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HomeMy WebLinkAbout030-2010-10-000 © 0 a a rs x c to I N vi Q � L U i � I w I � o c U LL I a 0 w I U) CD 0) o 0 z co 1i c m x O 0)L 3 � o I z y O = O z m d m H a � m c o I o z v v o 0) N z c E -p N CY) m N d N O N C/) C • N N FV t g v C O L o Q c� z z z d c o £ w �l a `n L _ a o d ry as Mn c N L O w •� z O O O N m W aaa "i IL o U) w 0) 0) m J C) , z CO ` tm N -5 co N 53 o 06 \j 0O c 3 Q H 0 o m o ° ° o l p r.- c c Q 2 V o yr M L U_ a O N a N Q O O N � c N N a w �., c � �I O OM E E L O y .r V it G d T a •' a • a E `�1 A ci a O in U Parcel #: 030-2010-10-000 02/09/2007 04:44 PM PAGE 1 OF 1 Alt. Parcel#: 34.30.19.387B 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-HOWLAND, MICHAEL B&BARBARA R MICHAEL B& BARBARA R HOWLAND 698 CTY RD E HUDSON WI 54016 Districts: SC= School SP= Special Property Address(es): '=Primary Type Dist# Description "698 CTY RD E SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 10.000 Plat: N/A-NOT AVAILABLE SEC 34 T30N R19W SE SE SE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 34-30N-19W Notes: Parcel History: Date Doc# Vol/Page Type 02/14/2000 618242 1489/565 WD 07/23/1997 920/208 07/23/1997 =795/ 07/23/1997 2007 SUMMARY Bill#: Fair Market Value: Asses 0 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 10.000 186,100 343,300 529,400 NO Totals for 2007: General Property 10.000 186,100 343,300 529,400 Woodland 0.000 0 0 Totals for 2006: General Property 10.000 186,100 343,300 529,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 217 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 33 �^- Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC. 3� T N-R l( W ADDRESS ST. CROIX COUNTY, WISCONSIN �Sd v i S • :NO(Ce SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•I,HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 4wv ell, C - a� 5 �Nv � ' W INDICATE NORTH ARROW . Top oF soil TESTES' BENCHMARK: Describe the vertical reference point used Elevation of vertices. reference point: 9-- 2 Proposed slope at site: �E6xf Covc4-0 /26 O SEPTIC TANK: Manufacturer: Liquid Capacity: Number. of .rings .used: •Vo.U12' ` Tank manhole cover elevation: 00e` 7 Tank Inlet Elevation: Tank Outl Elevati n• Number of feet from nearest Road: Front, Side,O Rear, O eack 30 0 feet From nearest prVATC, rt line Front,O ide,0 Rear,0 out,- Soo feet to 4q( NOT OR t�lip Number of feet from: well , building: `elude this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER ti Manufacturer: y Liquid Cap ty: Pump Model: Pump/Siphon Man acturer: Pump Size Elevation of inlet: ottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from arest property line: Front, O Side, O Rear,Q Ft. umber of feet from well: umber of feet from building: (Include distances on plot plan). Uppeg J7��, - �3 SOIL ABSORPTION SYSTEM Bed: Trench: 13 y Width: .`J Length: Number of Lines: 2— Area Built: Fill depth to top of pipe: �� r� !/� 2 y " S �T /'U Number of feet from nearest property line: Front, ©Side, O Rear,0 Ft . ad Number of feet from well: Number of feet from building: 21 � (Include distances on plot plan). SEEPAGE PIT Size: Nu er of pits: Diameter: - Liquid depth: ttom of seepage pit el ation: Area Built: Has either a drop box O or distribution O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings ed: Elevation of bottom of t k: Elevation o inlet: , Number f feet from nearest property line: Front, O Side, © ar, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturers a i' Inspector: Dated: Plumber on job: License Number: F M4ESITE CEP CO. 855 G'NEIL RD.,Hi5401P 3/84:mj R08EFli HT V'�— MINN.MASTER PLUMBER DESIGNER R IC .�C�� MIN tilSTALLER&GcS1GNtR LICE SE PTI c Tit, �{� 4D �y o INLET %o D�pP �D1( �� I 3 3�y / a 9 116 I °P o / 93.10 10 90 5 iC 7o OF Go(situ) Z„ / SlopES p eo '0 . sysTE-� ',t # z 92,75 • 6 'Vo 7 v W wASf_-'0 YA55PE_ ATE- 272C DiST�'iQOT�ca�J Pi • koc,� cot9�p o w� (?y,4 p iyol Xe c"o (,4 S T) let i i j j 1-101"ESITE SEPTIC PLUMBING CO. i W O'NEIL RD.,HUDSON,MS.6018 _ / / • , ROBEFIT ULBRIOHT 5' U/Z- RliO /�(/�N WIS.MASTER PLUMBEA LIC.NO.3307 MAR& MINN.WSTAUER It&Gc9i0NSR UC.N0.00883 i DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDING I-ABOR&HUMAN RELATIONS DIVISION P.O:BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES&APPLICATION MADISON,WI 53707 State Plan I.D.Number: SE', SE'-,,,S34,T30N-R19W [ CONVENTIONAL ❑ ALTERATIVE (If assigned) Town ,of St. Joseph ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound E ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Pick & Gisele Kellg 12 Hunter Hill Hudson WI 54016 1-//- 80f 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: Robert Ulbricth 3307 St. Croix 119441 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES [::IN ❑YES ❑NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: FEET FROM LINE: AIR INLET: ❑YES ❑NO ❑YES ❑NO INEAREST--- DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: P : PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO ❑YES E]NO ❑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-� 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: BED/TRENCH WIDTH: LENGTH: NO.OF DISTR.PIPE ACING: COVER INSIDE DIA.: #PITS: LIQUID DIMENSIONS S /'?e./// FILL R7 TRENCHES: M IAL: PIT DEPTH: GRAVEL DEPTH LL DEPTH DISTP"11PPEE DISTRR..PIPE DISTR.PIPE MATERIAL: NO.DISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPE?/ ABOW COVER: ELEV.INLET: ELEV.END. PIPES: FEET FROM LINE: AIR INLET: C %Y��/1 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 LINO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED. MULCHED: CENTER: EDGES: ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING: ELEVATION AND ELEV.: ELEV: DIA.: ELEV.: PIPES: DIA.: DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑YES ❑NO [--]YES ❑NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE: ❑YES ❑NO [:]YES ❑NO NEAREST—� a� I'D Sketch System on Retain in county file for audit. Reverse Side. sIGNAruRE: rITLE: SBD-6710(R.06/88) Zoning Administrator , 'R SANITARY PERMIT APPLICATION �, RV In accord with ILHR 83.05,Wis.Adm.Code SUN Ceo/ X STATE SANITARY PERMIT# -Attach complete plans(to the county copy only)for the system,on paper not less than /f 1�1141 j 8%x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D.NUMBER I. APPLICANT INFORMATION–PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION /,ClC C�%S€�L G SF '/�S~�%,,S T ?0, N, R I E(or)W PROPERTY OWNER'S MAILING ADDRESS LOT# BLOCK# y/ 1/y/r9fX #MY � CITY,STATE ZSY6/` PHONE NUMBER SUB6SIS,I, ,N NAME OR�SOM NU R 1&/ Ii. TYPE OF BUILDING: (Check one) CITY CJ d NEAREST OAD ❑State Owned VILLAGE: S{• .�t ❑ Public P 1 or 2 Fam. Dwelling-#of bedrooms PARCEI TAX NUMBER(5) III. BUILDING USE: (If building type is public,check all that apply) Q �0 O 7 1 El 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.K 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 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure r / 43 ❑ Vault Privy 14 ❑ System-In-Fill 2_,�r 2 , Cp(o VI. ABSORPTION SYSTEM INFORMATION: 1.GALLONS PER DAY 2.ABSORP.AREA 13.ABSORP.AREA 4. LOADING RATE 5. PERC.RATE 6. SYSTEM ELEV. 7. FINAL GRADE /� REQUIRED(sq.ft.) PROPOSED(sq.ft.) (Gals/day/s ft.) (Min./inch) F,2. 7S ELF V LION (J�O �(0a 60 • � ` 9 40'0 Feet 9 4 Feet VII. TANK CAPACITY Site INFORMATION in allons Total #of Prefab. Fiber- Expp. New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted Septic Tank or Holdin Tank 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 er's Signat e:(No Stamps) MP/MPRSW No Business Phone Number: /CJ ZG�l3�21c� T"' 33o X15 3PG-���� Plum is �ress(Strget,City,State,Zip Code): 5 J-� G ti 4,r4 � - gyp J•d,�/ / Di IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee(Includes Groundwater a e ssue Issuing Agent Signature(No Sta s) Approved El owner Given Initial f Surcharge Fee) Adverse Det X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(formerly Plb-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. v 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. SBD4L-M(R.11/88) APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owners) 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. -------------------��"C� - ----------------------- Owner of property < 3, / Location of property � 1/9 5&A-7- 1/4, Section 3 4 , T 36 N-R ' ` W Township - S7- T0SfZ!174-- Mailing address F P e-" r Address of site Subdivision name Cs�t 2 Lot number f / Previous owner of property ALr � Total size of parcel /® 4 Ca S Date parcel was created G� f Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house)? Yes No Volume �G r and Page Number S- ° as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the Office of the County Register of Deeds as Document No. -5!3/ 7�0 ; 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 Co ty Regist of De s, as Docu nt ) . Si nature of Owne S na ure of Co-Own (If Applicable) Date o Signa ure Date Signatur $ DOCUMENT NO. STATE BAR OF WISCONSIN FORM 11-1lss '"" ""a "s'a"'t°7Oeaaa LAND CONTRACT h:= 31790 F IRdi%LT. and t AUTI tr "�*�+ �: rT0 Rt: t FD FOR ALi. TIIANSAr'Tltt\c WHERE OVER - i'V $2;,uao is FINANCED AND IN OTHER NON-ct)NSUMER ACT TRANSACTIONSI • James fl . Palmer and b ContTaCt, by and between __........... .......................... .....- Nov, 3, 1987 Lillian-- E.---Pa 1:ne r-r-.a/k/a-JAI Itan JL.Palmer,.husband-b- -wife-as -----.-••-- L' Joint Tents.. .----- --- („Vendor", d 10:00 Al whether one or more) and... i c h a,r d-•A, --K e l-ley---a n•d--G ;s a l,�•-•, k ` Illdx.l>:r3-l...y.xA-R>r.> t.y--.......... ....... ("Purchaser", whether one or more). Now :. Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- 1 formance of this contract by Purchaser,the following pruperty,together with the rents,profits,fixtures and other appurtenant interests (all called the"Property' St. Croix unty, S'ate of Wisconsin: ---- --- --- ----------- --------- RKIURN O o, /9 3 87/3 o fi Tax Parcel No. _ _ ....:...- - . FEE k Southeast 1/4 of Southeast 1/4 of Southeast 1/4 (SE1/4 of SE1/4 of SE1,l4' of Section 34, Township 30 North , Ranoe 19 West fgether with a non W's - exclusive easment to use the N 50 feet of the S of SE Ao *said Section 34 for an a cesi road including the right to grade and surface such roadway, and to permit the installation fr of utility lines. subject to an easement reserved by lle Hayes, her heirs, executors administrators and assigns as owers of the SW� of SE%,of 'said Section 34 as reserved In a deed recorded in Vol. 448 page 228 as doc.#294832. ` Subject to easements and right-of-way of record. This l.S_nOt hor,;estead property. (is) (is not) Purchaser agrees to purcha-c the I'rvmcit} an.t t 1-y to Vendor at -21.06 Jul iet, St. foul, ............n.55105 000 .00 , inc. earnest P the sum of; 41-0.-,0.0-0...00 .. . in tine ollowing manner: (a) r----. __ -.-.-.. mantev at the execution of this Contract, amt iht the bal:o,cr of $ 32,-D-00 -00----------- .. , together with interest from date a hereof on the balance cut=tanding fruni time to time at tht rate of -.1p- 5*-....--.-.- -.- per cent per annum . until paid in full, as follows: ' Monthly installments of $292 . 72 commencing December 1 , 1987 , and on the 1st day of each month thereafter until paid in full . Provided, however, the entire uutstauiiir;g b:,l:uiec �iiall he paid in full on or before the 3 1 s t _- day of October Ir. 92 i the maturity d.: r. ' ...----••----------- ---- Following any de'ault in p t�I,,nt, tntt•n•�t ,had ac,•r, at 1'.e rato of-10-.-5°a per annum or the entire amount in default (which shall include, without li,r1itatiov:, ! I u,.,rnt int •n t ard, upon acceleration or maturity, the entire t;A principal balance). K. Purchaser,unless excused by Vendor, agrees to nay nn,r,thly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes,special assessments, fire and required insurance premiums when due.To the extent received by Vendor, Vendor agrees to apply payments to thc�e obligations when due. S.1ch amounts received by the Vendor for payment of, taxes, assessments and insurance will be deposited into an c=crow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the urn t aid balan,e at the rate specified and then to principal. Any ? amount may be prepaid without premium or fee upor: principal at ;ury time " In the event of any prepayii,pnt, this contract sha:i not iw -,ited in default with respect to payment so lolls as the unpaid balance of principal, and interest rand In <uci. ,:r<e acerumit Interest from month to month shal! be treated. as unpaid principal) is less than the amount that said indei teduess would have been had the monthly payments been made as first specified ai,ove; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condenuration, the condemned premises being thereafter excluded hereirom. Purchaser states that Purcha=er is satisfied with the titl,• as shown by the title evidence submitted to Purchaser, for examination except: NONE t ` to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall aor until the full purchase price is paid. Closing I be entitled to take possession of the Property on__ .............. __ --.--.-:--•.-- �ladmilaat and AT.4TF. BAR OF WISCONSIN wi--,in Lepl.-mw k�o4 Iai FUaN No. 11-1982 Milwsurar, Wu. F STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/ bI ROUTE/BOX NUMBER 7 Z " ��fi � r 'w FIRE NO. CITY/STATE op to-S sT O/ & ZIP PROPERTY LOCATION: 1 1/9 J C 1/9, Section , T 30 N, R � ( W, -Town of 5;r- , St. Croix County, Subdivision cS-A Lot No. Improper use and maintenance of your septic system could result in its premature failbre 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 $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. _ SIGNED 11CD"U DATE 1.3 St. Croix County Zoning Office St. Croix County Courthouse 911 9th Street Hudson, WI 59016 (715) 386-4680 Sign, Date, and Return to above address RTR ENT OF REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS `" PERCOLATION TESTS 115 DIVISION AND ` . RELATIONS 1 P.O.BOX 7969 1Q, Pcck keW }►ui 16y (H63.09(1)&Chapter 145.045) MADISON,WI 537Q7 ' 4si S N: SECTION: TOWNSHIP/M4AMC1FA4LLTY: OT NO.:BLK.NO-: SUBDIVISION NAME: 4 / 31- /T30 N/R►9 E(or)W S4 ToS-Ep fig Gs � :,vC,_-- OWN R'S S NAME: MAILIN ADDRESS: Ph(rt Ek 1 Z,1 O Co '1u I k-r 5 T, S-4• /L1�v S S/D S USE DATES OBSERVATIONS MADE NO.BEDRMS : COMMER I PR D NS: S �esidence 3 �lNew ❑Replace N' RATING:S=Site suitable for system U=Site unsuitable for system ONVENTI NAL: MOUND: tN-GROUND PRISURE: S STEM-IN-FILL HOLDING TACR ECOMME NDED SYSTEM:(optional) ®$ DU ®S Q$ DU ❑$ ®U ❑$ D -rrRcAj CAc s If Percolation Tests are NOT required DESIGN RATE: LF y portion is the tested area is in the under s.H63.09(5)(bl,indicate: C I /I;,S,,,$' �' dplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS iN BORINGI TOTAL ELEVATION DEPTH T U GRONDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH IN, OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK,) 8,6 93-14-' >dpS 5j GR(3AJ- SIB 1,5' �a. sly G.S" T�ry cs e B-Z e,✓' 93.yz" 7'� s c, �.s - TAN s%; s�-- r�ti v elm B-3 /0"df 97 p 112)/C_ a.). sl, J,G ' TAN s-'l GS 3 (r h2 B- 0 .1�fG! �4r > 9. p 40' 1 Qa . 511 3. 0 ' T'N S,/ S o ' -r,�4 Vey 9, ' 51 A (3N 51 BN 51 2 .0 &N. IS 5. B- tw f4-. PERCOLATION TESTS A3 VERY GS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. P RI D t R O 2 PER INCH P- PZ y ` � P- P- s 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. L p W -T eC VC4,. _ 4�" D , ' I PRoPo3 ED #Q-4 E S TLS SYSTEM ELEVATION ff/0-ff T,eE�,. /% This test site AV; t'o v for a ccnventgrl �c, ,. 1 f Y, ,.,.(c,system. . - Tr r - 0 /d i I �s _ N d ?s _g!v s ,e' .44,h . p AA� T /412E�4!� ftE� S0 . G,A (E ni .�.....�,........_�.._._. E1EVArIo,J = , _ 1,the undersigned,hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin 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): TESTS WERE COMPLETED ON: ADDRESS: R1 UL8FW3 IT CER.,.IFICATION NUMBER: PHONE NUMBER(optional): �Z tt'�.:NSi71[l):R SIGI�R LIC.N0. ° � SI ATUR DISTRIBUTION:Original and one copy to Local Authority,Prone ty Owner d qiI Te ,a DILHR-S6D-6395 IR.02/82) O t4� ,AccESS MAP 1 � [vv oD5 X TEST R f2 t* 'N l f opea t-No// . APPRx . &00 ' ROAD z po�aEn �w� E a I , Y` —DEPARTMENT OF ,�...„, SAFETY&BUILDING$ ' INDUSTRY, REPORT ON SOIL BORINGS AND..:..� DIVIB) LABOR AND PERCOLATION TESTS (115) ;y��t MADISON WI 43. ' HUMAN RELATIONS IIuOJo sv• (H63.0911)&Chapter 145.045) e-6 13tjvea: Qfrak keN✓ cwCT ON: TOWNSHIP/MYMICIRALiTV: �: D s� 1/S'9/ 34 /T3oN/R14EI«)W S4 .70s, � i • Cs P�.t,v% rr- COUNTY: W p A $}•C(t0►x 'Tint fhIHER 210(0 7uliET' ST• S-I• �.1oI MN• S$/OS USE DATE$OBSERVATIONS MADE b DESCRIPTIONS:IPERCOLAJ ION T - �esidencs 3 N,�.• 14New ❑Raplaa Oc-/.Z 6-P7 Oe-f 2.4-P RATING:S-Site suitable for system U-She unsuitable for system ONV MOON N - -FILL OLDIN ANK: EC0MMENDED SYSTEM:Notional) ®s ❑u ®s ❑u s ❑u ❑s ❑s ©u TQEa.CAICS If Percolation Tests era NOT required DESIGN RATE: if any portion of the tested era is In the under s.HS3.09(51'a i"coca : L'1�SS floodpleiq Indicate FloodWain alevetbn: r PROFILE DESCRIPTIONS sv _DEtk4V,++- BORING �L ELEVATION P OBSERVED R WATER-INCHE TO BEDROCK IF OSSE VED S EI ABBRV SON COLOR BACK.)TEXTURE,AND DEPTH > 5' Dt.A,t.sl, I.s' ga.S!� G.S' rr✓ reta�eS B- 93.4,¢ �o- d's' j 6_Q - S 711- Tole 'vi S 'Teal 1449,_YJV2, > P 6e J , .S 3 l.,j Da. S! J-d'' T441 Sr , b,O T4v ae 8 7 .4/ , >�a.o CS ; r 1 >90 i�S'-xr. Q,,.,e. s ,I.3. s.o Ti 1Ns. SA' so'T�a, v B- t ar s ou , 2.0 N. s B-5 sy ' 8-, I. {+ PERCOLATION TESTS A) V6Ry CS A G•IL . ' y NUMBER INCPHES AFTERSWELOLING INTERVAL-MIN.E D RATE MINUTES PERINCH 'l P. 3.4-- P_y p. P. a P- PLOT PLAN:Show locations of percolation tests,soil borings and the dimensions of suitable wil emu.Indicate sale or distances.Describe what are the hurl• i zontal and vertical elevation reference points and show their location on the plot Plan.Show the surface elevation at an bonnie and the direction coed pmeftit of lend slope. o w •T,f?eA a,_ a 90, Q ' I PRopos ED (cut l►S I T7! SYSTEM ELEVATION q,6'f TfeE`4� , 9: 757 4s1 1 , / / 1 pi f F pile- or r • r r I . T x_ -_Pepe. 91 TN . ��Q\g� ,3; C Gs lf�5 S.r_ w .e ry 0” P. �d V t T ?CA, 6 so \ C 3 we es, cAi� 1 B.N.• l"1Roy 11>t , �0. 19.2-2- )— 1,the undersigned,hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified In do Wisconsin Administrative Code,and that the date recorded and Me location of the tests are cornet to the best of my knowledge and belief. NAME(print): T ST WERE C MPLETED ON: ' r HOWARE SEPI PURMW CO. p(4.2 .A DR .. /1,2 NUMBER:NUMBER: PHONE NUMBER optwrW: RDerallIULNOW yypy G-8/mss"SWUPFIR to WK IMPLI01 S DEMMER UC.NO.00663 S NATUR i 7' Y•• I DISTRIBUTION:Original and one copy to Local Authority,P,Opt.ty Owner and Soil Tester. nn car,cr.n.a�a�,iv n�aot A«es s MAP c I \I s woos X c,u , 09 APPRaY. (.eO' feor P-OAO - po�oFR Li^�E I Fresh Air Inlets And C' 7,ervation Pipe N, Approved Vent Cap Minimum 12" Above Final Grade ��, �" O M 4 Cast Iron Above Pipe + Vent Pipe' -to Final Grade trForSt 'r Synthetic Covering Min. 2 Aggregate Over Pipe " A. Distribution Tee - Pipe —'' 0 0 0 0 0 Aggregate O Perforated Pipe Below Beneoth Pipe o Coupling Terminating At Bottom Of System a µ. `V + • G 8 Zc1 %/P�ifJ�� �j Fresh Air Inlets And Observation Pipe ,h �- Approved Vent Cap Minimum 12" Above Final Grade /4/ OAA OF 4" Cast Iron Above Pipe — Vent Pipe' � I Final Grade -Marsh Huy-,Or Synthetic Covering Min. 2" Aggregate Over Pipe r Distribution Tee ' Pipe 0 0 0 0 ! �� �. " Aggregate o Perforated Pipe Below Ali Beneoth Pipe o Coupling Terminating At Bottom Of System c - x a 70cmocn 21e, m :; c+ m z -v \ � zcyzs If to `n 1 I� r hb v a, A t �. c 0 o r;, ,i II a N e - In t0 (D W O X M N z J W O 2 f- W -- -- �- _.� W O O W cli �\ 0 O \ Z l i. E 28"' 345.00 659. 33' S ORNER H L E OF THE SE 1/4 S. CTION 34 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, G DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS SEIlew ; Al"Al [&j FP (ILHR 83.09(1)&Chapter 145) LOCATION: SECTION: TOWNSHIP/(ifrtiidtCt�AttT'f LOT NO.:BLK.NO.: SUBDIVISION NAME: 5 - 1 SF�� /T3D N/R E (o Si J '- / Cs — /� 4�S' COUNTY: O NER'StBUYER'S NAME: MAILING ADDRESS: . Aim ? Gismo/� .� //� �j Z }�v,�sr�/� >�i�/ lJ , .�-f v o,�'a•J 4i lS USE DATES OBSERVATIONS MADE POO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: RCOLATION TESTS:Residence New ❑Replace s 7 /_ RATING:S=Site suitable for system U=Site unsuitable for system / \ �l DQS r ONVENTIO❑N�. IMOUND: �� ❑� IN-GROUND P❑�RE: SY❑STEM-I�ILLHO�LDING�NK:REC9,M�ND�-3Y��M�t�al� If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s. ILHR 83.09(5)(b),indicate: C G,+SS �- Floodplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER DEPTH 4N, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B-� •3 � �� 5^�l � — >� 3e /cs& G� 33 01ai- s, , y_a �9,vUwE-?e/ 4.2 7 S ' O,P , 4,T B- B- B- B- a loe� c,_ eltbl/4710-0f PERCOLATION TESTS Sg!Z_- O.P%6/-ti j/ /Pt�j— TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES ' NUMBER INCHES AFTER WELLIN INTERVAL-MIN. PERIOD 1 PERIOD 2 P D 3 PER INCH P- s.2 Z• 4 y / I P- /. P- 4 L 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. SYSTEM ELEVATION Z S ii -- A _��P,Ro`v� � c-C IN0 yj F ` f 3 ! ( ( € D�V r S__r:10__r:10 a G r i E , _. [ I 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): HOMESITE SFPTIC F TESTS WE E COMPLETED ON: 655 O-NEIL RD.,HUDSON,WIS.54018 /0 — /� (7 ADDRESS: CERTIF ON NUMBER: PHONE NU<MBEd optional): WIS.MASTER PLUMBER LIC. R.C ENO.00663 2,V 2� J1 - l CST SI NATURE: DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHRSBD-6395(R. 10/83) —OVER — INSTRUCTIONS TIONS FOR COMPLETING FORM 115 -S 4 6535 To he, a romple'ie and accurate soil test,your report must include- �� 1. Complete legal description; S1 Z. The ease section must clearly indicate whether t tis is a residence of commercial project; J 3. MAX IM UM number of bedrooms or cormnercial use planned; � 4, Is this a new car�epla€.ement system; l B. Co;nplete the suitability rating boxes. A SITE IS SUITABLE FOR A HGL JIa41 r 0NLY IF ALL � OTHER SYSTEMS ARE RULED OUT BASED ON SOIL C B. PLEASE use the abbreviations shown hers fo g profile descriptions and compf�p ot p"I last; 7, MAKE A LEGIBLE diagram e y locati°7 g your test location r.aa rtcj fo cs ale is preferred. A ,3epar'ate.sheet �� y-fi�eeseri if c#esire<f; B, ure your lieric;hmark and vertical gl t�r�ferenc<:�point a��e clearly shown,and rare permanent; S 1 9. Complete all appropriate �t:o dates,names,addresses,flood plain data,percolation test exemp- C'% Lion,if appropriate: � N 10 If the informat°on (such as flood plain,elevation)do4o not apply, place-N,A.in the appropriate box; pa 11 Sign the form and place your current address and yr,ldr certification number; � �! 12 Make legible pies and distribute as require( , ,QLL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTH• RITY WITHIN 39 DAYS OF COMPLETION. u 44 s BBREVIATIONS FOR RTIFIED SOIL TESTERS arates and Teco'ures h Other Symbols I1 st -- Saone `>var 1 ") BR — Bedrock cob Cobble ( -10110") SS Sandstone _ gr — Cravei #unrler '°) LS — Limestone <s Sand HGW High Groundwater � �-- cs -- Coarse Sand . (bL%P€.rc — Percolation Rate rued s Medium Sand o • W Well fs Fine Sand Building H Is Loamy Sand > —deafer-Nian Sandy Loam < A'I e,ysss Th7trip �— ar -p \ Bn _... Be)41� sil Silt BI �k _4 A si. Silt Gy ..... Gray 7 6, �? CI Clay Loam Y — 'Y`ello141 •��/ �j�1 ` ` v • ;�.. scl --- Sandy Clay Lc>ar � �_ �� ..._ Red • �Q sir - Silt: `!' L r. of -Mottles � ., s�_.. San y Clay W.. vith��� s Silt Clay �, fff '�Fe � faint ` ~ ' C� ` i ter Pvt �� �� �� —� Ii3r� Pn ed"aldri"h_ �y� — Muck 'd, p `_l'+*r2,l l � I-IWL -- HI .h W771 I ? Z Six general sail to ct:€.i"es Surface for liquid tivaste disposal �p ench lyla k 9•r�,�����` �� � re ertical Reference Point • 3 J " (,L ry ('Q k '617� � ;—Z SL �'� • � �>',elf/ l �- , � I l l \A i TO TH ,IOWNER: C`9� [Chic soil test report i4 first step i11 securing a sanAy permit. The county or the Department may requ t t X-verification of this s!/ill test in the field prior to 14ermit issuance. A complete set of plans for the priva sewage system and permit application must be/submitted to the appropriate local authority in order t obtain a permit. Th sanitary permit must be ob ained and posted prior to the start of any construction. f `�\ / M kQj a DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS 1115) P.O. BOX 7969 HUMAN RELATIONS \ / MADISON,WI 53707 Se//ew : '�'ll h I�t(M�,� (ILHR 83.09(1)&Chapter 145) LOCATION: SECTION: TOWNSHIP/MHfdt@tPxtt7T1`: OT NO.:BLK.NO.: SUBDIVISION NAME: Sr 1/ SF L4 3 /T3oN/R E (o sr fore rte- l9etfS1 COUNTY: O NER'S S NAME: MAILING ADDRESS: Al L//2- H aoTek_ USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: r� R A STS: 4�� Residence New ❑Replace C f� 7 � �_. J 'o RATING:S=Site suitable for system U=Site unsuitable for system r�NVENTI��. MOUND:�� �� IN-GROUND-PR�� �� E: SYSTEM-FILL Ha SG©�TANK:RE SYSTEM:J tal�� DQ If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b),indicate: C G�SS �— Floodplain,indicate Floodplain elevation: — PROFILE DESCRIPTIONS BORINGI TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER IDEPTH 4N. ELEVATION OBSERVED EST.HIGR_ES?_TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) B-� �sl CS' ies � a� ' 6•`s B- B- j B- B- d SOet q_ e/&g7/4_0f PERCOLATION TESTS Ste' 0veliI.u,// /l,&W)'-' TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER WELLIN INTERVAL-MIN. PERIOD t PERIRD 2 PER INCH P- 5 2 Z y P- t. P. Z I P- I I I 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. SYSTEM ELEVATION Z S i 4 11T { I S TM f _- _. 1,the undersigned,hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. I NAME(print): HOMESITE SEPTIC TESTS WE E COMPLETED ON: 655 O'NEIL RD.,HUDSON,WAS.541118 ADDRESS: Re—on.0-2WHI WIS.MASTER PLUMBER LIC.N0.3307 M.P•R• . CERTI IC ONER: PHONE NUMB E l ptional): 0663 1 DESIGNER UC.NO.0 CST S31 9NAATURE: j I DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. ` DILHRSBD-6395(R. 10/83) —OVER — I I L - I / ly O Ou l 4A (`p 1 M N 1101 Ca MWted Road,Hudson•wI (?15)3864680 st. Croix County (715)3864686-fax Zoning FcAp3x To: V�1(Z©L� From: l►� CJ �✓4'�'` pages: ! Phone: 7 3 5 Date: �� 2 Re: �. �'��• �ito CC: ❑UcUent ❑ For Review ❑Please Comment ❑Please Reply ❑Please Recycle o Comments: Y ST. CROIX COUNTY WISCONSIN '"'"'�• _____ _. '� ZONING OFFICE B I N I IN■ ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road �•� � = ------- Hudson, WI 54016-7710 (715) 386-4680 FAX (715) 386-4684 February 11,2002 Michael and Barbara Howland 698 County Road E Hudson, WI 54016 RE: House addition,Town of St. Joseph, St. Croix County Dear Mr. and Mrs. Howland : You have requested the Zoning Office to review your remodeling project for compliance with the state sanitary code (COMM 83). When remodeling or adding onto a dwelling you are required to examine whether or not the construction involves an increase of wastewater. I have reviewed your project plans and it is my understanding that you plan to reconstruct an area of the existing residence. The project will redesign the roof area above the room atop of the existing spiral stairway, along with some other minor changes to this room. The existing dwelling was constructed with four bedrooms. The septic system was sized for a four-bedroom structure and installed by Robert Ulbricht (#226375) in 1989. This project will not add additional wastewater load to the septic system. To prolong the life of the system, remember to have the septic tank pumped once every three years or when the tank becomes 1/3 full of sludge and scum combined, which may occur in less than three years. Other efforts to prolong the life of the system could be as simple as fixing or replacing plumbing fixtures with water conserving fixtures, reducing shower time, washing dishes when the dish washer is full, avoid using a garbage disposal, using a wash machine with a suds saver feature, etc. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. The property owner has met all the requirements of COMM 83.055 and can proceed to obtain a building permit for the proposed house addition. Should you have any questions,please contact this office. Sincerely, Kevin Grabau Zoning technician