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HomeMy WebLinkAbout022-1077-70-100 i a p aa) ° aai o 0 06s 0C, N o o c Co c ~ a y o x m o . E~ N T.•Oa-O B m mm co d N m y a m a)= Z .G $ CO N LO C N- E i- > c c 2 -r- U) CL 0 m «p -o m~ v i c at U 0-- E (D C a N- N y r ce)o3w >m rn3w ° 0~! 01 c0 y U L > CO C ~U U J -O O C N m o C y m 'C M 4. a) w w 'LO O U) U _y d CL V Q a) .2 o 0-0 C m O ~3 "g .m.. a) ,OF D.C 2 ~ > i~ - CD 0) ; N N c Z o 8-. a~ c Z O) N m ma o N~ 00 co :E a c LL C 0) C Q_ fm O N LL c X O` O '4)0 N .2 U) ao ~w mwoaV c c€ o nm c v ma 3aa y y m m a m mom- m >L o Q w~ .602- WS E E Q Da m m w 0 -1 `VU M M ce) 3 I n \ I a) N z H Li ~ O O -P, Lo z ~ 4) m € m \ '0 '0 cOw am am v N f- z O Z ~ C C V~~ O N O N N F 4 a 2 a d O N 7 O N 3 .L4 N U) N ` N O N L N co • L ay N E 0 O I 0 z m z z m z N I ~ I N m N m d o t o M o v T m Y2' d a y m0,1 ~ o o a o 0 o a ~w z.-> rFyU) U) w rr E ° ~vrr)v~rmr E .2 m o O O O a U O i O a 3 •N LL a a a LL a a a ►~a a ? I ? I 3 O U) CO CO rn rn m w U ' 0) 0) z° rn rn w co w a) ~l m M o m o o rn o o oo W co O w N ol O N N N E r- cq to aD }T, O O j N 7 3 N N C m N C C M N C a OO ZB O a N N 9' O a N N rn w V a Q - to U° Q to m C 0 7 c.3 U C 0 7 2 ~,j o 0 0 3 y c cl) w e ~l ° ° r o r `o E O ~p O N O O 0 C, O~ - N O C N co U) C a N N N N N p n 2 0 i c co mN ~ c c 5 M z m O Y t cO ao 4r O N y 7 N N N C V y v Z V) N L 0) h C N f0 co m y N N y M M 7 2 E L) 0 O N m m m • N f- C CD ~ O N M O O U O O N Y lL N Z 2 H lL O Z N !n ~ I m CL 4) IL a a L a rw• «t a m .2 m d c m d c E r- r A La 0 c 0 C oo 0U)0 Parcel 022-1077-70-100 02/25/2005 04:42 PM PAGE 10F1 Alt. Parcel 27.28.18.430F-10 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * FISCHER, ROBERT E & BONNIE ROBERT E & BONNIE FISCHER 130 CTY RD JJ RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 130 CTY RD JJ SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 5.030 Plat: 0317-CSM 05/1281 SEC 27 T28N R18W NW SE LOT 1 OF CSM Block/Condo Bldg: LOT 1 4/962 & LOT 1 OF CSM 5/1281 666/449 ALSO PT OF LOT 2 CSM 11/2981 DESC AS BEG SE Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) COR SD LOT 2; TH N 89 DEG W 637.74';TH N 27-28N-18W NW SE 15 DEG E 51.68';TH S 85 DEG E 626.20'POB Notes: Parcel History: Date Doc # Vol/Page Type 09/12/2001 656431 1717/580 TD 2004 SUMMARY Bill Fair Market Value: Assessed with: 12704 250,400 Valuations: Last Changed: 04/23/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.030 35,000 153,600 188,600 NO Totals for 2004: General Property 5.030 35,000 153,600 188,600 Woodland 0.000 0 0 Totals for 2003: General Property 5.030 35,000 153,600 188,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 104 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 5 ASS STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER 1~ J 7 ADDRESS T SUBDIVISIONCSM# (j cy CV LOT SECTION T c> Y N-R W, Town of ~ Id /plc ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Tr r/ec. ~o x QYd96 4 3957' ~ao,D 4 ooa ~q~ Se p~~ ~x rs~in~ ~ upoetfc w f to Pit ~ tae (T 01Xb6 ISO- '!C ')c K x x JNDIkP'TE)pORTikA Provide setback and elevation in', orr.-. t.ion on reverse of this form. 1'-ov ide 2 d imens ic--l; to cent(-! o; Septic taiO, r:anhole cove' BENCHMARK: SOD, D rev~~C^ ALTERNATE BM- E SEPTIC TANK / PUMP CHAMBER / HOLDING..TANK INFORMATION Manufacturer: Liquid Capacity:_4~06 t Setback from: Well >50 House Other Pump: Manufacturer Modell Size Float seperation Gallons/.cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: f I Length 4 d / Number of trenches Distance & Direction to nearest prop. line: 1 Setback from: well : ~~0 d House Other ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATIO PLUMBER ON JOB: 1t LICENSE NUMBER: C~3 INSPECTOR: 3/93:jt . LQ~~`~'~,rt,~,>tT~~,~',INIC 27.2~RfVQTE SEWAG~~~S~EIV1 JJ County: Labor and Human Relations INSPECTION REPORT "Safety and Buildings Division (ATTACH TO PERMIT) sanitary ermit 91.0T X GENERAL INFORMATION Permit Holder's Name: ❑ City El Village `?C Town of: State Plan ID 99956 No.: ST BM Elev.. Insp. BM Elev.: BM Description: Parcel Tax No.: L o u ra Lt t~ TANK INFORMATION ELEVATION DATA A9300354 !e,/ c,' l TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic /,44, , Benchmark Dosing Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet Verit TANK TO P/ L WELL BLDG. A ir Ito ntake ROAD Dt Inlet Air Septic >S$) NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe ;L- Holding Bot. System 5,70 Cl S y PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction Syesatem TDH Ft Forcemain Length Dia. FFii Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH width I Length No. Of Trenches PIT No. Of P Inside Dia. Liquid Depth DIMENSIONS G ~9- DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O tc CHAMBER Model Number: System: 35 C/oo Vob OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over I xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed/ Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: KINNICKINNIC 27.28.18.P430F,NW,SE,CTY JJ ~i - ppp ,v Plan revision required? ❑ Yes 2 No l lq,3] Use other side for additional information. og 10A-1a SBD-6710 (R 05/91) Date 'I'nspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: 7MLHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUN =a~v uaa,~aw„vw,v~ -Attach compl ete plans (to the county copy only) for the system, on paper not less than ❑ STATE 2kZ'.'2'Rt01M 6'!z X 11 Inch@3 In 31Z@. Ch s application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPER ER g5 PROPE TY LOCATION e U` ? 'I /a TE S T A-, N, R /F E (or ow PROPERTY OWNER'S MAILING ADDR;F LOT # BLOCK # CITY, S~ TATE ZIP 7 CODE a PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER / 3o II. TYPE OF BUILDING: Check one CITY - NEAREST R D ( ) State Owned ❑ VILLAGE : 0; ZQWNOF:ti *gthn/o I ❑ Public ®1 or 2 Fam. Dwelling-# of bedrooms PARCEL AX NUM 111. BUILDING USE: (if building type is public, check all that apply)-,~~~/ 1 ❑ Apt/Condo ( l C/ 20 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 120 Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1.0 New 2. ER Replacement 3.E] Replacement of 4.0 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 /a X 6 v ' 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 q ~ REQU RED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft(Min./inch) C ELEVATION 0 JO I WO ~ -416 ~D c J Feet QQ Feet VII. TANK CAPACITY Site INFORMATION in gallons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. New istin Gallons Tanks Concrete structed glass App. Tanks Tanks Septic Tank or Holdin Tank k Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown o attached plans. Pl76tvs s Name (Print): re: (No S mps) Business Phone Number: 2 Plumber's Address (Str et, ity, Sta e, i Code): l v U5 Loer IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sa ,Wary Permit Fee (Includes Groundwater Da ti Issued Issuing Ag nt Sign (No m Surcharge Fee) :0i I Approved ❑ Owner Given initial ~i- Adverse De ermination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety 8 Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Yor{r sanitary permit may be renewed before the expiration (late, and at the time of renewal any new criteria in the Wisc:rrsin Administrative Code will be applicable. 3. All revisions to tt:= , permit must be approved by the pe n7it issuing authority. 4. Changes in ownership or plumber requires a Sanitary K;rrr~if Transfer/Renewal Form (SBI 6399) to be submitted' io the county prior to installation. 5. Onsite s Nage systems must be properly maintained. The 'ic tank(s) muA he pu;trped by a licensed pumpe,' 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 Sine B if permit is for tank replacement, reconnection, or repair. V. Type of system- Check appropriate box depending on system type. VI. Absorptior system information. Provide all information reques'cd in #1-7. VII. Tank inforrnatic: Fil: in the capes,, of every new and!or ex l,;r:, tank, Fist the total number of tanks and man fa torer's name. Ifidicate prefab or site cons G and tank material. C r r, c:! ;tE: for all septic, pump/siphon and holding Lviks for this system. Check ox:;lerirnEntal approval only Tanks received ,7xperimenta prod;..t approval frr_ern DID HR- VIII. Responsibility statement. Installing plumber is to fill-in nanip, swense number with appropriate prefix (e.g. MP, etc.,, address and phone number. Plumber must sign application farm. IX. Countyi Department Use Only. X. County/Department Use Only. C~rnprete glans and specifications nest Iier than 13% x 11 inch. _ myf he submitted to tle county. The plans rr)c+st !ocluld2 the following: p1 w ,I an, drawn to sale or w t€ snplete dimei -_.'cation of holding tank(s), septic tank(s) or o,her tieatrneflt tanks; building water, .r + ;ter service; streams and lakes; pump or siphon tank,; distribution boxes, soil 4h.-;o-0i; 1 systemirepii-,: (rent system areas; and the location of the building served; B) horizontal and vefilc , elevation reference points; C) complete specifications for pumps and controls; (Jose volume; eievia, on 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 419 included the creation of surcharges (fees) for a numut✓r of regulated prachces which can effect groundw.;:ter. The ;n-.onies c:os acted through these sr..rcharoe_ ;,i yro, ndwater, ground- water contamination investigations anti establishn ow of Ja. cis. SBD-6398 (R.11/88) STC-100 This application form is to be completed in full and signed b fthe 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), thenla 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 /I ~ Location of•property 1/4 SC/41 Section Township Mailing address Ur Address of site ly( subdivision name Lot no. Other homes on property? yes No Previous owner of property Total size of parcel' r S Date parcel -was created ~~PS ! 'Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes „••_No Volume aid and. Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & 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 ip, h Tice of the County Register o£ Deeds as Document No. 5 , and that I own the (we) presently • 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 records i '.fLb}e office of county Register of deeds as Document No.- signature of applicant Co-applicant .s ' Date f s gnature Date of Signature• • • ~r~_ y STATE BAR OF wiSCONSIN-FORM 1 DOCUMENT NO. ((~~S{ WARRANTY DEED VOL 616 MAO THIS SPACE RESERVED FOR RECORDING DATA 36602'7 REGISTERS OFFICE THIS DEED made between j,r~oine G. Krear and Bernice Krear ST. CRO%A Ca, W14% husband and FLfe 29th Recd. for Record 9* Grantor day 0 AR6 A.D. 19-90. _RQbg Fi sch!r a*+~ Rorl_ni a Fischer h band at of 8 :30 A. .d Grantee, R r of Deeds W i t n e s s e t h, That the said Grantor, for a valuable consideration Tel.lars Thousand and No/100 010 000• - RE-` FALLS STATE BAi`!K c+ rni x conveys to Grantee the following described reel estate in ~ 124 S. SECOND ST. County, State of lYisconsin: RIVER FALLS, W{ 54022 A part of the NWt of the SE't of Section 27, T28N, Rled, described as Lot 1 of that certain Certified Survey Map recorded in Volume 4 of Certified Survey Maps, page 962 Tax Key No. w O nT, This is homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And Lamoine G. Krear and Bernice Krear warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except existing easements and will warrant and defend the same. August , 19~ Dated this 13 t_ day of (SEAL) (SEAL) * Lamoine G. Krear (SEAL) 0v (SEAL) Bernice Krear - ` AUTHENTICATION ACKNOWLEDGMENT Signatures authenticated this day of STATE OF WISCONSIN l SS. August 19 30 County. i Personally came before me, t day of ✓i the above named TITLE: MEMBER STATE BAR OF WISCONSIN (IF-Trot, autiwzized by_ 9 706.06,--Wis--Stats-) This instrument was drafted by to me known to be the person _ who executed the fore- ztalph E. Senn. AttomeY_ River Falls, Wisconsin 54022 going instrument and acknowledged the same. i * I (Signatures may be authenticated or acknowledged. Both are not necessary Notary Public County, Wis. My Commission is permanent. (if not, state expiration date: , 19_-•) -Names of persons sign! ig in any capacity must be typed or printed below their signatures. I - I WARRANTY DEED-STATE BAR OF WISCONSIN. FORM NO. 1-1977 Fit ED JUL 1 8 1980 0 JAAES O' CONNEII Rapider o{ Deedr V 84 Croix County. W soonr CERTT7IED SURVEY MAP ~I 6 La1qoine Krear Part of the Northwest 1/4 of the Southeast 1/4 of Section 27, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. Q) ; N 88 ° 00 E 6 X3.0 i ~z I J OO - 4 o oN ~ r -GOT / ,00 I x.00 ~4 CAPES No GO I N s ° ~N I 6 5 Q N ``\\\\\\1151111111111p!!1/~~~y~~i NN C JAMES L. MURPHY In = i S- 1042 c - O VI S. COR. S~~C • :Z? -7 • RIVEWISC FALLS, •Q In ~-z8 /vim .r2/ 8 vr/; J' ri Jtv~.~~ o Indicates 1" x 24" iron pipe weighing 1.13 kl lbs/ft set. v U~~ SC.gLE i /00~ Description: That certain parcel of land located in the Northwest 1/4 of the Southeast 1/,4 c:f Section 27, Township 28 North, Range 18 West, Town of Kinr:ickinnic, St. Croix County, Wisconsin, more fully described as follows, Commencing at the Southwest corner of said Section 27, thence N 67045'27"E 3977.02' to the centerline of C.T.H. JJ; thence S 88034'00"W 50.32' to the POINT OF BEGINNING of the parcel to be herein described; thence S 88034'00"W 614.47'; thence N 102610011W 208.70'; thence N 88034'00"E 638.01'; thence S 5000'0011W 210.02' to the POINT OF BEGINI~JING, containing 3.00 acres, more or less. (For purposes of this description all bearings are referenced to the South line of Section 27, T 28 N, R 18 W, assumed S 88055'03"W) State of Wisconsin) County of Pierce) I, James L. Murphy, Registered Land Survyeor, do hereby certify that by direction of the Owner, LaMoine Krear, I have surveyed and divided the lands shown herr~on in accordance with official records, Chapter 236 of Wisconsin Statutes and the Ordinances of St. Croix County; and that the above map and description are a true and correct representation thereof. Dated : 23 June 1 9cS0 Vol.-A-- Page--!t2 APPROVE'--.: Certifies Survey Maps James L. Murphy St. Croix County, Wisconsin %WL 16 19 Registered Land Surveyor I ST. CROIX COUNTY Vol 4 Page 962 COMPREHENSIVE PARKS Pj;"N W§ AND Zotm"G Co,NMIuu SEPTIC TANK MAINTENANCE AGREEZIENT Ct St. Croix County o0 OWNER/ BUYER F;S 0 w ROUTE/BOX NUMBER TT Fire Number Y~ CITY/STATE Il 7r_ ZIP PROPERTY LOCATION:;.,~k, SG~ k, Se tion / TP N, R/2 W, Town of St. Croix County, Subdivision Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes.- Proper maintenance con- sists of pumping out the septic tank every.t9ree years or sooner, if needed, by a licen'sed"sept'ic tank pumper. What you put into the system can a :ect t e unct on o. t e septic tank as a treat- ment-stage in the waste disposal system. St. Croix Count residents-ma be eligible to recieve 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 .syst'ems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or.a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and .(2).after inspection and pumping (if nec- essary), the septic-.tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three,year 'expiration. H 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 Depart- w went of Natural Resources, Certification form must be completed •d and returned to the St. Croix County Zoning Office within 30 days of the three year expiration.date. SIGNED J DATE. / St. Croix County Zoning Office 911 4th St. Hudson, WI 54016, 386-4680 Sign, date and return to the above address. ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presentl, serving the , kf~ ~ L3 S C/Z CL residence located at tie 1/9, 1/4, Sec. Tc~~ N, RW, Town o Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to b, functioning properly. 2 Last time serviced J Did flow back occur from absorption system? Yes NoX- (if no, ski, next line Approximate volume or length of time: gallons minute: Capacity: //OUd Construction: Prefab Concrete Steel Other Manufacurer (if known): Age -of T ( if know (Signature) (Name) Please Print Pfk 31-9-? l (Title) (License Number) (Date) Form to be completed by licensed plumber (x.145.06, Wisconsin Statutes or Licensed Disposer (NR 113 Wisconsin Administrative Code) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tan condition, I certify that the tank to the best of my knowledge wil conform to the requirements of ILHR-8 , Wis. Adm. Code (except fo inspection opening over outlet baffle 2 Name 4 Signature od~~_MP 5/88 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS FNfl.USTRY, DIVISION 'LABOR AND PERCOLATION TESTS (115) MADISON W 7969 HUMAN RELATIONS R 83.0911) & Chapter 145) LOCATION: _ SECTION: p OW IP UNI PALITY: JL . NO.: SUBDIVISION NAME> E'/4 S t'4 d /T 1O"/R R (or i n i l '11A I N MA130 DDRESS: p r / l I COUNTY: USE ` l 1 DATIJE`S OBSERVATIONS MADE NO. BEDRMS.: 1COMMERCIAL DESCRIPTION: PROFI I S: A TESTS: Residence ❑ New Replace ~O "k~' ~f 1/4 a6 r'-'- Q p/J !V n g L~ ' Q C~ Q RATING: S= Site suitable for system U= Site unsuitable for system h ONVENTIONAL: MOUND: IN-GROUND-PRESSURETOS YSTEM-IN-FILL OLDING TANK: RECD MENDED SYSTEM: (optional) ICEIS oU ©S DU INS ❑U 2M IHEIS u If Percolation Tests are NOT required DESIGN RATE: ( If any portion of the tested area is in the under s. ILHR 83.09(5) (b), indicate: 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. H I HES TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- t $y I( Da,o oh > gyD-ay" 1 sI, ay,f fi, _s B- B l d s B. a I~ ~D ~t ~$y'I Is r /S'=o "Pn ~~~e s 13~-, B- B a i /a''-3a"s 13v 1(1' y PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P- 3 No / P- ; 46 IV, 1 P- P- P- 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 QI 1c. E _9 i t t t _ AT. H { ` I 11 ~ 1 ~ j , Ualue I i - ~ ti t 6+ ors J I i Pry i I . L 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 COMPLET D ON: /o 16 CERTIFICATION NUM ER: PHONE NUMB R~ptionat): ADDRESS- ~ ~ OF l CST S IO~GNfU~AT/v~ S DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing scale is prefered. A separate sheet may be used if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all apropriate boxes as to dates, names, addresses, flood plain data, percolation test exemption, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and yur certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 10") BR - Bedrock cob - Cobble (3 - 10") SS - Standstone gr - Gravel (under 3") LS - Limestone 's - Sand HGW - High Groundwater cs - Coarse Sand Perc - Precolation Rate med s - Medium Sand W - Well is - Fine Sand Bldg - Building Is- Loamy Sand > - Greater Than 'sl Loamy Sand < - Less Than '1 - Loam Bn - Brown 'sit - Silt Loam BI - Black si - Slit Gy - Gray cl - Clay Loam Y - Yellow scl - Sandy Clay Loam R - Red sicl - Silty Clay Loam mot - Mottles sc - Sandy Clay w/ - with sic - Silty Clay fff - few, fine, faint 'c - Clay cc - common, coarse pt - Peat mm - Many, Medium m - Muck d - distinct p - prominent HWL - High water level, surface water Six general soil textures BM - Bench Mark for liquid waste disposal VRP - Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. i YR)F 3 31 s oqk is /101 D 60 P, .A -r op )Sd x #~P9vo -T/4Y S ~S, E lent 9~. Cfl ~ I,ocp ~a ~ Septiz ~x lg*ihyy ~c~n~zt Flew S~ wl lull fun Wve ~xi9fii n p 8-~ ~ t Q fl~3 t~ X60 be~ x X x K x x x x x x x r. r DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDING! INpUSTRY, DIVISION P.O. BOX HUMAN REDLATIONS PERCOLATION TESTS (11J) MADISON WI 5370` R 83.0911)& Chapter 145) LOCATION: SECTION: &OW P UNI PALITY:I LOT NO. BLK. NO.: SUBDIVISION NAMEfl 1/ S t Y a /TON/R B'E (or I nn (AA t COUNTY: MAI LING ADDRESS: 130 ^r p r11 4), I USE ` DATES OBSERVATIONS MADE NO.BEDRMSS: COMMERCIAL DESCRIPTION: PROFILE PERCOI,AT19N T : E~~_ ❑ New Replace lD . 5 RATING: S- Site suitable for system U- Site unsuitable for system tins L te x '0 /3 D CJ ONVENTI NAL: MOUND: IN-GROUND-PRESSURE: S TEM-IN-FILL OLDING TANK: RECD MENDED SYSTEM: (optional) ®s ou ®s au ®s au as Eu IHEIS au If Percolation Tests are NOT required DESIGN RATE: I If any portion of the teged area is in the under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B, I $4ll 09.0 oh 3gg11 0-ay1141 Si ay134,r~~ Sr 36f~ Ely I/ B- e a S B- 4" lO l t r~ ?$y" ~s i /g'= "P~n ? il?e s l s~''= e-, P B_ B- 3 y'' oa , WUs' is 30 " s 13v ' y B- S PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES A TERSWELLING INTERVAL-MIN. PERIOD t PERI D OD3 PER INCH P I P- Ile, f P- P- P- 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 hor 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 percen of land slope. SYSTEM ELEVATION'S p - -re ~ - - M1 eAl 0. c(Ts" A _A1 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 COMPLET D ON: X a ADDRESS- t / CERTIFICATION NUM ER: PHONE NUMB R(optional): rl/Pr G S'S~Qa~ a~6 S- S CST SIGNAT DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHRSBD-6395 (R. 10/83) - OVER - nLE ~ ~ 3 S% mon. CLE?TTr'ILD SURVEY MAP Oj LaMoine Krear 6 Part of the Northwest 1/4 of the Southeast 1/4 of Section 27, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. O e OQOO-- I 0 0 oN ' 8 o ~ ~ ~.OO -R c~ES OO 1 S ~ U ` V \\111111111111111111///~~ JAMES m - MURPHY S -1 042 J Ny/ % RIVER FALLS • %b I~ ~-ze ~v, .Q~e ~j;•.., Wisc. W N o Indicates 1" x 24" iron pipe weighing 1.13 lbs/ft set. v U\~ SC.4 G E /C~O~ Description: That certain parcel of land located in the Northwest 1/4 of the Southeast 1/,4 of Section 27, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin, more fully described as follows, Commencing at the Southwest corner of said Section 27, thence N 67045'27"E 3977.02' to the centerline of C.T.H. JJ; thence &:88034'00"W 50.32' to the POINT OF BEGINNING of the parcel to be herein described; thence S 8803410011W 614.47'; thence N 1026'00"W 208.70'; thence N 88034100"E 638.01'; thence S 5000'0011W 210.02' to the POINT OF BEGINNING, containing 3.00 acres, more or less. (For purposes of this description all bearings are referenced to the South line of Section 27, T 28 N, R 18 W, assumed S 88055'03"W) State of Wisconsin) County of Pierce) I, James L. Murphy, Registered Land Survyeor, do hereby certify that by direction of the Owner, LaMoine Krear, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236 of Wisconsin Statutes and the Ordinances of St. Croix County; and that the above map and description are a true and correct representation thereof. Dated: 23 June 1980 4 9 APPROVE; z Vol.----- Page--_t2 Certified Survey Maps James L. Murphy St. Croix County, Wisconsin JUL 16 19 Registered Land Surveyor ST. CROIX COUNTY Vol 4 Page 962 COMPREMEfISiVE PAW fjAMfJ1 § ANp ZORN41 Comikiga ~ (MA ~9~ 844 sta CERTIFIED SURVEY MAP LAMOINE KREAR Part of the Northwest 1/4 of the Southeast 1/4 of Section 27, Township 28 North, Range 18 West, Town'of Kinnickinnic, St. Croix County, Wisconsin. APPROVED • Indicates 1" iron pipe found o Indicates 1" x 24" iron pipe weighing 1.13 lbs./lin. ft. set APR 2 81983 UNPLATTED LANDS 51. CJZOIX COUNTY COMPREHENSIVE PARKS PLANNING AND ZONING COMMITTEE N88.34'00"E 331.41' 1` 0 2 COS F%- NOT A BUILDABLE LOT 4 LOT 1 e 1.663 ACRES L 72,336 80.FT. LOT I C.S.M. VOL. 4, UNPLA'TTED LANDH y PAGE 962, DOC"363224 NOTE: THIS PARCELTO 8E ATTACHE TO THAT C.S.M. FILED IN VOL. 4, PAG E 962, DOC.4'`365224 N O• 0000 • S 88.34' OQ" W 664.79' y 88813410011W 363.72' S • W m F• m m 0 y 4` UNPLATTED LANDS 02 ~ W d 0 30 100 200 300 m ¢ c 4~'Z7a~ to C N 6~ • z u W d ~ W 0 3 S 88.33' 03"W J - d SW COR. SEC. 27,T28N, SE COR.SEC.27,T28N, SCALE i100' R18W,I000NTY SURVEYOR'S R18WI000NTY SURVEYOR'S MON.) MON.) DESCRIPTION: That certain parcel of land located in the Northwest 1/4 of the Southeast 1/4 of Section 27,'Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin, more fully described as follows; COMMENCING at the Southwest corner of said Section 27, thence N 67° 45' 27" E 3977.02' to the centerline of C.T.H. "JJ"; thence s 88° 34' 00" W 664.79' to the POINT OF BEG- INNING of the parcel to be herein described; thence S 88° 34' 00" W 363.721; thence N 07° 22' 00" E 211.191; thence N 880 34' 00" E 331.41'; thence S 011 26' 00" E 208.70' to the POINT OF BEGINNING, containing 1.665 acres, more or less, being subject to easements of record. (For purposes of this description, all bearings are referenced to the South line of Section 27, T28N, R18W, assumed S 88° 55'.03" W) State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owner, Lamoine Krear, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236 of Wisconsin Statutes and the Ordinances of St. Croix County; and that the above map and description are a true and correct representation thereof. Dated; 26 April 1983 vv\5C0/V,3 ~i 10 LAURENCE'•; N m W MURPHY 1 cc Vol. 5 Page 1281 Laurence W. Murphy CD S 1713 Certified Survey Maps Registered Land Surveyor ;c RIVER FALLS W St. Croix County, Wisconsin . 1' WISC v~ . % "otanR~aa~• DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDING! INpU TRY, DIVISION LABO AND PERCOLATION TESTS (115) MADISON WI 5370-, HUMAN RELATIONS HUMA R 83.090) & Chapter 145) LOCATION: _ SECTION: OW IP UNI PALITY:I OT NO.: BLK. NO.: SUBDIVISION NA E:D E 1 S t d / O"/ R (or I NI E nn I COUNTY-~ MA1ILINU 30 D R SS: Iii ` ` 6 ` 4h:_ USE DATES OBSERVATIONS MADE No.BEDRMS.: r OMM R A DESCRIPTION : PROF RIPTION n STS: J-E;iResidence ❑New ,Replace /0 3 f~ d6 I/ I RATING: S- Site suitable for system Us Site unsuitable for system IS I, Yi e I 6 VENT NAL: MOUND: IN-GROUND-PRESSURE: STEM-IN-FILLOLDING TANK: RECOMMENDED SYSTEM: (optional) TONlsoullgsoul CNS ❑U E1cJ l_JU ❑ If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL P H T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION SERVED EST. HIG FtH~E TO BEDROCK IF OBSERVED (SEE ABB/RV. ON BACK.) Br ~yl( DO'.D o~' U T', o-a~" b1 s~ ~1y!( ~!O(r fill st ll~ B-e a S B. 3o"fdn~ines~3e) B ~~1rr !a''-3~ f' s 13~'= ~Y1 y 3 IN, e. B- S , PERCOLATION TESTS -TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES RNUMBER INCHES A TERSWELLING INTERVAL-MIN. PER INCH 1 -Y1,6 4& P- P- 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 hor 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 percen of land slope. SYSTEM ELEVATION f, 1 c, _9 3 5 C E. Le-- 4$ 1 777F I TH s _ t4 ~A b easc AL: w S z,Lz B - h- 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 COMPLET D ON: as 1,*'I S 14 4_~'q A0 -3 U CERTIFICATION NUM ER: PHONE NUMB R lional): ADDRESS rtr✓`~ G W ~yaa~ a~6 S- CST SIGNAT DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) -OVER - r i'YI~ARt..~ AR qyl l~ 74 FL'N(:c 1 j , j ► Cam, z"~-_.,~ 1 r fi 99 4 ~m=lpD~ lp 111 AR y w s ~ REPORT Of 1-NSPFCTIOU - INDIVIDUAL SEWAGE SYSTEM Sanilar.y PIVL State Septic NAME r -Township ~~;IfwTi~ -ad* _St. Ctoix County Location Section Lot # Subdivision SEPTIC TANK Size gatto n.6 Numb en o6 co mpar.tmentb Di,6tance Atom: Wett Buti.2ding 1,2% 6f-ope Highwater. PUMPING CHAMBER Size gatto P m Manujactur.er Model. Number HOLDING TANK Size gatfon u eh ob CompaAtment6 Pumper 2 Am System Distance Atom: wetf- Building 12% 6tope_ Highw aten ABSORPTION SITE Bed Trench DiAtance Atom: Wett Buy,.-ding 12% ~sf.ope, Highwaten ABSORPTION SITE DIMENSIONS Width o4 trench 1 2 M At Requited area (Q 1 ~ At Length o6 each tine Z{ (o 6t Depth o6 r.o ck b etow tile. 1 2 in Numbet o6 U-ne.6 '1- Depth o6 rock oven tite - in Totat .length o6 tine.6 9 2. At Depth o6 tife below grade 2 tin y Di4tance between Zine,5 E, At Stope ob tr.ench in. pen 100 At Total. ab~sor.ption area t Type o6 Coven: e~o ~stnaw ~'p PTT DIMENSIONS Numbet o6 pits Gnavet around pits yes no n Outside diameter At Depth below intet At - Totat ab6otption ate At Area requited _At TITLE INSPECTED BV _ DATE 198 APPROVED DATE 198 REJECTED REASON FOR REJECTION V State and County State Permit # , Permit Application County Permit # >y-3 f _RGn '~~e 0 for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing /Address: kca-pu- 6- C7-- B. LOCATION: W~'/n _ Section 7.7 - T 'Z N; R i E (or) 1103 Lot# City Subdivision Name, nearest road, lake or landmark Blk# (',IA;7 1 Village Township KeN 1'C KfNNlC_ C, TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) Variance Single family _ < Duplex No. of Bedrooms No. of Persons _ D. SEPTIC TANK CAPACITY 100 Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete- j(_ Poured-in-Place Steel Fiberglass Other (specify) New Installation Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft. New ~;W_ Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: )e- Length <'S1 WidthI a Depth 134z% Tile depth (top ~No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land 6 ~G Distance from critical slope WATER SUPPLY: Private ;~g Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than present owner: I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared by the Certified Soil Tester, NAME L.Al')0.cAZc {T1 i- RPW C.S.T. # and other information obtained from Rr, } owner,/builder). _ Plumber's Signature M"PRSW# Phone # Plumber's Address # V - ~Y 6• :;I- PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. ~a r_ Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY C Date of Application 2-/3 tO Fees Paid: State County „r "-d Date 3'O Permit Issued/ReiemTed (date) 3-iU Issuing Agent Name xw _ Inspection Yes No State Valid# Date Recd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2- state (pink copy) 4. plumber (canary copy) Revised Date 7/1/78 Nov REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 ~e LOCATION ✓`✓~/4 Sections _-7,T0=:0V,R-/aE (o W ownship r Municipality ~w G Lot No. , Block No. County T u Ivision Name Owner's/Buyers Name: 7- Mailing Address: e r/E /z '-cG-G ✓ A,/ TYPE OF OCCUPANCY: Residence ✓ No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW, J,-' REPLACEMENT ALTERNATE SYSTEM DATES OBSERVATIONS MADE: SOIL BORINGS 6 - PERCOLATION TESTS - SOIL MAP SHEET G NAME OF SOIL MAP UNIT ~sC of -X,~~' E SO LO Qirl PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTE INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 t % 1' P_ r 25~ P_ ? P_ SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, MOTTLING AND DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- , -7 9, B- B- B- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. S~~ ~-6 ~E'~~ r!z o Sx 3J G Sy rr Asa eE3 47 i ce' ? . , _ vC _ vG vt N Jr~ _ a I i 3 ` i ~j 1 i 1 3 JVL s I At— - rrn- S 3 ..t,- C> C_> e~ C~ r ' -1/ COQ 6 s I, the undersigend, 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 location of test holes are correct to the best of my knowledge and belief. Name (print) Certification No. ~S Z Address OX 2/y~~ .SSG <~T L✓ Name of installer if known Copy A -Local Authority CSI~ ignature DO - is d FILED JUL IS 1980 goplftw of Dsedf V SA Croix County, CIgtTTTIM SURVL'Y MAP wni LaMoine Krear 01- 6 Part of the Northwest 1/4 of the Southeast 1/4 of Section 27, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. `90 o N 88 ° 00 :E" 6 ~ X3.0 / ~ •~z ~ I 0 I %00o No ° N ° \ ON I \Q ,.~~a S G O N N.. V 6 N F JAMES L. MURPHY l S- 1042 0 i J N I In % FIVER FALLS, Q0 0 t ~ VI S. COR. SEC , 27, % Wisc. N V o Indicates 1" x 24" iron pipe weighing 1.13 lbs/ft set. S C A .G..E i / 00 Description: That certain parcel of land located in the Northwest 1/4 of the Southeast 1/,4 c:f Section 27, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin, more fully described as follows, Commencing at the Southwest corner of said Section 27, thence N 67045'27"L 3977.02' to the centerline of C.T.H. JJ; thence S 88°34'00!'W 50.32' to the POINT OF BEGINtJING of the parcel to be herein described; thence S 8803410011W 614.47'; -thence N 102610011W 208.70'; thence N 88034'00"is 638.01'; thence S 5000'0011W 210.02' to the POINT OF' BOGINIJING, containing 3.00 acres, more or less. (For purposes of this description all bearings are referenced to the South line of Section 27, T 28 N, R 18 W, assumed S 880551031114) State of Wisconsin) County of Pierce) I, James L. Murphy, Registered Land Survyeor, do hereby certify that by direction of the Owner, LaMoine Krear, I have surveyed and divided the lands shown hereon in accordance with official rocords, Chapter 236 of Wisconsin Statutes and the Ordinances of St. Croix Cotuity; and that the above map and description are a true and correct representation thereof. Dated: 23 June 1980 Vol. 4 Page-- 962 L.• I C/ 7 ertified Survey Maps James L. Murphy St. Croix County, Wisconsin J-11L 16 19 Registered Land Surveyor St. CROIX COUNJY Vol 4 Page 962 QOMPRENENSIVE PARKF PjAA1?4#j§ 040 tOwaG COMMITs,EE