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HomeMy WebLinkAbout030-1032-30-100 Q o w o rc 1 O N On.� it I III O rL N e ° �E -c o O .�.0. �.3.. c rtc - 01 N N c_ �m I�I ? c � C C N p N N O)O ? U N O N 3• N N - 'o .0 U a m n�. c o s 02 0 CL Co C O N N C O) .L.. O j N Z N UC)L CD C LL C O C X.0 U a0 '= NO c t Z) N o Q m GL '0 co N 3 m � cy) W E Z p Z O Z .- L d d N 00 F- Z , m c o I o 2 c m U N - O fn m (D Z C E a S+') N N V C O 0 _ - q c@i O _� Z m Z c.= N O Z � C (D C —I •• '> N -(on p y C L .. IL = CL •m L * O I,'. N N d L N r O C, - �y Z N > > d U) i5 i +►v {p a a a N N a m 4 y J �i m m 1� O }� N J U E a rn Z N 7- � co to 1 C N � ,-+ O N N f 0 "t Lo = 7 ao O O y CL C4 y ✓e N Ol O — p C 7 +m+ O O O C O N C .y c) 3 Q O O H" N C C U d O O O r \ M L O E Y N N N \y' M Qj C C C C a) 4 4 00 O N a y C3 � N -Oj C O �. C N O Om W Q N U N • L O O U) 'I.. (n O O z N Z V) CL .>. • CL E v 3 7 r A a � '!! 0U) U } Parcel #: 030-1032-20-200 05/09/2007 10:31 AM PAGE 1 OF 1 Alt. Parcel#: 08.29.19.112D-20 030-TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner O-SPANGENBERG, RONALD R& DELORES I TR RONALD R& DELORES I TR SPANGENBERG 497 NELSON FARM LN HUDSON WI 54016-7881 Districts: SC =School SP=Special Property Address(es): *=Primary Type Dist# Description 501 NELSON FARM LN SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 3.045 Plat: 4354-CSM 16/4354 SEC 8 T29N R19W NE NE LOT 3 CSM 16/4354 Block/Condo Bldg: LOT 3 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 08-29N-19W NE NE Notes: Parcel History: Date Doc# Vol/Page Type 08/26/2004 772729 2644/390 QC 08/12/2002 686763 1946/305 QC 2007 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/07/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.045 79,600 0 79,600 NO Totals for 2007: General Property 3.045 79,600 0 79,600 Woodland 0.000 0 0 Totals for 2006: General Property 3.045 79,600 0 79,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 PUMP CHAMBER facturer: Liquid Capacity: Pump Mode Pump/Siphon Manufacturer: p Size Elevation of inle Bottom of tank el ion: Pump off switch elevation: G ons per cycle: 77 Alarm Manufacturer: Alarm Switch Type: Number of feet from ne �tprc p erty line: ont, CO)Side, O Rear, Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: X Trench: Width: Length: g6—� ' . Number of Lines Area Built:— Fill depth to top of pipe: y �� Number of feet from nearest property line: Front, O Side, 0 Rear,O Pt .��� Number of feet from well: Number of feet from building: ` (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Li d depth: Bottom of seepage pit elevation: Area Bui Has either a drop bo or distribution box O been used on any o he above soil absorbtion sytems? (Chec ne). HOLDING TANK Manufacturer: Ca ity: Number of rings used: Elev io f bottom of tank: Elevation of inlet: Number of feet from ne est property line: Front, Side, O Rear, OFt. w umber 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 OWNER O�/ i1/VC,& TOWNSHIP ,�'j, ri�js�_nr� SEC. T N-R W ADDRESS ] ST. CROIX COUNTY, WISCONSIN W010 a,41 "It� SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•ZHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 8r� %U y p� 3F t i r � t r r 771 )ohF,4o r — U j INDICATE NORTH ARROW X3,4 C it 111--`-ADS a - BENCHMARK: Describe the vertical reference point used 1(ICLI /us ST�-1� Elevation of vertical reference point: /Q�t, (1 Proposed slope at site: SEPTIC TANK: Manufacturer: (j1L�%-f�'' Liquid Capacity: _A000 Number of rings used: _4J/ ,/& Tank manhole cover elevation: Q C3 Tank Inlet Elevation: (10y Tank Outlet Elevation: I o, Number of feet from nearest Road: Front, Side, Rear, O feet From nearest property line Front,O Side, Rear,O 2,/77 ' feet Number of feet from: well , 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&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.07 BOX 7989 BUREAU OF PLUMBING MADISON,%1 53707 NE!4,NE%,S8,T29N-�R19W Ka CONVENTIONAL ❑ALTERNATIVE (Sltfass�gned)D.Number: Town of St. Joseph ❑Holding Tank ❑In-Ground Pressure ❑Mound Nelson Farm Road �- NAME OF PERMIT HOLD R: ADDRESS OF PERMIT HOLDER: INSPECTt GATE: Ron Spangenberg Route 2, Box 232, Hudson, WI 54016 6 BE CH MARK IPermanent r5 ence point)DESCRIBE D . DIFFERENT FROM PLAN: REF.PT.ELEV. C'T,EF.PT.ELEV.: ame of Plu ec MP/MP SW No.: t Sanitary Permit Number: To"St.onavin Schmitt 3205 Croix 92508 SEPTIC TANK/HOLDING TANK: MA UFA TURER: LIOUID CAPACITY: TANK INLET ELEV.: ITANKOUTLETELEV.: WARNING LA L LOCKING COVER PROVIDED: PROVIDED: OYES ONO ❑YES ONO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: FEET FROM LINE: AIR INLET. DYES ONO OYES ❑NO NEAREST DOSING CHAMBER: MANUFACTURER: TG: LIQUID CAPACITY. PUMP MODEL. PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED:ES ONO OYES ❑NO DYES ONO GALLONS PER CYCLE: PUMP ANO CONTROLS OPERATIONA L: NUMBER OF PROPERTY WELL BUILDING. V NT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET. PUMP ON AND OFF) ❑YES L NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing i LENGTH: DIAMETER 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: JNO.OF DISTR.PIPE SPACING. COVER INSIDE DIA. *PITS LIQUID BED/TRENCH TRENCHES: MATERIAL: PIT DEPTH DIMENSIONS I`►/^T GRAVEL DEPTH FILL DEPTH DISTR.PIPF DISTR.PIPE DISTR.PIPE MATERIAL: NO.DISTR. NUMBER OF PROPERTY ►(JELL. BUILDING: V NT TO FRESH BELOW PIPES. ABOVE COVER. E9 V. LET ELEVI END. PIPES: FEET FROM LINE. AIR INLET. I eV� h, NEAREST--► MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- ❑YES ONO meets the criteria for medium sand. TIONS MEASURED. OIL COVER ITEXTURE PERMANENT MARKERS JOBSERVATION WELLS OYES ❑NO YES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER: EDGES. DYES 1:1 NO I DYES ❑NO ❑YES El NO] PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH TRENCHES: LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER. DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL. NO.DISTR. ID ISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING ELEV.. ELEV.: DIA.: ELEV.. PIPES. DIA.: ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING: DRILLED CORRECTLY 7MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS. ❑YES El NO El YES El NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE: DYES El NO OYES El NO NEAREST I L n Itv a 1 ----- / Sketch System on Retain in county file for audit. Reverse Side. I GNATURE: TITLE. DILHR SBD 6710(R.01/82) SI Zoning Administrator INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: ° i i valid for two 2 ears; 1. This sanitary permit s a ( ) 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'(evisions to this permit must be approved by the permit issuing authority. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation; 6. Private sewage systems must.be properly maintained' The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually-every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description where the system is to be installed; 11. 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/z 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. -------------------------------------------------------------------------------I----------------------------------------------------------------------------- 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 included the creation of surcharges (fees) for a number of regulated practices which Wisco can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasL t is used in your building is returned to the groundwater through your soil absorption u system or the disposal site used by your holding tank pumper. 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- water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) TffDI SANITARY PERMIT APPLICATION COUNTY, x l LHR In accord with ILHR 83.05,Wis.Adm.Code 6Q STATE SANITARY PERMIT# —Attach corftplete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES I� NO PROPERTY OWNER PROPERTY LOCATION -'/a e%, S T , N, R E (or PROPERTY OWNE 'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDI,VIISION NAME J /V/' A -r /t�4 CITY,STATE ZIP CODE PHONE NUMBER 77 CITY NEAREST ROAD,LAKE OR LANDMARK ❑ VILLAGE: S = ,L 4 II. TYPE OF BUILDING OR USE SERVED: ? 090- lD3a- 30 Number of Bedrooms if 1 or 2 Family --J OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. XNew b. ❑ Replacement c. ❑ Replacement of d.❑ Reconnection of e.❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit## Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in#1 and only one in#2) 1. a. Conventional b. ❑Alternative c. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tan k V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. %See a e Bed b. ❑Seepage Trench c. ❑ See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): DE$14.r Ra rC- R S S 'i01 / / r Q Feet Private ❑Joint ❑ Public VI. TANK CAPACITY Site in allons Total #of 's Name Prefab. Con- Steel Fiber- plastic Exper. Manufacturer INFORMATION New xisting Gallons Tanks Concrete stCon- glass App. Tanks Tanks Septic Tank or Holding Tank / ) ❑ 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): Plum 's Signature:(No Sta s) M PRSW N Business Phone Number: r i /3- Plumber's Address(S reet,City,State,Zip Code): Name of Designer: F 4-: r VIII. 8OIL TEST INFORMATION Certified Soil Tester(CST)Name CST# 5 ESL CST's ADDRESS(Street,City,State,Zip Code) Phone Number: 998 - / d IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved I Sanitary Permit Fee Groundwater Na te Issuing Agent Signature(No Stamps) ®Approved Owner Given Initial Su charge Fee /� �_'/i /'.> Adverse Determination `9160'0 •00 -`��/ ,ru X. COMMENTS/REASONS FOR DISAPPROVAL: P/a►, �PrJ�� by 7�v �s C�. ��/sue SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber 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 �D a,12 R. Z�2e_,Ao A e 's 5 a, n &, Location of Property / Section , T a 9 N-R_2 W Township -5 3:' //O S e Mailing Address /Qo d �"� A a X a s 9L_ Address of Site /Q,�yZ a AtV X adez d Subdivision Name Lot Number o2 Previous Owner of Property 77 et Total Size of Parcel Date Parcel was Created 7Z/a./7 g 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 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 CERTI;ICATION I (We) eett 6y that att statements on this jonm ane tAue to the best o6 my (ouk) knowledge; that I (we) am (ahe) the ownen(s) ob the pnopehty de.6c&ibed in this inbonmation Jonm, by viAtue o4 a waAAanty deed neeonded in the 046ice ob the County Reg.usten o4 Deed6 as Document No. , and that I (We) pusentty own the pnopo.bed site Son the sewage d�ispoz s�• (on I (we) have obtained an easement, to nun with the above descxibed pnopenty, bon the corvstnucti.on ob said system, and the same has been duty neeonded in the 046ice o� the County Reg.is.teA of Deeds, as Document No. a J SIGNATURE OF flWN R SIGNATURE OF CO-OWN AR (IF PLIC DATE SIGNED DATE SIGNED RO X'7 "L4 Y � a t q :f { ^ r� ` ,F R ?, F d e!►a!�wute i� pi CarMy, T °W Vie! es.;a+ararl 68 lcmtad�in t boor l �t�s Ifa9 tb on fa,otlot "i , �' f BbtEl� 0•#2'14", Mgt' 1rc�' the naittheeretrlc t 37"'.x"' 65' alcnq the 8outfilinK of t llQr" A•3'!V But 330.01 'puorter= I'm Nmtf �9 mites z t Q 10 Unt ti64.19. 8outt�rly Xj4*-.©E-"w line of s -,662:00".l4stf t3resae laN#� 89.37'50" MMt 335.00 of => _: 1�ewhtiM!fit!►• �� .�t L K }� ....._.(SEAL) � �tNtfl3'It: TWN ACKNO aMwtcand tbi` of !RATE OF.�I 9CON1 woe r A } g 77 4 • NGMVIISrCanpany� 8 _ , Stock No. 26273 q� �;��# 424j APRI �Q � Aft"a419g� OWNER AND SUBDIVIDER: RONALD R. SPANGENBERG CERTIFIED SURVEY MAP LOCATED IN THE NE1 /4 OF THE NE1 /4 OF SECTION 8, T29N, R19% S S_M_VOL_ _PG. LOT_16= - - - _ 5_ _ _ . . EXISTING _ TOWN ROAD -- -- - _ D N 89052'E 540. 00' 205. 00' 65. 00' 270. 00' LU 270. 00' N z °O _� ` SOUTHERLY RIGHT-OF-WAY LINE Ozt� a^, UO I- � U � r Uj N. 'Co Z Ln F-' Cn � N Cn 07 C; LOT 1 N LOT 2 LU z 3. 07 AC. ± 4. 11 AC.± z LU U zi 133,825 S.F.± 179,106 S.F.± = Z 4M o F- W (yi 00 U- Q =r N N I O m HOUSE ZI W Ln 2 J I 01 N I z Z I LU 'n ~ J I o W to _ 'n F.. N LL o O WI N 0 LU F-I Lu I _z I—I F-I J JI ca ~I N ZI � APPROVED aI LU �I N N zI Cn �I M APP1 ? � � 1:.)87 0 N Sr• �0ix coo ly N COMP,: M E`{LNSf\°e" PAR a KS rLAt4f4fN N AND iQN{KG CdAt�({77Ei ,-. o M o `- Z N89037'50"E CD 175. 00 496. 34' 110. 00' 65. 00' 270. 00' --.r w 89037'50'W 445. 00' Ah 0 0 CD _ POINT OF BEGINNING o UNPLATTED LANDS c — — — — — — — — — — — 0 Z M EAST LINE OF THE NW1 /4 OF THE NE1 /4 "N8903 50"E 1326. 65' LEGEND SOUTH LINE OF THE 0 1"x24" IRON PIPE WEIGHING NW1 /4 OF THE NE1 /4 1 . 68#/LINEAL FOOT, SET. • 1" IRON PIPE, FOUND. COUNTY SECTION CORNER SCALE IN FEET MONUMENT, BERNTSEN CAP, FOUND. 0' 100, 200' 3 00' This instrument was drafted by Walter J. Gregory. Vol. 6 Page 1798 DESCRIPTION A parcel of land located in the NE1/4 of the NE1/4 of Section 8 , T29N, R19W, Town of St . Joseph, St. Croix. County, Wisconsin, described as follows : Commencing at the N1/4 corner of said Section 8; thence S0'42110 11W (True Bearing) 1313. 25 ' along the West line of the NW1 14 of the NE1/4 of Section 8 ; thence N89 037 '50"E 1326. 65 ' along the South line of said NW1/4 of the NE1/4 ; thence N0 039110"E 330 . 01 ' along the East line .of said NW1/4 of the NE1/4; thence N89 037150"E 496. 34 ' to the point of beginning; thence N0*22110 11W 294. 631 ; thence N14 045116 11W 382 . 381 ; thence N890521E 540. 00 ' along the Southerly right- of-way line of an existing town road; thence S0°22110 11E 662 . 801 ; thence S89 037 ' 50"W 445. 00 ' to the point of beginning. Contains 7. 18 acres , more or less ,,being 312 , 931 square feet , more or less. I certify that the above description and map are correct and that I have fully complied with the provisions of Section 236. 34 of the Wisconsin Statutes and Section 5. 4B of the St. Croix 'County Zoning Ordinance . Date : July 12 , 1978. �~ Redrawn: August 24, 1982. Francis H. Ogden S 82 Job No. 77-853 Ogden Engineering Co. 82-1381 `�,♦t��stapy� 123 E. Elm Street X River Falls , Wisconsin 54022 . FRANCIS H. OGDEN {� s•ss2 = OWNER AND SUBDIVIDER j► RIVER FALLS,. WIS. :� •: R014ALD R. SPA14GENBERG ���� .�-��•• R.R. #2 UR`*,•�•` HUDSON, WISCONSIN 54016 (01 r H z • H a STC - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St . Croix County z Cl a H OWNER/BUYER e"5 S n P, q ROUTE/BOX NUMBER 14�2e V ��o, 07 D 2 9p?, Fire Number .CITY/STATE q/-S D h , /Ali ZIP '6--y'414 PROPERTY LOCATION: _k, Section_ , T of N , R 13;_W, Town of �Ce' b St . Croix County, Subdivision Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes . Proper maintenance con- sists of pumping out the septic tank every three years or sooner , if needed , by a licensed septic tank pumper . What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St . Croix. County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1 , 1978 . St . Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained . The property owner agrees to submit to St . Croix County Zoning a certification form, signed by the owner and by a master plumber , journeyman plumber , restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary) , the septic 'tank. is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. HH E I/WE, the undersigned , have read the above requirements and agree to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- b ment of Natural Resources . Certification form must be completed and returned to the St . Croix County Zoning Office within 30 days of the three year expiration date . SIGNED f DATE /z St . Croix County Zoning Office P.O. Box 98= Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address . w � r INSTRUCTIONS FOR COMPLETING FORM 115 - SRD - 6595 "To be a complete and accurate soil test,your report must include: I, Comple=te legal description; 2. The use section €must clearly indicate whether this is a residence or cornmercial project; S, MAXM-111.3i'VVl number of hedroonis or eomlrserciai use planned; , Is this a new or replacement system; ('� 5, Corraplete the suitability rating boxes, A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL,CONDITIONS; 6 PLEASE use the abbreviations shovin here for writing profile descriptions and completing tie plot plan; 7, MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A se;p�r ate Sheryl, may be used if desired; S, f aK stare your nenchmark and vertical elevation if, point are clearly shown,and are permanent; , Conlplcte all appropriate boxes as to dates, names,addresses, flood plain data, percolation test exernp- tiu-, if appropriate; 10 i`ti-,e info rr atu)n )such as flood plain,elevation)does not apply, placer N,A.in the appropriate box; 11. Sic"n the form and place=your currant address and your certification number; 12, iL� legible copies and distribute as rerferire.d, ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION- ABBREVIATIONS FOR CERTIFIED SOIL TESTERS f aaiI Separates and Textures Other Symbols — Stor e: (over 1€") BR Be drock rol.a -- '.obl�le (3- 10") SS -- Sandstone lr _ GI avei (under S") LS - Lirriestone -_ ,rrti i-1GW High Grol.i€ dwatef is _ coals€ Sanci F:rc: P'.;cokt'ioll Rate= r"l,'dium Sikh€I �prl _..._ s. ' Fmf, Sand [31,1(" Buzkdilli; Ir> Lo'amy sand > Greener Than 41 S,,rSy Loam Lass Than Loam Bn Bt'ovvr r JE - r�;ft Loam B. ._ 131r,a�x _ ',ail; Gy rar<;y ....� '"_ C!av Learn Y Clay Loam Ri - 1=`r;r cl iy Cla-�y Loa = of .. IalottsP.s S -Wdy Clay "v/ Silty Clay ffi — few, lwo, faint of - Peat ruin -- Nlrany, int±'(Ji llt p — pees€ninent F-WL — High skater{eves, Six g nmal soil textures surface tv.,ter for! 1 rid whsle disposal BM — Bench Mark VRP - Vertical Reference Paint TO THE OWNER: a -1 his soil test report is the f Ir s? tss,z rn securing a sa nary pernsit, The county or the Department May,' r�r,{icatioKS „f this soil te- ,is trap h(,,Jd prior to prarrnit issuance. A complete sot of plans for t, vyEacfe syster , and a permit spplicati ,r, rnust he srshrnitted tc'' the= appropriate local authority J s. < p ir,:dt. The ,allltary prarrt;it rr €st I)° obtained and posted fsrior to the start of any col)' 0,L 6 u�9s 0.. d% 0� d r DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISION LABOR AND HU1I+AN RELATIONS PERCOLATION /PERCOLATION TESTS (115) P.O. BOX 7969(H63.09(1)&Chapter 145.045) MADISON,WI 53707 LOCATION: SECTION: TOWNS HIP/MI;�TY: LOT NO.:BLK.NO.: SUBDIVISION NAME: l�'E ���TE�4 8 /T29 N/R19 (or)W COUNTY: OWNER'S B�NAME: rox A ING ADDRESS: Nplqnn Farm Road St. Croix Ron CZ an enber B USE 232 R.R.#2 Hudson Wi. 54016 NO.BEDRMS.: COMMERCIAL DESCRIPTION: DATES OBSERVATIONS MADE (PROFILED SCRIPTIONS: E A ION TESTS: Residence 3 n/a LZNew ❑Replace L 4-10-87 n/a RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND PRESSURE: SYSTEM-IN-FILLHOLDING TANK: SYSTEM:(o(optional) S ❑U ©S ❑U EIS ❑U ❑S ©U EIS ventional If Pe7s.H63.09(5)on Tests are NOT required DESIGN RATE: If an Class 1 any portion of the tested area is in the unde (b),indi cate: Floodplain, indicate Floodplain elevation: n/a PROFILE DESCRIPTIONS BORING TOTAL ELEVATION DEPTH TOGROUNDWATER-INCHES CHARACTER OF SOIL W H HICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER DEPTH 00, OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) B-1 7.16 99.51 none >7.16 1.08bl.1. 1.08bn. sil. .92bn.l.s. 4.08bn.c.s.&gr. B-2 7.09 99.63 none >7.09 1_r17bl.1. 1.00bn.sil. .75bn.l.s. 4.17bn.c.s.&9r. B-3 7.00 99.55 none >7.00 .92bnl.1. 1.08bn.sil. 1.00bn.l.s. 4.00bn.c.s.&gr. B-4 7.04 99.56 none >7.04 1.00bl.1. 1.17bn.sil. .87bn.l.s. 4.00bn.c.s.&gr. B-5 6.58 99.85 none >6.58 .92bl.1. 1.08bn.sil. .75bn.l.s. 3.83bn.c.s.&gr. B- PERCOLATION TESTS TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN, P RIOD t PERIOD2 PERIOD-U- PER INCH P- P- P- P P_ PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 9--o, T-F T' �,o [0 � > ' �. f � 4 - rS -,_ ....... ..... .,�.�._._. F A� _ _.i_ J I igned, 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 Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. TESTS WERE COMPLETED ON: eel 4-10-87 CERTIFICATION NUMBER: PHONE NUMBER( CST SIGNAT c one copy to Local Authority,Property Owner and Soil Tester. —OVER — 1 T il?vm ray } _ n= f C flew � LJ low AUR p SyeW .. , �F....r V +.--^— a ...s .r i+r -/L6' S•:'lr:: FORM NO.985•A �t._ 8- 4./9 N.._,vc- .�• /�� N.CMd4rtpprq® Stock ,No. 26273 '1 4 >z Y - 4A!{1419 p� OWNER AND SUBDIVIDER: RONALD R. SPANGENBERG � 7 v ' CERTIFIED SURVEY MAP " LOCATED IN THE NE1 /4 OF THE NE1 /4 OF SECTION 8, T29N, R1 9W, S _M_VOL:==`_PG LOT_16 _ _ _ �_ VOL. PG. T 15 EXISTING TOWN _ r ROAD ` •to — cc N89 052' 540. 00' 205. 00' 65. 0 270. 001 w 270. 001 Z co _� ' SOUT ERLY R GHT-OF-WAY LINE "' O OZE rn "rV 0 W N Z Cn rV In F-' C41 O � O LOT 1 N LOT 2 W z 3. 07 AC. ± 4. 11 AC.t W V ip 133, 825 S.F.± 179,106 S:F.± S z o i1+ ca I t_ w o 1O p I O m HOUSE Z I W I 2 JI Z z I W in LU Ln F N N IL O 0 I N o 0 W I I LLJ N ZI .4PPAOV�b W Z I APP 14 1987 0 `n St, CROIX CC) N N M Comp"', UNTY M INVE G PARKS AND KANtIWG o Com"OTTE, z o N89°37'50"E 175. 00' 496. 34 110. 00' 65. 00' 270. 00' o 0 w 890 37'50'W 445. 00' JL° N POINT OF BEGINNING a" o 0 c _UN_P_LA_T_TED _LANDS z M EAST LINE OF THE NW1 /4 OF THE NE1 /4 N8903 50"E 1 326. 65' LEGEND SOUTH LINE OF THE 0 1"x24" IRON PIPE WEIGHING NW1 /4 OF THE NE1 /4 1 . 68#/LINEAL FOOT, SET. • 1" IRON PIPE, FOUND. COUNTY SECTION CORNER SCALE IN FEET MONUMENT, BERNTSEN CAP, FOUND. 0' 100' 200' 300' This instrument was drafted by Walter J. Gregory. Vol. 6 Page 1798