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HomeMy WebLinkAbout030-1099-40-300 7 \ ° 0 � ]\ � 2 §/ R % / � « c k CL /2 a ƒ § % -0 72 � 2 \ G) \ § R / 7 IL m E � ) z « 7 \ 0 z k f \ ± E 2 2 0 ) � \ 7 ƒ � § ° C:f .� § 2 / o k ) k e z § E ~ 6 0 = ) E 0 IE2 g r.- ' � & k S Z C,4 } m m } -� g ! 7 2 a a \ -i § % z ' D _ � � ] § ° � § S @ > ) ) CD M m a t o IG % £ # m R 8 ( , ® , ) k o = E T \ 4 ) . \ - § § ƒ \ / � C � I / \ S \ G ® \ ) f \ ° , m ® - E / $ m 2 k 5 o \ / ' 2 o z 2 z e s I � ® 2 k C L ; C _ , _ . , , a . o E & § c � Q 3 a r Parcel #: 030-1099-40-300 03/09/2006 05:05 PM PAGE 1 OF 1 'Alt. Parcel#: 33.30.19.357D 030-TOWN OF SAINT JOSEPH Current X I 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-Ow ner O-FOLKERT, DAVID R DAVID R FOLKERT C-SHARTIN ANASTASIA D SHARTIN ANASTASIA D 563 PERCH LAKE RD HUDSON WI 54016 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *563 PERCH LAKE RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 3.450 Plat: N/A-NOT AVAILABLE SEC 33 T30N R19W NW NE LOT 2 C.S.M. Block/Condo Bldg: 7/2061 3.45AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 33-30N-19W Notes: Parcel History: Date Doc# Vol/Page Type 06/14/2000 624850 1 41 WD�/ 07/23/1997 840/3 2005 SUMMARY Bill#: Fair Market Value: Assessed with: 84045 252,700 Valuations: Last Changed: 07/0812004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.450 81,000 148,800 229,800 NO Totals for 2005: General Property 3.450 81,000 148,800 229,800 Woodland 0.000 0 0 Totals for 2004: General Property 3.450 81,000 148,800 229,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 141 Specials: User Special Code Category Amount I Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Form - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER Sq ra`j �'P� TOWNSHIP , }$ e �( SEC. 3 T N-R2,9 W ADDRESS ! S' fp /?y3 f ST. CROIX COUNTY, WISCONSIN Aa d sow k;7 SUBDIVISION LOT LOT SIZE 3 PLAN VIEW Distances and dimensions to meet requirements of IIHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM See I P;pe lax�a' �3t1 y� o INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used 8r, ( ►1 S Tp�� l Elevation of vertical reference point: � af��Q Proposed slope at site: o SEPTIC TANK: Manufacturer: esY '&N-liquid Capacity: Number of rings used: / Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: e Front,®Side, Rear, O /fop feet r From nearest property line Front,0 Side,O Rear,O feet Number of feet from: well - ::05 0 building: a p ' (Include this information of the above plot plan)( '2 reference dimensions to septic tank) SEE REVERSE SIDE 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 line: Front, Side, O Rear,Q Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Trench: Bed: nn Width: �� ` Len$th: o� Number of Lines: d Area Built: (O 3 d Fill depth to top of pipe: a ' cad� Number of feet from nearest property line: Front, ®Side, O Rear,O Pt . f Number of feet from well: 5® Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: 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 sytems? (Check 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, O Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: �I Dated• Plumber on job: t4; License Number: 31 3/84:mj Parcel #: 030-1099-40-150 03/21/2006 09:02 AM PAGE10F1 -Alt. Parcel#: 33.30.19.357B-10 030-TOWN OF SAINT JOSEPH Current 'X I 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 O-RAY, GREGORY M& GREGORY M&RAY C-THOMPSON ANDREA M THOMPSON ANDREA M 571 PERCH LAKE RD HUDSON WI 54016 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *571 PERCH LAKE RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 7.800 Plat: 1700-CSM 06/1700 SEC 33 T30N R19W NW NE THAT PART OF NW Block/Condo Bldg: LOT 1 NE KNOWN AS LOT 1 CSM 6/1700 ASSESS WITH P 356D ALSO PT LOT 5 CSM 12/3467 DESC AS Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) BEG SE COR LOT 1 CSM 6/1700;TH S 23 DEG 33-30N-19W NW NE E 193.28';TH S 61 DEGW 126.29'TH N 88 DEG W 177.47';TH N 80 DEG W 148.65';TH S more Notes: Parcel History: Date Doc# Vol/Page Type 10/09/2001 658573 1734/239 WD 07/23/1997 755/257 07/11/1997 1251/079 WD 2005 SUMMARY Bill#: Fair Market Value: Assessed with: 84043 357,300 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 7.800 112,200 212,800 325,000 NO Totals for 2005: General Property 7.800 112,200 212,800 325,000 Woodland 0.000 0 0 Totals for 2004: General Property 7.800 112,200 212,800 325,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 206 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDING LABOR&HUMAN RELATIONS DIVISION P.o*Bax 79M ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES&APPLICATION MADISON,WI 53707 State Plan I.D.Number: Wk,W,,S33,T30N-R19W ® CONVENTIONAL ❑ ALTERATIVE (If assigned) Town of St. Joseph ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound OLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: C Robert E. Klonowski & Sal ah c / d vv BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: > Hudson, .P CST REF.PT.ELEV.: Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Thams A. 14ang 3231 St. Croix 119455 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVDED: ❑YES ❑NO ❑YES ❑NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER I NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: FEET FROM LINE: AIR INLET: ❑YES ❑NO ❑YES ❑NO NEAREST---♦ DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO ❑YES ❑NO i ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUMP ON AND OFF) ❑YES ❑NO NEAREST---1110- SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire,construction shall 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 TRENCHES: MATERIAL: PIT DEPTH: DIMENSIONS S Z--- GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO.DISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV.INLET: ELEV.END: PIPES: FEET FROM LINE: AIR INLET: NEAREST---- 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: E]YES ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: COVER- 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: ❑YES ❑NO ❑YES ❑NO NEAREST—* 3 2 2 A.� .�.�`� �" a.OS Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE: TITLE: ZOning Achninistrator SBD-6710(R.06/88) SANITARY PERMIT APPLICATION DILHR '.M....,. �� 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 ❑ ch icNI i/fir ' 8%x 11 inches in size. f revs onto previous application -See reverse Side for instructions for completing this application. STATE PLAN I.D.NUMBER I. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION. PR PERTY OWNER PROPERTY LOCATION lot L d` t' / % 5%, S 3 T30, N, R E(or PROPERTY OWNER'S MAILING ADDR9SSS' LOT# BLOCK# CITY,STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 0 CITY II. TYPE OF BUILDING: (Check one) ❑State Owned [__1 VI AGE N �REST OA� �J rr° ❑ Public 1 or 2 Fam. Dwelling-#of bedrooms AR ELTAX NUMBERO 111. BUILDING USE: (If building type is public,check all that apply) 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 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. �New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit## — Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 © Seepage Bed n X5 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: /ask. 1.GALLO=PERDAY 2.A BSORP.AREA 3.ABSORP.AREA 4. LOADING RATE 5. PERC.RATE 6. SYSTEM ELEV. 7. FINAL GRADE f REQUIRED(sq.ft.) PROPOSED(sq.ft.) (Gals/day/sq.ft.) (Min../inch) !�/Z ELEVATION cj 2 C.7 /-1 t J 9 Feet .0 9 Feet VII. TANK CAPACITY Site in gallons Total ##of Prefab. Fiber- Exper. INFORMATION New is tin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed . Septic Tank or Holding Tank ?�+ e Lift Pump Tank/Siphon Chamber 11 1 F1 Vlll. RESPONSIBILITY STATEMENT 1,the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached plans. Pl 's Name(Print): PI Signature:(No Stampa MP/MPRSW No.: Business Phone Number: b�K4.T A 3.)3 Plumbex's Address(Street,City,State,Zip Code: 1(�J IX. COUNTY/DEPARTMENT USE ONLY Disapproved Sanitary Permit Fee(includes Groundwater Date Issued Issuin Agent Signature(No Stamps) �4 Approved ❑ Owner Given Initial / Surcharge Fee) ✓vt /�r. Adverse D r i tin V v V 0 X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(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: 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. 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. i SBD-6398(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 Ucu-T t /lm ought* V sDGk Z Z I�d Location of property A42-1/4 1/9 1/4, Section , T 36 N-RZ2—W Township �• 6 e Mailing address 6-o l k d_'�C'y W Address of site _rcy C� Lai e Ed, - Subdivision name Lot number Previous owner of property AO iL+a 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 N0 Volume and Page Number' as recorded with the Register of Deeds. 37 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 warrant deed r ecorded in the Office of the County Register of Deeds as Document No. and that I (We) presently own the proposed site for the sewage Disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County Register of Deeds, as Document No. ) . Signature of Owner Signature of Co-Owner (If Applicable) Date of Signature Date of Signature DOCUMENT NO. WAIWANTY DEED THIS SPACE RESERVED FOR RECORDING DATA STATE BAR OF WISCONSIN FORM 2-19W, �7551 _.S.eim...ax.d_--D.anna..Mae...Sei m,..-hus.band..and.-wi£e.,----- and_.e.a.ch-._in...th.e-ir--.owx._individual._capacity............................ - --------------------------------- _._...... ---- ---- --....--•-.....----•-------_.... . ----- ------------------------ --- --------------------------------------------------- conveys and warrants to .Robert--E._.Klonowski-,--a•single-..Person,- _and._Sarah.K._ Lie_d1,_-.a-single-person---------- ------ ----------------- -- -._------------------ ----------- ..................... ............................ ..... .. .. ----- ----------------------------.....--------------- -- ------ ............... ------- in consideration of _13,500.00 ------- ............................ ---------.......-...................................... RETURN TO .. .................-------------.--------.__...-.........-...........-...--....-..------..----............. ....... ............................................ ....... ................................................ . the following described real estate in ........St.---Croix..................._.County, State of Wisconsin: Tax Parcel No: .............................. Part of the NW4 of NE-4 of Section 33, T30N, R19W, Town of St. Joseph, St. Croix County, Wisconsin, described as follows: Lot 2 of Certified Survey Map filed January 9, 1989 in Volume "7" of CSM, Page 2061, as Document No. 444476, in the office of the St. Croix County Register of Deeds. SUBJECT TO easement for town road over the northerly part of said Lot 2, as shown on said Certified Survey Map. TOGETHER WITH and SUBJECT TO a 66-foot wide Private Road Easement as shown on said Certified Survey Map, over the easterly 33 feet of said Lot 2 as shown on said Certified Survey Map, and the rights and obligations for such private road and future extensions thereof, as set forth in a Declaration Establishing Obligations Toward Private Road Maintenance dated September 25, 1986, recorded September 29, 1986 in Volume 755, Pages 252-256, as Document No. 417518. Said Lot 2 conveyed herein shall not be exempted from said Declarations under paragraph 3 thereof or otherwise. I This .___l.&_ I nQt.______... homestead pro p ert}�. (is) (is not) i Exception to warranties: I)ated this — .3-r-d--------- --- day of - - -------------May--- ---- -------- ------------- --------., 19.89.... l ........ . --- ----- - ------------ ----- -- -------(SEAL) c':%GG?s? "�._. �✓... .........(SEAL) * T mas W. Seim -- --._(SEAL) (SEAL) x - ------- ------- ------------- ------------ --- * _Don na..Mae..Sei.m_..._....... - AUTHENTICATION ACKNOWLEDGMENT Signature(s) ----------------------------------------------------- STATE OF WISCONSIN ss. ------------------------------------------ S Croix ._..C-l-----•---••--.................. County. � authenticated this ........day of--------------------------- 19...... Personally came before me this ---3rd-------day of _May---------- ........................, 19.89... the above named Thomas W. Seim and ----•--------------------------------------------------•--•------- j *.. ------------------------------------- Donna Mae Seim TITLE: MEMBER STATE BAR OF WISCONSIN --- --- -------------•--•----- (If not- -------- -------------- ----------------------- authorized by § 706.06, Wis. Stats.) to me known to be the person _S-----_--- who executed the foregoing instrument and ackno gq the same. THIS INSTRUMENT WAS DRAFTED BY �- TrIilliam__.L_..Gilhert_._._.-__--- * � / LL Gilbert, Mudge, Porter & Lundeen l/r 1�-- R/4 "S' ----- •--- -------- ------------- 1-1-0--2nd--Street,.-Hudson,-.WI__54DIb.............. Notary Public ----St.-_.CrQix....................County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent.(If not, state expiration are not necessary.) date: —----------------_------------ 19 --)• *Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co lur. i ��,yi✓iQ�o Cllr''n o a r fis--�•�of -7� 7410 1�n4/ CERTIFIED SURVEY MAP Located in part of the NWh of the NE4 of Section 33, T30N, R19W, Town of St. Joseph, St. Croix County, Wisconsin. I Unplatted lands owned by others North line of the NE} of Section 33- N89 004158 11W Town Road R/W- S89 055111 11W N89O04 ' 58"W 533. 19 ' 130TH Avr:NUE .931 288.261 250.00' c 253.71' o0 N} Corner of ^' i C� Corner f Section 33 - N3 0� +► _I NE o qj �=ro� a.i of Section 33 CD LA 4J ip C. ..i AN00053 ' 37"E to 0 0 > N i M1 v� Ln wo n r` rl n7 �i �i LOT 1 LOT 2 ( 0 CS; „ of ,� z 1 i O `o `° S89PO4 ' 58'-'E - 33 . 00 ' O N 133.50' 260.15' N80012 ' 20"E 589004 ' 58"E 393. 65 ' 170 . 98' W° d CO Uplatted lands owned by platter 133 . 97 v 4j C- C- b ca. � W o L LOT AREAS: ' Including R/W Excluding R/W ` s A L N LOT 2: 150,299 Sq. Ft. 130,686 Sq. Ft. m r- R 3.45 Acres 3.00 Acres LOT 1: 138,090 Sq. Ft. 130,772 Sq. Ft. SCALE IN FEET 3.17 Acres 3.00 Acres ���■� a- IOU ZOO 400 LEGEND OWNER County Section Monument Thomas Seim • 1" Iron Pipe .Found R.R. 2 n 1" x 24" Iron Pipe Set, weighing Hudson, WI 54016 EN C. q„ • ;^ MT"t\7 Lill yi l 8-1407 , Dn e•.A, ,° A� C S This instrument was drafted by Fr leskacek Job No. 83-16-187 I i SURVEYOR 'S CERTIFICATE I , Allen C. Nyhagen, registered Wisconsin Land Surveyor, do hereby certify that by the direction of Thomas Seim, 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 the NE1/4 of Section 33, T30N, R19W, Town of St. Joseph, St. Croix County, Wisc-onsin; _fUrther described as follows: Commencing at the NE Corner of said Section 33; thence N89 04 '58"W, along the north line of the NE 1/4 of said section, 1541 _20 feet to the point of beginning of this description; thence continuing N89 04 '58"W, along said north line, 533. 19 feet; thence S07 05'44"W7 569. 05 feet; thence ''S89 04 '58E, 393.65 feet; thence NOO 53 .37"E, 13.3. 97 feipt.' thence N80 12 '70"E, 170.98 feet; thence S89 04 '58"E, 33.00 feet to the west line of Lot 1 of Certified Survey Map in Volume 6, Page 1700; thence NOO 53'37"E, along said west line, 400.00 feet to the point of beginning of this description. Together with and subject to a bb foot wide Private Road Easement as shown on this map and subject to an easement for the Town Road as shown on this map , and all other easements of record. that this Certified Survey Map is a correct representation of the exterior boundary surveyed and described; that I have fully complied with the current provisions of Chapter 236.34 of the Wisconsin Revised Statutes and the Land Subdivision Ordinance of the Town of St. Joseph in surveying and mapping same. 7. NOTE: The roadway shown on this map is a Private Roadway. Any maintenance costs of the Private Roadway after its approval by the Zoning Administrator as a standard road, shall be shared pro-rata by the adjoining owners. Should the Private Roadway be taken over by a municipality as a Public Road, maintenance costs thereafter would be a public expense. STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/.BUYER ek-eV l G., klD .awgKr * 4vrt , 4/'CJ ROUTE/BOX NUMBER 1 51 , �1'O; k 'SY fff-( FIRE NO. �~ CITY/STATE Nit� IL L0L ZIP . -) � PROPERTY LOCATION: 11-1/4 Section _ TAN, R—.11-9—W, Town of DS ecn , St. Croix County, Subdivision , Lot No. Improper use and maintenance of your septic system could result in its premature fail$re 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 DATE , St. Croix County Zoning Office V 0 1) St. Croix County Courthouse 1 911 4th Street Hudson, WI 54016 (715) 386-4680 ` K1 Sign, Date, and Return to above address )EPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS ND,USTRY, DIVISION P.O. BOX 7969 -ABQR ANp, PERCOLATION TESTS (115) yMADISON WI 53707 iUMAN RELATIONS (H63.090)& Chapter 145.045) 4 p� Ott LOCATION: SECTION: i TOWNSHIP 144XX( Y: OT NO.:BLK.NO.: SUBDIVISION NAME: Nw � �/4 33 /T 30 N/R1 j(or)W St. Jose h 1 n/a I n/a COUNTY: OWNER' AME: MAI LINQ ADDRESS: St. Croix Thomas Seim IR.R.#2, Hudson, Wi. .54016 1SE DATES OBSERVATIONS MADE NO.BEDAMS. COMMERCIAL RI T O R ES S: ®Residence 3 n/a ONew ❑Replace 9-16-87 9-16-87 2ATING:S-Site suitable for system U-Site unsuitable for system ;ONVENTI NIL: MOUND: IN-GROUND-PR RE: S TE - N-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional) (�S ❑U EIS 1A ®S ❑U ❑S E� ❑S Q� conventional If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.1-163.09(5)(b),indicate: — n/a Floodplain,indicate Floodplain elevation: decimal' PROFILE DESCRIPTIONS page 42 BRC2 30RING TO'�g,� DEPTH T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DES . ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- 1 6.84 96.39 none >6.84 1.17r-bn. s.sil. 5.67bn.c.s.&gr. I B. 2 6.83 97.10 none >6.83 6.83bn.c.s.&gr. B- 3 6.75 96.92 none >6.75 6.75 bn.c.s.&gr. B- 4 6.58 97.06 none ' I >6.58 .58bl.1. 6.00bn.c.s.&gr. I - 5 7.34 97.02 none >7.34 1.00fillmaterial .42bl.1. 5.92bn.c.s.&gr. B. PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES' AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD3 PER INCH P. 1 2.00 none 3 6 6 6 <3 P. 2 2.71 none 3 6 6 6 <3 P• none 3 6 6 6 <3 P-. P. .P- LOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Destcribe what are the hori. intal 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 I land slope. YSTEM ELEVATION 94.39 T 1, 5' of to s it to be pl ce ov r r a ea to ar i a f he4 gr d o 9 • .4 !�! _ ( � �/ �• �1 _1 I I I - - ��� - - --- - - - -- -- - TN S ` }: the undersigned,hereby certify that the soil tests reported on this form were made by ma 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. DAME(print): TESTS WERE COMPLETED ON: Gary L. Steel'.-'- 9-16-87 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): CST SIG AT )ISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. )ILHR•SBD-6395 (R.02/82) —OVER — •. 4 I� t �I �I I i I 4 J� J r p �1 .........._. «.. it I I f 7 i a J I f i t ( ��'th� �K c oyPv' G.-� typap s 3 ` Y JePr� POD icfcm Elev. 9Y 39 F Jove , i 6q' a i Ite 14 �er r 0 r . �lev, r � w i7