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HomeMy WebLinkAbout026-1039-80-200 ONO 3 UC) C7 r� nro w z� tC ` 1 O (D a (D O� O I C c' * C _ 0 C 5 a Eon I - CD - CD 0 to ••�A n • H. (D ;J.(D G] m .0 t rt cn r•(D m 3 m (/� ^ Z � n ri 3 4* \ ) Z a� 0 oo 0 C �' AC t: O co .. h5 _ I 0 N. y d m 3 = O CID o 0 N • c c,7) — N rt 1-1 ('• o a s w co 3 o a 0t (D l rt Z z to CD °' m w o OO 1-I< 2! m ( n f8 O N N a 0 O O co I a ^t eilliN 1 I �,t, fn to r tt 4 v \u I p d o A o C N r- o m !. I t c o. o to I ~ H - Z OVO O \`� o o r °o C, c) ° F by X `) rt Z • I w 0 cn . I 0 m co 5 O r N C) - t 1 N °V V = co o c N. v Gv m -o a °: h• 0 O N N co* 3 N N y O D CirC1 • 7y I 5 v vvv � -`4 'N 0 • 0 " I C) ' d v w m = CI O (X) 0 m c s _ a 0 N 0 z m co o z • G1. not D a a 3 h o' m m m • 73 1:1 CD y 0 co m C cp co tp O- 1 a 3 5 I O O A N o Z n 1 0 n. ; z o o 1 •• I w 0o v I M D o _. Z Q Io z A ZI o r. z o0 BZ CD A * A Q I a o ooi c m fi y A ■ a t I A A ti I ° ti °o V , A O b w I CD OD O N O O N o a 4 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,Q Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: /8 / A Length: SY/9/ Number of Lines: .g Area Built: 79 Fill depth to top of pipe: -26 Number of feet from nearest property line: Frony, O Side, O Rear,O Pt . %/ Number of feet from well: N Number of feet from building: ,W (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, OFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: 1/— di/7 Plumber on job: t a0 .. .� License Number: 3/84:mj `j\--''''' Form - ST C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER 61 t(en)d TOWNSHIP x/31/ SEC. /g T ._ V N-R If W ADDRESS 1 /1, Z2.4.91.11-1-16, ST. CROIX COUNTY, WISCONSIN L (<:?/...pmat7i)),s,--0/,SUBDIVISION ,/,� LOT Ai j. SIZE PLAN VIEW Distances and dimensions to meet requirements of I•um 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 1 f--,, 5,, i A3/" / / - /3T _ y 7,451 , °. — / I sPX 4 ,.h. I/o g , .PG �Q �4+ i 4.r 6' 1 3/ 8 y/ I `g �,y„ /4p�o scd/ I t4 ' INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used 7,6A/40, i Elevation of vertical reference point: ,/MO Proposed slope at site: Ar'' SEPTIC TANK: Manufacturer:/4), _ ; , 1, /4,4,,..„,. Liquid Capacity: ,c252 y./ Number of rings used: / Tank manhole cover elevation: A!� Tank Inlet Elevation: 96� Tank Outlet Elevation: 967 Number of feet from nearest Road: Front,O Side$Rear, O 7 / feet From nearest property ne : Front,O Side,O Rear,OD iL feet � Number of feet from: well , building: r>L57‘ (Include this information of t e above plot plan)( 2 reference dimensions to septic tank) , SEE REVERSE SIDE I DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MADISON,WI 53707 State Plan I.D.Number:NW'�4f4f S13 T30N—R18W 124 CONVENTIONAL ❑ALTERNATIVE Ill assigned) Town of Richmond El Holding Tank El In-Ground Pressure ❑Mound .1 • 4 -„It - ;tit13iW� NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Carl Young 660 Derrick Drive, New Richmond, WI 54017 /4-67-8-7 L3:00 BENCH MARK(Permanent reference pomtl DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.. • Name of Plumber MP/MPRSW No.. County: Sanitary Permit Number. Calvin Powers Jr. 1563 St. Croix 102786 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY: TANK INLET ELEV.. TANK OUTLET E LEV.. WARNING LABEL LOCKING COVER PaPROV OED PROVIDED v(�QM 1)S0 �1y r ' q ES ONO OYES fNO BEDDING. VENT DIA.. VENT MATT.. HIGH WATER NUMBER OF ROAD: PROPERTY 111��. WELL. BUILDING. VENT TO FRESH / ' ALARM FEET FROM 7 LINE AIR INLET OYES L NO `� , ❑VES C VO NEAREST 7 72 _ ii �� DOSING CHAMBER: I MANUFACTURER BEDDING- LIQUID CAPACITY PUMP MODEL. PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED. PROVIDED DYES ONO OYES ONO OYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER PR P WELL BUILDING VENT OTRESH • AIR (DIFFERENCE BETWEEN FEET F PUMP ON AND OFF) OYES LINO NEARS SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH 'DIA TER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH LENGTH. NO.OF DISTR.PIPE SPACING COVER INSIDE DIA &PITS LIOUID BED/TRENCH q TRENCHES. / f M�TERIAL•. PIT DEPTH DIMENSIONS 1 V IBS G GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE IDISTR.PIPE MATERIAL. NO.DI R NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH BELOW PIPES ABOVE COVER WV.INLET�E , E . PIPES 3 FEET FROM LINE / AIR INLET wr 30 1.K.�4 4 I /3.3g L 7 / 9 3 NEAREST !�P _ 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 ONO SOIL COVER'TEXTURE PERMANENT MARKERS OBSERVATION WE LES OYES LINO OYES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES. OYES ONO EYES ONO EVES 0 N PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH. NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER 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 HOLE SIZE HOLE SPACING. DRILLED CORRECTLY COVER MATERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED I INFORMATION PLANS OYES ON/ O OYES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF LINE PROPERTY WELL: BUILDING. ^-,A FEET FROM OYES ONO 90' ❑YES ONO NEAREST--). 1 -- CO)�1 l 22 . oti� 8 `� • 5. - '1 j_4_,� g.° StiS'- 1 h / g Sketch System on b'65 Retain in county file for audit. Reverse Side. SIGNATURE TITLE. I 7 _-�. Zoning Administrator I DILHR SBD 6710(R.01/82) �-� I 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 J 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 wfi'nnever 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 owners name and mailing address. Provide the legal description where the system is to be installed; II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; III. Purpose of application: Check only one in #1. Complete#2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in #1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. Responsibility statement: Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. Fill in designer name if applicable; 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 81/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form. GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the f result of over 2 years of steady negotiation and public debate. The groundwater bill Groundwater included the creation of surcharges (fees) for a number of regulated practices which Wiscor4trt`s can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasure: '7 is used in your building is returned to the groundwater through your soil absorption system or the disposal site used by your holding tank pumper. a 0*111'0004#tiO' The Monies coiie Stec through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resource:, These funds are used for monitoring ground- water groundwater contamination in'v'estigations and establishment of standards. Groundwater, :'s worth protecting. SBD-6398(R.03/36) i_......_,,DILHF� SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05,Wis.Adm. Code ATTE7 CPD/ k STATE SANITARY PERMIT# iQa > 7So —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 81/2 x 11 inches in size. —See reverse side for instructions for completing this application. PETITION ��rr I. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES X. NO PROPERT O/WNER(� PROPERTY LOCATION ,'/ --•�'JU. j /00 14/0.) %, Sj' TgD , N, R /� t (or(� PRO ERTY OWNER'S MAILING ADD ESS LOT NU BER BLOCK UMBER SUBDIVI ON NAME 4. f�� �-¢-r h 1 c� Q "' / TV,STA ZIP CODE PHONE NUMBER - -TY : / NEAREST RQAJ,D,LAKE OR LANDMARK ., Kirk 4 3fdy 7 t a94 1 G F: J/1I'� i II. TYPE OF BUILDING OR USE SERVED: / L�/4o' a —!� —JO'g-66 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. N New b. Replacement c. ❑ Replacement of d.❑ Reconnection of e.❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. C 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. ix Conventional b. ❑Alternative c. ❑ Experimental 1 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. ❑Seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minn es per inch): REQUIRED(Square Feet): PROPOSED(Sqyare Feet): ,.3 3 /500 P' /.. oo ( 4/ Feet 1K Private ❑Joint ❑ Public VI. TANK C PAA CITY Site in gallons Total #of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New Existing Gallons Tanks Concrete glass App. Tanks Tanks /// / ICI structed Septic Tank or Holding Tank 3 -, A / /4":4054,74,,'. txn15" 2] ❑ ❑ ❑ ❑ ❑ Lift Pump Tank/Siphon Chamber ❑ ❑ ❑ fU ❑ ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installa '-• .f the private sewage system shown on the attached plans. Plumber' Name(Print): P .• ber's Si nature: No Sta •s MP/MPRSW No.: Business Phone Number: �� ilL� Plu er's Aless(Stre ,City,State,Zip Coe): Name of D .igner: 1r3 , �L's/inr�v�o /.f2.z' ,S*5 /7 � '7 VIII. SOIL TEST I FORMATION Ceg4t tified oil Tester ST)Name CST# �� S f / c7S= ;c //DRESS( reef,City, tale,Zip Code) Phone Number: .3 ,/��,a�� /A) c-- a/7 (yis ),--.74- r13 AT- IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater Date Issuing Agent Signature(No Stamps) *Approved ❑ Owner Given Initial & /cav 9 $urc g ee kid/mob l�r(l.10.,— 5/}7 d '•r�66 Adverse Determination pL Qa Q N / '/ C- JwCJ X. COMMENTS/REASONS FOR DISAPP OVAL: 2/61/1 C�� a'dd 0 0f , 7X d41-CL0 a A) LsllA., SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber I , 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 (lpgL prNib SJ N) qUaN& Location of Property N W � N Vv h:, Section 13 , T 3n N-R W Township R1Cr+nibNn • Mailing Address (/)(00 12EkK Ilk L i Fain) iICNvnoNh) vVi 4Oi Address of Site ROLI-I I % o)(1 i K • Subdivision Name • • Lot Number Previous Owner of Property .)0(-1-N 11)PKIN5 Total Size of Parcel £ ctCre6 Date Parcel was Created S- -81 Are all corners and lot lines identifiable? X Yes No Is this property being developed foresale (spec house) ? Yes • No Volume -1/r$1 and Page Number AWL 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) centgy that met Atatement4 on thL 6oAm ane tnue to the but 06 my (ouA) hnowtedg e; that I (we) am (ake) the owners(4) 06 the pnopeh ty deA c Lbed in .th.i a 4n6ofunat.ion 6onm, by viktue o6 a waAkanty deed neconded in the O66.ice o6 the County Reg A ten o6 Veeds ae Vocument No. L-3 II 69 ; and that I (We) pneaentLY own the pnopoded a.i to con the sewage di4po4at sybtem (on I (we) have obtained an easement, to nun with the above des c,'r ibed pnopenty, bon the conot'tuc tLon o6 ea.id eystern, and the dame haA been duty neconded in the 066.ice o6 the County Reg-iAten o6 Verde, ab Vocument No. 1 . SIGNATURE 1511 ER SIGNATURE OF CO-OWNER F AP ICABLE) g') /6-6-P DATE SIGNED DATE SIGNED • • 1 794p 794pr,E 53 ,, DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1982 THIS SPACE RESERVED FOR RECORDING DATA II WARRANTY DEED 43116 --- -- _ -__ REGISTERS OFFICE This Deed, made between John M. Hopkins and ST. CROIX CO., WIS. Janet G. Hopkins, husband and wife, Reed. far Record thisl6th Grantor, day Qf Oct. A.D. 1987 and Carl F. Young, Jr. and Susan A, Young,, 11: 15 __husband and wife, as marital property with , $ .__xights_-nf___survi.vo.rship.„ I Wolfe of pod. , Grantee, Witnesseth, That the said Grantor, for a valuable consideration RETURN TO conveys to Grantee the following described real estate in ____-St..___Cro x County, State of Wisconsin: Tax Parcel No: Lot One (_1) of the Certified Survey Map recorded in Volume 7 of Certified Survey Maps on Page 1888 as Document No. 430310, being a part of the Northwest quarter of the Northwest quarter (NW 1/4 of NW 1/4) of Section Thirteen (13) , Township Thirty (30) North, Range Eighteen (18) West. � �r FEE This is not homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances IcoMefiX and will warrant and defend the same. Dated this /St-P.A-■ day of October , 19 87 /Q-e—Ax-- h") A121-11-`:' (SEAL) (. P�.�O (SEAL) * John M. Hopkins * Janet G. Hopkins (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) of John M. Hopkins and STATE OF WISCONSIN Janet G. Hopkins ss. /�'�Q October 8 7 County. aut enticated this [`-'`"'Y of , 19 Personally came before me this day of 19 the above named 1 * Ch_erxi.l_l.__Hirst TITLE: MEMBER STATE BAR OF WISCONSIN (If not, j authorized by § 706.06, Wis. S �R, ,l HI�T to me known to be the person _.. who executed the ' NOTARY -STATE'01 WI SC0USOCregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAF TED BY, ! BAKKE, NORMAN & SCHUMACHER, S. C . " 121-0---erit-age---D-r-ive`. * New Richmond, WI 54017 Notary Public County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: , 19 ) *Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED ;STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc. FORM No. I—1982 Milwaukee, Wis. 430310 CERTIFIED SURVEY MAP LOCATED IN PART OF THE NWa OF THE NW" OF SECTION 13, T3ON, R18W, TOWN OF RICHMOND, ST. CROIX COUNTY, WISCONSIN. NW Corner of Imo— C.S.M. vol. 7, pg. 1820 Section 13 North Line of the NW - N89°611314, 2609.08' Ni Corner of N89°51' 31"W 318. 71 ' - Sectio 13 160TH AVENUE 2290.37' N89°43'33"W 285.31' —~— 33' 33' Road R/W ° N N v Z o0 C ft 7 0 O f0 3 7' r• CD 7 o_ r to O Cr 7 o CD D) t() -, CV 0 O CD CO CD H9 N N 7 CF CD S -f! W Z CD CD CO n CO Z CD — / O $ 7 r - .1-4-. CCO CO 0 M - O d O 3 fn p ----• W -t) ct L O .. K M ~ V O L v) M _ 0 m ■ o I l0 w rt 7- 3 w LOT 1 w ,-♦ W s a r` ,n . El . SCALE IN FEET o in to Area Including R/W: l l W CO 223,990 SQ. FT. m W >. U 50100 2U0 m •� 0 5.14 Acres CO N .-1 J CO N v) -0 +) co �� Area Excluding R/W: cV 3 (.0 �� 192,578 SQ. FT. 0 0 CO ° 0 r-11 4.42 Acres o U) o� +' H J 4! 8 W 4. IPIL"UD OWNER �JEP•21' 987 a John Hopkins 2 Route 1 sus 0.01-4 New Richmond, WI 54017 % M ode OWN 441/1 s 0 'zw1. f tve • � , Y r )CY 2 _ V1r p p C. •' wa KS � ViS, '' 6f iJ �-33.01' t jLLF:N C. i,. ...� 275.21' f NY1fCi t t O • S89°51' 31"E 308. 22 ' "`: g-i407 t��3OCP:, : Unplatted lands owned by platter ''%'''' < 1S. r o LEGEND �•_.1 N0;*r��✓ �� " a rn ral .�.�,r, , A Railroad Spike Found O 1" x 24" Iron Pipe Set, Weighing 1.68 Lbs. Per Linear Foot. • 1" Iron Pipe Found DP1�®�A ! Wy Corner of f'1( PS Section 13 VOLUME 7 PAGE 1888 SEP 17 1987 This instrument was drafted by Fran Bleskacek ,Job No. 87-09-187 ST. C}OiX CCCth‘zTY 1/Cati COMPREHENSIVE PM (S it-M.04114G AND ZONING COXUUiitc • Surveyor' s Certificate I, Allen C. Nyhagen, registered Wisconsin Land Surveyor, hereby certify that by the direction of John Hopkins, I have surveyed, described and mapped the land parcel which is represented by this Certified Survey Map; that the exterior boundary of the land parcel surveyed and mapped is described as follows : A parcel of land located in part of the NW4 of the NA of Section 13, T3ON, R18W, Town of Richmond, St. Croix County, Wisconsin; further described as follows : Commencing at the NW corner of said Section 13 also being the point of beginning of this description; thence S00°38 ' 07"E, along the west line of the NW4 of said section, 714 . 63 feet; thence S89°51' 31"E, 308. 22 feet; thence N00°12 ' 22"E, 714 . 57 feet; thence N89°51' 31"W, along the north line of the NWT' of said section, 318. 71 feet, to the g a , point of beginning. • Above described parcel is subject to right-of-way for the Town Roads as shown on this map and all other easements of record. That this Certified Survey Map is a correct representation to scale of the exterior boundary surveyed and described; that I have fully complied with the current provisions of Chapter 236 .34 of the Wisconsin Revised Statutes and the Land Subdivision Ordinance of the County of St. Croix in Surveying and mapping same. • ( S:1407 e Allen C. Nyhagen date ,•s. •1,�'. r°Q' °�`•�'4 IV VOLUME 7 PAGE 1888 ‘r÷ 0 r •5rr ci�l'.�•.�•. z M H . > S T C - 105 r , r 9 H SEPTIC TANK MAINTENANCE AGREEMENT o St . Croix County z o a OWNER/BUYER CTRL Atih SUSAN YOUNG- _ m ROUTE/BOX NUMBER Cf4co DetkIC. Fire Number CITY/STATE NEW ThCN monm- WI ZIP 5`t611 PROPERTY LOCATION : NA/ 1, NO/ 1, Section 13 , T 30 N , R ib W, Town of fR ICNrnctm , St . Croix County , Subdivision , Lot number . I Improper use and maintenance of your septic system could result in its premature failure to handle wastes . Proper maintenance con- sists of pumping out the septic tank every three years or sooner , if needed , by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St . Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1 , 1978 . St . Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained . The property owner agrees to submit to St . Croix County Zoning a certification form, signed by the owner and by a master plumber , journeyman plumber , restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping ( if nec- essary) , the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration . 1-1 0 I/WE, the undersigned,, have read the above requirements and agree ul to maintain the private sewage disposal system in accordance with x N the standards set forth , herein , as set by the Wisconsin Depart- ro ment of Natural Resources . Certification form must be completed and returned to the St . Croix County Zoning Office within 30 days of the three year expiration date . SICNE✓✓✓ firitd` c.,-/) DATEI0,5 07 St . Croix County Zoning Office P . O. Box 98 IllikHammond , WI 54015 715-796-2239 or 715-425-8363 Sign , date and return to above address . INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 • To be a complete and accurate soil test, your report must include; 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 0, PLEASE use the abbreviations shown 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; 8. Make 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 form and place your current address and your certification 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 Sand HGWW! -- High Groundwater cs — Coarse Sand Prrc Percolation Rate mega s Medium Sand 11v — Wei! f; -- Fine Sand [;Inca -- Building Loamy Sand > — Greater Than s1 •_• Sandy Loam --_ Less Than -- Learn Be _• Brr)eJil • Silt Learn BI Black s; -- Sift cry — Gray • a Clay Learn Y _ Yeiluw • scl -- Sanity Clay Loam R — Red sicl — Silty Clay Loam mot --- Metrics Sc -- Sandy Clay w/ With sic — Silty Clay fff -- few, fine, faint Clay cc _.. common, coarse p=: Pet rum — Many, medium m --- Muck d - distinct: p -- prominent HWL — High-water level, • Six genera! 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 permit must be obtained and posted prior to the start of any construction, I - 1 y ■ DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, • DIVISION LABOR AND . PERCOLATION TESTS (115) MADISON W 53707 HUMAN RELATIONS (H63.09(1) &Chapter 145.045) LOCATIONw SECTION: R� TOW HI/P/MUD14etP LITY: LOT NO.:BLK. SUBDIVISION NAME: /�,�y /4:01/4 �� /T?r'J N/Rg It (or� it 3s,/„ld.t11, i)/f ,v2 ! CD�TY:9,a,„e ON"r NER'S/1UYER'S NAME: T1AILING ADDRESS: / USE , DATES OBSERV•TIONS MADE NO,BEDRMS.: COMMERC L DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: Residence ve New ❑Replace S-i3—e-9? p„/7 •17 RATING:S=Site suitable for system U=Site unsuitable for system( e" 3/ ,../z. C,p izu//T S.%A /..S/� CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYST M-I N- ILLHOLDING TANK:RECOMMENDED SYSTEM:(optional) ®S ❑U ®S ❑U 2 S ❑U ❑S ©U Cl S ®U do.IA,,r10,,),9 l If Percolation Tests are NOT require DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b),indicate: `{� C� 2 Floodplain,indicate Floodplain elevation:/'�(� PROFILE DESCRIPTIONS pic fI' BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER DEPTH 119, OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) , B- • i- : , : i. ' ' i, a.. /— r INIMIM -0/44•14,:,,,44 M -{ INEIMIPMEININIi- i..• - ...._ ;, . - _ _s .-. -. ..z: pi_ ,i. , . ,.-- 4yttx B//.c 04v/z4 .a•✓ ) IMMIIIMMIIIIIMIIIIRffirffffrffligE fffla I WI I PA lifii B- _cep.," p,16,a,Gll,w • PERCOLATION TESTS 90cC1`r TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES - RATE ER INCH MINUTES NUMBER, isdet'ES AFTER SWELLING INTERVAL-MIN. PERIO 1 PERIOD 2 PERIOD 3 _ P- I j 8 ,UA.A/ 3!? //�j, / /l �6 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 �� -a _ _ � _ �A : / .. � . � .4_ . : : - - IT- i � , i X , - _ t 4-,e,A._ _ -',4-4_4 1 , 1 ' t I 1 I J I -1- a t : / i...7./ -- . - _ , 1 d ; 1\1'G x� t ■ t i r _ E i X % 1 E I { "" t X40 T,^ J (((��'�� �/,�y ` n Y ___! .........; 3T, .._.._. ...._ ,.... .--y {,......_._. _ ..._ .(._.-....._ .�..: _... 1 . __ ' (' \ i rt cat ct . i ( , - ni t x i j f , I TI ' 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(pn t): / TESTS WERE COMPLETED ON: ADD,R�S CERTIFICATION NUMBER: PHONE NUMBER(optional): 7r.? %A, eci4siew.,0 k i ,s-01,7 :SS- 3/ y/sa4//-S73s- CST NA URE: DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER— , _ ,4. — L 4 - .-el 44A),:* /f/A. 311/aJgs.ec ,q,7:32)4,/,2(1/4 N ‘0.4, 0 e,�V'Y•:c c ,c4nia✓.0 aG( S YO' li sg,o S, -�Q'x91= i/ a / . okJeirs ,L /P -S,,',1c 7;,0(- .>120`'/ ,IV/ M2 /5 .5' � 1 ,1 & ./746-- .44,-/�.0 ,<J aid 9-S- 97- ,a9 •- - - - - - i�a � - - .3' 1 ,mss r Q y /"4,sC•i,c,E 4. 34� S%, 10 I £4 to J .4 i >' �� 95,E tip �'►A/$ F�;S,y � • • PAGE OF • CroSS SzeVIon pc , �Jrt� SySi-en--t �ccpp Fresh Air Inlets And Observation Pipe l0 64 ��r�,�c �r• A)9*-.4C„ In wLS Approved Vent Cop S Or Minimum 12"Above Final Grade 20-42"Above Pipe �_ _4 Cast iron To Final Grade Vent Pipe Marsh Hoy Or Synthetic Covering Min 2"Aggregate Over Pipe f"-1 Distribution '� pip. 0 0 0 0 0 —Tee 6"Aggregate o Perforated Pipe Below Beneath Pipe o Coupling Terminating At Bottom Of System Propose D In�_1 grAtl< • ilk_ I e.J...V tots SOIL FILL DISTRIBUTIOM PIPE. APPROVED S'INTHETIC COVER M',Tem*. OR 9 OF STRAW oFA6GREGAIE. —� affe) • OR MARSH NAy (o OF%Z -21/Z AGGREGATE ''8- • � ELEV. OF _ ,of ��F EET DIS-rRIBUTIO,J PIPE TO BE AT LEAST .50 OUCHES BELOW ORIGIAJAL GRADE A1JU AT LEASTZO IRJCHES BUT MO MORE TI-IALI 42 INCHES BELOW FII'IAL GRADE ! AXIr1UM ®kerb OF CXcAVATI00 Flom ORi&Wad. bRADa WILL BE __L Wu-1ES MINIMUM ®EPr11 of E'XCAvATl1ON flkom 0A1644AL. GR49E WILL BE ✓ INCHES SIGAJED: .i . IP LICE►JSE AJUMBER: DATE : — 6> 87 (' 110