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HomeMy WebLinkAbout040-1018-70-000 _ $ \ c J e � \ \ E R ( � /j � ■ EE � a i0 � § Z 0 ( ) ] 777 \ oin f � § ce) I \ / �_ E __ e ) M \ \ a m R z : Z3 B 2 2 • ■ � , z / & § k ; A § e < = ® f } n1CD 2 C \ E C ~ CL 8 k ■ 7 §CL < \ & § § k \ \_ \ Z C4 > ' 7 \ \ \ z % .� ' 2 a a a 6 & 0 k k \ k CO z 3 § D E 2 6 © ao � � p ° k § / � \ o o 7 CL § & ca 2 5 � jE = E _ LO CD 9 01I 2 8a@E8 00 � k X / k k k § § 2 s f & 0 a '5 80 k = � § @ Cl)\ - \ z $ z £ s 2 � � _ , £ a # - 2 E ] k a § _ $ a 2 & v ' � 1 - Parcel #: 040-1018-70-000 02/01/2005 09:19 AM PAGE 1 OF 1 Alt. Parcel#: 04.28.19.62J 040-TOWN OF TROY Current X;, ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): *=Current Owner *JOHNSON, HALVOR D&PATRICIA L HALVOR D&PATRICIA L JOHNSON 573 TOWER RD HUDSON WI 54016 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *573 TOWER RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.380 Plat: N/A-NOT AVAILABLE SEC 4 T28N R19W 2.380 AC PT NW SE LOT 2 Block/Condo Bldg: OF CSM V 4/1143 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 04-28N-19W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 817/02 2004 SUMMARY Bill M Fair Market Value: Assessed with: 26251 237,600 Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.380 50,000 188,100 238,100 NO Totals for 2004: General Property 2.380 50,000 188,100 238,100 Woodland 0.000 0 0 Totals for 2003: General Property 2.380 48,400 173,800 222,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 117 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 3'75485 CERTIFIED SURVEY MAP FILED FOR JRN261982 RICHARD BESTLER _ �aalfs o'ea�xE« HIArY 35 NORTH -� Repisfer of Deeds ~ HUDSON, W1 54016 Sf. Croix Co,, !pj CERTIFIED SURVEY Wisconsin I , Arthur L. Wegerer, registered land surveyor, hereby certify: That in full compliance with the provisions of Chapter 236. 34 of the Wis- consin Statues and the provisions of the St. Croix County Subdivision Ordinance and under the direction of Richard Bestler, owner of said land, I have surveyed, divided, and mapped said parcel of land, that such plat correctly represents all exterior boundaries and the sub- division of the land surveyed; and that this land is located in the NW 1/4 of the 'SE 1/4 of Section 4, T28N ,- R19W, Town of Troy, St. Croix County, Wisconsin, to-wit: Commencing at the South 1/4 corner of Section 4; Thence N2015'50"E along the 1/4 Section Line 1873. 60 ' ; Thence S88009 '00"E 58 .99 ' to the Easterly Right-Of-Way Line of S.T.H. "35" , being also the point of beginning; Thence N2015 ' 50"E along said Right-Of-Way Line 335.10 ' ; Thence S87052 ' 25"E 649. 70 ' ; Thence N1058 '08"E 50.00 ' • Thence S87052 '25"E 256.00 ' ; Thence S1058 '08"W 93. 00 ' ; Thence 587652 ' 25"E 302.01 ' ; Thence N1058 '08"E 347.98 ' to the centerline of Tower Road; Thence 558056 '52"E along said centerline 62.90 ' to the East Line of the NW 1/4;of the SE 1/4; Thence S1058 '08"W along said Forty Line 603 .59 ' ; Thence N88009 '00"W 1264.40 ' to the point of beginning. Contains 9 .993 acres of land subject to existing Tower Road Right-Of-W Dated this Z`'� day. " " i i3ES'R 1981 / Arthur L. N 14 CORNER ��� V_ ••9••.ee•.�. �,� We erer S6. .• � g .i 6 4D Wis. R.L. S. :'s.ltum'ri F ARTHUR L. N o .S-9 63 00 UNF4 TEO� WEGERER - LANDS 0S-963ro ELLSWORTH Wis. •..0 _ 00"'i ' S 87°5225"E _ o a, o .R r, $URV �.0 256.00 O O CD ll a �� 649.70 rsrsrsases..ls•�N�, Z s0o 3 O ( 8,7 52 25 E o 3 Ki 2 c(a 2� '00 86' 900 2io�2� too S 87052'25'E 3 0� 0.9 G�, 302.01 z! O %T NOTE:EXISTING HOUSE 33 5L9 250.03 a1 05� aD J, 60 ON THIS LOT 269 12 _cv o -o '2 ` W L T2 J o cn o f UJI '-� LOT 1 - r` 2.428 AC a I' .M ( r'nn 7.565AC O h 2.380 AC TO Q i R.O.W.o 00 SO " 00,>305.00 a 58.99' N 880 09'00"W 126440 APPROVED 1.78 S'880 0900"E --PLATTED LANDS JAN 19 198k 1 NOTE: BEARINGS REFERENCED ST. �ROIX COUNTY COMP;EHCNSIVE PARKS PLANNINQ TO THE N-S 1/4 SEC710-LINE. OF SECTION 4, ASSUMED LEGEND AND ZONING COMMITTEE a BEARIING N 20 i5*50*'E 0 I"X24"IRON PIPE Z WEIGHING 1,13LBS.'PER LINEAL FOOT + S 14 CORNER • IRON PIPE FOUND SEC.4, T28N,R 19W QbCyOUNTY SURVEY MONUMENT Volume 4 Page 1143 11 A f 7915 INSTRUMENT ORAFTE'D BY Silo 41ra.nSB-fL d 100' 300' '7bo' S s Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER I��a p Yl o TOWNSHIP SEC. L _ T,2a_N-R W �1 ADDRESS ��(� b ST. CROIX COUNTY, WISCONSIN ca _ SUBDIVISION C s C O I LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•IHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I J 4... / .. U f/ ® SAI v r � INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used -410 W Elevation of vertical reference point: Proposed slope at site: "l 0 �2 SEPTIC TANK: Manufacturer /h, C�iq q id Capacity: oQ�n � Number of rings used: _ Tank manhole cover elevation: Tank Inlet Elevation: �l Tank Outlet Elevation: " Number of feet from nearest Road: Front,Q Side,Q Rear, O feet From nearest property line Front,0 Side,O Rear,O feet Number of feet from: well-M-A uuio, building: (Include this information of the above plot plan)( 2 referehce dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon .Manufacturer: Pump Size Elevation of inlet: 'bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: ,`.�• '' Number of feet from nearest property line: Front, O Side, O Rear,0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM / Bed: Trench: V Width: S Length: Number of Lines _ Area Built: 9W Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side, 0( Rear,0 Pt . Number of feet from well: , �� X�� 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, Q Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: r, Inspector: Dates: N�' Plumber on job: -� �,L �: ' icense Numbery�� 3/84:mj �, 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 State Plan I.D.No NW -R19G1 CONVENTIONAL ❑ALTERNATIVE (uasefgnedl Town ab Tnay ❑Holding Tank ❑ In-Ground Pressure ❑Mound Lai 2 NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER: INSPECTION D Hat Johnson 226 8th StAeet, Hud6on W1 54016 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: Wayne Lorenz 934 S C�caLx 112735 SEPTIC TANK/HOLDING TANK: V.. TANK OUTLET ELEV.. WARNING LAB L LOCKING COVER MANUFACTURER. LIQUID CAPACITY: TANK INLET ELE PROVIDED. PROVIDED. OYES ENO DYES ❑NO BEDDING. VENT DIA.. VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL BUILDING. JVENTTOFRESH A LARM FEET FROM LINE. AIR INLET DYES ❑NO El YES ❑NO NEAREST DOSING CHAMBER: MANUFACTURER BEDDING'. LIQUID CAPACITY PUMP MODEL PUMP/SIPHON MANUFACTURER W LOCKING COVER PROVIDED: PROVIDED. DYES ONO ❑YES ❑NO OYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PR OPERrY WELL BUILDING VENT TO FRESH LINE AIR INLET (DIFFERENCE BETWEEN FEET FROM PUMP ON AND OFF) 1-1 YES ONO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER IMATIRIAL 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 N0.OF DISTR.PIPE SPACING. COVER INSIDE DIA -PITS LIQU 10 BED/TRENCH TRENCHES MATERIAL: PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH UIS7 H.PIPF 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 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. DYES 1:1 NO SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS ❑YES ❑NO ❑YES NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED GENTER EDGES. El YES El NO OYES ONO El YES ONO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH- LENGTH. NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPF FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES. DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL IND DISTR DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING ELEV.' ELEV. DIA. ELEV.. PIPES DIA: ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL PLANS VERTICAL LIFT CORRESPONDS TO APPROVED DYES ONO OYES 1:1 NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS'. NUMBER OF PROPERTY WELL. BUILDING. FEET FROM uNE DYES 1:1 NO DYES F-1 NO NEAREST Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE. TITLE DILHR SBD 6710(R.01/82) Zoning Adm nistt tan SANITARY PERMIT APPLICATION COUNTY wls� OILHR In accord with ILHR 83.05,Wis.Adm.Code STATE SANITARY PERMIT# —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 t<NO P OPER OW R PROP RTY LOCATION O '/a '/4, S TM, N, R ` E (or)e P OPERTY OWNER'S AILING ADDRESS LOT NUMBER BLOCK UMBER SUBDIVISION NAME 33G--E-N o/ �-F I o 113 CITY,STATE / ZIP CO /4 PHONE NUMBER NEAREST ROAD,LAKE OR LANDMARK C16 Lo TQWN OP r0 V G.: 11. TYPE OF BUILDING OR USE SERVED: 0:: d 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.17 New b. , Replacement c. El Replacement of d.F-1 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. Conventional 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. ( See a e Trench c. ❑ See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEWLEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): p A 6-0 ! �� / 1 GFeet Private ❑Joint ❑ Public A1 VI. TANK CAPACITY Site in ga ons Total ##of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted Septic Tank or Holding Tank r El El Lift Pump Tank/Siphon Chamber S ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT I,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) MP/MPRSW No.: Business Phone Number: a e- re_V2 P b 's Address(Stre City,State,Zip Codp): Name of Designer: C) l 2 ,S Ill. SOIL TEST INFOR TION tified Soil Tester(C T)Name CST## r c.{ �, . i � "�P,f-Q, T's ADDRE (Street,City,State,Zip ode) Phone Number: o� / �S IX. COUNfrY/DEPARTMENT USE ONLY ❑ Disapproved Sa it ary Permit Fee Groundwater ate Issuing Agent Signature(No El _ St a ) 31Approved Owner Given Initial harge Fee �. Adverse Determination ICJ add X. CO E TS/REASONS FOR DISAPPROVAL: _�r ! Q 1� �������.4� � v��v�-�40 1. • �X�C���'J 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; 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; III. 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'h 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 t8f• included the creation of surcharges (fees) for a number of regulated practices which Wisco Er1rS can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasourQ is used in your building is returned to the groundwater through your soil absorption o 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 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 �aWo,,r t , a,4 �&dk L- eV 4,As v- Location of property 1/4 S�� 1/4, Section , T 2$ N-R��W Township w h Mailing address �OU W lSc�v°�, �- �r_ vc �.n ?3 Address of site Subdivision name 066, �'SM ty3 Lot number 2- Previous owner of property �Cl,�,, l�. Gjvdv►PO Total size of parcel 2 • 4 2 Date parcel was created 'V(2/� Are all corners and lot lines identifiable? _Yes No Is this property being developed for resale (spec house)? Yes X No Volume , 4 and Page Number Wi 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. W!A QT ; and that I (We) pre ently , own the proposed site for the sewage disposal system (or I (we) have ob ained n easement, to run with the above described property, for the co pt c " 'n of said system, and the same has been dul recorded in the Office o Ithe t Register of Deeds, as Document No. e r6 ) . Si a re W Owner Signature of Co wner (If Applicable) /7j,7/�� � . Da a of Signature Date of Signature DOCUMENT NO. BTATZ BAR OF WHICOMM WORK 1 "Us 80101ca nomenvw P"msoomouoo owns WAPMANW oeEo 439519 811 02 L BOOK DeOd, ands L t Tdchord A. Bestler and REGISTERS OFFICE ST. CROIX CO., wl ....... ............ w"d Reed for R I. ................................. .. .... ............. ... ............................................... . ................................................................ ............................... JUL 18 10 twYmp................... of 8:15 A,jA P.W.ty.4.......... . ... ........ .. . ........ .......... . ... .. ... ....—..—........ . . .... .L... .......... ........... ...... ...... (;rmts% 4t0 0sr of DeI Witnewe0j. net the saw Ornator. for a ralgebis souldergtion . Ir .. ............................. M d 3 . .... q5wl.i&ra#cn... . . ........ conveys to Grants*the following described real estate in Croix. w1um To County. State of Wisconsin: Part Of NOCtbwst Quarter of Southeaft Quarter of Tax Parcel No: .................................. Section 4, Township 28 North, Range 19 West described as follows: Lot 2 of Certified Survey map filed January 26, 1982 in Vblume "4", Page 1143. FM This ... homestead property. (is) (is not) Together with all and gn Br par the bereditamonte and a urtenances thereunto belonging; And... A. Bestler and Pamela C. Becher tee .; i­ d free and clear of encumbrances .... .. ..... . warrants that the title in simple an nces except rISS'trictiOns, covenants and easements of record, if any, &Ad will warrant and defend the same. Dated this .. .. .........#' ........#' ... day of ... ..JtdY., ....... 19...88.. ........ (SEAL) (SEAL) ................ ........ —Ri A. Bestler ..... . ...... . ... ... (SEAL► A. \_MAL► ... .... . Pamela C. Bestler AUTHENTICATION ACKNOWLEDGMENT ............ ..... ......................................... STATE OF WISCONSIN as ................................................................................ St. Croix ........ County. authenticated this ........day of......... ... .......... ...... Jj�!rsonally came before me Sills .........day of .............................. .. .. ....... Y the above naalpd k6iaid A. Bestler a. 13..13..$.... la C. Bestier . . ....... ..... .... TITLE: MEMBER STATE BAR OF WISCONSIN ...... (If not, ' authorized by j 7M.(6. Wis. state.) to me kooun S who executed the fV?tw)ir1:• instrurnti, t and :v-know-ledge tk(• suille. THIS It 4 i I RUM'NTaVjy r,'-AF T F 0 H I Robert F,. �� '1"1 0�, P .-RICHAMS, mu fi. HARRIS F�,"" 522 Second Street Hudson,L WI ....5401b Not . - 1,11,lic St. , Wbmrdm CoIlION, wk. (Siznaturtt-4 may he avitht-nticated or acknowledLred. Roth %I-- If.... ..it i,.n i- not, stalf• expirati—i are not necessary.) "'Naluft of Pvrw,ns awn•ne I. way I,- It- WAAMN"ry D9ZD STATE HAR 01* %j.s(*4#.%,j-, FORM Ne. I—Own I.-.1 1W."k C., I,, Wo. STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER S773 T�i�e, ROUTE/BOX NUMBER FIRE NO. �- xqi— '" J CITY/STATE ajS o"_ � 60 ZIP "J 1©t PROPERTY LOCATION: N� 1/4 S 1/4, Section �_, T 2'� N, R q WI? Town of VD A Ow�',SW , St. Croix County, Subdivision U01 C,S{ _�� ��3 , Lot No. Z. 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 $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the Lstandard set forth, herein, as set by the Wisconsin Department of Na ral rtification form must be completed and returned to the St.0 ix C fice within 30 days of the three year expiration date. SIGNED DATE Mal St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address sash p-gat correctly represents all exterior boundaries and they division of the land surveyed; and that this land is located in '1/4 of the SE 1/4 of Section 4, 1.1'281N , R191,1, Town of Troy, St. Croix County, Wisconsin, to—wit, Com.,,encing, at the South 1/4 corner of Section 4; Thence N2°1$ ' 50"E along, the 1/4 Section Line 1873 . 60 ' ; Thence S88 009 ' 00"E 58 . 99 ' to the Easoerly *Right-Of-Way Line of S. T.H. "35" , being also the point of beginning; Thence N2 015 '50"E along said Right-Of-Way Line 335. 10 ' ; Thence S37 052 ' 25"E 649. 70 ' ; Thence N1°58 ' 08 'E 50.00 ' • Thence S87°52 '25,,E _ 256. 00 ' ; Thence S1 058 '08"W 93. 00 ' ; Thence S8 52 ' 25"E 302. 01 ' ; Thence N1 058 '08"E 347.98 ' to the centerline of Tower Road ; Thence S58056 ' 52 11E along said centerline 62.90 ' to the East Line of the NW 1,/4. of the SE 1/4; Thence S1 058 ' 08"W along said Forty Line 603 .59 ' ; Thence N88 009 ' 00"W 1264.40 ' to the point of beginning. Contains 9. 993 acres of land subject to existing Tower Road Right-Of-W v. Dated this 7 ^� da .�t5`#' ► `►►,' I3ER 1981 .Lt���9 ►Z�f. ,ct2 �••' �s�' , / '•, Arthur L' N I/4 CORNER �� °��•• •1•.° 'Y •, 90 ° Wegerer ARTHUR Wis. R.L. S. a :'s• s �F _ No .S- 6 ^O UNPL�TED_�' WEB=RER _ LANDS g 3 00+ r0ly S-963 M i ELLSWORTH ►•, E � o 0 Wis. 1 • � � ,••'•.• °••'••......• •° °��, S 87°52'25 E 3 0 -o,` O _ �`►'o S U R���.••9��' 256.00' -d 67052'25 F" 649.70' eb0 n '� 87'0 .� 2 g9 . _ rn S 52 25 E 790. N, ' o&�'T` NOTE:'EXISTING HOUSE � y033 51.9 o a; I 6O ON THIS LOT Z69° , . LOT I r w; M I 7.565AC `O 959.40' Room 58.49: N 88°09'00"w 1264.40' t _ 1.78' S B8°09,00"E UNPLATTED LANDS 00 NOTE: BEARINGS REFERENCED r�rjir) TO THE N-S Y4 SECTION.LINE m N OFSECT10N 4, ASSUMED LEGEND z SEARING N 2015'50'E 0 1'•X24°IRON PIPE WEIGHING I.I3 LBS.'PER LINEAL FOOT •S r CORNER • IRDN PIPE FOUND - SEC.4, TZBN,RI9W Qk,GCUNTY SURVEY M,7NUI~"ENT (s5 SAFcT; A {�°F REPORT ON SOIL BORINGS_ AND PERCOLATION T FS I S (115) rJAD �� . V, (ILHR 83.090) K Chapter 145 i,% SH AUtJICIPALIT" IL OT fV0 :IBLK. N(' SUBD"'ISI�"v `JAt,gE �/� /T z� N R)q E (o � Z — iyo>✓ CSM --- -- r ---- -- - MAILING ADDRESS: T1i 3-r WN_.R'S UYER' AME: Z 6 g -�.Ct� l� 1�-r�•L SO riNSoN ----- �- Aso"' , rv/ sYnl6 - - - DATES OBSERVATIONS MADE USE __— ________ _-__ —__ NO.BEDRMS.: COMMERCIAL DESCRIPTION: r (PROFILE DESCRpIPTIONS: PER OLATIO�J +ES'c New LJReplace 6- 3 8 N �y '.YRe „fence 3 L— — RATING: S-Site suitable for system U-Site unsuitable for system --- CONVENTIONAL. MOUND: IN GROUND PRESSURE: SYSTEM-IN-FILL HOLDING TANK �HECOM FENDED SYSTEM lopt vna'' M,S lu S � S ❑�- ❑S �� _ S U 12 -rrnF>vctt€ -LRe�t S X s _ f If P c o,atior e are N J? equued DESIc,N RATE: --�ii if any po rion n tre test-d area is rr inf - 'Z I „idcr_ !; `f' t' "'915!{U, indicate CIrP.SS Fioodpa,r Indicate Floodriain elevation -. -- ------- PROFILE DESCRIPTIONS -f' —i I E—XT—i r —P-N-i DEPT- BORING, --- _ DE CH`,RA 7EH r L I ; ICKNEFS, COLOR, TEL FV�:,i i0l U pBS F V ET F GHE F IBS VET tSE E ABBRV ON BACK ' DIZGfShS 113, 4_S ,BrtSi l ", o_S ' art S IB 2, I S b' � �� � S 8� o.b Lt 5 0 `-CQj S t_-- �U o-1- - ---- - --- F-71 -I S, �� o, �I > -). �` `r Z_' LBhs ) ;1.3',Sr,G�si i 1s B- L�� �.-t ' 3•b' a > -).7 o-a' ; 1-3 ' • 5-S'Bh Gi./S;Z l3n )s - CT9 >-2. o.�' '_ ;5,b` R��'S w/sl &A�.ps B- _� (�.$ � U•O� it _. > 6 a.7' r� 1.3' 'r i�•2 'a� 61�5�'3.b'13h�srG -I �' $S•o'- it > 7-0 ' o•�' Le j z. 3' << y•O »�S w/s � -- B -- - --- ---- — -- - ---- -- --; I PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL INCHES RATE MINUTES INUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIODt PERIOD2 -- --_PER1�3 —� PER INCH I fP----� -- P- T--- Cp ( - ---- --- — PLOT Pt-AN hov, !oca?,ons of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hors ,•.._,nr,, ana ,iPrtica' e,e•;aror. reference points an d show their location on the plot plan. Show the surface elevation at all borings and the direction and per SE'S t EM ELEVATION �T t_IiJ` �Soo3 ' `31-, i- to0.0 Cv�i I'tX 2� �c1o�D _ w/ L_P'TN k 5 .3' otv IV A z �.•oo LAJED-L 36: A-T S�' tec r1T1; L 7- SO`F1''�uwl N-_)i2.AlX.,FIL1,D, , F)k-n'5 i z c ' �� S' 8S\ j s a5�' 1 Oxz S t ; \ \� o Sib \ _ .. i emu. ",.? �'C < •;;;�1p S - ,;i��.: : � r 1 L ea a.y ce t y that t- Vests re., teo .,r Is ,t,ere ac,. ` `n., ac wit-, the _ r<r. _ - fled in the V, sconsir. tha ;he o,-)ta!e, the is,, _,r- ,. ..s.;,re correct _. S ,. Ft�. .._ JIPL ,. � ,. _ F 'N `70 T_Z?L� _ ` F AT ,' ti r P. n N, ^BER ptic,na'i ► S i �T IGNA r UA E. l"'00e,t� 0,. ,e an Sr ,DE`P01,,'-';IEN( OF SAFETY & BU!LDiN,,''Q' REPORT ON SOIL BORINGS AND DIVISIO"�N P Y. P.O. P�r)X 79F�� PERCOLATION TESTS (115) MADISON,VJ! 537( puvA% r­'A 1 10NS (ILHR 93.09(11 R Chapter 145) OT UBDIVIS10%' NAME 5 _7 ION 7r�Wr��SH�LINICI PAL 1TV JE L -_r�i5 /TAN/RiclE (or"W� 9P COUNTY:_ OWNER'ktj�E _�A!Vlt: AILING ADDRESS- —2 $7-, L�CJ�--'S)x "ll svolL USE M:Xj— DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL - - —DESCRIPTION —1 I-PROFILE DESCRIPTIUN-§�TiONTCS41 Residence N P.w c E; I 3J RATING: S=Site suitable for system U=Site unsuitable for system CONVENTIONAL MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:loptional) CS_�DU DS CCU ®S DU DS ®U DS ®U � PLrcoIaiior,Tests are NOT required DESIGN RATE: an v�clruo, �f the tesiej area is in the -ode ILHH83.09(5)(b),indicate: F;oodniain :nri,cate Finodpiain eievation� PROFILE DESCRIPTIONS 0 PTHTO GR CHARACTER C+ S_ V ViTi-; THICKNESS,� ­C BORIN TOTAL OUNDWA- INCHES-INCH�L[tCHARA' LOR TEXILJRE, AWD DEF�JFT'; UMBER DEPTH IN. ELEVATION IONI _OBSERVED I EST. HIGHEST_ TO BEDROCK IF OBSERVED ,SEE ABBRV.ON BACK.) I I I -z- B- B- r B- +_ PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WA TER LEVEL-INCHES RATE MINUTES IN INCHES AFTER INTERVAL-MIN. —PERIOD- - D 3 PER INCH �PE R 16��D2 UMBER, PERI P_ P- P- P- LIE_ 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 vertica' eievation reference points and show their location on the [)lot Dian. Show the surface elevation at all borings and the direction and Dercen-_ 11"sinn� SYSTEM ELEVATION _70 '/Q, CIP1 F_� J 4N of 6 1, the undersigned, ir.ereby certify that the soil tests reported on this form were made by me in accord with the proceoures 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 p—ron-t-F TESTS WERE COMPLETED ON: __T L LAJ =77 1> E ONE NUMPER'c,pi tonal): CERTIFICATION NjMS SS. LT_14 Z-Y-ow 6y ICIT SIGN I ATURF'� co 01"RID jTION! 0 gina,and one copy to I oca: P!_-perjy &.•;nc ar-Soli P:i e,. 'P/ C,,z OF L'iLHR-S6D-639E (P 10'83! -OVER - ie c ► i l a Ca E-1--h Vim- c,3CL� Q-�" 04CI-2�on W t S S.l�SZ_Cr,cOcQre„sS z47-a 91 L o� 1 � A� JOs�,�J 4 wr Z CsM �/.Lt P. re 43 SE �i CCtTC CU. Ce lr C' to Section A-A 4-2- GL. 90.3