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HomeMy WebLinkAbout040-1009-50-000 t� 03 H t� O�ip (D M Ot C 0. 0 w �o v °o a) cc N w � O O a N N O L C U U O.N tm C•— N N w ,p� O O 3 .T C>U C C Z y c y U. o o a 3 3 E 22 CD Q mow I v y 0 3 Z o z 2 Z N v I co G. m O C U O Z : y o U) IZ- N Z � � I � � I � II c N c o Q Z z O N � z R E N _ d Lo y d N c6 y cn Gr Gr a a E CD E a 3 3 3 U n (n o o 0 0 0 Z o rn z° ) J rn U) U � Y O O CD (6 _ 0 C> CD c a - V y O 6 O .2 m Q Z in 0 CD y O c O C N U _ LO O d O o ''', w a� c c v D- 0 I.n M y t_q � @ v 0 O p) O cm C N N w O 17 z Z .�. -0 C co N N p U N o y ° O y O O •m U •IAl��iii O O H � a) O Z y F— h T2 co = •E n d at ° .. a a ° t A 0IL2 ; 0UiLO) T Parcel #: 040-1009-50-000 02/01/2006 03:26 PM PAGE 1 OF 1 Alt. Parcel#: 03.28.19.39D 040-TOWN OF TROY Current X'' ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner O-HOOVER,JOHN R JOHN R HOOVER 560 WHITE OAK CIR HUDSON WI 54016 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *560 WHITE OAK CIR SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 5.000 Plat: N/A-NOT AVAILABLE SEC 3 T28N R1 9W PT W 1/2 NW 1/4 AS DESC Block/Condo Bldg: IN VOL 548 PAGE 346 ORD&ALSO REFERRED TO AS#29 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 03-28N-19W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 838/87 07/23/1997 829/187 07/23/1997 829/184 2005 SUMMARY Bill#: Fair Market Value: Assessed with: 102070 227,200 Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 71,500 147,200 218,700 NO Totals for 2005: General Property 5.000 71,500 147,200 218,700 Woodland 0.000 0 0 Totals for 2004: General Property 5.000 71,500 147,200 218,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 135 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MADISON WI 53707 SW,,, Wk, S3,T28N-R19W ❑CONVENTIONAL ALTERNATIVE StatePlanI.D.Numb- Lot 29 E]Holding Tank ❑ In-Ground Pressure ti Mound 87-06574 Town of Troy NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Evan Vievegge 1204 Namekagon Loop, Hudson, WI 54016 �L 30- /d: VS 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: William Schumaker I6382 St. Croix 99071 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED. DYES . ONO I OYES ONO BEDDING: VENT DIA. I VENT MATL: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: FEET FROM LINE. AIR INLET. ❑YES ❑NO ❑YES E1 NO INE� REST DOSING CHAMBER: MANUFACTURER. BEDDING: LIQUID CAPACITY. PUMP MODEL. JIUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: DYES ONO ❑YES ONO DYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF -.PROPERTY WELL BUILDING. VENTTOFRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET. PUMP ON AND OFF) OYES ONO 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 MAIN the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH. LENGTH: NO.OF DISTR.PIPE SPACING. COVER INSIDE CIA.- #PITS. JLIQUID BEDITRENH TRENCHES MATERIAL: PIY DEPTH: DIMENSIONS '.. GRAVEL DEPTH FILL DEPTH IDISTR.PIPE DISTR.PIPE IDISTR.PIPE MATERIAL: NO.DISTR I NUMBER OF PROPERTY WELL BUILDING: VENT TO FRESH BELOW PIPES ABOVE COVER. ELEV.INLET.ELEV.END: PIPES. FEET FROM LINE: AIR INLET: NEAREST MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. DYES ONO SOIL COVER TEXTURE PERMANENT MARKERS: OBSERVATION WELLS DYES ONO DYES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED :=F TOPSOI L. SODDED SEEDED: MULCHED. CENTER. EDGES. OYES ONO ❑YES 0 N ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH. NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER: .! 8ED/TRENCH,; TRENCHES: 01141E1401ONS €MANIFOLD PUMP MANIFOLD Of PIPE MANIFOLD MATERIAL. NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING: ELEV.: ELEV.: DIA.. ELEV.: PIPES. 1LEVATION Ai D Df:TR1131TION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED FORMATION PLANS: DYES ❑NO OYES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER O LRNE ERTY WELL: BUILDING: FEET FROM ❑YES 0 N DYES ❑NO INEAASST Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE: TITLE: DILHR SBD 6710 (R.01/82) 1 1 Zoning Administrator INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT r 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: I. Property owner's name and mailing address. Provide the legal description where the system is to be installed; II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; 111. Purpose of application: Check only one in ##1. Complete##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. Responsibility statement: Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model 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 .biter included the creation of surcharges (fees) for a number of regulated practices which Wisco can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried rea,66re ' 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. 0 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- f water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) DILHR SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05,Wis.Adm.Code 7T, v/ STATE SANITARY PERMIT# 19 dy -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 ONO PROPERTY OWNER PROPERTY LOCATION 'et-Oa Al S '/a A/'/a, S T F, N, R l E(or PROPERTY OWNER'S MAILING AffWESS nLOT NUMBER BLOCK NUMBER SUBDIVISION NAME qQ L Q- 4 e_ CITY,STATE ZIP codt PHONE NUMBER Q CITY NEAREST ROAD,LAKE OR LANDMARK ✓ CrJ ya� _ ❑ UL TOWN VILLAGE: �- II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family OR ❑ Public(Specify): Ill. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. YkNew 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.,PO�Alternative C. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e.X Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. ❑ Seepage Bed b. ❑Seepage Trench c. ❑Seepage 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): Feet ❑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 / strutted Septic Tank or Holding Tank lvi+-�Q/�'�' ❑ Lift Pump Tank/Siphon Chamber 4+—, (� �/,e.�a�� ❑ ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT [,the undersigned,assume responsibility for installation of the private sewage system hcN on the attached plans. Plumber's Name(Print): / Plumber's Signature:(No St ps) PRSW No.: Business Phone Number: P 1* /&a S6 "01 4f4_ � — d Plumber's Address(Street,City,State,Zip Code): Name of Designer: der/ dti/ . Vlll. SOIL TEST INFORMATION Certified Soil r(CST)Name CST# CST's ADDRESS(Street,Citgr,State,Zip Code) Phone Number: - �- IX. COUNTY/DEPARTMENT USE ONLY pp�+� ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) 91 Approved ❑ Owner Given Initial rcharge Fee p� Q Adverse Determination ����. /�/ 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 Pa ge 1 of 6 MOUND SYSTEM FOR A 3 BEDROOM RFSIDENCE p �j• ` 4 LOCATED IN THE Sw 11V OF T H✓ N W)/yt OF SECTION 3 , T Ze N, R,.19 W, TOWN OF sT• COUNTY., WISCONSIN . INDEX PAGE 1 of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR CYAN V IE1��.GG� 1ZO N Awl �ccP4 GpJ�I L-0oi, Ycv�s�t�, wt Sq 01 b �e�se�aw� 0'°��sC 0�►S PRFPA RED BY `• f ARTHUR L WEGERER 477 D•915 P WI ,2 R, A_"D ASSOCIArT,E—IS 6usrs. i 30X 74 42-1 "AIT 2THEET ,JTV;;R ALL:, ' ISC!%1`;;�l i4C22 d0v, •••'•a....•.••• mm9oh�SIG�g,4'� ` g -Z1 t-87 �\j�� Job it g7- Z Z _ PLOT PLAN Scale 1"=qO t ►7 _ 6 .574 Q\ $z El- 0 y x �o DoT oiSTUMB �Q JcjFi .�„ 'S S p 0 I T�1 Ls +•iRE'A � �S} W JELL O l�C��1oN a 1 B4 �q CEL16t,s' tELI so.S x E- !OO.y' p► r --PZ - _ PS r Bs o/ E-L lD2•y' !o EL 1OZ-V, 0 Pp�1�A, n C o tit � t�t �R�tv P i►�E �� �� �;�U 4�U��1A13 t�E -� P�G C "rg Soy� �T T2.�PO2T 5{-b�vS `11tE �Cz1Ul�TE C�Or4� To �� SOUS of 'r.�,� Ut vbt�l�1 1T lS Ac�v�c t. TLU P 2 PLOT P1111. TALL A3 QS 1 NE / —_-- -z9S-82 T� T _° w 1/y CO R. 4-SEC N OTES 3 1. Elevations shown are existing ground elevations unless otherwise noted. 2 . Install cast iron pipe 3t onto undisturbed soil both sides of each tank. 3 . Install permanent markers at end of each lateral. (_'6_ required) 4. Install 4" observation pipe with approved cap. ( z required) 5 . Septic tank to be -loon gallon capacity as manufactured by W IES�,R C.On�CCU-ET£ �Ro1�U �7S --- 6. Bench Mark- Elevation 1=-Ecj00•or_ow O l-kZoN PIPS•__ _ __ _ %. D1UE��-T SVRPACE WRYER ARt�l�.1O I u►.i�� `T� PRE`JENT F�J!`1D1JJG RT UPHILL S ;E fF Pf,�GE 3 of — Sirovr,rMarsh Hay, Or 87 - 0657-4 Synthetic Covering Dist ribufion Pipe Medium Sand I - e - H G r Topsoil ___--_---- F Slope Force gain Plowed Bed Of 'z - 2 z From Pump Layer Aooreoote D Z.o �T E Z. 6 �-T. ,,s-\E0ross Section Of A Mound System Using F o• 8 ��. . A Bed For The Absorption Area G l -o -�T• 0 QQ� q 1l7 Ft. H �• S �T- PP�J 0 7- E�Pj\�N� g 38 Ft. N 1-1 Ft. P,VICENE.D j Ft. Ft AUG '�7 1967 prJ\J��NG L Ft. ;:al lt '►F',R� ,c� r�-� �-�ti�. C, W 377 Ft. J L Observation Pipe---\ K of c_ Distribution Bed Of 2 - 2 2 Pipe Aggregate o I Observation Pipe Permanent Markers 1 v - Plan View Of Mound Using A Bed For The Absorption Area ph GE Z 87 - 0657-4 Perforated Pipe Detoll 1 End Vie. PVC Plot r lFertorored • nr COP-, 1 rRMA�t=l�T r-t F,RK j ice _ Nose• Cocored Or, EiotEOm. �O>NG Orr E Ouolly Spoced II 4 PVC Force Moin From Pump r PVC MOnilold pipe pj lJ ' 1 P'Pe l osE HOIt Should Be—) Neil To End COP rr End Cop Distribution Pipe Loyoul P �b•S fT• P� �i vvNJ s�v� �`�NS Diameter )A/ Inch �E�P Hole Inch(es) Ntav t•�C,S Lateral Inches Manifold �- AR��� N�O`��StON uF ` NGE Force gain _Z Inche= E �- tiO4.3Q SSE 1NVE.�2.; �L�}f;�oN CIF U'v76?7}r-- PLACE i ST ?-IL-13 �I�tI FFLow! C�T�P�. QF f'�ft1vI FU LD LW1TN SC3 ���-D17�T��OZ�� ,�� 36'� 1 sJ���UhLS • L-r�ST Ito LE 1Z BE XT TO T�tS: eR P. PUMP CHAMBER CR055 SECTION AND SPECIFICATIONS PAGE S or- VENT CAP 7 - 0 6 ,5 7 4 4'C.2. VEI'IT PIPE WEATHER PROOF APPROVED LOCKING JUAICTION BOX MAIJHOLE COVER t,�I.`TH 25' FROM DOOR, WP`p_mjA (S LABEL. WINDOW OR FRESH 12"Mill. INTAKE GRADE I 4"MIN. 1✓L,EV. q 8 I I8"ml m. 18 "MIN. \\\\\ ----- ----- \ PR RIDE I -- INLET P�`vP�� I�Ri I i{� SEAL I III I APPROVED J01WT5 APPROVED JOINT A l� �\d III W/C.Z. PIPE LA EXTENDING 3' W/C.Z. PIPE y �'� I I I ARM EXTENDING 3' 1 <J �� N �1S I (I A ONTO SOLID SOIL OtJTO SOLID SOIL s I �h 1� OF 1N�t�OF�I FEn Om -J °11.1`1 V. FT. Get r�CS PUM OFF cJE� D I COAICKETE BLOCK N RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL 5PEC.IFI'CATl0KJS DOSE l.y� �� L`jyLjCCZE(ry PI�OU0TS�IUMBER OF DOSES: 3' PER DA-L3 TANKS MANUFACTURER: TAWK SIZE: —1SQ GALLONS DOSE VOLUME X30-3 GALLONS S S E1 G S�fST�1"1S INCLUDIAIG BACKFLOW: ALARM MANUFACTURER: 3��.8 r MODEL NUMBER: �p 1 1-j W CAPACITIES: A= �S INCHES OR ,ALLONS SWITCH TYPE: F-'l BIZ--O-U z l-( B= Z IMrHFS OR L4Q• I GALLOAIS E E• f'l C= G 11Z jur-HES OR \3e S GALLOQS PUMP MANUFACTURER: ' l/ Z$b � MODEL IJUMBER: D=. ImCHES OR GALLONS SWITCH TYPE: tZ°L'-j NOTE: PUMP AND ALARM ARE TO BE Zo-��3 GPM INSTALLED ON SEPARATE CIRCUITS MINIMUM DISCHARGE RATE _ RECEIVED VERTICAL DIFFERENCE BETWEEN PUMP OFF ARID D15TRIBUTIOM PIPE.. FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . 2.5 FEET AUG F.T. ACTOR_. 1• L - FEET } FEET OF FORCE MAIN X �oFLFRICTIOIJ F 1�I 1IA��61tiPC'. �tr{,. _ TOTAL DYNAMIC HEAD = 1�'�9 FEET INTERNAL DIMENSIONS OF TANK: LENGTH —" ;WIDTH ;LIQUID DEPTH X15 PEA M-�t�TUV FA C'tU R CR Z .oS BoTT�r-t A2�1 = 3. 14� k ` _ — tr�.3 2 31 _ ____zO �' SH313W X41 OV3H -1'V101 of (D Lo -4- CO N T-- O O N O N �j - N �► � to Lo C. O - rF :E - N o w U') z Irt z o U T- ° w ix ,�0 a. LLJ CL V � cn tC cr o Q O w N �= C ) CO moo � 0 D O - N Lo U) _ ill N H cn U o ° U Cn a oo N (n U ° C) Lid `r O 70 T O Lo N O CCD) cfl 000Cfl �' NOco (o - tN N N N N = T— T T T Page + Of Perforated Pipe Detail Alt (� I End View )Perlorolea End Cop c i� PVC Pips Holes Located On 9ollom. S Are Equally Spaced A PVC Force Main • J From Pump .7 /P PVC Manifold Pipe Alternate Position 01 (OUtt ibul ion Pipe Force Main From Pump Lost Hole Should as Neal To End Cop End Cop Distribution Pipe Layout P R S x Y Signed: Hole Diameter Ii Inch Lateral 01 Inches) License Number: Manifold of Inches Date: Force Main Inches i 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 �Ua,✓ /��`Crar ee�'� Location of Property �G�/_k Section T q N-R W Township Mailing Address 1i�4�/ iUrr�rr �-,C�a �9�✓ ce�,d /�w�s�,./ GrJ�` �'yr'/� r Address of Site Subdivision Name Lot Number Previous Owner of Property T dlyj Total Size of Parcel Date Parcel was Created Are all corners and lot lines identifiable? k Yes No Is this property being developed for resale (spec house) ? _ Yes No Volume and Page Number 1-7S--,' 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) cen.Li.6y that a t 6tatement6 on this ohm ah.e tAue to the but o6 my (our) hnowtedge; that I (we) am (aAe) the owner(6� o6 the phopen ty dew i.bed in th,i a .in6o"aLion 6o)tm, by viAtue o6 a waAAan.ty deed neconded in the O66.ice 06 the Count RegiAten o6 Deedsah Document No. 7Y3 ; and that I (We) pneaentty aun .the p4opo6ed bite bon the 'Sewage di�spo'S 6yh em (oh I (we) have obtained an ¢aAement, to nun with the above ducA bed pnopehtty, bon the con.6tnuWon 06 said eystem, and the Game h" been duty Aecohded in the 066.tce o6 the County Reg,i.6.teh o6 Vttd6, ae Doement o. SIGNATURE 0 ER SIGNATURE OF CO-OWNER (IF APPLICABLE) i DATE SIGNED DATE SIGNED F - .-------_-- -- THIS. SPACE RESERVED FOR RECORDING DATA DOCUMEn;T No. WARRANTY DEED I STATE BAR OF WISCONSIN FORM 2—1982 'Thomas H .__-Bet_z__and.--Jane...M_,___Be_ z,_.'. -S__.1?_ _� .........--- / wife__a nd_--1 n-•her °w.Tl_.r S ht------------------=-------------•--------------- �, -----------------•-------------------- - i ----- ------------ ----------------------- ----- --------------------------------------------------------------------------- conveys and,warrants to _.EY•aA_-_V1-e-r:e e........................................._ l -- --.-------- --•--=------------ -----------------------•------- ------- --•----•------------------••----••-----------••-----------------•---------------- _._...-.. ........................... ............ .............................. .......................... II Rick �—Fiat-sEe"� �i ...................................... ....................... I RETURN TO 1613 Redwood Dr . j, ---- -------------------------------------- ------••-- ( -- - o , - -- I Apt 201 , Hudson , WI 540 ---- -- --------------------- -- ----------------------------------------- ........... the following described real estate in ...........�-t......CF--0-ix................County, j' Tax Parcel No: -••------••---------•---•--•-- I l j ( See Attached) i1 I I This -_-.. homestead property. � -----�s not._..----- � Xix)x (is not) Exception to warranties: Existing highways , easements and rights of way of record . Dated this 31 ST ------------ day of ----•--- -- ------.Jul -y------------ ------------------• ----- - I I ----(SEAL) ...... -----------------------(SEAL) Jho_ma-s.-H ---------- ............ ------------------ --------- ---------- ------ ......................................(SEAL) C//�Y(-o(SEAL) ------ . _...................(SEAL) I • •-•Jane--.M--.-Bye.tz----------------------------------- I i AUTHENTICATION ACKNOWLEDGMENT Signatures) ............................................................ STATE OF WISCONSIN ------------ ----- _, __ ., _ . -----------•----••--•• -- LX• ................ County. authenticated this --------day of...........................1 19..._._ Personally came before ,ne :xis _3f_977 .day of I Ju _y.................. 19__$— the above named '! •------------------------------------------------•--•- --------•-•---•---•- Th-Qr)as-_H_ __Betz___and__Jane__M_�._--_e-i ........................ ---------------------------------------•------------ husband. and__w i f e TITLE: MEMBER STATE BAR OF WISCONSIN _______________________ .......................... ii (If not, ------------------------------------------------------------ ••--------•----•---••••---•---•-----•--------•-•••--•-------------•--•--•••--- �f ------------------ ----- ii authorized by § 706.06, Wis. Stats.) to me known to be the persons........... who executed the re trum nt and acknowledge the same. I!. THIS INSTRUMENT WAS DRAFTED BY A t t orneyav t r n _ ......._-----------------------------------------------____ .J4 "! (Signatures may be Hudson t-_ W T 5 4 016 Notary Public __._-_ County Wis. I -- • - - - ---- - ----- ff are not necessary.)e authenticated or acknowledged. Both My Commissio is permanent.(If not, state expiration date: --..__�IS_• ------------------------------------ i •Names of persons signinP in any capacity should be typed or printed below their signatures. I' — -- - --- - STATE BAR OF WISCONSIN Stock No. 13002 Kr-MIIIaCoR%WV� FORM No. 2— 1982 Y...... W.cN,M i r l ,n<1 1rr7.c:�w'n 9s parcel 429 located the W 1 !' r,r PtW 1 -4 �: r ;;t,r.tiori %'. 1`? , Town of Troy , 5t,. Croix County, Wisconsirt de c-•rilwtd as f,, ) l.oWs, c;,.,n,mFnCing at, the W 1/4 cor.n+< r of said &,ot nn A , t.t,e:ncf- Nt,u,'1 ' ir� [�; lE;`, ff) P(-,et, along the W .line of said Section 3 ; N89049 ' E c� r y7(- Wj t•. t Lhenc:e N 1i1.3 . UO feet to the' Point of Beginning; tije-m!'! N 1 . 19 r�_;,•t., ; thFtnc(- N'160 1.'1 ' W 75 . 49 feet; thence Nally along a 283 root, r•arli us r.ur. vf- cc,ncav<, N1; 1 .v wt,os� chord bears N5?.a 16' 30"W 230 . 29 feet; t}rt.nc is ,S6,�QoV W 19 .. fiF; t'•+ t.; tI nc:c; SWly along a 205 foot radius curve conc:�,vcs ;_;F;J y wlrc,�:P ch : rd t;r ,ar 5 .�l9O19 ' 30"W 278 . :.2 feet; thence, S 2 3 0 2 8 'E 271 . 00 .feat; them (, :ply a l r,r, ? .., 'Nfi foc)t, radius curve concave Wly whose chord bears S1 1.01.16 ' E 12'1 80 fc:e;t, f ?85 . 82 feet to the Point, of Beginning. > vat,e roadway easement 40 feet in .width across all 1 ar„Is 1 . --r ;'r� „ �, r. L Y A 1 c1e.s� r r l; , i frNt r•;�-1i.:j.l 1 y and at right angles each side of the foll�iwing c F r,r,Fr] i nr; 1' roadway : Commencing at the W 1/4 corner of said ae:ct i.e,r, 3 . NO O , ' '10 true gearing) 1.147 . 69 feet; thence N701J2? ' E 711.6 1Y' feet. to thls Cr r,t.r,ra cne of 'an existing Town Road; thence S230 56'E 17 , 74 1'e.. t. along said To'wrn 11"oad to the' Point of Beginning of said private roadway pr-A sF.rn<,nt. ; t,hr,-t,(_e F,Ic)r;g the centerline of said private roadway easement. ;;f;2ut)'/ ' W 112 . 9() 1Nt-t. ; t'herec,e ..;Wl.y along :a R25 foot radius curve concave SEIY Who., - c h<,rcl hear.•F, ;,19v1.y ' 3C►'•W 305 . 70 feet; . thence 523028'E 271 .00 feet; ther,cY :; IY al �,n9 a 27f1 .fc,;;t; radius curve ooncave Wly whose chord bears S11006 1i; 1 1 9 G;t tr) the of private: rr,aklw,_,Y ;me-nt. . -, d centerline t �, ' Termination of said H H a ST C - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St . Croix County z d a H OWNER/BUYER ROUTE/BOX NUMBER Fire Number CITY/STATE ZIP Sydl6 PROPERTY LOCATION : II Section 3 T 07- N , R_W, Town of St . Croix Cou�nyty , Subdivision Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes . Proper maintenance con- sists of pumping out the septic tank every three years or sooner , if needed , by a licensed septic tank pumper . What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St . Croix. County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1 , 1978 . St . Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained . The property owner agrees to submit to St . Croix County Zoning a certification form, signed by the owner and by a master plumber , journeyman plumber , restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping ( if nec- essary) , the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration . Ho te 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- v ment of Natural Resources . Certification form must be completed and returned to the St . Croix County 'honing Office wit in 30 days of the three year expiration date . N SIGNE 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 . DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS ` INDUSTRY, DtVIS10N 1 LABOR AND PERCOLATION TESTS (115) r MADISON WI 53707 HUMAN RELAT1r1NS (H63.09(1)&Chapter 145.045) LOCATI 6 N: I SE fON: TOWNSHIPtMtJ#"W�Ai:KY: OT NO..BLK NCI: SUBDIVISION NAME: —� /'� �/ 3 /TZS�N/Ra E( � TAO Lq 5� rRof� ���s _ COUNTY: WNER'SAVWui _-R'S NAME: MAILING ADOR SS: s+-CR01 1c tik'mps --rom -BET�- q22 L v�JO , }Jo . N v DS e.J , 4� i S S ycY,� USE DATES OBSERVATIONS MADE _ NO.BEDRMS : C /� I / =. f / TZSTfTESTS:7 Residence 3, /a' '*- New ❑Replace LA/J�� M 3"/�I/A"Al 604 - RATING:S=Site suitable for system U-Site unsuitable for system M':l = O' ZDIV a OH/�!' O ONVENTIONAL: MOUND: IN-GROUI I E STEM-IN-FILRECOMMENDED SYSTEM:(optional) ��S ©U ®S DU DS U DS ®U ov�o oN � If Percolation T ests are NOT required DESIGN RAT If any portion of the tested area is in the under s.1163.09(5)(b),indicate: C«SS Floodplain,indicate Floodplain elevation: -Aly.3 fl2AcTuRCD pR FILEDESCRIPTIONS W 3>9 4L LI m E-S'ro►.]E ?CD BORINGI TOTAL DEPTH TO GROU NDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED HE TO BEDROCK IF OBSERVED ISEE ABBRV.ON BACK.) r ,1 S�Pe.8'j.S � , ?S ' 8a-s y S � 1.33 ' �a• S, /.,f- ` B- / 13.9 /f S O ?{v— 3.? o r ./s LIKES7-0NE A7- /.V ` B_2, > . r ' of. sw- S� 4 40 '0 I B-3 30 /,10 .SD .3• d Qa . cooaSE SI O'L)►�EsToac R.A. (� p D 3 PC. Bo. r.1 /./to Ba.Si l 2.0 ' OIP- Qa- , -.i•�` i} B- / �•d t la 3 6 f i3 l.M�sfo•t� Glee%t�Et� l�' AT .3.1p'^L/hESTv i /02•(d •33 'pvf3a SCI . 17 '1303-yy. ! /p' B•i . Silt ; o oe- It I ?.a eoaR.i.—_ f. + B- T 5• ' /-;,4 G S o sa E 13f-1 D OC �1.fr}CE �YECWAVAJ �CS PERCOLATION-TESTS TEST DEPTH WATER IN HOLE T TIME DRO IN WATER L V L-IN HES RATE MINUTES NUMBER INCHES AFTERSWELLING 1 ERVAL-MIN. PERIOD PER INCH P_ 1 /o/.z 3rd I P Icc P _167. 3 it P_ I P /0 II P- i 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. • w i ti, Z f+. a f BASAL S-!v D $�VQ/RoC i� k4 TE 1:1SKE _ /0 3•e d ' j SYSTEM ELEVATION TNUEIPrS of I " 0 1'srRiBUTfo41 ?1 e— T i � SfT i .r -;-srr,- —f— o �o ;— � I TH I/ERT•kF. FT. ; I r i ; I I Pit ' I - PPr+T�vr i I i I I I �� ► I i � - .�T• Aar' �=---'- Se.6-ax p/4" Sep ac sys era,� - n atio nr •. . --- -T-- �� 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 -•Aministratwe Code•and that the data recorded and the location of the tests are correct to the best of my knowladge and belief. AhtE (print): TESTS WERE COMPLETED ON: HUMESI TE SEPTIC PLLLM89C C0 RT. 3 0'N I ELkD. HUDSON W1S 5QIg I _ -- ROBERT ULBRICHT CERTIFI ATION NUMBER: PHON NUMBER optional): JC!HESS: MS-MASTER PLUMBER LIC. NO. 3307 M.P.R.& ��b 2.- ! , CST SIGNAT RE: , I ' TRIfII I TION: Of:grr,al and one copy to Local Authority,Pioperty Owner and Soil Tester. INSTRUCTIONS FOR COMPLETING FORM[ 116 - SBD - 6396 To be a complete and accurate soil test,your report must include. 1. Complete legal description; 2. The. use section must clearly indicate whether this is a residence or commercial project; 1 MAXIMUM number of bedrooms or commercial use planned; 4. Is this a nevv or replacement system; 5. Complete the suitability rating'boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 5. 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; S. Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; 0, Complete all appropriate boxes as to dates, names,addresses, flood plain data, percolation test exemp- tion, if appropriate; 10. if Mire itIfOrmatiun (such as flood plain,elevation)does not apply, place N.A. in the appropriate box, 11. Sign the form and place your current address and your certification number; 12. Make legible copies anti distribute as required= ALL SOIL TESTS MUST BE FILED L'UITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL. TESTERS Soil Separates and Textures Other Symbols st - Stone (aver 10") BR - Bedrock cot) Cobble {3- 10") SS - Sandstone gr Gravel (under 3") LS - Limestone S - Sand HGW - High Gronrrciwtater cs Coarse Sand Perc Percolation Rate coed s - Medium Sand `4N - WeII is - Fine Sand Bldg -- Building Is Loamy Sand > - Greater Than sl _- Sandy Loan < _ Less Than Loam Bn - Brovin sit -_ Silt Loam BI -- Black Si Silt. Gy - Cray c - Clay Loarn Y - Yellow set -- Sandy Clay Loam R Red sicl -- Silty Clay Loam niot Mottles sc - Sandy Clay witl r sic - Silty Clay fff fevv, line, faint: C Clay cc - common,coarse 7 t Peat mm - Many, medium m - Muck d distinct p - prominent HWL - High water level, Six general soil textures surface water for liquid waste disposal BM - Bench Mark VRP - Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department rnay request verification of this soil test in the field prior to permit issuance, A complete set of plans for the private sevvage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS DIVISION INDUSTRY, LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (H63.090)&Chapter 145.045) LOCATION:/," SECTION: TOWNS HIPtfrYtifd4Q444tI'TY: LOT NO.:BLK.NO.: SUBDIVISION NAME: SSW 1/4 y0/ /Tz�N/R E 1 ) T420 2,7 5+• C 90 >< u��►S COUNTY: , OWNER' 'S NAME: MAILING ADDRESS: 5-}-r-Rot )c mk.MRs -Tom -8tT'2_ qzz LL)A)0 , Qdl . HopsaA3 , w i S YVOIA, USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILED RIPIIONS: A ION TESTS: Residence 3�y Al n New ❑Replace I��M Z7—I1p7 �l t 7 RATING:S=Site suitable for system U=Site unsuitable for system 2-7001,J&- CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional) os ®u �s ❑u ❑s u ❑s ®u as ®u MO()ND ©N �- If Percolation Tests are-NOT required DESIGN RAIL;_ If any portion of the tested area is in the under s.H63.09(5)(b),indicate: G6ASS A Floodplain,indicate Floodplain elevation: -'I?ACTUV_D PR F DESCRIPTIONS tN `1>AC i•4 h L L/HESTONE D BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST. I HEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) /�+ ( ,�s 'A�Ba•S 1 , 7S ' $a-sy. S ) 133 ' $N' S , /.s B- / 3.9 7S.yD 7 3•Q D•C •/S Ar LiMESratj a-'R ' B- 2, /.� ' /�D,J � � > �.O t 11�� �� S� 1 AT'Ba. � /.(j � Li�tE 5Tati1 E' e D cc-w-� � / Pe. Ba. CPcAry , o B-3 -30 /�o .So 3. 6 0' B,1bs.'Co 0RSa- SI . S CIF//a AU s/l 4T 3.o '4►MCST04E_ R. B-7 �.� 60.3), > 3 �� 33 Dom. Ba. S�(, /,/6 ' E` VI 2.6 ' olp• Qa. , E/�i� /lkESfO�t6 4L.E�%IDEA Sr' &-r- j.,P L/HES7b > ,S, Q 33 ' D,�Qa .S��, . Co7 ''BN-yy. /,o' o 00- el, • t ) .2,p eovRSE . g_ r , S-O ' "-4 eSToNE eQR05-;'_— 9Q�i}C� 6YE647/OAJ OF P&E�2cS PERCOLATION TESTS EST DEPTH WATER IN HOLE T TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING I ERVAL-MIN. PER O1 PERT o2 P PER INCH P_ I /D�.2 3rd 1 P- P- '. P P 0 , 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. wi a f+' O'f I13*5AL S+lUD S',RkfD/ROCK /03..ko SYSTEM ELEVATION ��uEhTS of I " D�SrR[BuT/oa �1' 1o3, 70' 76 - 54 eL C _s� __ __ _. i a G� I II_ - iE 8ai T -71 GeV AT I o OF �- �R F- r 30 ,<<i15'7 ?hi OVE @ Zon, r € _ ^ I 1 W e i _ S I,the undersigned, hereby cePtify that the soil tests reported on this for W a y ord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the sF r corr to the b t my knowledge and belief. `_'t,�(En NAME(print): ESTS WERE COMPLETED O � A H{)kiESITE SEPTIC PLUMB Ti1G C _ APR 6 19V ,� IC/, G 3 �/ / RT. 30'NEILBERT ERTIFI ATIONNUMBER:�PHON NUMBER optional): ADDRESS: ROBERT UIBRMCNI -- WIS.MASTER PLUMBER UC, N0.3307 . . OFFICE l F7/ — CST SIGNAT RE: L DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — DEPARTMENT OF I, PORT ON SOIL BORINGS AND SAFETY&BUILDINGS INDUSTRY, IVISION LABOR AND 111"'^^^"' PERCOLATION TESTS (115) P. O.BOX 7969 HUMAN RELATIONS Cb 1 / MADISON,WI 53707 (1,163.090)&Chapter 145.045) LOCATION:/ SECTION: TOWNSHIPtfolt#+I, ,4E+TY: OT NO.:BLK.NO.: SUBDIVISION NAME: s�• I '/ y /TAN/R E 1 ► T-•Ro s�. cRotx �IOwNs COUNTY: OWNER' 'S NAME: MAILIN ADDRESS: V n�0 ` / , I c�j s} Rot M£.Hgs -Tom -e TZ qZZ Lv�JO , No • N P A3 , 4) J 7oll= USE DATES OBSERVATIONS MADE NO.BEDRMS.:ICOMMERCIAL DESCRIPTION: PRDESCRIPTIONS: '� � EST�, VResidence 3/Y ,/f New ❑Replace 1 27+1 jf 2 �# /6q D�f1'i%t� e"O"?'X D1u SiTf 4,(II 7- *0c� RATING:S=Site suitable for system U=Site unsuitable for system u C4%. , OeL C 2vm1 a OH/.V I' ,e O ONVENTIONAL: MOUND: IN-GROUND PRESSURE: SY TEM-IN-FILL OLD ING TANK:RECOMMENDED SYSTEM:(optional) ❑S ©U ®S ❑U ❑S U ❑S ®U IHEJS ®U A4ovAue') ©N � If Percolation Tests are-NOT required DESIGN RAT 4 SS I If any portion of the tested area is in the Ike— under s.H63.09(5)1b1,indicate: Floodplain,indicate Floodplain elevation: ��TTJJ �iGs 7� DG�L'TO/tr' - PQACTU1?e Z) PR I FILJEDESCRIPTIONS iN �1tGi C-04 4,L `F-� - �.!►{�S ONE eD oC BORINGI TOTAL P H T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVE HE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) ► ! r .1r '111" go-S , , 7S ' 84-Sy S , 1.33 �a S, 7'r B- / 3.� �l5.v/o krr 3. oe ./s ' r imE$Toms- T3 1z . B. 2, 46 ' J 6- A J' /.0 " 11 Dk' $,J. S i �� A T A C) ` L i Ft E S T'O/�1 E Se p oGfc . ! B-3 30! /00 .50! i 3• 7s 'c 0' ea. Si ""C 'y w• 1 , 131bodase- SI S IF//e 'LHE sT•oo a c R• B-y �.� f a0.3�i > 3-�` 33 DC. Ba• S.l, //6 ' Ba-S"1� 2,a ' DR• aa. ,3.3` i� /,MEStoa� �,e%��v B- � r � sr NT S., L/HES7V �. . G7 '`BN-yy. /,Q /o2 ,6d > 33 ' p�Qa •S�I, Or off- @ ) 2,0 c'ov,QSE B- A-I- . S.0 ' L;tieS a►Ae- 13ftD izoctic - 3ZVfA4j!F-" 15'/E647-fCh! OF C! PERCOLATION TESTS TEST DEPTH WATER IN HOLE T TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING I ERVAL-MIN. p p PER INCH P- P- / P-_ P /0/ 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. • wifi, a f+- of BASAL S4k)D — SAVO/RaCk _ /Q 3. SYSTEM ELEVATION • vo u6 RTs or- r' p i S r pi urloAb pr pE ; 10 3•?O J. tom• -�-�---r-- ---t- F,� _. � .—. ___r 1 � 1 -_t_ _ � t! ( 5 i`I' LT • 7D •t N qGE i iE T 8 I - O I T. .. 0-r� �e�Lw 1- I g t y r f1 sepilip sYstom ! _ _ 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(print): TESTS WERE COMPLETED ON: HOME SITE SEPTIC PLU148fIit3 CO. RE 3 YNEIL A/vl<✓jli 3 [Q RD.. /" ADDRESS: ROBERT ULBRICHI CERRTIFILATION NUMBER: PHONE NUMB ER optional): WIS.MASTER PLUMBER LIC. NO.3307 M.P.R. . 8 ! ,00W CST SIGNAT RE: DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. 6395 lR.021821 —OVER — ST. CROIX COUNTY Fri{ WISCONSIN ZONING OFFICE > ► ;�' '' 796-2239 (HAMMOND) t. $ a— 425-8363 (RIVER FALLS) HAMMOND, WI 54015 July 2, 1987 Veterans Affairs--State of Wisconsin Loan Division Madison, WI TO WHOM IT MAY CONCERN: A parcel of land currently owned by Thomas Betz located in the SE 1/4 of the NE 1/4 of Section 4, T28N-R19W, Town of Troy, is a best suitable for single family residence due to the shallow bedrock and high ground water characteristics of the property. Should you have any additional questions, please feel free to give me a call. Sincerely, 4 Thomas C. Nelson Zoning Administrator TCN:rmc ST. CROIX COUNTY WISCONSIN ZONING OFFICE k. z- >> � � 798-2239 (HAMMOND) 425-8383(RIVER FALLS) Ps -- HAMMOND, WI 54015 August 21, 1987 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Rick Halstead (formerly. Tom Betz) property, located at the SW4 of the NW4 of Section 3, T28N-R19W, Town of Troy, St. Croix County, revealed suitable soils at a depth of 3.0 feet, below which bedrock was noted. This site should be suitable for a mound system. Should you have any questions, please feel free to contact this office. SSiin-cerely, Thomas C. Nelson Zoning Administrator TCN/rc