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HomeMy WebLinkAbout030-2088-50-000 " O 4. p 0) O ~y: 0. O I C o a © I' ~ P M N o N (D i m m C a D a e O Y U m > co O _O C ~ N aNtO N ` O C Z N N o is cocE c o. LL _ a - c c =o s 0 3 I 3 Cl) z y w E z = 00 * p z a m m Im- z 0 o z °c C1 O` N m 2 'd c o m Z N N r O c E m a~ - a> > co N _~V N CL ~ N CO U m o zmz N 0 c c N N m E E N ~ is Y MNi -O I c_o d - d = N O ~ d i O C O E o o a 0 c z (n CL CL (L LO LO T o y 0) N1 U m rn rn Y E m m N N N O r d Q m o N ~ O C N C 0 -a E co 00 C O T O O LO O O N L' O E U C- 0) O }w 00 r a N E cU N 0 00 (D E, C O try), 7 ~1 H N M d M m0 1~ Z' O~ I~ 4 co O N O Co U y O Cl) U) N O N Z U) V E L t a i a 2 rr`i~~ m ;a a E c c o `~1 A vat '0 f ' 07/13/2007 04:28 PM Parcel 030-2088-60-000 PAGE 1 OF 1 Alt. Parcel 34.30.19.746 030 - 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 - HEUISER, BENNY J & SUSAN S BENNY J & SUSAN S HEUISER 1230 OAKWOOD LN HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary 1234 OAKWOOD LN Type Dist # Description SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 3.120 Plat: 1901-DEERFIELD SEC 34 T30N R1 9W PT NW SE LOT 6 Block/Condo Bldg: LOT 6 DEERFIELD 3.12 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 34-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 06/26/1998 581895 1335/352 WD 07/23/1997 1111/300 WD 07/23/1997 1111/299 WD 07/23/1997 1063/354 LC 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.120 80,800 0 80,800 NO i Totals for 2007: General Property 3.120 80,800 0 80,800 Woodland 0.000 0 0 Totals for 2006: General Property 3.120 80,800 0 80,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION 7969 LABOR AND PERCOLATION TESTS (115) / P.O. BOX 3707 HUMAN R LATION~ MADISON, WI 53707 R 83.09(1) & Chapter 14 Jj'U_AiA kiv LOCATI SECTION: TOWNSHI~IT • LO NOT/a LK. NO.: SUBDIVISION NAME: Tt1 1/4 SE ~%4 34 Ao H/R9xl (or)W St. Jose h 6 Deerfield COUNTY: OWNER'S/BIvAME: MAILING ADDRESS: St. Croix S. Henning & D. Norell 665 Walsh Rd., Hudson ti•Ti, 54016 USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMER IAL DESCRIPTION: DESCRIPTIONS: 1PERCOLATION TESTS: 15pesidence 3 n/a ew Replace 1PROFILE 7-10-92 7-30-92 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIOONN,AtL: MOUND: IN-GROUND•PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ❑ S Cpl O S❑ U ❑ S U ❑ S ®U ❑ S ®U Hound If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5) (b), indicate: na/ Floodplain, indicate Floodplain elevation: n/a PROFILE DESCRIPTIONS page 42 APTC2 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-1 62 102.28 none >62 0-10, 10yr3/3, L.; 10-30, 10yr4/4, sil.;- 30-62 7.5 4 4 sl. s_ 2 60 102.28 none >60 0-15, 10yr3/3, L.; 15-38, 10yr4,14, sil.;- B- 38-60 7.5 4/4 sl. hard till 3 58 100.43 none >58 0-10, 10yr3/3, L.; 10-24, 10yr4/4, sil.;- B- ---.2A-58, 7.5yr4/4, al. hal° z 311 B- , , , 4 fLi~ /7j--a B- ;I~LA_ B- PERCOLATION TE S TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD PER INCH P_ i 1 1- -10 P_ 2 24 none 30 1 748 7.18 -34 i P- 1 24 nonp '10 30 P- P- P PLOT PLAN: Show locations of percolation tests, soil borings an t dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show th a o of plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 1 9 r I . 4~ C I 1~ f~ 100 fi -40 E a 1 I E • 3 .o- 5 - ly 0t F I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 7-30-92 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 1554 200th. aVe. New Rid mond Wi. 54017 2298 5- 6-6200 CST SIGNA DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - f r WCTIONS FOR C€ I' -ETING FIRM 115 - SBD - 6395 To be a con = accurate soil test, youi =rt must illciude: 1 . Comp - _)t ion; 2. The use se clearly ; e wheth is a residence or commercial project; 3, MAXIMU xr of bedio -Is use planned; 4. Is this _ t- Placement B. Complete tl_ i ity rating 3- SIT iSUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYST IS ARE RULEI: ``T BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations sh ''ere fol writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBL- --am acc rely locating your test locations. Drawing to scale is preferred. A separate sheet may J if desrrc..; S. Make sure your benO rk and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all appropriate boxes as to dates names, addresses, flood plain data, percolation test exemp- tion, if appropriate; 10. If the information (such as flood plain, elevation) does riot apply, place N.A. in the approiViate box; 11, Sign the Norm and plane your current address and your certification number; 12. Make legible copies and distribute as required. 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: Stone (over 10") EAR Bedrock cob - Cobble (3 - 10") SS - Sandstone gr Gr<v£' (under 3") LS - Limestom s - S% HGW - High sro rndvvater cs C Sand Pore - Percolatio=n Rate rued s Sand :fir VVell ~t=10 > - C 1_han L ;;€nn V L T'';arn BI Black sl Gy Gray X Y - Y:d l ov", scl Saj_, _ L,,arn R fled sic' Slty Clay Lcaarn mot - Mottles Sc - Sandy Clay ;n l iai M sir, - Silty Clay f f f - few, fine; faint kc - cc -common, coarse pt mrn Many, Medium III -Mack d distinct P I)rominetnt HWL - 1-ligh water Tavel, Six general soli :-dace water for Iigwd waste cl ~;Posal BM - ~ lark VRP oference 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. J STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER , ADDRESS SUBDIVISION LOT # SECTION ~TAN-R_2~'_W, Town of ST. CROIX COUNTY, WISCONSIN 3r~NRll PLAN VIEW SHOW EVERYTHING WITH N00 EET OF SYSTEM must °?A INDICATE NORTH ARROG%7 Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity: Setback from: Well- House Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width Length S Number of trenches - Distance & Direction to nearest prop. line: Setback from: well : House Za Other ELEVATIONS ,Building Sewer. LAS/ _ ST Inlet. rpm s~~ ST outlet CPC inlet PC bottom Pump Off Header/Manifold 21e:ys - Bottom of system 2_ am? Existing Grade_.- joZd~- Final grade DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR:- 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: a and Human Relations Safety INSPECTION REPORT ST. CROIX and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) SanitaryPerm itNo.: Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State PI TRAEGER, JAMES X CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer a s 1()(1,32- Holding St/ Ht Inlet 3,o l 3. 3 y TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. AirI to ntake ROAD Dt Inlet rl Septic t q y ' NA Dt Bottom Dosing NA Header / Man. 7, g 7 Aeration NA Dist. Pipe Holding Bot. System ?.y 3 g?, 5- a PUMP/ SIPHON INFORMATION Final Grade . S w o, p s Manufacturer Demand Model Number GPM TDH Lift Lricti Si TDH Ft ea ~d Forcemain gth Dia. Dist. To Vvt~ SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS / DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type O i , Moe Number: System: "a 30 OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Trench Edges Topsoil Yes No ❑ Yes ❑ No Bed /Trench Center Bed / ❑ COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: St. Joseph}34.30.I9W, NW, SE, Lot 5, Oakwood Lane cl, 3<_ vd ?~j I~Plan revision required? ❑ Yes ~No Use other side for additional information. 5- SBD-6710 (R 05/91) Date spe or' ignature Cert. No. ADDITIONAL COMMENTS AND SKETCH " -w ~ SANITARY PERMIT NUMBER: i I SANITARY PERMIT APPLICATION ir~■ ■ w COUNTY ' v'■Z~■~ In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY PE I # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ Check if revisiifn to pr vious application 8% x 11 inches in size. ~~9'-3a --See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPER OWNER PROPERTY LOCATION '/4,s '/a, S T3D, N, R ~(or JV~j PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # S" i AZ.Idl CCIfy7 ATE ZIP CODE PHONE NUMBER SUBDIVI ON NAME OR CSM NUMBER 11. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD ❑ State Owned VILLAGE ❑ PUbI1C 1 Or 2 Fam. DW@Iling-# Of bedrOOfT1S PARCEL TAX NUMBER(S) 111. BUILDING USE: (If building type is public, check all that apply) 000 p 1 ❑ Apt/Condo CJ 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 in line A. Check line Bit applicable) A) 1. ® New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit 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 220 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) ELEVATION Feet Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for install ion of the onsite sewage system shown on the attached plans. Plumb is N e (Prjnt Plum is gnat re: (No ) MP/MPRSW No.: Business Phone Number: Plumbers Address (Street 5 ity, Stat i Cod IX. COUNTY/DEPARTMENT USE ONLY ❑ pproved Sanitary Permit Fee (Includes Groundwater a eslue Issuing Agent Signature (No Stamps) Approved ❑ ODisawner Given Initial 1l Surcharge Fee) Adverse Determination V LJ'l 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) 5 b / 3 r G• ~ ~ 78 Av /7~ PAGE OF Cris) Sec}►un O r A sco Jy5ler-) Fresh Air Inlets And Observation Pipe Approved vans Cap Minimum 12` Above Final Grade 20- 42' Above Pipe _ 4' Cast Iron To Final Grade Vent Pipe Marsh Hoy Or Synthetic Covering Mln. 2v Aggregate 1 Over Pipe Olatalbutlon -Tee Pipe 0 0 0 0 0 6" Aggregat Beneath Plpe • a Perforated Pipe Below _ Cowpiing Terminating At Bottom Of SysLem Prop a5e9 finc-I 11gre-A( SOIL FILL DISTFCIBUTIOH PIPE APPROVED ~4MTI4ETIC COVER 1UTF-R1JM- OR q" OF STRAW 2"OFM6,69EGATE. OR tjARSM NA`j to' 0 FJ2-21/Z AGGREGATE DI-STRIaIJT;r3U PIPE TO BE AT LEAST IUCHES BELOW ORIGIIJAL GRADE AUE) AT LEAST?-0 WCHES BUT KIO MORE THAI) 42 IAICHES BELOW FINAL GRADE MAXIMUM Dkprvi OF EXCAVATtoj FKoM oKi& JAL 6KA0F- WILL BE IIJC-HEs MKIMUM gq" OF EACH/ATION FROM af\I(,IWAL GRAVE WILL 6E :z/~ - INCHES SIGHED: LICCUSE DUMBER: ~ a D A T E : , =2 =2 ~i11 e,o DAVE SCHAVE T., SALES REPRESENTATIVE com hlOill-.~ WM,,,,,.• yyu`~' (612) 424-3503 Mdersen - ' r DATE. JOB: i 4 ; 1 1 1 r r i r , OA 0 , q LA E t 4 ' r ' + i A ! 4 t if if t jl~ _9 w t ~ i 1 rj } - - - 11 j- 4 s t t , ~ , s t , I + 4 } 1._ , G i . 4 1 i A i s AL USE ANDERSEN," PERMA-SHIELD-- WINDOWS & PATIO DOORS FOR COMMERCIAL & INSTrrUTION DEPARTVENT-OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY , DIVISION P.O. BOX 7969 LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (1-163.090) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/ WKDDE1 CLITY: LOT NO.: BLK. NO.: SUBDIVISION NAME: M-4 1/4S F1/ 34 /T30 N/Ri9)&(or) W St. Joseph 5 n/a Deerfield COUNTY: OWNER'S NAME: MAILING ADDRESS: St. Croix S. Henning & D. Norell 1665 Walsh Rd., Hudson, Wi. 54016 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: (PROFILE DESCRIPTIONS: ER OLATION TESTS: Residence 3 n/a i7Cew ❑Replace 7-9-92 n/a RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND•PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) ®S ❑U ~S ❑U ❑U S CCU S ®U conventional If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: n/a PROFILE DESCRIPTIONS page 42 JSB BORING TOTAL D PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 0-12, 10yr4/2, L.; 12-32, 10yr5 sil.,; 32-84,- B-1 84 101.89 none >84 7.5yr4/4, ls. w/bands of 7.5yr3/4sl. 1"every 5" 2 86 101.84 none >86 0-10, 10yr4/2, L.,•_10-28, 10yr4/4,sil.; 28-86,- 6- 1 4/4 co.s. W. bandsof 7.5 4/4sl. lOla9 0-12, 10yr4/4, L.; 12-32, 10yr4/4, sl,; 32-42, - B-3 84 none >84 10yr5/4, sil.; 42-84, 10yr4/4, ls. B 4 88 101.74 none >88 0-15 10yr4/2, L.• 15-48, 10yr4/4, sil.; ~+8-88, 10yr4/4' Co. S. 101.05 si . 25-49,- B-5 86 none >86 7. 5yr4/4, sl.; ~9-86, ~10yr5/4 , Co. S. IB- I I J PERCOLATIOTESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH P- P- P- see esign r e 1 P-_ P- P- _ PLOT PLAN: Show locations of percolation tests, soil borings and #w, imensions(lb suit it a ndicate scale or distances. Describe what are the hori- planr. Shoe s elevation at all borings and the direction and percent zontal and vertical elevation reference points and show their locati C t~~ r ~ of land slope. r 14,4 Q J SYSTEM ELEVATION 97.55 I E S -ty L ='fo i 6 3 _ t i s t ~ p t , € t } i 1 E 3 i 1 . E ' I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 7-9-92 ADDRESS: CERTIFICATION NUMBER: PONE NUMBER (optional): 1554 200th. AVe. New Richmond Wi. 54017 2298 246-6200 CST SIGN E: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - ' x INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a cr A accurate soil test, your report must include: 1. Complet description; 2. The use <,:< . must clearly indicate whether this is a residence or commercial project; 1 MAXIMUI uer of bedrooms or commercial use planned; 4. Is this a ' lacement system; 5. Comple_ ability rating boxes, A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6, PL' ASE use the abl ons shown here for vvriting profile descriptions and com the plot plan; 7. "I<E A LEGIBLE `agram accurately locating your test locations. Drawing to sca',~ is preferred. A =te sheet may I if desired; 8. -'-e your and vertical elevation reference point < shown, and are perm :ent; 9_ C. poxes as to dates, names, addresses, flo< -~7 data, percolation t= " np- 10. 1 Bch as flood plain, ) does riot apply, _ N,A. in the appiopria'te box; 11. S -C;e your current ad , I your certification r+ lb-; 12. k. copi,°3 and distribute a, 1. ALL SOIL T. ;UST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Sc ' rtes and Textures Other Symbols st - St -me (over 10") BR - Bedrock cola Cobble (3 - 10") SS - Sandstone gi - Gravel (under 3") LS Limestone S - Sand HGvV - High Gi cs _ `'end Perc Per-col coed s - Ni and VV - W-11 fs l Bldg - B m Id > - C. t <=m!~ - Less I _ _f Bn - Riovvrr - Lr>am BI - Slack i Silt Gy Gray Clay Loam, Y Yt=liov'] S Clay Loam. R , R Clay Loam m^fi r l Ay Clay X - Silty Clay y Ex, Yut, r H'0 L - dispc:. L, - P'V., ti: F TO THE OWNER: .Tort is ' st -1 r ' sanitary : . The cou r e Dr v rcruest f ( fi 'rr ;1 pe"ml' ^ : private : ~l submitte(i ! ( ;.ier to 'J ar for tn. PLAT OF em"' E. F d LD i c ALL IN SECTION 34, -T-30N , , RI_ SURlv 'SWI/ OF LOCATED IN'.THE NWI/4 OF THE SEI/4 AY. IN PART OF THE, INCLUD NG4 PARTTOF LOTS ,'~1' s OFFICE', DOCUMENTIENUMBEF ..TOWN OF .ST. JOSEPH;. 'ST. CROIX COUNT MAR•'RECORDED IN VOLUME 7, PAGE 1989 AT THE ST. CROIX COUNTY - REGISTER OF OE _ CURVE DATA - cxoto A9t 4)9!14 auto CYSvt tot' RADIOS CIt,RAI - CRORIRC t[~b1Y LlNftf eCa~-196 f[a~ICb ~T eu~~ lei ' f0-y R0. l[I-~If' !ML 'r00•77'x0•f .130•[1'274 . NW4 CORNER W i • i .3[7.001 SO.23'OY t2S•34'SS.S•E l07.D0' 213.17' , 130'61'77"1 300.22'204 SECTION 34 - 210.00• 30@16.07• MZS•34157.1i•C 73[.07' 272.71' + S5.00' SS 07 i to 713.!0• 1!•1aµ•' e6s•6t'os-[• US.oO• 173 OP I ` 9 310.00' v' IS-01110. f7702'0111 al 14 41 1 770.001.' IS~OS'I2+ r07•St'S63K 14.71• .73• S21•St'SS.YY 70).13' 214.71• f00.27'20•t SSO.41'27•Y S • 3 .00' 30.216.07" 214 QH ; • 7,- y - 709.00' 50.25107• S25•76,53SY + 262.27• 271.11• :.710•[1'1)"Y Soo-22-20-1 CDI . s 6 309.00': 12@1'2T 3M•38'4).3'w. 6632' R 64 01 I , n ` 203 27 - V71 i • . ..t y 309.00• SNOS•d0',. ._111.24'10-w 201. 31' UNPLATTED LANDS of ai N I W .33.1 WI MI • - NORTH LINE Of TNC SEI+4 Of SECTION I •I L6 , • 11.00' LEI ~I MI • S89.27'37*E 1321.14• + ao.u' 66.00' 465 or .00• I . 794.46• 1 4f( " _ • TEMPORARY eo FOOT RADIUS ' Z ^ . UI' I GY - . ' 34!.00' 7)9.46' 0. CUL-DE-SAC. _ 1 H1 >I I SCALE IN FEE LOT 8 01 Z1i•'°°;~"'° 131.247 30. rT• . o LOT. 1 •7 I-CENTCP 3.0I' ACRES R , LOT 6 / s cul-0 SAC o , 8 130.677 50. c 133.020 50. R. 3.00 ACRES I I 3.12 ACRES ~ • i~ 1 N456 .0, 'W I -PL.A •Set. 7'37' .Q o.••/ i ) , M 778.1 t' +J / C 9M1 1- M1T 6 , + ' I~_. 0 LOT, 9. . • s . M1~ I w I 3 148.684 160. fr. O Ile_ 1.4a ACRES \ /041VL e . LOT. 5 = x I * 136.237 $0. FT. LOT 10 '0 . 7-11 I .i - n \ , 3 3'ACRES 0 1 -s 131,290 SO. rT. 108' I 17 47 _ a t.. A 3.01 ACRES 1•'ij p O,w Q~ S' I y~ `F 4;,T1 '761"AY~..3._ ZI NI lb 0 : 01 / u.. p... I f ti's, sss•27'S7 C~id3p6 148.00' , XI Q1 se9•xTiT[ I 654.04V R Z. j'J1 SECTION 34 798.34• ,1313• W, ` o 1U I n I I o.J• Z ' I ZI N 0 . :>I DI LOT 4 LOT 14 01 LEGENt 7 U" g- g LOT 11 u l 130. t7f .160• fT. 0~--•- ^ } 130,681 160. fT 136.241 $0. FT. 3.00 . ACRES I . COUNTYSf • 3.00 ACRES ( i. 3:13 ACRES 4 . 14,91 CAP FOUND \ i 1 • 1- IRON M W 1 p ' 2• R SO• 0 R LIN PER N 0 0 (•7 -fe9'27')7•C 813[.0)•- o• yOTJ• .0 • 1. /IP O 989 •4 a 714. 0 z 318 ..1474,' IN 3 414.4:' 9' 3r x Lit i' Ra« u Ax ' N to 'n• 1' 1 - ' 1 „~O ti 1 r.oo• 1 To lsrl LOT .ltl....., R SC I I = TE -1 O Q $ r i [L. • 601.4 R - TO LOT L6T 13 t r' _ ) ivE~ Tl'oi r ^ _ _ LOT 12 _ 130.460 SO. fT . LOT 3 • 170,679 SO. ACRES • Be 170.6T9 160. FT. 3.00 ACRES ~A J MARSHA . , `.I ; • 3.00 ACRES 33• 33' ►ROIOSLI I I . ROADWAY 8 I x 8 .vl d1 1n1 .V. ar .Nt NI u1,4Y-~-N• w 1Pt )u+. ul.se' F•I at vl ..-396.34' - N89.27'37-W 823.00' p R' 01 Has•n SrW - ROAD 8 - -WALSH -S:..f WE -_--N09.27'37•W 4207.3. e23•00' WI 41 M1 464.34' 66.00 855.49' >I [LI I, i' N89.2T'37•W I I I ' rA1 sl. - 39d.N I 1 ,r71 .QM71 (14 I - 1-•I MI . I Sa• 1 SO' 01 OI' w l I JI LA ; =11 91, iL _j . O I . CCI ~1 ^yUI cos g N W1 t Y 1 • C4 I (..N LOT 2 ? ~ tJl 1 e J N N 131.207' so. FT. `f f M,O I 3.01 ACHES R MU_ - CERTIFIED SURVEY MAP. IN_ VOLUME 7, FPN:1989 ,37.Or- -73.00• S89.2T'3T-E 416.9o' • )98 .a1• S09.37.37•t Nh90' gQ8.41' 33'W 431.52' _ ' . DOC : NO. 438728 t• R N c rv I N lt LOP SMALL Ti TRACN - 144.82: to. FT. N N 1. - 1_ lT:: ? R b 7.32 Acfts n •°o i 1 0 . 114 't I 449.90' . N89.27'37'W Rcvlsc sto •rN1s I C'~~ 1 7 ` ` 5LEi78N 3f LOT V, CERTII_IEQ SURVEY MAP IN VQLUM~ 5, ! 1 1 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER MAEUNG ADDRESS 1~ ~/7 a9 1n~ 1,~ PROPERTY ADDRESS 2~ (location of septic system) Please obtain from the Planning Dept. CITY/STATE - y PROPERTY LOCATION 1/4, -5,9-_ 1/4, Section TN-R_W 'SOWN OF ST. CROIX COUNTY, WI SUBDIVISION,: LOT NUMBER CERTIFIED SURVEY MAP _,VOLUME , PAGE , LOTNUMBER t1f_ 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. 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 leted and returned to the St. Croix County Zoning Officer within 30 days of the three ye xpiration te. SIGNS DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 STC - loo ti 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 Location of property 1/4 _1/4, Section ,T`j4! N-R&_W Township Mailing address Address of site 14;2 Subdivision name Lot no. other homes on property? Yes No Previous owner of property Total size of property Total size of parcel Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes No Volume and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. ature of AX licant Co-Applicant Date of Sianatt]re natP of Sinnatiira VOL' 5 y 526292 WARRANTY DEED DOCUMENT NO. This Space Reserved For Recording Data REGISTER'S 071H ST. CROIX E, 1'v i THIS DEED made between STEVEN W. HENNING and Recd for Record NORMA J. HENNING, husband and wife, Grantors and JAMES F E B 2 7 1995 R. TRAEGER and TAMMY L. TRAEGER, husband and wife as 12:45 P. y joint tenants, Grantees, at M Witnesseth, That the said Grantors, conveys to Grantees the Register of Deeds following described real estate in St. Croix County, State of Wisconsin: Lot 5, Plat of Deerfield in the Town of St. Joseph, St. Croix County, Wisconsin. M1 _4 f 0 ..~~This is not homestead property. TOGETHER WITH and SUBJECT TO reservations, restrictions, easements and rights-of-way or record, if any. Together with all and singular the hereditaments and appurtenances thereunto belonging; And Steven W. Henning and Norma J. Henning warrant that the title is good, indefeasible in fee simple and free and clear of encumbrances, and will warrant and defend same. Dated this 24th day of February, 1995. (SEAL) STEVEN W. HE G __4 6~b" ~ (SEAL) NORMA J. NNING STATE OF WISCONSIN ) ss. ST. CROIX COUNTY ) Personally came before me this 24th day of February, 1995, the above-named Steven W. Henning and Norma J. Henning, to me known`. Pgrs ns who executed the foregoing instrument and acknowledged the same.• ~y 1 a ~40TA~ OA r pP li( State of Wisconsin ion Expires: ofe91isr, oua~is~• THIS INSTRUMENT DRAFTED BY: RETURN TO: Barry C. Lundeen MUDGE, PORTER, LUNDEEN & SEGUIN, S.C. 110 Second Street Post Office Box 802 Hudson, Wisconsin 54016