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HomeMy WebLinkAbout030-1068-80-000 a o 3 0 H ti ~ p ~ N o `o h ~ ry 0. U O o n c o w D Y N C ~ 0 N 00 C ,o j N O.C N N N N O C O 9 .c C Z cl) C O ~ C •D N. TO O O 'C .2 NCD N p 3 Q 0 04 0 3 `4) d' I Z H E O) U) w ^ z ~ V z w (L N F- Z 0 C C7 ~ U O Z aUi z ° N I- r I, ~ O Z c -o O M N C N C • - p O Z Z Z O U Z N w 00 ~l E V O C N r y r j V N 9 N O CL V c G d d co U) U) E 0 bip zC- a •N -aaa y L o U) J U = co, M :z :z O N O N co - O O O O O = 0 d Q1 NC co N O_7 - N d Q } CO (0 C4 40 r) O . CO 7 +r O C N H C O C-4 U) O O co o 40) O F- C C O O ' r. p N N 10 00 p. m p 10 V Y~ ~ W O 0 L M U rd,, '30 n O • O N N N U 0-4 oM~ ~A Y cL yw O co U Q ~M" O Z C L Cn cOc ~ V1 3 a 0 CL L: CL • am.~ m r `IV E ` 3 3 0 A v a 0 m 0 Parcel 030-1068-80-000 02/15/2005 01:21 PM PAGE 1 OF 1 Alt. Parcel 26.30.19.251 B 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 JAMES A & CONNIE M TRST COUNTER "COUNTER, JAMES A & CONNIE M TRST 782 132ND AVE HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): • = Primary Type Dist # Description " 782 132ND AVE SC 3962 NEW RICHMOND SP 8040 BASS LAKE REHAB DIST SP 1700 WITC Legal Description: Acres: 2.130 Plat: N/A-NOT AVAILABLE SEC 26 T30N R19W NE SE GL 2 THAT PT LOT Block/Condo Bldg: 1 OF CSM 5/1384 KNOWN AS LOT 1 CSM 7/1980 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 26-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/03/2000 625742 1523/423 WD 07/21/1998 583332 1341/488 WD 07/23/1997 805/181 07/23/1997 682/575 2004 SUMMARY Bill M Fair Market Value: Assessed with: 5301 457,800 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.130 235,000 215,400 450,400 NO Totals for 2004: General Property 2.130 235,000 215,400 450,400 Woodland 0.000 0 0 Totals for 2003: General Property 2.130 134,000 155,300 289,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 116 Specials: User Special Code Category Amount 040-OTHER ASSM'T SPECIAL ASSESSMENT 661.64 Special Assessments Special Charges Delinquent Charges Total 661.64 0.00 0.00 l Fond - S T C 104 i AS BUILT SANITARY SYSTEM REPORT I OWNER`` TOWNSHIP SEC. T 'k N-R~W ADDRESS. ST. CROIX COUNTY, WISCONSIN C/ j SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM .7 f . w • . 3 •,.i , mac.; ~7-" INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: Proposed slope at site: SEPTIC TANK: Manufacturer: A iquid Capacity: I`-'•Numbet of rings used: Tank manhole cover elevatio'n':: 9q g Tank Inlet Elevation: Tank Outlet Elevations 9/"" ' Number of feet from nearest Road: Front, Side Rear, 4 feet From nearest property li a Front,QSide10Rear,O ~ feet Number of feet from:well , building: (Include this information of..the above plot PIRn )(2 reference dimensions to septic tank) SEE, REVERSE SIDE I K ',t PUMP CHAMBER Manufacturer: Liquid Capacity: -.Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: .Number of feet from nearest property lines'. Front, O Side, O Rear, V Ft. Number of feet from well: Number of feet from building:_ (Include distances on plot plan). SOIL ABSORPTION • SY`S`TEH Bdd: • ,C Trench: ' i Width: Length: l .-.Number of Linea:, Area Built: Fill depth to top of pipet . Number of feet f~ m nearest property line: Front O Side, O Rear, 07t. Number of feet from well: N 'ber of feet from building: a7 (Include di tances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: r Has either a drop box or diet-ibution box O been used on any of the above soil , } absorbtion sytems? (C eck one). HOLDING TANK Manufacturer: Capacity: Number of'.rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, OFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector:. Dated: Plumber.on job: License Number: ' 3/84:m' j 4 0 CEPAR'TMgNT 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: NE 4 i SE 4 f Sec . 26 , T30-Rl9 ❑ CONVENTIONAL ❑ ALTERATIVE (If assigned) Town of St. Joseph L ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Burgee Amdahl 770 Amundson Dr., Stillwater, MN ~-S-qo - 1130 BE CH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.: rr~^t Oj ~G{ i'}tf-G CJ 1. Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Calvin Powers Jr. 1563 St. Croix 135473 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PRO?~V D°ED: PROVIDED: IJYES ❑NO ❑YES-Eff NO BEDDING: VENT DIA.: VENT ATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ~j ALARM: FEET FROM LINE: AIR INLET: ❑ YES O " / ❑ YES C; Go NEAREST S 'z_ DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED. PROVDED: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO GALLONS PER CYCLE: PIMP D ON LS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUMP ON AND OFF ❑ NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moi to at t pth Of plowing FORCE LENGTH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire, nstructi s all 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 ~i. ^ TRENCFj[S: MA RIAL: PIT DEPT DIMENSIONS cJ GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. DI T NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW IPES: ABOVE TER : EV.,INL~T: ELEV. END: Q~ PIPE FEET FROM LINE' , / AIR INLET: I-7 7 / NEAREST 1V 2 7 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 ❑ 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: 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: f ❑ YES ❑ NO ❑ YES ❑ NO NEAREST N n Sketch System on Retain in county file for audit. Reverse Side. SIGNAT TITLE: t SBD-6710 (R. 06/88) ~LHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SANITARY PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ -73 8% x 11 inches in size. l evisiontopreviousapplication -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION t/4 t/4, T , N, R E (Or PROPERTY OWNE 'S AILING ADDRE LOT # BLOCK # 001, CITY, S 7T ZIP CODE PHONE NUMBER SUBDIVISION NAME OR.CSM NU BER 0 CITY VILLAGE ~ NEAREST ROAD II. TYPE OF BUILDING: (Check One) El State Owned ~t ❑ Public 031 or 2 Fam. Dwelling-# of bedrooms ~ PARCEL X NUMBER(s) _ Vl14 at apply) (D_ Q~b 0 III. BUILDING USE: (If building type is public, check all th f 1 El 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 120 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. 1K New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 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 Eff Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 El Seepage Pit Pressure 430 Vault Privy I 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( q. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION Feet Feet t11 Z<r Oz~)' '7 VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New lExisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank 6 ' Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the on Rite sewage system shown on the attached plans. 4PIumber's ame (Print PI er's Signat e: o s p MP/MPRSW No.: Business Phone Number: .3 s- - le, ddress (St r t, City, S ip Code: 2f ~7 J ~,o L-- V,~LZ Ix. COUNTY! -WENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing A an Signa o ouvnl ~ X Approved ❑ Owner Given Initial Surcharge Feel Adverse Determination f /I~T 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 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. Ill. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) APPLICATION FOR SANITARY PERNIT 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 &T~,.~ Location of property a1 114 x.1/4, Section T241 N-R9w Township Nailing address V ~ • n L Address of site z4z Subdivision name Lot number Previous owner of property Total size of parcel Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house)? Yes X_No Volume e-Vajnd Page Numbed as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which Includes a DOCUNENT NUNBER, VOLUNE AND PAGE NUNBER, 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 warrant deed recorded in the Office of the County Register of Deeds as Document No. ~S -1-2 4.X ; 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 "stem, and the same has been duly recorded in the Office of the County Regls~e'r s, as Document No. Signa re of Owner Signature of Co-Owner (If Applicable) Date of Signature Date of Signature • DOCUMENT NO. STATIC BAa Ol W18CONUN Foam 1-16a ,"r• sr~.r ••-_..w • WARRANTY WJW , 43,543 T. . rw~c REGIMWS OFFICE 191 ST. CROIX Co., WI This Deed, made between Rector Wardens.... Vestrymen R~C'd for RKOfd oc t .~1~1tpi.. (a aka,,...~IW.. ~a~rnw~~,cQIY. k~no~wmy-~as,~ IV~ spy.y.aa.,.. ..&..~Qr..-and").•no~+l•'~"•t..~.liL i~t..\., ~+/~LVA.•►.... 04y rl 15 `y Sr.a..Paul,..Mina pratiart.... ,Grantor, A M and . CVs ..0. hmd..~I el• 9:45 E, . t...... .....&..?~'Y4k.'.... A wt.4..a int. to t$ a ~.,ee oeai Grantee. . Witnesseth, That the said Grantor, for a valuable consideration- of . illar..i.. other..XT ua~?l,e..Qo~ls c3eratipn .&TURN To conveys to Grantee the following described real estate in _ St-. •CaCAxX County, State of Wisconsin: A parcel located in Fart Of Government Lot 02" of Section 26-30-19 described as: Lot 1 of Certified Survey Map filed January 9, 1984 in Volume "5", page 1384 Tax Parcel NO: Zhis deed is given in satisfaction of that Land Contract dated Jule 20, 1979 in volume "595", page 566 et. sea., as decumment number 357675, the provisions of which were cdnanged by that "Modification A cement" dated April 19, 1982 and that "Land Contract Amendment" dated pebruary 23, 1984 and recorded in volume 0682", page 570 et. seq. as document number 391387, and which was assigned to the grantee herein. This ......7r&..A4X.......... homestead property. (is) (is not) Together Vw tarncl singular the hereditaments and appurtenances thereunto belonging; And.... warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and oovenants of record, if any and will warrant and defend the same. \ 7 14JA day of ..L1.} ~r.•,~~•/ 18.1 Dated this .0.01'? Rector, Nardens & Vestrymlent of Christ Church, Woodbury, Mn (also and formerly known as, Rector, Wardens, & (or "and") VSeEsAtL lmlen, Christ church St. Paul, MN), a M S Corp. F,>rr~~t Ilc•~i+• Srrr~ f~ ..t/ k%sfr (SEAL) (SEAL) AUTHENTICATION ACHNOWLZDGMJINT signature(s) STATE OF WISCONSIN \ . ......................................County .....day of authenticated this ........day of 18...... Personally came before me this . 1..i.Y.t.::.~.'..::.. 18/. the above named J'V-.11.j:»..... - .........r. t i r TITLE: MEMBER STATE BAR OF WISCONSIN (If not . ................6.08. . authorised by 4 70., W(a. Stets.) to me known to be the persons.......... who executed the forexoin m MI IN,5.~Ity4t ENT `VAS DRAFTED BY dA Es . ~LL RDbeTr~ f,. Wall = 110TAITY • MINNrS0TX ~ ,WALL & HARRIS = . WASHINGTON COUNTY ~p,~ 522 "Setirnc9 St . s Mr oorl"Iwslwl eeF~» saes , r t Rudscnr..itlI...54416 Notar> loblia n (Signatures may he authenticated or acknowledged. Bcth my commission is permanent. (f not, state expiration are not necessary.) date: . 19...x..) a •Namaa of p•rwns daning in any Cal`acity .h. -ild be tbpwi,,r Print.d 1-1- rh, it eixnrtun \Yi+ronrin Laval Blank Co. Inc. RAN OF WISCONSIN STATE WAaRANTT DxiD FORM No. I - 1982 Milwaokas, wig. SURVEYOR'S CERTIFICATE I, Allen C. Nyhagen, registered Wisconsin Land Surveyor, do hereby certify that by the direction of Burgee Amdahl, I have surveyed, described and mapped the land parcel which is represented by this Certified Survey Map; that the exterior boundary of the land parcel surveyed and mapped is described as follows: A parcel of land located in part of Government Lot 2 of Section 26, T30N, R19W, Town of St. Joseph, St. Croix County, Wisconsin; also being part of Lot 1 of Certified Survey Map recorded in volume 5, page 1384 of the St. Croix County Register of Deeds; further described as follows: Commencing at the EQ corner of said Section 26; thence S00016'03"W along the east line of the SE;, 1298.53 feet; thence N89058'40"W along the south line of said Government Lot 2, 660.00 feet to the point of beginning of this descriptik thence continuing N89058'40"W along said line, 606.54 feet to a point 28 feet more or less from the water's edge of the easterly shore of Bass Lake, said peoint being the beginning of the meander line along said lake; thence N48 50'05"E 201.21 feet; thence N30024'14"E 106.71 feet; thence N06026'08"E 175.49 feet to a point 20 feet more or less from said water's edge, said point being the end of said meander line; thence S89058140"E 383.26 feet; thence S00016103"W 398.94 feet to the point of beginning. Above described parcel is subject to right-of-way for the Town Road as shown on this map and subject to all other easements of record. That this Certified Survey Map is a correct representation to scale of the exterior boundary surveyed and described; that I have fully complied with the current provisions of Chapter 236.34 of the Wisconsin Statutes and the Land Subdivision Ordinance of the County of St. Croix in surveying and mapping same. ~:~•~y Allen C. Nyhagen date S-1 ~ 7 ' ~..ti*<, .yi +yt r~J ;;tJrt`a` 1h-L8 #qof Jal4eZ seT6no0 Aq pa43eup guawni4sui stgq W W -.I ~ 1' N O z t0 Z O W X: N Z Z w s ~ o r Z Z O H ~ O Y C~ F-- Z O M F- U ~ U r Z W w O CJ ~ VJ N V _1-► W O W cn U gZ uoi}oaS 30 13S a-4-4-40 autj ;sea 1£S'86ZT Mu£0191000S Vr. a,: J O 'n a r r~ C1 : 1r i `o c co t-S I C> U) M C) i~' sn Q err cn1 N rn t+• C( L ~y Yt •S~ v y <u 0 ~1• Y' ~1i z o Y)J w »J .N - 4 c 1 d ...LJ a o W O c 4- a) c > o H a) m Q a sjag4o Aq pauno t9el -6d 'G '10A -W-S-3 CL I ° w N avow 31tlAI8d I J C~ x c J a IZ5'SL£ Mu£019To00S IZh'£Z I v Ih6'86£ - y - V) °o N - - 7 O I .•a O tp OI ON ON N 00 .1 I W W 3 3 'n 4 o) N _ \ \ O Lo 'n I O) N CC C= O) N In i o 0 2Q9.0~, ao o 0 m m ~5auE i ~ z Z S150 tr5 233.35 m i t co co r > i I u u 0 o a i 1 3 w I~ v I \ c c• 'O U V T- C 1 co ro col N Z X I; 1 I r- r- co 'n N N I ^ ^ 'f9 1 r ao - I I J •'J -0 M I 00 m I ao +I +1 00 I • O' .-N. cN I M • 3 'n I. I W W o.I ro ro n cr ; I¢ Zo 00 CD r-I .Mi 0 M O Z I, n O O ' r --x • v v N m ac I.co m 00 N M O I. o f +I +1 N 2 z m 1 o N 'ii U."; n ao > O 1 n O m N N I 4- 4- O O I: W N t0 Z M Cl) EI W O J I• I~ II II II 11 II J 1 O J Q Cr J O U U 3 O N 1 J N N W Z X IU o: a m U J + U I O O t O 1W ^ 1 O T J +1 +1 3 I N 1 O) ^ 1; O Z ro I co O1 1 CD n +1 1 N rn rn o c m O I O) .•r M O) I. co J I O N N O W O 1 C~ C4 C), 'O d C X v v N I: 00 N 7 .y O tl tl ui _ Z 1 c c + 1 3u80~9ZQ90N 1' I • CD Cl) 41 'n ty ro s N SL I \ ~~~~f Q 00 OD I N 1 y~o o,-* cli C'J 4) 41 > C C r- Lo 't 1 4J L. 0 O O O O O 1 I J N U \ 41 -0 X ~ I I c d .r1 C/') w F. . ^ O I c ..ti U 2 ~he \~s 1 41 w L. N 199 I u 00 U N L L. O i f~\OS 14- 4- O L 'O C.) fQ~~~jji 'O 1 1 (n O O. E e 10 1 Q L 41 O d C I W CL J u Y \ I c o) 4~ '3u£019TOOON +h L 1 N cn leaq o4 pawnsse gZ notgOaS d° 13S a44 1 1 1- 0, o o W 3 3o ouil }sea ay3 o} paouaia3ai aie s6utuea8 N ~ I LLJ o n o 3 0 (,j 4~+ I I U J ro t- p m co N STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER 'y' ROUTE/BOX NUMBER FIRE NO. CITY/STATE ZIP 5715 d PROPERTY LOCATION: 1/4 _cL 1/4, Section R__./fW, Town of , St. Croix County, Subdivision - , Lot No.. Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists 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 function of the septic tank as a treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 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 verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), 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 the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning 0 ice within 30 days of the three year expiration date. J SIGNED DATE y C.I St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address IN DUS DLPARiM~NT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DUSTRY,- C DIVISION L'AYOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 539069 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION- SECTION: ue (o TO H /MU LITY: LOT NO.: BLK. N SUBDIVI SON NAME: ,A? V C N Y' WNER'S B ER'S N ME: MA ING ADDRESS: r 1- A dli 'Jowl' USE DATES OBSERV TIONS MA r~r NO.BEDRMS,: COMMER IA DESCRIPTION: X New DESCRIPTIONS: IPERCO~ATION TESTS: EgResidence I,niNew ❑Replace I /J RATING: S= Site suitable for system U= Site unsuitable for system r ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED S STEM:(opt ~ ' nal) S DU fl S ❑U ®S ❑U ❑ S u EIS ZU a~,,,~;~,,~ If Percolation Tests are NOT re uire I DESIGN RATE: 4 If any portion of the tested area is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: y .r PROFILE DESCRIPTIONS. BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF OIL WITH ICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH tM, ELEVATION OBSERVED EST. HIGH-EST TO BEDROCK IF OBSERV D (SE A BRV.ON BACK.) B 5 / -X' X'o ✓J S/ .f; ~S JS j B- 3 _ B- ? 7. r B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERI D PER10 PER INCH P- P 7 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 /"/./.ti r r _i I N i E 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. NAM int) TESTS WERE-OMPLETEDON: J/ 100101 ADDR CERTIFICATI N NUMBER: PHONE NUMBER (optional): CS IG ATU G DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - 1 J INSTRUCTION FOR COMPLETING FORM 11 - D ~a To be and accurate sail test, your report must include: 1. Co , ascription; 2. The us clearly ir,ti' .ther th' it nce or commercial project; 1 MAXI" If ' !drooms 1 ci -Ined; 4. Is thii a r r ( . writ system; 5. Co -ating boxes. A SITE ABLE FOR A HOLDING TANK ONLY IF ALL OT. BULEQ OUT BASE,' )IL CONDITIONS; 6. PL. Town here for + -ascriptions and completing the plot plan; 7. -urately locat i,. iocations. Dr-wing to scale is preferred. A i_ 8. ical e point an awn, and are permanent; 93 C ate I to dates, r flood i ~'ata, percola ~ . r test exemp- ,i-ch as lk , plain, elcv& is'r ",n1w, pi 'k, in the 6,,,- i.Le box; 1 2. place your current address P' rt n ~ r; 12. ribute as requi TP-- ST BE FILED t ITH THE L ;,-10811 30DAYS 0 A _ ."ATIONS FOR CERTIf ;OIL TESTERS ~~-tares - - Gy Y - _St_ H %/V L - , I RIM VRP TO THE OW - COW- - I y. 0 a 3 i 1. I i i l I ~ I I i I 4 I I I I ; I I ! I ' I ~ J I ! ' I - - ! 1 ! I }I f I j ~ I I I I ~ i i I I I 1~ I ~I . ~ ~ I ! I r ! I l --I I f I I 1 i ~ I V l-~ ~ I i I I i , I 1 ( ! - ~ I I I I I I -~I , I I i I ~I ~ r ~ } I 'I I I I J-- T , II I ! r i I I f I I 1 i - - ~ + : ' I I I ! ---T 1 1 ~l I I i ni , I ! I I t I I I j- I I---t----- I-- I - , i 1~- I i I ~ I I I ' I I - I fi ~ I I I I I i i I I i _j I - - - I ! r u - - - - - - - - - - - - - - I ~ i I - ----1- - L - - - I I I I I I i - ' : - Ij ; I I , I I I ~ I I I I I I ! r D~. PAGE OF Fresh Air Inlets And Observation Pipe Approved Vent Cap Minimum 1.2" Above Final Grade 20- 42" Above Pipe _ 4" Cost Iron To Final Grads Vent Pipe Mash Hay Or Synthetic Covering Min 2" Aggregate ` Over pipe Oletribotlon Pipe 00 0 0 0 - Tee 6" Aggregate a Perforated Pipe Below Beneath Pipe 0 U-Compling Terminating At Bottom Of System I 97s Prp~oSe1~ ~tnc ~ graclt SOIL FILL DISTF15UTIOu PIPE APPROVED S4MNETIC COVER ARM / ° 'e'"MATERIl~1 OR 9" OF STRAW Z"OFAGOREGAIE OR MARSM HAy [o OF %y -Zi/Z AGGREGATE ~L E V. OF c 711:EF-T, t 1315-rRIBUTIOU PIPE TO BE AT LEAST IUCHES BELOW ORIGIAIAL GRADE AMU AT LEASTZO IUCHES BUT IJO MORE TRAM 42. INCHES BELOW FINAL GRADE MAXIMUM DEPTH OF CXcAVATIOP FROM OKI&VVAL 6KAaF- WILL BE ~U FICHES MINIMUM Mr►+ of EXCAVATION FROM OIKf611MAL GR41PE WILL BE IrvCHES SIGHED: LIGE►JSE AJUMBER: /r~ DATE: e.et' ~~~-L.~`~ ,,C to - J / / ~ ~ ~ ~ ~ 6/ ID 771 / q 96 r / c -„Irri. 438113x s• Fk7 ' 98o to Co Co p -1 w r I I o~ =C X 1n 0 rn z :3 0 IN) I Bearings are referenced to the east line of = a (0 rn o Cr N 0 "Z 1u a 1-r Cq 1 I 70 the SEJ of Section 26 assumed to bear y ~ -n I 1+ NOO01610311E. = 0" o ~r o M-" I I \ A o cIr d d rn \2 a v w o Cn I I y~dd01 I- bC1 Lnn r• 0) -h " C Ln C) -3 :r 66' I u' SO\?lam N 0 1- C4 Cl) < C p\ m m rn I I F \ o ~ -n ~ M C/) n X [1 rt -0 A to r I 1o co \ `j, o c o I N N ~l0 7 < I N N *000~s ~I / N I N N 4 CT7 S Co 10 < " -r, -n 1 F 175.49' o C) :I 1 N06~26' 0811E r + ~ I.- = N I z• - I+ I+ t N 3 N I Co ;I N O x 7 c0 O) P:z 1o 10 . 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I 7E D W r-• r I O O ~I' Z O O W 4"J 1 o I O w I C to -1 to O v W W r• 7 X N fD X I1G m m N I to - 0 1 a rt r I :I O 0 N w I C < 1"F OD I I w to m 1--1 1~• w I W -1 -1 1 N :I N U1 X 2 1-. d O 100 1 1 7 10 rt t0 N 1 F 0) A A N ~Q1 C7) c c m n 11 u l is ° o c it. -C oZO oZO (i c' 15~ 05~$ czi r'o N to C.0 3. 3~ x -3 C2 1-2 Co C:) v N f..n N 1p = A rt (r N 10 ' (n I(m o v++ \ \ '7 O m m m f s n v I rn rr O to Ln I Co C N 7 00 Cn 398.94' " 23.42' S00016'03"W 375.52' _ 0 m o • ° x G7 o rn o I PRIVATE ROAD H z C.S.M...vol. 5, pg. 1384 owned by others d < N r- O T1 m ~ rn ~ 0 o m v m ~ ~ v r o N o `l+ rR, e jne re r• aY ~ A l~ ~ O 1Sy7 A~ 67 S N • .•rl:~ •G 'YO au x ,~Vi, ka O Z lu C 4 •.7• `~•~y Du Co C) JAMES UCONNELL py i -r y M C) y o rn V ts• LJ~ z o RelEtsEm'Of p@0d=.: C~;+ o- o 8L Q0~ ` e`1a a S00016103'IW 1298.53' r _ East line of the SE} of Section 26 (w~ A ti 1n o m 44- V o rn rM C A c A ! z -1 A 2 --1 A -1 r-1 O ~ O O o :0 z a z z s m a m o N : O N ~3 Z O) 2 T C C 3 ? this instrument drafted by Douglas Zahler job# 87-41 Z Vol. 7 Page 1980 r' U d FEB o Z u ~ sr, cROix cou 0 ran SURVEYOR'S RECORD o c y Nes~o 0 D eq S c: z ^I S ~ ©®O w qkF 3 ~ 20,00. ° c z -I vi z z N d ~v j N N 1M 7 fi2, v IO O ~ ro CD CD ~ z ,rV q r z to W W " ° ►N N O m V I C7 C-) r* m% £ Z = 'A = -0 v (n r z ~ o-0 -18.4 , . I~I~Io ~ m 1p00• .IN t30 W y O ~tiV (,~z C 00 N ID M 2 O v CO rrl N N z cj~ to z rri ° z o oo 1000, w ~ ro z d CD / D ~ lx7 C-) < O c C11 DnZp~l~l < c 0 CD i- ro (*t t*I CD CD rk) r+ CD vvum°D o ON ro rrl ~ 'Tl rn _ Z m rri G Z z \ m U) m m ° m I D \ M V/ ° V) m rrii m ~ ~ro m z ao N \ Z 3 U) frl ~N z m -t ~ r -P ° N 1298,58' 1298.58' A SOO'16'45'E SOO'16'45'E ri rn c') M ~ C-) EAST LINE OF THE SE1/4 OF SECTION 26 ~ M ;o ~-i, o °zrzi °zz m ;o swam