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HomeMy WebLinkAbout030-2025-80-000 (2) ? \ 0 � ® ¥ o 3 > /= 2 \ �y 7f ©5)i\ m � o { E ])�] @ =ten o 0c / -6— ] E\j§ $ )t 0c B ƒ�k �0. ■-� ! - $ )/\ro- 8 \�f o3So ,; \ kk/\\j\ \\)\k 2223§f% § »o >E §< § »5=� arsc8 o �# @=� § ° �° °� » E a :3 8 coo f f ) @ e & § 5 ® >7o f @/§ ® LL c� 2/kfk.T L) x2k q ¢-= �3m .WCL-'x 74om caa) SE/ \] 0. / 0 C'4 -i z z � k @ / ) IL m j % ) § ¥ j ] ) k k k (D z \ (a » ( CY � / ƒ CO } % f o / k \ � .. �- a }_ � 5 " E , = 2 � � 0 0 4 a) CL ) $ 2 o a \ ' ° 2 2 2 z a ƒ CL 0 B § w r Q � / / ) � ■ % � ; » � � I E LO / Lo $ / § § k -0 \ § § + 8 � ) I § 7 \ - o � � E f 2 0 w g § # E a o 2 f / 2 $ ■ / L 2 � f L L: a. 2 a e .2 , c u E CL i k k 0 Parcel #: 030-2025-80-000 03/04/2005 12:57 PM PAGE 1 OF 1 Alt. Parcel#: 22.30.20.438B 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): *=Current Owner *HELWIG, SHAWN&KONNIE SHAWN&KONNIE HELWIG � 1457 PINE TREE LA HOULTON WI 54082 I Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description * 1457 PINE TREE LN SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.130 Plat: N/A-NOT AVAILABLE SEC 22 T30N R20W PT GL 2 N 167 FT OF S Block/Condo Bldg: 623.2 FT OF W 294 FT OF E 528 FT Tract(s): (Sec-Twn-Rng 401/4 1601/4) 22-30N-20W Notes: Parcel History: Date Doc# Vol/Page Type 11/13/2000 633576 1559/178 WD 07/23/1997 981/326 WD 07/23/1997 832/487 07/23/1997 715/540 2004 SUMMARY Bill#: Fair Market Value: Assessed with: 5913 231,600 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.130 51,100 176,700 227,800 NO Totals for 2004: General Property 1.130 51,100 176,700 227,800 Woodland 0.000 0 0 Totals for 2003: General Property 1.130 30,000 149,100 179,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 138 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715 - 962 - 3121 800 - 962 - 5227 ST. CROIX ZONING REPORT NO.! 27941/01 PAGE 1' ST. CROIX COUNTY REPORT DATE: 8/24/92 COURTHOUSE DATE RECEIVED*# 8/20/92 HUDSON, WI 54016 ATTNS THOMAS C. NELSON OWNER: Harry & Norma Welter LOCATIONS 1457 Pine Tree Lane, Houlton COLLECTORS N. Jenkins DATE COLLECTEDS 8-19-92 THE COLLECTED** 3*f00pm SOURCE OF SANPL.E: Outside faucet t ; DATE ANAL.YZED:8-20-92 TIME ANALYZED22200ps COLIFORM*# 0 /100 mL INTERPRETATION: Bacteriologically SAFE NITRATE-NS 5 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. CoLiform Bacteria/100 ml Nitrate-Nitrogen, mg/L co (P � ?) N -- �, m � � LAB TECHNICIANS Pam Gane i DF.NDEPENpfHj WI Approved Lab No. 19 o V D z t deans "LESS THAN" Detectable Level Approved by' o PROFESSIONAL LABORATORY SERVICES SINCE 1952 ST. CROIX COUNTY ZONING OFFICE St. Croix County Courthouse aa! 911 4th Street i�-v Hudson, WI 54016 D JA Telephone - (715)386-4680 The St. Croix County Zoning Office offers the service of septic and water inspections to Lending Institutions, Realty Firms, and private individuals. Completion of this form ja essential ag that tjIg property can Dg located. Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail , along with form to the above address. Testing will be done as soon as possible after fee and form are received., WATER TESTING----------------------------FEE: $ 35.00 (For nitrates and coliform bacteria) WATER TESTING FEE: $185.00 (For VOC'S) SEPTIC SYSTEM INSPECTION-----------------FEE: . $25.00 (Determines if system is properly functioning t . time of inspection) / PROPERTY OWNER'S NAME: �'X� PROP. ADDRESS: T---t� ee, CIT 'Legal Description 1/4 of the 1/4 of Section a-Z Town of Lot Number Subdivision: �l FIRE DER l `-r�.3- C BOX NUMBER 0 �Z -d �/ V 3 F Color of house Realty sign by house?4—If so, list firm: PLEASE INCLUDE, IF ATaALL POSSIBLE, A HAP,i.e,COPY OF PLAT BOOR, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. if the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual re uesting services: Telephone Numbe��J-`/To -- 7,5-Ss- 4z REPORT TO BE E � coo 0 L CLOSING DATE• Signature 5� F T 6 f= n,. ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 _ - (715) 386-4680 Aug. 20 , 1992 Pat Branch Edina Realty 200 East Chestnut Stillwater, MN 55082 Dear Ms. Branch: An inspection of the septic system on the property of Harold & Norma Walter located at 1457 Pine Tree Lane, Houlton, WI was conducted on Aug. 19, 1992. At the same time a water sample was obtained for testing. The results of that testing will be sent to you as soon as we receive them back the laboratory. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. S' cerely, fpm Mary J. Jenkins Assistant Zoning Administrator cj II PUMP CHAMBER , Manufacturer: / t Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: & /I Pump Size Elevation of inlet: & A Bottom of tank elevation: A Pump off switch elevation: /l/ Gallons per cycle: I/ A , Alarm Manufacturer: Alarm Switch Type: 4 Number of feet from nearest property line: Front, O Side, O Rear, Ft. 111A Number of feet from well: /j/ A Number of feet from building: jQ (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench:^ � Width: � Len$th: /0O Number of Lines: Area Built: .�5�00 Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side, (n Rear,0 Pt . i Number of feet from well: Number of feet from building: Z/-3 (Include distances on plot plan). SEEPAGE PIT Size: & A Number of pits. %A Diameter: Liquid depth: �L 4 Bottom of seepage pit elevation: s— Area Built: A Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). �/ A HOLDING TANK I Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: /Y Elevation of inlet: Ae A Number of feet from nearest property line: Front, O O Side, O Rear, Ft/PA Number of feet from well: 4 Number of feet from building: 4 Number of feet from nearest road: 4 Alarm Manufacturer: Inspector: Dated: Plumber on job: IR /C Jigo License Number: 3/84:mj Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT A OWNER a s V °v TOWNSHIP 6 P~'14 SEC. T N-R�(,W ADDRESS 12 I'C3 D X 274 ST. CROIX COUNTY, WISCONSIN i 1 D f 0,4 SUBDIVISION /X LOT /1/ /v LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•1HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I W.rL L _5 -2P i A 4 _ A T )v — J- j�- o; l dry ARROW BENCHMARK, Describe the vertical reference point used Elevation of vertical reference point: / 00 Proposed slope at site: SEPTIC TAP'C: Manufacturer: U N/�, Liquid Capacity: �� p O O 4::714,4 — Number of rings used: _ Tank manhole cover elevation: P,4 M Tank Iilet Elevation: IQ Tank Outlet Elevation: ,oVA' Number of feet from nearest Road: Front,O Side,O Rear, O 44/ A feet ?rom nearest property line Front 10 Side.0 Rear,0 /jI Id feet Number of feet from: well _ &A ,, building: 41A (Include tiis information of the above plot plan)( 2 reference dimensions to septic tank SEE REVERSE STD ' DEPARTMEWr OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS DIVISION LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS BUREAU OF PLUMBING P.D.BOX 7969 MADISON,W 1 53707 SSW a,NE14,S 2 2,T 30N-R2 OW CONVENTIONAL ❑ALTERNATIVE Town of St. Joseph ❑Holding Tank ❑In-Ground Pressure ❑Mound HWY 35 & 64 NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: `�,�, H.B. (IKE) Risenhoover Route 1, Box 276, St. Joseph, WI 54082 j�� -Q 7 !b'- BENCH MARK(Permanent reference pomt)DESCRIBE IF DIFFERENT FROM PLAN'. REF.PT.ELEV.: rTREF PT.ELEV.. Name of Plumber: MP/MPRSW No Coumy: Sanitary Permit Number: Rick Troff 3225 St. Croix 102782 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV.. 77; WARNING ROVIIDEDLAB L PROVIDEp OVER ❑YES ❑NO ❑YES ❑NO BEDDING. VENT DIA.. VENT MATL. HIGH WATER ROAD, TV WELL'. BUILDING. VENT TO FRESH NUMBER OF AIR INLET ALARM FEET FROM ❑YES ❑NO DYES ONO NEAREST DOSING CHAMBER: MANUFACTURER BEDDING LIQUID CAP ACITV PUMP MODEL. PUMP/SIPHON MANUFACTURER nMATERIAL LOCKING COVER PROVIDED'. ❑YES ONO DYES ONO [!]YES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY BUILDING VENT TEFRESH LINE AIR INLET (DIFFERENCE BETWEEN FEET FROM PUMP ON AND OFF) DYES ONO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER KING or excavation. (If soil can be rol led 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 SPITS LIQUID BED/TRENCH TRENCHES MATERIAL: PIT DEPT" DIMENSIONS S 10- GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL. NO.DISTR. NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH BELOW PIPES ABOVE COVER. ELEV.INLET ELEV.END'. PIPES FEET FROM LINE AIR INLET NEAREST MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. OYES 1:1 NO SOIL COVER TEXTURE PERMANENT MARKERS OHSEH NATION WELLS ❑YES El NO OYES El No IDEPTHOVIR TRENCHIBED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES El YES El NO El YES El NO El YES El NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH- LENGTH. NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPF FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL NO DISTR ID STH PIPE DISTRIBUTION PIPE MATERIAL&MAHKIN(, ELEV. ELEV.. DIA.. ELEV.. PIPES ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS ❑YES ONO ❑YES -1 NO COMMENTS: PERMANENT MARKERS: JOBSIERVATION WELLS. NUMBER OF PROPERTY WELL: BUILDING'. FEET FROM LINE. 3 ; i DYES 1:1 NO ❑YES 1:1 NO NEAREST i L ` -7S X X03. Sketch System on (,t Gl�j Retain in county file for audit. 5_6 3 Reverse Side. q ` � �--� SIGNATURE TITLE. DILHR SBD 6710(R.01/82) ! Anistrator 'v� t 16 2, INFORMATION ORMA ON & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT , APPLICATION t TO THE APPLICANT: 1. This sanitary permit is valid for two (2) years; 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable; 3. All revisions to this permit must be approved by the permit issuing authority. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation; 5. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. 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; 111. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. Responsibility statement: Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8'% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model ar4.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 GroundAtAter included the creation of surcharges (fees) for a number cf regulated practices which Wisco ih.S' # , a can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasure is used i-. your building is returned to the groundwater through your soil absorption o system or the disposal site used by your holding tank purnper. a T',e non es s,ollectee through these surcharges are cred!ted to the groundwater fund adminis- }rec by "he 7ep, rtment of Natural R.sso..rces. These funds are used for monitoring ground- t eater. groundwater contamination investiigations and esiabiishm�-nt of standards. Groundwater, `s wortih protecting. ,AD-6398(8.03/86) SANITARY PERMIT APPLICATION COUNNTYY^ a(� Q In accord with ILHR 83.05,Wis.Adm.Code S T ' e�oI y STATE SANITARY PERMIT# Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES M NO PROPERTY OWNER PROPERTY LOCATION .� 1 OOV�R S(V '%a F %a, S I'a T30, N, R a0 f(or PROP,ERTY OWNER'S MAILING ADDRESS LOT NUM ER BLOCK N MBER SUBDIVISI N NAME CITY,STATE Z CODE PH'NNUMBE CITY :�� TO NEAREST ROAD,LAKE OR LANDMARK OWN UJI J ❑ VILLAGE: v t II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family 3 OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. ❑ New U.wReplacement c. ❑ Replacement of d.❑ Reconnection of eX 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. Mconventionai 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.NSeepa-cie Trench c. ❑ seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA r�7 E VATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet):'T4l,� so 0 Feet DZ Private ❑Joint ❑ Public VI. TANK CAPACITY '_ Site in allons Total #of refab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted Septic Tank or Holding Tank 1.000 ? IN EF ❑ 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 St ps) WYMPRSW No.: Business Phone Number: Plumber's Address(Street,City,State,Zip Code): Name of Designer: R*"-a Box 1704 o s 4 co VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST# 1, o R � CST's ADDRESS(Street,City,State,Zip Code Phone Number: P © L te e IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) *Approved F-1 Owner Given Initial ` rcharge Fee {�l l Adverse Determination 1 w•O(D `0 vV X. COMM NTS/REASONS FOR DISAPPROVAL: 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 /7G ,L�'.f/ [TAIPi XZ::f�4 Location of Property a- , Section .2-D, , T 3� - N-R 9- W Township -5f . a Hailing Address 6 J� Address of Site Subdivision Name . Lot Number Previous Owner of Property y li-- Total Size of Parcel Date Parcel Was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No Volume �J_ /S__ and Page Number S q 0 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) eenti6 y that ate 6tatement6 on th i n 6onm cute thue to the best o6 my (oun) knowledge; that I (we) am (ahe) the owner(b) o6 the pnopW y dens c i.bed in thi.6 .in6o4mation 6oAm, by vchtue o6 a waAAa.nty deed recorded in the 066.ice o6 the County RegiAten o6 Deed6a3 Document No. �/� and that I (We) ptaentty own the pnopoded bite bon the sewage di spp da e b em• (on I (we) have obtained an easement, to nun with the above deA' c i.bed pnopenty, bon the eon.6tAucti.on o6 6aid zydtem, and the tame has been duty neeonded in the 066.ice o6 the County Regi6ten o6 Veede, as Poeument No. ) . SIGNATURE Old OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) 7 DATE SIGNED DATE SIGNED r. u O Mumma cam Co. ................... 't 1A/W Dar_biir i'A. and Hulsq„� *w � nhciva7 l. Sb3Tlt .... .»................................ } N ....»«�.....# ' .......... .. . �t 3! rr , NR '!ll!d..!!... �'��._...,�. t ........ ""` .�' i ..a.. ................. ~........., . rt ea+veN N - Tm Mand fti.. ,. . Z The North 167.0 feet of South 623.2 feet of West 294.0 feet of Rast 528.0 feet of Government Lot 2, Section 22, Township 30, Range 20, St. Joseph Township. Containing 1.13 acres, more or less, - � �! subject to an easement for roadway Purposes over the Most 33.0 feet of the above described tract, }, r 1, together with an easement for roadway purposes over and across the West 33.0 feet of the East K t '. t'. 528.0 feet of the South 456.2 feet of said Government Lot. �. h+• G .r, w ism..--....... ; I t �� UrflteJl . ........ n o{ � f t2'r ...... .......... ay o � . ... ..... It '• ���� ?:. (REAL) CI�L�✓.. ... p�� llO0ASA1�lf!a . �. Bar ara A. R son wr • , . fq �r y. B4rb,*rCA..A-...JQ+I�C... t ......................................................... .(SEAL) .(SEAL) • • f' \ t x ......................... .. ..... • . ..... Hulen. B. Riserthoov+es ., A AFL' `n Nf AO?IlBUTICATION ACKNOWLBDONSUT MsrMtaa(s) ............................................................ sTATIZ OF WISCONSIN ....... ..................................... ................. ........... WASHINGTON .. T ...............Coaafjr. ~` ........................ .. 19...... Paraoaally cam betau as ............................._............._.................................... July................................., .i I •.. .................................................. 8asbaxa..A... .R3s��111c1QY.lx.....1'f1i „t�k, ,. ..... ... ............... Aa�bA,�a...A.....slsQtll�.,...�D1Al�..T�i�►l�..ja TITLR: YRYSBIL$TATS 3"OF WISCONSIN } aglarfwt b 1 9N.M.wia'talatr.)..................... ...................... .................................,,..,,. " ° J} to RN k^3�f to be the person ..A. Ny ra� i toe0st1 �iiutrum7and act W SUM& - TNIa INITRNNCH7 WAG ORAFT90 ey i/'�� / �l J .�, Paul A. Viol ff i118552 ✓...'!�L ( ..... {.•... IA 11146M 3 "um may be slsQheatieaied ee adlnovkdRed. Both yY Commission is permanen .IIf � alNa i date .. .. .PAUL A . . ........... . ... iB.. ..1 ; 't UNARY ftKIG-# L Nheaft at o.""s AWN'"N MII.s,".a,d wW M trwd er prift"War OjWr •. O MW ; oft 1{C "ATY "An OI ! •.....w.+.. Yuan U.. i—qp N& low S SL J rDD k: i i r . ' �- 1 inn 1tt :G N H STC - 105 r ' 9 H SEPTIC TANK MAINTENANCE AGREEMENT 0 St . Croix County z . d / OWNER/BUYER l�.& �2g��� rl �C lS� ry �000E�- ROUTE/BOX NUMBER—C-0 90)( Fire Number /0? CITY/STATE 67' T[)5 C�% T(,(1_� ZIP PROPERTY LOCATION : ; �k, Section, T 3(N , R gC> _W, Town of �T ToS e_ P N , St . Croix County , 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 piit 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 fail ng system, which was in operation prior to July 1 , 1978 . St . Cr ix County accepted this program in August of 1980, with the requ rement 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 . H 0 F I/WE, the undersigned,, have read the above requirements and agree rn to maintain the private sewage disposal system in accordance with H the standards set forth , herein, as set by the Wisconsin Depart- w 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 O DATE S� �� �'� V St . Croix County Zoning Office P .O. Box 98 Hammond, WI 54015 715-796-2235 or 715-425-8363 Sign , date and return to above address . INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 i To he a complete and accurate soil test,your report must include. 1. Complete legal description; 2. The use section must clearly indicate whether thii is a residence or commercial project; 3, MAXIMUM number of bedrooms or commercial use Manned; 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; 6, 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 sh eet 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 elates, nar ies,addresses, flood plain data, percolation test exemp- tion, if appropriate; 10, If the inforrnatJon (>aach as flood plain,elevation)does not apply, place N_A,in the appropriate box; 11. Signs the for and place your current address and yotnF certification number; 12, Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 BAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL. TESTERS Sail Separates and Textures Other Symbols st — Stone (over 10") BR — Bedrock n cols _ ��erbbl� (3- 10` r t �S SaffilStDrIe Oft, — Gravel (under 3") LS Limestone -- Sand HGVV - High Groundwater fps Csrarse Sand Pcrc Pc rcolatio Rats med s IVledium Sand Vb' __ trs' [I f _. € ine Sand Bldg - Bil lding Is Loanay Sand Greater Than 'sl S-andy Loam Less Than l Lorarn Bn -- Brow tt l -- Si(t Loan, BI Black si Silt: Gy Gray cl _ Clay Leaa,7a 'r` — °a`call;>%.,v scl — Sandy Clay Loam R Red sicl — Silty Clay Loarn rnot — (Mettles s Sta€°dy Clay tv - with s'r; Silty Clay fff few, fire , faint C -.. Cla,t cc c:c}€nn°on, €.oar%%' pt -- Peat rnm — 1`0&,V rnediurn €�a ,a'ltar;k cl _ disthia p — pr-orninent HkNL -- High tivatc.r level, Six general soil textures surface water for liquid waste disposal BM — Bench iVlark VRP -- Vert;cal Reference Point TO THE OWNER: I-Ws f(Tort is the first step in securing a san°Lary permit. The county or the Department may request v, the ti )n "J this soil test Fro the field p9'iot, ,o C.arWrr it issuarac,e. A comt31uta3 srat. r?.f� plans for the private , stern a•scf a pert-nil r pI€ ati€an roust be sa unfitted to the appropriate local authority in order to b'a;n <3 tri`rrl"t# f he,s nitar 7a perrnit n`[tiS� €)e ��C�f}1t f� �?nd posted I k3r E4)r't? the start if a y C711StrUCtlf)n. I 1� DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISION LABOR INECLATIONS PERCOLATION TESTS (115) MADISON WI 7969 (H63.09(1)&Chapter 145.045) r LOCATION: SECTION: TOWNSHIPI J+6�IiY: OT NO.:B'LK.NO.: SUBDIVISION NAME: SuJ 1/ 1/ Z z /T36 N/R1OE (0 5r J'40j"#-- COUNTY: OWNER'S 'S NAME: MAILIN ADDRESS: .5f 4001X k JbsE/oA- , Wj'-c USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: I PROFILE DESCRIPTIONS: PERCOLATION TESTS: Residence 3 y ❑New Replace l —ye__ �� RATING:S=Site suitable for system U=Site unsuitable for system -<CS 33 `sTA(,t(fl �� lj/�>��/! " r _R?64 rdN CONVENTIONAL: MOUND: IN-GROUND PRESSURE: SYSTEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional) ®S ❑u ESE ©s ❑U ❑S ©u Is ZU --Zg N07-E- RE/Ow If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the 2 — under s.H63.09(5)(b),indicate: (.L,lsf .4- I Floodplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS ,.v ��tcA:-e,y< FT. BORING TOTAL DEPTH T GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED ,,(SEE ABBRV.ON BACK.) .1 B-/ 0' 900Y > 7 0 ' Z-,0'16,V s, 2,0'L/160 fy s � r s' v,� Br• F' s, 2- C /, N•-j s GS' f1:JA s; B Z 0'•J OO. SZ �� �•u! /0 ' Jay-Qj. f,; t- .�d"?, a Qa 5/ 70 '' G a,�• �H.,•c /s ".2 0'V-Z.3 r ZA as - )rlo*y Is,, el 0 OAXaV. B- OrE e40 70A) 7'D A, &E e B- ns•r. 4,1D D f�-Ir "4­4 :� rlo"Y Zaw:�6,: sort Aoir 7'0 i�YG u C►, caucv �sva iN B- La,J 440 WO :;BR,D o k 7;r e�A 1 11W oL,4,r p PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER tfdCFTES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERT D2 PERIOD3 PER INCH P- 3•I Z iS Z Z P- P G �0 1 P- P_ L \$' 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 sEPr�'� ��1�,!'• � ��''~'�'�'`'N ��z� cooE ca.t�J/i,�ucg� o� i * I T r F F t �J��-i>• e.�f , .I.... - — — 40 ' I ^i Y_ i E 1 _ a 3 E 3 7 S 1 € ( 7 ,� _ -------- - . _ '' III _ _ �. _ _ . T- � _� � � 4 t E i r } Z ----- 1,the undersigned, hereby certify that the soil tests reported on thi wer drr d with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of sts are cc a bes y knowledge and belief. NAME(print : ESTS RE COMPLETED ON: HOMESITE SEPTIC PLUMBING CO. t� ��� '9 CERTIFICATION�- 0 A ADDRESS: ROBERT ULBRN CERTIFICATION NUMBER: PHONE NUMBER(optional): W.MACSTER R LIC.N0,3307 MY R.S. � 'Z V J0 2 ✓���o - �� MINN.INSTALLER&DESIGNER LIC.NQ DOfif:3 _ CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — I` PAGE OF �rU JySTe Y Fresh All Inlets And Observation Pipe if Approved Veal Cap Minimum 12"Above final Grade 20-42"Above Pipe —4*Cost Iron To Final Grade Vent Pipe Mersa May Or Synthetic Covering min 2"Aggregate Over Pip Pipe —' 0 0 0 0 —Tae 8enal llt Pi le ° Pertoraled Pipe below p o —i—CoOlng Terminating At Bottom Ot System P�p�oSep��Inr~I19r,4( y�o 99a s-' i.ItJw7 to/1 /,5%/ie\\/ 661L FILL DISTRIBUTICKI PIPE APPROVED Sj?JTHETIC GOVER PIATeR141- OR 9" OF STRAW 2"OF AGG ELATE --�� OR MARSM HAY n •1.1 (o�OF%2-ZI/? AGGREGATE •8 EL E V. OF 25 FEET, a Ail/ DISTR15UTIOM PIPE TO BE AT LEAST 193 IUCHES BELOW ORIGIMAL GRADE AUU AT LEA,STXO Jill gut' ►>v1,o MUL 1'h1W Ill INCHES BELOW Pffil GRADE MAXIMUM DEPTH OF E)(CAVATIOW FKori OK16V AL 6KADF. WILL BE WCHES Mti)MUM ® rki OF EXCAVATIOM FROM 04� >161WAL GRADE WILL BE o1 / INCHES SIGHED: I Ti�64 LICEuSC DUMBER: P DATE : . 9 D � � OWNER PLUMBER VF:RT. REF. PT. = TOP Ht-JL.EN 1-3. RISENHOOVER RI C V." T R 0 F F ELEV. = 100' Rl". 1. BOX 276 RT. 2 BOX 1"7(..)A OF PHONE PED ST. JOSEPH WIS. 54082 DF.---*fRhNDA W11'3. 54-008 PERC. = X 1-715-549-6597 MPRS 3225 BORING 3 BEDROOM HOUSE j it Vt -r,AN[::: DIES)TRIBUTION BOX W/VE ►'T' INSPEECTION BOX ro > I A) Q xpl- db 3 'PrA v ATJ