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HomeMy WebLinkAbout030-1072-30-000 � \ � \ § o ® k . @ / \ � 2 © § � ) \ ' k \ § � � m / \ I a 2 I $ B ) �_ C \ ) $ \ ) 2 ® k m - ƒ E \ N & § E / -� k / ƒ § \ � � 2 } � k ° I ) £ _ c § 2 k §_ L C ` - & S m j � � � ■ _ � � E \ § FL a. k / - t a 2 2 CL \ � . 2 -j S k k . J m S G � � % 7 = kg E N co ' R 7 ! \ § k \ \ \ / 0 ■ o ; - \ ; = {ra )E \k k k -Cl o \ o ) ■ � % � a » & ) 2 a § / 3 a 2 u o v � � l Parcel #: 030-1072-30-000 02/11/2005 04:53 PM PAGE 1 OF 1 Alt. Parcel M 26.30.19.254B 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 *ORF, RONALD V&SANDRA L RONALD V&SANDRA L ORF 107 20TH AVE N ST PAUL MN 55075 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *723 TERRIER LN SC 5432 SCH D OF SOMERSET SP 8040 BASS LAKE REHAB DIST SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 26 T30N R19W PT GL 5 COM NW COR SEC Block/Condo Bldg: 26;TH E 769.13 FT TO POB:S 1 DEG E 101.75 FT; E 682 FT TO LK; N 33DEG E Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 119.25 FT TO N LN;TH W 765.76 FT TO POB 26-30N-19W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 752/481 07/23/1997 582/29 2004 SUMMARY Bill M Fair Market Value: Assessed with: 5338 270,900 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 220,000 46,500 266,500 NO Totals for 2004: General Property 0.000 220,000 46,500 266,5000 Woodland 0.000 0 Totals for 2003: General Property 0.000 113,400 39,200 152,6000 Woodland 0.000 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount 040-OTHER ASSM'T SPECIAL ASSESSMENT 505.97 Special Assessments Special Charges Delinquent Charges Total 505.97 0.00 0.00 PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump,/Siphon Manufacturer: Pump Size Elevation of inlet: Usk 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,0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width:_��/ Length: �'� .� Number of Lines: Built: Fill depth to top of piper Number of feet from nearest property line: Fro t, O Side, Rear,0 Ft . Number of feet from well: ,j Number of feet from building: (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, O Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated. Plumber on job. �S`�/j��✓ , fit License Number: 3/84:mj • Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER i„�'A,/� TOWNSHIP �i 4 fJ� SEC. T- N-R _W ADDRESS ST. CROIX COUNT' WISCONSIN SUBDIVISION LOT 'J LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•LIIR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 7 14 i i 1 I INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: �` �� Proposed slope at site: SEPTIC TANK: Manufacturer: /,JkU.�iquid Capacity: // )4t It Number of rings used: Tank manhole cover elevation: �ZQ'el// Tank Inlet Elevation: Tank Outlet Elevation: -IAJ4&- Number of feet from nearest Road: Front,O Side,W Rear, O feet From nearest property line Front,O Side, Rear,O _�3 feet f 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.Q.60X,7969 BUREAU OF PLUMBING `4ADISON,WI 53707 NEB,' N[^T4fS26,T30N—R19W PCONVENTIONAL El ALTERNATIVE State Plan I.D.Number: Town of St. Joseph ❑Holding Tank ❑ In-Ground Pressure ❑Mound Lot,5 NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE Ronald Orf Rural Route, Somerset, WI 54025 BENCH MARK(Permanent reference point)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 96008 SEPTIC TANK/HOLDING TANK: MANUFACTURER LIQUID CAPACITY: TANK INLET ELI TANK OUTLET jELEV.. WARNRWELL: LOCKING COVER TL� � PROVIPROVIDED: &o uv� /OO ❑YES NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER ROAD: eUILDING: VE T TO FRESH ALMFEET FR AI❑YES NO ❑YES NO NEgREST DOSING CHAMBER: MANUFACTURER. BEDDING. LIQUID CAPACITY PUMP MODEL PUMP/SIPHON MANUFACTURER. WARNING E LOCKING COVER PROVIDEPROVIDED: OYES ONO ❑YE ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERAT IONAL NJUMBER OF PROPERTY WEJBUILDINGTVENTTO FRESH (DIFFERENCE BETWEEN FEET 1wROM LINE AIR INLET: PUMP ON AND OFF) DYES ❑NO N$aAREST' SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until MAIN, the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WIDTH: LENGTH NO.OF DISTR.PIPE SPACING. COVER INSIDE DIA.. #PITS. LIQUID EI( H if TRENCHES M RIAL: }I DEPTH: GRAVEL DEPTH FILL DEPTH DISTR PIPE DISTR PIPE DISTR.PIPE MATERIAL NO. TR N " �'. PROPERTY WELL-. BUILDING: VENT TO FRESH BELOW PIPES- / ABOVE COV ELEV LET E V. NO. PIPE I' ET LIN AIR INLET: a�,d3 7 2 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. ❑YES NO SOIL COVER TEXTURE PERMANENT MARKERS: OBSERVATION WELLS EY E S ONO : Y ES E NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED SEEDED: MULCHED. CENTER: EDGES. ❑YES El NO 1:1 YES ONO El YES ONO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH: LENGTH. NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER: nE TRENCHES: Ot to'' MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING ELEV.: ELEV: DIA.. ELEV.: PIPES: D A.: m _, VAjrtc A VERTICAL LIFT CORRESPONDS TO APPROVED FiRlVFJ0.°I#ICl�! HOLE SIZE HOLE SPACING: DRILLED CORRECTLY COVER MATERIAL �"'A PLANS: OYES El NO DYES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: AtR PROPERTY WELL: BUILDING: FPM. LINE: OYES El NO DYES ❑NO Sketch System on Retain in county file for audit. Reverse Side. TITLE: SIG DILHR SBD 6710(R.01/82) Zoning Administrator INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT, APPLICATION J 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 wherieve'r•necessary, usuaily every 2 I.o 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. Prcperty owner's name and mailing address. Provide the legal description where the system is to be installed; Il. 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% 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 atef included the creation of surcharges (fees) for a number of regulated practices which wilco #Ws can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reaute 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- t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) SANITARY PERMIT APPLICATION COUNTY (Z140 ILHR In accord with ILHR 83.05,Wis.Adm.Code , CRo 1 X STATEa,ANIT RY 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 1111 NO PROPE Y OWNER PROPERTY L CATION JIX '/a A1#1'/4, T , N, R E(o PROP OWNER'S MAILING ADDRESS LOT NU BER BLOCK N BER SUBDIVI ION NAME CI Y,STATE ZIP CODE PHONE NUMBER CITY r NEARES ROAD,LAKE OR LANDMARK TOWN❑ VILLAGE: � II. TYPE OF BUILDING OR USE SERVED: IPQ/LG ILO. G �UZo? Number of Bedrooms if 1 or 2 Family. _ OR ❑ Public(Specify): 111. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. El New b.VM 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 Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. X Seepage Bed b. ❑seepage Trench c. ❑See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Min tes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): / EN Private EU Private ❑Joint ❑ Public VI. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Se tic Tank or Holdin Tank Lift Pump Tank/Si)hon Chamber "+�_. ❑ 1 ❑ ❑ ❑ I Li VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plu er' Name(Pri t):- Plumber' Sig ture: No S m s) MP/MPRSW No.: Business Phone Num er: um is Address( tree t,City,S e,Zip Code): Name of Designer: v J VII. SOIL TEST INFORMATION Certi'ed S it Tester T)Name CST# 7 S CST'- DRESS(St et,City,State,Zip Code) Phone Number: IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sa dary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) 5Approved ❑ Owner Given Initial I ,,,qq ,,�ate\\ CS jch rge Fee'\ �/ �7 �- I Adverse Determination " y �V I —�/ ' � '� X. CO MENTS/RE ONS FOR DISAPPROVAL: 1 h P u 14 w .,ol b yf SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber t 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, ("sped 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 Location of Property Section , T< �N-R W Township . <<�' Nailing Address nn Address of Site Subdivision Name : Lot Number Previous Owner of Property 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 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 CERTIFICATION I (We) centti6y that att statements on this 60nm ake tAue to the but o6 my (ouA) hnow.tedge; that I (we) am (ane) the owners) 06 the pnopehty descA bed in this .in6o4mation 604m, by vi tue o6 a wa4Aanty deed aeconded in the 066ice 06 the County Regi4teA o6 Veed6 az Vocument No. , and that I (We) pnesentty own the pnoposed site bon the sewage dkzpos sy�• (0n I (we) have obtained an easement, to nun with the above deacnibed pnopenty, bon the construction o6 said system, and the dame has been duty recorded in the 066tce o6 the County Register o6 Heeds, as Vocument No. ) SIGNATYRE P OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE kGNED DATE SIGNED A Form W 2d9LM: tlUIT CLAIM DEED Minnesota Uniform conveyancing Blanks(1978) Miller Davis Co. Minneamlis r �,..,..ri.._..�.< .. W..a.., _.•.... ._... ... ,.. __. _ . , 111 "•irelr<ividual{s1 to Joint 7' is .. _ s i 1 ate, ZPA14 + s I No deliriquent taxes and transfer entered;Certificate of Real Estate Value ( ) filed ( ) not required K*fSTBZS OFRCE Certificate of Real Estate Value No. ST. CROIX CO,, WI$„ ry r l NK'd. for Record this 1 doy of Sept. A.D. 19 26 County Auditor r 8 A M+ a by l•owar of Dowe Deputy STATE DEED TAX DUE HEREON: 1 date: `Aujaust 19 , 19 86 (reserved for recording data) } FOR VALUABLE CONSIDERATION, William A. Orf and Della L. Orf. M b nd and wife Grantor(s), (marital status) here 1p convey(r4 and quitclaim O to Ronald V Orf and Sandra L Orf Grantees as joint tenants,real property in _ S t Croix _County, escribed as follows: s 'ghat certain parcel of land located in Government Lot 5 (being part if; the North 1/2 of the Northwest 1/4) of Section 26 , Township 30 North, , Range 19 West, Town of St. Joseph, St. Croix County, Wisconsin, more fully described as follows: .t Commencing'.at the Northwest corner ' of said Section 26 , thence go due East (assumed bearing) along the North line of said Section 26 a distance of 769 . 13 feet to the Point of Beginning of "the parcel to be herein described; thence S. 10 038130" E. a distance of 101 . 75 feet; thence East a distance of 682.00 feet } to the meander line of the West shore of Bass Lake; thence N 33 000'50" E. along said meander line a distance of 119. 25 feet to 'the Not+t;h line of said Section 26 ; thence due West along said the above described parcel beincr subject to easement for ingress CONTINUED ON BACK (if more space is needed,continue on back) together with'all hereditaments and appurtenances belonging thereto. William A. Orf T The consideration for this Deed is less than $1,000.00. - STATE OF MINNESOTA Della L. Orf_ SS COUNTY OF DAKOTA The foregoing instrument was acknowledged before me this 19th day of August - 19_L(2_9 William A. Orf and Della L. Orf, husband and wife Z , Gran (s). NOTARIAL.STAMP OR SEAL(OR OTHER TITLE OR RANK) _.. .; • SIGNATURE OF PERSOICTAKING ACKNOWLEW9PENT VANCE S.GitANNIS,JR. - r K==A Tax Statements for the real property described In this trument should t1(��AAY R�I�LIC'+M�N _ __ be sent to(Include name and a<ddreas of Grantee): uaiaMr Ronald V. Orf Sandra L. Orf 107 - 20th Ave. No. '�FIS23V# ll� il "11Ie1tSTRtBY(NAMEANAApDRRSS): South 5t. Paul , MN 55075 ) ; t Gr 1h sr. 'r, nn s,.; Far ell &� 1 .�D3"_..Nor r,p�s;t 13ahk Bldg. l l"No, �bncord Ekchange ( I .Pauf, MN 55075 .., J F.. ark, egress over °the' Westerly 33 feet thereof Together with an ° easement, for ingress and egress to the above described parcel being '33 feet' in width and running from the West line of the above described parcel along and across the North 33 feet of th Weft 775.'33 feet of the Northwest 1/4 of the Northwest 1/4 sect"on,°26 'and the North 33 feet of the Northeast 1/4 of the Z. �� Nditheast 1/4 of Section 27 , T. 30 N. , R. 19 W. 'porpr of this Deed is to extinguish the Life Estate r�tac` to the Grantors in that certain Warranty Deed datFld 5�tembr, 27, 1978 and recorded September 28 1978 in Book 582 :.-.pages 30-31 , and recorded as instrument_ No. -352025• s i � f4 i 1 A, r' s y ,i Y ! lIQ + i # a # i pt pp > U Sits° 4 #t,4P P x +, ;ta✓° t f! rF1�o Yf k T � c 'fyi�k t x R i 1 x v a �+ CEHM IED SURVEY MkP CLAMiCE ORF Part of Government Lot 5 in Section 26, Township 30 North, Range 19 West, Town of St. Joseph, St. Croix Cowity, Wisconsin. I W012.T14WC.ST Cott. SEC. Z6-30-'19 0:ot)"o 21, trzo" PIPE IN PLAGCJ „1 � N. LIwiE SEG z,(o � ti 132 t \\\ ouc CAST - WtE ST 76!*. -760 1 io V ~' 1 G O to LOT ` ,�, GowIVEY. O ,0/ 33 EASEM M-T 2 ��� SASS I 1 596.48 35.52- t EAST ra82. 00 1 - LAKE v 1.19' Bearings referenced to the North line of Sec.26-30-19 assumed due East. SGAL.E: 1"= iJd o Indicates 1" x 30t1 iron pipe stake weighing 1.13 lbs/ft. set. Description: That certain parcel of land located in Government Lot 5 (being part of the North 1/2 of the Northwest 1/4) of Section 26, Township 30 North, Range 19 West, Town of St. Joseph, St. Croix County, Wisconsin, more fully described as follows; Counneacink- at the Northwest corner of said Section 26, thence ao due East (assumed bearing) alone; the North line of said Section 26 a distance of 769.13 feet to the Point of Beginning of the parcel to be herein described.; t hence S 100 1181 ",011 E a distance n f 101.75.75 -feet; t1•-rice _r_as± 1 d t n"Pa of 662.00 feet to the meander line of the West shore of Pass Lake; thence N 330 00' 50" E along sa:i.d meander line a distance of 1.19 feet; thence departing said meander line go due West a di.stanco of 85.52 feet; thonce due North a distance of 99.00 feet to the North line of said Section 26; thence due West alone said North line a distance of 615.26 feet to the Point of Beginning, the above described parcel being subject to easement; for ingress and egress over the Westerly 33 feet thereof; Together with an easement for ingress and egress to the above described parcel being 33 feet in width and running from the West line of the above described parcel along and across the North 33 feet of the West 775.33 feet of the Northwest 1/LL of the Northwest 1/4 of Section 2-6 and the North 33 feet of the Northeast 1/4 of the Noftheast 1/4 of Section 27, T 30 N, it 19 W. State of Wisconsin j County of St. Croix) I, James L. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owner, Clarence Orf, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236 of Wisconsin Statutes, and the Ordinances of St. Croix County; and that the above description and map are a true and correct representation thereof. , Dated: 2 September 1977 ' / James L. Murphy Registered Land Surveyor .ra��atilm u 1 t n►rrnn�;,, a g ON Page � " c G O Vol. �� .,, .,,•s/ ;;� Certified Survey Maps -4..--** •!L St. Croix County Records JAMES L. St. Croix County, Wisconsin •w MORPHY - �—� led T—e o�a� �9 `I� S�(� 1 0 4 2 rp Q u Gi �`, rr Cam_ F'• ••S�j• ��� CMT fFIED SURV'&Y ,iL1P CLAR..G'NCE ORF Part of Government Lot y in Section 26, Township 30 !forth, Range 19 'Rest, Town of St. Josenh, St. Croix County, Wisconsin. 9oR'rHw1_5T Coot. Sec 26,T3oI 9I 19 N1 t (Fou1vD Z'• MO-4 PIPE IN FLAGE) 10 y yll '� �III W t ST ro82 .C�O ?�• .. ► �4 n" N -33,00 ',J E 1 9• LIL'1 '9G; 47.01 O•. 1 NI f �1 ml► LOT A N 1 o ASS • In .33 EASE MENT 1 M ov A1L L Nj . 1 0 ► z ° 1 V`Ir.ST 5f�9.94 z1 ' p •- -- Z- OTC+ A � ► 4d 27. 4j s Ili J C ot ,� Q �.` _► iL 1 L o-r 6 ° ^' W N M! _N RO°1$ SS"W 446.51 Ise oa WEST 709. 1!c ._;0 _�O 00 W t(1 t131.32 IS''E 95.77' m Iv Q a} 3 1 UT C 2Sti o9' ° We sir G97 98 15C I" - zoo' O 1 N11 44},�'" . �1 LOT D oo --Indicater, 1" x 30t1 iron O S pipe stake weighing 1.13 lb/ft �1 X30 set in place. 11\fl0 2243• bo\�\ E x"s-r 91 12-80 St-it•e. of Wi scans_n ; County of -it. Croix) I, James L. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owner, Clarence Orf, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236 of Wisconsin Statutes and the St. Croix, Country 0niinance3; and that the map and description shoim hereon are a true and eorract represeritation thereof. a`•►`lnle' 1J�!1!;�;,. Dated: 2 September 1977 James L. Mur AVr Vol. _Pare_ _ Remistered Land Survey4l � ' . Certified Survey Maps f St. Croix County Records - ;c,` S 1 0 4 2 St. Croix County, Wisconsin (See reverse for description` %< c(Z) �•;,t� H z En H 9 ST C - 105 r 9 H SEPTIC TANK MAINTENANCE AGREEMENT 0 0 St . Croix County z v a H OWNER/BUYER -2-94 zz ROUTE/BOX NUMBER / Fire Number Ad2 — .CITY/STATEi,,��StT t� „� ZIP PROPERTY LOCATION:�_!%, & _14, Section T _N, R_/_? -W, Town of ? 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 m� 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. H 0 E I/WE, the undersigned , have read the above requirements and agree N to maintain the private sewage disposal system in accordance with H 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 with n 30 days of the three year expiration date . IGN DATE 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 . ' R INSTRUCTIONS TIONS FOR COMPLETING FORM 115 - SI3O - 6335 To be a complete and accurate soil test,your report mast 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 replacerrtent 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 sheet may be used if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; 0. Complete all appropriate boxes as to dates, naries,addresses,flood plain data, percolation test exemp- ti i1 appropriate, 10. If the informat_iora (stac.h as flood plain,elevation)does not apply, place N.A.in the appropriate box; 11. Sinn the'form and place your current address and your certification (lumber; 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 Sail Separates and Textures Other Symbols st w Stone (,over 10"r) BR — Be drock rob Ct;t bh- 13- 10") SS — Sand tone gr — Gravid ,undEur 3 1 LS Lit€aestoie "s — Sand HGW — nigh Groundwater cs coar e-Saar# Perc; Pi t olation Rate n,ff', ; .__ kl odium Sand l; -- I'me Sand Bldca _. [3utltlinit it -- Loamy Sand, -_.. {,treater" Thatl si Sandy Lcran-,, Less Than Loam Bn Bror.n sil ._ Silt Lo�arat t?I Black Silt G C ;ay C" c h2 y Loan,, `r' -- y ;110vv c,c! Sandy Clay L.oarn R _._ Ped ,-,i Silty Clay Learn mot - MoUd s sc_ Sanely Clay wi' -- vk"ith scz — Silty Clay fff few,fine, faint C' G?iiy cc — c;orrrmora,coarse, t°, Peat m,r — M,'11ry, n""dium r--0 — Ithuc:k d -- distinct p — promine=nt HUTA'f- — High �:vjtvr level, Six general soil textures si;rface water for liquid waste disposal ECM Bench Mark V13P 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 recquest verification of this soil test ire the fick] prior to permit issuance. A complete set of {Mans for the private sev,vage system and a permit application must be submitted to the appropriate local authority in order to obui n a perrnit. The sanitary permit natrsl be ohtained and pasted prior to the start of any construction, DEPARTMENT OF SAFETY& BUILDINGS INDVSTRY,' REPORT ON SOIL BORINGS AND DIVISION LABO'i AND. PERCOLATION TESTS (115) MADISON WI 53707 'HUMAN RELATIONS (H63.09(1)& Chapter 145.045) LOCATION: SECTION: T N�SHIP/MU : SUBD . NAME: Ali a '/ / N/R (o COU TY: R'S BUYER' NAME: MA I G AD R SS: USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIA ESCRIPTION: PROFILE D SCR PTIONS: ERCOLATION TESTS: Residence ❑New [Replace _ r�7 's-/.2 2 7 , RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUNDPRESSU RE: SYST M-IN-FILCH LDI G TANK:RECOMMENDE SYS M:(optional) s ❑u Zsau ®s ❑u ES 7U osZu - If Percolation Tests are NOT require DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b),indicate: Floodplain,indicate Floodplain elevation: y/ PROFILE DESCRIPTIONS •45 BORINGI TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER IDEPTHifl, ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- Z 7 - B- B- - B- - B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER IfdeHC-S. AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD PER PER1012 3 PER INCH P- P- 7 P- 3 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 t J f - i 1 ( j �._ _. j E t ! 3 €- _ - -... r- F i j r i [ 7 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 rin TESTS WERE COMPLETED ON: ADDR CERTIFICATION NUMBER: PHONE NUMBER(optional): 7 CSYIG T E:QI DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) OVER — ♦ y � ,5 i 4 Jm a . ••�Y PAGE OF CrUSS S �c � ton pY � IJei� 5�� 5 �en-} Fresh Air Inlets And Observation Pipe Approved Vent Cap Minimum 12"Above Final Grade 20-42"Above Pipe _4"Cast Iron To Final Grade Vent Pipe Marsh Hay Or Synthetic Covering Min 2"Aggregate Over Pipe Distribution —Tee Pips — 0 0 0 0 0 i 6"Aggregate o Perforated Pips Below BeneotIt Pipe o _Coupling Terminating At Bottom Of System SOIL FILL DISTRIBUTI0" PIPE APPROVED S4MNETIC COVER �,. "" MA-rf \- OP 9�� OF STRAW Z"OF A6GREGATf< -�� �/ R MARSH HAy 0 o�P toy OF 12 -2i>z AGGREGATE ?8 \\ 'LLEV, 0F1,04FEI:T 9� J { DISTRISJTI(JIJ PIPE TO BE AT LEAST IUCHES BELOW ORIGIUAL GRADE A►JIU AT LEASTZO IUCHES BUT AIO MORE THA J 42 IKICHES BELOW FINAL GRADE t Im OM OKI&OVAL 6RAD€ WILL BE Sl L___ IMCHES MAXIMUM ®�Pr►i of EX RVAT ►� FR MINIMUM! ®rPTM of E'ACAVATIOM fRoM, 04 ►�tbAf` TAD€ W►LL BE � iNCIIEs i SIGA.IEO: i LICE►USE AJUMBER: � DAT E : i�"- a ��o