HomeMy WebLinkAbout018-1035-90-110
'o 0
Q o ° I
M O~ GF> I
~ I
h c
0. o
o ~
~ I
0
e
0
N
ti
^O I
V
0 I
I
y T
~ o I
~ I
N ~
Z °c
C
c
U.
3 ~o
Q ~ I
3 Cl)
I
Z y I
E
v
v
co~~ am
o I
c
o Z Z v v
:!t
d z a c o
N H ' I
O N c7
n~i a ~ I
w I
ID,
d L L O
C C O U
Q Z z w
Z
N 0 '
c
N H
mn .2
° o O G a al m ~p N
fq _M
Z 0 LO U) U)
000
IL m IL
a o I
N 0 0 N 0 0
►~i N J V co rn rn c
Z
'V ' ~ rn rn ~ a) o I
o ° 0 m
E N
_T m c d `o I
C 'p N N
U m Q}<n o
U) W
04
N I~
O w U o m o c c
rn~~ E a a c
r N N
m u) C O o c 5
V 0 M c
75
W O O N C t t r
O
m c N O (nn E E R u
i. O 2 Y O Z w (A
V ~ ~ I
v~ m ( a
dt a L a 4-,
• Rs G d .V m c
E c
c) mz 'o
t A °
Ornv
E
45401x6
0z 0
CERTIFIED SURVEY MAP
1 HARRIET RRIZAN
Part of the Northeast 114 of the Southeast 114 and the Southeast 1/4 of the Southeast
+`'r 114 of Section 16, Township 29 North, Range 17 West, Town of Hammond, St. Croix County,
Wisconsin.
£ 114 COR. SEC. /6, T 29N, R 17W,
(COUNTY SURVEYOR'S MON./
C.S, M. LOT VOL. 5 1 C.S. M_Lor 2, VOL. 5'
m
PAGE 1486 PAGE /486
q 4
S B7• _ 3` q I
23' 4/ "F /039.34' -
p N00.36'37"F 66.04'43,03 p M IM J
320.82' 43.03' b~ O b O
IN
N87-25'41"W 363.83' ° W
0I 43 30' ~
Lori m~ l:
" /O. B6/ ACRES
O 473, 123 S0. Fr. tp 1~ 20 Z
OI N NF7 a /0. 793 ACRES l ~
QI O 470,151 S0. F7. O of h 3 2
O
v Z I W h O
' 1 WI 3 v ~ e W Q
~ M a
.54 O
M OI O
~I -,,21,15 .27 „ 2 N ° W
~ N ~ ~ O h h
W
ZI $ ~ ~I ~ ~ 3 W
J Q. zi `
h
o 2 1
2 ~ ~
q
t. N
~ of ti
L - -
N
A'89 • 38' 00"W 4/8.46' b
~ b W
UNPLATTED LANDS
Q~
~ W
SCALE 200' m (q
v
J
0 30' 100'130'200' 300' 400' 300' 600'
Q O H
O Indicates 1" x 24" iron pipe weighing 1.13 lbs./lin. ft. set. :RO
Dated: November 3, 1989
NOV 2. 8 1989
Owner's Address: Route 1 3T. Cmix coUtRy
WWWWXWE PARKS PLAN
Hammond, WI 54 mt)1r~•~. r c
p
\ •~~~`S~~sG O NS~/V iwo
.`N
FILED -
LAU ' C•.
DEC 5 :m 'w R °C=
48
JAMES p 1989► 11,3
g a~ONNELL N RIV R FALLS,,;'
Register J~
St Croix %
Co, W, q''•••, wisc..,,.•~ ~Q
AND
44 8114119"A
Vol.-Page 2177
Certified Survey Maps Laurence W. Murphy
St. Croix County, Wisconsin Registered Land Surveyor
SH EE T l OF 2
900
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING
LABOR &44UMAN RELATIONS DIVISION
P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION
MADISON WI 53707 State Plan I.D. Number:
SE 4i SEk, Sec. 16,T29-R17 (If assigned)
Town of Hammond X CONVENTIONAL El ALTERATIVE
El Holding Tank El In-Ground Pressure ❑ Mound
NAM ARMI HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE:
Jim K-ri 1d
BENCH MARK (Permanent reference point) DES RISE IF DI F RENT OM PL REF. PT. ELEV.: CST . PT.
Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number:
✓w=
SEPTIC TANK/ OLDING TANKr"'~'7.7%,00rS7, '21
ARNING LABEL LOCKING COVE
MANUFACTURER: LIQUID CAPACITY: T~.KOUTLETE-E
PROVIDED: PROVIDED.
rd >2 ~C~t ~STi 9S. /Z 97 9O S ❑NO ❑YES
6-DID QJL~ I' BEDDING: VENT-D;A.: ' / uEN{MATL.: HIGH WATER BER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FR H
CnO" ALARM: EET FROM LINE: i AIR 1
~S~ S
❑ YES OEl YES O NEAREST -1110'
DOSING CHAM
MANUFACTU BEDDING: LIQUID CAPACIT PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO
GALLONS PER CYCLE: PUMP AND CONTROLS OPER L: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH
(DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET:
PUMP ON AND OFF ❑ YES ❑ NO
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: R: MATERIAL AND MAR G:
or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN
the soil is dry enough to contin
CONVENTIONAL SYSTE ue y' a SE~m e t).S = 94, /T '41f el 71?
WIDTH: 1-EffGTF- - DISTR. PIPES ACING: COVER INSIDE DIA.: # PITS: LIQUID
BED/TRENCH TREY 7& ' MATERIAL: DEPTH:
DIMENSIONS v)
GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. I TR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH
BELOW PIPE ABOVE COV R: ELE . INL T: ELEYr EN LINE: / AIR INLET:
~i 5. D35a 11~ u PIP~ NFEET FROM EAREST~♦ "'SUSo, >50 DSO
MOUND SYSTEM: 17
Mound site plowed perpen ar to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM
slope an nslope: 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 ❑ NO ❑ YES ❑ NO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DE S OF TOPSOIL: SODDED: SEEDED: MULCHE
CENTER: EDGES:
❑ YES ❑ NO ❑ YES ❑ NO ❑ YE ❑ NO
PRESSURIZED DISTRIBUTION SYSTEM:
BED/TRENCH WIDTH: LENGTH: NO.OF LATERAL SP G: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER
TRENCHES:
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MAT NO. DISTR. DISTR. PIPE DISTRIBUTION P ATERIAL & MARKING:
ELEVATION AND ELEV.: ELEV.: DIA.: ELEV.: DIA.:
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
40/
Sketch System on Ret n in county file for audit.
Reverse Side. SIGNAT E: TITLE:
N f/ Y7-X -41. SBD-6710 (R. 06/88) ~rn
DILHR SANITARY PERMIT APPLICATION
u~N
In accord with ILHR 83.05, Wis. Adm. Code
ccf
STATE SANITARY PERMIT
-Attach complete plans (to the county copy only) for the system, on paper not less than 11 1
8% x 11 inches in size. C 41f vprevios application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPERTY OWNE PROPERTY LOCATION
rI,,,."~? /l R a •S~ % Sr %a, S y T , N, R i' E (or) W
PROPERTY OWNER'S MA GAD RESS J LOT # BLOCK #
J
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
N(4 99L
11. TYPE OF BUILDING: (Check one) CITY / NEAREST ROAD
❑ State Owned VILLAGE ; lltCyy `y t . t.~ C o ,
.a JQUN OF:
❑ Public ®1 or 2 Fam. Dwelling-# of bedrooms PARCEL TAX NUMBER(S) rO.~ 43( _ GD- `
III. BUILDING USE: (If building type is public, check all that apply) 5f~,
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 100 Outdoor Recreational Facility
30 Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
40 Church/School 80 Mobile Home Park 120 Service Station/Car Wash
50 Hotel/Motel 9 ❑ Office/Facto 130 Other: Specify
Office/Factory
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. 14 New 2. ❑ Replacement 3. ❑ Replacement of 4.0 Reconnection of 5. ❑ Repair of an
System S System Tank Only Existing System Existing System
Y
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 M See a9e Trench 22 F-1 In-Ground 11 420 Pit Privy
13 ❑ Seepage Pit Pressure 430 Vault Privy
14 ❑ 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) _ GELEVATION
o G 6, o 7 U r C~ S y. 5 o- Feet 7 Feet
VII. TANK CAPACITY Site
in allons Total # of Prefab. Fiber- Exper.
INFORMATION New tsttn Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holding Tank d~J,~,✓CStC-A
Lift Pump Tank/Si hon Chamber
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print): Plumbe s Signature: (N mps) /MPRSW NQ.: Business Phone Number:
01
Plumber's Address) (Street, City, State, Zip Code):
IX. C UNTY/DEPARTMENT USE ONLY
Disapproved Sanitary Permit Fee (Includes Groundwater Date ssue issuing gent Signature tamp
Approved ❑ Owner Given Initial /I Ic- Surcharge Fee) /
Adverse Determination
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
r-
INSTRUCTIONS
r '
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new
criteria in the Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be
submitted to the county Prior to installation.
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a 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.
II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in line A. Complete 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; dose volume; elevation differences; friction loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) soil test data on a 115 form; and F) all sizing information.
- - - - - - - - - - - - -
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of
regulated practices which can effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater, ground-
water contamination investigations and establishment of standards.
SBD-6398 (R.11/88)
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 Tf-,01 hV~J. o fl
Location of property L 1/91/9, Section , T N-R-L~-W
Township 4 tK
Mailing address ~4 ~44 n1 rw h L/~ S.
Address of site 4, 2
Subdivision name l' Lot number
Pievious owner of property f a r 1'?-
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 ~V and Page Number as recorded with the Register of Deeds.
INCLUDES 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 references to a Certified Survey Map, the Certified Survey
Map shall also be required.
I
PROPERTY OWNER CERTIFICATION
1(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 warrant deed recorded in the Office of
the County Register of Deeds as Document No. Lo d, 1 3•.r, and that I (We)
presently own the proposed site for the sewage disposal system (or I (we) have
obtained an easement, to run with the above described property, for the
construction of said system, and the same has been duly recorded in the Office
of the County Register of Deeds, as Document No. t16-2 13 S- Ic
Si tune of Owner Signature of Co-Owner (If Applicable)
~-1^l,-JO
Date of Signature Date of Signature
DOCUMENT NO. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA
STATE BAR OF WISCONSIN FORM 2-1982
`
4G2135 ~7
VC!~~ PAGE 45'
REGISTER'S OFFIC
ST. CROIX CO., Wi
Harr-iet...Krizan,__--a single.pers d for Record
Reed " SE P
at J ` 0 7 1990
Ja~lles meter Itr~zan arx3 '
-
s.-.
conveys and warrants to
1 . 15 _.,--hushand _and. 1.
wif-e survivoxshi-prop-exty.,------------- RegisfetofDeeds
_
RETURN TO
.
the following described real estate in St._ Croix . ...County,
State of Wisconsin:
Tax Parcel No:
Part of East Half of Southeast Quarter of Sect.Ctz 16, Zbwnship 29 North, Range 17 West Described
as follows:
Lot 1 of Certified Survey Map recorded in Volume 8, Page 2127 of Certified
Survey Maps.
s~
This iS not homestead property.
(is) (is not)
Exception to warranties:
hated this ...28th..... day of August _ 19.90
. ...(SEAL) (SEAL)
' ..Harriet Kr zan_.... .
--(SEAL) .(SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signature (a) STATE OF WISCONSIN
ss.
`a`k.--CMiX-------------- -County.
authenticated this day of 19______ Personally came before me this ......28th day of
fit............................. 19___90.. the above named
_..Harriet.V.-.Krizan-a.suagle-,P~
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by § 706.06, Wis. State.)
to me known to be the person who executed the
l ` f, for oing instrument and ackno edge ie ame.
THIS INSTRUMENT WAS DRAFTED BY _.--James..R....Bartholomew Attorney r~.1J_.E _ti\
Peterson
l l6 Secool $tget , P.O. Box 2,T Marlene M.
_Hudsori, 54 10 --••--•_-_'_y.:: k) ~Notary Public. Peter.....ST-Croix..._._.:---County, Wis.
(Signatures may be authenticated or acknowle4p& ifAV) My Commission is permanent. (if not, state expiration
are not necessary.) .
date: . --...4^•5-92... - 19.......
.Names of persons signing in any capacity should be typed or printed below their signatures.
N.GMiIlerCorrpsny~ STATE BAR OF WISCONSIN
FORM No. 2- 19g2 Stock No. 13002
H
H
_ a
STC - 105 r
r
a
H
SEPTIC TANK MAINTENANCE AGREEMENT o
St. Croix County z
d
a
OWNER/BUYER U1'N'I %C.i yin
ROUTE/BOX NUMBER ki,f 0A 0h C( Fire Number
CITY/ STATE kic At c( W, 'S- ZIP
PROPERTY LOCATION:S Lr k, S 14, Section JC► , T,~?_N, R17 _W,
Town of i 4h,,. $ t. 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 I!
the system can affect the function of the septic tank as a treat-
ment stage in the waste disposal system.
St. Croix.County residents may be eligible to receive a grant for
a maximum of 60% 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 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.
0
I/WE, the undersigned, have read the above requirements and agree
to maintain the private sewage disposal system in accordance with x
H
the standards set forth, herein, as set by the Wisconsin Depart- ro
ment 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.
SIGNE
DATE O
St. Croix County Zoning Office
P.O. Box 98-
Hammond, WI 54015
715-796-2239 or 715-425-8363
Sign, date and return to above address.
Il._
DEPARTMENT OF REPORT ON SOIL BORINGS AND, ~~Q►FETY & BUILDINGS
INDUSTRY, DIVISION
LABOR AND C P.O. BOX 7969
HUMAN' RELATIONS PERCOLATION TESTS (115) faw~ MADISON, WI 53707
(ILHR 83.09(1) & Chapter 145)
LOCATION: SECTI N: TOWNSHIP/0016W4VGIP14t1-T Y: LOT NO.: BLK. NO.: UB IVI ION NAME:
$E 1/4 SE- 1/4 1Co A-9 N/R 17 E (o W H A M M 0 a~ IS A S ,A i FcA)DIA5 r-
COUNTY:. OWNER BUYER'S NAME: MAILING ADDRESS:
sf cieoq Ti 'm kkiz.ha r♦y. 12- Nflorllrlla,llo GV/S .
USE DATES OBSERVATIONS MADE
NO. DR COMMERCIAL D RIPTION: ST : I
esidence 3 pR ¢ N New ❑Replace I D 3 f 0 3 I
CMaI ER''(~ PL/1 IN~i~ LD .SO r $
RATING: S= Site suitable for system U= Site unsuitable for system S'CS' 0
ONVENTIONAL: MOUND: JIrYSTEM-IN-FI LL OLDING TANK: RECOMMENDED SYSTEM: (optional)
rZS ❑U ❑ S ~U ❑U EIS ❑U ❑ S DU 'r~eacktS OA-21 Ly - &Vitt% 7~Ro ~ Rox
F o~ OC-SeNCC- of , T6 Soil OUE:A TsST /4 eCAf- JAI STQi t!-f e o~v
j
If Percolation Tests are NOT re uired DESIGN RATE:
Q If any portion of the tested area is in the
under s. ILHR 83.09(5)(b), indicate: G f 1 S $ Floodplain, indicate Floodplain elevation: i
PROFILE DESCRIPTIONS 30 'bee_ mttL. T+
BORING TOTAL P H T GROUP DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER. DEPTH IN. ELEVATION OBSERVED EST. M HE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
I-0, r r 2,D' S~,uD- S!' Ht/C'IuRE - fell T. S,
I Q'L~Qar.S~
B- / 9.0 /ot7.oy 7'io > 9 0 oRr 14AL. T.C. I.0' I,.. (s3 R. 5.0' ' ti Cs' 6-A.
2_ S 9S. GG' 8 S . 33 or 4~,. s/ r. s. 1•G~' - a Y. S1 4.O • 0,0e.
Iv,Ad- S. S. S r4 A.- a,wOEO /r►-~- T .
r 33' ole' 6AS - .3•.ZOr T.fv fiaF 73~oi:o SPWD.
B- 0 1004E- ~~,a fv • 7.r.~ . s. w .
T•S 3.66 ' T.>-~, rw-4 S. S. p
U y5. f0.~- 0 33'
e s ' '
• Tfi,.. Ici.u{ /EOO tF
B. S lam, O /y. 72-' } 9.0 p2-S S.3.7 5
24VDED V 0,
M~RicP-- S
SB-
u, f,4C E/EVfiTio.u o E S FPEW S PERCOLATION TESTS
i
TEST DEPTH WATER IN HOLE TEST TIME DROP WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING NTERVAL-MIN. PERIQD ---PERIOD 2 PERIOD PER INCH
I
P_
P-
P_ I
PLOT PAN: 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. I•{ G-,„ 'rite N = L 4 tv ~i ~1.u
SYSTEM ELEVATION _~17S '
I
6 14st te A 7"p,~'to ~11
V ~G
f r-a~ c
,
JC PIECt(A _ CI T._. ! ST _fiT~ S /3ov..._ /qe<'.u f: ~Fi'"E S
__t_-..... _
i~A
41 A
I, 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 : HOMESITE SEPfle PLUMBING GO. TESTS WERE COMPLETED O
855 O'NEIL RD., HUDSON, WIS. 54016 .3 _ l q
ADDRESS: ROBERT HT L
'WIS. MASTER PLUMBER LIC. NO. 3307 M.P.R.S. CERTIFICATION NUMBER: PHONE NUMBERIoptional►:
MINN. INSTALLER & DESIGNER UC. NO. 0060 Z Ye 2-- 31406 • CS IGNATURE:
Zee,.
i
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILH"BD-6395 (R. 10/83) - OVER -
p PLOT PLAN'
~ • : BigC~~E P~ TS •
I
X = PeAr. S 1TE$
- Ex~ST~aG- Su~f.~cF E(E047-40 %35
I
1
I
I
_ W---~ - - -
i 24
135`
tk
r
3lp
F6ua0 j
St,RU~yoR~S
l R-O
9
~RepL~ceMEar 204E
1 d9
3 SD
So r
3
i
Q///~~Y)) est sl
- fib/,~ l ya-•y(vl,v'j'
S VS7-C'M , -
7eEE , S
Z
vf,~rRif
Top o4 soup l..
STEEL- ~y1r(Z
EIeu*Tioo : /00.0
7z
ElEV~tTlo-4)
• ~ Y El~v~Y/rcw
/o y. 76
'
fvOAAO,
S fhk~v -007-
/~UMESTE
HOMESITE SEPTIC PLUMBING CO.
655 UNEIL RD., HUDSON, WIS. 54016
ROBERT ULBRIGHT cST# 1 yfZ
WIS. MASTER PLUMBER LIC. N0.3307 M.P.R.S.
MINN. INSTAUSA A Gii81QNER LIC. N0.00663
0 u. .7
S-~' S-F S. 7r ~ ~1 ev 7
CJ J.L.`
s !
G3F 7s'
1~ R a w 13 'v G. St
Pill I'N n L G &14
c# 1 F~
Q~
1 ~ i r~9' # R . t
4 t'Y a9 Rq S C.
c ;
r.--,:..,..Kra-=•~`
~ J
y
-t
~en <<'n L
i
i
45401,E
tt CERTIFIED SURVEY MAP
I HARRIET RRIZAN
Part of the Northeast 114 of the Southeast 114 and the Southeast 1/4 of the Southeast
114 of Section 16, Township 29 North, Range 17 West, Town of Hammond, St. Croix County,
Wisconsin.
£ 114 COR. SEC. l6, 729N,R 17W,
1 COUNTY SURVEYOR'S MON.I
C.S. M. L07-1, VOL. 5_ C•S•M_LOT 2, VOL. 5, e
PAGE /486 PAGE /486 m y
I_ to I4 3
S 8 7 3/ Q'
' 21 ' 4 19.14
I r~ Q
1014.51'
p
h N00.36'J7"£66.04'43,03 O M IM J
320.82' 43,03' bt O IN Q
j N 87 . 2 1 '41 "W 363.83' y
m 143 30,
Ij
LOT v
N /O. 861 ACRES aj N 2
O 473, 123 S0. F7. m
2 N NET a /0. 793 ACRES m Q b
Q 00 470,/1/ SO. F7.
2 W h O
QI 3 vl Q
W~
~ S 89. 165 5 7"W CS J I O
~I 263.27' h n v q~ 2 O W
Y N ~ ~a ~ b
Q N . ku
4i
O
~ M O Q t~ j ~ ?
J h
JI O 2I W
JI :t~
• O:
O ~ p1
2 ~ Z N
201 F.
N
N89. 38' 00"W 418.46'
2 ~
UNPLATTED LANDS m~
Q~
WW
m o
SCALE 200' Q V
0 30' 100'110'200' 300 400' 300' 600' Q O can
n Indicates 1" x 24" iron pipe weighing 1.13 lbs./lin. ft. set. MOM
Dated: November 3, 1989 1 Nov 2 9 1989
Owner's Address : Route 1 37. CROIX COUNTY
iFN.;VEPANS RA C
Hammond, WI 54 P,Prf0 2.("-" ' CC ?AITTM
p ,tt1t1111IN1/y°
o..\\SG NSF/`/ 4irs
% ii
FILED
LAU EN
: C
cc
L
DEC 0 51989► c_ w 1113 a°
J~
g JAMES Reg st ~o p~°tl$LL N RI 1/ R FALLS-'
...'T
JQ
SL Croix CO., WI
LAND
~ ~ °0llllllttt~`~`
Vol._ Page 2177
Certified Survey Maps Laurence W. Murphy
St. Croix County, Wisconsin Registered Land Surveyor
SH EE T l OF 2
z - 7v
~ ~ ~ = 19 2040 .
JU( ~ 2 ST. Cnix COUNTY
` 62000 j, ECORD G2709(;
KATr1CF .
ra 0,, o., W!
Re9iste it WACSy 3
CERTIFIED SURVEY MAP
JAMESWRMAN-ANDWAI A-MADSEN
Part of the Northeast 114 of the Southeast 114 and the Southeast 114 of the Southeast 114 of Section 1 a, Township 29
North, Range 17 blest, Town .of Hammond, $t; Qrolx County,. Msconsb% being Lot3 of that certified survey map.
recorded in Vol. 10, Page 2887 of St. Croix County Certified Survey Maps.
Owner's Address:
Box 242 3 APPROVED
Hammond, W1 54015 Sr. CROIX COUNTY
Z , Planning Zoning and Parks Committee
This instrument drafted by Laurence W MuMby -J UL 2 ~Q~Q
Dated. April27, 2000
J
c+ 11~ V Q It not recorded within 30 days of
L !_ri ~+.S. , V0 ~ to W approval date approval shall be
"-s-- 81 PAGE 217 II null and void
S 87° 25' 41"E 365.85' ` v O
FENCE
320.82' I 45.01% F W
1. I W Q0
LOT AREAS , l I ' /G~ 1►~L f I
LOT6-2010 li / LOT ACRES OR 67,571
K A . 61 M ~ • I
SQ. FT. ( N I N
1.770 ACRES OR • I~ . I f•. f
77,108 SQ. FT. LU I • • i' j / I III °
EX
R.O.W I% C. ROAD N S 9000' 00" W 365.05 `
LOT 7 - 1.938 0. Co 320.05' I in 5.00
SQRFT. OR 84,¢39 Cp~I / j I 45' -50' f 65,
1.699 ACRES OR w • F f~ (n
(cv♦~• LOT 1 ~I
74, 022 SQ. FT. ; •
' I $ ~v a I Cl)
EXC. ROAD •
IG~ I I
R.O.W. N
" I l t~ Z W ~ ~I '
LOT6-'r927 Q,.
ACRES OR 83,927 S 90° 00'00" W 1364.49'
/ I ~ imp UJ ALL BEARINGS REFERENCED
SQ. FT 319:49` i m ' U g I ro rNE EAST L /NE OF THE
1.688 ACRES OR I 1 (I' 1 5:00 ( ? . f I SOUTHEAST //4OR SECT/ON/s,
73,5T6 SO. FT. 1 rj rn y . ~.'I ASSUMED s o0. ae 57°w
EXC. ROAD I~ N /1 I' / I m a cw 4. LEGEND
R.O.W p a , iLOT 8 I a
'r•l N r i• h M a l • INDICATES 1"X24"
LOT 9- 1.969
ACRES OR 85,752 • • I : o N w IRON PIPE WEIGHING
SQ. FT. I I 1. T3.LBS.1LI1V. Ir S4FT.
JW INDICATES I" IRON
1.729 ACRES QR N 89' 40' 24 W 1363.9 9 PIPE FE?f1Np .
75,308 SQ. FT. -
EXC. ROAD 318.91' I 5.0 % • INDICATES SOIL
R.O. W. a100• 'FO
I 1 PROPOSED SEPTIC
` I SYSTr5K
I r.
W o LOT ,9 1 N
a' N I N N
$ 14 I 45 1
317.29 , I 5.0
C ; W.
s
S S 88° 50' 17" W 362.31' ti s
40 50
O
: ~O Z
r J
• o0)
Dp N g
a LAND N
SCALE I" = ISO'
0 100' 200' 300' 400' S00' i
~ v
U
SHEET 1 OF 2
Vol.14 Page 3907