HomeMy WebLinkAbout040-1005-70-000
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APR
i 1975
{
FAME Cs- : vrvdlEt;. ~I t r
r,, X0E(ielar C,e •.zy d
d E l i ( ~ iY,l/
NE CORNER SECTION 3
28N,R19W
M
CURVE DATA z
M' R 407' o_
M M OUTHERLY RIGHT-OF- A : 8,9.003'40" I-
_ WAY LINE L = 632.64' v
W
T.9.=S0°09'40"W 0
S880 4'E 707.07' - 3 0
ego 347.91' 351.16' \o \ o o
S
40 ~ 01 1~ W
In z
00 N W
NE I/4- NE \ W 'SOUTHWESTERLY
p RIGHT OF WAY LINE
A
'GD 16 z
44 o M 45 = 0 46 47 ~'o\ ' \1
z c0 5.02 ACRES o N 5.01 ACRES a 5.02 ACRES F Q
z W 0 w
zz
I
135028')0"
0009' 4d' W 6 6' I
21 o.od I 33'
WESTERLY RIGHT OF WAY LINE
900 347.85' 351.08' 406.60' 0940 I
900
WEST I POINT OF BEGINNING 66E0, TRUE BEARING
50 I 49 1 48 1 1
SCALE
SURVEYED FOR: K. B. Priester 200 0 100 200
619 2nd Street, Hudson, Wi. S4016
LEGEND
0- SECTION CORNER MONUMENT
O - 1" X 24: IRON PIPE
WEIGHING 1.68#/LINEAL FOOT.
DESCRIPTION:
A parcel of land located in the NE1/4 of the NE1/4 of Section 3, T28N, R19W,
Town of Troy, St. Croix County, Wisconsin described as follows: Commencing at
the NE corner of said Section 3; thence SO°09'40"W (true bearing) 1257.07' along
the East line of said NE1/4 of Section 3; thence West 66.02' to the point of
beginning; thence West 1105.531; thence North 631.681; thence S88°54'E 707.07'
along the Southerly right-of-way line of an existing town road; thence South-
easterly 632.64' along the Southwesterly right-of-way line of said existing
town road on a 407' radius curve concave Southwesterly whose chord bears
S44°22'10"E 570.85'; thence SO°09'40"W 210.00' along the Westerly right-of-way
line of said existing town road to the point of beginning.
I certify that the above description and map are correct and that I have fully
complied with the provisions of Sec. 236.34 of the Wisconsin Statutes.
Date: March 5, 1975
~~a~Na~~~i~ G
%X or
0N`s/~'►~►~ FRANCIS H. OGDEN S-88 Job No. 73-297 `
FRANCIS H.
t OGDEN 1
{ S•882
RIVER FALLSd Q.
32f A" WA%
00
SCR, '4 ~ 'rc1 m:, T Pare 1.01
. ~uu~aN
VUSTR ENT °F REPORT ON SOIL BORINGS AND SAFETY & B DIVLDINGS
ISION
rI.D LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 53969
HUMAN RELATIONS
(ILHR 83.09(1) & Chapter 145)
LOCATION: SECTION: TOWNSHIPtmbwte- AI=#Y: LOT NO.:BLK. NO.: SUBDIVISION NAME:
F V4 3 /T.. 9 N/R E (or
COUNTY- OWNER'S/BUYER'S NAME: MAILING ADDRESS:
T ! USE DATES OBSERVATIONS MADE
rr,,!! NO. BEDRMS.: ICOMWRCIAL DESCRIPTION: / PRO I DESCRIPTIONS: 1PERGOLATION TESTS:
L~JResidence
3 C~New ❑Replace
RATING: S= Site suitable for system U= Site unsuitable for system
CONDVEN
S RU TIONAL: M[]U -PRESS RE: [-FILLIHOLDING YSTENTANK: RECOMOD~D SYSTEM: (optional)
If Percolation Tests are NOT required DESIGN RATE: U LVJ,V
If any portion of the tested area is in the
under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS a.1
1 52.
BORING TOTAL DEPTH T GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED S HES TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B- sue, /l'cd i I ft Wi977 / N Pur rrC~.
J es `C ,8 SSA' S S.~/.~ ~•1 w <<ds7L>Som
y DoT
B- 3 s2 8.s c s '
B- y~ (f yZ
' / sue,' • ~ ' „ / s ' s ,C s
B-
B-
PERCOLATION TESTS
,
TEST DEPTH WATER IN HOLE TEST TIME DROP 1 WATER LEVEL-INCH S RAT MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. -PERIOD 1 P RIO PER INCH
P_ 1 led, Z d i / 'S/L .7 Sr-
P- L z d s LJs s 3
P- 2- e v -r/r- Z f s P
P- Z O
P-
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Descri wha~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 dir tionland percent
of land slope.
SYSTEM ELEVATION
eD., Wooer
r ;
(
4Z : j J -
I~iSGtH~i ~G~O.O, y
~J
A
k =~ov v
I ~
r1
= P-,v tlrir.l ~ - _ r
I
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.
DAVE FOGERTY PLUMBING
NAME (print): TESTS WERE COMPLETED ON:
03233 #k3289
Fogerty He' hts Road
ADDRESS: "OBERTS,- WISCONSIN CERTIFICATION NUMBER: PHONE NUMBER (optional):
Phone 749.3656
CST SIGNATURE:
2
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 10/83) - OVER -
C PA T-RY, T OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
I~l1SRY DIVISION
i.ABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 7969
HUMAN RELATIONS
(ILHR 83.0911) & Chapter 145)
LOCATION: SECTION: TOWNSHIP/ib}Lifd+E~Y: LOT NO.:BLK. NO.: SUBDIVISION NAME:
F '/a ,/a 3 /T v N/R E (or ® tYr L//irr,~v
COUNTY- OWNER'S BUYER'S NAME: MAILING ADDRESS:
T'
USE DATES OBSERVATIONS MADE
~'NO. BEDRMS.: COMMERCIAL DESCRIPTION: ~ L;~/ EPR;fOZFILE-DESCRIPTIONS: PER OLATION TESTS:
l rJ Residence 3 New ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system
OS:
I 2S MOUND: ❑U IN-GROUND-PRESSURE: SYSTEM-IN-FILLHO~LDING T~ : RECOMMENODED SYSTEM: (optional)
rONVENTIONAL
If Percolation Tests are NOT required DESIGN RATE: L✓JU If any portion of the tested area is in the
under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
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.)
sf> ~~i yo ^977 et' "ef.
B- d. 60 s,' ss,/ 1.),7"" 5 'f -S / f 5Z
>re9®
13- 2- J2 75 S
y m o7-
13- ~12-
B-
6-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD PER INCH
P- 1 3.0 i / S/L Z 1-
P- Z L A!& c d f f s 3
P- Z v -
r/GP- L 3s
P-
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Descri wh 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 dir tion nd percent
of land slope. I,fa' f
SYSTEM ELEVATION
i rr ci-o®
3
loo:' ~
a
3
a
e
.
0, 44 1
E
/
E
G: -
?ell
r
,
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.
DAVE FOGERTY PLUMBING
NAME (print): TESTS WERE COMPLETED ON:
#3233 #3289
fogedy He' is Road
ADDRESS: MBEKM, WISCONSIN CERTIFICATION NUMBER: PHONE NUMBER (optional):
Hone 749.3656
CST SIGNATURE: //1 0
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 10/83) - OVER -
4
a
INSTRUCTIONS FOR COMPLETING FORM 115 - SID - 395
To be a complete 1 accurate soil test:, yot.t,' report must irac;lude,
1- Complete legal on;
2. The case sect ion nn clearly indicate whether this is a residence or commercial project;
3. MAXIMUM numb, of: bedrooms or commercial Cts,e planned;
4. Is this a never of r -went system;
b, Complete the su- , raging boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL
OTHER SYSTEM ° RE RULED OUT BASED ON SOIL, CONDITIONS;
. PLEASE usa the ab ~ eviat ions shown here for vaa'iting profile descriptions and completing the plot plan;
7. MAKE A LEGIE. ram accurately locating your test locations. Drawing to scale is preferred. A
Separate sheet may --d i{' desired;
8, Make sure your b> °)('~nlark and vertical elevation reference paint 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 {sot€:h as flood Alai=), elevatior,) does not apply, place N.A. its the aappiopriate box;
11. Sign the form and place your curl ent address and your certification nUrsaber;
12. Mike legible: copies and distribute as required. ALL SOIL TESTS MIDST BE FILED WITH THE
LOCAL AUTHORITY WITHIN :30 DAYS OF COMPLETION,
ABBREVIATIONS FOR CERTIFIED SOIL TESTERS
Sail Separates <~aad Textures Other Symbols
st St€t e 1011j Bedrock
_ Sandstot
cola -E 10")
gr )der 3") L" acts
"`s ~ , „ R titer
cs Co, w = )d P cc e
med s Med' n Sand ltt:e11
fs F'n e Sand -
Is Loarray Sand j r`
"sl Sandy Loam <
~ 1 L,aarn Dn -
"ail Silt Loam Rl
si C y
SO d L;~am R F.
sic i ! i. Loam Mot - ties
sc - Sandy C y w
sic - It fff - lme° faint
~c cc - nation, coarse
pt mr-n i..a' iy, rmaci um
ill "ick d
p
14WL
Six (i, ie t.Yi1
VRP C
TO THE OWNER:
This soil test report is the first step it, securing a sanitary permit. The county or the Department may request
verification of this soil test in the field prior to permit issuance.. R complete, set Of- plans fo,r the private
sewage system and a permit application trust be submitted to the appropriate, lgca4 aVz tior,'ttIy in order to
obtain a permit. The sanitary permit must be obtained and posted prior to the start a( any construction.
ire
i
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER %m.rt I-DEn/SiF i`~/, 77-21 Of
ADDRESS 34:7 1('Ie47r4 - , 14,4.v£
Adso,c/ /fir SYoi
SUBDIVISION / CSM# 'Si 4 iPo/A A90C w~/s LOT # y
SECTION 3 T -990 N-R /9 W, Town of ~,Pa y
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
HO EVERYTHING WITHIN 100 FEET OF S M
I
Sc►fyo 5-,i-,e~ .C/A,f
I
GJC)5,ff C0+n41AJ,4-rronl /000 !M, SCOTiG
T.b'l r A-AJ6 /100 6.41. 9 I fir CN~rn-/iS c'~
S~ H
6AP/~F
o, 'C
1~ I ELE{l. r /Co.7093~ L~ok"JC3 ApkA
k6:5o4P-rio1V /*LA
INDICATE NORTH ARROW.
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
oQ ®r 'BENCHMARK: N
/cam. r2o '
ALTERNATE BM: .iCJo?ro.o iy: &_4 fE CA/ve/z of /CFrynr w or //tai ' ,O
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: GJlzsee Liquid Capacity: /Ovo 6.K
Setback from: Well //(o' House Other
Pump: Manufacturer ~jty~s Model#~ Size o~Z.v
Float seperation Gallons/cycle: 11171, ~G dof4S
Alarm Location -~.vs~D~ f.rsF~cvT of AEw 40X-s.,,0eycB
SOIL ABSORPTION SYSTEM
Width: /O' Length 32?" Number of trenches /
Distance & Direction to nearest prop. line: n" ,Cf r
Setback from: well: /S 6- House 93 Other
ELEVATIONS
Building Sewer 9~ ag' ST Inlet._ 71. ~ 3' ST outlet
PC inlet PC bottom Sg 69' Pump Off
Header/Manifold /0/'1971' Bottom of system /0/40'
Existing Grade 99 a0' Final grade 103•1'y'5'
DATE OF INSTALLATION:
PLUMBER ON JOB: e-e-4 f
LICENSE NUMBER:
P~S 33~t~
INSPECTOR:
3/93:jt
I
I
x Wisabnsiih Departmenfof Industry, PRIVATE SEWAGE SYSTEM County:
daborand Human Relations INSPECTION REPORT ST. CROIX
Safety and Buildings Division
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-:
2 59417119
❑ City El Village [ Town of: State Plan ID No.:
P P tW g Ia`,NOMAS AND DEBRA
I Troy
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
TANK INFORMATION ELE ATIO DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark J 6' Dosing
Aeration Bldg. Sewer
Holding St/Ht Inlet /4~,STr' 9/.73
TANK SETBACK INFORMATION St/ Ht Outlet
TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake 5B 9 i, J3 '
Septic NA Dt Bottom / rJ,G 88. ~7
Dosing NA Header /Man. ~e yq b/ - 8 2'
Aeration NA Dist. Pipe
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade a, 861 16 3, yS '
Manufacturers a, Demand'" y3'-%
r<
Model Number alT - " GPM
TDH Lift FrictionSystem~50 TDH Iq,`I~ Ft
Hea
Forcemain Length;j(i Dia. Dist.ToWell
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS /o DIMENSIONS
SYSTEM TO P/ L BLDG WELL LAKE / STREAM LEACHING Manuf urer:
SETBACK
INFORMATION Type 0 CHAMBER Model Number:
System:/Ix'/- 0 $9' 93 ' l85 CJ //X OR UN
DISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length G Dia. Length Dia.. Spacing _ %y F .SU
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 C~ Bed/Trench Edges s Topsoil ~les ❑ No es ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: Troy.3.28.19W, SE, NE, Lot 47, Deerwood Drive ,
7 f ~ • ;j
l
~ Y 4
' j iX--. O ~ , ~n (~a .k' . 1 ~ - {J 8 ,.i' I af.A"~~ `i "„ifs'
V ✓J
i
Plan revision required? ❑ Yes I 'No
Use other side for additional information. /0' SBD 6710 (R 05!91) Date Inspector's Signature Cert No.
Eai SANITARY P ERMIT APPLICATION
L HR COUNTY
In accord with ILHR 83.05, Wis. Adm. Code
ww,e,aw,w„~w,v~ 5L STATE SANITA Y P RMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than a9
x 11 inches in size.
8 ~ ❑ Check if revision to previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBE`R~
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. SS'~
PROPERTY OWNER PROPERTY LOCATION
. , O"AA S, - - '/4 '/4, S T Ad, N, R 19 E (or)(&
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
r
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
y
ti ,1
rlaurx A0,
11. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD
State Owned VILLAGE -T•?o =W QF: ❑ Public ®1 or 2 Fam. Dwelling-~# of bedrooms 3 A EL UM/B/ )
III. BUILDING USE: (If building type is public, check all that apply)
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
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 B if applicable)
A) 1. ® New 2. El Replacement 3.❑ Replacement of 4.E] 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 22 El In-Ground 42 El 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
_ZP0 „ S" Feet Feet
VII. TANK CAPACITY Site
INFORMATION in allons Total # of Manufacturer's Prefab. Fiber- Exper.
New istin Gallons Tanks Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holdin Tank - - 7
Lift Pump Tank/Si hon Chamber LZ
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print): Plumber's Signature: (No Stamps) AMP/MPRSW No.: Business Phone Number:
zm-n-,s
umber's Address (Street, City, State, Zip Code):
IX. LINTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includeround water Date Issued Issuing Age big o mps)
Approved El Owner Given Initial - ~ Surcharge rJ?y ~~a
Adverse Determination T
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
i
IRSTRUCTIONS
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 (SEID 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 prdfix (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, ocation of
holding tank(s), septic tank(s) or other treatment tanks; building sewers; v ehs; water mains./water service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorp*;on systems; repli cement system
areas; and the location of the building served; B) horizontal and vertica t.le,,atior refere!;c;~ points;
C) complete specifications for pumps and controls; dose volume; elevation d fferences; frict on 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 numb.,-r o`
regulated practices which can effect groundwater.
Tho i-nonies collected through those surcharges are used for monituring ;rc>;z r_'}:• t€'r, ground-
water contamination investigations and establishment of fAanciards.
SBD-6398 (R.11/88)
i
SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
November 10, 1995 2226 Rose Street
La Crosse WI 54603
ZAPPA BROTHERS
715 6 ST N
HUDSON WI 54016
RE: PLAN S95-41423 FEE RECEIVED: 180.00
METTLER, THOMAS
SE,NE,3,28,19W
TOWN OF TROY COUNTY OF ST CROIX
MOUND SYSTEM
The Department has reviewed the above-referenced submittal.
Conditional approval is hereby granted for the system plan submittal. All
noted items must be corrected. The review and approval of the system is based
on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin
Administrative Code, and is contingent upon compliance with any stipulations
shown on the plans. This system has not been reviewed for the code
requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin
Administrative Code.
This plan submittal approval will expire two years from the approval date, or
if a sanitary permit is obtained, plan approval will expire on the day the
initial sanitary permit expires. The licensed plumber responsible for this
installation shall keep one set of plans with the Department's stamp of
approval at the construction site. The installer shall notify the appropriate
inspector when inspections can be made.
All permits required by the city, village, township or county shall be
obtained prior to installation.
Inquiries should be directed to me at the number listed below. Please refer
to the plan number shown above.
Scere ,
M. Sw
Plan Reviewer
Section of Private Sewage
(608) 785-9348
3360R/ 1
SBUA-7887 (K. 10/94)
S95m41428
I 3h
' y RECEIVED
NO V 1 0 1995 ~
~n g SAFETY & BLDGS.
DIV. a
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performance
Curves Pumps FA6e 6 L
METERS FEET
90
MODEL 3885 25 80 SIZE 3/4' Solids
WE15H a 70
w X 20 WE10H
J Fa- ~
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15 50
40 WEOSH
10 30 WE03M
EWEE O3L c
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0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM
I I I I
0 10 20 30 m'/h CAPACITY
Cr~. GOULD SeIECA FALLS NEW YOPK SS PUUMM INC.
METERS FEET
120 MODEL 3885
35 - SIZE 3/a" Solids 110 WE15HH
100
30
90
25 80
a 70 = 20
J
la- 0 x-
50 WE05HH 15
40
10 30
20
5
10
0 0 0 10 20 30 40 50 60, 70 80 90 100 110 120 GPM
I I I I
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CAPACITY 01985 Goulds Pumps, Inc. Effective July, 1985
C3885
S9~ e~ 41 tatxx and human SOIL AND SITE EVALUATION REPORT P~ o~28
Relations -
DlvNbn o1 Safety a lmk lnpo in accord with ILHR 83.05, No. Adm. Code COUNTY
Attach complete site plan on paper not Iew than a 1/2 x 11 inches in size. Plan must Include, but 5 T
not limited to vertical and horizontal reference pohd (BIA, dbection and % of slope, scale or PARCEL I.D. # dmensloned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION /oH E/s~E ~s<TTLE/p om. LOT SE' U4 NE' vo 3 T 2-8 AA IT E ( W
PROPERTY 07 R MAILING ADDRESS LOT # BLOCK # 8 NAME OR CSM 1
jee J (/f TTL6 LN y7 T G/CO/ X ?)G e4l"-S CITY, STATE ZIP CODE P I ER N
/fvOSo,✓ kJ/. Syo/G l7 3 G -~93 o sroo~ Ole .
New Cantruclon Use (-j"Rssldsnlai / Number d bedronme _ 3 (I Addition b exisling attldhy
I I I I Publb or aonrnerdel describe
Code derived dally low V65o gpd Rooommendsd design losdkxg role S bed, gPW- _ber ok gpollt2
Absorplon area requked S-bed, l17 3~._ Yerxch, Ill Maximum design ba ft rate 5 bed, Wftl , & trench, gptW Reoomnended Ndiitralon atxface elevatkxt(s) f PL.
3 it (as referred b sills plan bendxnark)
AddtionaldesignlslN felons 1~'TE .furl- /E ovL~ {i,t? ~1oy-~y 7Y~~" s{~sTt^-~! .
Parent material Sc5 7 /ii &W - , sly- JX;41;" I WX Flood plain elevation, W appl(x,ble NA- 4 0
S
U ■ Unsuilable Wr stern 0 air U OOROUND P~faSURE A0 S 110E Q S N ❑ HOLOW
SOIL DESCRIPTION REPORT
Boring # r2- Depth Dominant Color Mttltles Texture Stricture Ctxtebbrtce Botrdwy Roots GPD/ft In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed MW%h
13 O-(f /0Y 3/2 /041 2-,*1 JAL r v$e CS 3f . S /0 3 S 2,,, sefC CS t f- •S G
around 3 G -211 /0 'le e5- , y . S ekv. v 2
-n 0 ~yl 'S ' s / f /M 'Zy .S
De b 2 ~1►t Z s~- ,mac- N 'u
limiting leaor / C/ l Mr ~.E' A►t !/~i
D
,s5
Remarks: Boring # / 0- 1,0Y,f .3/1- A* J'/'t
/»t f e CS 3 f • S -6
/ /o ,e 2", f* i,►,fi2 C s L rt . S • G
3 y S/ „rf a s y s
Graxnd If l 16 elelr. f_,, Z . s s/ N N
Deem to eir !a
Ssf Remarks:
ire: Dale CST Nuabsr dS
FN amr.-~Plesse Print 5 O'Nart. of Wt. 5401` /O t:'sTy1 PZ P2-- ueoe~ . *6
eetoa meal sening Avsr /,"eplfTE oew oe°/Q/,J c*\q O %X011 pernaga aaal ft Wanted • SOi L ~t°t-ST~i c lid aJ = S~tSo,v~l///
r" PROIrECT WILL
R OUE IRE 8TATE LEVEL PLAN APPROVAL. fe be suPlans a ~,:yES*-v 0- /&jFr"ovvys .
wiq lased be wbrnltbd ,
by a gw W designer per I.L.H.R. 83.08 (2)
i
PROPERTYOWNER SOIL DESCRIPTION REPORT Page Z- of 3
PARC W.~ LO r- 7 ✓sr 0000••X 30&44/a'
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consislenoe Boudsy Roots GPDM
In. Munsell Qu. SL Cons. Color Gr. Sz. Sh. Bed
13 1 o-? 1-00e 3/2-- a_ - - z~ sir f C S S • V
--L- f -i is 41 sj z f M(e 41A+ Cs 141t . s •41
Grand .3 - .t/p f' S./ 2,wt k "-fl
dsv. IL l s S/~ 7` s s C/ ~,r 4 .i _ u
Depth to
sss ,
Remarks: .tT j6,-u uvwrw-;e L--D
Boring d
1
Orouid
dsv.
IL
b
hrlor
Remarks:
Boring it
13 V\ --r,
t
Gmund
dw.
fl
Depth to
1MMv
(sdor
Remarks:
Boring 0
13
Ground
slsv.
_E
D" b
IfrnMnO
IBM
Remarks:
can ow"Wo n*n•n
• betn ft ad Oao afinnsq
JJIW TO9WR9 BIHT
J3V3J STAYS 3MIU03A
cr-&19 JAVORRRA iAJUq
Lotrlmdue ad of been Iliw
11noicob deltUSUP a Vd
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a,
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3
Labor and Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 81/2 x include, but S T C'ea~, X
not limited to vertical and horizontal reference point ( ction % of ale or PARCEL I.D. #
dimensioned, north arrow, and location and distance o`R rest"
REVIEWED BY DATE
APPLICANT INFORMATION-PLEASE PRIN AtL INFO111111 ATION
PROPERTY OWNER: P OPERA( OCATION
~,y ? f~ ~~~E ~~-TTL GOVT. L4T °SE 1/4 N~ 1/4,S 3 T 2_8 N,R IT E (a Wo
PROPERTY OWNER':S MAILING ADDRESS LOTLOCK # SUED. NAME OR CSM #
!e 7 A6',e4 y7. ST ' iV.0/ X 2)6
uJ,uS
3 j;j Don
CITY, STATE ZIP CODE PHO E Rk! PW ILLAGE N NEAREST ROAD
( New Construction Use (Residential /Number of bedrooms 3 Addition to existing building
(J Replacement ( J Public or commercial describe
Code derived daily flow y~0 gpd Recommended design loading rate '5 bed, gpd/ft2 trench, gpolf 2
Absorption area required 375- bed, ft2 ✓2 77 trench, ft2 Maximum design loading rate ° 5 bed, gpd/ft2 • ~o trench, gpd/ft2
Recommended infiltration surface elevation(s) S-"- P I- • 3 ft (as referred to site plan benchmark)
Additional design / site co rations 5,'T~ ov z / Fib +OV.uD 7Wer- SVsTi---1 .
Parent material SG-5 7 6"441'5:0 - ?•/l s SiYf- f D~ Flood plain elevation, if appli6able ft
o E' v
S = Suitable for system CONVENTIONAV M IN-GROUND PBMURE AT-GRADET O SYSTEM IN HOSING TANK
U = Unsuitable for s stem ❑ S 11 Cd'S U O S _ f~'[J
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounds y Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed reridt
0-6? /6 31z Z s- ~m7e Cs E.1
Z !o -/G 16 Y 3/ s/ 2-41, SA6.C fiP c [ S
Ground 3 G- 2? /D y y ~,t° CS y S
elev. f 2
ft. /D ► y 7-S j 51 P
iW-.S7-
De
pth to -(pD 2,Y ' z E ti A- Z - 1
51 limiting
2 5 factor, `
'14, 'f e /M 11"e/
2
SsS
Remarks:
Boring # `//t' 31 ~p f,~,~ ~'~i► syw Cs s f • S -6
L : Z /f /o Y'e 3~ S~ 2 s6~ i2 c s' Z S = ~G
If- 16 5
Ground S /M ? C/ l Vfi. a.S ~i
elev. 9-.3G Z ~ ,SIG -
it.
Depth to
limiting E~ rne
factor f , i
2
OR.
Ssf
Remarks:
CST Name:-Please Print -r. u L Q l C k -r Phone: 715 3P6 _ Va~--
ddress: 5 0' AJe l L TO, ~IJURSoAJ W I , 5 LIOICo /O-/y' f eY ~.~ypZ
Signature: i Date: CST Number:
~I J
lopsT i y.~rtD~:><r Dl, ° OelD%j 6--
So~L
2/SE Ld-v /Yflt°,~°D~V ~1~U-vim
PROPERTY OWNER SOIL DESCRIPTION REPORT Page Z. of 3
PARCEL 1.134 ! Lb T -//7 ST S x %30&0-455
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BwYby Roots GPDfft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
<he
Ground Z /fJ y s// _I- /w /C i ' 2 S S - ~o
elev.
7. s e /M vf' 2 - N N
Depth to
limiting
factor i~
25
$SS
Remarks: IfT 3 yiP.s•tTv~~ 6~•y~'S J79.v E- ~~ti ~y-ci ~,E,~ ~7~
Boring #
1.3
Ground '
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor /
Remarks:
Boring #
JAMI
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
con ooeni0 nc m~~
CP 0-)
i ► CAJ N
iN,
. ~ t p o rn
76
0
0
d
cn t1~
1
C
W
p - - y1
o I (1
L ~
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w~
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0
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
T' St. Croix County
OWNERMUYER rn-00_ 9C rv ~vK S 'f eT~~ v
Vvr 1- G
MAILING ADDRESS H 367 h e•7-71,ti e, 1-444 o h U,/Z
PROPERTY ADDRESS 4,6 24Jt e oaL l~ll~~
(location of septic system) Please obtain from the Planning Dept.
CITY/STATEQ ox; Ly~' `S`{O
PROPERTY LOCATION N 1/4, E 1/4, Section g'lq T a N-R 1 g W
TOWN OF , / ST. CROIX COUNTY, WI
SUBDIVISION 5 7• Ceo ~?X- w h f LOT NUMBER q 7
CERTIFIEDSURVEY MAP 32617V , VOLUME , PAGE LOT NUMBER '-/7
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 be completed and returned to the St. Croix
County Zoning Officer within 30 days of the three year expiration date.
SIGNED: oezy
DATE:
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
8TC- 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 orn a s e c V 0, 6,v,_57,
e ! / / c tF
Location of property _1/4IVE 1/4, Section 12L-,d, T 2L N-R__LZ__W
Township TVow Mailingaddress 367 ki-,%7`77U L",_
dso0 w 5 O//6
Address of site (o 9
Subdivision name -17', Ckoj-~c wwr,s Lot no. 7_
Other homes on property? Yes l,-'-'No
Previous owner of property A . o , /4,,t ~Z f
Total size of property S , n Z a C_ P- e,3
Total size of parcel v 2 q c V_ 5
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 /D/ 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. SO/Y'q ? , and that I (we) presently
own the proposed site for the sewage disposal system or I (we)
obtained an easement, to run the above described property, for the
construction of said system, and the same has been duly recorded in
the office of the County Register of Deeds as Document No.
Signature of Applicant Co-Applicant
Date of Signature Date of Signature
y t Q0~CkJMC,NT, NO WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA
STATE BAR OF WISCONSIN FORM 2-1982
VIA! _ REGISTER'S OFFICE
A.D. Hulings ST. CROIXCO., WI
Rec'd for Record
JUL 8 1993
Thomas J. Mettler and Debra at
8.30 A M
conveys and warrants to '411f-e-
----.-------5..___Mettler,_ husband -and -r-.~
§urvivorship .marital _pmhertY
Register of Deeds
RETURN TO
the following described real estate in St. Croix ---County,
State of Wisconsin:
Tax Parcel No:
Part of NE1/4 of NE1/4 of Section 3-28-19 described as follows:
Lot 47 of Certified Survey Map filed April 1, 1975 in Vol. 111,"
Page 101.
MNSFEI
F.
This 1S not homestead property.
(is) (is not)
Exception to warranties: easements, restrictions and rights-of-way
of record, if any.
7th July 93
Dated this - - - - - - - - - - - - - - - - - - - -
day of 19---
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
-
-------(SEAL) - - - - - - - - - - - - - •-(SEAL)
A.D. Hulings
(SEAL) (SEAL)
-
AUTHENTICATION ACKNOWLEDGMENT
Signature s STATE OF >f~IS9~f)~6bDQ
Wash-----
-i- ---ngton County.
authenticated this day of 19 7th
Personally came before me th1 of
July 9
J
19-------- the above named
-
* A-.- D -Hu•11Tfg-9
TITLE: MEMBER STATE BAR OF WISCONSIN
•
(If not-
authorized by § 706.06, Wis. Stats.) to me known to be the person who executed the
for i g instrument acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
Kristina Ogland - - - -
Uq LE -
Notary Public KATHLEEN F i
(Signatures may be authenticated or acknowledged. Both My Commission is o
are not necessary.) s
date: W_
M Commisa(on l xpim3 04/97•
'Names of persons signing in any capacity should be typed or printed below their signatures.
WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc.
FORM No. 2- 1982 Milwaukee. Wisconsin
fti Y t ~J '
a FILED ,
APR 1 1975
`"`K O' CONNELI
, Rr,pitler N .
•
SI, Guts Covnf
iA. Wtuondn Y,
C'
V
NE CORNER SECTION 3
i,
8N,W
722Rl'
iCURVE DATA Z r
R 407'
rn
M M --{~OUTHFRLY R IG11 T-OF- 89°03'40"
WAY LINF 1. - 632.64' w
r - N p~~~ - - - I.F).-30°09'40"W M
S88° 4'E 707.07'
v
47.91' O 09° 3 351.16'
d v
01 N w
in 7 1,
NE 1/4- N'E I/4 N - ~SOUTHWESTE$LY I ~a
O
SST' \ RIGHT OF WAY'LIN6
yt;~ to e
I'vo
r = 0 46 in 47 c \
4.~
0 M
_ tD 0.02 ACRES Yj 5.41 ACRFS F cV 5.02_ ACRES 1 1 a c.
aj \ w
0 (V Er
tD
135°2.8'10"
16 6'
1 33'
210.00
W STERLY RIGHT OF WAY LINE 1
90 _ 39 f..
X099
9 ° 347.85' 351.08' - 406.60' O _
i WEST I POINT OF PEG INN ING - 66.021, TRUE BEARING
50 I 49 I 48 I SCALE'
200 G 1
''SURVEYED FOR: K. B. Pr. iester
519 2nd Street, Ifudsorl, Zvi. 54016
LEGEND '
- SECT ION CORNER MONUMENT
t
U - 1" X 24: IRON PIPE ~'3 r
WEIGHING 1.68H/LINVAL FOOT
51 ~r ~
DESCRIPTION:
A parcel of land located in the NE1/4 of the Nf:1/4 of Section 3, T28N, 81911,
fr'r
Town of Troy, St. Croix County, Wisconsin described as follows: Commencing at
the NE corner of said Section 3; thence SO°09' 40"ly (true bearing) 1.257.07 along
4
the East line of said 14F114 of Section 3; thence West 66.02 to the point of
beginning; thence West 110F).53'; thence Nortll 631 •6R' ; thence SR8°54'E 707.07'
along the Southerly right-ol. way line of an exist inR town road; thence South-
essterly 632.64' along the Southwesterly I i ght of' wn}' l inr of said existing
town road on a 407' radius curve colicave Sout.ll~resterl~ whose chord bears
S44°22'10"£. 570.85'; thence SO°09'40"lv L10.00' nImi t.lul Wes terIv fight - of -way
line of said existing town road to the poiiit of t c {~illning.
I certify that the above descript:i.on.atld ulah arc correct --111(1 Lfl;lt I have fully
complied with the provisions of Sec. 236. 3 4 of ~LIIe 1Visconsi-Ii Statutes.
Date : ilarcli 1975 po'~ GCIl~ tidy-~ _ - '
J. S iil llli"J S R8~'/ -j7b No. 73-297
FRANC S K
t OGD N
se 2 ~
° RIVER 1 LLS,
yV I
vo i ttt I Par"n lol
ne+rw,~++nwwgsArnt~e"'+w.ro,.-«......rrr vw...w~waa!:9r`~,'y4{. 'r f. ,.a>'+?aliiW;iDYM'~'K:4~t+'w'~'a`-mw.++....o..+..ar+~xawvs.r+a•ae,~*~•~~~`•'~
,:ibr5$Arn ,txpwg~•w,r:h r. ,ace i i , - ' !
J