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HomeMy WebLinkAbout026-1116-80-000 M O ~ d m a" 0 o I 0 N O ~ C X cL I _p Y C I y ! ~ 3 I C Z a i I IL o 0 . I i _ 3 00 Q o Cl) v ~ I z y co C/) 00 Z E M w a m H z 0 H C) O Z d v V w O M 2 U) H z N M O N 01 7 c a N 0 a OI m y z co z z N n c b E c " y U c if 0 X 3 3 a-a 1 Z •ti 3aaa CL B g z 7 0 m d C, C) cy) m U) J V 0 rn } _0 m >o~ (D Q " O N (LO O 7 70 7 W CL to U) O N H O C 5 y C 3: cu O O O H U 0 U Q. 0 0 ~ CO -p C 'O N N v y~~ E 0 C L 0 d f~ can E > 000 O (D N e- U a+ CO 0 y U • O O d' !n ~ O z c ~L U) O ~ VI ) M € d v ~ 3# La t` • a d d rrww _1 A t°) Parcel 026-1116-80-000 12/12/2005 03:01 PM PAGE 1 OF 1 Alt. Parcel 01.30.18.679 026 - TOWN OF RICHMOND 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 O - EMERSON, THOMAS W & CHERYL A THOMAS W & CHERYL A EMERSON 1445 176TH AVE NEW RICHMOND WI 54017 i Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1445 176TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC 1~q& Legal Description: Acres: 2.330 Plat: 2630-WILLOW RIVER MEADOWS SEC 1T30N R1 8W SE NW & NE SW LOT 27 OF Block/Condo Bldg: LOT 27 WILLOW RIVER MEADOWS 2.33AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 01-30N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 888/09 2005 SUMMARY Bill M Fair Market Value: Assessed with: 96312 274,400 Valuations: Last Changed: 06/20/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.330 48,600 186,700 235,300 NO Totals for 2005: General Property 2.330 48,600 186,700 235,300 Woodland 0.000 0 0 Totals for 2004: General Property 2.330 48,600 186,700 235,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 214 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER --/,/Jib'<7~`'/>gZ~cse".J 5 TOWNSHIP j , . SECTION T _a N-R~W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT,-LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM / = ya SAP s"o -sLINDI ATE NORTH ARROW BENCHMARK: Elevation and description: Alternate benchmark SEPTIC TANK: Manufacturer: Liquid Cap. Rings used:.r.2-Manhole cover elev:/[~7 Final grade elev: Tank inlet elev.:~_Tank outlet elev.: No. of feet from nearest road:Front Side l 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 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:- Length Number of Lines:,-~)_Area Built Exist. Grade Elev. Proposed Final Grade Elev. //Q'-7 Fill depth to top of pipe:- No. feet from nearest prop. line:Front Side _Z_, Rear Ft.,j=sL, No. feet from well:_4, _No. feet from building S-Lly • 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: 6/90:cj DEPARTMENT 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: NE4iSW4fSec.1,T30-R18 ❑ CONVENTIONAL ❑ ALTERATIVE (If assigned) TownRof Rich and 1:1 Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Michael Stevens Rt., New Richmond, WI 54017 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. EL S REF. PT. ELEV.: 0.12 3 ,0 ' Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Calvin Powers Jr. 1563 St. oix 128785 SEPTIC TANK/HOLDING TANK: Z .Z, l 3, MANUFACTURER: LIQUID CAPACITY: TANK INL TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER , PROVIDED: PROVDED: pro c~ • I d?~ OF 09.6 1? YES ❑ NO ❑ YES NO BEDDING: VE#FDIA.: WEP~fMATL.: HIGH WATER UMBER OF ROAD: PROPERTY WELL: BUILDING: VENT -PO MESH C O. C O ALARM: FEET FROM LINE: , AIR INL 11:1 YES ❑ NO L' Cry ❑ YES NO NEAREST - ® - MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATION OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FR E. AIR INLET: PUMP ON AND OFF) I ❑ YES ❑ NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL AND or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID BED/TRENCH ^ TRENCHES: / MATERIAL: DEPTH: DIMENSIONS /O GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. STR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOWgPES: ABOVE COVER: ELEV. INLE EV. END: r /OvrC, PIPES: FEET FROM LINE: ll AIR INLET: .~i7 •,-14ZM /OG i!v.~Z 7X9 NEAREST _4 MOUND SYSTEM: 3d' D Mound site plowed perpen u ar 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 ❑ NO ❑ YES ❑ NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ YES ❑ 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: ELEV.: ELEV.: DIA.: ELEV.: PIPES: DA.: 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 D ain in county file for audit. Sketch System on Reverse Side. SIGNAT RE: TITLE: 1 SBD-6710 (R. 06/88) SANITARY PERMIT APPLICATION L DI~NR In accord with ILHR 83.05, Wis. Adm. Code couN STATE SANITARY PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ 8% x 11 inches in size. heck i revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPS TY OWNER PROPERTY LOCATION S , N, R V(or Vy7 OPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 41S c-_2 7 Cl A0V STAT ZIP CODE PHONE NUMBER SUBDIVI 10 AME O SM NUMBER i &A 41)t [-~4 1 (~7/157 =TY II. TYPE OF BUILDING: (Check one) F1 State Owned ❑ VILLAGE NEAREST ROAD ❑ Public 1 or 2 Fam. Dwelling-# of bedrooms PARCEL TA . NUMBER(5) 111. BUILDING USE: (If building type is public, check all that apply) 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 80 Mobile Home Park 12 ❑ Service Station/Car Wash 50 Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify 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 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 9 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 1140 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) ELEVATION o -l 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 strutted 11 Septic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the ite wage system shown on the attached plans. Plumber' Name (P ' t): Plum s Signature o ) MP/MPRSW No.: Business Phone Number: s reet, City State, Zi ode): umb 's Ad ress (St NTY/DEPARTMENT USE ONLY IX. CO Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Tssuing A ent signature (No Stam Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determin ti n 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 INSTRUCTIONS , 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 (SEiD 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 13 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. 11. 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'/s X 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensicns, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water me ins 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) i APPLICAT1011 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 \ytt►wOw yVER- ~)onNj Y~N-~tefLE/~►[~1A.~~ V-. SI+c V'-.' S Location of Property 1 ~W fit, Section , T_ N-R IS W Township Cl L4+WX0F Q Mailing Address ~C70ci 4tLv"\*Ve-V (©S W;a-vv t24c,0 ~0 0 V11 S 40 1 Address of Site f2cmT'E VV cit.{ rM 0 f4 P. 1 X74'0 Subdivision Name WlL-Lrow Vo%\/at. P~'00%Al/S Lot Number Previous Owner of Property C4+Mt OT Total Size of Parcel 1:0 O #CxuE--S Date Parcel vas Created - I $ - 61 Q Are all corners and lot lines identifiable? X Yes No Is this property being developed for resale (spec house) ? X Yes No Volume ~b(o~ and Page Number 4$(o 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 1 IWo) co~t.Ci6y that aff etatemerttls on tlws 6ohm ahe tAue to the- best o6 my (oust) hncwCodgo_; that I (we) am (she) {lie or.uneAk) 06 the pnopeAty deg cAi.bed in tha .it,Wmat.i.on 6o", by viAtue 06 a wahhanty deed neeonded in the O66-ice o6 the Cenntyy Reg' toh 06 Deedeah Document No. 4S9z-0co ; and that I (We) phehent.£y c.un Llle pnopoaed ette 6oh the eeeuage de~spoe dye em (oh 1 (we) have obtained an Fr'-44'-mf Lt, to stun with the above decAibed phopeh.ty, bon the eonhthucti.on o6 said syetcm, and the dame hae been duty keco4ded to the 066tce o6 the County Reg.ie.teh o6 Veede, OA Poement No. 45S7.o k2 ) . SIGNATURE it OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) g-`4 -C) C--~ DATE SIGNED DATE STcmn i 1-J i_lf:l )l.i r"i-ll !I~7_ WARRAMTY DEED THIS SPACE RESERVED FOR RECORDING DATA ST, TI; TSAR OF WISCONIjIN FORM 2-1962 455206 1 PAGE QSV REGISTER'S OFFICE Michael- R... Stevens,_ William _ H.. Derrick,, ST. CROIX CO., WI William.M.. --Derrick, Thomas. E.. Derrick. and , Recd for Record Ronald L.. Derrick as _ tenants-~ n-common _ JAN lg SAG - Qt - 8: 30 A. M ronte;;s and c,ru u!t, to Willow. River-.J.olnt-__ -Venture Register of Deeds . - --.-j RETURN TO the followimu dcscrihcvl real estate in St. Croix--.. County, State of Wisconsin: Tax Parcel No: Southeast Quarter of Northwest Quarter and Northeast Quarter of Southwest Quarter of Section 1, Township 30 North, Range 18 West. rRptNS~ FE'S I I Thi>; is not-... honiestcad I,iroiwrty. (is) (is not) Exception to warranties: municipal and zoning ordinances, easements and restrictions of record. _Vq ja_ Dnted this day- of - - _Jariu rY 90. .(SIAL) - (SEAL) Michael R. Stevens William M. Derrick i L,) (SF;AI.) It ,.~ll --...(SEA William H. Derrick Thomas E De riick A.UTT1P,NTICAT10N ona C 'N WLED MENT __Mic_hael R. Stevens, STATE OF WISCONSIN William H. Derrick, William M. SS. Derrick -Thomas--E.-- .Derrick---and Ronald Derck County. anthenticatcdlthls ( __..ay of------ sTal7Lldry-__ Personally came before me this ------------day of 7 G.L • ~L' - 19 the above named - - - - Judith A. Rem ngton - - - - - TITLE: RIEMBER STATE BAR OF' WISCONSIN (If not. authorized by ~ 706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY REMINGTON LAW OFFICES - - - udi h ft. R mi ton - - - - - e is onam'RY 54017 w is m d RY 54017 - -1 - - Nota-v Public - - -County, Wis. (Signatures may be authenticated or acknowledned- Both My (bmmission is permanent. (If not, state expiration are not necessary.) date: 19......... ) *Names of persons signing in nny capacity shvinld he typed nr printud helow their signntrres. WARRANTY D£ED STATE BAR OF WISCONSIN Wisconsin Leval ltlnrilc Co. Inr. L FORM NO. 7- 1982 ~I~I~.e~nke,:•. Wis. PAGE i j THIS SPACE RESERVED FOR RECORDING DATA I DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1982 l~ ~T xRRRR 452767 GUARDIAN'S DEED REGISTER'S OFFICE This Deed, made between ST. CROIX CO, W1 Gertrude E. Schmit by Beverly Buckner, Guardia Recd for Record - r 215 1989 OG1 I Grantor, and..... Michael•••R_.•.-Stevens-,•--William. r)err_ick,_----------- at 8:00 A. Mn~ ----.---_Will-iam--M --_Derrl:ck,-.Thomas.err-ick.-and..... .---------Ronald...L.._.-Derrick__as--_tenan-t ~ _ ;i--common-__--_------• $-WRegister of Deeds ..--.-------•---P Grantee, Witnesseth, That the said Grantor, for a valuable consideration...... Gertrude E. Schmit by everlyy_..--_. Bu.._.-.-ckn._e.r - RETURN TO conveys to Grantee the following described real estate in St_.-..Croix-_••_•-• County, State of Wisconsin: Southeast Quarter of Northwest Quarter and Northeast Quarter of Southwest Quarter of Tax Parcel No: Section 1, Township 30 North, Range 18 West. i This deed is given pursuant to the Order to Sell, dated October 16, 1989, and the Confirmation of Agreement and Order, dated October 19, 1989, both duly authorized by order of the Court and whereas the undersigned, Beverly Buckner, is authorized to sell the same by Letters of Guardianship certified on October 22, 1989. i j IITANSFU 6 1-1bo 0 { i This is not homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And----- Gertar_ude---E-•---S-Ghmif---by---Bever.ly-.-Buc-kn-e.r.----------------------------------------------------------- warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and rights-of-way of record, if any. and will warrant and defend the salve. Dated this day of --•-•-...OctOber 1989.._. (SEAL) ~ - (SEAL) Gertrude E. Schmit by Beverly 4e * BUCkf er`1 ---Gua-rdtan ------------------------•--••-------•-------••---------•-------•-----(SEAL) ---------.-..(SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN Beverly Buckner ss• County. j/ authenticated this . -~__.__day of --October . 19_-89 Personally came before me this ..day of V oi / 19•------- the above named Kristina Ogland Lundeen - TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the same. K'5 9i`TAW1m6Y11611fCPRtUi~j 9ven I Attorney--_at-..La-' NotnrNl Public County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration j; are not necessary.) date: 19.-----•-•) -Names of persons signing in any capacity should be typed or printed below their signatures. STATE BAR OI' WISCONSIN Wi=consin Lct7nl Blank Co. Inc. Out,ot 11 VOiyP S~ Acres eel W i I o w AcreS 18 ' ~Sy N River 2.32 Acres,,/ i 1g / Z.32 AueS .a / ages Meadows o e' A 'i i ?sB ~s< Q g y ~b~ G9 ~ 2.00 Aces 1 .7 •~i .e w :S Acre ~I r 14 2.02 Ault ..6 99 1 3 2.16 Aues 2.00 Aces j ~~e 9J J ] o ~ w I ti 10 161. 13j 200 (9 !.b3 Ile AceS In Z= ACflf 01 201 ~e ui 1 1 ~j p 2.03 Acres 1 2 m 2 2.01 AM$ Z.00 Acres N 2! • I ' _5.29 / n "uoltc ♦~9 +2w 2> i 257.29 4 2 3 7 2.00 Acres N ..u Acres Y I 2.22 Acres . O t~. Y1 289 06.30 1; 2 4 :OA .3c 2.00 Act" c 2 $ ~ 1 2..2 wveS 2.27 Acres 25 .5 ? ]i5 33 ml 25 p Ages m' 2.04 ACrlf ( •AO ac nom} N L ! o 2 C v I 2.33 Acres ~ 1o e A .0 2.32 AueS m 2.0 Ades :50.5 I~ c Wmw m h n 2 6 m aiwr , 2.11 Acres o°i C,ity 2.33 Ault of Now F1iCBiflOfla ^ A28 $07 06 30 I m V 228 211 .C3 2.06 Acres zao "kmwwv 64 (o a! i I! Caren ft GG 32 I 33 ~.mj m r ^ ^ 2.20 Actes ti 1.9A Aalf t.e,. Aues I j 2.03 Aa.f mar= - 20:.50 :26.77 22e .1-ii away G%7 D RRICK (715) 246.2320 Route 1 _Q New Rionmono CONSTRUCTION -z- Wisconsin i i SEPTIC "ANK 4AINTENANCE AGREEMENT - Sr. Croix County OWNER/BUYER WtI.WW RiIV%--,fL. _\_-,0Jt4-r VEN'~a-f,= ROUTE/BOX NUMBER 190S N4%g"Way (OC7 -Fire Number CITY/STATE No''W V-4"MV►JO~ ~t ZIP S+01-1 PnOPERTY LOCATION: Section T ~o N, R_JW, j i Town of ~C.~.1MOty0 St. Croix County, Wtwow PAV''_ Subdivision r'• c,b4>OwS. Lot number 21 t Improper use d'nd maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- I 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 affect the [unction 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 Countv 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. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with = r the standards set forth, herein, as set by the Wisconsin Depart- 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. _ SIGNED /7,1 DATE -10 St. Croix County Zoning Office P.O. Box 227 Hammond, WI 54015 715-796-2239 Si.%n, dar> :ind rei7iir.n 17o above address. Y DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 76 N W 53707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145), OCATION: SECTION: TOWNSHIPY: LOT NO.: BLK. NO.: SUBDIVISION NAME: 1/ sw, 1/ /T N~ 4(or) W 27 n/a Willow Rivwe Meadows COUNTY: OWNE 'S BUYER'S NAME: MAILING ADDRESS: St'.Croix Thomas Emerson 1650 Sharon Ave., New Richmond, Wi./ 54017 USE DATES OBSERVATIONS MADE NO. B MS.: COMMERCIAL DESCRIPTION: ROFILE I DESCRIPTIONS: PERCOLATION TESTS: Residence 3 n/a lew ❑Replace 9-13-90 9-13-90 RATING: S+ Site suitable for system U- Site unsuitable for system ONV N NAL: MOUND: IN GROUND- R URE: S STEM•IN•FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) ®S ❑U ®S ~U ®;S ❑A ❑ S ®U ❑ S ®U converntonal If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: n/a Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS a e 28 BxC2 BORING TOTAL DEPTH TO GR UN WATER•INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DE LEVATION OBSERVED EST. H TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-1 18.42 110.73 none >7.91 .58bl.1. 1.83bn.sil. .50bn.l.s. 5.51bn.c.s. 6.2 7.33 110.11 none >7.33 .83bl.1. 1.33bn.sil. .42bn.l.s. 4.75bn.c.s. B_3 6.84 108.59 none >6.84 .67bl.1. 1.92bn.sil. .42bn.l.s. 3.83bn.c.s.&gr. 6:4 7.17 107.97 none >7.17 1.42bl.1. 2.17bn.sil. .33bn.l.s. 3.25bn.c.s. B_ . ~Ir 16.75 106.91 none >6.75 .75bl.1. 1.08bn.sil. .75bn.l.s. 4.17bn.c.s. =B- decimal' PERCOLATION TESTS DEPTH WATER IN HOLE TEST TIME DROP 1 WATER LEVEL-INCHES RATE PER INCHES Ep.2 AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD Z 5.14. none 3 6 6 6 <3 4.52 none 3 6 6 6 <3 3.00 none 3 6 6 6 <3 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 _ 105.59 ar a 1pf 1&B2 to be bk fille to code • I rt _ I WA. r N 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 : TESTS WERE COMPLETED ON: Gary L. Steel 9-13-90 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 1554 200th. Ave., New Richmond, Wi. 54017 229ff/I 715 46-6200 CST SIGN . DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR•SBD-6395 (R. 10/83) - OVER - /~roJ 71 ~Gs~/zionle~ ~1' s~Qrl /1 /C'%~•~'o/~,L) 5.~,,p°T. e 7~.✓,r / ~i- ~/d40~ fig / ~ / , / 47 CSC SS' s 9s' PAGE OF ~'.rvSS SICC~IUf, o~ A Ze-3 S, 1 ~ • ftdtA Alt InIoU And OEiurallot► Plpo ~ Appforld Vonl Cop / • Ylnl I2d "owe fIn9l pl Coed* 20. 42r Above Plpp -d- Coal Iton To flool Orodo Vonl Pipe =%ft 1,01 Of S141Mlk Corelny Nln 2PAyyf0y0lo Ore lp• - . Glal11CY1lOn . Plpo 0 0 0 -'-Too + fl" 8oAn6Ool► rip le ripo Porleolod PIp0 below o -'~-Covpllny T«alnulny Al floUOm of 111610. Prppoit D ~1~•-~ Sri%cl< go 3"-U0, SOIL FILL DISTRIBUTIOM PIPE APPROVED S4)JpETIC COVCR t '-MAT>:RIkI- OR 9" OF STRAW 2" OF hGGREWTE OR MARSU R ~y WIT ELEV. O ~ tU'0F;'~2 "21/2 AGGRCGATE w -10 DIST'RIB'JTIt0W PIPE TU BC AT LEA, STIIJCHES BELOW ORIGIIJAL GRADE AAIU AT LEASTLO IIJCHES BUT 1.10 MORC TRAM tit IAICHES BELOW FWAL GRAOE ,i MAXIMUM DaPTF{ OF EXCAVATIO0 FR011 ORIGINAL 6AAK WILL BE /1d _ IIJCHES MIF1IMUM Br-pm-OF EACAVATImN H\01A GlkIGINAL. (3RADF- WILL BC INCFICS SIGMCO: Lir-CUSC UUMBEIZ: _2,1, _ DATE:_ ~ 110 _ DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N W 53707 HUMAN RELATIONS (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: TOWNS HIPPIDIE@f TY: LOT NO.: BLK. NO.: SUBDIVISION NAME: 1/ /T30 N/ 3& (o,) W 127 n/a Willow Rivwe Meadows COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: St. Croix Thomas Emerson 650 Sharon Ave., New Richmond, Wid 54017 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: )Mew PROFILE DESCRIPTIONS: 1PERCOLATION TESTS: I~Residence )Mew ❑Replace 3 n/a 9-13-90 9-13-90 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ❑ U ®S ❑ U U S ®U ❑ S Hu l If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5) (b), indicate: n/a Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 28 BxC2 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTHMM ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-1 8,42 110.73 none >7.91 .58bl.1. 1.83bn.sil. .50bn.l.s. 5.51bn.c.s. B_2 7.33 110.11 none >7.33 .83bl.1. 1.33bn.sil. .42bn.l.s. 4.75bn.c.s. B_3 6.84 108.59 none >6.84 .67bl.1. 1.92bn.sil. .42bn.l.s. 3.83bn.c.s.&gr. B 4 7.17 107.97 none >7.17 1.42bl.1. 2.17bn.sil. .33bn.l.s. 3.25bn.c.s. B-5 6.75 106.91 none >6.75 .75bl.1. 1.08bn.sil. .75bn.l.s. 4.17bn.c.s. decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PER PER INCH P_ 1 5.14- none 3 6 6 6 3 P_ 2 4.52 none 3 6 6 6 (1g P- 3 3.00 none 3 6 6 P- P_ v P- i~ qq PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate -7,9 r distances. Ucr~ at a e the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at_~II boring direL'tion nd bercent of land slope. t::'' SYSTEM ELEVATION 105.59 'CE 7-11- 7 area of -1&B-2 to be backfilled to' code . E d E , rn~ ~p t '5~ )Y~] 3 S 1 S( E a 3 w -a 3 . E ~ 3 ( 7 3 € € E € E 3 3 € i 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): TESTS WERE COMPLETED ON: Gary L. Steel 9-13-90 ADDRESS: CERTIFICATIO NUMBER: PHONE NUMBER (optional): 1554 200th. Ave., New Richmond, Wi. 54017 229 7157- Idg 46-6200 CST SIGN DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - 4 t I < E rY: I TO THE C . . Th ~es,E