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HomeMy WebLinkAbout038-1156-10-000 � I � I o N � i C Q T ry W N U� UM N _N E Qc) N O U a� ti Z c a O �+ o Mn Q H ac a M z E z $ � a E z T a m N H Z O C U O �Z c co O d Z c Z N F- T c E 01 3 C •Wa d L O O O O N Qw Z m Z N zl I N G 16 c N }^ 0 0 C aL+ U c !V $ y O Q � � coa E p N N N > o Z T o o n a z 0. p I CL CL CL 4)fq J U Z rn rn _ Q O CL p N y m Ica w Q d Q } fn Q C"i O W 7 ate. O N O E Lo O ~ O V d O n ' J N N f_pA lCd N V W Ln C N C N d p a Ln CL p N Z Z • M N @ f0 N O N N .0 Sr O N (n Z O Z = H Fp- O 2 '" a a� .� d CL r`Iv + E 3 'o r A L) m ', 0 co U j Parcel #: 038-1156-10-000 02/10/2006 12:11 PM PAGE 1 OF 1 Alt. Parcel#: 22.31.18.721 038-TOWN OF STAR PRAIRIE Current I 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 CHRISTOPHER J&SHANNON HOPPE O-HOPPE, CHRISTOPHER J &SHANNON 2084 ASPLUND RD NEW RICHMOND WI 54017 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *2084 ASPLUND RD SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 0.770 Plat: 2230-NORTHWOOD SEC 22 T31 N R1 8W PLAT OF NORTHWOOD LOT 1 Block/Condo Bldg: LOT 01 EXC PT TO HWY DESC 993/456,457 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 22-31N-18W Notes: Parcel History: Date Doc# Vol/Page Type 12/07/2000 634905 1565/422 WD 07/23/1997 993/456 WD 07/23/1997 6,40 07/23/1997 843/21 q 2005 SUMMARY Bill#: Fair Market Value: Assesse with: 119969 212,600 Valuations: Last Changed: 10/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.770 19,300 189,600 208,900 NO Totals for 2005: General Property 0.770 19,300 189,600 208,900 Woodland 0.000 0 0 Totals for 2004: General Property 0.770 19,300 189,600 208,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 124 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Y. T �`,fit:'��• •pill j- R K M :� d i�i�, � AN r .. � �'j'�a�i a �',..r! �� wi rVw 3_A+i,v `"Yr+.rL' S .. •. c ^rr� ou Lo Js . 1, h't q 4 0 �•;�� t",cad ., t RON wM'l MIENMYNp ,. �: -e�'"�•, 'rY rS", a FayjdG y,l tk. �.�, . lYfQ 1_8&/61MEAL fT �AIl.OTi1CR - ✓ V tTArCKD 114771 Ike' fO0 1RQAI►Ii+E B1I fC t ,... ag UTILITY QA9EME TSt-WIC7N� ` .. ¢ l�tln O alecTwN 42,t31 M.R 16 N1 'i SOWN _ -to* MORT A"r CX11WER uNP1.ATT�U - - g -� V 1 WC +AI 4Y21 T311M.IRtaW / l Y r – `,jr{{. M— _' .–�' • •},�yw KEY. _ '{' __r,+'• � '•��Mt.� * 1 1131¢ �4 x ftlo sulOw4Y4Y t *. '� u r �� YOl 11! E Iti 1� 1 wo ra � � ��`�_~ 't ' ,� \R.r I c� ' a •cry+ 299.23 1: 12 ---- SS106' tr'uod 9 410 W N E 4016 �t D47 ST •IV 615' lO.TH Liter OF "It NI/2 Cf'THE NWI/4 1218.37' i lkicca o[o w VOL.1�►Ap[NI I _UNPI_AT•tED LANDS N 891'41'W W OWNED BY OWNERS iRVEYOR'8: CERTIFICATE COUNTY TREASURER'S CERTIFICATE I,ARTHUR J-NASA R.REGISTERED LAND SURVEYOR,HEREBY STATE OFwISCONSIN O x ;,.(EATtw•Yi �ga THAT IN PUI.I. COMPLIANCE WITH THE PROVISIONS OF 5T.CR01X COUNTY i WU1P'TER it" OF THE WISCONSIN STATUTES ANO THE SUBDIviSION 0 AEUULAT10Ng OF THE TOWN OF STAR PRAIRIE.AND UNDER THE I'LAWRENCE 'BEING THE COUNTY F SLCR W,00 HER AND ONECTION OF LARRY F. D ACTING TREASUREIM OF THE COUNTY OF SI.CR01X,00 HEREBY q ., AHO SUZANNE SIJZAMNE HANSON,OWNERS Of SAIU ? ' `',,•,,_' LAND. 1 HAVE Yt1RVfYI;D,DIVIDED AND MA rERTIFY THAT The HLCORUS W MY OFFICE SHDW NO UNREDEEMED T; / PPEO NORTH TAX Silica AND NO UNPAID TAXES OR SPECIAL ASSESSMENTS AS OF %} ?HAT fUCR htAt CORRECTLY REtrtESENTS ALL EXTERIOR 80dN0AN1Ea ANO THE YUBOIVISION OF THE LAND SURVEYED; AFFECTING TfIE LANDS INClL1(]ED IN TNE•PtfiTpFNOAT){, q AND THAT THIS E_ � ..r YI LAND 19 LOCATED IN THE NWI/4 OF THE NWI/4 AND IN THE NE 1/4 Of THE NW 1/4,SECTION 22,T31N,AlaW,TOWN OF y STAR PRAIRIE,ST CROIX COUNTY.WISCONSIN, TO-WIT, CERTIFICATE OF TOWN TREASURER COAiNENCINCG AT THE NORTHWEST CORNER Of SAID SECTION, STATF pF wISCo NS1N)SS THfNCX IYD'22'19'W ALONG THE SECTION LINE 790.47'TO THE ST CkU1X COUNTY Lu CtNTERUN6 OF C.T.N."C',SAID POINT BEING ALSO THE POINT F 1,RICHARD RING, BEING THE OtVINNINOt THENCE N 76• E' DULY N STAR D,PRAIRIE. ER ,l' 50 00� ALONG SAID LINE 883.67'TD ACTING TOWN TREA'uRER OF THE TOWN STAq PH.:1R1E,00 HEREBY -1X " 'z'• YWf WKST LINE OF A CERTIFIED SURVEY MAP RECORDED IN VOLUME CERTIFY THAT IN ACCORDANCE WITH THE RECORDS IN NY GFFICE, .,I,11AGS 123 OF THE ST.CROIX COUNTY CERTIFIED SURVEY MAPS; THERE ARE NO UNPAID TAXES OR UNPAID SPECIAL ASSESSMENTS ST T"EK'Wr22'15"W ALONG SAID LINE 526 74'TO THE NORT14 LINE OF AS OF /9 7 7 ON ANY OF THE LAND iNCWUED IN THE ST L,DT Z OF SAID MAP;THENCE Y b9°4103'E ACDNG 5410 LINE j33.jS' SAT OF OkT ��/gCa.i [ 5•} TO 1'10 CENTERLINE OF A TOWN ROAD I THENCE N 14*22,30 W ALONG �'w000. s4N)LINE 58996 TO THE CENTERLINE OF C.T.N."G THENCE N74°S(iOdE GATE NI iIWD K1NiG1, REASURE•R 1�7 e°` 444 SAN7 LINE 14104 I THENCE NORTHEASTERLY 225.41'ALONG TJ YH(ARC GJ A 1CIOOOO RACrUS CVRVF CONCAVE SOUTHEASTCHI.Y CQ f,�'.., AN• s Form — STC — 104 S BUILT SANITARY SYSTEM REPORT OWNER 2A TOWNSHIP SEC. T N-R�F1 i ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION LO'r LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•LHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM �c K i 1 —,sue Aid/ INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used /'L.' � Elevation of vertical reference point: Proposed slope at site: G SEPTIC TANK: Manufacturer:/7' . quid Capacity: _� m4 Number of rings used: �, Tank manhuTe cover elevation: , 2!2 Tank Inlet Elevation. Tank Outlet Elevation: i ' Number of feet from nearest Road: Front,O Side,O Rear, feet From nearest prai,_:i:c, line Side , /, feet� ,O Number of feet from: well z 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,O Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: /� Trench: Width: Length: of Lines: Area Built Fill depth to top of pipe: e Number of feet from nearest property line: Front, O Side, O Rear ( Pt . ",z, Number of feet from well: Z 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, OVt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: - Plumber on job: License Number: Tj 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR,&.HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION i P.O.BOX 7969 BUREAU OF PLUMBING MADISON,WI 53707 ❑ NM MADISON, 4,Sec. 22 ,T31-R18W CONVENTIONAL ❑ALTERNATIVE State Plan I.D.Number: fit assigned) Town of Star Prairie ❑Holding Tank ❑ In-Ground Pressure ❑Mound Ct . Rd C NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE �3 od Larry Hansen 714 BENCH M RK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN. REF.PT.ELEV.: CST REF PT.ELEV. Name of Plumber. /MPRSW No. County. Sanitary Permit Number: MP Calvin Powers Jr. 1563 St. Croix 1128672 SEPTIC TANUUOLDING TANK: MANUFACTURE : ILQUID CAPACITY: TANK INLET ELEV.. TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED. PROVIDED �OOb �ro, 3 0 Q� t� YES ❑NO ❑YES ®NO BEDDING: VENT DIA.: VENT MATIL HIGH WATER NUMBER OF ROAD: PROPERTY WELL. BUILDING. IVENTTOr;TESH ALARM FEET FROM LINE: AIR INLET. ❑YES 2 Duo -1- ❑YES 9wO NEAREST `O ` O-1 DOSING CHAMBER: MANUFACTURER. BEDDING: LIQUID CAPACITY UMP MODEL PUMPISIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED. ❑YES NO ❑YES ❑NO DYES ONO ET TO F GALLONS PER CYCLE: JPUMP AN U CONTRO LS OPERATIONAL. NUMBER OF PROPERTY WELL BUILDI N(: AIR INLET fiE H (DIFFERENCE BETWEEN FEET FROM LINE PUMP ON AND OFF) OYES ❑NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LFNG rH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: LENGTH NO.OF DISTR.PIPE SPACING COVE INSIDE DIA. SPITS LIQUID BED/TRENCH TRENCHES V I MATERIAL: PIT DEPTH DIMEN810'NS 1'a, 5 - GRAVELDEPTH FILL DEPTH DISTR.PIPF DISTR.PIPE DISTR.PIPE MATERIAL. NO.OI NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH BELOW PIPES ABOVE COVER ELEV.INLET ELEV.END PIPE LINE. AIR INLET. �\t tt FEET FROM 34 c�_I a NEAREST 5� �� aS �'•� 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 NO SOIL COVER ITEXTURE P ERMANENT MARKERS OBSERVATION WELLS DYES ONO DYES ONO DEPTH OVER TRENCH'SED DEPTH OVER TRENCHiBEU DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES. ❑YES ❑NO 1-1 YES ONO DYES ONO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH. NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES DIMENSIONS MAN IFOLO PVM MANIFOLD DISTR.PIPE INIANIFULDMATEFIIAL IND DISTR DIS R. I DISTRIBUTION PIPE MATERIAL 6 MARKING ELEV, ELEV.. DIA. ELEV.. PIPES DIA.: ELEVATION AND 'DISTRIBUTION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MA'iERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION ; PLANS DYES ONO ❑YES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: / FEET FROM LINE: ❑ YES ❑NO ❑YES El NO INE.'REST f . � 5v t 7 � 7 7- I � �. ------------ Sketch System on , � Retain in county file for audit. Reverse Side. SIGNATURE: TITLE DILHR SBD 6710 IR.Ot/821 2ct�n 1 h i IL.HR SANITARY PERMIT APPLICATION ins 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 ❑ 8%x 11 inches in size. c eck i .vision to prevwus application -See reverse side for instructions for completing this application. STATE PLAN I.D.NUMBER I. APPLICANT INFORMATION–PLEASE PRINT ALL INFORMATION. PROPER OWNER PROPERTY LOCATION '/a '/a, Lf , N, R E(or PROPERTY OWNER'S M ILING ADDRESS LOT# BLOCK# CITY, ATE ZIP CODE PHONE NUMBER SUBDIVISION NAME CSM NUMBER II. TYPE OF BUILDING: (Check one) CITY NE EST AD ❑State Owned ❑ VILLAGE M TOWN QF Amu :0 ❑ Public ❑1 or 2 Fam.Dwelling–#of bedrooms SL P R ELTAX NUMBER(S) 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 El merchandise: Sales/Repairs 11 El 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) 1.0 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 i 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 12.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 _<1Z 9 Feet Feet VII. TANK CAPACITY I Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted El Septic Tank or Holdin Tank dJ" Lift Pump Tank/Siphon Chamber VIII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of nsite sewage system shown on the attached plans. Plum is ame(Pr' t): Plu er's Signat e:( ) MP/MPRSW No.: Business Phone Number: 3 l.r5- Plumbs 's Ad ress(Sire ,City- ip Code): IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee(includes Groundwater roue Water Date Issued Issuing Agent Signature(No Stamps) Approved ❑ Owner Given Initial /� o� �� /– -I °� Adverse Determination / q 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 T 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. 111. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 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) i I I 1 I I - �� 1 I 1 1 I I I 1 I I I I I 1 I 1 _ - I - - - --- --I- - - - FTI I • ' n PAGE OF `,rvsS SzC � 1pr1 p � A Zito SySJen-) froth Ali Inlal► And OD►orvallon pipe i� Approval Vent Cap / Minimum 12'AOora '1/-F j � L��v final Cod. 20-42'Above Pip' _4'Coal Iron To final Orada Vent Pipe tlarah Nor Or SanlMlk Coraring win 2'Apprapola - Over Plpt 01411111ulion Plpo 0 0 0 --Too . d' Bath Pola Parlorolad PI a below 6anaalll Plpa a p o Coupling Tarminollnp At 9ollom 01 Sralam P�p�o)eD 9. � � SOIL FILL DISTRIBUY10f.1 PIPE APPROVED SIWT14ETIC COVER ` ••`-r1NT�IZIgI OR 9' OF STRAW 2"oFAG69EGATE - OR MARSH HAS FLEV. O �� ,,p b� fo0Fl2 -Z1/2 AGGREGATE DIS'rRllj'JTIUW PIPE To BE-AT LEASTG--;24 IMCHES BELOW ORIGIMAL GRADE AWU AT LEA$T LO IIJCHES BUT 1.10 MORE THAI) 42. INCHES BELOW FINAL GRADE MAXIMUM ©aPTH OF EXCAVAT100 FXOM OWMAL 6KAoF- WILL BE �` _ IIJCHES rimmuM 9EPrtl of EACAVATIoN F'PjOW\ 04�16IWAL (RAPF- WILL BE INCHES 51GAJED: LICEWSE DUMBER: _�1)& DATE : �� -U OtVARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS IND,IJSTRY, DIVISION LABOR P.O. BOX 769 ` HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 (H63.09(1)& Chapter 145.045) LOCATION: SECTION: TOWNSHIP! TY: LOT NO.:BLK.NO.: SUBDIVISION NAME: NW 1/4 N01 22 /T 31 N/R 18TXor)W Star Prarie 1 1 n/ n a COUNTY: OWNER' AME: MAILING ADDRESS: St. Croix Larry Hanson Box 734 Hudson Wi. 54016 USE DATES OBSERVATIONS MADE IND.BEDRMS.:1COMMERCIT_L_UE_0RIPTIO_N7_ PROFILE A ES�esidence 3 n/a QNew ❑Replace 9-29-89 -29-89 T : RATING:S-Site suitable for system U-Site unsuitable for system [CONVENTIONAL: MOUND:❑� IN-G®ND- Ra UR. : S S�EM-1N-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional) S U fL. S S U S Lg7t 1 S}MU conventional If Percolation Tests are NOT required DESIGNrRtTE: I If any portion of the tested area Is in the under s.H63.09(5)(b),indicate: Floodplain,indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS a 11 BrC2 BORING TOTAL DEPTH T GROUNDWATER-INCHES CHARACTER OF SOIL WIT T ICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER DEPTH= ELEVATION OBSERVED EST.HIGR-EST TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) B- 1 6.92 96.00 none >6.92 58bl.l. 1.00bn.s.sil. 1.42bn.l.gr. 3.92bn.c.s.&gr B- 2 7.09 95.79 none >7.09 .67bl.1. .83bn.sil. 1.42bn.l.gr. 4.17bn.c.s.&gr. B- 3 7.33 95.79 none >7.33 .83bl.1. 2.00bn.l.gr. 4.50bn.c.s.&gr. B- 4 7.25 96.88 none >7.25 50bl.1. 2.00bn.l.gr. 4.75bn.c.s.&gr. B- 5 7.50 97.00 none >7.50 .92bl.1. 1.83bn.s.sil. 1.00bn.l.gr. 3.75bn.c.s.&gr. B- decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBEROMOUX AFTER SWELLING INTERVAL-MIN. PERIOD I PERIOD2 PER INCH P. 1 3.71 none 3 6 P. 2 3.50 none 3 6 P- 3 3.50 none 3 6 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. SYSTEM ELEVATION 92.29 : l _ r f I -7 _�. �... •- -..i Aft V �_ wI/r1.11nK . E i.• loo; ! ..._'_._! . ..Y - 4 - -�� S17 1 J . Or j I 1 � 2 d . ._ . 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): TESTS WERE COMPLETED ON: Gary L. Steel 9_29-8 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): 988 N. Shore Dr. , New Richmond Wi. 5401 _ _ CST SIGNAT DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — 1 STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ^ ROUTE/BOX NUMBER '73 FIRE NO. CITY/STATE ` .� C� � � vie• ZIP PROPERTY LOCATION: A�hL_114 �JZh) /4, Section_, Tj,_N, R_a W, Town of St. Croix County, Subdivision , Lot No. Improper use and maintenance of your septic system could result in its premature failure 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 Co Zoning Office within 30 days of the three year expiration date. SIGNE DATE St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address 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 Location of property X1/4 ,a,� 1/9, Section , T_Z2 N-R__e_W Township ,t,, Mailing ad Tess 3� Address of site Subdivision name Lot number / Previous owner of property 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 No Volume and Page Number , 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 re orded 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 constructio of said system, and the same has been duly recorded in the Office of the C y Re of Deeds, as ocument No. ) . ignatur of Owner Signature of Co-Owner (If Applicable) Date of Signature Date of Signature I I DOCUMENT NO. STATE BAR OF WISCONSIN—FORM I WARRANTY DEED 3266 THIS SPACE RESERVED FOR RECORDING DATA 54 8 0 0 r P A"t THIS DEED, made between--Rose Carr, alca HoL;e Mary Carr, a RL-GIS-14-ERS OFFICE widow, ST. CFi0JX co., WIS. Rocd for Record this-4L11- Grantor day Of A.D.19-75 and Larry F. Hanson and Suzanne Hanson, -husband-and wife,_ as joint tenants, t- 1) 39_____P_ M Grantee, Witne s aeth, That the said Grantor for a valuable consideration---,Four -------- - Register thousand and no/100 dollars ($4 QQ OQ) of Deeds conveys to Grantee the following described real estate in St. Croix County, RETURN TO State of Wisconsin: Eric J. Lundell New Richmond, lh?i Tax Key # This is----homestead property. A parcel of land located in the W4 of the NW'-& of Section 22-31-18, more particularly described as follows: Commencing at the NW 8orner of said Section 22; thence S 01029'00" E 784.77 feet: thence N 76 5010011 E along Centerline of C.T.H. ,c,, 895-671 to the point of beginning; thence continuing N 7605010011 E 188.42 feet; thence S 1402213011 E along the Centerline of a Town Road 754-00 feet; thence S 0602212111 E 48.(,4 feet; 72 NSFER': thence N 89041 '05" W 380.80 feet; thence N 00022'1511 E 733.79 feet to the point of beginning, containing 5.00 acres. FEE Subject to C.T.H. "C" Right of Way over. the Northerly 33 feet and Town Road Right of Way over the Easterly 33 feet thereof. Together with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining; And Rose Carr, aka Rose Mary Carr warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except no exceptions and will warrant and defend the same. Executed at New Richmond, Wisconsin _ _this 27th day of April 19 75 1: SIGNED AND SEALED IN PRESENCE OF (SEAL) Rose Carr (SEAL) (SEAL) (SEAL) Signatures of Rose Carr, aka Rose Mary Carr authenticated this 27th day of--AP—ril -2d1s 171A/Mdell_ ----------- Title: Member State Bar of Wisconsin &X9KXKXXMX STATE OF WISCONSIN ss. --County. JJJ Personally came before me, this day of------ 19_ the above named ------- to me known to be the person— who executed the foregoing instrument and acknowledged the same. This instrument was drafted by Eric J. Lundell, New Richmond, W1 Notary County, Wis. The use of witnesses is optional. My Commission (Expires) (Is) -_-.............. Names of persons signing in any capacity should be typed or printed below their signatures. FORM NO 1 — 1071 WARRANTY 1)F.FT)—STATF. RAR OF WT.qcnNS1N. vas �� 1 ��L, y v � ��� � �" c�� � ,. �� r1a +� � �� �� �:, .,�"" ° �T^'" r;.=g ..• �' �,.p �,;zr.+� �� �, A . .,: ��