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HomeMy WebLinkAbout016-1074-90-110 v c 0 °� w 0. 0 � I © I 0 N a C I L � I � � I O 0 Lo N � N X Z C _ L LL (p U c C O N C Q O ZN N Lo W O ° W a m M F- Z O C V' 'O N O Z d c O Z c E a a m ci N fl. O y N C C •AZ d 0 .0 O c O O Z Z H N ! _ o M Z -C M N r I' T A N i O N O i''. 0 0 a .OI O C N O ._ 00 d O 3 0 0 0 Z •►NV m Qaaa co co►i in V rn rn O T Z �V 3 IZ v r m E Cl) 'd m N csz O m O O C 0 y C W 3 -o O E M O O N C C U O O L6 O C N N O _ 4-. O = 3 c U-) Z ca r CN I O C N M N N 4i E ✓� 01 M £ d rr d d � M L: • a d U r�V E C C `�1 A 0 a � '',' O in c i . Parcel #: 016-1074-90-110 02/16/2007 03:48 PAGE 1 OF F 1 1 Alt. Parcel#: 34.30.15.518E 016-TOWN OF GLENWOOD 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 O- HOLMES, THEODORE M TRUST THEODORE M TRUST HOLMES 1238 HWY 128 GLENWOOD CITY WI 54013 Districts: SC =School SP=Special Property Address(es): *=Primary Type Dist# Description " 1238 HWY 128 SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 1.460 Plat: N/A-NOT AVAILABLE SEC 34 T30N R15W NE SE 1.46 AC LOT 3 CSM Block/Condo Bldg: 7/1837 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 34-30N-15W Notes: Parcel History: Date Doc# Vol/Page Type 06/13/2002 681599 1909/305 WD 04/09/2002 675760 1868/596 QC 2007 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/06/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.460 9,000 144,400 153,400 NO Totals for 2007: General Property 1.460 9,000 144,400 153,400 Woodland 0.000 0 0 Totals for 2006: General Property 1.460 9,000 144,400 153,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 206 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC. 3 Tao N-R W .din x.� ���,,,-�-....p ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION UT � LOT SIZE PLAN VIEW A" Distances and dimensions to meet requirements of I•ZHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ZONING FFIR I 14q O ,o° i u Aar $® INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Doc-+ Elevation of vertical reference point: /06 Proposed slope at site: SEPTIC TANK: Manufacturer: Liquid Capacity: /do 0 Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,O Side,0 Rear, O g/ feet From nearest property line Front,0 Side,O Rear,O feet f Number of feet from: well ��� , building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER y e Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear,Q Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: 4--- Width: Length: ldev Number of Lines:_ Area Built: Fill depth to top of pipe: ,30 Number of feet from nearest property line: Front, O Side, O Rear,0 Ft . Number of feet from well: Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box 0 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: License Number: 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION s"°P.'0.tZ")X 7969 BUREAU OF PLUMBING 11@ADISOI0 W 1 53707 ° SE'4,NEk,S34,T30N-R15W CONVENTIONAL ❑ALTERNATIVE State Plan I.D.Number: Town of Glenwood ❑Holding Tank ❑ In-Ground Pressure ❑Mound (If assigned) 128 State Highway AN7761 Z7 NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE Howard Sneen Route 1, Glenwood City, WI 54013 y-aq -g7 J a) BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.. Name of Plumber. JMPIMPRSW No.: 1C,­y, Sanitary Permit Number: Wayne Lorenz 934 St. Croix 96035 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACIT TANK INLET ELEV: TANK OUTLET ELEV.: WARPJING LABEL LOCKING COVER OVIDED: PROVIDED. YES ❑NO DYES ❑NO BEDDING: VENT DIA.: VENT MATL.. HIGH WATER NUMBER OF ROAD: PROPERTY.' WELL: BUILDING: VENT TO FRESH A LARM. LIN : AIR INLET: FEET FROM DYES ONO ❑YES ONO NEAREST DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY PUMP MODEL. PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO _ YES ❑NO — YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER'OF '.PROPERTY WELL: BUILDING. VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) OYES ONO NEAREST': 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 MAID! the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WIDTH: LENGTH. INO.OF DISTR.PIPE SPACING. COVER JINSIDE DIA. #PITS. LIQUID B�TNt ' �� TRENCHES. MATERIAL: PIT. DEPTH: �,ttMENIONS !i GRAVEL DEPTH FILL DEPTH DIST FEET FROM R.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO.DISTR NUMBER OF £PROPERTY WELL BUILDING: VENT TO FRESH BELOW PIPES. ABOVE COVER. ELEV.INLET ELEV.END PIPES. LINE AIR INLET: 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- ❑YES ONO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PS OBSERVATION WELLS. ❑NO ❑YES ❑NO DEPTH OVER TRENCHBED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED SEEDED MULCHED. CENTER. EDGES. ❑YES N ❑YES ONO DYES ON01. PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH. NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PF FILL DEPTH ABOVE COVER: ENOW TRENCHES: ° r�►E�ON� !� y MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO. STR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING: ELEV.: ELEV: CIA.. ELEV.. PIPE DI A.: s"EVA`fION Af fT lf�l>=C4Ai4N `w HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIA1C L VERTICAL LIFT CORRESPONDS TO APPROVED s>tl! € rT 1� PLANS. ❑YES El NO El YES ONO ;PROPERTY IWELL:COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF t :..LINE: FEET ❑YES ❑NO ❑YES 1:01 NO INEAFEST�M YL � d lo°a4 G44 Sketch System on Retain in county file for audit. Reverse Side. � SIGNATURE. TITLE: DILHR SBD 6710(R.01/82) Zoning Administrator I SANITARY PERMIT APPLICATION COUNTY 51 LHR In accord with ILHR 83.05,Wis.Adm.Code /X STA q SANITARY PERMIT# —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. —See reverse side for instructions for completing this application. PETITION n I. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES X NO PROPERTY OWNER PROPERTY LOCATION '/4, S 3 T3a , N, Rl,T- E (orS)' PROPERTY OWNER'S ILI G ADDRESS LOT NU B BLOCK NUMBER SUBDIVISION NA E -Cl TY, TATE ZIP CODE PHONE NUMBER NEARE T ROAD,LAKE OR LANDMARK II. TYPE OF BUILDING OR USE SERVED: -/W' 0/40' 167(1— 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. VfNew 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. Conventional b. ❑Alternative c. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. ❑ seepage Bed b. 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): / ,015' S O o S a Feet 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 l� 00 0 / 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) MP/MPRSW No.: Business Phone Number: �O Plumb is Address(Street,City,State,Zip Code): Name of Designer: t4 e- ® o VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST# 5s- o CST's ADDRESS Street,City,State,Zip Code) Phone Number: a 0ille S IX. COJNTY/DEPAR1rMENT USE ONLY ❑ Disapproved S nary Permit Fee Groundwater ate Issuing Age Signature(No Stamps) S harge Fee /t Approved ❑ Owner Given Initial �/ ) O� \ `.. ,` " J — 1Y� -71'7 Adverse Determination W `�J VC7 O L•LtJ X. C MMENTS/R SONS 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- I! 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 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 knowr as the groundwater protection law. This change in statutes was the result of ove� 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 ilt'S can effect groundwater. The surcharge took effect on July 1, 1984 All of the water that buried aSl�tQ is used in your building is returned t.,-. the groundwater through your soil absorption u system or the disposal site used by your holding tank pumper. The -nonies collectec' through these surcharges are credited to the groundwater fund acirr, nis-- tere,. by the Department of Natural Resources. These funds are used for monitoring ground- v!itle gr-landwater cont:Iminatio:� in-estigat:ons and establishment W st<<nda-ds Groun lwat'i-!, _ it s worts, protecting. S3D-6308(8.03186) 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 Howard Sneen Location of Property SE NE It, Section 34 T 30 N-R 15 W Township Glenwood Mailing Address Route- Onel Glenwood City Wisconsin. 54 013 Address of Site Routa-One Glenwood City Wisconsin. 54013 Subdivision Name NA : Lot Number NA Previous Amer of Property Howard Sneen Total Size of Parcel /. y Lp Date Parcel Was Created (, h i `j , C160 7 Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes K No Volume ,(t_ and Page Number ,'S/ t as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A Warranty Deed which includes a Document number, volume and page number, and the Seal of the Register of Deeds. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION I (We) eeAti6y that ate Atatements on thi.6 6aAm aAe true to the bmt o6 my (ouA) knowledge; that I (we) am (cute) the owneA(.e) o6 :the pupeAty descAibed in thin .in6oAmation 6o4m, by viAtue o6 a'wi .,,de,:e„d Aecaded in the 066.ice o6 the County Regi-steA o6 Deeds as Voeument No. 1 1cLw7'r and that I (We) p4 aentCy own the ptopo.aed 6 to bon the aewage dibpos dyes em (oA I (we) have obtained an easement, to nun with the above deaehibed ptopeAty, bon the eonatcucti.on o6 chid eyb.tem, and the dame has been duty Aeconded in the 066.ice 06 the County RegizteA o6 Veede, as Voeument No. SIGNATURE OIL OWNER �j SIGNATURE OF CO-OWNER (IF APPLICABLE) E S D DATE SIGNED )Y ARRANTY_DEED_.(PormeLBtatutory_Form).— STATE_OF._YISCONSIN MI11eT�AA�ie Co. M(yy�amlis s;inn_ Form No. 9—T. W. � tS 4-n-t-hienturr, Made, by Tollef St€ -rshclt, a single man grantor of TIn(-omr P ,n Phi nn•ton hereby convelp and warrant, to Tlo!,wryrf'. Sneen, r PincrIP rr.nn grantee , of St. Croix County, Wisconsin. for the sum of "n'ren Thous n nd ,even Hundred 1 i.f ty D011ars (47, 750.00) the following tract of land in St . Croi° County, State of Wisconsin: ?'Orth 1n }l�l.f (ITI ) of the SOUt'lenst raiorter ( S^4) ?nd the routh1vPct wL2orter 1'.l e Soiith-nst of (;�unrtf=r ( ,3r' ) nll in S,-cti_en Thirty-four ( 34) , Tov.rtln;,in Thirty ( 10) North, Rvnpre fifteen ( 15 ) west, excert land heretofore convf�y­d to St . Croix County, rri cTcr�noi.n fog- h1P,h1A±ay purr.caPG by deeds. of record_ in the effi.ce -f th- RPI~.i. st-r of Dr dP, for >t . Cr^i Co,int-v, 1.,c,onoln rnci to ^ n t^ rTir 1t . C'r^i.V Co'lnty flectr3.r by c con- vey--n­ 0,.ate(3 J�inP 11, 1','79 2nc1 r°Cr)r'ipdt on lji ' ?Pt ?S 1239 in t}tn Offir'P of th0 ?1e.�].Ptar 0f D-rO' P for St. Cr^iv, Count!!, r'j.PrnnFi?1 ir1 VOli1^?P 256, 5 . , 1 1 a t f It Uttntso 3N#rrrvf,The said grantor ha s hereunto set h.is hand and seal this Sth day of Jrnll�a; d4. 1 -17 SIGNED AND SEALED IN PRESENCE Of chn (SE14L) Kamm SEJL) Otttte of 39ijaransin, ss. St . Croix County Personally came before me, this 0th day of Jc nu ry .4. D. 19 47 , the above named To ll e f St n f P hn 1% a single man to me known to be the person who executed the foregoing instm-ynent and acknowledged the same. ,1 Notary Public, Sr • 'rte,i x Country, Tf1s. Afy commission expires J 11 1, , d1. D. 19 42 *Typewrite Name under each Signature Cb e +� E ° ca h t U 1 C1 s t M 7 P � � d ►si o � `•-� 1 tA ve t CERTIFIED SURVEY MAP NO VOLUME , PAGE BEING PART OF LOT 1, CERTIFIED SURVEY MAP NO. 344112, VOL. 2,PG.496 AND LOCATED IN THE NORTHEAST AND NORTHWEST QUARTERS OF THE SOUTHEAST QUARTER OF SECTION 34, TOWNSHIP 30 NORTH, RANGE 15 WEST, TOWN OF GLENWOOD, COUNTY GF ST. CROIX, STATE OF WISCONSIN. UNPk-4rT€L) (.ANQS E. I/4 CDR, SEC.34-3045. R.A.=N 880 35'54"W FD.3 14'IRONNPIPE MA.--S 89058'06"W 671.36' N. LINE OF GSM. NQ 344112 • hry OF 4 1—I 1 r ✓�, ey 9' BEARINGS ARE REFERENCED TO \LOT THE EAST LINE OF THE SOUTH- 2 �� / \•� EAST QUARTER OF SECTION 0� 63 1.46 AC R So.Fr: 6'0 1.46 ES h NP, 2 34,T.30N.,R.ISW(RECORDED w (=1 R�\N N o AS N 0/0 24 27 W.) byaa 0� LOT 2 1 151,150 SO.FT.? t-, �� LEGEND A i t 3.47 ACRES �` � Z� y�'h 9/y �: \k\•5�210 �J' � FOUND I��IRON PIPE. P' 0►' S 22� / O SET 3/4"x 24"RE-ROD WEIGHING ti I4 d 6 1.502 LBS./L.F. �. O EXISTING GRAVEL °D 5 FOUND WOODEN R/W POST. DRIVE WITH CULVERT. 2 p�� / R.A..RECORDED AS. g M.A.=MEASURED AS. % 1�6 °° 0 APPROVE R`sa SCALE: / = ,200' ,. 2,. ro , J, JUN 1 f 1987 0' 100 200 4od 4'tiF SEC. 34-30-15. sr COMP:2EHENSIVE PARKS PLANNM FD.3✓4"RE-ROD AND ZONING COMMITTK NOTE: PROPOSED LOT 2 AND 3 HAVE EXISTING PRIVATE ENTRANCES. NOTE: REMAINDER OF LOT 1, CSM 344112, VOL.2, PAGE 496 NOT IN LOTS 2 8 3 THIS CSM WILL BE ATTACHED TO VOL.418 PAGE 147 NO. 282214. CURVE DATA TABLE CURV C N AL ARC CHORD CHORD BACK TANGENT ---W 7 EN NUMBER ANGLE RADIUS TANGENT LENGTH LENGTH . BEARING BEARING BEARING 1-2 0017'24"11,873.02'1 53.79' 1 107.55' 1 107.54'S 48050'/6"W S50028'56"W S47o11'34"W �.••' '••v NOTE: The remaining land in PREPARED FOR: COUNTRYVIEW REALTY �S • •,S/ •, said Lot 1 has been deeded to �,.•• ' WOODVILLE,WI 540£8 * : '••,; •%Ri chard Rosen in Volume 781, OWNER: HOWARD SNEEN N R. ;* ; Page 390, Document No. 426741. GLENWOOD CITY, WI BRICK S-1303 MENOMONIE. wis • �•�i�NO S U RV E" a4aaBig ass* CEDAR CORPORATION 604 WILSON AVENUE MENOMONIE,W/ 54751 (715)235-9081 (SEE REVERSE FOR CERTIFICATION) PAGE-Lo;,?. f30 Z 3'JVd +`�•vauuaa�. 4.*' ap 4 '31NMONM £OEI-S )ITUHM ': d N031 •4 /VO �cj O aa.•a.•.•••" -JORaA.anS�PURI Pa,a94s LGab �o .aaH •b uoa3 'L861 ~_-~-~- kl 30 Ado �1L.Z SIHl 031110 -p.aooaJ 10 squawasea pup SPPOJ 6uLgSLxa 04 43argns SL RaA.ans PIPS *awes ay4 6ulddPw pup 6uLpinlp '6ulRan.ans UL R4unoO xloaO •4S 10 suol4eLn6a.a UOLSlnlpgns a44 PUP apo3 aALgPJ4S lulwpy ulsuooslM aye S0 5 3-y ,aaldeyO 1sagn4p4S ulsuooSLM 944 10 b£'9£Z .aagdP43 SO SUOLSLnaad a44 44LM paLLdwoo RLLnj aAey I 4P41 •apPw jOaaa44 UOISLALpgns a44 pup PaRan,anS PURI 844 30 SaLjPpunoq .aol.aa4xa aye So uolgP4uasajdaj 4oaa,aoo p SL dew yons geyl -PUPL PIPS SO JauMO 'UaauS PJPMOH a0S '8Z0b5 ulsuoosLM `aILIApooM `I agnob 'RILeab MaIARJ4unoO '.ao4Lpa.a '�ULUJOO'a uaganb 10 uOl4oaJLP ayq 1p dew pup UOLSLnlp PURL 'Ran.ans yons apPw aAPy I gPyl • *S aJ oe £6'b JO 'SSaL JO 8JOw '40ai a.apnbs 0091bTZ SULPWOO Lao.aPd pie$ •6ULuUL6aq 10 4ULod 944 o4 ZTTbb£ 'ON dew RaA.anS paL3LgUaO pips 3o auLL RL,aa4saM a44 6uOLP 4aaJ 26•£T8 `3 „£O,ZVgL£ N aouayl `•ZTTbb£ *ON dew RaA.anS pa I,}L gJa3 PIPS SO BULL ygnos a41 6UOLP 4aa J L8-W `M „LS,SbOLS N aouayl :4aaj 29'TLZ `RPM-,}o-gy6La PIPS 6uOLP `M „0018206£ S aouayl :4aaJ bS'LOT `M „9T ,0SO8b S 30 6uL.apaq p,aoyo p pup 'laaJ 20'£L8`T jo snlpPJ a '„tiZ,LTO£ SO aL6up LPJ4uao P 6ulnP4 4sea4gnos a44 04 anPOUOO aA.ano pips 6uOLP RL.aa4SaM44nOs aouayl `•RPM-10-446LJ PIPS UL aAino LeL4u96uR4 -UOU P 10 6uLUUL6aq a44 oq laa,I OL'SZZ `M „SZ,82029 S aouayl :RPM-10-446LU PIPS UL 4ULod aL6uP up 04 RPM-}0-lg6LJ pips 6UOLP 4aa3 62'86 `M 4£,££O09 S aouayl Hi -10-446[J kLJa4sBm a44 04 49aj 22'£8£ `3 .SS.SZ09C STaouaylo RPM :6uLUUL6aq So 4ULod a44 04 ZTTbb£ '0N dew RaA.anS paL3l4aaO pips 10 auIL 4AalsaM 844 6UOLe 4aaS 86'6b£ `M „£O,ZboL£ S aouayl ZTTbb£ 'ON dew RaA.anS PaLJL4aaO PIPS 10 auLL 44JOU 844 6UOLP laal 9£'TL9 `M 1190,8SO68 S aouayl ib£ uOL43aS PIPS So .aau,aoo .aa4.aenb 4sP3 a44 4R 6uLouawwoO :SMOLL01 sp pagL.aosap RLJeLnolj.aPd aaow 'uLsuoosLM 'RjunoO xlo.a3 'qS 'POOmuaL9 So UmOl '4saM ST 06uRb '44JO N O£ dLysuMOl 'b£ uOLgoaS So .aa4,aenb gspa44noS 044 10 sJa4JPnb Isam44JON pup 4sPa44JON a44 ul Pa4POOL `96b a6Rd 'Z awn LOA `ZTTbb£ 'ON dew RaA.anS paljl4aaa 'T 101 So jjPd a paddew pup papinlP 'PaRan.ans anpy 14Py4 Rjlj.aao Rga.aay 'JORaA,anS pueq paJ8jS L6ab u L Suoo s L M '�O L uuaH 'b uoaq 'I 31VOI3III133 S,?10AMWIS tn H 9 • r ST C - 105 r" 9 H SEPTIC TANK MAINTENANCE AGREEMENT �o St . Croix County z d 9 H t=f OWNER/BUYER Howard Sneen — — ROUTE/BOX NUMBER Route-One Fire Number Wisconsin 54013 CITY/STATE Glenwood City, ZIP PROPERTY LOCATION : SE 14 NE k, Section 34 , ' T 30 N , R 15 W, Town of Glenwood , St . Croix County , NA Subdivision NA , Lot number I Improper use and maintenance of your septic system could result in I its premature failure to handle wastes . Proper maintenance con- sists of pumping out the septic tank every three years or sooner , I 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 F I/WE, the undersigned,, have read the above requirements and agree V, 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 D A'f E ir13X 3Q 1987 St . Croix County Zoning Office P . O. Box 98- Hammond , WI 54015 715-796-2239 or 715-425-8363 Sign , date and return to above address . DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISION AND LABQRY c P.O. BOX 7969 kI UMAN RELATIONS PERCOLATION TESTS (115) MADISON,WI 53707 (ILHR 83.09(1)&Chapter 145) LOCATION:�'/ SE TIQN% D��R/�E Ior TOWNS IP MUNICIPALITY: LOT NO.:BLK.NO.:[SU D IVIS&NAME: NTY: OWNER'S/BUYER'S MAILING ADD:A: '�(J USE DATES OBSERVATIONS MADE �,/ NO.BEDRMS.: COMMERCIALDE CRIPTION: , r FIOFIL DESCR TIONS: PER OVTIO TESTS: L`7Residence A / IS�'New ❑Replace V/ / [� 22 45— RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOUfj),Br u IN-GRO�a URE: SYSTEM-IN�HO❑LDING TAN :RECOMMENDED SYSTEM:(pptional) If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the ) w� under s. ILHR 83.09(5)(b),indicate: Floodplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS BORINGI TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER IDEPTH IN, ELEVATION OBSERVED EST.HIGHEST—TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- 96 q'I fox s B- 31 .33 > /(p / S L L 3 C 6 o.a1 > A (?,6n-s14,, 3 -S C_ B-6 76 0. 33 > 7 a 17 S c PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 7 P LOD 2 P PER INCH P_ 36 /O Co . 6 P_ 3 d 6 /(o 01-3116 a5 P 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 g$ -; _ a _g 3 } S M E : E 3 E E 0 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 CPMPLEf ED ON: • �J ADDRESS: °` CERTIFICAT ON NUMBER: PHONE NUMBERIo tional }. .� I� CST S TUBE: DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) —OVER — A r INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 5595 To be a complete and accurate soil test,yczur relaort must include= 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or cornmercial project; , MAX IMUM number, of bedrooms or commercial use planned; 4. Is this a now or replacement system; S. 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; Fi, PLEASE use the abbreviations sltavvr) here for writing profile descriptions and completing the plot plan; 7, MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate sheet may be used if desired; B, fake sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; 9. Complete=, all appropriate= boxes as to dates, names,addresses, flood plain data, percolation test exemp- tion,if appropriate; 10, If the information (such as flood plain,elevation)does not apply, place N,A.in the appropriate box; 11. Sign the dorm and placrl your current address and your cei tificat:ion number'; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 10") BR - Bedrock cob Cobble (3- 10") SS Sandstone gr -- Gravel (under 3") LS - Limestone 's Sand HGW High Groundwater s - Coarse Sand Perc - Percolation Rate med s Medium Sand W - Well fs - Fine Sand Bldg Build;nc.; Is Loamy Sand > - Greater Then `sl -- Sandy Loam < Less Than `I -- Loam Bit -_ Brown sil Silt Loam BI Black si Silt Gy ....... Cray "cl - Clay Loam y - Yellow scl -.- Sandy Clay Loam R Fled sicl - Silty Clay Loam rnot - Mottles sc -- Sandy Clay w/ - wi th sic - Silty Clay fff - few, fine,faint �c Clay cc common,coarse pt - Peat mill - Many, medium rtt - Muck d -- distinct P prominent I-WL High water level, Six general soil textures surface water for liquid waste disposal BM Bench mark VRP Vertical Reference Point TO THE OWNER: This soil 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 private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary pert-nit must be obtained and posted prior to the start of any construction. "oLOa.rc] S n e e Q. ►3 f of e � ,1 3 � l r T , \ /0 0 l3 y g 7 � a r � FiL y Bed roots f R 135 ~ d 13,X,1.35 O •, r OW , MAS ter Qi,v�•N�• Jai vi yl' RodM Bed roots A