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HomeMy WebLinkAbout022-1040-40-110 C c (-0 C) D 3 ° 0 ) 0 M n ~ I 0 a N N I ~.r 7 'LQ' li I i I N co a) N p O O C Z C 7 m E U. O O ~ a m Q -coo Cl) a N > r z y~ co w E ~ ` O co " ) m C14 CL v U)l c 0 75 O z 7t V W " o (D`zv z° w Y) a) c O E o hh co N N C V wV ~1 y cn O C d v L O C C O V Q z H z z C N _ N 04 r p N N N LO N E > ` W d a m co co CO vi ) d O T 0 00 00 N O - O c a SS - co E (3) N Z r 0 I' LL U) U) U) 3 O O N 0 0 0 a LL z o o HIV is a a a a i v O ° N 0 Z fn U w rn rn .2 o co C co CO 00 00 7 N N O U o o a C C r~ m d O O _ M a (n (D 'O ~ Q J- N C I, C O O 3 J N C O otS O ~M~++ C) M~ Q o C O O r M 0 ,fir N d' O E O_ 0 CC (y _ N N p It 00 S c c a~ o o(o C C 3 N O U L N m m N C o a) 2 z O z to V ( l ~ L - E a • cl a m .2 d d c E i C C 7 G~ 00 a E3 O R 00 t A ' in ST. CROIX COUNTY WISCONSIN ZONING OFFICE r _ ST. CROIX COUNTY GOVERNMENT CENTER A. , 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 March 11, 1994 Ms. Tammy Herbst First Federal Savings 201 South Second Street Hudson, Wisconsin 54016 Dear Ms. Herbst: An inspection of the septic system for the Ronald and Lisa Hedman property was conducted on February 21, 1994. This property is located in the SW; of the SE, of Section 14, T28N-R18W, Town of Kinnickinnic, further known as Lot 1 of Certified Survey Map, recorded in Volume 8, Page 2115. At the time of the inspection this septic system was found to be code compliant for a three bedroom home. Should you have any questions, please feel free to contact this office. incere y, -"Assistant Zoning Administrator mz P Y( STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER_~ ~_-~1/G%s!lZ 2 ADDRESS SUBDTVt ON CSM# tl!z LOT # SECTION /r T -"S N-RAW, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 4~Z NV ~y i/ r i1S'i r!d _ s.Y - INDICATE NORTH ARROW i Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM: h~ce 4r s~ ry ~o d SEPTIC TANK PUMP CHAMBER / HOLDING TANK INFORMATION ~00 Manufacturer: L!l-~4- Liquid Capacity: ~'d0 Setback from: Well House A7 Other Pump: Manufacturer Model# Size. Float seperation Gallons/cycle: Alarm Location I SOIL ABSORPTION SYSTEM f-t 1/D,' Width: Length *-l 11-S- Number of trenches i Distance & Direction to nearest prop. line: :7 5-ol Setback from: well: House5-0 Other roe ELEVATIONS Building Sewer_ y'Bd ST Inlet '-gQ• ST outlet .fy fY•~a PC inlet.. PC bottom Pump Off Header/Mani fold 44 Existing Grade Final grade DATE OF INSTALLATION: 31 PLUMBER ON JOB: 0, LICENSE NUMBER: INSPECTOR: 3/93:jt r ~ Labor , rt riiC . l4.2$WXTE 9WWOF SAftfY J County: Labor acid Human Relations ' Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary ermit o.: Permit Holder's Name: 11 City El Village IR Town of: State Plan ID No.: S, T,T_SA lKinnickinnic CST BM Elev.: / nsp. BM Elev.: BM Description: f Parcel Tax No.: /60 TANK INFORMATION ELEVATION DATA A9400021/ TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing 0 Z Aeration Bldg. Sewer Holding~ St/ Inlet 6,3 160, TANK SETBACK INFORMATION St/)K Outlet IJW vent TANKTO P/L WELL BLDG. Airito ntake ROAD Dt Inlet Septic NA Dt Bottom Dosin NA Header .3, 7'97&97 0 Aeration NA Dist. Pipe 97s3 ' Holding Bot. System o t PUMP / SIPHON INFORMATION Final Grade y 9~~ Manufacturer Demand ~Z' 98•f Model Number GPM TDH Lift Friction YSte TDH Ft Forcemain L Dia. H Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length lio'¢ No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS s'' DIMEN I SYSTEM TO P/ L BLDG WELL LAKE/STREAM LE ING Manufact SETBACK INFORMATION Type O hsw C~ d` OR U,I~IL CHAMB~"r del Number: System: -(r1aoCbs Sd DISTRIBUTION SYSTEM Header / 11amiftd / Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length / Dia. 5 length ~ W Dia. Spacing/5-/(- SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ded xx Mu ,So Depth Over CID it Q'e! Depth Over D / „ xx Depth Of xx Seeded / B~fTrenchCenter /G ',;._0 Qg@-/Trench Edges °a Topsoil es ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Kinnickinnic.14.28.18W, S , SW, 1ghway J _ ✓C 9716 "zo ,fit o L~~'~ Plan re Sion required? ❑ Yes Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. SANITARY PERMIT APPLICATION U D'LNA In accord with ILHR 83.05, Wis. Adm. Code co r Y PE IT # -Attach complete plans (to the county copy only) for the system, on paper not less than STATESTatITAIyLQ(, ~~li 8/z 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. PROP TY OWNER PROPERTY t~TION ~j ~ Gla'/4, S / T , N, R E (o PROPERTY OWNER'S MAILING A DRESS LOT # BLOCK # _ ZY CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER O Q I t, er w Off- C.S 'if V41 9, 11. TYPE OF BUILDING: (Check one) ❑ State Owned VILLLLAGE H NEAREST RO D 9 TOWN QF: Atitd ❑ Public ❑Z 1 or 2 Fam. Dwelling- # of bedrooms 3 PARCEL TAX NU R III. BUILDING USE: (If building type is public, check all that apply) V6 - 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 80 Mobile Home Park 1120 Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify IV. TY PEE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ENew 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 .B Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) )04-1 F,7. r 5L ON ~D G 3 > © 70 Z 2- Feet L Feet VII. TANK CAPACITY Site INFORMATION in allons Total # of Manufacturer's Prefab. Fiber- Exper. New lExisting Gallons Tanks Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank Z C Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Pl7ber's Name (Print): _ Plumber's Signature: (No) aNP/MPRSW No.: Business Phone Number: v~' s r ~ ~zp ? 3~~i ZOP2 r 's Address (Street ity, Stat , 1p Code): O r r IX. COUNTY EPARTMENT SE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued issuing Agent Si ature (N Stamp p, Surcharge Fee) Approved ❑ Owner Given Initial 14 0 (_7~ Adverse Determination 11 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 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 you`t onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 60$-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. Vl. 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. Vill. 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 13% 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; close 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. GROUNDWATEIR SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through.,these surcharges are used for monitoring groundwater, ground- water contamination investigations and -establishment of standards. SBD-6398 (R.11/88) o o \e \ v iZ ~ N ~l 4 a, Iff 5,t, l xr W t Z v C' i~ AL ® 0 -I - o o ~ ~ a ! J ~ v ~J V w U ~ L i b ~y i ty LR. w.Y v i'T _.r Ih1A er iy t z . cn nD a ,L,~N yr e Dave F gerty Plumbinge~ ; t4.T. -SEWER SYSTEMS & PERK TESTING FOGERTY HEIGHTS ROAD ROBERTS, WISCONSIN 540233x 1 (715) 749-3656 k; 4r ^y 2 Q7. Y S/~;o~c ~0 ~d Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page / of 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 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. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROP RTY OWNER: PROPERTY LOCATION l a GOVT. LOT 1/4 1/4,S T'f y N,R ,v E PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SLaD--MAME OR CSM # 3 C - o9t/ 61 CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE O TOWN NEAREST ROAD ( 2- New w New Construction Use/ Residential / Number of bedrooms 3 [ j Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow y-00 gpd Recommended design loading rate gybed, gpd/ft2 . S- trench, gpd/ft2 Absorption area required ~ V-7 bed, ft2 S4 3 trench, ft2 Maximum design loading rate ___Z_bed, gpd/ft2___Ftrench, gpd/ft2 Recommended infiltration surface elevation(s) f# Z. 8 s 70 ' ft (as referred to ite plan benchmark) Additional design / site considerations poll z c . Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK. U=Unsuitable fors stem ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tre & s / 0-14 o 'V_z: Ira .7 Z o - s 1 Y S .7 Ground 3 - s 7 t u► as - .8 elev p5F I/ ft. _ y 3c Depth to limiting factor Remarks: r Gt c ' Boring # 4-1 eg '*r f 7 Z Ground elev. ft. Depth to limiting factor Remarks: CST Name:-Please Print Phone: Address: ~~01 3 zg~ Signature: Date: CST Number: 7 ~ 33 PROPERTYOWNER Ail r Z~~ SOIL DESCRIPTION REPORT Page _Z of PARCELI.D.# ~f/f B$~/ -CSsN Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trerxh 2- 12-9~o &W Ground 3 o 2,5:-,ft vi 4! s c / AV ✓ ' - - el v. ft. Depth to limiting factor Remarks: Boring # V` .444` Ground elev. ft. Depth to limiting factor Remarks: Boring # y\4 Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) 449094 JUN2 ~ 1989•1. JAM'S O'CONNELL R !st C"a Co., WI Ij CITIFIED SURVIsY MAP WALTER H. HOWARD AND DOROTHY B. HOWARD UNPL A T __LANDS Part of the Southwest 1/4 of the Southeast 1/4 and o also a roadway easement located partially in the Northwest 1/4 of the Southeast 1/4 of Section 14, Ses•3o'3 £ Township 28 North, Range 18 West, Town of Kinnic- 88 kinnic, St. Croix County, Wisconsin. 6 333 ~ '`,~~tl~fiusuhyi Dated: June 25, 1988 \SG 0 NS,Iie REVIS£O.' 3- 30-/989Q~ O \ Q/ V' • I o Z. Reviled: 6-23-89 Z. 'CE' LAURE i v o O•I I a W M U 144 I o /0 3 3 41 o y : ~4i 4 I G' 0 1~l N IVEF ALLS, Q a Q 9 Co L A WD JAI ~ ~ °~~~r~iro~•'~ , 3 W ti 0 Laurence W Murphy :z ~ • o o Registered Land Surveyor • W D ~ O Indicates 1" x 24" iron pipe weighing m 1.13 lbs./lin. ft. set. O / 0 • /ND/CA TES IRON P/P£ FOUND. ~I y 2 N OWNER'S ADDRESS: Route 2, Box 329 River Falls, WI 51102 7 / W V W ' W SCALE /200' (D U M ~ O lp O 30' /001 150'200' 300' 400' 300' 600' R V N I N ~ tiy W 0 IN, I N N C h H ~~I.I~V1~. :J'.~Plfi ~ o r: JA3INNV'6d $?itltdr! 3/il'.:` Jo °om UNPLATTED LANDS JlfNnO~'k''%".` y Nil N 133' 33I S B 9 • 57 ' 32 66.00' 6M E S 89 • 2 6' 33 880. 67 ' O N Q W I o ~ N I I O ~l! ~i N a ~I`I °I I W LOT a j O I N 11.426 ACRES W 3 N N 497,7/7 SO. Fr. h 0 NJ n O Ner_ 10.630 ACRES V. N ~ Q h O 463, 029 S0. Fr. N SE COR. SEC. 14, r28 N, O 3 O R /e w, / COON rY W I 2 H O SURVEYOR'S MON./ ~1 I W O Q 4 946.67' ' to JI 372.466.o'0 880.67' 1319.08' N 89. 26' 33 "W 2638. 16 ' JI UNPLATTED LANDS S LINE SE 114 S 114 COR. SEC. 14, 7-28N, RISW, (COUNTY SURVEYOR'S MON.) Vol. 8 Page 2115 Certified Survey Maps St. Croix County, Wisconsin SHEET l OF 2 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER I..ISA (~~1itU11 MAILING ADDRESS 46 l V & C /s-7i ~I W t" PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY/STATE L U Pjy4l S PROPERTY LOCATION .1/4, t 1/4, Section T at N-R. W TOWN OF WJ M ST. CROIX COUNTY, W1 SUBDIVISION / LOT NUMBER CERTIFIED SURVEY MAP VOLUME , PAGE?- L 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: s~^l DATE: - S - S~ St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 I STC-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 ~n delays Of the permit issuance. ,Should this development be intended for resale by owner/cohtractor,(spec house), thenia second form should'be retained and completed when the property' is sold and submitted to this office with the appropriate deed recording ---------------------I-'---------------------------------------- owner of property ov~ s1J-,A- 1 Location of'property 1/4 EL1/4, Section , T ~N-RI W Township 1la ( ~I /LJn DC Mailing address (f ~Q 0-1 71~ ~ ~ Lth i-'~~~5 fcJ Address of site "4 Z' Subdivision name 1 Lot no. . Other homes on property? yes_No Previous owner of property __w k( -t 466 ~Q Total size of parcel Data parcel-was created Are all corners and lot lines identifiable? _ Yes -No Is this property being developed for (spec house)?„`Yes -'.6_No Volume and, Page Number 21 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 & 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 ot, a warranty deed recorded i office of the County Register'of Deeds as Document No.yP(~a , 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 cons'tructi,on of said system, and the - same has been duly record', We office of county Register of deeds as Document signature of applicant Co-applicant Date of signature Date of s gnature• r DCICUMENT No. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA STATE BAR OF WISCONSIN FORM 2-1982 " _1063FAU 533 51L2724 REGISTER'S OFFICE WALTER H AND DOROTHY B HOWARD REVOCABLE LIVING.TRUST Ree d0 r Pscc-d ( i~ DATED NOVEMBER 26? 1986, Grantors - . I~ FE B 4 1994 j II - _ . . W'.-' ONALD G HEDMAN and .LISA K ..HED 10:300• A. f? M conveys and warrants to - . husl?and-aid--wi- .e..as-.Survivoxahip._marital.__propprty.......... Grantees--_---• I of Deeds i - - =I RETVRN TO ij 'I Croix . I the following described real estate in St. ......County, State of Wisconsin: ;I Tax Parcel No: I~ Part of SW'k of SEix of Section 14, Township 28 North, Range 18 West, St. Croix II County, Wisconsin described as follows: Lot 1 of Certified Survey :,ap filed 'I June 23, 1989 in Volume 8, Page 2115, Document Nim<jber 449094. Together with and subject to a roadway easement 66 feet in width as shown on said Certified Survey Map. 'I TRjm.NSr:Eh FES TOGETHER WITH and SUBJECT TO reservations, restrictions, easements and rights-of-way of record, if any. This Deed is given in satisfaction of a Land Contract between Walter H. Howard and Dorothy B. Howard dated July 14, 1989 and recorded July 24, 1989 in Volume is 846, Page 575 as Document Number 449960 in the Office of the St. Croix County Register of Deeds. i; i This i...s..not homestead property. (is) (is not) I Exception to warranties: i Dated this •-13th I9.94.. day of January.. - (SEAL) I~VCZJ - - ------(SEAL) ( /1 DO OTHY B. 1RD, rustee of the Walter WALTER H. HOWARD Trustee of the Walter Z. and. Dorot'-nv B.---Howard-•Revocabl a Living =H,-_ and Dorothy B,.How d_ Rev cable Living Trust Dated Nvember 198 Trust Dated November 26, 1986 -•---•-•----••----•-----(SEAL) .(SEAL) II ' AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ~I SS. J St. Croix County. authenti' ated this -.....--day o1.... 19 Personally came before me this 1.3LbL.._day of j January........................ 19__-94. the above named ___Waltex•-Ht••howard•_and_-.1)o-rQ-Chy_.&.___HowaL:d ' jj . Trustees of the Walter H. and Dorothy il j TITLE: MEMBER STATE BAR OF WISCONSIN B. Howard R ~1~ Living Trust Dated y a 151 - au If not tho authorized by § 706.06, Wis. Stats.) to me k owd~ts, tNe p$ tm. who executed the bit nj& he same . fore tng,fn4. sqr ent and AK,;~7 THIS INSTRUMENT WAS DRAFTED BY Attorney Barry C. Lundeen y r _ - MUDGE, PORTER & LUNDEEN, S.C. ---~t 11Q-.Second..Street-,..Hudson,.. WI.54016•_____ Notary P) 'k------- 8t....Cxoi _ County, Wis. (Signatures may be authenticated or acknowledged. Both My COMN .~s ermanent.,4w state expiration I are not necessary..' • 19--------- date ) : 4R y ~4Ry p •Ni mes of persons signing in any capacity should be typed or printed below their signatures. d WAR VIM TIR.W." STATE BAR gF WISCONSIN Wisconsin Legal Blank Co.. Inc. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDU:~TR'~, - DIVISION LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 HUMAN RELATIONS 1 / MADISON, WI 53707 (H63.09(1) & Chapter 145.045) LOCATION : SE TION: TOWNSHIP/Md"tCWA-tMY: LOT NO.:BLK. NO.: SUBDIVISION NAME: .sv '/U4 COUNT~YY'--~+ OWNER'S BUYER'S NAME: MAILING ADDRESS: USE c c ATES OBSERVATIONS MADE V Residence BEDR COMMER IAL DESCR PR FI E D SCRIPTIONS: PERCOLATION TESTS: Il~Residence IPTIO 7 1:9<ew ❑Replace J 7 RATING: S= Site suitable for system U= Site unsuitable for system ONVENTIONAL: MOOUNN IN-G(IOOU,NND-PRESSURE: E S(Y~STj,E~M-IN-FILLHO9S LDIINGrTA,NK: RECOMMENDED SYSTEM: (optional) 2S E1U a, LJ J EA L`_~J J RU E1 U 2 r If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL -DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST.HIG HE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B / - Ale"dig-fe ' J _1i1d t/ B- z 73 7 c 7 3 s S_ 115 JP'40 s B- 3 S > s / y~ -s B- 5-f ?7,1 "fa Yr Z 40 -All 3 An JA B- S~ O L 5"O *'C 'was PERCOLATION TESTS w = w,~, ~c TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERT D -2. PERIOD3 PER INCH P_ 2 in 1 J t P- P- 2 2- c i [ 3 P- P- 5- A e- 2 > a P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION i ~ . I ! ~ I I I 23 7 i ~ r - f x,,.._--. ___.,y, _t J_ _ f N 0T.,17 r ; 0& ! T f~ r~'~ ~ N ar, i j ; ; 7 _ { i I ~~7 E i T • I . .....1 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME print : TESTS WERE COMPLETED ON: M PLUMBING 5-1 ZZI? ADDRESS: Ucen=ed Perk TeSter & Plumber CERTIFICATIO NUM ER: PHONE NUMBER (optional): #3233 #3289 rV d- 121-d ROBE S, WISCONSIN 54023 CST CTUgY' Phone 749-3656 JS DISTRIBUTION: Original and one copy to Local Authority, Property Owner and if Tester. DILHR-SBD-6395 (R. 02/82) - OVER - ~ tCa ~ FED 0 O 0 I >41 1 Z t 449094 (nqJAMES 1_- Croi x Co., W1 CERTIFIED SURVEY MAP N WALTER H. HOWARD AND DOROTHY B. HOWARD NPL,q T TE'D ----L'4--NDS Part of the Southwest 1/4 of the Southeast 1/11 ,end h also a roadway easement located partially in the q Northwest 1/4 of the Southeast 1/4 of Section 14, ses•3o'3 Township 28 North, Range 18 West, Town of Kinnic Q~6, 7~O a - - kinnic, St. Croix County, Wisconsin. 4\o `~33^ ,~~Nttitirrrhi Dated: June 25, 1988 ```~+ON REV/SEO.' 5- 30-1989Q~ \\1 Q \J`.•.••..,~/ Revi ed: 6-23-89 0 0 • % : 0/ q ~0 0 m • W MU o N IVER F7ALLS, wise. , W JI J~ ~ r„t►t~• w I' Laurence W. Murphy Registered Land Surveyor W / ?Q WI © 0Indicates 1" x 211" iron pipe weighing m 1.13 lbs./lin. ft. set. Q O INDICATES IRON P/P£ FOUND. h 2 a UWNERIS ADDRESS: Route 2, Box 329 O River Falls, WI 54022 Qv. I h h SCALE I"200' ~ I 2 O 50' /00' 150' 200' 300' 400' 300' 600' LU a N G0 W m rN N ' zi m m UNPL A T T ED LANDS h ry 33' 33'I S 89 ' 37 '3Z "E 66.00' 68E> d S 89.26'35"£ 880.67' W I o m ~ N I I h ° ~ w a L 0 T JI N N //.426 ACRES y N 497,717 So. Fr. a N j l ° NET s /0. 630 ACRES Q I 463, 029 S0. F7. N SE C0R. SEC. 14, T28N, 3 ° R /8 W, / COUNTY Z ' 00 SURVEYOR'S MON.) ~I i I 1 - 2 h Q 4 ' 946.67' ^J I 372. 41'166. 00'! 880. 67' 4j /j/9.081 Q. X , j) N 89. 26r33r ' W 2638. /6 UNPL A T TED LANDS S LINE SE 114 S114 COR. SEC. 14, 7*28N,R18W, /COUNTY SURVEYOR'S MON.) Vol, 8 Page 2115 Certified Survey Maps St. Croix County, Wisconsin SHEET / OF 2 r DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY,. DIVISION BOX HAM, R IONS PERCOLATION TESTS (115) MADISON W1 7969 (H63.09(1) & Chapter 145.045) LOCATION- SECTION: TOWNS HIP/NtbNrCrPAtiTY: LOT NO.:BLK. NO.: SUBDIVISION NAME: .5 ~ 0 v 'a 40/4 H COUNTY-/Y-'' OWNER'S BUYER'S NAME: AILING ADDRESS: USE { ATES OBSERVATIONS MADE -yyO. BEDR COMMERCIAL DESCRIPTION: 11 PROFILE DESCRIPTIONS: PERCOLATION TESTS: Z,Residence 7 [ lew ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: M~OUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) L'J S ❑U a, DU CAS ❑U C~-S DU CAS ❑U .i• ' 3 ' If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(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.) B- ^ ` 'w J ~CUa~~~ A se, 6" B- 3 e > 73 3 ` s era ~s B- j > / G ' ` B- t/ 5 > s ' w *61 3 An _rZ_ B S 0 t r 5"!3n s PERCOLATION TESTS to = w4,4c TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD T PERIOD2 PERIOD PER INCH P_ 2 P- P- 3 zZ /0 3 P__ 2 Z .7 P- S' 116 ex e /V P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 'lily, 9 Y E -id t _ b r c # S/r6w~ -QYt T t r 14~~ f~ Gvi ~6t it 5 y , fs~~ ~,~%~ru- . 3- 3 i i 4 Awl 1~ _fl~nfrt~ r 5 Ga t~~~. T-- [ ~ I I 6.e - °~r frc .t ~~hl~ IGC~t TJ __mm [ 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. NAME (print): TESTS WERE COMPLETED ON: pAVE FOGERTY PLUMBING S 7 ADDRESS: I-ICensed Perk Tester & Plumber CERTIFICATIO NUM ER: PHONE NUMBER (optional): 83233 03289 ROBE S, WISCONSIN 54023 csr ~IG~TU Phone 749-3656 . DISTRIBUTION: Original and one copy to Local Authority, Property Owner and_0'if-Tester. may;,.. DILHR-SBD-6395 (R. 02/82) - OVER - r , INSTRUCTIONS FOR COMPLETING FORM 115 - SRD - 6395 To be a comple' and accurate soil test, your report must include: 1. Complete legal )tion; 2. The use sectio ust clearly indicate whether th's is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or ment system; 5- Complete the su- I;,y rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEM : ARE RULED OUT BASED ON SOIL CONDITIONS; 0. PLEASE use the abbreviations shown here for w-icing profile descriptions a10 completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drav; r., to scale is preferred, A =gate sheet may be used it desired; - Mal.-' sure your benchmark and vertical elevation reference point are clearly '„)wn, and are permanent; 9. Complete all appropriate boxes as to dates, ria'mes, addresses, flood plain data, percolation test exemp- tion, if appropriate; 10. If the information (such as flood plain, elevation) does riot apply, p' the appropriate box; 11 . Sign'the form and place your current addr^s,, god your certification t- 12. Make legible copies and distribute as -q. ALL SOIL TEST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS O_ t DMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TE,,.-. IS Soil Separa Textures Other Symbols st - Stone (u- 10") BR - E.. '1. cob - Cobble (3 - 10") SS - E_ gr Gravel (under 3") LS - Lim(.: s Sand HGW - High cs - Coa -se ' Perc F rned s - Mec-ur _ W t' is Fin( Bldg - Lurlt Is - Loamy - Greater Than sl Sail y ' < _ Less Than "i - Loann Bn - Broom sil S& Los., BI Black St Silt Gy - '!ra;=. Calz.! Loan Y Yellotnr 'y Clay Loam R - F ~i Clay Loam rnot - rsa: -dy Clay w/ Clay fff - f fine, fay, c cc - cot m rnm - rr~ - d - c P prorr. HWL - HICi F iI B!A _ VRP -t TO THE OWNER; f- tni q permit. Th u.; ;rf,;.'. l 1 ~~pp'A `g.''~:. r~.... } a~E F }~f, t... i} i~{ 3.~ KINNICKINNIC T 28 N. .18W 17 OorN SEE PAGE 29 Av[. _ 4=.s Frei • 0 j N •~M Len / Lu 3 ,E'ud //ofi /Pay-]]°nd .Y 65 i Her] en c r e.,. n>. 7Yc77fT~ nrs 'die-u-,yen _Yoctvaln'- C-iii L merman A v/d H \ ~ . . ` /9e lease / ,e /ss sO Coreni~sen L mk v ~w efa/ 0 /9z6s L/ ry Q c h ^ • -94 • J neS b~ /.Sd AYE. v.0 Zy LuG eels/ ~wv L k/er 19j0/ sFQ vo ~H h /~}h /z o h 9a c ~L~ ! i. /ao i w n eco<, se • \J ~ ~ ~ Goidon bSfier `,p I•f G"b~C{] ,eobt fQ'//v C A'YL/NE MUe//0' ~O n• ~n f n°Yd Fl £ C"ro/h' G 'la ~rres Fl, oo zto tl- /-/ate c.•//° 90 _R O. ka/h/cen_ \ d i ,~Oy orf • • /7iv.~~ y io./ s1 7 / E l ,Qeuhcn 1.6 °w /s949 2 Fi.fsche s q 9B5 Nyr` Tancr • Tchie pN ~v~ K ne xG~ ~ava0 f arGQ/aA 74 Q~ ¢ ofif. p Caro/ ^ H 44 a Tfiorrtas /ss Thy nas Fc en i ~ J ~ b Zt p s o . 40• J /zo p y S huh i.a tl s✓// am cfx~, " M Fiadec.ck /3as c Lcor]a d ✓tb eO Ed .n 9 /6 2 \ q0 3 CSfa/o .ton fo%' 7 4o H Ku~>`.i Ph///ijo/os /40 idd /7'8.2" e~ IOT H 23 y J 41 j Tod /2° - g0 I C9 y 60 ' J All I v Le enc v1oF p° c7c ' W p er?/d f7 eon Now / P 9 2 4a • ad /o E rh°/ a° ` r Fr¢~ne /zo • v a / _ < • ® /97 178 l~i Inc. /s 17 / Mau ca • I f o >~.var v~ tl` I BO 60 •l.- `y.ye/en z F~ V stf.ne •'eLO Y) rroN+ 0 1 7 N C ..=v f/anass e o f v N /00 67 G✓./ a Ftg onom~cs J_•_ Do h Gh~f/Ps W \ 4 ' arvy v c$tuarY z o. 8s How e. r a~t 4i SZ.S P3 \ • eia/ C h 7s /s 9 0 .esp,r e Q P ps. y v a /7¢190 > , 9 's7,aa d • y N /s JOn SM . L.E ' W ` V h G JOr Tn s Fia r]Fc h' Ch es y J L L Pas E v\1 . BO r /-40 ` kris arson Lobo ach W a o Zo tai/ b i. 0 Q p 6 Thorryas • Bo 8a N h Verr ,bson, tux 'n elf s err a /ve ~z ( y`' G Fu/Ie/' rr i/ I 'v Su, Pch- :m a c i, • cta/ • r1.s /Va/son /'4"0 1, " t7o'>• <Tacobson • I /92-s9 j z. N 4° 4° /.~ko i I • k Qs ; ¢ r F a6"en Lq C Ho rd se 9 p • • y~ >cn tl 3°. zs eJ tl° - L¢ s ZH. oci s8 • //B o 16 f/uP erf• 4Ha//i t Le Eynck ¢ et o7,7 AV C t ordgn C/ I feJ j ~~4 gry £ame Mar c ah//:~ r~ crhhn,J>-s 0~.~'b vo ss~.3 C ^y II~ II /7.337 • Karon Dann (v ~ e Narm¢ 40 Urt/S I`.~ v q N /33.95 93 S Thorn/ son ~ , ~ pG M 0 • t 'BO K/y G h ~se lvCOy R ias 1 Mat_f.// T ohn~• a G~,d 9.:.so< .e/ 997 'eCr sr' - N1 ~w t q d e ` Ka ' /ire g° fork AVE. a' Ra ti • 0 4o v J v 0 9 /o¢ ? Krear JJ eeis18~ oc . Pechur7ron 'O ¢0 4a r vv o v by ~'~.~s 20964? 11 ai..~,~55 o o. w ' e ~ F J / .T /io 3~ ¢ 65 ubch Otl G/r./ ¢n s rQ Ca ty R 3 /iceZ~ a ~~S ~yv ,~2'i°.,~ 7-1 ~k jhr/ey . I s B= Mor'ne L M¢x ne y Wert3 I B >7a, a/A= PesEa ~/ernan 4 Al.~• Krem 70.35 Yie en C 0 °e'Ila o ' skar Bo Euypn ant M ,T cI y'a ~l F /oo 8667 40 -?o ,33 e /iB. B Cor Pes]car Em Btf', A.o. e e. cTo n 7z .9rn ap c$wtn.ron 7.~ , 3 ~ ¢O ~ f,Qose P s/e¢r-~ z ,P E.7u iYh 'C• f H !s ~i 1 • m.rs ,L~Un.f er-. ors c„$•we son zdo / / S J yL 4° V • 4° u`.ei V`a ra_ ~ 0 + /OTN • AYE i GI C~dd L.Qr3 on ° \v10 BA 7B Ba ~LY..ils 4.o ao SL Y 741 I/i4 44 • `c7 Cf y /30 FS7or thy Ms99/e 270 ov7 $ E y ne f a i< Ll2v/ 6Delva_ K~hn fiansen .ti>G/~t a/'ef ,9 a ¢o Pesko r n 0 ousa.E -rosy > . /,B B y , , 40 ,o l l . . • 4D v r117;11 C70h17 'W n LLB~ d' 3w° 4 17 90 0 e/.srr~ / i7B ram_e 0 /04 J ' ~/df7.Pac.E~ d r/aPf ~6/s, Lac P/E CE COUNTY c'~ ~x L'ouniy, Ws Grain Drying River Falls yy6;n~ t~ HOIKKA Grain Banking ke -H Bulk Handling Medical Clinic, Ltd. MKa A&en IMP. INC. Liquid Fertilizer River Falls, Wisconsin IHC - Gehl - Fox Custom Grinding - Mixing H & S - Lindsey DEISS & NUGENT X% I 2FMC/JOnas-Klass (715) 273-5068 FEED CO. Medical Clinic I ; ■ ELLSWORTH Phone: 273-5066 I'M. Ellsworth, Wisconsin ~ WISCONSIN A East Ellsworth, Wisconsin 54010 . CERTIFIED SURVEY MAP WALTER H. HOWARD AND DOROTHY B. HOWARD NPL A TT TED ADDS Part of the Southwest 1/4 of the Southeast 1/4 and $ - also a roadway easement located partially in the Northwest 1/4 of the Southeast 1/4 of Section 14, Township 28 North, Range 18 West, Town of Kinnic- kinnic, St. Croix County, Wisconsin. \o ,y. ,~NIII11/I/M Dated: June 25, 1988 3 0~, ~Ay►, GON ~i Cl) 0.0 v W ,I ° Q/ LAURE CE o SO O p /o O ~ M W MU w l 3 _ 3 4 y o L~/ N IVER ALLS.-* 1V Q O / • , WISC. • O(D LAND W ( mil/ : / e j ~ :~U~ul/►~~~, LUI O / Laurence W. Murphy y - o y Registered Land Surveyor O W zQ W 0 a 3 O Indicates 1" x 24" iron pipe weighing Q / m 1.13: 1bs./I3n. ft. het. W I / m OWNER'S ADDRESS: Route 2, Box 329 River. Falls, WI 54021 u h SCALE /"z ZOO' to mot- Q • 4 % 0 50' /00' 150'200' 300' 400' 300' 600' I:' v 7 N a1 G O p /4 to cy I N ~ N Q h N n ►I ° ^ I ° V o~ UNPLATTED LANDS 10 .h Wp.33 33S 8 9 • 57 ' 31 "E 66.00' S 89. 26' 33 "E 880.67' O m N N I NI h h n t W i LOF i N Q JI N /0.933 ACRES W 3 N 476, 229 SO. FT. ht N P3 • 3 7' 32 0 66.00' NET /0.630 ACRES N , Q OO 463, 02 9 S O. FT. N S£ COR. SEC. 14, r 28N, M 2 h R /e W, / COUNTY W o SURVEYOR'S MON./ I... I 2 h Q 43~ 4/ ' 4 ' J W 880. 67 1319.081. 0.y t z `I N 89.16'35"W 2638. 16' Z~ UNPL A T TED LA 11YDS S r/N£ s£ 114 - n 5 1,'4 COR. SEC. 14, T28N,R/8W, /COu,v7Y SURVEYOR'S MON.) Vol. Page Ce r t'i f'z ed Survey Maps 13t. Croix County, Wisconsin SHEET / OF 3