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• Parcel 030-1088-30-200 07i29/2005 08:44 AM
PAGE 1OF 1
Alt. Parcel 30.30.19.317E 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
" PRIESS, JERRY & KATHLEEN
JERRY & KATHLEEN PRIESS
315 CTY RD E
HOULTON WI 54082
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 315 CTY RD E
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 3.300 Plat: N/A-NOT AVAILABLE
SEC 30 T30N R19W N1/2 NW SW LOT 1 CSM Block/Condo Bldg:
7/2022
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
30-30N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
12/16/2003 749199 2474/599 WD
07/23/1997 1032/29 WD
07/23/1997 846/610
07/23/1997 835/456 more...
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/08/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.300 97,000 202,000 299,000 NO
Totals for 2005:
General Property 3.300 97,000 202,000 299,000
Woodland 0.000 0 0
Totals for 2004: i
General Property 3.300 97,000 202,000 299,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 116
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Form- STC- 104
i
AS BUILT SANITARY SYSTEM REPORT
' OWNER'' :
• .
TOWNSHIP SEC. ' T ' N-R W
11,6r 11cilrIl
01
-_31
ADDRESS ST. CR61X COUNTY, WISCONSIN
Aliz)
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of ILHR 83
i
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
itk
I
e
1-7
Xch
v
INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used
Elevation of vertical reference point: Itgn Proposed slope at site:
SEPTIC TANKS Manufacturer: s't id Capacity: 'd /
"--'-Number of rings used: Tank manhole cover elevation: T
• Tank inlet Elevation: Tank Outlet Elevation:
Number of feet from nearest Road: Front,W Side,O Rear, O feet
• From nearest-property line : Front,OSide,ORear,0___ 170 feet
Number of feet from: well , building: _
(Include this information of..the above plot plan)( 2 reference dimensions to septic tank)
SEE, REVERSE SIDE
5
l
PUMP CHAFER
Manufacturer: Liquid Capacity:
%Pump Model: Pump/Siphon Manufacturer: Pump Size
Elevation of Inlet: Bottom of tank elevation:
Pump off switch elevation: Gallons per cycles
Alarm Manufacturer: Alarm Switch Type:
Ft.
.Number of feet from.neareat property line:'. Front, O Side, O Rear,
0
i .
nl:
'Number of feet from well:
Number of feet from building:
(include distances.on plot plan).
SOIL ABSORPTION-SYSTEM:
Bdd s' Trench:
.
Width: ° LenBEh: ' _-Number'of Lines: Arse Built:
Fill depth to top of pipes
Number of feet f~om nearest property lines Front, O Side, n Rear, It
Number of feet from well: =
• ~ 7
N or of feet from building:
(Include di tances on plot plan).
SEEPAGE PIT
Sizes Number of pits: Diameters
Liquid depths Bottom of seepage pit elevation:
Area Built:
Has either a drop box O or distribution box O been used on any of the above soil
absorbtion sytemsl (C~eck one).
HOLDING TANK
Manufacturers Capacity:
Number of'.rings used:- Elevation of bottom of tanks
• Elevation of inlet:
Number of feet from.nearest property lines Front, O Side, O Rear, 0Ft._,,,_
Number of feet from well:
Number of feet from building:
Number of feet from.nearest roads
Alarm Manufacturer:
i
:d Inspectors. .
Dated: Plumber on job:
i Licence Numbers f •
3/84:rij
a ,
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING
• LABOR & HUMAN RELATIONS DIVISION
1'.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION
MADISON 153707 State Plan I.D. Number:
NW3-,,SW ,Sec.30,T20-R19 (If assigned)
Town of St. Jos ep CONVENTIONAL ❑ ALTERATIVE
ho Holding Tank ❑ In-Ground Pressure ❑ Mound
NA E OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE:
Dave Vold 910 E. 6th St., New Richmond, WI : 4f;
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CS EF. PT. ELEV /
Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number:
Calvin Powers 1563 St. Croix 135490
SEPTIC TANK/HCtBANG ~r .>a• e ucx- -
MANUFACTURER: LIQUID CAPACITY: TANK INLET EL TANK OUTL V.: WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
21 YES ❑ NO ❑ YES NO
I°~Lc~ ~-~IC• ,~t~ 0J
BEDDING: VE#T DIA.: V MATL.: HIGH WATE NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT T ESH
C ALARM: FEET FROM LINE: AIR INLET:
❑ YES NO ❑ YES NO NEAREST -1
DOSING CHAMBER: 11
MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
El NO ❑ YES ❑ NO ❑ YES ❑ NO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH
LINE: AIR INLET:
(DIFFERENCE BETWEEN FEET FROM
PUMP ON AND OFF O NEAREST
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORC LENGTH: DIAMETER: MATERIAL AND MARKING:
or excavation. (If soil can be rolle wire, construction shall cease until MAIN
the soil is dry enough to contin
CONVENTIONAL SYSTE u.$ o E,rc n c/ 3.3:5
BED/TRENCH WIDTH: LEN : NO.OF DISTR. PIPE SPACING: COVER INSIDE DIA.: PITS: LIQUID
S / TRENC ES: i MAT RIAL: PIT
DIMENSIONS
GRAVEL DEPTH L DEPTH DISTR. PIPE DISTR. PIPES DISTR. PIPE ATERIAL: N ISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH
BELOW PIP S: OVE COVER: LEV. E LEV1 PIPES: LINE: AIR INLET: /
/ - l n /qr~ 4 5/0 FEET FROM
19 lV l- 8 V \Y (~J 6' a NEAREST 5 So. ~,1
3 S EM: S
Mound site plowed perpendicu ' heck 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
MBER OF PROPERTY WELL: BUILDING:
PERMANENT MARKERS: OBSERVATION WELLS: iAREST---
COMMENTS: ET FROM LINE:
❑ YES ❑ NO ❑ YES ❑ NO
303
40 `iY'
Sketch System on Retai in county file for audit.
Reverse Side. ;SIGN RE: TITLE: \
SBD-6710 (R. 06/88)
s
SANITARY PERMIT APPLICATION couNTY
70ILHR In accord with ILHR 83.05, Wis. Adm. Code
VIII STATE SANITARY PE #
onl for the system, on paper not less than/'"
-Attach complete plans (to the county copy y) ❑ Gf~ir:fi it revision to previous application
8'!z x 11 inches in size.
STATE PLAN I.D. NUMBER
-See reverse side for instructions for completing this application.
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPERTY OWNER PROPERTY LOCATION
(,t; % S k0A S 3d T 750. N. R or) W
# BLOCK #
dL
PROPERTY OWNER'S MAILING ADD LOT
_R~SS 11 !1J
CITY, ST Tt 5'~E ZIP CODE PHONE NUMBER SUBDIVISION NAME OR M~NUMBER
N 0(7 1( _0 CITY E
X1 EARjST OAD
II. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ VILLAGE ; 5t ~a5~
El Public or 2 Fam. Dwelling-# of bedrooms A E A N M d to
III. BUILDING USE: (If building type is public, check all that apply) P (21 E
1 ❑ Apt/Condo ❑ Recreational al Facility
2 ❑ Assembly Hall 60 Medical Facility/Nursing Home 10 11 El outdoor Recrea Recreatton
3 ❑ Campground 7 El Merchandise: Sales/Repairs 12 ❑ Service Station/Car Wash
4 ❑ Church/School 8 ❑ Mobile Home Park
9 ❑ Office/Factory 13 ❑ Other: Specify
5 ❑ Hotel/Motel
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. I41 New 2. ❑ Replacement 3.0 Replacement of 4. ❑ Reconnection of 5.E1 Repair of an
Pi 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)
Other
Non-Pressurized Distribution Pressurized Distribution Experimental
11 ❑Seepage Bed 21 El Mound 30 ❑ Specify Type 41 ❑ Holding Tank
42 El Pit Privy
12 M Seepage Trench 22 ❑ In-Ground 43 ❑ Vault Privy
13 Seepage Pit Pressure
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. ERC. R inch) E 6. SYSTEM ELEV. 7. EFINAL LEVATION
7 s~ GRADE
REQUIRED (sq. ft.) PROPOSED ft.) (Gals/day/sq. ft.) 0, Idss 5 9 3 Feet C/61 Feet
yS~
CAPACITY Prefab. Site Fiber- Exper.
rer's Name Con- Steel Plastic
Manufactu
VII. T7k/ in alIons TotLnsT#anks
IN:1n New istin GalloConcret strutted glass App
Tanks Tanks
Se tic :nk
Lift Puer
III. RESPONSIBILITY STATEMENT
V
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
bW/MPRSW No.: Business Phone Number:
Plumber's Name ( Plumber's Si na : (No Stamps)
Cu, fUrv 71r Y6 51,?S
Plumber's Address (Street, City, State, Zip Code):
R ,02 r f
IX. C, NTY/DEPARTMENT USE ONLY Issuing gent Signature (No Stam
Disapproved Sanitary Permit Fee (ISurcharge Fee) Water a e Issued
Approved ❑ Owner Given Initial
Adverse Determination
X. CONDITIONS OF APPROVALIREASONS FOR DISAPPROVAL:
SBp-63)8 (formerly Plb- 57) (R. 11/86) 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.
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-63% (R.11/88)
+ 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 ,o,,
Location of property 1 _1/4 /4, Section T _a_N-R2-2-W
Township Mailing address
t-4
Address of site
Subdivision name
Lot number
Previous owner of property lX'®~~,E,e~, ~i¢F
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 0
Volume and Page Number as recorded with the Register of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and
the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if
available, would be helpful so as to avoid delays of the reviewing process. If
the deed description references to a Certified Survey Map, the Certified Survey
Map 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 dead recorded 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 a County Register of Deeds, as Document No.
Signature of Owner Signature of Co-Owner If Applicable)
Date of Signature Date of Signature
DOCUMENT NO. WARRANTY DEED 1I3 SPACE RESERVED FOR RECORDING DATA
I~ JjSTATE BAR OF WISCONSIN FORM 2-1982
44998 I
v C: 846PAO ED1
REGISTER'S OFFICE
ST. CROIX CO., WI j
Recd
Record i
j, R
for Robert L. Cramer and Nancy L. Cramer,
husband_.and wife as survivorship mara tal___::: _
kR1
Pro
conveys an warrants I; JUL 2 519$9
perty.. is to
David._Vold . ister of Oeeds
-
i! ,
li I RETURN TO I
i the following described real estate in Croix County, -
State of Wisconsin: Tax Parcel No_ 1
it
I
Part of North 1/2 of Southwest 1/4 of Section 30, Township 30 ,
North, Range 19 West, described as follows: Lot 1 of Certified ~J
Survey Map filed September 19, 1988, in Register of Deeds Office
for St. Croix County in Volume "7" of Certified Survey Maps at
page 2022 as Document No. 441511.
it
NS '
EE
Ij `I
ii
ii 1-- not
li
This homestead property.
~
i' (is) (is not)
Exception to warranties: municipal and zoning ordinances, easements and i
restrictions of record.
l S~ ~
I Dated this ~ July 9
. day of - 19__.._....
i
I .-------------------------•------------••---•--------'--------------(SEAL) - ---------...(SEAL) I
ext_..L ramer
lc
--(SEAL)J2. _ _ ----(SEAL)
* * Nancy ---L-•-- .
fI Jj
II AUTHENTICATION ACKNOWLEDGMENT
Signature (s) STATE OF WISCONSIN ~
ss.
ST. CROIX !I
County.
li authenticated this day of 19______ Personally came before me this day of II
July-- 19.89._ the above named
jlp}~rt_ L,___Cramer__and._Nancy----
--Cramer, husband and wife
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not- {
I Y § 706.06, Wis. StatsJ ~~,opoafl®rtoee~--------------•-------------------------
authorized b
R o me now to be the person executed the
Ooo~OQ►~►~ •o ng • stru i tnd know ame.
~i THIS INSTRUMENT WAS DRAFTED BY o%
Judith A. Remington 211 ®TAR C-
REMINGTON LAW OFFICES * 96,C(~14~'L l~l0C,._.._
-
New__.Richmond.,_._Wj------- 54011 ' N Public S-t ----Croix _ County, Wis
~i (Signatures maybe authenticated or acknoltledd WILM mission Wit. (If not state expiration
j are not necessary.) I°s®° mo,oovo° -----Z -30- - c~P---------------- 19--------•) II
I •Names of persons signing in any capacity should be typed or prin ~I~pfa^a '
ef!`DC7ECV-their signatures. i~
WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Cu. Inc.
FO -.Ila..2-- 1332_ v,:..
STC - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER lame ya
~y
ROUTE/BOX NUMBER FIRE NO.
CITY/STATE l ZIP .-Yoh
PROPERTY LOCATION: 0-di/4 1//4, Section , T JO N, R__W,
Town of 'ey -o 5? , St. Croix County,
Subdivision kU / A , Lot No. ti R
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 Office within
30 days of the three year expiration date.
SIGNED 451,
DATE 9D
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
DEPARTMBN ON SOIL BORINGS AND. SAFETY & BUILDINGS
INDU9
r' INDUSTRYY, , REPORT DIVISION
P.O. BOX 7969
LABOR AND PERCOLATION TESTS 115) MADISON, WI 53707
HUMAN RELATIO (H63.09(1) & Chapter 145.045)
LOCATION: , SEC O : TOWNSHIP t%bb ffY: EOT NOTB LK NO.: SUBDIVISION NAME:
NW ~~1 /4 30 /T30 N/R19Xk lor► W St . Jose h
COUNTY: BU S AME' MAILIN ADDRESS:
St. Croix Joe Barcla 1530 4th.st. N. 3 Hudson Wi. 54016
USE DATES OBSERVATIONS MADE
12FIesidence NO. B 3 n~a [New ❑Replace I 4-8-88 n/a
RATING: S- Site suitable for system U- Site unsuitable for system
STC~~ . Mxti~Sl ~ V IN ~S ~U ~ L a SG TANK: RECOMMENDED SYSTEM: (optional)
Q~gO'Yt step down trench
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s.H63.0915)(b), indicate: class 2__ _J Floodplain, indicate Floodplain elevation: n/a
dprimnl I PROFILE DESCRIPTIONS page 4 0002
BORING TOTAL P H T R UND ATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH ELEVATION BSERV D TO BEDRO K IF OBSERVED (SEE ABBRV. ON BACK.)
B-1 6.75 97.29 none >6.75 .75bl.1. .38 bn.s.sil. 5.17bn.s.1.
13.2 6.83 98.24 none >6.83 .75bl.1. .58bn.s..sil. 5.50 bn.s.l.,
B_3 7.08 95.57 none >7.08 .83b1.1. 1.17bn.sil. 5.08bn.s.l.
13_4 6.68 98.39 none,' 3.26 less .42bl.1. .92bn.s.sil. 1.92bn.l.s. .50bn.s.l.w/
B- 96.28
B- mot. lay in B-4 does not ap ear to be co tinuous as was observed in only art of the bor ng
PERCOLATION TESTS
TEST DEPTH. WATER IN HOLE TEST TIME DROP I WATER LEVEL-INCHES RATER INCHES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. )DI PERIOD3 P-
P-see degi rate
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 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. upper trench=94.97
SYSTEM ELEVATION lower trench=93.79
J-11 -
H
#J
16 SL++Kb
LL
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
Adminjstrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME print TESTS WERE COMPLETED ON:
Gary L. Steel 4T8-88
ADDRESS: CERTIFICATION NUMBER: PHONE NUMB ER(optional):
988 N. shore Dr. New Richmond Wi. 54017 -9-46-6900
CST SIG URE:
C~. &jd
-
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 02/82) - OVER -
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20- 42' Above Plpp V Coal Iron
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DISTRIF3UTICiM PIPE TO BE AT LEAST 122 , INCHES BELOW ORIGIMAL GRADE
AIJU AT LEAST?O INCHES BUT KIO MORC THAN tit RICHES BELOW FINAL GRADE
MMIMUM Mr►1 OF E)(eAVAT100 FAOM OKIGINAL 6KADF. WILL BE INCHES
MIHIMUM ocrrti OF ExcA%1ATImN KO/l\. 0 141NgL 6RAPf- WILL BE INCHES
.2
SIGuf:o:
LIC CUSS DUMBER:
DATE:
>I > o . .
0l09,4j9 9/0?&/93
J' ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
Ji;'r1 .r
1 911 FOURTH STREET • HUDSON, WI 54016
(715) 386-4680
SEPTIC INSPECTION / WATER TEST REQUEST FORM
Specify desired test(s) & remit appropriate fee with application.
Outside water lines are often turned off during winter months,
making access to the home necessary. Please make arrangements with
this office to insure a time when entry can be gained.
❑ Water (VOC's) $185.003 Septic $25.00
Water (Nitrate & Bacteria) $35.00 (Visual inspection)
Owner: Dave and Cheryl Vold Requested by: Jenny Olson
Address: 315 County Rd E Address: 706 19th Street South
City & State: Houlton, WI 54982 City & St.Hudson, WI 54016 ,
P Zip Code:
Telephone N2: (_L154 5495 433 Telephone N°: (_L15) 386-8207
Property address (Fire N4 & Street) : 315 County Rd E, Houlton WI
Location: Sec. 30 , T 30 ` N, R 19 W, Town of St. Joseph
St. Croix Co., WI. Tax ID N1030-1088- Parcel ID N2
.f(T~ l) 30-200
House color: 0T Realty firm: Century 21 Lock Box Combo: PEP
Water sample tap location:
TO BE COMPLETED BY PROPERTY OWNER
*PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORMS
Is the dwelling currently occupied? Yes ❑ No
If vacant, date last occupied:
Septic system installed by: ('mil - Year: D
Septic tank last serviced by: Date:
Previous Owner's Name(s):
Have any of the following been observed?
❑Y Slow drainage from house.
❑Y 1 Sewage Back-up into dwelling.
❑Y IN Sewage discharge to ground surface,
road ditch or body of water.
❑YI Slow drainage from the dwelling.
❑Y >kN Foul odors.
Other comments relative to system operation:
I certify that the above informatio 's complete a4id true to the
best of my knowledge.
OWNERS SIGNATURE: DATE: ''~3
• L
r
OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION
IN
j. - SeyTc T wk
TO BE COMPLETED BY INSPECTION AGENCY
System design &/or permit on file? ❑Yes ONo
soil series per SCS Soil Survey: sheet #
Type of soil absorption system: OBelow grd OAt-Grd OMound
Approx. size 'X OGravity ODose OPressurized
Ft .2 ❑Bed OTrench ❑Dry Well
Molding Tank ❑Outfall pipe
OBSERVED DEFICIENCIES 00ther OUnknown
Septic tank
Setbacks: OHouse OWell OProp. line 00ther
Dose tank
Setbacks: OHouse OWell OProp. line OOther
❑Locking cover ❑Warning label OPUmp/Floats
OAlarm ❑Elec. wiring
Soil Absorption System
Setbacks: OHouse OWell OProp. line ❑Other
❑Ponding: ODischarge:
General comments:
INSPECTORS SKETCH OF SYSTEM LOCATION
N
Inspector
Title
1
rl
~ 'Y21
Premier Group ;
70619th Street South '
Hudson, Wisconsin 54016
(715) 386-8207
(612) 436-8433
Addr 315 Cty Rd E [Liar
G Houlton Fie # Dist Ol
y~ v, Sec Twsp S Jose oh Cty St Croix
AUTHENTIC LOG HOME Ext Loci Yr Bh 1990 Ht as le tyle ranch
Lot Size SMrI TH Tax Yr 193a
3.3 Acre 1710 S3174.28
Like new, real log home built with care and VVC Rm Size # Bzths Wt Sch Hou ton Hu_son
attention to detail. Riviera cabinets in kitchen, 1 MMB BB
french doors in living room and dining room. 0 1 Dwshr ( Disp. EM-test on file
Vaulted ceilings accent this private rustic 2 Refri R&0 )Yes No
hide-a-way. Two spacious bedrooms and two baths - [ WS R 0 Avg Ht S
perfectly nestled on 3.3 acre private wooded MB 1 C C 15' 8x14 C. Wtr [ ] C. SM. Av W S
setting. BR 1 C C 11218x14 Well i4 Septic Poss Date n ot.
BR Frpics C. Arc Ssmt full
Gar2 [;p GDO 2 K] Deck Patio
Rec Rm [ ] Ldr UFFI Y N [ ] UKN
N-221R LEGAL/DISCLOSURE Sec 30 T30N R19W N1/2 NW SW Lot 1 CSl
Built by Voyeger Logs 10" tounge & groove pine logs.
Andersen windows.
S/B/C 2.8 Lister Jenn Olson Ph 386-2554
PRICE: $149,500 Brkr Century 21 Premier Grou # 230 Ph 386-8207
DIRECTIONS: Hwy 35N - Right on County Rd V, right
on County Rd E. 1st home east
east of intersection of V & E.
Information is considered accurate but we accept no liability for error. Listing may
be changed or withdrawn without notice.
oppoP.ucTUlly
~ONiT
Each O;' ice Is Independently Owned And Operated REALTOR
>tf T:
i x.
~ r xt.
FILE Pt
^4
Oj SCP 10 19,99 3-- _tl
JA!.CS 0rn ,F•.I r .
441511
CERTIFIED SURVEY MAP
LOCATED IN THE N W I/4 . OF THE S W I/4 AND THE NE I/4 OF THE SW1/4 '
OF SECTION 30, T30N, R19W, TOWN OF ST. JOSEPH, ST. CROIX CO.,
WISCONSIN. OWNED 8Yt EUGENE SENRICK
R T. 2
HUDSON, WI 54016.
WI/4' CORNER SECTION 30 C.'T♦ H. 11 II
CENTER OF SECTION O
100VNTY MONUMENT FOuNOI, r v 1. 11
r
OUNTY MO MENT FOUND).
• -
S890 59'S5~'
66.00 - EASi.WESi QUARTER LINE
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EASEMENT ' O 1.13 LDS. PER LINEAL F06 r, F
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APPROX. LOCATION
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SEP 79 1988 HOUSE
31*. C00V COUNTY
WTaiaY9VE PNb6 PVWTIIN6 \
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BB - 6 T FI T I OF 2 h•E6E RG ti •RCR AND ASSOC.'
Dar EO I_:~,_,-~:, x~~•:•.•.:
Tms INSTRuMENT DI;•EO -9Y .C•~tI«t 7q.r(:.n.
VOLUME P11Cc 2022
.u!~✓M..~r.I.,./w~1 a..!••l ~.•N~w.I~•i~ Tf.Yt ..,.w
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August 18, 1993
Jenny Olson
Century 21
706 19th Street
Hudson, WI 54016
Dear Ms. Olson:
An inspection of the septic system on the property of Dave and
Cheryl Vold, located at 315 County Rd E, Hudson, was conducted on
August 18, 1993. At the same time a water sample was obtained for
testing. The results of that testing 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.
Should you have any questions, please contact this office.
Sincerely,
James Thompson
Assistant Zoning Administrator
mij
COMMERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730
715-962-3121
800- 962- 5227
FAX-715-962-4030
ST. CROIX COUNTY GENT REPORT NO.: 47209/01 PAGE 1
CENTER REPORT DATE: 8/24/93
1101 CARMICHAEL ROAD DATE RECEIVED: 8/19/93
HUDSON, WI 54016
ATTN. THOMAS C. NELSON
OWNERS Dave Vold
LOCATIONS 315 Co. Rd. E Houlton, WI
COLLECTORS Jim Thompson
DATE COLLECTED8-18-93
TIME COLLECTED2:00pm
SOURCE OF SAMPLE' kitchen faucet
DATE ANALYZEDW-19-93
TIME ANALYZED22200
COLIFORMOCC: 0 /100 ml
INTERPRETATIONS Bacteriologically SAFE
NITRATE-NS i 1 ppm
Above 10 ppm exceeds the recommended Public
Drinking Water Standard.
O 1 12
CoLiform Bacteria/100 ml
Nitrate-Nitrogen, mg/L
R~c~rvFp
AUG 2 6 1983
a
C'?04A
, azn r.('4 vT'v co
JIKit~ O~'FIC~
LAB TECHNICIANS Pam Dane
F ~r1DEPENDEN
'4m WI Approved Lab No. 17
O j
z; C Means "LESS THAN" Detectable Level Approved by:
4
4,y
PROFESSIONAL LABORATORY SERVICES SINCE 1952
3 ,tea, - y 4/%a tics
,a•<-~- x.~ y SAS ~
p3 7 ~5- . 1~ FILED
s. m 7/~0.2V- 4
0 SEP 191988 00"
`JAMES O'CONNELL
Register of Doods S
S). Croix CD.,
4.4151. ~ 3 16 4 P3)7
CERTIFIED SU EY MAP
LOCATED IN THE NWI/4 OF THE SWI/4 AND THE NEI/4 OF THE SWI/4
OF SECTION 309 T30NI RISWI TOWN OF ST. JOSEPH, ST. CROIX CO.,
WISCONSIN. OWNED 8Y: EUGENE SENRICK
R T. 2
HUDSON, WI 54016.
WI/4 CORNER SECTION 30 C. T. H. " E I, CENTER OF SECTION 30
(COUNTY MONUMENT FOUND). . . . . . . . . . . . . . . . .(COUNTY MONUMENT FOUND).
9• 6 3 ".....f.. -~f1
ZEAST-:WEST QUARTER S89°59'55" v LINE
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SHEET I OF Z WEGERER, WE-BER AND ASSOC.
DATED 4-2Z8F3 Rot 5-1'e6
SO - 67 THIS INSTRUMENT' DRAFTED 8Y Aw
VOLUME 7 PAGe 2022