Loading...
HomeMy WebLinkAbout032-2002-30-000 ' (D co 7 3: o r U 69 d c ~ ~ co o (1) x co C N ~i ~ Y 4-1 C U N O o 0.0 LY (n N U N O (6 C m O co 0 U 0 N 0 U) c (1) > ° 3 O O c z _cpCC'is -a c T« U. c X N C Q N m E o c'O o m c E Q Qwm a~ U M O U) C O Z a m ~ M w FM- U) 0 o z :t : v r o N ~ o 00) n es- m a) Z E '2 N CO o Q) © Z co z O N Z C m y cm y E C N t0 CL ~ c N m d N " C7 N O o a z O H Fes- FN- _ a a o O O O z •rv a a a a N 7 O N O N N w cn U E Qi Qi °D _ a o O o o 3 a L 'O N CD LO Q) = d N K( Q cp 7 U) (A C O c O N C N _O C E O O N a IL m c o _ N LJ N o C C EN O N - a) O j LO ~ '7 L O N 'd LO N ro ..i N V7 E > y m E v m co o co r r .r Y C 1 C~ _ v d N ~ a d* a a r • UGC CL y N D c E L c c ~ 1 L U, 2 o iq U Q O 'Ii N ~ N j'.. 0 c~ ~ I r. 0 0 N U; o 0I O 0 m 'C N y _ a) O O z c - LL c x O ~ C ~ ~ c Q a) U Co co a v ~ ~ N 0) C w v 0 z d a) (L i° FM- U) m c t~ o z m c ~ N N c9~ Q~ N ~ N • ~ a O Z CD Z N co O. 'M z U Lo N N T N N N d .0 a ) :1 E ~•vJ z LO F_ F- I- c O O a O O •wa cu a a a N N N N 7 O N }I~ fA J C) O~ Op Oi "ftV CO O O ca O O 0 L N N 3 w rn a N O O c r- N E r O N _O c O c U U> O l m I- y c a c c V O o a~ a E L ,O _ a) o Cn N a) 0 F.r N M E > a°;2 y a) O co UJ O N cO ~ ~ d r c W j 'm a rr~~ C ~ U I ~ ~ C u (L 0 U) PART NORTH T31N-R.19W. 51 PAR PO K COUNTY • 11 • oR IL od ,o M5, aim T C ® 0 Land Co. 'e / : isG4 f' .c ay Ge° ~¢t fF/on ~/r G. aJ to n / o won 9n, 3 u c - p p a 7z z Peyres~n do P¢ient /,~arfc $ . 99 cSw¢nson n7 s ..e s/ 7o to ~a ~e 3 0 ~ /%aur.c~ rr. Q <TuGus d~l• 77 y, p o~ J~ o d C ~ `II f : Ma//.:~ /za• us>us q~yy,/ns cSdi e e/- k ~ Edward ♦ ~ ~ 0 ~ /tea 79 6 <-Z 7,E Hlzri fen 1,D an9r RNh a//enfvne y01 V~ 7 ~hr.F, ° t V ~FP W~`C srn~~ /so ShQron Fon /~O f1a~o /d•J ~~Y I U°Lm e /s7s Zi ~J u6~Twacrs Cochrane c/saehtnec w O~Rc • 01 ~l C zo Jam s ~ Fe~'n rRAIG /o. ~~C o U 3 b y "'`.y o ~ zo .r ~ ® o _ ® FJi-ndt otl~ 3g tlh 0 CIgO re. 94 'T1 00 3 / Zoo °`C /20 ~ NS, ~ `tl ~ ~°Ql~ LQ/ E S 40 O Cha /e t Ma y y~ \ , Eva O G E RD. 0 ~ F GE RUN T/'a.:se!- ~ ~ evil S F e~e~~ /l oy an '0\W w~h cSch e/ /be d~ 3~ o /a 74 GN. 4eo/-9s ~'ll`• Nv ° 4a 4♦ yh ~~q ~ W ~a Cook SW~b ~`0 yC v tl r, tl I 0 l~ et¢/ AKES/AE . ~z C¢ rOtlo C~ o _ F o9 0 O~C~ U~o wesc/,c,Fa itltl~ /zn °.C y 'c ~ ~yo 00 oa ~ b~ viz ~ F, p ~~r / ~ Mau~.ce tlb Dorot y a . vgvn z°o 3~ V D p tl ~ • p. 6i/B/~n9eon pC ~ '`7 ¢O ~ ,,y~ /NE L. J w / rd G(~'Qry s n h ,eaPt :st y~. C tl tl ` w ~ Fad f 0 dorFiie. e' Chin h of Q % vie ,y~ l Jn~ • : K y an p/ou do ,P¢/oh ~~E/a a /Qi//Qon W zMi7 a o/s ♦ Lind- V~ P/oucde Y;a ~e// vb MA'M:l W'/m4 6 Fi GCG Se/men f 4~~'nn yy.od = //6 zoo ~r. ^ `OC L fc. t~•C D .y-o Schoch tner- i6O ifo arr. iGO p W RICE K. Rai Q'(1' CO°k tl /sB W. NA GS /bo RD. f.iHRMONY MLL i. /0.9 RD. U Ran F U S. Fl. •y Wied- Ci B~ . V -Z7 r s Aire C ~ o C mQ,n ~_N ilanncc- ~ /s>• W a f F ed F ~Gjonia 4 tlQ 0•n ao ti 70 .0o n ~Vr d' a L nn K cSchacht en ♦TQCppue/iha D d a h Ed Q~ F yT°w ~Sb/svl /SG OL t::~ :µCrl•,; f v y , ' //6S ~i9 /SO ; ~ T4MtT 3 WILDWO D V 6 ~7 r°o p° D i --to 1~ H.EG. H. fD. ara/ / 1 601 2 ~t Edmund wo/f ¢rt: san, M Pobf p ier ~ M¢ry Leona ~~ruK C Tohn SDoci~ GuBdt.Ea Iona ~ ,E/i C X 79 /ssrr° y 4.o E Hrbe.-~ • Q.C o '`,`¢n~e.- ~oh~ ° 4 ~Y [i eit ~4 N H° me..sTm o 79 Cook 2 A ~ CCo Two: Roby os.s .o Nano/d wtlh• 1.6 0 ~1. Z tl V Mar- Toann asy V` 0 'CO ~O ar- /QO./z PG'uda/.a 3 /P c'hand ~tl~0 4~ ~j iron to// eibr/ a ~ 7 Ca~-u e/ b Ch ~ ma"' ~I ~`y' ~o e 1 -I it 4Q 40 40• 40 7Ys• ~l • 4 N/LL O f t pb ~ C V • V ~1 ~iG/'IQ /t1~ C. \ 2 • N ~9 ° No 2 ~u eobe t Dona rdma,~ Q W~ tl r~ei~;n W .a~eaQit 4 S a t C arsha// F Pence m9 q' h U bo Srn a y y/isc s.. > ~ O>`f y NiN~N \ /oo Car fa/ n/o .ron .r. CV \4♦ ~ ~<,-oi f 1 S/ha tl0.~, /bo m 8o of esne 0 tl,` Anna ' a 1 ♦tly cv Z Bo v 0 u~ s /ss 1 0 N G.R-io W. TURTLE • d Ro.• _ i37r. as • G~ ~ Nod Mabe ~S O h b ' WY/ ¢m • LK• . • ' /zo i3o3s7. fQ~ y.u i O ~3~ 7ss /ss M en 2 - - \ ~ ~ ~ o c7oe EDOnnaf~i7 ♦ o ~ K Pas .39 Loi-raii~e /z6 Rr4 Q` JF ~3.•l25 /Zf,TS' : rF• 3 C ~'i Co~T./o PQ X s e/' TUORT 6S 40 I• Pte// o a ~ 'Q • V/EW ~ • f E /ee/~ ~ Y ~ M~/•(~ f ~y Ne.+-ma Q F~ rCn /en'eC//s/e an P ~o Ems' F V N` `L n C~~ C •(i v io.r.is Ha sin A se/ _ i.7 l o tip Q CtlQ so ~ -416 cne PQ ELeona.d gO Lb tl '0 '!i"'9e T C/ar- • Eor/L £E/ be//i 'fO ~Tahn.EC C 7.t.e4 enca • Newmct.7 1~// k ® v~:: b /.y / • ~a a°' Pennock ¢s s9 vV 39 o /en tl em a Linda T i•3a Tam ~10~j b' • WQ/><tcf Doroth \ _ ` C f C) ) d )tl v~ zz Z75 y \VN /t/i yc°e ,y y CCCeb La/rdi nOF Law- F/c da h' _ Cony'iQnt U z ..moo •s `lQ % ° d 40 Y9cD,e-11770f /GN n R/OGE • !%G. E ✓r9N. ~ /05 L~ona/'d F/Q//Ci~s L /s _ S 80 80 °it~ ~ 0 w e so.4 YSNOn - ~~~o w~ t IToyce N 1 ~ z nsen C N ~ ~ so ~h f 49 7.i. z ~ Bo n 40 nC a .Po6Y. 4 "'Verror, Lo s c I. (i/an /'Oe, f19~ vi9iir,ac be e/ .(eQr Ice -Duane Q v 0 eta/ W oo tl Lowso 4 .rLrar• f ssn~ Ma /68 LaB:~a .O tl 0 g U' L ♦TOhn E. .~i`e 9FnLa 'G N J~ n .Bazo/a ~w~ V Q/omc 2nc ~b s 35 tee. ~gt N 4 M e ~pN'i ~ C $P z V 7 ~ F \ ~........at::_so C C6 91?IA:c CT.S....nK Ho/comb O\ n • it8 ...g. O LLL n. 6I tCnoir G'°u Wizn ~9/•9 ~ockfo~Y. MQyoPub/s, Inc v./97-v SEE PA GE BANK OF KASTENS SOMERSET LONDRY SALES & SERVICE LONDSCAPING New Richmond, Wisconsin Save With Us - Help Barn & Feedlot Build Your Community Black Dirt - Crushed Gravel - Driveways Equipment MEMBER FDIC Landscaping - Fill - Blaektopping Patz-Merrill Phone: 247-3348 247-3480 or 247-379Y Rochester Silos Somerset, Wisconsin SOMERSET Phone: 246-5181 AS BUILT SANITARY SYSTEM REPORT i OWNER fo'-J 1 n.e R, 6 sa 1 TOWNSHIP SECTION_ 36 T 31 N-R~W ADDRESS S W L SYo --25 ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM t ~ 9 o La' ~roo~ S/ INDICATE NORTH ARROW BENCHMARK: Elevation and description: • Alternate benchmark X11 Jf~ 0 SEPTIC TANK: Manufacturer: a►„~ ~.~C ,~-,~f Liquid Cap. _ /QOD 9.1 Rings used: L Manhole cover elev:22.-I-Final grade elev: / 3-L Tank inlet elev.: Tank outlet elev.: 9b,35 No. of feet from nearest road:Frontq6 , Side , Rear Ft. From nearest prop. line:Front , Side , Rear Ft. No. of feet from: Well- fr Building: ~;X' (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE 4-A GC L(0 - I I 172- V~(kf 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: -X Trench: Seepage Pit: Width: Length -Number of Lines: !2 Area Built, a-.50 Exist. Grade Elev. Proposed Final Grade Elev. Fill depth to top of pipe: 36 ~ No. feet from nearest prop. line:FrontA-, Side , Rear Ft.,&O No. feet from well: No. feet from building 79 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: ~f coq INSPECTOR: DATE : &e'7- PLUMBER ON JOB : LICENSE NUMBER: 6/90:cj •'VGiscon~iiA art menO,M`InRduss yy, 36.31.19ARIVXfe1EW'AGE SYS County: Labor and Human Relations INSPECTION REPORT SPety and Buildings Division (ATTACH TO PERMIT) Sanitary nit IpROIX GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village ❑ Town o : State Plat X CST D + PA Ii!T" Elev.: BM DescriptionSOMERSET Parcel Tax No.: TANK INFORMATION ELEVATION DATA 032-2002-30-000 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic e, I d, Benchmark eb, 60 Dosi n Aeration Bldg. Sewer " t-k4- C~4 Holding St/ Inlet 8S T15/0 ' d, TANK SETBACK INFORMATION St/ Outlet T'0 17 TANK TO P/ L WELL BLDG. Air Intake OAD __D+ i•+la+, Septic ~3, (,Cj ' NA Dosing NA Headed d~ /0r Aeration NA Dist. Pipe r /0. 92 97 k Holding Bot. System /k)~ 7 v5' PUMP/ SIPHON INFORMATION Final Grade M nu Demand e* 9-2, C3 Model Number GPM TDH Lift Friction Syste TDH Ft Loss H Forcemain Length Dia. Dist.Towe SOIL ABSORPTION SYSTEM BED/TRENCH Width if Length r No_ Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS I-,- DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING M!!C,1Ur,0- INFORMATION SETBACK Type O C'ry-t % 7 CHAMBER OR UNIT Model Number: System: DISTRIBUTION SYSTEM Header i-PAani#efd- Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Sao 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 3 - Bed / Trench Edges ~j Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) ~r Plan revision required? ❑ Yes o Use other side for additional information. Ce 0 j~. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: _.e aOILHR SANITARY PERMIT APPLICATION couNTY . In accord with ILHR 83.05, Wis. Adm. Code ~.o...~...~ . STATE SANITA PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ ` 8% x 11 inches in size. cn k I revision to prey Touspplication -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPER OWNE PROPERTY LOCATION - [ Y4r;F'/4,S T N,R r)W PROPE TY OWNER'S MAILING ADDRESS LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISI N NA E OR CSM NUMBER L-i II. TYPE OF BUILDING: (Check one CITY _ NEAREST ROAD ❑ State Owned ❑ VILLAGE f „ ❑ Public 01 or 2 Fam. Dwelling-# of bedrooms PAR L X NUMBER(S) 03.~ dv~ - 3 d Ill. BUILDING USE: (If building type is public, check lahat apply) 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 80 Mobile Home Park 12 ❑ Service Station/Car Wash 50 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. Ln 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 220 In-Ground 42 ❑ 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) , e ELEVATIQN /41.6767 ~V 0 .4499 Feet r 2 -Feet Vll. TANK CAPACITY Site Mriks n aons Total # of Prefab. Fiber- Exper. INFORMATION ew istin Gallons Tanks Manufacturer's Name oncret Con- Steel glass Plastic App Tanks structed Septic Tank or Holdin Tank 600 Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. PI ber's Name (Pr' t): Plumber's Signs : (No Stamps) MP/MPRSW No.: Business Phone Number: L ,r~ 1 5Z 3 SiZF b1n Plumber's Address (Street, City, S e, Zip Code): P~6 G/ IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater a e Issued I suing Agent Si t (No Stamps) Approved El Owner Given Initial Surcharge Fee) / _ Adverse Determination / X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-8398 (formerly Plb-87) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Four sanity 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. 1 All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit 1-ransfer/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. It. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, 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 81/2 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 tarks; 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; (Jose 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; 1,15 form; and F) all Siziinformation. 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) r STC-100 . This application form is to be completed in full and signed b the olgner(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 Pau ~ I - rvA Location of property S 1/4 5 E 1/4, Section Township T flailing address ~2 5- Address of site subdivision name qJ/~ Lot no. ?A_ other homes on property? es Y -X_No Previous owner of property tn Total size of parcel Date parcel was created - 0 S- Are all corners and lot lines identifiable?_ Yes No Is this property being developed for (spec house)? Yes 4- No Volume ~ and Page Number 3/9/90 of Deeds. as recorded. with the Register INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRMITY DEED which includes a DOCUMENT NUHBER, VOLUME AND PAGE NUMBER & THE SEAL of THE REGISTER OF DEEDS. certified survey, if available, ;would be helpful I o asdtoloav,oid 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 the property described in this information form b e owner(s) of warranty deed recorded in the office of the County Rvirtue a egisterfof Deeds as Document No.~~ and that I (we) own the proposed site or tie sewage disposal system orr I e(we) obtained an easement, to run the above described rt, for the construction of said system, and the same haso been duly recorded in the office of County Register of deeds as Document No. 1` V Signature of a.p~s 1 cant Co-appl cant i Date of Signature Date of Signature - u.ea-,auort roroL (STATE OF WISCONSIN) (Rec. 226.16. Wis. Statateo) Form No. 17 Published by Eau Claire Book A Statlonery Co. 277341 - i~ Richard P. Rivard and Pauline Rivard, -~~ett~ure Made by Successor Trustees in the Estate Rivard of Theophile grantors , of St. Croix County, Wisconsin, hereby quit-claimsto Joseph S. Rivard, Mary Ann Rivard Mitchell,Edward F. Rivard Robert Rivard 6 Francis Rivardgrantee s,of St. Croix sum of One ($1.0 0) County, Wisconsin, for the dollar and other valuable consideration the following tract of land in St. Croix Dollars, County, State of Wisconsin; East Half (E 1/2) of South East Quarter (SE 1/4); South East Quarter (SE 1/4) of North East Quarter (NE 1/4); ALL in Section 36, Township 31 North of Range 19 West. Consideration for this deed is less than $100.00 therefore no U.S. Revenue Stamps are necessary This deed is given by the aforesaid Successor Trustees in the Estate of Theophile Rivard, pursuant to the Will of Theophile Rivard, dated May 20, 1912 and recorded with the Register, of Deeds for St. Croix County, Wisconsin in Volume 138 of Wills and Decrees, page 460 and 461. Grantees hereof are all of the heirs of And the resai deceased. aRivard,d N EirGISTERS OFFICE t~ ST. CROIX CO., Wis. Reed for Record this-25th day of__ AuYust---A.D. 19 _ 64 &L-L-IQ E., m. Y-7~ David Hone - R glster of Deeds deputy In Mitnt00 M!snot, tth osa g aanetor s ha ve hereunto set t r 30th y and s , d seal this ,A.D.,19 Signed and Sealed in Presence of AL) ~J Rich P Ri v rd SEAL) Gertrude Burnl Pali- 1 o Ri ya r,ri (SEAL) `Margaret C. Mullen Mats of Mforonofn, 82 . St. Croix County. I Personally came before me, this 30th day of J un e the above named Richard P. Rivard 8 Pauline Rivard, Successor Trust a 19 64, to me known to be the person s who executed the foregoi instrument and ac s !edged t ,same, G 4 Notary Public S C • ~ `1.~ 8 ` roi t . x z My commission expire , Drafted b R by hard P. R, yard 1enwodd City. W' f , ,y` sin 6. ta 01 Pe^F erante A ch. wttaeesas WI.and S n pravldea that aII tosi:eroma to M r I ry•) abarded oW have Niffinl~ jw t s w or Wrod itibm w thereon the namar of the sraatoro. • O3~-a SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER P ,_t,J Yn e et l) CLID, ADDRESS:- W r s FIRE NO: LOCATION: -5,-' 1/4, SEC. T 3/ N-R /`W, TOWN OF: ST. - CROIX COUNTY_ SUBDIVISION: LOT NO. _ ,A11A 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: CF >(tir ,g (e ~~%►~f T I. " -DATE: St. Croix County Zoning office 911 4th St. Hudson, WI 54016 W zw . '7'i o e y ~ !~'t ti a a O C~ b b . 91 (I r W ?f ~h a DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION L;NBOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 7969 N WI 53707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) NO.: BLK. NO.: SUBDIVISION NAME: LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: MX 'V S F 1/ 50 1/ 36 /T 31 N/R l9 (or) W So, ers a.'F u p 1 COUNTY: Oy~ ER'S/BUYER'S NA EP. i 10 CL V-A : MAILING ADDRESS: .s J 6 r S V 'I''a Y1~e S~, 5,q o A4 Y' Gro ~ USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: (PROFILE DES RIPTIONS: ER OLATION TESTS: Residence 3 ❑ New Replace -~o • /0 - 9Z Ili RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ®S ❑U S ❑U S ❑U ❑ S ®U ❑ S U If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: 14$.q Q Floodplain, indicate Floodplain elevation: / • PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) ®-8 Bks j B 9 9 ki' 4f -3o an s 30-3? an 5, 5-.) -594kB, Is ! 8 a 0 ~/O l 0- 3 5 3o Qo - s 8S r B--1.1d0 9a NoYu woo / ~Ir p-I6 3k s /5 /6- a 5 as - 3P /sft 5 , B- y ` $9 5 oNc - s- a ik 011 e- y s B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PER D PER INCH P_ I /U o d 2~ /a JR, P_ P- o ,3 0 a 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 gl, i' A, mom- s - a .a 3. . ~LAC IT;T4 o., E- ( „r -5~&L-4 a r~ _ ~AD N ` ~ f _ N , t ' I , - - s 4 V- s`' Sao, , 6001°JCr , 3 E 3 ; e 1+0 I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the pr 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 a elief. NAME (print): TESTS WERE COMPLETED ON: 0ado/n ~o~-~.rs r _9-/0 ADDRESS: CE TIFICATION NUMBER: PHONE NUMBER (optional): J FI71s a YG 5i~f s- S 6i CS IGNATUR DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - Q 4. L. r F i T E d%N ° AT S PO CERTIFIED SOIL TESTERS e to res F i TO THE OWNER: This s) po ; it The c( z -~ythe De ~ tst verific&L-'l <,n,s soil ic= A con'. of plans u private sewage sv -in and a 1 app )ca! auth , in order to obtain a permit. The sanitary per =pit mast ht o' ,c. ' ~d prior to the start of any construction. j I_ I i I { , i I I i 1 ' i ~ ~ ~-!-'V►.k l ~ °,k'~ i I I I I i i ~ , ~ I i i ; , • I I I I I I I ' I ilk, I I I I 11 i~ ~ I ± 1 I , I! I r~ I r I I I_ j- i I I I I I I I t I } ' I ' I -t_- ~ Ma- ' 'Q4 I I I ti , I I 1 I I ~ I I ~ I I I I I ~ I ~ I } _ , I I 1 , I I I I ' I I A l i ~ l i l l+ I I I, _ I I III r_ ~ ~ I I 1 I I ~ I 1, - I I I ~ I ~ I I I I ~ ~ i I i I _ I i I f ~ I i~ i II I I ' ~ I I I i I I ~ i _i r ! ~ ~ { II , I I I I t ; 1 I I ~ I~n,~f'~' , ( ; , I I , I I I I r I ~ '!1'i 2'I j ~ I I I 1 I ~ ; I , I y I 1 I I I I I I , I ~ I i~ I ~ I 1 I ~ ~ I I I I I -r I I I I i I I I + I I'r j I j I i I 1 I I I _ _ I 'I I I I 1 I 1 a J I I I ~ ~ I I ' I ' ' I ~ I I , I ~ I ~ I I I i I , i I 1 I i I L. 1 i I I ~ - I I I ~ I I- I I ~ ' I I I I I I I I ~ I I I . ~ r I I ~ I f ~ 1- I } t I 1 1 i i I f I _ t , ~ I I 1 I , I ~ ~ ~ I I i I I I I 1 I I I ' ' 1 i I I i I I I I I I I i I j I , , I I I I I r- r { r t r -I i-- _ I I I i I , I I i I I I , I I I I ~ ~ I I I ' 1 ~ , i I I ~ 1 1 I i I I I ~ ' I ~ I 1 ~ I I I I _ I i I I I 1 ! 7 _ I L I I I I ~ I I I i 1 ~ l i _ 1.- ~ - ~ _ - ~ i f H i I ~ r i 7 ~ ~ ~ I ~ ( ~ - I i I ti ~ ~ R. ~ 1 I - ~ - i - ~ - i - - i - - ~ - ~ ~ - ~ ~ ~ c - - ~ ~ r - I ' ~ T - - ~ _ ~ I _ _ ~ ~ r i - y i I _ - _ a i ~ i i ' ~1--l T I--. i ' ~ ~ i - ~ ~ r ~ - - ~ ' ~i ~ ~ i _ _ - 1. - ~ ~ ~ ~ . ~.-_l ~ , ~ I . I _ _ } I- . - ~ ~I- ~ ~ r ~ - ~ ~ - ~ f- ~ ~ I - ' ~ ~ I- t 1 ~ ~ ~ i ~ , ~ ~ I - 1__ _ ~ I , _ _ 7 , _ _ ~ ~ _ _ ~ _ ~ _ I ~ ~ _ ~ _ ~ _ _ _ r T- t I L _ _ ' I i i I i ~ t rt I - i ~ ~ ~ - - _ - - - - I l I I ! ~ ~ j ~ ~ } i ~ ~ ~ I i i 1 I i l - - ~ ~ ~ ~ + , f- -E i j ' I ~ T ~ ~ t l- - ; i - - - _ ~ } i _ i ~ ~ ~ I _ ~ - _ - ~ - i - t _ L - - - - - - I ~ i !-r--I ~ ~ i 4 I ~ ~ ~ ~ I' ~ ~ ~ i ~ ~ ~ r - i i , i _ ~ - - _ t i ;I ~ t i ~ i - r ~ r-- ~ 7 . _ 1 - - - - - - ~ ~ ~ I ~ i ~ t ~ i ~ - ~ ~ ~ ~ ~ ~ - i I i i - ~ -1 1 - i ~ ~ ~---7- ~ - ~ ----I - ~ - - - i i t ii i I I - f i I ' ~ i ~ I I ~ i ~ J I i I _ i ~ ~ ~ ~ I _ _ _ _ 1----_~ 1-- ~ 1 ~ ~ i._._ ~ ~ f - - 1 i ~ ~ _ - - - , - ~ i ~ : - - - ~ -C - - i- ~ ~ I ~ ~ ~ i ~ ~ ' ~ i_ I 1 i 1 i_._ i_.___ _ ~ ~ _ _ _I_._ I t ~ i-- ~ - - ~ - t - +I- - a - I - i- it ~ _ L I ~ i~ ~ ~ i 1 i _ _ i ' G ~ I ~ ~ ' 1_ ' ~ - ~ - ~ - ~ - ~ - I I ~ ~ , i - - - - - ~ j ~ _ , - ~ i~ - ~ - ~ _ ~ i ~ - 1~ i f - i - ~ - I; - ti L- ~ i - - r- _ i I - ~ ! ~ i ~ I i i ~ ; ; ~ _ fi , C f U S S 1 01-1 I U r i O r A Zito S S L! r►-) Fresh Air Inte16 And OD►errollon Pipe i_^r----Approvid Van, Cap M,nlmam 12* Above final Grad. 20- 42' Above Plpp _ 1" Col, Iron To flnel grade Vans PIP@ Mar en Noy Or Srnlh tk Co aring '",n 2' Aggregate Over Pipe Di urlernon Pipe a o o - Tae b' Aggregate Beneath Plpe ° Parloratad Pipe ba,or o -'C610ftg Terminating At Bottom 01 Sfalam prp~o)eD I ln,I c~ro%c-1 0, - ~Ic.J•,~' ion / SOIL FILL 01-STRi6UT10f.1 PIPE t APPROVED SyWPAETIC COVCR 2"OFnGGREGAIE r - 't1ATfR1M- OR 9" OF sYRAIj OR MARSH HA'j ELEV. OF~~tab fe OF 12-2,i2 AGGREGATE - E aP~~~ / FEET---._ ~~Yf~'' DIST1115UTIOM PIPE TO BE AT LEA5T IUCHES BELOW ORIGIUAL GRADE AIJU AT LEASTLO IUCHES BUT 1.10 MORE THAI) 42 IAICIIES BELOW FINAL GRAD[ MAXIMUM OaPrH OF EXCAVAT1,00 FKOM OK1bWAL 6R1\p~ WILL BE 3c_ IUCHES INtilMUM ©KprN OF EACAVATIO" r-ROM C 116 SAL (;)RADF- WILL 6C ~ INCHES SiGUED: LICCUSC LIUMBEIZ: DATE: 0~- - - 110 REPT131 SOMERSET ST. CROIX COUNTY ZONING PAGE 3 06/09/92 12:08 REQUESTS FOR INSPECTION WORK SHEETS FOR: 6/ 9/92 AREA: JT Activity: A9200210 6/ 9/92 Type: CONVSEPT Status: PENDING Constr: Address: SOMERSET 36.31.19.472,SE,SE, HWY. 64 Parcel: 032-2002-30-000 Occ: Use: Description: 171445 Applicant: RIVARD, PAULINE Phone: Owner: RIVARD, PAULINE Phone: Contractor: POWERS, CALVIN Phone: Inspection Request Information..... Requestor: CAL POWERS Phone: Req Time: 14:06 Comments: Items requested to be Inspected... Action Comments Time Exp 00012 FINAL INSPECTION C)rK Inspection History..... Item: 00012 FINAL INSPECTION