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HomeMy WebLinkAbout030-1019-40-200 m h a c 0 V h ti i d ~L 0 'o z c ~ m LL c O 3 v ~ Z z p o Z y y °i a m LO F- CO 0 O Z :t u ~ ~ ~ m w O U) H rn N Z C 'p Cl) N 5 C f0 O I N Q y • N N L CO ~i a O 76 a 'D 0 z co z Z CD C C C NI > . 41 f6 d ° z r U) U) U) E a d3: L) _ o co 5 5 ° It •N w °aaa Z _ (L ' ov) ~a°, a°, ~ U) J V o O O Pftkb N 70 O O 0 7 O -0 E (/1 m y C CL C N N m O d D N O O w 'N ° 3 y c E cli C14 LO m CD LL o ~ m y v a C) °O rn CD L n C N N `T , O O O c N N 01 O V O d r- o O c_ `=y~j' O V1 C V L d • 'O 0 'O Zd N O N R U ~i ~ N' N O ~ O~ C O O° O fn O Z c~ ~ fn c GC CDa m • 'e~ a d ` a .~c tt`~~i c ~1 A 0 L 03yv Parcel 030-1019-40-200 02/18/2005 11:50 AM PAGE 1 OF 1 Alt. Parcel M 05.29.19.80F 030 - TOWN OF SAINT JOSEPH Current X I ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): = Current Owner * NELSON, RYAN S & JANICE K RYAN S & JANICE K NELSON 1178 42ND ST HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ` 1178 42ND ST SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 3.280 Plat: N/A-NOT AVAILABLE SEC 5 T29N R19W SW NW 3.28 AC LOT 1 CSM Block/Condo Bldg: 7/1849 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 05-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 865/101 07/23/1997 784/305 2004 SUMMARY Bill Fair Market Value: Assessed with: 4870 339,600 Valuations: Last Changed: 07/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.280 78,900 255,200 334,100 NO Totals for 2004: General Property 3.280 78,900 255,200 334,100 Woodland 0.000 0 0 Totals for 2003: General Property 3.280 46,300 89,800 136,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 103 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 1 O N 14, west line of the NWj of Section 5 N000 3 1 1 1 711E 1316.151 -4 N a (n E N m E m rt o n O r b rt x z z z a o s m m N cn z cn x ~ ao ~ r r• D m o M CO o rt z o Z ° TI g M PI- m Bearings are referenced to the west o O • line of the NWi assumed to bear N000 3 1 1 1 711E. Z N Vf 21- (D rl- h• ° unplatted lands owned by platter ° o rn X p.. Z N0004411511E d o r 284.011 0 rt z q S O < M n t/i T O ~ (o N. n N ~.y ~ •v rt z to N r• rt O O V = c_ n C D O a C) C/) -I 0 0 0 T v b r ' . = x -n n rn I C CA a I W W r OD Un '7 N x ~ N Irt OD W o I h r 0 m N O O I d 1 to O OD •N O I N M C C-) N Q. M V I• CO S T a I a r a V r 1 3 x rH rt I f._. _ -1 CO h rs 1• O = O O rn n. (D N (D 0 I< c rt x T o v a a o m 10 = C) d r- a x x O i N £ n Cj 4, I. n m C/) c r a 1 o n * --I n a < g I L r o w z z C CO 0 r.) Q- M 0- M O z X O I i-• Cp y o d 1710 I C' Oo n n - I r• S b r7'1 S X IK - r r I•C = N T N• I C C I~ T Ln ° 1 . o z x 3 C. O -n -.1 0 Ln -n Irt N czi czi o 4- "o n x x D o z° rn - E E 0 • t cn LO o ~ z V 3O V r I 4- N N CO tD 00 I + CO CO V I N0003414611E 284. ' 10 9 ~ zl _ 42nd St. ~ a, S0004411511W-------- 284.01' t _ JUG 2 1982 small tracts 1"41vOo~NNKt east line of the Sk of the NW} ~ Cfth ,en ~ Q<<M J~~ ~ C fn i' 'y, ! 4+ 4 a APPROVED 9 L JUL 02 ~ O ti•: Y'~ 157 4ST. yRG;X COUtdTY COMP;2CItfNS(vc f".RKS I'LANMNO AND ZOt4INV COMMIM4 Volume 7 Page 1849 A FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP 1~_ /r, 29 SECTION ~j T'N-R~_W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION ' LOT LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET 0 SYSTEM 91n 7 , > C * 13 ~ d C) - 7 ~C;.) INDICATE NORTH ARROW f r BENCIU4ARK: Elevation and description: Alternate benchmark SEPTIC TANK: Manufacturer: , o . , iquid Cap. r~ 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-X-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:_ of Trench: Seepage Pit: Width: -Length Number of Lines:-,~_Area Built-267=w f Exist. Grade Elev.-.& Proposed Final Grade Elev.-- Fill depth to top of pipe: ,~22 No. feet from nearest p op. line:Front Side , Rear,-k Ft. No. feet from well: No. feet from building HOLDING TANK Manufacturer: Capacity: No. of rings used: Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front , Side Rear Ft. No. feet from: Well , building , nearest road Alarm Manufacturer: INSPECTOR: DATE: - PLUMBER ON JOB: lk!- NUMBER: 6/90:cj Aao(3 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. SW4fNW4,Sec.5,T29-R19 (Ifassgned) Number: Town of St. Joseph CONVENTIONAL El ALTERATIVE ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound 4 NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Rvn-n Nplqr) ~ Rt: c)n. WT I D A/0 /go BENC MA (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. LE ST REF. PT. ELE O. Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: SEPTIC TANK DF COJ~f s, • S_ . ; - MANUFACTURE LIQUID CAPACI : TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COV R PROVIDED: PROVIDED- 45 1,^0, S c 9-195" ~ r YES ❑ NO ❑ YES NO BEDDING: 1RIO DIA.: y~~MATL.: HIGHWATER MBEROF ROAD: PROPERTY WELL: BUILDING: VENT T F ESH C;iC) . ALARM: FEET FROM LINE: , AIR INLET: ❑ YES-0601 ❑ YES NO NEAREST Y)A MANUFACTURE LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO GALLONS PER CYCLE: MP AND CONTROLS OPERATIONAL: N PROPERTY WELL: BUILDING: VENTTO FRESH (DIFFERENCE BETWEEN FEET FROM AIR INLET: PUMP ON AND OFF PU ❑ YES ❑ NO NEAREST -11111P, SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL AND G: 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: NO.OF DISTR. PIPE SPACING: INO. R INSIDE DIA.: # PITS: UID TRENCHES: RIA~_ PIT DEPTH: DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL' STR. NUMBER OF PROP RTY WELL: BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV. INLET: ELEV. END:r : FEET FROM LINE: Ar AIR INLET: ,e ~vl3 rr NEAREST LiO.~.`J 2,'- MOUND SYSTE',/4' ?.IA' z8" cs { Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑ YES ❑ 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: ELEVATION AND ELEV.: ELEV.: DIA.: ELEV.: PIPES: 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 [__1 NO El YES ❑ NO NEAREST' Sketch System on n in county file for audit. Reverse Side. (;SIGNA RE: TITLE: 1 SBD-6710 (R. 06/88) m ~-°-SANITARY PERMIT APPLICATION OIL RE In accord with ILHR 83.05, Wis. Adm. Code CouN STATE SANITARY PERMI -Attach complete plans (to the county copy only) for the system, on paper not less than fprlvious 8% x 11 inches in size. Ch re sio application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFO MATION - PLEASE PRINT ALL INFORMATION. PROP OWNER PROPERTY LOCATION %a '/a, SS , N, R I/(or)dtf PRO TY OWNE 'S MAILING ADDRESS LOT # BLOCK # ~S t CI TATE ZIP CODE PHONE NUMBER SUBDIVISION NAME CSM NUMBER NEARES ROAD III. TYPE OF BUILDING: (Check one) El State Owned O VILLLLAGE : 1. 1 ❑ Public ®1 or 2 Fam. Dwelling-# of bedrooms Z_ NA Rkif YT Ax uM ER ) _ III. BUILDING USE: If building type is public, check all that apply) 8~ ~c 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 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) ful A) 1. ljeN, New 2.E] Replacement 3. ❑ Replacement of 4.0 Reconnection of 5.E1 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 140 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/ ay/sq. ft.) ( 'n./inch) ELEVATION Feet Feet CAPACITY VII. TANK Site in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New lExisting Gallons Tanks Concrete structed glass App. Tanks Tanks Septic Tank or Hold! n Tank Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the site wage system shown on the attached plans. ,Qz Plum 's me (Pri Plum 's nature: o S ps MP/MPRSW No.: Business Phone Number: Plumb 's Address (Stre , City, State, ode): IX. C NTY/D PARTMEN USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Ag nt Signature ( Stamps Surcharge Fee) -7 Approved El Owner Given initial Adverse t rmin ation g 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 (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 on-site se'Nage 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: L Property ownar'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 dependingi 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 for(n; 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 • 1 S T C- 100 I This application form is to be completed in full and signed by the owner(s) of trmit 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 housethen a second•form should be retained and completed when the propertyiis this office with the appropriate deed recording. old and submitted to II s - - i i Owner of Property GJ _''b~ .L. - , Location of Property Section N R / W Vwnship Mailing Address V i I ' • I Subdivision Name Al, Lot Number Previous Owner of Property Total Size of Parcel 2 , Date Parcel was Created Yes No Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? y/O k as-recorded with the Register of Deeds Volume 722 and Page Number INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: a I 1. Warranty Deed a 2. Land Contract 3 ~ 3. Other recordings filed with the Register of Deeds Office t In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the the Certified Survey-Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION I (we) eetti, y that a.PtE statements on thin ~onm aRe true to the best o6 my (ouh) 1 ..,s Ftnow.Eedge; that I (we) am (ane) the awnen (s) o6 the pnopeAty descAtbed in th injo, mati.on 6oAm, by vi tue o6 a waAAanty deed xeeonded in, the 06itee of the County Regdaten of Deeds as Document No. and that 1 (we) peesewtfy own the pnopoded 6 to jan the Sewage nos system (on I (we) have obtained an easement, to h.un wZth the above descAi,.bed pnopehty, jot the. eonAtnu.cti•on o6-said system, and the same has been du.2y neeon.ded in the 06j.iee Al 06 the County RegiAteh o6 Deeds, as Document No. I, SL.~ ' SIGNATURE OF OWNER SI ATURE OF CO-OWNER (IF APPLICABLE) ' DATE SIGNED DATE SIGNED ' • i J =`1711 h 717 Dodd. suh& hetwlaw ...~he..lANl1 ..1~,r11CltfA_ a~ joint tenants . q............. ~wriA. >a►.idl.,,1...ltaldraff._................................. .aad. .Julie. . Joint.. ton4ats......... c i Gra.................................... , a eseail e e~ alollas._~f1.DS?1.."4-.other-.wat.sad.-v,41U414.4.~ ~!!!~l141~ 7. enema b Oraatsa the following described real estate is . t.,.. ril(A . Coady. fte" ot Wisconsin: IJWI" DEMIFTIONS ON REVERSE SIDE F Ibis deed is given in satisfaction of that certain land castes" his go 0111006111 ; fisted I1ay 9. 1979 and recorded May 11, 1979 in Volume 05930, pads 4M1 a t ; 1ls. 356779. s ^xi ",%&I This 14-119t homestead property. (is) (is not) Toget4r with an and singular the barediitasaents and apportwseaM tl a m" hdonglog: And....4,..1~09lie Waldroff and David J. Naldrofi srrrasts d" the title is h ur ~ • good, indefeasible in !es simple and tees ear/ dear of a~e~aioesoss ~ . ~ +sri~sato and zoning ordinances and building restrictions of race", if any w and will warrant and defend the same. Dane/ this . day of 3..... 7 I0..$ _ _ (SEAL) T~'i •~Y.~ Las.l i i l~ia . . (REAL) W. flAL) ` David..I....Wlldcoff........ •v:asx:lcw:isox AcsxoWL21110 llt11sxT (s .._Leslie_.Waldroff and STATa OF WISCONSIN - = Nal ..off or , 10.87. paewnall................~. y came before M this .............dq of r r 019 the sbe~u pawed ...............................................................1:....... Douglas__lt ilz TITLE: MEMBER STATE BAR OF WISCONSIN (If not . authorized by 1 706.06. Wis. 3tats.) to me known to be the ; person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTEO BY DabPId.ASat...lili.Z.._ At.L_O~t49Y..at. Lax.......... ! 1s11dJRalx~..G(3~C9Q [t.-54.916 . Notarv Public County'-Wis. (SIX"tures may be authenticated or acknowledged. Both W commission is permanent. (if not, state expitation are nest necessary.) ;G date: k ~Xa~~ a< ~srso.ls siSeigS la any espselty should be typed or printed blow their signatures. 5 sr,►*s we w-scorrauu S/Otk ~ ~ roezu xe, I-ua ' tb*: W1/4 of 31-30-19, St. Croix County, Nisoonoft K. and UM M-1/4, of Section 6-29-19, St. Croix County, !#a and ` Mil-1/4 of Section 6-29-19, St. Croix -County, Nisi ' and + tM to-1/4 of Section 5-29-19, EXCEPT Lot 1 eg led May 2, 1978 in Volume -2- COX, page 585 and ey Map filed May 2, 1978 in Volume •2' County, Wisconsin. r` and 00 X1-1/4 of 5-29-19, EXCEPT Lot 1 of Certified r '1976 in Voluw* -30 CSM, page 641 and T Map filed on July 21, 1978 in Volume 038 Caue ,pig a pa rwl of land situated in the ON-1/4 of t" UP.1~f !!"+`l!• commencing at the centerline of the v mad` S Said property= thence E 424 feet along the t ed"111 a distance of 424 feet to a place which is the of !>sis parcel= thence E at right angles and parallel o Mid quarter section a distance of 217.4 towtj and parallel with the S line of the E and tee -et 200 its tbenae S at right angles with a Jim 1 ~.;"M of said parcel being conveyed a distance Of 21 A M UNS of the S-N town roads thence M along the M 1#M . a€ Zdad to the point of beginning, St. crojqCW,,,, 7, 5 il~ i - RA i 'j I.L. Lit I t -7- DEPARTMENT OF" REPORT ON SOIL BORINGS AND, SAFETY & BUILDINGS INDUSTRY, c DIVISION ISION LABOR AN I P.O. BOX 769 HUMAN REDLATIONS' PERCOLATION TESTS (115) MADISON WI 3707 (H63.090) & Chapter 145.045) I LOCATION: SECTION: TOWNSHIP/ LOT NO. BLK. NO.: SUBOIVISION. NAME: SW '/W 1/4 5 /T29 N/R 191 (or) W St. Joseph In/a---- n/ . a 'n /a COUNTY: OWNER' AM : MAILING ADDRESS: St. Croix David Wa droff R.R.#2 Hudson Wi. 54016 USE DATES OBSERVATIONS MADE NO. BEORMS.: COMMERCIAL DESCRIPTION: 7-RDTILE NS: A TESTS: I ®Residence 3 n/a New Replace I -8 --87 n/a RATING: S- Site suitable for system U. Site unsuitable for system CONVENT( NAL: MOUND: IN-GROUNDU • : M;IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional). ®S ❑U CIS CO ©S ❑U ❑ S ®U ❑ S 0u conventional If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: class 2 Floodplain, indicate Floodplain elevation: n/a decimal ' PROFILE DESCRIPTIONS page 50 JSB BORING TOT,pp,tt,,, DWATER-INCHES HARACTER F SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER OEPTMriV, ELEVATION OBSERVIE12 TnZTrrS-T T BEDROCK IF OBSEA ED SEE ABBRV.ON BACK.) B- 1 6.75 ••96.88 none •>6.75 .92bl.1. 1.25bn.s.sil. 1.25bn.s.l. 2.33bn.1.s.1.0C B- 2 6.58 96.86 none >6.58 .83bl.1..1.50bn.s.sil. 1.00bn.s.1. 3.25 bn.m,s. B- 3 6.58 96.66 none >6.58• .83bl.1. 1.75bn.s.sil. 4.67bn.m.s. B. 4 6.08 95.56 none >6.08 1.08bl.1. 1.75bn.s.sil. 3.25bn.l.s. B- 5 6.41 95.14 none >6.41 .75bl.1. 1.08bn.s.sil. 3.50bn.l.s. 1.08bn.s.1. B- ' PERCOLATION TESTS DEPTH , WATER IN HOLE TEST TIME 10 DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERS ELLIN INTER AL-MIN. PER INCH P. P. ' design rare- 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 ht :ontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and pert of land slope. SYSTEM ELEVATION. 93.16 ksh. L IV L_j 6.9 S~ - - - - V - 1B°.. ~...I...-~ ~i...... I I, the undersigned, hereby certify that the soil tests reported on this (orm were made by me in accord with the procedures and methods specified in the Wiscon Administrative Code, and that the data recorded and location of the tests are correct to the best of my knowledge and belief. NAME (print : TESTS WERE COMPLETED ON: Gary L. Steel 6-8-87 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (option CS I MNATUDISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILI-IR•SBO.6395 (R. 02182) - OVER - H a ST C- 105 r" SEPTIC TANK MAINTENANCE ACREEMEN'r 0 St. Croix County z v a OWNER/BUYER t*~ 'ROUTE/BOX NUMBER Fire Number CITY/STATE ZIP~~~ PROPERTY LOCATION:shJ Section ~N, R1 -W, Town of /C~ St. Croix County, 31 Subdivision Lot number. /V- 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.soo•ner, if needed, by a licensed septic tank pumper. What you put into 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 amaximum 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. o • E I/WE, the undersigned, have read the above requirements and agree N to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- v 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. SICNED ~l/17 DATE s lVr~ h119D 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. • y . T~ JOSLPH T.29-30N-R.20-19 39 T W. kRT l . 1R / SEE PAGE 53 ft. PR /n. trj /yy/~~ • 9 S f /x e w ocve s ~ / ~ k ® ~ ~ 9.9e Ernest Ernest L C un Ka ~ y. •SFgg v a • ~ V U~ 4o Eve/ n cl e K/uedi.Ee f ✓ s Oy tryn~~~ T~ ~C$ ® 0~ EJ»QC~ KiedtEe .9HYi:1':C.:: • /eneR Ub ~[~n ~fci-0~ • e'e99e /bo 160 . fva.ctbt: do 4 V N /eo D ISTH TR g ;.2 !S 40 F s o l Y y V• ';p o O DR:" • ^ N: Str1A1Sh::::c c. 0 4a 0 a O c r Nenr r.o /90 3 Lent E bm 0 i var/mg ` h ® i s` i. R s M:tea a s.~fr.e q 40 / ed~+ard • O/sow ~ n Jae.59 ~J9 J9~ao'erson 0 J/r ro _ ~ f rTo/m y F r %ac C w ro• 1111 / 77 R8 c%6. ~ Tr.o4 rov. w~ ~ ~ .r/ C',p CCa~%/f • f ~ ~ ~ ~ N an . C~t1~~ f t . • • A.R /o b~ E ec.lc. } •4` K • E ~ .f • • 1viiti®: ..;:.i~.. 99 d•F Ja E. .o/ X17 b S C vr/' icd •'s a e 94 9" 77 L.FE tl Qoy No comb E y E.' ~o /uv °,t, Dale D. 9 Laurel S d Yi / ro Heckman o V to7. y~ M8 b do h wo 19/6 GGr aoo LaYerne 7'/•o.na.r 3~h /48 9, g PERC H dcrson ocv„Q yhy (T /.wTH E~ - 'a/ -ijarm do DO AYE ri c.E ro y .k g 6J.Ei •I U' AMi1LL.. R45 U,y ~ ~ u M 123 ~rnNC'>f:: • lte1E.. s e y ~ U / ~/i it `KI• 4 t t +h so r • AYE. W ' 6F1:4Y1:5::: fe. J b nda ~e J~ L E/iJa6 a s/ • y J a Mo ri%/ J noL ISOn 3 IBO 3 73.34 ,s N f D- R. A JO Jf ,POD 4' YIgE:.ti6 ...5 /O (a~~U ^ s Q ~%/J N. Fey RpA':::: V M do u V . FO 9 f J D 0- h S .DG 'y' T ~~'y - ~ tanbu ~5 ~ V r . a.~ s s Y o .mss s T 7iFXG n 29 oi9 i;ntaC:k::: c• i~d E N. Tr~c~s:: ~ • ~ ~ ~M3 s ~ ~p . e .1rrs L Jc.~se E Joe ~p • fate of•Wis ns/iz p3 W~ z. an a eot -.Va'ex e.r. a tl dS are.~Davi 17 WX LOW /VE A T P. E xs F O~ ~ Ec.ECrt d 4 -IMI JY~ SEE PAGE . CSt Croix Co 'Al PO D 2aGcfard%ra,~~ o v f. R?o w.- 1-~R.19 W. o w ,l t I i~ i Aaby Plumbing ART'S RELIANCE Heating & AUTO PARTS ELECTRIC MOTORS 100 Commercial Street Electric, Inc. Hudson, Wisconsin REPAIRED - REBUILT - REWOUND MASTER PLUMBER PARTSF MOTORS - GENERATORS - STARTERS HEATING & WIRING Call: 698-2407 Phone: 386-2692 1631 Livingston Road CUSTOM MADE Hudson, Wisconsin 54016 Woodville, Wisconsin HYDRAULIC HOSES (715) 386-3633 PAT RAWLINGS ~ J J 37- Mo' 4ma ~uS;e i I ~ j r I r r 1 I ~ \ 0 { f 1 i A6;? ~ a PAGE OF Crv J~ .J~CE) U11 0 ~ ~ ViCl7 J~ S~irn'1 . 4q, Frd6h A1/ 111161• And ODtsfrallon Pipe MIMmura 12* Above Apprevld VIAI Cap ff YY" final Grad• 20 - 42' Above Plpp _ a* Coal lion io final 014d• V6n1 Pipe Na►A My Or SrniMik Co.6ilny bun 21 Ayy.agme Ovu Plpa Olurtevno^ - Tu 6 . Plpa o 0 AOyr6yole o Pe(larol6d Pipe Belo. ' 86nea1lt Plpa _ o CGOIRo t6.aslnoliaa AI 60119a6 Of 516160 P~~~o)eD ~ a. ~j, / SOIL FILL. DISTRIBUTIOI.1 PIPE . APPROVED 94WPETIC COVCR OK 90 OF 2"O,F&GGREGAIE--/~ r 1AAR,SN "Ai STRAW M 0 FAGGRCGATE ZFEET, &I DIST111p,'JTIOU PIPE TO DE AT LEAS / _ 11.1CHES BELOW ORIGIIJAL GRADE AUU AT LEAST 10 IUCHES BUT 1.10 MORC THAW tit INCHES BELOW FINAL CKADE MAXIMUM M.Pi OF EXCAVATIC)O FKOM OR16WA,L 6RAM WILL BE _Z _ IuCHES tVHIMUM OFFrN OF EACAvATION fJ~0P 0~14INAL, CjRnOF- WILL 6E . INCHES SIGIJEO: t LICCUSC 1JUMBEIi: v DATE _.M~ I t o