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HomeMy WebLinkAbout020-1131-20-000 r. . 0 69 0. ~ I M O N i~ I h I I ~ I y I 'Zt v I N c z L m {L 00 I. Q M N Z H 0) S Z = o rn N d m ~ F- U) I o z v h (D E a CY) N n ° •y ° ui w O o O • ~i ° w ° L L O al N a ° o a~ Q N v Z I- Z o ° N zzo I ~ I d a° c ~ E r lad - ~0 o a E ~w N N N 5 E WSJ inM a 000 H •N ~aaa CL o W U) rn rn N J C1 CA N O) } r r anon in o co ° q) 04 C n 0 O N N N -0 E C a u' `n N w co (D to N Q 0 N Y d Q Z U) m 0) U) C~ °i C lC ~O C 7 'V W O p I~ 3 j'. L U O N d M_ a) CL C C V a 0 0 0 0 L N (O F- U Y C U N N N Q C; O C C E C C D D M x.1.1 C N O y L N D D N U) c r F- 2~1 a) • N O O a O 1A E f6 a3 U O S O Z rn _f 'wS' fn O ~ I v~ R € CL a~• L: r`1ri cc CL r A U a 1:: 0 vii o FORM - STC -'104 AS BUILT SANITARY SYSTEM REPORT OWNER L,/.,~r.li~( TOWNSHIP SECTION~T 7 N-R__L~_W r ADDRESS ~w:L..., ST. CROIX COUNTY, WISCONSIN SUBDIVISION r<..~:a%r r 27 LOT LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM / ;17 ~e ° a~J r/, o F 7 p f INDICATE NORTH ARROW BENCHMARK:Elevation and description: Alternate benchmark SEPTIC TANK:Manufacturer: Liquid Cap. /1_Z, Rings used: D Manhole cover elev: Final grade elev: Tank inlet elev.: Tank outlet elev.: No. of feet from nearest road: Front , Side , Rear' Ft. From nearest prop. line:Front , Side v_, Rear Ft. id f No. of feet from: Well Building:-- 1 (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE t PUMP CHAMBER y~ Manufacturer: I`." 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: k. Seepage Pit: a width: Length -Jr - Number of Lines: Area Built `~~C: Exist. Grade Elev. Proposed Final Grade Elev. Fill depth to top of pipe: No. feet from nearest prop. line:Front x,, Side , 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 : 7- PLUMBER ON JOB : LICENSE NUMBER: 6/90:cj 4 v CIEPARTMCNT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION MADISON, WI 53707 State Plan I.D. Number: SW 4 , NW 4 ,Sec ,19 , T 2 9 R 19 (If assigned) ❑ CONVENTIONAL ❑ ALTERATIVE U Town of Hudson, Lftt ❑ Mound olding Tank ❑ In-Ground Pressure NAME OF PERM T L ER: ADDRESS OF PERMIT HOLDER: INSPEC ON DATE: We! Ave BENCH M K (Permanen re erence poin DESCRIBE IF DIF E R ) REF. PT. ELEV.: CST REF. PT. ELEV.: Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: 3224 St. Croix 149010 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER u PROVIDED:. PROVIDED: l i Oq 1' 93, 3 2' YES ❑ NO ❑ YES Ia NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH i I ALARM: FEET FROM 0 O LINE/ AIR INLET: ❑ YES NO L4 _~L ❑ YES I a NO NEAREST 7 DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING ABEL 7KING DED:OVER ❑ YES ❑ NO ❑ YES ❑ EN ❑ NO GALLONS PER CYCLE: PUMP AND CON' ROLS OPERATIONALNUMBER OF PROPERT:REH FEETFROM (DIRENCE PUM ON AND OFF BETWEEN YES ❑ NO NEARESTSOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: D MARor excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) CON ENTIONAL SYSTEM: WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COVER INSIEDIA.: # PITS: LIQUID D/TRENCH f TRENCHES: MAT RIAL: PIT DEPTH: DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR. PIPE ISTR. PIPE DISTR. PIPE MATERIAL: NOF DI TR. SAqEST, MBER OF WELL: BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV. INLET: ELLE'V.. END: PIPES: ET FROM AIR INLET: G(~ • ~3 s q MOUN D SYSTEM: Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑ YES [__1 NO ❑ YES ❑ NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ED NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.: ELEVATION AND DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑ YES ❑ NO ❑ YES ❑ NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE: ❑ YES ❑ NO ❑ YES ❑ NO NEAREST t ~ 7 Retain in county file for audit. Sketch System on TITLE: Reverse Side. SIQUATy SBD-6710(R.06/88)+ / y~ ~2 SANITARY PERMIT APPLICATION • [ZTEDILHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY -5 T. a~e„N wnn,~w,v~ STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ ^ evi onto previous application 8% x 11 inches in size. 44,lf4 -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. ~PROPERTY OWNER PROPERTY LOCATION qq Q M~ //E SW %ljk)/a,S~9 TZ[,N,R I r W PROPERTY /,7S QWNER MAILING DRESS A • LOT # BLOCK # CITY, STATE ZIP CODE PHO NUMBER SUBDIVISION AME OR CSM NUMBER - AlUKO-11 Sy®iG G/ LQi II. TYPE OF BUILDING: (Check one CITY EAREST ROAD El State Owned 2 ❑ VILLAGE : V p SQ.J is_rkto Ise-IA D~ ❑ I Public A 1 or 2 Fam. Dwelling-# of bedrooms ARCEL TAX NUM ER() J Ill. BUILDING USE: (If building type is public, check all that apply) 0~~ , 2 _ 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 40 Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 50 Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE F PERMIT: (Check only one in line A. Check line B if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4.0 Reconnection of 5.0 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 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ® Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure , i 43 ❑ Vault Privy 14 ❑ System-in-Fill ~~~~ssr .Z -j e v6Q., 64C 4 S)(S o 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 D REQUIRED (sq. ft.) PROPOSED (s q. tt.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 5 Soo • Q l J Feet 9 S Feet Vll. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber GOB f 1`F VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) MP/MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): R 1r . / BOA I,?:?- &n/f...." IX. C LINTY/DEPARTMENT USE ONLY ❑ Disapproved itary Permit Fee (includes Groundwater a e ssue jissuing A nt Signature (No Stamps) Surcharge Fee) Approved ❑ Owner Given Initial Adverse Determination /mil T ` 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 APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the .property being developed. Any 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 7,0 k.. t )i1r y Location of Property ~S GJ iL`:, Section T N R f W Township Mailing Address N~r * rrv~ Subdivision Name AAA' r~ ~Lti' ~ Lot Number Previous Owner of Property ~j #''ir~ : • ^ r `total Size of Parcel Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No Volume q.f and Page Number as:recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION.ONE OF THE FOLLOWING: 1. Warranty Deed 2. Land Contract 3. Other recordings filed with the Register of Deeds Office 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 the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION 1 (We) eeAti6y that aU atatementa on thin 4o" ane true to the beat ob my (out) , h.nowxedge; that 1 (we) am (ane) the owneA (a) o6 the pnopeh ty de,6 c i,bed in thi-6 .injonmation 6onm, by vi ttue o6 a wannanty deed neconded in the Oj6iee of the County RegiAltea o6 Deeda ab Document No. and that 1 (we) pnesentty own .the pnopo.tie.r s4te jon. the &ewagge posaX `^N (on 1 (we) have obtained an eaaement., to &an WLVL the above de.6cAibed pnope/u.y, jon the eon6tn.uction , o6 a aid a ya tem, aaad .the a ame hab been duty teemded in the 0 j 6 ice o6 .the County Regi.6t. en o6 Deeds, as Document No. qwt" SIGNATURE OF CO-OWNER (IF APPLICABLE) SIGNATURE OF DATE SIGNED DATE SIGNED T OWL f a` j w _ K~iWF } . rY -wtt~ureae ■ 'i~ A iNj : y.. !yam' .•w`• ~,a cos ►wame apwe to Now ` PWAM r..rw ft ptMif>I eM #fi VW Of d& NOW* hr WMAUft do "Wft Pow**'- Ift SO Lot Twes (3). Plat of Strawberry Port, past of the Southwest Quarter of the aftothwset Quoner MI-WO. 17"S Westerly of the highway, all in Seetioa Niateen (19). Township Twenty-nine (29) North, Imp Nineteen TU PESO W (19) West. Town of Nwdson, at. Cron County, Wiscomslm. x =s ,ate;, r Onlmiftft Together with and subject to Declaration - Protective 'aNi ar and recorded in Volume 339 at page 462 as Document 03340211 Lprovement Agreement recorded August 10. 1976 in Volums 541 at go" 195 M Document #334728; and easements, reservations, restrictions of resort, if inW. s. is not Thk hoanatsad property. (is) (is mot) Pueehsmerr so to paseha s the Prepay sed to pep to Voeder at s - do ens ee ]j. M....._.............. is Ne eass~r: (a) a 5 &MAM togemar With bstssast leeo data and (h) the e babume at at fte omssmtisa of this c shrect; hseasf oa the balemea oatsteadbe from them te thme at So isle eL pie 0" pa emsse ustli pdd r ML a follows: The balance of $50,000.00 shall be paid in monthly installments of :646.99. which includes principal and interest. The initial payment is due on ssetemher 15 1989, and on the same day of each consecutive month thereafter with the final payment of all unpaid principal and accured interest due in one lump wan on September 15 , 1994. Interest on the unpaid balance shall accrue at the rate of nine and one-half percent (9J) per annum. Buyers may nee prepay in whole or In t o any o a er t , bowewse the omtire emtetanding blouse AM be pmid in fuq se or Were the.......15th dq of MILIM-K ls...°~. ( tb nslurilp date). lwbwimg any ddma is I v bnasrss0 don earmm at the rate of _..1~.... % per annum on the eathm a==& is dadask (whiah shill iadude„ without lbdtadom, delinquswt bstseest and, upon seederstion or maturity. tbs sntlee balsam). Mod- . p d d tans, spa" asumsmtM two ae ai nook- iruraaem pswmhms wbma doe. "r lgsutte shell appWd /rot le hMeest a dw mspdd blames d the rate sp aided and thmm to priedpd. IM is the ease! of nay Vmp"ment, We soutraet ahmhl set be treated u in defaalt witb rasped to psymsrt so long ar do ompdd belemme of prieeipel, and intuit (and is sub ease aeorning haereat from mosth to moaffi shill be treatd as told prisolpd) ten tense than the amomut that sold ladebteduas wmald base ban had the monthly payments bun muds me Mt spedlled above; pro.that monaft pgmeets shill be a ndna d In the event of erdk of airy proasds ad hismemee or andannation, the sood.esed promises boat theesaibr amdudsd herefMaL bi an PE The Vendor shall furnish the Purchaser thirty days prior to the date of ultimate ti closing.and the Purchaser shall accept as a sufficient shoring of title, either 1 a title insurance commitment for an owner's policy of title insurance in the sum of the purchase price, the Purchaser to be named as the assured to be written by a title insurance company, and guaranteeing the Vendor's title in the ~I condition called for by this agreement, or (2) a merchantable abstract showing the Vendor's title in the condition called for by this agreement. If an abstract is furnished, the Purchaser shall notify the Vendor, in writing of any objections to title within ten (10) days after receipt of such abstract, and the Vendor shall then have a reasonable time within to rectify the title or furnish a title policy as above i deser bed. . fee pad= Pardwar shall beestitld to tilts possession of the Property em.lmmadla.tel y- ALf tar- c Losing...., •010" out oi& n~ a.ml,ldmat ar aTAO if ~eMx i W:.eondn Iwt.i mpk Ca lne. aC . ; . ~ MH~wkw. Niw 4..exr--rand • ,I~I,I.Ir,W v^ . ivy ~,py^+'+,~~~ r .rl~ Ur GUY . ....r. ,I~/', ^,5~~ P u+abesr splus 64 tim r d IM rssaads and W Y the grist d a ddwh b mrppi■ W sit hAwas wtdi edatlaw !ae a rrw -N iis►iss ells s~sd!!M Y ww/M►. .e .•a~,tra k' stir ftiw- - tr ~ A ` •~~•~1W E aai sdeid ~ ~sl.astw.aae _ 1~ M estl Y *ddb~ i~II M d ps' I fit; tdY Y i oe (~j Visie aq ss>• Sol spedfie ~~~p~ i 4s M *slstsst d ~ Yl:ass. wMp istaarst tladwa'eefsaR firs asls Y ;c isest tlns ~I doll be ae }~dsl ssls It W~ sir a< M far the "on sot trrW Cs wt ~i aess~i vennIse (vj iee q Yl»9' Mraaise it asni verve ls~i Y y. 4 _ is 'ssnt Used Yr P11 V.-A henow" to 60 •vDliad ~s fie es«u~•~ srb. +s~s~s. gee IKIiYe'is M Pruoi*m A ma / MR W c~sq aq h1w ee Of Issee b4aM Y lira p~ W is elk wq r £ sass~]t at lrrldst t!e~wr~aii~aliae tbms Cmisast is lllet ~sY ees egri Is • ee aMi/ ddst of this Ceatrast sNs4► as ssasdrr r llsrrbssae is !re ew~at sri thadsb adM se a~s~,lNhest Visiu~4 weMtds sassdst,~ , ' balaaea t~ ie ~i~e ~ ~~sRes~t aWl <tenr iwssi~lse aui ~►stM Y lii. st ♦ q~si In4snsr nndnaa dss eslsdaadmag a.e.i gaYat tis v fti..de~ shim 10" an tbi. osatrset saM. 4" e eie this C ftt u . Mrs e* Vendee may waive eq dahdt wmlost wsltiba asps sae o+eaasaat er ld.e Ashok aR:lsfisssf. AN barns of Ma Onsb" sod be spw aid Ysrs is As bsssila rs eeaddwatbo terns to n66 1nsa~aaMai rtdtMa IS .si ~!r wip WYaerasst's3aY dead to be shade In laswt.l Dated this ....A !"k day of A. , »..~l.. 11• , LNWRS„ .....................(SEAL) )C..... .....(Wf1~' °is+ a~. Map • Charles .J. J . k` ,r~.`••~~ ...........(SEAL).. ~l..................................... • ...~4th~..&~ AUTBDNTICATION ACKNOWLRDOWNUT Sigaetnre(s) STATE OF WISOONSIN §L St Croix ()Squmm*- authenticated this ........day of 19 Personally cans befogs vas We >r _...~......dw o, f it-AR Os above Charles 7. Johnston and KatMsim husband and. ife_ an servnorahi lsl. TITLE: MEMBER STATE BAR OF WISCONSIN ro ert . (If not, authorized by 1 708.06, Wis Stets) *•,.~N•"" to me known to be the • wo ~awlst tbs persolt.--......... /`N% )k L 0 ~ yt foregoing hwhu ent ass aeke~IM~ tis a1~19. THIS INSTRUMENT WAS DRAFTED RY O S Gregory L Gross of the fir` f N T'4 ~r I JUNEAf7',' ?ITNDER;'GROSS..S.. •O": M • !!f4...V.(...~ll. 214 . W . 5th S t . P . 0 . Box 8091, s 'Notary Pobiio ST.:tR1l~~S. { (Signatures may bb authenticated or aebElil~edg rf my commission ti P lit ari; tHti' are not neesisarq.) .y0~ b~ ,,i~ date: •Naa1w on Wa•e• •!a•1•Ir in shah •yW •MoIIN M t>rNd or WS 04* 0 jwWrm. LAAIn ~11!lALT~e,~" ~ 'vl W a1ael~~aaa ]p,,, A /rS`-~ t1 --''~X INT 19, T29N9 R 19 W. TOWN OF HUDSON, ST C ROIX COUNTY, WE CONSIN APLAIT-ED ONVL 1 4 (RECORDED AS S87•29'E ASSUMED BEARING) QI of 'CONTOUR 517' ' a1 =I LOCATION SKETCH 2 95D EL 5 99•12'30'E 493 91' Z( ~I 7 AO X572' LAKE 135{r 922 / - ` - 7 ,I i NE /4n x7169 13012' D. QUALIFIED AND MaWLau q i _ HEREBY CERTIFY n S ? 4ti CONTOUR D TAX SALES AND 693 0 EL _ fro 3,~\`~yp~• 45 i AFFECTING f SE ri•w le2.12.r 5 6I 'C r Ar \l 1.22 ACRES 17 . ll4 A~4ES m 01 y W~y, 9 4 j i N% 1 1 m W I R NW 1/4 SECTION 19 L~ r~ . 9e 117 ACRES ^Je „ j N T 29N R19W of . N vPQ~e Ir ~c, , ;v z ~ • " i l- Pv 40 y g 2 1 °~i B3 NEV-4-3f 1/4 ~pp~y ~6 t00'9r 2• ~''Qr• e2' E i SECTION 21 (r'•\. ^ /,jv f7 6y a'•j9 E N89.3746E e 1FIED : VD ACTING n 20 w V•'~y .0~~'^ 9°S 106 DES I►) H61° ~j~...r 1?9 22- - - N ,Jl, ,,,9d qU.. ' EASEWNT CERTIFY THAT IN UNPAID 9p C~ ~y 3 t m ARE NO ? i Y OF THE LAND ' `'B. \s5 OAS C V) r6 ` , - m 4. .4• t' 0 / 7 ~~S ✓j. / p, ` ~y 2 ~e>•~ ~M>r 112 ACRES , m 0 Q 11. R y1.04 ACRES .1 ~9.' • /y o 2~ 3 W W 2 CONTOU _i-7,E , ~ 1° 96s , ~ N Q .INT IN THE TOWN 6950 EL 7 r*3 R p '~,•4.1~, N Q 1.07 ACRES 8? lei NER',, 15 HEREBY Pa 125• _ 16 ! s9 - o1 TOP OF PIPE BENCHMARK-EL 693 20 J `j• Y 8 _ USGS DATUM 1929ADJ 1.35 ACRES p g N, REGIONAL FLOOD FL.-693.0Jta N m N y O LOW *ATE R•EL 6880 JAN 13,-976-E- 668e VYATER 4 J 'MDINARY HIGH '+/•1_ °o~ ,r LLE,ATION 6893 p4e (n h INT, LOCATED (N \LL~9S 3~, " L 9 M -ITY OF HUDSON, ~gj•~vv~~Y lag ACRES , 1IB G_RE_ REBY APPROVED 09k 0J ~n ~9J9J ° S -CJ ~ 4S a „4,, / /923 P•• ~ o S a3•k' ~ -to OPY OF A RESOLUTION B3 z; k HUDSON. ?r. / J•h y. 'i P^IN' R(GINNM16-• _ " • or. ' . . AT'rt N »T•»6 / ~1 ~ AN^5 TRUE BEARING _w ,4 C,*NER - SECT ICON 19 SCALE T29N, R19W / CURVE LOT RADIUS CH)RC CHORC 'ENTRAP TANGENT NO NO LENGTrl LENGTH BEARING ANGLE BEARING 100 0 100 god 1-2 U 27333 8921' %W59'36'W 18°46'48' N64°2B'OOIW 12.53 3-a d 1G%:10 4510 h38'39'00'W 51.30'0' N12.53'00'w 5-6 - IU O+"i aJ 7S ' N 31° 5C`' 47'E. 89°2734 N 76-3434"E 2P 45' iN2'I•"V46"E 90°!7'32" NL7.24'32" ----t._./ 15.9 ti ! N 'I° 59 33"E 1 9°10`'02' N 76.34'34•E n _ 6-7 - BU.UO 13253' N44.0913"W 241.27'34° 5 13.0700 W STANCES, LENGTHS AND WIDTHS ' 7 80.00 105.6+) N35•I 34E 82.3600 N6.01 26 W 6 80.UC' 40.08' N 20.31'56" W 29°6f 00° N 35°02 6"w SURED TO THE NEAREST ONE 5 80.00 82.27 NW-- 59 6M5318 S83104'16 'W TH OF A FOOT. ALL ANGULAR y@ 4 80.JCi 74 34 555'•24'09 W 55.2J'l4` 527.44'02"W MENTS HAVE BEEN MADE TO i 8' OU 1758 521.25 31"W 12.3, 02 515.0 OC W REST TWENTY SECONDS AND r -4 166.00' 80.32' 1.07'00° W 28.OOb0 S12-53`O E 0 TO THE VALUES SHOWN 2 16600' 2707' 510'26'23"W 9.21'14 53'45'46 W I 166.00 25.73' 51.19'03 W 8.5326 53.0740E EARINGS ARE TRUE FROM : '11 160Oly 28 23 56.0020E 9.4520 512'5300 E BSERVATIONS MADE AT THE f ` - 10-11 - 233.00 20245' 538.38'00"E 51.RfO 564.23' E 06 , r n 1I 233.00 16814' S 34.0200 E 42'18'00• S5II'00" E P E SHALL ALSO BE TEMPORARY ` r\ 10 233.00' 373" S59'47'O E 9.12700• 564.23' E 6' 51.17 SS7M74 £ 14 5 I CTION EASEMENTS ADJACENT TO 12-13 10 20 7.39 ANENT EASEMENTS BEING 15' EACH 13-14 10 823.03 70.63 553.34 W 4.3506 551'07 W F o F f. J g 1-13 823.0 68.71 S58 025739"W 4147' 556' 06 W SAID PERMANENT EASEMENTS EXCEPT I -W - 823.03 139.22' S55•SB 9.42'12• S5I•J700 W 1 12 ° OHM SEWER 9 FOOTPATH EASEMENT* 8 ALL BE 5' EACH SIDE OF SAID u 3 -doe T. TNIS R~{TRUIENT W ORAITID • STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT rt St. Croix County _ w OWNER/ BUYER A'S • ~d r~ S hi ms; o Fire Number. F ROUTE /BOX NUMBER o i ty CITY/STATE /-5 ZIP PROPERTY LOCATION:'.' Section;, W, Town of St. Croix County, Subdivision Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed 'septic tank pumper. What you put into the system can al ect t e function of the septic tank as a treat- ment-stage in the waste disposal system. St. Croix County residents may be eligible to recieve a grant for a maximum of 60% of the cost.of replacement of a failing system, whit was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all'new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or.a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and .(2).after inspection and pumping (if nec- essary), the septic-.tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. H I/WE, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Depart- w meet of Natural Resources. Certification form must be completed •d and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNED DATE Ia St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. /fi oe-,vil," To TEST of Co - - DEPARTMENT'OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS IND,tJSTRY, DIVISION P.O. BOX 7969 LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: OWNS HIP/ QWk4L-KY: OT NO.• BLK. NO.: SUBDIVISION NAME: -$a) 1/4 N01/4 11 /Ti9 N/R 19 E (o T I'f Upsca 2 crAl 106%7- COUNTY: . MAILIN ADDRESS: ST Cho/x C~~hP//E J~O I{,J STor.1 1~ S LAV~P~L IfP-F • H U DSO w IS . S ~fO / L USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMM R IALDESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION Residence r 2 O New ❑ Replace ERT S RATING: S= Site suitable for system U= Site unsuitable for system '57Cs (ED ONVENTIONAL: MOUND: IN-GROUND•PRESSURE: SYSTEM-IN-FILL OLDING TANK: RECOMMENDED SYSTEM: (optional) ❑S ❑U OS ❑U ©S ❑ ❑S ZU [IS EK] U cot-"' e" r)'"AI- -TREN~l~aS If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: C 1?S S S Floodplain, indicate Floodplain elevation: L ,UOT 12e001*,ee) PROFILE DESCRIPTIONS BORING TOTAL P H TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST-M H TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- 8• rj 9 S,7S ?fo R 7' 3/3 S, I Sri n., 1 C-0; !O ZZ" /OYR ~f r / i O-/O ' DK v. /O y B- RS 77 9, Q YCa IS~lfSr,n„I) C w' 2.x."-'9y"10yR ¢/G q'.fvewy cS, 0C 55 (We Cw , PuPQc&~v 47- 0-8" /o YA 3/3 5~ 1 F5 MA ,Cw ; S"- IS" ior-le 4/3 sj B- S Nog 5.5 ' 5' S /-P 5r", i cw ' " 7, S R 4/1- 1 Rioe// CS > O C S~ ) q., R,, C w 2-,Y r5.0 1p 7, 5 yR y/G q ~►vE.4y B- 5EE N OTE5 f3 E LO W C5 O G m. /D R S/yt I►~ S. / apt s ~ ~ rM A) C w ~ ~ (o 7~ /o y,e y/3 s f ~ 2 r►n 5 r B- rM f r cW w co h,tio," Drs T. ar-,oQ . 4 o S (6011V PERCOLATION TESTS c 2 a MoTS syR 51p) TEST DEPTH WATER IN HOLE TEST TIME DR I WATER LEVEL-INCHES RATE-MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD P I PER INCH P P- NN' i / V1 FOA OS STEP S / P- ' 5 L +4N ArA*44 C-,e 7- 26 P- s Mq I t9 I /V C GG S S 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. S /STEM . 6 / SYSTEM ELEVATION. _ 4V , OY~ &_X/S S E 49 rt/ ,P 16- _4 -f 1 sl/ -R~ ~ 7_ f c/ E COiv T-_x _7 - 74 S~~ 11 IvD 'ti9 i'a►~ 4;~i 8 AJ S lo 4 /.c TN i 77 0A 7- UA /T: 4Z )l - - • r s_ S 74 1, 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 : TESTS WERE COMPLETED ON: HOMESITE SEPTIC PLUMBING CO. 41Dje / I 1 CQ 11'71 n~~~~ ADDRESS: 6% IL-RD.., HUD36N,,-M CERTIFICATION NUMBER: PHONE NUMBS to tional): ROBERT ULBRIGHT Z- L, e Z 3 /~S CST MINN. INSTALLER & DESIGNER LIC. NaO SIGNATURE: n Z _ _n I~DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - Now I god GA c S'40 J q3 / 4L 1 1 z4 ~ PL-07- IIg ~ 4 tiN 1 j 51 ~3 1 aZ 1 c' / i Ale A-#V& ~ ~ ' ~ I ~ p Ts Gti ' 45 _ 25 ~vt9i STuRgED I l I 10 SOLI. I OC W G A O I. t JJ Y I,$r I1 ~ ~ . q a sf i W t o I - I ICA W 40 ' 1, ~ 1 Igo 1 ~ 1 w 13 ERR y DRiv~ cul vaf R /4 ST Rod kA kE M~ /000 DRS ~ S 'Pn KS COuG~Q£7E- 1 y ( / 3 a ~ ~ art . fi-aM ~ 00 opos~~ / F qS 5o QR a ! r ly J I wLEr \\tIGu4TiQn1 25 r, 0 0 tin q3.0 13 y ~ UfrpO j 9 ~ S ysr~~l ~ 1. Co D 1 KSOJG ' za pL-oT- tiN1 5` ~ ~ ~ aZ ~ r , ~ , ~ ~ S c q It ; ~ 20 ~ I I W I ~ ~ P Ts 407- I f- ~ ~ ~ / Cb e,q.T~ O 25 ` 21,v 0; 5 T"uR 6E D I O ~ 6 ra Ij I W 1 4 II ~ ~ °Jv I c to I 1 i q O ~ 5~ I W t~~ I I < q 40, w I % a 1 ~ IRo~ cu~vaf ?~~w~EkRy pRivE 5 • Fresh Air Inlets And Observation Pipe _ N, Approved Vent Cap Minimum 12°.Above ii. Final Grade ,.---.iw~S~D ~iPf1DE• 4" Cast Iron 1 Zg Above Pipe I Vent flpe -to Final Grade `r Marsh Hay Or Synthetic Covering min. 2" Aggregate Over Pipe Distribution s~.272-y Tee Pi 0 0 0 0 0 Aggregate o Pertbrated Pipe Below Beneath Pipe • o Coupling Terminating At V. ' Bottom Of System S `g v Fresh Air Inlets And Observation Pipe J O. Approved Vent Cap Minimum 12" Above Final Grade 9.S 0 4" Cast Iron 22 Above Pipe Vent Pipe' -to Final Grade Marsh Hay Or Synthetic Covering d Min. 2" Agle Over Pipe Distribution_,_ sa. Tee Pipe 0 0 f AggrePertoroted Pipe Below 8eneoth PCoupling Terminating At Bottom Of System g~, la0 2---se