HomeMy WebLinkAbout040-1064-10-110
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER
r P.-
t? Owe .
ADDRESS 7
s yam/ ~
SUBDIVISION / CSMJ LOT
-
SECTION. N-R_W, Town of 7f-0,V
I (o- ZS. µDiE I O
ST_ CROIX COUNTY, WIS S N
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
..w
Y
R
$ cA I
INDICATE NORTH ARROW
r
Provide setback and el ation '/eof ymation on reverse of this form-
Provide o7 dimensions to mseptic tanl: manhole cover.
i
BENCHMARK: ~~c~~y Opp
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING-.TANK INFORMATION
Manufacturer: t0a"A'^- Liquid Capacity:
Setback from: Well House Other
Pump: Manufacturer Model# Size
Float seperation Gallons/.cycle:
Alarm Location -
SOIL ABSORPTION SYSTEM
Width: Length U Number of AA)F -0 lamqki-m a
O J
Distance & Direction to nearest prop. line: p $
Setback from: well: House o?70~ Other 5 7 ' e}o P 5 he,d
ELEVATIONS
Building Sewer ST Inlet; d 3 ST outlet 105,_7
PC inlet Or PC bottom Pump Off
Header/Manifold $5, 1P Bottom of system 5q, S
Existing Grade nl Final grade 7f 7
DATE OF INSTALLATION: -7
PLUMBER ON JOB:
LICENSE NUMBER: / S7
INSPECTOR:
3/93:jt
■ County:
8.19.240WVATE SEWAGE SYSTEM
Labor and Human Relations INSPECTION REPORT
Safety and Buildings Division
(ATTACH TO PERMIT) sanitary r it .
GENERAL INFORMATION
Permit Holder's Name: ❑ City ❑ Village R Town of: State Plan o.:
]4 'PT. rp V ST BM lev.: Insp. BM Elev.: escription: X Parcel Tax No.:
BM D 1 1141 A-3 1364=3 0=3 3 0
TANK INFORMATION ELEVATION DATA A9300291
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark 6~ 0 1"fo
Dosing
Aeration Bldg. Sewer
Holding St/ Ht Inlet / .L)JT
TANK SETBACK INFORMATION St/ Ht Outlet /Q
TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
Septic /Graf NA Dt Bottom
Dosing NA Header / Man.
Aeration NA Dist. Pipe
Holding Bot. System 5114/5/
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Demand
Model Number GPM
TDH Lift Friction System TDH Ft
oss Head
Forcemain Length Dia. Dist. To Well
A@ O PTION SYSTEM
BED / TRENCH Adth L 0A Qdo. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
~iJ
DIMENSIONS / DIMEN I N
LEACHING Manufacturer:
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM
INFORMATION TypeO CHAMBER Mode Number:
System: S f ~7 OR UNIT
DISTRIBUTION SYSTEM
Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length _ Dia. Length Dia. Spacing J
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
Plan revision required? ❑ Yes ❑ No
Use other side for additional information.
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
R
17DILHR SANITARY PERMIT APPLICATION COUNTY
In accord with ILHR 83.05, Wis. Adm. Code
°....,...,~,e. sf 1 & ro
STATE S NI
.-Attach complete plans (to the county copy only) for the system, on paper not less than ,`ee%C~(kky
8% x 11 inches in size. ❑ ch if revision to p evious application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPE TY O NER PROPERTY LOCATION
/UF_ % NCF'/4, S T.Zk, N, R or) W
PROPERTY OWN R'S II LING ADDR LOT # BLOCK #
eJ J t. Av< -5 /VA-1
CITY, STATE 'M - 15Z~ DE PHONE NUMBER SUBDIVISION AAMEO CSM NUMBER
CITY 7 NEAREST ROAD
0 7
II. TYPE F B ILDING: (Check one)
❑ State Owned ❑ VILLAGE ~-t,.p
❑ Public 41 or 2 Fam. Dwelling of bedrooms''3 PAR L
111. BUILDING USE: (If building type is public, check all that apply) f ~0 A- j y® - 106 y /0- 0
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. 15 New 2.0 Replacement 3. ❑ Replacement of 4.E] Reconnection of 5. ❑ Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 LJ 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 12. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
CO REQUIRED sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch)ELEVATION
7-/ 70Z 0 7~ O . Go 9145 Feet S'7. Feet
VII. TANK CAPACITY Site
in allons Total # of Manufacturer's Name WE:] Con- Steel Fiber- Plastic Exper.
i~__~1/07711 I I INFORMATION New istin Gallons Tanks structed glass App.
Tanks Tanks
Septic Tank or Holdin Tank -e A om .e
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.
Plu er's Name (Pri Plumber's Signal re: Stamp III/MPRSW No.: Business Phone Number:
OA 0%r a AXIS J.5~3 ?lS d 516 S/..3 7
Plumber's Address (Street, City, State, Zip Code):
r_~
9'~9 / .--2' sya ALA.Hz Aku~ IL~~CQXd tAl
IX. OUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sa ' ry Permit Fee (Includes Groundwater a e Issue Issuing A ent lure o Sta )
Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination M-00
77
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
I8 (formerly Pib-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 rE.nev of a by new
criteria in the Wisconsin Administrative Code will be applicable.
3. All :revisions to ti;i permit must be approved by the permit ;issuing authority.
4. Changes in ownir rship or plumber requires a Sanitary P ryi€` Transfer/P -i~:- a< Forn; ($F?) 6' aC) ::o be
subfh itted to the .oijnty prior to installation.
5. Onsite sew,_,~ge systems mustr'be proper y maintained. The is tank(s) m<:st be pur :~)edt I.y~ +~lacenced '
pumper whenever necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your fodal code a'dr'r` nis-rator orthe•
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 ;ax numb.4r(s) of
where the system is to be Msta~led:
II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Fernily DwEiling.
III. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Cheek only one in line A. Complete line B if permit is for tank replacement, : eco inection, or
repair.
V. Type of system. Check appropriate box depending cn system type.
VI. Absorption system information. Provide all information request-;! in #1-7
VII. Tank inrorination. Foil in the capacity ()f eve -,ry new and/or exi°i; f,_-1k., !ist the total g81 yii,, nur ber of
tanks arid rnarlufacturer's name. lrhdi(;, o prefab or site consbur.-: and tank material. Conic'ct~ !cr all
septic, pumf /s';,.;=:,n and holding tanks fo this system. Check ° x.. mental approval only if <3nk received
experin,en1`; 'p a&jL ct approval from d: li
VIII Respons,bility statement. Installing plurr h-r is to fill in name, o number with approp6pie f} a ix (e.g.
MP, etc.), address and phone number. Plumber must sign appiic-d on form.
IX. County/ Department Use Only.
X. County/Dep;s.rtrnent Use Only.
Complete plans and spef~ifir:ations not sr ta11er than 131,/'2 x 11 In .4 m„st be Sub Pted + thr, co, rtry. The
p'anS must ;,wh.;de the, foilu:v.ng: A) plo! !-jn, drawr to scale or r~ ;io :OIT1pletE' Cis ,i 4 1 of
holding tark(sj, septic tank:=;) or other t,a?nnent tan<s; buiidir _i wells; tv ,:r: `latE, service;
streams and iakes, pump or siphon tarikz, Aistribution boxes, • ?!?ion ~y,c1-•r,}. ~ -0 System
areas; and 4ht?'.ocatlon of the burk~'<ig B) ho,Jzontal „i..' cal ~IE'V 1€^ ?fF3 r.,r `-S;
C) complete specifications for pumps and controls; dose volume r.-. ,Vation differences fl ; ;(-n is 3s; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil a.123orption system if.
required by the county; E) soil test data on a 11b form; and F) all''sizing information.:
GROUNDWATER SURCHARGE
1983 W'iscoinsin Act 410 included the creation M SUrcl;arges (fee:;) fo a number of
regulated practices whic`i can effect groundwal-r-
-The monies collected thi s;n these surcha g.,-. t rs, 4,0 f--,r monitoring gro.i clviai;';
water contamination invp.s0-.-i64,n.s and establisr;c 7' a;ardards:,
SBD-6398 (R.11/88)
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PAGE OF
CrUSS Jec~lun br !~i ~ef~ SySTe~
i~ 0.r 1 ~~.q rte.
y 7/ [-V~r f617~~ Fresh Air InIals And Observallon PIP$
evowe11 ~Vh SSy2/ Approved Vent Cap
/ Minimum 12" Above
Final Grade
20- 42" Above Pipe -4" Cast Iron
To Final Grade Vent Pipe
Mash Hay Or Synthetic Covering
Mtn. 2" Aggregale
Over Pipe
018rlbullon - Tee
Pipe 0 0 0 0
t 6" Aagr4PI o Perforated Pipe Below
Beneath Pipe
-Coupling Terminating At
Bottom Of System
~7r l
P~pPose~ ~1~~1.1gr~.~a<
SOIL FILL
DISTRIBUTIOt.I PIPE APPRJVED S4MTNETIC COVER
OR 9" OF STRAW
r OF A6GREGME OR MARSH NAy -CD j1~/ a le OF%2-21 °
12 AGGREGATE 8
ELEV. OF FEET-~
DISTR191JT10W PIPE TO BE AT LEAST e!>?-Z INCHES BELOW/ ORIGIIJAL GRADE
AW) AT LEASTM INCHES BUT 'MO MORE THAM 42 IAICNES BELOW FINAL GRADE
MAXIMUM DEPTH OF EXCAVATIOP FKoM M&WAi CRAOR WILL BE INCHES
MIKIMUM 9SF" OF FACAVATION fRoM 04 IGIMAL ~R~40€ WILL BE - INCHES
SIGNED: cjd6:==
LIGEUSE AJUMBER:
DATE:
ND SAFETY & B I VISION
DEPARTMENT OF REPORT Ott LDINGS
INDUSTRY„
LABOR AND P.O. BOX 7989
• PERCO r } " MADISON, W1 53707
HIIMAf~ RELATIONS
IILHF3x83.08}.~., f
N OWNSNIP4 PAt[T,,Xq0-g' j, OT NO d0LK_ ~t U •
EOCXTION, SECTION'
% Nx 1/4 le /Vf E (,do T.-;1? ]M , A . I L , 11,
C $
USE _ DATZS ONIRVA IONS MADE
r :gyp ,
~lewRepletxz
4,41
RATING: go Site, suitable for system Um She unsuitable for system
~y I•-~ R M NOED YSTEM:(optional)
s ou oS IDU Q'S ou osUr DsF,INuw ,.FNS/ -
If Percolation Tests ore NOT requirod DESIGN any portion_of the tested area is in the
under s. ILHR 63.09(6) 1b1, indicete: Floodplatm Ind [cat* Fioodplaln elevation:
PROFILE QESCRIPTIONS
BORING TOTAL Has CHARACTER OF SOIL,WITH TRICKNESS, ELEVATION
NUMBER EPTH IN, Tg 010 _K IF SER D EE AB RV. ON BACKAN EPTH
f/ for. P
1. -Al g. g-j's Ott IZA, WS.,
B- s s r Nnt~ ~ 9d w .s' . i' ~
t 10_ 't
B. 1/7 PT, z /I) e a t'
PEKIDLATIOWTESTS,,
TEST NUMBER NCHES AFTERSWELLING ' INTTEST ERVA6-MIN. PER INCH
,
of
P-
3
PLAN: Show locations of percot lion tests, soil borings and the dimenelons of suitable soil aieas: Indicate eale o noes. Describe whet are the hori-
zontal and vertical elevation reference ints and show their location on the plot plan. Show the surface elevation ll borlleps and the direction and percent
of nd slope.
SY EM LEVATION fy s~ '
~ a /f~r/ov~~_ . ~ _ ~ 1 . r~- ~ ~ ~ tee s.. ~"a
t RNs ?gro,e P%oer POS
i;_~ fi~ ~ ~{~s•L I.....i...... I ~ ►
11 7
l~IOUlV . `Mi 3
Ariof Wool 7tl I C yz" or- J4
ai i~ e, : /1 i lei 1 a /7!
as y+ is;' y~ ITV1 _M tf:NN ra', I
77
Nell
10 fPl",4'
Ht o i.cr~t N 1 D 1 i z
j':kR 1~ r ~ ~ ,y~.i". ',.F t ~'ts•ara . ~ r ~iYU~ r
1,40Ilnd~nipnet~; hare~ll cFgif}.~that the soil tests :form were made ay, melin aeeord,'with the,proced nd methods specified In the Wisconsin
Administrative Code, and that the data recorded and the location of the tests are correct tozthe best of my knowledge and
A print TESTS N.
"DAVE FOOERTY► AUMi31hl~.
ADDRESS- t33~w , ( r, CERT.FIC TON NUMBER: P NUMBER(opttons
b lf4023'' ~ _
DISTRIBUTIONS Original and oni Copy t 1
21LHP$8D43$5(R AQ!p
APPLICATION FOR SANITARY PERMIT
STC-100
phis application form is to be completed in full and signdd by the owner(s) of the
iroperty being developed. Any inadequacies will only result in delays of the permit
Issuance. Should this development be intended for resale by owner/contractor, ("spec
house"), then a second form should be retained and completed when the property is
Bold and submitted to this office with the appropUste deed recording.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Owner of Property AEL /~~/ffi2c
Location of Property Is E k, Section /(o , T N-R` W
Township 222
Mailing Address 97 / itM/hm-~ S
13LIO CDM 1 N 7-0 sJ , /vl ~j
Address of MO x-OVC~
' ~uDSoN~ Gut S~OIlo
8ubdiiiiion Name
Lot Number
Previous owner of property S ~.?E-_-rZ MAri N
Total Sisa of Parcel ~O AC 4-
beta Parcel was Created 41 - / q - g 9
Are all corners and lot lines identifiable? X Yes No
to this property being developed for resale (epee house) t Yes No
Volume and Page number as recorded with the Register of Deeds.
INCLUDE V1111 THIS APPLICATION THE FOLLOWING:
'A Weriantl Deed which Includes a Document number, volume and page number, and the
Seal of the Reg,ieter of Deeds. In addition, a certified survey,.if available, would be
helpful so as to avoid delays of the reviewing process. If the deed description refer-
ence` to a Certified Survey Hap, the Certified Survey Hap shall also be required.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
PROPERTY OWNER CERU PICATION
1 11001 cet.LL$y that dU bt0ementh on VUA 60hm Me hue to the bat o6 my (out)
hncwCedges gat 1 (wet am (dAe1 the oauneA(e 06 the phopeAty de cAibed in this
.tnAoNmdUon 6okm, by v,ill.tue 06 a WdAAdnty deed kecoaded in the 06 jec o6 the
County Reg•tAten o6 Deede OA Ooeumen.t No. -'90 3L/9 ; and that 1 Iwe) p)tesentty
can tJ+e p4opoeed site 60k the savage dispve system (o)t i (W
el have obtdt"ed an
#-dAc+ent, to kun w•i_th thr. above dei c tbed pnopehty, oh the eorutnucUon o6 ad id
ayatemp and the name has been duty keeonded .Cn the 016tee o6 .the County Reg.te.teA o6
Vetd+, D No. q90 3,/9 1.
SI OY R SIGNATURE OF CO-OWNER (IF APPLICABLE)
q,z72~- g
flATt Qtr-ifh
SZ7- 17:C ",LClK :!AL:ITMNA:2C
Sr.. C:v it Cauac'r
QWNL• :L! 3tS'tEZ kkc- /"l yl'~a
MOUTI/90° VUIMBF_:: (0/9 (IL ,-r2- ~ Ftrs "lumber (O/Ov
C I'L't l STA i A LO SO l-I ZIP S 7 d l
P^+?P~:t:'t L=LTION:`__`s. Section
"own of -7; ~-O y St. Croix Caunc7,
Subdivts ion M La c number
0( 7)0
0
improper use Xad maineanance of your sapctc syscam could result i
its pramacure failure cc handles wascas. Proper maincanance con-
s is cs ad pumping out Cho Also c is tank aver, three years or sooner,
i= aeeded. ':y a Lic=zsed 3eo=c ca_ our. tihac you put Laco
cite syscam can at ac= rho tunceiun oc Cho Aepcic tank as a C=eac-
nteae seage la Che3 'Jasad d+yposal spseam.
St. Croix Caunc7 residancs may ba aligtbia cc cacti-To a grant for
a max=Mum of bdz ur Cho case ur replacement of a Eai:.iag syscam,
which jaz La overatian prior co July L. L978. Sc. Croix Councy
accepted :h-4s program La ttuscusc of L980, wf,ch ghee requiramenc cha
owners of a, l ae•d svss agree to keep chol-Z systems properly
maiacaiaed.
T:te prooer_7 owner ag__es CO submit co Sc. C:ol: C-Junc7 Zanias; a
carti_icae_on Eorm. sj-gmad by Cho owner and by a mas.ear plumber,
lour-teyman plumber. rasc:iccad pLumber or a Licsnsed pumper ver_-
f7tag Chat (L) Cho on-site wascawacar disposal syscam Ls.La prone
ooeraclasg coedic'_on and (Z) ad': ar Laspec:Lon• and pump sag..' (L= aec
essar7), =hersepcie tank is Less Chan L/3 lull of sludge and scs
Car=i:tcacion fora sill be sane agora-.4-Macal7 30 days pear cc
three year expiration.
L/7Z. the undersigned. haTo read Cho above requirements and agra
cc mai :main cats prtvaca savage disposal syscam :n accordance tic.
Cho standards sac forth; herein, as sac by Cate Wisconsin Depart-
mane of lacsraL lasources. Carci==cscion lore must be eompiaead
and rac:s_zed co Cho Sc. C_o_x CaunC7 Zoning 01=ice wichia 3'0' day
oc the three rear expi:~cton dace.
IAT?
Sc. C-v:: Counc'? ,.an;. Vf::cs
P.U.
Hameno~a . 340L.;
Y
a
44 `+8 9V P `yy
CSRTZF IED r'`> SURVEY rt;, - MAP `
LOCATED IN THE NE1/4 OF THE NE1/4<AND THE SEl/4 OF THE,NE114 OF SECTION 16,
T28N, R19W AND THE SW1/4 OF THE NW1/4 OF SECTION 15, T28N, R19W, TOWN OF TROY,
ST. CROIX COUNTY, WISCONSIN:
*14►N.E. CORNER
SECTION 16 OWNER
T28N,;R19W ALBERT P.J. HANSEN
Sl°58'14"W 523'CTH,FF
HUDSON, WI. 54016
UNPLATTED LANDS 327.87';
S89°00'33"E 600.00' 4-POINT OF
BEGINNING
LOT 1 E. LINE OF NE1/4
876,536 S.F.
• -20,122 AC. c LEGEND
INCLUDING ROAD ° ST. CROIX COUNTY SECTION CORNER
yl RIGHT-OF'-WAY MONUMENT,'FOUND.
^ 871,479 S.F.
20.006 AC. 0 1"x24" IRON PIPE, WEIGHING
EXCLUDING ROAD yi 1068#/LI'NEAL"FOOT, SET.
W
1
i RIGHT-OF-WAY i W-06117"4) PREVIOUSLY RECORDED AS.
al ~
FILED
APRl 4 Mq $
cl, O _
SCALE IN FEET
/ ~~c9o 0'..:. -300' 600'
TGBo
0 0 061,E
H ra ~1T~ y►J ?00, s,~T1, r 4 t
s
~0.
9-4
00 ` ON N c N88050' 18"W
" wo ° s G4183.39'
y F-I ~ r \ e+1
GLOVER; ROAD - - L
W1/4 CORNER- ,F + - - _ -
SECTION 15 u - - -
T28N, R19W CENTERLINEAND N88°50'18"W M
r' E-W 1/4 SECTION LINE 153.26'
UNPLATTED LANDS El/4 CORNER
4r SECTION 15
T28N, R19W
This instrument"draftedby Francis H. Ogden.
VOLUME PAGL 2084
fi'•fas ' yfx
4,
S
, .7, 3..• Ada t• f ice. "
DESCRIPTION
A parcel of land -located in stheAN 4 of \the #NE1'/.4 and the SE1/4 of the
NE1/4 of Section 16, T28N, RJ.9Wan die 4 of the NWl/4 of Section
15, T28N, R19W, Town of TroySt Cro.x C Xzt Wisconsin, described as
follows:
Commencing at the NE . corner `ef`~sa d `56ection 161 thence
S1°58' 14"W 327.87' along the- Eastk;ine of said NE1/4 of Section 16 to
the point of beginning, thence "t,SL°;58'1`4";WnJ.354`.00' 'along said East line;
thence S48°06'34"E 1496.67'; thence H88V'IVW 153.26' along the center-
line of Glover Road and the E W:rl' 4 ss`ectiom,I- .ne;-of said Section 15;
thence N48006134"W 2079.071, ~-'I,thenceps:N1°58~kt,1°4"E,t972.171; thence
S89°00' 33"E 600.00' to the point of.beginning
This parcel contains 876,536 Square,Feet, mor® or,.less, being 20.122
Acres, more or lessincluding,existing,Glover°Road right-of-way and
871,479 Square Feet, more or Iese;pbe ng'20.006`Acres, more or less,
excluding Glover Road right-of -way.^~s 7"'
Subject to easements of record. yV"`' k
I hereby certify that the above des~cri tion and`ma
P pare correct and that
I have fully complied with the,provisions of Section 236.34 of the
Wisconsin Statutes.
r~
D
ate: January
Z
11, 1989. Franc s,;,H.,Ogder S.-88 Job No. 89-1787
Ogden;Engineering~Co.
~iq~::~~:►~r~,4~~ 113 W.z~.Walnut St~rekt""7
`*`s$1~~0C. C~Of~,.cw.~~i~~~+♦ River Falls, Wisconsin 54022
% 10
FRANCIS I-I. ~ s
w w OWNER
OGJcN
ssa2 Albert P.J., Hansen
RI VV? FALLS.
523 CTH FP
40 C
'00"7A Wis. r O z
Hudson, Wisconsin 54016
VOLUME 7 PAGE 2004
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09/21/93 18:17 0716 381 4400, 9C CO REG/DE S 02
own
00CUMENT Ka. $T1TE PAR OF cozr'szrra~oa~°s ss~ v,a. W%" ....~«a DATA
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wiisl one or trbare sa+d.....
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I~
DEPARTMENT OF REPORT ON SOIL 13ORINGS AND SAFETY & BUILDINGS
INDUSTRY, DIVISION
LA80R AND PERCOLATION! TESTS (115) MADISOP.O. BOX N WI 53707
HUMAN RELATIONS
(ILHR 83.09(1) & Chapter 145)
LOCATION: SECTION: OWNSHIP/Mb4ftt ITY: LOT NO.:BLK. NO.: SUBDIVISION NAME:
~c 1/a F 1/ /6 /Ttf N/R/ E (o T ro I
COUNTY: OWNER'S _ MAILING ADDRESS:
/ lie /z P
USE DATES OBSERVATIONS MADE
NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: R OLATION TESTS:
LJResidence 3 E3*lew ❑Replace ILI
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED YSTEM:(optional)
ES ❑U ❑ S [DU CC'S ❑U ❑ S CCU ❑ S CCU 4" - X Gm '
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 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.)
i
B- /DO e'. G C > Od 7 r/-? r w /,8~T3 L1 t r
B- L j p~. P NMI ' I ~r f/ r w do ' Est
B- 3 5 N nt e- > lj s w c Alf ec c 5! arr
B- I/Sr P7, IVA < ?2, 7' s w c l 1 r w e
13-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES 1
NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 P R PER INCH
3
P_ e-
P
P- 2 S 1 7 rr
la 11
i
P-
P- 3 .3
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or ~tances. Describe what are the ho
zontal and vertical elevation reference oints and show their location on the plot plan. Show the surface elevation all borings and the direction and perce
of nd slope.
dy a4
SY EM LE"TION
P
6;10 -
F ~ ~ r?, Gk_sc a gcerr° ~e rc
y
~jo~~~~
/62~__°pf6 r~.<<
Ile
a ,
F
vr~i Uf cGrao~ , _ 7th o _Y t6
E
s / d At N' =
r
~ U~wa~
p c : 4<v ~b %P
et SyS~~tt-r ado e-t '
I,/tTiP Cfridersignecj, here0 cer lfy hat the soil tests r Kor is form were made by me in accord with the proced a nd 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 b Xi
p,D
~S'PY v I (C /"a O l~
NAME (print): TESTS WERE COMPLET N:
DAVE FOGERTY PLUM81N%-:
ADDRESS: Ueensed r ester um er CERTIFICATION NUMBER: PRQX~ NUMBER (optional):
//~~~~yy #3233 #3289
Fosertif Hemahts Road 41
S, WISCONSIN 54023 CST SIGNATURE:
"BE
Ph;ne 749-3656
~
TRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
'R-SBD-6395 (R. 10/83) - OVER -
TI T
e dH
t
III
TO H
j
Parcel 040-1064-10-110 04/28/2005 02:38 PM
PAGE 1 OF 1
Alt. Parcel M 16.28.19.240A10 040 - TOWN OF TROY
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
* MYHRE, KARL D & PAULA E
KARL D & PAULA E MYHRE
618 GLOVER RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 618 GLOVER RD
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 24.600 Plat: N/A-NOT AVAILABLE
SEC 16 T28N R19W LOT 1 CSM 7/2084 BEING Block/Condo Bldg:
PT OF NE1/4 NE1/4 & SE1/4 NE1/4 SEC 16 &
SW1/4 NW1/4 SEC 15 ALSO A PARCEL DESC AS Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
BEG NE COR SEC 16; TH N 89 DEG W 600'; 16-28N-19W
THS01 DEG W 327.94'; TH S 89 DEG E
600'; TH N 01 DEG 327.87' TO POB (LSAO)
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1066/485 WD
07/23/1997 1065/44 WD
07/23/1997 976/281 LC
07/23/1997 976/40 LC
2004 SUMMARY Bill Fair Market Value: Assessed with:
26628 467,600
Valuations: Last Changed: 07/20/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.000 71,500 362,700 434,200 NO
UNDEVELOPED G5 19.600 34,300 0 34,300 NO
Totals for 2004:
General Property 24.600 105,800 362,700 468,500
Woodland 0.000 0 0
Totals for 2003:
General Property 24.600 123,600 371,100 494,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
44fa9S
CERTIFIED SURVEY MAP
LOCATED IN THE NE1/4 OF THE NE1/4 AND THE SE1/4 OF THE. NE1/4 OF SECTION 16,
T28N,' R19W AND THE SW1/4 OF THE NW1/4 OF SECTION 15, T28N, R19W, TOWN OF TROY,
ST. CROIX COUNTY, WISCONSIN.
®IN.E. CORNER
I SECTION 16 OWNER
T28N, R19W ALBERT P.J. HANSEN
S1°58'14"W 523 CTH FF
UNPLATTED LANDS 327.87' HUDSON, WI. 54016
_ S89°00'33"E 600.00' 1
-POINT OF
BEGINNING
LOT 1 4--E. LINE OF NE1/4
876,536 S.F.
o =20,122 AC. o LEGEND
INCLUDING ROAD ST. CROIX COUNTY SECTION CORNER
zl N RIGHT-OF-WAYS
a1 rn 871,479 S.F. ^ MONUMENT, FOUND.
=20.006 AC. O 1"x24" IRON PIPE, WEIGHING
wl EXCLUDING ROAD NI 1.681/LINEAL FOOT, SET.
E-41 RIGHT-OF-WAY A
¢I o ~I (N48°06'17"W) PREVIOUSLY RECORDED AS.
a a I
041 ° .t
~I z en AI
E-
~I
z I F F►LEp
Co
~I
Z APR 141989,
I \r+ G o°o ° a JAIN
'CONWL 9
%IS* of Deft
u~
00
Ln
`%D SCALE IN FEET
of
300' 600'
0,
00 H o 6 N~'
\ ?S
9
0.- N
U o N
z \ N 06.
r4 o w I ?q 1s~6\Z ~s
f.Q s
v~ z ul) W 96
u~ 16j,
H~z ~.o
E y - oo .o
w w o V) r~ N88°50 `18"W
NI 0 a z z \p 6 4183.39'
z H, x I A SO
r*.s M GLOVER ROAD
W1/4 CORNER ~ R~~~ x.2 • r- - - - _ -
~Q
SECTION 15 ~ j~
T28N, R19W CENTERLINE AND ° M
cn E-W 1/4 SECTION LINE N15352618 W M
UNPLATTED LANDS
El/4 CORNER
SECTION 15
This instrument drafted by Francis H. Ogden. T28N, R19W
VOLUIIE 7 PAGE i 20811
i ~
y
ST. CROIX COUNTY
WISCONSIN
1-` k ZONING OFFICE
M M N ■ ■rrri ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 54016-7710
(715) 386-4680
January 26, 1994
Derrick Construction
Attn: Mike Stephens
P.O. A
New Richmond, WI 54017
Dear Mr. Stephens:
An inspection of the septic system for the Karl Myhre property in
Document No. 490349, Vol. 976 at page 286, located in the NEh of
the NE; of Section 12, T28N-R19W, Town of Troy, was conducted on
November 15, 1993.
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.
Sincerely,
Thomas C. Nelson
Zoning Administrator
js
I~