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HomeMy WebLinkAbout030-2006-40-002 0 (D o M � U) N M .. ++ U N V N _ O N U U) V E� C N ca N� o E ? a Z tq L C U f0 c. L m 3 LL O Q U Q CL-0 y 3 M � o Z y rn Z O O Z m d ° W a m m F- z c 0 O z U a w N O m Z c CO F- m z N c E O _2 m N O O Q O N CO •�l d U) L O Q !' z m z NZ �` .. E N lv! N i IL a c 0 N C! � O T O w o C C d Z ; Parcel #: 030-2006-40-002 03/29/2007 03:09 PM PAGE 1 OF 1 Alt. Parcel#: 34.30.19.372E 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): O=Current Owner, C=Current Co-Owner O-BRADAC, JAMES M JAMES M BRADAC 1293 CTY RD I HUDSON WI 54016 Districts: SC=School SP=Special Property Address(es): "=Primary Type Dist# Description " 1293 CTY RD I SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 9.420 Plat: N/A-NOT AVAILABLE SEC 34 T30N R19W PT NE NE THE N 559.69' Block/Cohdo Bldg: OF THE E668.4' NKA LOT 1 CSM 7/2038(9.544AC EXC HWY PROJ 8939-03-00 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) (0.121 AC) 34-30N-19W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 1223/522 WD 07/23/1997 849/53- 07/23/1997 827/111 07/23/1997 826/314 2007 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 9.420 119,300 245,900 365,200 NO I Totals for 2007: General Property 9.420 119,300 245,900 365,200 Woodland 0.000 0 0 Totals for 2006: General Property 9.420 119,300 245,900 365,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 130 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 032-2006-40-000 03/29/2007 03:08 PM PAGE 1 OF 1 Alt. Parcel M 1.30.19.489 032-TOWN OF SOMERSET 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 O-SOO LINE RAILROAD, RAILROAD TRACKS RAILROAD TRACKS SOO LINE RAILROAD SOO LINE BOX MINNEAPOLIS MN 55440 Districts: SC= School SP=Special Property Address(es): '=Primary Type Dist# Description SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 5.000 Plat: N/A-NOT AVAILABLE SEC 1 T30N R1 9W 5A FROM CEN W SD SW SE Block/Condo Bldg: TO ACROSS NE COR Tract(s): (Sec-Twn-Rng 401/4 1601/4) 01-30N-19W Notes: Parcel History: Date Doc# Vol/Page Type 2007 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/08/1992 Description Class Acres Land Improve Total State Reason FEDERAL X1 5.000 0 0 0 NO Totals for 2007: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ') f'kt, TOWNSHIP SEC. T JD N-R/ 'W ADDRESS �•Z 9���� ST. CROIX COUNTY, WISCONSIN SUBDIVISION - LOT LOT SIZE pZ� 4ril•&t/ PLAN VIEW Distances and dimensions to meet requirements of I•1HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM p P I INDICATE NORTH ARROW \ i I i BENCHMARK: Describe the vertical reference poi g; used A� Elevation of vertical reference point: Aomio Proposed slope at site: _ SEPTIC TANK: Manufacturer: Z24& Liquid Capacity: /ZOG T Number of rings used: 8 Tank manhole cover elevation: �ODsO Tank Inlet Elevation:� Tank Outlet Elevation: Q��O Number of feet from nearest Road: Front 10 Side o Rear, O feet - . From nearest property line ' : Front 10 Side,O Rear,O � feet Number of feet from: well Alld building: 10/ A (Include this information of the above 'plot plan)( 2 reference dimensions to septic tank) SEEREVERSESIDE 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, O Side, O Rear,0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: / Z Length: (/ Number of Lines: 2- Area Built: °A(O Fill depth to top of pipe: ` Number of feet from nearest property line: Front, Side, O Rear,O Pt .7�� Number of feet from well: 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, OFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector• • Dated: / Plumber on job: or License Number: 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION �t P.O.BOX 7969 BUREAU OF PLUMBING MADISON,WI 53707 — ❑CONVENTIONAL ❑ALTERNATIVE State Plan I D.Number. NNE 4,NE 47Sec. 34 ,T30-R19W III assigned) Town Of Somerset ❑Holding Tank El In-Ground Pressure El Mound CT NAME O PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE James Bradac 1293 Ct . Rd. I Somerset WI 5402 BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN. REF.PT.ELEV.: CST REF.PT.ELEV Name of Plumber. MP/MPRSW No County Sanitary Permit Number: David Fogerty 3289 St . Croix 12 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIOUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER 7 PRO DEO PROVIDED �p YES ❑NO -]YES NO BEDDING: VENT DIA. VENT MATL. HIGH WATER NUMBER OF ROAD: LRIOE ERT WELL. IBUILDING VENT TO FRESH ALARM. r ' 7— / (AIR INLET. /� /' FEET FROM /ew/ ❑YE NO ' I C. —]YES ❑NO NEAREST OB DOSING CHAMBER: MANUFACTURER BEDDING: LIOUIOCAPACITY PUMP MODEL PUMP/SIPHON MANUFACTURER WARNING LABEL PROVIDEDOVER 10YES ONO ❑YES ONO OYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WELL BUILDING VENTTO FRESH LINE AIR INLET. (DIFFERENCE BETWEEN FEET FROM PUMP ON AND OFF) DYES ❑NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE MAIN the soil is dry enough to continue.) ONVENTIONAL SYSTEM: WIDTH. LENGTH INC.OF DISTR.PIPE SPACING COVER INSIDE DIA UPITS IL IOUID BED/TRENCH THENF C ( MA IAL' PIT DEPTH. DIMENSIONS / S 0 L/ RAVEL DEP H FILL DEPTH ID:STR,IPI PE DISTR.PIPE UISTR.PIPE MATERIAL. NO DI R. NUMBER OF PROPERTY WELL. BUILDING V NI LE FRESN BELOW PIPES ABOVE COVER EEV NLE i ELE V.END PIP FEET FROM LINES L� l AIR 1' r ( 2-7 Z NEAREST `O0 f f v MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. ❑YES 1:1 NO OIL COVER ITEXTURE PER MANENT MARKERS OBSERVATION WE LLS ❑YES 0 N ❑YES 0 N DEPTH OVER TRENCH;BED DEPTH OVER TRENCH BED UEPTH OF TOPSOIL. SODDED. SEEDED MULCHED CENTER EDGES ❑YES El NO ❑YES El NO OYES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: }y WIDTH LENGTH NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER "EYED/a'N IEN CN TRENCHES flilrAEi�IONS` MANIFOLD PUMP MANIFOLD DISTR.PIPE .MANIFOLD MATERIAL. NO DISTR DISTR.PIPE DISTRIBUTION PIPE MATERIAL d MARKING ELEV. ELEV. DIA, ELEV.: PIPES. ELEVATION AND DISTRIBUTION HOLE SIZE HOLE SPACING DRILLED CORRECT LY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION PLANS OYES ❑NO OYES ONO___, PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY ]WELL. BUILDING: COMMENTS: (y uNE: (�, ^t FEET FROM L Y S �L'JNO ❑ ES !r ❑NO NEAREST If- :,&.�� 1 ,11 q 6 .0 Z, °off a Sketch System on �P Retain in county file for audit. Reverse Side. SIGNATU TITLE: DILHR SBD 6710(R.01/82) DLLHR SANITARY PERMIT APPLICATION COUNTY s� °°......�.,� In accord with ILHR 83.05,Wis.Adm.Code STATE SANITARY PER # –Attach complete plans(to the county copy only)for the system,on paper not less than !a Ns 1 8%x 11 inches in size. ❑ Check if revision t6 previous application –See reverse side for instructions for completing this application. STATE PLAN I.D.NUMBER 1. APPLICANT INFORMATION–PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION '/a OF,%,S Sy T fBLOCK N, R E (or 1160PERTY OWNER'S MAILING ADDRESS LOT# # CITY,STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER L'i ... II. TYPE OF B ILDING: (Check one) CITY NEAREST ROAD ❑State OWn @d/ � ❑ ILLAGE G El Public Lg 1 or 2 Fam.Dwelling–#of bedrooms� PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public,check all that apply) 6 30 — -6,0 G 037a 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. TY�PEyOF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. L11 New 2. ❑Replacement 3. ❑ Replacement of 4. E1 Reconnection of 5.El 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 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1.GALLONS PER DAY 2.ABSORP.AREA 3.ABSORP.AREA 14. LOADING RATE 5. PERC.RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED(sq.ft.) PROPOSED(sq.ft.) (Gals/day/sq.ft.) (Min./inch) ELEVATION ,'©p 1 f Ll fl.p 1 Feet 0.2 Feet VII. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New !sting Gallons Tanks Manufacturer's Name Con Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank - Q Lift Pump Tank/Siphon Chamber VIII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name(Print): Plu is Si nature: mp MPf PRSW No.: Business Phone Number: vld � eJ-7/ )2 M. Plumber's Address(Street,Olty,State,Hip Code. ,6 I OUN /DEPA TMEN USE ONLY ❑ Disapproved Sanitary Permit Fee(Includes Groundwater a e ssue Issuin Agent Signature(No Stamps) Surcharge Fee) Approved Owner Given Initial /4/5_60 14��Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(formerly Plb-67)(R.11/88) DISTRIBUTION: Original to County,One Copy To:Safety S Buildings Division,Owner,Plumber INSTRUCTIONS s . 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-6398(R.11/88) APPLICATION FOR SANITARY PERMIT r 0'> �� M zrs 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 Z lim-e 5 cL C Location of Property " , Section , TQ N-R _ W Township .S 7 JosIT Mailing Address Address of Site 1 Z3 ec;, A i S Subdivision Name Lot Number -- /� Previous Owner of Property 612 Aii7 too vCr> ,r Total Size of Parcel ' i Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No Volume :Z and Page Number ;�j23 2 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 refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (We) cehti.by that a.Pt statements on this bonm cute t.ue to the best ob my (oun) k.nowZedge; that I (we) am (cue) the owner(s) o6 the pnopext y dens ch ib ed in this s�� 74 inboAmat on bonm, by viA tue ob a wa4Aanty deed neconded in the Obbice ob the County Reg.usten ob Deed6 ass Document No. q,3� ; and that I (We) pte�sentty own the proposed site bon the sewage disposat .3y,37em (on I (we) have obtained an easement, to nun with the above dacA bed pupenty, bon the corvstAucti.on ob said .ayatem, and the .same has been duty neconded in the Obbice ob the County Reg"ten ob Deeds, as Document No. 41's� 6 9 3 ) . GNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED ", 19 ;I DOCUMENT NO. 1 STATE BAR OF WISCONSIN FORM 1-1988 THIS SPACE RE SERVED FOR RECORDING DATA I� a WARRANTY DEED fk 450693 19% 849 PACE -.- ---- REGISTE ' R S OFFICE '1' 18 ee made between ... .�-. CROIX CO.,Robgn A. B�auvals and ISefara" :"73eaiivais """"" WI _ ------------ .................................................... Rec'd for ecord .•---- ......................................................................................................... and wife R .......................... , Grantor, 4:30 ,P89 i and__-James M. Bradac M -- ------- --- --- ----•--- ....................................................... -------. ..................... O� -- ------ ---------------------•--......--------•- -.-.-.----------•---...__........----_____,_ „_•--_.. ., Grantee, IMOIa►9rof i Witnesseth That the said Grantor, i�r a valuable consideration_...._ Robin and Debra Beauvais St rOiX , RETURN TO conveys to Grantee the following described real estate in __........� C........................ County, State of Wisconsin: I� Part of the NEk of NE'k of Section 34, TownshipTax Parcel No: ..............._". 30 North, Range 19 West, St Croix County, '-"--'-•----'"- I� 'r Wisconsin described as follows: Lot 1 of Certified Survey Map filed October 20, 1988 in Vol. "7i1, Page i+ 2038, Doc . No. 442417 . jl I; MNSFER (o 'FES I �I II This ....is not (is (is homestead property. I ) not) Together with all and sin lar the hereditam uts and appurtenances thereunto belonging; And = kRp o in and lfebra Beauvais -- ----••-•--------•---••--------•-- warrants that the title is good, indefeasible In fee simple and free and clear of encumbrances except easements, restrictions and rightt-of-way of record, if any. i and will warrant and defend the same. u i Dated this �C.) �"". August 89 i - ........ .... ........ day o! ... 19.-•------ 1• (SEAL) .(SEAL) * Robin �• :Reu�ta3.;;.... .............. ....................... f ------------------------- •-•- •-•-••-•---" ..............(SEAL) •-----------•-• --- ----------------•---••------_(SEAL) Ii II i s I AUTHENTYCATION ACKNOWLEDGMENT I i Signature(a) ----------------------------•------------- STATES OF WISCONSIN l --- ----------------------------------------------------------- -- --- St Croix ------------------------------------- County. I) authenticated this }} --------day of.............•--...---••__, 19_--,.. Personally came before me h9is ._��.-- --._day of • i ......­­,r ----------------► 19-------- the above named ------------------------------ _ i _ ...... _ .. - --- _... • -•- tObin A: $eauvai's zebra" I�:""""'" TITLE: MEMBER STATE BAR OF WISCONSIN Beaiiiii -S --•--___•---------------•----____-_---------------------------------------••-- (If not- ------------------------------------------------------------ authorized by § 706.06, Wis. Stats.) to a known to b the pers 6 __ who executed the I lf g•instru a ledge t o ame. iTHIS INSTRUMENT WAS DRAFTED BY %I Kristina Ogland Lundeen -------------------------- '-------- ----------- ---------•---------------- At-toyrne y -Law - Alice J. leischauer 8-t,----- ----------------------- ----- Croix - ..-•-------------------------------- -------•---- -- Notary Public ......---.....'.._ , Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permalp �,6'lufl ration are not necessary.) n_ e 11Not�PUM i f date: .....................Ju V�19 9 3 � II ---- -- -- -- _ Stat9 *Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY D$ED STATE SAIL OF WIACON:3IN Blank Co. Inc. B osr*F No. 1-10#1 1 i a u kee. W is. H ' a STC - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St . Croix County z ty e a OWNER/BUYER:2S/9/77-ej ROUTE/BOX NUMBER IRtg3 (7o 27 Fire Number .CITY/STATE57, � 3t3 31r�J �itOl'SC ZIP PROPERTY LOCATION:_jj Section , T�N, R j 9' W, Town of r , St . Croix County, Subdivision Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes . Proper 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 affect the function of the septic tank as a treat- ment, stage in the waste disposal system. St . Croix. County residents m_ y be eligible to receive a grant for a maximum of 60% 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 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. yo I/WE, the undersigned, have read the above requirements and agree N to maintain the private sewage disposal system in accordance with x H the standards set forth, herein, as set by the Wisconsin Depart- ro ment 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 S�f/, St . Croix County Zoning Office P.O. Box 98F Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address . DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, G DIVISION LABOR HUMAN NDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 (H63. 090)&Chapter 145.0451 LOCATION: SECTION: LOT NO.:BLK.NO.: SUBDIVISION NAME: NE '/ '/ /T N/R E (or)W St. Jose h I---- ---- -------------------- COUNTY: WNEWS/BUYER'S NAME: My ILING ADDRESS: St:. Croix Dennis Fogerty N Roberts, WI 54023 USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE R ONS: TESTS: Residence 3 New ❑Replace ------------ 8-18-87 8-19-87 RATING:S=Site suitable for system U=Site unsuitable for system ONVENTIONAL: MOUND: IN-GROUNDPRESSUR_ : S STEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:(optional) OS ❑U OS ❑U OS ❑U ]S au OS ❑U gravity, bed 121 X 54 If Percolation Tests are NOT required re DESIGN RATE: 4 I If any portion of the tested area is in the under s.H63.09(5)(b),indicate: --- class I Floodplain,indicate Floodplain elevation: n/a PROFILE DESCRIPTIONS BORING TOTAL DEPTH T GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST.14 HE TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) B- / .yi �/ ' k s/ / 3 '4, B- - G/•6 Z / 7 ' Q '/ /i,./ 12i� a• > �' n C w B- i � t 19y, ' S A 3 ' S/ H GS B- �N B- 6 G 7 - ,Jn.* 7 B'B�s/.s s'8 'o-'s PERCOL T,ION TEST , 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- / 7 -r P- P- 1. s 9 4 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. 12 SYSTEM ELEVATION c ` I . I � a < I I ,`� : 11 E � i IN : : E � t SEE ATTA HE D SHEET . i j�✓�17G, i �. f.._ .A �f- I '' _w L� I _. s � , Crag �L t� _ >ll crr� ....... ,' elm/e, X r �� i i __ f--- .... ._.O_ j/�F..,' __. Sc� E/� rQ�•�76 . , ,_. �.. ... /•7�'?! ._ _._ .L'._G� -f"�; �p • fs'T'�L... _ __ I,the undersigned,hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): DAVE FWERTY FLUMENG TESTS WERE COMPLETED ON: Ucensed Perk Tester 6 Plumber 8-18-87 ADDRESS: F rty HQ tE Road CERTIFICATION NUMBER: PHONE NUMBERIoptionall: RO E WI 1 49-3656 IGNATURE: DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. �DILHR-SBD-6395 (R.02/82) OVER — ' N I i 9 3T• � � 1 N to Qe r" >T 2 tp C g 0 S � S � U VA j y µ its a, a tom,, v si -o w of 0 R 3# �Ig' '" � gyp, ��,� :.e' .�'. �,� k. J �4 A �„�.�� ` �•i t. L Y' '.iii yYk{ , r- 3 �N ti r, t t>. , y j rxN �p 1r1^ fit. 9 45, Y v fw 'fiµy' � IY'± .d M: � 4: ♦ c�d � FS4 � i�tn { > �' - N�' �: `��, I C .�h.�'•o 'b' ,�'� �� � � p , r� �sir' w � _� '� A• t. 1. *� v, tTl I 44 ji. A ♦ c '!�' ,j .yid � K 4 '� f £ } rdr 7 s � �tt •�t +t ➢Ct f; 7" j f � i } �,, i � � � � } t• k 1 _ r 1 O' t x; r 1 4 bp �I RL 0 o 45 OD O 16. of 0 (D - ID 0 7z Z r m E LL c .2 SO V� 0 Lij ) z 0 0 Z V CD z 0 ce) LU IL m 0 0 z O 4) z E(D '2 z C0 :3 m CL N 0 0 4) z o co z Z z P) 1 CD C*404 4)E > M 0 m • (1) U) U) E 5 z FL LL 0 0 0 z IL IL IL V; IL 4; 0 cy) cz 0 U)J U CO 0 U) CD 00 M Z 4) M co Cl) 16 C, OS N IA O CC',, A s - a E U) 0 0 w o co 4) -u 0 C4 :3 E Q) c r_ 8 Q. 0 a 0 0 co w 0 M O 0 (S co c C-4 Ci 0 -CO W z z CS Cq 0-4 CO E E e z c') C,4 0 on o o CD CD to L; CL CL .2 E 0 o 9L 22 0 co u Parcel #: 030-2006-40-002 11/30/2006 01:11 PM PAGE 1 OF 1 Alt.Parcel M 34.30.19.372E 030-TOWN OF SAINT JOSEPH Current I X' ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): 0=Current Owner, C=Current Co-Owner 0-BRADAC,JAMES M JAMES M BRADAC 1293 CTY RD I HUDSON WI 54016 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description * 1293 CTY RD I SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 9.420 Plat: N/A-NOT AVAILABLE SEC 34 T30N R19W PT NE NE THE N 559.69' Block/Condo Bldg: OF THE E668.4'NKA LOT 1 CSM —roo I 7/2038(9.544AC EXC HWY PROJ 8939-03-00 , Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) (0.121 AC) 34-30N-19W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 1223/522 WD 07/23/1997 849/53- 07/23/1997 827/111 07/23/1997 826/314 2006 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 9.420 119,300 245,900 365,200 NO Totals for 2006: General Property 9.420 119,300 245,900 365,200 Woodland 0.000 0 0 Totals for 2005: General Property 9.420 119,300 245,900 365,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 130 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 F4� a OCT,* 01988 � s• 442417 a CERTIFIED SURVEY MAP Located in the NE 1/4 of the NE 1/4 of Section 34, T30N,R 19W , Town of St. Joseph, St, Croix.,County, Wisconsin. \ J Surveyed for: Lois Reller 7897 24thAve. N. Hugo, Mn. 55038 N1/4 COR. SECTION 34 3 I 0o co 03 North_ line of the NE 1/4 M NE Corner d o Section 34 _UNPLQTTED LANDS \ 1363 e4, N 88°48'31"E 1261.47'— b II 893.07' 668.40' S88°48 31 W 893.31' 50 42� O NI _ I c zl C'j( _ _JI 0 Lot 1 , a J Ji 415, 735 Sq... Ft.... \ (9.544 Ac z (� 0 1 ( F N W Note: Lot is subject to a 200' M U. M HI access easement. Recorded in "') '� W aI C J Vol. 7�pW� 382. al �„) 2 EXISTING---> ' 2) ,—�!0� 21 OI DRAINAGEWAY y Z) �lj v i• W S� >-I > HARVEY ca. �: _ CD JOHNSON �1 I S88 48 31 W 668.40' a HUDSON UNPLATTED LANDS oo M ` 0 N o 0-1 91Z El/4 Cor.. Section 34 LEGEND i0 T30N,R 19W S F-W I � ection Corner Monument °y 04 W4 • 1" iron pipe found, Z t W\ W- 0 CT 20 9988 • 3/4" rebar found. W W /�,�/���/ }�/ W W ST CROIX COUNTY T 0 111X24" round iron pipe weighing �� C A�00 MNE 1 .68 lbs . / lin, ft, set, ZOO) ;W _ Q O W? m_J z SCALE IN F 7 " _ 2001 ISO' 100' 0' 200 400' NOTE: Lot 1 may not be further subdivided until an additional 33' of width is obtained for ingress and egress, a road built to town road specifications is built, and town and county approval is obtained. As long as the area used for ingress and egress is only 33' wide, this shall remain a single lot. This instrument drafted by t� 488-1485 btj Vol. 7 Page 2038