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HomeMy WebLinkAbout040-1039-90-200 °O a o I M O M 0. 0 C ^i O O Y N ;4 ti ~ R3 C) O Ii O I ii I'', N y O C Z a) O c ii c s I! g x I' Q I! Cl) Z E O v 0 Z 00 a m cl, 'I I 0z~*ii, c N Z c to ~ c O E N CM ~N O :3 N N y N O O O •MV ! L p fD N III c 'O N 0 0) ;p Q Z co z O Z o O Z N y > m a a M o C C N d N T G O a E N Z v> IN- H H ' o v 3 3 a LL • 4.; 0 a a a a 'c O a) a) N U) J U al C7 } co O ! Z N Cl) - O O O N E N O O O O O p I~ co O d N N 0 00 r// N ~ O ~ ! alf N C I. U) c 0) i d rn o ° o r \ yy d, Cl) -7 C f0 y E Y 'D N N v D O c a~ 0 M N 7 N N N C co ~ N y = O Z C N O O W t=y~'l ICI O' N ` N O ,C o. ~t EL j ` a 75 2. _1 A V a g 0 N V 1 ST. CROIX COUNTY t WISCONSIN N ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET a HUDSON, WI 54016 (715) 386-4680 Aug. 11, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of the Peter Peters property, located in the SW1/4 of the NW1/4, Sec.9, T28N, R19W, Town of Troy, St. Croix County, WI., has been conducted with the assistance of Bob Ulbricht, CST# 2482. This onsite revealed suitable soil for onsite sewage disposal to a depth of 80" while meeting the requirments of the A + 4" rule. This site should be suitable for new construction using a conventional septic system. Should you have any questions, please feel free to contact this office. cerely, S:fames K. Thompson Assistant Zoning Administrator cc: file 1 k ST. CROIX COUNTY WISCONSIN x; s ZONING OFFICE ST. CROIX COUNTY COURTHOUSE • 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 Aug. 11, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of the Peter Peters property, located in the SW1/4 of the NW1/4, Sec. 9, T28N, R19W, Town of Troy, St. Croix County, WI. has been conducted with the assistance of Bob Ulbricht, CST# 2482. This onsite revealed suitable soil for onsite sewage disposal to a depth of 8011 while meeting the requirments of the A + 411 rule. This site should be suitable for new construction using a conventional septic system. Should you have any questions, please feel free to contact this office. cerely, ames K. ThompsonP Assistant Zoning Administrator cc: file ,,XnsinDepartment ofIndustry, SOIL AND SITE EVALUATION REPORT Page of Libor arMHuman Relations Division of Safety & 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 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 P ERTY.OWNER: PROPERTY LOCATION 0 < GOVT. LOT SC,-.-' 1/4 Y~&J/4,S T d3 N,R /9 W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE N NEAREST ROAD I / ( ) rd G oer4 W . [,],14ew construction Use [ esidential / Number of bedrooms [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd1ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable It S =Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable for system ❑S ❑U ❑S ❑U EIS ❑U [Is ❑U ❑S OU ❑S ❑U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundsily Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trerch 6-v 2- A'i k; Ground s cfu O d / elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting ' factor Remarks: CST Name:-Please Print Phone: Address: Signature: Date: CST Number: PROPERTY OWNER SOIL DESCRIPTION REPORT Page =of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Buibary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench Ground elev. ft. Depth to limiting factor Remarks: Boring # o>: Ground elev. ft. Depth to limiting factor Remarks: Boring # M1 Ground elev. I I b ft. - - Depth to limiting factor Remarks: Boring # •yF Ground elev. ft. Depth to limiting factor Remarks: 4-6%iERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 FAX - 715 - 962 - 4030 ST. CROIX ZONING REPORT NO.t 34038/01 PAGE 1 i ST. CROIX C"TY REPORT DATE! 12/18/92 COiJRTHOUSE DATE RECEIVEW 12/15/92 HUDSON, WI 54016 ATTNt THOMAS C. NELSON L/ OWNER* Patrick Peters LOCATION: ver Rd., Hudson COLLECTORt M. Jenkins DATE COLLECTED* 12-14-92 TIME COLLECTEW it45pm SOURCE OF SAMPLU Kitchen faucet DATE ANALYZEDt12--15-92 TIME ANALYZEDt2t04pm COLIFORMt 0 /100 ml r i INTERPRETATION: Bacteriologically SAFE NITRATE-NI 'r ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. Coliform Bacteria/100 mi Nitrate-Nitrogen, mg/L 4s ~I C LAB TECHNICIAN* Pam Gane I[ .,NCEVFNApHI. WI Approved Lab No. 19 f Means "LESS THAN" Detectable Level Approved byt ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 ST. CROIX COUNTY ZONING OFFICE St. Croix County Courthouse 911 4th Street Hudson, WI 54016 Telephone - (715)386-4680 Phe St. Croix County Zoning office offers the service of septic and water inspections to Lending Institutions, Realty Firms, and private individuals. Completion of this form is essential so that the property can be located. Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING----------------------------FEE: $00 (For nitrates and coliform bacteria) WATER TESTING FEE: $127.00 (For VOC'S) SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 (Determines if system is properly functioning at time of inspection) Property owner's name_ A PC-1(1 - J PETee-5 Property owner's address q l0 N. 6 LoyL-tt Pz 400 Legal Description S~ 1/4 of the /AL 1/4 of Section T_Z~N-R Town of -I"V Lot Number Subdivision N(a~me FIRE NUMBER LOCK BOX NUMBEW [b ' O7 3-1 y 76- 2-0 Color of house Realty sign by house? NZ) If so, list firm: PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant,, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case lease make ar p proper rangement~~,,,, with t is office to ensure time when entry may be ained~oL- S8u- 8geK Firm or individual requesting services: fiW 1~-UDSo~/ Telephone Number 38Le S,S-I I REPORT TO BE SENT TO: N Q H'V 0 Sdn/ 30 2 5 Se t o Closing dat 1 .3 - U - L Signature A:L4 /1-A -0 C> 3 0C r O M; ~ I o c Q. I n I ~o e i r. o I N 0 b 0 O) O fi O y ~ I a I C i a U N a n c Z c _ o 0 c~ c ~ ~ o ~ I c x r~ O r Qi U i co z N z = °o z a m 00 rn N I c t7 I q 2 a U o (D Z a c >_-1 -O N N I N N INS O) I O N Idly N O 0 0 O O O O O o a N Z co Z Z O N c' _(D y > L N co d a c6 .L, r-) I O N N .LZ 'C O IT ooa LO Y) ~Ny Z v H H n o w1. LL 0 0 0 •►v a a a o a N :3 04 (N cn ! 0) 0) a) fn L) " m fD O M M O ct N N N O p E r, O m d N O $ N (D ° o fV Z q O O ~ N C i ® O C.) O O O O r C) = m m O L O O C - 0 0 ~ I o a_ In E C a co r, U N co ay N M N N C e0 ~ L N O O O N .0.. O N O U • y'I'' O O O a) c F- CL O N Z Cn rA CL t a a w E u c L D u a 2 0 v) Co) i y AS BUILT SANITARY SYSTEK REPORT OWNER TOWNSHIP SECTION ,9 T, 2,' N-R_Z' W ADDRESS ii :t L). ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT--L/-LOT SIZE 3 PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 38 - Y/w : / 9 yy -z e,/ E,~~ p7a y r.7 y A/ - I I n~ INDICATE NORTH ARROW ~ _ ~~GG~nI /l~'r0 1 BENCHMARK:Elevation and description: Alternate benchmark SEPTIC TANK:Manufacturer: -eS Liquid Cap. Rings used:-O--Manhole cover elev:_ ZZ- -"Final grade elev: 9% 7' Tank inlet elev.:' Tank outlet elev.: l~'. /I f No. of feet from nearest jr d:Front , Side , Rear Ft.~7 Sy From nearest prop. line:Fr~o/nt , Side , Rear Ft. 7 ,~5-~ No. of feet from: Well dylLfe Building: (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE i 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: v" Trench: Seepage Pit: Width: ~LengthZ Number of Lines: Area Built- Exist. Grade Elev. Proposed Final Grade Elev.' Fill depth to top of pipe: ~ No. feet from nearest prop. line:Front , Side E3 , Rear Ft. No. feet from well: 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 : O- PLUMBER ON JOB : LICENSE NUMBER:'- y6/90:cj "Wi3 F1Yi 6 irtrYt otlncr, try?8-19.134$R Wd~ijnT~EWAGE ~`Y TEMLOVER RD County: Labor and Human Relations INSPECTION REPORT Safety-and Buildings Division ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No-: GENERAL INFORMATION 18027 Permit Holder's Name: ❑ City ❑ Village EkTown of: State Plan ID No.: PETERS, PATRICK TROY CST BM Elev.: Insp. BM Elev.: _ BM Description: Parcel Tax No.: ~0 5 .4 040-1039-90-200 TANK INFORMATION ELEVATION DATA A9200350 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet („a5 11 Vent ir Ito ntake ROAD Dt Inlet TANK TO P / L WELL BLDG. A Air Septic -6 NA Dt Bottom Dosing NA Header / Man. 7,23 7, Aeration NA Dist. Pipe 7, yot g7, Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft oss Head Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type O atd / Model Number: System: 13 W 3 3 OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) p a x Hole Size x Hole Spacing Vent To Air Intake ti Length _~L Dia. ~ Length _r~t Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over 2 Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center 3 Bed /Trench Edges t Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (include code discrepancies, persons present, etc.) LOCATIONO~1' 09.28.19.134C,SW,NW, LOT 4, N. GLOVER RD. s b , 3 C 5 Plan revision required? ❑ Yes ❑ No l Use other side for additional information. l c) 1,:D b 4 a 40 SBD-6710 (R 05/91) Date inspector's signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: a ' z i DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code CouNTY E wommomms STATE SANIT PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than 1:1 Q 8% x 11 inches in size. check rev slop to p v. us application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PRO TY OWNER PROPERTY LOCATION d 1__e_,_ S5 v t/4 & S T,2 f, N, R /17 E (O J_ , C_ A 6ee PROPERTY OWNER'S MAILING ADDRE LOT # BLOCK # O CI , STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER d~fl~r ~O ,z J- 7 S II. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ CILLLLAGE : NEAREST RO ( r IF S ❑ Public ❑ 1 or 2 Fam. Dwelling-# of bedrooms 3 PARCELTAXNUM III. BUILDING USE: (If building type is public, check all that apply) r s 7~ 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 12 El Service Station/Car Wash 40 Church/School 8 El Mobile Home Park 5 El Hotel/Motel 9 El Office/Factory 130 Other: Specify IV. TYMew PERMIT: (Check only one in line A. Check line B if applicable) A) 1. 2.E] Replacement 3. ❑ Replacement of 4.E] Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 L"J Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION V5-0 7 >-D 1 1,3 ,43 Z. X Feet OG. feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION Manufacturer' Name Con- Steel Plastic New istin Gallons Tanks /f CTrOie structed glass App. Tanks Tanks Se tic Tank or Holdin Tank r 1-1 F1 Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plu is Name (Print): Signature: (No Stam MP/MPRSW No.: Business Phone Number: "CI um is Address ( rest, ity, Stat ip de): FJ U ©1 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater a e Issued Ias ' Agent Signet e o Stamps) Surcharge Fee) Approved ❑ Owner Given Initial jP Q1 Adverse Determination 1 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 T 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 reneveal 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 Saritary 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 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. Ill. 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 incli de the following: A) plot plan, drawn to scale or with complete dimensions, 'ocation of holding tank(s), septic tank(s) or other treatment tanks; building: sewers; wells; water ria;^s water service; streams and lakes; hump or siphon tanks; distribution boxes; soil absorption systems; replacemert system areas; and the;ocation of the building served; B) horizontal and vertical elevation reference points; C) complete specifica"ions for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and urnP . manufacturer D) cross section of the soil . P P p o e so 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 prac,ices which can effect groundwater. The monies collected throudti thEISO surcharges are used For monitoring groandwalct, ground, water contamination investigations and establishment rof'standards" SBD-6398 (8.11/88) 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 by owner/contractor,(spec house), thenia second form should be retained and completed when the property' is sold and submitted to this office with the appropriate deed recording. Owner of ro ert P P y ULM Lk Q.,,h Wla ~ ~ a ~ e~- erS Location of propertySM 1/4 NIU 1/4, Section T-vA_LN-R_d_W Township \ C Oaf Mailing address 1.` y Tlgoy~ ~,cp x ti c~ (1) Sq6 Address of site S tv C~p~h~,~ (r-(~~~~ 1SC~! d- Cps,, , - I VOA Subdivision name &-2± . Lot no. • other homes on property? -yes No Previous owner of property k6efr 1-~-a Total size of parcel a , 03~d a~ ~p Date parcel -was created lip" i d a (p 'Are all corners and lot lines identifiable? =Yes No Is this property losing developed for (spec house)? Yes ~INo Volume_ 7 and Page Number l`(B S 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. and that I (we) presently own the proposed site for the sewage disposal system o 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 f applicant Co-a p cant R-~(~ q 2- ► _ 9-~- 9-, Date of Signature Date of Signature DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1982 THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED VOL c770PAGE 204 REGISTER'S OFFICE This Deed, made between ST CROIX CO., WI Myrtle A. Hanson, a single person Recd for Record S E- P 211992 and Patrick J. Peters and Marv Jo Peters, Grantor, at 3:30 P. M husband and wife 0 Grantee, Register of Deeds Witnesseth, That the said Grantor, for a valuable consideration RETURN TO conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin: Tax Parcel No: c:! 1 a 14 f Part of the SW, of NW ;4 of Section 9, Township o < . I a y r, t 28 North, Range 19 West, St. Croix County, Wisconsin described as follows: Lot 4 of Certified Survey Map filed September 16, 1987 in Vol. 'T', Page 1885, Document No. 430237. This is not homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And-=tle A. Hanson warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and rights-of-way of record, if any. and will warrant and defend the same. Dated this day of 19 9P (SEAL) X G >S~~SEAL) % `,M le A. T4,qn-,C)n (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) 1yV-T STATE OF WISCONSIN SS. St . Croi x County. authenticated this-y----~day of -<,eA -jri- i9A._Z P rso all came before me tday of ~ Sepetem`eyr 19~ the above named kl yr e son f ~~~Tt l'V/~C lJ~(,~Y~1 P TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person who excuted the, authorized by § 706.06, Wis. Stats.) foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Kristina Ogland Attorney a w ice Joy Connors Notary Public St. Croix County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: July 12 , 19 93 'Names of persons signing in any capacity should be typed or printed below their signatures. SB1 NTF 0020 WARRANTY DEED STATE BAR OF WISCONSIN Nelco Forms, P.O. Box 10208, Green Bay, WI 54307-0208 FORM No. 1-1982 .ham. FILED ° s SEP.lbily87 ~ a cowau 430237 W Mw q Wromb CERTIFIED SURVEY MAP LOCATED IN THE SW1/4 OF THE NW1/4 OF SECTION 9, T28N, R19W, TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN APPROVED NW CORNER z H SECTION 9 JUN 18 T28N, R19W a c,,. ;;.~OIX COUNTY ~ W CO, MP tLH£NSIVE PARKS PlA ofto W AND ZONING COIi1MIT"M W a x H C.S.M. VOL. 1, PAGE 176 - - - I U N P L A T T E D L A N D S ° C.T.H. AY) o LO (DEEDED RIGHT-OF-WAY) Un M _ SOUTHERLY RIGHT-OF-WAY LINE 0 0 ro z - Ln - N88°45'38"E 290.46' _'n W 257.45C14 ' 33.01' 33'r x Ei I - - o ~I W z I v,l _n 1,0 pq z zI o a a AI H~ LOT 4 I I z Ln N 2.038 ACRES± ° >q p o ~ Ei al 3 88,768 SQ. FT. ± M 3 w ( ~I U)_ v al Excluding Glover 3 w 3 Cr- i o Road Right-of-way r- I I AI H Ln m 2.303 ACRES± - x AI I WI E'I C) m 100,315 SQ.FT. ± N H 81 1 E-1I Z Including Glover o a a ~I Road Right-of-way cn ~ I HI al w >II al al cHn OII al zI 33.01' W 0I 3 ( zI N88°45'38"E xl 250.00' al 512.30' S88°45'38"W 283.01' POINT OF U N P L A T T E D 133' 33'1 BEGINNING L A N D S I 00 OWNER & SUBDIVIDER r` ALBERT P. J. HANSON m R.R.#3, BOX 182 00 HUDSON, WI. 54016 W1/4 CORNER SECTION 9 T28N, R19W This instrument drafted by SCALE IN FE Brad A. Wittig. 0' 100' 200' 300' Vol. 7 Page 1885 DESCRIPTION A parcel of land located in the SW1/4 of the NW1/4 of Section 9, T28N,- R19W, Town of Troy, St. Croix County, Wisconsin, described as follows: Commencing at the W1/4 corner of said Section 9; thence NO°50'54"W (True Bearing referenced to the West line of said NW1/4 which bears NO-50-54"W) 898.78' along said West line of the NW1/4; thence N88°45'38"E 512.30' to the point of beginning; thence N0°50'54"W 349.87'; thence N88°45'38"E 290.46' along the Southerly right-of--way line of C.T.H. "FF"; thence S0°22'17"W 350.00' along the centerline of Glover Road; thence S88°45'38"W 283.01' to the point of beginning. This parcel contains 2.038 Acres, more or less, being 88,769 Square Feet, more or less,excluding Glover Road Right-of-Way and contains 2.303 Acres, more or less, being 100,315 Square Feet, more or less, including Glover Road Right-of-Way. I certify that the above description and map are correct and that I have fully complied with the provisions of Section 5.4.2 of the St. Croix County Zoning Ordinance and Section 236.34 of the Wisconsin Statutes. Date: April 24, 1986. James T. Swanson S-1482 Job No. 86-1600 Ogden Engineering Company `NgNlNttyN~ 113 W. Walnut Street ~,>Q4f# River Falls, Wisconsin 54022 JAMES T.` SWAN,-ON Z S-1.482 w °w RIVER FALLS, I WIS. sr • I S U R Vol. 7 Pa e 1885 sotonsM g LEGEND 0 SECTION CORNER MONUMENT, FOUND. O 1'j"x30" IRON PIPE, WEIGHING 2.27#/LINEAL FOOT, SET. 1. c ~ J S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER *-?a -ir i ,,IC- 'KIA.~r b ADDRESS ~,.Iyi' FIRE NUMBER CITY/STATE qor1) Lo ZIP PROPERTY LOCATION :'LW 1/4, N UJ 1/4, SECTION TOWN OF ~-TrOZ , St. Croix County, SUBDIVISION NIA , 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, 1918. 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 date. SIGNED• DATE: St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, - DIVISION P.O. BOX 76 LABOR AND. PERCOLATION TESTS (115) MADISO N WI 53707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSHIPP&ITY: LOT NO.:BLK. NO.7SUBDIVISION NAME: SW 1/4 1A1 1/4 9 /T28 N/R19Ac1or) W Tro 4 n/a /a COUNTY: O BUYER'S NAME: MAILING ADDRESS: St. Croix Patrick Peters 1106 Mont Croix Dr. #4, Hudson, 111. 54016 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILED SCR PTIONS: ER O ATION TESTS: ~esider 2.3 n/a C New ❑Replacee I 8-11_92 8_11-92 RATING: S= Site suitable for system U= Site unsuitable for system L NTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) S ❑U ®S ❑U [aS ❑U ❑ S ®U ❑ S JOU conventional / If any portion of the tested area is in the If Percolation Tests are NOT required DESIGN RATE: under s. ILHR 83.09(5) (b), indicate: n a Floodplain, indicate Floodplain elevation: n/a PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SO WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-1 184 99.95 none >84 0-12, 10yr4/4, L.; 12-24, 10yr5/4, sil.; 24-52,- 5/4 Co. S.• 52-84 1 r6/4 Co. S. & r. 99.75 0-27, 10yr3/2, L.; 27-48, 10yr6/3, Co. S.,;- g-2 84 none >84 8-67,10yr6/5, Co. S.& r., 67-84,1 6/4, Co. S. 99.55 0-10, 2, L.; 10-18, 10yr , sil.; 18-34,- 84 none >84 4-46, 10yr6/3, Co. S.&gr.,; 46-84, 10yr6/4, Co.S. 3 B- 98.35 0-14, 10yr4/2, L.; 14-36, 10yr4/6, Co. S.; 36-82- g_4 82 none >82 1 5 4 Co. S. 98.45 0-20, 10yr4/2, L.; 20-44, 10yr6/4, Co. S.- B-5 80 none >80 44-80, lQyr6/4, Co. S.&gr.l B_ borings sow staff ing around rock faces at Co. Gr. layers decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME D POP IN WATER LEVEL-INCHES RATE MINUTES NUMBER I AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERI D PER INCH P_ 1 3.70 none 3 6 6 6 <3 P_ 2 3.50 none 3 6 6 6 <3 P_ 3 3.30 none 3 6 6 6 P- 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 96.25 F , 9 A)_ ashy -T- `N E , h vie -NUM , , , 1 E E I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures ods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gary La Steel 8-11-92 ADDRESS: CERTIFICATIO NUMBER: PHONE NU BER(optional): 1554 200th. Ave., New Richmond, Wi. 54017 2298 76200 CST SIGNAT DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R, 10/83) -OVER - 1 - 3 ( ALL it y t P T i O 4 C~ DAVE FOGERTY PLUMB0 Licensed Perk Tester & Plumber F #3233 #32W Neits Rosd R08f*N~ S1NN 5023 117 /39 i3~ ~13/9Z X 3~~- Z~yd > oa 3O W L 1j I X 3 3~ v y v w r Yo ~ S' S~ ~ So I - - r«/c = / = Yo N w l = diH~ Qrf~ the iov a T7, X - bOYt N~S O = Z1Gr~ t I GoY N / NS ~ N n c/ 1S0 d l y ~ 7 J n r o. ~a 9zoko GJ ` 1 REPT131 TROY ST. CROIX COUNTY ZONING PAGE 1 10/22/92 11:53 REQUESTS FOR INSPECTION WORK SHEETS FOR: 10/23/92 AREA: MJ Activity: A9200350 10/23/92 Type: CONVSEPT Status: PENDING Constr: Address: TROY 09.28.19.134C,SW,NW, LOT 4, N. GLOVER RD. Parcel: 040-1039-90-200 Occ: Use: Description: 180271 Applicant: PETERS, PATRICK Phone: Owner: PETERS PATRICK Phone: Contractor: FOGERTY, DAVID B. Phone: 749-3656 Inspection Request Information..... Requestor: FOGERTY, DAVE Phone: Req Time: 16:10 Comments: Items requested to be Inspected... Action Comments Time Exp 00012 FINAL INSPECTION U IYYLlAt&A Inspection History..... Item: 00012 FINAL INSPECTION I i