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HomeMy WebLinkAbout040-1171-20-000 § o 2 8 jw. 2 d � / $ � ACL CL c EE j = cm � \ae2 « � k /\) � \ f> & �k / § 0)'a \ $ moo � o -- \ � V) Q) . � $ § m �� k \ / / CL 2 /2G] k 04 N ] § \ . B [ t J R } \ \ IL m # � . ; k k 7 { z 7 7 � d ¥ ) § 0 � \ � .: z LO �; .. § R ) i IL E § f ] f # § o a ) a Z \ \ k ( j E w o . � \ 2 2 a { 0 k \ /o � - � z o . � \ ƒ w 2 § 182 § > / § / @ a � \ % $ \z / 2 ■ , a ° §§ o Q } k I� ° / /G b§ -§ \ / / \§ k a & 5 @ & y a § z / � } to 2 z a Q 5 § e = a © § o -� \ k / } / \ ] / / 2 \ \ � � � © # . 0 . 2 ' § 0 , \ L: a » E & ' r a § k u a 2 o U) L , DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUM INN MADISON,WI 53707 SW1,4, NW14,S36,T28N-R20W CONVENTIONAL El ALTERNATIVE Stile 5Plan VD—Number . Town of Troy ❑Holding Tank ❑In-Ground Pressure MMound -x8343 North Ilwaco L NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER'. INSPECTION DATE: .I Joe Merchak 231 South 13th Street, Hudson, WI 540L6 BENCH MARK(Permanent reference pomt)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV. Name of Plumber-. MP/MPRSW No.: County Sa wv Permit Number: Gary Zappa I3300 St. Croix 102850 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV.. ITANKOUTLET ELEV.. WARNING LABEL LOCKING COVER PROVIDED. PROVIDED. DYES ❑NO ❑YES ONO BEDDING. VENT DIA.. VENT MAT L.. HIGH WATER NUMBER OF ROAD. PROPERTY WELL. BUILDING.JVENTTOFRES LEH ALARM. FEET FROM LINE: AIR INLET ❑YES ONO ❑YES NO NEAREST DOSING CHAMBER: MANUFACTURER BEDDING- LIQUID CAPACITY PUMP MODEL. PUMP/SIPHON MANUFACTURER W LOCKING COVER PROVIDED. PROVI DED. DYES ❑NO DYES ❑NO ❑YES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN LINE AIR INLET FEET FROM PUMP ON AND OFF) ❑YES ❑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.) I MAIN CONVENTIONAL SYSTEM: WIDTH: LENGTH. NO.OF DISTR.PIPE SPACING COVER INSIDE DIA -PITS ILIQUID BED/TRENCH TRENCHES MATERIAL PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH IDISTH PIPE DISTR.PIPE IDISTR.PIPE MATERIAL. NO.CIS:INUMBER OF PROPERTY WELL BUILDING VENT TO FHE111 BELOW PIPES ABOVE COVER. ELEV.INLET ELEV.END. PIPES EET 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 ❑NO SOIL COVER TEXTURE PERMANENT MARKERS 013SEHVATION WELLS ❑YES El NO DYES 1:1 NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES. ❑YES ONO 1:1 YES ONO DYES El 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 NO DISTR UIST R.PIPE DISTRIBUTION PIPE MATERIAL&MARKING E LEV. ELEV.. DIA. ELEV. PIPES DIA: - ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL PL ANSCAL LIFT CORRESPONDS TO APPROVED DYES El NO I El YES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS. NUMBER OF PROPERTY WELL. BUILDING FEET FROM LINE DYES El NO 1DYES ONO NEAREST Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE. TITLE 1 Zoning Administrator i DILHR SBD 6710(R.01/82) I 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. AJI 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; 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 I'D 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 81/2 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. ------------------------------------------------------------------------------------------------------------------------------------------------------------ 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 ateC included the creation of surcharges (fees) for a number of regulated practices which Wisco in,$ can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reaSUrB'. 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- water, groundwater contamination investigations and establishment of standards. Groundwater, t it's worth protecting. SBD-6398(R.03/86) SANITARY PERMIT APPLICATION COUNTY ( DILHR In accord with ILHR 83.05,Wis.Adm. Code S " STATE SA WRUMBER # —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLA 8%z x 11 inches in size. 9 ]— 53 —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES tR NO PROPERTY OWNER PROPERTY LOCATION IvEnaneAx �Pj_/'/4 Iv 4, S &,K' T go"', N, R �aC) E(or PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER I BLOCK NUMBER SUBDIVISION NAME J rV S CITY,STATE ZIP CODE PHONE NUMBER O VILLAGE. NEAREST ROAD,LAKE OR LANDMARK 6- ' II. TYPE OF BUILDING OR USE SERVED:' ' CWd if 1 r 2 Family OR �PublicSpecify): Number of Bedrooms o y 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 OF SYSTEM: (Check only one in#1 and only one in#2) 1. a. Conventional b. ❑Alternative c. ❑ Experimental 2. a. ❑System- b. ❑ Holding C.❑ Pit Privy d. ❑ Vault Privy 7XMound f. ❑ IGP In-Fill Tan k V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a.N 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): /ps-_;,Z,S SjvvE/trS d( Q 7 Private El ❑ Public VI. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Expp. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank D N' D El I El Lift Pump Tank/Siphon Chamber ❑ ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumber's Signature:(No Stamps) 4A b/MPRSW No.: Business Phone Number: ri ©c) /S 3?' —�e,:'O Plumber' Address( r t,City,State,Zip Code): Name of Designer: r /V ry VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST# Aaett_CAI �oL CST's ADDRESS(Street,City,State,Zip Code) Phone Number: IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) TKApproved ❑ Owner Given Initial O�r_) Surcharge Fee Adverse Determination r �l�' �p���8T 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 Q rn m M o D r r , � � t � a Go c n I a°H "'N o � �9 tirn lit rye M - M Lr w n \ MIZ Cl�a `r R Z4 0 \ � °tom" ^ m `0 'b a ro rn a °o R C ? 00 stn a O� r Ili o ° 3 a r � a o � N t� M r- a c 4 �- rn ro aC CA y 0 N. 0 m cc �11 v tin �. Z csD O N o O . p b w z C tin rh o ti L_ rx Op CIAZI rT, v . _�. �• is j Rt c �J �9 Tit c M4 a ;� tj V ' G `I N �► Nv 2 2 T'>, � � �► � a rn If If m Z -� � a � o p� �► i i y � i tT, y y � o► � � o / az M M a OD rK RD Its- K rT I If w aZ � � . 3 it a - � � rr a Q r- 5 r � a n O n a a o e p p rn 2s � aaa � cti � qz LZ rn a x o !, Q a o O it Q n. ra t o \ � o D ~ ° v I aIT C-. L t C) o m c r j Q 9,D 3 C+L7 x i � � m ti n bmersible cinder Pumps t. -4 Peabody BaRnes 3 1, 1 W or 2" vertical Osclterge. L Cornplete line of 2. 3, 5 or 7% HP models. t - &Ohlpls-and three-phase oWf#W motors with on wind- ,� kV temperature sensors running at 3450 RPM. rD rn 4, Heavy duty cast.iron construction with stainless steel hardware. `\ ,. 230 or 460 volt models. . c:� 5. Choice of 200,.� 1 �: , 6. Bronze vortex Wapeller. hardened 440C stainless steel : �4 radial cutter and hardened 4400 stainless steal shred- j ding ring. 7. Shaft seal is the double mechanical type in oil-filled chamber, carbon and ceramic faces. 8. Equipped with 15' of 10✓4 30 cable. 9. Optional moisture sensors available. SPECIFICATION TAKE MOTOR DATA jApprox. Model sizes H.P. RPM Phass Yells I Wt. SGV201 1'/." 2 3450 1 230 1100 SGV202 11/4" 2 3450 3 200 100 SGV203 1'/." 2 3450 3 230 100 SGV204 1'/." 2 3450 3 460 100 SGV300 2" 3 3450 1 200 165 SGV 1 2 3 3450 1 230 165 SGV302 2" 3450 3 200 165 SGV303 2" 3 3450 3 2 SGV502 S 30 165 V 4 2' 3 3450 3 460 165 SGV500 2" 5 3450 1 200 175 SGV501 2" 5 3450 1 230 175 2" 5 450 3 200 175 GV503 2" 5 3450 3 230 175 SGV504 2" 5 3450 3 460 175 SGV753 2" 7'h 3450 3 230 190 SGV754 2" 7'h 3450 3 460 190 O TOY""am sn Um r M � � Pwftmw w Cam ow r eww soft"PON" �d AIM Ilrel k r r- -- » „ ue ewAow ee a • M • es a ee M ue »e�ae eea WNM tHerl/ M tee see e.e sM !N >w Me MII ewwTe �c 2 H.P. Series 3, 5, 7'h H.P. Series R .. 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 JoSepV\ 'D ; I I Ierck n L Location of Property SW Is N \(q k, Section T_2 N-R _Z0 W Township T(ZOV Hailing Address `ILaie St -&ox 13� 12tu2!` GA q W ►S 54bZZ . Address of Site ��,L,'A ` LS o"< ( 3r? C, A er ��kI � (ill 1 S ci 0 Z -Z, Subdivision flame _ C'SIM V p J/ 65 Lot Number Previous Owner of Property P y _I/�ennefti G, � Barbara, I Nadwell and Reid d e Sown C. 9,11,, Total Slue of Parcel 3 ,3S A crams more or le Date Parcel was Created Are all corners and lot lines identifiable? 6( Yes No Is this property being developed for resale (spec house) 7 _ Yes No Volume �� and Page Number (p 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 T (wo_) ce- tti.6y that ma 4 to temen.tA on tlws 6anm wee thu¢ to the but 06 my (ocv%) hncwC¢dge; that 1 (w¢) am (an¢) tli¢ ownen(b 06 the phopeAty ducAi.bed in th,ie .in601mation 6onm, by viAtue 06 a waA.an.ty deed kecoAded in the 066.ice 06 the Coiutt R¢geAten o6 Deeda ah Document Na. �6y's ; and that i (we) p4uentty c.un .the proposed Site bon .the zewage df,6poe (on I (we) have obtained an fdAtmEnt, to nun with the above ducA.4bed pnopentq, 60h the eonAtAuction o6 eaid ayatcm, and .the name has been duty h¢eoaded .Cn the 066tce o6 the County Reg.i.eteA o6 D«da, as PoeMen t No. 1 . i SIGUTURE h OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DQce-0\6E r L 089 DATE SIGNED DATE SIGNED JI ILL L LOCATED IN GOVl:RN.VI'NT l-( l SECTION ?6, T28N, R20),'! -- O U N P A - - L i i_ G L N D S POINT OF — -- -- - — - - — — — — BEGINNING �. V °' , 30 - �• 4t4 S ; � ; 'I'E 660. 00' 4u � 70+ 247. 00' 258. 0 2 155. 00' �SIIED \ 4 OUTHOUSE co CABIN U LOT 1 c C O'C 3. 35 Acres, more �' - or less r ti GONE �\ �,�, J � , ' v ,3e74'+ 273. 47' 231 .53' O 155. 00' u 660. 89°37'!v o U __ .+ O LL. T_ _ U N P, L A T T E D A h D S LL - — — — — — •ecttt .ES w SCALE 1N FEET .��E� G� yE r d 0 10 0' 2 00' -j" • Lv y < 1. ° Siti'A�1SOM ' • S Lu -1482 Z RIVE= FADS, r +, ~ 1'i IS. t ., Z Z t DESCRIPTION ,!t♦t 0rt�t E$6e�`� F < P3rCei O_ .al-:Cl 10 ated iIl ,":3 ernme!." 76 , Tro}- , St . Croix Ccunt , I%— mac:.. .. e _ - - SE corner of sa d ovcrni`:.'nt _o 2 "C-'C S M ?} (; r evicus lv rec � -t� - ? t lion ce �� _ ; ' _ , t}ice', ri '' ui at t° (i c Ci . L, _)^.C Il ii tL.d.. .. ..__ ter � .. _C' •. . -.. .-_ Vii . . ..,... :':E' .,. ' 1. -` , - 1! t" , t�ti c e n t .:� ,r , `Lai.e St . �0ft .-vn 0 1 .ejCrltEtl - it t r J., <,Ilu J J O - , ATANW i THIS SPACC n999W*Y ION MCOpNN DATA NIWATS DAB OF wI> MMUN FORK a—an vti: '7g9r�cc '1 REGOW" OR40 a. mix Go.,W1 ._....... and BARBARA J. HARTNELL, Rsc'd fm �. , and REID O. HILLI�' iY Dec. 18, 1487 tinsbalr►d and Mile, Grantors ............... ....................... Grantee ... .... ad r of Osri ...._.................................................._...................... ....... ............ ..... 4 `«M.................................................. ... --- -------- .. .._..._.. .._ . .... R[TURN TO( • . ` 4 }. . ................................................................. ..... ._.... ........_._ W�h ��tM �.., .............................-----.........._......•---.-•--- .................. ---- ------... ........ P.O. ee& yob red estate in .At..._CrQtx... .....................county. PIAAiM,6Jii. 641X10 I am of wbnnh: c DA ,k " Tax Parcel No: ........... z LINEAL DN3SCRIPTION ATTACHED HERETO. DUD I8 GIVEN IN FULL COMPLIANCE WITH THE TERMS OF THAT =RMZM CONTRACT FOR DEED BETWEEN KENNETH G. AND BARBARA J. mod., RUBBAND AND WIFE, AND REID O. AND JOAN C. BILLIG, AMD WIFE ("VENDOR") AND JOSEPH D. MERCHAK ("PURCHASER") , ' ONM A=8T 1 , 1984 AND RECORDED AUGUST 8, 1984 AS ons MO. 395454. Of St. cr4k it of thlb&cfo" rz-.,oral in %141 office 7w q x w a M0. This AB--110t---.------ - homestead property. (is) (is not) Rsesption to Warranties- DMei ties .. '•?r �" '.. day of .... .... _. _ - _ __ ., ]9..8 7 (SEAL) ....(SEAL) • . >�� � _.............................. ........... ..............(SEAL) ---••-- ....(SEAL) C. Billiq AVTZBNTICATION ACHNOWLSD(i1[SNT sle(a) __......................................................... STATE OF MINNESOTA ss. ............... ................................................_..._....---- �. .DdkQt>?----•-••--•--- --•--..County. �i a1�MiRisaMi this ........day of..........................119...... Personally came before me u .......4. ..... day of ............ 19 _.,. the above named ................................................................................ A enn eth-_G.._and..$axbaxa..�7,.._�ia ..._.-_..._............................................... . ---•-- .Reid.-Q....and..Joan • B i_ ................ TiTLS:Xl0[RSB STATE BAR OF WISCONSIN .......................................... ..................................... ewdoeissi h; 7oi.A6. Wis. slats.) .............................................................. to me known to be the person 8.......... who executed the foregoing • t and acknowledge the same. THIS s11sT1N Mt„T WAS ONAM0 w Charles C. Balberc 12109�Portlaiid Afro: -South, quite 135 •..................I. ............ ._--. - ---.---- .._...._. . ie:7--4lilmeset ----- 53-37-----------•• Notary Public _ Dakota. .. . cou ��r F 11! mr%= Bated or aeknowiedged. Both My Commissj ,a� fih�t Yif^i�ot;'kink' tion date: ..2- '.............., '.Q 9 ) "' cr r.,,„ `, x i !L MMSiI atiNels M aq MN.w Amu M Up"or Oriaw wea awr swmtu s �Y�_: h1Y C' 1 J-. i. L .�...N Y 13.1�� ♦�"v'1r 1i�i"'v'v �11!'�i;Tltiv lilry+ Y O1f MINI - Page 1 of 2 'rs: 799rA IE 2% A parcel of land located in Government Lot 2, Section 36, Township 28 North, Raige 20 West, Town of Troy, described as follows: Lot 1 of Certified Survey ;Nap filed April 23, 1982 in Volume 1, Page 1165, Certified Survey Nap, Document Number 377259, St. Croix County Register of Deeds Office. S'UBJWr to a scenic aid limited develoriwnt easaiicnt to the State of Wisocnsin, dated February 26, 1981, recorded April 15, 1981 in Volume "627", Page 589, Document Number 370321, St. Croix County Register of Deeds Office. TOGETHER with and Mlk=r to non-exclusive existing roadway easements over the parcel described above and providing ingress and cyress from said parcel to the Tmmship road at the Southeast oonner of Said Government Lot 2. Grantees easement of travel over existing easanent roadways shall teimiinate upon ccnipleticn of road ornstruction of new easement roacfiiay over the easement clescriptiens being herein oonveyed and reserved. lOGEMER with an easement for future roadway purposes over the following parcel: A parcel of land beinj 33' in width and located in Government Lot 2, Section 36, T 28 N, It 20 W, Town of Troy, St. Croix County, Wiscaisin described as follows:, Ccmmencirg at the SE corner of said Government Lot 2 ; thence NO°20'E (Assumed bearing) ' 369.00' along the Fast line of said Government Lot 2; thence S89° 52' W 302.00' along the-North line of an existing roadway casanent to the point of beginning; thence N_00i0'E 332.34'; thence Nortluesterly 140.05' alau3 a 133.00' radius curve eoaicave Southwesterly"whose chord bears N 29°50'W 133.67'; thence N 60OW 111.301; thence N 89057yW 52.911;thence Southeasterly 37.91' alma a 108.001 radius mirvo con tive Nnrtheastgriv whc,ap CbQUl LEGAL DE=PTICN OCNT MM ON Page 2 of 2 i • • s ADDITIONAL ROADWAY EASEMENT DESCRIPTION I ±' J bears S 49°56'35"E 37.72'; thence S600 120.001; thence Southeasterly IOS a A00.001 radius curve concuge Southwesterly whose chord bears S 'E SO 201W 332.601; thence N 89 521E 33.00' along said North line of m existiwNg. easement to the point of beginning. Grantor reserves the right to rdontef easement, by recorded Declaration . SUBJECT to a roadway easement across the following described parcel: A parcel of land being a minimum width of 331 located in Government Lot 2, Section 36, T28N, 1?20W, Town of Troy, St. Croix County, Wisconsin, described as follows: Commencing at the SE corner of said Government Lot 2; thence NO 0 20'E (Assumed bearing) 1071.84' (Previously recorded as 1072.501) along t he East line of said Government Lot 2; thence N09 0 571W 504.33' to the point of geginning; thence 589057'L 65.85'; thence 5200031W -63.851; thence N89 571W 28.731; thence S20 0 031W 47.911; thence Southerly 104.79' on a 75.00' radius curve concave Easterly whose chord bears S19 58130"E 96.47'; thence S60 E 8.70'; thence N89 571W 52.91'; thence Northerly 112.98' on a 106.00' radius curve concave Easterly whose chord bears N9 55105 11W 107.901; thence N20 031E 99.75' to the point of beginning, and, SUBJECT TO A ROADWAY EASEMENT over the following described parcel: A parcel of land being 33' in width and located in Government Lot 29 " Section 36, T28N, R20W, Town of Troy, St. Croix County, Wisconsin, described as follows: Commencing at the SE corner of said Government Lot 2; thence NO°20'E (Assumed Bearing) 1071.84' (Previosly ecorded as 1072.501) along the East line of said Government Lot 2; thence N89 571W 504.33' to the point of beginning; thence S20 031W 35.12'; thence N89 0 571W 132.271; thence S54 83918 0W 192.50 '; thence S30 0 4815411W 69.091; thence N89057'W 42.321; thence N38 48'54"E 100.001; thence N54 03'18"E 207.64'; thence 589°57'E 155.00' to the point of beginning, and, TOGETHER WITH a roadway easement over the following described parcel: A parcel of land located in Government Lot 2, Section 36, T28N, R20W, Town of Troy, St. Croix County, Wisconsin, described as follows: Commencing, at the SE corner of said Government Lot 2; thence NO° m 20'E (Assumed bearing) 1071.841 (Previously recorded a:; 1072.50' ) along the East line of said Government Lot 2; thence N89"57-W 217.141; thence S200031W 212.841; thence N89 571W 557.68' to the point of beginning; thence SO 031W 40.001; thei:c . °57'W 50.00'; thence NO 031E 40.00'; thence S89° N89 571E 50.00' to the poink of beginning. in Warranty Deed rec. in Vol. 691, p. 364-5, #394459 aw Grantors/Allen L. Taylor and Judith L. Taylor, husband and wife, personally,-rasnl si . during their lives and while either of them has a legal or equitable interel;t,.in thi premises,to change the location of the roadway easement from its present location to the location as described in the metes and bounds future roadway easement deseriptieAa s � set forth above, and said grantors shall construct any such new roadway in a good aad workmanlike manner. Grantees, by acceptance and recording of this deed, covenant and !' agree for themselves, their heirs, successors or assigns as follows: Kenneth G. Hartwell, Barbara J. Hartwell, Reid O. Billig, Joan C. 81114 a` (a) Grantees/will pay to grantor as their share of construction cost a sum egwil to not more than one-third (113) of the total construction costs or $2,000.00 whiCHM:ft. is the smaller amount, and grantor at such time shall furnish grantees with lien waivers from the contractors involved. Joseph D. Merchak (b) Granteel/further agree that they shall contribute an amount not to exceed one-fourth (1/4) or $100.00, whichever is smaller, of the annual maintenance expenses or clNry�t : . required to keep the easement roadways in good and useable condition. If no maintenance charges Are incurred or expenses paid, said charges or expenses slay accumulated up to but not to exceed three (3) years. (c) In the event after completion of the construction of the roadway improvements described herein, grantees or their heirs, successors or assigns do not Pay tlf� amount provided for in Paragraphs (a) and ($) above, then in that event add due shall constitute a lien against the property described herein sand shall be foreclosed in the same manner as a mortgage foreclosure under Wisconsin law. The covenants and agreement relating to roadway construction and maintenance shall bin/ the parties, their heirs, successors or assigns. Grantees, by acceptance and recording of this deed, do further covenant and sgrss to the roadway easements reserved by the grantor, as more particularly set forth aboas. 3 � . { 7 Page 2-of 2 �� H z H a r ST C - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT Ho St . Croix County z d a OWNER/BUYER Joseph 'D , Me-cc,"o-k ROUTE/BOX NUMBER Rpu{ e 3 _&OX 3"1 C Fire Number 3060 CITY/STATE 1\IV��' Valk Wiscon&ln ZIP �yo22 PROPERTY LOCATION : N W 14, Section 36 , T ?_(01 N , R 20 W, Town of-'TROY , St . Croix County , Subdivision CSM \11 P 1165 , 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. 0 0 E z I/WE, the undersigned , have read the above requirements and agree C, to maintain the private sewage disposal system in accordance with H the standards set forth , herein, as set by the Wisconsin Depart- 'b 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 . yyq SIGNED �I�I�� 1 -b , //4R DATE Q ec_�r� r q 9 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 . State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY&BUILDINGS DIVISION PRIVATE SEWAGE PLAN APPROVAL Office of Division Codes and Application 201 East Washington Avenue P.O. Box- 7969 Madison, Wisconsin 53707 JOE MERCHAK 231 S 13TH ST. HUDSON WI 54016 RE: Plan Number: 87-08343-S Date Approved: December 8, 1987 Gallons Per Day: 300 Date Received: December 8, 1987 Project Name: MERCHAK,JOE Location: SW,NW,36,28,20W Town of TROY County: ST CROIX Fees Received (Priority Review) : 160.00 The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved' . This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires . The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only: - REPL MOUND Inquiries concerning this approval may be made by calling (608) 266-8230. Sincerely, K NNETH STIEMKE Section of Private Sr :: � e Division of Safety and Buildings PPP016/0009ri/13 cc: __Private Sewage Consultant _-County ^_UW--SSWMP __Plumbing Consultant C.4ner Plumber Environmental HealLh SBD-6423(R-W,87) INDUSTRY, F REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS HUMAN R AND PERCOLATION TESTS (115) 'P�-l DIVISION HUMAN RELATIONS o� P.O.BOX 7968 (H63.09(1)& Chapter 145.045) 1 P* f MADISON,WI 537Q7 CATI N:7 V SE TION: TOWNSHIP/ Mk11G+pu,LiTY; OT NO. BLK NO: SUBDIVISION NAME: Sw �/ �� ,� /T�8 N�R2O E(o -r�oy wFs T Pie 7 cs COUNTY: OWN R' 'S NAME: MAILING ADDRESS: ST-C Ro t X TO-E A4 F_R C h A k 231 S. 13 < N U Q(O,v 4L,IS S mod/to USE 20 L_ DATES OBSERVATIONS MADE NO.BE MSCOMM R AL DESCRIPTION:/_ Z ONew R 14 a lace m7womm N p -. RATING:S=Site suitable for system U=Site unsuitable for system Se S S7 Rol E ( r fG �w K�(Q'� .SO 1/s 150 MOUND i--GROUND-PRESSOR : SYSTEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:loptional) ❑s au ©s au as au as ®u 1 as ©u I Mo0tio - If Percolation Tests are NOT required DESIGN RATE: under s.H63.09(5)(b),indicate: G/�1`S- �" If any portion of the tested area is in the Floodplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS zN viM�L fT• _j BORING TOTAL T17YVATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH IN, ELEVATION TO BEDROCK IF OBSERVED ISEE ABBRV.ON BACK.)B- 3.(� 4¢i 33 R!� �a uRSt 1 S .o �e tJRS.e ooze e'rr,•t+i ft,.:-t .(3N . S.4.VD w l� r kC Vii: l i M ONE B- 7•U /o.S.4� Z A r S ' 6 J,0 el 2111111 aik'.rta . Is, G7 �� • �avR jt s .�' . pc D— 9^3 veli 0EA3 jam. 6- ►'`s Ar 3. 1 ' 41 3. '• 411 Tull Suet�fcE f/�vfTin.�S C- PtiRc Si T& X PERCOLATION TESTS - 41 l �• Y o vQ s&" bill s , TEST DEPTH WATER IN HOLE TEST TIME DROP I WATER LEV -IN HE NUMBER INCHES AFTER SWELLING TERVAl-MIN. PEgI P I RATE MINUTES P- /01171 Z 2— 2 PER INCH P- 2 2 /01:. 7 � 4 P- P- Q Z 4 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. SAIud�IeOGK /N?SIP f�C E /O -7, 75 � J t SYSTEM ELEVATION WUERrS_ OF , II" QI'57'RI OTi" Oj $ % 10124 TN i i T 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 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): RT. 3 O'NEIL RD.:HUDSON: MWS. 54016 TESTS WERE COMPLETED ON: C ADDRESS: ROBERT ULBRICHT Qri�• Z Z / MS .!DYER PLUMBER LIC. CERTIFICAPON NUMBER: PHOE NUM@KR(optional); y MINN.IN9"fALLER&DESIGNER LIC.N0.t!OfiG3 6 vp CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority,Prolix;ry Ovi and Soil Tester. DILHIi-SBD-6395 (F•02/82) OVER — REPORT ON SOIL BORIMEYS PERCOLATION Te$T5, 4 PLor PLAM pRpTEcr r. D. Qt L-4C*mcwr ' ` e' DA rr o c T z z - ► R IM NOMESITE TESTING CO. ' aY.3, O'NEIL ROAD HUDSON, WIS.w_ 54016 i!o�r A��r► x� 6C,41E 30 a PROPOSED MOOSE J as r 6v 2.f Fr. At Mo,?E' "OM qLc PRo POSE O WELL MUST m E '`T f 4 ✓r0 aR tioEE' 'f.Po ;� • ei�G('/f f(AIE' /��Tf c EX/ST/�IJ�- I�IJELL � ,gyp � '' Adl cm4o me S4#,PI,,. ~` • ` # = /Zr� W rI CAL N,4/1�o ;Nto aowe pole. LEGEM D elAVArIOAl of ll,& ' »;t "WAW,.f Alo. 46r 01` � } a Sd ^ A IA ?bwa L pots / sI()Cdr aL Xq// 1-2— 04J �61JlfQ C/}A�� k` N or sFR if rso 7 t'' c,413ia LIES APPROX r 5 d f r' to Ref. PT „ ST. CROIX COUNTY WISCONSIN o ZONING OFFICE 796-2239 (HAMMOND) r j 425-8363 (RIVER FALLS) -+� HAMMOND, WI 54015 December 2, 1987 Division of Safety and Buildings Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Joe Merchak property located in the SW 1/4 of the NW 1/4 of Section 36, T28N-R20W, Town of Troy, revealed suitable soils at a depth of 2.8 feet, below which bedrock/ limestone was noted. This site should be suitable for a mound system. Should you have any questions regarding this subject, please feel free to contact this office. Sincerely, Thomas C. Nelson Zoning Administrator TCN:rc