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HomeMy WebLinkAbout030-1025-20-000 Q h ~ ° I M c a 4 0 I e I ti 0 1 o _ rI O N i' i aL 1 ti 0 L O co O a) O N U s -o h L FEE 3 I a) m a) m E o c z ~ o 3 io E U 1 LL o O 2 E 1 fa 7 d -o C I I M a) I v _ a) z a a) E w °o z a N - ~ a co CD I o I o z t c d z V c O F- c) Q) a) E a 0 co ` M 1 N c U J 7 a) ~ U7 C • Fwd a L a c O U O N Z H Z 1 a ~ I 00 Z N w m E N O) y L O ~il d ° N m L m ~1 o o a o° u c hN/~ z cr LO H P H ~ E_ ►iN O O O ~ z° 1 • 0 a a a a N L 0 N 7 O V) 7 O O fD J U 2 rn rn } N`i LO U') a) O O 0 0 0 = 7) 7 M ~ a a) a) 75 L'' O O N Ip Q O O C M W C °0 3 © Q O N CO E N I- i O~ Y a) C N U IL °O °O E d C 'D N N N C oi CL co E - C C V O M 10 Zo ID cu F a) W CY o) O E U • O O fn d 0 Z N Z Cn V ~ ~ E d I V~ Ql l0 L a ~t a L a w • 'at a. m .2 I m y c a o ~ ~ I I, a oCD N ~ cca I V G h O N N t s I i I I I ~ I o z c U- o I 3 a I 3 0 CD 0 ~ I z v 'o z €0 IL m cli U) o I c L7 O Z c v o o m Z M N = 7 m ~ C: I Wftb N a) N a L z z z N z m N CO N Cl) ! O J CL N d L a) (9 O ~ 3 G O a N o E 75 Z ICF :3 0) bip ~ > z ooo •N 2a(L a a ~ N o m 00 co m J U 0) m z c v o o 0 a °o C .5 E rn (n = a> D r co d c 'a _d Q Z in n3 I O Q N N ^i O p 0 ~ y C ~ ~ N n O W F-. C_ O d O O r M ((I = C C -O N N V C O) N N O N C W O N M N U N o N' T N y a) v C L O N O R U O y O O U) LL 0 Z C Z (n ~j m a EL i: CL CL 0 E c c _1 A v a t 0 Parcel 030-1025-20-000 04/07/2005 09:06 AM PAGE 1 OF 1 Alt. Parcel M 06.29.19.102D 030 - TOWN OF SAINT JOSEPH 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 * LARSON, KEITH A KEITH A LARSON 1103 GOLDEN OAKS DR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1103 GOLDEN OAKS DR SC 2611 SCH D OF HUDSON SP 1700 WITC 71P-60- Legal Description: Acres: 5.050 Plat: N/A-NOT AVAILABLE SEC 6 T29N R19W 5.05A SE SW LOT 27 AS Block/Condo Bldg: SHOWN ON CSM 1/88 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 06-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 12/03/2001 663771 1778/309 WD 07/23/1997 803/471 07/23/1997 703/208 2004 SUMMARY Bill M Fair Market Value: Assessed with: 4926 366,900 Valuations: Last Changed: 07/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.050 129,900 231,100 361,000 NO Totals for 2004: General Property 5.050 129,900 231,100 361,000 Woodland 0.000 0 0 Totals for 2003: General Property 5.050 76,000 181,800 257,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 212 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 • c FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP 51 . - CS f°% SECTION T z~L_N-R__d W ADDRESS 6olki3 dais ,~lr ST. CROIX COUNTY, WISCONSIN SUBDIVISION %lDc- 61d0k W"/6 LOT ZZLOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM _I i qi9 a o a D A E NORTH ARROW l /ofJ d\' P/.,,ie fPa/ ~I SE ,el BENCHMARK:Elevation and description: Alternate benchmark SEPTIC TANK:Manufacturer: %Jee,Es Liquid cap. Rings used: / Manhole cover elev: Final grade elev: Tank inlet elev.: Tank outlet elev.: No. of feet from nearest road: Front , Side, Rear Ft. /Do f From nearest prop. line:FrontZ, Side , Rear Ft. /00,' No. of feet from: Well 160 , Building: (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE 40 PUMP CHAMBER Manufacturer: /V r' 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: X Seepage Pit: Width: Length ~Lo Number of Lines: a Area Built -5w Exist. Grade Elev. Proposed Final Grade Elev. io S S Fill depth to top of pipe:: z No. feet from nearest prop4 line:Front , Side , Rear,-'~_Ft. Z2' No. feet from well:,- ' No. feet from building ~Y/ HOLDING TANK Manufacturer: A T 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 LAIFOR & HlTMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION ISM 19..C.6,T29-R19 (Ifat PlanLI Number: Town o f S t. Joseph o f CONVENTIONAL ❑ ALTERATIVE Goldon Oaks Dr. H ding Tank ❑ In-Ground Pressure ❑ Mound DDRESS OF PERMIT HOLDER: INSPECTION DATE: NAME OF PERMIT HOLDER: 7G0 Mark Alfuth l don Oaks Dr. Hudson WI 54016 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. . ELEV.: CST PER PT. ELE Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Roger Timm 3224 St. 'x - 128696 SEPTIC TANK/ l.. ✓E , % p / MANUFACTURER: LIQUID CAPACITY- TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED. PROVIDED: 6, G X0,6 /07, YES ❑NO DYES NO BEDDING: tlCHdYDIA.: WeN~MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELLr'1 BUILDING: VENT T FRESH C U• Q ALARM: FEET FROM LINE: / AIR INL T: E:1 YES NO ~C" S7L ❑ YES ❑ NO NEAREST ? >~,S 7` 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 CONTRO RATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUMP ON AND OFF ❑ YES ❑ NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE TH: 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.) = =x ; c , i y z / ( c~ - 4 lc (t~<;.., of fir , ES = 10 ,5. fO CONVENTIONAL SYSTEM: / BED/TRENCH WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COV INSIDE DIA.: # PITS: LIQUID TRENCHES: i MA ERIAL: DEPTH: DIMENSIONS j"; / , a__1_ GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPF.MATE~RIAL: N STR. NUMBER OF PROPERTY WEL BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV. INLET: EL V. END: r / = F ~ PIPES: LINE: 3 AIR INLET: / FEET FROM 99 i~ V !W-)< Ste Lo., NEAREST♦ MOUND SYSTEM: iY=t , . l sic?%~,L"' L F 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. S "OW ❑ YES O NO meets the criteria for medium sand. ELEVATIONS MEASU ED. SOIL COV URE: PERMANENT MARKERS: OBSERVATI N WELLS; ❑ YES ❑ NO YES ❑ NO DEPTH OVER TRENCH/BED DEPTH OVER TR 7S, DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ YES ❑ NO ❑ YES [__1 ❑ YES ED NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO. OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: L DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE ATE DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEV.: ELEV.: DIA.: ELEV.: 411pIPES: DIA.: 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 14 .2 7' Sketch System on in in county file for audit. Reverse Side. SIGNA RE: TITLE: ' SBD-6710 (R. 06/88) - 1 =TILQUI~IL HR SANITA RY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code couN "a. Aet64 STATE SANITA Y PER IT # -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. ❑ Check if revision to pfevious application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROP OWN R PROPERTY LOCATION 7r / G SL%aSW Y.,S T,? N,R~ "I- (O W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # WX -7 1 CITY, STATE tZ CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER, It. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD ❑ State Owned VILLAGE ~J O, / s pr Public X1 or2 Fam. Dwelling-## of bedroo )PARCEL TAX NUMBER() O2h~ _ u~O- III. BUILDINGMSE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 1o ❑ Outdoor Recreational Facility 3 ❑ Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 80 Mobile Home Park 12 ❑ Service Station/Car Wash 50 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 4.0 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 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill 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 LL// REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION _7~ .5 /0 .3 Feet 145, Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concret Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank lwzlz: Q F] __LL Lift Pump Tank/Si hon Chamber i)+o;- VIII.; RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. PName (Print): Plumber's Signature: (No Stamps) MPIMPRSW No.: Business Phone Number: '32,Z If -71 -2 2- 3z Plum is Ad a (Street, Ci ,,$tate, Zip Code): i IX. COUNTY/DEPARTMENT USE O LY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued issuing gent Signature (No Stamp pproved El Owner Given Initial Surcharge Fee) _ 'N I 0 / r Q'j~= Adverse Determination 45- X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly PIb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber I 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 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) I 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 MAC 1~,. I p( WA H • ' `t PtA Ti-i Location of Property Section , T N - R W r Township 161T. Mailing Address e Subdivision Name Lot Number Z Previous Owner of Property Total Size of Parcel 05-,045-~ Date Parcel was Created Are all corners and lot lines 'identifiable? y Yes No Is this property being developed for resale (spec house) ? Yes X No Volume gay and Page Number as :recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: 1. Warranty Deed 2. Land Contract 3. Other recordings filed with the Register of Deeds Office 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) eeAti.6y that a.tX 6tatement6 on th.ia 6onm ahe .true to the but o6 my (ouA) k.nowxedge; that I (we) am (a Le) the owneh(a) o6 the pnopenty d"cAi.bed in .th.i.6 kn6o4mation 6onm, by vi tue o6 a wanh.anty deed necokded in the 066zee o6 the County Reg.eAVA o6 Deedb as Document No. ; and that I (we) phebentty own the paopmv4 s4te bon. the sewage atAp&,&a -sy.:'t^~+ (on 1 (we) have obtained an ea6emeni, to hun wLth the above due/ ibed p/eope/cty, 60-11. the eonbtcu.cti.on,o6 said 6y.6tem, and the same h" been duty n coiLded in the 066iee 2 q .the Co y Regi,6ten o6 Deeds, a6 Document No. 1 1 ) SIG AT RE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) . 3 0 (v / 0 DATE SIGNED DATE SIGNED **4,+~~~~ I S'r BAR OF WISCONSIN FORAi 2 - 19r REGISTER'S OFFICE I` • ~ ' 43C$-n $VC! 803 PAGE 47 ST. CRO1X CO., VY1 ; r(eed '~nr Record Edward P. Bieging, Jr. and Lori Bieging, Feb 23, 1988 ....hu-ubarrd,•and'•wif.e--au-- o-rnt..tenants . at 11:45 A M a iZ99isier of Deeds j conveys and warrants to Mark..E.:. Alfu-th..and..Di.ana...... M. Alfuth.,...as..suxu iv.or. ship.-mar.i:ta1.. •.pr ap erty...- l..i~v,•iQ~ i RCTURN TO 1 _ lj the following described real estate in ...............................................County, State of Wisconsin: Tax Parcel No: A parcel of land located in the Southeast Quarter of the Southwest Quarter of Section 6, Township 29 North, Range i9 West, Town of St. Joseph, described as follows: Lot 27 of the Certified Survey Map filed and recorded on March 12, 1975, in the Office of the Register of Deeds for St. Croix County, Wisconsin, in Volume "1", page 88, Document No. 325978. FM ; This 1s not homestead property. (is) (is not) Exception to warranties: easements, restrictions and rights-of-way of • record, if any. day of February 19... 88. DVtehis - C . SEAL ' ........r......... (SEAL) ( ) Edward P . Biegin Jr • Lori B.ieging I ' (SEAL) (SEAL) : . • i I I AUTHENTICATION ACKNOWLEDGMENT Signature (s) STATE OF WISCONSIN i ss. St. Croix II .....County; authenticated this ........day of ..........................1 19...... Personally came before me this .2 ....day of i .....F.ebl:ua>;y 19....8E the above named i . ' TITLE: MEMBER STATE BAR OF WISCONSIN (If not, j authorized by § 706.06, Wis. Stats.) to me known to be the person ...5....... who executed the j foregoing instru t It and eknowledge the same. THIS INSTRUMENT WAS DRAFTED BY t Kristina Ogland Lundeen a chauer ~t•tcrrn at i,aw..................................... Alice J. Fl Is' Notary Public ~rE~>~151CHAUER County, Wis. (Signatures may be authenticated or acknowledged. Both My CominJurie is e0,w!SCO~Sint, state expiration are not necessary.) date: . . ..Of Wi - onsi 19 . . -Names of persons aicnina in any capacity should be typed or printed below their signature.. _ t ~ H r STC - 105 r' y H SEPTIC 'LANK MAINTENANCE AGREEMENT ,o St.'Croix County • v H O W N E R/ B U Y E 'R 1''► rG p~ rf f 1 v`'-rt~- M ROUTE'/BOX NUMBEIt_ Fire Number r 1'I(ONl:lt"1'Y LOCATION: To Scctit.tn N, RW, . Town of ST• ads~~~ St. Croix County, '7'T~Lot number S'7 Subdiv is ion 'Improper use and maintenance of your supelc system could result in re Co handle wastes. Pruper maintenance con- its premature i.a ilu silts of pumping out the septic tank every three years or sooner, if needed,'by a licensed se>tic tank pumper. What you pt.it into the syuLaw can affect the function of the septic ,tank as a treat- ment stage in the waste disposal system. St.-Croix County residents maw be eligible to receive a grant ror. a maximum of 60% of the cost of replacement of a failing system, which was ln.operation prior to duly 1, 1978. St. Croix County accepted this program in August of 1980, with the requlrement,tltat 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 condil-io.n and (2) after inspection and pumping (if nec- assary), 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 H ro the standards set forth, herein, as set by else Wisconsin Depart- menL• of Natural Resources. CurL•ifieatiOn form must be completed and returned to the St. Croix County Zoning Of ce wi n 30 .days of the three year expiration date. SIGN' - A'i'E ~3 QD St. Croix County Zoning'Office P.O. 1lox 95. Hammo-pd; WI 54015 715-7.j6-2239 or 715-425-8363 Sign, date and return to above address. DNEDP,AI RRTTMEEENNTOF RE~RT ON SOIL BORINGS AND SAFETY & BUILDINGS DIVISION ON WI 3707 UMANAN~RELATIONS PLRCOLATION TESTS (11t) MADISP.O. BOX 76 H HUMAN (ILHR 83.09(1) & Chapter 145) TOWNSHIP LOTNO.:ILK. NO.: SUBDIVISIONPM /Tzj E: LOCATION t/ SECTION: N/R!4 E for Z~ i >,eo 7 $Q~ok r~cs COUNTY: U R'S NAME: MA ADDR S : ST C.kZ)h /4t_)u USE DATES OBSERVATIONS MADE k( NS:C LATI N 0 ~ STS: - Z 7 Residence MNk JfNew ❑Replace 6 %r Q I 6 29 QcJ 5a) ~s k C, 9 gdlcs - S~, g- Sb-rr~~ RATING: S- Site suitable for system U- Site unsuitable for system ENTIONAL a~ . MOUND: ~u IN-GROUND-PRESSU ❑R IS~ S ou L H ~ ~G ENDEDS~ TEMtional) `o If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: C ~S Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- B- .1-7 06.* j) >/O.17 12 "IRtAT3 "gQW SS f~,,R B- B- 1~S. 4S r4olof .6 J LL E L I "Ir. N S L S(118a..CS1; G R B- B-7 I ito.Z~ loS.o► No»,►C > io.zc q",9Lc reaeNt 3s"Qa$e~s~ s>L G ~$~„GS~6G Gyr PERCOLATION TESTS TEST DEPTH WATER IN PHOLE TEST TIME -DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER S AFTERSWINTERVAL-MIN. PERIOD R o PER INCH P_ I i.so Nola 3 P_ ,ad tic P. tjdtjic OG.0 3 > Z Z < P- P_ I-1CJ 0 rJ L P- ~ PLOT PLAN: Show locations of percolatio sts, soil borings d the dimensions of su' b Zo11 areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference po' is and show their loca on on the plot n how.th elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION- P 3_ NIIS 44 E Or is TA L- PJ _jillm I t-. Ale, wE /jCCQMMQYIN& ~ecr I I 43 - I T ff I, the undersigned, hereby certify that the soil tests reported on this form were made by me accord with proFed res and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the bes f my knowle a an belief. NAME print : TES WERE COMPLETED ON: d V 309 Soul 30N 3umr 3o / 490 ADDRESS: CERTIFICATIO NUMBER: PH NE NU^^4B~ER(optional): Comp 15'-x' AScU S ) 34g RE6-.t08o CST SIGN T RE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD•6395 (R. 10/83) -OVER - Mfr'~~S.7 U/. LX)zvi%r('1 C .1~`)r~''1~ iri3i.::,1b.. t 1SION • il'Alil"MEVTOF REP( -T ON SOIL BORINGS I Il ~.IIf,IL O1\% 1:~It~N ICI IS'f R Y, \BOR AND PEkLMATION TESTS (115) MADISON, w 53707 IMAN RELATIONS (1.163.090) & Chapter 145.045) T_.__._ - - - 1.0'( NO.:IiI'F'.-f•In.: Stl(j(11VIS1(1N Ni-AKX*ff7-- !CATION~ $E(,rION: rnlNn►':Illf'!ht!thltt'ti"fil-rfY: £ 1/ /Ty9 N/R (`t E (nICW ~ 1~1 to ~ Y: /,9,- )UNTY: OWNEH'S~LiUYEfI'S NnMf•: A4i\II IN(i AUL)IIP''S: { Gtpi X !D 121•E6eiNj~- r.- S'i11//a),'rz, .E DATES OBSERVATIONS MADE NO.fIEnRMIi.: (:ONIM I). AL I)ESUIll'TION: 0ROFI1.Er1)C`.S`~Til lflt5N5 {1kI1FYJ1 ~.'II~N E$T$: 'JResi(lence 3 1~1New 1-111ePlacC r v4-_ \TING: S- Site suitable for system Ua Site unsuitable for system ,MVEN°fl NAL: p.10UN0:-_- tN•Gfrrf11,,1N0.^'''=` )r.~~F. -C; !'1`ffPiI INd"1i 1.!If`1_ C) !^JG T/1"l Y.• F1EC0t.t I Pi7ED S,!L.I'F.h7:!nl.l:: n.r!; IBS ❑ U O S ❑ U ~J S ❑ U CA S EAU I DS Z U,vvEu iro u~ c 0,00/0 AO )c Percolation Tests are NOT eeilui""I f)ESIGN RATE: LFInnillilifln, any portion of the tested area is in life rder s.1163.09(5)(b), indicate: CI-4-S'S indicate Floodplain vlawatino: 43, PROFILE DESCRIPTIONS 17 ECirIAL Fe,:T. (RING TOTAI f1 "PTI-I Tn GROUNDWATER CHARACTEII OF SOIL WITH THICKNESS, COLOR, TEXTUUIE, AND DEPTH MBER DEPIV ELEVATION _ ~U'tCfty f) I:b . ItIfT•IrS*T . > y o ' 7l.UJ ~n ' 1RArK IF OBSERVED ISEE AHUI V. ON BAr) 7-5 , R\ P,-~aa. s%, 2-- s ffti7s; ,s i74-Z7 9 r /a G. zr4 ? 4.-- Z 11o 107(,o o Li .2. Cie. Arv. 3 /0 7 70 /o • ' . G ' 14,E t' ,L y C. 7 00. /0 ~-fw,0S er A A-1 /o_i~ Tip ✓ r C• S u.~ sf. a,LG PERCOLATIOfJ TESTS / I EST DEPTH WATER IN IIOI.E T TIME DROP IN WATER I.EVEL-INCIIES HATE MINUTES 1MBCR INCHES AFTER 'WELLING ~JE;!; VA L`MIN. IPEI't INt;H S /t?n.n S-.• 7Htfwn.i,~ r - - - - `7rtt L A J v f= ' by v~-re C'J. S 7.Pi! L U _p < Z _ r _ 61 7i~7- 73-7. o IT PLAN: Show locations of In:rc.olaiins forts, soil borim;ls uul thu dinransions elf suitable soil areas. Indleaw ;cafe or distances. Describe what are the hori- tal and verti4al elevation refer:ncrl points and sltnw thoir locatirrn fill the Idfit !11.w. Show thn surface ulevatirtn at all Imriogs and the direction and percent And slope. L O WeR ree-,v cj~, /'x120. pF /3r 1 = to A 7S r% e-lu 1(STEM ELEVATION /11•G/1z--4 7-x, el _i1,P~'J> of /3i 4t ~3 3) _ /O 3 . d f r, jv~ AA CA 116 c daez-5 -10 pEle J3 i iE 3 r . -fo;.a fosf SNAP Convention OV s ED f ~.Jpt~o 9ysgern. • < i~o : d 3S ay fill. t 7. M L o T .Z. 7 ' usR r. i . 46 1- 05U Pk' L i rA1' /p~ . i f• .r• unfursignad, hereby comfy Ih.n rlu• suit wos mporwil nn Iln:. fillies v,r•n: nierl.: by nu: in accord with the Inure I'll and na•Ihnds sIu•r.rlp:.l fir the Wi.rnnsin rinislralive Code, and t1wt fife data racnul•••I died th1. lonallnn ill dw 1••:JI lire corrm:l to the best of my knowl-nitin and hr:Iicl. iE flprint): -FIO"'ESITE SEPTIC PlUN91NG'CO: - - TESTS WERE Cnr:li~i.f T O ON: RT. 3 011EIL RU.. HUDSON. WIS. 54W-6 Fp11ERT ULBRICHI IL ~'4 ' I L Pl. ~ I_Rlntsi E-SS: WIS !•;'IS1ER IIAOER Uc. No. 3306 L1 I'fl.$-- CERTIFICATION r+11Id.1CER: PIIOjNE f-H!NIFIE 131NN. I1131ALLER 8 DESIGNER LIC. NO. 00661 - ja: S1Gr1ATif(]1: -i' 111BUTION: Oriyusal awl mw.lul•y I.. I w:.rl ,lulhnlly, Pnrytrr I•,' Ot•nrrr and Sn:l Tot.nn. A)ix-,T iti ~rl~ ~i~ J T~✓ LJ~ ' JOB ' r TIMM EXCAVATING SHEET NO. OF Z Route 1 Box 192 WILSON, WISCONSIN 54027 CALCULATED BY ~fi+` f DATE (715) 772-3214 (715) 386-5443 MPRS #3224 WI MPCA #696 MN CHECKED BY DATE SCALE . .Tw S . ~fF / f 1. ` f r sJ G r C . _ c.~ . . o f pr . 5 } ) \ [~F r ~ f 1/~`p B Z. { 0.Y ! l /~fti .y..... . 'u 7 18 fl 1 r .........b bi 2~? 1 . . ' . j..... _ /7? .....i........... 1 tIr l......._ PRODUCT 205-1 Inc., Groton, Mass. 01471. To Order PHONE TOLL FREE 1-800-225-8080 • ~ i"L ~ Y1 • TIMM EXCAVATING JOB -z z Route 1 Box 192 SHEET NO. _ OF - 7 ? WILSON, WISCONSIN 54027 CALCULATED BY DATE / - f D (715) 772-3214 (715) 386-5443 MPRS #3224 WI MPCA #696 MN CHECKED BY DATE SCALE _ I .i . . . d ~Cr f ' r f . ' . PRODUCT 205-1Inc., Groton, Mass. 01471. To Order PHONE TOLL FREE 1-800-225-6380 D ST. CROIX COUNTY 005978 SURVEYOR'S RECORD v 3 POINT OF BEGINNING 0 1002.21' S.89048'50"E N890 48'50"W = 900 343.44' 658. 77' 2a 317.05' 10, o O w Qo~, SEI/4 - S W 1/4 a W o rn ` `P~ N M o ~ ~ co w LOT 28 0 LOT 27 ? c0 0 o M 5.05 ACRES 5.05 ACRES Z 36, 10 o 0 \ W o N LOT 26 z W / "N ` Co O 0 0( o Z Q ~ ~6'/ 0 4g ~lJ N LL SSS /y ,4 y w W Jto z t0.- ~ry I/4 CORNER LOT_ 2 9 /`~3og SECTION to 9 M (o T29N,R19W 3 t f p, 69 ~ CURVE DATA TABLE ' `1 1 X1S~ ~ N p-- 5.00' ~iQWN-RoA TRUE BEARING Central ngle = 87°37'30" Chord = S72°29' 05"W 117.69' SCALE Tangent Bearing = S28°40' 20"W 200 0 100 200 LOT 27 R = 85.00' LOT 28 R = 85.00' Central Angle = 51°50'10" Central Angle = 35°47'20" Chord = N89°37'15"W 74.30' Chord = S46°34'W 52.23' SURVEYED FOR: K. B. PRIESTER, 619 2nd. Street, Hudson,.Wisconsin 54016 DESCRIPTION A parcel of~land located in the SE1/4 of the S.W1/4 of Section 6, T29N, R19W, Town of St. Joseph, St. Croix County, Wisconsin described as follows: Commencing at the S1/4 corner of said Section 6; thence North (true bearing) 660.31' along the East line of said SE1/4 of the SW1/4; thence N89°48'50"W 317.05' to the. Point of beginning; thence S26°17150"W 669.82'; thence Westerly along the Northerly right-of-way line of anexisting town road 129.99' on an 85.00' radius curve concave Southerly whose chord bears S72°29'05"W 117.691; thence 14.61°19'40"W 679.44'; thence'NO°31'50"E 313.19' along the West line ofi said SEQ./4 of the SW1/4; thence S89°48'50"E 1002.21' to the point of beginning. I certify that the above description and map are correct and that I have fully complied with the provisions of Sec. 236.34 of he Wisconsin Statutes. LEGEND FRANCIS I. 'OGDEN S-882 Job No. 75-427 - SECTIOTI CORNER MONUMENT. o - 1" X 24" IRON PIPE WEIGHING +,,~~~Narn~A~~M 1.68#/LINEAL FOOT. ~~`oN5GO1~fsi~y9 Date: ebruar FRANCIS H. F, y 13, 1975 OGDEN I , . • s•as2 om" y, RIVER FALLS, ! ti s.9 WIS. . T~ Q0 t ~101 8$ \1D