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Home My WebLink About032-1070-60-000 Form- STC- 104 1 AS BUILT SANITARY SYSTEM REPORT `w"' 'e'111 I TOWNSHIP t SEC, T ,.;LLN-RW ADDRESS ST. CROIX COUNTY] WISCONSIN . a .r a j SUBDIVISION LOT 41 LOT SIZE or) 1"i . _ _ . - - - PLAN VIEW :1 • , . Distances and dimensions to me requirementa of Ii.NR`83 SHOW EVERMYT HINC !tHI N MET OF SYST . 'A . ,j. , t •,d ,:t:,f a iii ; . 1 t - Z . , 1 , R• /fi/1 s Lie. (1 4/ . _ t INDICATE NORTH ARROW • BENCIiMt Describe the vertical reference point used ' Elevation of vertical reference. Points Proposed slope at sites _ SEPTIC TANKS Manufacturers t> uid Capacitys ` '•'••i•Numbef of rings used: ~Tank manhole cover elevations -.-1:a2~.L~_.•_,-...._.._ 1 Tank Inlet Elevations Tank Outlet Slevation:_ 9 Number of feat from nearest Roadt 1 Front ,O Side Rear, O~ feet • From nearest-property line S • Front 10Side Rear, 0 s' feet Number of feet from: well buildings (Include this information of-the above plot plan)( 2 reference dimensions to septic tank) t SEE P7VFRS7 ST. % PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturers Pump Size Elevation of inlets _ Bottom oftank elevations Pump off switch elevations Gallons per cycles Alarm Manufacturer: Alarm Switch Type: -Number of feet from nearest property linos;, - Fronts O Sides O Rears O Fe. 'Number of feet from well: Number of feet from buildings (Include distances on plot plan). SOIL ABSORPTION -SYSTEH , Bdd s- ' Trench s Width: • LenBEhs Number 'of Lines: Area Built: Fill depth to tJ of pipes Number of feet f om nearest property lines Frpnto '0 Sides O Raar►(DTt., f Number of feet from well: ' N +bar of feet from building: 74/7Ry.•- (Include di tances on plot plan). SEEPAGE PIT t Sixes Number of pitss Diameters Liquid depths Bottom of seepage pit elevation: Area Built: Has either a drop box or distribution box O been used on any of the above soil ► absorbtion sytems? (C eck one). HOLDING TANK Manufacturers Capacity: Number of'.rings usad:•Elevation of bottom of tank: • Elevation of inlet: Number of feet from.nearest property lines Fronts O Sides O Rears OTt._ Number of feet from wells Number of feet from building: Number of feet from.nearest road: Alarm Manufacturer: ' :I Znapector:. ~ Dated: Plumber on fob: s License Numbers 3/84.iij . MOM U3 DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.Q. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION M lSQAl,. I 707 , 4i eC.25,T31-R19 State assigned) Number: i Town of Somerset El CONVENTIONAL ❑ ALTERATIVE Hw)r 35 ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Norman Halber RSomerset WI 54025 6 `4? - 90 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: [_CST REF. PT. ELEV.: pl,/,r/ /00, Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Calvin Powers Jr. 1563 St. Croix 135518 SEPTIC TANK/HOLDING TANK: MANUFACTURER: ^ LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER ~rS ~ e~ ~S 0 79~~ 7 PROVIDED: ❑ PROVIDED: -e NO ❑ YES 2-NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: FEET FROM LINE: AIR INLET: ❑ YES VNO G~ ❑ YES CNO NEAREST -1111i- ~o /U ~J DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: Pump/ SIPON. ANUFACRER: WARNING LABEL LOCKING COVER PROVIDED: PROVDED: ❑ YES E] NO ❑ YES ❑ NO ❑ YES ❑ NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONA OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN T ROM LINE: AIR INLET: PUMP ON AND OFF ❑ YES ❑ NO NEA EST--* SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of p wing ORC LENGTH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire, construction shall cea until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BED/TRENCH WIDTH: LENGTH: NO. OF DISTR. IPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID /Q TREES: MATERIAL: PIT DEPTd- DIMENSIONS ~ - / y 0 q ft- GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. ISTR. NUMBER OF PROPERTY WELL: A BUILDING: VENT TO FRESH BELO PIPES: ABOVE COVER: ELEV. INLET: ELE ENS PIP S: FEET FROM NE: G AIR INLET: O l , 8 1 Z 7 Z 9 NEAREST 011 / /3 _~I ff S 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: 5 ❑ YES ❑ NO ❑ YES ❑ NO NEAREST 00 O t f Retain in county file for audit. Sketch System on Reverse Side. SIGNAT E: TITLE: SBD-6710 (R. 06/88) C ? ; Y (/f~ SANITARY PERMIT APPLICATION 70ILHR In accord with ILHR 83.05, Wis. Adm. Code COUNT STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. C if evls on to evious application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROP TY OWNER PROPERTY LOCATION '/a '/4, T , N, R V(or(W PROP RTY OWNER'S MAILING ADDRESS LOT # BLOCK # C , STATE ZIP CODE PHONE NUMBER SUBDIVI ION AME OR CSM NUMBER ( II. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ VILLLLAGE : NEARE ROAD ❑ Public M 1 or 2 Fam. Dwelling- # of bedrooms PARCEL TAX . UMBER III. BUILDING USE: (If building type is public, check all that;; ly) <16 1 F-1 Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 50 Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1.E1 New 2. 10 Replacement 3. ❑ Replacement of 4.0 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 Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 430 Vault Privy 1140 System-In-Fill V1. ABSORPTION SYSTEM IN RMATION: 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 Feet Feet 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 structed Septic Tank or Holdin Tank 421~. 1 Ej I El I D 1 0 1 Ej F-1 Lift Pump TanWSi hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's amW(PrlMP/MPRSW No.: Business Phone Number: ZIS- Plumbe 's A d reet, City, tate, ;Zip Ce): / IX. C UNTY/DEPARTMENT U 3F. ONLY X❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing ent signature (No stam Approved ❑ Owner Given Initial L Surcharge Fee) Adverse 7'15 X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-63 (formerly Pib-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. ll. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. 111. 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 81/2 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 buiiding 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 PERMIT 8TC-100 This application form Is to be completed In full and signed by the ownet(if) of the property being developed. Any Inadequacies will only result In delays of the permit Issuance. -Should this development be Intended tot resale by owner/contracstoc,(spec house), then a second form should be tetained and completed when the property is sold and submitted to this office with the appropriate deed recording. --------------------~-r---------------------------------------------•------------ Ownet of property /Y , o Y 3 n /-/,3 l- b e r :3 GG~ Location of property ~/4 ..;1/t, section , T_~-1t.!q Township 6 w `c' S E' 7_ Mailing address W Address of site ( 93 / #wy 3 5- l1~ subdlvislon name Lot number previous owner of property L O vIS 'ri, ej u V S ` soph %d gc_3u V~ 1 S Total also of parcel ~i 10 1 Date patcal Val created Are all M nets and lot lines ldentiflablet an o is this property being developed tot resale toper house)T_Yes ~f0 _1> 2 Volume -5/ and Page Number as recorded with the Register of Deeds. INCLUDE WITH THI9 APPLICATION THE FOLLOWING A WARRA1iTY D2KD which Includes a DOCUMRNT NVMBRR, VOLUM3 AND PAOR NUMARap and the BQAL OF THE RSOIBTBR OF DEEDS. In addition, a certified survey, It avaliable, would be helpful so as to avoid delays of the reviewing process. It the deed description references to a Cestlfled Survey Map, the certified survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form ate true to the best of my (out) Rnovledgej that I (we) am (ate) the owner(s) of the Qcoperty described In / this Information form, by virtue of a warranty deed recorded In the Office of the County Register of Deeds as Document No. 3 £A 1 and that I (We) presently own the proposed alto for the sewage disposal system (or i (we) have obtained an easement, to tun with the above described property, tot the ronstructlon of said mystem, and the same has been duly recorded In the Office of the County Register of Deeds, as Document No. ~~L 3 r/ a-Y, S Ll, - s gnsture of Owner signature of co-owner tit Applicable) -6-)-9 Y0 Date of signature Dale of signature Page 83 1,x'0. 200 WARRANTY DEED.-To Husband slid Wife as Joint Tenants. 233205 NUMBER d U~ i~ PritUXP, Made this 22nd ......................--_._._.........._...._....---_._..._._...._......day of................... i Ilgt...............------.........-•----------..19...53: 238022 between L9.149_.J.....~.Gauva s„and..Sg hi eauyaj .,:.huCr3ll~l...and.Sri.fe.aa_.jQant:--tei=ta,_.a£ ....................................•--....._------....._...------...............--°•-•---•--..........-..........•--........:......._..._._._..._.part.__iea.of the first part, and._.......1 orman.._l♦-,_..iialber ......01..Sti bzater.; .I;is1>:eanta d wif....e„, _as„___j„_--oint,_,-.,-_ tenant-:,,,___- s,,.,p__,a,r,,t. i,-es_,_,f to---h._e__,_.se--_c -on-,-,d,._. part husband an !I Witnesseth, That the said part..ieS_.-of the first part, for and in consideration of the sum of. ~11e thousand_--(lOQQ•,-QQ)_•arid..AO~]QO I~ Dollars, to._......tbo A ..............:......:.in hand paid by the said parties of the;second part, the receipt whereof is hereby confessed and acknowledged, ha__3ra. given, granted, bargained, sold, remised, released, aliened, conveyeci%r0 confirmed, and by these presents do give, grant, bargain, sell, remise, release, alien, convey and confirm unto the said parties of the second part, as joint tenants, the following described real estate, situated in the County of at.._..-Qx.Aax,.............................. Wisconsin, to-wit: _ Commencing at the point of intersection of the North line~of South Half of Southwest quarter (S2 Sa;:j) of Section Twenty-five (25), Township Thirty-one (31) North of Range Nineteen (19) ;Jest, with the East line of State flighway 1135"; thence South 288,72 feet to the startinFr point; thence from said starting point East parallel with the North line of said South Half of Southwest quarter (Q- StiJ-) for a distance of 157 feet; ~ thence North at right angles a distance of 72.18 feet; thence pest at right an,,,les a distance of 157 feet to a point North of the place of beI*inninF; thence South 72.18 feet to place of beninning. This conveyance is F;iven in pursuance of the terms of that certain land contract between the parties recorded i volume "28911 on page 239, in the office of the Rer;ister of Deeds of St. Croix County, PJi.sconsin. Together, with all and singular the hereditaments and appurtenances thereunto belonging or in anywise appertaining; and all the estate, right, title, interest, claim or demand whatsoever, of the said part.Afs.. of the first part, either in law or equity, either in possession or expectancy of, in and to the above bargained premises, and their hereditaments and appurtenances. To Have and to Hold, the said premises as above described with the hereditaments and appurtenances, unto the said parties of the second I part, as joint tenants. I Louis J, 1I ! And the Said,......-_ . s:uyai... slid-.SoX~h a.-j3~auya S_>..)11}Sbs?lid-.a??4(.ti5'ifs._...._.._........._...._...._ ............................:..........................................part..ies.. of the first part, I ' I for..__. t)ze n eLv@ , th@kX .....................heirs, executors and administrators, do covenant, grant, bargain and agree to and with the said parties of the second part, and to and with the survivor of them, his or her heirs and assigns, that at the time of the ensealing and delivery of these presents they._.ai:e_....__..............well seized of the premises above described, as of a good,-sure, -perfect, absolute and indefeasible estate of inheritance in i i the law, in fee simple, and that the same are free and clear from all incumbrances whatever . and that the above bargained premises, in the quiet and peaceable possession of the said parties of the second part, as joint tenants, against all and every person or persons lawfully claiming the whole or any part thereof .........thay .............................will forever WARRANT AND DEFEND. In Witness Whereof, the said part 1eS_._ of the first part ha....Ye__: hereunto set..__._.....their••--•-•._____.•_-,_.____.•.hand._~_. and seal this 22nd dayof....... August 19,.53._.. Louis J. Beauvais Siglied, Sealed and Delivered in Presence of " • ' ° • • - • (SEAL) Louis J. Beauvais 1`rs. Sop hia ._E.ea uva SEAL J. E. Hughes (h1.10) Sophia Beauvais ( U.S.) Eva aka.., T. .rach.__.._....__....__........_..._....__ (SEAL) Eva r_ y~nh ( pan.) (SEAL) STATE OF WISCONSIN, ss. St._-Crc?ix..........,.............County. On this the......... '~2nd.--------------------------- day of....... •-du>ust 19.__.~~3•. before me....... Jn E.:--Hughes.---•-•-• the undersigned officer, personally appeared.LouAs_-&.3Calavai-a .._an1 .ophia_..Ucauvais.,..hu:aad..and..wiEd-own (or satisfactorily proven) to be the person..a._ whose name subscribed to the within i strument and acknowledged that t.he..y... executed the same for the purposes therein contained. l In witness whereof I hereunto set my hand and official seal. Received for Record this.lafi n....... day oL._.._..app.tiamlaex.......... :.................sL.__ia.__.~Iu SIBS..._............................. T_ A'._ Hushna A. D., 19.6.3 at LO.r13. ._.._....o'clock.,A.,.M. (SEAL Notary Public ...__..._.St....Oraix ......County,Wisconsin. l David ilope I+ Register of Deeds. My Commission expires.. i'lovemher 25 19_.... 56.. (To be filled in if signed by a Notary Public.) Deputy. 344. 4 4 4 No. 300. "urrum, .,,d-T. Hual,and and WIfe as jot tit '1'e11a1 !.q. PublUb.d by [.u CInIn Book ~ Station" C., 2:i'a41 Tbig; 3hibenture, Made this 31st. day of August ,1.9 57 • I between Louis J. Beauvais and Sophia Beauvais, husband and wife and each .in their own individual capacity, of Somerset, Wisconsin - - parties of the first part, and Norman E. Halberg and Beverly A. Halberg, of the same place - - ~ I husband and wife, as joint tenants, parties of the second part. Witnroortb, That the said part ies of the first part, for an, to consideration of the sum of Two hundred ($200.00) and no/100 - - - - - - - - - - - - - Dollars, to them in hand paid by the said parties of the second part, the receipt whereof is hereby confessed and acknowledged, ha ve given, granted, bargained, sold, remised, released, aliened, conveyed and confirmed, and by these presents do give, grant, bargain, sell, remise, release, alien, convey and confirm unto the said parties of the second part, as joint tenants, the following described real estate situated in the County of St. Croix , Wisconsin, to-wit: III I ~ I Commencing at the point of intersection of the North line of South Half of the Southwest quarter (S SW4) of Section Twenty- j five (25); Township Number Thirty-one 31) North of Range it Number Nineteen (19) West, with the East line of State Highway ~I "3511; thence South 216.54 feet to the starting point; from said starting point East parallel with the North line of said South Half of Southwest quarter (3JSW4) for a distance of 157 feet; thence North at right angles a distance of 72.18 feet; ;I thence West at right angles a distance of 157 feet to a point North of the place of beginning; thence South 72.18 feet ~j to place of beginning; j I~ !I I' it ly, i#.l y' I it I ~r i ~ ZLogetlber, with all and singular the hereditaments and appurtenances thereunto belonging or in anywise appertaining; and all the estate, right, title, interest, claim or demand whatsoever, of the said parties of the first part, either in law or equity, either in possession or expectancy of, in and to the above bargained premises, and their hereditaments and appurtenances. Zto tube anb to 12010, the said premises as above described with the hereditaments and appurtenances, unto the said parties of the second part, as joint tenants. Anbtbr%at0, Louis J. Beauvais and Sophia Beauvais, husband and wife, part 10S of the first part, for themselves, their heirs, executors and administrators, 1 do covenant, grant, bargain and agree to and with the said parties of the second part, and to and with the survivor of them, his or her heirs and assigns, that at the time of the ensealing and delivery of these presents they are well seized of the premises above described, HS of ^ good, sure, perfect absolute and indefeasible estate of inheritance in the law, in fee simple, and that the same are free and clear from all incumbrance.s whatever. and that the above bargained premises, in the quiet and peaceable possession of the said parties of the second part, as joint tenants, against all and every person or persons lawfully claiming the whole or any part thereof they will forever WARRANT AND DEFEND. 3n WitneelO fi beceot, the said part ies of the first have hereunto set their hands and seal g this 31st. day of August 19 57. ;~(Seal) Signed, Sealed and Delivered in Presence of L sL-H_eau-va.is ~Jp f ~ ::r1C . . (Seal) .Sophia Beauvais J. E. u hes _ . -(Seal) Eva G. Lynch ~tnte of ~lia~roii~in, St. Croix ~ County. On this the 31st. day of August 19 57, before me. J. E. Hughes ers a er, personally Beauvais,huYWa`N affil ~v~~~, appeared Louis J. Beauvais and Sophia , known (or satisfactorily proven) to he the person S van.cs su,'~;crih"tr ro the ~virhin w,-;*rurnent and acknowledged that t hey executed the salnc- fcr, Ilrpr;tir.4 t':,r;;rr rr;:;trlinel:. Xd7 VtEtr*«f'W:xs!r, of : hrrrultto %o, m,v and otlicial seal. J. Huhhes 7- - - ' Notary F'cLlic, St. Croix County, Wisconsin, 1? a1;;ssiet7 eoi>i=r's November 20 , 1960 ..o bu tilled In if nl,rned by a \utar,' l'uhllc.) (N.II.-('h..Rf1 NYtw, Slot.. orocldem that all lnutmrnrnt+ to be -e-ded .hull have plnlnly printed or tyur-Itten therron ttre tame- of the Krnnt-, X-tr". wltne.-ea and nI,t.ey,j Cd -,t4 cis. m ^ rn ti `3'' v a Fir p ; (a v ? iw: to C a w Q cc: te) o _ e-.r to hfl U krr H O C . CT [i f l ti V w ro [ v td rn d` y N O i ~i c~; E. r-1 , z o tea, 4 tom! co~; r-. v O V: .j . (Y, .aC O c dS 21- "DCQ:. O W 4 y ~,y W v i LIJ (1) 'e~ 3 Lei ✓ C7 v, v c,, 'd',1`^\~►' 01. o W s S ' aT! P a)O i iT! CK fy rn; o W' 1110. \~nu•uue peel- 7n FiUNI vnl cud Ifa as Jnurt 'f,.n . PublleneA by [eu dnln Oeok d 8tntlentry ,I 311411tUte, Made this 2nd da of Sep tember l III y 19 , !i • between Sophla Beauvais of Somerset, Wisconsin Norma?] t1.~ part,' of the first part, and erp" fln(l P4vt_rly A. f.1~1~.}~Frq~ F rY~F. a t s ~ q~, husband and wife, as joint tenants, parties of thr second part. ,t zLliMMOrrtf), That the said part V of the first part, for at, r. in con~ider:rtintt of the sr:m of Three, hun(?re(' ("'gno.on) ~ I7o11 +r_, to 11-r in h,,?nd paid by the <;aid +rt i e - of p r "he. •;er n l pa t the r r , rrr: r:rr confessed and acknowledr-d, ha liven, [•r;tnt~? ?rr -t .eI!, .ti ,l, 1, _ r, 2 and confirmed, and by those presents do l,,ivc• :rut, rcl< c7c, lien, confirm unto the said parties of the second pert, : s joint tenon'ts, tl~<< follo-vint; do criboti .,•.,t situated in the County of .t C.G17"1C;71(1j17C,. A' r F' C t f. 1 e }V < tip C.tile,!, with it f2tC r ' Yt ('fft,. e, premises, am i ho r 0 1)015 , 1 _ .u.. r unto the . rr. n: rib mr f~I~t', ~,~.,,1• irrrt "To ol 2i ro '.n i i poor `70 ;.,~A.. .rs of r: Kood, sure, perfect absolute and indefcasiblo estate of inheritance in the law, in fee simple, and that the sanm arc free and clear from all ineumbrances whatever. r` aml that the above bargained premises, in the quiet and - _ peaceable' , posscssfon of the said parties of the second p,rrt, joint terlarzt.s, -ill and every person or persons lawfully claiming tire whole or any f part thereof tot „e'er WARRANT AND DE'FE'ND. lift WittliziI~ M;;,Piro, the said prlrt Y of the first ha ' h:•rcurto set hams and se;d this clay of r n~ ...:r',^t^ C. ' --(sal)t Si;.;nr•d, Sealed and Delivered in Presence of .(Seal} rfl,il'.1F' - Sc.:1) y z;la i; U`i ~:;.~ril!.',t0tt~iit, • ss. Co un ty, i f'.. Ori, tW.,; the day 19 he: ere a ;dersi,r*ned otiil cr, p±'r Y :I" pruvr-n) fo be fhe v:;orr v/tto::., name subscribed to the within ir1.~~ruuu°ut ':r rkc s;rrr~Y for the purposes therein contained. In w:.ntiss whereof I herclrrlto set my hand and otlicird seal. , Notary Public, MY Cornmission expires 19 J ~ili.l ~n iC is fir.. 4 rl;-;l„RL~flf I~h?jhlfptj 1'. r' lr,.. nic!i.:u~ L'aiSCOn ;17 "C I'll t~'I., of ulw. nrnfd- that nll Insatrnmrnt. to hr --1-1 ahnll hn,r nlnlnly Vrlntrd ..r 12'V:'1111ttrn thereno Shr II eatnra saf the Krnntorsa, wrnnteeas, „ltne-a-m sand notnry.l r- . Ch c 4 1 Ii'. 7 r i (y b so 11 h r-ij ~ ~ ~ ~ ~ b ~ ;t R : o v O o v v " cr.. rt .t i I d): C9 c) •a, ILA. hC4 a Q1 SEPTIC TANK MAINTENANCE AGREEMENT a ~ St. Croix County tdL ~e r~3 • OWNER/$H'YE1 Af) rt !J ~'Y7 d jl r~ ROUTE/BOX NUMBER jg 3 Fire Number L W CITY/STATE Se r,, ii,'r'.se T GG~1 ~ ZIP Ct PROPERTY LOCATION:. Section, T= R= , Town o f d }yr e, St. Croix County, Subdivision Lot number- Improper use and maintenance of your septic system could result in its premature failure to handle wastes.- Prover maintenance con- sists 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 a ect a unct on of-the-septic tank as a treat- ment-stage in the waste disposal system. St. Croix County residents MZ be eligible to recieve a grant for a maximum of 60% of the cost.of replacement of a failing system, whic 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 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. y 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- W ment of Natural Certification form must be Office completed ~ and returned to the St. Croix County Zoning of the three year expiration date SIGNEDs lJ~'l ZZ J DATE a 7 9 St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. vi ,-itiTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, LABOR c DIVISION HUMAN RANEDLATIONS PERCOLATION TESTS (115) MADISON, WI 969 (H63.090) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/ NICIPALITY: LOT NO.:BLK. fy0.: SUBDIV SIGN NAME: / N/R/ (or /vO p✓ s COUNTY: WN R'S BUYER'S MAILING ADDRESS: NO.BEDRMS,: JCDESCRIPTION: PROFILE DESCRIPTIONS: 113- A I NTESTS: VATING:S= I DATES OBSERVATIONS MADE ❑ New Replace _ uitable for system U- Site unsu itable for system : MOUND: IN-GROUND•PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED YSTE :(optional) ®s ❑u ; IZs ou ❑s Zu I as ~u Lnder lation TNOT require DESIGN RATE: If any portion of the tested area is in the .H63.0dicate: Floodplai n, indicate Floodplain elevation: 414 Z' PROFILE DESCRIPTIONS ORIMBERNG TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL W TH T ICKNESS, C LO TEXTURE, AND DEP JH"' U DEPTH Ifs ELEVATION OBSERVED EST, HI HEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) _2Z 69 c. 6 .7% PERCOLATION TESTS TEST DEPTH. WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES LUMBER LNG! '68 AFTERSWELLING INTERVAL-MIN. PERI t PERIO 2 P OD3 PER INCH k,2 S1.9 .76 [and LAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- 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 slope. TEM ELEVATION cc~ 7 I ~ r ( t~ - _ .-J....a~ ! ,.R~...W i - 1! 7 t i 1 i 3 I , ~ t _ I ! I e 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 inistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. rint . TESTS WERE COMPLETED ON: JPRASS- CERTIFI CATION NUMBER: PHONE NUM ER(optional): C SI, NUR RIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. R-SBD-6395 (R. 02/82) - OVER - I I• I ~ I I l I ~ I I I I 1 t • ~--1.1 - + j I - - a -i - I - I ~ - /1<- ~ ~'Y'-7,{~~ ~y~~~~i ~ l--- -I ; - ! ~ I i ~ ~ I N~~ I ~ I I I I + I I I I Y _ t - I I i I ' I' I I ~ I I i~ , I C I i l i~~ j~~ I I 1 I i I Y- I I I I ~ r I T I ~ 1-- - I i I i I ! I i I ~ I I r- - - - { - - - - - - - - _ CA A I i I I I I, i t ~ I I I i t ( I -i- -i- I I I-t-~---i-- I ~ I I I i it I I ~ I ' i I I I I I I 1 i ~ T-r--~-- _ ~ _ -i _--~-_~--fi~r-//,- I ~ ! ~ ~ I I ~ 1 I I i i ~ I ~ I W"t~ ~ I ! I~ I I 1 I I I I T I ~ ~ I I ; 1 i I I I , ~ff ~ I I I ~ i ~ I i I I I I I I' li I i I I j I I I r- -t- I ~-r-- i -r ~ 1--- I - - I / - a j- - Ji i - -a--- ----i-----~- i - ' -~---1 I}- I I I I i I r ~i r I I I i I I I I ~ I ~ I I i ~ I fT + _ I I i I I j I - - I I I I i I I I I I j ~ 1 I r 1 i I I I I ' I ' I I ~ I I i I I I I I + - - T - - - - - - - - - I I I I ' I I I I I I , - - - - - - - - - - - - I I I i I I , - - - - - i I I I r--- ' -+I - r I II j 7- ' I , I I - I I ; I i i . L I PAGE OF CroS S`ClIVt1 0~ A 3ro SyJer-) Fieth Ali Inloli, And Obmwotlon Plpo r / ~1---- Approrid Vent Cap Minimum 12' f Apoeo f tool Croae 20. 42' Above Pip' _ 4" Cost lion To final Olade Vent Pipe "on $lay Or Syntnetk Co.$# lny min 2r Agglogale Orel Plpe Oletrl4~lion _ Tee s pipe 0 0 0 6' Aaprepate a Beneath Pipe Pertoraled Pipe below o ~Coupllnp Tor eJnolinp At Botlom 01 SjbIGM 9q~ " Pr~~o~eD ~►~..I c~r~.~l< ~ . SOIL FILL DISTRIBUTIOI.1 PIPE APPROVED S19TVIETIC COV I "MATF-RI^- OR 9" OF STRA 2"OFhGG9EGAIE--~~ , OKMARSN RkJ fo~0Flt-212 AGGREGATE ELEV. OFFEEY-► DISTRIb'JTI0W PIPE TO BC AT LEASTc=_ 11JCHES BELOW ORIGIIJAL GRADE AQU AT LEAST t0 INCHES BUT 1.10 MORE. THA1J 42 IMC14ES BELOW FINAL GRADE MMUM DSP.T►1 of EXCAVATIOO FROM OWWAL 6RAK WILL BE l _ IAICHES Y amm 0£Prtt OF EACAVAT100 fAOM 0~16I14AL GRAPE WILL. BE,- _ INCHES SIGIJED: LIC E►JSC WLIMBE R: DATE: