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HomeMy WebLinkAbout022-1078-10-000 \ « CD § j CD ; « % ( . 0 / m . m aQo E') b Em 2 L } � ` � • �� � 0// . t ®�k0 « 5a � W $%� $ 2E ) Z k k/k , C _ ® $ c �_ / Qaa � \ k\ 0: Cl) j z u . E § \ � t & � I,- / § IL m � § k z 2 } • � � , $ z - e ® « ■ e 2 ( / E \ ] . ! \ [ } } � ) 0 } D k } 0 c § k £ § CL k - , ■ ® b 8 \ \ UL � \ z ¥CD a 000 CL ) \ § � k \ ° o \ \ 2 / k ) § k = / E a $ , § » 2 % 0 $ \ J z f / , § / j f ƒ Q g » § � E E ) , \ M 2 2 § § o ® � f c _ r « . ■ a 3 t i 2 . s o - g / / - & 5 � ' t � o � / k if g o z / z z ■ n � © , � E 2 / M ( a E $ ka / : k 0 a 2 0 2 v . Parcel #: 022-1078-10-000 01/12/2006 03:41 PM PAGE 1 OF 1 Alt.Parcel#: 27.28.18.P431 C 022-TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner JAMES D MEYER O-MEYER,JAMES D 113 CTY RD JJ RIVER FALLS WI 54022 Districts: SC=School SP=Special Property Address(es): "=Primary Type Dist# Description * 113 CTY RD JJ SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 6.760 Plat: N/A-NOT AVAILABLE SEC 27 T28N R18W PT SW SE THAT PART OF Block/Condo Bldg: SW SE KNOWN AS PART OF LOT 1 CSM 7/1994 ASSM'T INC 022-1078-70 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 27-28N-18W Notes: Parcel History: Date Doc# Vol/Page Type 05/25/1999 603759 1429/51 QC 07/23/1997 817/408 2005 SUMMARY Bill#: Fair Market Value: Assessed with: 143813 349,200 Valuations: Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.760 90,000 263,100 353,100 NO Totals for 2005: General Property 6.760 90,000 263,100 353,100 Woodland 0.000 0 0 Totals for 2004: General Property 6.760 43,000 202,000 245,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 118 Specials: User Special Code Category Amount I Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 *DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MADISON,WI 53707 LCONVENTIONAL ❑ALTERNATIVE State Planl.D.Number: S�%,S�%,S2 7,72 SN-R 1�GI Of a,,,9nea1 Town o6 KinnicFif,nnie ❑Holding Tank ❑In-Ground Pressure El Mound CTY J " NAME OF PERMIT HOLDER ADDRESS OF PERMIT HOLDER: INSPECTION DA E G O t James Meyers Raute 3 Sax 21A E2.P�swonth W1 54011 BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.. Name of Plumber MP/MPR SW No.'. County Sanitary Permit Number: Thomas A. Clan I3231 St. Cnaix 112756 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY'. TANK INLET ELEV.. ITANKOUTLET ELEV_ WARNING LABEL LOCKING COVER PROVIDED. PROVIDED ❑YES ❑NO ❑YES ONO BEDDING: VENT DIA.. VENT MATE. HIGH WATER NUMBER OF ROAD: PROPERTY WELL. BUILDING. VENT TO FRESH ALARM FEET FROM LINE AIR INLET DYES ONO DYES FIND NEAREST DOSING CHAMBER: MANUFACTURER BEDDING. LIQUID CAPACITY PUMP MODEL. PUMP/SIPHON MANUFACTURER LABEL LOCKING COVER JPWARNING ROVIDED: PROVIDED: ❑YES ❑NO ❑YES ❑NO DYES ❑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) DYES [11 NO NEAREST illp SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing I LENGTH DIAMETER IMATERIALAND 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: BED/TRENCH WIDTH LENGTH NOE NCHES IDISTR PIPE SPACING MATERIAL: PIT INSIDE DIA 'PITS LDI pTIED DIMENSIONS GRAVEL DEPTH FILL DEPTH UISTH.PIPE DISTR.PIPE DISTR.PIPE MATERIAL. NO.DISTR. NUMBER OF PROPERTY WELL BUILDING. VENT TO FRESH BELOW PIPES ABOVE COVER. ELEV.INLET ELEV.END. PIPES FEET FROM LINE AIR INLET NEAREST Bpi MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. E]YES 1:1 NO SOIL COVER TEXTURE PERMANENT MARKERS OHSEHVATION WE 11 ❑YES ❑NO DYES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOI L SODDED SEEDED MULCHED CENTER EDGES El YES ONO ❑YES ENO 1:1 YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES. DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL IN O DISTR DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKIN(, ELEV.' ELEV.. DIA.. ELEV. PIPES DIA.: ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED 1:1 YES ❑NO PLANS ❑YES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS'. NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE DYES UNO 1OYES El NO NEAREST Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE. TITLE Zoning Admiw%sfitcatan DILHR SBD 6710(R.01/82) SANITARY PERMIT APPLICATION COUNTY (� - Lf ®ILHO In accord with ILHR 83.05,Wis.Adm. Code , 1?6 �. ,.:.....,�.,.o. STATE SANITARY PERMIT# //a ys6 —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES ®NO PROPERTY OWNER PROPERTY LOCATION Q pe4n- PROPUTY 357%S '/a S _ Tc9p N, R E 2 OWN S MAILING AD ESS LOT NUMBER ,: BLOCK UMBER SUBDIVISION NAME zhb�lp S AT ZIP CODE PHONE NUMBER CITY EAREST FICA KE OR LANDMARK ly ❑ VILLAGE : II. TYPE OF BUILDING OR USE SERVED: �' O7 Number of Bedrooms if 1 or 2 Family OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. tgNew b.❑ Replacement c. ❑ Replacement of d.❑ Reconnection of e.❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit# Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in#1 and only one in#2) b. ❑Alternative c. ❑ Experimental 1. a. ❑conventional p 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. seepage Bed b. ❑seepage Trench c. ❑ See a e Pit x 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIR D S uare Feet): PROPOSED(S_0 uare Feet): iN r� Feet Private ❑Joint ❑ Public VI. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION Manufacturer's Name Con- Steel Plastic New xisting Gallons Tanks Concrete structed glass App. / Septic Tank or Holding Tanks Tanks Tank /Ot7� Ij Lift Pump Tank/Siphon Chamber VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): P1&b 's Signature:PNo to ps) MP/MPRSW No.: Business Phone Number: PI mber's Add er:p IV/d L01-rv_A Vlll. SOIL TEST INFORMATION Certifie Soil Tester(CST)N e CST#^ ^�� 7Q oS 7 �h o)a CST's ADDRES (Street,C' ate,Z' Co ) n Phone Number:ever d IX. COUNTY/DEPARTME T USE ONLY ❑ Disapproved Sa ttary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) Approved ❑ Owner Given Initial QD ( � Surcharge Fee 8 ��k/N ' Adverse Determination 1 ��` �+ �v`� X. COMMENTS/REASONS FOR DISAPPROVAL: P16t k 011�&VLud SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber �I� INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION ' TO THE APPLICANT: 1. This 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. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 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. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 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 where the system is to be installed; II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; 111. Purpose of application: Check only one in##1. Complete##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. 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. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 81/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; dosing or pumping chambers; 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. GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Ground Ater included the creation of surcharges (fees) for a number of regulated practices which Wisco in-0-: can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried r4agi rB:. is used in your building is returned to the groundwater through your soil absorption e system or the disposal site used by your holding tank pumper. !' a The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- ° t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) l APPLICATION FOR SANITARY PERMIT STC - 100 I 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 �.JGf`i�1P_.S 2V PY' Location of property S G/ 1/4 5 1/4, Section Z 5 5 � Township t / Ifi heir Mailing address 4f1'. Address of site % TT Z Subdivision name Lot number Previous owner of property 6-Go_C�2e k') / SPh Total size of parcel 6. Date parcel was created "'Z /:Zc /5 8 8 Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house)? Yes No Volume and Page Number �/O� 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. � -� 9 77 7 ; and that I (We) presently own the proposed site for the sewage disposal system (or I . (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County Register of Deeds, as Document No. Signatu of Owner Signature of Co-Owner (If Applicable) 1// I'a Date of Signitu-A Date of Signature h_ ti fi -1 VON NO .�•- . ..III[ a; .j� .... .. ... . a ... ......................................... . Grrber T A ty rid Gnaw.#a a tal=Ma eaaek stioa.... IOWA- ........ Irrlilp t� ruod:.iatats..400sl .east -v�.l,dwitbiR..sioo��id¢. e a ---------- deprwiwt dMeribed ttid otaa is St..-Cr017c..... . . .. V10014r,11M..t Wiwsmwu: ; 000LLe"o Lbt 1 of that certain survey map dated Alrde 4 li 2ls aaila't resorded July 1, 19AA in " ,7 Of iurvs at Y Ka Ps P page 1994 as Tax Patwl Ns:... ... docv ent number 439072, Grantors, their heirs and assigns reserve the roadway easement along the entire *Wthorn boundary of said property as described on the survey asie ' IV's 0 -r >J f mss. h " 2'fli1►.. ,..i.a..AQt. .. Ue1rMRUd If0Peety. low -x -16 Masolae the bereditaatenp and aPPurteaanoea eberwwto ►tksSisS; air'I.• .. M"U.-Amd J'Ad.ith A. Hansen 16 804 hiM/iasiW. in tee simple ale and tree and char of enenmbrascee eueiot sr t0strictions and rights of way of record, if an ;t 'WSOMaat Mind dab d tin am& $' 4 ! ir �6rt� day of tiEy , O� c ............................._........................... (SEAL) ' .. ............ .................... .. George N. Hansen g Oyu. .. s , ..... .. .... ... • Juditt A. Hansen ... . AWTWINTICATION ACZKOWLSDOUNN 4, �N ......................................... STATZ OF WISCONSIN ..........:.tidy......»...... ... ........:...•............... ............... .County. 'k dv of Pfrrwea11Y eame before eat ! .'llL4:C.t{, .. . ........... .. IY.. 'r wt ............... y 1. a ISt ....................•. ..........................•• Cif G .. ...k.. :flA?i1Ali ►W18CONSIN .7.H....A....t!-/!,tti pi+ !! M,ls f •w ......... ........... ......... .... , !� G 4 r- to me known to be the person ,S.......... " + wuwstvs'wrta oRNtdq w toreaoing instrument and acknowledp tld♦ p ,j A y*, alii: ..I92...540244� Bbl / afts"000-1 or Mdlied. Both my C�ruias a is ;4--anent.(if net. stale !t7R1 date: 04;C �. V Q a - e0 trWA or,ri"04 aw,,w tb r flfn•wrw- 1 "` aiAWi esxu STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER D ROUTE/BOX NUMBER_ // �_3 /?o ? FIRE NO. CITY/STATE 4IA6/O4 �Sc ZIP Sw S PROPERTY LOCATION: x_1/4 _S 1/9, Section Z -2 , T__Z_J_N, R-11--W, Town of _ iVe� �� , St. Croix County, G e Subdivision /_7 , 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 County Zoning Office within 30 days of the three year expiration date. SIGNED�I� DATE 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 IWOSRR,Y, T OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS IN�DI7STRY, C DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 BOX 76 HUMAN RELATIONS (H63.090)&Chapter 145.045) LOCATION: SECTION: TOWNSHI MUNICIPALITY: LOT=SUBDIVISION NAME:SE '/4SE'/ 27 T2B N/R/B E (or w KlNN/CK/NN/C / C. S. M. COUNTY: OWNER'S UYEWS NAME: MAILING ADDRESS: ST.CRO/X GEORGE HANSEN R2 C.r. H. "J./" RIVER FAIL LS W/ 34022 USE DATES OBSERVATIONS MADE I NO.BEDRMS.: COMMERCIAL DESCRIPTION: (PROFILE DES RIPTIONS: ER A ION TESTS: Residence 3 N.A.. New ❑Replace 3 - 8 - 07 5 - 9 - 87 RATING:S=Site suitable for system U=Site unsuitable for system CO�ENTI��. M��,❑� IN G�S ❑U RE: SY0STEM-ILH❑SGCAU :RECOMONVENTIONAL SYSTEM:(IZ Xn52 BED If Percolation Tests are NOT required DESIGN RATE: LF' loodplain,any portion of the tested area is in the under s.H63.09(5)(b),indicate: C LA SS / indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS TEX DEPTH NUMBER DEPTH IN, ELEVAJON OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV A /� Fr/ B- / s. 9 ' /00. NONE 6,9 ' Bn 1 !2,`0'1 Bnl/ /4.57 Mq) rl�~V w"�+ B_ 2 6• B' /00. // 6. 8 ' On 1 12.8'1 On s/ / 4.O'J �.� B_ 3 7. / ' 102.8 7.1 Bn / f2. 4 '1Bns/ /4.T'J i B_ 4 7.6' 102.2' lI 7 7.6' Bn/ /2,2 '1 On s/ / 5.4 'J ti B- 5 6. 4' 102.2' (/ 6.4 ' 9 n //1.6 'J On sit /0. 6;!.&n s//4.2'1 B- So/L SHEET 92 PERCOLATION TESTS TEST DEPTH. ` WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIO PER INCH P_ / 2. 6 ' NONE 10 . 4 112 " 411 4 114 " 2 P- p_ 2 2. 7 If /i 3." 4 314 4 ///16" 2 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. IN/7/AL 97. 9 ' SYSTEM ELEVATION REP' 99.01 66'EASEMENT ]ES r o. ! I jq I ACKH E /T i ( t V.R P. t 0A P/' E _ r mm ` i ! 8 [ ASS At / O' € f E5 r tt 4%. 1 [ 3 3 T A:B I P3 5° B J S._. .. ....._ _.. _ (,'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: LAURENCE W. MURPHY 3 - /0 - 87 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): All BOX 36A RIVER FALLS, W1 34022 55- 2443 7/5 - 425-9032 CS.T SI ATURE: DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. Y 1' DILHR-SBD-6395 (R.02/82) —OVER — t i INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6335 To be a complete and accurate soil test, your report must include; 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 1 MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes.A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; b. PLEASE use the abbreviations shown here for viriting profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate sheet may be used if desired; 8. !Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; 9. Complete all appropriate boxes as to dates, names,addresses, flood plain data, percolation test exemp- tion, if appropriate; 10. If the information (such as flood plain,elevation)does root apply, place N.A.in the appropriate box; 11. Sign the form and place your current address and your certification nLJMbLt; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIEDSOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 10„) BR - Bedrock cal - Cobble (3- 10") SS - Sandstone gr Gravel '(under 3") LS - Limestone �s - Sand HGW - High Groundwater cs Coarse Sand Perc, - Percolation Rate fried s - Medium Sand W - Well fs Fine Sand Bldg - Building Is - Loarny Sand > - Greater Than sl Sandy Loam < - Less Than Loam Bn - Brown 'sil S It Loam 131 -- Black si - Silt Gy - Gray cl May Loarn y -- Yc11ov" scl Sandy Clay Loam R - Red sic( -- Slty Clay Loam moot - Mottles sc _. Sandy Clay w/ - with sic - dilly Clay fff fevv, line,faint Ix c Clay cc - cornmon,coarse -. lit __ Peat stare - Many, medwrii n) - Muck. d -- distinct i - prominent HWL - High water level, Six general soil textures surface vvalw, for liquid waste disposal BM - Bench Mark VRP Vertical Reference Point TO THE OWNER: This soil test report is the first str.Ip in securing a sanitary permit. The county or the Department may request _ uerilication of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must he submitted to the appropriate local authority in order to oblam a permit. The sanitary perinit n-Iust be obtained and posted prior to th;r start of aIny construction, j CEMFIED'SURVEY MAP GBDRGE AND JUDITH.HANSjN Part of the Southwest 1/4 of the Southeast 1/4 and the Southeast 1/4 of the Southeast 1/4 of Section 27, Township 28 North, Range 18 West, Town of Kinnickinnic St. Croix County, Wis onsin. , M EA S. 68 4.9 3 ' E 6¢ PR/VATS ROAD 4 COR. SEC-27, EASEMENT r28N,R/8W, _LOT_/ L O_T 2 /elOUN rY SURVEYOR'S ZI o Q 40 C.S.M. VOL_/ , PABLE ?92A_DOC.## c MoN.I M t�l ON 'L S B9•IB'339-3'_W 3?5 � _ TBB_T6' S IB9•l6'35"W 8/3.60' V N B9•/8'33"E 027.69'_ — — Q I 32�L' r9M. 4 3 ' 90.30 so Oz 589•/833 "W BOO. /4 ' -- , 3,0 kI 0 WATER COURSE M v O wI o a ,M ti = LOT NOTE: LOT 1 MUST ACCESS C.T.H. "Jill M .v ON 661 PR SVA#jL3Bg9#D10 886.4/' h 4L b A I 3 303.24.00 393. 13' .04 3 628 • "� .37 z L SOO.41'23 "E 49.64' g S as /B'33"W 634.37' ku 4 2 � � y POLE SHED Z L 0 T / , C.S.M. VOL . Z, PA a E 326, I `: "' wa I DOC. ArS36741 I y • 41 1 b Indicates 1" iron pipe found. o o° SE coR, SEC.Or, r2BN, *Indicates 1 3/4" outside diameter pipe found. R/8w, /couNrY OIndicates 1" x 24" iron pipe weighing 1.13 lbs./lin. i o SURVEYOR'S MON.) ft. set. w y � y SCALE / "s 200' W 6) Q O /00' 200' 400' Soo , ? o � LOT AREAS N LOT / + Zt 6.700 ACRES 2 291,030 SO. )r?,. Q N NET+ 3.036 ACRES W G 234, 223 s0, Fr. m y J LOT 2 + 0.719 ACRES Q O 3/, 34/ $0.Fr. NET = 0. 682ACRES OWNERIS ADDRESS: Route 2 C.T.H. WJJ" 29, 69/ so.Fr. River Falls, WI 54022 �\SC O Note: Lot 2 of this Certified Survey Map is not ��•�� *�•'''• , a buildable lot. Lot 2 is to be attached to Lot 1 LAU of that Certified Survey Map filed in Vol. 2, ap W M Page 326, Doc.# 336741 of St. Croix County Certified Survey Maps. 1; W ,• ER F � Dated: May 16, 1987 ... LAND ` Laurence it, 14u►pihy egistered Land Surveyor Vol. Page__ Certified Survey Maps St. Croix County, Wisconsin SMEET i 7 CERTIFIED SURVEY MAP GEORGE AND JUDITH HANSEN Part of the Southwest 1/4 of the Southeast 1/4 and the Southeast 1/4 of the Swt'heast 1/4 of Section 27, Township 28 North, Range 18 West, Town of Hinniakinnie, St. Oroix County, Wisconsin, Description: That certain parcel of land located in the Southwest 1/4 of the southeast 1/4 a" to Southeast 1/4 of the Southeast 1/4 of Section 27, Township 28 North, oamps IS Oto '!bras of Kinnickinnic, St. Croix County, Wisconsin, more fully described as toll*'* Commencing at the Southeast corner of said Section 27, thence N W01 Ugiioilba bearing on the Lust line of the Southeast 1/4 ofosaid Section 27, recorded fur N 00 00100"E) a distance of 764.43' ; thence S 89 18'35"W 813660' to the PgI11T OF BEGINNING, 8f the parcel to be herein described; thence 3.03 36139"%t W.q®'; thence S 890 8135 11W 258.041 ; thence S 00 41'25"E 49.641 ; tbonce s 89 l8` N 0314.37 ; thence N 06 12100"E 393.00' on the centerline of C.T.H. "JJ"; thence ` 827.69' to the Pow (F BEGIl+II1 my containing 7.419 acres, being sub,0wt td►=Mnt over the Westerly 33.00' thereof for C.T.H. "JJ" R.O.W. purposes, befast t easement over the Northerly 33.00' thereof for a roadway eassmant forrire egress, being subject to easements of record and including an easeipsnt far IN*" and egress, more fully described as follows; Easement Description: Commencing at the Southeast corner of said Section 27, thence N OQQ begring on the East line of the Southeast 1/4 of a$d`Section At 00 E) a distance of 764.431 ; thence S 89 18'3511tt ' to said easement; thence N 03 38'39"W 33.041; tboco ,a 9 18, ' S 06012100"W 33.24' on the East R.O.W. of C.T.H. "JJ"; ttietiee N '31j1$* to the POINT OF BEGINNING. Note: The roadway shown on this map is a private rogdMay, Any maintsu oe 004lu of the private roadway, after its approval by the zoning Aaministarator as a g%X04arA.#00, shall be shared pro-rata by the adjoining property owners,► Should the L*&+.i rd be taken over by a municipality as a public road, maintenance coats ttkireafter vouid be a public expense. Dated: May 16, 1987 State of Wisconsin) County of Pierce) I, Laurence W. Murpby, Registered Land Surveyor, do hereby certify that by dir"140 a of the Owners, George and Judith Ranson, I have surveyed and divided *be hereon in accordance with official records, Chapter 236.34 of the fteo tb and tho Ordinances of St. Croix County; and that the map and description are a -;rue and correct representation thereof. `0%S160!!!!g .�`% SoOros, , .• :'•LAURE N 1FA1 legisetered L ANaurence Y. Mvpcjr Land &wreyor - Vol. Page Certified Survey Maps St. Croix County, Wisconsin SHEET 2 v r z i 9` 5223 _ 0 03 col - _ 6 Ida k - OL tlTl 1 K Pro�� _ ti _ ta` �3�Qe� 63