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HomeMy WebLinkAbout040-1186-40-100 a p ti v ac 4, ~ ~ I M' .3 0 ~ I 0 N O O N O L O Z a N ~ o LL O m L -0 i C 7 'B Q O C V N z E O Z O £ O z 0 4) 0) cD N a m M H Z c ~ I O z :d' c a z 2 Z N c ' N ~ M N_ CL O L O N i N C N • N •rl~ CL t .C C C O 2 Q V 0 1 N z H Z o N N Z y LO C c O N U ~ Q > O }h~yl O) _n Q. 'R L O CD M, 0 LL G G a N O N E w N d H 0 0 0 z o • rv 4i ? a a CL a o co co W g p) O O N CU m U rn rn 'o } M r- o N CO c °o °o N O O E CO _ m a. n O O t0 O N v O LL N C ~ O O O O O O Ci d' C O C C LL O O O O > 0 -0 - C14 O ap O O C O E c _q? co co N N a) Co ~ Z ' v n..n O N ` N (D E 7 O (q (6 ?5 •O y' O co H O O z y FO- ' in ~ i w E t CC n , 'a (D a L CL w • CL V .U C w C r~ L a Parcel 040-1186-40-100 03/01/2005 04:59 PM PAGE 1 OF 1 Alt. Parcel 36.28.19.780 040 - 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 * OLSON, OLIVER L & PEARL E OLIVER L & PEARL E OLSON 92 W WOODRIDGE DR RIVER FALLS WI 54022-8207 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 92 W WOODRIDGE DR SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.000 Plat: 2237-OAK RIDGE ACRES SEC 36 T28N R19W LOT 27 OAK RIDGE ACRES Block/Condo Bldg: LOT 27 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 36-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 990/623 WD 2004 SUMMARY Bill Fair Market Value: Assessed with: 27575 202,700 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 34,200 168,900 203,100 NO Totals for 2004: General Property 0.000 34,200 168,900 203,100 Woodland 0.000 0 0 I Totals for 2003: General Property 0.000 25,300 156,600 181,900 Woodland 0.000 0 0 I i Lottery Credit: Claim Count: 1 Certification Date: Batch 313 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 consin`DepartmentofIndustry, SOIL AND SITE EVALUATION REPORT Page _of bor and Human Relations Division of Safety $ Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than B 1/2 x 11 inches in size. Plan must include, but St Croix riot limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. _ APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Richard Fox GOVT. LOT NW 1/4 NW 1i4,S 36 T 28 AR 19 /1 PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK# SUBD. NAME OR CSM # 84 Woodridge Drive 27 Oak Ridge Acres CITY, STATE ZIP CODE PHONE NUMBER GOWN NEAREST ROAD River Falls WI 54022 (715) 425-2100 Troy East Woodridge Dri e [ New Construction Use [yj Residential/ Number of bedrooms 3 [ J Addi bon to existing building _ j j Replacement [ ] Public or commercial describe - Code derived daily flow Recommended design loading rate .4 bed, gpd/ft2 .5 trench, gpd/ft2 4~- gpd Absorption area required 1125 bed, ft2 900 trench, ft2 Maximum design loading rate bed, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) It (as referred to site plan benchmark) Additional design / site considerations Significant more rock is required to meet state code and system e1, atioi Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ®S ❑ U ®S ❑ U CRS ❑ U ©S ❑ U ❑ S ®U ❑ S I NU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence y Roots GPD/ft~- Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed 1T« u'i 1 1 0-12 10YR 3/1 None sil 2 f sbk mvfr as 2m 1 . .5 1 6 2 12-26 10YR 4/4__ None sil 2 m sbk mfr as 1 f .5 _ I .6_-- Ground 3 26-45 10YR 5/6 None scl 1 m sbk mfi as if .2 .3 elev. 98.60 ft. 4 45-10 10YR 6/6 None is cob 0 m mvfr 4 .5 Depth to limiting factor Remarks: Boring # 1 0-14 10YR 3/1 None sil 2 f sbk mvfr as 2m .5 .6 2 2 14-31 10YR 4/4 None sil 2 m sbk m fr as if .5 .6 3 31-43 10YR 5/6 None scl 1 m sbk mfi cW if .2 .3 Ground elev. 4 43-50 10YR 4/4 None lfs 1 m sbk mvfi cW .5.6 99 Oft. Depth to 5 50-10 10YR 6/6 None 1s ,cob 0 m mfr .4 .5 1 limiting factor I Remarks: 43" 50" Laver is very very fint-_ qv,; -em ham t-o he hP1 nw th i G 1 aver CST Name:-Please Print Phone: Paul C J Steiner (715) 425-5544 Address: N8230 Hichwav 65 Sout • River Falls, WI 54022 Signature: C - Date: CST Number: Noy- 160 3 992 m74 PROPERTY OWNER Richard Fox SOIL DESCRIPTION REPORT Paget' PARCEL I.D. Depth Dominant Color Mottles Texture Structure Consistence Bourbary Roots GPD/1r-- 13oring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Beu 3 0-16 10YR 3/1 None sil 2 f sbk mvfr as 2m .5 2 16-36 10 4 6 Ground 3 36-46 1 OYR 5/6 None is 1 m sbk mfr as if .4 .5 elev. 1 100.61ft. 4 46-64 10YR 4/4 None scl 1 m sbk mfi as .2 .3 Depth to 5 64-121 10YR 5/6 None is 0 m s mvfi limiting factor Remarks: 46" - 64" layer very hard. Top of layer very wet system below this 1aygt Boring # F21 0-11 10YR 3/1 None sil 2 .6 _ 4 1-33 10YR 4/4 None sil 1 f sbk m fr as if 5 .6 as if 1.4 Ground 3 3-42 10YR 5/6 None imesto e 1 f sbk mfr ' elev. 4 2-57 10YR 4/6 None scl 1 f sbk mf ' 101 .07 ft. Depth to 5 7-69 10YR 4/4 None is 0 m s mvfr as limiting 6 9-112 10YR 5/6 None factor Remarks: 42" - 57" very, very fine. System below this layer- Boring # 1 0-12 10YR 3/1 None 5 2 2-28 10YR 4/4 None sil 1 f sbk mfr 1 Ground 3 8-36 10YR 5/6 None sl 1 f --5- Ground elev. 4 6-58 10YR 4/6 None is m SCT ofr as 99.87 ft. Depth to - limiting factor - Remarks: Boring # IrEn OTE• When he system is desigaed and instaLled, con;i )1e rock will have to be used maintain " Ground pipe d meet system elevat on. elev. ft. - Depth to limiting factor _ j Remarks: S8D-8330(8.05192) )of tan Scalc 1 .2 N t a a ~y 0 v 0 h LL 1 L' Elec, ~eaP. SOUfq 4of ~-Ih{~ TApOi wr2S~ GoooC~r~c~ t pr ^ C 'Y #,27 Oak Rico z r°I ee~a Dice Fix ST. CROIX COUNTY WISCONSIN l i } h v„ ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 January 18, 1993 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of the Richard Fox property, located in the NW1/4 of the NW1/4, Sec.36, T28N, R19W, Town of Troy, St. Croix County, WI., has been conducted with the assistance of Paul Steiner, CST# 3074. This onsite revealed suitable soil for onsite sewage disposal to a depth of 106" while meeting the requirements of the A + 4" rule. This site should be suitable for new construction utilizing a conventional septic system. Should you have any questions, please feel free to contact me at this office. Sincer ly, / C4;~- me~s K. Thompson Assistant Zoning Administrator cc: file AS BUILT SANITARY SYSTEM REPORT OWNER `~~r u~✓ ?~/gin TOWNSHIP SECTION 3la T- 2~LN-RAW ADDRESS ST. CROIX COUNTY, WISCONSIN ewfl- AAS " 5,VO z 7 SUBDIVISION Oak c es LOT-Z7 LOT SIZE YZ PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM d1z o b i i i AQ INDICATE NORTH ARROW BENCHMARK:Elevation and description: Alternate benchmark SEPTIC TANK:Manufacturer: Liquid Cap. ~~aa Rings used: Manhole cover elev: Final grade elev: Tank inlet elev.: Tank outlet elev.: No. of feet from nearest road : Front , Side , Rear X Ft. /A~>t From nearest prop. 1 ine : Front , Side_-&_, Rear Ft . No. of feet from: Well g0~ , Building: a7f~' (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: ! Liquid Capacity: Pump Model: Pump/Siphon Manufact.: Pump Size Elevation of inlet: Bottom of tank elevation Pump on elev.: Pump off elev.: Gallons/cycle: Alarm: Man.: Switch Type: Location Distance from nearest prop. line: Front_, Side_, Rear_Ft. Distance from: Well Building SOIL ABSORPTION SYSTEM Bed: Trench: Seepage Pit: Width: 5- Length La Number of Lines: -~3 Area Built Exist. Grade Elev. Proposed Final Grade Elev. Fill depth to top of pipe: I No. feet from nearest prop. line:Front , Side , RearA Ft. jo No. feet from well: No. feet from building d 7~ HOLDING TANK y~ Manufacturer: >y A Capacity: No. of rings used: Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front Side Rear Ft. No. feet from: Well , building , nearest road Alarm Manufacturer: INSPECTOR: ~ s.~ DATE: y 3 PLUMBER ON JOB: .~Z2 LICENSE NUMBER: 6/90:cj - iQq iXp*artgAgynd p, ,28.19.779.780.781& NW NW Oak Ridge Acres Lot 27 tabor8`nd Humah Relations PRIVATE SEWAGE SYSTEM County: Safety and auildings Division INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: 186552 Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: Troy CST BM Elev.: Insp. BM Elev.: BM Description: L cel Tax No.: /001 fi ,GQu~ 040-1186-40-000 TANK INFORMATION ELEVATION DATA 930 012 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic i m 0 Benchmark qk `0o, Dosi ng Aeration Bldg. Sewer Holding St/Ht Inlet g,ps TANK SETBACK INFORMATION St/ Ht Outlet 7 9 ~f 7. g S TANK TO P/ L WELL BLDG. AirI to ntake ROAD Dt Inlet rl Septic 3 4g t NA Dt Bottom Dosing NA Header / Man. B s3 s~ y s. s Aeration NA Dist. Pipe 4 ys'5 Holding Bot. System v s 11 9v. 9 PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft oss Forcemain Length Dia. Fi Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Len No. Of T nches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type O / t OR UNIT Model Num er: System: / to DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length * ii Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over jApth Over xx Depth Of 0 xx Seede ded xx Mulched Topsoil % El Yes ❑ N E] Yes ❑ No Bed /Trench Center d/Trench Edges COMMENTS: (Include code discrepancies, perso sorg'ocat, etc.) 9q,3 LOCATION: TROY 36.28.1 .779.78 8?.A,4 1 'PW, O Ridge Acres /pot 27 fv _ t , Plan revision required? ❑ Yes ❑ No ' Use other side for additional information. 0-7 SBD-6710 (R 05/91) Date A~ector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: I SANITARY PERMIT APPLICATION yfl1LHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY ` STATE SANI # -Attach complete plans (to the county copy only) for the system, on paper not less than vC!"J\ 8% x 11 inches in size. ❑ ~f revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY L t4TION log vex ~f tU 0% Njd%, S 3Ip T N, R I q (or) W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # W,eg~ - IP f- :::97 CITY, STATE ZIP CODIE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER kAl _ ( ) IVA- I-e-T II. TYPE OF BUILDING: (Check one) 1:1 State Owned O VILLAGE NEAREST ROAD 1 rd r b ❑ Public X 1 or 2 Fam. Dwelling-# of bedrooms ? PARCEL TAXNUMBERO 111. BUILDING USE: (If building type is public, check all that apply) QLi/G lL Q -[/O ~"l 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 40 Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPP E OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. M New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit . Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed. 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 29 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION Feet Feet VII. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New P-xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank e C E, 3 -A+ El . =_=Eul :FEo=l I r-1 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. Plumber's Name (Print): Plumber's Signature: (No ps) MP PR Business Phone Number: (7/4 ) 777- 3ZW Plumber' Address (Street, City, State, Zip Code): 3! 7<h yr 6Zj( &_-O) LJ~ Z7 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved S~gitary Permit Fee (Includes Groundwater a Issued Issuing Agent ps) ~XjApproved ❑ Owner Given Initial .•5/~/ (~Q Surcharge Fee) 97 Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety8 Buildings Division, Owner, Plumber F INSTRUCTIONS 1. Ac-saojtalry permit is valid for two (2) years. 2. l our'sanitary~permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Ons1te 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 lodaf 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 ti installed, - , II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect. groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) APPLICATION FOR SANITARY PERMIT STC - 100 This application form is tod'be completed in full and signed by the owner(s) of the property 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 sold and submitted to this office with the appropriate deed recording. Owner of Property L) -f ✓ l~ F Location of Property N14) It V1/Ij k, Section T N - R _ W Township % uud Mailing Address G✓~.g t~ "d`i a~ee ejuty Subdivision Name ~ak, gi do c. PcLe Lot Number Previous Owner of Property Total Size of Parcel ~Z Otte Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resalg (spec house) ? Yes_ No Volume and Page Number L.;3 as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: 1. Warranty Deed 2. Land Contract 3. Other recordings filed with the Register of Deeds Office 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 the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (We) ceXU6y that att statements on this 6oAm ahe -tAue to the best 06 my (ouA) ; knowledge; that I (we) am (aAe) the owneA (s) o6 the pnopeA.ty descA bed in this .in6o4mati.on 6o4m, by vi&tue o6 a wauanty deed AecoAded in the 066.ice o6 the County RegisteA o6 Deeds ab Document No. `{f-, ; and that I (we) puz entX y own the pAopos ed site 6oA .the sewage disposat system (oA 1 (we) have obtained an easement, to Aun with the above des cAi.bed pAopenty, 6oA the con6tAuction o6 said system, and the same has been duty Aecon.ded in the 066.ice o6 the County Reg.is.teh o6 Deeds, a6 Document No. ) . jjJ- 6(-)A'~ SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) l'a - zi - 9 DATE.SIGNED DATE SIGNED DOCUMENT NO. STATE BAR OF WISCONSIN FORM 2-1982 THIS SPACE RESERVED FOR RECORDING DATA • 494330 WARRANTY DEED _ 990FAcE 622. IRE 1 i1 OFFICE Rolling Hills Development, Inc., a Wisconsin ST. GI, CRORq( CO., W1 corporation Reo d for Record JAN 2 5 1993 . at 11:35 AM conveys and warrants to Oliver L Olson and Pearl E.- Olson, husband and wife, as survivorship marital property E '6"t"Re8ister of Deeds RETURN TO the following described real estate In St. Croix County, I State of Wisconsin: Tax Parcel No: Lot Twenty-Seven (27), Oak Ridge Acres to the Town of Troy. h 3t-~- rt j 4-AA This i s not homestead property. (is) (is not) Exception to Warranties: . easements, restrictions, and rights-of-way of record, if any. Dated this 8 day of Oc t E ~ . 92 , INC. (SEAL) L •Richard N. Fox President (SEAL) (SEAL) •Frances J. Fox, 61 Secre ary AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ss. Pi rC P County. authenticated this day of 19 Personally came before me this ";6M day of October 1992 the above named Richard N. Fox and Frances J. Fox A-S TITLE: MEMBER STATE BAR OF WISCONSIN ate`;;......,. (If not, to me known to be the person S : w eXeW1grf t1te ackno d die e . tJ authorized by § 706.06, Wis. Stets.) f r i g instrument d ge THIS INSTRUMENT WAS DRAFTED BY fJ) C. L. Gaylord, Attorney 4. 07 Karen M. Engel 1! '•wll River Falls WI 54022 • j! Notary Public piprcp (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, `%F b are not necessary.) date: July 4 g ' Names of persons signing in any capacity should be typed or printed below their signatures. SB2 NTF 0023% WARRANTY DEED STATE BAR OF WISCONSIN Nelco Tax Forms, P.O. Box 10208, Green Bay, WI 54307-0208 Form No,2 - 1982 m SEPTIC TANK MAINTENANCE AGREEMENT wM St. Croix County r ro OWNER/BUYER Z>I i II~✓- n /,son c ROUTE/BOX NUMBER Fire Number Gil ty CITY/STATE ZIPt/oaz M N R W PROPERTY LOCATION:. k, i111 Section f,, T Town of-- 7(6 St. Croix County, u Lot number o"I_• Subdivision Improper use and maintenance of your septic system could result in its premature failure to handle wastes.- Prover maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed 'septic tank pumper. What you put into the system can a ect t e .unction of the-septic tank as a treat- ment stage in the waste disposal system. St. Croix County residents may 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 .s I yst.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 0 to maintain the private sewage disposal system in accordance with N the standards set forth, herein, as set by the Wisconsin Depart- ment 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 .a. , DATE 01 St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. 1~( nsin Dapartment of Industry, SOIL AND SITE EVALUATION R E F U H I and Human Rotations Divisiop of-6atnty a Buitdings in accord with ILHR 83.05, Wis. Adm. Code COUNTY St Croix Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but PARCEL I.D. rr not limited to vertical and horizontal relurdnee point (BM), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. REVIEWED BY DATE APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION PROPERTY OWNER: PROPERTY LOCATION - GOVT. LOT NW 114 NW V4,S 36 T 28 N.R 19 :r Richard Fox CSM 8 PROPERTY OWNER :S MAILING ADDRESS 727 pa}= T r BLOCK a! SU80. NAME OR gidge Acres 84 ridge Drive NEAREST ROAD CITY, STATE ZIP CODE PHONE NUMBER _Oak East Woodridge Dri e River Falls WI 54022 (715)425-2100 0 New Construction Use (x) Residential l Number of bedrooms 3 (j Addition to existing building j Replacement (j Public or commercial describe Code derived daily flow 450 _ gpd Recommended design loading rate .abed. 9Pditt2 --5 wench,9Pan2 Absorption area regtared 1125 bed,h2 900 _wench, h2 Maximum design loading rate bed. gpWit2_11anch. gpd'U2 as relerre4 to site plan ber>chmark) Recommended infiltration surface elevation(s) It ( Additional design/ site considerations Rirrnif nt more, rock is read red to meet state mde and n sue! qje ati Parent material Flood plain elevation, if applicable $ = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT•GMDE SYSTEM W FILL N" Dv 1~IM U = Unsuitable fors stem ®S ❑ U ®S ❑ U Q S ❑ U ®S ❑ U ❑ S ®U ❑ S MU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture SGr.uuct ucture re Consistence Botitdiary Roots Bed 1Trt,:,, Boring # Horizon in Munsell Qu. Sz. Cont. Color sit 2 f sbk mvfr as 2m .5 1 0-12 10YR 3 1 None .6 1 Y:C 1 f 2 12-26 10YR 4/4 None sit 2 m sbk mfr as .5 .6 Ground 3 26-45 10 5/6 None scl 1 m sbk mf i as if • 2 •3 elev. 98.60 IL 4 45-10 10YR 6/6 None is cob 0 m s _ mvfr •4 5 Depth to Uniting ~.0 factor Remarks: c11i 6 Boring # 1 0-14 10YR 3/1 None sit 2 f sbk 2 14-31 10YR 4/4 None 2 m sbk m f as 1 •5-_-.6 ry2 2 sit r<..:~m~ = 3 31-43 10YR 5/6 None scl 1 m sbk mfi CW 1f .2 .3 Ground ehv 4 43-50 10YR 4J4 None ifs 1 m sbk mvf i cw .5 .6 ~fL .4 .5_ 5 50-10 10YR 6/6 None is cob 0 m mfr Dapth to limiting - factor 17 Remarks: 43"r 50" Taxer-j-; very, very fines- Sy~P. h~~ to 1~+ lwlnythin la er.-.._.. CST Nama:-Ploasa PnAt Prwnd: _ Paul C J S (7151 425 5044 Lldro . N9230 tHi hwa 65 South • v 11C WT 0aw: CST Nurrrt.~r. sgnatura: ~ .r tVw 16 1 ~q? 4n74 _ Plof Plan_ ~olc x026' s N q q, 3 a I ~ 1 X10 ~ 3 e ~ ~qq off' " ~61 h 5ouf4 lot ~ir-e B~ Eke. Pcd. o~ ioo.o Top W05 wo.d'Ac Dr 4 #.97 r-Xi k WAa,v- Accr; Dick Fox /~,C • _ 0%~PV d/Serf JOB- TIMM EXCAVATING SHEET NO. l OF 2 Route 1 Box 192 WILSON, WISCONSIN 54027 CALCULATED BY DATE 715 772-3214 715 386-5443 MPRS #3224 WI MPCA #696 MN CHECKED BY DATE SCALE ie dai c ..L ~z.5.. ....~rdr' W .4 . : ; _ . .....v . .......~.t.~... P ~e i _ - , I E - - - - -O. r t ~5 r l ~,L........... ;nti t~J~ ~Jo6d~►1 + Ar PRODUCT 205-1 ~ Inc.,Groton,Mass. 01471. To OrEer PHONE TOLL FREE I-800-225-6380 REPT131 TROY ST. CROIX COUNTY ZONING PAGE 1 04/16/,93'09:26 REQUESTS FOR INSPECTION WORK SHEETS FOR: ®4/16/93 AREA: MJ_- Activity: A9300012 4/16/93 Type: CONV93r rStatus: PENDING Constr: Address: TROY 36.28.19.779.780.781&,NW,NW,Oak Ridge Acres, Lot 27 Parcel: 040-1186-40-000 Occ: Use: Description: 186552 Applicant: OLSON, OLIVER Phone: Owner: OLSON, OLIVER Phone: Contractor: TIMM, ROGER Phone: 772-3214 Inspection Request Information..... Requestor: TIMM, ROGER Phone: Req Time: 14:04 Comments: Items requested to be Inspected... Action Comments Time Exp 00012 FINAL INSPECTION Inspection History..... Item: 00012 FINAL INSPECTION