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HomeMy WebLinkAbout020-1150-00-000 \ � R ® ) g � $ ) � $ ) � ] W § 5 � � § � G E } t) ) c 2 � 0 o � f ' CD « B \ 2 2 . C', 04 a m § � § z 2 \ t « § n ) '2$ 7 \ g e i CD 0 5 ) 9 I -� (D / § z Dk k 9 2 cc { D k ~ � ° � 3 CL \ § ° U) k k C) 04 \ L / ' E T- '6 -� to a a a i � 2 j v \ \ k 2 ) \ \ ® D o \ dg 2 j � 2f & . � \ k k • � � � � � 0 'a ® \ 9 @ 2 0 g 9 k } ° / § C \ B % § \ - a S S % \ E f § § } -i co o 2 ) } / ■ \ � ® � — � $ " a » . � \ E k a § o o 2 2 0 & 0 Parcel #: 020-1150-00-000 03i22i2006 04:08 PM PAGE 1 OF 1 Alt. Parcel M 33.29.19.808 020-TOWN OF HUDSON - ST. CROIX COUNTY,WISCONSIN Current XJ 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-LANCETTE, GERALD K&LUANN F GERALD K&LUANN F LANCETTE 621 COUNTRY SIDE LA HUDSON WI 54016 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *621 COUNTRYSIDE LA SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.310 Plat: 0215-COUNTRYSIDE VILLAGE SEC 33 T29N R19W COUNTRYSIDE VILLAGE LOT Block/Condo Bldg: LOT 22 22 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 33-29N-19W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 748/40 07/23/1997 722/483 2005 SUMMARY Bill#: Fair Market Value: Assessed with: 92676 258,600 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.310 76,200 187,500 263,700 NO 05 Totals for 2005: General Property 2.310 76,200 187,500 263,7000 Woodland 0.000 0 Totals for 2004: General Property 2.310 31,600 144,900 176,5000 Woodland 0.000 0 Lottery Credit: Claim Count: 1 Certification Date: . Batch M 209 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear Ft. Number of feet from well: "`��� Number of feet from building: (Include distances on plot plan). f p 17- S,5 S - 97. 5 S 1 SOIL ABSORPTION SYSTEM S �k 10 1 0C J�9 `N(� 1.3 ! 97- 37 10 dQd 13.U� Bed: Trench: Width: Length: Number of Lines: Ol Area Built: Fill depth to top of pipe: Q 4s'- '1 )'' Number of feet from nearest property line: Front, O Side, O Rear,0It . Number of feet from well: 0 Number of feet from building: 5 U' (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box 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 Form— S T C - 104 AS BUILT SANITARY SYSTEM REPORT �G Q I/q OWNER G CR p'd LAtqCttPQ TOWNSHIP SEC. T ,,QQ N-R W ADDRESS ST. CROIX COUNTY, WISCONSIN r SUBDIVISION CoLthJ Ia LOT LOT SIZE Vi I A�e PLAN VIEW Distances and dimensions to meet requirements of I1HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM a \ i000q� .aa'— 6 GnRAjt ` N INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Snl K�_ 'w to" OAK p . p p Elevation of vertical reference point: aO O Proposed slope site: SEPTIC TANK: Manufacturer: W 1e Liquid Capacity: 100 0 9A I Number of rings used: ---(P—_ Tank manhole cover elevation: ' 0 Tank Inlet Elevation: , .G Tank Outlet Elevation: ,Q�, io Number of feet from nearest Road: Front,0 Side,Rear, O feet From nearest property line Front 10 Side,O Rear,O feet � R Number of feet from: well NV building: (Include this information of the above plot plan) ( 2 reference dimensions to septic tank) SEE REVERSE SIDE DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HbMAN RELATIONS DIVISION PRIVATE SEWAGE SYSTEMS BUREAU OF PLUMBING P.O.PDX 7969 MADISON,WI 53707 PCONVENTIONAL ❑ALTERNATIVE state it I.D.Number: (lf assigned) ❑Holding Tank ❑In-Ground Pressure ❑Mound INSPECTION DATE: NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: �� 3erald K. Lancette Rt. 1 , Hudson, WI 54016 I REF.PT.ELEV.: CST REF,PT.ELEV.. BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: E SW, Section 33, T29N—R19W, Town of Hudson, Lot 22, Countryside Vi1 . Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: ichard Hopkins 1059 St. Croix 88446 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIOUID CAPACITY PROVIDED : TANK INLET ELEV.; TANK OUTLET ELEV.: WARNING LA L pROVIDED OVER �1 �} '. r_./ RYES ONO [:]YES ENO NUMBER OF ROAD: ( PROPERTY WELL: BUILDING: VENT TO FRESH BEDDING: VENT DI VENT MA L.: HIGH WATER LINEr n AIR INL ALARM FEET FROM i-/ ❑YES NO � ❑YES NO NEAREST DOSING CHAMBER: MANUFACTURER: TEY"ES G: LIQUID CAPACITY: PUMP MODEL. PUMP/SIPHON MANUFACTURER. ROVID DLABEL PROVI DIED-COVER ❑NO ❑YES ONO ❑YES Pt ].COY OPERATIONAL: NUMBER OF PROPERTY WELL BUILDING: AE NOT RESH GALLONS PER CYCLE: FEET FROM LINE (DIFFERENCE BETWEEN ❑YES ❑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: J::L,GTH: NO.OF DISTR.PIPE SPACING COVER PIT NSIDE DIA #PITS DEPTH 3 TRENCHES. M IAL: DIMENSIONS GRAVEL DEPTH FILL E R.PIPE DISTR.PIPE MATERIAL: NO.D TR. NUMBER OF PROPERTY WELL BUILDING: VENT TO FRE BELOW PIPES V E DC, PIPES' FEET FROM LINEi/ I- �.. NEAREST MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. OYES El NO PERMANENT MARKERS: ]OBVATION WELLS OIL COVER TEXTURE ❑YES ONO ❑YES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL-. SODDED SEEDED MULCHED CENTER: EDGES. ❑YES ❑NO ❑YES ❑NO YES NO PRESSURIZED DISTRIBUTION SYSTEM: FILL DEPTH ABOVE COVER WIDTH: LENGTH: NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE. BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL. NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING ELEV.: ELEV.. DIA.: ELEV.: PIPES DIA.. ELEVATION AND DISTRIBUTION VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECT LV COVER MATERIAL PLANS ❑YES __D NO ❑YES I ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING. FEET FROM LINE: `) �% ( ❑YES ❑NO OYES : NO NEAREST Sketch System on Retain in county file for audit. Reverse Side. DILHR SBD 6710(R.01/82) �, 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 permiGmay 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) shoufd be pumped by a licen'sed . pumper whenever necessary;usuallysYry 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; ll. 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'h 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 - Ground _ t8[ included the creation of surcharges (fees) for a number of regulated practices which Wisco iIri's can effect groundwater. The surcharge took effect on .July 1, 1984. All of the water that buried reasure is used it your building is returned tc the groundwater through your soil absorption s system or the disposal site-used by your holding tank pumper. a The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- t water. groundwater contamination investigations and establishment of standards. Groundwater, +_s worth protecting. SBD-6398 I R.03%86) ���H� SANITARY PERMIT APPLICATION CONY In accord with ILHR 83.05,Wis.Adm.Code J STATE SA ITARY PERMIT# —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN NUMBER 8'/x 11 inches in size. —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES NO PROPERTY OWNER L ff PROPERTY LOCATION AN csftt '/,50 '/a, S T N, R 9 E (or PROPERTOY OWNER'S MAIl l ti�� ES�^ � LO UMBER BLOCK-NUMBER SU DIVISI NAME� CITY 11//T.•.•AT �dll (\`a ZI D PHONE NUMB 71 CITY NEARE RO KE OR LANDMAR O /❑ VILLAGE: A A II. TYPE OF BUILDING OR USE SERVED: 0Va--� 16V Number of Bedrooms if 1 or 2 Family OR ❑ Public(Specify): 416AJA) &d III. PURPOSE OF APPLICATION: (Check only one in##1. Check##2,3 or 4,if applicable) 1. a. I New b.El 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. El Alternative c. El 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. 915eepage Bed b. ❑seepage Trench c. ❑See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Mutes per inch): REQUIRED(Square Feet): PROP SED(SquareFeet): 3 Feet Private ❑joint ❑ Public VI. TANK CAPACITY Site in gallons Total ##of Manufacturer's Name Prefab. Con- Steel Fiber- plastic Exper. INFORMATION New xisting Gallons Tanks Concrete structed glass App. Tanks Tanks Septic Tank or Holding Tank d V ❑ 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): Plu er's Signature:(No Stamps) MP/MPRSW No.: Business Phone Number: lr Ag p IO u ber's Add ess(Stre ,Cit Slatfi,Zip Code): Narpq of Designer: V II. SOIL TEST INFO MATION Certified Spil Tester(CST)Name ^ CST#�� CST's ADDRESS(Street,City,State,Zip Co e Phone Number: IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Iss ' A t Signature(No mps) KApproVed ❑ Owner Given Initial Su charge Fee Adverse Determination X. COMMENTS/REASONS FOR DISAPPROVAL: 7 SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber APPLICATION FOR SANITARY PERMIT K STC - 100 This application form is to be completed in full and signed by the owners) 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/contractQ , ("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 3a ,� �(' �g`�� �, Z.0 66 V "t Location of'Property SE" , SecCian � � , T N - R W T owns hip _"�its Mailing Address t *; Subdivision' Name -1-k JZ` _Lot Number �,� nrY 2 Previous Owner of Property N C1 S_ , A-)` v Total Size. of Parcel 2 0 3 / G /PPa 5�_ '+5 ,. Date Parcel was Created 2 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 1. Warranty Deed 2. 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 x? Map, the the Certified Survey Map shall also be required. t Y'; - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION 1 (We) c&tti6y .that aU atatementa an .tha 6ohm cute �Jeue �o the but 06.my loon) knowledge; ghat 1 (we) am (ahe=) the owjen(,$) 06 the p,%opeA ty dea c Aibed in th i,6 .in6onmation ;foam, by viAtue o� a waAAanty deed necoaded in the 066ice o6 the County RegiA-te/i o6 Deedb as Document No. 7 g and that 1 (we) pned entt y ou n the pao pos ed bite 6o& the .a ewag e poa e y� em (on ,1 (we) have obtained an e"ement, to nun with the above de�sc/L bed pn.opeirty, bon the comtAucti.or, o6 ba, d aybtem, and tJLe .6ame ha6 been duty neco ded in the 066.ice 06 tJLe CounAy .Regizten o6 Deed3, as Daewnent No SIGNATURE OF 0 INt SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED Y�. SBc.i CL � �Yes T iv4Me / a N 4"0/6" DOCUMENT NO. iSTATE.BAR OF WISCONSIN FORM 1-1988 i THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED •• 41�?'98 � , _1 _:BOOK P� _ _- REVS?ERS OFAC4 Fran ST. CROIX CO., WI& . This Deed, made between ................Cls_.H.e...Q�a�.l�.__._......_. ............................................."......... ....•.-••..- ................... Recd. for Record this 23rd ................................................. ............................................................... Qy of J__y__._A.D. 19L6 -------------"----- -------------------------------------------•-•- ........................, Grantor, 3:10 P and...... erald__K._-LaXiQette__-and-_LU2 rnn•_k'a__,Lancette,---- husband__and__wife_,___as___euryiV-Qrsk��.p__mara kal_"_____________ p-r_Qperty--------------------------------------- ----------- - --------------•---- -- ------------ ... loom a Raw -------------------------- Grantee, Witnesseth, That the said Grantor, for a valuable consideration___Qri ($1,•00) Dollar_and _other-__gQOd___and-_vauakl�.e__cd -- RETURN TO conveys to Grantee the following described real estate in ....8-t..___Cl:o1X........ County, State of Wisconsin: I Tax Parcel No: ................................... Lot 22 , Countryside Village, Town of Hudson, St. Croix County, Wisconsin. i y• o (This deed is given in full satisfaction of that land contract between the parties hereto dated October 1 , 1985 , and recorded in the Office of the St. Croix County Register of Deeds on October 1 , 1985 , in Vol. 722 , 1 page 483 , as document no. 405721. ) I This ....is...no-t---------. homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And.....!9.:raX1tAI~....... ..................... -•-• ----•----------------- (� warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, ' restrictions, reservations, covenants , highway rights-of-way, if any, and liens or encumbrances created by acts or defaults of the grantees and will warrant and defend the same. I Dated this 2.3rd-------•----------•------- day of --------•- ------------►Tly............................ 1 _ 8-6-. �. ----------------(SEAL) ------- ............................ •---..-- --- ........... AL) Francis H. Ogden -------------------------------__(SEAL) ........................................(SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) .......................... STATE OF WISCONSIN •....................................................... Pec ......................................County. authenticated this ........day of___________________________ 19------ Personally came before me this . 23rd...day of (I July---------------------------- 19.86_- the above named ---------------------------------------•---------------------------------------- Francis H' O den --__---•--•----------------------- -----g---t ............................ TITLE: MEMBER STATE BAR OF WISCONSIN -*, --------------------- ----__ �\°►Ty _. ; who executed the II (If not, -"-•--"-"------•-------------------------------------------- EJ .. 6 a:'>, r w„ 19 authorized by § 706.06, Wis. Stats.) i 'v to m lgligw u beuhe Mon ----: , fo;e i�ttg;. e1q andw46owledge the same. THIa INSTRUMENT WAS DRAFTED BY ",^�� � • ' � j Edward F. Vlack, DAVISON & VLACK '�' '""" ." """�" " (" 1 " "" "" """ "" " " " 111 West Walnut, River Falls , WI 54022 ":'_ te1 n Pa- Cri.st --------------------•---- ---------•-•--•------•--•---- -----•. Notary,rtz�ijlic - t:. Croix •S - ------------- -----------County, Wis. (Signatures may be authenticated or ac} edged. Both My Comrnlssion ifs permanent. (If not, state expiration are not necessary.) date_ -----------------------------1.1-.15_.................. 19.8_ -_.) *Names of persons signing in any capacity sFou: 3 or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc. FORM No. 1-1982 Milwaukee, Wis. J — -- __ iio a!E 3 00'64 f9 !4 aft 8 of�t.9f/ >t ff walaxc-• K►!>,liiy y. , . rdsa �M 001 ,1911= .49 Its .0 656,li o : let to d IS NF K yO ° y�� '001 xYf. IdNh it #A- 111'6••{W r'r� �' \• p %a" ,01665 3,[t�4.fff 1 . -'�+„� ; ..ii�� S_ � �� sr'4' j•1 0049 .a►f4 .� ,b i � �. b n � c � ,J e �j e.t°9sN a�6 �" d 8 �•; I �� �i rid P ? -� ...i'a.,_ "a.o� /S�•rsti ¢iN� NY« •R o °QI N1 �_�i►~n,� o 7e �\ I • a g4 �rd1Ay trsh } A aa CY 40 11 3M '`` S r,r # g�1 1 �.\ r�„ cs J - Y sw:•.i'x as a► _ m .��,QI g COUNTRYSIDE -.LANE kFN �pJ q[�j r"� •' 2J •r � � 1-j..� •,.4�4 ; '� �.N 'o`a Wi ° IYi Y: 1 ..•46:SOIn ,OO OS1 ♦fit �4t�� ! 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H O 00w? r.91,r►.cf N �/�J• ,q m O Q 3 .q1 ry i' � W f l 3�� • W •1 y/ Its r G„Z '$ ,99 sea 3.91,011•19S a p 1 1 y 94 241 4 jl', // ►rn N ��� g �.� ��� � •oil dr °/ t.A ry� °� ° ���6 to do $° / i W / ` M u'Ifr 3,6,9f49 N / Y — r 9+} • N // / 4� J �.1 N n = • OI • N „ Y / / ; 3 4 a N � " +tS� I ®'•F"� : ,aYKS��,�r,}1,19.S9c •�" •°,�� ®• o " M.91,ff.if f '1r Qj i d .St so C Zr ,6►"91r N M N 11 ----M- 1rN � / f/1 3f 1 2133NS 3 AD 3N11 N100p - N17 NO1tN JO 1N10• .-- 1 13x111-7fl Ig1Yf1 • �---- �-�o-yc::y c�,"�a i m�:�� 'a'clrr wya,fo.e�e i-� Z��� i 1f �1"�� ',�.ti1 ' I ST C - 105 r" r H - Sl'sP1 IC TANK. MA 1 N 1 LNANCL-AC,ItI.LMLN 1 0 St . Croix, County " of— v, 9 , H OW / NER" BUYEL " Gj. CrG v 2� �� ROUTE/BOX NUMBER L I • Fire Number CITY /STATE TA TE .� L , P[t0l-Elt1'Y LOCATION : S� a , 4 , Section 33 '1' N It W, - Town o f / S t . Croix Co ' Subdivis ion 6ovs/Cc U� L'ot number I Impr"oiler use and maintenance of ;your septic ' systein could .result its premature f.ai1ure> to handle wastes . Proper. ma i6tenaitce.Y-con silts" of pumping out •the ,septic',: tank. every tliree:. years or` aoorer , if" needed , :b"y, a licensed se tic`„tank • �uiil.Le ." Wliat you put into the system can affect . the CuncC,i'on of the sv1)llc tahk as ',u . treat lnent s"tape in `the waste dispt 1 system . St C"roix County residents Na be e g-ible to; rec elve a 1;ranC 'for a _maxi'muin of 60/ "of th1: cost of !replaceurentof a 'failing system, which was : n so erat'ion riot t �Jul 1 ' "1978; St ('r.oia§pGou'nty acce`pt;ed this ' h'rugram iii Auguste' of 1980, ='wiehi thereq'uLrcmcnt `'.that` ' 4 i _, owners of :rll "new `syst"eins ,abree ;'to keep their systems:"pro5perly` 4 K inalntalned ySP us✓ x The pr.'operty , owner agrees to "submit 'to St Croix cCounty Loning a certification 'form 6 si rned Gy = the"`"owner and by amaster plumber , Journeyman plumber ,` r"e8tricted 'j�,lumbcr ,'ur `.a .liven ed 'pumper v eri fying `that -; (1) ;the on-site; wa'st;ewa'te`r di'spusal 's"ysteui' is in 'proper.' oper"at'ing c'bndition'- and (2) :after ;,inspection and'= pump,ing if .nec _ essar.y) , the septic 'tank is `1es's' than "1/;3 full of slu.dg"e" and scum Certification" form will be sent ..a.pproxiiiiately 30 'day"s prior "to three ;year expiration . E I/WE , " the undersigned ,. have' read' t"he above require-me`nts and: agree to maintain the private sewage .disposal 'system in; acc-ordan'ce with' x H tIt e• standards set forth , herein , as set. by the Wisconsin"-.Depart- a ment- of Natural' Resources ." " 'Certify cation . form mu'st ". be completed and re"turned .to the' St : Cro"ix County;' Loning Office with1n 30 ;daysgF of the" three year expYration date ` ID AAE n• to ::'SIGNED St . Ciloix, Cirunty Zoning Office P.. 0 . f-ox 98 Hammor'd , ,WI 54015 715-7S:6-2239 or 715-425-8363 Sign , . date and return to above addresstp4 x _ ,- ... _•;• t '- .� �Lt �"'-�?:z" '"�k�TC r+,t.�r.';? „�"z ryg 1.:+ �+v w�.ri i:Ft ''"y...��#>- .. ..�....-,_......- .« '7i- DEPARTMENT OFD' . . ' REPORT ON SOIL BORINGS AND. SAFETY&BUILDINGS JINDU$i,RY, ;. ^ C DIVISION LABOR AND PERCOLATION TESTS (115) r 7 P.O. BOX 7969 HUMgM RELATIONS JIIJADISON,WI 53707 Job ON- TOWNS I_iWN+G+PAt.,R-Y. . BLK.NO•: SUBDIVISION NAME: t �� 4 /T /R y foil W 22 GJGI:# +da V� �.1.n '� COUNTY: WNER' NAME: " MAILING ADDR S: <t St.',bvlix Francis H. Q�fin 123 E. E .St.rec�t:, R1VLr Falls, �ffi. USE DATES OBSERVATIONS MADE —TO.BEDRMS.: COMMERCIAL DES ILOCATI j I S S: [XRasidence 3 ©New OR -7 RATING S-Site suitable for system U-Site unsuitable for system CONVEN L: MOUND: IN S M N-F LL OLDING TANK:RECOMMENDED SYSTEM:(optional) 'a S1,11:4 ©S ❑U 9 S ❑A [:]S QU ❑S DU (briverixional Dod Ir"65' �If Percolation Tests are NOT required DESIGN RATE: If any portion of the lot is in the 4ndarF:H63.09(5)(b1,,ndieat�: a, N�A• j-Floodplain,indicate Floodplain elevation: ,PROFILE DESCRIPTIONS P: . (.56 ' (.o ORING "TOTAL P H T R WATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AN DEPTH UMBER DEPTH IN, ELEVATION R TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) g 102 . 102.7 Now }102 12, dark Bn s .� gr; '76, M cs; S-4, i.i;; 4 Bn 2 i .96'; 98.:9 Nana , i 796 48, 4�zrk Bn S; dS, s gr. B 10 99.3 None �'102 1Lz? 3n s. B ; B :102 98.4 None . IO2' 36, dark b'ri .s; fib Biz s gr. 13- 5 ' :10? 100.8 None '7102 18, dark Bn gr; 84, light IYI, s. B ; '1Q2 98.7 None 102 36, dark Bn s gr; 66, light I>ri s w rzr. PERCOLATION TESTS DEPTH WATER IN HOLE TEST TIME DR WATER L V L-IN HES RATE MINUTES NUMBER INCHES AFTERSWELLIN ' INTERVAL-MIN. PER INCH p `} ai No 2 fi 3 P. 'F 52 No 2 6 ? ?�C 3 P 54 3 6 ' t r:..'W. x .,:. PLAN:y1EW; Show?locations of percolation tests, soil borings and the dimensions of suitable soil areas:"IndGt scale or distances. Describe what are the hori- zontal p5l yPrtical elevation reference points and, show their Jo cation.on the plot plan. Show the surface elevation;aft all borings and the direction and percent of landloP �` . � 96.5-x195. �St:AI�. 1''�-40' S. TEM ELEVATION _ _ , 'o Phu - ,, <, " r I `9s a2 P _ ! D P-:. Y. MC) 10114 S" 1 ST F H CI S NC A sir 1 1 i Ll" (R.1 i PE IN 0 2M 2J. BMI��<, :• R R.R. . •y � ! �_ � _�. I -�---- �__+- - r. = t:: r i, the pndetsignad -•har94y certify tha the..soil tests reported.:on this form were made by me in accord with the prccedures^methods specified in the Wisconsin AdmimisIrativp Code,and that the data recorded and the location of the,tests are correct to the best of my knowledge and belief. Z' NAME(print),,. `.f TESTS WERE COMPLETED ON: z j, G gory r: s/IS/sZ ADQIj4� Q Y �, CERTIFICATION NUMBER: PHONE NUMBER optional): �inee B SS-588 71-5-42S '3' ;' ;r 7 50 v CST SI N 'ATVE , x D1�TRI�JTlQNF Original-Coca{Authority;2nd paye-Bursau of Piutn?inp,3rd page Property Owner,4th page-Soil Tester. :SBp•8395 1 N.03/81) (� Q. L. 6 7 P L OT A r,, r► cC I C� SS F ; T I �� I\I _.... ... . .....M. PROJECT _ I3LU—MHE _- N A M E aw N n M E �h��� ' 0 E AT 10 N _.v,.il 1- C E N S E.=ft=... � D n.. Egg �- t Yr r } ; �. O ,N ' 000 ONd, au w 1 R. gyp, e i N 10" ' Wh�tc OAK r' f03.6 3 f '1P aa` is 101�1�JC� �f Aot P1 pt FRESH AIR INLETS AND OBSERVATI()N�PI.vE CROSS SECTION –� ............ ... --- --- F:� _� Approved Vent. Cap Minimum 1.2" Above F WA19RAlt 1 MAX ,. 4" Cast- Iron A< Above Pipe Vent Pipe To Final Crade — r} Marsh Hay Or Synthetic Cover_i.ng Min. 2" Aggrec�!;il. c� _ Over Pipe DistributioT� �� ^'---�� .� Zee Pipe Aggregat=e WS Aggregat e Pipe Below Beneath Pipe 4 Coupling Terminating At Bottom of System �r