Loading...
HomeMy WebLinkAbout030-2014-90-000 0 ■ 0 ■ -0 0 c E § § k J % 7! E 2 k m � Mi . � 0 [ E ° CD m # S Q « 3 aE 22 . we - w E g 2 , _ , _ � ; 0 P § « I I , £ E , o m@ o § _ ; § 2 a : r 5 t § § / C 0 5 0 / 2 \ 8 « F § 0 a ■ 2 @ > E E a m § 3 E & $ $ � Iwo } k 2 2 E ; F § § m ; o r (A w w � � 9 .. § k § � . 2 / 0 0 0 �_ - § co z I { ] § ■ CO) ■ \ > E \ m / 2 k ° D § 72 J cs 7 E , & CD # � ƒ � / 0 § 7 3 � CD 0) ` D ( § CL ° / k / 7 ` C, § 9 2 � k % i q 2 % � � CD k E § I ] \ / 7 % � E � � & ƒ I G � � \ � § IRE RE � o � ® � [ 0 � q § D o k PUMP CHAMBER 4 Manufacturer: / Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size e. Elevation of inlet: Bottom of tank elevation: J 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: X Width: 6' Len the �U Number of Lines: z Area Built: �d d i Fill depth to top of pipe: -� Number of feet from nearest property line: Front, Q Side, O Rear,0 Ft . c� 3 Number of feet from well: /ao 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 0 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: 9- /� ` F7 Plumber on job: /` License Number: 111` p.S` ✓2 ' 3/84:mj Form — STC — 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC. T N—R W ADDRESS rc, ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM op 6 i � 1 , 00 f it TZ INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: /110 Proposed slope at site: /0,�g SEPTIC TANK: Manufacturer: [�Jc _/C5 Liquid Capacity:_ /lz Number of ,rings used: o? Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,O Side,Q Rear, Q feet From nearest property line Front,0 Side 10 Rear;0 �U feet Number of feet from: well 7,61 , building: �<o (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 f}OX 79$9 P.O. BUREAU OF PLUMBING MAIDISON,tHl 53707 NE/SE of SW/NW of Sec. 36 El CONVENTIONAL El ALTERNATIVE State Plan l.D.Number: (It assigned) T30N—R19W ❑Holding Tank El In-Ground Pressure El Mound Town of St. Joseph Lot 3 NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE. Tom Berg Route 2, Hudson, WI 54016 BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: 11;5T REF.PT,ELEV.: Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Roger Timm i3224 St. Croix 88486 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: 1 (��� �+ 17YES ❑NO ❑YES_,t�N0 BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH C ALARM: FEET FROM Q LIN //� AIR INLET: JS DYES NO I DYES ❑NO NEAREST /" Q DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY. PUMP MODEL. PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: OYES —]NO ❑YES ONO ❑YES ONO GALLONS PER CYCLE: PUMP A.Y FROLS OPERATIONAL: NUMBER OF PROPERTY WELL- BUILDING. VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET. PUMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moistureat the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH LENGTH: NO.OF DISTR.PIPE SPACING. COVER I DIA. #PITS LIQUID BED/TRENCH �^ TRES V }/ M ERIAL: PIT DEPTH DIMENSIONS ,Y(/ GRAVEL DEPTH FILL DEPTH jD'STR.,P'LPF D ISTR.PIPE DISTR.PIPE MATERIAL, NO.DISTR. NUMBER OF PROPERTY WELL. BUI LDING. ENT TO FRESH BELOW PI ES ABOVE COVER. ELEEV. N , ELEV.END: -7 PIPES FEET FROM LINES3 lob AIp LET tf 3 . S g1.43 q$.�v 2 ! Z NEAREST /�s `l1G7� 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. DYES ONO OIL COVER TEXTURE ]PERMANENT MARKERS OBSERVATION WELLS DYES ❑NO ❑YES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED SEEDED 71E D CENTER: EDGES ❑YES ❑NO ❑YES ❑NO ES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH: NO.OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR,PIPE MANIFOLD MATERIAL. ING DISTR.�ISTR. DISTRIBUTION PIPE MATERIAL&MARKING ELEV.. ELEV: DIA.: ELEV.: PIPES ELEVATION AND DISTRIBUTION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION PLANS DYES [:]No PLANS 1:1 NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE: EYES ENO DYES ❑NO NEAREST ID q3 Sketch System on ` in in-co file for audit. -,se Side. 1 2 SIGNATURE: S TITLE. Zoning Administrator J 6710(R.01/82) Thomas C, Nelson INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION R � 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: I. Property owner's name and mailing address. Provide the legal description where the syste n is to be installed; ll. 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'/z x 11 inches must be submitted to tl-e 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 BteC included the creation of surcharges (fees) for a number of regulated practices which Wiscor ns can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried rStlC6 e is used in your building is returned to the groundwater through your soil absorption o system or the disposal site used by your holding tank pumper. a 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) DILHR SANITARY PERMIT APPLICATION COUNN- In accord with ILHR 83.05,Wis.Adm.Code ._�;"�w .o...,.. ....o� 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 NO PROPERTY9.WNER PROPERTY LOCATION M_ IU_ '/4 S '/4, S 3j& T , N, R (or)W PROPERTY OWNER S MAILI ADDRESS NUMB BLOCK NUMBER SUBDIVISIO NAMIt Z /41 tea CITY,STATE ZIP CODE PHONE N ER CITY [ NEAREST ROAD,LAKE OR NDMARK 7�' Ss/6 r s VILLAGE: _T �3 II. TYPE OF BUILDING OR USE SERVED: IA" . • Q U O901 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.�4 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 OF SYSTEM: (Check only one in#1 and only one in#2) 1. a. Conventional b. El Alternative c. El 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. ❑ 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: (Minutes per inch): REQUIRED Square Feet): PROPOSED(Square Feet): Cyr a l 1/.J 0c0 Feet rivate ❑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 Septic Tank or Holding Tank l6G / Ab 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. Plu er's Nam�(Pri ): Plumber's Signature:(No S amps) MP/MPR Business Phone Number: Plum er's Address Street,City,State„Z• Code): Name of De ' ner: Lit 7 /5 r'i�v2.7 hue- VIII. SOIL TEST INFORMATION Certified/S/oil Tester(CST)NN CST# CST's ADD ( eet,City,State,Zip Code) Phone N ber: `T° �1uG G� r� )/ Sara IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) Approved ❑ Owner Given Initial / charge Fee Adverse Determination `d�` 'd X. COMMENTS/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 �h0maz Location of Property E /2 is S L J ;4, Section , T_0 N-R C W � Township ST c p ol-X Mailing Address 2 y 6, t,,)z, �/, nb, Address of Site ati I, ox 3, 3 Subdivision Name .`.,Lot Number Previous Owner of Property _j 01,1n t-C T Total Size of parcel 3 .2-3 Ac✓'Cf 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 and Page Number J-6-3 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) eentiby that aU Atatements on this bonm a&e. true to the but ob my (om) hnowtedge; that 1 (we) am (are) the owner(b) o6 the pnopenty de3 eh ibed in thi6 .inbonmation bonm, by viAtue ob a waAAanty41Z?S)J-eed recorded in the Obbice ob the County Regi6ten ob Deed6 as Document Na, ; and that I (We) pneaentty own the pnopobed site bon the sewage dispoz dyes em (on I (we) have obtained an easement, to nun with the above deaeAibed pnopenty, bon the eonatnucti.on ob eaid bybtem, and the .name has been duty teemded in the Obb.iee ob the County Reg.iaten ob Veedd, as Document No. q 2 ZPJJ- ) . SIGNATURE Olt Om SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE IGNE DATE SIGNED DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1982 THIS Sin RVED FOR RECORDING DATA WARRANTY DEED ii eon 770 pm, �.X35 _ John A. Les a/k/a John II REGISTERS �I This Deed, made between ---John � OFFICE -------Adrian Leys and as John Leys,........................ I ST. CROIX CO.; WIS. ..................................................... .. .. ... •---. 1t R��a• for Record this 27th Grantor, day of Feb b �/4.�'-9 87 and �h0I11�3i5..•L... ........................................................... 0 Pt --- vl 1� ----••-•-----------------------------••----.....---_.._....---......---••--•---.....---•-----•-•--•---• � James O'Connell ..................................................................... . .•---•--••-•-•-••...._, Grantee, I Ma41�d DeNE Witnesseth, That the said Grantor, for a valuable consideration....._ ! II RETURN TO conveys to Grantee the following described real estate in -------- ........ County, State of Wisconsin: Part of the East Half of the Southwest Quarter of Section 36, Township 30 North, Range 19 West, described as Lot 3 Tax Parcel No: ................................... of the Certified Survey Map recorded and filed in the office of the Register of Deeds for St. Croix County, Wisconsin on September 30, 1981 in Volume 4, C.S.M. , Page 1114, Document 41373626, Subject to the private easement over the South 33 feet thereof as shown on said map. Together with a permanent non-exclusive easement to use as an access road and for the installation of utility lines so located as not to interfere with use for road purposes, the 66 foot wide strip of land marked "Private Easement" on said C.S.M. and on the Certified Survey Map recorded and filed in said office of the Register of Deeds on the j same date in Volume 4, C.S.M. , Page 1115, Document 41373627. i r This deed is given in performance of a Land Contract between the parties dated t January 25, 1985 and recorded in the office of the St. Croix County REgister of Deeds on January 25, 1985 in Volume 704, Page 563, Document 41399382. II This deed is subject to the provisions of the Land Contract relating to the cost of maintenance for the private access road and the cost of snowplowing as set out in Lhe above-mentioned Land Contract. Such provisions continue in full force and effect. �( This .....is not of the Grantor. ....................... homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And...John A. Leys a/k/a_ John Adrian Leys and as John Leys ................................................ warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements and protective covenants or restrictions of record as stated above, i and other easements of record, if any, i and will warrant and defend the samr- Dated this ............... .... .__.... day of _.February 19.87........ (SEAL) `. ���/�..`......i.''y41I . -) ........(SEAL) / John A. Leys ........................................................•--•...... •%................................. ............................... �I ------------------------------------------ ..........................(SEAL) ....... ............................................. ..............(SEAL) II !I AUTHENTICATION ACKNOWLEDGMENT I� Signature(s}jo t} A, Leys_ a/k/a.John Adrian._. STATE OF WISCONSIN II Leys and as John Leys ..._._.. ....:.. .................'Febru r--•-•------.._..---- St. Croix ......_... County. authenticated this ........day of...._.......3 y , 19..87 February rally came before me this .. . ....day of -----•. 7 . .... .......... 9...... - he a ove name� .._.. .............. .... John A. .Leys a/kJa .Ton Adr an Leys and ...................................................... I ■ as John Leys II TITLE: MEMBER STATE BAR OF WISCONSIN i -------•........................................................................ (If not, .......................................................... -------•-----•--••......•..----- -•.....................................•--•-- authorized by § 706.06. Wis. Stets.) to me known to be the person ............ who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY lOZ2 r v �i�yy[1�+►^ John D. Heywood, Heywood, Cari & Murray �+'`_"`C.(... . ........................................•................_._.._._........_ , r P. 0. Box 229, Hudson, WI 54016 *1k f� l 0 ,A!L:O r.. S. •-•-••--......_...•------•-•---•...................................•• . Notary Public ............St.-_CTOix------------County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent.(If not, state expiration are not necessary.) date: ................ .. f'.7^.__..li- pds If •Names of persons signing in any capacity eh' printed below their signatures. WARRANTY DEED ATE. RAR OF WISCONSIN Wisconsin Legal Blank Co. Inc. FORM No. I—1982 Milwaukee. Wis. H z H a STC - 105 r r • a • H SEPTIC TANK MAINTENANCE AGREEMENT H St . Croix County z d OWNER/BUYER V /'?Dkn(Z-S T �v ROUTE/BOX NUMBER ► i � 2 06oY Fire N�umber CITY/STATE J4LAJ l� Sy 016 zip J-yol ( PROPERTY LOCATION : ,, SO k, Section, T _10N , R7W, Town of , St . Croix County , Subdivision Lot number 13 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_ y 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 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- *v 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 ;:rZ DATE 3Z3/p 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 . IDEPARTMENT DUS Tl Y, OF REPORT ON SOIL BORINGS AND SAFETY&BUIL INGS INDUSTRY, OI ISION LABOR AND. PERCOLATION TESTS (115) MADISON,ON W 53709 HUMAN RELATIONS (1-163.0911)&Chapter 145.045) LO ATION: SECTION: TOWNSHIP/MUNICIPALITY: OT NO.:BLK NO.: SUBDIVISION NAME: _s /T36N/R/9 j(o ST loSE0/4 G.S. COUNTY: OWNER' B�jY R'S NAME: MA S: I 'Cte lx oM 96 z�6 W,sjcaNS,N ST, N. 1 udson, VI�� USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: ` Residence pp� /v A 4VNew ❑Replace J� /6j,9$$ JULI/ g 5614 RATING:S=Site suitable for system U-Site unsuitable for system 1 Q 'I Q S CCU MOUND:S IN d �� EIS L�V ID-PRESSL)RE:ISYSTEM-IN-FILLIHOL.DING18,NK:IRECOMMENDED ��trN SYSTEWIopt'o+top If Percolation Tests are NOT required DESIGN RATE: �- If any portion of the tested area is in the L under s.H63.09(5)(b),indicate: �L4SS L Floodplain, indicate Floodplain elevation: N A 4LIPf PROFILE DESCRIPTIONS BORING TOTAL P H R U D TER-INCHES HARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND EPTH NUMBER DEPTH W. ELEVATION OBSERV D TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK: v,L /.S -/.8' �'+6* w Cob Cewt B- I 7 4 9q.Z� IoN� > 4 l,a-4,o* '•-s 4:0'-'7A cs /6,e 0- 1.1' ght !.,-2.1 S +6e Z.I=-74&'CS 6e B- Z 7.7 96.27 hank > 7.7 B- 3 R,J /62,07 4014 > `�. t ' o-o.-7 whip- CO-7-r, B-4 -7•3' 47.13 tj 0 e > 7.3� 8- 1,5' $LL 6r_ /,S"7,3` es 6 B- S•v /00.95 NON 7 U 61z /,0=- ,0 CS`f GR R,o'a,p",,e4 S. B- .r PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL—INCH LEVEL-INCHES RATE MIN NUMBER TRASHES AFTERSWISLLING INTERVAL-MIN. PERINC P. >6 Z P- Jr 3. 13 >6 > Z P- , 4 P_ _...: P_ Tk o EP.C. I4UsA$&k kQESPONfl'S O SF<T 1�IrG P- PLOT PLAN: Show loca ions of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what am he hori• zontal and vertical elevat on reference points and show their location on the plot plan. Show the surface elevation at all rings and the direction a percent of land slope. l,(&ST 1 I:E�IGI.i' 9s•00� � 7 EAS.r LOT L/N SYSTEM ELEVATION I=AS-r -rpEniCu- 91'00 L V 2r'oi�m Nui !&'e Gh,�APIFA Tjk NA,L k T ce FL4,(= 16% as lye .9 : { i t , ,osa EL I I 1 tN 1 , i { 4__ t oP-0 Lq-j',C,-7 -0 `� ► CS i _ �� 16V 11elAy t7l Loc.�►O ! __ _ z_ t i ' CF i "i'nr�PWo1�4�l:b�• � { i >Q N L i 14 T r I , M1:M E j -- —+ _f f ^—1 1,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 W wonsin Administrative Code,an&thatthedata rucarded avid the 1=13tionUf NAM print : TESTS WERE COMPLETED ON: i A6 DRESS- CERTIFICATION NUMBER: PHONE NUMBER( ional): CST SI ATURE: DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. i�DILHR-SBD-6395 (R.02/82) -OVER- DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS INDUSTRY, DIVISION LABOR AND. PERCOLATION TESTS (115) P.O.BOX 7969 HUMAN RELATIONS MADISON,WI 53707 (H63.0911)&Chapter 145.045) LOTION: SE TI N: TOWNSHIP/MUNICIPALITY: OT NO.:BLK.NO.: SUBDI VISION NAME- 1/4t COUNTY: OWNER'S-B R'S NAME: MAILING ADDRESS: / `a, �-CPe I ,I bM E IGLU Z66 W 1 ScoNS/N ST, N. 14i I&Sawy VV 1 USE DATES 013SERVATIONS MADE TESTS:.1 NO.BEDRMS.: COMM L DESCRIPTION: J fi�Residence ^/ /J 4VNew ❑Replace I ,ULy /Q'� �$ 3 ULI/ /'�'j,r 9ja S 'FA �/c �aK k6jt- '1`� ^ jc�,Cs FMB - 0,44M1 - RATING:S=Site suitable for system U--Site unsuitable for system ENTI NAL: MOUND: IN-GROUND :S -FILL OL-DING T K:RECOMMENDED SYSTEM:(optional) S ❑U ❑S U S ❑U ❑S ❑U ❑S EU �6NV IIW4 L� 6AOP If Percolation Tests are NOT required DESIGN RATE: - If any portion of the tested area is in the under s.1-163.09(511(b),indicate: �4 q`�S J L Floodplain,indicate Floodplain elevation: r V �1 4L PROFILE DESCRIPTIONS BORING TOTAL P H T R U DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH I1. ELEVATION OBSERV D TO BEDROCK IF OBSERVED EE ABBRV.ON BACK) B- / 7.4 94.2 n(ont� > 74� /.a-A,o' 4.o'-7'4 c s le o- /.r' &L l./-2, ► 5 4•6k z l'--74'cS [tee B- Z 17.7 407 NoNt > 7.7 B- 3 9,1 /02,07 n(onl > `�, l o-o�' $hL whip- a7-?,/" �:s B-4 -7.3' 97,13 0 e > 7,3� B- 8it /•0- ,0� CS MGR R•0"60'r-,C-4 'S .v ioo.95 oN > 8.p 0-1 b B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER V -I S RA U S NUMBER TNC"eS AFTER SWELLING INTERVAL-MIN. PERIOD 1 Pr=R100 2 PERIOD 3 PER INCH P- 1 4-7 ?6 Z P- 3.. 13 >6 > z P. z P_ ts6rL Eke- NUI A R kkEC1F Nt s Iro P- l PLOT PLAN: Show loca ions of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hors- zontal and vertical elevat on reference points and show their location on the lot plan. Show the surface elevation at all borings and the direction and percent of land slope. 1,JrST 1 kuC)i" Q6.00' �i Z z BAST Lc7 LIN B SYSTEM ELE ATION EA4rr -reENcu- 94.66 L 07 k l 2 okjnKG AKE A UJ�? r,�AM 141 t 04 Q 11 N.F . Nth ;. - - L ar io' "l j t AL Mary HcKay l $ 171 L O � Aso a2 IE! LEY z? 0 wn Mtir 1 ( 1 1 `y Y 1 � , c �---f- � aP0 7PERcblaft�i met J ., - `�tTlr uiA'NoNii 1 , Ian 11WJ0.4 L/NLs [ —� 1 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,an"ar-the VataTecu,ded and the a r' • NAME(print); t TESTS WERE COMPLETED ON: ADDR S. r CERTIFICATION NUMBER: PHONE NUMBER(optional): 4�r� X4$4 CST SI ATURE: bo DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. 1),LHR,SBD-6395 (R.02/82) —OVER — INDUSDEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) P:°.BOX 7969 HUMAN RELATIONS ` / MADISON,WI 53707 (H63.09(1)&Chapter 145.045) LNUTI SECTION: TOWNSHIP/MUNICIPALITY: OT NO.:BLK.NO.: SUBDIVISION NAME: sIr I — 36 /T3bN/RtJ( JosEjaN COUNTY: �/ WNER' B 'S NAME: o MA ILING ADDRESS: G.S. I ` ,' C2 I X 1 OM is eU Z06 wl ScatiVN ST, /v. 144sary Vv I USE DATES OBSERVATIONS MADE NO.BEDRMS.: C CIAL DESCRIPTION Residence 3 w/ /1 New ❑Replace 170'FrMDESCRIPTIONg:, � f�'�0,8 JULY Salt &3GK PA<,t .I.� o - 0JV4M14 RATING:S=Site suitable for system Um Site unsuitable for system M . L G�1 1, 141 SYSTEM:(opS DU �S S EIU ISEIS E1U EIS OU G If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the /�/ under s.H63.09(5)(b),indicate: �C 4SS 11 Floodplain,indicate Floodplain elevation: �V H pEL PROFILE DESCRIPTIONS BORING TOTAL DEPTHT GROUP D ATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH frt, ELEVATION OBSERVED TO BEDROCK IF OBSERVED ISEE ABBRV.ON BACK.) ,L /•{''-/,8' S,+Gib w Cola Csrat B- / 7.4 qq.2� 1�(oncrr > 4� /.a=A.o' �-s 4.o'-7'4 c s w/c5 a2 B- Z 1 7.7 907 NaNt > T7` ghl 1-2, 1 S r-G2 z.I=-7$'c5 G� B- 3 4,1 /02,07 14W > �. 1 ' o-o.�' -9 ,L w16k 0.7-�./`� �s 60, 13-4 -7•3� 47,13 0 > 7,3� 0- 1,5' RL cs 6£ B- 8.v /0o.95 NONE O-1 T brc B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER l'P9"+l2S AFTER SWELLING INTERVAL-MIN. PERIOD I PERI PERIOD3 PER INCH P 6 P- b,13 >6 a• P- >Z P- P 7t o 6 +C. NL)Mi$LE � ESPONQS O �L1�g <r MIrG PLOT PLAN: Show loca ions of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances.Describe what are the'hori• zontal and vertical elevat on reference points and show their location on the Iot plan. Show the surface elevation at all rings and the direction end percent of land slope. 1�rST 96 00� v Z z EAST N Lem LI t� SYSTEM ELE ATION EAS-r �>°Ej,U- 9q,66 2r'k1 f _ 9.3.E-_ --M---� NAZI Tf �. 305 ? f � I ; 4• � .�__ _-�_--,�- Ecc = 08 I 1 ( II yr • ' b S�QPE / / l �gnperet !72 g - j i R ' • I i E 1 '� � i i �4 _ _ Z tN (i e `x I Q 0 'PL A101. h ��rol k V' f�G ' � I i ' f � 0 �.- 'rEfle'�l^Ib�lf1. E��• ,,wrw �o-rL� G •?t�iC�uY {dF IAA LaNC3 Pf +k I � 7 l _ _- r�r 1,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 AcImmistrative Code,-an&tharthedata-ra °"`" NAME(print): TESTS WERE COMPLETED ON: ' JUL /S 1� �7'��fE r J o►� -�� ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER optional): 5 CST SI ATURE: bo DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. tD.ILHR-SBD-6395 (R.02/82) —OVER— SURVEYORS CERTIFICATE: I, Allen C. Nyhagen, a. registered Land Surveyor, hereby certify that by the direction of John Leys, I have surveyed, described and mapped the land parcel which is represented by this Certified Survey Map; tha.t the exterior boundary of the land parcel surveyed and mapped is described a.s follows: A part of the NE 1/4 of the SW 114 and the SE 1/4 of the SW 1/4 of ,Section 36, T-30-149 R-19-W, Town of St. Joseph, St. Croix County, Wisconsin, further described as follows: Commencing at the South 1/4 corner of the said .Section 30; thence iV 00 31-27" w along the East line of the SW 1/4, 1212.82 feet to the centerline of a 66 foot private road easement, also being the point of beginning of this description; thence continuing N 00-31-27 W along said Ea.st line of the SW 1/4, 602.81 feet to the beginning of a meander line along the Southerly water's edge of the Willow River; thence S 72=05-4d W, 576.73 feet- thence S 80-3n-48 W, 130.26 feet- thence iV 66-1y-39�rW, 152.73 feet; thence N 56-18-19 W, 129.87 feet; thence S 82-40-21 W, 170.95 feet to the end of said meander line along the Willow River; thence S 0031-27�E, 519.26 feet; thence N 89-25-10 E along the centerline of said private road easement, 1145.00 feet to the point of beginning...............including all lands lying between the meander line herein described and the water's edge of the Willow River, which lies between the true extensions of the Easterly and the Westerly boundary line of the pa.rcel herein described. (Above described parcel is together and subject to a. 66 foot private easement from C.T.H. "E" to the a.bove described parcel, said ea.sement is described on sheet 2 of 2. ) that this Certified Survey Ma.p is a. correct representation of t-he exterior boundary surveyed and described; that I have fully complied with the current provisions of Cha.pter 236.34 Wisconsin Revised .Statutes, a.nd the Land Subdivision Ordinance of the County of St. Croix in surveying and mapping sa.me; Certified this—z4 `day of--Z 19799 at Hudson, Wisconsin. Signed:_oj-u, (,. Allen C. Nyhagen, and urve or '��' .�. Wisconsin Registration No. 1407 4 t=•�'. ow-e! CERTIFICATE OF THE TOWN OF ST. JOSEPH: I, do hereby certify tha.t this Certified Survey Map has n approved by he wn Board of St. Joseph this day of -�'�� 1979. Town Clerk 7 St. Joseph Vol. 4 Page 1114 3 ° I `),TN�O XT 0117 ° Shc��T z Z J --TAP '� , , Z-�3NIl bI rH1lOS ONV H12ON O J /_ _ MITT �r1VrT -.,T�n W M 3Hl ONO-ib M,/Z.IE 000 N 03wnSSV 38V JNI8V36 z M i M� (L O CA M W CA !t1` N ,IB'Z09 M „LZ-,1£-000 N ,18'699 � I M LZ-IE-o 00 N t0 Q OI O H- O O w H N to I in C N O NI N N 1 I_ W 18'16b l M M I ; N tip.' ,18'bZ6 M l£' LL 11 L Z-, 000 N I a M T to p M ti : uj N Q ol I f N w to rw ro N N I Ol ell,;.� r, I0 J M NI N `• � 10 de V�io � I .rn M „LZ-,1£o00 N o o f=o �w-. Q � ip O 7 Q J N I N Z N O I — , O 601 I 331pwW0� CJNINOZ GNV �0m N °l O Z ONINNVId S)rdVd 3AISN3H?:JW0:) .N N M N eO I klt,,. oD X10- '-S o M MI M_� �� ° ! 1861 S 7 d—LU co =I Go m; �1 h" �'� ( (Z adAC�23ddd aI ,BL'8£ M M ° D b I �o 0"� ,SL'tLb M„LZ-,l£'000 N l I o w f W I- �I 2y�o I (n ILL v o 3 ”N _ N I I I 0. o F< o a a �I o w \ N C _ p) U. n ui O _ 0 _5 z o Z 6N O W- of oo' 0 Q 0 N M H O O O 0 U to 19Z'98b ,' 0 - a) 0 o'n o rn W x f x F- z .9Z'61 ] ('. �w N °D -� 0 i t� 311 L` -1tL-000 S � �� n 11 11 ° - W n „ N um 0 J 0 • I- 2 ° -°o glacoriM d Q N 'Al x1orJ Is � J tpeou ;o ielll0ag (� z 118NN0:.O sawyf O �T \ w M618 ' N021 `92 -03S- V/1 MS - V/13S 19 tl/I MS- b/13N ddw �\3n�jns a31Jild]3 l � J•INIIJN V•986'ON WVOi AMIL I Ti to m SOB �� .y SHEET NO. OF Z t r Excavating Co. CALCULATED BY 6'^g R 1, BOX 192, Wilson, WI W27 CHECKED BY DATE 6 J SCALE 4 l� G rib k5.© f A---e ..... �C 1 1 r' % I` -. t3 � . <!L . ............... 0 i., „'tna,Groh Mass.01411. Timm Joe ft SHEET NO. Z Of ' Excavating Co. �j�,rs 3zzy • r CALCULATED BY / c ~ R �, BOX 192, Wilson, W) 6 027 CHECKED BY DATE_ 3-11 0 7 SCALE 0"J 4 � r a 175 I Gi I,,Mass 01471.