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HomeMy WebLinkAbout006-1077-10-115 Q o a~ o I m h C c a °o °mcL o a~ I Q L -6-00 a ic o NaN > o yr om N ar b c O Eoa.- • N C-° a >c a co c o co ~ O E , ~ C N f0 0 (D c z a0 3'U 3 N U OIL C LL C N C O O O .~C'V C O 'd oO C O m o Q Z N N N N C p N U V N w y i2 (n ; = o z m a co w c') IM U) c C7 a I o Z c N v o d Z ~ ~ c N H I c E a ~ I N 7 ~ O CL y rO o O • Of N O V*A d O = u U N CL u r r N O O o It z n z O C N zz0 N o _ ao Y Q. L Q co ! U d N c o O o a. a c a O z N > Z U cn000 • R -6 aaa a c (y 0 0 a) 0) 0 CD 0) P z a N C) C) 0 O O N N (D .0 _ E :3 CD CN •~~j C O N a. M M (n o ~l cc a co M 0 a Q z U) m ~ o6 3 C O N O C~ Q O L U O O 7 C, o c l o (r V a oo CS o f r i0 3 O O- C a N N N V C ~ (p FO- C EO e O N '..w O- O C t a0-' a `o M M M N M M..I M O 000 O E O t6 U • O M U 0 O z2 L9 z r2 U) O S E a a L: a • a as .2 m A U as j 0 U)0 DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX 77969` ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION H14-M".1, L4AIJeC. 33 ,T31-R16 St ate Plan l.D.Number: ❑ CONVENTIONAL ❑ ALTERATIVE (If assigned) Town of Cylon CO. Rd. S ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Joe Gillen Rt.l Box 68 New Richmond WI BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.: Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Kim A. O'Connell 3259 St. Croix 128836 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑ YES ❑ NO ❑ YES ❑ NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: FEET FROM LINE: AIR INLET: ❑ YES ❑ NO ❑ YES ❑ NO NEAREST DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVDED: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUMP ON AND OFF ❑ YES ❑ NO NEAREST -1110- SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BED/TRENCH WIDTH: LENGTH: TRNO.OF ENCHES: DISTR. PIPE SPACING: COVERIAL: INSIDE DIA.: PITS: LIQUID PIT DEPTH: DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. DISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV. INLET: ELEV. END: PIPES: FEET FROM LINE: AIR INLET: NEAREST MOUND 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: T BSERVATION WELLS; ❑ YES ❑ NO ❑ YES ❑ NO SEEDED: MULCHED: DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED =I=L*SODDED-- CENTER: EDGES: ES ❑ NO ❑ YES ❑ NO ❑ YES ❑ 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: ELEVATION AND ELEV.: ELEV.: DIA.: ELEV.: PIPES: DA.: 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( F PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE ❑ YES ❑ NO ❑ YES ❑ NO NEAREST' Retain in county file for audit. Sketch System on Reverse Side. SIGNATURE: TITLE: SBD-6710 (R. 06/88) DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code CouN . a e....,... e, STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 1:1 (n 8% x 11 inches in size. c ec girek.ift. a ous application I -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORM TION - PLEASE PRINT ALL INFORMATION. PROP RTY OWNE PROPERTY LOCATION '/a S T N,R E(or PROP TY OWNER'S MAILIN ADDRESS LOT # BLOCK # xez/ CI TATE ZIP Co E PHONE NUMBER SUBDIVISION NA E R CSM NUMBER II. TYPE OF BUILDING: Check one) CITY NEAREST R AD ( ❑ State Owned ❑ VILLAGE DO =N I al.-I ❑ Public [4 1 or 2 Fam. Dwelling- # of bedrooms PARCEL TA NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 20 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 511 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 N 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 REQUIRED (sq. ft.) PROPOSED (sq. ft.) 1 2.:2 3? (Gals/day/sq. ft.) (Min./inch) ELEVATION Feet Feet VII. 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 -77 Septic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installs on of the onsi e "age system shown on the attached plans. Plumb is Name (Print): Plumb is gnatur ( s) MP/MPRSW No.: Business Phone Number: Plumb 's Addre Street, City, State, Zip C de : IX. C LINTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Late Issued Issuing gent Signature (No S 2!Approved El Owner Given Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: I SBD-6398 (formerly Plb-67) (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. II 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new f 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 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: 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 8% 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; (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 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 used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) APPLICATION FOR SANITARY PERMIT STC - 100 his application form is to be completed in full and signed by the owner(s) of the roperty 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 Location of Property ~,F k SF k, Section T N-RW Township Nailing Address Address of Site Subdivision Name Lot Number A4 A Previous Amer of Property 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 and 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, and 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 refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION I live) ceh.ti.6y that att b.ta.tements on this ohm ane tAue to the beA.t 06 my (ouh) hnowtedge; that I (we) am (ahe) .the ownen(,s~ 06 the pnopehty duclLi•bed in ,thiA .in6oAmat.,i.on 04m, by ViAtue 06 a waAAanty deed kecokded in the 066.i.ce 06 the Colltntyy RegiAteh o6 Deedhass Doeumen.t No. ; and that I (We) pnebent£y cRvn 1- pnopobed site 6oh..the sewage diApas bYA em (on I (we) have obtained an fah"ent, to nun with the above deAcAibed pnopehty, bon the eone.tAucti.on 06 chid b ys tvn, and the game has been duty keeo)tded in the 066.tee 06 the County RegiA teA o6 Veede, ad Docmen t No. 1. y { F SIGNATURE 0 p OWNER SIGNATURE OF CO-OWNER ( APPLICABLE) LZ 9 o DATE SIGNED DATE SIGNED I) ENT. NO. STATE BAR OF WISCONSIN- FORM 11 D CU 1 ,~j' ( LAND CONTRACT-Individual and Corporate 1 ` THIS SPACE RESERVED FOR RECORDING DATA t CONTRACT, by and between _ Orvell M. Anderson & - 1 X73 Frances L. Anderson, husband and wife, herein called Vendor, whether one or more, and Joseph M Gillen & Lorraine M. Gillen, husband and wife, herein called Purchaser, whether one or more, WITNESSETH: That the Vendor, in consideration of the payments to be made and the covenants and agreements by the Purchaser to be performed, as hereinafter set forth, hereby sells and agrees to convey unto the Purchaser, upon the prompt and full perform- RETURN TO L. R. Reinstra ante by the Purchaser of the covenants and agreements of this contract to be by the 127 W. 2nd Street Purchaser performed, the following described real estate in SirCROI'M New Richmond, W1 County, State of Wisconsin: I Tax Key # This is homestead property. Lot #1 tje:Lrig -tile N14 fractional L of the NE•y. GOVer•rirnent Ilot 21 l:ulc.l _11. thr; l., i part of Ire t 3 lying E of Railroad right of way as heretofore deeded in Oc'ed dated June 9, 18811 , reecrded June 9, 1884, in Book 24, Page 321! , 1'r1' a p A, c:c:l. oil 1 ancY ill Goveriu,ient Lot 3 more particular],y described at. a ljo iirt 1. rods South of point 6'(8' East from the Northwest co nc.r oJ:, Le.) t 3, Section 5, Tot-rnship 30, Range 16, thence East 2081, 'thence SoutYi Nori;riwes. t 1x20' to point of beginning EXCEPT a parcel of land descr•ibeda. Coimnenc i_ng at a point 1 rods South of a point 758' Ear " t from thc: o!.' l.,ot 3i Section 5, Township j0, Range 16 We t, tticnce E~„i; 50', # iaie1'1ce W 50', [;hence North 1321 'to point of beginning. 'I'hc above desc:r.i.bccl a..cnil all. being in See ti on 5, Township 30 North, Range 18 West, also all that part c> i' PJor°thlrest Of Solztlleast 1 lying South of the Soo Line right of way rlnd Y?_I i; u1.' a .l i ie dravin parallel to and 3119' East of the West line of said Nor°thvrc :.i; Sout:li of Southeast 4 1 all in Section 33, Township 31 North, Range 1. 1j!,.; ;t EXCEPT that point thereof bounded and described as follows: Beginning at the florthiJest corner of said South of Southeast a running thence 1120' cuid there ;]otrl.li -162 , I;henee W 1120' and the ice North 162' to talc place oa ~,nd F,XCI~;I"I I].:~c~ [:hat; P,-11't thereof botu'ided and described ar, ('o1.].c~oas• 1`c„iurli~i;!; iLlc 1',cilit 6t,' East of the Southeast L of Block 5 of the Village of Cya_ori acicoi:ca:i.r,; to the original plat thereof running thence North 3661, thence East 150' i,liGrr<:c: 'out:h 36v' thence West 150' to point of beginning, EXCEPT also all th.--t S ,crt11 of the Southeast w included in the Village of Cylon, meal-ling to c;cn,vc:, , 3 a. projjc rty purchased from Gilbert Zirk; AND, off, Government Ij3ts 6 and 7 of Section 4, Township 30 North, of. Range 16 tiler;[; 111;, a t "11) 01' l;01(] for Tu"_i.vato road, ;,,aid piece to be 2 -rodcs wa:!.dc:, gild COIiJlic rid iii:; at: the: Northwest corner of-, Goverrirnent Lot; 1?orth, of Range 16 West; AND, stn P!ur the«:it Q,11-Inter of the Southeast Quarter of Section 33, aril LYie u : i Loii 311, all =in Tov;mship 31 North of Range 16 West; iu'Cm".t'li IC,' ri ght of way of the Minneapolis, St. Paul and Sault Saint Marie RaI i_lr•oad, riot.f laid out across said premises; and EXCEPTING those pr•eraises described J I-1 e:uirvc,i~u~,;c: i-n ~C.he lefisconsi.n Contral Railway Company in deeds of record J_rj oi'I"i 11I_ a.:;tct' of Deed , St. Croix County, Wisconsin, in Vo.lurriC j.l t'71(;c: 111.1 y 1,11,1 liu:,e -,15, ~c,ga x'_12; also EXCEPTING fifty percent of all oil, cu'I(l rnirl,:r,,Iri; 'cnd pub jet: t to all easements of record. amount may be prepaid without premium or fee upon principal at any time, and interest shall be calculated at an times Uu the U1111,.- j balance on the daily rate basis at 1/360 of the annual rate. k ' In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. I The Purchaser hereby states that he is satisfied with the title as shown by the abstract-title insurance commitment submitted to him for examination; the Vendor agrees to deliver the abstract-title insurance policy to the Purchaser when the full purchase price hereunder shall have been paid. The Purchaser agrees to pay the cost of later continuations of abstract-title insurance. E (efii~F~'i4~.~rcFors'fr-aff~tmt~sfr~Fe~nfc~ra's~r=tfrig[q-cFa9s-prFar=ta~~atz:-'e~41TZnrate-~s"f~g-=an~rh~~¢,'alsa=s~'=s~ia~Paa~~jsr=as-=a= ;agree-tn-ffi~sve~~ ~c~rase= sail-i~iert~3~rr'gvf~i~~e°e`:ffi~itirism'aric~zonmr'Rmen~Foratrvwnerrs=poFiiy=o~FrfEe~-itts'n----- F pn R~ 4~o"L ~+FfR~ 3&f ~o ~vri~fen arn~~r`ara eear~g se=9°enS 5 F FEY ` t~le=t-~tTtffYFoTr Ca7re~~DT^~T~fiS agreT*inEM,'tn' J'-A IDEtxtl'aT1Y~b~8'fiffi ETIEW-IR Fps tiii8'Th-[K8'~6f18iTtai~'LrAT12'd-f8~- tlR:F2rrU-ff r ="7: ins- 7FeF%=~F 'Ir'eF~i nr;-lei-t s~ra~ffSiolTrfy a Zt trr-I'i'twri$.9, a ny uufea~otis=tII~il~'I~W tfli r-'tetrtcl - IE7 ime 1TYrrwfrlcli-t'a Firfy~Fli?t~t"ie-at=?arrlis'f1-a=rFtre= d'aapsv el=recerp~-sack"-ffffWates=air~fHcSen~or=s i~ rFravgaFeasrma liaf~y~3~tc~#Fcri~'~c~ The Purchaser shall be entitled to take possession of said premises on December 31 19 73. In case possession is to be obtained by the Vendor, he shall have a reasonable time after such date in which to remove any occupant. The Purchaser shall be entitled to remain in possession as long as he performs all covenants and agreements herein mentioned on his part to be performed and no longer. ;i 1 H.y Mil farcarpaiy~ LAND CONTRACT-INDIVIDUAL AND CORPORATE -STATE BAR OF WISCONSIN, FORM NO. 11 - 1971 it STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ROUTE/BOX NUMBER ~9f'~ FIRE NO. ZIP / CITY/STATE_ PROPERTY LOCATION: x_1/4 .,,E 1/4, Section T - R_1ea-W, Town of St. Croix Cou y, Subdivision , Lot No. Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a LICENSED SEPTIC TANK PUMPER. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 of the cost of 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 systems properly maintained. The property owner agrees to submit to 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 form 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 Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. SIGNED DATE St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Y Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address r DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53969 HUMAN RELATIONS (H63.090) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/MU?l+eW*LITY: LOT 0.:BLK. SUBDIV ION NAME: /T N/R It (or COUNTY: N~R'S/BUY 'S ME: MAILING ADDRESS: USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMER 1 DESCRIPTION: FR-OFILE NS: PERCOLATION TESTS: Residence ❑New ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(option 1) Sou Zs au ®s❑u ❑s©u os©u r - If Percolation Tests are NOT require DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: 'J Floodplain, indicate Floodplain elevation: _ PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER O SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH W ELEVATION OBSERVED EST. HIGH EST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 13- ? _ B- B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIM DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVA - IN. PERIOD 1 PERT D PER INCH P- P- P- 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 Aevadl 47. f r Pf J TN W7 044 i- - t x 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 (p n0 TESTS WERE COMPLETED ON: Z 9e AD R S: CERTIFICATION NUMBER: PHONE NUMBER (optional): CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - r` wIle,a ,r- Tj ot~ ilod .6k~ r ,c~.•, z /to, s G r ti'?err /,,vE ~E' 90 i i I .z Q f ,.5 All 4 Parcel 006-1087-20-000 02114/2005 03:37 PM PAGE 1 OF 1 Alt. Parcel 33.31.16.581 006 - TOWN OF CYLON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * GILLEN, JOSEPH M & LORRAINE JOSEPH M & LORRAINE GILLEN 465 GREATON RD NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE LOT 5 BLK 2 EXC N 23'6" VIL CYLON Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 33-31 N-1 6W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 602/577 2004 SUMMARY Bill M Fair Market Value: Assessed with: 53089 1,500 Valuations: Last Changed: 09/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 1,500 0 1,500 NO Totals for 2004: General Property 0.000 1,500 0 1,500 Woodland 0.000 0 0 Totals for 2003: General Property 0.000 1,000 0 1,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 V 1 ~ SmAre .300A-ai to oi/e. r~Jp. s- S. BeeGr- µ FO U RT H s T. 7~a . o': 7- I Q -f 3 - f ul p c ea 70 3 Ef) 3 1p Z 9 >1 2 7I r►c 2 12 P. J / Y L ~Y. a-rHIRO s T. o ti g 7 6 ®6 7 ~F 9 - a° 70 Z = Z 2 71 . - v . b 1 ~ 1 -7Z ~ ~ -s. S. B b G 2 N o sY. _ e Z ~ . 6 7 .c V. 7Z tax. wa . e A Fs E G T N 3 _ C O ,5 t - 1 J t -d dSb =BO So 60 qaj ,y-` 1a 4) 3 rd l FC 3 r3ia 4f5/r/ Q,~; " f3/ IV CERTIFIED SURVEY MAP Located in the SE 1 /4 of the SE 1 /4 of Section 33, T3 IN, R 16W, Town of Cylon, St. Croix County, Wisconsin. Surveyed for: Joe Gillen 1889 170th Ave. New Richmond, Wi. 54017 L end Section Corner Monument 0 1"X24" iron pipe weighing 1.68 SNP Lbs. Ain. ft. set. __-LATTED _LANQS fencelines 23' M 167. 15 ' S g2c 47' 10" E 376. 59' 21' 209,44' 28' SHED LOT 2 ~j 67,164 SQ. FT. ( 1.542 AC.) INCLUDING R.-O.-W. in ~ o0 59,468 SQ. FT. (1,365 AC.) EXCLUDING R.-O.-W• of ~ ZI M \ m Q ~ ~I \ HSE. I of W MOBILE N a UjI ~ N 1 3 ~ HOMES 21 0 -1 ei 01 o co U) 3 I -1 ° I lL OT I rn a (D W of to Zf 0 M L~ N WI ~I o 481.419 SQ. FT. (1.1.12 AC.) o _ F- Iw- INCLUDING R.-O.-W, 00 Q~ z ~I 44,050 SQ. FT. (1.011 AC.) U) o a EXCLUDING R.-O.-W. o zl DRIVEWAY EASEME T 33' 134.23 ' 3 36.10' - - 231.87 _ - o S89°50 50 E S 89°50'50' E 10 - IN -1 1 1 M 4~ ro Kj O i MI 130.53' rn 520 .59 f _ l _ 234,5.9 rn ~ ~ 765.12 o - - -4 N 89 50 50 W 1784.90' „ „~-soUTH LINE OF THE SE 1/4 N 89 0,50"w o COUNLY _TNUNf<-bl- HAAY_ N 89 50 50 W SE COR . C-23 - CO R. I T31N,R16W SEC. 33 ~NSlsfss'~i,~ GO~S~ti Bearings referenced to the South ` f HARVEY G. '£1 : JOHNSON s line of the SE1/4 of Section 33, I I assumed N89°50'50"W . = 5-1859 = HUDSO lop SCALE IN FEET 1" = 60' 1 r~ WIS 0' 15' 30' 60' 120' 180' sell This instrument drafted by: JWG APPROVED 490-1787 Vol. 8 page..2316 '1:a31 3