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Home My WebLink About018-1034-50-000 0 Of f G 2 3 d O c c 3 0 a 3 I� 0 3 CD m m 3 rr C C) w Co z 2 rl CD 0 o w 0 o m 0 o 3 IV QD o c ? c m N N m CD CL rn a CD o CO w », N CD C- 4 A O n CL �' v t �' N f1 a N in I w c A C n y CD m n n C O 3 a o N w a $ y CO j = o o p !� o I n 0 n ° Cy v Ui v �D a Co O U) f D 0 a o m Cn ? ' a CD m a � !, I� < :3 W \° o 3 d A ° ` A o CL 0 cl CD c co p CD F z N CL . CL CL Cn 0 0 3 O CO OODD CD I y K c lr c 3 3 M �+ CL 000 a O O O a Y N0 o Z low 0 _� �_� oD a4 O Q O I co I� I� CD CD m m CL v v ` I D 0 D co 0 m 0 D tv 7 CD Er CD CD CD • rn CD y C c CD CD _ w CL CL Z N N U1 I y cc @ CL a A z 7 z -i m W M m rn I (P 3 CL z ° o 6 ' » �- H A y z m CD O CD A w o w I a CD CD CL I o a 0) c m c a CL m o a CD z m CD O CD y I I � m � v y I I � I I � N I p I I o o o A b I m C D w <n O v> O v P ti Parcel #: 018 - 1034 -50 -000 10/12/2006 04:30 PM PAGE 1 OF 1 Alt. Parcel #: 16.29.17.244C 018 - TOWN OF HAMMOND Current ' X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner JAMES A & LINDA S BONTE O - BONTE, JAMES A & LINDA S 954 CTY RD T HAMMOND WI 54015 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description 954 CTY RD T SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 2.300 Plat: N/A -NOT AVAILABLE SEC 16 T29N R17W SE NE LOT 1 OF CSM Block/Condo Bldg: 2/417 2.3 AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 16- 29N -17W Notes: Parcel History: Date Doc # Vol /Page Type 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/24/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.300 26,900 133,800 160,700 NO Totals for 2006: General Property 2.300 26,900 133,800 160,700 Woodland 0.000 0 0 Totals for 2005: General Property 2.300 26,900 133,800 160,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 117 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 n s '9 D OV FILED J UL 25 1977 o J"Ell 4 i S ST ROIX Ty COLIN eelbtr of t../, EYOR St. Get" Cw°,Y, S RECORD N't+�,►. CERTIFIED SURVEY .& Z HANSCN FARMS Part of the Southeast 1/4 of the Northeast 1/4 of Section 16, Township 29 North, Radge 17 West, Town of Hammond, St. Croix County, Wisconsin. s 4-s' I w W ge 66 Go ** W 3L 9• so o 0 W ' q d }" O te a' t-10o 40. S8 O 45 . � ltf O N N 90 1z 5.00 �10' 50' 51 Z O W 01 v 2 A W O l_ O 7 I N 0 = Q ,n A 0 `^ a o v Q O ` I S 8"7 SS' 3Q "E X I~,AST 1/4. Corte. SEC.I�o- z 9- 17 3 24.72 4D (P. K.) Q Q 87 5S 36W S0.03' o Indicates 1" x 24" iron pipe stake So' weighing 1.13 # per ft. Description: That certain parcel of land located in the Southeast 1/4 of the Northeast 1/4 of Section 16, T 29 N, R 17 W, Town of Hammond, St. Croix County, Wisconsin, more fully described as follows; Commencing at the East 1/4 corner of said Section 16, thence go N 87 55' 30" W a distance of 50.03 feet•to'the Point of Beginning of the parcel to be herein described; said Beginning Point being on the West right of way of C.T.H "T "; thence go N 00 00' 00" E along said West right of way a distance of 233.29 feet; thence along said right of way N 90 00' 00" E a distance of 5.00 feet; thence along said right of way N 00 00' 00" E a distance of 40.58 feet; thence departing said right of way N 90 00' 00" W a distance of 329.50 feet; thence S 00 00' 00" E a distance of 262.00 feet; thence S 87 55' 30" E a distance of 324.72 feet to the Point of Beginning, the above described parcel containing 2.0 acres, more or less, exclusive of highway right of way. State of Wisconsin ) County of St. Croix) I, James L. Murphy, Registered Land Surveyor, do haereby certify that by direction of the Owners, Hanson Farms, Chris Hanson Representative, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236 of Wisconsin Statutes and the St. Croix County Ordinances; and that-the map and description shown hereon are a true and correct representation thereof. Dated: 6 July 1977 APPROVAL OF THIS MINOR d�`v�J /�I DOES NOT MEAN APPROVAL ISFOOe James L. Murphy ��\S C ; .... ��''�i,,�� Blttt NKI /- - • AS BUILT SANITARY SYSTEM REPORT _ yy� mNER .t=j. DRE , TOWNSHIP, T�N, R_W , ST. CROIX COUNTY, WISCONSIN. ��, LTBDZVISION LOT LOT SI /- *,Fr. , PLAN VIEW - Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM t i - • 24 , r 1t 1 / 4l ' � --`JL 'rc -- --•� _.. t _... , ems. 0 -PTIC TANK(S) 000 MFGR. CONCRETE STEEL NO. of rings on cover Depth DRY WELL 'TENCHES NO. of width length area i .D no. of line width= lengt are . depth to top of pipe 3GREGATE RK RATE AREA REQUIRED AREA AS BUILT y� Msclaimer: The inspection of this system by St. Croix County does not imply complete 3mpliance.with State Administrative Codes. There are other areas that it is not possible / 3 inspect at this point of construction. St. Croix County assumes no liability for , stem operation. However, if failure is noted the County will make every effort to 'Aermine cause of failure. 'EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. 'INSPECTOR DATED k, '/ PLUMBER ON JOB LICENSE NUMBER .f n 4 0 2 2 PURPORT Or IT]SPLCTI011-- I SEWAGE DISPOSM, SYSTEM �- Snnitary Porn, it I/ A State Septic /fin s A: 1 Y e c L�r� TOWNSHIP /tJ e F t. Croix County SEPTIC TA' IT� Si gallons. `cumber of Compartments . Distance From: 'Dell ft. 12% or greater slope ft. Building` ft. Wetlands f, 11ighwater ft. DISPOSAI, SYSTF.: Tile Field or Seepage Pit(s) Distance From: i1ell ft. 12 % greater slope ft Building ft. Wetlands f FIELD Highwater ft. Total length of lines ft. Number of lines . Length of each line e ft. Distance between lines ft. Width of the trench ft. Total absorption area sq. ft. Depth of rock below= rile in. Dp-pth of rock over tile in.. Cover DVer.rock., Depth of tile below grade in. Slope of trench in per 100 ft. Depth to Bedrock ft. Depth to ground water ft. PITS ' Number of pits Outside diameter ft. Depth below inlet ft. Gravel around pit: yes no. Total absorption area sq. ft. .Square feet of seepage trench bottom area required Square feet of seepage nit area required Inspected by: Title': . Approved ,:. Date 197 Rejected Date 197 `. EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH ` P.O. BOX 309 .. MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: 3S ' /o, A$' /a, Section 1L, TaN, R 47 111 (or )O Township or Municipality �a Lot No. , Block No. -, County G1t81 Ilitebsll Subdivision Name Owner's Name: 8 Mailing Address: $am1mad, wise 54 TYPE OF OCCUPANCY: Residence = No. of Bedrooms 3 Other EFFLUENT DISPOSAL SYSTEM: NEW = ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS 8/7I78 PERCOLATION TESTS 8/817# SOIL MAP SHEET 2 3772 SOIL TYPt 7evett Silt Loam Ontw"k 13nbatratam PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN /IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P - 1 $2 4 " TS 12 Sandy Loam 26 Gravel 24 None 10 2" 2" 2 5 P 2 42 4" TS 12" Sandy Lom 26" Gravel 24 None 10 3" 3" 3" 3 -3 P- 42 4 " TS 12' Sandy LOM 26 Gravel 24 None 1 2" 2" 2" 5 SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) B - 1 84' Nona 4 W, 12" Sandy Loam 68" Gravel 2 8140 Nenm 4" TS, 12" Sandy Loan 68" Gravel B- 3 84 None 4 TS, 12" Sandy Loam" 68" Gravel 4 8$" Nose 14" TS, 12" Sandy Learn- 68 Gravel B _ 5 Sits None 4" TS- 12" Sandy Loam, 68" Gravel 6 814" None 4' TS 12" Sandy Lcaa. 68" Gravel PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable are Indicate number of square feet of absorption area needed for building type and occupancy. X15 Sq. Ft* Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. 0 P . s D E W y I t i v-w ° g bo k 44 �, State and County State Permit # PLB67 Permit Application County Perm] — for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: Craig mitekl11 Hamm d. Wisconsin 54 B. LOCATION: 38 ' / 4 NX %, Section 1 6 T N, R17 E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village HaS11111111OAd Township 4 D Age C. TYPE 01C _' ANCY: Commercia *Industrial *Other (specify) *Variance Single family Z Duplex No. of Bedrooms No. of Persons 2 D. TYPE OF APPLIANCES: Dishwasher Z YES NO Food Waste Grinder Z YES NO # of Bathrooms 1 Automatic Washer Z YES NO Other (specify) E. SEPTIC TANK CAPACITY 100O Total gallons No. of tanks 1 *Holding tank capacity Total gallons No. of tanks New Installation xc Addition Replacement Prefab Concrete = *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) Total Absorb Area sq. ft. New Z Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length 36 Width 18 Depth 54" Tile Depth 2' No. of Lines 3 Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land Z9 Distance from critical slope I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH -115 prepared by the Certified Soil Tester, NAME 3Zll$!n L. Aaby C.S.T. # 1$06 and other information obtained from Naar (owner /builder). Plumber's Signature -44 0�� MP /MPRSW# 5186 Phone # 698 -2407 Plumber's Address W wi ne PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). e� I CL G i I 1 .Wisconsih Department ofCommerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 353392 Permit Holder's Name: ❑ City ❑ Village ❑ T . n of: State Plan ID No.: Bonte, James Hammond Township CST BM Elev.: Insp. BM Elev.: BM Descrip ion: Parcel Tax No.: 018- 1034 -50 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 1 �� Benchmark (,.ZD' ( (, 20 Dosing Alt. BM AV Aeration Bldg. Sewer a-gi 5 Holding St/ Ht Inlet ` TANK SETBACK INFORMATION St/ Ht Outlet ( -TO 9Y. 30' TANK TO P/ L WELL BLDG. Air I to ntake ROAD Dt Inlet Air Septic Q + o NA Dt Bottom ---- Dosing {° S 1 V.e ' NA Header / Man. 9D � 13 '3 0 Aeration NA Dist. Pipe ,� g. 20 Holding Bot. System 8- Q2. 38 PUMP/ SIPHON INFORMATION Final Grade +� z Manufactu Demand St cover Model Number GPM TDH Lift Frictio stem TDH Ft Force ma' Length Dia. Dist. To SOIL ABSORPTION SYSTEM 38'+ 5 BED / Width I Len th No. f PIT No. Of Pits Inside SETBACK Dia. Liquid Depth MEN I N I Z L Z a� DIMEN I N SYSTEM TO P/L I BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type Of I Model Number: System: C.VIJ 10 .51D 6 OR UNIT CHAMBER DISTRIBUTION SYSTEM .5- Header/ ifold Distribution Pipe(s U / x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing Sd SOIL COVE x Pressure Systems Only xx Mound Or At -Grade Systems Only xx Seeded/ Sodded xx Mulched Depth Over –'I w Depth Over xx Depth Of Bed /Trench Cent r 3� Bed /Trench Edges Topsoil E] Yes E] No E] Yes ❑ No COMMENTS. In lude code discrepancies, persons present, etc.) Inspection #1: / 2/c0 Inspection / Location: 954 County Road T, Hammond, WI 54015 (NE 1/4 SE 1/4 16 T29N R17W) - 16.29.17.244C -Lot 1 1.) Alt BM Description = /vt 2.) Bldg sewer length= (o �° '"` - amount of cover = f � PIaPn vision required? " ❑ Yes No Use other side f dditional information. D� ZO I FTF(VI SBD -6710 (R.3/9 A,66tR� ON gAcf— Date Inspector's Signature Cert . No ¢ € F € ¢ i i f � a ., r .. �meae ,. .....,� " �..� _a s _.... .. s ¢ E e eeromm� ,m® € u se m i € k 9 .., y _... , Pm c , .,,e. _.. >. ....... beam meam .. .... ® 3 t — , ... .,.mv m. i € a € , 3 ¢ a 3 i 1 s � 3 S } F • fi a i F r 4.. 1 p 2 � � y e r- • i } g S� f T i` } 1 t J , ,� — ..�.. .. .. _ ...a w S - E a a.v 4 ^° E e� ...., b... _..... E..>m_ „ems.... ...... m... a. „..- ..� ,. .. .,.€ . e.P m... ...._ E .,,......,. .,.,......e. F ............... _ E € _ t ----- m- ,.. .-...a „® _ i € a ° t E � � c e c > A .. .....n.e . _... _...— . J 4 �P .. �_ a ...., m m m s� E b ¢ 4 s # 3 j t y .. :838Wf1N lllNU3d AHVlINVS Ho1mIS aNV S1N3WWO3 IVNowaaV Safety and Buildings Division SANITARY PER ,�41P 201 W. Washington Avenue NV Lcons i n , . -' P O Box 7302 Department of Commerce In accord with Co , Wis. Co a Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) forte iS em, h per not less Vounty than 8 112 x 11 inches in size. Y'd % k • See reverse side for instructions for completing this a 1Kati& - State Sanitary Permit Number Q,co U 35 3 3� 2 Personal information you provide may be used for secondary purposes �' ap [Privacy Law, s. 15.04 (t) (m)). ^, \ ztIGOFFtC.ir . `' ❑ check if revision to P revious PP State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL Property Owner Name 'Prp `Location a me v�tJfe E i/4 1/4, S l T , N, R// E (or)� Propert Owner's Mailing Address Lot Number Block Number g &'/ z° r / — City, State Zip Code Phone Number Subdivision Name or CSM Number a ( > 3 U•Q. 2 - P • 5�l �- II. TYPE OF BUILDING: (check one) ❑ State Owned it Iyy Nearest R d Public 1 or 2 Family Dwelling - No. of bedrooms o Tow OF m -An ,v Ca 111. BUILDING USE (if building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment / Condo Ql 4r- 2 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 5 ❑ Hotel/ Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Ch y o/�e_h x on line A. Check box online B, if applicable) A) 1. ❑ New 2_; Replacement 3. E] Replacementof 4. ❑ Reconnection of 5. ❑ Repair of an ______System ____ System __ Tank Only_____________ Existing System ________ Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 CaSeepage Bed 21 ❑ Mound 0 ❑ Specify Type 41 []Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure / i 42 ❑ Pit Privy 13 ❑ Seepage Pit L2 X geL 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate S. Perc. Rate 6. System Elev. 7. Final Grade Required (sq_ ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation YS� a 1 Y a lqr g Feet O S - ,l Feet VII TANK Cap acit INFORMATION in gallon Total # of Manufacturer's Name Prefab. Con- steel Fiber- Plastic 9 Exper. Gallons Tanks Concrete lass A pp - New Existing strutted Tanks Tanks Septic Tank or Holding Tank Q'Q 1 �e5'� y LPL ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber 1 ❑ 1 ❑ I ❑ I ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print)) / Plumber's Signature (No Stamps /MPRSW No.: Business Phone Number: - . 7 9 Plumber's Address (Street, City, State, Zip Code): C G ff e,_ a IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved anitary Permit Fee (Includes Groundwater D ate Issued Issuing Agent Sig ature (No Stamps) Approved surcharge Fee) ❑Owner Given Initial �Z� Adverse Determina < <' dV X. CONDITIONS OF APPROVAL / REASONS FOR DISAP ROYAL: r SBD -6398 (R. 4/99) y t`1,( _ Nj lhijMaJ,(o CQ �TMy!)nn opy To: afe_ ty &Buildings ivis'on, 0 ner�Plu er I INSTRUCTIONS - 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a 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 purriperwhenever 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 and Buildings, Division, 608 - 266 -3151. - To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. IL 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 on line A. Complete line B if permit is for tank repljnent, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /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 1/2 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 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 byAhe county; E) soil test data on a 115 foam; 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 contamination investigations and establishment of standards. Z� 1� x5� Ste. k ts, � 'v vvisuwism uupitarnm or L om merce SOIL AND SITE EVALUATION Division of Safety and Buildings Page �_ of Bureau of Integrated Services in accordanceAxth s. ILHR 83.99, Wis. Adm. C e Attach complete site plan on paper not less than 8 1/2 x 11 inches ize. Plan must Cou ty include, but not limited to: vertical and horizontal reference point (BM), direction and S percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION - Please print all Information. R sewed by Date Personal information you provide may be used for secondary purposes (Privacy taw, s. 15.04 (1) (m)). _ Property Owner Property Location � Q Govt. Lot ,G /� 1 /4s� 1/4,S TgCr .N,R 11 E (or) 4 0 Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# City State Zip Code Phone Number ❑ City F Village Town Nearest Road 6 d licf 4 5 } G'O ❑ New Construction Use: ® Residential / Number of bedrooms 3 Addition to existing building ® Replacement ❑ Public or commercial - Describe: Code derived daily flow ySD gpd Recommended design loading rate 1 7 bed, gpd/ft gpd/f1 Absorption area required G_ bed, ft 5 °Z trench, ft 2 Maximum design loading rate ,Z bed, gpd/ft gpd/ft Recommended infiltration surface elevation(s) '72 , 7 ft (as retorted to site plan benchmark) Additional design /site considerations .Qe, -[ n Q.r// ",, - 7 - l.d e< Parent material iC ct C"/ DG f iVa ti Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system S ❑ U ® S ❑ U ®S ❑ U I &IS ❑ U I EIS 2J U [Is 5� U SOIL DESCRIPTION REPORT Boring ## Horizon Depth Dominant Color Mottles Structure GP /ft Texture Consistence Boundary Roots g , , in. Munsell Qu. Sz. Cont. Color - Gr. Sz. Sh. Bed Trench A� Fv S Ground elev. Depth to limiting - - qz•` o factor Remarks: Boring # / fit9f"" 0-10 6 a v G f J io -'2 l4 3 Ground elev. Depth to 37— limiting' f ctor in. Remarks: CST Name (Please Print) ` Signat u re � Telephone No. �a l'e i Address Date G-ST Number PRO PERTY OWNER SOIL DESCRIPTION REPORT Page of 3 PARCEL I.D.# Boren # Horizon Depth Dominant Color Mcttles Structure 2 Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots � Bed Trench ! X ,- -5 Y Ground f a S /n Jl 7 ,� elev. yft. 4 2. 2 Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots D in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed . Trench Boring # fa y ¢ + Rv 1R.u. +�,�;ry:�: Ground Slay. ft. Depth to limiting factor ' Remarks: Boring # e d e try � eS B B �E'.. Ground elev. Depth to limiting factor — in. Remarks: SBD -8330 (R. 07/96) l '8 o , 0 w c ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer , r, 5� a.✓ "fie Mailing Address 9S e 7 Property Address (Verification required from Planning Department for new construction) City/State �/ ,,, .,,, „ ��, ; ' Parcel Identification Number — 3 ' .S�G a 0 LEGAL DESCRIPTION Property Location r/, Sf j,, Sec. _ lG . T R„17 Town of Subdivision Lot # Certified Survey Map # Volume 2 . Page # Y/ _ Warranty Deed # c f -2 7 1� q Volume r . Page # 4 /�2 Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no '- MNANCE consists me aced of yonrscptic sy*meonld remlt k its prema uoo to handle wastes. Propermamteaan o oat &C septic- tank evM throe years or sooner. if needed by a h eased pumper, What you put into &e system can affectthe- fimcdon of the septic taak a bu a c t stage in the waft disposal.gsteai. The PWPCdY owner agc+ees to mbmit to St. C rok Zoning Dew a certification form signed by the owner and by a ina.star phanbcr J ounit y man p himb er r=tdcWphmd= oraUc= sodpum43erVCd4iIIgBrat (I)theo s itew a d m ate &Vosalsystem is in Props' operating condition and/or (2) after imspection and rf g P'�Pm$.0 ). septic-tank is less than 0 full of sludge. Uwe. the signed have read the above requkicnients ad agm to maimaia the private sewage disposal system with the standards set forth, herein, 'as set by the Departent of Commerce and the Department of NatMRI Ra amces State of Wisconsin.. Certification stating that YO' Septic system has been, maintained mast be completed and returned to the St. Croix _Co Zon Office within 30 days of the tlmee year expiration date. �Y S14YNATURE OF APPLICANT DATE OWNER. CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner of the Pto1crtY described above, by virtue of a warranty deed recorded is Register of Deeds Office, a: oswoA— lyl�5,q S16NATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.****** • Include with this application: a stamped warranty decd from the Register of Deeds office a copy of the certified survey map if reference is trade in the warranty deed W it .. N II UCICUMCNT NO W ARRANTY DEED THIS SPA —C NF1t"V4n .Aq p[�nAL`1M0 DAfA -1 STATE BAR OF WISCONSIN FORN[ '2 -1982 NOL 659 PALt 5Ne nt(;j3T(A3 OFFICE ORAIG - - ;, . MITCHELL and BONNIE J. MIT GEiELL, forme r i• C 7I'QIX CO' W16. husband and Wife, and each.in.t� $ or her... -��'J. for Rraord this 21st own right and . capacity as single, persons _.• .., of Feb A, p, 1983 :u _ come =s and warrants to JAMES A. BONTE- and LINDA - - S . , 1 _ _l.L •' M. BONTH, husband and_ wife as .joint. tenants ........... -1i _ ...... ... ...... .. ... ...... .. ,.. -... ....._.... -.. ._... ...... _.... _. ... ., -. - -., ................ • in consideration ... .th sum of- $6.3,000.00 - ' .o e, - .... RETURN TO .,W ... .... ... ..... ... .... .. .. ...... -. .. .... # the following described real estate in - ___St.. -Cro - ....... County, 5tat,: of Wisconsin: Tax Parcel No: ............................. ss Part of the Southeast ; of the Northeast ; of Section 16, Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin, described as follows: I.,)t I of Certified Survey Map filed July 25, 1977, in Vol. 2, page 417, Document #341793, TOGETHER WITH a,,d SUBJECT TO easemant:�, covenants, reservations and restrictions of record or actually in use, if any. 4r Y ej This is _ home , teal l (is) (is not) Exception to warranties: Uatcd thhis /� J`/ _ _ day o February ly 83 Craig 'J. Mitchell - - Bonnie J_ Mitchell AUTHENTICATION ACKNOWLEDGMENT Signatures) -- -.. .. . .. STATE OF WISCONSIN r �S- • - -- - ------- - ...... St. Croix authenticated this ----- day of_.._____. .__. Ieron,!!� came b :, n:e this 11th_ _dac of a - ----- - - - - -- - - - -_ _._- February _ ._. t9 83_ the :�h,�E n n�,,,i - ---- -- - _. _Craig J. kitchell and Bonnie ,I TITLE: llENIBIER ST: \TF. BAR O. NVIS ON >IN Mitchell -_- ---- �{ (If not. ......... ... autho by i01i.96, W i tat._) .. ` ♦ � � t,, n:, 6 r.cn to he t`�e p,. .on .� KY ,• t,. ,.�� t "e for , , ,•'t r tr:. ± t 1 :.rk, Yf i 1 .1 �; :�. t ` s , ..STa_ .. T V1 A S Cr aF, Fn 9y rt W. Mud a, Attorney GWCV, AIL R'T` CWT :f, M6D(F S. POPTEP B� nt ku l'!j 'son , _Wi,scon - s -n 540 15 ... - -- - -- Not:: I . ,,,,• St . Croix r.,P • 341793 8 9 LED JUL 251977 G in 1MIES O ' CONNELL Register of 6 516 Gelx �►'j�a"4 nh ` CERTIFIED SURVEY g z HANSON FARMS Part of the Southeast 1/4 of the Northeast 1/4 of Section 16, Township 29 North, Rarfge 17 West, Town of Hammond, St. Croix County, Wisconsin. 45' W rJ IN W se 66 00" W 3 29.50 p N 91 o,o ~ O ma c' 1.100 00'C 40.58 w ° O 4S' W W • N N 9o C s .00 ZI D• So ' pC p N 0' W �' 2 � J A W o p 0 2.0 ACrtm s U WdQ o a Q o `1 ss. z A) 5 8T 55, 36-v-: X EAs'r I/q 2 9 - 17 324.72 (P. K•) o• Q �► 87° 55 W so-03' o Indicates 1" x 24" iron pipe stake So' weighing 1.13 # per ft. Description: That certain parcel of land located in the Southeast 1/4 of the Northeast 1/4 of Section 16, T 29 N, R 17 W, Town of Hammond, St. Croix County, Wisconsin, more fully described as follows; Commencing at the East 1/4 corner of said Section 16, thence go N 87 55' 30" W a distance of 50.03 feet•t6 the Point of Beginning of the parcel to be herein described; said Beginning Point being on the West right of way of C.T.H "T "; thence go N 00 00 00 E along said West right of way a distance of 233.29 feet; thence along said right of way N 90 00' 00" E a distance of 5.00 feet; thence along said'right of way N 00 00' 00" E a distance of 40058 feet; thence departing said right of way N 90 00 00" W a distance of 329.50 feet; thence S 00 00 00" E a distance of 262.00 feet; thence S 87 55' 30" E a distance of 324.72 feet to the Point of Beginning, the above described parcel containing 2.0 acres, more or less, exclusive of highway right of way. State of Wisconsin ) County of St. Croix) I, James L. Murphy, Registered Land Surveyor, do haereby certify that by direction of the Owners, Hanson Farms, Chris Hanson Representative, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236 of Wisconsin Statutes and the St. Croix County Ordinances; and that-the map and description shown hereon are a true and correct representation thereof. Dated: 6 July 1977 APPROVAL OF THIS MINOR DOES NOT SUBDIVISIO N James L. Murphy C 101 INS�� // o1 MEAN APPROVeI �..-