feet; thence SOOo45'34"W, 448.08 feet; thence N89004'58"W, along the north line of said Certified Survey Map, 375.00 feet to the point of beginning. Parcel Contains 3.86 Acres (168,142 Sq. Ft.) and is subject to all easements of record. Note: The above described parcel may not be deeded as a seperate land parcel. SHEET 2 of 2 State of Wisconsin ) Q IRON STAKES DRIVEN County of ) ss. SCALE OF MAP - I INCH Feet 9 IRON STAKES FOUND Is on , registered Wisconsin Land Surveyor,do hereby certify that 19 , 1 surveyed the above described and mapped property according to the official records and that the accompanying map is a correctly dimensioned representation to scale of the boundaries,that all buildings and Improvements lie wholly within the boundary lines, and that no encroachments by adjoining owners appear from said survey. ; Map No. Drawn By STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County l/y OWNER/BUYER MAII.ING ADDRESS ,_7 Ale./ex, ,(~l it ~~~caC~/e, /~7.y Ss'/Z,e PROPERTY ADDRESS .55Y /'cry (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION S W 1/4, Se 1/4, Section ~,7 T 3 o N-R_/ 5? W TOWN OF Sf Tose,o~ ST. CROIX COUNTY, WI SUBDIVISION LOT NUM13ER CERTIFIED SURVEY MAP , VOLUME, PAGE,2 V13 , 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. 1/\Vc, 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 resumed to the St. Cron County Zoning Officer within 30 days of the three year expiration date SIGNED: - DATE: x-30 -r~~ - St. Croix County Zoning Office Government Ccntcr 1101 Carmichael Road Hudson. \\'I 54016 1 • 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 Elma_&-lK A d4. 66 Location of property Sin/ 1/4 SE 1/4, Section .2,,? , T L N-R_jjW Township Sf. 7osc-,eA- Mailing address 11,6.2 t/e%a W I ~u'_ O'Z" CW- k . /si.y S -ie- Address of site S5y ~r La-~c iQo~ea/, AK/l,~*,, Subdivision name Lot no. Other homes on property? Yes___,X_No Previous owner of property .fir, c ,f s.K . Zn Total size of property 11-If acres Total size of parcel acts Date parcel was created re./c, / 99a Are all corners and lot lines identifiable? ( Yes No Is this property being developed for (spec house)? Yes _ C~No Volume and Page Number ~yi3 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.~~~38, Y9sS~ro 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. Sign ure of Applicant Co-Applicant Date of Signature Date of Signature 1'A l L Ui- W ISGUNSIN-PURht l NWr+ f~ on • VOL e7e7e~PAGE 111 THIS SPACE RESERVED FOR RECORDING DATA - 1495580. REUSILK'S OFFICE THIS INDENTURE, Made this 2.6 ~11 ........day of..... F Qbr.U -r Y ST. C~ROIX CO., V A. D., 1993--- between----ERICKSMITH.--- INC...--••--------------------------------------•--•----••-------- Pec'df^rRaf r_rd MAR 1 1993 ......................•----.................---........................................................----....--------.........a Corporation duly organized and existin 3:50 P under and by virtue of the laws of the State of Wisconsin, located M g fax Col at Wisconsin, party of the first art and ` Thomas L. Clubb and Elizabeth A. Clubb,..hus---and Re8lsterofpeeds _.and.._wife • part.a the second part, RETURN TO W I t n s s e t 1~, at the said part of the firs par f{or and in co ideratioil Thomas L. Clubb ~ne Dollar and other vaflua~le consi erati of the sum of............................................................................................................................................... 1 662 Helena Road 55128 ..........................................................................................................to it paid by the said part 1 e S.of the second part, the receipt whereof is hereby confessed and acknowledged, has given, granted, bargained, sold, remised, released, aliened, conveyed and confirmed, and by these presents does give, grant, bargain, sell, remise, release, alien, convey and confirm unto the said part.lle.Sof the second partt b.E'll eirs and assigns forever, the following described real estate situated in the County of.... S.... ..t ............Croi.........x ................and State of Wisconsin, to-wit: The West 375.00 feet of the SWI of the SEI of Section 28, T30N,R19W, EXCEPT the South 858.00 feet thereof. The parcel shown on this document is being added to the parcel shown on the document recorded in Vol. 9, Page 2413, Document No. 474798, St. Croix County Register of Deeds Office to create one parcel, and this transaction is thereby exempt from Chapter 18 of the St. Croix County Land Use Regulations pursuant to,Sec. 18.05(A)(3). (IF NECESSARY, CONTINUE DESCRIPTION ON REVERSE SIDE) Together with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining; and all the estate right, title, interest, claim or demand whatsoever, of the said party of the first part, either in law or equity, either in possession or expectancy of, in and to the above bargained premises, and their hereditaments and appurtenances. To Have and To Hold the said premises as above described with the'hereditaments and appurtenances, unto the said partAP-sof the second part, and tothELir...-heirs and assigns FOREVER. And the said _EFiICICSM ..ITH.i-.... INC.,L................................................................................................ party of the first part, for itself and its successors, does covenant, grant, bargain and agree to and with the said partie.S..of the second part 1le.] x.....heirs and assigns, that at the time of the ensealing and delivery of these presents it is well seized of the premises above described, as of a good, sure, perfect, absolute and indefeasible estate of inheritance in the law, in tee simple, and that the same are free and clear from all incumbrances whatever and that the above bargained premises in the quiet and peaceable possession of the said part. e sot the second partthe l.Pirs and assigns, against all and every person or persons lawfully claiming the whole or any part thereof, it will forever WARRANT AND DEFEND. In Witness Whereof, the said ..--ERICKSNIITH-E....I-N . . s W Erickson its President, and . n party of the first part, has caused these presents to be signed by DDe.e nni. countersigned by................................ its Secretary, at--- ...Rudson.-- Wisconsin, and its corporate seal to be hereunto affixed, this ..2-6th........ day of-February A. U., 19.... SIGNED AND SEALED IN PRESENCE OF ERICKSMITH MCA ti Commute me 4,- L President c~.. f1------- C:,. , Dennis W. Erickson . COUNTERSIGNED: • Secretary J '),N Minnesota STATE OF VKNMNM, Washin ton ss. .......-................................County. Personally came before me,this ...26th--.sayot.... 'Pbruary_........... A, D,, 1y-93-..,Dennis.•,W-t.--.Erickson______________ President, and... Secretary of the above named Corporation, to me known to be the persons who executed the foregoing instrument, and to me known to be such ........................President and ........................................Secretary of said Corporation, and acknowledged that they executed the foregoing instrument as such officers as the deed of said Corporation, by i;)Ifity;, ~.~....b, "w'ANDRA K ASHN rA t~dcznh vri i 1 = NOTARY PU C-MINNESOTA its F WASHIN 'ON RY fit' Comm. ~ ~ n- octsWwL995 M I.) This instrument drafted by Notary Pubhc......W....~~...h.ln -OLl_ ...............Couaty,Wis. Dennis W Erickson M Commission (Expires) Is C ,a k " 95 (Section 59.51 (1) of the Wisconsin Statues provides that all instruments to be recorded shall have plainly printed or typewritten thereon the names of the Grantors, Qrantees, witnesses and notary). WARRANTY DEED-STATE OF WISCONSIN, FORM NO. 2 M. C. MILLER CO.. MILWAUKEE 5'l'A'fE OF WISCONSIN-I.URM 2 i~ R~~•+ THIS SPACE RESERVED FOR RECORDING DATA VOL 969PAGE 1.66 REGISTER'S OFFICE THIS INDENTURE, Made this 8 th............day of......$.E?gtGI[lbPX A. D., 19...92, between ERI-CK.SM.LTHy..... INC•............................................................. ST CROIX CO., W1 It Reed for Record ............................................................................................................................................a Corporation S E P 151992 duly organized and existing under and by virtue of the laws of the State of Wisconsin, located at.. ....................................................Colf-ax..---...............Wisconsin, party of the first part and Ot 4:15 p A ,....Thomas...L....__.Clubb_.-and_._Elizabeth__ A_.___ Clubb..._..husband ..and .wife........ 0 CA part..l.ea.of the second part, RETU TO W i t n e s s e t h, That the said party of the first part, for and in consideration of the sum of.... ne...DQUi r...and....othen....val.u-ab1e. ...consi-deratio .............................to it paid by the said part i-P-S.of the second part, the receipt whereof is hereby confessed and acknowledged, has given, granted, bargained, sold, remised, released, aliened, conveyed and confirmed, and by these presents does give, grant, bargain, sell, remise, release, alien, convey and confirm unto the said part.Iegof the second partile]..1Ceirs and assigns forever, the following described real estate situated in the County of....... S . - CCOlx._..--......and State of Wisconsin, to-wit: Lot 2, Volume 9 of St. Croix County Certified Survey Maps, Page 2413, Document Number 474798. Being a part of the SWJ of the SE4 of Section 28, T30N, R19W. r.l lSFE (IF NECESSARY, CONTINUE DESCRIPTION ON REVERSE SIDE) Together with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining; and all the estate right, title, interest, claim or demand whatsoever, of the said party of the first part, either in law or equity, either in possession or expectancy of, in and to the above bargained premises, and their hereditaments and appurtenances. To Have and To Hold the said premises as above described with the hereditaments and appurtenances, unto the said parties-.of the second part, and to.their..heirs and assigns FOREVER. And the said ERPMMI.r- -H.s.....INC.. party of the first part, for itself and its successors, does covenant, grant, bargain and agree to and with the said part ...iesof the second part thej-r......... heirs and assigns, that at the time of the ensealing and delivery of these presents it is well seized of the premises above described, as of a good, sure, perfect, absolute and indefeasible estate of inheritance in the law, in fee simple, and that the same are free and clear from all incumbrances whatever and that the above bargained premises in the quiet and peaceable possession of the said part.-teS.of the second parith.eDreirs and assigns, against all and every person or persons lawfully claiming the whole or any part thereof, it will forever WARRANT AND DEFEND. In Witness Whereof, the said........... ERICKSMITH......INC. party of the first part, has caused these presents to be signed by.......... Dennis Eric.ks.on its President, and countersigned by........................... its Secretary, at.......... Hudson--------------- Wisconsin, and its corporate seal to be hereunto affixed, this h..--.-clay of-September---_------- , A. D., 1992 SIGNED AND SEALED IN PRESENCE OF ERICKS ITH INC. urlwrale ame r' I 1 7 C resldeut Der_1nis---W Erlcks_on.------------------- COUNTERSIGNED: • ~ II z f;~ r • - Secretary V STATE OF igia%k a I ' ss. .W&ah.in'tJto.n ....................County. Personally came before me, this ...9"TN.......dayof...S2~t21Tlber A. D., .Dennis W. Erickson ....I President, and.............................. Secretary of the above named Corporation, to me known to be the persons who executed the foregoing instrument, and to me known to be such ['resident and ........................................Secretary of said Corporation, and acknowledged that they executed the foregoing instrument as such officers as the deed of said Corporation, by its authority. NOTARY I SEAL p E . K. FORD This instrument drafted by c N6==A--- County, Dennis W Erickson WASHINGTON . . amp a1109~ 7 St- . Croix 55 0 4 3 •~N ~NrNr••~••SNw•.~••~••~M~y.• (Section 69.51 (1) of the WhNwnsln Statues provides that all Instruments to be recorded shall have plainly printed or typewritten thereon the names of the grantors, grantees. witnesses and notary). WARRANTY DEED-STATE OF WISCONSIN, FORM NO. z M. C. Nlll[R CO., MILWAUKEE L