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HomeMy WebLinkAbout022-1083-30-100 C o (D ° o p ° o h ~ c o I 0 e I ` I Qa i I ~ I ~ I I I C z° c 3 6 LL C O i Q M Z w Co z E z o V E co Z a CO a) CN N H (n O O z d' m z d' c ° U H m _ E N O N N I N N ~ O O •N LL ~ L 1 m O o o w Z co z z z N ° ~ E I N al N 4f = d ° CL w co m H y` y F- o 0 C) LO O o a 0 c = oN N~ Z> > N H H : a N ~i Cl 000 Z° •Mrl LL (L a a N a I' N > 7 O y N U U a) rn rn rn rn a o O 0 Q N_ ~ m N ~ CO W 'O 4 to ° (D ❑ C 'n ~ O O O o N C i' a C C E ° m° ° a o. A a) o O MC)6 C CL E E m q) in 00 o o C ° a6 2 Ii o v~ H C~^ m N 'C Y 43 N • as N° C o O t°n E E U O N Y ! m O Z N -7 fn Q ~ I I c ~ v a CL ~ 7 r rrww• E 0 LJ c u (L o LO) INCIU S' MEI~}T OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INdJUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 76 N WI 3707 HUMAN RELATIONS (H63.090) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/ UNICIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAME: S iw 09 /Ta4 N/R/rE (or) W COUNTY: OWNER'S BUYER'S NAME: MAIL NG ADDRESS: 43 S -t- ~ ti Lip G Coer ¢1 L)/'S . USE DATES OBSERVATIONS MADE ~~nn NO. BEDR COMMERCIAL DESCRIPTION: PROFILE ES IPTIONS. ER O TIO TESTS: PgResidence Q SNew ❑Replace Y P D~ / y RATING: S= Site suitable for system U= Site unsuitable for system / C ICKIS ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ❑U ®S ❑U ] SOU ❑ S ~RU ❑ S ,®U Ceh il If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(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 DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- t x.44 9i? 7S' D ?G Qa ~a''B//s ~.o~ a~ Sgh c1 B- 6.00 160,33 Q 117,6f/s S!F-Y 6r1 ~tcY B-3 6.00 9 6 f,.00 pao,B//s B- y ~,lJp 5 n n.'40 10 of/s ~/oo ba sold B-!5 6.00 X 6,83 .oo a. ~d18 I 18n _37 B_ PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PER1002 PERIOD PER INCH P- I 1 .2 P_ .00 0 /0 a P- 0 / Avg I y 7 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 I y j; . w E r mm ~fq F1 i C9 P9 E h9 k Nei f4 _ I M es 0 1~ go - f ` TI )c N to mel- I F_ 3 - r - ` p - Abp rPI_ it, 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 (priVeka TESTS WERE COMPLET D ON: S 3P fS ADDRESS: CERTIFICATIO NU BER: PHONE NUMBER (optional): /D a a e ~ vL'Ir ~S ~/S, ~~~o Y3s"pps~ CST SI URE: -118UTION: Original and one copy to Local Authority, Property Owner and Soil Tester. {BD-6395 (R. 02/82) - OVER - _J Parcel 022-1083-30-100 02 08/2006 12:33 PM PAGE 1 OF 1 Alt. Parcel 29.28.18.451 B 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner JOHN F MILLER O - MILLER, JOHN F RHONDA R C - SCHUSTER RHONDA R SCHUSTER 1051 E RIVER DR RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): • = Primary Type Dist # Description " 1051 E RIVER DR SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 1.521 Plat: N/A-NOT AVAILABLE SEC 29 T28N R1 8W 1.521 AC LOT 1 OF CSM Block/Condo Bldg: 6/1519 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/08/2002 683545 1923/103 WD 07123/1997 742/395 2005 SUMMARY Bill Fair Market Value: Assessed with: 143870 372,000 Valuations: Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.520 40,000 336,100 376,100 NO Totals for 2005: General Property 1.520 40,000 336,100 376,100 Woodland 0.000 0 0 Totals for 2004: General Property 1.520 20,000 247,700 267,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 550 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 t.r FILED APR 22198;, 401433 ~ w of ~ e www* CERTIFIED SURVEY MAP PART OF THE SW 1/4 NE 114,1 SEC. 29,1 T 28 N- R 18W KINNICKINNIC TOWNSHIP ST. CROIX CO. W1. OWNER: GARY a SUSAN WANG RIVER FALLS, W1. \ 0_ 200' 400' BEARINGS ARE ASSUMED AND SCALE: I"= 200' REFERENCED TO THE EAST 1/4 LINE, SECTION 29 EXISTING MONUMENT, Rec. EXISTING MONUMENT, Rec. 4-NORTH 1/4 CORNER NORTHERS RNER . SEC.29 SEC. 29 TN. RD. U-1 w 66' PRIVATE J O ROAD ESM'T UN PLATTED LANDS a o - - M Q CO o ^V vv I I E O <33' 33~~' p0° ~ ~ ~ N 0 O zl _ Q,O°•• f Z~ S 90° 00'00" W 2611•.94' QJ 33.00NORTH LINE SW NE 809-32' ' I?9,62' ,Oo -11 PR i VATE 1 33 'O ROAD O 10 -0 ~E SEE PAGE 3, SH ET 2 A° u1 W' M 0 UN PLATTED LANDS CUL DE SAC OE, GRIP Qyt N 00 °°o - - - - TION. o .CP w Q~ rcw~ Z v S 90000' 00" W 8715.32' eo' ~ z _809.32 - 66. O J L'3 p Iq IVATE ROAD0 `n 132. 2 5.00' 15.0 ?.00' °0" 0 L~ In u O 3 z I N N •13' 0;. ° C q~ v o o -J _ ® ESM'T. O n ago o w s U ° airo ° c 1 v* ° O I 1 2 3 ® 4 as N 3 w~ a ° `o% `O o ) 0 ow =0 1 6i O o, of ° o ~ w °Q_ J1 z QRDP o (z 100° 00, 0: N a ta? z l CQ (D 0 165.32 215. 215.00' 247.00' °o d m N 90000' 00 " E 842.32' o. w u) -4P 39 ~ UNPLATTED LANDS 00 ;jW N EXISTING MONUME T, 14ed. LEGEND R. v1i EAST 1/4 CORNER, EC. 29 • _ WT. "I5X 24" ROUND IR 0 LB./ LIN. FT. ON DARS SETAPPROVED O- - - I° X 24" IRON PIPE SET WT. 1.68 LD./ LIN. FT. APR 2 2 1985 AREA SCHEDULE y:.. ST. CKC>IX COUNTY LOT 1 1.521 ACRE (66,293 S.F.) INC. R/W COMPRENCNSIVE PARKS PLAN NINC3 •s MARTIN E. HALVORSEN LOT 2 1.979 ACRE (867215 S. I) INC. R/W AND ZONING COMMf llBE S•1302 { LOT 3 1.979 ACRE (86,215 S.F) INC. R/W HUDSON, o . LOT4 2.273 ACRE(99,0473.F) INC. R/W~ WIS. r~ TOWNSHIP APPROVALS 0 s sua CHAIRMAN ° dF~d O~ CLERK /TREAS. ~ OCT. 13, 1984 REV. NOV. 14, 1984 Vol. 6 Page 1519 OVER REV. APRIL 20, 1985 Page 1 FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP ;Vl ~ fili r w ` ( I Z,))2 t C' SECTION ~-1 T N-R ADDRESS ST. CROIX COUNTY, WISCONSIN ~ - F41 LOT--LLOT SIZE SUBDIVISION PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 'Ili 4;' -t L r~ INDICATE NORTH ARROW BENCHMARK:Elevation and description: ('u. of Alternate benchmark SEPTIC TANK:Manufacturer: 1, f~L.s?f wLiquid Cap. d & Rings used 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, Rear Ft. No. of feet from: Well Building: (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE + t r PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufact.: Pump Size Elevation of inlet: Bottom of tank elevation Pump on elev.: Pump off elev.: Gallons/cycle: Alarm: Man.: Switch Type: Location Distance from nearest prop. line: Front____, Side _ Rear Ft. Distance from: Well Building SOIL ABSORPTION SYSTEM Bed: Trench:. Seepage Pit: Width: -LL-_ Length 316 Number of Lines: _.3 Area Built -Jy Exist. Grade Elev. Proposed Final Grade Elev. Fill depth to to ~t p•of pipe: No. feet from nearest prop. line:Front-,->-( ' Side Rear Ft.DS No.. feet from well:--? DQa 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: PLUMBER ON JOB: LICENSE NUMBER: 3 J 3 6/90:cj `o oo Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: St. Croix 6.iborand,HumanRelations INSPECTION REPORT Safety a Buildings Division Sanitary Permit No.. (ATTACH TO PERMIT) GENERAL INFORMATIONSw%,NE%,sec.29,T28-R18, Lot 1 149109 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: Pete Bekkum Kj~nnickinnic CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: -Top (D_~ TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic _SC Benchmark Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet 9 Y TANK SETBACK INFORMATION St/ Ht Outlet 2O' db TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic ti `t NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe g Holding Bot. System 7- 2- F g9,~¢ PUMP / SIPHON INFORMATION Final Grade o• r?74 Manufacturer Demand -,17 c~UkJ 10' Model Number GPM o~ E(P~, / a 8 TDH Lift Friction M TDH Ft Forcemain Length Dia. Dist. To we SOIL ABSORPTION SYSTEM BED / TRENCH Width , Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION D LEACHING facturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE /STREAM INFORMATION Type O i 4 CHAMBER Mo el Number. System: nU n >/SZ7 OR UNIT DISTRIBUTION SYSTEM Header l ~t Distribution Pipe(sx Hole Size x Hole Spacing Vent To Air Intake Length _ Dia. Length Dia. L 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 Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) / f cry - c1c (i-~nn„~,, / .f~ , 1' '...c rs✓ u!k..4-fE:!vl -76';.' i Plan revision required? ❑ Yes ~IOo Use other side for additional information. (o /Tz/ nt A,11-1 SBD-67A (R 05 1) Qate , Inspector's Signature Cert. No l:~✓ I l:! c'~'`. ice'.' - i '~aF,.%fs C..-fi CI„rrl.r% c"`` •f SANITARY PERMIT APPLICATION adCouN LHR In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY PERMI # -Attach complete plans (to the county copy only) for the system, on paper not less than El q /a Sid x 11 inches in size. chec if revision to revious application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY QWNER PROPERTY LOCATION .i~~ F, %,S 99 Tong,N,R E( 06 W PROPERTY OWNER' MAILING ADDR LOT # BLOCK # d ` q pt ra r C T STATE ZIP CODE a PHONE NUMBER SUBDIVISION NAME OSpM NUMBER U V, ( O lu C /r 5'Z : AREST ROAD 77 -CITY* VILLAGE " PE 11. TYPE OF BUILDING: (Check One) ❑ State Owned ❑ ❑ Public 5i1 or 2 Fam. Dwelling- # of bedrooms PARCEL TAX NUM ER( III. BUILDING USE: (If building type is public, check all that apply) / l 1 ❑ Apt/Condo l 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. ❑ 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 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill V1. 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 (s q. ft.) (Gals/ ay/sq. ft.) (Min./inch) pELEVATION S 1(1)901 C/ ~Ik > C , 7` Feet Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name oncret Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank O&d e° Lift Pump Tank/Si hon Chamber F-I I F1 El Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumb is Name (Print): Plum ignature: (No Stamps) MP/MPRSW No.: Business Phone Number: If 1 11 0 Plumber's kddress (Street, City, State Zip Code): IX. COUNTY/DEPARTMENT USE ONLY Sanitary Permit Fee Includes Groundwater Date Issued Issuin Agent Signat a (NoStamps E] Disapproved Surcharge Fee) Approved El Owner Given Initial l%9 9 Adverse Determination X. CONDITIONS OF APPROVAUREASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property PC T K 9 tl Location of /property 5W114 E1/4, Section (9? , T a L N-R ) SW Township K Z rJ IJ . K z of A) TC Mailing address ~ f~ /C4-'V'CS F+ ~-j--5l (kf; c,~~(6 3 Address of site R # R Z,10 k ~(fi S G~1 5`f 0 a subdivision name Uy P,4& f rj-l ( Lot no. Other homes on property? -yes x No Previous owner of property Cc,I Ps ~s- Total size of parcel l QrC/t~~ Date parcel was created o~ , [ ! $ 5 Are all corners and lot lines identifiable? Yes No Is this property being developed for (s ec house)? Yes __No - 12 4741~ J/ T Volume' , and Page Number 3aasrecorded 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 of ice of the County Register of Deeds as Document No. f a 105 ~ 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. I O S A Signature of applicant Co-applicant .t 7` Date of Signature Date of Signature y. 41 • DOCUMENT No. STATE BAR OF WISCONSIN FORM 1 - 1982 r THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED 41z905A tVOL. I,42PAGE "'J-95A • ; REGISTERS OFFICE This Deed, made between -GARY--C._.-WANG and_.SUSAN _M.I ST. CROIX 00, WIS. WANG~._ husband--and_w f- Recd. for Record ft 4th I i Grantor. Of Ju~ge~AA 19 86 and. .PETER._M.._-BEKKUK._and..LOU-_AKIN__li_.__.EEKKUM4...husb_an 8:30 A AL and..w-ife_-as__s.urvivar,s-hip_mar_i.tal-_prop-er_ty--------------- i - Grantee, i ; r~ Witnesseth, That the said Grantor, for a valuable consideration-_--_- 1I - FIE of Wisconain~ng described real estate in g State Grantee County ETURN r ~O~/ ~ti'~ MLrr... s• t 7~e~ Z Tax Parcel No: Part of SA of NE4 of Section 29-28-18 described as follows: Lot 1 and 2 of CSM filed April 22, 1984 in Volume 6, page 1519. TOGETHER WITH private road easement and cul de sac as shown on said CSM. TOGETHER WITH roadway easement in SE4 of NA of Section 29-28-18 as described on CSM in Volume 1, page 162 and including all lands lying E'ly of said roadway and W'ly of E line of said SE4 of NW4. A iG not This homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And_Grpntors warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except Subject to Easements, Restrictions and Rights of Way of Record. and will warrant and defend the same., Dated this day of a----------------------- 19.86... -A5 (SEAL) - - - (SEAL) * ---Gaxy -C..---Wang ' 4 --(SEAL) (SEAL) k~. * Susan- M. Wang * F AUTHENTICATION ACKNOWLEDGMENT `I I Signature(s) STATE OF WISCONSIN ----County. authenticated this day of 19 Personally came before me this /Y_-.day of May-••-.....-----••--•••-----•-••-•- 19.86... the above named ary__C...Wang. TITLE: MEMBER STATE BAR OF WISCONSIN Susan__ M_.___Wang_________________________________•___-_ (If not, authorized by § 706.06, Wis. Stats.) to me known to be,:lcig,,1%er~,i n who executed the foregoing instrurntr~t~ive'acVnbtw1 .g' a same. THIS INSTRUMENT WAS DRAFTED BY _ r Joseph..D_--Boles*..R00LI,--.BF,S.KAR._&.B0LE8,_- -S. C. 219 North Main Street, River Falls, WI 54022 Notary Public . = V County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission 'i6~ t,.F~;'>KoV, state expiration are not necessary.) 19Q 2f-_.) ate- *Names of persons signing in any capacity should be typed or printed below their signatures. II i STATE BAR OF WISCONSIN H C, Mi11e'Comp" f~q FORM No. 1-1982 Stock No. 13001 i , FILED 41, APR 221981%0 man of commu 401433 0*04 , CERTIFIED SURVEY MAP PART OF THE SW 1/4 NE 1/4,j SEC. 29, T 28 N - R 18 W KINNICKINNIC TOWNSHIP ST.CROIX CO. W1. OWNER: GARY 8 SUSAN WANG RIVER FALL, WI. i 0 200 400' -a BEARINGS ARE ASSUMED AND I,, 200 REFERENCED TO THE EAST 1/4 SCALE: LINE, SECTION 29 EXISTING MONUMENT, Rec. ExISTINO MONUMENT, Rec. NORTH 1/4 CORNER NORTHEAST CORNER SEC. 29 SEC. 29 w TN. RD w u~ O z J ~ 66' PRIVATE (V - ROADESM'T. UNPLATTED LANDS M 0 Ai r" N'A' O ~~I_. w c rv rr ILL 0 3 0• . o u~ N I . O.O 33 QO'•O. O tit S 90° 00'00" W 2611.94' ~I QO*33, Q) 33.00NORTH LINE SW NE 809.,32' ' 1769.62' cP 0 JI ROAOTE 0 'D -0 iE SEE PAGE 3, SHEET 2 4d ~I u~ W' rNi 0°0 c UN PLATTED LANDS TCUL ION.E SACO DESCRIP- w z~ (-I OwI N O p o cp LE J) QI rrw~;C'J qo S 90000' 00" W 878.32 80, 0c z •a 66. 0 609. 32 z PPIVATE ROAD~i NI _ U , is 01 'q w 33.00' 132.32' 215.00' 215.00' 247.00' o a to O # ZI N .oOp : n. 15' ; •30°, qp o °o JI M 33' .~_1_ 00. r Qn O E8WT. W 0 a ON G W I • 0 ,G % mm 00 W I 2 3 4 It. " o z o 1-- ~ 0 01 00, 0 01- 0 o0. 0 J I z i o %%t 0 oQ 00. CL P~ O %00 oo. N o~ N O •OC o zd ZI N °O 165.32 215.00' 215.00' 247.00' - o. 4. M N 90 ° 00' 00 " E 842.32' Q 2-4 w 0• UNPLA i i ED LANDS 00 > jw EXISTING MONUMENT, Rec. :ii LEGEND EAST 1/4 CORNER, SEC. 29 e-- - 3/4" X 24" ROUND IRON BARS SETAPPROVED WT. 1.50 LB. / L 1 N. FT. 0-- - I" X 24" IRON PIPE SET 1142i:7iFP!! WT. 1.68 LB./ LIN. Fr. APR 22 1985 GO AREA SCHEDULE ST. CROIX COUN1Y RTIN E. LOT 1 1.521 ACRE (66,293 S.F.) INC. R/W COM►RtihIF.NSIVE PARKS PLArININOW HALVO SEN .i AND ZONING CON.M111EE $-1302 LOT 2 1.979 ACRE (86,215 S.F.) INC. R/W LOT 3 1.979 ACRE (86,215 S.F) INC. R/W HUDSON, t . LOT4 2.273 ACRE(991047S.F) INC. R/W 'rr♦ WIS. 0/ NO J o ,1iCt TOWNSHIP APPROVALS • suR ` CHAIRMAN' CLERK /TREAS. OCT. 15, 1984 REV. NOV. 14, 1984 Vol. 6 Page 1519 OVER REV. APRIL 20, 1985 Page 1 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER 'FE TC m IJ V- f ADDRESS: FP {J-C,, jRE NO 1J IW- LOCATION: 5 LA'J 1/4, NE 1/4, SEC. 9 T. a 2-N-R ~ O W, TOWN OF : K z IJ -4 a- c 9 .P N pr) z C ST. CROIX COUNTY ST' C 9--0T)C SUBDIVISIOI,Q:5M VO 6 plg6 & /5'I LOT NO. # / Oka 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:( DATE:- 7/3/21 St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 - X44 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 HUMAN RELATIONS l / MADISON, WI 53707 (H63.090) & Chapter 145.045) LOCATION:` E TION: TOWNSHIP/ UNICIPALITY: OT NO.: NO.: SUBDIVISION NAME: S tj 1/ /TOP N/R/ E (or) W ' / 0' 1 Ale COUNTY: OWNE 'S NA AIL A R S: S~: f° Pipe QA lJ,s. USE DATES OBSERVATIONS MADE _jFWFE_MMS.: I . &Residence 2 ®New ❑Repiace p RATING: S- Site suitable for system U- Site unsuitable for system I ONVEN NAL: MOUND: IN-GROUND -FILL OLDING TANK: RECOMMENDED SYSTEM: (optional) ®s_o ®S ❑U ]S ❑U DS ®U OS ,®U G9b If Percolation Tests are NOT re uked DESIGN RATE: 4 I If any portion of the tested area is in the under s,H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS r0RING TOTAL DEPTH GROUP DWATER-INCH CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH DEPTH IN, ELEVATION OBSERVED H ST_ TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 975 0 ~ oo 1,2' B//s ~.ov bpt s4,f d /m.33 0 1. do /7,6// ST_y &I end B- 6.00 9~ 6 klno 19.oo 13 f. 00 41 34,17 B- , dD 0 76. do o? do 611s , oo 6A B- 6.00 96,8'3 .0 .9 S'6,8 / /s 2.5o ,8h SIB n B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP I WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PER INCH 10 t . d P- P- . coo © O 6 P- 2 /0 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 9r y 407 Na07~ r i I _ I ! t4--) "T4 {.)'N -7 44 0 'N 0' a 1 1 1 O D I I sq i ' plod ,tuako'~,~Z 19 Pl o . het %to xoq a Pa h9 go (e ~Ieo- I~Q -1 `Pe ~o~_..... 1 i B.m, d=loo' UI'rT f . 9-;a P. L.. ~s.F- 8l, I 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 COMPLRON. 9 3 S, 1ADDRESS: CERTIFICATIO NU BER: PHONE NUMBERIoptional): Ida Al-w le P; vi- S lJis. VP PS14151 ?I CST Sl URE: J DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR•SBO.6395 (R. 02/82) - OVER - ~ ~a3 l /8 ~n1in Cover cv j s ~hIWJ4 F,,brie Q ~ ~ y"Pe~f, a tia R ~2 y corner ~5' N.E. f,l,. Stake ~o't ~ S3 /vvo y~, s~ b' 3~ ~ B3 QD D X170 ba SP I,ouo~rd P q `a ~,~oe05Cd M pm