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030-1070-10-200
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 569566 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Rouleau, James V. & Kerry St.Joseph Town of 030-1070-10-200 CST BM Elev: Insp.BM Elev: IBM Description: �-' �q0 .� ��� Section/Town/Range/Map No: 29 614 Z_ /- � �` 26.30.19.253A5O TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic t4 f Benchmark Dosing a 1 / Alt. BM ov�" bohy"EY % 71 Aeration ��f �, 'Vt ` B dg.Sewer a7t. . D fin ' 1,77 • Z Holding SLN c(D z&64— c-.p It t iiv -, u : /1,71 '�:C /O' w TANK SETBACK INFORMATION Ht TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ft7��- ( L4-L-Iil, DtBottom Dosing �, r Header/Man. 'j O /by cS Aeration Dist. Pipe 9, bid Holding Bot.System l/3•� /0.6 /o3.OS Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover -7 c _,/ GPM �'15i'.S /12,`77 /' /DJ, j,f Model Number �.f. t,� (�. 0.�- Z TDH Lift Friction Loss System Head TDH Ft t--777 Forcemain Length Dia. Dist.to Well Bm ;02- (tS l/3G u� la •z9 SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS 7t /60( SETBACK SYSTEM TO P/L WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR _Z 04a.-/ Type Of System: !r i / r r�� UNIT Model Number: J Iv / J DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake I uw Pipe(s) /_� Length Dia 7 Length Dia Spacing fFl SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded 1xx Mulched Bed/Trench Center + /� /r Bed/rrench Edges t//b� Topsoil Yes No ❑ Yes ❑ COMMENTS: (Include code discrepencies,persons pressent,etc.) Inspec io #1: // /5— / Inspection#2: Location: 795 140th Ave.New Richmond,WI 54017(NE 1/4 NE 1/4 26 T30N R1 90) NA tbt n 4trryParcel No: 26.30.19.253A50 1.)Alt BM Description= Be,4 2 �r�39/6 GIc r�'2 � r „ 02.)Bldg sewer length f� . ilu -amount of cover p 1:Mr-- I.AST IS-'0A1 ,doRrK 6N.> of csus iN s:/, d AF57-AO sZ Plan [k No �/S Use other side for additional information.lan revision Required? ❑ SBD-6710(R.3/97) Date Insepctor's Signature Cert.No. \ PROPOSED \`;`'� \ ��`\®I ' �T \ \ ''`ate \SEPTIC SYSTEM \ \ \ \ \ APPROXIMATE I \DRAINFIELD ` \`m�Z 1, \�1`I 1 \ \ \ \ ,_-GRADING LIMITS p 1 \ \ \ �� 1`1 C 1 \\\ \�\\\ \\1[ \ Qr (13,620s.f.+!)— -g2 NEW 18"CMP^ CULVERT SILT FENCE OF 12". \ \�\ \ �` \ \ \ y\\ -INSTALL-� A \ 11 COMPOST FILTER ! �``\ \ �\ \ \` \\ \ \ i\ \ \\ \ \< RIP RAP --917. 5 SOCK �1*-� \ \ \ s @CULVERT- ------ ��. OUTFACE I c� / I I I I \ APPROXIMATE 30OFT LINE I \ GRADING LIMITS FROM OHWM SOIL BORING I \ \ / APPROXIMATE i \ I (13,620 s.f.+/-) EX.TREE LINE I I \ \ I (TYPICAL)( I ; I \� \ \� \ }......l................/ _ � - Z� \\ \\ 1 I \ \ \ \ \END \ > // �.......... / �' 30OFTLINE \ \ \ I \ \ SILT FENCE OR 12"/ / -_FROM OHWM__ \ \ \ \ \ \ \ \ \COMPOST FILTER r I \ \ \ \ SOCK\ / / /����; I L•, - \ \ I 1\ END \ 1 \ I \\ \ I 1 I\ SILT FENCE OR 12" APPROXIMATE/ \ \ I COMPOST FILTER \ II I II \I ;SOCK\ \ \ >' I 1 S r j r GRAD NG LIMITS 1 \ I / (28,815 s.f. \ 1 / 11 1 °o I I i \ 1 \ \ ,!�\ II 5� I I I I' I I I / �'/ ` � 1 \ •f' ' 1 1 1 I I I I \ \ \ I /'N4k I I I ( I I I I I / / •�� - �'• / I r I \I 1 \ \ I II I I \ \\� � ` `1 tl � I I I 11 � !i"wc1 I I �. I I I I O � -, �--''�,/ ,��:• 1 \\ \ I I APPROXIMATE GRADING LIMITS 1 I I O LOT 1 1 it 1(28,815 s.f. 1 i 1 11 It II 11 1 \ t � \\ I ` � � � .I IMnX1 I � i 11 I' . , I I i ..;�� \ /' • I I 1 -0I (FUTURE 1 I SEPTIC SYSTEM \\9< I I I I \ \ ,.FUTURE' 01 DRAINFIELD \ I r GRAVEL- \\ �p \�2 \\\ \\ DRIVE EXISTING / r \ \ o\ it FENCE LINE ! SOIL BORING \\;\\ (TYPICAL)\ � \ \�, \\ \ \ \s \�,•opi�QF\ \ �. / , ! SILT FENCE OR 12" COMPOST FILTER ADJACENT LOT LINE SOCK `� e� \ 1 1 11 1 1 1 1 1 �9 \ \ j 1 \•\ 1 \ I I I ! I EXISTING--- / FENCE LINE \\ t\ I 1 �°� 1-1/4"IRON PIPE ! TOP I j �.\ �\ \ I =9 .• :,/ \ 1 t° \ ;/ //, ELEVATION/=896.1 \ \ \ \ \}I T 1 1 \ \\\ \ \\ \ / i� \ / \ \� \ ....................... ....................._........., \ 1 � /; /..... � APPROXIMATE\ \ \ 1 �\\ \ \ 1 rn�l i / /� ;� /� GRAI \ \ \ \ \ \GRADING LIMITS\ I \ \ \/ ' I / , , (28, �..._....... 1 28,815 s.f. 75FT STRUCTURE / SETBACK LINE OHWM- � FROM - , SILT FENCE OR 12" COMPOST FILTER\ \\ \\ \ \•... \ \ \ I I i f I I 1 ; /; / / / /. --SOCK \\ APPROXIMATE ORDINARY HIGH WATER MARK, \ III \ �.._ \ \ \ END EX.TREE LINE i (OHWM)ELEVATION=886.9 1 1 \ \ \ \ \\\\ \\\\ \ \\ \ \ ,SILT FENCE OR 12" \ \ \ \ \\ \\ \ \ \ \ \\ \ \\ 'COMPOST FIL.TERf I I SOCK 90 \ \ \ \ \ APPROXIMATE I I I I I I \ \ \\ \ \ \\\\ TREE LINE \ \ \1`\lip ( ill III 1 \ \ \ \ \ III o \ \ \ \ \75FT STRUCTURE 1 I 1 \I \ \ \\\ \ \\.> \ \ \ SETBACK LINE I I I � \ \ \ II \ FROM OHWM \ Iy Sl(1 \ \ \ \ \ \ I I I I I \ \\ �l \ \I\� ColSafety and Buildings Division County C 201 W.Washington Ave., P.O. Box 7162 Sanitary Permit Number(to be lied in by Co.) $p v Madison,WI 53707-7162 anitary Permit Application State T�anspquo�n�Number In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the ropnate governmental unit /v /T is required prior to obtaining a sanitary permit. Note:Application forms for state o> S are submitted to Project/ddress(if different th mailing address) the Department of Safety and Professional Servies. Personal information you provide� � o secondary r U IAJ,�L purposes in accordance with the Privacy Law,s.15.04 1 (m),Stats. ,/W/',vvv, I. Application Information—Please Print All Information y` )e16/71M& Property Owner's Name S7 42� Parcel#> LsG *) Property Owner's Mailing Address 4 V� j�. Property Location ZS3 ^_� `! 37 6 v'I'C� ` (�/��- PMF Govt.Lot /T City,State Zip Code Phone Number % f1/, '/<, Section T N R ice ong, 11.Type of Building(check all that apply) Lot# fiK or 2 F fly Dwelling—Number of Bedrooms Subdivision Name Block# ❑Public/Commercial—Describe Use ❑ City of ❑State Owned—Describe Use CSM Number ❑Village of 2-5 C I Town of III.Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ew,system ❑Replacement system ❑ Treatment/Holding Tank Replacement Only Other Modification to Existing System(explain) B• 11 Permit Renewal ❑Permit Revision ❑ Change of Plumber 11 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV.Type of POWTS System/Component/Device: Check all that app I •Non-Pressurized In-Ground ❑Pressurized In-Ground ❑ At-Grade ❑.Mound>24 in of su/�iit,tabb e s 11 ❑Mo d<24 fn.of sus le soil ❑Holding Tank ❑Other Dispersal Component(explain) C- Pre-t a, TDeve le� V.Dispersal/Treat ent Area Information: Design Flow(gpd) Design Soil Application Rate(gpdsf) Dispersal Are Required(sf) Dispersal Area Proposed(sf) System Elevations�j J? 3 1 VL ank Info Capacity in Total #of Manufacturer .T X Gallons Gallons Units /► J_ c$ �. New Tanks Existing Tanks l j�L� ��KJ' o 2 Y c� a U Septic or Holding Tank Dosing Chamber VII.Responsibility Statement- I,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name(Print) Plumbe' gnatur MP/MPRS Number Business Phone Number Plumber's Address(Street City,State,Zip Code) A6 VIII. oun /De artment Use Only roved ❑Disapproved Permit Fee Da ued suinEA atur ❑ Owner Given Reason for Denial /, _ IX.(%YQWWs® bval/Reasons for Disapproval q, 1.Septic tank,a uent filter and � /A� �ie� _ y L� dispersal cell must be serviced/_maintained (! /�'+'wf as per management plan provided by plumber. �. 2.All setback requirements must be maintained as P er applicable code/ordinances. Attach to complete plans for the system and submit to the County only on paper not less than 8 12 z 11 inches in size SBD-6398(R. 11/11) CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: J[ l r� r� Owner's Name: Owner's Address: Legal Description: _/Y 1' _2 Township: 1 County: J.f Subdivision Name: Lot Number: Parcel ID Number: (J 4- Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing & Cross-Section Page 4 _ `- /� Page 5 r , /cd 4e 4,C 9 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat Attachments: Soil Test& House Plans Designer/Plumber: �� � �` ` f�2 License Number: .2— t 2,rl Date: 0Q1 l 'f Phone Number Signature Designed pursuant to the In-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P(N.01/01). 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I Lo \ m \ \ ``T�oX\ 92 —-- t /EFXISTING L J I rGRAVEL. DRIVE. / -gym.. to \ 'ice -..�N >\v' K M I O 93S ---------, Z70. . . T I !R -------- \ \\\ \rte \ -- --- } e,ZO m<= \-- fn 201 ZD\ / 1 t7X\ M,, =----_vim I in�r/ \\ \ \\ mM \ ` \�� r +--- O TTY MM + I I I ovo \\ \ \\. ----- T �-Di- \ mOP� N��', Imp _-_ Dr�Tn \ m� / _ -\�Z, \ `_ _ \ \\ \ Z-->O zrno / — m� / n// / rm MOO mTZm�mO Z � I / , // Om m�-<O�z 00 C-02 oiDm -1 /lo/// / r 58DT CHm{0 ge p r=1H0=ZzMO_, �r MID A v l JmmC:.. A G=l A v A Z v-o I ZA n o, `;s D m z v T o W' 8 - o m � . Z 0 �OZ00 m X / Oa v Tm i `jo A m /o DO U O 0vrnfM n a n go T m m x Tm m O O OZ zmiho m m z z Dom D m m mm 0 Z O W-v <.-I TZ O p A m OnQ X n: o H . - iz I r a� -mi�p�p`w D ~ ~ O Q O / / / 1 £ \ CD mD m: rz 07C0 o I m m O p z z / / / �J \ I`\ CD _ a O z m y •zi z < O m m l m O A 3 O a 5� c O z I I t _77-777_ L M G) - \\ \\\ /' '--OAT-U z / / \ \ I m Or-O v ----- \ \ ` I `--\ r-K"P, '\ \ \ ` �O O 0 m \ \ 1 <m m mA x m O m z p O y `\ \ \ I �lrll�m p0 a -m_I mm m y n m A m O ~ \ \ \ \ •\\ I <Ov v -+ m� O li �O O o .m m \ \ \ \ U `1 Z>ZT A m �b,�:� z z z m O i l f zv m _ mo II m r OQ nOQ z Ail m DO O O O _-- _•'\ \\ \\ \ \ \\ (p—Dp m D _ ® 3 ii c tim z O \ 0.'Oz G \ \ m v - m \ /� m \ m N i m E v m n \\ \ o A zm oG G. m o Z m < ()ii p ZO C A C < V1 v no -� °m x� <� Do v `\ 92 \ \ \ \ ! MoD z �9 Z O m � m AZ z m D D ^\ \\ m:Jm O A xv O A A m `. `. \ \.. ` \ Y•6 —(JI z D m m PROJECT: CORPORATE OTfICE BRANCH OFFICE DRAWN BY: DJZ R0 U L E A U 406 Technology Drive Ent 2220 EWOe Slreel CHECKED BY: o o H 0 M E S I TE Ou ' a • , • Imo unit NI 54751 A d`eenn01111 SW1A DATE: 1/8/14 71 ' Tel 715-232-8490 TeI 7I5-381-5277 TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN Ten 715-232-84sz F.715-381-5338 DWG FILE: � mevfauUlcmaWHug.com hudeovleuthconsWliog.com REF FILE: 5197-001 SITE PLAN Auth•Consulting/associates SO Land Surveying JOB NUMBER:7138-002 REVISION DESCRIPTION: NAME: DATE: Soil Absorption System Cross Section ,ft 4°Schedule 40 Final Grade PVC Vent Pipe With Vent Capp Leaching Chamber f C ft J l Y�tCnv ation � Soil Absorption Svstem Plan View ft 3 'ft ---eft Vent Or Observation Pipe s Trench 1 s y 4"Dia. Trench 2 Header ,y s , 5 C� t �� -c ���s L r Specifications Manufacturer And Model EISA Ratings ft per chi ber q p Soil Application Rate gpd/sq ft gpd Design Flow Soil Application Rate _ EISA= U�i(`� s Chambers 2 rows of Ghaf4ws each. 1 Page—2—of SOIL ABSORPTION SYSTEM DETAIL/GRAVELLESS LEACHING UNIT Page`of Project Name: PCB l �� No. of Cells l 0 Per Cell 3 r ft Cell Width Total No of 0761' ft Cell Length sq ft EISA Per Cell e } ft Cell Spacing sq ft Total EISA Manufacturer Model Laying Length EISA Rating Infiltrator EZ1203H-5ft 5.0' 25.0 EZ1203H-10ft 10.0' 50.0 Gravelless Leaching Unit Manufacturer: _ Gravelless Leaching Unit Model: Typical Cross Section Finished Grade ft Observation Pipe with approved cap or vent ��........e--- _ _. . : ■:::::::::::>::>:::: ..... ::: Soil Backfill in ■:;:: ■ ■ ...... 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U O z d m�` H �--� ce w o r th O Q w O Z It m t�J z f a c m o U �O O a J w10 N O J O O Z W O LL o tOe m m J O o- Z 0_ Z� U m � o Z o > 0 _ �c O N^J J W :5 O \ vv N O U n w W O O U \o0�r�00 vWi Q ° U o a? � z n o a a. Ln Ilf �^0)oHJO m N a O a Q N I �e W H I d W 00 D J z U)~ ��//�� M; 0-00-j LWJQ JwJ } 0Q wO_ U' z y U) M �J .. "^Z-� .. r~ F N ~ =U Z O W W Q�UJ—I J0�mmu 0o2 C)< OO Q Z WQ N mU �� ~O LLI T� Y 0 Q OOa W LLJ Li Z° O w a ~ OU O Z W 2x NU Z N3mUm=J�m� Q`� QN U ooa 0 z QN WW� 0 z Q � w W O J O Y >z v~io i J O O Q Z a D z z J = OJ < �F- U F W Z w O m O w w I I I ' N N Sdo o-w O ,6C do �m w W I W �WU C S > w d d S ,. w w O p O ~ N w w 0 SVO j °w 0 w r i „l-o do R U Q W D jCEE Z ui Li a J Z Q "ZIP b N Y z Page 1 of y START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the PO fails and cannot be repaired the following measures have been, or:must be taken, to provide a code compliant replacer. S ce nt system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. 1" T a o Ting ank e.valua t' '�fL DI-/1�3 77>✓� CD R- /�/ J Ga"57 R(J�t� be a ai e ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS 4 POWTS INSTALLER POWTS MAINTAINER Name O-b D �a � _ s'�aV 3� Name Phone — 3 Qa 7/5=3el /7 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY / Name Name ST. C-ko l ()UN 2Dll�l Phone Phone /S— 3g(�— (p�'(7 This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.5411), (2) &(3), Wisconsin Administrative Code. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of 2 FILE INFORMATION SYSTEM SPECIFICATIONS Owner �M Septic Tank Capacity �'�/� gal ❑ NA Permit # s-10 49 Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model 00-J/ se.� ❑ NA Number of Public Facility Units NA Pump Tank Capacity l5 NA gal Estimated flow (average) (Td gal/day Pump Tank Manufacturer NA Design flow (peak), (Estimated x 1.5) �0(� gal/day Pump Manufacturer NA Soil Application Rate C6 gal/day/ft' Pump Model �dNA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit lia-NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) <_220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODS) 530 mg/L *95�In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) 510' cfu/100m1 ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size a in ❑ NA Other: ,r1 NA Other: ❑ NA Other: ® NA *Values typical for domestic wastewater and septic tank effluent. Other: ® NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA ,? 0 year(s) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA p year(g) Clean effluent filter At least once every: `l 0 Yeast (s) ) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ month(s) NA ❑ year(s) JO Flush laterals and pressure test At least once every: 1❑ month(s) NA El year(s)Other: At least once every: ❑ month(s)❑ year(s) 1,51.NA Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM wner uyer �J—A t E P&LX6_A1J Mailing Address ,Q 3� Property Address ! r ' A 1�e ' 6uA�i 'f �S h br .. // (Verification required from Planning&Zoning a)artment for new construction.) City/State /v R JCRI Il/D . MX�Parcel Identification Number 0-30-10-20- 1,0- ZQC� LEGAL DESCRIPTION Property Location 1/4 , N 1/4 , Sec. 2 p , T 30 N R l W, Town of T- (� � Subdivision Plat: , Lot# Certified Survey Map # 3 ! ,Volume 2 S , Page # 5-7-7d Warranty Deed# q- 0 J (before 2007)Volume , Page# Spec house❑yes❑no Lot lines identifiable❑yes❑no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner,if needed,by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in§SPS. 383.52(1)and in Chapter 12-St. Croix County Sanitary Ordinance. The property owner agrees to submit to St.Croix County Planning&Zoning Department a certification form,signed by the owner and by a master plumber,journeyman plumber,restricted plumber or a licensed pumper verifying that(1)the on-site wastewater disposal system is in proper operating condition and/or(2)after inspection and pumping(if necessary),the septic tank is less than 1/3 full of sludge. Uwe,the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth,herein,as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St.Croix County Planning&Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s)of the property described above,by virtue of a warranty deed recorded in Register of Deeds Office. u er of bedrooms SIGNAT OF APPLICANT(S) DATE * * information that is misrepresented may result in the sanitary permit being revoked by the Planning&Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV.04/12) LOCATED IN PART OF GOVERNMENT LOT 4 OF SECTION 26, T30N, R19W, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN, BEING LOT 2 OF CERTIFIED SURVEY MAP VOLUME 17, PAGE 4497. PREPARED FOR: LEGEND JAMES & KERRY ROULEAU 54016 © FOUND ALUMINUM COUNTY HUDSON, WI CARTER CIRCLE SECTION CORNER MONUMENT HU SURVEYOR: FOUND 1" OUTSIDE THE EAST LINE OF THE NE1/4 OF DOUG ZAHLER DIAMETER IRON PIPE SECTION 26 BEARS S00'07'35"W AS S & N LAND SURVEYING FOUND 1-1 4" OUTSIDE REFERENCED TO THE ST. CROIX 2920 ENLOE STREET O / COUNTY COORDINATE SYSTEM SUITE 101 DIAMETER IRON PIPE HUDSON, WI 54016 SCALE IN FEET 1" = 150' SET 1-1/4" OUTSIDE DIAMETER BY O 18" LONG IRON PIPE, WEIGHING 1.68 150 0 150 CURVE DATA LBS. PER LINEAR FOOT No. Radius Length Central Angle Chord Bearing Chord Length Arc Length Tangent In Tangent Out C1 7967.00' 02'01'54" N88'20'21"E 282.49' 282.50' N87'19'24"E N89'21'1 8"E C2 7967.00' 01'47'52" N88'13'20"E 249.97' 249.98' N87'1 9'24"E N89'07'16"E C3 7967.00' 00'14'02" N89'14'17"E 32.52' 32.52' N89'07'16"E N89'21'18"E C4 62.43' 60'07'22" N28'03'1 8"W 62.55' 65.51' N58'06'59"W NO2'00'23"E d @Ly g9 @3H d�[Lo �g9 pQo 602@ NORTHEAST CORNER - - - - - - - - - - - - - - - SECTION 26 IACCESS — 140TH AVENUE EASEMENT C NT LINE 0) °D - - - - - FOR LOT 2 - N C1 N89'21'18"E 462.17' °'- C2 zo�• f DRIVEWAY N87'19'24"E •� I 66 z r BUILDING SETBACK Ln �\ PER TOWN �0 34.21' ^. `` ...... I ..R .,/� .\� d IQ` Nsj, : R� � '/ MANMADE �/ BUILDING POND / 1� LOT 1 �5�3��J CD CD y L71 72,922 SO. FT. 0 1.674 ACRES Y I I I@ to "1 LOT 2 o I O � 514,344 SQ. FT. �t 0 En I d s� 11.808 ACRES TO MEANDER LINE o o w0 523,300 SQ. FT.± � w 12.014 ACRES± TO OHWM * L! co �Q V' �4-�? �� 75' SETBACK ' . i9��s� FROM OHWM o I o S88'32'1 8"W IO ' I 61.41' MEANDER OHWM Z LINE EACH PARCEL SHOWN ON THIS MAP IS SUBJECT TO STATE, COUNTY AND ELEVATION 886.9 �o TOWNSHIP LAWS, RULES AND I REGULATIONS (I.E., WETLANDS, MINIMUM LOT SIZE, ACCESS TO I tWs Of Wise BASS LAKE C% PARCEL, ETC.) BEFORE PURCHASING --. 0 OR DEVELOPING ANY PARCEL Q IN CONTACT THE ST. CROIX COUNTY DOUGLASJ. ;2 W ZONING OFFICE AND THE TOWN OF I ZAHLER ; I� ST. JOSEPH FOR ADVICE. 9-2145 ; �o• H DS N, 166.44' 434.04' Wl 46'f S89'27'24"W 600.49' � .U�.v� p nnF�nnn /e15r5753FD fL/olMfD� i m vvisconsir Department Of MIL EVALUATION REPORT �i �� 1 of 3 Division of Safely and St ldugs �w! in acoordaia-wlgComm 85,Wft. gym• Code qty ST.CROW Attach complete aft plan on paper not less than 812 x 11 uncles in size.Plan must ir"de,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. 030-1070-10-4U- percent Mope,scale or dimensions,north arrow,and location and distance to nearest road. Please print all infonmalkin. R Personal information you provide may be used fa 0)lm)). y Property Owner RECEI ff D ft4ft Location JAMES V.&KERRY A.R ULEAU Govt La ---- NE 1/4 NE 1/4 S 26 T E(or)W Properly Owner's Maitirig Address SEP 2 4 2010 La Blocks Subd.Nam"CSriAM� D l 937 Carter Circle 2 -- rca r,7 r goo City $18te 23p Code rnone�4.wK-j1X COUNTY vrlage own Nearest Road Hudson, Wl 54016 ( NIN�Z OF I 140th Avenue E) New Construction Use(D Residential/Nuriber of bedrooms 4 Code derived design now rate GPD ❑Replacement n I� ❑ Public or commercial-Describe: Parent material L o Rood Plain elevation if applicable KA` � 2. Gerrard oomrnerts n_� tfoe -gro --0.6 y/=aLt and na lions: lOJ F3 Z g 8 3 �4;g sire 2 y q c ) Ate SK �o D W , 3 D H �l �1 fU � # ❑ Boring �-5ar+�4Rs+p4-As 83 Qn On,044 eA.- l�efA.-�- �Q Q pjt Bound surtace eicw._/o�;.2°I R. Depth to wrMting factor 62 Soil Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary RoolM GPD W lo. muuseti CkL Sz. Cont.Color Gr.Sz.Sh. 'Efllfl 'Eff82 1 0-4 10YR3/2 - s1 3f-mgr mvfr cb 3vf-co 0.6 1.0 2 4-28 10YR4/6 - all 3fabk mfr Cs 2vf-co 0.6 0.8 3 28.36 7.5YR314 - s1 2fsbk mvfr Cs 2vf-f 0.6 1.0 4 36-62 7.5YR4/6 - is OS9 ml as lvf-f 0.7 1.6 5 62-65 7.5YR4/4 f1f 10" s&gr Osg ml -- -- 0.7 1.6 I florizm 5 bas massive Byers of sit 2 Boft# ❑ Borirg E] Pit Ground surfaceelev. 102.50 ft. Depth to firift factor 64 in. Sol Application Rate Horizon Depth Dombmnt Color Redox Dewdpdon Texture Structure Consistence Boundary Roca GPDW In. Winsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#f1 'Eff#62 1 0-5 10YR312 - s1 2fgr mvfr Cs 3vf-co 0.6 1.0 2 5-12 10YR3/2 - sl 2f-msbk mvfr Cw 2vf-co 0.6 1.0 3 12-29 7.5YR3/4 - s1 2f-mabk mvfr Cw 2vf-f 0.6 1.0 4 29-42 10YR4/6 - sn 2f-mabk mfr as ivf-f 0.6 0.8 5 42-64 7.5YR3/4 - s Osg ml as -_ 0.7 1.6 6 64-70 7.5YR4/4 nf7.SYM4l6 s Om -- __ -- 0.5 1.0 I I I ::•Effluent#t1=BOD >30<220 mg&and TSS>30<150 rrq/L 'Efkxmt#2=BOD 130 ng&and M<30 mg& CST Name(Please Print) - _ CST Number Mary Jo Huppert 040flister's Soil Tesft& 224832 Address Dale EvakEiDn Conducted Telephone Number W9875 690th Avenue,River Falls,W1 54022 07-09- 10 (715)426- 1775 f • m��7f Property Owner ROULEAU,James V.&Kerry A. Parcel ID# 030- 1070- 10-185 pap 2 of 3 � 1Q, 3 god# Bo,inp �sctE z� E] pit Ground surface elev. qa.00 ft. Depth to linift factor 65 in. I Soi Rate j Horizon Depth Daninant Color Redox Description Texture Structure, C">sWWm Boundary Roofs GPDW / in. Mansell Qu.Sz. Cont.Color Gr.Sz.Sh. 'EfW1 'Eff#2 1 0-6 10YR312 -- sl 3f-mgr mvfr cb 3vf-co 0.6 1.0 2 6-12 1 10YR31 -- sl 2f-msbk mvfr cs 2vf-co 0.6 1.0 3 12-24 7.5YR4/4 -_ sl 2fsbk mvfr cs 2vf-f 0.6 1.0 4 24-36 7.5YR3/4 -- sl 2f-msbk mfr as lvf-f 0.6 1.0 5 36-65 7.5YR3/4 -- s 0s9 ml -- -- 0.7 1.6 6 65-70 1 7.5YR3/4 flf 7.5YR4/6 s 0m mvfr -- -- 0.5 1.0 orizons 4&5 have some gr. ❑ Bce�# Born Pg Grand surface elev. ft. Depth to C Tdit factor in. Sol Application Rafe Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roofs GPD/ff in. Muria" Qu.Sz. Cont.Color Gr.Sz.Sh. 'EfWl I 'Ef#2 F-1 Borft# g Pit 8 Ground surface elev. it. Depth to bnitinD factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roofs GPDW in. Munseti Qu.Sz. Cont.Color Gr.Sz.Sh. 'E01 'Eff#2 'Ef luent#1=BODS>30:5 220 nv/L and TSS>30.:5 150 mutt. `Eftent 02=BOD,<30 ffo&and TSS<30 mg& The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material m an alternate format,please contact the department at 608-266-3151 or TTY 608-264-8771. ssn-e3wrdr�s.mroo� Plot Plan for Site and Soil Evaluation Page 3 of 3 Property Owner kau A, I�outEau I" = 40ft Legal Description N �/y of -r1irc Nr:LJq s zt, (imcept where noted) 730t3} -z,qw TovwfJ ©f= ST. bs�t�t1 . s-, C-ROLX D =Backhoe pit c-OLLK) yi W�SCO►JSt►.1. j, 77 North (sire z) b �t b ra � din LOPp� 3 So Site Location: N rzl`-rf)P o pvc .q7' o -H,f#t 013 air' ✓��Sz- --- 0 100-46LG hdaAnS PM 0 SajV!30SSR/hq -IRRY IAO/El PIN AGUM 80.4 a3SYMN P=03 NV�d 311S 43SOd02�d too-Mg 39!3a .104619 w NISNODSMA 'AiNnOO X1080 IS 'Hd3sor 'is -4o Nmo.L OLILVLL L6-V-V 30Vd LL 10A VISO AO Z iM cj Dim T m (IN m ��= 4*-M. /1i�13dO2jd nV33mj J. 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S� LANCER * S-2148 S LSU S N 2� U CERTIFIED SURVEY MAP LOCATED IN PART OF GOVERNMENT LOT 4 OF SECTION 26, T30N, R1 9W, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN, BEING LOT 2 OF CERTIFIED SURVEY MAP VOLUME 17, PAGE 4497. PREPARED FOR: LEGEND JAMES & KERRY ROULEAU © FOUND ALUMINUM COUNTY 937 CARTER CIRCLE SECTION CORNER MONUMENT HUDSON, WI 54016 FOUND 1" OUTSIDE SURVEYOR: DIAMETER IRON PIPE THE EAST LINE OF THE NE1/4 OF DOUG ZAHLER FOUND 1-1 4" OUTSIDE SECTION 26 BEARS S00'07'35"W AS S & N LAND SURVEYING / REFERENCED TO THE ST. CROIX 2920 ENLOE STREET DIAMETER IRON PIPE COUNTY COORDINATE SYSTEM SUITE 101 SET 1-1/4" OUTSIDE DIAMETER BY SCALE IN FEET 1" = 150' HUDSON, WI 54016 O 18 LONG IRON PIPE, WEIGHING 1.68 LBS. PER LINEAR FOOT — — — OPEN SPACE BOUNDARY 150 0 150 CURVE DATA No. Radius Length Central Angle Chord Bearing Chord Length Arc Length Tangent In Tangent Out C1 7967.00' 02'01'54" N88'20'21"E 282.49' 282.50' N87'19'24"E N89'21'1 8"E C2 7967.00' 01'47'52" N88'13'20"E 249.97' 249.98' N87'19'24"E N89'07'16"E C3 7967.00' 00'14'02" N89'14'17"E 32.52' 32.52' N89'07'16"E N89'21'18"E C4 62.43' 60'07'22" N28'03'18"W 62.55' 65.51' N58'06'59"W NO2'00'23"E � gg mm d @d° o P@9'. �60W NORTflffaST COJ R - - - - - - - - - - - - - - - S"TION,26 4CCXSS• — 140TH AVENUE FORFLOT T E N Z$S C1 N89'21'18"E 462.17' °= C2 Z 0)• C3 DRIVEWAY v v imp /66' O 19UILlJINC S�'TBlCX� Ln N67'19'24"E cn ( L" � /, �\ PAIR TORN Qo 34.2 By' i . I� ^�• ,�. I 50 I NS r`\-' .IIANAfAPS BUILDING to o OT 1 45�3OD I 0 LA 72,922 SQ. FT. 1.674 ACRES C w � LOTS MAY BE SUBJECT TO 1I O ,43 ,49^E 23'94 II SPECIAL ASSESSMENTS FOR FUTURE i P lJ N�q 48 IMPROVEMENTS TO THE ROAD. y �. � 0 0 y�,s'.seTgacx LOT 2 d °0 _ . W FROM Of#rdf 514,344 SQ. FT. A o �! s 11.808 ACRES TO MEANDER LINE �eps' OD ' 523,300 SQ. FT.f O 12.014 ACRESt TO OHWM P " ° S88'32'1 8"W — — — — — 61.41' OPEN SPACE NOTE V–X1VPXR The open space area shown I Ofll�Af Z LINE' hereon contains 5.48 acres .eZ.eF4TI01V 886.9 ` I o (40% of 13.68 acres). Use of _BASS LADE j I the open space is limited to the uses prescribed in 168-18 REGIONAL ! – al D of the Town of St. Joseph o I F-100P XZXV I Subdivision Ordinance. PfR OiVR = 890 I Development within the open L4 space is prohibited. Boundaries SHORELAND NOTE of the open space may be The property depicted on the map It°- changed with approval by the contains shoreland – wetland areas ` I town board. and is subject to shorelond zoning. 166.44 434.04 A Land Use or Special Exception 46 t S89'27'24"W 600.48' *1J permit may be required for grading ►� and or construction activities. / f° Wetlands shall be maintained with a _UH_p_[UCVV[9_D Ll ° H_rp)�-3 75' protective buffer unless otherwise determined by either St. Croix County or WI–DNR. Contact F,4SF q&4RTFR COR% R the Zoning office for further SI'CTIOIV 2B information. THIS INSTRUMENT WAS DRAFTED BY: DJZ JOB N0. 5197-002 DATE: 02/03/11 SHEET 1 OF 2 5 Illl lllilllllllllllllllllllllllllllll{IIIIIIIIII State Bar of Wisconsin Form 2-2003 8 8 5 0 1 3 3 WARRANTY DEED 885013 Document Name KATHLEEN H. WALSH REGISTER OF DEEDS Document Number _ ST. CROIX CO., WI RECEIVED FOR RECORD 12/04/2008 08:OOAM WARRANTY DEED THIS DEED , made between James W. Simon, Yvonne E. Furr, Donna M EXEMPT tI 17 ae REC FEE: 15.00 Coughlin and Mary K. Matthews, PAGES: 3 ("Grantor," whether one or more), and James V. Rouleau and Kerry A. Rouleatl husband and wife as survivorship marital property, ("Grantee,"whether one or more). Recording Area Name and Return Address Grantor, for a valuable consideration, conveys and warrants to Grantee the following Ronald L.Siler described real estate, together with the rents, profits, fixtures and other appurtenant VAN DYK,WILLIAMSON&SILER,S.C. illtcresfc, in St. CrON, collr;ty-. :Sfrate of\h/iar.nt:c,in ("P,,orwrty"± (if-runt•:;n,.^r is 11 Soulh Knowles Avenue needed,pin,se attach addendum); New Richmond,WI 54017 SEE THE ATTACHED ADDENDUM. 030-1070-10-185&030-1065-70-200 This conveyance is given in Satisfaction of that certain Land Contract between the Parcel Identification Number(PIN) above parties recorded December 5,2005 in Vol.2938 of Rec.,pg. 600,as Doc.No. This is not homestead property. 813544. Exceptions to warranties:Subject to all easements,restrictions and cov of record,and any lien created by act or omission of Grantees. OFFICIALS VICKI R. CI-IAVARRIA . NOTARY PUBLIC-State of Arizona MARICOPA COUNTY .,. (y,� Comm.Expires Jan.31,2011 - °'-'"`�; .SHARON L.MARKS Dated � ✓ My NOTARY PLIBUC-MINNESOTA MY COMMISSION EXPIRE JANUARY 31,2010 (SEAL) �::: • �;�..,.,�.... C._ <.J...,,;:..,�.�...- ( EAL ' 1 roes W. Sin n G *Yvonne E.Furr SEAL � SEAL *Donna Ma.. it c; *M ry Matthews AN PARKER OFFICIAL SEAL NOTARY PU VICKI R. CHAVARRIX 1»i>F,Ii ACKNOWLEDGM NOTARY PUBLIC-State of Arizon. g- MARICOPA COUNTY My COMM. Expires Jan.31,2011 authenticated on STA`:i'E OF /hfr!zsa: ) ss. C `l COUNTY ) TITLE: MEMBER.STATE BAR OF WISCONSIN Personally came before me on t /LVt) (If not, the above-named A'74 d4 �'�J�t 01111 ! (; authorized by Wis. Stat. § 706.06) to me known to be the erson(s) who executed the foregoing instrument and a m.n olged the same. THIS INSTRUMENT DRAFTED BY: Ronald L. Siler VAN DYI<,WILLIAMSON & SILER.S.C. 201 S. Knowles Ave.,New Richmond,WI 54017 Notary Public,State of n)ne:t2 My Commission (is permanent) (expires: 1)//�� Z�ir✓ ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ©2003 STATE BAR OF WISCONSIN FORM NO.2-2003 *Type name below signatures. INFO-PROT"Legal Forms 800-655-2021 www.infoproforms.com ADDENDUM I I LEGAL DESCRIPTION: Part of Government Lot 4, Section 26, Township 30 North, Range 19 West, described as follows : Lot 2 of Certified Survey Map filed in Volume 17, page 4497, Document No . 717782 . and Part of West Half of the Northwest Quarter of the Northwest Quarter (W1/2-NW1/4-NW1/4) , Section 25, Township 30 North, Range 19 West, described as follows : Outlot 1 of Certified Survey Map filed in Volume 20, page 5055, Document No . 804493 . ACKNOWLEDGMENTS STATE OF ss R r County )-41 Personally came before me this day of ..•;,6c---Au , 2008 the above named to me known to be one of the person (s) who executed the foregoing instrument and acknowledge the same. ''i^:-" N MARKS ? 1 l -MINNESOTA Ct; ,+.!_•5i0tJ EXPIRES A---- �.;;„:�: LW.tiUA.RY 31,2010 Notary Public, State of My Commission expires : J -.-�%-� o ;o STATE OF \ ) ss l � r;I w,n, c County ) Personally came before me this day of y�tizU,,� ;, 2008 the above named vV\.-e S L� 5, �� �� Ct vticl in'la u-V 1-G trvr ci t i-1^P S to me known to be one of the person (s) who executed the foregoing instrument and acknowledge the same. OFFICIAL 5F�1L * u k i rZ C Ind�/F:� r VICKI R. L VARRL4 State of Z EC4 NOTARYPUBLIateofArizona Notary Public,MARICOOUNTY My Commission expires :My Comm.Expan.3f,20t1 STATE nF ss °IMc1 r-k (.,'o T2,,- County ) n Personally came before me this 1 day of 2008 the above named V�.c�.P'�j �; .� •} kx a.�S to me known to be one of the person (s) who executed the foregoing instrument and acknowledge the same. V1C6COF-3 I CH SEAL * J'i !<i Z AV ARRA Notary Public, State of '&-Z-- NOTARY PUBLIC-State ofArfzona My Commission expires : I- 31 ZO1 MARICOPA COU” My Comm.Expires Jan.31 ,20it LUUA I LU IN FAK I Ut UUVLKNMLN I LU I 4 Ut SLU I IUN Lb, 1 JUN, K1 VW, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN, BEING LOT 2 OF CERTIFIED SURVEY MAP VOLUME 17, PAGE 4497. PREPARED FOR: LEGEND JAMES KERRY ROULEAU 937 CARTER CIRCLE © FOUND ALUMINUM COUNTY 54016 HUDSON, WI SECTION CORNER MONUMENT SURVEYOR: FOUND 1 OUTSIDE THE EAST LINE OF THE NE1/4 OF DIAMETER IRON PIPE DOUG ZAHLER SECTION 26 BEARS S00'07'35"W AS S & N LAND SURVEYING O• FOUND 1-1/4" OUTSIDE REFERENCED TO THE ST. CROIX / COUNTY COORDINATE SYSTEM 2920 ENLOE STREET SUITE 101 DIAMETER IRON PIPE HUDSON, WI 54016 SET 1-1/4" OUTSIDE DIAMETER BY SCALE IN FEET 1" = 150' O 18" LONG IRON PIPE, WEIGHING 1.68 150 0 150 CURVE DATA LBS. PER LINEAR FOOT No. Radius Length Central Angle Chord Bearing Chord Length Arc Length Tangent In Tangent Out C1 7967.00' 02'01'54" N88'20'21"E 282.49' 282.50' N87'1 9'24"E N89'21'1 8"E C2 7967.00' 01'47'52" N88'13'20"E 249.97' 249.98' N87'1 9'24"E N89'07'1 6"E C3 7967.00' 00'14'02" N89'14'17"E 32.52' 32.52' N89'07'16"E N89'21'18"E C4 62.43' 60'07'22" N28'03'1 8"W 62.55' 65.51' N58'06'59"W NO2'00'23"E 00 C( o �}}°�(oj NORTHEAST CORNER - - - - - - - - - - - - - - - SECTION 26 IACCESS — 140TH AVENUE EASEMENT CENTERLINE 00 — — FOR LOT 2 ►� C1 N89'21'18"E 462.17' 01 C2 0 CD DRIVEWAY N8719,24"E cJn o' 66 J 0 BUILDING SETBACK I / �j PER TOWN 1 34.21' (A \\/ R ;,�j�• �` �� BUILDING (Al/ MANMADE / POND 72., N LOT 1 �5->a ED '� w 72,922 SQ. FT. 0 1 1.674 ACRES I I I C A' 1I� C �A.gB'49"E 239 I I I� 1 N LOT 2 i I@ 0D 514,344 SQ. FT. °o V) 11.808 ACRES TO MEANDER LINE �+ o 0 cfl J 523,300 SQ. FT.± W Zj 12.014 ACRES± TO OHWM ::E L! I� w IQ w 4-R�. 75' SETBACK Wp I F ��9 ms's, f_ FROM OHWM o o S88'32'1 8"W n I 61.41' MEANDER EACH PARCEL SHOWN ON THIS MAP I OHWM IZ LINE IS SUBJECT TO STATE, COUNTY AND ELEVATION 886.9 0 TOWNSHIP LAWS, RULES AND I REGULATIONS (I.E., WETLANDS, MINIMUM LOT SIZE, ACCESS TO 0V W/SC BASS LAKE 0) PARCEL, ETC.) BEFORE PURCHASING <<G,,•' ;�� OR DEVELOPING ANY PARCEL �Q : i Ire CONTACT THE ST. CROIX COUNTY Uj + DOUGLAS J. 'ems W ZONING OFFICE AND THE TOWN OF ! S-2145 t I ST. JOSEPH FOR ADVICE. Ict '. H DS N, WI I 166.44' 434.04' f`•. -U. v 46'f S89'27'24"W 600.49' i nnruinn /e6\w lgl�l IL%e1Mfo� I rn 140TH A PROPERTYIROW LINE ROW LINE EXISTING EXISTING ,,Q FENCE LINE MONITORING EXISTING WELL EXISTING FENCE LINE •.�. FENCE LINE '. . }' PROPOSED POND APPROXIMATE INFILTRATION AREA ,n- EX TREE LINE c ��' (FROM ELEVATION 917.50 •u•:"' TO ELEVATION 91950) PROPOSED " ''"" CONCRETE„ " 76'BUILDING S- •=_:_ ................. .... '.:Z':. ..................... ........ 7E BUILDING SETBACK .................... SIDEWALK ................... t. .-° PROPOSED PARKING GRAVEL �.,, WELL PARKING STALL _,Jr . ATCH EX GRAVEL DRIVE PROPOSED DI BUILNG '•`\ \ F.F.E. APPROXIMATE =926.00 :. ._..-... W.O.E.=916.00 EX TREE LINE WALK UT PROPOSED POND \ INFILTRATION AREA (FROM ELEVATION 917. PREVIOUSLY CONSTRUCTED P( ' TO ELEVATION 919.50)50 PROPOSED---- - BE RAWFIELD NEW 18' CULVE LOT 1 I 30OFT LINE) FROM OHWM SOIL BORING _ APPROXIMATE j (TYPICAL) EX TREE ONE Q: PROPOSED POND '\\���w �30oFT ONE j; INFILTRATION AREA • f ._'r.. (FROM ELEVATION 917.60 FROM O �•! •,:�- TO ELEVATION 919.50) a GT EX RIP RP TH i .a •~'.,X EX GRAVEL !A DRIVE LOT 2 "LCAPRORN` ""•._' SEPTIC N FIEIIT SYSTE* \ - DRAI A p2,\ P�` RIVE Y APPROXIMATE \ � \`�i\\\\ \\\ EX TREE ONE FROM OHWM tv EXISTING V FENCE LINE SOI BORING. (1 ICAL) ADJACENT LOT LINE r PORCH $ 'UTURE \\ WELL EXISTING ALT °F�a 1 GENERA 1-114"IRON PIPE FENCE LINE Q�, � C• PRIOR TO In 2 CONTRAC" 75FT STRUCTURE �•� I — I� AREAS. SETBACK LINE FROM OHWM �•.� 3. NO TREES OF THE C 4. CONTRAC APPROXIMATE ORDINARY HIGH WATER MARK 5. SALVAGE[ EX TREE LINE (OHWM)ELEVATION=8869 6. CONTRA[' GRAVEL., I \ APPROXIMATE 7. EROSION EX.TREE LINE OR IXCA\ S. CONTRAC' \ /J\ ON THE E \ 75FT STRUCTURE) IN ACCOR 8� \ SETBACK LINE WISCONSU S S \ FROM .``. 9. STANDARI \ DEPARTMI \ HIGHWAY OF NATUT Parcel #: 030-1070-10-200 05/12/2014 02:09 PM PAGE 1 OF 1 Alt. Parcel M 26.30.19.253A-50 030-TOWN OF SAINT JOSEPH Current ❑ ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 05/17/2011 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner O-ROULEAU, JAMES V&KERRY A JAMES V&KERRY A ROULEAU 937 CARTER CIR HUDSON WI 54016 Property Address(es): *=Primary Districts: SC=School SP=Special Type Dist# Description U SC 3962 SCH DIST NEW RICHMOND SP 8040 BASS LAKE REHAB DIST Notes: SP 1700 WITC NEW FOR 2012. CSM 25-5770 TAKES ALL OF 030-1070-10-185 (253A-30). LOT 1 BECOMES 030-1070-10-190(253A-40)& LOT 2 Legal Description: Acres: 12.014 BECOMES 030-1070-10-200(253A-50) NO 9 P REMAINDERS. SEC 26 T30N R1 9W PT GL 4 FKA CSM 17-4497 LOT 2(13.774AC)NKA CSM 25-5770 LOT 2 Parcel History: (12.014 AC) Date Doc# Vol/Page Type 06/22/2011 937926 AF F 0 2011 936274 25/5770 CSM 2/04/ 88 2938/600 —TC more... Plat: *=Primary Tract: (S-T-R 40%160%) Block/Condo Bldg: *5770-CSM 25-5770 030-011 26-30N-19W LOT 02 2014 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/14/2013 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 12.014 104,900 219,700 324,600 NO Totals for 2014: General Property 12.014 104,900 219,700 324,600 Woodland 0.000 0 0 Totals for 2013: General Property 12.014 104,900 219,700 324,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00