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HomeMy WebLinkAbout030-1078-80-000 r STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER LARRY/ + 'O&AI d ADDRESS L/oi•~,r~T~_~D 7e SUBDIVISION / CSM# NA LOT # /LA SECTION T,30 N-R_LZ_W, Town of s f~ o r!*2& ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM A E fE ~ j h Q 600 5~` ~ 3 10006Ac z-SXS7 TENCHES Sjr, INDICATE NORTH ARROW Provide setback and elevation information on reverse of this -form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: / STcEL fi 1~~~ IL I /ODD X02 ~C~ ELE!//~T<4/v 5,~~c c~nno~ l~ /'0 2 Ti4~Y~i" ALTERNATE BM: TQP C~ f A f'Oc..vo,4 r,-Off SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: a1,,!~7L=K5 Liquid Capacity: /DD'D Setback from: Well House Other EFloam anufacturer Model t seperati Gallon Location SOIL ABSORPTION SYSTEM Width: Length S Number of trenches Distance & Direction to nearest prop. line: - D Setback from: well: (3001 House Other ELEVATIONS Building Sewer 1 ,52- ST Inlet; ST outlet. /o~• y~ PC inlet JVA PC bottom A(/-}- Pump off /Ol.O S g,oy Header/Manifold /011 5' Bottom of system Existing Grade /01/ - 9e Final grade 5Pe DATE OF INSTALLATIO 3 PLUMBER ON JOB: r LICENSE NUMBER: ✓av20~ INSPECTOR: 3/93:jt op L0;i %$ampe~rofQWH 28.30. Rf TESE i4GE'SYSTEMTEAD TR. County: Labor and Human Relations TE CW Safety and Buildings Division INSPECTION REPORT ST. CROIX 4ENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: Permit Holder's Name: 19 3 4 4 3 ❑ City ❑ Village [Town of: State Plan ID No.: S JOSEPH CST BM Elev.: Insp. BM Elev.: BM Description- ~ ~ ~ Parcel Tax No.: v(J 030-1078-80-000 TANK INFORMATION ELEVATION DATA A9300098 Q~ TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septice / Benchmark i Dos' g Aeration Bldg. Sewer Holding St//FA Inlet TANK SETBACK INFORMATION St / F/t Outlet TANK TO P/ L WELL BLDG. vent to ROAD Dt Inlet Air Intake Septic NA Dt Bottom D g NA Header AA%aaD_ 9. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufact Demand 6020 01ox , g . Mo I Number GPM ' TDH Lift Lriction S tem TDH Ft e Forcemain Length Dia. ow SOIL ABSORPTION SYSTEM BED /TRENCH Width r Length NIG enches PIT o.Of Pits Inside Dia. Liq id D pth DIMEN I N DIMEN I N SETBACK SYSTEM TO PL BWELL LAKE / STREAM LEA HING Manufacturer: INFORMATION Type o µ , IA R System: >~5 Mo el Number: OR UNIT DISTRIBUTION SYSTEM Header/Marnfel¢ Distribution Pipe s Len th pia Hole Size x Hole Spacing Vent To Air Intake g Length S Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over „ :1/[D:epth Ove:hE xx Depth Of xx Seeded /Sdxx Mulched Bed / Trench Center Trencdg es - a Topsoil Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: ST. JOSEPH 28.30.19.280B,NE,NW, HOMESTEAD TR. Plan revision required? ❑ Yeso Use other side for additional information. ZZte: 93 SB D-6710 (R 05/91) DG Inspector's Signatur Cert . No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION L1131L HR In accord with ILHR 83.05, Wis. Adm. Code couNTY -Aftach complete plans (to the county copy only) for the system, on paper not less than STATE Ay~ARY PER IT 83A 11 inches in size. ~ -See reverse side for instructions for completing this application. ❑ Check If revision to previous application 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. STATE PLAN I.D. NUMBER PROPERTY OWNER ~t PROPERTY LOCATION PROPERTY OWN 'S MAILING ADDRESS d , N, 019) W 7 ~ LOT # BLOCK # q CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER ti 5W e N14 1 1. TYPE OF BUILDING: (Check one) ❑ State Owned CITY : VILLAGE NEAREST ROAD =Nm ❑ Public 1546 or 2 Fam. Dwelling-# of bedrooms AARCor-L T NUMBE O~✓ L S 111. BUILDING USE: (If building type is public, check all that apply) 1 [:1 Apt/Condo 01 30 /0 11P _ 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 3 ❑ Campground 10 El Outdoor Recreational Facility 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 80 Mobile Home Park 5 ❑ Hotel/Motel 12 ❑ Service Station/Car Wash 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 Re System System Tank Only Existing System Existing P of an g System B) ❑ A Sanitary Sanitary Permit was previously issued. Permit - V. TYPE OF SYSTEM: (Check only one) Date Issued Non-Pressurized Distribution Pressurized Distribution Experimental 11 El Seepage Bed Other 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 13 Seepage Pit Pressure 42 ❑ Pit Privy 14 ❑ System-In-Fill 43 ❑ Vault Privy 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) ~ C 3 - /O i. Cl ;3- ELEVATION VII. TANK CAPACITY aco Feet Feet INFORMATION in allons Total # of Manufacturer's Name Prefab. Site Fiber- New xistin Gallons -Tanks Con- Steel Exper. Tanks Tanks oncrete glass Plastic App structed . Se tic Tank or Holdin Tank Lift Pum Tank/Si hon Chamber Vlll. RESPONSIBILITY STATEMENT El 21 Fj 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plum r Signature: (No Stamps) Business Phone Number: lumber's AddrI -treat City, State, Zip Code : eas IX. COU - /DEPARTM NT USE ONLY ' ❑ Disapproved Sa itary Permit Fee (Includes Groundwater Approved ❑ Owner Given Initial Surcharge Fee) a e issued issuing gent Si atu a (No mps Adverse Det rmination /Q~ /U~ X. CONDIT IONS OF APPR VAL/REASONS FORLDIISAPPROV~A~L: Z _Z_ P SBD-8398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber t INSTRUCTIONS 0 sanita4Yp6rmit is valid for two (2) years. t 2 + Your sanitary permit maybe 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-?66-3815. 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. , numb VII. Tank information. Fill in the capacity of every new and/or existing tank, list t ma tal gaComp ete foer of tanks. and manufacturer's name. Indicate prefab or site constructed and tank septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. appropriate prefix (e.g. VIII. Responsibility statement. Installing plumber is to fill in name, license fo form. with MP, etc.), address and phone number. Plumber must sign application IX. County/Department Use Only. X. County/Department Use Only. es must be Complete plans and specifications notsmaller ah~wn to scalelorhwith complete d submiensionstted to ocation of he plans must include the following: A) plot plan, 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 ints; areas; and the location of the building served; B) ls; doe horizontal l mand vertical elevation refeence e; elevation d fferencesrfrictionoloss; pump C) complete specifications for pumps and controls; performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system i 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. YC SBD-6398 (R.11/88) t haw i 3cp : 6 R - - - f r ~ ! ~ r- zuc t ~ I I ! h - - } - ~ I I i j I I , i : PAA i ` t L_ i I I 1 ~ j I r I ~ I G6f i t I cNniAfl( - - I ; I - ` -t--- - 1- i I. ~R I a i ! i - ~ I r i , 000 I . r I I ~ I w 1 I ~ xt as ~ - ! A LT : i : 93 13 i L5c t _ ~ i 1 i f y i {I I ~ i ~ ~ i 1 j 1 i~ C~ ~ I~ i , ~ I r _ _ ~ , , { _ _ - - i i ~ , - - I i i _ ~ 1 _ i ~ f _ ~ _ _ ~ I I _ _ _ - ~ _ , i~ i ~ - - - t t- i t ~ ~ ~ ' I ~ _ _ - - _ ~ ~ } ~ I j i I j - i - _ - - ~ i i - ~ i; ~ i t ~ ~ - f - _r__ ~ I Wisconsin Department of Industry, D ivision of Safe SOIL AND SITE EVALUATION REPORT ty & Buildings in accord with ILHR 83.05, Wis. Adm. Code Page 1 of 3 Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but COUNTY 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. St • Croix APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION PROPERTY OWNER: REVIEWED BY DATE Larry O'Connor PROPERTY LOCATION PROPERTY OWNER'S MAILING ADDRESS GOVT. LOT 1/4 547 Homestead. Trl ]gig 1/4,S 28 T 30 N,R 19 fir) W CITY, STATE LOT # BLOCK # SUB/ NAME OR CSM # Somerset, TAI. ZIP CODE PHONE NUMBER n a n a n/a Somerset, OVILLAGE IaOWN 54025 (711 549 -6180 St . Jose h NEAREST ROAD [xftw Construction Use Homestead TrJ_, [ Residential / Number of bedrooms 3 I ] Replacement [ ] Public or commercial describe [ ]Addition to existing building Code derived daily flow 450 gpd Absorption area required 643 Recommended design loading rate 7 bed 2 . -bed, ft2 563 trench, ft2 gpd/ft -trench, trench, gpd/ft2 Recommended infiltration surface Maximum design loading elevation(s) Additional design /site considerations - 99 00 rate - bed, gpd/ft _ • trench, gpd/ft2 ft (as referred to site plan benchmark) Parent material outwash-till ste down trench S =Suitable for system C~ ENTI❑0 U L Flood plain elevation, if applicable n /a U = Unsuitable fors stem MOUND ft clU IN GROUND U PRESSURE AT GRgGRAD 1 U SYSTEM IN FILL ~ U HOLDING STANK SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles in. Munsell Qu. Sz. Cont. Color Texture Structure Consistence GPD/ft 1 0-g 1 Gr. Sz. Sh. Bo~►Y Roots 0Yr3/3 none Bed Trench 2/m/sbk mfr 2 9-15 7.5yr4/4 g/w 2/f . 5 .6 none scl 2/m/,- Ground r 3 5-36 7.5yr4/4 mfr g/w 1/f .4 .5 elev. none co . S , 104.7t. 4 6-87. 10yr4/6 0/sg mvfr g/w 1/f .7 none .8 co.s. 0/sg ml Depth to n/a /a • 7 :.8 limiting >82actor Remarks: Boring # 1 0-8 10yr3/3 none 2 8-23 10yr4/6 L. 2/m/sbk mfr g/w 2/f .5 .6 none scl 2/m/ r Ground 3 23-41 7, 5yr4/4 g mfr g/w 1/f , 4 ::.5 none co.s, elev./sg mvfr g/w 1 /f_ .7 •8 98.35 ft. 4 41-80 1 4/6 1 8 Doti 0/s ml n/a n/a .7 .8 Depth to limiting factor >80 ~ Remarks: i4 w CST Name _Please Print Address: Gar L. Steel Phone: 1 00th. Ave. 7New P,ichmond 715-246-6200 Signature: 01.7 Date: 5-24- 93 2298CST Number: Page ? 3 PROPERTY OWNER LarryD~ Connor SOIL DESCRIPTION REPORT GPD/ft PARCEL I.D. # Structure Roots Bed Trench Mottles Texture Consistence Boundary Depth Dominant Color Gr. Sz. Sh. 5 .6 Boring # Horizon Munsell Qu. Sz. Cont. Color /w 2/f • in. L, 2/n/sbk mfr 1 -1/3 none 1/f . 4 .5 h~«<> 0-7 2/m/ r mfr g/w f,. 3::.1. 1 scl .5 r4/4 none .8 2 7-16 7 CO. s . my fr /w 1/f .7 none w/stC'n .8 y ml n/ • a n/ a ' 7 Ground 3 16--4 7.5 r4/4 0/ s g co.s. elev. 4 42_g 1 4/ 6 ; none 102.5 it. Depth to limiting factor Remarks: L. 2/m/sbk mfr gw/ 2•/f •5 .6 Boring # 1 0-7 10yr3/3 none mfr g/w 1/f .4 .5 scl 2/m/9-r none 2 7-15 10yr4 / 4 co. s. i f .7 .8 :.•::<:<'`' none stone o s nvf_r 3 15-39 7.5yr4/4 na/ n/a .7 .8 Ground co . s • 0/ s none 4/6 elev. 1} 3Q-80 1 99 _ ft. Depth to limiting factor >80__ Remarks: 2/m/sbk mfr g/ w 2/f .5 .6 I' • ` Boring # 1 0-10 10yr3/3 none r mfr g/w 1/f ,4 5 <::<<:;<> none scl 2 /m/ g 1/f .7 .8 `'..52 10-33 7.5yr4/4 co.s. 0/sg m1 g/w 3 33-77 7.5yr4/4 none a/ .7 .f3 co. s . G / sg n/a Ground r5/4 none elev. 4 77-84 10y 1C~gt. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: STEEL'S SOIL SERVICE 1554 900t-b AvP. Gary L. Steel 5T3028-T30T*dit1911 New Richmond, WI 54017 C.S.T. 2298 rT,.r~r•a~ Lai M, O'Connor MPRSW-3254 (715) 246-6200 town of St. Joseph 7b- 7 )0 A1,P ~171 / I)~ `q 4 0/o 44 _ f I S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ADDRESS D r, CITY/STATE_ FIRE NUMBER___,g2y~ PROPERTY LOCATION:1 4 ZIP d~ I TOWN OF L• / ~AAL1/41 SECTION2 W SUBDIVISION St. Croix County, LOT NUMBER Improper use result and maintenance in its premature Of Your se maintenance consists failure to ptfc system could years or sooner, of Pumpin handle wastes. Proper if needed b g out the septic tank you put into the system can by a licensed septic tank every three as a treatment stage i pumper. What in the w affect the fu nction of the septic tank for a maximum y residents may be eli Ystem. system which °f 60~ of the cost Bible to receive County accept d was this peration prior°to Jul ac 19 of a failint In o requirement that pro gram in y 1f 1978. St. g system p owners all new August of 1980 Croix Thero properly maintained. systems with the propert agree to keep their certification' y owner agrees to erti man form, signed b submit to St. Croix Z Y plumber Y the owner and by a mater Zoning a verifying that (1~ restricted plumber or proper operating the on-site a licensed plumpe wastewater proper r condition and (2) after inspection and system is per Y), the septic tank is l SCUM. ess than nd pumping (i~- I/We /3 full of sludge and the undersi agree to maintain the gned have read the with the standards private sewn a above requirements Certification rds et forth g disposal system and .completed and ~ herein, as set b in accordance rtatinedthat your septic has by the Wisconsin been maintained DNR, to th 30 days of the three year exe St' Croix Co. pirat"jOndaate , Zon in ff mwithin SIGNED- DATE: St. Croix co. Zoning office 911 4th St. Hudson, WI 54016 STC-100 This application form is to be completed in full by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. development be intended for resa house) n , then, a second form should le retained and completed ' Should this the property' is sold and submitted by ownerand (she when appropriate-deed-recording- to this office with the wner of property / Location of- propertY.AZ, C- J./4 .GU 1/4,, Section T D N-R1.~L_W Township 'Gr Mailing address C' Address of site Subdivision name - Other homes on Lot no. property? es No -y Previous owner of property ° +4 L ~61 Total size of 2i parcel Date parcel was created i Are all corners and lot lines identifiable? Is this --Yes No property being developed for volume 969 spec house)?_ yeS ~No of Deed-}--and . Page Number as recorded with the Register INCLUDE WITH THIS APPLICATION THE FOLLOWIN A WARRANTY DEED which includes a DOCUMENT NUMIIE G NUMBER & THE SEAL OF THE REGISTER OF DEEDS. VOLUME certified serve AND PAGE Y, if available, would be helpful so addition, a delays of the reviewing process. as to avid 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 fo best of my (our) knowledge that I (we am rm are true to the the property described in this infor a)tion form the owner(s) warranty deed recorded. by virtue f of Deeds as Document No. . in office of the Count own the and that I Y Register of proposed site for the sewage disposal system or obtained an easement to (we) presently the construction of said rsnstethe m above described I (we) recorded r the office of Count ' and the same property, for No. re i y Register of has been duly deeds as Document f. re of a p cant q Co-applicant Date of Signature Date of Signature i DOCUMENT NO. i WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA j STATE BAS OF ggqPNSIN FORM 2 --1982 54304 aGE 160 + k, REGISTER "S OFFICE Margaret •C, •Hukr ede-,. -a .'w R• CRROIX~C0., W,..... afka- Margaret- E. -Hukried,--•in.--her--own- .....r. h and as- the__~.urV~.V7.nq._ j.Qi.zlt_..ten-_n a E - - ia for Record - t__Qf__-__. at DEC 181989 Hukriede,....d.eeea. ed......................................... 2:45 P. M conveys and warrants to zlaxx....••-.--•; Y iJ.._CS?IlAO,. a Single - -..man . Can~►.Q ~I p91s Of Deeds , RETURN TO Gwln & Gwin . 430 2nd Street the following described real estate in St. Croix - HudSOn,__WI_54016I~ - - il State of Wisconsin: County, - - 1 Tax- Parcel No 0 3 0 10 78 -8 0 li See reverse side for legal description FEE i~ i i This ._.__.-1S 710t•.____ homestead property. ' it 00 (is not) i Exception to warranties : 'IO~HM i~ reservations or restrictions of record ifa any, but this shalll not bee deesmedCto eexxt~ 11 any such other recroded enctmibrances beyond the term established by law therefor. Dated this 7.-4_th,................... day of Dec.ember..................... i 19.8.9... I~ ~I it (SEAL) `i;~"C (SEAL) ~j i M. g-anet._.C...._H_ukrleds I ...........................................................(SEAL) -----(SEAL) * is AUTHENTICATION ACKNOWLEDGMENT Signature s .Mar aret C STATE OF WISCONSIN ! a/kla-_ ar ar E. Hukridde widow authen ed isl County. ---hd - of. Decem ber 19 8 9 Personally came before me this . ---•---•-------day of i , 19 the above named II N_...•-/A TITLE: EMBER STATE BAR OF WISCONSIN (If not authorized by § ?06.06, Wis. Stets.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY - i. Gwin Gwin".n * 430 Second St. Hudson WI 54 016 (Si Notary Public are not necessary.) may be authenticated or acknowledged. Both MY Commission is permanent. (If not, stateoexP rattiion ate *Namea 9! Demons signing in any capacity should be t / yped or printed below their signatures. WARRANTY DEED STATE BAR OF WiSCONSrN FORM No. 8 - IUR2 Wisconsin Legal Itlnnk C,.. It,,. C VVIO ` M a ! I\5...L~, ~j rryy SMPAGEisl t; vZ r>/1, g$'rCe'I">O'f ,1and located in art Of the T30N, R19W, Town of St. Joseph, St. CroixECount, 1QWa ~ 28, described as follows: Wisconsin; y, sconnsin; Commencing at the N 4 corner of said Section 2 along the East line of said NWT 8, thence S00°45'34" al this the East tine , 642.29 feet to the point of beginning des the South liripti n; thence continuing S00045134" South line ne of said h of the NW4; thence N8803911611W79 feet to , 924.75 feet; thence 007°06'12"E South ~ 667. 70feet, along said Volume 4 47.86 feet to the NW corner of C ; thence Page 980 as recorded in the office ofttheeSt. Croi Map, County Register of Deeds; along the West line of saidhCertifiedOSurvey ~ Croix al corner of said Certified Survey Ma ; thence (recorded as feet to '00"E), as West S 547.25 feet to the along the South line of said Cert~ified,Surve Map, (recorded feet to the SE corner of said Certified Survey Ma • (recorded as S05°31 '00"W) p, thence N070-060'12"E Easne aid Survey Map, 547.25 feet to thenNEtcornertof1saidfCe rs tifiedCertified Map; thence S88°24'48" E, 403.15 feet to the point of Survey beginning. The parcel described above contains 8.50 acres. `~vi~t✓:';,'•~if This parcel is adjacent to the land owned `#Urh the Office of thetiRegister of fiod Survey Deeds t bY"'pageer Map filed in Vo1.~~4, page 980, for St. Croix County, Wisconsin, ' DOCUMENT NO. ATE BAR OF WISCONSIN _FORM 1-198a THIS SPACE RESERVED FOR RECORDING o,u,~__ _ WA RRANTY DE ViST ^-~05`~1 PAGE 41r.. REGISTERS OFFICE. L U CROIX CO., WIS. _ I This Deed, made between .--..Elmer W. Hukriede and RAC/d. for Recr-~~ this 23rd ~j f Harg. anet__C. Hukriede i.nd viduall and as day c-.' Sept A. D. 19 85 husband _and wife.... at .2 AA. , Grantor, and. bar1ry S . 0_. Connor I sr N dlt ' Grantee, 1 nesseth, That the said Grantor, for a valuable consideration..--.- _ conveys to Grantee the following described real estate in S t . Cro] r RETURN TO i County, State of Wisconsin: ! Tao - I, A parcel in the NEk of the NW4 of Section 28, and the 3- of Section 21, all in Township 30 North, Range etSE4 of the Sas Lot 1 of the Certified Survey Map filed in Vol.14 West, described en #365942, in the Register of Deeds office for St. CroixeCo980, unt Dot on August 22, 1980. y, Wi iscoconsin, I This deed is given in satisfaction of a Land Contract between the same parties dated September 2, 1980 and recorded September 23•,' 1980 in Vol. 617, page 554 as Document #366525 in the office of the Re j Of Deeds for St. Croix County, Wisconsin. Sister MAN V N 's This 1S_- (isnot-_ _ homestead property. FE , (is) not) Together with all and singular the hereditaments and appurtenances And-.--.--Elmer W. Hukriede and............ Mar arthereunto belonging; warrants that the title is " _ C • Hukriede none good, indefeasible in fee simple and free and clear of encumbrances except and will warrant and defend the same. Dated this f-~ day of August , 19..85 (SEAL) (SEAL) Elmer-_W,_- Hukriede-- ...----(SEAL) j viler • _ ( SEAL) I a.rgaret_. i C..._Hukried:e__.-.-_----- jj AUTHENTICATION ACKNO WLEDGrdENT r Signature (s) f Elmer W. Hukriede STATE OF WISCONSIN- - :_and Ma _ga t- Hukriede I! ss. authenti ed t d of '~u5us t 8 5 ---------County. ? i Personally came before me this _ gh _ Gwin 19 the above named I NIA TITLE: MEMBER STATE BAR OF WISCONSIN (If not - li authorized b - Y § 706.06, Stats.) to me known to be the person - who executed the THIS INSTRUMENT WAS DRAFTED BY foregoing instrument and acknowledge the same. C'~t & Gwin Second' ' •.....JUd_sQ ..__W sconsin 54016 (Signatures may be authenticated or acknowledged. Both MY aComm Commission is are not necessary.) _County, Wis. permanent. (If not, state e date: xpiration ~i 'Namga of persons signing in any capacity,ahCUld be, typed or printed below their signatures. f r - H.GMiIIsrCompdrq® STATE BAR OF WI$CON$IN FORM No. 1.1882 Stock No. 13001 lv4+~ .Sr J`1g~ U1004 N CERTIFIED SURVEY MAP LOCATED IN PART OF THE NEh OF THE NW'h,SECTION 28, .,...TOWN OF ST. JOSEPH, ST CROIX COUNTY, WISCONSIN. R19W, NW cor. \ sec. 28 .1 \ \ North line of the N 579. 5~ - 33.35 _ centerline town road N} cor. C-3 `88 2414811W °i sec. 28 44 / 0 6.201 2205815811 'ti.0._, N8802414811W 284.361 T w`O R - 415.721 ` CB - N760551191tW 166.001 / C - 165.641 L0.U1 -x,166.761 s.. I m LOT 1 'o' y 1. ti 146608 sq. ft. W 3..36 acres excluding, Im.~ co I i~ Op b.. ~ O I N 0 0 S W ✓ 17 410 2 sq. f 11~a g W 4.00 acres including -RAW rt to . I~ o co 263.781 I 374.681 - G, N8802414811W 66.OC 1 z in _ . 638.461, _ o Iy toI~ LOT 2 1a 242657 sq,ft. 7 1 10 / 5.57 acres ' ICD $ 4 **'NOTE** iti / o 00 . THESE LOTS 10 BE SOLD N 1 ~1TO ~ AN ADJOINING OWNER ONLY N is D W - le 30'0,8198 6 3 b~ 313.411 APPROVED S88024148 E 403.151 716.561 APR 0 8 rr'°D certified survey-map- Vol--4, 86 ~a pg. 980 - " - unplatted lands owned by oth~s`;~OiX COl11vfY m H rn j I COMP-!EHFNSIVE PARKS PLANNING V AND ZONING COMMITTEE c~ )Aj n ~J LEGEND I rt ~W_ NER ° SCALE IN FE T i =100 n 1 0 1t1x2411 iron pipe,- weighing Peter A. Torgerso 1668 lbs./lin. ft., set. Rt. 2 Box 2948 0 50 100 200 Somerset, Wi. 5 025 rt' C"I III 111 iron pipe, found. ny St. Croix County Section Corner r= m~ ,E Job. No. 84-38-186 this instrument drafted by Darrell R. Nelson VOlume 6 Page 1646 zs+~~ `zI •10n 0 J N LLJ V1 Q N Z ~ O M z Q O U d ~w_ W I ty A s re` Z ~ Z O Q (n 3 d c .i ! o IZ O Y w V-- WTI N`!e rrr U U W WNI 11 E W Q W!-oV) I cn o m F- Z W= W lD~= o 7) W !I O Q z vj I U W LLJ 63 L'i ~ Q Q co U zz W co ~J O 00. 11 a Z~ Q~j _ - - - - ZN W Zp Z U- ZC3 SQNV7 Q3lld-IdNn 0~ 0o w ~Z o ! ~ WFZJ wv J Q0 W vU a Oc:1 Zo ~w \w o 3 ¢ N ZO c°li W > b/IMN 3H1 30 3NI-I 1Sd W 0., co o ,os 3 „VB,S v*00 N ~W p w mm /SO T8Z bO,Sb.00N I O R SO'8bZ 6b'8£6b W cn O p o 1N3W3S`~3 SS333V ,99 Z Z 3 _j zr) O L cu O Z z m .o W q J L Z W ~.~~w QI Q W I F"' 2:1 O, ~E EE 3 ~O U 3 I R Q f-1 z W ti0 JI Ln N r~ 3 N ~rn~w ~1 WI r~, cd OD ~ Z W ROB W1 , U7 OD `O Z V I- 2 U1 0., H I 3 I z OOI d ~D Li 1,0 Jn I Q u o CL w 3 ~ 1 u~ I w Co z l -j I 00 05 05 J 0., nt Off. 00 r, I- I o o (U 0 p' oo o U ca A J Q CO 0 >I u~ o 114- -1 - O ~ w-,t z u o O N `D Z O t 0 I C CLI Q R / W3 II 00 h W U►-~ CL 00 I C' a in O~['''W<C 9 UI A~ N O U] V~ p 00 u z (N I n LIJ Cu 0 / OJ ¢ OD kn 1- IM "O0 X101o IS spea010 ie1SA A N W HSIVM'H N331H1~I ) I a 8661 8 L 4H •~6-jsj a c z ~ w v (3311 ~r co ~ ~ o~ ZN S M //8So80 S„ Q co 0 C) ~Id~fl Qb'31S3WI H Z 3 cUn o W Z ZN 809T 'Dd '9 A NI 'W'S'S ~ •M g{V,tZ.88N dV38 Ol 03V4nSSd '8Z N01103S d0 t/WN 3H1 JO 3N1-I H18ON 6091 '0d r9 'n NI 'W'S'0 3H1 Ol 030N32J3336 32JV SON18V38 NI NMOHS LN3W3SV3 Qd08 31VAINd ,99 '310N 61-86 'ON 90f NOSN012i3 -13VH01W ,l8 C]31JV60 1N3muiSNI SIHl °ujNll,'X1083 iss 86616 Z, fin(' t: P I i I w i N M I 0 o ~ W cf) I 3 "z1g0o 4 (M1100,1£o90, _I OD i rn I w a f I cn IN ck j011jsrn (D 'loot ti ZIg60 G ,00,012 ,92 t g OL L99 i i i I f I z ! i I i is r 1 cn W U ' Q O cf 3 2 3W ON - = z ti W Z N O o J CID _ Z F- O li W ~ O O 3 p Cpl o ~ n ~ Co U a s i i „ZI' g0o1pN 0 n c P C a h D a D jn 4, -0 o0 r y C O 6q 7 C+ VaC d C h p N r" ~ C ~ O qb d N O I~ p o CL i a O 5 O .0 y Ol d y Ar I ~ y ~ a 0 EL o O U UN_ x 0 NI 0) m N 6 Z t0 0 L 0 -0 I. lL C 'd0 O N O ~ N Ol p Y :3 0 Q = w ~ N z N W Z _ 00 E 0 z a m co CY) w z o U O N O 4) C: N f" m O Z c E m v I v N O d (D O C d o d Q w z cn z o M d N N c0 ~ t6 II' O d d CL N C r d N O w tVl~ II' G C 6. ~ m N N N w z > I N:3: co Z E a a a N o IL P1r ~ I' (n ~y~ fn J U rn rn z co N o ° d 4 Z 'i m O O N O N C 0 N O 5 r~ d O O 1 c+ N_ 0 6 ~ ~ l w d 2 E N a o co Z5 cy) Sr N a d m" d N G W N N 'O d "O [ M W 3 O` 1 t[y~') H p _ ] N N O U 12 T- z U) C) C-4 m C) O ~ S. ~ ~ ~ I E v d ~0 a d ad r d c CL ca _ a 0 N U `~1 A v 3 9EH. 115 Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS EALTH AND SOCIAL SERVICES l r DEPARTMENT OF H WISCONSIN ~e P.O. BOX 309, MADISON, WISCONSIN 53701 , , T30 N,Rlorl~ownship or Municipality ` LOCATION:11~••"y Section 21 1114 llx fir- y County Lot No. , Block No. e, vision a e r C GL , r Owner's/Buyers Name. _ v Z, Mailing Address: r COMMERCIAL k No. of Bedrooms OTHER TYPE OF OCCUPANCY: Residence X REPLACEMENT ALTERNATE SYSTEM s-3 - o EFFLUENT DISPOSAL SYSTEM: NEW S 3,_ PERCOLATION TESTS / DATES OBSERVATIONS MADE: SOIL BORINGS Q _ y NAME OF SOIL MAP UNIT co SOIL MAP SHEET PERCOLATION TESTS HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHE RATE MIN/IN TEST DEPTH CHARACTER OF SOIL SINCE HOLE HOLE AFTE INTERVAL PERIOD 1 PERIOD 2 PERIOD 3 NUM- INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES / BER / v C f- IJt 4:h P- Se 3 P- 2 y rr e Ba r~ ~Y P-_~ r, arc P- P- P- SOIL BORING TESTS CHARACTER OF SOIL WITH THICKNESS, COLOR, DEPTH TO GROUNDWATER, INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK TEST TOTAL DEPTH IF OBSERVED IN INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST 6,- ` 13- B_ 3 rr 2 S / / B-yam ~ ~ g r' ~s o „ ~ J 13- 0/ B- c In( 'p p~ @c0 t" Indicate scale or distances. PLAN VIE W (Locate percolation tests, soil bore holes and suitable soil t re occupancy he Ian the location and square feet ohsuitable areas. Indicate number. of square feet of absorption area needed for building type and S `dad 19reA ~*r Give horizontal and vertical reference points. Indicate slope. J OKI' 42 J12- Ark -r oe BASS Cc~ ~ ~AkE) . to N 01 -M e a►- C- A r A. s Are? rr~~ l LlC, e and a.~ t octhe bet of myh s met nd hereby certify that the soil tests reported on this form were made by me in accord ed and location of test holes with t 1, the underslge dures specified in the Wisconsin Administrative Code, and that the data recor knowledge and belief.S Certification No. Name (print) --C CI fG~ Address ' A Name of installer if known CST Signatur C,,,~ o A Loco( Authority