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HomeMy WebLinkAbout040-1135-95-000 h 03 °� h C c O c I o I N ey g 4) z @ I 'o m 0 c c I ai y c ii c c 3 4)U Q U m 3 Cl) � m I Z N O In a+ O O °z° w am M F- Z O a0i z v °- o N Z -c E m M CIT a) CL N 7 1� E y C •WAVA a L o O m 0 CD O Z m Z NZ O .. d N CL CL CD H � I R �1 24 c ti z j to v� v) nE= 2 z • aaa u, IL . 2 0U, ` � � V1 J U rn rn o z a> _ 0 E o O O ! 3 m y c d �i °) v �°-' Q >- in m O U) C 4..0 00 0 O O E O ! O p C N O r- 0 p r ` O � Ln C O V LO p C m C O N W V! i_ V Z Y 'O co E O O co m O R U •^^iiy O M H Y O z y S H 2 In �O v� d € a • os o- d dad' _1 A cia � ','', o ) 0 f f Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT T Q SEC. 37 T Z N-R q W OWNER �� �� k� ru-� P.r TOWNSHIP CZ °( �_ I ADDRESS Rr 3 5 w N v►iW i7R. ST. CROIX COUNTY, WISCONSIN SUBDIVISION .�j _ LOT J LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of IIHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM P 6R'„a N 0 ktp Lot L►NC VE q PRoPoSEP yvFLL N pr So , , SZ 3" - TNSP Covet 3 G 3 ISO i000s�► 99 ' f �o U 5 F s�vr�c - r2� 37 I �\ i / 1 0 f a i 1 }pk 1 INDICATE NORTH AR W Plpg NE Lor C.RitER V1. 10o,00' BENCHMARK: Describe the vertical reference point used Top Fiui,,k Boor BasEMrur 1 4, 3 Elevation of vertical reference point: ) D 4,� 3 Proposed slope at site: SEPTIC TANK: Manufacturer: WjF S E A S Liquid Capacity: J DO O Number of rings used: p Tank manhole cover elevation: 104,13 Tank Inlet Elevation: 102,9] Tank Outlet Elevation: )0 2, 51 Number of feet from nearest Road: Front 10 Side,Q Rear, O Iso feet i From nearest property line Front 10 Side,0 Rear,O 17.S feet Number of feet from: well J, building: 2 sr (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE i P PUMP CHAMBER Manufacturer: y Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: I Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear, Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: ✓ Trench: Width: Length: 52- Number of Lines:__ Area Built:_ Fill depth to top of pipe: 30 " Number of feet from nearest property line: Front, O Side, 0 Rear,Olft . 24 '4 I i Number of feet from well: 15_0 Number of feet from building: / 3S (Include distances on plot plan). SEEPAGE PIT Size: YV 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: leluly- License Number: JN F9 3.37 S 3/84:mj I I' DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETI LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS BUREAU OF F. P.O.BOX 7969 MADISON,WI 53707 NE% (lf asslgned)nedl, SEk, S35,T28N—R19W ❑CONVENTIONAL ALTERNATIVE State I.D.Number: Lot 1 Sunview Drive ❑Holding Tank ❑In-Ground Pressure lilpound Town of Troy INSPECTION D T NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER: Don Kruger Route 3 Sunview Drive, River Falls, 54022 BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV. Name of Plumber: MP/MPRSW No.. County San.tary Permit Number: Carl P. Heise 3378 St. Croix 106081 SEPTIC TANK/HOLDING TANK: MANUFACTURER LID UID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.. WARNIN PR V ED.G LABEL pR PROVIDED OVER G }/ I QUO (� 2. / � / D� !� YES ONO ❑YES O PROPERTY WELL BUILDING. VEN 70 FRESH BEDDING: VENT DIA. VEy,T MA]I, HIGH WATER NUMBER OF ROP'D. LINE. AIR INLET C / ALARM FEET FROM 7 S S— DYES 4NO ` ❑YES O NEAREST DOSING CHAMBER: MANUFACTURER BE DDING. LIDUID CAPACITY PUMP MODEL. UM /SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED. PROVIDED. ES ❑NO OYES ONO ❑YES ONO GALLONS PER CYCLE: PUMP AND CONTR OLS OPERATIONAL. NUMBER OF PR OPERTV WELL BUILDING AIR INLE FRESH FEET FROM LINE (DIFFERENCE BETWEEN OYES ONO NEAREST PUMP ON AND OFF) . SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing FORCE LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: LIQUID BED/TRENCH WIDTH: LENGTH NO OF DISTR PIPE SPACING !NO OVER NSIUE DIA aPIiS DEPTH ^ ! TRENCHES ! ERIAL: PIT DIMENSIONS vl` Ali GRAVEL DEPTH FILL DEPTH UISTH PIPF DISTR.PIPE DISTR.PIPE MATERIAL. DI R. NUMBER OF PROPERTY WELL BUILDING VENT TO FHE SH BELOW PIPES I 1 ABOVE COVER E EV.INl E ELEV EN IPES LINfs AIR INLET / �rY11 d J FEET FROM O''/� � f0 x,35 /.SSf l� !! U.�4 NEAR'ST 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. DYES ONO PERMANENT MARKERS ONSEH NATION WE LL SOIL COVER TEXTURE ❑YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES. DYES ONO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: FILL DEPTH ABOVE COVER WIDTH: LENGTH NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL NO DISTR DISTR.PIPE UISTHIBUTION PIPE MATERIAL.&MAHKINf; O ELEV.. ELEV.: DIA.. ELEV.. PIPES OIA ELEVATION AND DISTRIBUTION VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL PLANS ❑YES ❑NO ❑YES ONO COMMENTS: PE RMANENT MARKERS: OBS ERVATION WELLS: N UM B E R]M PROPERTY WELL: BUILDING. FEET FROM LINE. OYES ❑NO ❑YES ❑NO NEAREST �O L\1 9 Sketch System on FG") Retain in county file for audit. Reverse Side. SIGNAT URE. TITLE ��� ' Zoning Administrator DILHR SBD 6710(R.01/82) dIL R SANITARY PERMIT APPLICATION CO3 �A �v In accord with ILHR 83.05,Wis.Adm.Code STATE SANITARY PERMIT# p O —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 12 NO PROPERTY OWNER PROPERTY LOCATION Do N K e,14 G.LZ IR N%. '/o S45 '/<, S N, R t E(or)Q) PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER I BLOCK NUMBER SUBDIVISION NAME K I >7 N A N CIT ,STATE ZIP CODE PHONE NUMBER CITY NEAREST ROAD,LAKE OR LANDMARK Jr4o� r2)5 4 3358 VILLAGE. - R0 50,19 W Piz . II. TYPE OF BUILDING OR USE SERVED: - O —l1 — ' O Number of Bedrooms if 1 or 2 Family 94+-s OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. XNew 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. Xconventional 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. LXSeepage 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): r� p of '7 r1, [, 7 Feet Private ❑Joint ❑ Public VI. TANK CAPACITY Site in allons Total #of Manufacturer's Name Prefab. Fiber- plastic Exper. anuac N Con- Steel INFORMATION New xisting Gallons Tanks Concrete strutted glass App. Tanks Tanks Septic Tank or Holding Tank J Qg 10 00 ff.5 E 1K $ N El Lift Pump Tank/Siphon Chamber ❑ ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumber's Signature:(No Stamps) M PRSW o.: Business Phone Number: �L P ► - 3', ) q�s- 17s Plumber's Address(Street,City,State,Zip Code): Name of Designer: JG4 - VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST/# L a>-- Aft Rp, 4K CST's ADDRESS(Street,City,State,Zip Code) Phone Number: IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved I Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No mps) Approved ❑ Owner Given Initial � rcharge Fee �� �j 7 Adverse Determination ao,w t ��'JO /. X. COMMENTS/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 maybe 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 bya 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; Vlll. 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'/z 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 negot;ation and public debate. The gro u„dwatr r ii Ground fitter included the creation of surc'garges ('ees) for a number cf regulate(; rf 3t , .:es can effect groundwater .ne surcharc�_ took effect on July 1, 1984 A ' of t' w t? a Ilurie:, >4reaSUre j is used in your huildir:g !s re*urned t the groundwater through y,)ur system or the disposal si'ke uses-i by 7ur h6laing tank pumper The tered by `i:. water, +'s worth, protecting. uU-u�98 (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 G Location of Property �t �h;, Section , T N-R 21 W Township nailing Address Address of Site Subdivision Name Lot Number Previous Amer of Property . Total 81se of Patcel Date Parcel was Created /f(/ � /9�� Are all corners and lot lines identifiable? Yes No Is this property being developed for- resale (spec house) ? Yes T No Volume P nd Page Number as recorded with the Re i g ster 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 ((Qe) cohUN that aC£ d.tatemenks on hi,6 onm cute true to the but o6 my (oun) hnowfedge; that i (we) am (ahe) .the ownckk o6 the pnopehty dezcAi.bed in .thiA .in6olmation 6onm, by viAtue 06 a waAAanty deed neconded in the 066.ice o6 the 4 Corutty RegiAten o6 Deedsa�s Document No. �5��� , and that i (we) pneaen.L£y awn •tx pnopoded 6 Etc bon the sewage divspo-s aye em (on 1 (we) have obtained an easement, to Run with the above deAcAibed pnopenty, bon the con tAucti.on o6. said e y,s temp and the dame ha.e been duty neconded to the 066,tce 06 the County Reg•i.e•teA o6 Vetch, ab vocment No. J . SIGNATURE Op OWNER SIGNATURE OF CO-OWNER (IF PLICABLE) DATE SIGNED DATE SIGNED o FILED a 435878 APR 41,988 cc JAMM!!TNNaM CERTIFIED SURVEY MAP S•Cmk OIL.WI +p DON D. KRUGER AND DONNA M. KRUGER C 8 g Part of the Northeast 1/4 of the Southeast 1/4 of Section 35, Township 28 , ange 19 West, Town of Troy, St. Croix County, Wisconsin. CITY OF RIVER FALLS E 114 CDR. SEC.33, T 28 N, APPROVED gam. R/9 W, !COUNTY C. SURVEYOR'S MON.) TITLE OWNER'S ADDRESS O . pv 3 n ! g& Route 3, Sunview Dr. ,I DATED I River Falls, WI 54022 04 N C_.S.M. LOT / I C.S.M. L07- 1 101 I N OI � /, I VOL.2, y v NI I N B9. 48'381"W 339.98' 41 ?/ WEST,! `µHJ 361.00` �I 328.00' r V 133' 33' v)A Q O P-A15 L i a7 f: II'6 3 . R 33.OOP) I p 2 ✓vas. .�.�! �'►!_a3 I I.l a/... 339693 O = h ku LOT h QI1.034 ACRES 2 I O O 43,919 Sd. FT. w v1 O S 89. 48' 381"E 328.00' I Q = Q O O I O O I JI J Q N I` 2 LOT t� i � 4 M 04 W 1 /,43/ACRES ~I W O u (0 I 62,319 SO. FT. 3 I I ~ = W DWELIING I O WITNIATT. O ^ q GARAGE Itq rlQ O66J MONUMENTII ED W LINEAPOLLORD• o 2 I 1166' a , N 2 Q. (S I V� ) I 33' 33' I i 33' 331 I � � 1 Q q S 89. 48' 38 "E 328.00' w M ,•R/EAST) m _, W UNPL A TTE D LANDS a SCALE I "a /00' 0 3o' /001 200' 300' y, y W 2 SE COR.SEC.33, T28N,R 19 W, Dated: October 7, 1987 W /COUNTY SURVEYOR'S MON.) O Indicates 1" x 24" iron pipe weighing 1.13 lbs./lin. ft: set. H N£ • Indicates 1" iron pipe found. „ ��11/1ll�llgi T.N 'MM c�► C. APOLLO RD. .v...... , ,,,�j SUA VIEW D r� C.S.M. SW „ F LAUREN E = rn � WMU 0 Gs S 1 S N •';p} A FALLS,:•• WISC.•,.' •Q LOCATION SKETCH "•••• •S� ,�� SEC. / ',AEIO LAWD SCALE 1 �����• Vo1._L_Page 1952 A Certified Survey Maps Laurence W. Murphy St. Croix County, Wisconsin Registered Land Surveyor mv 1W SHEE T / OF 2 31.CA= ©OkM NO IN! CERTIFIED SURVEY MAP DON;, F. KRUGER AND DONNA M. KRUGER Part of the Northeast 1/4 of the Southeast 1/4 of Section 35, Township 28 North, Range 19 West, Town of Troy, St. Croix County, Wisconsin. Description:' That certain parcel of land located in the Northeast 1/4 of the Southeast 1/4 of Section 35, Township 28 North, Range 19 West, Town of Troy, St. Croix County, Wisconsin, more fully described as follows; Commencing at the East 1/4 corner of said Section 35, thence South (recorded bearing on the East line of the Southeast 1/4 of said Section 35) a distance of 534.21' (recorded as 535.00') ; thence N 89 48138"W 31.98' (recorded as West 33.00' ) to tha POINT OF BEGINNING, of the parcel to be herein described; thence continue N 89 48'38"W 328.00' (recorded as West) ; thence S 00°07'05"E 330.00' (recorded as South) on the East R.O.W. of Sunview Drive; thence S 89 048138 11E 328.00' (recorded as East) ; thence N 00 007'05"W 330.00' (recorded as North) on the monumented West R.O.W. of Apollo Road, to the POINT OF BE7GINNING, containing 2.485 acres, being subject to easements of record. Dated: October 7, 1987 State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owners, Donald F. Kruger and Donna M. Kruger, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236.34 of the Wisconsin Statutes and the Ordinances of St. Croix County and that this map and description are a true and correct representation thereof. `,�g111111t��y�' C O NS/,���i ,.......... �I LAURENCE' . m rW MU CM S y r Nom':RIV F LLS,,r WISC. ..•SJQ,,�: LAND .•`� �•�,�111111 `,, Vol.�_Page 1952 Certified Survey Maps Laurence W. Murphy St. Croix County, Wisconsin gistered Land Surveyor SHEET 2 OF2 OCUMENT NO. QUIT CLAIM DEED 0' A ,,. STATE OF WISCONSIN—FORM 11 � - V L PAuf THIS SPACE RESERVED FOR RECORDING DATA 3�9�'72 THI ENTURE,Made this 22nd REGISTERS OFFICE g say of April ST. CROIX CO., Wis. A. D., 19 ! ' ,between Waldemar E Z a strow Recd. for Record this a S 26th day of April 77 t 9: A.D. 19 i Ir4 part of the fast and �� part, Don n Krhgpr and Donna M Kruger, husband and wife as j oint tenants Gnu► used, part_lS'Sof the second part. R�VL�'�dl�ls STATE BANK W i t n e a a e t h, That the said part -L_of the first part, for and in consideration fY of the sum of One nni i ar and Other rnod and va i i,ahl A RIVER FALLS, WIS. 54022 Consideration Dollars,to him in hand paid by the said part 1 e-Sof the second part,the receipt whereof is hereby confessed and acknowledged,hak-,Q_ given,granted,bargained,sold,remised,released,and quit-claimed,and by these presents do 6S__give, grant,bargain, sell, remise, release and quit-claim unto the said part tee$of the second part,and tdthtineirs and assigns forever,the following described real estate,situated in the County of Si- Cr01X and State of Wisconsin,to-wit: That certain parcel of land located in the Northeast 1/4 of the Southeast 1/4 of Section 35, Township 28 North, Range 19 West, Town of Troy, St. Croi County, Wisconsin, being a part of' that certain parcel of land described in Survey Map filed in the Records of St. Croix County, Wisconsin in Vol. 1 on Page 137 and more fully described as follows; Commencing at the East 1/4 corner of said Section 35, thence go due- West (assumed bearing) along the , East/West quarter line of said Section 35 a distance of 361.00 feet; - thence South a distance of 535.00 feet to the Point of Beginning "of the parcel to be herein conveyed; thence continue South 33400� feet; thence East 160.00 feet; thence North 330.00 feet; thence West 160.00 feet to the Point of Beginning. The above described parcel to become a part of that parcel de scribed in Volume 551 on Page 373 of Records of St. Croix County, Wisconsin TRANSFER $ off► FEE To Have and To Hold the same, together with all and singular the appurtenances and privileges thereunto belonging or in anywise thereunto appertaining, and all the estate, right, title, interest and claim whatsoever of the said part Y_. of the first part,either in law or equity,either in possession or expectancy of, to the only proper use,benefit and behoof of the said part3,g;L__of the second part, thd i;r heirs and assigns forever. - In Witness Whereof,the said part_y_of the first part ha hereunto set hiS_ hand_ and seal thi,. 22nd day of April ,A. D., 19 SIGNED AND SEALED IN PRESENCE OF (SEAL) Waldemar Zaqt-rnW (SEAL) (SEAL) (SEAL) STATE OF WISdONSIN, l St. Croix County.J}ss. Personally came More me, this 22nd day of .April ,A. D.,19 the above named Wald _mar aatrow to me known to be the person who executed the foregoing ic� trument dnd acknowledged same. N 0 a Y W. krQer w. This instrument drafted by `:A ;/ �` Notary Public •St. Croix County,Wis. L. l D. Peter Seguin, Attorney r My Commission (Expires)/u/) Februar y l . 197 (Section 5f8II1 (1) of the Wisconsin Statutes provides that all instruments to be recorded shall have plainly printed or typewritten thereon the names $ s,grantees,witnesses and notary). QUIT CLAIM DEED—STATE OF WISCONSIN,FORM NO. 11 H ' z H a STC - 105 r r a H SEPTIC TANK MAINTENANCE AGREEMENT o St . Croix County z d a OWNER/BUYER y r� ROUTE/BOX NUMBER W/�/j Fire Number CITY/STATE ZIP PROPERTY LOCATION: k, Section T �iN, R Town ofJj�jGf� 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 I` 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 N 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 within 30 days of the three year expiration date . / SIGNED Cam_ DATE �1 ��. /'� " 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 . INDU T OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INbS TR Y,U DIVISION P.O. BOX 796 LABOR,HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 9 53707 (H63.09(1)&Chapter 145.045) (LOCATION: SECTION: C �/ TOWNSHIP UNICIPALITY: OT NO.:BLK.N .: SUBDIVISION NAME: NE i/4SE1/ 33 /T2B N/R/9 L (or n TROY COUNTY: OWNER'S BUYER'S NAME: IAILING ADDRESS: Sr. CROIX DON KRUGER R3 SUNV/EW DR. RIVER FALLS, W/ 34022 USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMER A DES RIPTION: IP O N ❑ 74 - ESTS: Residence 3 New Replace 3 - 3/ - 87 2 - 87 RATING:S-Site suitable for system Ua Site unsuitable for system `COf�STC]U • M S ❑U I : SYSTEM-IN�FILLHO�LDING y�� .REcONnvEN)ED SYSTEM:(otX 32 BED If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b),indicate: CLASS / Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS ;BORING TOTAL P H T GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH ;NUMBER DEPTH IN, ELEVATION OBSERVED ES HET TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) B. 1 7.2' 100.4 NONE y 7.2 On I (/. 7') On r//f/.O') on r/ f0.3 ') Bnr f4.2') !B. 2 C' 3 ' 100. 2 3.9 BnI f2. 3') anrl/ 0.4 '1Bns and 9r. / 3.2 '1 FIN EWHITEr w/fff R met f0.6') B-3 6. 7' / 00.4 /i X6. 7' 8n 1/ 1. 3 ') Onri/ ( /.2') Onrf4.2 'J B- 4 7' 2 101. 2 7. 2' an 1 (2.2 ') 8 r/ / o.B') a s f 4.2') i IB- 3 6, 6' /00.91 q J. 4 ' On (2.I) On riI 10.7 '/ On s f0.61) FINE WHIrE s w/fff Rmo/ /3.2') B_ 6 7. /' 10/.0' /' J7. 1 On / f 2.6') On r/ /0.3') Bn r f 4. 0') SOIL MAP SHEET 90 PERCOLATION TESTS P/ L L or SIL r LOAM 9DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD P I PER INCH E P_ 3.3' 3 3 1/2 3 //4 3 //e 4 2. 3' 3 3 1/2 4 „ 33/4 'LOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- ontal 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 )f land slope. INITIAL 97.91 SYSTEM ELEVATION REP' 97. 3 ' �' 1S0 f dAi21 f fA�KKo P/rJ.l_� f I I 1 L 0- V R Io I j ;' I I / r ;PERC_T�ST HOL_E. SS ME 0__ .._._.� I i ; I _• •_ -.I-_'_-f'__.j'_ fit._._. t. I__ ISC A!L E I i ISU/rA B)L E AREA P/ a o _b ._S Fr _ . - — j294 ,. .2 Y. 7 A 11�� L p r 3 w 0�� _� - - P Q' i i f s6 85 0 2/ 1,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 4 - 2 - 87 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): R/ BOX 36A RIVER FALLS, W/ 54022 33- 2443 423 - 9032 CST S ATURE: DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Teste DILHR-SBD-6395(R.02/82) —OVER — F ---DON KR_k-G E R A PP R o v F_Q v E R'r JeR FALLS _w�.5 _____----- vRP_.TRoX_RIPS.--.N fE Cc7_RER A44A 92 C ovS R ------ Oo ARPROvtp Syn"o4ar1C_Fa�R�-�.._ ._.. q PERFoRAT�o 'jP. MtN G ., AGGRF_GA-TE C3oTTa M 12ZD v RP To 1 pi P& 100,0 4 , 1OSSAL ►c r- 3 3� P3 � ROUSE T 5� V I�31�-- Q Z � 1 wvi �(2o PoSEt7 � 1 -1, vQ C-LL ( d tu LOTI - - (�4� Parcel #: 040-1134-95-000 01/30/2006 02:53 PM PAGE 1 OF 1 Alt. Parcel M 35.28.19.556-0 040-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 DONALD D&DONNA KRUGER O-KRUGER, DONALD D&DONNA 39 SUNVIEW DR RIVER FALLS WI 54022 Districts: SC=School SP=Special Property Address(es): •=Primary Type Dist# Description SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 1.054 Plat: N/A-NOT AVAILABLE SEC 35 T28N R19W NE SE 1.054ACRES LOT 1 Block/Condo Bldg: CSM 7/1952 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 35-28N-19W Notes: Parcel History: Date Doc# Vol/Page Type 2005 SUMMARY Bill#: Fair Market Value: Assessed with: 103109 300,500 Valuations: Last Changed: 08/19/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.054 38,000 251,200 289,200 NO Totals for 2005: General Property 1.054 38,000 251,200 289,200 Woodland 0.000 0 0 Totals for 2004: General Property 1.054 38,000 251,200 289,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 118 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00