Loading...
HomeMy WebLinkAbout030-1097-95-000 o m ° M y O O N a � rn h .N O O N N H (D N a E t3 0 t U i C d � a C I O N G Z O U. c O O O O N 3 � � a 0w 3 `e) Z y rn w £ °o z m C,4 a m c 0 E t9 0 O Z :t /j H N Z c E -2 m fp r� � N C1 O) Z E C •^l I a (n L O O O O z m z N 0 ' Z \l O C .+ C O ! ° N d O O D d m h w Q o to (A U) U) D Z cc•►� oaaa N a o m T- 00 to J U rn O z m o o y 0 U co CA� ° .- m N D d o U) m rn d Q } cn 0 o oo c Z uyi c cl LO L6 _ ° TC M L O C O N W O N G O O d 5 COO co I � °' E =_ L O U •!O co co N fn m a) O Z I-O Cn l t a a CL£ v c r A vam 0U) LO) Parcel #: 030-1097-95-000 02/23/2005 04:28 PM PAGE 1 OF 1 Alt. Parcel M 32.30.19.355G 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 DAVID&LORRAINE DAHLQUIST DAHLQUIST, DAVID&LORRAINE 1209 52ND ST HUDSON WI 54016 Districts: SC=School SP=Special Property Address(es): '=Primary Type Dist# Description ' 1209 52ND ST SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: .040 Plat: N/A-NOT AVAILABLE SEC 32 T30N R19 SE SE LOT 1 OF CSM 1/97 Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 32-30N-19W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 9321111 07/23/1997 761/516 07/23/1997 736/35 2004 SUMMARY Bill M Fair Market Value: Assessed with: 5636 241,500 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.040 100,100 137,500 237,600 NO Totals for 2004: General Property 5.040 100,100 137,500 237,600 Woodland 0.000 0 0 Totals for 2003: General Property 5.040 58,600 116,400 175,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 215 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 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.*# 16747/01 PAGE 1 ST, CROIX COUNTY REPORT DATE! 1/17/92 COURTHOUSE BATE RECEIVED*# 1/15/92 HUDSON, WI 54016 ATTN*# THIS C. NELSON OWNERS Larry Barfknecht LOCATIONS 1209- St., Hudson COLLECTOR! Mi. Jenkins DATE COLLECTED: 1-14-92 TIME COLLECTED*# 3*#45pm SOURCE OF SAMPLES Kitchen faucet DATE ANALYZEDS1-15-92 TIDE ANALYZED 2200pm COLIFORMI*# 0 /100 m1 INTERPRETATIONS Bacteriologically SAFE NITRATE-NS 2 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. Coliform Bacteria/100 ml Nitrate-Nitrogen, mg/L � 9 Tai 9 3 ✓� s LAB TECHNICIANS Pan Gane yam.\NOEPENpt�i WI Approved Lab No. 19 t Means "LESS THAN" Detectable Level Approved by*# ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 ✓y ST. CROIX COUNTY ZONING OFFICE y� 911 4th Street Hudson, WI 54016 1 �(° Telephone - (715)386-4680 1 G; `The St. Croix Co. Zoning Office offers the service of septic and water inspection to Lending Institution, Realty Firms , and private individuals. COMPLETION OF THIS FORM IS ESSENTIAL SO THAT THE PROPERTY CAN BE LOCATED. Please provide the following information, enclose appropriate fee made payable to ST. CROIX CO. ZONING, 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:$ 25.00_ (For nitrates and coliform bacteria) WATER TESTING--------------------------------FEE:$175.00 (VOC'S) SEPTIC SYSTEM INSPECTION---------------------FEE:$ 25.00 PROPERTY OWNERS NAME: I..,ogrcy echo' PROPERTY OWNERS ADDRESS: _12-0 07 $Z✓i J 5�.CITY: 4 LA d-bo n Legal Description SC-- 1/4, 5 _1/4, Sec. , T_3 N-R��W, Town of s�.�� nRe�a'fiy�sign?�*-6'No.���bdi/o�7 n FIRE NO. 20 K BOX NO. ' 4 V- (Z o-- QV '�"Color of house o� Fi.rm: p_D/rv,g� T't/ PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP, i.e. , , COPY OF PLAT BOOK, 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 requesting services:_ "t g 12e41/�. Telephone No. -v� -�L3� F,+- ;7/3-- an-/5072- REPORT TO BE SENT TO: err 70o zild 5l.. CLOSING DATE:- 2 Signature: .p ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST.CROIX COUNTY COURTHOUSE ' - 911 FOURTH STREET • HUDSON,WI 54016 - (715)386-4680 Jan. 15, 1992 Terry LaPlante Edina Realty 700 2nd St. Hudson, WI, 54016 Dear Mr. LaPlante: An inspection of the septic system on the property of Larry Barfknecht, located at 1209 52nd St. , Hudson, WI was conducted on Jan. 15, 1992. At the same time a water sample was obtained for testing. The results of that test will be sent to you as soon as we receive them back from 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. i�cerely, Mary -a?�Jenkins Assistant Zoning Administrator cj PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon nufact�rer: Pump Size Elevation of inlet: ! Bottom, o tank elevation: Pump off switch elevation: i G 119 r', cycle: Alarm Manufacturer: larm witc Type: Number of feet from nearest p operty i e: Front, Side, O Rear,0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Ye s Trench: f Width: /Z Length: 5'Z Number of Lines: 2 Area Built: to Z-"I' Fill depth to top of pipe: '211 Number of feet from nearest property line: Front, ®Side, O Rear,O Ft . 7 7 Number of feet from well: 80 Number of feet from building: !o S/ (Include distances on plot plan). SEEPAGE PIT, - Size: Number of pit i meter: Liquid depth: Botto of see age p' levation: Area Built: � Has either a drop box O or dist ibuti n ox O een ised on any of the above soil absorbtion sytems? (Check one) . HOLDING TANK Manufacturer: Capacity: Number of rings used: heetr i n of botto of tank: Elevation of inlet: Number of feet from neareine: o t, O Side, O Rear, OFt. Number well: Number of fding Number of feet from nearest road: Alarm Manufacturer: Inspector: l/ Dated: 12 —Z -97 Plumber on job: License Number: C1,6Z9 3/84:mj Form - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER .L4f� e TOWNSHIP S'�", yose P� SEC. _?Z T 30 N-R /9 W ADDRESS Rj�, ST. CROIX COUNTY, WISCONSIN SUBDIVISION /�/� S OT LOT SIZE 104 J ley PLAN VIEW Distances and dimensions to meet requirements of I•ZHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM No 1�o us e l C b'ara�e 0 �\ FF E B 2 31988 I /5 �. "� ST CROIX Z7N, OFIFICE •$encl, `f � ve of Mpg C'T. l I � INDICATE NORTH ARROW S2 St: 1 BENCHMARK: Describe the vertical reference point used �.�c% mp�7� ,S //� O Op ron Elevation of vertical reference point: /00.0' Proposed slope at site: 2 °70 SEPTIC TANK: Manufacturer: eded j Liquid Capacity: /ODO a/ i Number of rings used: IJJV Tank manhole cover elevation: /00•Z 7 Tank Inlet Elevation: Tank Outlet Elevation: 91?1 fi b' Number of feet from nearest Road: Front,O Side @ Rear, 0 /� feet pp i From nearest property line Front, Side,0 Rear,O Ofd feet Number of feet from: well 5/0/ , building: 1�e (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 LAP.OR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MADISON,WI 53707 �c,��. SE% "-SEA S32 T30N-R19W nCONVENTIONAL El ALTERNATIVE State Plan l.D.Number: � �� � (lf assigned) Town of St. Joseph ❑Holding Tank E3 In-Ground Pressure ❑Mound 52nd Street NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Larry Barfknecht Rotue 2, Box 53-D, New Richmond WI 54017 01�"�7 �•O0 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. Dale E. Hudson 6629 St. Croix 959$4 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LAB L LOCKING COVER PROVIDED: PROVIDED: DYES 0 O [—]YES ❑NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD PROPERTY WELL: BUILDING: VENT TO FRESH ALARM FEET FROM LINE: AIR INLET ❑YES ONO ❑YES ONO NEAREST DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: 1PUMP M ODEL. PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO EYES ❑NO DYES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET. PUMP ON AND OFF) DYES 1:1 NO NEAREST 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 FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: LENGTH: NO.OF DISTR.PIPE SPACING: COVER =PIT INSIDE DIA. SPITS. LIOUID BED/TRENCH ( ^ r TRENCHES MATERIAL: DEPTH DIMENSIONS \{_ J GRAVEL DEPTH FILL DEPTH DISTR.PIP DISTR.PIPE DISTR.PIPE MATERIAL. NO.DISTR. NUMBER OF PROPERTY WELL. BUILDING: V N7 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- ❑YES ❑ meets the criteria for medium sand. TIONS MEASURED. NO OIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS DYES ❑NO ❑YES 1-1 NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED SEEDED MULCHED. CENTER. EDGES. DYES ❑NO 1:1 YES ONO DYES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH TRENCHES: LATERAL SPACING GRAVEL DEPTH BELOW P11 FILL DEPTH ABOVE COVER DIMENSIONS MANIFOLD PUMP MANIFOLD DI STIR.PIPE MANIFOLD MATERIAL. NO.DISTR ID ISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING ELEVATION AND ELEV: ELEV: DIA.. ELEV.. PIPES DIA.: DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING: DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS 70 APPROVED PLANS DYES El NO 1-1 YES NO COMMENTS I / PERMANENT MARKERS: OBSERVATION WELLS NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE: ❑YES ❑NO I DYES 1:1 NO NEAREST v � T QS 71 Sketch System on Retain in county file for audi . Reverse Side. TITLE. DILHR SBD 6710(R.01/82) 777 Zoning Administrator INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: • 1. This sanitary permit is valid for two (2) years; 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable; 3. All revisions to this permit must be approved by the permit issuing authority. A new permit may be needed 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 owners 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 8'/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form. ---------------------------------------------------------------------------------------------------------------------------------------------------------- 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 agar-- included the creation of surcharges (fees) for a number of regulated practices which Wisco ih`5 can effect groundwater. The surcharge took effect on July 1, 1984 All of the water that buried rea sure is used in your building is returned tc the groundwater through your soil absorption u system or the disposal site used by your holding tank pumper. The. r-nonies 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 -ate gr-urdwater contamination; investigations and estnbli=! r r ?t cs sta dads. Ground Avata 's �;,cnti; protecting- ;, D-6398 ;8.03/36) 1 SANITARY PERMIT APPLICATION COUNTY L DILHF� ' In accord with ILHR 83.05,Wis.Adm.Code 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 1:1 YES JA NO PROPERTY OWNER PROPERTY LOCATION Ze?✓,-y -RQ �° �- 4 %, s32 T30, N, R f9 (o PROPERTY OWN 'S MAILING ADDRESS LOT NUMBER I BLOCK NUMBER SUBDIVISION NAME CITY,STATE ZIP CODE PHONE NUMBER CITY ) NEAREST ROAD,L E OR LANDMARK G�iJ7C�Cf?s710/l�l.�✓�i S��{7 ❑_VILLAGE : �O c/oSG' 57 N! II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in##1. Check##2,3 or 4,if applicable) 1. a..® New 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 OFF SYSTEM: (Check only one in##1 and only one in##2) 1. a.1 r 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. 20 seepage Bed b. ❑seepage Trench c. ❑ See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 14. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): '/ ��"� �Q Feet Private ❑Joint ❑ Public �.� CAPACITY VI. TANK in allons Total ##of Prefab. Site Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks I Tanks structed Septic Tank or Holding Tank 00 QDO i_° El I El Lift Pump Tank/Siphon Chamber El ❑ I I I ❑ I ❑ FF- VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumber's Signature:(No Stamps) MP/MPRSW No.: Business Phone Number: Plumber's Address(Street,City,State,Zip Code): Name of Designer: I g zo / ice '574, Q� u>ii'I l/i: VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST# Roxer74 L/L /C Z�/grz. CST's ADDRESS(Street,City,State,Zip Code) f ) �/ Phone Number: /3!.� 0 W e,�z- 70e7_/- �Ga/� mac'// 7�%//� j �O IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater Date Issuing gent Signature(No Stamps) %Approved ❑ Owner Given Initial (� S harge Fee Adverse Determination C � ' (��' b—�:-e? 7// - rzexzl X. COMMENTS/REASONS FOR DISAPPROVAL: nC � (.*--h / `rs 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. / n / Owner of Property Location of Property �� k S It, Section 3 ' , T 2cO N - R W Township _ ----")7' Nailing Address /j/ Reow" J —_D 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 X No Volume _Z�o_ ,� and Page Number as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: 1. Warranty Deed 2. Land Contract 3. • Other recordings filed with the Register of Deeds Office In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing.procees. If the deed description references to a Certified Survey Nap, the the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - PROPERTV OWNER CERTIFICATION I (We) CVLti•6y that ae2 6tatementa on thin 60run ane tkue to the best o6 my (ouiL) knowledge; that I (we) am (arse) the owneh(s) o6 the pnopenty de4cAi.bed in .th.ia .in6onmattion 6onm, by vixtue o6 a wa4Aa.nty deed neeorcded in the 066.ice o6 the .County RegiAteA 06 Deeds a6 Document No. ,�Z ; and that I (we) pneaent.ty own the plopoaed site bon the sewage pos ays.tem (orL I (we) have obtained an mement, to Aun with the above de cAi.bed p4openty, bon the conbttuetion o6 aai.d ays.tem, and the same has been duty kecokded in the 066.ice 06 the County Reg.ca.ten 06 Deeds, as Document No. ) SIGNAT OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)If DATE SIGNED DATE SIGNED A . .......w..,... .. i - ....... . ....... i... ....N. ka�� s.�*' .. .... r. .. ................... ......... .......... .. ;�. GA a.mil . t , .....,. .. u; y, •• . n ..... –�_. '{'I ....................... ............ .............w... WOW.�..�.To.r� ...�.. .. •P. Wrwit ►ins 488a bd red "to"ie.,..S. .e... .x6t . .......................i # MOM of Ximamels: Tess l014 Jim= s. Lot 1, Certified Survey Map recorded at the Register of Deeds office for St Croix County on March 26, 1975 in fi Volume 1, Page 97, as Document Number 326101. r 4_­ V v�{ i XtQ.�........... hmsatem property. JUBEF go to Subject to easements, reservations and restrictions of records 24th day .... .- . ..--., Da"d this .. ........ ............... .... ......... day of ..-._... '. i-.... .. #- t•ri d i._ ! ,4 . .. . LORENZ .......... ........ .................... ........... . .. M .. ........ ....(SEAL) JA.RENZ . ... ..a.. ... ...... .......•......................................... .. ............ . .MARY # AUT=SItTICATION AC=NOW LSDOWBUT y 4 { Al Siphtara(s) .f.2 STATE OF WISCONSIN ss. ............ ............................... St....Cr ........ .......o ..........Ceuab. this .. ...... 1p_$6 Perso•ally camas before mss thr .. 24th s low Noyembgr•................ IS$6 t� ."' .Timothy..M•=•-•i'Qrgr► .� ST.EPHEN..,1�...A17 .................................. ..------•--•••-•••-•--••-•-•-•--.......... ............. TIT X KMMZR STATE BAR OF WISCONSIN ;�y'�'��,.�.,.,.............•............ . _._..._...---•--•._.... --.... .......................................... ... .. to me known to be the person .2 ., fonmoina instrument and aawwkdpe Tula lisom mew WAS onArmo SY i 1� c It t (' .f t z c.tt'• RT'E H .. _.... :. EN J DTTNLAP . ..... .. � • {:r I f I r 1 LC, . ..]I,i l i i �.-i<r l(�1 1.'t . .- Jitidson� Wisconsin Notary Public ...St.---Croix r * My Commission is permanent.(it ask stab t W be anthanticated or aekaawledsed. Both - arl •) date: .. . . .......................... 1! ` �'s'il<is1M N p=pW.iplag is aa7 esme•f4 should be typed or Printed below tUrir signatures. ra. -, rTwss 2"a WINCOUM Air- � mwiamm tr., s—tssg H ' fn H a ST C ' 105 r r , a H SEPTIC TANK MAINTENANCE AGREEMENT 0 St . Croix County z d D 7k OWNER/BUYER •Lq�,' y tp G/C�i'/cYc� ,L ?rl'�;Ier i ROUTE/BOX NUMBER _5!? --D Fire Number CITY/STATE /F/� �C ,rY(/i'�?'� 1��j✓• ZIP 7 PROPERTY LOCATION:_51C 14, 51- Section 3`2 T ,.3e9 N , R. �2 _W, Town of -.;/:: , / S&P, St . Croix County , Subdivision X/ P,e, 7 7 Lot number 7 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 i 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. H 0 E I/WE, the undersigned , have read the above requirements and agree to maintain the private sewage disposal system in accordance with x H the standards set forth , herein, as set by the Wisconsin Depart- �a 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 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 . L QaR E �'°� REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS .IfdpUSTt'Y p/� �+ DIVISIQN LABOR AND ���O PERCOLATION TESTS (115 '. MADISON W 53707 HUMAN RE[ATIONS �'p; ` ��, (H63.09(1)& Chapter 145.045) Gd LOCATIO SECTION: TOWNSHIP/MHNhe+PPk+ LOT NO.:B?K�NO: SUBDIVISION AME: s� '1/ : '32"/T,?o HAI E(o s r T os Grp +�— r cs,�r vai �r 97 COUNTY: R NAME: MAI ADDRESS: 57:c�E'A/1( . A,t'�' 1lvGiv9rt- ,i.9x NECAT kT Z. J?o x 573 N�w '�1'c�koN D. •5Vol USE DATES OBSERVATIONS MADE NO BEDRMS.: COMM R AL DE R PTION: (PROF DESCRIPTIONS:IPERCOLATIW TESTS: New ❑Replace NOV :f 4f 1 RATING:S=Site suitable for system `Ua Site unsuitable for system Cj CONVENTIONAL: MOUND.: IN-GROUND-PRESSURE. S STEM-IN-FILL HOLDING TANK]RECOMMENDED SYSTEM:(optional) ey u NS EA ®S ❑u oS au oS ©u e4vT,'-)7; -vf10 If Percolation Tests are NOT required IDESIGN RATE: 'If any portion of the tested area is in the ifs i under s.H63.09(5)(bf f indicates (jLJ¢.f..>" �' Floodplain,indicate Floodplain elevation: /�Qr 1� DCGfw(I{L. FT :, PROFILE DESCRIPTIONS SCs .2 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THIGKNESS,COLOR,TEXTURE,AND DEPTH p . NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIUH-EST TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.). , _cur" 4,e�,r .o 49#e6-. C 5, �' Y S T N • 1,o' owe. s l 3•o ae& CS� G. 0 4AJ UA21 CJS i 46 , .d O ed CSC 7 S' T-w very CS B. • S ' oR�• s T, i G. cs , �� T9u vy;cs ���. 0 cs G-� s 3•is or'� Co•o rr � �' j g > ' c ni z' * , PERCOLATION TESTS FDEPTH-. WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES MBER INCHES AFTERSWELLING INTERVAL-MIN. P RI D 1 PER o P PER INCH ,� L ;Lo-- �. P_ r 1 .P-2,-: .` 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 hor(- '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 �•4 o/G SYSTEM ELEVATION _. - - 4-_ ' I Col _ _ X */ -- I TN r , 1....- i -- _ M f t__X f I. jG� I �� EIS $•. _ , _ I Zoj . a 1 the undersign'ed,'hereby certify that the soil tests reported on this form were made by me in accord with the procedures and method s.specifled in the Wisconsin in)stratwa Code,and that he'data recorded and the location of the tests are correct to the best of my knowledge and belief, print ) r, r TESTS WERE COMPLETED ON: HDMESITE SEPTIC PLUMBING CO. v, wIS.54016 v R00ERT ULIC.N . CERTIFICATION' NUMBER: PHO��NUMI�(optional): r.c .MASTER PLUMBER UC.N0. 3307 M.P.R.S. MINN.INVALLER& CST IGNATURE- iginal,end one copy to Local Authority,Property Owner and Soil Tester. OVER — > r 52 Ald St i a 1 A-MO.Oe v, B 1 - io/•56 r3 2 -140,74 A 136/ B3 t 135 -/o/•s'y Vt p -Denofes Bore f' Pao _PcnAs' A re 1✓oleS 2,M•d- 17enof cs .Bench Mork NAZ 85 �,ar09� DenJeS 12 X 52 S pe Bec O PZ � / o '�j 1 zo���'n• �.�or►� CriTi Ca�S�oPE 3encA /' or i5 /,P of garQ9e o d A pp rove yell + °yoa�; *"'�'� Fi'bre ver/ r Co � 3elT',=(o �c /000cal. yo' Gf1 '-b. v aco Ag9re�at� Q Sept.' � l° : ee;+ '40 /0 / �} Perfo.-otc d P,�e Prop ose 01 douse Sec. 32 s•fe SF� SF yy T30N R19Gd 230 ?Y: B"X s3-D A&'e. 1J -- /Veml �f'Cl,rno>7o� w•�• 5y0I7 //IP66L9 No. C s7- 3,V 13 Nod St y sa . i -/e V, '' t3 2 -/00,76' 136 B3 -/OZ•3y� �3 y - is/•28' 135 -io/•s'y' J . Denotes Bore Poles P*o -z)enoles Are- f✓%S B,N►,d- Denofcs Bench Mary 5 '( B G..Gge .. _ — 'Denjes 12rx 52 Seefop.Bec PZ /� f. ,pJ � �o �J•'n• Ti^or►7 Cri�i CQ�S%�t J l3enc�i ork ;s fP of yaroje ;0° . I alp ,�o� Ayoo/wn. At SS- l ove O ` e w �ni T• y �•^�oa�:,�. � -1,-,h 2"C' fiver /DOOGO Sel r � �i ,b�6pr ed- �`?p 'Qf9re�QfNi CQ/ � f."—', � ® Prop OSC Cif t youse, Sec, 32 s:to sF/ sF yy �3oN R�9GJ Ocv�e r'; �Ar-✓'Y 230�'�'�nec of ��aw n 1�3y BoN S3-D/� Oa.��. Nuo /Veu/ �i�C�i►•►�o�dl �,�• ,5y017 �IP66L9 13