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HomeMy WebLinkAbout032-1037-30-000 -0 0 'L o (D o I p v) CV Oi MO 0. O ~ I h I O o I M C s I I ~ I v z I c o a I I a Ii', 3 M _ N Z E rn o z ~ `m y I r2 ce) z a m c c C7 v o 2 c o N H 7 ~ ~ r> I ~~ww N ~ O ~1 > Q N C •FV (A OC g O O CL -0 O O (D d E Z m z p N Z LO I ~ c I N d N N N E E I m Y C a CL a _ b m `n 0) LO N d i N c O O o C> G O a E 0 U N U O h w Z ] Lo WU > °'O ZO > O O O • rv m a a (L a CD i N O N 3 C i (A -1 U E Nrn a) aN U) c> m $ y J E N M O ~p ~ O (0 m ' Q N 3 a m N m is O C!1 N ~ O O O 3 m c Ln ao l O G O co O N C C -0 O N ,.L 0 O C) O N I"" O N N !u Cn O t , L V X ~ N M E O N m m d~ O Cn • V) O fn Y N CAS IL - a±~s a d cl CL w `i..i v 'c c L a+ A co a 2 O (j) t~ Parcel 032-1037-40-000 05/30/2007 12:02 PM PAGE 1 OF 1 Alt. Parcel 13.31.19.185C 032 - TOWN OF SOMERSET Current X 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 - KROHN, MILAN A & DELORES MILAN A & DELORES KROHN 2129 HWY 35 SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 2129 HWY 35 SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 15.950 Plat: N/A-NOT AVAILABLE SEC 13 T31 N R1 9W PT NW SW BEING LOT 2 OF Block/Condo Bldg: CSM 9/2525 15.95 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-31N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 479/84 2007 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/09/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 48,000 78,000 126,000 NO AGRICULTURAL G4 12.950 900 0 900 NO Totals for 2007: General Property 15.950 48,900 78,000 126,900 Woodland 0.000 0 0 Totals for 2006: General Property 15.950 48,900 78,000 126,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 214 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 W•sconunDtoonmpnlofIndustry. ~UIL UC.)LhIr'llVtx nit vise Labor and human Rtlattont :0 9cr • -T d (Attach Soil Profile Location Map • To Scale • On A Separate, Signed Sheet) ►•taa.tonge cuYroAa Paage tMOMLIVK.0ar1 C 1/MO Liar V" WAR /1111~~y~T1Aft IIopVAV etwo ILA Jf' ADOPWU crrr arart 2w a12 r coNf1T AnT Lattw oror a LOCAL p1 /aCrCN f IawNi ~tLwce' rrV lyl ►A11CI~PLaetll Alh. ) / DORM csw/ LOT BLOCK SUBDIVISION NEW _ REPLACI [3 - Norton Depth Dominant Color Moults Structure Limning Factor/ LaangGPD sq n. In Munsell u. $I. Cont. Color Texture Gr. St. Sh. Consistence Root Boundar Depth Trench Bed Elcv = "q'10 /<4 r n" a.- 0221 A) Id s' ,7 13 . Norton Depth Dominant Color Mottles Structure Lirminq Factor Lwbnq GPOnq n. In Munsell u St. Cant. Color Texture Gr. St. Sh. Consistence Roots Boundary Depth Trench 9.0 - A7 To Elev = ! Sr -47 9A) Z. Q 7 Al /W < A.- ill t[~..LJ ~ SJ _ All 1 B Morton Depth Dominant Color Mottles Structure Limiting Factor/ LoadingGPDea M. In. Murrell u. t. C n . Color Texture Gr. St. Sh. Consistence Roots Bounds Depth Trench Bea Elev - e-, IJ All B . I Morton Depth Dominant Color Mottles Itructure Limiting Factor/ LaongGPD'sq R. In. Munsell u. St. Cont. Color Texture Gr. St. Sh. Consittence Roots Bounds Depth Trench Bed AY All, T,'/ ,21 Elev - t 3 s 7 Al 14 jo I3. Morton Depth Dominant Color Mottles structure Limning Factor/, LaangGPD%4 n. In Munsell u. St. Cant. Color Texture Gr. St. Sh. Consistence Roots Bo radar Depth Trench sod Elev = , •S ,2 ly Al /I 7 / - 7 A119 AZ9 Additional Remarks: RECOMMENDE L~o✓~~u s 103Y "ALL 0 t- j Cn, OFFS Other Site Features: NQr2 System Elevation CST Signature ate Signed TelephontNo. CSI J CST Name (PtiM) City State Zip • / ~yGr oC o~~ 14J 7-:--?IAI el 9 1,J X ICY 1-,7 .su, ~ 6` .A•P ~ e S'o /9a Ao d iii ' o \ Go C 3 x AS BUILT SANITARY SYSTEM REPORT OWNER-;Z~L SHIP SECTION I-?- T _ l N-R- W ADDRESS Ll ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 4-1 i 16us~ ~/6 SGT INDICATE NORTH ARROW B CHMARK:Elevation and description: .S ~ Alternate benchmark SEPTIC TANK:Manufacturer: 11,.,L'~~ Liquid Cap. Rings used:-/--Manhole cover elev: Final grade.elev: Tank inlet elev.: Tank outlet elev.: No. of feet from nearest road:Front.~, Side , Rear--Ft. 2t/ From nearest prop. line:Front , Side, Rear Ft. No. of feet from: Well Building: (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE f s 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:---, f Length ` Number of Lines:-4z;?. Area Built -ed Exist. Grade Elev. Proposed Final Grade Elev. Fill depth to top of pipe: No. feet from nearest prop. line:Front Side, Rear Ft.,,/~~ No. feet from well:-Z~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: r DATE: - PLUMBER ON JOB: J LICENSE NUMBER:_'Y 9 6/90 : c ' 7 I 1QCoATI9,NartRI o ndu'stD 24.30.18.3650 NW SW, HWY. 35 County: Labor and"H:jmanRelations PRIVAI`E SWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT ST. CROIX ` (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 175643 Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: ROHN THOMAS E & KATHRYN L SOMERSET CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: I b0 , p QS C`.. t' 1 6,kD c 3104 ,-~l e os F 026-1070-70-100 TANK INFORMATION ELEVATION DATA A9200302 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic S 0 Benchmark q Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet 7 3 TANK SETBACK INFORMATION St/ Ht Outlet -7,0 (oPq a TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header/ Man. M1 lP ~rj Aeration NA Dist. Pipe S y 9 3 Holding Bot. System $ y ~ 9 5.104 PUMP/ SIPHON INFORMATION Final Grade , 1 7 q9.75 Manufacturer Demand Model Number GPM I Loss Friction System TDH Ft TDH Lift mead -1 F_ _T Forcemain Length Dia. Dist.ToWell SOIL ABSORPTION SYSTEM BED/TRENCH Width Length,. L l No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS Y DIMENSIONS Manufacturer: WELL LAKE/STREAM LEACHING SETBACK SYSTEM TO P/L BLDG INFORMATION Type O Re W CHAMBER I I Moe Number: System: e i ( y OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length 5 6o Dia. Length 3 Dia. ' T 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/Tr nchCenter Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, personspresent,40 - ~ E A) 47 r Plan revision required? ❑ Yes ❑ No Use other side for additional information. & W a SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. 1 ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: S I it I =R!nH~R SANITARY PERMIT APPLICATION ° In accord with ILHR 83.05, Wis. Adm. Code : TY -Attach complete plans (to the county copy only) for the system, on paper not less than STATE SANITAR ERMIT El ~ 7 C.~ 8% X 11 inches in size. Check if I. to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFOR ATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PR PERTY LOCATION t/4 t/4, S T-..? , N, R d(Or LOT # BLOCK PROP 7Y OWNER'S MAILING ADDRESS A I 9ZIA CITY, STATE ZIP C DE PHONE NUMBER SUBDIVISION NAME O CSM NUMBER l NEARES ROAD III. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ VILLLLAGE : _ MW OF: a~~ ja ❑ Public ~ 1 or 2 Fam. Dwelling-# of bedrooms 2 A AX NU ) III. BUILDING USE: (If building type is public, check all that apply) 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 120 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. ® New 2. ❑ Replacement 3.E1 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 E1 Mound 30 ❑ Specify Type 41 ❑ HoldingTank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 1130 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. 17. FINAL GRADE ./i REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min ch) ELEVATION / /I , Feet Feet VII. TANK CAPACITY Site in gallons Total # of Prefab. Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Con- Steel lass App Concrete structed g Tanks Tanks Septic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber I El F] Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for install ion of the onsite sewage system shown on the attached plans. MP/MPRSW No.: Business Phone Number: Plumber' ame (Print Plumb is ignat re: o(S s) I / C PI mbe 's Address tree, City, State, Zip Cgday Y J/ / Lt '7~3 Lfl_ IX. OUNTY/DEPARTMENT USE ONLY uing Agent Signature ( o Stamps) ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate ssue Surcharge Fee) Approved ❑ Owner Given Initial c~ 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 a Buildings Division, Owner, Plumber INSTRUCTIONS f 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 r, news l arty 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 cwnership or plumber requires a Sanilary Permit Transfer/Renewal For-, (SBC 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) mutt 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 Ic.cal code admi!listrator 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 Dwel ing. 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 fDr all septic, purrp/siphon and holding tanks for this system. Check experimental approval on;y 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 arid 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 ro 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 point:,; 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 in--luded 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 mves,tigations and establishment of standards. SBD-6398 (R.11/88) S T C - 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 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 C Location of property /VKJ 1/4 sw 1/4, Sectiol/ , ~N-R I W Township S O M Mailing address Address of site Subdivision name Lot no. l Other homes on property? ry~ yes X,~ _No Previous owner of property /q~l /~//G Z1 L41y Total size of parcel 3 / Date parcel -was created 0 / Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes ~ No Volume %nd.Page. Number _/S3 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 i th office of the county Register of Deeds as Document No.- ~f 2 D and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of County Register of deeds as Document No. Signature of applicant Co-applicant Date of Signature Date of Signature DOCUMENT NO. STATE BAR OF WISCONSIN FORM 2-1982 THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED 487270 VOL 964PAGE 15 REGISTER'S OFFICE This Deed made between ST. CROIX CO., WI Milan AS Krnhn and Dpl orPa J. Krtahn Redd for Record -=---Toini tenants G er, A U G 171992 at 4:30 P. M conveys and warrants to 'F s e Grantee, awr, Register of Deeds RETURN TO the following described real estate in St. Croix County, r State of Wisconsin: Tax Parcel No: Lot One (1) of the Certified Survey I,'ap filed in the St. Croix County Register of Deeds office on August --17--- 1992, 2~r$lume--S--- of Certified Survey Maps on Page j- as Document T•io. au----- Being a part of the Northwest quarter of the Southtrest quandwr (FN'[d% of SW%4) of Section(13) Thirteen Tolmship Thirty one (31) North, Range Nineteen (19) 1r!est. This is not homestead property. (is) (is not) Exception to Warranties: Dated this 17th day of August? 119-92L. (SEAL) C~ . ~~,,-14_ -(SEAL) • Thomas Krohn Milan A. Yrohn D (SEAL) tti /~C.✓c - (SEAL) nelorps J_ Y.rnhn AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ss. St. Croix County. authenticated this day of 19 Personally came before me this 17th day of 11811 Gt• '19 92- the above named Teti 1 nn M1 Lr-rohn and Delnres J Kr-nhn TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person S who executed the authorized by § 706.06, Wis. Slats.) foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Thomas F. Krohn MARYQ 54025 No" Pubkawe Gl/t,c. C. Somerset ti•,'isc. d Notary Public S7-• r0i Y County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (if not, state expiration are not necessary.) date: 0C2 - 23 19 9-St ' Names of persons signing in any capacity should be typed or printed below their signatures. SB2 NTF 0021 WARRANTY DEED STATE BAR OF WISCONSIN Nelco Tax Forms, P.O. Box 10208, Green Bay, WI 54307-0208 Form Nn 9 - tqq? i I CERTIFIED SURVEY MAP LOCATED IN PART OF THE NW' OF THE SW; OF SECTION 13,TB1N,R18.W,TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN. ~~a,y630t$►~gt3, OWNER LEGEND Milan Krohn -01~""• Found monument of Public record - 2129 HWY. 35 N. 5f iB~9z Somerset, Wi. 54025 t° RONALD F, Aluminum cap in concrete JOHNSON Z Q Set 1" x 24" Iron pipe weighing SURVEYED FOR: -..ilee• 1.68 LBS per linear foot. AtE RY, 1 fi Tom Krohn Wis. 550 Ron Drive rr • Found 1" iron pipe New Richmond, Wi. 54017 g~~q 0 ~r-~ existing fence e-f-0111t t+~ 4 SW CORNER SECTION 13-31-19 WEST LINE W 1/4 WEST 1/4 LJ '3 CORNER 1331,16 r1647 15 1 T H /i SEG. 13-31-19 665.58' N 01°00'28"E 665.58' ' N 01°00'28"209.00 U, o _ _496.4, S 01 00287.43} 2~ Fd.I.P. 1s Sts°59'12"E P 6.76' FROM STAKED CORNER. o ° zpp -~oo~ o i NcTLI ° -n 0 o Dec ~ N 0 r SETBACK O O J C Q M p BEARINGS ARE 0 0 z rn fA T REFERENCED TO THE ; 1 WEST LINE OF THE " M 0 Q CD m m 0, N SW I/4 ASSUMED TO D BEAR S01.00'28"W, O O f m 0 N O R. -1 O C N I i W A . - -1 ; 0 v fJ C W r O 1 ° n N Co J - _ Z z 1 O IC CD Fu co 00 I,- ° N ~D O I_D, I cn N O W N Q I-I N cn I I-1 0 Im - 209.00' IQ M - m x cO S01°00'28 m c -(DD B j r- 2 , ' ~1~ ~ Iz ,R r~ o X ca m m (n i;3 10 C7 N Q a cn 17 '92 r 0 ST. CROIX COUNTY atnnret;erisiue Planning - W Z 01 N A- Zo my I-A r Parks CommittDe o n `ZM 0 m <n ff ~a, recardPd X cn c~ within 30 stays Of ~ awova? date e' appr0vat S+taA be _ ~ W h 6 mill & Vaid N ° n a OWI - a m ° 663.35' A ro'a -ca M L4 z Y ° w S 01° 31 22 W~ o m y A 0 EAST LINE OF THE NW I/4 irn rn rn OF THE SW I/4 M M UNPLATTED LANDS THIS INSTRUMENT WAS DRAFTED BY PAUL GIBSON, SURVEYOR'S CERTIFICATE I, Ronald F. Johnson, registered Wisconsin Land Surveyor, do hereby certify that I have surveyed and mapped a part of the NW-'4 of the SW; of Section 13, T31N, R19W, Town of Somerset, St. Croix County, Wisconsin; described as follows: Commencing at the W; corner of said Section 13; thence S01°00'28"W 665.58 feet along the west lime of said-SW'-,- to the point of beginning; thence S88°22'.41"E 1312.34 feet; thence S01°31'22"W 663.35 feet along the east line of said NW; of the SW;; thence N88°28'27"W 1306.36 feet; thence N01°00'28"E 665.58 feet along said west line of the SWa to the point of beginning. Containing 869,996 square feet (19.97 acres). Subject to right-of-way for State Trunk Highway "35" as shown and subject to all other easements, restrictions and covenants of record. I further certify that this map is a true representation to scale of the exterior boundary surveyed and described; that I have fully complied with the provisions of Chapter 236.34 of the Wisconsin Statutes and the Land Subdivision ordinance of the County of St. Croix and the Town of Somerset in surveying and mapping same. Ronald F. ohnson R.L.S. No. 1186 Date `a~;9G,l4€YR3,p~30 % o.'d .44 f~ A. P01`4A7LL F. 1r ~ N • 'M v j a v A Wis. r ~t y, ► `w O a COUNTY GENERAL NOTICE Each parcel shown on this map is subject to state and county laws, rules and regulations (i.e., wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office for advice. I I I I S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ADDRESS FIRE NUMBER CITY/STATE sb fvl~i'LSFT' L✓ ZIP / PROPERTY LOCATION:Nv 1/4,1/4, SECTION T-2 -IN-R-j-w TOWN OF c U I~ I q S I~'r' St. S Croix County, SUBDIVISION CS U Lk►'1.~~' 1" ~LOT NUMBER__. 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 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 systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification 'form, signed by the owner and by a mater 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. 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 stating that your septic has been maintained must be completed and returned to the St. Croix Co. Zoning Officer within 30 days of the three year expiration dat . SIGNED: CU f /44 DATE: 2- St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 ++~•n•+L+tvj,t-rrtut1rUuslry, ~Ubo r and human Rtlitions ~Ult UC:)lhlrllVl•Itll Vr+s U 0i (Attach Soil Profile Location Map - To Scale . On A Separate. Signed Sheet) ' a 9o . •r ' cuslv.a is /m IVK.Oar1 ~ CIMM'BRIMO WINOf:OVN Page /4+~A fIMK MO►V ~ x1000 L/ s r / CRY G✓ KRING Itett d► /Nf IOaOW OtOM e IOW" /aCT01 - 7 _ 1 114,-5L'-114 f Iowg1 Vurac~ rrV - t y{ ►racR ta►A/rl fr CSM! LOT BLOCK SUBDIVISION Mew -atrLACt U - Manton Depth OominanI Color Mottles Structure In Munsell Limiting Facsorl Loaangt;POsq M. u St. Cont. Color Texture Gr. Sc. Sh. Consistence Root Bounder Depth n•ncn e•a -Icv Z, Z ,7 2 Houton Depth Dominant Color Mottles u J / 4 Structure L~n+rling Factor/ Lwong GPpya n. In Munsell u St. ont. Color Texture Gr. St. Sh. Continence Roots Boundary Depth trench 9•d Elev I S--ILL 114 B. J IHorrton Depth DormnsntColor Mottles Structure Llmhing Facsorl Loa ding CtPpsgn. In. Munsell v. t, Con t. Color Texture Gr, St. She Consist n e Root Bounds Depth Trench sed S" Elcv - A/ /I IA/ Z2 A 1 14 -2 lit, AJ r j (3 . I Houton Depth Dominant Color Mottles 5truuvre In. Munsell Lletlling Facsorl LoaangSPD•sa n. v. St. Cont. Color Texture Gr. It. Sh, Consistence Roots Bovnde Depth Tr•ncn Be" Elev - Al Id r r 7 _ 7 J> 77 -A'Z 77 13. Horuon Depth Dominant Color Mottles Structure ,,Ch P n. In Munsell Llmglep FaetoN L,*ncn Bed U. St. C nt. Color Texture Gr. St. Sh. Consistence Roots fnd Depth T ,*,,Ch Elev A/ .4 ! - - 7 7 1.9 Additional Remarks: RECOMML•NDE SYSTEM TYPE: L)6,411) 91J 119 Other Site fealUlel: C u 11!~f "1 r~ j Sys(Cm Elevation ' C Signature alt~t+ned' elephontNo. CS.z~ J l1 CST Name (Print) City Slal• Zip I J_j I I------ { I r , ~ I I i ~ , i ~ ! i I I I I, l ~h 1 I T ~ I -t i ;I I I I I I t { ! I I 1 I ' i I ~ { I I I T--I ! I I I ! I 7I I I { I t I ~ O D I I I ~ i ; 1 f ' ! j I t I I / ! I I ~ I ! ~T /J,c ' i F T_ Imo, ~ ~ 1 I I~ { 1 ~ i i ' i j I I I I I I ! I - - - - t t-- I I-Till + - - - I - -r-- j , I I I I! I I I { f l j I I ~ I _ i I I 1 i i I { I ! I I I ' ~ I ! j I { ' ' I I t l i i l l l l~ l I~ i_ , I ' I I I I , ~ --4- T I ! 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G~IAOC ti P"IMUrl OEPT•M•OF EXCAVATIOP IrKOH OR16WA.L 6g)\DF. WIL►. 5E INCHES 111N1mm 9Erni OF EXCAVATION NA0^ 0d1411JAL C6RAPE WILL. 5C INCHES . r id sIGIJCO: LIGCUSC UUMBC11: 17~2s5 ll ' DATE Ito REPT131 SOMERSET ST. CROIX COUNTY ZONING PAGE 1 10/05/92 09:17 REQUESTS FOR INSPECTION WORK SHEETS FOR: 10/ 5/92 AREA: MJ ;Activity: A9200302 10/ 5/92 Type: CONVSEPT Status: PENDING Constr: Address: RICHMOND 24.30.18.365C,NW,SW, HWY. 35 Parcel: 026-1070-70-100 Occ: Use: Description: 175643 Applicant: KROHN, THOMAS E & KATHRYN L Phone: Owner: KROHN, THOMAS E & KATHRYN L Phone: Contractor: O'CONNELL, KIM A. Phone: Inspection Request Information..... Requestor: O'CONNELL, KIM Phone: Req Time: 13:10 Comments: Items requested to be Inspected... Action Comments , Time Exp 00012 FINAL INSPECTION a 0 Inspection History..... Item: 00012 FINAL INSPECTION i