HomeMy WebLinkAbout032-2043-20-000
O Go
m
0
H
0
0
N
M ~
C
r
C
Zt
r
N
i O
C z
ti c
~ O
3 _0
I a
3 M
Z y
O CO OO
z
crow am
F- cn
c
o
O z c
z
c ~z~ o
ti f-
c E a
.0 N M
N ~
y d Q
y
•N y L Q
a m
o a O
N ZCD Z
Z
w
N
N
OI d f0
a U
oa
0
bap ZN> as U
X000 Z
•N o -6IL CL IL
a c
E
fn J V L O O
U O ~
Z o = ~ ~
a co y O
VI d
I;L ~ d ar ~ co
O 00 C ~ N C O
O ° `n F°- c 0 a 0 o rn
N Y m
O cc O d C N N N
O N O
=1 4 00 N 0 CO ny 00 N M .a w C t
p V)
l6 R U
• O O fA J N O Z C U)
V d A a
L: CL
• a m U d
LO) (L U) 0
(COD) r N
JUl 20% << FILED a
JUL 5 1995 ►
KATHLEEN H. WASH
530892 s~cro%co,
CERTIFIED SURVEY MAP
Located in the SEJ of the SEJ of Section 11, T30N, R19W, ,jij~v1 Somerset,
St. Croix County, Wisconsin. yep ~a
r~ n
t4+~. qN~~ ~tt .
t ,
>f LLE
fay.C~1 P Y.
W110 UDSON,
Wis.
North line of the SEIy of the SEIy
0 Ld S89 °38 `43"E 1318.66'
y y
' 219.75.'
j~ cm 1098.91'
cnl / ~1~.. v~1
r1I ~ n I
zi '-71
LOT 1
30.07 Acres Inc. R/W I n1
LJ~ _ 1,309,938 Sq. Ft. 1J1
~I 29.61 Acres Exc. R/W
CI 2 1,289,719 Sq. Ft.
UQ1 i H BASS LAKE ~
`i LI
N r-IROVED
N
° S89024'04. 11E 660.00' `-1
1-1
c w 329.51' 330.49' \ 5
N
N r` N \JUL N
e- r
t o ulx caura:
CD :r iii a ive Plantar -4 w
o z ? onin d °
c Commi~ r°„
i 5
o ,F
o LOT °
M \ - LD ^O d
wry : wain, 3WID da
10 10.00 Acres In R/W .a'A xa raf dlat-,3 1 J
'uupyvjwgS ►an h:) M
435,599 Sq. Ft. \ I
9.58 Acres Exc. /W \ o Air
417,405 Sq. Ft.
N
~ House
N Septic....a .
N Co
/ S8903712011W Wel~
666 N89°38'47i'W I 2 ' S7 82'
663.86
_ ~out-F-i i ne-of the SE-, N8902 W'W 1Ua. 86' 13
_
-N89°24'04"W
i 1323.86'60TH AVENUE -':::~SE Corner of
Sly Corner of _ Section 11
Section 11 LEGEND U e -ral TI_ u L6- LJI)c
B Aluminum County Monument Found
O 1" x 24" Iron Pipe set, weighing
1.68 lbs per linear foot
. • • • • • . • 100 foot road, setback line OWNE_R_
75' water setback line
Jeff Boardman
( 812 160th Avenue
New Richmond, WI 54017
Scale in Feet 1" = 200'
0 50 100 200 300 This instrument drafted by Michael Erickson Job No. 95-48 O
VOLUME 10 PAGE 2951
A,
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER - Z
ADDRESS_
tA 17-
SUBDIVISION / / CSM# Jy/J4, LOT
SECTION T 34 N-R W, Town of
SD ryj ew '
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
3 ~a
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
BENCHMARK: l Z~ -5-7 4-,Z/ee
ALTERNATE BM:
SEPTIC TANK / / HO
Manufacturer: Liquid Capacity:
Setback from: Well House a3 Other
Pump: Manufacturer AVA Model# Size
Float seperation Gallons/cycle:
Alarm Location
SOIL ABSORPTION SYSTEM
Width: /a Length 7 a Number of trenches
Distance & Direction to nearest prop. line: ,.3p sue,
Setback from: well: House -5& Other
ELEVATIONS
Building Sewer ST Inlet. 1641, 6, ST outlet
PC inlet PC bottom 17-- Pump Off S~
i
Header/Manifold Bottom of system
Existing Grade Final grade 143
DATE OF INSTALLATION: 2 - 9
PLUMBER ON JOB: Qtvley.5
LICENSE NUMBER: S~3
INSPECTOR:
3/93:jt
Wisconsin Department of industry, PRIVATE SEWAGE SYSTEM County:
Labor ndHuman INSPECTION REPORT ST. CROIX
Safety and Buildings ngs Division
(ATTACH TO PERMIT) Sanitary Permit No-:
GENERAL INFORMATION
Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State Pla2IP917.78
LUTZ, - DAVID X
CST BM Elev.: Insp. BM Elev.: BM Description: Somerset Parcel Tax No.:
m , I/0 r 1 4,0,41 Y r
TANK INFORMATION ELEVATION DATA A9500373
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Z. 91 oc"S.- Benchmark /oz' k
Dosing
Aeration Bldg. Sewer rz.-q
Holding St / Ht Inlet ~o 1
TANK SETBACK INFORMATION St/Ht Outlet
Vent
TANKTO P/L WELL BLDG. Ai,ito ntake ROAD Dt Inlet
Air
I
Septic 3a S ' " a 3 ' >j S ' NA Dt Bottom
Dosing NA Header/Man. SG' wv, 3
Aeration NA Dist. Pipe y•~g' ioo, i`r
Holding Bot. System 9~.
PUMP/ SIPHON INFORMATION Final Grade /03.
Manufacturer Demand
Model Number GPM
TDH Lift Los System TDH Ft
Forcemain L Dia. Dist. To well
en i
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS a 12 - / DIMENSIONS
LEACHING Manufacturer:
SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM
INFORMATION -Type-07 CHAMBER Moe Number:
System: 14-14 3~l0 53 t~su¢ /'~o OR UNIT
DISTRIBUTION SYSTEM
Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. Length Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges 3c`-3 ` Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: Somerset.11.30.19W, SE, SE, Lot 2, 160th Avenue
J'e
Plan revision required? ❑ Yes R(No /
Use other side for additional information. / 5~ 9~ (QhJ 'y ~O
SBD-6710 (R 05/91) Date Inspector's Signature Cert No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
i
SANITARY PERMIT APPLICATION Butereaauu oand f of B uildilding Water ater Sy
Bu stems
201 E. Washington Ave.
In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969
Madison, WI 53707-7969
• Attach complete plans (to the county copy only) for the system, on paper not less County
than 81/2 x 11 inches in size- St. G'r'o'X
• See reverse side for instructions for completing this application State Sanitary Permit Number
a
The information you provide may be used by other government agency programs ❑ Check if revision to previous application
[Privacy Law, s. 15.04 (1) (m)].
State Plan I.D. Number
A APPLICATI N INFORMATION - PLEASE PRINT ALL INFORMATION
Property Owner ame Property Location
114 .Se 1/4, S T 36 , N, R /7fror) W
Property Owner's Mailing Adgrfss Lot Number Block Number
T-W 1-0 t a
Ci yt Zip Code Phone Number Subdivision Name or CSM Number Q Se
(7/r)ay63gy.3 - 9qS ()61 1 o C-~
II. TYPE F BUILDING: (check one) ❑ State Owned it earest Road
❑ Village 6O-a
Public 1 or 2 Family Dwelling - No. of bedrooms _-3?_ Town OF JcGs>~r7rtr
III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment/ Condo 03.;) o? O
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 online B, if applicable)
A) 1. `[9 New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. E] Repair of an
------System System Tank Only Existing System ____-----Existing System
B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 gSeepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12I_
Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit 43 ❑ Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade
Required (sq. ft.) Proposed (sq. ft_) (Gals/day/sq. ft_) (Min./inch) Elevation
ISO 700 90 , 5 -V9 91')6S Feet /0.?. 25' Feet TANK Capacity
VII. FORMATION in gallonTotal # of Manufacturer's Name Prefab. CoSite n- Steel Fiber- plastic Exper.
New Existin Gallons Tanks Concrete glass App.
structed
Tanks Tanks
Septic Tank or Holding Tank ❑ ❑ ❑ ❑ ❑ + IR Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Nam Print) Plumber's Sign tur : (No Stamps) /MPRSW No.: Business Phone Number:
4 I SC3 Z, S- ~.Y6 - 5/3S
Plumber's Address (Street y, State, Zip Code):
P? 4 9
Al~_ A)~ 2,c," S.p D <
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includes Groundwater ate Issued Issuing A ent Sig ature (N tam )
Surcharge Fee)
Approved ❑ Owner Given initial / 1t ~L
Adverse Determination
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD-6398 (R. 05/94) ' 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 a time of renewal any new criteria in the
Wisconsir: Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes i i ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-6399) to be submitted to the
county pr,or to installation
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever
necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of
Wisconsin., Safety and Buildings Division, 608-266-3815-
To be complete and accurate this sanitary permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the
system is to be installed.
II. Type o1 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. Cheek only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair.
V. Type of system. Check appropriate box depending on system type.
Vl. Absorption system information. Provide all information requested for numbers 1 through 7.
VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and
manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and
holding tanks for this system. Check experimental approval only if tanks received experimental product approval from
DILHR.
VIII. Responsibility statement. Installing plumber is to fill in narne, license number with appropriate prefix (e.g. MP, etc.), .
address and phone number. Plumber must sign application form.
IX. County/ Department Use Only.
X. County/ Department Use Only.
Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must
include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic
tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon
tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served;
B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume;
elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section
of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can
effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
Q
' /194
r
'oool
fc,
Ott
77-
5
PAGE OF
CrU S S ec I v n o Sy Seen-~
01,411 /r,¢ s~ -sue s~ l d
Fresh Air Inlels And Observation Pipe
n Approved Vent Cap
Minimum 12" Above
Final Grade
20- 42" Above Pipe _ 4" Cat Iron
To Final Grade Vent Pipe
Marsh Hay Or Synthetic Covering
I Min. 2" Aggregate -
Over Pipe
Olitributlon
Pipe 0 0 0 0 -Too
! 6" AIgregate
aL Perforated Plpe Bdow
Beneat It Pip e
I-Cokollng Terminating AI
Bottom Of SrUem
SOIL. FILL
DISTRIBUTIOU PIPE
APPROVED S'JMPETIC COVER
c ,c o
MAT_ROR q" OF STRAW
OF AGGREGA?E OR MARSH HAy'
pD Zs' t~.OF l2 -fit/x AGGREGATE
tL[V OF!
FEET
DI•S-1-1115UTIOU PIPE TO BE AT LEAST INCHES BELOW OR1G'IhJAL GRADE
AUU AT LE;AST20 INCHES BUT. KIO MORE THAI) 42 IMUES BELOW FINAL GRADE
I
MAXIMUM 0al"M OF EXOAVATI00 FROM ORI&VI AL 6RAoF WILL BE ~j~ - INCHES
MIKtMUM ger Ili of EXCAVATION ROM:O"KI41WAL CjRaDf WILL BE INCHES
SIGAIED:
LIC EW SE UUMBE R:
DATE:'
Labor a M HUrldn Relations
Division of Safety 6 BUIdings -
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 St. Croix
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. n 3 aaO 3 -Q,
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY; OCATION
David Lutz GOVT. LOT SE 1/4 SE 1/4,S11 T 30 N,R 19 rigor) W
PROPERTY OWNER'S MAII.ING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
1718 112th. St. na na csm
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY (:IVILLAGE)&TOWN NEAREST ROAD
New Richmond, WI. 54017 (719 246-3843 Somerset 160th. Ave.
14 New- Construction Use Residential / Number of bedrooms • 3 Addition to existing building
O Replacement O Public or commercial describe
Code derived daily flow 450 gpd Recommended design loading rate • 5 bed, gpd/ft2 •6 trench, gpd/ft2
Absorption area required 900 bed, ft2 750 trench, ft2 ` Maximum design loading rate _-5 bed, gpd/ft2 •6 trench, gpd/ft2
Recommended infiltration surface elevation(s) 99.25 ft (as referred to site plan benchmark)
Additional design / site considerations na
Parent material pitted glacial drift Flood plain elevation, if applicable na ft
[7- ble for system CONVENTIONAL MOUND IN GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK
U for SYStem ®S ❑ U ®S ❑ U M ❑ U 91S ❑ U ❑ S ID U ❑ S ~l U
SOIL DESCRIPTION REPORT'
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bound y Roots GPD/ft•
in. Munsell C1u. Sz. Cont Color Gr. Sz. Sh, Bed rta
1 1 0-8 10 r2/2 none 1 2 mgr mfr jqw lm .5 .6
2 8-26 10yr4/4 none sil lfsbk- mfr gw lm .2 .3
Ground 3 26-34 7.5yr4/4 none sicl lfsbk mfr 9w if .2 .3
elev. 4 34-68 7.5yr4/4 none sl .2msbk mvfr gw na .5 .6
39.75 fL
tkpthto 5 68-88 7.5yr4/6 none S Osg• ml na na .7 .8
limiting
factor ( .
+88"
Remarks:
Boring #
1 0-7 10yr2/2 none 1 2msbk mfr 9w 1M .5 .6
2 2 7-22 10yr4/4 none sil lfsbk mfr 9w lm .2 .3
3 22-42 7.5yr4/4 none sicl
Ground lfsbk mfr if .2 .3
elev. E 4 42-69 7.5yr4/4 none sl 2msbk mfr gw na .5 .6
L03.65 tt
5
Depth to 69-96 7.5yr4/6 none S Osg ml na na .7 .8
limiting
factor
+96"
Remarks:
T Name:-Please Print Gary L. Steel Phone:
715-246-6200
Address: 1554 200th. Ave. ew Richmond, WI. 54017
Signature; Date: CST Number:
11-16-94 cstm 02298
~rii - ~iviL w.~.7'vii:: i1::7 : ::i: s •-y
/ 4
,~g # Horizon Depth I Dominant Color Mottles (Texture I Structure I GPD/ft
in. Munsell Chu. Sz. Cont Color Gr. Sz. Sh. Consistence , Roots Bed ITrench
1 0-9 10yr2/2 none 1 2mgr mvfr 9w lm .5 1 .6
k..
3
2 9-24 10yr4/4 none sil lfsbk mfr 9w lm .2 .3
Ground 3 24-3 7.5yr4/4 none sicl lfsbk mfr gw if .2 .3
elev.
102.75ft. 4 34-54 7.5yr4/4 none sl 2msbk mfr 9w na .5 :6
Depth to 5 54-88 7.5yr4/6 none S Osg mi na na .7 .8
limiting
factor
+8811
Remarks:
Boring #
1 0-7 10yr2/2 none 1 2msbk mfr gw 2m .5 .5
4 2 7-24 10yr4/4 none sil lfsbk mfr 9w lm .2 .3
3 24-36 7.5yr4/4 none sicl lfsbk mfr gw if .2 .3
Ground
elev. 4 36-58 7.5yr4/4 none sl 2msbk mvfr gw na .5 .6
102.25 ft
5 58-88 7.5yr4/6 none S Osg ml na na .7 .8
Depth to
smiting
factor
+88"
Remarks:
Boring #
1 0-6 10yr2/2 none 1 2msabk mfr gw 2m .5 1.6
5 ' 2 6-1 10yr4/4 none sil lfsbk mfr gw lm .2 .3
3 15-25 7.5yr4/4 none Ski lfsbk mfr gw if .2 .3
Ground 4 5-52 7.5yr4/4 none sl 2msbk mvfr gw na .5 .6
elev.
98.75 ft
5 2-86 7.5yr4/6 none S Osg ml na na .7 .8
Depth to
smiting
fac®r
FT
Remarks:
Boring #
S
Ground
elev. ft
Depth to '
Idling i
factor
Remarks:
SBD-8330(R.OS/92)
STEEL'S SOIL SERVICE
jary L. Steel David Lutz 1554 200th Ave.
CSTM2298 SE-4 SE4 S11-T30N-R19W New Richmond, WI 54017
MPR4SW 3254 town of Somerset (715) 246-6200
I
N
1"=40'
BM.= top of 111 steel pipe at el. 100' w/ marker
Alt. BM.= nail in tree at el. 100.95
,too ~Y-fi {.-0-1 ,C,, cr c
21
1
C eff
I p 2 2 ~ ~ ~S" 2~-,~I
Gary L. Steel
11-16-94
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3
Labor a%d Human Relations
Division of?;afety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # St. Croix
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
David Lutz GOVT. LOT SE 1/4 SE 114,S11 T 30 N,R 19 M(or) W
PROPERTY OWNER':S MA!I_ING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
1718 112th. St. na na csm
CITY, STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGEy TOWN NEAREST ROAD
New Richmond, WI. 54017 (719 246-3843 Somerset 160th. Ave.
[ x] New Construction Use ( Residential I Number of bedrooms 3 [ ] Addition to existing building
j ] Replacement Public or commercial describe
Code derived daily flow 450 QDd Recommended design loading rate • 5 bed, gpd/ft2 - 6 trench, gpd/ft2
Absorption area required 900 bed, ft2 750 trench, ft2 Maximum design loading rate • 5 bed, gpd/ft2 .6 trench, gpd/ft2
Recommended infiltration surface elevation(s) 99.25 ft (as referred iu site play Ltmianch7lnrk1
Additional design / site considerations na
Parent material pitted glacial drift Flood plain elevation, if applicable na ft
S - Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable fors stem ®S ❑ U JK] S ❑ U XS ❑ U IKI S ❑ U ❑ S K]U ❑ S :E1U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed TrerK:h
:::?:.Yinhwii '1
1 0-8 10yr2/2 none 1 2m r mfr CrW
lm .5 .6
2 8-26 10yr4/4 none sil lfsbk mfr gw lm .2 .3
Ground 3 26-34 7.5yr4/4 none sicl lfsbk mfr gw if .2 .3
elev. 4 34-68 7.5yr4/4 none sl 2msbk mvfr gw na .5 .6
99.75 ft,
5 68-88 7.5yr4/6 none S Osg ml na na .7 .8
Depth to
limiting
factor
+88"
Remarks:
Boring #
0-7 10yr2/2 none 1 2msbk mfr 9w 1M .5 .6
2 ` 2 7-22 10yr4/4 none sil lfsbk mfr gw 1m .2 .3
3 22-42 7.5yr4/4 none sicl lfsbk mfr CIW if .2 .3
Ground
elev. 4 42-69 7.5yr4/4 none sl 2msbk mfr gw .5 .6
103.65 ft.
5 69-96 7.5yr4/6 none S Osg ml~ n e.8
Depth to
limiting
factor
+96n
~s c
Remarks: c
CST Name:-Please Print Phone.
Gary L. Steel 715- °,,6 2
~ry.
Address: 1554 200th. Ave., ew Richmond, WI. 54017
Signature: Date:
11-16-94 cstm 022
PROPERTY OWNER David Lutz SOIL DESCRIPTION REPORT I?as~ of .3
PARCEL I.D. #
Boring # Horizon Depth Dominant Color Mottles (Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed lTmn ch
::'aka?> ' 1 0-9 10yr2/2 none 1 2mgr mvfr gw lm .5 .6
3
2 9-24 10yr4/4 none sil lfsbk mfr gw lm .2 .3
Ground 3 24-3 7.5yr4/4 none sici lfsbk mfr 9w if .2 .3
elev.
102.75ft. 4 34-54 7.5yr4/4 none sl 2msbk mfr gw na .5 .6
Depth to 5 54-88 7.5yr4/6 none S Osg ml na na .7 .8
limiting
+8811
Remarks:
Boring #
1 0-7 10yr2/2 none 1 2msbk mfr gw 2m .5 .6
t: 4 2 7-24 10yr4/4 none sil lfsbk mfr gw Im .2 .3
:~A{{ Ci{Ki'r:: i
3 24-36 7.5yr4/4 none Ski. lfsbk mfr gw if .2 .3 I
Ground
elev. 4 36-58 7.5yr4/4 none sl 2msbk mvfr gw na .5 .6
102.25 ft.
5 58-88 7.5yr4/6 none S Osg ml na na .7 .8
Depth to
limiting
factor
+88"
Remarks:
Boring #
1 0-6 10yr2/2 none 1 2msabk mfr gw 2m .5 .6
5~', 2 6-1 10yr4/4 none sil lfsbk mfr gw lm .2 .3
3 15-25 7.5yr4/4 none sici lfsbk mfr gw if .2 .3
Ground 4 5-52 7.5yr4/4 none sl 2msbk mvfr gw na .5 ' .6
elev.
98.75 ft.
5 52-86 7.5yr4/6 none S Osg ml na na .7 .8
Depth to
limiting
Apr6
+8"
i
Remarks:
Boring #
Ground
elev. j
ft.
Depth to
IimiUng
factor
Remarks:
SBD-8330(R.05/92)
STEEL'S SOIL SERVICE
Gary L. Steel David Lutz 1554 200th Ave.
CSTM2298 SE4 SE4 S11-T30N-R19W New Richmond, WI 54017
MPRSW 3254 town of Somerset (715) 246-6200
1
N
1"=40'
BM.= top of 1" steel pipe at el. 100' w/ marker
Alt. BM.= nail in tree at el. 100.95
Xa rY-1,► l,. p-1 ~i N C
O Z 24,
Gary L. Steel
11-16-94
.t ~
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
` St. Croix County
OWNER/BUYER lpau ; d L~~z
MAJI.ING ADDRESS t "I 1`9 11 a.A
PROPERTY ADDRESS -190 _ 1\ T U4-,
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE 4,0 iC ~vrn pl\ ci 0:, (4 O I
PROPERTY LOCATION S 1/4, S E 1/4, Section T 3 C7 N-R l W
TOWN OF Sc9 M 2 ors ,e~ ST. CROIX COUNTY, WI
SUBDIVISION s - J a\ lggs LOT NUMER i*
CERTIFIED SURVEY MAP530 g , VOLUME I O , PAGE a9sl, LOT NUMBER a
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.owncr,
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/\'Ve, 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~
DAFT
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
11,
Hudson. W1 5,1016
l S T C - 100
This application form is to be completed in full and signed by the
owner(s) of the property being developed. Any inadequacies will
only result in delays of the permit issuance. Should this
development be intended for resale by owner/contractor, (spec
house), then a second form should be retained and completed when
the property is sold and submitted to this office with the
appropriate deed recording.
Owner of property 0 a.'4; - k--s. aY~~
Location of property $ 1/4 Srr- _1/4, Section T_30 N-R_-12_W
Township Mailing address
j_
, ]qIX -a
0'a L.1 S o [T
Address of site 1'g 0 - I to Ave,
Subdivision namet0 10 Q, a9s I - -31-A14 t' Lot no. _
Other homes on property? Yes k No
Previous owner of property S.
Total size of property l0 Ac
Total size of parcel
Date parcel was created 191S
Are all corners and lot lines identifiable? _ Yes No
Is this property being developed for (spec house) ? Yes _,L_No
Volume -11310 and Page Number a 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. -53 11Q , 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
II - o~- °►S
Date of Signature Date of Signature
N
JUL 5 1995 ►
53089 %Z fiwa Wei '
A Crab
CERTIFIED SURVEY MAP
Located in the SE! of the SE} of section 11, x30N, R19W,6~i Somerset,
St. Croix County, Wisconsin. %'9
y,r!t ► w
AOL
01
~ f
•L.
N
K~ i-North line of the SEk of 'thn SEk -
~N= S89'38'k3"E 1318.66'
v o 219.75 1098,91'
l I
I V~~
LDT 1
G`I 30.07 Acres Inc. R/w nl
IUi ` 1,309,938 $q. Ft.
I
I~' W 29.61 Acres Exc, R/W
1,289,719 Sq. Ft. II
U01 Li QLAM L~iK
'(-7-416VED
\ N
589924'04,IT 660.00' \ en
W 329.51' ~t 330.49 5,95
N 1-4
• 1
1r
N i uIX COUNT r
w "JU liie No Planvit m
o \ ,a
anin d
S + Commtt~
ki
w
t 196 LOT 2 „ „o 0
`O 10.00 Acres Inc, R/yy f~` ire[x4147~ d9l~
435,599 Sq. Ft. (2 th xtvmvd help au
9.58 Acres Exc. RA
417,405 Sq. Ft. \
^ House
N \ Se4t Q
we l
N
660,000
•}6.}0 , 00 0 j89.j8' 41 uW M
669.86'
of the E'k N8~
-TI8902 44 no
4 0 " -
4..bL_ 1323.86'_
23.8 ' L-- 60TH
5>4 Corner of AVENUE 2S;7-Corn-9r of
of
Section 11 _ I,EGENT3 _ Ssetivn 11
!9 Al umi num County Monument Found L~~~I;~~I `Isi
O 1" x 2411 Iron Pipe set, weighing
1.68 lba per linear foot
100 foot road setback line OWNE R
75' water setback line
Jeff Boardman
812 160th Avenue
Now Richmond, wl 54017
Scale in Feet 1" d 200'
0 50 100 200 300
This instrument drafted by Michael Erickson Job No. 95-48
VOLUME 10 PAGE 2951 '
State Bar of Wisconsin Form 2 - 1982
531197 WARRANTY DEED
VOL 1130PAGE247 F, 71, ` ~ n=
DOCUMENT NO. _ vV•Cf'"L,. 1 JJ.0C'J
NaC'd toe
Jeffrey S. Boardman, a single person, - JUL 13 1995
ut 9:45: A. M
conveys and warrants to David W. Lutz and Karen G. Lutz, f16918tstOf I a
husband and wife,
O THIS SPACE RESERVED FOR RECORDING DATA
NAME AND RETURN ADDRESS
b«,,-
the following described real estate in St Croix $p
County, State of Wisconsin: 1j" P,IC41 Y►' ono `-VV J 7
(Parcel Identification Number)
i j
Part of SE1/4 of SE1/4 of Section 11, Township 30 North, Range 19 West,
St. Croix County, Wisconsin, described as follows: Lot 2 of Certified
Survey Map filed July 5, 1995, in Vol. "10", page 2951, as Doc. No. 530892.
Reserving unto the Grantor herein, his heirs and assigns, an easement for
ingress and egress over the Westerly 40 feet of the above described property.
ESL
This is not homestead property.
(is not)
Exception to warranties: Easement, restrictions and rights-of-way of record, if any.
Dated this day of rub., '19---
(SEAL) (SEAL) (SEAL)
* Jeff a S. Boardman
(SEAL) _ (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
s~'tt""'(g), Jeffrey STATE OF WISCONSIN
S. Board SS.
t
County.
da of , 1 OIL Personally came before me this day of
19 the above named
~f~r • 3• ';(~~s TATE BAR OF WISCONSIN
rued by §706.06, Wis. Stats.) to me known to be the person who executed the
foregoing instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
Kristina Ogland
_ Attorney at Law Notary Public County, Wis.
(Signatures may be authenticated or acknowledged. Both are not rvty commission is permanent. (If not, state expiration date:
19---•)
necessary.)
'Names of persons signing in any capacity should be typed or printed below their signatures.
WARRANTY DEED STATE BAR OF WISCONSIN Milwaukee, Wis.
FORM No. 2 -1982
J