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HomeMy WebLinkAbout022-1030-50-000 STC - 104 AS BUILT SANITARY SYSTEM REPORT r-- OWNER ,V ` C,t ADDRESS R, V-e v~~, l t. S 02,2,- 0.00d /030`0-00(D SUBDIVISION / CSM# `~•~v 2~v/ ( LOT # (J SECTION ~ T 2 b N-RLtLW, Town of KEN N ST. CRO I COUNTY " WISCQNSIN 0`P h•. C` _ PLAN VIEW } k~ SHOW EVERYTHING WITH 100 FEET OF SYSTEM I /~SQ !1 x 00 i Or paUfa(, Iy D rr~ roU, v edn 7 ray So ? J' ~;'K, `1 Fr lot c{' 2 I rr-.~,P INDICATE NORTH A /r Ydditack,.-a d elevation information on reverse o hi form. II cover . 2~.dim~Msions to center of septic tank n iq~ . r I , u PUMP CHAMBER Manufacturer: l.lJ{ S-P Liquid Capacity: r] Pump Model: -.l Pump/Siphon Manufact.20 Eov • Pump Size 5 ? 9 Elevation of inlet-: .,Bottom of tank elevation i/ Pump on elev.:Pump off elev.: 22Apallons/cycle: ~?.d Alarm: Man.: S'S Switch Type: Location Distance from nearest prop. line: Front 1; Sidfi~O~ Rear Distance from: Well Building 9 SOIL ABSORPTION SYSTEM Bed: Trench: 13 Seepage Pit: Width: Length /I",►~s Number of Lines: Area Built / ~d6 - _ 5 z Exist. Grade Elev. ' Proposed Final Grade Elev. 3 t., IP? Fill depth to top of pipe: :?0" No. feet from nearest prop. line:Front Side, Reari--~~)Ft. No. feet from well: v No. feet from building C.)~ HOLDING TANK Manufacturer: t,11 > Capacity: No. of rings used: Elevation of bottom tank: Elevation of inlet: 1 '7 No. feet from nearest prop. line:Fron 1 Side~uc; Rear.)(-)4't. No. feet from: Well t o y building p nearest road Ion Alarm Manufacturer:. a INSPECTOR: , ?.v. DATE : PLUMBER ON JOB : A ] m ; I v, LICENSE NUMBER: 7"~II 40 5! 3f' 6/90:cj PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model:f 1 Pump/Siphon Manuf act. • Pump Size Elevation of inlet: 1AX ottom of tank elevation Pump on elev.: Pump off elev.: q 24 allons/cycle Alarm: Man.: .S Switch Type:`; y Location t t ~ Distance from nearest prop. line: Front{j Sid~~t Reartt. Distance from: Well Building SOIL ABSORPTION SYSTEM Bed: Trench: Seepage Pit: Width: -5-0" Length V0,0 Number of Lines:___~_Area Built-/, 06- Exist. Grade Elev. /e* Proposed Final Grade Elev. Fill depth to top of pipe: t! No. feet from nearest prop. line:Front C Sidela o Rearg Ft. t No. feet from well: No. feet from building 0' HOLDING TANK Manufacturer: W --e t,.~ -e Capacity: 4 c o No. of rings used: Elevation of bottom tank: Elevation of inlet: No. feet from' nearest prop. line:Fron&o, Side-33c6 Rear3 E)'t. 1 t : No. feet from: Well too building \C> nearest road Alarm Manufacturer: 57- INSPECTOR: ! DATE: PLUMBER ON JOB E LL 7K L LICENSE NUMBER: 5/90:cj ■ Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: jaboranJHuman Relations INSPECTION REPORT ST. CROIX `Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No-: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State Plan o.: CHRISTIANSON, JOHN & HARRIET X CST BM Elev.: Insp. BM Elev.: BM Description: /l Parcel Tax No.: C i r A9 4- Q 0- -3 0 -2 G41 /lJ~, Gil y Q C~_r w TANK INFORMATION ELEVATION DATA 9//:& S' TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic( 166L) 160 Benchmark 3_Sf~ CYO, ' Dosing Aeration Bldg. Sewer Holding St/ Inlet TANK SETBACK INFORMATION St/ Outlet TANK TO P/ L WELL BLDG. Ve Intake ROAD Dt Inlet 7' /2 Septic ) -~6' NA Dt Bottom ~n C dgaqljF~ Dosing > S6' i S o? ' NA Man. 7-S 24 eration NA Dist. Pipe Hol Bot. System S PUMP INFORMATION Final Grade C Manufacturer Demand ° s ` z s l 5 rr Model Number J 'j3 GP At, TDH Lift I) Q0 Frictior~ 0 System,AA TDH 7,d~t ead Loss Forcemain Lengths ' Dia. HH~' IIDist. To Well ' SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length / No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS S Z 3 DI EN Manufact LAKE / STREAM LEACH SYSTEM TO P/ L BLDG WELL SETBACK CHAMBER o el Number. INFORMATION Typeo q.~ i System: -e- DISTRIBUTION c cJ2c5 070.aC,v. C~ ~vG OR UNI DISTRIBUTION SYSTEM Manifold Distribution Pipe(s ~i x Hole Size x Hole Spacing Intake Length Dia- Length L Dia. 7 Spacing SOIL COVER x P essure Systems Only xx Mound Or At-Grade Only I Depth Over Lyr Depth Over ! . xx Depth Of Seeded / Sodded xx Mulched BTrench CenterQ ~iTrench Edges Topsoil E] Yes E) No E] Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Kinnickinnic.11.28.18W, NE, NW, 130th Street iyp2;,~5~ ~t.a.aF b ~Utt~u Cc.cc,Q. ?J ,~.'q.~..k, cvr,~, /~2pD~'r 5"o e-k, . • Ian revision required? E2,Y-es ❑ No 1/9 Use other side for additional information. SBD-6710 (R 05/91) FDated%3A Inspector'sSgn ure Cert No. 'I,- ~1. 0- Le~ A;d, A ADDITIONAL COMMENTS AND SKETCH s , SANITARY PERMIT NUMBER: 7.(5 " E All 1 c y 'Al N 1-~ARAr~T hR!,S7i~~ son 7 ~ ` J,fO L15-Z r s' Q \ ~ f t / eern6e iMA '(R`te' Cri4Q 1 ~r h R rs ~ rc~1Jn ASS ~a~yyy g~~ °/9 Y Page 1 of 1 Pam Quinn S~V From: Pam Quinn Sent: Monday, June 06, 2011 2:29 PM / To: randy@randycudd.com g!7 Subject: 495 Old Cemetary Rd. Hi Bonnie, 1 Lot 3 of CSM 10/2861 - Shoreland and Ag-Residential zoning is in effect on this lot, which is within 300' of the river and house was built in the 75' setback so it is a nonconforming structure. No addition could be I made to the portion of the house closest to the river. A land use permit will be necessary for any land disturbance (construction) that is either >1000 sq. ft. on slopes greater than 12% or >2000 sq. ft. on slopes less than 12% within 300' of the river's Ordinary High Water Mark. The house and setback are shown on the certified survey map; if the addition increases the number of bedrooms in the house, then the septic system would need to be evaluated (it is sized for 3 bedrooms and was installed in 1994). Any structure must be at least 5' away from the septic tank and 10' away from the in-ground seepage trenches. We have an as-built on file for the septic system in our archives. FEMA floodplain zones can be seen on maps in the county website's land information on-line. Contact a land surveyor/engineer for information on obtaining an engineering certificate that will provide documentation that a dwelling is 2' or more above the 100 year flood elevation. Hope this helps give your buyer an idea that there may be some extra work necessary for what they have in mind. Pamela Quinn, Zoning Specialist (PO'WT'S) St. Croix County Planning & Zoning Dept. aLma not Carmichael Road Hudson, WI ,54o16 ~^V"(_~ 715-386-468o pam,co. saint-croix. wi. us JV tG 6/15/2011 SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code or . STATE S~11~(T/(rFFjY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than v%~l a1TL1((,/,`'tl5 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROP TY~ ~.Q9CATION N 4/'v6CJI, S T,;LQ, N, R 1 E (or) PROPERTY OWNER'S MAILING ADD LOT # BLOCK # Y9.s- -I. ;rA s CITY, STATE , ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER II. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD ❑ State Owned VILLAGE Tjj /f TOWN ;A; ❑ Public 1 or 2 Fam. Dwelling-# of bedrooms ~ PARCELTAXNUMBER(S) i III. BUILDING USE: (If building type is public, check all that apply) © 2 f O O 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.E1 New 2. ~s Replacement 3. ❑ Replacement of 4.E] Reconnection of 5.0 Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE / REQUIRED (sq. ft.) PROPOSED (Gals/day/sq. ft.) (Min./inch) /6 / . 5 ELEVATION 4/ ,00 / /3 i G ~ / 02. 2 Feet Feet 400 / IA-1.0 VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name Concret Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber 7 C.O Vill. 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) MP/MPRSW No.: Business Phone Number: L C ' ~9 y his 6 37 Plumber's Address (Street, City, Sta Zip Code): y~ J IX. COU TY/DEPARTMENT USE ONLY ps) ❑ Disapproved Santry Permit Fee (Includes Groundwater DI-ate Issued Issuing Age Signature (No S!prn e'o Surcharge Fee) ,(krApproved ❑ Owner Given initial Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. r SBD-6398 (R.11/88) 1 `,rv5S un ' Flesh All 1111916 And Observation Pipe Approved veal Cap 611Mw,wa 1?~ Aaeve ilnel Grade 20 - •2- Above Pip av Cast Iran T• Final Grade YMl Pipe ilarMNor Or S/nlMlk Coverln• Yla 2- Agreyele Over Pipe 0lstrlbellaa Pip* o o - tee Q V Alititsfol perforated pipe below • PNINale1 PIPe below ,V Rsneelb PI~e _ • Cey11aS 1NIalAellns At O se l l aa1 01 316181" iJ V o r.. ~y W O yos ~lcv•.~' son o SOIL FILL ~o DISTRIBUT101.1 PIPE _ 2"0FAG6Rr(,A7E y \\~~pp I V ~ i~l.r 4" ~ • . re-~ OP~ - . reip O~^ ~~~(t~•, . ELF V Or SEE OISTFi,q!:T1 7CV rl.rF: TU. A.C AT I_EkST 4AJCHES 9,f,L0w O. IWKJ. - *.DC A,VIU A;t; L, ASTZO lk),C.MFF 45~1T AI,O 1A,0A T.f!,A.M 42 IIW,CI,F,ES ~pE:.LOW F,AAAL (.firAAE MAX,"UiM DkPrii Of FXt/1VAT1m0 F'KoM .aRiGNqL 6KAVF WILL BE, M10MOM 99f'" Or E AXATION FROM 0~114WNL Cjg4,9,E WILL BE MCNES 1 SIGAIEO: L IC E M SE 1.1UMBE R: /o1/10 ItI, LATE : 3D, 1~'lc too PAGE OF (y PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS VENT CAP 4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING JUNCTION BOXMANHOLE COVER zs' FRCM DOOR, WINDOW OR FRESH I2 M'"r' I AIR INTAKE GRADE I `1° MIN. I IB'•MIU. CONDUIT 18"MIN. \ I~1L.F:l PROVIDE I AIRTIGHT SEAL I I i I V APPR.O•✓EC ,JOIN? A I III APPRDVED JOWTS W/C.-I. PIPE. I III W/C.=. PIPE EXTEI`IDIKJ(. 3' I II ALARM EXTENDING 3' ONTO SOLID SC:.. e I I ONTO SOLID SOIL I i I I oN C I PUMP-~ OFF ' FAA ~ D L'?~, o CONCRETE BLOCK RISER EXIT PERMITTED OIJL`J IF TANK MANUFACTURER HAS SUCH APPROVAL SPEC.IFICATIOUS SEPTIC AND DOSE TANKS MANUFACTURER: ~fS tR NUMBER OF DOSES: -PER DAY TANK f,IZE : e) GALLONS DOSE VOLUME ALARM MA►JUFACTURER: `S~ ~C- Z c TtR CS INCLUDING 6ACKFI.OW: GALLONS MODEL NUMBER: CAPACITIES: A= C. HES OR q~r~GALL0u5 SWITCH TYPE: 47 8= INCHES OR ~P?l-3 GA'_LONS PUMP MANUFACTURER: C= ~J+wINCHES OR Aft-l-AZ-f9d_L0Q6 v MODEL NUMBER: 7 D- INCHES OR A-L-2LGY{LLONS SWITCH TYPE: J NOTE: PUMP AND ALARM ARE TO BE PUMP DISCHARCwE RATE GPM 'INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFEREAICE 0 ll-w;r..u PUMP OFF AND DISTRIBUTION PIPE.. /SO FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . ~_5© FEET + /f 6 FEET OF FORCE MAIN X 74 FjpFTFRICTION FACTOR.. . AY FEET 'It = TOTAL DYNAMIC. HEAD = °~O FEET INTERNAL DIMEWSIOMS OF TANK: LENGTH IS-) ',WIDTH 64- ;LIQUID DEPTH SIGNED: LICEWSE fJUMBER'. DATE: / -117- UJI 1.1 I- It. 4'/s &A HEAD/CAPACITY CURVE 45/e MODEL 97 30- *4 25'- F 1112 - 11'h NPT W 6 20' 6 R z 15' C 4- _J F 10' 2 5' I 0 US 10 20 30 40 50 60 70 GALLONS LITERS 0 60 160 240 1011/1e FLOW PER MINUTE TOTAL DYNAMIC MEAD/FLOW PER MINUTE EFFLUENT AND DEWATERINO CAPACITY HEAD UNITS/MIN 36/16 FEET METERS GAL LTRS 5 1.52 57 216 10 3.05 51 193 15 4.57 43 163 20 6.10 27 104 Lock Valve 24.5' \ CONSULT FACTORY FOR SPECIAL APPLICATIONS Electrical alternators, for duplex systems, are available a Mercury float switches are available for controlling and supplied with an alarm. single and three phase systems. Mechanical alternators, for duplex systems, are avail- a Double piggyback mercury float switches are available able with or without alarm switches. for variable level long cycle controls. SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required. Standard All Models - Weight 33 lbs. - 1/2 HP 2. Single piggyback wide angle mercury float switch or double piggyback mercury float switch. Refer to FM0477. 97 Series Control Selection 3. Mechanical alternator 10-0072 or 10-0075. Model Volts-Ph Mode Amps Simplex Duplex q See FM0712 for correct model of Electrical Alternator, "E-Pak". M97 115 1 Auto 12.0 1 or 1 & 7 - 5. Mercury sensor float switch 10-0225 used as a control activator, specify duplex (3) N97 115 1 Non 12.0 2 or 2 & 6 3 or 4 & 5 or (4) float system. D97 230 1 Auto 6.0 1 or 1 & 7 - 6. Four (4) hole "J-Pak", junction box, for watertight connection or wired-in simplex or g97 230 1 Non 6.0 2 or 2 & 6 3 or 4 & 5 2 pump operation, 10-0002. 7. Two (2) hale "J-Pak", for watertight connection or splice, 10-0003. CAUTION For information on additional Zoeller products refer to catalog on Combination All installation of controls, protection devices and wiring should be done by a Starter, FM0514; Piggyback Mercury Float Switches, FM0477; Electrical Alternator, qualified licensed electrician. All electrical and salety codes should be followed FM-0486; Mechanical Alternator, FM0495; Alarm Package, FM0513; and Sump/- including the most recent National Electric Code (NEC) and the Occupational Sewage Basins, FM0487. Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. 3280 Old Millers Lane Manufacturers of . 1(502) 0. Box 16347 IF Louisville, Kentucky 40216 778-2731 e FAX (502) 774-3624 QUeti -Y PUMPS ~NCE /~~~f ° Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 (abor and Human Relations -Givision of Safety & Buildings in accord w' ~,t1N dm. Code COUNTY k sT . ~ZAu n u ~X Attach complete site plan on paper not less than 81/2 1 ^ ches in sirI cl e, but not limited to vertical and horizontal reference point ( rectioq'159d e, PARCEL I 0 72_7_ .D. # 11~ 30- dimensioned, north arrow, and location and distance rest roa`ds'-t -rte , ` SO APPLICANT INFORMATION-PLEASE PRINT 1 0 k1AT~1Q#l9.` REVIEWED BY DATE PROPERTY OWNER: PER ATION ~b 1~1 `t'CPnz \Z C _l ST 1 O Gehl reO h E 1/4 N W 114,S I I T 77-8 N,R 18 E (oQ PROPERTY OWNER':S MAILING ADDRESS LOCK # SUED. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER CITY ❑VILLAGE SOWN NEAREST ROAD lw1 Sq0 2,3 01S) tAjS-5°1S1 t~~~luLC`c~~I.~II.~1C c Y FJA-D New Construction Use k j Residential / Number of bedrooms q (j Addition to existing building Replacement [ ] Public or commercial describe Code derived daily flow 6Q~o gpd Recommended design loading rate - bed, gpd/ft2 D • trench, gpd/ft2 Absorption area required 2-M o bed, ft2 \ S o 0 trench, ft2 Maximum design loading rate o • bed, gpd/ft2 ° • y trench, gpd/ft2 Recommended infiltration surface elevation(s) s e ~ It (as referred to site plan benchmark) Additional design/ site considerations CZ,7r- KM &J'o 3 ``1 1.~eCft`S , t?+~et1 S'xluU'LqQG 1~oS ~v►~-t Parent material L mss a v sr~.~~ s 1vw Q Flood plain elevation, if applicable N • A . It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for stem ®S ❑ U 0S E3 U 10S ❑ U ®S ❑ U ❑ S E ❑ S IOU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft 4~??in. Munsell Qu. Sz. Cont- Color Gr. Sz. Sh. Bed tench "mmr?: O-i(o lD~'LR 3!Z - St[ Z ~S z 'Y"' l ~W - o•S 0.6 I k >.rr Z )b-~($ ~o~cZAy stl Z `F's~k v~`~r cs o, S ab Ground 3 V$-$O 1 O 2 S 1 - T's O Vn W V 4 - elev. 10`1, o ft. (°_0hJ n/ S 10'12 ! C~ , vh S 1 (70- 3 o. y LA FI D 1 G Depth to limiting factor ? f3 O" Remarks: Boring # ) o -LI 10~ z 3 J L - S~ Z'~S b1z~H Cw i o S 0 6 Z Z ~1-343 to~l~ VI - 511 Z'f sbk M `fit CS 0-S o- 6 3 3$ ~z lo`tIZ s16 - ~S o >4 uit - 3 € ~l Ground elev. 3 s tvt, 1S >~r 1 103 ,o ft, Depth to limiting factor Zy Remarks: CST Name.--Please Print Arthur L. We erer Phone. 715-425-0165 Aft: egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number: Cl V- 197 8- Lo- 9V M00576 PROPERTYOWNER ~~-~SRfrJSpN SOIL DESCRIPTION REPORT Page ? of PARCEL I.D.# ZZ_ L~ 30- SO Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 0-9 k3,1 9L- -3 - s -L s ek ~^-L F V c w v> << Z q-IB 1\,-~u y! - st{ Z`fs~k w,~~ cs - o S o•b Ground 3 3$-b5 10 `Z 12 - S O sg CS 0•~ o. 8 elev. 'n O w~ rr~ U f 0 3 0• tioz. z ft. y 163-15 l0`2 ti G(3 Depth to S iu U PT S 3 Pc't- limiting factor Remarks: Boring •w Ground elev. ft. Depth to limiting factor Remarks: Boring # L •.K w" V}` Mwsi Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft.~ Depth to limiting factor Remarks: SBD-8330(R.05/92) " PLOT P LM Page 3 of .a SCALE 1"= 413 Q\\J ~s1~ 11►~ SOt~ P ~D ~ o2Z_ 1030- So - -i~TCs TC1 l t`1 s~~..L_l~R i i lbo x a Z W-es Lia ew cry x ~eY WtfLL .r 0 0- GMIA GE 9 e,3 S~DtwG, C n nor t~aopt CiAJ L, (715 ) -42.5-0165 M00576 ACS?Si ~aatur.: Date Signed _Telepphone No. CST # STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County 1 OWNER/BUYER d h ,n ~'k a b Y t 1 ca yt '5 f3 n MAILING ADDRESS PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY/STATE G r '__5 W►, J` ;r~ D Az PROPERTY LOCATION 1/4, Section T2 E_N-R/&_W r TOWN OF r~ ST. CROIX COUNTY, WI SUBDIVISION - LOT NUMBER CERTI>HICEDSURVEY MAP . VOLUME , PAGE , LOT NUMBER Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. 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:X ~4t DATE: Th St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 e 8 T C - 100 This applicati--i form is to be completed in full and signed by the owner(s) of ,,e property being developed. Any inadequacies will only resrit in delays of the permit issuance. Should this develo-_ment 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 f N W, Q_'k v c 67i a S0 J Location of property °3 ALW-1/4, Section It T_,U_N-R_j'&_W Township A; 1 15 A *1 e- Mailing address 1-6=1 4Z es ti \A) o 4 Y ~ 4 Address of site (e 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 a 5 /3 alfg V Are all corners and lot lines identifiable? ✓Yes No Is this property being developed for (spec house) ? Yes _No Volume + Fand Page Number -3:!~-+ I/F 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 jw< certify that all statements on this form are true to the best of my Cpl' knowledge that I f w< am (AxaT the owner,(w' of the property described in this information form, by virtue of a warranty deed recorded in t Y he office of the County Register of Deeds as Document No. .3 1^ , 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 he County Register of Deeds as Document No. Si ature of Applicant Co-Applicant 28'~ D t of Signatu a Date of Signature _ J ..y y DOCUMENT NO. STATE BAR OF WISCONSIN-FORM 3 QUIT CLAIM DEED 1 Y I THIS SPACE RESERVED FOR RECORDING DATA 9i7.80 Jt C PA"E (R E - s;, CAr"Ix Co., W*. Harrie,~hristianol_____ f * Mils 20th quit-claims to John-W. ,_ChriatuAn.s-on -•f ___Ee,1__A•D. 19,84 - - 8:330~ A the following described real estate in ~St C_ Cdx- County, State of Wisconsin: RETURN TO (1) Part of the S' of the NW4 of Section 6-28-16, Town of Eau Galle, more particularly described as follows: Commencigg at Vie NW corner of said Section 6, thence S00 00120"W 959.8 feet $long the centerline of U.S.H. "63"; thence S00 32'00"E Tax Key No. 343.85 feet along the centerline of U.S.H. "63"; thence S87 22110"E 33.05 feet to the E right-of-way of U.S.H. "63" to the point of beginning; thence continuing S87 22'10"E 536.30 feet; thence SO0° 32'00"E 272.63 feet; thence N87 22'10"W 514.27 feet to the E right-of-way o U.S.H. "63"; thence N00 32'00"W 28.02 feet along thS E right-of-way of U.S. "63"; then&e continuing along said right-of-way S89 28100"W 22.00 feet; thence N00 32'00"W 245.83 feet along the E right-of-way of U.S.H. "63" to the point of beginning, inclusive of Grantor's interest in the newly com- pleted building located in approximately the center of the foregoing de- scribed property. Said parcel contains 3.34 acres, more or less, subject to easements of record. And the Grantor's interest in easement for pedestrian and vehicular travel across the S 36 feet of said parcel. This is not homestead property. (2);1 S' of the NE; of Section 1-28-17 subject to privileges and highway right of ways of record and excepting therefrom conveyances recorded with the Office of Register of Deeds, St. Croix Co,inty, Wisconsin, in "409", page 448, #278632, "427", page 360, #286124, "417", page 348, #281902, "423", page 214, #284354, and "275", page 622. This is not homestead property. l (SEE ATTACHED SUPPLEMENT DATED 2-1-84 FOR CONTINUATION OF LAND DESCRIPTION) $'fi~ hsxRes~sad pPO{~sty. Dated this lSt _ day of -Februar^ . 19 8 4 _ . % rl,ll~lz=r 1: .~~Y(~t rlZe-X.J (SEAL) (SEAL) H_ - - { - arriet Christianson (SEAL) (SEAL) j AUTHENTICATION ACKNOWLEDuMENT FeSi aces a henticated this _ I S_t__day of STATE OF WISCONSIN 1 -y - - • 19 - SS. 84 County Personally came before me, this day of * Joh G. Nestin P.II the above named TITLE: MEMBER STATE BAR OF WISCONSIN (If not. authorized by 5706.06, Wis. Stats.) This instrument was drafted by to me known to be the person.----- who executed the fore- John- G-TAe_st_in-gen-, Atty. going instrument and acknowledged the same. Bal_dw n1__Wisconsin--54Q02 - Signatures may be authenticated or ac,:.n-)w!edged . Roth Notary Puhl•c County-, Wis. are nGt necessary.) N1,; Commission is permanent. (If not, state expiration date 19 j Qfll-r CLAW i`Ft, STATE BAR jF A:S: C'V'IN. F ,R%f SO 1-:')-7 STOCK NO. 13003 . L ~ VOL r SUPPLEMENT TO QUIT CLAIM DEED DATED 2-1-84 FROM HARRIET CHRISTIANSON TO JOHN W. CHRISTIANSON. Further assigning grantor's interest in contract dated 9-30-80 - contract vendor Carl Bossman, recorded with the Office of the Register of Deeds for St. Croix County, Wisconsin, in Vol. 618, pages 281-283, #366717, on 10-1-80, the grantee herein being the contract vendee in the foregoing referenced contract. -(3) The E' of the NW, of 11-28-18, Town of Kinnickinnic, excepting therefrom a parcel of 4~ acres, more or less, as described in contract dated 10-26-66 and recorded with the office of Register of Deeds for St. Croix County, Wisconsin in Vol. 428, page 301, #286477 and excepting the South 4 rods of said 80 acres. This is homestead property. (4) South One-Half of Northwest Fractional One-Quarter (S' of NW fr. 1/4), of Section Six (6), Township Twenty-Fight (28) North, Range Sixteen (16) West, subject to prior conveyances for highway pur- poses and also subject to all easements of record, excepting therefrom that parcel as set forth on a contract recorded with the Office of the Register of Deeds for St. Croix County, Wisconsin, in Vol. 615, page 463, #365736, on 8-14-80; and subject to option to purchase recorded with the office of the Register of Deeds for St. Croix County, Wisconsin, in Vol. 615, page 400, #365705, on 8-12-80. This is not homestead property. (5) Outlot 16, Outlot 17 and an adjoining part of the Northwest 1/4 of the Southeast 1/4 of Section 30, Township 29 North, Range 16 West, in the Village of Baldwin, St. Croix County, Wisconsin, all as being more fully described as follows; Commencing at the intersection of the West line of the Southeast 1/4 of said Section 30, and the Northerly R.O.W. of the Chicago, St. Paul, Minneapolis and Omaha Railway, said point being the POINT OF BEGINNING og the parcel to be herein described; thence on said R.O.W. N 00 00'00"E 15.171; thence N 81 23'12"W 35.03' to the Easterly R.O.W. of 6th Avenue; thence along said R60.W. go N 10° 58'22"E 142695'; thence leaving said R.O.W. go S76 57146" E 66.82; thence N 12 04'33" E 58.17' (recorded as 59.00') to the South- westerly R.O.W. of U.S.H. 12; thence along said R.O.W. go S 76° 57'46" E 337.74'; thence leaving said R.O.W. go S 00°00'44" W 186.79' (recorded as S 00°.0'00" W 185.891) to the Northeasterly R.O.W. Of the Chicago, St. Pa8l, Minneapolis and Omaha Railway; thence along said R.O.W. go N 81 23'12" W 403.39' to the POINT OF BEGINNING. This is not homestead property. (6) Part of Lots 11 and 12, Bloch "I", Willow River in the City of Hudson described as follows: Commencing on the South line of Locust Street 81.3/4 feet West of the Northeast corner of said Block "I"; thence S to the N line of the Sh of said Lot 11; thence E 25 feet; thence N to the S line of Locust Street; thence W on said S line to the Place of Beginning EXCEPT N 30 feet and S 34 feet of W 4 feet thereof. E 9 feet of N 10 feet of W 88 feet of the S' of Lot 11, Block "I", Willow River, in the City of Hudson. This is not homestead property. E 4'r J~ ~ Sy :e -a(; ~ s' tS~'.a: ~i~~`"jj} it . RMA. ~ U.<•G /Uo2U .7 U .cam,! n y CC) 00 FILED a DEC 2 7 19940- JAMES OCONNELL 9 52563 D,2,- /moo -7J' /G.SC Aft Re9lster of Deeds wcst.F eeme te.4f Al zo &A t~y/837 SL Croix Co., w~ CERTIFIED SURVEY MAP JOHN AND HARRIET CHRISTIANSON i 3 Part of the Northeast 114 of the Northwest 114 and the Southeast 114 of the m Northwest 114 of Section 11, Township 28 North, Range 18 West, Town of Kinnickinnic,. o St. Croix County, Wisconsin. , 2 TOP IRON PIPE ELEV. 964.60 N „ SEE DETA/L N 89.54 09 E 2656.04' UNPLA T T E U LAAID S,- \ o _ W R M - -L43.6 719.33' - M h N L/NE NW r~t 69/,04' O U ~ 7• l5 00 E O O NW COR. SEC. T 28N, R18W, (COUNTY SURVEYOR'S MON.) o I33 j3~^ \I <<POND 1 ( - V O Q I m a, ~a t, - - - - - - 66C-. T.-H.-„N SCALE 200' R O 25'50' 100'150'200' 300' 400' 500'Q W l W 3 IW E LL Q~ \ 2 Q' q I~ i:'1 DWELLING \ ~ , v, to , AD W% Z I2 hSEPT/C LOT3 V lO 00 i /0. 001 ACRES, 435, 655 SOFT. J O J O , r \ 0 8.780 ACRES, 382, 437SO,Fr. EXC. RDA X h W I ; R. 0. W. \ ~ S B9. 56'05 "W 7291. 19 1 Yr N 1 Z J 0j W h q ~ l III , ~ I I I 1 7 1 N 89° 14/' 23 "W 33.23' I O 3 J , /00ROAD SETBACK LINE Q ~ m o f aD 6 b(@ I , W ' L O T4, _ 75 Q-3 QO q QI I { MARSH N 2 N n h 27. 875 ACRES , in 214, Z 4 6 S0. FT. { R W 4+ ' 26. 825 ACRES EXC. ROAD R.O.W. N m V ~ ~ y cy V ' 7 SO. Fr. LU N , { W h p e ~1) i Indicates fence BU/LDIN6SETBACK LINlr • Indicates 111 iron pipe found. This instrument drafted Dy O Indicates 1" x 24" iron 5 0"1 1 Laurence W. Murphy pipe. weighing / /2 I 1.13 ibs./lin. ~Q/Q, ; I Owner's Address: 1 ft. set. / 495 130TH R() Indicates V 11 j Roberts, WI 54023 O previously ZI recorded data. ~4;Q /i 1 • / / .5~ OL Q y Indicates A,1 `,%%~►j1tCOIt~~4~~ ~N J marshy are t - 1100-4- NOT TANS % ~j (O LAURE Q J (O , E 6 ~1~ 3 m ~Is U Y DC v 3 ~6 1713 4 Dated: 11-5-1994 5/ ' FALLS, : ~1 IT ,.n ati No r TAN. Revised this 0~ WISC. Q` is 27th day of / 111 l fys~~F~ 1 N Q $J~,y1 Z QZ December, 1994. L'ahrence W. Murphy ` Registered Land Surveyor, o N I r 1/ ROAD SETBACK LINE ~q ct I 33.76 ' ♦ V c \ U /262.76' R( /262.72'1 4 h J ti h e N 89' 20' 25 "W 1296.52' R (/296.489 ^ LOT C.S.M. VOL,6~PAGE' 1750 SHEET 1 OF 3' v a \ o Vol. 10 Page 2861• T98Z a$ud OT 'TOA ?orr,. 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