HomeMy WebLinkAbout002-1047-20-000 \ o \ 2 $
i ) �
2 °
0
§ c
22
70
m 7 (D
¢ 7E
/ \ 0o
� ,/ �
$ $k
a= � .
\ f ) �
a §§
2 � \
« E
Li
§ \ . K
i ?
§
@ % m
§ �
§ z :!t \
U) � \ {
£ �
D
}
\ \ z z \
.. z
2
§ ) i §
/ � M § § g
2 0 o a § / o o
� 0 k k k L \ \
. n 0 0 0 k CD C
IL
� �
§ 'D j \ \ k o
\ k 2 k k
§ a R =0 E 2
§ o o / 0 0
; < 02 a
J z m
■ § % � E ) E
° _ q , g o § m ;
§ § \ ; _ ¥ c J o 0 0 =
§ \ 5 / \ k \ k § N
9 / \ � n . \ z z f 2 » / §
- ) § j / \ o } $ / k ) \ .
■
2 f : § 2
" a »
) ' k c o
& j 0. o 2
Parcel #: 002-1047-20-000 02/01/2006 11:05 AM
PAGE 1 OF 1
Alt.Parcel#: 20.29.16.298B 002-TOWN OF BALDWIN
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
0-RING, RALPH&KATHLEEN M
RALPH&KATHLEEN M RING
2208 80TH AVE
BALDWIN WI 54002
Districts: SC=School SP=Special Property Address(es): "=Primary
Type Dist# Description "2208 80TH AVE
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 2.000 Plat: N/A-NOT AVAILABLE
SEC 20 T29N R16W 2 A IN SW SW E ON S LN Block/Condo Bldg:
SEC 20 200 FT TO POB TH E ON S LN SEC 20
296 FT TH N 294.25 FT TH W 296 FT TH S Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
TO POB TOWN BALDWIN 20-29N-16W
Notes: Parcel History:
Date Doc# Vol/Page Type
07/23/1997 765/240
07/23/1997 693/94
07/23/1997 624/311
2005 SUMMARY Bill M Fair Market Value: Assessed with:
86990 230,300
Valuations: Last Changed: 11/02/1999
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 9,000 138,900 147,900 NO
Totals for 2005:
General Property 2.000 9,000 138,900 147,9000
Woodland 0.000 0
Totals for 2004:
General Property 2.000 9,000 138,900 147,9000
Woodland 0.000 0
Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch#: 510
Specials:
User Special Code Category Amount
010-GARBAGE SPECIAL ASSESSMENT 45.00
Special Assessments Special Charges Delinquent Charges
Total 45.00 0.00 0.00
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS
LABOR..&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
BUREAU OF PLUMBING
P.O.BOX 7969
MADISON,WI 53707
SW , SWIG, S20,T29N-R16W 'CONVENTIONAL ❑ALTERNATIVE (If. lan Number:
(If as n I.D.'Z.
Town of Baldwin El Holding Tank ❑In-Ground Pressure ❑Mound CJ
80th Avenue 7NSzP 414 A E:
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: rRalph Ring Route 1, Baldwin, WI 54002 —/ U
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:
Dale E. Hudson 6629 St. Croix 95983
SEPTIC TANK/HOLDING TANK:
MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: ROVIDEDLAB L PROVIDED OVER
OYES ONO ❑YES DNO
NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH
IHIGH BEDDING: VENT DIA.: VENT MATL.: ALARM WATER LINE: AIR INLET:
FEET FROM
DYES
ONO ❑YES ❑NO NEAREST
DOSING CHAMBER:
MANUFACTURER: BEDDING: 77ECOYN—P MODEL. PUMP/SIPHON MANUFACTURER ACTUR ER. WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
OYES ONO ❑YES ONO ❑YES ONO
GALLONS PER CYCLE: TROLS OPERATIONAL: NUM BER OF PROPERTY WELL- BUILDING. AIR NLET RESH
FEET FROM LINE(DIFFERENCE BETWEEN ES ❑NO NEAREST
PUMP ON AND OFF)
LENGTH. DIAMETER MATERIAL AND MARKING
SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing FORCE
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: MATERIAL PIT NSIDE DIA SPITS DEPTH
TRENCHES.
DIMENSIONS
GRAVEL DEPTH FILL DEPTH DISTR.PIPF DISTR.PIPE DISTR.PIPE MATERIAL: NO.DISTR. NUMBER OF PROPERTY WELL. BUILDING. V NI LE FRESH
BE LOW PIPES ABOVE COVER: ELEV.INLET ELEV.ENO: PIPES. LINE: AIR INLET:
FEET FROM
NEAREST
MOUND SYSTEM:
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM
and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA-
meets the criteria for medium sand. TIONS MEASURED.
❑YES El NO
PERMANENT MARKERS. O WELLS
OIL COVER TEXTURE.
❑YES ❑NO ❑NO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED SEEDED MULCHED
CENTER: EDGES.
El YES El NO DYES El NO El YES ❑NO
PRESSURIZED DISTRIBUTION SYSTEM: FILL DEPTH ABOVE COVER
WIDTH: LENGTH: NO.OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPF.
BED/TRENCH TRENCHES:
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL. NO DISTR DISTR.PIPE OISTHIBUTION PIPE MATERIAL&MARKING
ELEV.. ELEV.. DIA.. ELEV.: PIPES DIA_:
ELEVATION AND
DISTRIBUTION VERTICAL LIFT CORRESPONDS TO APPROVED
INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL: PLANS
❑YES ❑NO El YES ❑NO
COMMENTS: IFtHMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: TUILDING:
FEET FROM LINE.
❑YES ❑NO ❑YES El NO NEAREST
Sketch System on Retain in county file for audit.
Reverse Side. SIGNATURE: TITLE.
Zoning
DILHR SBD 6710(R.01/82) Admini
DILHR SANITARY PERMIT APPLICATION COUNTY
In accord with ILHR 83.05,Wis.Adm. Code 5- ' .-D,"X
.o.:� ,.dam.... . STATE SANITARY PERMIT#
/1?
-Attach complete plans(to the county copy only)for the system,on paper not less than STA PLAN I.D.NUMBER
8%x 11 inches in size. ���� 9$/
—See reverse side for instructions for completing this application. PETITION
1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES X NO
PROPERTY OWNER! PROPERTY LOCATION
Yt> %_'5 ) '/4, S 0 T.Z 9, N, R //0 11 (or)
PROPERTY OWNER'S MAILING AD RESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME
CITY,J q�7 n �� ZIP��aO PHONE N Env 97r� O 7n CITY VILLAGE : �}Q �� NEAREST ROAD,LAKE OR LANDMARK
II. TYPE OF BUILDING OR USE SERVED: b 7 L 4�O /�J-",
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. ❑ New b.A"'Ril 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. ❑Conventional b. P?Alternative c. ❑ Experimental
2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e.,X Mound f. ❑ IGP
In-Fill Tan k
V. ABSORPTION SYSTEM INFORMATION: Check one
1. a. ® seepage Bed b. ❑Seepage Trench c. ❑See a e Pit
2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY:
(Minutes per inch): REQUIRED(Square Feet): PROPOSED(S quare Feet):
-s 7,5 J,74 S /00'0 Feet ja Private ❑Joint ❑ Public
VI. TANK CAPACITY Site
in allons Total ##of Prefab. Fiber- Exper.
INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holding Tank Qo /OOp �.L�i°t° ❑ 0
Lift Pump Tank/Siphon Chamber o0 UD Me e- ❑ ❑
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:
n/e. hueso//_7 ADa —, z e,"� �Z 71,5� 6&I337F
Plumber's Address(Street,City,State,Zip Code): , Name of Designer:
VIII. SOIL TEST INFORMATION
Certified Soil Tester(CST)Name CST#�,>
CST's ADDRESS(Street,City,State,Zip Code) Phone Number:
A _ 7/3� aJI-.3 06
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee Groundwater Date Issuing Agent Signature(No Stamps)
Approved ❑ Owner Given Initial ��] Sujgha�ge Fe
Adverse Determination L�j,oc) JQ/ ra1►-r�^ -����
X. COMMENTSfj1fASONS 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, 608-266-381:5.
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;
Il. Type of building or use served: If public is checked, indicate type of use (i.e. 10 un t 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,
r 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'/2 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 Groun0#0er
included the creation, of surcharges (fees) for a number of regulated practices which Wisconts['r3'S
can effect groundwater. The surcharvg took effect on July 1, 1984. All of the water that
buriedeclstlf E3
is used in your building is returned t.. the groundwater through your soil absorption
system or the disposal site used by your holding tank pumper.
The monies collected through these surcharges are.credi!ed to the groundwater fund adminis °
to e, by the Department of Natural Resources. These funds are used for monitoring g �
water, groundwater contamination investigations and establishment of standards Groundwater,
it's worth protecting.
SBD-6398 'Li.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 p/ �i F EF
Location of Property, >�16, Section /v , T �� N - R 1� W
Townships U i7
' Mailing Address a7'
Subdivision Name
Lot Number
Previous Owner of Property F IE p 6&1
Total Size of Parcel.
Date Parcel was Created
Are all corners and lot lines identifiable? ^_ Yes No
Is this property being developed for resale (spec house) ? Yes �— No
Volume and Page Number as recorded with the Register of Deeds
INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING:
. ' Warranty Deed
3. Land Contract •�.
3. • Other recordings filed with the Register of Deeds Office
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 the Certified Survey Map shall also be required.
- - — — - — — — --- — — -- - — — — — — — — — - — —
PROPERTV OWNER CERTIFICATION
I (We) eeati.6y that att a.tatemen A on xhi-6 6oAm cute tAu.e to the beat o6 my (OuA)
knowt.e.dge; that I (we) am (ate) the ownen.(4) o6 the pnopenty d"cAibed in #hiA
in6oAmat ion JoAm, by virtue o6 a watunty deed neconded in the 066.ice 06 the
County Reg c a#eJC o 6 Deeda as Document No. : and that 1 (we)
)
'p4aently own the pnopoaed bite"bon the aewage poa a yatem (on 1 (we) have
obtained art eiueirient, o %:un uLi. , the above deov'uf;ed F3'toPrv�-ty, 6o't
conAtkUCti.on o6 ea.id 6yatem, and the same has been duty %ecoAded in the 066.iee
of the County Reg-iateA o6 Desch, as Document No. ) .
,"j;:w
c�
SIGNATURE OF OWNS SIGNA U OF CO-0 (IF APPLICABLE)
'37
DATE SIGNED - DATE SIGNED
MEN
DEPARTMENT OF REPORT OM SOIL BORINGS AND SAFETY & BUILDINGS
DIVISION
INDUSTRY,
LABOR AND PERCOLATION TESTS (115) MADISON WI 3707
HUMAN RELATIONS
(H63.090)&Chapter 145.045)
LOCATION:S SECTION: TOWNSHIP/M NICIPALITY: LOT NO.:BLK.NO.: SUBDIVISIO�NA S /4a 4 2o IT29N/R/41( /4w,r �c/ �I✓r4' /G�i
COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS:
Q/ 2 ✓ ��
USE DATES OBSERVATIONS MADE
NO.BEDRMS.: COMMERCIAL DESCRIPTION: (PROFILE DES IPT ONS: O ATION TESTS:
Residence 2 ❑New Replace T—97
RATING:S=Site suitable for system U=Site unsuitable for system
ICONVENTIONAL: MOUND: IN-GROUND-PRESSURE: tEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional)
as ®u ®s ❑u os u s ®u osTu
If Percolation Tests-are NOT required DESIGN RATE: IFloodplain,If any portion of the tested area is in the
under s.H63.09(5)(b),indicate: 14 indicate Floodplain elevation: A
PROFILE DESCRIPTIONS
BORING TOTAL D PTH 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.)
B- ('og 97��� //0,96 c�1` •, o�'G'/s� ° SG .Z '/Z
13- 216,25 96,0 MAI so 13 Rhro /o /
i i /�'/.►2 rl me .,
�D 1 . ..
B-.3 ����' 95..1'7 oriel a t 32" /''ls's�'/- (� sc ° 5"'' l• Z s�id
B-
B-
B-
PERCOLATION TESTS
TEST I DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER FPl$F+E9 AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 -RE R OD 3 PER INCH
P_ 2.0 30
P_ Z Z-o' A46,1 30
P-B I ZIP,
P-_
P-
P-
PLOT PLAN- Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate sc o i e at 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 /oo-off
t 1 _
! Jf �
IN
�. - - �--
G j
-- 1
�..
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:
We uals n -5--7-?-7
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional):
CST SIGNATURE:
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 - SBD - 6395
To he'l ? ):Ylpletc
1. C011,00tU &Scl ipt imi,
2. The use section must clearly indicate whet!ier lids is a re",!cle'rine w commercial project;
3, MAXIMUM number of bedrooms or cotnmeicii�l use plarineci;
4. Is this a new or rej-)Iacement systeiri;
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 shovvr, how for c—,;ng pr(Jile df�scril)!Jons and comolelinq the plot plan:
7. MAKE A LEGIBLE diagram F,(;curatoiy !ocall-i Yuur tic-alions. Diavviny to scalc is preferred. A
separate sheet may be used if desired:
8. 'Make stllu your hencnniark anti v,-; pomlalwnl,
9. Complete all appropriate boxes as to dates, e-ssPs, t!ood plain data, percolation test exemp-
tion, if appropriate;
10. If the ifilormatlon (sud-, as floor. �ek vaJorl) Ooot no am', ,/, rIoclr N,A, in the ipptopnato box;
11. Sign the fotr-n and pkicf' your CUM'!It W'0 tWnlber;
12 Make logible copics <;ncl distiihuw '11� '\Ll- SOIL TESTS MUST OF FILLED 1NITH -1714-7
LOCAL AUTHORITY VVITHIN 30 DAYS()l'
DOCUMENT No.- WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA
STATE BAR OF WISCONSIN FORM 2-1982
421040 boos 105 PAGE �® AfCA5W$ZS OfFiCE
ST. CROIX 00., WIS-
..................Elf r-i•e.da---Er_i-ck-son,---- n---unmarr i.ed---woman-_.-._
Rec°d. or Rewrd this 2nd
.............................................• --_--- -------- --- ------ ----
•Icy of d_an_A 19 d7
I__------------------ i �+ 10:30
------------------------------------------------------- ---------------------------------_-------------------
conveys and warrants to ------------
E x1g-t husband---aEa-_xi-f e-,----nat. i-a ..t-enant-s...in---- tip,°^ems of Deod�
common--but-__as__�ont_-.tenants---wi-th...r_i-ghts______________
9f...$Ur_V.].-3L 0_r"5j aiP------------------------------------- ------------------- --------
__________________________ RETURN TO 9
-------------------------- --- _--_
the following described real estate in ......-S-t_.___C_ o1_X--------------------County,
II State of Wisconsin:
Tax Parcel No- ------------------------------
Part of Southwest Quarter of Southwest Quarter ( SW4 of SA ) of !'
i
Section Twenty ( 20) , Township Twenty-nine North (T29N) , Range
Sixteen West (R16W) described as follows : Commencing at the
Southwest (SW) corner of Section Twenty ( 20) , Township Twenty-nine
North (T29N) , Range Sixteen West (R16W) , and thence East on the
South line of said Section Twenty ( 20) for a distance of Two
Hundred ( 200') feet to point of beginning; thence continuing East
I
on the above mentioned South line of Section Twenty ( 20) for a i
distance of Two Hundred Ninety-six ( 2961 ) feet; thence North
a distance of Two Hundred Ninety-four and one-quarter ( 294. 25 ' )
feet; thence West a distance of Two Hundred Ninety-six ( 2961 )
feet thence South a distance of Two Hundred Ninety-four and one-
quarter ( 294. 251 ) feet to point of beginning.
This deed is given in fulfillment of a certain land contract between
the above parties , dated January 22 , 1981 , and recorded January 23 , I
1981 in the office of the Register of Deeds for St . Croix County,
Wisconsin in Volume 624 of Records at image 311 , as Document No.
368989 .
This ----iS_--Ilot.......... homestead property.
7tW (is not)
t� 61 4 I.
Exception to warranties: easments and restrictions of recordL'
i FT
Q �UL
` Dated this !!`7.t day of -------------•-----------•----------•---
a,
!.
----- ---------(SEAL) - ----- -----------(SEAL)
'1 f r-i-ed-a--- r-1-ck_sQn-------
(SEAL) ------ - ------- ------------ -------- ---------------------------(SEAL)
- - -
* ---•------- -•--------------------------
I
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) -------- --------------------------------------------------- STATE OF WISCONSIN
ss.
i ------------------------------------------------------------------------------- St . Croix County.
---- ------------•--------- --
authenticated this ________day of___________________________ 19------ Personally came before me this _ ___________day of
�r4! Ja_J ______________________ 19________ the above named
-------------------------------------------------------------------------------- E l f r i e d a Erickson
m
-•---------------------------------------------------------------------------- ----------
TITLE: MEMBER STATE BAR OF WISCONSIN
----------------•--------- -------------------- n
i� (If not- ------------------------------------------- ---------------- ----------------------------------------------------------- v--.�
authorized by § 706.06, Wis. Stats.) p '•
H
z
W
H
r
S T C 105 �~
a
. H
SEPTIC TANK MAINTENANCE AGREEMENT Ho
St . Croix County z
d
OWNER/BUYER
ROUTE/BOX NUMBERf> / Fire Number
CITY/STATE S/<�l.(Jr� /�(/� � LIP S�M7i
PROPERTY LOCATION:S&)�f-, 2 Section T Z9 N , R lel, _W,
Town of �p/<i�Gl�.' 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
H
three year expiration. o
E
z
I/WE, the undersigned, have read the above requirements and agree
to maintain the private sewage disposal system in accordance with H
the standards set forth, herein , as set by the Wisconsin Depart- 'b
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
DATE J5 -P-�S7
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 .
ae
L
'gyp
3 g
Qj
�o l
t.>
. ,
\.1 p � b
4jey C40
V
V v
Page I Of
Straw, Marsh Hay, Or
Synthetic Covering
Distribution Pipe
Medium Sand
G
Topsoil =-- - F
E I� D
3
n
b
i1•l tArRllR NG % Slope
Co / fir log Bed Of 2N— 2 2 Force Main Plowed
rug', Aggregate From Pump Layer
`. , ��'- r, �;
ED
�+, its'�T{ON5 D /-D Ft.
DEPARTMENT OF 110',U ;i3 I. . �
DE?A r C ;1? 'z r' 'i, 1i�ii BUI�Ditiu� E
11 Ji.-�- ��� �' Cross Section Of A Mound System Using
ed For The Absorption Area F _ Ft.
=r. Cslii :,r JNE3BNCE G Ft.
pp ��
Signed: B - Ft.
License Number: ��a
K �%�Ftv.
\Date: S= —�7 E Ft.
J _F Ft.
Alternate Position T / Ft.
of
Force Main W Ft.
094
Observation Pipe
AI.---------------------- ---------------------+I
I•----- --------- ----------------------•I Force Main
Distribution Bed Of % — 2
2 2
Pipe Aggregate
I
Observation Pipe Permanent Markers
Plan View Of Mound Using A Bed For The Absorption Area
Page _ Of 5
'I
t
r+
:Y Perforated Pipe Detail
5:
End View
Perforated
End Cop) PVC Pipe
i ..
-4 �o�c
Holes Located On Bottom,
S Are Equally Spaced
r \
is
X S
P
PVC Force Main
* t From Pump
i
P/ .7
PVC
Manifold Pipe
Distribution �"'��
�� Alternate Position Of
Pipe y Force Main From Pump
Last Hole Should Be
Next To End Cap
End Cap Distribution Pipe Layout
P `
- -
------ ---- - R 5 330 309
- s 32
X 30,,
Y ,�
Signed: / � ��, }�����,�-- �
Hole Diameter 1Y Inch
qyLicense Number: /Y1i����� Lateral ;/� Inch
Date: S 7 -F:Z Manifold Inches3
PLUM13ING Force Main ,3 Inches
CJ aIhl;f,[ yA'
olona by
DEPARTWIENl ;IF 3��:C.�S'h�, . :;R A`,;') REII,AT!ONS
1)1v!Swj 0' F SAFE711 tiu RIJILDih"5
_l_l
Q%P h
PAGE J OFL
PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS
--VENT CAP
`i"C.I. VENT PIPE
WEATHER PROOF APPROVED LOCKING
� 25' FROM DGOR,
JUNCTION BOX MANHOLE COVER
WINDOW OR FRESH I2°Mill.
AIR INTAKE
GRADE
411
'i"MIN.
CONDUIT
INLET PROVIDE I --__-
UMBI'NGAIRTIGHT SEAL
APPROVED
JOINT A C01zditiof'lCxa.L( I I I APPROVED JGIr
W/C. C. PIPE. I III WIC,=. PIPE
EXTENDING 3' I I I OXTOUS
ONTO SOLID S SOLID Sol
C I L ALARM
o PARTh,,;:T .� , ,,.;,, f,,: �;_ . , r_'!A710NS i
` ` I I oN
t iw 'Jj;�, .i.• .,i?F;: : rSI�L ��i�_il;i'a'_
vt;:l� c;C i Sr-iC:ir%Ui'1i3EP�CL'- i� __J
PUMP—, OFF
D
CONCRETE BLOCK
RISER EXIT PERMI'TT'ED GNLJ IF TANK MANUFACTURER HAS SUCH APPROVAL
SEPTIC AND SPECIFICATIOUS 87030"
® 30"
DOSE TANKS MANUFACTURER: L.���°P KS NUMBER OF DOSES:_ ------PER DAy
TANK :,IZE : —_ 6 GALLONS DOSE VO : ��7GALLOt�ly�3/
ALARM MANUFACTURER: SSA 11 _- � �►- �
CAPACITIES: A- INCHE OR GALLOr`J
MODEL LIUMBER: _ ?d�Q I B= INCHES OR _S' ' GALLGUS
SWITCH TYPE: �iJ C= --I`INCHES OR _2<Z GAtLL�_L,
PL.1MP MANUFACTURER: p. INCHES OR GAL
MODEL NUMBER: �� l =��
f NOTE: PUMP AND ALARM ARE TO BE
SWITCH TYPE: __ r'/`CL1Y-�/ INSTALLED ON SEPARATE CIRCUITS
PUMP DISCHARGE RATE _Z0 GPM
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. 7 FEET
+ MINIMUM NETWORK SUPPLY PRESSURE . . , • • _ 2.5 FEET
+ / FEET OF FORCE MAIN X /,OL? Fy
100 Fr.FRICTION FACTOR.. '�-? FEET
TOTAL DJMAMIC. HEAD = FEET
INTERNAL. DIMENSIONS OF TANK: LENGTH-2L
;WIDTH ; LIQUID DEPTH
SIGNED:
LICENSE UUM6ER: �� ���� DATE:-f: l r� /r7
Performance Submersible Effluen ,
Curves s
METERS FEET
90
MODEL 3885
25 60 SIZE 3/4" Solids
70 '---1
o WE151
= 20 WE10H
J
H 60
WE07H
15 50
WE05H
40
10 30 WE036
20 WE03L
5
1
0 0
0 10 20 30 40 50 60 70 80 90 100 110 120 GPM
I I i
0 10 20 30 m'/h
CAPACITY
[qGOULDSS PU�MNPS,IINC.
METERS FEET SBNECA
120 MODEL 3885
35 110 WE151 SIZE 3/4" Solids
30 100
90 9094
25 80
70
Z 20
a
F- 60
O
50 WE05HH
15
40
10 30
20
5
10
0 0
0 10 20 30 40 50 60 70 80 90 100 110 120 GPM
0 10
20 30 m°/h
CAPACITY
01985 Goulds Pumps,Inc.
Effective July,u y,1985
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS
INDUSTRY, DIVISION
LABOR AND PERCOLATION TESTS (115) MADISON WI 53707
HUMAN RELATIONS
(H63.090) & Chapter 145.045)
LOCATION:S SECTION: TOWNSHIP//MUNICIPALITY: LOT N/OJ.:BLK..NO.: SUBDIVISION NAME:All /f
COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS:
USE DATtS OBSERVATIONS MADE
WR esidence NO.BEDRMS : COMMER IAL DESCR Il(
PROFILEDESCRIPTIONS: R ATION TESTS:❑New Replace 7
5- 7-��
RATING:S=Site suitable for system U=Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE:SYSTEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional)
❑S ®U ®S DU � FIS U ❑S ®U ❑S CCU /Iry ezor_,�
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: Floodplain,indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH
s NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
O i /tam d Mot
B- G• g 9�-fly mane, at 6-19151 ZZ 1,7 - y s,/Z
B-2 1,,z5 9G i� any of so', 13 1o'' • 17 '5-/0� , o
/mac% lo,was
B-,� 66,09"
z Q6 95,,7"
e / , A1[r //�S�S//° o SG ° J ry 7 't l• Z , S' �G
1
B---
B-
B-
PERCOLATION TESTS
TEST DEPTH. WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER i?d6+E-& AFTERSWELLING INTERVAL-MIN. PERIOD t PERI Dz PER INCH
P. 2-0 a 30 ,, S
P ,p' e,
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 /oo-of r
I - —
s i
_C
a
I
I
TN
�...
s
t
1
3 ,
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.
TAME print - TESTS WERE COMPLETED ON::
)DR ES /e s�U�s .S / —F r
CERTIFICATION NUMBER: PHONE NUMBER(optional):
CST SIG—NATUUht-
RIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester.
3-SBD-6395 (R.02/82) —OVER —
nq
f ^�
� N
3
1
rI
y � j
Apt, ``•'`� ` � Sn `k; \\,
Sl-
iq�
Na
Lei
r#
_f3i �
QS
k ST. CROIX COUNTY
401
=:N WISCONSIN
_ .
�` ZONING OFFICE
r - ,x 796-2239 (HAMMOND)
425-8383 (RIVER FALLS)
HAMMOND, WI 54015
May 11, 1987
Division of Safety and Buildings
Bureau of Plumbing
P. 0. Box 7969
Madison, WI 53707
Dear Sir :
An on site investigation for the Ralph Ring property located in
the SW 1/4 of the SW 1/4 of Section 20, T29N-R16W, Town of
Baldwin, St . Croix County, revealed suitable soils at a depth of
30 inches, below which seasonable high ground water was noted .
This site should be suitable for a mound system.
Should you have any questions regarding this subject, please feel
free to contact this office .
Sincerely,
Thomas C. Nelson
Zoning Administrator
rc
WISCONSIN DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS
DIVISION OF SAFETY & BUILDINGS, BUREAU OF PLUMBING
P.O. BOX 7969, MADISON, WISCONSIN 53707
Verification of Exception Status for an Alternative Private Sewage System
In the County of St. Croix
Location Sw 1/4, Sw 1/4, Sec. 20 T 29 N, R 16 W
Town gnXf%)jg} kk Baldwin Street Address Route 1, Baldwin, WI 54002
Lot No. N/A , Block N/A , Subdivision N/A
Landowner's Name: Ralph Ring
The application for this site is for:
❑new construction use.
2 replacement system use.
If this is NEW CONSTRUCTION USE, the alternative private sewage system is:
❑ to have one of the first five approvals guaranteed for this year. This is
number - - of. those applications. (Use one of the first five
quota num ersi ssueTto you.)
1
�_ one of the applications needing a quota number. The quota number assigned to
this application is - -
❑for one additional homesite on a farm to be occupied by a parent, child,
grandchild, sibling, niece, nephew, or first cousin.
for an individual lot for which a sanitary permit was issued but was later
ruled unsuitable due to new or changed soil criteria established by the
department.
❑for an application on file prior to February 1, 1980.
❑for a lot that meets the criteria for a conventional private sewage system.
If this is a REPLACEMENT SYSTEM USE, the alternative private sewage system is
replacing:
®a failing conventionalAsoil absorption system.
❑ a holding tank that was installed and in use prior to February 1, 1980.
❑ a privy that was installed and in use prior to February 1, 1980.
If this is a REPLACEMENT SYSTEM USE and the lot meets the criteria for a
conventional private sewage system, check here.
I certify that the above information is true and accurate to the b_est jdf my
knowledge.
Name Thomas C. Nelson Signature
County Official
Title St. Croix County Zoning Administrator Date May 11 , 1987
DILHR-SBD-6158 (R 12/82)
STATE OF WISCONSIN-DEPARTMENT OF INDUSTRY, LABOR & HUMAN RELATIONS
DIVISION OF SAFETY & BUILDINGS - BUREAU OF PLUMBING
P.O. BOX 7969 - MADISON, WI, 53707
APPLICATION FOR THE USE OF AN ALTERNATIVE SYSTEM
Location• Township/Mu-n-i�cipali/ty:
�4 1 S IT �?'f N/R g(or W
Subdivision:- County:
Street Address:
Landowners Name: Mailing Address:
I (We) , the undersigned , hereby make application for an alternative system on
the above-described premises. I recognize that the above premises are not
suited for a conventional private sewage system. If approval is granted, I
agree to have the system installed in conformance with the Bureau's approval
of plans and specifications.
I further understand that an alternative system is more complex in nature than
a conventional private sewage system and as such will require detailed
inspection during construction and monitoring after the system is put into
use. I agree to permit both county officials charged with administering county
sanitary ordinances and Bureau employes or other authorized persons to have
access to the above described premises at any reasonable time for the purpose
of inspection the construction of or monitoring of the system. I further agree
to either personally or by my agent contact the proper county official to
arrange the time and date to begin construction of the system.
I understand that this application does not permit me (the applicant) or my
agent (the contractor) to begin installation. If the system is approved, the
Bureau will send the applicant a letter of approval which authorizes
construction of the alternative system after all necessary permits have been
obtained.
I agree to give notice to any subsequent buyer that an application for an
alternative system has been made and if installed, that the premises are served
by an alternative system and further agree to give the buyer a copy of this
application.
The Bureau accepts this application subject to this understanding and subject
to all the conditions and obligations set out in this application.
"Signature -t5/11/87
Applicant Date
STATE OF WISCONSIN nd sworn to be a me
SS.
COUNTY OF ST. CROIX This 11th day of May 19 87
Notary Public, State of Wisconsin
DILHR-SBD-6413 (N. 05/81) My Commission Expires: 1/31/88