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HomeMy WebLinkAbout040-1216-10-000 3 0 3 C; n y O 603, O 603, a ° N 0. ° c � o I _ o O rn t H N y N p0 c O 0 N• O C co'O 0 V a) .r 2 O 1 O E E CD F o a ° o cc C Y c U Y `p O 8 (D a v-- aNi c-m a`)i o o rn" cEia o c z 5 ay— o z ns c �n �C C Q) — LL 0 0 0 O —CO O O Y U m Q2-am 2 3 Q oU U co (h Z M! w E E U i o v E o c Z am am I o O Z v chi d' r c Nz cn' `O w 0 N rn C Z S E o N N a 7 m (D C •� N N C 0 L U) L a - Q O z Z z O Z co z U o .. Z Cl N E . d O N N 3 "Aw N J O 0 a a -C o c o a ° - � �, aD � a � •N aaa 3aaa z r c a i` ° = 0 o M J U rn rn Z 2 rn Z a� 'V '11 co a , O � co -. ° LD o r \ M a o e's Z cn N H M 7 w 1� O ( O O LO C7 O C U N O O U d �0 V cc c o U> WO c c u R C) @ N w y � n c ° l CO c • O F- m O z N Z U) O z N.� Fc- Cn E d # IL • 'o d dam Lai. rr`�I�l E o c c d c _1 A 0a Oviiuo inv Parcel #: 040-1216-10-000 10/18/2006 09:46 AM PAGE 1 OF 1 Alt. Parcel#: 16.28.19.1039 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): O=Current Owner, C=Current Co-Owner CALVIN K&BEVERLY K BURTON O-BURTON, CALVIN K&BEVERLY K 362 RUTHIE LA HUDSON WI 54016 Districts: SC=School SP=Special Property Address(es): "=Primary Type Dist# Description "362 RUTHIE LA SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.725 Plat: 2548-TRANQUILITY VISTA SEC 16 T28 R19W LOT 2.725AC LOT 5 — b� Block/Condo Bldg: LOT 05 TRANQUILITY VISTA TROY TWP Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-28N-19W — � to T Notes: L tT— S 7 Parcel History: Date Doc# YoW ge Type 07/23/1997 832/84 -Z ? " Lat-5 S,!ol"7 2006 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/22/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.725 48,400 148,100 196,500 NO Totals for 2006: General Property 2.725 48,400 148,100 196,500 Woodland 0.000 0 0 Totals for 2005: General Property 2.725 48,400 148,100 196,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 4 •r.�„ Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ;66&Y 4a)64, 7-2 TOWNSHIP Jd _ SEC. T,U N-RL�_W ADDRESS 1-2 ST. CROIX COUNTY, WISCONSIN Picker ��_5 SUBDIVISION�Jc_ / �1�W � LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I1HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Gam_ p `-� oo _430 rc, t F � � 7 _ __ _--- - �. / /3° INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used � d'� �G7C�ct Rc;S __-- l .?' V '- A;6def /e/470r Elevation of vertical reference point: 6 z_� _ Proposed slope at site: g _ SEPTIC TANK: Manufacturer: L j 7 C S Liquid Capacity: Number of rings used: _e`LJ Z i Tank manhole cover elevation: �Ll / Tank Inlet Elevation: 6— Tank Outlet Elevation: 3c 4 Number of feet from nearest Road: Front 10 Side 10 Rear, O feet From nearest- property line Front,0 Side,0 Rear,0 13© feet Number of feet from: well , building: (Include this information of the above plot plan) ( 2 reference dimensions ito 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, Side, O Rear,Q Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: k Width: -5� Length: 60 Number of Lines: dfoc= Area Built:, Fill depth to top of pipe: Number of feet from nearest property line: Front, Side, O Rear,Q Pt . r o feet from well: Number f �J Number of feet from building: D (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 0 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: &��X T a �e.ti/S Dated: D Plumber on job: License Number: 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR& HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION MADiSO N,WI 53707 .P.O. 7969 BUREAU OF PLUMBING SO NE!4,NE�4,S16,T28N—R19W CONVENTIONAL ❑ALTERNATIVE StatePlanID.Number: Town of Troy 1:1 Holding Tank El In-Ground Pressure ❑Mound (If assigned) Lot 2 Tranquility Vista NAME OF PERMIT HOLDER ADDRESS OF PERMIT HOLDER INSPECTION DATE Roger Schwartz Route 3, River Falls, WI 54022 ,,a } )�, CH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN REF.PT.ELEV.: y /CST REF.PT.ELEV. I Name o Iumb MP/MPRSW rat.` Coumy Sanitary Permit Number: Lyle J. Myers 621 St. Croix 112667 SEPTIC TANK/HOLDING TANK: MANUFACT RER. LIQUID CAPA���LEV. TANK OUTL T ELEV. WARNING LA L LOCKING COVER J 1 ,^ jl ' PROVIDED 1R U !V! YES NO OYES LINO BEDDING. VENT DIA.. VENT MATL HIGH WATER I - j ALARM NUMBER OF ROAD jP1111RTY WELL 11111-1111, 11ER IN ESH O FEET FROM V LINE D A❑YES N ❑ O NEARESM I DOSING CHAMBER: MANUFACTURER BEDDING: LIQUID CAPACITY PUMP OD L PUMP:S IPHON MANOI ACTUHLIt WARNING LABEL LOCKINGCOVER PROVIDED. PROVIDED: OYES ONO OYES ONO [:]YES ONO GALLONS PER CYCLE: PDMPAND ONTR LS PERAT L NUMBER OF PHOPERTV WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) ES NO NEAREST—lr SOIL ABSORPTION SYSTEM.Check the soil moisture at the a th f plo in g�F;RCE I I N uTTI nIAMF rE H MATE HInL AND MARKING or excavation. (If soil can be rolled into a wire,construction sh I ease til the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BBD/TRENCH WIDT LENGTH No OF DISTH PIPE SPACIN(l COVER .:INSIDE UTA SPITS LIQUID I V V TRENCHES /_� MAT HIAL PIT / DEPTH: DIMENSIgNS ✓ F~" GRAVEL DEPTH FILL DEPTH UISTR PIPE UISTR PIPE DISTR.PIPE MATERIAL NO DI_I NUMBER OF PROPERTY Wj LL BUILDING. VENT TO FRESH BELO PIPES ABOVE COVERT Elf IN i ELEV ENU PIPES 'LINE � AINTTO �+r�a� 011 NEARES°"" 3 0 5 MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. YES ONO SOIL COVER ITEXTURE JPI RMANI N I MARKS HS o SEHVATION WE LLS DYES ❑NO 1:1 YES 1:1 NO DEPTH OVER TRENCH BED DEPTH OVFH TRENCH BED DEPTH OF TOPSOIL SODDFD S IVOYES ULCHED CENTER EDGES ❑YES. ❑NO ONO 1:1 NO PRESSURIZED DISTRIBUTION SYSTEM: QED/TRENCH WIDTH. LENGTH NO,OF LATEHAL SPACING GRAVEL DEPTH HE LOW PIPE FILL DEPTH ABOVE COVER : DIMENSIONS TRENCHES MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL N JU:STR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING ELEV. ELEV. DIA ELEV. PIPES DA ELEVATION ANQ'' DISTRIBUTION MATI©N HOLE SIZE HOLE SPACING D CORRECT LY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION PLANS OYES ONO DYES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER 0I J PROPERTY WELL: BUILDING: FEET FI'30M -LINE: 1:1 YES ❑NO ❑YES ❑NO NEAREST 12,� I ` 1� Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE. T T .Zoning Administrator DILHRSBD6710 (R.01/82) IV f, ja jo c `° cx�p ..............................I- to OC SANITARY PERMIT APPLICATION COUNTY ���DILHR In accord with ILHR 83.05,Wis.Adm.Code n ' >� ��� STAT��ANITARY PF„RMIT# 77a(66-211 —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 S(L)4 PROPERTY LOCATION 66 �'/4 /a, gUMBER , N, R E(or� PROPERTY OWNER'S AILING ADDRESS LOT NUMBER BL UBDIVISIO NAME 6 /S CITY,STATE ZIP CODE PHONE NUMBER TY E/�RES OAD,LAKE OR L MARK ❑ VILLAGE: � Av' �-�t c s Zz II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family .6e5-D j / ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a.9 New b.❑ Replacement c. El Replacement of d.1:1 Reconnection of e.El 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. El 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.OConventional b. ❑Alternative c. ❑ Experimental 2. a. El 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.ICSeepage 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(Squar Feet : PROPOSED(Square F et): 7 Feet ❑Private ❑Joint ❑ Public CAPACITY Site Fiber- Ex per. VI. TANK in aa ons Total #of Manufacturer's Name Concrete Con- Steel glass Plastic App INFORMATION New xisting Gallons Tanks strutted Tanks Tanks ❑ ❑ Septic Tank or Holding Tank �/UL ❑ ❑ ❑ Lift Pump Tank/Si hon Chamber VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system show on the attached plans. Plumber's Name(Print): Plumb Sign re:(No t mps) MP PRSW No.: Business Phone Number: Z / /P_ J` / Name of Des'gner: Plu er's Address(Street,Ci ,State,Zip C Z iS, s -Z/ cxS VIII. SOIL TEST INFORMATION Certified Tester(CST)Name CST# L CST's.6DDRRE%SS(Street,City,St te,Zip Code) Phone Number: _ IX. COUNTY/DEPARTMENT4JISE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuigent Signature(No Stamps) S rcharge Fee Approved Owner Given Initial / ^tO OQ .,06 Adverse Determination /rte[ l� T X. COM ENTS/REASONS FOR DISAPPROVAL: 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% x 11 inches must be submitted to the county. The plans must include the !ollowing: 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 1W can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reiStrQ ° 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. 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) e I A ' 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 propertyCC�_ / ��/52��Z� 510 Al W 15- Location of property s 6 1/4 X1/9, Section /(� , T c2Y N-R/9W Township Mailing address 3Cr� AliT74(4. � Address of site jej),r/4 te 4A) Subdivision nameZ6e&A11r4 &14 /tv U/3? Lot number Previous owner of property --�]^sue :Ta' Total size of parcel _/*/� Xe,Qj� Date parcel was created/227 Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house)? Yes _N0 Volume and Page Number 44— 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. ---------------------------------------------------------7--------------------- 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. .14 64,y D- ; 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 t ounty Regis er of Deeds, as Document No. ) . S 14Kature of Owner Signature of Co-Owner (If Applicable) Date of Signature Date of Signature DOCUWNT NO. rn I STATE BAR OF WISCONSIX—PORM 1 361-640 VOL i1 /r � THIS SPACE LASERVEO OsR A[CCORDIhG DATA , THIS DEED, made between, C• �(•_ By e .If ,I H o li n is R. REGISTERS OFFICE in C o m m u i — ------- ST. CROIX CO., WIS. Recd. for Record this 0.3rd Grantor day of Oct A.D. 19 and Roker Ii. Schwartz and �2uth l:. Sc��wart y -'----- t0 30 A husband , and wife as joint tenants at - - --- i---- _-- ---Grantee, - M DNda W t n e s s e t h, That the said Grantor, for a valuable con�lderation_ Fi t)r_l:n11r Thryjyan 1-Ninr I1t1n�1rnti__, n1.:i 1-0.O-_____-_-- IIET N To conveys to Grantee the following escribed real estate in ._ Y g County, State of Wisconsin: Part of SW1; of NW4 of Section 15 and Part of SE4 of NE4 of Section 16 , ALL in 28- 19 des- cribed as follows : Commenc inR at the E', corner Tax Key No.__ of said Section 16; thence N1o�6 ' 31" E 33. 0 feet to point of beginning; thence N87 16 '40"W 322. 0 feet along the N Right-of-Way line of an existing Town Road; thence NWiy 177. 8 feet along the NEly Right-of-Way line of an .: existing Town Road on a 167 . 0 foot radius curve concave NEly whose chord bears N56046135"lV 169. S2 feet; thence N2P0 16130"W 486.64 feet along said NEly Right-of-WAN, line; thence N41 53 '26"E 671.65 feet; thence S48006134" E 1593. 39 feet along the Sally Right- of-Way line of the farmer Chicago , St. Paul , Minneapolis and Omaha . Railroad; thence N88 S0118"W 955. 94 feet along said N Right-of-Way line of an existing Town F,,ad to the point of beginning. This is 110 17 -homestead property. -(is) (is not) S�l•_9_D . Together ith ll nd singul r e heredita ents an ap.purtenances thereunto belonging; wr And b� �ye an� Dennis Y. Sc ttltz warzants that the title is good, indefeasible in fee simple and free and clear of encumbrances except for easements and roadways of record and will warrant and defend the same. Dated this _ 17th ---day of October —, 19 79 . (SEAL) (SEAL) -- ---- - -- C. M. R (SEAL) (SEAL) •— . Dennis R. Schultz A I AUTHENTICATION ACKNOWLEDGMENT Signatures authenticated this ___ _.-._day of STATE OF WISCONSIN Pierce County. Personally came before me, this 17th day of • October, 1979 the above named C. M. TITLE: MEMBER STATE BAR OF WISCONSIN Rye and Dennis R. Schultz (If not. - — -------- authorized by 3706.06, Wis. Seats.) his instrument was drafted by C. 'M. Rye , Attorney — -_--- to me know``oQo .thitlperpQ,*, +MIlke executed the fore- going Ins%t' l;ient and ackngvJte Ij the some. _River Falls,_h'iscon.sin 54 o 2 ( f'c�iatL��t. t J • ^. (Signatures may be authenticated or acknowledged. Both " DL6ln , I a °I,•.° Cross•'• are not necessary.) Notary tNublio PI C `ti _County, Wis. My Comi"kign is pertnpittot.',1(A abt, state expiration "" 19 •h'rm•s nl persons :rKnmK m any iapacaY must be type, or prin!ed below their siRndtllTes._ viARRANTY DEED-STA,V HAR OF WISCONSIN. FORM NO, 1-1977 8 L N k,dY"�w es Fv � '�t�l !a�• k � kr. k v" k � .fr 't F4 v yu i f I V Q)bx CERT I F I ELF SURVEY MAR LOCATED IN THE SW 1/4 OF THE NW 1/4 OF SECTION 15, AND IN THE SE 1/4 OF THE NE 1/4 OF SECTION 16, T 2 8 N ,R 19 W. TOWN OF'TROY, ST. CROIX COUNTY , WISCONSIN . Surveyed for: Roger Schwartz n,/r,•. Rt. f13, River Falls, WI 54022 _q_F lFIEI2 _4UFY�C. MAP'_ '4!' 77 ' 35.33' a" !71.8 4 if / 66, I WE CORNER `►h7 1 ':.'rC i',':.:; t.'v::hlG Q/ � � SBC. Ii 1U'H� Z�'.ItilCs C1',r.4,til�Tfv1: v/ � . O' CENTER OF SECTION / ��3 .! 1/4 CORNER Q/ f���r� • r1 1ar SECTION 16 v� ^• o t 10, \ O , I P �► .�' r. e" y A'' 'Ib*/ , ;' M m U v I 2 ' / \t%. 9.� y 0 w 6 7 . ti'aa �c0 a6 � ' O o >. FEB 191987 �. \ �;'°; ` , n C •3 H Itf&►�fw of D"4 \ 4 'a / �► Q .�+ '� W -` al v U O 1 14 Q►vh �' �� v�,�i / Q N P4 N ai G 'i \�• I O�-1 .�'� N . � G' O O i 'n E-I �T EAST 1/4 COR` �^, �\ ►-1 3 wi ' SECTION 16 �p ►,� +�' k In O F 1 N T 2 8 N R 18 W gym. X90 R�by O U M a� 4, .��+ 'O+ SCALE IN FEET 1"= 200' rry4 f f I H z U �'� +1 ��• �. IA .� arlG' IooT 200' 4QO' \ O O tW1 O U O N 4 \ � ,, z .-l.� A � 3 asaw o ,3 a u o � BEARINGS REFERENCED 'TO THE gyp.! ' 402 6 p•p1' • U EAST LINE OF THE NE I/4 OF \ 4 apb•� (A � it 'SECTION 181 ASSUMED NO1057'54uE W � b Yo, y O k O SECTION CORNER- MONUMENT \ ;4 W U Dora Q � • I" ROUND IRON PIPE FOUND •• a td0 U . O I"X 24" ROUND IRON PIPE WEIGHING n 0 4 1.68 LOS./LIN. FT. SET \Gy M U \\kv \ H N EXISTING BUILDINGS \�F ro ly •n. O \ O N •'; % .-4 Vol. 6 Page 1779 �: \ N h � a \ 0 1 o, I TABLE OF LOT AREA Lot No, Including Right-of-way . Excluding Right-of-way �•�•� Square feet Acres Square feet Acres ] 108444 2.490 89827 2.062 E 1/4 CORNER 5136 1 ] I 1 ,79 I 505534 11 606 SECTION 16 .i 103570 2. 378 92784 2. 53* .es - •a: 4 234593 5.386 207052 4 .753 �. - J Y X" . DESC1:IPTION A, parcel of land located in the SW 114 �of the NW 1/4 of Section 15 , and in the .SE1/4 of the NEE /4 of Sectioi. 16, T28N, R19W , Town of Troy, St. C:,-,,.x Coointy, Wisconsin, described as follows: Beginning; at the E1/4 corner of said Section 16; thence N87 0 15'11 "W (assumed bearings referenced to the East line of said NE1/4 of Section 16,' bearin assumed N`1057154"E) 322,65' along the centerline of Glover Road; -thence norhmesterly 212.86' along the centerline of said Glover Rold on the arc of a 200.00' radius curve concave northeasterly whose chord bears N55045146.5"W 202.96'; thence N26o16122"W 473.27' along said centerline; thence N41053'46"E (recorded as N41053126"E) 707.49' along the southerly line of Lo; 4 of that Certifie:rt Survey Map recorded in Volume 3, page 796; thence S48006'17"E 1644.311; thencc N83049048"W 995. 11' along the East-West 1/4 line (centerline of said Glover Road) of said Section 15 to the point of beginning, containing 960218 square feat (22.044 acres), more or less, and being subject to Town Road right-of-way as t.howr► on thc� attached map, and also subject to an undelineated easement for electric lines as recorded in Vrihime 535, page 548, and also subject Lo all other easements, r4 - strictions and covenants of record. 1. James E. Rusch, registered Wisconsin Land Surveyor, do hereby certify thal I have surveyed and mapped the above described property; that such plat it. a true and correct representation of the exterior boundaries of the land surveyed; and that I have fully complied with the provisions of Section 236. 34 of Lite Wis- consin. Statutes, the St. Croix County Subdivision Ordinance, and the Town of Troy Subdivision Ordinance to the best of my professional knowledge, under- . standing and belief. `0 et{11tftll��j��' NN mes E, Rusch `� ~ �rofc:ssional Land Surveyor JAMBS E. r uech Survc=ying, Inc. RUSCHw i 407 Second Street �' Hudson, § Hud:;ratc, WI 54t116 [. WiL Dated this,) s day ofJut- 8c. �r�i��* li � R�epee ; I. James F. Rusch, registered Wisconsin Land Surveyor, do hereby certify that 1 have surveyed and mapped the above described property; that such plat �s a true and correct representation of the exterior boundaries of the land surveyed; and that I have fully complied with the provisions of Section 236. 34 of the Wisconsin Statutes, the St. Croix County Subdivision CUrdinanc e, and the Town of Troy Subdivision Ordinance to the best of my professional knowl - edgee, tinderstanding and belief. This map is hereby approved by the Town Board of the Town of Troy . ; fl:ftc• klaxittr 5vhiltglm, Town cv.:ric K r., NOTE: Lot 4 cannot be further developed. CURVE DATA TABLE Curve Lot Radius Central. Arc. Chord Chord Tangent Nu. No. Angle Length. Length Bearing 13ea.:r111 g 1 - 200.00' 60058149" 212. 86' 202.96' N56045'46.5"W 1\126`161 z V; N8701511 1"\v 2 4 167.00' 60°58149„ 177. 74' 169.47' N51)045146 . 5"W N260J()'7.2"W N87015' 1 1 "W , t 3 1 6 7„(=01 A5658' 1 4" 133.99' 1 .3 0.•12' N2 1o4lt' 1 1 "W t1 10101r,;" ;. N44"4'I' 17"W 4 3 80.00' 74017156" 103.74' 96 .62' N`8105(01 5"W N-14047' 17"W Sl.0`54'47"W 5 Rn.00' 127007'56"177 .5 1 ' 14 3.�7' �`t`�`�` 31 ' 14"W ;;6��'>� t'-1 "s 50`19150" 79 . 12' 75 .9 i' ;;t rl )A' t::"1V <Y 5 uu . 3g 1 . . 31 N 1 ly Vol. 6 Page 1779 STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER �/'�� �it2Q z__ ROUTE/BOX NUMBER L•+• 41 -f IC I—A • FIRE NO. CITY/STATE A6.1) ;:6iV ( s ZIP 'i C N l(o PROPERTY LOCATION: cgW 1/4 ti W 1/4, Section IS , T N, R _W, Town of '�i L7 , St. Croix County, Subdivision ,�, 5��� � t)( $7A 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 (J DATE 4� �O 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 .INDUS INDUSTRY-, OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY; 1_ . C DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: TOWNSHIP/M404W#PWEi'fY: ILOT O.:BLK. LBDIVISIQN NAME: r '/a �/a /�?�N/Rl E cor W v • . LINT : e OW R'S/B YER'S NAME• MAI ADDRESS: C USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMM IAL D SCRIPTION: [,�,�� PROFI J DESCf�PTIONS: PERC AT N TE TS: Residence � Ud'IVew ❑Replace 1 F / RATING:S=Site suitable for system U=Site unsuitable for system ! f CONY� Ia�. MOB"❑� IN-GROUND-PRESS�JRE: SYSTEM-IN-FIL O❑LDING TAN �O�NDED SYoptional) LN J DESIGN RATE: �fe J(�g If Percolation Tests are NOT required �o,�� ,,,, I If any portion of the tested area is in the N /� under s. ILHR 83.09(5)(b),indicate: (ems� . Floodplain,indicate Floodplain elevation: ,\V/ 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 BEDRO K IF OBSERV (SE g ABBRV.ON B CK. B— 9�� 33 > . n ,, n s�, n s, / 9- s.96 ,.3� /Zo ?? � ? On s � 9 n t s /a n , 0 W1 lhC s n s 1 /6 "9/s / , B 79,33 n > 98' � B-41 7S/ b 118r► Is, 1f- >~n s �� C s c s- �t cam, >7A/6�s/ 9 " s� /s ' 13 nc_s PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERJW 1 PER 2 P R 03 PER INCH P- l P- 3 .3 P r! l5 P P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION • 7 . 4 3 E E . MIA s . E 3 . e- , . 0 _ F 3 � a 45l ` . � U I E i 1 N e6 { E _ 3 3 E E E I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods 5pecified 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 COMP ETE ON: : Z 0— /—,'0','(;_� 'S_ J6 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional):J)�j S 1.3 _ _j/ CS G VUR DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R, 10/83) —OVER — . . ` ' ' . -. INSTRUCTIONS FOR COMPLETING FORM 115 ' SBD ' 6395 To bnuouo`ok��f.'�,and muoumtoSoil toFi.'yuur ,epoo mua� �ndudv; - 1. Complete legal description; 2� The use section must clearly indioatavvhotho/d`is is residence of- commercial project; . 3, N1AXIMV&4 number ufb*dmnms of-oomme,oia| uoo planned, 4, |u this u new or replacement system; 5. Complete dhesuitnbihity rating boxes, AG|TE IS SUITABLE FOR /\-HOLDING TANK ONLY IF ALL . OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITION S; 6� PLEASE uoa the abbreviationoshown here hmrwrizing profile descriptions and completing the plot plan; 7, MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate shoot may he used if desired; & Make sure your benchmark and vertical o|emshon r('femnc: point are clearly shown,and are permanent; 9� Complete, all appropriate boxes n: to dates, namox'addresses,flood plain data,percolation test examp- tion. if appropriate; 10� if the info,masion (such as flood plmin,a)am/ion)don not apply, place N,4.if)the appropriate box; 11, Siqn the form and p|aoo you, curmnt address and your nonificorionnumber; 1 12� Nbko legible mnpies and distribute as required. ALL SOIL TESTS MUST BE F|UEDVVITH THE LOCAL AUTHORITY WITHIN 38 DAYS 0FCOMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols m — Stonv (o,er1O^} BR — Be(, -ock ^ cob — Cobble 0 l0^) SS — Sandstone Vr — Gravel (under 3") LS — Limestone °x — Send H�\� — High �mundmmor CoamoSund Pem — Pamo!atimn Rom mods — Medium Sand \% — Well fs — Fine Sand Bldg — Bui|din8 |s — Loamy Sand — G,:morThan °o) — &ndyLoum ( — Less Than °I — Loam Bn — Bmvvn Si|- Loam B! — Black Sill Gy ray ~d — OayLnmm Y — Y6|0 w so| — 5andvC|av Loam R — Red nid — SUtyC(oy Loam mut — K�p�|cx Sc — Sandy Clay m'/ — wi h ' xio — Si|tyC\ay fff — few. fioe' faint °c — {]a/ vc — unomon. xoamo p« — Pea mm — Many. medium d — dimio"t p — prominent HWL Highvvvt r(emi' � � ^ � gonomd soi| toxm�m s^�uoema er � furUquidwame�ispou | BK0 — Bvnch �erk VRp — V,�edrm| Rdemnmo Point ' � � � � TO THE OWNER' [ ' � This pxi| test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the »riwnn sewage system and a pa,mit application must be submitted to the appropriate local authority in order to obtain a permit.The onim,v pert-nit must be obtained and posted prior to the start nfany construction, i | ' 8 r /44 / nq ID rr ;I� / I= V lfo fit C-4 w ♦ ° I Z� r a _ � Imlo ` OA \ x 'ten - S-l8 7'n 140 I< `S V� IT a9'!'\�-• yti Pit Lp co v _ t,^,p I F i P �,� d i cn Ur" � � ` I cry CD Zz om,N,,,NwWmmmggmmmo• o �\ 7- -4 aoo.^w:•eoo 000� c of � 8.0003..'i o 00000000 \9� -"-I[ � I T~ � �N..N aUa OPP►N p n \�� � LY I I V y� \ \ CSSP TP jm0>OOPN tj S . = ZN•uMNxZ»gZ:N mn \ JJ\� � I r �iAJA 2�$ !.1 1•`�\! Y♦�N••PIJPPP•...r•..pp�r1>1 y . 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