HomeMy WebLinkAbout030-1015-40-007
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CERTIFIED SURVEY MAP
LOCATED IN PART OF THE SW 1/4 OF THE NW 1/4 OF SECTION 4, T29N, R19W, raw•.xra•
TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN. ~
p
LEGEND ALLEN C.
OWNER HAGEN
NY
WILLIAM & MARILYN FEYEREISEN 1" IRON PIPE FOUND.
S-1467
RT. 2, BOX 250
HUDCON
BLUEBIRD DRIVE 1" x 24" IRON PIPE WEIGHING, 45/!5 f
HUDSON, WI. 54016 1.68 LBS/LIN. FT. SET 44Y.,~
CI~' SU J i
CURVE DATA TABLE
CURVE LOT CENTRAL RADIUS CURVE CHORD CHORD
NO. NO. ANGLE LENGTH LENGTH LENGTH BEARING
1-2 74030'00" 217.11' 279.77' 262.83' S31°15'00"E
12 43°47'05" 165.91' 161.91' S46°36'27.5"E
11 30042'55" 116.39' 115.00' S09°21!27.5"E
N 3-4 45010'46" 165.20' 130.27' 126.92' S16035'23"E
11 24°50'05" 71.61' 71.05' S06°25'02.5"E
10 20020'41" 58.66' 58.35' S29000'25.511E
5-6 40°30'59" 233.00' 163.48' 161.35' S18°55'16.5"E
7-8 40°30'59" 167.00' 118.09' 115.65' N18055'16.5"W
9-10 17°27'32" 231.20' 70.45' 70.18' N30°27'00"W
BEARINGS REFERENCED TO THE
WEST LINE OF THE NW 1/4
ASSUMED N00°49'14"E.
FM ommommi CALE IN FEET lo; ea,~
M S
1~ 6,
100 0 200 .10 w
565° 26I- 3 LOT 12
NW CORNER 11VJ 136,715 sq.ft.
SECTION 4 \ 3.14 acres
CO. MON. \ N81°48'55116 524.481 zo
\`\5 w Ln H
LOT 11
proposedCSM o cv r 10
139,312 sq.ft. o v Ict
S06 66.001 1
2 3.20 acres
o00,00„W
d ~ ~ 59 ~ Ir
S8903914711E 492.70' 0 ILL
N89°13' 04"W IO % ` a rn \ ' N
r
C) r 331.05' S390101461-E I
o S50049114"W 9 120.11' -
o o° w w 66.00' s w
°N m LOT 10 (A H
N LOT 9 ep \ ~'/g r
130,680 sq.ft.
\
I~ ~o n~ %p 130,967 sq.ft.
3.
00 acres
, 3.01 acres
I S01020-1311E
95' ~ s
S89013-04-'E 483.35' 45. 66' 331.76'
1,2~ 435.43' 58901310411E 881.04' TOWN ROAD
W 1/4 CORNER m SOUTH LINE - NW 1/4
v
S ° SECTION 4 v 588039'47"E N
' CO. MON. m 881.11' DEDICATED TO THE PUBLI N
THIS INSTRUMENT DRAFTED BY DOUGLAS ZAHLER JOB NO. 84-31
v
AS BUILT SANITARY SYSTEM REPORT
i
OWNER -9& h 91 1,4ei 1-56r7 TOWNSHIP oS/
SECTION _T_.YN-R 4 W
ADDRESS .(.i~ca!a..ctc'~Ce.rS ST. CROIX COUNTY, WISCONSIN
SUBDIVISION_ ~Ltrtrl[ir+nez LOT-Z/ LOT SIZE
PLAN VIEW
e
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
i
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lot((
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a~ ~rr~ncses 5ar 6a ~ 1
INDICATE NO T
010
BENCHMARK:Elevation and description: -"c z'o'A Cornr-
Alternate benchmark
SEPTIC TANK:Manufacturer: ZJef A C, R _Liquid Cap. /Ddo
Rings used:~Manhole cover elev: Final grade elev:
Tank inlet elev.: Tank outlet elev.:
No. of feet from nearest road:Front , Side Rear ~_Ft. ~o•'-
From nearest prop. line:Front , Side X, Rear Ft. "W f-
No. of feet from: Well 6 9' , Building: all
(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: r Length Go Number of Lines: ? Area Built 6 as
Exist. Grade Elev. Proposed Final Grade Elev.
Fill depth to top of pipe: "
No. feet from nearest prop. line:Front , Side , Rear_,%,!~_Ft. S 3
No. feet from well: 42' No. feet from building
HOLDING TANK
Manufacturer: /14 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: 12- PLUMBER ON JOB: lexcaoee
/ e
LICENSE NUMBER: 3 lyJ~%CS
6/90:cj
LQQ4gXQK;,trVt!ofgRWH 4.29.1~aUATypVgV WIYJTlgSUNDANCE tC YY GE
Labor and Human Relations County:
INSPECTION REPORT
Safety and Buildings Division X - ST. GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-:
180297
Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.:
ST.JOSEPH
T BM Elev.: Insp. BM Elev.: BM Description: ,r~ Parcel Tax No.:
cC?~ Q.Sot~'~cr-" 030-1015-40-007
TANK INFORMATION ELEVATION DATA A9200376 L
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic e, Benchmark 60
Dosin
Aeration Bldg. Sewer
Holding St/ IV Inlet 5 7 " /
TANK SETBACK INFORMATION St//H~ Outlet
~S
TANKTO P/L WELL BLDG. Vent to ROAD Dt Inl
Air Intake
Septic 11A NA Dt Batt
DoSi NA Header / Man. G
Aeration NA Dist. Pipe S
Holding Bot. System Co.
PUMP/ SIPHON INFORMATION Final Grade
Man rer Demand >-Pe "o
Model Number
GPM
P
TDH Lift Friction a em TDH Ft
Forcemain Length Dia. Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width P Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS ~vU DIM I N
SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING an rer: INFORMATION Type O 3x-0 CHAMBER f,- i i Model Number:
System. q ,j is g OR UNIT
DISTRIBUTION SYSTEM
Header / PAOR401d r~ Distribution Pipe(s) , r x Hole Size x Hole Spacing Vent To Air Intake
L~
_jlc 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 - I Bed /Trench Edges `5' Topsoil E] Yes E] No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
drQ~
LOCATION: STS. JOSEPH 4.29.19.64I,SW,NW,LOT 11,SUNDANCE PASS
\J ) J/
0yf&t17__)0-b lr+^-y ~C.K.
7g1V y V Q3,;
Plan revision required? ❑ Yes P-9-0---
Use other side for additional information. 4Date SBD-6710 (R 05/91) Inspector's Signature Cert . No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
DILHR SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code
qSTA;SANITARV4PtRM IT#
- Attach complete plans (to the county copy only) for the system, on paper not less than E] `nti 7
8% x 11 inches in size. C6 1isi_on to previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPER OWNER PROPE TY LOCATION
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
L146 /UA
CITY, STATE ZIP CODE PHONE NUM~BfR SUBDIVISION NAME OR CSM NUMBER
II. TYPE OF BUILDING: Check one CITY NEAREST ROAD
( ) State Owned ❑ VILLAGE :
❑ Publlc ® 1 or 2 Fam. Dwelling of bedrooms PARCEL TAX NUMB ) -yam
~r-
Ill. BUILDING USE: (If building type is public, check all that apply) 06 7
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
40 Church/School 80 Mobile Home Park 12 ❑ Service Station/Car Wash
50 Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. X 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 30 ❑ Specify Type 41 ❑ Holding Tank
12 Seepage Trench 22 ❑ In-Ground 420 Pit Privy
13 Seepage Pit Pressure 43 ❑ Vault Privy
140 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) 571-0o ELEVATION
7 ~(J 600 Z , Sc Feet 9f
Feet
CAPACITY
VII. TANK # of Prefab. Site Fiber- Exper.
in allons Total Manufacturer's Name Con- Steel Plastic
INFORMATION New lExisting Gallons Tanks Concrete strutted glass App.
Septic Tank or Holdin Tank Tanks Tanks an ~dvC / rLQ
Lift Pump Tank/Si hon Chamber
Vlll. 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 tamps) MP/MPRSW No.: Business Phone Number:
~e/ .444w s Z-,-" 77Z 3z/3~6
Plumb is Address (Street, City, State, Zip Code): (
31 I-F 6(a th A.-le 6J,15C., G--jiSa 2
IX. COUNTY/DEPARTMENT USE ONLY
Disapproved nltary Permit Fee (Includes Groundwater Date Issued Iss ng Agent Signature (N mps)
Surcharge Fee)
Approved ❑ Owner Given Initial
Adverse 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. Xsenitary 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 Form (SBD 6399) to be
submitted to the county prior to installation.
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed
pumper whenever necessary, usually every 2 to 3 years.
6. If you have questions concerning your ohsite 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:
4. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the system is to be instatled.
II. Type of bUildtno being served. Check-oMy 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 to be completed in full and signed by the owner(s) of
the property being developed. Any lnadequacles Will only result In delays of
the perm1t Issuance. -Should this development be intended got resale by
evnet/contcactoc,(spec house), then a second form should be retained and
completed when the property 1s sold and submitted to this ottice with the
appropriate deed recotdlng.
----r-----r--------------------------------------------•-•-•w-••-
Owner of property ~~erfc LX)
Location of property 1/4 1/41 section
Township ~s° N n
MaIllng address
yo T
t
Address of site
subdivision name
Lot number /l /yC L/t !5- Qg _ 15171
Previous owner of property „ jS'_i/~
Total alga of parcel - t1
, Date patcal vas created
Are 811 corners and lot lines Identifiable? as
Is this property being developed hot resale (apse house)? as
VOldws Vb~ and Page Number FAIL as recorded with the Register of Deeds.
-r-r--rrr----w----------------- -----------ww---••-w-r-----r-ww•-ww•-w•w••••~•-•
INCLUDE WITH THIS APPLICATION THE FOLLOWINat
A WARRANTY DEED which Includes a DOCUMENT NUMBER, VOLVX2 AND PAOt NVMaER, and
the SEAL OF THE REOISTER OP DEEDS. In addition, a certified sntvey, It
available, would be helpful so as to avoid delays of the tevievinq process. If
the deed description references to a Ceitlfled Survey Nap, the CertIlled server
Map shall also be requited.
M-M 7
PROPERTY OWNER CERTIFICATION
I(ve) certify that all statements on this form are true to the best of my (out)
knowledge; that I (we) am (ate) the owner(s) of the propetty described in
this Intotmation form, by virtue of a warranty d ecarded In the Office of
the county Register of Deeds as Document No, rxz j and that I (ve)
presently own the proposed alto for the sewage disposal system (oc I (we) have
obtained an easement, to tun with the above described property, tot the
conettuctlon of sold system, and the sane has been.duly recorded In the ottiee
of the County Register of Deeds, as Document No.
Signature of owner 819natuts of co-Owner (It Applicable)
~0
Date at 1
galute Date of Signature
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SEPTIC TANK MAINTENANCE AGREEMENT rt
St. Croix County r
a
!a'i y2zd W
OWNER/ BUYER
o
y d Fire Number 0
ROUTE /BOX NUMBER tv
ZIP ~5~G1(0 r
CITY/STATE ~ 7
'.',!lJ Section y T_ZLN, R /y W,
PROPERTY LOCATION:
Town of s St. Croix County,
Subdivision Lot number
Improper use and maintenance of your septic system could result in
its premature failure to handle wastes.- Proper maintenance con-
sists of pumping out the septic tank every three years or sooner,
if needed, by a licensed's'e'ptic tank pumper. What you put into
the system can affect the function of the septic tank as a treat-
ment stage in the waste disposal system.
St. Croix Countyy residents may be eligible to recieve a. grant for
a maximum of 6070 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 systems 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-
k is less than 1/3 full of and scum.
essary), the sePtic.tan
essary),
Certification form will be sent approximately 30 days prior to
three year expiration.
H
I/WE, the undersigned have read the above requirements and agree
to maintain the private sewage disposal system in accordance with
the standards set forth, herein, as set by the Wisconsin Depart- ::r
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
DATE
St. Croix County Zoning Office
911 4th St.
Hudson, WI 54016
386-4680
Sign, date and return to the above address.
. ~ 8 9
Fit ED
„T 8 1984
00
CERTIFIED SURVEY MAP Z
LOCATED IN PART OF THE SW 1/4 OF THE NW 1/4 OF SECTION 4, T29N, R19W, rt,~ ts~"r~34EP3~t'~
TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN. s•
- ALLEN C.
OWNER LEGEND yl~~
NYHAGEN
WILLIAM & MARILYN FEYEREISEN 1" IRON PIPE FOUND.
' S-1467
RT. 2, BOX 250
BLUEBIRD DRIVE 1" x 24" IRON PIPE WEIGHINP% hl9L~SON,
HUDSON, WI. 54016 1.68 LBS/LIN. FT. SET < VJlS . •r
uY
CURVE DATA TABLE
CURVE LOT CENTRAL RADIUS CURVE CHORD CHORD
NO. NO. ANGLE LENGTH LENGTH LENGTH BEARING
1-2 74°30'00" 217.11' 279.77' 262.83' S31°15'0011E
12 43°47'05" 165.91' 161.91' S46°36'27.5"E
11 30°42'55" 116.39' 115.00' S09°21'27.511E
N 3-4 45°10'46" 165.20' 130.27' 126.92' S16°35'2311E
11 24°50'05" 71.61' 71.05' S06°25'02.5"E
10 20°20'41" 58.66' 58.35' S29°00'25.5"E
5-6 40°30'59" 233.00' 163.48' 161.35' S18°55'16.5"E
7-8 40°30'59" 167.00' 118.09' 115.65' N18°55'16.5"W
9-10 17°27'32" 231.20' 70.45' 70.18' N30°27'00"W
BEARINGS REFERENCED TO THE APPROVE.
WEST LINE OF THE NW 1/4
ASSUMED N00°49' 14"E. OCT 0 3 1984
SCALE IN FEET ST. CROIX COU'.tY yea--
M
COMPREHENSIVE PARKS 1'IANNINI3,~ai~'
AND ZONING COMMITTEE 6100 0 200 X05.9 W
` O
curb LOT 12 _
NW CORNER 136,715 sq.ft.
SECTION 4 \ I 3.14 acres
CO. MON. N81°48'55"E 524.480
\o Cy~y!~ I
W
N
(!1 -i 1'0
LOT 11
r°P°sed_CSM . t') r Ia
p ~ ~ 139,312 sq.ft. v H Ict
S06°00600oW 2 3.20 acres O I(
d 3 I Ir
I ,
S890 914711E 492.70' \ Im
_ N89013'0411W to ,
3
A
o H ra 331.05' 4 S3901014611E
I's S50°49'14"W 9 120.11'
10 En
.I` to O 66.00'
L4 Fj
I N 5
A O N O N LOT 10
LOT 9 ~ o r
I -o tv 130'680 sq'ft.
In I-j0 N) 130,967 sq.ft. O
\ IEn - - 3.00 acres 3.01 acres
r I S01°20'13"E
S89°13'04"E 483.35' 45.95' 7 66' 6 331.76
435.43' S89°1310411E 881.04' 17
SOUTH LINE - NW 1/4 TOWN-ROAD
W 1/4 CORNER tv ~
SECTION 4 .n S8803914711E 14
CO. MON. Cx) 881.11' DEDICATED TO THE PUBLI N
Vol. 5 Page 1478
THIS INSTRUMENT DRAFTED BY DOUGLAS ZAHLER JOB NO. 84-31
SURVEYOR'S CERTIFICATE
I, Allen C. Nyhagen, a registered Land Surveyor, hereby certify that by the direction of
William Feyereisen, I have surveyed, described and mapped the land parcel which is
represented by this Certified Survey Map; that the exterior boundary of the land parcel
surveyed and mapped is described as follows:
A parcel of land located in part of the SW 1/4 of the NW 1/4 of Section 4, T 29 N, R 19 W,
Town of st. Joseph, St. Croix County, Wisconsin, further described as follows:
Commencing at the W 1/4 corner of said Section 4; thence S 890-13'-04" E along the South
line of the NW 1/4, 435.43 feet; thence continuing S 890-13'-04" E, 881.04 feet; thence
N 000-551-27" E, along the east line of the SW 1/4 of the NW 1/4, 1006.25 feet; thence
S 650-26'-35" W, 705.96 feet to the point of curvature of a 217.11 foot radius curve
concave westerly whose central angle measures 740-30'-00" and whose chord bears
S 310-15'-00" E, 262.83 feet; thence southerly along the arc of said curve and easterly R/W
line 279.77 feet to the point of tangency; thence S 060-00'-00" W, 66.00' to the point
of curvature of a 165.20 foot radius curve concave easterly whose central angle measures
450-10'-46" and whose chord bears S 160-35'-23" E, 126.92 feet; thence southerly along
the arc of said curve and easterly R/W line, 130.27 feet to the point of tangency;
thence S 500-49'-14" W, 66.00 feet to the point of curvature of a 231.00 foot radius
curve concaved easterly whose central angle measures 170-27'-32" and whose chord bears
N 300-271-00" W, 70.18 feet; thence northerly along the arc of said curve and the westerly
R/W line 70.45 feet; thence N 890-131-04" W, 331.05 feet; thence S 000-491-14" W,
328.00 feet to the point of beginning.
That this Certified Survey Map is a correct representation of the exterior boundary surveyed
and described; that I have fully complied with the current provisions of Chapter 236.34
Wisconsin Revised Statutes and the Land Subdivision Ordinance of the County of St. Croix
in surveying and mapping same.
CERTIFICATE OF THE TOWN OF ST. JOSEPH
I, do hereby certify that this Certified Survey Map has been approved by the Town of St. Joseph,
12th day of July 11984
Town clerk of St. Joseph
OWNERS CERTIFICATE OF DEDICATION
We, William & Marilyn Feyereisen, hereby certify that we caused the land on this Certified
Survey Map to be surveyed, mapped and dedicated. We also certify that this Certified Survey
Map is required to be submitted for approval to the Town of St. Joseph and St. Croix
County Zoning, in accordance with current Land Subdivision ordinance.
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Vol. 5 Page 1478
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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page I of 3
Labor and Human Relations
Rivision oOSafety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but Ct~~x
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPER OWNER:: PROPERTY LOCATION AA Q
40 G 1 L$E1 j ' d rv GOVT. LOT -S tJ 1/4 r4 W 1/4,S `'t' T 2 j N,R ~ J E (or) W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SU D. NAME P ,AI #
~tJ~ 6AI ` SV>vA1oNGCc
CITY, STATE ZIP CODE (HON; NUMBER ❑CITY EIVIL~AGE OWN N REST RWD
k] New Construction Use ~(f Residential / Number of bedrooms [ ] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow 6O gpd Recommended design loading rate 0.7 bed, gpd/ft2D.%_trench, gpd/ft2
Absorption area required bed, ft2 trench, ft2 Maximum design loading rate 0.7 bed, gpd/ft20.7 trench, gpd/ft2
Recommended infiltration surface elevation(s) 6 j!in.4SO ft (as referred to site plan benchmark)
Additional design / site considerations
Parent material Flood plain elevation, if applicable ft
S = Suitable for system cQO VENTIONAL MOUND IN ROUND PRESSURE AT RADE WS TEM IN FILL HOLDING TANK
U= Unsuitable fors stem &14 S❑ U 4 S ❑ U KS ❑ U S❑ LI ❑ U ❑ S U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botxldary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
k 4" /O 3 2 S C r r C Z d•4 0.~
4f -7 " Aovie 4L - S 0 nt 1 Z .4 o.'!~
pp,
Ground D S M S C 0,_7 d%
elev.
f3 ft. r
Depth to
limiting
factor
Remarks:
Boring #
X. >v
2.19
Ground
elev.
91.11 ft.
Depth to
limiting
factor
> Q.~~ 1 T
Remarks:
Phone:-
CST Name: Please Print /A S6 ?1j
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Address: 40 iDSd~ 1 Q
Signature: `t Date: CST Number:
o/ z $
PROPERTY OWNER SOIL DESCRIPTION REPORT Page? of 3
PARCEL LD.# GPD/ftz
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botx>dary Roots Bed Trends
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Beed Trench
RAve Gr ~ Z C) A
4 3 S L
pp ! 2 c o~
Al SS, c z b s oA
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Ground DZ O , /AYR s/4
elev.
93.,64ft.
Depth to
limiting
factor 3
Remarks:
Boring #
A
Loy
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring # " IOYR 3 / L. r r'^~r Z
.gp
/2Q 3 r s ,L z c ab d~i C 0 S o G
/bY
n 9j) n,
Ground
elev.
Depth to
limiting
factor
`x.75
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(R.05/92)
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TIMM EXCAVATING SHEET NO. OF Z
Route 1 Box 192
' WILSON, WISCONSIN 54027 CALCULATED BY em et , ` DATE
(715) 772-3214 (715) 386-5443
MPRS #3224 WI MPCA #696 MN CHECKED BY DATE
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PRODUCT 205-1 Inc., Groton, Mass. 01471. To Order PHONE TOLL FREE I-800-225.6380
JOB JJ6C I1 (O / P~ ~~lJ `I
TIMM EXCAVATING SHEET NO. Z' 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
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PRODUCT 205-1 Inc., Groton, Mass, 01471. To Order PHONE TOLL FREE 1-800-225-6380
REPT131 ST. JOSEPH ST. CROIX COUNTY ZONING PAGE 1
12/16/92 10:04 REQUESTS FOR INSPECTION WORK SHEETS FOR: 12/16/92 AREA: JT
Activity: A9200376 12/16/92 Type: CONVSEPT Status: PENDING Constr:
Address: ST. JOSEPH 4.29.19.64I,SW,NW,LOT 11,SUNDANCE PASS
Parcel: 030-1015-40-007 Occ: Use:
Description: 180297
Applicant: GILBERTSON, DAN Phone:
Owner: GILBERTSON, DAN Phone:
Contractor: TIMM, ROGER Phone: 772-3214
Inspection Request Information.....
Requestor: TIMM, ROGER Phone:
Req Time: 14:12 Comments: 01; 3b
Items requested to be Inspected... Action Comments Time Exp
00012 FINAL INSPECTION
Inspection History.....
Item: 00012 FINAL INSPECTION