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Parcel #: 040-1053-95-100 01/13/2006 09:13 AM
PAGE 1 OF 1
Alt. Parcel#: 13.28.19.201 B 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): 0=Current Owner, C=Current Co-Owner
ROBERT&KATHLEEN FISHER BENNETT 0-BENNETT, ROBERT&KATHLEEN FISHER
828 GLOVER RD
RIVER FALLS WI 54022
Districts: SC=School SP=Special Property Address(es): *=Primary
Type Dist# Description *828 GLOVER RD
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 5.773 Plat: N/A-NOT AVAILABLE
SEC 13 T 28N R1 9W NW SW 5.773AC THAT Block/Condo Bldg:
PART OF NW SW KNOWN AS PT LOT 1 CSM
7/1905 Tract(s): (Sec-Twn-Rng 401/4 1601/4)
13-28N-19W
Notes: Parcel History:
Date Doc# Vol/Page Type
06/10/2005 797281 2820/282 EZ-U
07/23/1997 808/50
07/23/1997 795/522
07/23/1997 785/453
2005 SUMMARY Bill#: Fair Market Value: Assessed with:
102444 258,500
Valuations: Last Changed: 07/19/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.773 75,000 173,800 248,800 NO
Totals for 2005:
General Property 5.773 75,000 173,800 248,800
Woodland 0.000 0 0
Totals for 2004:
General Property 5.773 75,000 173,800 248,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch#: 111
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS
ON
I
LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS BUREAU OF PLUMB DIVISING
P.O.BOX 7969
MADIMADISON,WI 53707
S N,Wl 3,T28N-R194� CONVENTIONAL El ALTERNATIVE State Planl.D.Number:
U(assigned)
Town of Troy ❑Holding Tank ❑In-Ground Pressure El Mound
',lover Road
° 3v
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE:
Robert Bennett Route 3, Box 312, River Falls, WI 5402 „�
BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN'. REF.PT.ELEV.: CST REF.PT.ELEV.
Name o1 Plumber: MP/MPRSW No County: Sanitary Permit Number:
Carl P. Heise 3378 St. CRoix 106121
SEPTIC TANK/HOLDING TANK:
MANUFACTURER. ILIQUID CAPACITY. TANK INLET ELEV.: TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED
DYES ❑NO ❑YES ❑NO
BEDDING. VENT DIA. VENT MATL. HIGH WATER NUMBER OF ROAD: PROPERTY WELL. BUILDING. I Vt,I TO FRESH
ALARM FEET FROM LINE AIR INLET
DYES ❑NO EYES ❑NO NEAREST
DOSING CHAMBER:
MANUFACTURER BEDDING'. LIQUID CAPACITY PUMP MODEL. PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
❑YES ❑NO ❑YES ❑NO I OYES ❑NO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL BUILDING V
(DIFFERENCE BETWEEN FEET FROM LINE AIR INLET
PUMP ON AND OFF) DYES ❑NO NEAREST
SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing I LENC,TH oIAMErER MATERIAL AND MARKING
or excavation. Of soil can be rolled into a wire,construction shall cease until FORCE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
WIDTH'. LENGTH IN 0 0—F DISTR.PIPE SPACING COVER INSIDE DIA ePITS LIQUID
BED/TRENCH TRENCHES. MATERIAL: PIT DEPTH
DIMENSIONS
GRAVEL DEPTH FILL DEPTH UISTH.PIPF DISTR.PIPE DISTR.PIPE MATERIAL. NO.DISTR. NUMBER OF PR OPE RTV WELL BUILDING VENT T,FHE S/I
BELOW PIPES ABOVE COVER. ELEV.INLET E 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 ❑NO
SOIL COVER TEXTURE 11ERMANINT MARKERS OBSEHVATION WELLS
EYES ❑NO ❑YES
NO
DEPTH OVER TRENCH/BED �EPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED
CENTER DGES.
1:1 YES ❑NO ❑YES ❑NO DYES 1:1 NO
PRESSURIZED DISTRIBUTION SYSTEM:
WIDTH. LENGTH NO.OF LATERAL SPACING JCRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER
BED/TRENCH TRENCHES
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLPPIPES O ISTH DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING
ELEV.. ELEV.. DIA.. ELEV.. OIA
ELEVATION AND
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING. DRILLED CORRECTLY RIAL pLANSCAL LIFT CORRESPONDS TO APPROVED
DYES ❑NO DYES ❑NO
COMMENTS: PERMANENT MARKERS: JOBSERVATION WELLS. NUMBER OF PROPERTY WELL'. BUILDING-
FEET FROM
LINE
❑YES ❑NO DYES 1:1 NO NEAREST
Sketch System on Retain in county file for audit.
Reverse Side.
SIGNATURE. TITLE
Zoning Administrator +I
DILHR SBD 6710(R.01/82) i
DILHR SANITARY PERMIT APPLICATION COUNTY /�
In accord with ILHR 83.05,Wis.Adm.Code TA` '��
STATE V CDSANITA
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:
1. 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;
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 an 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/Departrrrent 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 iaw. This legislation is more
commonly known as the groundwater protection law. This change in statutes was the
result of over 2 years of steady nego+sation and public debate. The groundwater bi!', (�rOJr,dur�tgr_ —
included the creation of s 1rcl;arges (r;es),for a number of regulated practices wh.ch wisCo*rt`5
can effect groundwater. The surcharE - took effect on July 1 1984 A" o¢the water tha` , reasurf3
is used in your h �l +!n returned ? the groundwater tl?roup�i \,,'ur so1, absc r t r^
system or the des o.a; ',a used by nor holding tank pumper -, t
The morn .
i 17 U
tered by :; _�t N ±. S
e
water, groan
;r
worth prot�,r7%ing-
_3i)-098(R.03/86)
APPLICATION FOR SANITARY PERMIT
STC - 100
his application form is to be completed in full and signed by the owner(s) of the
roperty 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 Propertyc�8t-1�7—
Location of Property 1%, Section N' T Zf3 'N-R L W
Township
Hailing Address _ _f7
Address of Site
Subdivision Name
Lot Number
Previous Owner of Property L_A0rZ iL�•JL.
Total Size of Parcel • - `7 7 3
Date Parcel was Created 4 1_5r-64a
Are all corners and lot lines identifiable? X Yes No
Is this property being developed for resale (spec house) ? Yes X_ No
Volume and Page Number SO, 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 (Wel ceAti.6y that atC etatement�s on tW ohm ahe tAue to the beAt o6 my (om)
hnowtedge; that I (we) am (cute) .the owneAk 06 the phopenty descAi.bed in ,thiA
.in601mation 6okm, by viAtue o6 a wa Aanty deed kecokded in the 066ice 06 the
Cocmtyy Re-g4AteA o6 Deedhas Document No. 2 and that 1 (we) pheeentty
avn -the phopoaed Aite bon the sewage di�spoe eye em (oh 1 (we) have obtained an
eaae,++ent, to hun with the above deAcnibed p)topehty, bon the con,6tAuction o6 aaid
eya,temv and the name has been duty neconded in the 066.tce o6 the County Reg-iateh o6
Vtcda, ah Docment No. ) .
SIGNATURE 011 OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
DATE SIGNED DATE SIGNED
DOCUMENT No. STATE BAR OF WISCONSIN FORM 1-1982 THIS SPACE RESERVED FOR RECORDING DATA
WARRANTY DEED
43G2ss I BOOK Bas p"' 50
REGISTER'S OFFICE
This Deed, made between -Laurence_.W.-__Murpby-__and-:_ ST. CROIX CO., WI
_Kri-stie__L.___Murphy_,___husband__and.wif e__as.. ................. Recd for Record
sux-vivorsh p_.marital p QPert y wi kk . r�ghts..4f------ APR 1 S � $
.urVivQr.h .p c----------------•--------------••--------------- ---- --------- Grantor,
and---Robert--K•---Bennett.--and_Kathleen...M..__-F.i.Sher-,_-as at 8:30 A. M
-Joi.nt..t-enant-s----------------------------- -----• /� //��A�
---------------------------------------------------------- ------- -------------------------------------------- $111�ew eoml— XJL
-------------------------•-•----•--•-•---•--••---•-------•-------•------••----•••--••-•----•••--.., Grantee, ofOn&
Witnesseth, That the said Grantor, for a valuable consideration Qf- One
.Dollar--and.-.other-.good...ansl_.valuable_--consa.de.ratxon n
RETURN TO �� �l. G!'C�L/L e-e)�
conveys to Grantee the following described real estate in ._S.t_...Cr_QiX--..._____ �. v
/� / S l2ktix
County, State of Wisconsin:
Tax Parcel No- -----------------------------------
Lot 1, C.S.M. , Vol. 7, Page 1905, Document #431522 .
TR NSF'ER
X16
FEE
This _.ia_riQt............ homestead property.
Idso (is not)
Together with all and singular the hereditaments and appurtenances thereunto belonging;
And.Lau.ren.ce---W-•---Murphy..-and..Rri-sti.e_.-L.._Murphy---------------------------------------------------------
warrants that the title is ,
ood indefeasible in fee simple and free and clear of encumbrances except
g
and will warrant and defend the same.
Datedthis ................................................ day of --•-•-••.. --•------•------- --...-•--------------•-......----....... 19.........
- - ` (SEAL)
..................• -. - ---------------
* Ifaurence W. Murphy Kristie L. Murphy
--------(SEAL) ------- -----------•- -------------(SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) ............................................................ STATE OF WISCONSIN
ss.
------•------------------------------------------------------------------------- ''
�'
----------1-/Ze6 ------------- County.
d,
authenticated this ....... day of........................... 19...... Personally came before me this ...../,�. .:._day of
___--______.i ________________ 19_1 .. the above named
--------------------------------------•---------.....••---•--•-----•----•-------
TITLE: MEMBER STATE BAR OF WISCONSIN /%/uPCij/L3G:__-LU•__/;2a/fPNy ____
(If not- ---------------------•- ---------- ................... -------------------------------
authorized by § 706.06, Wis. Stats.) to me known to be the person ._.__ who executed the
foregoing;instr ment and acknowle'g'&rWa IG t_e-y�„�
THIS INSTRUMENT WAS DRAFTED BY / U p PU";•C
D. Peter Seguin, Attorney t Law
i�----'-- — - ��c�t�SlN
•--• ........----------•••---•------y-----------------•. _ ,
P.O. Box 368 ------ A�cU4---- p /TC_ll----------------------------
-River---•Fa-ll-s-,•---W1------ 402,2•------------------------- Notary Public .......... ................County, Wis.
(Signatures may be authenticated or acknowledged. Both My Commission is permanent. (if not, state expiration
are not necessary.) pC
date- -------------�i_�_�v��--------------------------------- 19.;?.l-.)
*Names of persona signing in any capacity should be typed or printed below their signatures.
BAR OF N.C.Millefcomperq� STATE FORM No. 1 vI 1982 3IN Stock No. 1.300
M
�t
h+
CERTIFIED SURVEY MAP
JAMES AND ROBIN PEYEREISEN
t Part of the Northwest 1/4 of the Southwest 1/4 and the Northeast 1/4 of
olk,„ the Southwest 1/4 of Section 13, Township 28 North, Range 19 West, Town
M k e of Troy, St. Croix County, Wisconsin.
W
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�`9•00 eo ` OWNP-R'S ADDRESS: Route 5 Box .76
River Palls, WI 54022
tv�
C Dated: 9-15-1987 ��rr,tuutt�t�r
0
t _ LAU l
4,X�,e
w a !ev • Indicates 1" iron pipe found. S T W 10�OAP % ae
M s a W O Indicates l" x 24" iron pipe
1713 = � .
a a weighing 1.13 lbs./lin. ft. set. RIVERFALLS,
Page
�'•. S J
•�`W
AW ISC. �j 0. ••.
Vol.
LAND Certified Survey Maps -.•.
St. Croix County, Wisconsin (T. egistered urenceW. Murphy
,
�
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�
Land Surveyor
SNEEr / or
H
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STC - 105 r
9
H
SEPTIC TANK MAINTENANCE AGREEMENT o
St . Croix County z
d
9
OWNER/BUYER IZC%R�_�--r K•_ 6b,_G\ ETT
ROUTE/BOX NUMBER 31 -L Fire Number
CITY/STATE �C' ( 1/F-I{, /y I; ZIP -��1Z.1
PROPERTY LOCATION : ' , Sit ) , Section I , T N , R i W,
Town of Vz_c) , 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 . 0
I/WE, the undersigned , have read the above requirements and agree En
to maintain the private sewage disposal system in accordance with x
H
the standards set forth , herein, as set by the Wisconsin Depart- �v
ment 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 . J QQ
SIGNED4�/(`-
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 .
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS
INDUSTRY, G DIVISION
HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 7969
(H63.090)& Chapter 145.045)
LOCATION: / SECTIO�� NCR r (or � TOWNSHR�MUNICIPALITY: LOT NO.:BLK.I�J(d,': SUBDIVISION NAME:
NE ' 5W1 13 28 /9 C /
COUNTY: OWNER' BUYER'S AME: MAILING ADDRESS:
S7. CRO/X LAURENCE W. MURPHY R/ BOX 36 A RIVER FALLS, W/ 54022
USE DATES OBSERVATIONS MADE
Residence
NO.BEDRMS.: COMMERCIAL DESCRIPTION: (PROFILE DES IPT ONS: PERCOLATION TESTS:
3
M.A. New ❑Replace 8- 20 - 67 9 - 13 - 87
I
RATING:S=Site suitable for system U=Site unsuitable for system
CON�VENTMU AL: MO�1ND:❑� IN Ga� ��RE: SYSTEM-MU ILLHO❑LDING TANK:RECOMMENDED SYSTEM:(optional)
SS IDS S S MU MOUND
If Percolation Tests are NOT required DESIGN RATE:
CLASS 2 If any portion of the tested area is in the
under s.H63.09(5)(b),indicate: Floodplain, indicate Floodplain elevation: N. A.
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.)
/ 6.31 N. A. NONE 2.8' Bn/!2.811 8n/ w/ fff Gy mot !0. 711 an r w/fff Gy met (2.8')
B 2 ,2' 11 2.7' 2. 7' an /1.211 an r// !/.5'1 an s/ w/fff Gy mot wef/2.5'1
3 5,2 ' NONE 2.6' an 1 l2.O'J an r//10.6'I an r/ and sr w/cep R mot !2.611 OR
B-'41 3.0 2.2 Bn/ f?.2'1 Bne.w,'/ccp RGy mot !0.811 OR
5 2.5' 7
" 1•8 Bnl //. 4 '1 On s/ 10.4 '1 Bn c w/cep R may !0.711 BR
B- 6 2.6' 9,9. 7 2.3' 8 n I //.8'1 8n s/ ! O.3'1 8n c w/ecp R mot !O.311 BR
7 .,� ' 99.8' 2.3' Bn / 12.311 Bn c w/ccp R Gy /0.8'1 BR
B- 8 2. 4' 99.4 ' 1i 2.01 Bn / !2.01 Bn c w/ccp R mot !0.4'1 BR
B-
B-
PERCOLATION TESTS 4 HOUR r£s7
TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER L EL-INCHES RATE MINUTES
NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH
P_ 1 124 NONE 301 / 112 " / 91161' / 112 ,F 20*
P '
P_ 2 24 1/
/' / " 113116 " / 318 " /8
P-_
p- 3 24 P 9 / 314 " 1 112 " / 7116 " 21
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 /00. B'
N CO L07 / , INC BE WE P LE AP
i INC
I PO ER POL A SU ED100 ROX.
._._.L.._...-..._ ...+..._� __,.�8 ........... iT9.al.._..... y._— _..__ _._._....1..w._..-- .—.... ...__ r__.._..... _.._ ..._.L_..._—
�
ti I iq, i I
/5 3 r P3 O' 96
-- ......5,.. ._ .. .
2 jREAr BA /C LL Lf EL
I 1 0 U7 CA 190 ")
Pli
4 411'
'
' TN
I i
ISCA'L E 1" /0 ,,
Of__.
B
1�8AC}CHO PST I r{ € I �Is
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SE T/it 0 ER iP0/C
,
PO EL EV
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:
LAURENCE W. MURPHY 9 - 15 87
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional):
R/ BOX 36A RIVER FALLS, W/ 54022 55- 2445 425 - 9032
C T SI ATURE:
DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester.
DILHR-SBD-6395 (R.02/82) —OVER—
INSTRUCTIONS FOR COMPLETING FORM 115 - SRI - 6395
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;
3. 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;
6. PLEASE use the abbreviations shown here for writing 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 riot apply, place N.A. in the appropriate box;
11. Sign the form and place your current address and your certification number;
12. Make legible copies and distribute as rewired. ALL SOIL TESTS MUST BE FILED WITH THE
LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION,
ABBREVIATIONS FOR CERTIFIED SOIL TESTERS
Sail Separates and Textures Other Symbols
s - Stone (over 10") BR - Bedrock
col) - Cobble (3- 10") SS - Sandstone
gr - Gravel {under 3"} LS - Limestone
Xs Sand €-IGW - High Groundwater
cs Coarse Sand perc, - Percolation [late
reed s -- Nilediurri Sand W - fvc;ll
fs - Fine Sannd Bldg Building
s -- Loarny Sand > - ,:stater Than
s1 - Sandy L-nam < Less Than
I Loam Bra Brown
sil - Silt Loam BI Black
Si - Silt Gy - Gray
cl -- Clay Loam Y Ye11Ovv
sci - Satidy Clay Lcaarn R - Red
sic1 - Silty Clay Loam mot - Mottles
sc SJi"Ay Clay vv .... 'ovitIa
sic -- Silty Cloy fff few, fine,faint
x- Clay c; Clay cc cornmon, coarse
--
pt Prat rrrrn - Many, medium
m - Muck d - distinct
p prominent
HUIaL - High water level,
Six raeneral soil textures surface water
fo liquid waste disposal BM - Bench Mark
VRP - Vertical Reference Point
TO THE OWNER:
This soil test report is the €first step ira securing a sanitary permit. The county or the Departniernt rstay request
verifia..ration of this soil test ill the field prior to permit issuance, A complete sail: of plans for the private
st ,,,rage systern and a permit application mast be submitted to the appropriate local authority in order to
:�IatairA a Perrcait. The sanitary permit must tar obtained and posted prior to the.,start of any construction.
CERTIFIED SURVEY MILP
JAMES AND ROBIN FEYSMSEN
'�^ o Part of the Northwest 1/4 of the Southwest 1/4 and the Northeast 1/4 of
0 3 the Southwest 1/4 of Section 13, Township 28 North, Runge 19 West, Town
a a o of Troy, St. Croix County, Wisconsin.
\ b >
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UNPLATTEO LAMPS
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x °o OWNER'S Route 5 B" 76 0 o
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River
1"41109 ,IUI 540,,,-
Dated: 9-15-1987
o • Indicates 1" iron pipe found.
aW O Indicates 1" x 24" iron pipe
Ch N weighing 1.13 lbs./lin. ft. set. `t�WE�`R,eF.AILS d
~ n Page VVV iA '
aCertified Survey Maps ��N���e���
\ St. Croix County, Wisconsin Laurenee W. Murphy
hegistered Land Smrveyor
0
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CERTIFIED SURVEY MAP
JAMES AND ROBIN FEYEREISEN
Part of the Northwest 1/4 of the Southwest 1/4 and the Northeast 1/4 of the Southwe;A
1/4 of Section 13, Township 28 North, Range 19 West, Town of Troy, 9t. Croix County,
Wisconsin.
CURVE OA rA
CURVE CHORD BEARING CHORD ARC RADIUS CENTRAL ANGLE /Sr TAIX. AJAR. 2ND TAR. TEAR
/ - Z S 03.30'23.3"E 430,96' 433.34' 11_43.02• 21' 40' 37" S07'1!•!J "W S14';0''44NE
N8/•18' 48.5 1
W 41.65 242.37 800.00 /7.22 23 Nl0�00 �NT!'� r4 _W
4-3 N53.48'48.5"W 331.16' 356.23' 607.00' 33.37'37" N!'$' 2 $7 11 W NJ!•D Q IY
6-7 N46.30 46' W 33.6/ 33.76 ?03.00 /3.OI7J`-" N39
Wo _00 OO 0 W NS4.01 W
8-9 546.30'46"E 62.24' 62.4/' 238.00 /3.0/T3! S54.0/ Jt � SlliO"Y�a� ....
/O-/I 553.46 48.3 E 332.OT 336.88' 374.00 33.37 J7 S3! QO 00 F S72�dT.
//-/1 SB/•/8 48.3 E ?3/,68 .232.57 767.00 /7',92'2 3 ST? 37 J7 E N90 Q0 00
/3-/4 NO2.35'20.5 W 397.27 399.1 /IT8.92r %9'^?�'39 N/$•/ �k N07! 6 [
Description:
That certain parcel of land located in the Northwest 1/4 of the Southwest 1/4 and -U;e
Northeast 1/4 of the Southwest 1/4 of Section 13: Township 28 North, Rsn$e 19 Vest,
Town of Troy, St. Croix County, Wisconsin, more fully gescribed as follows; Coamneing
at the West 1/4 corner of said Section 13, thence N 89 30'00"E (recorded bearl on the
East/West 1/4 line of said Section 13) a distance of 929.8* to the POINT OF 121rKNO,
_ of the parcel to be herein described; thence continue N 89 30'00"E 714.59' can waid line;
thence Southerly on the cente3qline of C.T.H. "U" on a curve concave to the Xast
having a radius of 1145.921 , whose chord bears S 03°30'25.5"E 430.961E then**
N 90°00'00"W 142.02' on the centerline of a town road; thence continue Westerly on
said centerline,°n a curve concave to the North, having a radius of 800.0001 vhope
chord bears N 81 18'48.5" W 241.65' ; thence Northxesterlyoop- a.curve concave to the
North, having a radius gf 607.001, whose chord bears N 55048,48.5" W 351.16' on said
centerline; thence N 39 00100"W 110.001 on said centerline; thence Northwesterly on a
curve concave to the South, having a radius of 205.00', whose chord bears N 46 3A14611W
53.61' on said centerline; thence N 35 58'28"E 33.001 to the North R.O.W. of said town
road; thence N 25 03129"E 45.28' to the POINT OF BEGINNING, containing 5.773 acres,
being subject to easement over the Southerly 33.00' thereof for town road R.O.W.
purposes, being subject to easement over the Easterly 33.00' thereof for C.T.H. "U"
R.O.W. purposes and also being subject to easements of record.
Dated: 9-15-1987
State of Wisconsin)
County of Pierce)
I. Laurence W. Murphy, Registered Land Surveyor do hereby certify -that by direction
of the Owners, James and Robin Feyereisen, I have surveyed and divided the land$ Shown
hereon in accordance with official records, Chapter 236.34 of the Wisconsin $Ututee
and the Ordinances of St. Croix County and that this map and description are a true and
correct representation thereof.
�,,•��$C O NSA ►
�` , ••'•
? LAURENCE
XTWMU .
co I•.RIs Ls .
r III Q LA140
,' *�e�r/l�lar•rsr�
' Laurence W. Murphy
j Registered Land Surveyor
Vol. Page
Certified Survey Maps
St. Croix County, Wisconsin
sHEEr 0 Or
ST. CROIX COUNTY
WISCONSIN
•r� ZONING OFFICE
r 796-2239(HAMMOND)
.
425-8363(RIVER FALLS)
HAMMOND, WI 54015
it 27, 1988
Lvision of Safety and Building
ureau of Plumbing
.0. Box 7969
[adison, WI 53707
)ear Sir:
An on site investigation for the property located in part of the
NW 1/4 of the SW 1/4 and the NE 1/4 of the SW 1/4 of Section 13,
T28N-R19W, Town of Troy, St. Croix County, revealed suitable soils
at a depth of 2 feet, below which seasonable high groundwater was
noted.
This site should be suitable for a mound system.
Should you have any questions, please feel free to contact this
office.
Sincerely,
/J /
Thomas C. Nelson
Zoning Administrator
TCN:rmc