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HomeMy WebLinkAbout030-1099-30-000 f � ja & o \ G / E E:E 2 0 m - >,2 / Z6 2GRk% 2 �tLO_ , � V. x ccN a) te a 'a�= 5�= R 2c= .-a ® ';eo- or-� c, bo �, L)L'ot_ $ �\\ 0 ,z '0ac > §k )k/ I � ` c� E� 2Q§ eo » »2 , I n � f j t \ w / z E � � z & z / { 2 Cl) § ) CL to § I 0 § \ ) � $ z � \ ® \ m 2 ± E 2 2 a ) A j -� k / m § j ) I / z � z � E ƒ \ Cl) � � \ kE � / LO t I k 2 ) £ z § 22 / \ § § k - ƒ a a n IL k 0 B U) -1 u \ k k o 2 — z ; j / / £ 2 g a � ° E cl � . J § k # ƒ / ) CO L o ■ 0 j :2 ; in 2 @ E Q 2 CD SIL 2 m f $ e ) I ] ] J , n 7 2 \ c o § \ §/ § 0 z £ / 2 \ 2 « L ) CL E 2 < c a § & J a 2 \ 0 2 2 , . Parcel #: 030-1099-30-000 02/18/2005 03:21 PM PAGE 10F1 Alt. Parcel#: 33.30.19.356C 030-TOWN OF SAINT JOSEPH Current j X', ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): *=Current Owner *ROY,JEFF JEFF ROY 587 PERCH LAKE RD HUDSON Wl 54016 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *587 PERCH LAKE RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 3.530 Plat: N/A-NOT AVAILABLE SEC 33 T30N R19W NE NE LOT 1 OF CSM Block/Condo Bldg: 5/1381 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 33-30N-19W Notes: Parcel History: Date Doc# Vol/Page Type 12/08/2003 748603 2470/489 WD 07/23/1997 957/526 07/23/1997 805/555 07/23/1997 796/147 more 2004 SUMMARY Bill M Fair Market Value: Assessed with: 5642 190,000 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.530 82,000 104,900 186,900 NO Totals for 2004: General Property 3.530 82,000 104,900 186,900 Woodland 0.000 0 0 I Totals for 2003: General Property 3.530 48,100 85,500 133,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 211 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER , ,�„� ' 7i�/o�..�/�r TOWNSHIP SEC. T_-?O N-R W ADDRESS �,�TF ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW 030 3--61_�/ 3�c Distances and dimensions to meet requirements of I•1HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM /Vo,e-rl� pRnAE�P-t-y k [�Vex /00, �RdPEi??'S' Wn '27 f'ti^� sa yo' Sout�f PR�P��ty INDICATE NORTH ARROW %.0 7D at=P",Qrq rGNCE PAST BENCHMARK: Describe the vertical reference point used 4,0 QF OF Xaarw �YtoPEa7J' LiNtC Elevation of vertical reference point: �OD. 00 Proposed slope at site: SEPTIC TANK: Manufacturer: Liquid Capacity: /c700 Number of rings used: 3 Tank manhole cover elevation: CP 9.S Tank Inlet Elevation: Tank Outlet Elevation: �y y Number of feet from nearest Road: Front 10 Side,(D"Rear, 0 oat a00' feet From nearest property line Front 10Side,aRear,0 4/O feet Number of feet from: well ,SGT building: J9' (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE v • PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear,0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: /L S Trench: i Width: /� � Length: Number of Lines: Area Built:LoW7 Fill depth to top of pipe: Number of feet from nearest property line: Front, �ide, O Rear,0 Ft . � Number of feet from well: 916 Number of feet from building: ss� (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, 0Ft. 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: _ ZZ b c-) 3/84:mj . t ,L)EPARIAMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS ON I LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS BUREAU OF PLUMB DIVISING P.O.BOX 7969 MADISON,WI 53707 NE-14, NE4, S33,T30N—R19W P9CONVENTIONAL ❑ALTERNATIVE fit assvgned)D.Number . Town of St. Joseph ❑Holding Tank ❑In-Ground Pressure ❑Mound Perch Lake Road INSPECTION DATE: NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: Ronald N. Thoennes Route 4, Box 231A, New Richmond, WI 5 017 BENCHMARK Wermanem referencepoint)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.. Name of Plumber MP/MPRSW No.: CountY'. Sanitary Permit Number: Gary Zappa 3300 St. Croix 1 102854 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY'. TANK INLET ELEV.'. TANK OUTLET IELEV_ WARNING LABEL LOCKING COVER PROVIDED'. PROVIDED. OYES ONO EYES ❑NO BEDDING. VENT DIA.. VENT MATL.'. HIGH WATER NUMBER OF ROAD: PROPERTY WELL'. BUILDING.IVENT TO FRESH ALARM. FEET FROM LINE. AIR INLET ❑YES ONO ❑YES ❑NO NEAREST DOSING CHAMBER: MANUFACTURER JBIDDING .LIQUID CAPACITY PUMP MODEL_ PUMP/SIPHON MANUFACTURER WARNING LABEL 1LOCK:NG I COVER PROVIDED: PROVDED: DYES ❑NO ❑YES ONO OYES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WELL BUILDING VENT TEfHESH (DIFFERENCE BETWEEN FEET FROM uNE AIR INLET PUMP ON AND OFF) ❑YES 0 N NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: LENGTH NO.OF DISTR.PIPE SPACING COVER INSIDE DIA -PITS LIQUID BED/TRENCH TRENCHES MATERIAL* PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH IDISTH PIPF DISTR.PIPE DISTR.PIPE MATERIAL. NO.DISTR NUMBER OF PROPERTY WELL BUILDING VENT TO FHESII BELOW PIPES ABOVE COVER ELEV.INLET ELEV.END. PIPES FEET FROM LINE AIR INLET NEAREST-� 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. OYES 1:1 NO SOIL COVER TEx TURE PERMANENT MARKERS OBSERVATION WELLS ❑YES ONO DYES NO DEPTH OVER TRENCH/BED JDEPIH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES. 1:1 YES FIND ❑YES 1:1 NO DYES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPF. FILL DEPTH ABOVE COVEH BED/TRENCH TRENCHES. DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL NO DISTR DISTR.PIPE DISTRIBUTION PIPE MATE Fill A L.&MAHKIN(� ELE V.. ELEV.. DIA. ELEV.. PIPES DIA.. ELEVATION AND DISTRIBUTION VERT INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL PLANSCAL LIFT CORRESPONDS TO APPROVED—]YES [11 YES El NO 1:1 NO C MMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING FEET FROM LINE: DYES FIND YES 1:1 NO NEAREST II " h Sketch System on % Retain in county file for audit. Reverse Side. SIGNATURE. TITLE Administrator +I DILHR SBD 6710(R.01/82) Zoning 1 -`— SANITARY PERMIT APPLICATION COUNTY �ILHR In accord with ILHR 83.05,Wis.Adm.Code D I X STATE SANITARY PERMIT# (©�OS —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%Z: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 PRO ERTY OWNER PROPERTY L CATION /V % /)6'/a, S 33 T N, R 1 E (or W PROPERTY OWNER'S M (LING XDbRESS LOT NUMBER SUBDIVISION NAME oc�T x Z 1 A NA IBLOCKNUMBER v CI Y,STATE ZIP CODE PHONE NUMBER CITY NEAREST ROAD LAKE OR LANDMARK �DN �� 7 ❑ VILLAGE : £ Z4 j &54. II. TYPE OF BUILDING OR USE SERVED: 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. 29 New 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) 1. a. El Conventional I b. ❑Alternative c. ❑ Experimental 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 . 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): :3— �S 6 Xp Feet Private ❑Joint ❑ Public VI. TANK CAPACITY ##of Prefab. Site Fiber- in gallons Total Manufacturer's Name Con- Steel Plastic Exper. INFORMATION New xisting Gallons Tanks Concrete glass App. Tanks Tanks structed Septic Tank or Holding Tank OC)O S ® ❑ ❑ ❑ Lift Pump Tank/Siphon Chamber ❑ VII. RESPONSIBILITY STATEMENT 1,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumber's Signature:(No Stamps) #P/MPRSW No.: Business Phone Number: 45;QaX ZQPj0A :�� ogmwtin�_ -7,70 J . 1 ( 2/47 ) -4pilf-JJ-1­0 Plumber'9 Address(S re t,City,State,Zip Code): Name of Designer: r T N a VIII. SOIL TEST INFORMATION Ce ' ' d Soil Tester(CST)Name CST# r k 1�03 CST's ADDRESS/(Street,City, tate,Zip C de) �` ,/ Phone Number:21/6 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved I S itary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) Approved ❑ Owner Given initial Surcharge Fee Adverse Determination �2p'pp X. COMMENTS/REASONS FOR DISAPPROVAL: C,, SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber 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; 11. 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 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; 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 aBr .. included the creation of surcharges (fees) for a number of regulated practices which Wisco n is. can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasure is used in your building is returned to the groundwater through your soil absorption u 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) 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 lissuance. 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 PropettyToN'Rld N, ,4,5LtAgES &da Le32( v II-f6CUN�S Location of Property (�� —k 1�1f: .__k, Section 33 , T 30 N-R ( �1 iii Township Is� Zosc(J" - Mailing Address 9-T "\ -7p�pq_ 2�( �Ellj 'RLC_� M0K(p WS sg3n Address of Site _ _t2CU�2 A L 2 ku�So tScat�s N 5(-{U t h Subdivision Base . Lot Number Previous Owner of Property Q 2 Total Size of Parcel J Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes - J1 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 refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION i (We-1 co-Ati.6y that aCC 4tatementz on thus orrm she �`lcue to the best 06 my (owt) hncwtedge; that i (we) am (aAe) the owne k) 06 the phopeA.ty deAeA,ibed in th.ie .inAolma.Lion 6okm, by vcAtue o6 a waAAakty deed kecokded in the 066.ice o6 the Cotintyy RegiAtee. o6 Deeds ass Document No. 2-6 ; and that i (We) pnesentey sun tl�¢ pnoposed site bon the sewage duspos a ys em (on I, (we) have obtained an CdA ement to nun with the above d ens eA,ibed no eJrtr on the eon.b eye.tem, dnd the awne hae been duty eok p n i' 6 thount n eg said y e dad .Ln the O .Lee o the Count R fl 66 6 y ¢gceteh o6 cede, ae tioewnen.t ) . c� SIGNATURE Oh OWNER SIGNATURE OF - CO 0 WNER (IF APPLICABLE) DATE SIGNED DATE SIGNED • ^�•`• DOCUMENI NO. WARRANTY DEED - THIS SPACE RESERVED FOR RECORDING DATA STATE BAR OF WISCONSIN FORM 2-1982 II w r�(]� .VC. /96 r -- 431920• _ P��.14'�� REGISTER'S OFFICE � Gerald D. Traeger -a single man - - Reed for RlOOfd •............................. Nov. 6, 1987 -----------......--------------------------------- ........-- -.............. 1.10 P M conveys and warrants to ... gs-.and--Lori-J-------------- 1.. Thoennes,.husband-and-wife as..surgivorship marital Il dos$& - property..--- .......... -- .............................................. /Vy -- -------------------------------------------.....---........-- ........................................ ............................... ------ RETU .._.... .................... li R TO ------------------------------------------------------.................................._--.._. the following described real estate in .........St-._-Croix.............______County, State of Wisconsin: Part of the NF34 of NE's of Section 33-30-19, Town of Tax Parcel No_______________________________ St. Joseph, described as follows: Lot 1 of Certified Survey Map filed December 19, 1983, in Vol. "5" of CSM, Page 1381, Doc. No. 389985. Subject to right of way of town road over the northerly part thereof as shown on said Certified Survey Map, and to other recorded easements, covenants, reservations and restrictions, if any. I l MNS i�;����ull,lrl(li;a:il{III-(UUlf.;ijl'• I I 111E,I I�hill!IlIIIIIC,III I)•I�►II This -----is.-not homestead property. (,isj (is not) Exception to warranties: easements, protective covenants or restrictions of record, if any. I' Dated this --------.0tl---- -_------------... day of ------- October - 19_87... ----. .. . . j i - - -- --- -- ------- -------- -- ---- -(SEAL) ����i-�•�-�-"" �' �'\P" ....(SEAL) I . Gerald--D.,--Traeger------- ------- ---------- I'I (SEAL) ------ ------._----------------(SEAL) --- - -- I� !i AUTHENTICATION ACKNOWLEDGMENT Signature(s) ............................................................ STATE OF WISCONSIN i i ss. St. Croix --------------------• •------------- W..-County. TH I�! authenticated this ........day of--------------------------- 19...... Personally came before me this .---.. day of October-------------------------1 1987_.. tbe'above.named i Gerald D Trae er TITLE:MEMBER STATE BAR OF WISCONSIN ---� (If not-----------------------•----------------------------------•- 'person- foregoing -s� 1 ;v. authorized by§708.08,Wis.State.) to me known to be the o�icel d trip instrument and acknowledge•• .,sath�► THIS INSTRUMENT WAS DRAFTED BY � -----k! ...f.0 •• 04 Lois A. HEYWOOD. CARI & MURRAY ` rA •---P� n%i-..Ko ±��u�. ----- - P.O.-Box 229 Hudson WI_ 54016 x..... 1 •-----• Notary Public-----St.---Croix--- -------------County,Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent.(If not, state expiration are not necessary) ��� �} date: _..... 19qo_.) kn 'Names of pesaona signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wi.—M. Legal Blonk Co. Inc. - FORM No. 2—1982 niihvau kee, Wis. 38�.996- ST. CROIX COUNTY CERTIFIED SURVEY MAP LOCATEEI IN PART OF T11E NE 1/4 OF `1112 NE 1/4 OF SL•'CP1ON 33, T30N, R1914, TU{+N OF Sr. JOSL•'PI1, S'1'. CROIX COUNTY, WISCONSIN. OWNER LEGEND '111OMAS SEIM Sr. CROIX COUNTY SECTION CORNER MONUMENT RURAL ROUTE 2 WITH BERNTSEN CAP, FOUND. HUDSON, WISCONSIN 54016 O 1" x 24" IRON PIPE WEIGHING 1.68 LBS./LIN.F'P., SET -� DECI(41983 APPROVED i . •��)�lyJ a•rS •' ALLEN C. f �• DEC 81983 (.:F��(I;•+�` p� ' NYHAGEN S 1407 ST.CROIX COUKTY CCudP.1ENQNs7A PAI F s 111"J"1110 HUDSON, w 10 zo uac co+.nan:c 1M1il � , �."� �ii,ii.111 Illh u.+;i11�III1111i1 iii- ''I .� C9 7CU R� ' ALL BEARINGS ARE REFERCNCLD TO THE NORTH 'j; LINE OF 141E NE 1/4 WliICH IS ASSUMED TO BEAR S89 004'58"E. SCALE IN FEET 1"= 100' TOH 200 150 100 50 0 100 200 h,E!' 1 to un latted lands owned b others W E -- -------- -----------Y- - --- S !«<PIt,�Ii�t��1���Illl !lily N 1/4 CORNER �[� SF01'TON 33 (a cl PIiRCFI LAKE ROAD NE CORNER NR) off-- K SECTION 33 '�- `° 8"W .78.8')' 15.00' 82.t,Qt- 18.33' 0 N89 04' S8"W S89055-11--W N88 023'45"W 396.53 – 637.31' VI 1 V! Ir US o �N, US �J �� _wih]�l tc•i Itl_nci. IL OWnNQ by 1>I,aL et - 7 LOT 1 � - ---- - 17 N N IN ^ 146,449 SQ. FT )EXCLUDING R/VJ 'U VS v 3.26 ACRES ) ro IJ V W IN 154,006 SQ. FT.) )INCLUDING R/W iv �• 3.53 ACRES C J< vt i H vj I,o �� Q� I� N89 1,.[.- ( 4 9. Ci r" un latted lands arned by platter o\" � --�------------------ Volume 5 Pare 1381 THIS INSTRUMENT DRAFTED BY DJZ JOB NO. 83-16-183 ' iLwC'-•vr.:}�.nc��':+:!'�„��^-v.^4:N^.k';.i;,.w.Ck';x;'� ,"`.'r-e'rT ^r'�ii�Y� K^-'. YF ri;;o`;�-a:�i;,-.::. N H a ST C - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St . Croix County z t7 OWNER/BUYER �r5 1A\U I� Tyt6ff- (/l e S ROUTE/BOX NUMBER H _50 '2_3 ( 1� Fire Number SY� CITY/STATE lyew V C_ 0,OA11s WtsL zip S_gOFT PROPERTY LOCATION : , N Section_, T 30 N , R ICI W, Town of �C)$�`�C 1 , St . Croix County , Subdivision , Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes . Proper maintenance con- sists of pumping out the septic tank every three years or sooner , if needed , by a licensed septic tank pumper . What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St . Croix . County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1 , 1978 . St . Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained . The property owner agrees to submit to St . Croix County Zoning a certification form, signed by the owner and by a master plumber , journeyman plumber , restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping ( if nec- essary) , the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. yo I/WE, the undersigned , have read the above requirements and agree to maintain the private sewage disposal system in accordance with x H the standards set forth , herein, as set by the Wisconsin Depart- ro ment of Natural Resources . Certification form must be completed and returned to the St . Croix County 'Zoning Office wit in 30 days of the three year expiration date . SIGNED DATE St . Croix County Zoning Office P . O. Box 98 Hammond , WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address . Y PAIUMENT OF REPORT ON SOIL BORINGS AND SAFE I Y tit BUILDINGS Jtp iTIIY, DIVISION PERCOLATION TESTS (115) 11.0. BOX ,JMN ft(_LATIONS 1 / MADISON,WI S3/0/ (H63.090) & Chapter 145.045) 2(nTION SECTION --- — ---'---- rOWNS111P/tttlivrn- T.r Y L Or Nj) I111 K.NO A)HIAVISION NAME: +f�v '4(474 -3,3_ /T-3o N/R Itpt►W1 S j` - ` e, ---- 1�`!�_L�1�_.. r� pll J1 V: OWNf,N'S713UYEfi'S NAME — NIAl1 1NGN�Dt)1IESs E DATES OBSERVATIONS MADE HC (/Z► �j NO.BGDfINCi,: (:OMMEIiCIAI Ol ,CRIPrION - I'IiOFILEDESCtTIPr1pNS:�IsEATlON1CS15 �1t.sidunce I ! New �lieplace 7 ---� I�'�r� �sge..S! r,f ING:S=Still suitable for system U-Site umuitabla for syslens tNVLNTIONAI 7 tME111-1 M IN 1, 1n11ND1'RFS IJft[. SYSTEM IN CII Ell IOI DING T NK:HL(OMMENDED SYSTEM.(uprtufi.d) S �u sou _- - s emu_ J s a•1� _r�_� e_�._ --- 1'etuplaLturt 10$Is dru N07 reyuuutl DEoIGN HAT E: II aOy puttton of fill.-u:sled died is Of lhu lw s.I1G3.UJ(bllbl,indicdle: �� C Flood plain,indicate Floodplam uluvauon: h I PROFILE DESCRIPTIONS il11NG TOTALI "bu- II'rO GROUNDWATER-INCIIES CHARACTER OF SOIL WIT11 THICKNESS, COLOR, TEXTURE, AND DEPTH )MBEF2 DEPTH IN ELEVAT-IUN OBSERVED E . HEST TO BEDROCK IF OBSERVED (SEE ABBIiV.ON BACK.) - zo PERCOLATION TESTS rFST DEPTH WATER IN IIDLE TEST TIME DROP IN WATER LEVEL-INCHES RATF MINUTES r ---� PFIt INI:N ,, MHFH INCFII=S AFTERoWELLING INTERVAL-MIN. j0_p L— ['SRI D _�_ �f11(S6 - - --- ----- - — �-j- - ---- ---- -- — -----. . G ---- -- .. — --- -- J r PLAN: Show locations Ol Imcolabott lusts, sod bortnus and the dimuttsiuns Of suitable soil Ureas. Indicat0 weld or dI$1dIILUS. Duscribe wlial ate the hurl tai and Ver IICal elevation releience points and show their location On life plot plan. Show the sutfacu elevation at all borings end the tlueClunt and Iwteent wild slope. •YSTEM ELEVATION .Z. / fJ J ! 1 14- ,'A v r!Le e /YI p.o r/ '3 i . �N 1 I r 5-1 I I q j j � j � I � i I �. � �. �q, .� h ! •t � I *' go; 1 °)1• he undersigned, hereby Certily that the soil tests rtlported tin this form were made by file in accord with the ptocedutes and nwthuds spectlied Itt the Wisconsin rtxtustrative Code,and that 1110 data recorded and the lueetiun of the tests arts correct to tile beSL Of nsy knowledge and belief. .ME (Print) ---�TESIS WERE COMPLEI ED ON: r )URES`l CEI2 rlhlCn110N NI/lNHF12 PHONE Nl1M14E14(ulptwn.11) � c.xLIC12,Nn J11111: --- ------- � . cat k .STRIBUTION:Original and cne copy to Local Authority,Ptolttnly Owner dnd Sod Tustur. LHN Sl3D(iJ95 (R.021821 OVEII - /,lzg /�rtc1,1 Livl«' /CCY �Lo7 ptiD C..✓t�s�' /S/O/tTN //10I°t'2TY �NZ WEST PAveeLTY L'IE f'itopoCt'o ,l.Ztzv�w.cY 0 &P. EO HELL fnoPdsso P/Zo TEGT /Zesxo e,�ce nn C•I• '640c, .SFINt(l L%NF Ro.'VAL� 7/YOENF_S 4 F--nir'w �aoo G.vt sFPTxc. TA,-K Tot,,,, n �oS J v of T C/osz,-N 9� �-/ L-FFLuFtir L=,,c-. .fo/t 36' PIC J'T_ CIZosx Coan/TY SL n PJr VENT STACK , TA'ysl� rS TvI' OF CJ SSA• t_' ,00FO FEN E POST ,d?rvTEO /8 c (P Rt:0) F_ , �LEV.=/oo,00 /D 6 oQ E Elgs r /aoprk7 Y zxxe SS k FRESH AIR INLET AND OBSERVATION PIPE APPROVED VENT CAP ¢LAII UM 12" ABOVE FINAL GRADE 4" :.:SST IRON VENT PIPE NK IMJA4 OF 42" ABOYE PIPE TO FINAL GRADE SIGNED: MRSH HAY OR SYNTHETIC COVERING LICENSE: Dr11NIPlJh/I 2°' AGGREGATE LATE: O ER PIPE L ISTR IBUTION P I PE ! —1 TEE ! c;CpIL TESTING Bel: ELEVATION EEL 6"AGGREGATE BOTTOM PER SOIL,-,,, BENEATH PIPE PERFORATED PIPE BELOW TEST IS COUPLING TERMINATING FT. :°T BOTTOM OF SYSTEM I