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HomeMy WebLinkAbout026-1077-30-100 4 o m -a 0 ° h O » J ao ~ 0. 0 a I ~ ' es I c © N ~ N C O Mi Y g ~ N a) cn .O 'I. co U W > L c ~ • I x o m aa) O O 7 N N N N CD 0) p Z 0 N 7 G O O N U. C _ p •N N w co a q C (n E Q U U U I 3 v I v I; ~ Z E 0 0 Zo a m (D C) W a m N Z C O O Z 00 w p fn F- r ro Z C Q) E -p I ro D O 3 (V N U) C •'V d L CD O U M O ' C C U Z H Z o O O a 4- N E Z N C ca _0 _ l0 ! a) d O L a U') a •m ~c c co IL E Z > o H H H U) N =1 U O E 0 0 0 Z O a. CL CL F\ O fn N fn J U Z rn rn O Z 70 C) N O U N 4 co O N 1V ao m Q > DI U C. O M N N ° Q 3 a~ w e ° c ELO rn ^1 O o FO- Y c.) N 0 cNa d O O Tr c rn O r N V o "C c C E _ > H C a> aa)i a a(h m E ns U 0 C4 z U) N ~J d t0 (D CL dt EL L a w • a m .2 a) ~ 1 A v a~ I O N v t W DE,PAIXMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS PNDUSTRY, DIVISION P.O. BOX 76 LABOR AND PERCOLATION TESTS (115) MADISON WI 3707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSHIP/LOT NO. BLK. NO.: SUBDIVISION NAME: NE 1/4 SE 1/4 26 /T30 N/R18xk (or) W Richmond in/a n/a n/a COUNTY: BUYER'S NAME: 1572N 140th. St., New Richmond, Wl. 54017 Gale Knutson St. Croix USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE D CR PT ONS: ER OLATION TESTS: IIMResidence 3 n/a New ❑Replace 1 11-18-91 RATING: S= Site suitable for system U= Site unsuitable for system ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) ❑U ~ ❑U S ❑U ❑ S ®U ❑ S ®U conventional trench ras I - If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the n/a Floodplain, indicate Floodplain elevation: ri/a under s. ILHR 83.09(5)lbl, indicate: decimal' PROFILE DESCRIPTIONS page 44 JeB BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPT LEVATI0 OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-1 7.00 96.90 none >7.00 .75bl.1. .83bn.sil. 2.92bn.l.s.&gr. 2.50bn.s.l. B 2 7.00 96.90 none >7.00 1.08bl.1. 1.00bn.sil. .67bn.s.l. 4.25bn.m.s. 3 7.16 96.90 none >7.16 .83bl.1. .83bn.sil. 3.00bn.m.s. 2.50bn.l.s. B- 4 6.84 95.42 none >6.84 .67bl.1. 1.00bn.sil. 2.50bn.c.s.&gr. •7592bn.l.s. B- B-5 6.92 95.44 none >6.92 .75b1.1. .75bn.sil. 2.50bn.c.s. 2.92bn.s.1. B- decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATER INCH ES NUMBERNRg0ffK AFTER SWELLING INTERVAL-MIN. PE OD 1 PERIOD 2 P R D p- 1 3.50 none 30 z P_ 2 none 8 P- 3 3.50 none 30 4 a P- 4 5.50 none 30 1" 1 30 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 93.40 11.1 3 . E t &0 T E a 3 -1 11- ` c € 3 7 t ( [ J _ x t i J cb I, the undersigned, hereby certify that th i t don 49-A rm ade by me in ac ord with the procedures and methods specified in the Wisconsin ests ~'~~jqe, Administrative Code, and that the data rec r and the IAaen of"tfii' tests red rrect to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 'LG:'~'Y"ice 11-18-91 ADDRESS: ~r \ CERTIF ON NU BER: PHONE NUMBER (optional): 1554 200th. Ave., New Richm (f ,75-246-6200 CST SIGN E: JBUT10N: Original and one copy to Local Authority, Property Owner and Soil Tester. R-SBD-6395 (R. 10/83) - OVER - ;l Ij FORCr""Ar"-ETINr r 11E- ►-"395 To be,, c 10 -)it t t mu ~ r! 1. ComEC;i i;,-r~ 2. The v indicate wnethr iris is a nJd comrlt 3. MAXIML x rns or COMM e planned; 4. Is this a rT- 5, CornPlet:c s~. LIITABLE FOR A HOLDING TA i ' LY IF ALL OTHER SYSTEM: U_i SOILCC3NDITIONS; B. 'LEASE u the abbre i,. ns sht. siting profile descriptions and completing the plot plan; 7. MAK -13LE dia~°_,m acr almq your test locations. Drawing to scale is preferred. A sedan iy be usr,; if der B, Make su ar benchr,rark ar, ' elevation reference paint are clearly shown, and are permanent; 9. Cornpl '~rot?riat:e boxes names, addresses, flood pl< ~ rcolation test exemp- ti 10. If the a:h as flocs' ation) does not apply, "';t io the approo'iate box; 11. Sign the arrr your c.r ess and your cert:ifica1I sr; 12. Make legible rd di rs required. ALL SOIL. TESTS MUST BE FIDE] WITH THE LOCAL ALITHC `YWITHIN IS OF COMPLETION. -REV-A.- "_d FOR CERTIFIED -TESTERS Soil - n " T. ; ymbols st - lover 10") i _ 3edrock coca - ':)ble (3 - 0") - `3andstone yr Gr,ivel (under 3`,) Limes Sand R reed s - "rm Sark! l`oell i s - l ;rt - E- L I A,,n BI E; ick Gy , Y - ' scI arrr sic! mot - es sc f 1 , sic aiI?:y May fff w fare, faint C cry - Yl nOn, coarse pt - E mrn ~.y, rnediurn rr~ - cie d - - inct: €s € pr tint-V' Hwilz Six f 11 sc1 sul Bench N` 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. ~Y o I, a°i o° I o O (Al °N ~ ~ I Mi 4 ° I °o N -NO I N ~ Y~ ~ I ti CU CO S2 a OQ'i (Op S m N U o 4 U) 4) Cc y 7 . N - N 14 d C ~ C Z O N LL Co O ° O O " O N N N 3 ==y°- i5 I 0 0 Q U L) coi I 3 v I I ° ( = 00 m M W a m N H Z O I O 2 :!t C a0i Z d' ~ ~ o m F- c Cu Z -o N M N Ca) a~ Cn • d c C C 0 U Q Z H Z z N ° N Ili n E N CL ° d - d CL ~(D c°I > C G d .nn E ° N cf/)V)V) 7 U°I N O d p o •Ai v r- a a a y 'tLv" a ' ~ I ° a3i U1 J V Z rn rn o Z ^I N ° - o t O O D = co c a N N CT CO d O Q } C6 1~ O ° _ Q E°. Y V ca O d 0- 0) M V c ° Y a N Q ~ (O C y C C E C n CD O E > m 00 0) o :3 CO N L 'O 0"~'~ M L N O, a0+ 7 C CU N° ° m O to E 'ra v O O N m 0 Z- fn C9 ~ - E m U - CL CL • CL 'Oki d d a d` - as ' E oc a> R r A c0 IL 'L0 U) / N14 9.'9737 ~ ~ • , r~ hVi This instrument drafted by Fran Bleskacek Pro,. No. 91-31 \ V o >I Bearings are referenced to the east line t~"'n«o. of the SEJ of Section 26, assumed to O fir' S•, r::"'•, bear S000311464. CD t1i v s~• 0o n tzj IAIr`1 ATT to et n H ..9 Vlvr'LH I I EU LHwVJ ° .R o W N 7 00 Ln CA r _ rt' 0 o N00037146"E 332.51' art. n (D 21 O a N• ~ n 01-0 O 9 FILED r~r rt z w a Fh FEB 2 61992 ► 9 ° o x x _ r- JAMES O'CONNELL rt rt x 53 P. Z, Regww of Deeds m r d = N H 5 y to = 0 9 z SL Cr* Co., WI 0 0 0 eD T H 11 O N. V~ N z (b -3 N 0 0. IC: A~ 7r •rp• OT I G? z •1T"I r o C C4 00 = I lD = L- 1-h 0 Co rt I N N N to O S I I(D CD ~j 6 kb- rri T IC7 -N~ tO,~ r Nun o ~rn -n rt o a N y C, M N rt Od r m H I-h -n -n Co r 01 CD In 1 ro o I L7 0 rt 0 N N o H O w rt IQ? z o W Co w o ~ O O S0003114611W 332.511 0 2311.16' w 140TH STRE_E_T_ • 0 C4 S0003114611W w S00037146"W 332.511 ti rn rt c~ East line of the SEJ of Section 26 rt o o ~ 0 0 o F~• N 7 O N •7 I IA f1LN ITT A o vl Jr- I I CU I ^ H IV , 3 O o' Co --_~U LUnJ ~ co w r• ~ A O a ° e lTJ `fl ~ d a a r• <y v VOLUME 9 PAGE 2452 Parcel 026-1077-30-100 09/18/2006 02:58 PM PAGE 1 OF 7 Alt. Parcel 26.30.18.404A 026 - TOWN OF RICHMOND Current Xj ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner GALE K KNUTSON 0 - KNUTSON, GALE K 1348 140TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1348 140TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 10.000 Plat: N/A-NOT AVAILABLE SEC 26 T30N R18W PT NE SE BEING LOT 1 OF Block/Condo Bldg: CSM 9/2452 5 ACRES ALSO A PRACEL DESC AS COMM E1/4 CORSEC 26; TH N 89 DEG W Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 655.02' TO POB; TH CONT N 89 DEG W 26-30N-18W 655.48';TH S 00 DEG W 332.51'; TH S 89 DEGE 654.57' TO SW COR LOT 1 CSM 9/2452; more... Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 962/627 07/23/1997 9 C -}a btoV'V, 07/23/1997 L77/261 2006 SUMMARY Bill Fair Market Value: Assess - 0 Valuations: Last Changed: 06/20/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 10.000 67,500 124,900 192,400 NO Totals for 2006: General Property 10.000 67,500 124,900 192,400 Woodland 0.000 0 0 Totals for 2005: General Property 10.000 67,500 124,900 192,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 123 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 nNO 3-0 n tv c o ~ M CD co m ~ o I~ _ O U) L- UT z 0 t" 0 Sr W 0--4 CD rn CD 3 n3i 3 3 N co c a o ° \ 1 _ a CL -0 -0 a 10 'P m ? 0 11 0 ~ o ~ 0 W ;Q I !Or 3 5 o C ~i N N W lY C CO m cn (D N a D (n Q IW CD o 3 O O N CL CD ° CO N w C lr I g 3 a °P U) 0 < N Z o° c 3 co wcn° o D ~ ° v -v CD (D co o 9 2L ::4 N 3 I W N Z ~ z z O s 0 D 3 , y CD 0 CD M. c 'O 2) (D W D a n N 7 V~ z CD ~_-I A Z A N ` A z 7 Q ~ (l 1 z -I N ~C m To m (D m Z 0 ~c m co I A CDv I , I c T. a ~ 6 r = I T v0 -j 2 y N z a ° 00 -n CD I al 3 I co a Lnn co I ~ % o I m o, o ~ 0 00 I' CD I a ~ DO H N A tA ~rn ~ o ° CD . CL rub ~ ~r " -..~%~'C' / ~ ~ ~ • ins' LED 8 \ /arm <s' OCT 0719920- `r L JAMES O'CONNELL Register of Deeds 2 489635 p~. St. Croix Co., Wi i CERTIFIED SURVEY MAP Located in part of the NEh of the SEh and in part of the SE4 of the SE'k, all in Section 26, T3 ; Town of Richmond, St. Croix County, Wisconsin, N Q Corner of Section 26• ~I-- (.LN OT 1Ul) SMALL TRACT C.S. V. 9, P. 2452 - o y w I M O t v' N 21' o a S89042'57"E 1309.5,9' '4j 654.57 622 02~ I h 1276.591 33.OOr 33 k. _ 33' d o ~ L N M i -C C9 • LOT 2 N co L _ co i W 0, 4j m ; N 29.70 Acres Inc. R/W EEE~~~ N 33 - ~4 C; I co 1,293,574 Sq. Ft. 3 i 28.95 Acres Exc. RR WW o o °f W 1,260,922 Sq. Ft. o r% c ' d . 0 s ~ O .,a CV O ro L Q W o (I~ Y a W r-4 - 1306.89' - 31' 1273.89' I M W 631.881 642.01, 33.00 ; 111040115111 al o N 675.01' N89040115"W I r- ~0 L MC 4 I C-4 I, South line of the NE} of thA SE} ~ H I = 2~ C LEGEND 9 - Aluminum County Section Monument ■ - 3/411 Iron Rod Found LOT 3 - 1" Iron. Pipe Found o - 1" x 241' Iron Pipe Set, weighing 0 16.81 Acres Inc. R/W N ~1 1.68 lbs. per linear foot 1 - Existing Fenceline 732,391 Sq. Ft. 9 t nndway Setback 16.55 Acres Exc. R/W CM 720,901 Sq. Ft. N 3 H M rr O 2ae' .ss' ~yl o ® o °37'22_" 3 OWNER j 256:75' Mike BeauvaiLOT 1 OF C . S . a 1378 130th IN V. P60 00 .r .M. p New Richmond, - - - \11 -4 ors N8 043'.. I004M Z © 63.68' 41 362.88' o ~1 „ SE Corner of Section 26 N89037'32 "W L N89 37 32 W M 130TH AVENUE South line of the SEA NOTES UNPLATTED LANDS 0 - Previously recorded as N0101210011W. ® - Previously recorded as west. © - Found iron rod is N0004911411W, 1.641 from SCALE IN FEET computed position. i 0 200 400 600 VOLUME 9 PAGE 2551 dJ- Parcel 026-1077-60-000 09/18/2006 08:56 AM PAGE 1 OF 1 Alt. Parcel 26.30.18.407A 026 - TOWN OF RICHMOND Current k ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - MCCONAUGHEY, TIM M TIM M MCCONAUGHEY 554 MEADOW DR HAMMOND WI 54015 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 16.810 Plat: N/A-NOT AVAILABLE SEC 26 T30N R18W PT SE SE BEING 3 OF Block/Condo Bldg: CSM 9/2551 16.81 ACR Tract(s): (Sec-Twn-Rng 401/4 1601/4) 26-30N-18W Notes: Parcel History: Date Doc # Vol/Page Type 10/29/1998 590178 1370/621 WD 10/29/1998 590177 1370/620 WD 05/05/1987 425280 777/261 LC 2006 SUMMARY Bill M. Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/22/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 21,000 12,000 33,000 NO AGRICULTURAL G4 15.510 2,700 0 2,700 NO 00 UNDEVELOPED G5 0.300 100 0 100 NO Totals for 2006: General Property 16.810 23,800 12,000 35,800 Woodland 0.000 0 0 Totals for 2005: General Property 16.810 23,700 12,000 35,700 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 AS BUILT SANITARY SYSTEM REPORT OWNER ~'I G~rG e~;~ea a&,. f TOWNSHIP. GZ ha a~~4 SECTION~T / N-R W ADDRESS 4!eC GGrZ.~to~/~ ST. CROIX COUNTY, WISCONSIN SUBDIVISION ZZa- LOT-,d./a-LOT SIZE ~c r1s PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM St~ a k d Td2 a v Q ~a w3 ~ 9 e 2 INDICATE NORTH ARROW BENCHMARK: Elevation and description: Alternate benchmark SEPTIC TANK: Manufacturer: Wjlel e-77- Liquid Cap. 1&4d6' Rings used: t Manhole cover elev: Final grade elev: Tank inlet elev.: Tank outlet elev.: No. of feet from nearest road:Front 41 Side , Rear Ft. Sd" From nearest prop. line:Front_LK- , Side , Rear Ft. t S d No. of feet from: Well f7 , Building: i; (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE a ' 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: Length Number of Lines: __]2 .Area Built,7 Exist. Grade Elev. Proposed Final Grade Elev. Fill depth to top of pipe: 3G `r No. feet from nearest prop. line:Front , Side cl(-, Rear Ft."~e i No. feet from well:-/,6&L-/,.~-No. feet from building HOLDING TANK Manufacturer: 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: DATE: PLUMBER ON JOB : LICENSE NUMBER: ,7i~Il~C~ d'72- 6/90:cj LOCATION: RICHMOND 26.30.18.404,NE,SE,26, Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: { Laporanc+Human Relations INSPECTION REPORT SaTety'and,Buildings Division ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No-: GENERAL INFORMATION vg-, 149268 = 7, SZZ r1012 Permit Holder's Name: ❑ City ❑ illage V Town of: State Plan ID No.: BEAUVAIS, MICHAEL L & COLLEE RICHMOND CST BM Elev.: Insp. BM Elev.: BM Description: ( Parcel Tax No.: 026107730000 TANK INFORMATION ELEVATION DATA A9200114 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark ,o , Dosin Aeration Bldg. Sewer Holding St/,it Inlet Z/LL TANK SETBACK INFORMATION St/ Outlet 's/ 0 3S, TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe 8 Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade ' Manufac Demand Co sc r- Model Number GPM TDH Lift Friction System DH Ft Head Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM Liquid BED/TRENCH Width r Length No. Of Trenches PIT No. Of Pits Inside Dia. Depth DIMENSION 3 D MEN I N SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHIN manufacturer: SETBACK CHAMBER Mo el Num INFORMATION Type O ~ ; i System: pC tom- 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 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.) (ct t c. ' cr d U~ 1. T'7~ F`741 Fri Plan revision required? es ❑ No Use other side for additional information. 1-5-1071 SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH 'SANITARY PERMIT NUMBER: .r i SANITARY PERMIT APPLICATION [:70 LHR In accord with ILHR 83.05, Wis. Adm. Code COUN SANITAffY NIT PER -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ / a T 8% x 11 inches in size. check i revision to previous application -See reverse side for instructions forc=R,NTALL,N, n this a plicatio STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PL A O r t\\ om) PRO ERTY OWNER - ION c U C/4 S,9F'/4, S .24- T20, N, R E (or f@ PROPERTY OWNER'S MAILING ADDRESS ~J A LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER ~G✓ aPe- n~G L.,- CITY .41 ~7 15'e- II. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ LLAGE NEAREST ROAD OF. e ❑ Public 1 or 2 Fam. Dwelling- of bedrooms -1-1 PARCEL Ax Nu B R ) 02e10 7o p III. BUILDING USE: (If building type is public, check all that apply) a~ !d r,;;p 30 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. VS New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ 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 300 Specify Type 41 ❑ Holding Tank 12 IN 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 REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION Gad e2( el ( Feet ' ~lll Feet VII. TANK CAPACITY Site In gallons Total # of Prefab. Fiber- Exper. App INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic Tanks Tanks structed Septic Tank or Holding Tank e~LY/ l lWz it A-1e, 7_ F] I Lift Pump Tank/Si hon Chamber . _Z~, . E] 1 0 El . El I El VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system show on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) MPRSW No.: Business Phone Number: ss2 -T 107 Plumber's Address (Street, City, State, Zip Code): IX. COUNTYIDEPARTMEN USE ONLY ❑ Disapproved San itary Permit Fee (includes Groundwater ate sue Issuing Agent Signature (No Stamps) ❑ Approved ❑ Owner Given Initial Surcharge Fee) y A6-3 A 416 dverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Fprm (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 rya 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, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement; reconnection, or repair. V. Type of system. Check appropriate box depending on system type. 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, -lumber 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 £1% 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. S13 D-6398 (R.11/88) STC-100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale b owner house y /contractor,(s ec then a second form should b p e retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property IYA, ii C~- Location of property 1/4-1/4, Section , T N-R W Township -K -0 LT C ~ uV 1C~:1 A Mailing address _ i ( p ~~`h 1-~ vc Address of site Subdivision name Lot no. Other homes on property? yes No Previous owner of property Total size of parcel _ 'j`, I , s Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (Spec house)? Yes _2~_No Volume 777 and Page NumberL 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 in the office of the County Register of Deeds as Document No. I a , and that I (we) r own the proposed site for the sewage disposal system or I e(we) obtained an easement, to run the above described property the construction of said system, and the same has been,duly recorded in the office of County Register of deeds as Document No.- Signature ~-k- of applicant Co-applicant Date of Signature Date of Signature ~I DOCUMENT NO I STATE BAR OF WISCONSIN FORM 7 =1982 I THIS SPACE RESERVED FOR RECORDING DATA II CONSUMER MORTGAGE (To be used for loans of $25,000 or less which are not first lien and are subject to the Wisconsin Consumer Act; rate must be 18% or less) Michael L. Beauvais and Colleen E. Beauvais, husband and wife ("Mortgagor", whether one or more) mortgages with power of sale to Mid American Mortgage, Inc. Mortgagee", whether one or more) to secure payment of'Pia_ ht-epn Thnusand, tWr, Phincirt-A and 002100 Dollars 1 200 - On ) evidenced by a note or notes dated executed by-Michael L. Beauvais and Colleen E Beauvais, RETURNTO Robins Law Firm ( aw) to Mortgagee, and any extensions, renewals, modifications and refinancings of any such note or notes 1800 Int '1 Ctr. , 900 2nd Ave, on any terms whatsoever (including increases in interest rate) and the payment of all other sums, with interest, advanced to protect the security of this Mortgage, the following property, together with the Mpls. , MN 55402 rents, profits, fixtures and other appurtenant interests (all called the "Property"), in St. Croix County, State of Wisconsin: TAX PARCEL# The 'East 1/2 of the SE 1/2 of Section 26-30-18, except the East 675 feet fo the Se 1/4 of the SE 1/4 of Section 26, and except Lot 1 of Certified Survey Maps filed in Vol. "2" of Certified Survey Mapls on page 560 as Document No. 346959. *Wisconsin in the original amount of $27,900.00. 1. This is homestead property. (is) (Is not) 2. This is a purchase money mortgage. (is) (is not) 3. MORTGAGOR'S COVENANTS. (a) COVENANT OF TITLE. Mortgagor warrants title to the Property, except restrictions and easements of record, if any, and except: That ePrta i n T,and Cnntrar-+- da d May 4, i-987 in favor of T Stephen Brown and Margaret A Brown and assigned to the Federal Land Bank of Northwest* (b) TAXES. Mortgagor promises to pay when due all taxes and assessments levied on the Property or upon Mortgagee's interest in it and to deliver to Mortgagee on demand receipts showing such payments. (c) INSURANCE. Mortgagor shall keep the improvements on the Property insured against any toss or damage occasioned by fire, extended coverage perils and such other hazards as Mortgagee may require, through insurers approved by Mortgagee in such amounts as Mortgagee shall require, but Mortgagee shall not require coverage in an amount more than the balance of the debt without co-insurance, and Mortgagor shall pay the premiums -han ride. Thp nnlicies shall contain the standard mortgage clause in favor of Mortgagee and, unless Mortgagee otherwise agrees in writing, the original of all policies covering the Property shall be deposited with Mortgage, . iviortgagor ;;hat. pro,^pU give n^t+c^ of loss to insurance companies and Mortgagee. Unless Mortgagor and Mortgagee otherwise agree in writing, insurance proceeds shall be applied to restoration oi~ repair of the Property damaged, provided the Mortgagee deems the restoration or repair to be economically feasible. (d) OTHER CONVENANTS Mortgagor covenants not to commit waste or suffer waste to be committed on the Property, to keep the Property in good condition and repair, to keep the Property free from all liens superior to the lien of this Mortgage, and to comply with all laws, ordinances and regulations affecting the Property. Mortgagor shall pay when due all indebtedness which may be or become secured at any time by a mortgage or other lien on the Property superior to this Mortgage. NOTICE TO CUSTOMER (a) DO NOT SIGN THIS BEFORE YOU READ THE WRITING ON THE REVERSE SIDE, EVEN IF OTHERWISE ADVISED. (b) DO NOT SIGN THIS IF IT CONTAINS ANY BLANK SPACES. (c) YOU ARE ENTITLED TO AN EXACT COPY OF ANY AGREEMENT YOU SIGN. (d) YOU HAVE THE RIGHT AT ANY TIME TO PAY IN ADVANCE THE UNPAID BALANCE DUE UNDER THIS AGREEMENT AND YOU MAY BE ENTITLED TO A PARTIAL REFUND OF THE FINANCE CHARGE. Dated his day of 19 8 8 (Mortg r) Michael L. (Mor gagor) Beauvais (SEAL) Colleen E. Beauvais -(SEAL) (Mortgagor) (SEAL) (SEAL) (Mortgagor) ---------------AUTHENTICATION OR------------ACKNOWLEDGEMENT------------ STATE OFWV1I?9XMINNESOT Signature(s) SS County authenticated this day of Personally came before me, this day of 19 '19 88 the above named Michael L Beauvais and Colleen E Beauvais,-husband and wife TITLE:MEMBER STATE BAR OF WISCONSIN or authorized under §706.06, to me known to be the person._ who executed the Wis. Stats. foregoing instrument and acknowledged the same. This instrument was drafted y: THE ROBINS S LA>r~ FIRM (baw) ,~enOnrj~~epna t o• CF?nf rp Notary Public County, N Mi nnPapelCiis • _MN_5402 My Commission (expires) (is) 'Names of persons signing in any rapacity should be typed or pr wed below their signatures. NF 3563 CONSUMER MORTGAGE STATE BAR OF WISCONSIN Nelco Forms, P.O. Box i0208, Green Say, wl W-17-3208 Farm NO. 7 -1982 - 4. DEFAULT. Upon the occurrence, without justification under governing law, of one or more events of default, Mortgagee shall have all rights for default provided by this Mortgage and applicable law. Events of default are: (a) Payments. (1) If the interval between scheduled payment:, under a note is 2 months or less, to have outstanding an amount exceeding one full payment which has remained unpaid for more than 10 days after the scheduled or deferred due dates, or the failure to pay the first payment or the last payment within 40 days of its scheduled or deferred dub date; (2) If the interval between scheduled payments is more than 2 months, to have all or any part of one scheduled payment unpaid for more than 60 days after its scheduled or deferred due date; (3) If the transaction is scheduled to be repaid in a single payment, to have all or any part of the payment unpaid for more than 40 days after its scheduled or deferred due date; or (4) If the transaction is for an agricultural purpose, the failure to pay the first or the only installment when due or to pay any other installment within 40 days of its original or deferred due date. (b) Nonperformance. Mortgagor fails to observe or perform any of Mortgagor's convenants or duties under this mortgage or the note or notes if the failure materially impairs the condition, value or protection of or Mortgagee's right in the Property, or materially impairs Mortgagor's ability to pay the note or notes when due. Violation of section 3(b), 3(c) or 12 shall be deemed to create a material impairment for purposes of this section. 5. REMEDIES. Upon default, at the option of Mortgagee and without further notice or demand, each note in default will become payable immediately unless notice and an opportunity to cure is required by §425.105, Wis. Stats., and, in that event the note or notes in default will become payable if the default is not cured as provided in that statute within 15 calendar days after mailing the notice to Mortgagor or as otherwise provided by law, and Mortgagee may collect the same in a suit at law or by foreclosure of this Mortgage by action or advertisement or by the exercise of any other remedy available at law or equity, and Mortgagee may sell the Property at public sale and give deeds of conveyance to the Purchasers pursuant to the statutes. 6. EXPENSES AND ATTORNEY'S FEES. In case of default, whether abated or not, all costs and expenses including reasonable attorneys' fees and expenses of title evidence to the extent not prohibited by law shall be added to the principal, become due as incurred, and, in the event of fore- closure, be included in the judgment. 7. FORECLOSURE WITHOUT DEFICIENCY. Mortgagor agrees to the provisions of Section 846.101 and 846.103(2), Wis. Stats., as may apply to the Property and as may be amended, permitting Mortgagee in the event of foreclosure to waive the right to judgment for deficiency and to hold the foreclosure sale within the time provided in such applicable Section. 8. LIMITATION ON PERSONAL LIABILITY. Unless a Mortgagor is obligated on the note or notes secured by this Mortgage, such Mortgagor shall not be liable for any breach of covenants contained in this Mortgage which require payment of amounts owing under such note or notes, but shall be liable for breach of other covenants of this Mortgage. 9. RECEIVER. Upon default or during the pendency of any action to foreclose this Mortgage, Mortgagor consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property, during the pendency of such an action, and such rents, issues, and profits when so collected, shall be held and applied as'the court shall direct. 10. WAIVER. Mortgagee may waive any default without waiving any other subsequent or prior default by Mortgagor. 11. MORTGAGEE MAY CURE DEFAULTS. In the event of any default by Mortgagor of any kind under this Mortgage or any note(s) secured by this Mortgage, Mortgagee may, after any notice and reasonable opportunity to perform required under §422.207, Wis. Stats., cure the default and all sums paid by Mortgagee for such purpose shall immediately be repaid by Mortgagor with interest at the highest lawful rate then in effect under the note or notes secured by this Mortgage and shall constitute a lien upon the Property. 12. CONSENT REQUIRED FOR TRANSFER. Mortgagor shall not transfer, sell or convey any legal or equitable interest in the Property (by deed, land contract, option, long-term lease or in any other way) without the prior written consent of Mortgagee, unless either the indebtedness secured by this Mortgage is first paid in full or the interest conveyed is a mortgage or other security interest in the Property, subordinate to the lien of this Mortgage. 13. ASSIGNMENT OF RENTS. Mortgagor hereby transfers and assigns absolutely to Mortgagee, as additional security, all rents, issues and profits which become or remain due (under any form of agreement for use or occupancy of the Property or any portion thereof), or which were previously collected and remain subject to Mortgagor's control, following any default under this Mortgage or the note(s) secured hereby and delivery of notice of exercise of this assignment by Mortgagee to the tenant or other user(s) of the Property. This assignment shall be enforceable with or without appointment of a receiver and regardless of Mortgagee's lack of possession of the Property. 14. RECEIPT. The undersigned acknowledges reading this Mortgage, that it contains no blank spaces, and receipt of an exact copy of this Mortgage. NF 35G3A DOCUMENT NO. STATE BAR OF WISCONSIN FORM 15--1982 Iona aMC6 RESERVED ►OR RECORDING DATA ASSIGNMENT OF LAND CONTRACT 42,1441 ?,;~11L. 782PAU G10 "L'C-ISTERS OFFICE ~I ST. QoIX Co., WIS, Assignor, whether one or more, for a valuable consideration, assigns XCid• and conveys to ....t,he...F.Q.dex:aa, .>1.~~d..g~~k-,of.-Northwest ~ a~ for R~~Ord this 22nd II b9isconsin a; of i A_ .D. 1987 11:30 ("Assignee" whether one or more) the (Vendor's xjKRIM•~(jlgst,j<V interest in a Land Contract ~I Ro2hlp of Dowr i dated the...---- 4tY1-------------- day of...... ._._.._.May.._-•-•-.•-. ' I T_---S-tephen..Brown -.a/k/.a..Thoma-s-..S..-_-Brown .and..,kFy ~ I I Margaret -_A_.-Brczwn,.-.husband _and..~vzf~-,- -a~._._.-______ ._..s.urv.i.vorship._mar_it.al_._property.,................. as Vendor to RETURN 70 li Michael-._ L-,__.Bea.uuais.._and.-. Coll een_.E.....B_ea.UVAi husband-.and .._wi.f e_,...as-.survi_vorshi I, .pr_onerty p m.hi.tl. as Purchaser on lands in ;I ~I St._--Cxo].~c_..._.-•.......... County, State of Wisconsin, together with ( the indebtedness therein referred to and) all.the interest of the !j Acsignor in Li,e Land Contract and the lands dur.cribed ther6a, :':hich Land Con- ' I ~i tract was recorded in the Office of the Register of Deeds of said County, on I~ ' "•--•-May'-5 127._.., as Document Number •.425280 fikpl) 777 (Records) ( , in kt'.t'bt°.t (Vol.) _ _ Of fuWC43) on (Page) 261_................ ~I The Assignor covenants that there is now owin fi and unpaid on said Land Contract, the sum of ..Z'V7entX-seven Thousand Nine Hunred and No 100 2 7 , 9 0 0.00 ) and also interest at -.10. 9 .00-•••••- - Per cent Dollars, I that Assignor is the owner g of the above described interest um the fromLand May and ..4------ oo and that the condition of the title of Assignor's interest is the same as at the tine of recording the Land Contract. las d right to assign the same, PARAGRAPHS APPLYING IF TIIIS IS AN ASSIGNMENT OF PURCHASER'S INTEREST: (Strike either 1, or 2.) 13y accepting and recording this assignment, the Assignee agrees: xx*0o . ' 3€'~E' # ► 3f 3F#3 3~ ##3P 3F #~3~ €#~#9~ ! ~ts~~~t~xx~~se~xirc'ks4alw~t~~~~ `~`~~-#K.~c~ltc~i`At~~l~nyY~k's~~4~,?~2f.~t~S~DGc3{ rX~fi ' ~~~~~~~•~~~~~~?~~~~~~~(~xr~xaclC~fdRxx ~i xxxxSiXXkrtAMa:AMMMMMrt;tsxpGri~ axlxaaH:xaa•wx,xlx,?(,NXXU , PC:{Ofit:raM hf{ix.[1x::tyi;1,Mi^i~1(~~xsKMa}cx,ltl`liH,i!CC4 %i,)4XaCx ' JKIDL'D:XOCf,t]9?cD11 ,V;~^Ct~Cl~K59CCU4J(K%1H(XFUIXU0,ixNI'd k(~wxN"AXXsX.ik1{N3fnty,N14Xx " C}Ct i~ ~C 4"4}CIxsD(}1XT1}tfVXDI'101,CNXX+TCI`9-IfibCN^,7} oQ RKPH.` xl tNLXC{XN1X{):XXi}{t? M-Ht` IN "I :1sAli?thiiCsl'f+}G7tXMXXt`tsK•'•y\ {r!{kf1C 4INK.X)1txf sxv: T~xglfAMND1b:Nr<bhK)3NXXCiKKX.?GXjtflKtXXlXIA: XMX I~ }~~~3C1?E3{tx534C9d4tsAC~x1X;Cl'Xi~jlPld{?t?UdGP2p~il~a{x "MiKXJCt}5." ACis'f,Xsr,}4,}Cd{l{s`LVg}W14X X,}{t}fkillb{x , PARAGRAPHS APPLYING IF TIIIS IS AN ASSiGNmENT OF VENDOR'S INTEREST: (Strike either 1.'br 2) xxxx.xxa4scs~xxaar~a7a~nxxs~t~'xu~,xxriote>Sx~x,Xdro~}dx~coca4.xisat~iecsdl~va~c~}~sc191~~i~daatxlk4t~mbr~cl;K.xY~be~d:bx~a"xl'xx i; Rr}tltlrcx<Rdt~'~rao~~ascMOCbKO~Eertxamxlffexlid~aiclx>x~ipcxigjay~xx~xaf~x ii i kb<Az9oxx 2. This assignment of the Vendor's interest in the above described Land Contract is for collateral purposes. The ,I Assignor shall be allowed to continue to receive the scheduled, periodic balloon payments shall be made payable to payments on the Land Contract. Any extra or II tion secured by this assignment, Assignee h as the Assignor obliga- to the Purchaser. to receive calll payments onf the Land Contract upon noltificat on Exempt No. 10. This _..is.-.nat...... I' llomestead property, (is) (is not) I Dated this day of 19..8... ~ ...?-!L -.May - (SEAL) ~...ch~(SEAL) T.--_S_tephen._.Brown II ------ga.. A Brown i (SEAL) (SEAL) I~ i AUTHENTICATION II ACKNOWLEDGMENT 'i Signature(s) .___of..T_ _._Btephen...Br.Qwn.......- STATE OF WISCONSIN I! and Margaret A. Brown - ss. Ii a hcnticated thiSC 1 day County. _ of-------- ~1ay............ 19.$.7 Personally came before me this Ii ---••---•--.day of j, 19 the above named I. *ill II.ir_s.t -•Che.rr fll - T........................... I` TITLE:T~~ _ ARYCNERRILL PU9LJCSTATE OF (Lf not, N I Notary-•-P-ublic av~J Ii authorized by § 706.06, Wis. Stats.) ` to me known to be the person who executed the THIS INSTRUMENT WAS DRAFTED BY foregoing instrument and acknowledge the Sallie. II i BAKKE, NOWIAN & SCHUMACHER S. C . I, 1200 Heritage Drive' ...----New---Ri-c}Imond--:--FfI-•x"40.17--------------- - - Notary Public it (Signatures may be authe4icated or acknowledged. Both MY Commission is permanent.(If not, stateoexpira~tion are not necessary.) II ~I date: ill *Names of persons signing in any cal,ncity should be typed or printed below their signatures. ASSIGNMENT OF LAND CONTRACT STATE LIAR OF WISCONSIN NORM No.IG-1982 wisrausi Lerril filnnk Co. Inc. Milwnuke c, Wis is, i SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County f rr~~// ii ) a II L OWNER/BUYER_ U 6lEFY1 L ~'.ctt~vG~S ADDRESS: FIRE NOM LOCATION: 1/4, 1/4, SEC. T N-R W TOWN OF: Q;ter, ,,,,r,,,\ I ST. CROIX COUNTY SUBDIVISION: LOT NO. Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system: St. Croix County residents may be eligible to receive a grant to help with the cost of the replacement of a failing system, which was in operation prior to July 1, 1978. St Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to the St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating 'condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification from will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned have read the above requirements and agree to maintain the private sewage disposal system-in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification form must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: -•,/~!~P~~, DATE : , S✓ St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 UE:PA'n'llY, OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DIVISION BOX 7969 LAB±AE3vR /.\MD PERCOLATION TEST9_(115) MADP•O•ISON, WI 53707 ,AN HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCA1 IOfV: SECTION: I-rovi iiiii/ XM'Y: LOT NO.: BLK. NO. SUBDIVISION NAME: d n/a n/a n/a NE 1/4 SE ,1/4 26 /T30 N/R18xE (or) W Richmon I COUNTY: BUYER'S NAME: WAILING ADDRESS: St. Croix Gale Knutson 1572 140th. St., New Richmond, Wi. 54017 USE DATES OBSERVATIONS MADE ~LED ls'f A NTESfS: NO. BEDRMS.: CO R L DES R PT OFI [)Replace O~New -17-91 11-18-91 !~7ReSIdC11lP. 3 ' n/a 11 RATING: S= Site suitable for system U- Site unsuitable for system ICON VEN11pNAL MOUND: IN-GROUNpURE: SYSTE -IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) PS ❑U ❑U ❑ S ®U S ®U conventional trench F Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the n/a der s. ILHR 83.09(5)(b), indicate: n/a Floodplain indicate Floodplain elevation: decimal' PROFILE DESCRIPTIONS page 44 JeB BORING TOTAL 125PIH TO R UNOWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTt LEVATION OBSERVED TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-1 7.00 96.90 none >7.00 .75bl.1. .83bn.sil. 2.92bn.1.S.&gr. 2.50bn.s.1. B 2 7.00 96.90 none >7.00 1.08bl.1. 1.00bn.sil. .67bn.s.1. 4.25bn.m.s. 3 7.16 96.90 none >7.16 .83bl.1. .83bn.sil. 3.00bn.m.s. 2.50bn.1'.s. B- _ 4 6.84 95.42 none >6.84 .67bl.1. 1.00bn.sil. 2.50bn.c.s.&gr. .75bn.s.1. 13- 1.92bn.l.s. B-5 6.92 95.44 none ,>6.92 .75bl.1. .75bn.sil. 2.50bn.c.s. 2.92bn.s.l. B- decimal' PERCOLATION TESTS ZEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER L V -INCHES RATER INCH ES NUMBER ZMZXRX AFTER SWELLING INTERVAL-MIN. P_ 1 3.50 none 30 z P none s 8 P. 3 3.50 none 30 r _ 4 5.50 none 30 1~ 1 1 3u PP 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 93.40 6 -4. 1 1, . 1 I I ~ I i SAL ~ i I K t N _ I I ! I I ! I iS` Q, ~ i ~ ~em Cb F _r 0 I, the undersigned, hereby certify that the soil tests reported on this form were made by me in ac ord with the pro ur stk0} apei<`rtf icousin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledgd lief LNG, y 49 NAME (print): TESTS WERE CO T :rl Cary L. Steel 11-18-91 ADDRESS: CERTIF1Gfj,TAON NU BER: PHONE NUMBER optional): 1554 200th. Ave., New Richmond, Wi. 54017 LL~L`7~ 5- 46-6200 CST SIGN E: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR•SBD•6395 (R, 10/83) OVER - a~4 ~P S g 5 1 fQ~ v` 'lo I t g } REPT131 RICHMOND ST. CROIX COUNTY ZONING PAGE 1 05/04/92 11:17 REQUESTS FOR INSPECTION WORK SHEETS FOR: 5/ 5/92 AREA: JT '!'ivity: A9200114 5/ 5/92 Type: CONVSEPT Status: PENDING Constr: Address:t*,R M Parcel: 026-1077-30-'100 Occ: Use: Description: 149268 Applicant: o f Phone: AMF Owner: BEAUVAIS, MICHAEL L & COLLEEN Phone: Contractor: SCHUMACHER WILLIAM C. Phone: 386-3121 -------.Y-----------w►.r.r.war---------------------N.-------- Inspection Request,Information..,.. Requestor : R~' Phone : -*W# WOW Items requested to be nspected... Action Comments Time Exp 00012 FINAL INSPECTION Inspection History..... Item: 00012 FINAL INSPECTION yam- Y