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HomeMy WebLinkAbout040-1147-50-000 ~ o Q o I N p 6FY m a 0. o r, ~ I N rj O h ~ I ~ I ~ I I ~ I ~I I I m I c LL c O C ? E 4 I ~ I O M a ~ ' aai I w E N u) O Z 0) m M H z I O z d C: eF O d 2 c N H ~ c' CD I E t7 Cl) N O O 7 d y I N o o Q o a) ¢ - I :o z m z 4 N z co m E N O E N N - CL m N O O co N Z o ~ °o o o a E N z> 0 0 0 a m w N uO ° t- 0 • m a a a N FL c N O N N U) J L) 'j a) 0 } = co N '0 O O N O O O O 00 N O O ~ E ~ O N L o C " G U) Q> } C. ¢ G O _ N C O W 0) co O C M O C. s O CL 0 0 C v° o l CL. E E m N N F- L L U -p W r - I- C N O II, O .w. o o H E E • ?a o x ' s U O L O rN a H r O z =5 = to r~+ _ I \ tz E V W a 0 a CL 4) `~1 A 0 a 0 in V Parcel 040-1147-70-000 12/30/2005 08:19 AM PAGE 1 OF 1 Alt. Parcel 13.28.20.576F 040 - TOWN OF TROY 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 0 - ST CROIX COVE TENNIS, CLUB INC tlCl.ff~&ZCFto1 OVE TENNIS C - %GRISWOLD GARY {`6GRISW _QLpZ3ARY 318 N __VE ~-R1~7---- H ON WI 54016 Districts: SC = School SP = Special Pro * = Primary Type Dist # Description * =OVEQss~: SC 2611 SCH D OF HUDSON aT- ST'Ceo(X CID~~ SP 1700 WITC Aa Nb Legal Description: Acres: 0.760 Plat: N/A-NOT AVAILABLE ,53 T28N R - -+PI-GL 3 LO Block/Condo Bldg: RT SUR- VEY MAP IN VOL I PAGE 128 Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) 13-28N-20W Notes: I v b~~ Parcel History: Date Doc # Vol/Page Type ~ ~ I l 2 n~C kl-\- 3A'G~ 2005 SUMMARY Bill Fair Market Value: Assessed with: 103172 41,800 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.700 24,200 16,000 40,200 NO Totals for 2005: General Property 0.700 24,200 16,000 40,200 Woodland 0.000 0 0 Totals for 2004: General Property 0.700 24,200 16,000 40,200 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 9 10 l1 0 3 2 7 11) 9 0 ~a cowEo- r,~1b d vtodt ST. CROIX COUNTY o14v~ VEYOR 'S RECOR© Volume 1 Page 128 u°v` C060111 SUR W SCALE FRANCIS H. loo' So' o ioo' OGDEN S•882 <<vQ / ,S 890 20' 50° W RIVER FALLS, t[r CENTERLINE OF 900 .00 WIS. i LEGEND 144 ACCESS EASEMENT sa SECTION CORNER MONUMENT ~S.U R • 1" PIPE FOUND aD o z 04 - O O 1" X 30" IRON PIPE w ti 0.76 ACRES m Q WEIGHING 1.68#/LINEAL FOOT 0 GOVERNMENT LOT 3" 3 - TOP OF BANK M o 0 P -w - - BOTTOM OF RAVINE (n a 0 0 J N 800 85 ` LO 0 V) FENCE zO 1470 1 W O 23 _CD x- FENCE CORNER 00/ 0 0 ~ o r s~ SO CD ~t 0 ti ly. "poll 2 0l' 1.62 ACRES r~ 9 P~ % POINT OF BEGINNING 5~2\g`L~` 00. 5?,O5t0' ~G F IS 88033'E u ° `SO0~ ~ J - - - - - 3 7y, YZ 400-06' S 88033'E 457.33' 0+, 81,83' g0 _COVE SOUTH LINE OF GOVERNMENT LOT 3 / N89-46'10"E-r,) AD SOUTH C; 3 0 /COVE VIEW LOT E O j 21 F- o o M 66' ° X" z M OWNER AND SUB-DIVIDER: SURVEYED BY : U>_I - X MI 0 Robert S. Ahrens Ogden Engineering Co. ~ n;N w R. R. #3, Hudson, Wi. 54016 123 E. Elm, River Falls, Wi. 54022 L) ; W z S I/4 CORNER 3 J SECTION 13 T 28 N, R 20W DESCRIPTION: A parcel of land located in Government Lot 3, Section 13, T28N, R20W, Town of Troy, St. Croix County, Wisconsin, described as follows: Commencing at the S1/4 corner of said Section 13; thence DUE NORTH (assumed bearing) 1334.51' along the Westerly right-of-way line of Cove Road and the extension thereof; thence S88033'E 274.42' to the point of beginning; thence S88033'E 457.33' along the South line of said Government Lot 3; thence N89046'10"E 81.83' along the centerline of an existing town road and the Westerly extension thereof; thence N390S4'10"W 190.00' (previously recorded as N39040"W); thence N0039110"W 310.00' (previously recorded as N1014'W); thence 589020'50"W 144.001; thence SO°39'10"E 242.321; thence SS7°37'40"W 123.441; thence S51021'W 215.24' to the point of beginning, EXCEPT THE EXISTING HIGHWAY RIGHT-OF-WAY. NOTE: All bearings are referenced to the West line of Cove Road in St. Croix Cove Subdivision No. 2. I certify that the above description and map are correct and that I have fully complied with the provisions of Sec. 236.34"of the Wisconsin Statutes and Sec. 5.4.2 of the St. Croix County Zoning Ordinances. Date: May 16, 1975. FRANCIS H. OGDEN S-882 MAP NO. 75-47400 1 Vo=lume 1 PaFe 128 0 • 8 9 ~o co FILED AUG 29.1978 10 JAMES O' CONNELL ~ Rep6rer of Deed, 51234a, Croix County' ST. CR:SRUE Y wi,ce,urn SURVEYRD CERTIFIED S URVEY MAP GOVT. LOT 3 -SEC. 13,T 28 N , R 20 W PLATTED LANDS 33' 33' N S °_12'W) ' 86°- 34'- 52" W (REC. AS S 86 BEARINGS REFERENCED 459.02' (REC. AS 459.5') OTO THE EASTERLY LINE 19 r OF LOT 2 , CERTIFIED ` SURVEY MAP - F? ; VOL. I , PAGE 128 59, EXISTING ' HOME 3aK , W , W U THIS INSTRUMENT WAS O V DRAFTED BY G.GS. w g' 0 LOT I Q JOB NO. 77-97 ^r -I W N A L' O w CID D 4.02 ACRES INCLUDING R/W -4 o w PLATTED 3.72 ACRES EXCLUDING R/W .LANDS. Z' _ APPROVED C.S.M. 1-128 " m 0, rrn rn m .r APPROVAL OF THIS MINOR SUBDIVISION n • n N t MAN APPROVAL FOI2 ~ , 100' S0' 0 100' D D - DOES N: T D AUG 2 3 1978 BUILDI:13 SEPTIC ~Y.:TEN►. , SCALE I"= 100 o °o o S; D,X C~u• .tY REFER TO H62.~0• z 1 ? , 8 _ w C v Co.'Ap .<;icVSIV. PARKS PLANNING 1 A 0 - O AND ZONING COMMITTEE S 890- 47'- 30" W A m ^ LEGEND mo - ---426.41'--- mrn - FOUND 2" IRON PIPE A m w m D • FOUND I" IRON PIPE , co co Z' " n l0 N EXISTING , O I X 24 IRON PIPE WEIGHING , , 1.68 LBS./LIN. FT. SET ap - 59 L 0 T 2 HOME N, t" 4-01 OQ o _ AS " rA `q0 iIv; FENCE CORNER 2.44 ES IN.CLUDING R/W cn r w L" 2.00 ACRES EXCLUDING R/W o ' AFC? s F~ tr PO.B. - SE COR. 9tr~9c pys' LOT 2, CERTI F1 ED o a T r 33 33 SURVEY MAP - 49° QO I VOL. I , PAGE 128 F gyp,, N 89°- 47'_30"- -333.69'- - yq9 d O, a) W E'2,>. W SURVEYOR'S CERTIFICATE. _ 339.62 (RE AS 340) 3+ _ T, Gene C. Shaffer, Registered Land w N 890-47'-30"E REC. AS N 89°-20'E w ) Surveyor, hereby certify that in full 42.8 COVE ROAD SOUTH Compliance with the provisions of Chapter 236.34 of the Wisconsin Statutes and Section 5.4.2 of the St. Croix County Zoning Ordinance and under the direction of Phil D. Coates, owner of said land, I have surveyed, divided, and mapped said parcel of land, that such survey correctly represents all exterior boundaries and the subdivisi6n of the land surveyed and that this land is located in that part of Government Lot 39 Sec. 13, T 28 N, R20w Town of Troy, St. Croix County, Wisconsin, described as follows: Commencing at the SE corner of Lot 2, Certified Survey Map-Vol. 1, Page 128, also being Rec. as 912.7 feet East and 1310.0 feet North of the S 1/4 corner of said Sec. 13, said point being the point of beginning of this description; thence N 89-47-30 E (Rec. as N 89-20 E) along the centerline of a. town road, 339.62 feet (Rec. as 340 feet); thence N 00-45-17 W (Rec. as N 1-12 W) along the centerline of a town road, 645.18 feet (Rec. as 645.5 feet); thence S 86-34-52 W (Rec. as S 86-12 W), 459.02 feet (Rec. as 459.5 feet); thence S 00-37-09 E (Rec. as S 00-39-10 E and S 1-14 E), 473.15 feet (Rec. as 500 feet); thence S 39-54-10 E ( Rec. as S 39-40 E), 190.14 feet (Rec. as 190 feet) to the F•r 06int; of beginning. C. 0 GENE C. VOL.3_PAGE 666 SHAFFER CERTIFIED SURVEY MAPS S-1325 1~- ST. CROIX COUNTY, WI. HUDSON YY(> a 7 REVIS D THIS Z1'~ DAY ~.9N ,~~l0 OF 0w E , 1978. 0 x ~a AS BUILT SANITARY SYSTEM REPORT OWNER C ill 1 1'j fi~ ~~.~te,S TOWNSHIP TROD A SECTION 1_T,-,~g N-R-5;90 W ADDRESS 3Q8 tA~ Pei, ~ A ST. CROIX COUNTY, WISCONSIN + ~ r NurJ`~otJ W' S C SUBDIVISION AAA LOT 3 LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM -L-F- A o rwo r~~ 1 ~o ~Ram ~ oO Q. - r I I l F i IE CD -D K 101 18xVv (3 ep 1V INDICATE NORTH ARROW BENCHMARK: Elevation and description: 100.Q i0 O FQU w DP.T1o) S W Cor-►v R a Ot45~ Alternate benchmark I-l SEPTIC TANK:Manufacturer: W of ~ S Liquid Cap. Idd Rings used:_aManhole cover elev:9~ Final grade elev:- 98,Y(01 Tank inlet elev.: 08 Tank outlet elev.: (01 a(0 No. of feet from nearest road : Front / , Side , Rear Ft UU e r aSG From nearest,prop. line:Front , Side , Rear Ft. No. of feet from: Well OVQV Building: (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE 40 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 Buildin 5h%1- (04 3-78 60 eAQ{,R ~V.73 - y. g3 Qv SOIL ABSORPTION SYSTEM q d 'ENO 1 I, 8 Bed: v Trench: Seepage Pit: Width: Length Number of Lines: 3 Area Built Exist. Grade Elev. ~at Proposed Final Grade Elev. SA►~ Fill depth to top of pipe: 30. 7 ~ No. feet from nearest prop. line:Front , Side Rear Ft. I~ a Q V' No: feet from well: C)W- 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: ~j INSPECTOR: ' DATE : V ( 77 PLUMBER ON JOB: IJ ~Ct y`.2 LICENSE NUMBER: 3 7 O V 6/90:cj i `UVi3i6iartmen0ofiln~u ry,28.20.576E-1 NW SE AHRENS RD. PRIVAT~SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT Safety agd.Buildings Division ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 175654 Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: COATES PHILIP D JR & WF TROY CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: a~,, 040-1147-50-000 TANK INFORMATION ELEVATION DATA A9200312 2 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark slot 6Z~ &0,'Z)r D Aeration Bldg. Sewer 9,716 Holding St/ Inlet 67l TANK SETBACK INFORMATION StOutlet -73sl~ TANK TO P/ L WELL BLDG. Ventto ROAD At-!.Ales Air Intake Septic NA D-Bettom g NA Headed y 2 9 / Aeration NA Dist. Pipe Y Zr I Holding Bot. System ) of ,327` PUMP/ SIPHON INFORMATION Final Grade ,el' , ye, Manufa Demand T s.2 9~ , Model Number ~P GPM TDH Lift Friction System TDH Ft Head Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length i No_ Of Trenches Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING nu acturer: SETBACK INFORMATION TypeO Cc, CHAMBER i r Moe Num system: - >SU 3 > OR UNIT DISTRIBUTION SYSTEM HeaderooosoA&kL Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length 1-0L Dia_ Length 3L 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 3~ - Bed /Trench Edges -~~Fr/ 3 Topsoil ❑ Yes ❑ No ❑ Yes ❑ No . r/cl/ ENTS: (Include code discrepancies, persons present, etc.) C~~ a Gc ~,~L I,~ e_ ~e~ , s, c e.cn~► i r ce Cc y,- ryl 6"Z,7 ~~a,,cl~->~Q c✓ !!'a ? UL2,o ~~,,,7 ~ /~~,,,~(~-,,1 _ c_LQp~ - -'~`~/Z'~-z~~_ r' -7' t~ Plan revision required? ❑ Yes Q1r0__ p Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. E ADDITIONAL COMMENTS AND SKETCH , SANITARY PERMIT NUMBER: n DILH 0 SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than El ~ 8% x 11 inches in size. krevk pre" us application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. P ERTY OWNER PROPERTY LOCATION 2 !'/s5 '/a, S T, N, R i~ E (or) W PROPERTY O NER' MAILING ADDRESS Gd V BLOCK # ~ ^ CITY, SE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER .s IS 333 AM II. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ Ell CITY =W RIF. R( ❑ Public &1 or 2 Fam. Dwelling--#~ of bedrooms RCELTAXNUMBER(Sjj 111. 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 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. ❑ New 2. Replacement 3. ❑ Replacement of 4.0 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 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 ` ED (sq. ft.) PROPOSED (s q. ft.) (Gals da /sq. ft.) (Mi ./inch) ELEVATION REQ 1 a© 3 93 la Feet g• eet VII. TANK CAPACITY Site in allons Total of Prefab. Fiber- Exper. INFORMATION New lExisting Gallons Tanks Manufacturer's Name Concret Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank an Q 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 Signatur (No Stamps) MP/MPRSW No.: Business Phone Numb r: Plumber's Address (Street, City, State Zip C e): IX. COUNTY DEPARTMENT USE ONLY ❑ Disapproved Sa ry Permit Fee (includes Groundwater Date Issued Issuing A ent Signature (No mps Surcharge Fee) Approved ❑ Owner Given initial 7(p /I 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 r 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 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 ficenseo 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 I!ine 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 13'% 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 uses' for monitoring groundwater, ground- water contamination investigations -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. 9 d. 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. --------------7-------------------------------------------------- Owner of property 1~~,1 s 40 ,-;:~s Location of property_AjjL/l/4' 1/4, section t-A_, T 1 ~X N-R,0W~ Township Mailing address .42 9 4 Address of site -'F+r' PArn V Subdivision name Lot no. Other homes on property? yes Y No Previous owner of property JAc j.- Total size of parcel , 4ES Date parcel was created :21 J awe i q 7 4Y Are all corners and lot lines identifiable? X Yes No Is this property being developed for (spec house)? Yes jLNo Volumeand Page Number 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. 19 797 , 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. 227. "t,S ? ,00,- o f-.&U Signatu of applica Co-applicant 24 412 Date of Signature Date of Signature y a fi C~ W I ff Y t , *y~ } -1 DOCUI: 't'A 1'1? BAR OF WISCONSIN- FORM 2 r".ARRANTY DEED T 6o ';RA, 't 17fSERVEO 1'OR RECORDING DATA -G!13TErS OFFICE L._ t, is e ,,T. CFQ1X CO.. WIS. i c'd for Record t1lis_2xxd day Of Jules A D 7t1 .19__ 10: 00 A. L4 _ ReRlster of Dteedra (,rantee S_ l % fur Fivc,_ Hundred CS4" 500.f1Ctj t the loll-wint; dr r.1.,3 1,I r 'o7 : County, Stat 1 , rsconsin: p,3.rcel of 6.5 in Cry%"ornmLn k-_ lot ~ibcrl Tax bey It Lol1.o`:JS %1 Poi It 1_11 _.L 1 i 9~_G t This is homcatcad property. due- 1? of 1 )i)int 1_,10.0 due 1 of the corner of said :3 ,-t-l on 13; t,no>>(." U9i720'i? along center- line of the to,.rr: ~:0ac1 a rli;:rei( of 340.0 feet; thence N 1012' W along the centerline, Town Road a distrulce of 645.5 feet; thence S 86012' W a distance of 4591.!; I-D,t; thence S 101.4' E a distance of 500.0 feet; thence S 39040' h a disti..nce of 190.0 feet to the place of beginning. SFER $ - FEE Exception to warranties: No exceptions. Hxcc-uted at this day of dUYI<J r 7~ SIGNED AND SEALED IN PRESENCE, OF (SEAL) ~J J Hilt, Jam'. _ uy l des n Hilt (SEAL) Sii~natures of authenticated this day of _ . . _ , 19 Title Member State Bar of Wisconsin or Other Party Authorized under Sec. 706.06 viz. - STATE STATE OF WISCONSIN St. Croix County. Personally came before me, this day of the above named -John- J..__Hilt, Jr.--and Delores Ann--Hilt,- husband--and. to me known to t., the person_ S who executed the foregoing instrument and ackno dge the 5t e. - This instrument was drafted by • ! i U ~l, ^ _ -d LAW OFFICES OF JOHN W. FETZNERj --S~. C1if Hi By: Douglas 0. -.TohnSOri ' . Notary Public ._.11t.. County, Wis. A y AV.. y Jan. 1 197fj The use of witnesses is optional. x My Commission (Expires) Names of persons signing in any capacity should be typed or printed below their signatures. NGM i.,CpnG.nY® WARRANTY DEED-STATE HAR OF W CON FO SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ^ ADDRESS:- G-"8 412&*IS eO FIRE NO: LOCATION : AIAJ 1/4, 5i- 1/4, SEC. TV_N-RZ_Q_W, TOWN OF: cr"ir p Eo ST. CROIX COUNTY SUBDIVISION: LOT NO. J 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: I' DATE : CtcS g St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 1 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND CC P.O. BOX 7969 HUMAN RELATIONS PERCOLATION TESTS (~~J) MADISON, WI 53707 (ILHR 83.09(1) & Chapter 145) ff TION: SECTION T? N/RJt~(or OW- SHIIP/UU AHEif~tt Y: LOT NO.: BLK.K.: SUBDIV~~ S~ ICI~/j~,1 NAME: 45 j0 1 COU T)( OW R'S/ UYER'S NAME: MAILING ADDRESS: 3 C~~ of r It i Y) c 8 Ak X ;s PAP USE DATES OBSERVAT ONS MADE NO.BEDRMS.: 1COMM ,E 71A ESCRIPTION: PROFIL ESCR TIONS: PER OL ION ESTS: e❑ New eplace 2 A RATING: S= Site suitable for system U= Site unsuitable for system c~ CONVNTIO❑N~ . IMMSOUND: OU JITANK: RECOMyI~DED SY TEM:Igptional) If Percolation Tests are NOT re uired DESIGN RATE: ~L~ C CJ J 4 ~ ~ If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTIJ,0 .ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED SEE ABBR/V.. ON BACK., 3 S-P s ~31/9~, SJ &3-ell B- Z d t, k, B- ,~j 1~r9~ 97, V-3 S n B- B- B- PERCOLATION TESTS TEST DEPT ATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIO PER INCH p_ ~ Z.lzii S~ P- 0 2- P-3 3 Z <3 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. / 01d (1) * J4 y SYSTEM ELEVATION . , 32" 04 ",if: E E E E Oj~ Se :7 ~6-f 01 o eb rd S } S'A ~s e EI, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods 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): r TESTS W E C PPLETED ON: ADDRESS: / ' CER IFICA ION NUMBER: PHONE NUMBER (optional): 0 flr✓ J /J. Nam ~y~~G 6b3Ye CST SIGNAT E: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER'- f INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To he a complete and accurate soil test:, your report must include. 1, Complete legal description; 2. The use section must clearly i „ate, whether this is a ` nce or commercial project; 3, MAXIMUN I nu€rsb -,)f bedro or comrnercial use ne=d; 4. Is this a new or ra° °ernent s,, S. Complete the s rating boxes, A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SY T€ RULED OUT BASED ON SOIL CONDITIONS; 0. PLEASE use t` ans shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEOi3, a- =f€"am accur=tely locating your test locations. Drawing to scaly; is preferred. A separate sheet may I ad if desir i; 8. Mace scare you: he,.acl~r,rark and vas cal elevation reference point are clearly shown, and are permanent; 9. Cc all appr(c late boxes as to dates, names, addresses, I.lood plain data, percolation test exemp- 10. If - ;h as flood plain, elevation) does not a. 'y, place N.A. in the appropriate box; 11, Si, the i ice your current a and your cc on number; 12. Make legib`~ id distribute as lquiied. ALL SOIL TESTS MUST BE FILED WITH THE LOCA€., i ;.l" ; f WITHIN 30 DAB'S OF COMPLETIO,'i- REV[ V FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st Stoi 'ov°er 10";r BR - Bedrock rob - - 10») SS - Sandstone gr ader 3") LS - Limestone IICst,1f High Groundwater s S ;d Perc Percolation Rate rned s ~'i `r ,nd W Well fs e Sand Bldg -Bu.... i s L y Sand > - Care s -n "sl ly L«arn < L _s an - 3 t B n L. )arri R sic' y Loam rnot - S C: ,.V VV/ - wiu- si - ';lay fff - few, :-D, faint cc - common, rFoarse pt €nrn Many, mediurn in - '..ick d - distinct p prorninelit High water level, le :11 soil textules surface, water to ~juid baste disposal Bench Mark v Vol tical Relfeence 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. _J . I? Q.L. h L T ►,aRO SS, S C T E ' . P 1=i O J EC T b. 11. _ N A M E N A M I r, o vox, R rr L 0 CAT I I ` C ENS =f=!I `l - PL 0 I M A _ N r f - ell P~ o Olt'. lnk~ I j r 1~p~~~,.. •c~pv 03 SU ~ 1=itorS~p~ c \ SW G~wNen of ~wf~ N~fi~ AdJpc~,,~ ~Je11S N FRESH All! INLETS AND OBSERVATION PIKE C110-SSECTION 1._ Approved Vent Cap Minimum 12 Above Final Grade___\ _ 9" Cast Iron Above Pipe Vent Pipe To Final Grada Marsh Hay Or Synthetic Covering Min. 2" Aggrcgl-il _ Over Pipe ' Distribution Tee Pipe 13 9~ Aggregate _ Perforated Pipe Delow Dencath Pipe mss- Coupling Terminating P Bottom of System J REPT131 TROY ST. CROIX COUNTY ZONING PAGE 1 09/'01/92 14:57 REQUESTS FOR INSPECTION WORK SHEETS FOR: 9/ 2/92 AREA: JT Activity: A9200312 9/ 2/92 Type: CONVSEPT Status: PENDING Constr: Address: TROY 13.28.20.576E-1,NW,SE, AHRENS RD. Parcel: 040-1147-50-000 Occ: Use: Description: 175654 Applicant: COATES, PHILIP D JR & WF Phone: Owner: COATES, PHILIP D JR & WF Phone: Contractor: BOUMEESTER, JIM Phone: 386-9020 Inspection Request Information..... Requestor: BOUMEESTER, JIM Phone: Req Time: 09:09 Comments: Items requested to be Inspected... Action Comments Time Exp 00012 FINAL INSPECTION --r------.-- Inspection History..... Item: 00012 FINAL INSPECTIOP i