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HomeMy WebLinkAbout030-2040-40-000 ~ °o I C c ~ ~ I I 0 c ell cz 0 o ~ 11 N a x _m' N '6 Z N C (0 U. O 01 O w 3 M v a1 Z N N U) : O Z O a m N F- Z O z d c a ~ o ~ I m Z 'd' ~ c c E ~ I Q) C_T~ll/ U N c1 3 L ~ N of o 0) Q Z m z C d ~ C° R E oo ti Ln m m L N ~j co 0) `i O~ Q Q a s~ m Q O C U) to cn 2~ go z M> N F t H d N O O O ~ =aaa a g 7 O Cd (n O) a) N (n J U ~ rn m } o N O O N O Fri N N N M O O_ r [Q N ~ r 9 Co =7 w Q O J Q O C N C O 3 C JE (0 O 0) cu a) tn co O 6 E co 0 (D =3 N O O 0 ce) a) Q) E 6 c? -0 Ln m ~2 O O N O R C(S ~ E d 4k O. a r a d .V O O C~ i C w j w Q Ua~ orn0 y o ~ I p 6°9 o ~ I' m i c ~ 0. 0 i t3 Ct3 I O O N ~ 2 O i ~ I ~ I ~ c I o O I ~ I 0 U N ~ -0 o a Z c ~ - •0 m LL r- N .2 L) D Q U M N z H W O E N O P Z L O LO co f a m N F- Z I c 0 E C7 O Z !f' c v =3 w d z ° 16 to F- o z c E -a M O O _ N N N y a O `6 O o N Q L) N Z m z Z O M M E N 00 co > ~ c Cl) LO co CL ca (D ~ O I ~ W i N O n co G G CL Q o 3 co i H H H _ w Z m > 0 0 0 0 d N z CL ~i 7 O (n O O I}~y ! L 0) 0) 0 CO J U v Z N O O O N N w"1 m O O _ r m C N 'C N N ~ '6 N Q } r,~ (0 I W ~ w Q C O J N N pO 3 co w o w o i o c c E Q) [L 0 -0 C14 4 Q) wr p N y M C O O O N r~ O C) 0 i U .4 N F- F- C W O c) ui _ O :3 O N CO O N L5 M U) O CQ a. = E V] C> m a _G d C U• V tV d C L E C O U d V I ✓ I ' ~ . 1 • . . _ Form -8TC- 106 . _~w_~•• AS BUILT SANITARY SYSTEM REPORT ,.OWNER '-_MAa • 6JoT . rPu,8A . TOWNSHIP -=5 ~ns,~~•~ • SEC. 'as T _ -R a° •N : ADDRESS _:?3 X_ ST. CROIX COUNTYo WISCONSIN • JJ:a . 1 A14 Q LOT x• SUBDIMION LOT SIZE AAA » w _ - PLAN VIEW. ' • , a Distaneea sad dimensions to aaeat requirements of• IS,1tR 83* SNOW EVERYTHING WITHIN'100 FEET OF SYSTEM n -ry • ~~sT • •.".i~.w. , /OC~O ~c PT,C TANK oP~'P~Y - ,P 1 . Pour ....1 ~01?rVEw4Y ► ;s'~•iv5~cr°t~it/9cJ c~,iT~/ /~opeu~ca/iv~ f..yl...... 't :ji »ror • « ,11 V INDICATE ORTH / ImIcay ~ci/l"PrY.Gi vE ND r • , BENCiI:UUI . Describe the vertical reference point used Elevation of vertical reference _14yo / Proposed slope at sites SEPTIC TANRs Manufacturers Liquid Capacityslaz2eq G44 '•'••'•Numbet of rings used s Tank manhole cover elevation: / o ? . 5rV' • Teak Islet Elevations c~ SIT- Tank Outlet Elevations Number of fast from nearest Roads Front'Sids Rear, • • . ~ ~ , O-a F)a-.._.__ feet • • From nearest-property line s • Front10Side Rear, gfeet o 00 • . . Number of feat from well building: 3S• (Include this information of-the above plot plan)( 2 reference dimensions to septic tank) . SEE RFI!r?" F STts''; PUMP CHAMBER Manufacturers Liquid Capacity: ''.Pump Models Pump/Siphon Manufacturers Pump•81,2e Elevation of Inlet: Bottom of tank elevation: Pump off switch elevations Gallons per cycles Alarm Manufacturers Alarm Switch Types "----Number of feet from nearest property linss~ ' • Front, 0Side, 0Rear,O 'Number of feat from wells Number of feat from buildings : (Include distances,on plot plan). „ SOIL ABSORPTION -SYSTEH : J+~ . • . • . Bdd s t✓ 9 ~ ._!§O_ Trench: {Jidth:_ / , • • LengEhs_on~ Number 'of Lines: Area Built t,? / / ~Y Fill depth to toj of pipes- S Number of feet 'E om nearest property lines Frpnt,~ 0Side, 04"reo It . 4 Number of feet from wells ' N Mbar of feet from buildings .(Include di tances on plot plan). SEEPAGE PIT Sizes Number of pitss Diametert Liquid depths Bottom of seapage pit elevations Area Built: Has either a drop box O or distribution box0 been used on any of the above soil absorbtion sytemst (C~eck one). HOLDING TANK Manufacturers Capacity: Number of'.rings leads. Elevation of bottom of tanks • Elevation of inlets Number of feet from.nearest property lines front, O Side, 0Rear , OTt._ Number of feet from wells Number of feet from buildings Number of feet from.nearast roads Alarm Manufacturer: ' t Inspectors. IL /o ca Plumber on fob: IF Dated t 9 /4 License Numbers •,_P~S 3 3/84 •tij D,1_:PARTMQNT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING DIVISION 'LABOR &'HUMAN RELATIONS P.O. BOX1969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION 1 SfiI,ec . 25 , T30-R20 State Plan I.D. Number: J~I (If assigned) Town of St . Joseph L,o t 3- CONVENTIONAL ❑ ALTERATIVE 27t95 St. LJ Holding Tank El In-Ground Pressure El Mound NAMF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: IN PECTION DATE: Mark & Laurie Wotruba 11331 27th St. Hudson WI 54016 %-1~r~~'° BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.: u51I I J L lr / _~j y1 r E)t jd ' Name of Plumber: MP/M SW No.: County' Sanitary Permit Number: Za a Bros. Inc 3395 St. Croix 135536 SEPTIC TANK/HOLDING TANK: MAN FA TUBER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER { PROVIDED: PROVIDED: IeSE{' fL~ JJ ~U(,?%Y .OYES ❑NO DYES-P1NO BEDDING: VENT DIA.: VEN'j MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT FRESH ALARM: FEET FROM LINE: AIR INLLE ET I o^- El YES 0 v El YES NO N DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY M M DEL: PUMP/SIPHON MANUFACTURER: WA NING LABEL LOCKING OVER PRODED: [__1 YES El NO F1 YES D NO ❑ YES ❑ NO GALLONS PER CYCLE: PA ONT O) S OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN ! FEET FROM LINE: AIR INLET: PUMP ON AND OFF PU YES ❑ NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil oisture at t depth of plowing FORCE LENGTH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wir , constructiolh shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: # PITS: LIQUID BED/TRENCH WIDTH: TRENCH : : PIT DEPTH, LENGTH: NO. OF TPESPACING: YN;R INSIDE EE;q RES WELL: BUILDING: VENT FRESH DIMENSIONS V)`, GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NUMBER OF PRNEA BEL PIPES: A99VE C/O/VER: ELEV. INLET- ELEV. END, 7 FEET FROM LINp AIRINLET: A/ O 7 T ~U D 0 ~ 0 MOUND SYSTEM: Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES D 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 EYES ❑ NO ❑ YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPEt FILL DEPTH ABOVE COVER: BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTRIBUTION PIPE MATERIAL & MARKING: ELEV.: ELEV.: DIA.: ELEV.: PIPES: ELEVATION AND DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS EYES ❑ NO ❑ YES ❑ NO NUMBER OF LINE PROPERTY WELL: BUILDING: COMMENTS: Ic J, PERMANENT MARKERS: OBSERVATION WELLS: FEET FROM : GNU xs DYES NO D YES ❑ NO NEAREST 10 A'3 -7 i S,S `f I. b Retain in county file for audit. Sketch System on TIT Reverse Side. siGNAruRE: SBD-6710 (R. 06/88) i J SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY . 64-4~ STATE SANITARY PERMI # -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. ❑ ch re ous 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 I~'K 4 . A/6 % Sh S S T.30, N, R O E (O PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # / 31 7;50 ST 3 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER O.V L~ r SS/v/ I,1 plot. J S TJG Jr 11. TYPE OF BUILDING: (Check one) ❑ State Owned 0 VILLLLAGE : NEAREST ROAD S21' ZOWN :S~ o co,v o? s~ ❑ Public 23-4,or 2 Fam. Dwelling- # of bedrooms PARCEL AX NUMBER (S) 030- o?0rii0 -140-09J 111. BUILDING USE: (If building type is public, check all that apply) y p Z ' 1 1:1 Apt/Condo / 4 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 El Outdoor Recreational Facility 30 Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. KNew 2. ❑ Replacement 3.E] 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 El Mound 30 El 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 REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 99. SO Feet /,00- OrFeet 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 Septic Tank or Holdin Tank /222/C>00 / C.~J rG S E F--1 J 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 ' Signa re: ( tamps) MP/MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): IX. C NTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater rate e Issuing Ag nt Signatur o Stam Surcharge Fee) .4'Approved ❑ Owner Given Initial 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 I INSTRUCTIONS ' 1. A sanitary permit is valid for two (2) years. 2. our 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 pumpecl 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, 6D8-266-3815. 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 staternent. 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 sYste m areas; and the location of the building served; B) horizontal and vertical elevation reference points; 9 ) 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. i III ~I SBD-6398 (R.11/88) ST. CROIX COUNTY ` WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 1 _ (715) 386-4680 Jan. 6, 1992 Peg Starke First National Bank/Hudson 307 2nd St. Hudson, WI 54016 Dear Ms. Starke: An inspection of the septic system on the property of Terry & Janet Lorenz, located at 575 Spurline Circle, Hudson, WI, was conducted on Jan. 6, 1992. At the same time a water sample was obtained for testing. The results of that test will be sent to you as soon as we receive them back from the laboratory. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. Sin erely, Mar,y_,...J.j'J nklns Assistant Zoning Administrator cj + APPLICATION FOR SANITARY PERMIT STC-100 J 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 W rk Z UOcA u~- 4- "wLe. PL W04ILL&L, Location of property U 1/4 1/9, Section TAN-R_2-JD_W Township Mailing address Address of site );-323) o~',regio fl-u8 Scan W► -454t'1ha Subdivision name Lot number Previous owner of property Tt Y,U P n~-~ Total size of parcel ) n 19 o Date parcel was created Are all corners and lot lines identifiable? an No Is this property being developed for resale (spec house)? Yea ~No Volume and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCVNENT 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 Nap, the Certified Survey Nap shall also be required. PROPERTY OWNER CERTIFICATION I(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 warranty dee in the Office of the County Register of Deeds as Document No. 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. ~17D37 Signature of Owner Signature of Co-Owner (If Applicable) IT7 Date of Signature ..~Date of Signature j i '-y E,, .kR. OF WISCONSIN FORM 1 - 198 SPACE RESERVED FOR RECORDING DATA DOCUMENT NO. WARRANTY DEED 41'70,3'7 BOgr 154 PAGE 17 This Deed, made between -LaVerne Anderson a/k/a _ ~,{~~R CO., WIS. Laverne--Anderson and Elizabeth Anderson, husband and wife _as_ao nt--tenants--and in__their individual capacity--_--_-- Recd. for Record this 17th I Grantor, day of Sept A. D. 1986 and- -Xark._-Wotr-uba_.and.Laura.e__A1-_Wotruba,_-_husband__and_-wife- t 8:30 A. a j szznt _ tenant ? - L4 , Grantee, fegbiw of Deed$ Witnesseth, That the said Grantor, for a valuable consideration....-. conveys to Grantee the following described real estate in ....$t-,__ RETURN TO County, State of Wisconsin: Part of the Northeast Quarter of Southeast Quarter of Section 25, Township 30 North, Range 20 West, described as follows: Lot 3 of Certified Survey Map Eiled Tax Parcel No- August 22,1979, in Vol. "3" of CSM, Page 853, Doc. No. 359280. Subject to non-exclusive easement over the Southwest corner thereof as shown in Vol. "602", Page 14, Doc. No. 360140. FEE This deed is given in fulfillment of a certain land contract executed between the above parties on November 15, 1986 and recorded in the Register of Deed's Office for St. Croix County, Wisconsin as Doc. No. 407159 , Vol.726 , Page 465-66 on November 19, 1985. This is--not------------ homestead property. (jt~t (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And---- grantora.llaVlarue _-Andersor-x..a/k/a.- Laverne _ Anderson_•and__Elizabeth_-Anderson - warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, covenants and restrictions of record, if any and any liens or encumbrances created by act or default of grantees and will warrant and defend the same. f Dated this day of (SEAL) - - -...(SEAL) * LaVerne Anderson a/k/a Laverne Anderson - _ ------------------------(SEAL) Ti d)V - _-----.(SEAL) - --Elizabeth Anderson AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN Signature(s) Ur1C.----- - ' ht St_--Croix-------------------- County. authenticated this ay of._ 19_~ Personally came before me this day of ------------------------------------------J 193.6--- the above named haVexne._AQerson - aka--Laverne " AndexsQP__and__El zabeth_Anderson TITLE : MEMBE ATE BAR OF WISCONSIN (I~,not- - - aut te hbd by § 706.06, Wis. Stats.) to me known to he the person S.._-___.._ who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY HEYWOOD, CARI, MURRAY & SHERBURNE - • - - - • - by Samuel R. Cari 1?:0:---B&ox--2-2-g;---Hudson) ---WI•-----54016------------- Notary Public t_.__Croix--------County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: 19-_.-_._-.) 'Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc. FORIM No. 1 - 1982 Milwaukee, Wis. STC-105 W SEPTIC TANK MAINTENANCE AGREEMENT rt St. Croix County H r u np I )~~rl) OWNER/ BUYER .1 a 4- U 4 w 0 Fire Plumber ROUTE/BOX NUMBER ~A ;J CITY/ STATE ~~C 11 ZIP SH 3 1 rt PROPERTY LOCATION: Section c3 T_oN, R_a 1, Town of 'f. ";g ah St. 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 's'e'pt'ic tank pumper: What you put into the system can a ect t e function o the-septic tank as a treat- . ment stage in the waste disposal system. St. Croix County residents may be eligible to recieve a grant for f 60% of the cost.of replacement of a failing system,.. a maximum o b wh3.c 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 sys'tems.agree to keep their system properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a mater 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. H I/WE, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Depart- ment of Natural Resources. Certification form must be completed b and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNED ` ~ DATE - g 9U St. Croix County Zoning Office 911 4th St. Hudson, WI 54016. 386-4680 Sign, date and return to the above address. 0 63 TIFIED SURVEY MAP CER 9 10 e ME FID "G 22 1979 cA A"Is 0, cON.4 t lt'°'''#0Io•.e. ti CURVE DATA TABLE we CVE RADIUS CHORD CENTRAL 1y4ftmC',u H 'Ir. U R G Ss Z E LENGTH LE Ni GTH BEARIN A N GL 1-2 667.00' 230.48' S1904050'~ 19°53'54' 3-5 583.00' 375.34 N10051 06"W 37°33 22 APPROVED 3-4 583.00' 87.27' S25020'14°E 8°35'06' 4-5 583.00' 291.66' S 6°33'33E 28°58'16" AUG 15 1979 6-8 550.00' 354.09' N10051'06"W 37°3322" 6-7 550.00' 287.41' N 7013' I I"W 30°1732" Si, ~iOlX 7-8 550.00' 69.68 N2~°59'52"W 7°1550 COMP tEH;N$iVc PALMS PLAN,inG IOW IONNG CO/+1M1TTEE 9-10 700.00' 122.05 N 2.4037' 2W 10°0010' 1 I33' I 30' PPROVAL OF THIS MINOR SUEDIVISI N E E I/4 1/4 CDROR. . i DES NOT MEAN APPROVAL F R a _BZ N89°38 24 I ;~i AIDING SITE OR SEPTIC SYSTEM. r C.T H.=E2- - - 233. 01 :FER TO H62.20. 2 r-- - - - 00.00' Q NOTE: HOLDING TANK REOUIRED o a I 11 ON LOT I . N 1 O Oi. 1 M O ACREAGE TO r ~I I N SCALE - 1" = 200LOT I= 1.925 ACRES 41 M 1.501 MIM I 1 I LOT 2= 6.372 ACRES ACRES ~ I I 400 ~ 0 100 200,;;, LOT 3= 3.306 ACRES o 33.0 I Z 200.00' v I _LOT 4 = 3.274 ACRES S89038 , W I `o1 233.01 1 • = IRON PIPE FOUND. "I I 13 331 w.LiNE NE-SE I I O =SET 1"BY 24"IRON PIPE WEIGHING - 9"E 300.0 1.13 LBS. PER LINEAL FOOT. ( I N89°53'2 ' I 1 NO ° 5 4'03"E 122.41' 1 L1 %P DRIVEWAY FOR LOT2 TO BE BUILT +y ADJACENT TO THE SOUTH LINE OF I In O L LOT. CA TI N'SOILS MAYBE UNSTA ~ BLE POND I Lo N \ m' I DUE TO PROXIMITY OF POND. 1 Ino i I CAI \`o© 3.021 ACRES C.T.H."V" I N29°3747"W 1 ~8 '003 sm • I, 88.00 , I _ 35.4 N89053'29"E 420.12' N89°53'29"E 744.43' 711.43' X133 50 ~7 4 384.63 C° N 89°12'06"W 17.00 j 3.019 ACRES M I \ \ /Q 12.52- 2%. 3 50, 50, polvo 01 - moo` 11 j EXISTING EASEMEN -O 5.979 ACRES N V GCI N I SEE NI M m .,0 1 I ENLARGME I 5 O I l i 81.95' 44.51 b ® 1 Z 0' 11-12 50.-R 265. SO.1 0 I 695.10' 13-14-R 235.00' 7.00' S89053'29"W 1135.43 R. N7°55'35"E I //I 33.33' 88.35' 1 1 OUTH LINE NE 1/4 - SE 1/4 150'41'2 I (7 Tn1Alij RnA n INDUSTRY, OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS 1 c DIVISION LABOR'AN P.O. BOX 76 HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON W1 3707 (H63.09(1) & Chapter 145.045) LOCATION: SECTION: OWNSHIP/MUNICIPALITY: LOT NO.:BLK. NO. SUBDIVISION NAME: '/a~-'/ 7, ,5 /TV N/R'L"1_(~ T 51-1 COUNT/ OWNER'S BUYER'S NAME: IMAI ING ADDRESS: USE DATES OBSERVA IONS MADE NO.BEDRMS.: ICOMMER DESCRIPTION: PROFILE S RI TIONS: ER L TIO TESTS: Residence ~ew ❑Replace `7v RATING: S= Site suitable for system U= Site unsuitable for system i G CONV T . IMOUND IN G P RE: SSTEM-IN-FILL HOLDING TANK]RECOMMENDED SYSTEM: _1~UJ U as ❑u 2S ❑U ❑S U U S a C d~s•c/ oa~ If Percolation Tests are NOT required DESIGN R\lATS: If any portion of the tested area is in the / / under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMB/ER DEPTH W,, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) i") y B- / .D CI 55'f s ' _ , d s' Q s; , S C{n , S;l~ . 3.3 "/_3, S~ 7 S' A, 7- 5 ' 03 U ~.5 hS L' 13- B, 17 23 B-5 7o G)Q.S > 70, 2,Ofs~/~S~ ~jY 5- sff. 3 n S B- PERCOLATION TESTS TEST DEPTH e~WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER AFTER W LLING INTERVAL-MIN. PERIOD I -PERIOD R PER INCH P- z 2 L L G < 3 P- 3/ 3% 3 sS%~ 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. ~s SYSTEM ELEVATION + i A~t Bf f rr7~`I~ 51F s al t . i I 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WER COM LETED ON: ADDRESS: IN CERTIFI AT10 NUMBER: PHONE NUMBER (optional): CST SI N DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR SBD-6395 (R. 02/82) - OVER ' N OeTN l~(~dP~oP7v /,C:) CAr~orJ Ns T//,PouC-~ ~rc'~"~v5 PLO 57 PLOT & CROSS SECTION PLANS ZAPPA BROS. EXCAVATING INC PLUMBING UNIT /Oog~ PROJECT . Scar~c ~RNK G J, r H /o CA -r i✓Ew F~vT;oNA S T ~'Lc~{vc~U ~/iNS~~<riv,J w. s .cJ /4PPPc~/.ep ~ir~ ~uG S~ J ~s~N /30' on, oosa~ ,..1 - JLsPE A /,3O' IS3 p ~ / rl'oP~Pry~ ..v~ f~r NO SCALE FRESH AIR INLET AND OBSERVATION PIPE ,6el"4,Ai 4e,< - /s APPROVED VENT CAP MAXIMUM 12' /oo ABOVE FINAL GRADE All- 4' CAST IRON VENT PIPE MAXIMUM OF 42' ABOVE os~-. ~iuc. PIPE TO FINAL GRADE SIGNED: MARSH HAY OR SYNTHETIC COVERING LICENSE: MINIMUM 2' AGGREGATE DATE: //s ego OVER PIPE I ~T- DISTRIBUTION PIPE I~ TEE SOIL STING BY: vES .6~i~5oN ELEVATION BED B' AGGREGATE • BOTTOM PER SOIL BENEATH PIPE PERFORATED PIPE BELOW TESTIS • COUPLING TERMINATING 9 Q. SO FT. AT BOTTOM OF SYSTEM i K COMMERCIAL TESTING LABORATORY, INC. .514-Ain Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 ST. MIX ZONING REPORT NO.: 16319/01 PAGE 1 ST. CROIX COUNTY REPORT DATE* 1/09/92 COURTHOUSE DATE RECEIVEDS 1/07/92 HUDSON, WI 54016 ATTN: THOMAS C. NELSON III OWNERS truba LOCATIONt i331-27th St., Hudson COLLECTOR: M. Jenkins DATE COLLECTED: 1-06-92 TIME COLLECTED* 3S00pm SOURCE OF SAMPLE' Kitchen faucet DATE ANALYZED201-07-92 TIME ANALYZED.2300pm COLIFORMS 0 /100 ml INTERPRETATION: Bacteriologically SAFE NITRATE-NS 2 ppm Above 10 ppm exceeds the recommended Public Standard. i i ng Water I Colifarm Bacteria/100~m1 ~ 1 Nitrate-Nitrogen, mg/L' 9 TQ III 11 1 4s r2l (5 R. U j. f cite, S ~ LAB TECHNICIAN: Pam Gane ~.oENWI Approved Lab No. 19 t, < means "LESS THAN" Detectable Level Approved by, ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 r.. r Ov ST. CROIX COUNTY ZONING OFFICE St. Croix County Courthouse 911 4th Street Hudson WI 54016 AVY Telephone - (715)386-4680 The St. Croix County Zoning office offers the service of septic and water Inspections to Lending Institutions, Realty Firms, and private individuals. Completion of this form is essential so that the property can be located. Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING----------------------------FEE: $ 25.00 (For nitrates and coliform bacteria) WATER TESTING FEE: $127.00 (For VOC'S) SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 (Determines if system is properly functioning at time of inspection) Property owner's name Property owner's address H UoSO N V,)( Legal Description ~E 1/4 of the SL 1/4 of Section -L!!;;_, T 3! R 20 t,J Town of S~- ~0-.eAoyv Lot Number/~ Subdivision Name l.~ FIRE NUMBER LOCK BOX NUMBER ZO Y6 Color of house_ 61, Realty sign by house? Val 0If so, list firm. 7 ,6 Az vk> NJ PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. if the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: Telephone Number_ ",L:s f Y REPORT TO BE SENT TO: i Closing da e 20 - :Ili Z- 11 Signature WEST PAATST. JOSEPH T•29-30N--R.20-19W. 39 SEE PAGE 53 11 AVE. 0 o LK +R. RR Wm. s ¢i''' Ernest • b Md1 ne f o. L`r s7 crn ce U / n [A 7 NK CCC yn r s + q Ike S L F; /2o We 9e f Eve/yn Sin er y q ,~,rc Y. 4o v~ y py\ 40 /C/uedtke „ _ ~ `Qiaptl hi y ~ R ~ er PbC $ ® 00 Erneaq qG. rne5 BO C,'~0 • enafF s°_ seo. ky4 ',^e .OCR F¢7i&'re ve PBo Krm 2 735 Jf 4o F _ y en n~ 141 rH • Tr st 40 n H sz • EI Henry•ti 7G VE K M~ ~ X"9`s 7 , , Le/73 By .u ~1~ mec~aT. arves uay O b o e • a st, s r ti R l ~suci~. s Mit,3' ^ /72.59 d'~ ~ cSia9f,c c~6o A+a rt Q.S~~ ®Edward. , ~ :%hwLL u~ w O/son a ai P 9 der-son ~ 0 Ygg 9 `Toyyce: -r¢ntt5 9B q ti /zo rw So• a ra'W/ : . oO 71 r o rTa p 5 - 7/67 io .1 G Welaa ~l O~~ C~ Cv rro//L ° s.a q JfA I~ V 1V S`u §4 eeiol yi V'~ 7 /n" an escor C Y. , n h L Caro/ 0 r- Cf W B. ef.°a n Zj~ .a 9 6 ri b E ec%. ro roe Ke. eaa- M 0 y/ ULT Rc f 2 S r/ad's .::Nova 7 0~ ,s ;a E t r'Ee>°. ~ 76 Ve~o r$ni- w 1 yQ 11 wus su aMlicL dI c¢ ~ ~ /7deraon l ~ TRn~rS.: ; e~a.~ u a. o h o 4i6 L _ ~b L.FE d ~~f~.p~ as NB Ty ffi~ H¢'?ret w E y N e.o .v kn W sM. Q (Toann 3 -~.'(w ' N/- W F ^ AVE. i~ Tra.n ~ 3 ~ MUnue/ 7 ULO Tr k Pe~'.sicO ~7 1yl► _ ~ 0 ~0 Viz/ifon<,: d 6ec%i RNs 74 ~7B /3 0 V . ro ~i10, 0 LaYarne •7~no.~,a.r ~~y F ZI, om^jOr `l n 9ndcrson cCon¢ yhy 'V, W /42.48 ~ n iL✓¢/7 a F na. CTOhn \ O •1 ees B3 c~gM LTMCTy. s 3~ y yy~~ i bam- rerj ~ ao E i a e L /oJt d H. 1711. e err e c ~ y tZ /93 Q. L y nMY ; 4 °k~ Ste ven Ochs ir. Y. i W K • /B9 AVEN 4e.8 0 L B W W s !Ci n D. W 1w 1 Z4 ¢ CrrsG; Sc Lori+,yF .I:L N ,,T7+L. Bys. Erickson [E/ja6e `card, i yy `LOS r/mf Deve/ -tan S'. e G ndorson B etaJ 3m4 17&.4,3 oilers M r?17yA C' , . 7e 41 v O N 3T7a . n w.>i ¢r~ Z T cis rocs _ R. a JO `Tl. O Ron WN se C/ppyre '9!~ pk 6. SRnn MEnROr4i1• ..'!s i- Wa > 9L ker -L7i/ts 7` N. F PLRY~': r r y^ reii U 40 eo O.~. B. . .e.'0s'.. .y~. fr V mskno~.~ s ~u.yh ^ FN 0 26~ ,Vtst ud ¢ t 9 U~ s 74l % itbL s p'' f 4 ~ u Hy .::SMALL;:: x'°0'6 .v _ ~~tl io9k a F°ak m`N. fees a v~ ve We L ~j fe ¢/d o Z73 L. , CL. u (C~ , . cSr¢i® of'N/i.S r>Sin gyp) - acv E ,.I .DC'/vf o Nctt/. B.r. .v •a,, ~ its w Oren lJ¢ 5 37 e a n ~.eb areal/L LOW /VE Enos a co gyp Ec~ECrt _ 1~~71 _ n 41`43 _ 2 G .!7/!o b✓N kAt6 gS%b 7s./7 g /99/ PocEfordM fL6/slllnac~ o SEE PAGE 2 FAL PO D \y . R.20 IY R.19 W, csf c~o,x Co~~ry, w 100 200 300 400 g0p ~`l7 ART'S RELIANCE BUIMS SRS AUTO PARTS 1,7& ELECTRIC MOTORS 100 Commercial Street I Hudson, Wisconsin REPAIRED REBUILT REWOUND MOTORS - GENERATORS - STARTERS Phone: 386-2692 1631 Livingston Road Hudson, Wisconsin 54016- HYDRTOUM HOSES (715) 386-3633 PAT RAWLINGS ~1